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Project Management Professional (PMP) is an internationally recognized professional designation offered by the Project Management Institute (PMI). As of March 2018, there are 833,025 active PMP certified individuals and 286 chartered chapters across 210 countries and territories worldwide. The exam is based on the PMI Project Management Body of Knowledge (PMBOK), and the prerequisites[2]are:Secondary degree (high school diploma, associate's degree or the global equivalent)7,500 hours lea
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Certificate in Nutrition And Dietetics
Certificate in Tourism Management
Fundamentals Of Tourism
Diploma in Hospitality Management
Diploma in Nutrition and Dietetics
Diploma in Tourism Management
Diploma in Travel & Tour Guiding Management
Find the online resources available to research old railways and other historic locations in the UK.
This course will help you kickstart your journey in the domain of Project Management. To begin with, we cover the basic concepts like what is a Project, what is Project Management, who is a Project Manager.
The course is about how the hospitality industry is and how it works, you will learn about career opportunities, jobs & salaries and the ups and downs of the industry.
This course is about learning the basics of Massage Therapy you will learn the basics of many different styles and techniques, including massage, reflexology, and more.


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RICHMOND, Ind.--(BUSINESS WIRE)--Indiana American Water, a subsidiary of American Water Company (NYSE: AWK), joined Richmond Mayor David Snow, community leaders and project partners at a ground breaking ceremony Monday, June 25, 2018 in Richmond, Ind. to kick off a major upgrade to the company's water treatment facility on the city's northeast side.
The $45 million project includes construction of a new water treatment facility to replace the existing one located near Middlefork Reservoir on the city's northeast side. The new facility will improve water quality and help the company to meet new, more stringent water quality regulations, reduce disinfection by-products in the finished drinking water and enhance plant safety.
"From its earliest days, the Whitewater Valley's plentiful water resources have played an important role in the development and continued success of the area over the last two centuries," said Indiana American Water President Deborah Dewey. "While we have continued to upgrade our infrastructure over the years in this community, these investments will help us to take our water quality, service and reliability to a new level of excellence."
To meet new, more stringent water quality regulations associated with the Environmental Protection Agency's Long Term 2 Enhanced Surface Water Treatment Rule, the project includes adding ultraviolet disinfection to the existing treatment process. When used to treat drinking water, UV disinfection provides an additional layer of protection against chlorine-resistant pathogens and microorganisms that could be present in surface water sources. The Richmond treatment facility uses both surface water and groundwater as its source of supply.
The project will also significantly enhance safety for employees and nearby residents by switching from using gaseous chlorine to sodium hypochlorite, a much safer liquid disinfectant, to produce chloramines, which has been used at the plant since 2011. The new design will also improve the effectiveness of the use of sodium permanganate, a chemical which allows using less chorine at the front of the treatment process, further reducing disinfection by-products in treated drinking water. A new chemical building that is being constructed as part of the project will further enhance safety at the water treatment plant by incorporating safer and more robust chemical containment and storage features.
The project also includes construction of a 20" transmission main to transport water from the company's Main Station site for treatment at the new Middlefork facility and replacement of a pumping station on the city's east side. Construction at the Middlefork site also includes adding a filter backwash water recycling facility and a new on-site ground storage tank for finished drinking water.
The project, which is expected to be completed by the end of 2019, is utilizing a design-build concept, bringing together construction and design professionals in a collaborative effort to enhance the quality of the finished project and to more effectively control project costs. The design team of Hazen & Sawyer and River City Construction is designing and constructing the new facilities.
In addition to the current work getting underway, Indiana American Water has also invested nearly $5.5 million to replace or relocate more than 7 miles of aging water mains in the Richmond area during the last five years.
Indiana American Water serves nearly 16,000 customers in its Richmond service area or a population of more than 40,000 people.
About Indiana American Water
Indiana American Water, a subsidiary of American Water (NYSE: AWK), is the largest investor-owned water utility in the state, providing high-quality and reliable water and/or wastewater services to approximately 1.3 million people. With a history dating back to 1886, American Water is the largest and most geographically diverse U.S. publicly traded water and wastewater utility company. The company employs more than 6,900 dedicated professionals who provide regulated and market-based drinking water, wastewater and other related services to an estimated 15 million people in 46 states and Ontario, Canada. American Water provides safe, clean, affordable and reliable water services to our customers to make sure we keep their lives flowing. For more information, visit amwater.com and follow American Water on Twitter, Facebook and LinkedIn.

subset: commoncrawl


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This is an amazing book for anyone who is curious about everyday things. Perfect as a gift for parents who have a 5yr and older child. Wonderful and understandable explainations such as " How does superglue work?", Why does hyrogen peroxide bubble when you put it on a cut?" and "How does hairspray work?" and many, many more.
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text: Home Materials Glues & Fillers Proxxon MICROMOT glue gun HKP 220 Proxxon MICROMOT-glue gun HKP 220 View more products from Proxxon Want it on Friday, 23rd October? Place your order within 15 hrs 33 mins and select Next Day Delivery at the checkout. Proxxon MICROMOT-glue gun HKP 220 (28192) £16.95 Quantity Add to basket 12 X Replacement Glue Sticks (28194) £1.95 Quantity Add to basket Product Details Delivery Why Buy From Us? Quick and reliable gluing of metal, wood, plastic (including Plexiglass), glass, ceramics, stoneware, cardboard, leather, polystyrene foams and textiles. The adhesive sets in about 2 min, allowing positional corrections, which is impossible with instant glues. The 7mm glue sticks are perfect for delicate work such as model building, toy and jewellery making, etc. Sensitive mechanical feed ensures correct glue quantity delivery. Integral stand positions gun on worktop when not in use. Technical Data: 220 - 240V. PTC controlled element for exact temperature of 200C. Included in the set: 4 glue sticks 7x100mm 3 interchangeable metal nozzles Here at Hobbies we aim to dispatch all in stock items on the same working day, if ordered by 2:00pm. UK mainland orders will be delivered by either Royal Mail or DHL. DHL normally advise an estimated delivery slot via SMS or Email notification. Please see below for shipping charges. UK Shipping Charge Rate Plans, Fretsaw Blades, Flags, Decals and Vinyl Lettering £1.95 Orders Up To £150 £3.95 Orders Over £150 & Hobbies Catalogues (UK Only) Free Delivery Royal Mail TRACKED £5.99 Maximum Postage (Wood Packs, Panels and Flammable Goods) £5.95 Express Next Working Day & Nominated Delivery (Placed Before 2pm) £7.95 Saturday Courier £11.95 Please note: Orders to surcharge areas may incur an additional cost if a parcel is oversized, overweight or contains flammable goods. We will contact you before posting. Please see Postage for more information regarding surcharge areas. We also deliver all over the world. For information regarding overseas orders please see Postage for further details. So why buy from Hobbies? Hobbies have built a reputation for providing first class goods and excellent service, with over 120 years of experience supplying model makers, machinists, craftsman & enthusiasts alike. We pride ourselves on our worldwide reputation for high quality customer service and we are always happy to provide help and support, from advice with choosing what product to buy to after sales support, such as guidance with the building process of a model kit. Our customer support and service is comprehensive, and we won't disappear after you have made a purchase. Not convinced? Then just ask one of our many thousands of satisfied customers, both here in the UK and overseas. We believe model making is not just a pastime, but also an experience to share with friends, siblings, children and grandchildren. Hobbies stock a diverse range of hobby kits and accessories, from Revell kits to dolls houses, model boat kits to balsa aircraft. Whatever your age or experience level, you'll be able to find something to pique your interest at Hobbies. If there is anything you need help with, or even just a general enquiry, then please Contact Us. You may also like... Deluxe Materials Fusion £19.75 Deluxe Materials View Glue AD61 £9.15 Wooden Model Makers Glue Pack £11.99 Flex-i-File Touch-n-Flow Applicator £6.49 Dremel Hot Glue Gun 940 £32.99 Flex-i-File CA Applicator Tool £6.49 Deluxe Materials Super Crylic £18.99 Dope Brushes Mops - Various Sizes £0.80 1 x £125.00 Subtotal Continue shopping Checkout now Notify me when back in stock Enter your email address below to receive updates on this product Notify me


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Master Lock
Master Lock 1500 Combination Padlock
Regular price $ 4.24
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- 1-7/8" standard combination locker lock
- stainless steel body
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- available in any quantity
- most orders ship immediately from our warehouse
- packed in individual boxes
- For supervisory key control option, consider Master Lock model 1525


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Our clients call the Ciel Custom Facial the best facial in Los Angeles! Designed with your skin in mind, our world-class estheticians will perform a thorough skin analysis, and develop a custom skin care plan that will address any number of skin conditions that are of concern to you. These may include signs of aging, hyperpigmentation, acne, and skin sensitivity.
Our Custom Facial includes cleansing and gentle exfoliation while also incorporating the appropriate custom skin care treatments dependent on your specific needs.
With the Ciel Custom Facial, you will experience why custom skin care by Biologique Recherche has a cult-like following. Fall in love with your skin again!


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For some people, avoiding high-FODMAP foods doesn't provide complete relief of IBS symptoms. That's understandable, since IBS isn't yet curable and tends to be cyclic, with periods of greater stability and calm interspersed with flare-ups and times of symptom exacerbation. There often isn't any explanation for why the condition gets better or worse if a person's diet, exercise, and lifestyle habits haven't changed. It appears to just be the nature of the beast.
If a low-FODMAP vegan diet hasn't helped to resolve your IBS symptoms as significantly as you'd like, you could try an adjunct or alternative approach: a vegan diet high in soluble fiber. Soluble fiber dissolves easily in water, forming a gel-like substance that slows digestion, softens stools, and helps to improve elimination. Conversely, insoluble fiber doesn't dissolve in water but instead passes directly through the digestive tract essentially intact. Insoluble fiber increases stool bulk, which helps to keep bowel movements regular and prevent constipation. We need both soluble and insoluble fiber in our diets, and most whole plant foods contain both in varying proportions. The aim of a remedial approach for IBS that emphasizes soluble fiber is to center the diet around foods that provide more soluble fiber than insoluble fiber and make them the foundation of every meal.
Be aware that such a diet typically isn't gluten-free and generally contains some high-FODMAP foods. But if these specific foods aren't problematic for you and don't trigger your symptoms, they might actually help calm your irritable gut.
Foods high in soluble fiber are particularly welcome when we're craving something soft and soothing. Please be aware that many people with IBS also feel better when they consume mostly cooked foods (rather than raw vegetables, raw fruits, and salads), as these are often easier to digest and create less gas and fewer symptoms. A high-soluble-fiber diet is based primarily on foods that are naturally soft and somewhat gelatinous when cooked (such as oatmeal and barley) and not visibly fibrous. It excludes foods with skins that can't be removed (such as grapes and legumes) and minimizes raw, fibrous, and hard, tough foods (such as stringy vegetables and fruits, whole grains and bran, nuts, and seeds).
The following lists feature items that are high in soluble fiber and/or those that are naturally soft and comforting. As long as these foods don't trigger your symptoms, you might want to experiment with gradually adding more of them to your diet. (Note that "HF" indicates a high-FODMAP food, "LF" indicates a low-FODMAP food when limited to certain portion sizes, and "G" indicates a food that contains gluten.)
Cooked Vegetables
Cooked Grains
Breads and Pasta
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Stryyk Trio Pack - 3x 70cl 0% | Alcohol Free Spirit
"Looks like rum. Tastes like rum. It's Not Rum – the perfect zero-proof alternative for all your favourite rum-based drinks.
Made from a combination of clove, oakwood and grapefruit, it's 100% natural with no sugar, no fat, no carbs and no artificial flavours.
Now you can follow the siren call of the Mojito or the Mai Tai safe in the knowledge it won't lead to a disastrous conclusion. Dive in."
"Traditional gin makes you happy. Then it makes you sad. After years of careful experimentation we've discovered a way to remove the sad part.
What's left is a pure, crisp spirit made from a combination of juniper, basil and rosemary.
It's 100% natural with no sugar, no fat, no carbs and no artificial flavours so it will keep you smiling all night long. Drink happy."
"Traditional vodka has fuelled many a great night out. And when we say fuelled, we mean exactly that.
Not Vodka is a purer, tastier creation, made from a combination of cucumber, coriander and apple.
It's 100% natural with no added sugar, no artificial flavours and no allergens, so you can power through the party and still burn bright the next day."


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Asia is quickly becoming an important region in the world. It's also increasing in soft power - many Korean and Japanese entertainment imports are becoming popular in the West. Because of this, there's an increase in the amount of people learning Asian languages. Many take up classes, try studying abroad, or learning by themselves as a hobby. No matter what method you choose, you're probably wondering - which is the right language for me? The answer depends on your own interests or career goals. All three major Asian languages - Japanese, Korean, and Mandarin Chinese - have their ups and downs during the learning process. As someone who's spent time learning all three, I'd like to break down the pros and cons of learning each language, as well as how each one differs in terms of difficulty level.
Let's start with Japanese, which is probably the most popular Asian language to learn. Before it was because of potential business opportunities, now it's probably more due to interest in Japanese culture, arts, and entertainment. Japan isn't quite the economic powerhouse it once was, but proficiency in Japanese can still be useful for both personal and practical reasons.
The language has a very complex writing system - no doubt the most complex of any Asian language. In addition to characters imported from Chinese, Japanese has two of its own alphabets - hiragana (for local words) and katakana (for foreign words, and emphasis). Unlike in Mandarin Chinese, characters in Japanese often have more than one reading, and irregular readings for certain character combinations aren't uncommon. Plus, you have to memorize at least 2,000 characters in order to become truly proficient in the language.
The upside is that Japanese pronunciation is by far the easiest of the three. Compared to the tones of Mandarin Chinese or the somewhat guttural pronunciation of Korean, Japanese is a breeze. There are only 5 real vowel sounds, and most consonant sounds are familiar to English speakers - with a few exceptions, such as the R/L sound being somewhat different. Japanese grammar is the complete opposite of English - with a subject, object verb structure, and a complicated formality system, in which different verb conjugations imply different levels of politeness. Many words and subjects are also often implied instead of outright stated, which adds another layer of confusion for the Japanese learner.
Still despite the complexity, there aren't many irregular verbs - once you have a rule memorized, generally you don't have to worry about anything else. Japanese also has a vast amount of quality resources available for the language learner - everything from quality classes, study abroad opportunities, and even plenty of smartphone and tablet apps.
Next up is Mandarin Chinese which is by far the most useful Asian language. Chinese presents its own set of challenges, but it's also simpler than you'd expect in some ways. The infamous hanzi (or Chinese characters) - thousands of ideographs you have to memorize instead of an alphabet - are just as hard to memorize as they are in Japanese. The upside, however, is that you typically only have one reading or pronunciation for each character. On the other hand, Mandarin Chinese is a tonal language - the meaning of what you're trying to say differs depending on your tone of voice. Chinese only has four tones, which aren't hard to grasp in theory but difficult to implement in practice if you're used to Western languages. Thankfully the grammar is much simpler than either Korean or Japanese, and is actually closer to English - with a Subject, Verb, Object structure. Of course it isn't entirely the same, and has its own quirks, but of all the hurdles you have to overcome while learning Mandarin, grammar is not one of them.
In many ways Korean is probably the hardest out of the three major East Asian languages. First the good parts though - Korean is definitely the easiest to learn to read and write. Instead of complex ideographs, Koreans use their own alphabet called Hangeul, which was actually invented by one of their kings centuries ago to promote literacy. It's very simple to learn and only takes about a day or two of dedicated study. The bad news - other aspects of the language tend to be harder, in some way, than Chinese or Japanese. The pronunciation is easier than Chinese, but still harder than Japanese, and it's easy to mix up certain sounds in Korean when you're first starting. There are also plenty of sounds that don't really exist in English.
The grammar in Korean is similar to Japanese - with a SOV structure - but more complex. Concepts that exist in Japanese - such as particles - are more complicated in Korean, and often change pronunciation depending on the word and other factors. What would be relatively simple concepts in Japanese or Chinese - such as quoting other people's words - become a jungle of irregular verb conjugations to remember in Korean.
The hardest part of learning Korean, however, is the fact that resources just aren't up to the same standard of quality as other East Asian languages. Korean is a language that has only recently begun to increase in popularity, and this is reflected by the meager amount of textbooks and classes available. Even in South Korea itself it can be difficult finding a reasonably priced class - many of the better University courses cost over 1500 USD for a few months. Textbooks for self study don't fare much better - many contain horribly difficult to understand explanations with terrible English. Still it can be a worthwhile and fun language to learn, it just comes with hurdles that don't exist in the other two languages.
Learning a foreign language can be a fun and rewarding experience. Whether it's for professional or personal reasons, it's something that's worth trying at least once in your life. For those interested in Asia, learning an East Asian language will be a fun and useful skill regardless of which one you choose.
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If you're having prostate symptoms and are interested in educating yourself on the risk factors, and test screenings for your condition such as an enlarged prostate (BPH) and prostatitis, we'll help you establish some points to look out for.
The first step is to visit your physician to determine what symptoms you may be experiencing due to Benign Prostatic Hyperplasia (BPH), also known as an enlarged prostate. Traditionally, this condition has been treated with medication or an invasive surgical procedure, Transurethral Resection of the Prostate (TURP). Luckily today with the rapid increase in technology, patients have the opportunity to treat their enlarged prostate condition with less invasive treatments such as the GreenLight™ Laser Therapy.
What is the Prostate?
Your prostate is the male gland in the genital-urinary tract. The main purpose of your prostate is to create fluid that delivers the sperm during ejaculation.
Located below the bladder and surrounding the urethra lies your prostate. The function of the urethra is to carry urine from the bladder through the penis. Additionally, the urethra is also known as the urinary channel.
What is BPH (Benign Prostatic Hyperplasia)?
BPH is essentially an enlarged prostate that is non-cancerous. With that being said, your prostate tends to grow normally during your youth. Eventually its maximum size is that of a walnut. As men age, their prostate may begin to grow again. Medically it is unknown why the prostate continues to grow with age. An estimated 80% of men will experience BPH, and many older men experience BPH symptoms.
How Severe are My Symptoms?
According to The American Urological Association an extensive questionnaire was developed to help your doctor pinpoint BPH symptoms you may be experiencing. Known as the AUA Symptom Index, this questionnaire can help determine the severity of your symptoms.
What are the Symptoms of an Enlarged Prostate?
Since an enlarged prostate causes pressure on the urethra it can create an obstruction of the flow of urine through the urethra.
When an obstruction is caused to the flow of urine, it can cause the following problems:
• Frequent urination, especially at night (nocturia)
• Weak urine flow
• Sudden urge to urinate (urgency)
• Trouble starting and stopping your urine stream (hesitation)
• Inability to completely empty your bladder
• Pushing or straining to urinate
• Pain or burning during urination
What Treatment Options Are Available for Enlarged Prostate?
Typically, a number of treatments are available for those experiencing prostate symptoms. Some examples include: medications, minimally-invasive office procedures, and surgery. Additionally, GreenLight™ Laser Therapy is now considered a non-invasive option for patients. The best treatment ultimately depends on the symptoms you're experiencing and the severity of your condition. Your physician will also factor in the size of the prostate, your age, and health condition. Overall, the best possible treatment for an enlarged prostate will be decided by your after undergoing a thorough examination of your condition.


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Drug Rehabilitation in South Dakota
Drug Rehabilitation in South Dakota
All drug rehabilitation centers are not the same. Most of the time counselors will initially consult with the addict and then custom-design treatments for each patient according to their requirements. This is important for there is no one way to treat everyone, and the individual will need something specific to them for maximum benefits. If you are searching for a center for drug rehabilitation in South Dakota, here are a few resources you can use.
Medical Professionals and Social Workers
Most doctors and physicians will be able to suggest a good center for drug rehabilitation In South Dakota. As doctors, they hold each other to very high standards. Even if they do not specialize in addiction treatments, they will know good centers that offer world-class medical as well as counseling help and they will generally recommend the best and the most affordable centers for your requirement.
We suggest you first ask the doctor to assess the medical condition of the addict and then ask for his recommendations. They will be able to offer much better choices with a little knowledge of the patient. Ask the doctor to provide a referral as this will be able to get you admission easily into the program. Social workers are also very good sources of information. You can get in touch with the local branch of social services to find an affordable center located close to your home.
The South Dakota Department of Social Services Website
This website is a local resource and it offers a list of all the local centers in the state. You can start by checking with the Division of Community Behavioral Health, Department of Social Services for more information on the rehab programs listed in the state. You will be able to find a list of day treatment centers, detox programs, inpatient and outpatient programs, residential programs, as well as specialized drug treatment services for women and children at the website. We suggest you sift through the lists and then pick a center to find out more details about the addiction programs that they offer.
Local Search Engines
One of the best ways to find a good rehab center is by using Google. All you have to do is put in the words 'center for drug rehabilitation In South Dakota' and the search engine will produce a range of real time results. Make sure that you use the results at the top of the page which are usually local results. These local addresses are usually provided with a map so that you can find them easily. If you are not sure about the treatment provided of the rehab center, you can call the address provided or send them an email asking for more information or call them up. Please note that most cities in South Dakota will have large centers located close by and it is a very good idea to choose a center located close to your home.
You can absolutely call the number you see on our site here and have one of our trained counselors help you, even in the middle of the night. We want you to be able to find the best facility for drug rehabilitation in South Dakota possible for this is an incredibly important decision. Oftentimes people look this up and just want to rush their loved ones off to any facility. That is understandable for you feel that you're helping them and likely have had a struggle. It is important to find the best matched facility for them personally, as this will do a lot to assure they receive the help the really need, and hopefully they can get this the first time around.
There are a few different types of facilities available for drug rehabilitation in South Dakota. There are the more traditional forms where people stay overnight, and have a few groups and counseling sessions throughout the day where they emphasize the 12 steps and some other forms of therapy etc. A lot of treatment programs will be similar to this and they will have some that are geared towards clients with Christian beliefs, there are some for women or men only and even teenagers. If you have specific needs that need to be addressed, you will be able to find a suitable rehab that will accommodate those needs, even if that is luxury treatment


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George Herbert Mead 1 argued that individuals develop a self-concept that evolves throughout their lives as a result of interacting with their social world, which may include parents, teachers, and peers. Similarly, William Purkey stated that "self-concept may be defined as the totality of a complex, organized, and dynamic system of learned beliefs, attitudes and opinions that each person holds to be true about his or her personal existence." 2 These interactions help individuals form a perception of who they are based on expectations from, and responses to, their social environment. Our perceptions are stimulated by internal and external factors. These factors can create intense emotional responses, which impact our willingness to learn and our choice of action—they guide individual behaviors. The following example demonstrates this idea of self-concept and how it manifests in one's behaviors.
Like many teenagers in the United States, Karen was required to take a foreign language course at her school. She chose to learn German because relatives on her mother's side lived in Germany, and her family was planning a visit in the summer. Unfortunately, Karen's few months of German class were not fun. She had a teacher who was very strict in her lesson plans and grading of the students. Additionally, Karen fell behind in the class work due to an after school sports injury; she was out for two weeks. When she returned to class, her teacher called her out in front of other students when she didn't know the correct vocabulary terms and proper responses. She didn't feel motivated to be in class and learn German.
When summer arrived, her family went to Germany as planned to visit their relatives. Karen's parents had been excited about her foreign language choice, and her relatives knew she was taking a German culture and language course. During the stay with the relatives, Karen tried to practice her German but stopped trying after her relatives told her, "You need to improve your German." The next year, her family visited Germany again, and her relatives question her about her German language skills. Upon hearing her speak, they told her again, "You're not there yet. You need a lot of improvements."
Twenty years later, Karen works for a financial company that has a location in Germany. Karen's supervisor tells her that she will need to relocate to Germany for two years; she thinks that with Karen's great interpersonal skills, she would be able to help the success of the project. Upon hearing this, Karen becomes anxious and uncomfortable. She makes excuses for not going, and her supervisor is confused.
Karen has been an outstanding worker and her actions are puzzling and surprising.
Karen's self-concept has contributed to her self-efficacy. The expectations of her teacher, her family, and her relatives to learn a new language is too much for her to handle. The responses she receives are not what she wants or needs to hear to help her improve her German language skills. As a result, she withdraws from learning the language and culture. She develops a self-concept that may consist of any of the following:
- I will never learn the German language and the culture.
- I do not have the ability or skills to learn a new language.
- It is easier if I just do what is comfortable for me.
- I cannot make mistakes or people will lose their confidence in me.
These beliefs and attitudes surface when her supervisor asks her to relocate to Germany. The negative memories and experiences she had become barriers to her success and self-efficacy. She feels anxious, and her behaviors are seen as strange.
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This weekend, the Development Committee of the World Bank and the International Monetary and Financial Committee of the International Monetary Fund, or IMF, are holding a joint meeting. During the bi-annual meetings, which are scheduled every spring and fall, participants talk about the progress ? and problems ? of the programs of the two financial institutions. Among the issues likely to come up this weekend are debt relief, boosting aid, and progress cutting poverty.
Brett Schaefer is a Jay Kingham research fellow in International Regulatory Affairs at the Heritage Foundation in Washington, DC. He told English to Africa reporter William Eagle that he hopes the two institutions will discuss ways to improve the delivery of multilateral development assistance, because he says the World Bank has not been effective in spurring development in the region.
This week, the International Monetary Fund said Sub-Saharan Africa registered an average eight-year high of 5% last year while inflation fell to its lowest rate in 25 years. However, Mr. Schaefer said such spurts of growth are common, and there is often a return to the mean. He attributes part of recent improvement to more African countries adopting economic policies conducive to the growth of the private sector and private investment.
On the other hand, a recent World Bank report says there has not been enough growth for Africa to reach the organization's proposed Millennium Goals like cutting poverty in half over the next 10 years. As part of its solution, it suggests the doubling of foreign aid. But Mr. Schaefer of the Heritage Foundation says nearly 70 billion dollars has been sent to Sub-Saharan Africa since 1980 and of the countries that have received the aid, about half have registered declines in per capita income.
He says the United States should be more active in promoting better policies, reducing corruption and investing in health and education. Among the initiatives that attempt to do just that are the Bush administration?s Millennium Challenge Accounts, which grants aid to countries that have a proven record of competent economic and political management. Mr. Shaefer says under the MCA, countries are encouraged to take the lead in creating their own aid programs, which are funded by the US once the plans are proved to be conducive to economic growth and development. In contrast, he says the World Bank is more likely to plan and direct the projects it proposes to African countries. The result, he says, is that many governments lack the motivation to fulfill the terms of the projects.


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Kirsten Dunst – Just for Us
Kirsten Dunst has been stalking us professing her love daily and continually repeating how much she wants to have our babies. It was fun at first but we got bored and wanted her to go away. So we said "Prove it! Make a stupid video for us.". Evidently she knew we love one hit wonders from the 1980's so she made this just for us!


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Many of my friends struggle with the idea of sharing faith with a friend. "Where would I find such a person in my life and how would I go about it?"
The problem which keeps most of us from becoming fishers of men (or women) is that we are paradigm blind. Our brains have transformed what we see to the point that we don't see life the way God made it anymore. We don't see lost people who may already be part of our circle of friends. Why? Because they are not at church with us! We all know you go to the church (building) to live the Christian life. You go to church to learn more about God. You take someone to church who you hope will meet Jesus. The Christian life happens in the building, in the service, in the programs of the church.
Yet God says the life of a Christ follower takes place every day, where ever you are, and whomever you are with. Our faith is incarnational – it has little to do with where we go and what events we attend. It has everything to do with our drawing close to Jesus, becoming more and more like him, and letting Jesus in our lives rub off on the people we hang out with.
This picture of a Chesapeake Bay striper fishing trip is a classic example. Three old bucks and three young bucks. A friend from a daughter's school class. His dad. A friend from church. One father-in-law. And a brother. An eclectic collection of guys who came together to spend a day chasing rockbass off the VA coast. No real plan, just sharing life together as the day unfolds. Different people at different places in life, but all sharing the human experience. A great opportunity to rub a little Jesus onto the next guy – wherever he is in his spiritual journey. Faith is more caught than taught.


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Free xxx mobile downloads: Because replicators that replicate any food on demand. Very unreality was very pleasant and gave himself well in the world of Star Trek.
Think and talk like this with another man (or woman), and I loved every minute of it. There was no way I could imagine anyone, gay or straight, to act.
Talk a little about the relationship, exchange braids, etc. Talk about relationships, intimacy change, visit the Holodeck. Get the grill of his friends about the relationship, there is a hot, kinky sex. milf fuck galleries .
They eat, talk about relationships. Strange alien disease or bases underlying disorders. hairy mature pussies . No time / space anomaly Jem'Hadar attack. And they have doubts about the growing relationship. The rest of the story deals with hesitancies


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(CBS News) The National Security Agency broke privacy rules and overstepped its authority thousands of times since 2008 when Congress granted the NSA broad new powers, The Washington Post reports.
Most of the violations involve unauthorized surveillance of Americans or foreign intelligence targets in the U.S. The Post says the information comes from an internal audit and other top-secret documents provided by NSA leaker Edward Snowden.
The violations range from significant violations of law to typographical errors, but no matter what the type of breach, the damage has been done, according to CBS News national security analyst Juan Zarate. "The fact is this is more than just a few inadvertent episodes," he said. "It's really a sense from the internal audits, inside the government, of the violations and overstepping by the NSA. I think people are going to see this different ways depending on their perception and trust of the NSA, (but) certainly this is going to add fuel to the fire."
Human error is one of the issues, according to Zarate, who pointed to technological challenges associated with an inability to determine when certain types of cell phones enter the U.S. in order to stop collecting information.
He added, "This is a challenge for the NSA because there are technological issues at play and a Byzantine legal of structure to adhere to, and so that explains the number of violations, I think. But I think the devil is going to be in the details here as when we dig into the actual violations."
In a statement, the NSA has said, "We're a human-run agency operating in a complex environment with a number of different regulatory regimes, so at times, we find ourselves on the wrong side of the line."
The audit wasn't shared with top members of Congress, Norah O'Donnell pointed out, even though public has been assured that proper oversight is in place.
Oversight, Zarate said, is going to be the big issue going forward in this NSA debate. He said, "The NSA will say, and has said, that these audits are a part of that oversight, that they're obviously going to make mistakes, that the technology changes. They've got human error, but (that's) absolutely right -- this is going to raise serious concerns about, not just what's in this report, but perhaps what's not being reported, and this is going to add fuel to the fire for the administration in terms of putting in place new oversight mechanisms."
For more with Zarate, watch his full analysis above.


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Unique Small Group Tours in Provence
- Are you dreaming of a different kind of European vacation?
- A beautiful setting in the countryside?
- An immersion in a different culture and way of life?
- The opportunity to get to know local people?
- A focus on simple pleasures?
- A leisurely and relaxed pace?
If this type of vacation appeals to you, you'll enjoy The Luberon Experience, a week-long, small group tour in the most scenic area of Provence, France. Our groups base in the medieval village of Bonnieux (below), with spectacular views across the countryside.
The Luberon Experience was selected by National Geographic Traveler magazine as one of their 50 Tours of a Lifetime for 2012. We're very proud to be identified as one of the best tours in the world, "designed for experience, immersion, sustainability, and cultural connection."
We've been traveling in Europe for almost 25 years. In 2004, as part of a 14-month trip to Europe, we were fortunate to be able to live in the Luberon for almost seven months. The beauty of the area, the warmth of the people, and the relaxed lifestyle captured our hearts. We created The Luberon Experience in 2006 so we could share this special place with people looking for a different vacation experience. We've hosted 48 week-long groups since September 2006.
We now have a second home in Bonnieux and are there several months a year. In addition to hosting our groups in May and September, we're usually also there in March and December. We enjoy the relaxing lifestyle in Provence, visiting with friends, and making new discoveries. Our three-bedroom/two-bathroom village apartment is available for rent when we're not there. If you're more interested in an independent vacation in Provence, be sure to check out our apartment website.
We're busy getting ready for our 2018 season. We're offering trips at what we think are the two best times of year: May and September. We've also just announced our 2019 schedule. See what trips are available here. Our 2020 schedule will be announced on March 1, 2019.
Our trips often book quickly, and we encourage you to book early to ensure a spot in your preferred week. Cancellations are always possible, and we do run a waiting list if your plans are flexible. Please contact us to discuss possibilities.
A Very Different Kind of Tour
We designed The Luberon Experience as a unique and very different kind of tour. We hesitate to call it a tour, because many people associate tours with large groups, big buses, short stops, and a regimented itinerary. This definitely isn't that kind of a trip!
We wanted The Luberon Experience to be the type of tour we'd like to go on: a tour that feels like traveling with knowledgeable and fun friends, a tour that includes places and experiences you couldn't find on your own… a tour that doesn't seem like a tour. We wanted our travelers to experience the Luberon– not just visit it.
Our location is such an important part of our experience in Provence. We stay in one place for the entire week: the picturesque hillside village of Bonnieux, one of the most beautiful villages in France. Our accommodations are just perfect, an eight-room guesthouse right in the village. It's welcoming and authentic… it feels like home.
Most of our week we focus within a 30 minute drive of our village, an area rich with discoveries. Our groups have experiences they would never have on their own, often in small places or private homes that aren't in guidebooks or open to tourists. We're always warmly welcomed by our local friends.
Our groups are small, typically 12-14 people; never more than 14. Our trips attract interesting people of all ages with a desire for a more personal travel experience and a cultural immersion in Provence. The group interaction and camaraderie is a very special element of our week.
Explore our website to learn more about the Luberon, our approach to travel, and a typical week on our Luberon Experience trip. We'd love to share our special part of Provence with you!
Other travelers visit Provence. With us you will experience it!
– Kathy and Charley Wood
We're a founding member of Slow Travel Tours, an informal affiliation of small-group tour operators who offer personalized trips in Italy, France and other European countries. All these people have a travel philosophy similar to ours. If one of our trips isn't right for you, we hope you'll consider one of theirs.
Follow the Slow Travel Tours blog to learn more about exploring Europe slowly with a small group tour. Check out one of Kathy's latest posts: A Luberon Experience: Enjoying an Afternoon in Colorful Roussillon


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Over Labor Day weekend my wife spent a couple of days on a private retreat at the Franciscan Retreat Center in Independence. This was a great opportunity for her to take some time for herself, away from the noise and chaos that often accompany a house filled with four young boys who seem to be constantly clamoring for her attention. As it turns out, she and her friend were the only ones on retreat there and so they had the entire center to themselves. When she came back home, I was eager to hear about any spiritual insights she received and how God had spoken to her. As she proceeded to share a little with me, the kids were running around playing some kind of dump truck demolition game and my wife said, "It sure is loud here."
She explained to me that the sisters practice silence from Saturday evening until after Mass late Sunday morning. The silence includes eating Sunday morning breakfast with no talking. As my wife sat there eating, she leaned over to her friend and whispered jokingly, "I'm going to institute this at our house."
In the meantime, my eight-year-old had talked me into camping by setting up our three-man-tent in the living room and eating all of our meals outside and cooking them over a fire. So while my wife was reflectively sipping her coffee, I was frantically cooking bacon and eggs, boiling water for hot chocolate, telling my three-year-old to go ahead and go potty by himself, and trying to keep my one-year-old happy while strapped into his high chair which I had cleverly placed outside. It was glorious and hectic all at the same time.
It's times like these that I understand my wife infinitely better and why she does things the way she does. First of all, she would probably never try to cook breakfast over a campfire when there is a perfectly good stove nearby. And she surely would have anticipated the fact that we all ended up smelling like smoke at the 9:00 a.m. Mass.
There seems to be a contrast between the contemplative life fostered by silence at a convent or monastery and the "noise" the rest of us face every day. In an age of iPods, iPads, cell phones, text messaging, the internet, email, facebook, cable television, radio, etc., we are bombarded with distraction after distraction. Like Martha in the gospel, we can get so caught up with the cares of the world that we forget to take time to sit at the feet of Jesus.
In this Sunday's gospel "a deaf man who had a speech impediment" is brought to Jesus. Jesus takes "him off by himself away from the crowd…put[s] his finger into the man's ears…and said to him 'Ephphatha! – that is, 'Be opened!'"
In a similar way, unless we "go off by ourselves with Jesus," we can remain deaf to His voice. This doesn't necessarily mean going off to a convent or monastery for a weekend. But in our daily lives, we need to make time to sit in what many spiritual masters have called "The Classroom of Silence." It is here that God speaks to us and teaches us.
Yet all too often we avoid listening to God because we are afraid of what we might hear. We run from silence, afraid of ourselves and especially afraid of ourselves before God, knowing well our own sinfulness and unworthiness. In this Sunday's scripture passage from Isaiah God says "to those whose hearts are frightened: Be strong, fear not!…Here is your God…he comes to save you."
Prayer is where God, in His love and mercy, speaks tenderly to us. It is in the time set aside for prayer that we come to understand how God sees us, as loveable, made-in-His-image, and worth dying for so that we can be with Him forever. In time alone with God we also come to know ourselves better and become more and more aware of the areas in which we need to grow.
Amidst the smoke of the campfire and the crowded living room filled with blankets, pillows, sleeping bags, and stuffed animals, what I was really saying to my children was that I love you and will do anything to spend time with you. And with the keen ears possessed by children, they understood what I was saying to them. Let us, too, learn to listen to our Heavenly Father's message of love in the silence of our hearts.
Keith Jiron is Coordinator of RCIA and Adult Education at St. Michael the Archangel Parish in Leawood, Kan.
Daily Scripture Readings
For complete daily Scripture texts, click here. http://www.usccb.org
Monday, September 10
1 Corinthians 5:1-8
Psalms 5:5-6, 7, 12
Luke 6:6-11
Tuesday, September 11
1 Corinthians 6:1-11
Psalms 149:1b-2, 3-4, 5-6a and 9b
Luke 6:12-19
Wednesday, September 12
1 Corinthians 7:25-31
Psalms 45:11-12, 14-15, 16-17
Luke 6:20-26
Thursday, September 13
1 Corinthians 8:1b-7, 11-13
Psalms 139:1b-3, 13-14ab, 23-24
Luke 6:27-38
Feast of the Exaltation of the Holy Cross,
Friday, September 14
Numbers 21:4b-9
Psalms 78:1bc-2, 34-35, 36-37, 38
Phillippians 2:6-11
John 3:13-17
Saturday, September 15
1 Corinthians 10:14-22
Psalms 116:12-13, 17-18
John 19:25-27
Twenty-fourth Sunday in Ordinary Time,
Sunday, September 16
Isaiah 50:5-9a
Psalms 114:1-2, 3-4, 5-6, 8-9
James 2:14-18
Mark 8:27-35
Monday, September 17
1 Corinthians 11:17-26, 33
Psalms 40:7-8a, 8b-9, 10, 17
Luke 7:1-10
Tuesday, September 18
1 Corinthians 12:12-14, 27-31a
Psalms 100:1b-2, 3, 4, 5
Luke 7:11-17
Wednesday, September 19
1 Corinthians 12:31-13:13
Psalms 33:2-3, 4-5, 12 and 22
Luke 7:31-35
Thursday, September 20
1 Corinthians 15:1-11
Psalms 118:1b-2, 16ab-17, 28
Luke 7:36-50
Friday September 21
Ephesians 4:1-7, 11-13
Psalms 19:2-3, 4-5
Matthew 9:9-13
Saturday, September 22
1 Corinthians 15:35-37, 42-49
Psalms 56:10c-12, 13-14
Luke 8:4-15
Twenty-fifth Sunday in Ordinary Time,
Sunday, September 23
Wisdom 2:12, 17-20
Psalms 54:3-4, 5, 6 and 8
James 3:16-4:3
Mark 9:30-37
The full text of the Scripture readings for this week and next week can be found here:
Click on the "Daily Readings" tab on the right hand side of the page.


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Excerpt: As stated in a few previous posts I am planning on putting together a daily (hopefully) log detailing the next 12 week sarms cycle of LDG + S4 from esarms. Ill will look to post experience whilst on cycle including updating various stats e.g. weight, bodyfat %, workouts, calorie intake and overall wellbeing and thoughts as I progress through the 12 weeks. Ill start by posting my current stats on the day the cycle began, today Age: 38 Weight: 84.5kg (186.3lbs) Height: 188cm
Read more or register here to join the discussion below...
Day 22:
LDG – 10mg @ 5:45am
S4 – 25mg @ 5:45am, 25mg @ 13:00
M1 MK – 3caps @ 5:30am, 1cap @ 08:30am, 1cap @ 15:30, 2caps @ 18:30
Upped my calorie intake yesterday to 4300cals, keeping that up could be difficult. I stuck between two mindsets at the moment. I want this cycle to form more of a recomp before my holiday to Aruba in September. Should I drop below maintenance and hope that the sarms can prevent any muscle loss, allowing me to look leaner? Or should I try and maintain by calorie surplus and cut the extra fat mass I might gain 3-4 weeks out?
Day 23:
LDG – 10mg @ 5:45am
S4 – 25mg @ 5:45am, 25mg @ 11:45
M1 MK – 3caps @ 5:30am, 2cap @ 11:45am, 2caps @ 16:00
Felt good in the gym this morning. Did more of a cardio based session with some shoulders thrown in at the end. I'll hit up squats, arms and abs tomorrow then finish with a team workout. Definitely burning more calories per day now that I've started my new job. Still no side-effects from the sarms.
Day 24:
LDG – 10mg @ 8am
S4 – 25mg @ 8am, 25mg @ 14:30
M1 MK – 3caps @ 5:30am, 2cap @ 14:30am, 2caps @ 18:30
Ok… so today wasn't such a good day. I've been feeling signs of suppression over the last few days, low energy and generally feeling weaker doing mundane tasks. Today I felt pretty bad in the gym. I've tapered back my cardio training since I started this stack and focused more on lifting. I have a CrossFit competition coming up next month and today was a practice (Team workout) workout. My performance was NOT GOOD, my cardio seems to have fallen off a cliff. This is worrying a month out from a comp. I don't know if it's a side-effect from the LDG+S4 stack in the form of suppression, or if it's the lack of cardio over the past three weeks. My level shouldn't have dropped this much!
I have 60 days of GW on hand and I'm now thinking of adding this into my cycle for the next 30 days in the lead up to the comp. Then keeping the remaining 30 days for PCT. I'm hoping this will get my cardio levels back up while increasing the comp prep training.
Hope you bounce back and today was just a fluke.
Day 26:
LDG - 10mg @ 7:30am
S4 - 25mg @ 7:30am & 25mg @ 12:30
M1 MK - 3 caps @ 14:00 & 4 caps @ 22:00
Im away with work this week so its the hotel gym for the next 4 days. Managed to get a decent (but short) chest session in today. Planning on an early shoulders/arms/cardio session in the morning before breakfast. Dont feel as bad as I did a few days ago but Im still not feeling any positive effects from the sarms. I do look a little more vascular in my calves and shoulders but thats about it. My weight is stable and has been for the past four weeks. Im definitely adding in the GW as previously mentioned. Ill start dosing this at the beginning of week 5 and run it for 4 weeks.
Sent from my iPhone using Tapatalk
Day 28:
LDG - 10mg @ 6:30am
S4 - 25mg @ 6:30am & 25mg @ 13:30
M1 MK - 3 caps @ 6:30am, 2 caps @ 14:00 & 2 caps @ 23:00
Still in the hotel but have managed some really good workouts. Hit chest and back and back again today, will do shoulders and arms tomorrow before squatting on Friday. Feeling really tired at the moment. Probably a combination of working away, which involves 14 hour days and some suppression from the sarms. I'm interested to see the results when I run my mid-cycle bloods in two weeks, it feels as though my test levels are dropping from an already prep cycle level. I'm looking to start the GW tomorrow so I'm hoping to see some bounce back when I get back to my home gym on Friday for some more comp prep. I'll post some updated gym numbers in the next few days.
Keep killing it!


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note broquaint I'd just like to note that although <tt>$SIG{__DIE__}</tt> may be given a standard perl function (be it in the form of an anonymous sub or reference to a named sub), it performs 'magic' on it's provided arguments e.g  $SIG{__DIE__} = sub { print "$0: $_\n" for @_ }; die("a", "bunch", "of", "arguments"); __END__ output - -: abunchofarguments at - line 2. abunchofarguments at - line 2.  So even though you are given greater control over the exit of your program, it's still not a good time to be performing complex operations with your <tt>[perlfunc:die|die()]</tt> handler.
 For further info about the munging of <tt>$SIG{__DIE__}'s</tt> arguments see [id://126960|this node] or check out <tt>pp_sys.c</tt> in the perl source.
 HTH
 broquaint 51097 51097


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String Quartets: the North East - for your Event
Live Music Booking Service for Your Party, Wedding or Event from - Midsummer Music - the music people
If you're looking for quality live music for your wedding or event then get in touch with us about the experienced AD String Quartet. They have played at many ceremonies, drinks receptions and wedding breakfasts and take extra care in tailoring the music to your tastes. The Quartet are always happy to suggest suitable music for parties or events. The String Quartet plays regularly in the North East. If you're planning a wedding then they can help you choose the music for the entrance of the bride, signing of the register and the exit of the coupl ... more
This Quartet, formed in 1997, consists of four extremely dedicated professional string players and the quartet is now one of the most established in the North East. With over ten years of experience in providing high quality live music at so many events, the quartet has built a reputation for being professional, reliable and flexible. This String Quartet performs for weddings and corporate events in and around the North East.
The Quartet perform at all sorts of occasions including weddings, corporate events, private parties and receptions - all with the aim of providing you with ... more
Why would you choose recorded music for your wedding when you can have your own musicians for the day? Having your own professional quartet, with its attractive musical instruments, sitting in your chosen venue, ready to play your favourite music. the North East is within this String Quartet's local performance area.. Music for the guests arriving, for the ceremony, for the signing and exit and maybe for the drinks reception or any other part of the wedding day, has to make your special day that bit extra special. This Quartet can offer you just that. They also pla ... more
After more than ten years of performing together at hundreds of events, this string quartet have the experience to create just the right musical ambience to suit your needs, whether you are planning a wedding ceremony, a private reception or a corporate function.
The Quartet has given concert recitals both in this country and in Germany. An ideal String Quartet for a wedding or party in the North East. As professional musicians the members of the quartet have performed with English National Ballet, Opera North, the Icelandic Symphony Orchestra, the South B ... more
The AR String Quartet is one of the leading string quartets in West Yorkshire. The String Quartet plays regularly in the North East. Its musicians are highly professional in terms of both their musicianship and also their approach to any event, making them the ideal choice of musicians for any occasion. In addition to recital performances, they have provided entertainment at many events, from weddings to banquets and corporate functions. They are noted for the breadth of their repertoire, from the classic string quartets to popular light music. ... more
The MV Quartet is 'The String Quartet with a Difference' as they also include other instruments such as flute, clarinet and saxophone, in addition to the stringed instruments. This String Quartet performs for weddings and corporate events in and around the North East. The group are a versatile and experienced quartet, particularly suitable for garden parties, corporate events and drinks receptions.
All the players are experienced musicians, who also play with many of the local orchestras including Slaithwaite Philharmonic, Leeds Symphony Orchestra, Doncaster Hallgate Chamber Orches ... more
The AR String Quartet - a professional string quartet based in Glasgow, playing at live events across Scotland. Since 2008, they've had an absolute blast establishing themselves as one of Scotland's leading young professional string goups. the North East is within this String Quartet's local performance area..
This quartet are comfortable with all genres of music from Classical to Jazz, Folk to Pop and have a wealth of experience in playing at all types of events from background to centre-stage and acoustic to amplified settings.
Getting married in Scotland? Congratulations! The BA String Quartet is available to hire for your wedding in Edinburgh, Fife, the Borders, central belt, indeed anywhere in Scotland, and some of England too! As specialists in music for weddings, the BA Quartet have unrivalled experience in providing appropriate atmospheric music over a wide range of private and corporate events, from the most intimate family weddings and parties to the largest international business events. An ideal String Quartet for a wedding or party in the North East.
You will no dou ... more
The AU String Quartet is one of the most dynamic and promising string quartets currently emerging from UK conservatoires. Their brilliant and exciting playing captures audiences wherever they perform and has brought successes at competitions. The String Quartet plays regularly in the North East. They match each other beautifully in their instrumental virtuosity and their mature musicality and commitment.
The Quartet was formed at the Royal Conservatoire of Scotland, Glasgow and have won numerous awards for their playing.
Highlights so far ... more


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Surgical safety checklists associated with reduced risk of death, length of hospital stay
The implementation of surgical safety checklists (SSCs) at a tertiary care hospital was associated with a reduced risk of death within 90 days after surgery, but not within 30 days, according to a study published online by JAMA Surgery. Hospital length of stay was reduced after implementation of SSCs.
Inpatients worldwide may expect a 30-day mortality of 1.5 percent after noncardiac surgery, depending on the region where surgery is performed, the surgical procedure, and the patients' other health conditions. Implementation of surgical safety checklists (SSCs) has been found to reduce the incidence of perioperative complications and 30-day mortality. Checklists aim to reduce risk and prevent patient harm by recognizing high-risk situations and optimizing communication, by minimizing the incidence of errors, and by improving latent conditions. The association of the introduction of SSCs with 90-day mortality has been unclear.
Matthias Bock, M.D., of Bolzano Central Hospital, Bolzano, Italy and colleagues examined the outcomes of surgical procedures performed during the 6 months before and after the introduction of SSCs at a public, university-affiliated hospital in Italy. The researchers collected data on 90-day all-cause mortality, 30-day all-cause mortality, length of hospital stay, and 30-day readmission rate among patients undergoing noncardiac surgery. The SSCs for this study included 17 to 24 items.
The total study sample of 10,741 patients included 5,444 preintervention and 5,297 postintervention patients. Ninety-day all-cause mortality was 2.4 percent (129 patients) before compared with 2.2 percent (118 patients) after the SSC implementation. Thirty-day all-cause mortality was 1.4 percent (74 patients) before compared with 1.3 percent (70 patients) after the SSC implementation. Thirty-day readmission occurred in 797 patients (14.6 percent) in the preimplementation group vs 766 patients (14.5 percent) in the postimplementation group. The adjusted length of stay was 10.4 days in the preimplementation group compared with 9.6 days in the postimplementation group.
"To our knowledge, this report is the first on the association of SSCs and 90-day all-cause mortality, which might be even more important than 30-day all-cause mortality. Thirty-day all-cause mortality might fail to capture intermediate-term complications, such as anastomosis leakage or pulmonary embolism, which occur despite prophylaxis late after trauma or genitourinary and general surgery," the authors write.
"The observed decline in length of stay suggests potential cost savings after the implementation of SSCs. Further trials should address this hypothesis and the effect on quality of care owing to a reduction of the costs of complications or unplanned reoperations."
"Although some investigators question the actual impact of checklists, despite the proliferation of evidence regarding improved patient outcomes and quality of care across countries, these arguments fail to acknowledge fully the difficulty of effectively implementing SSCs in a complex health system," write William Berry, M.D., M.P.H., of the Harvard School of Public Health, Boston, and colleagues in an accompanying commentary.
"A focus on the systems of care and promotion of a culture of safety at the institutional level is necessary to optimize checklist implementation and realize its full potential. Effective implementation is critical to meaningful use of SSCs, which can lead to maximally improved outcomes."
JAMA Surgery. Published online February 3, 2016. DOI: 10.1001/jamasurg.2015.5551


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Some ground hugging FPV in an i200
August 21, 2016 Drones
Some ground hugging FPV, in a stock Inductrix 200 quad. It's smaller than my hand. Very limited range. And nothing but fun to fly – once you learn not to bump into everything. Main song, Slow Look, courtesy of https://www.reverbnation.com/mutantsmith


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Here's a brief warning: If I know you, talk with you, Facebook chat you, or see you around campus regularly…chances are, that won't happen next week. Why? Because, after over 2.5 years at Cornell, I think it's safe to say that next week will be the most stressful week of my undergraduate career. (And, it's my excuse for the fact that I'm writing this post at 10:30pm on a Saturday night). Anyways, here's why:
- I have a pricing exam Tuesday morning at 8:40am. I understand the material, but it's still worth 30% of my grade and something that shouldn't be taken lightly.
- I have a finance exam (!!!) Tuesday night. Here's the doozie: people spend hours upon hours frantically studying this stuff weeks in advance…because the amount of information we need to know is intense, and this course is largely regarded as the most difficult in the AEM major. I'm honestly terrified for it.
- I have a business law exam Wednesday night, which counts for a large portion of my grade in that class, as well. I'm always uneasy when classes are solely based on tests! I love me a little participation/homework/effort components every now and then.
- I have two problem sets due Thursday and Friday; they're both quite lengthy and I know in one case, I can't hand it in late as the answers are released shortly after the deadline. Sometime in between cramming for my 3 exams, I'll have to work on these.
- I have a lot of grading to do for my teaching assistant position, and it's only fair that I devote enough time to this so that students are being evaluated fairly.
- I also want to attend the university-wide career fair this week, work on internship application stuff, and the like. This might, unfortunately, have to be put on the backburner.
So…yeah. That's my week in a nutshell. If only my 21st birthday was earlier than March 8…this definitely seems like the kind of week that people unwind at the bar after!


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Browse Venues
Burleigh Court Conference Centre and Hotel
East Midlands, Leicestershire
Recognised for its unrivalled quality, Burleigh Court has achieved the highest level of venue accreditation, AIM Gold. This recognised mark of excellence demonstrates our ability to deliver excellence and why 90% of our customers come back again.
We know that a reliable and experienced venue is invaluable to event organisers and delegates. With over 21 years in the meetings, conferencing and events sector, Burleigh Court can make any plan a reality.
Through a tailor-made service and backed by flexible facilities, the expert team at Burleigh Court consistently delivers a high quality training and meeting environment. Having a dedicated imago contact means you can stay in control throughout the whole planning process, whilst fully briefed delivery teams and technicians make sure your distinct requirements are realised on the day.
Contact Venue
- Burleigh Court Conference Centre and Hotel
- Loughborough University West Park, Loughborough, East Midlands, Leicestershire, LE11 3GR
- Telephone: 01509 633030
- Email: email@example.com
- Website: www.burleigh-court.co.uk/
General Information
- 25
- 185
- Yes (Complimentary)
- From £50
- £135
Maximum Delegate Capacities
- 80
- 32
- 50
- 60
- 2 miles
- 4 miles
- 9 miles
Transport & Parking Facilities
Free secure on-site parking
Official Star Ratings and Awards
Four Star
m&it Gold
Visit England Award for Excellence Gold
Large Hotel Of The Year
Leicestershire Excellence in Tourism
Other Facilities
185 four star double ensuite bedrooms
40 budget single ensuite bedrooms
25 meeting rooms
10 main training rooms
12 syndicate rooms
3 small meeting rooms
Maximum meeting capacity 200 delegates
Maximum dining capacity 240 guests
Largest meeting room 225 square metres
Smallest meeting room 15 square metres
Free high speed internet access (up to 42 mbps)
On-site technicians Free onsite parking
Rob Chamberlain
Marketing Manager
Nicola Bowering
Events and Revenue Manager
Hannah Wallace
Marketing Executive
The efficiency and professionalism of the staff who is
also extremely kind and made me feel at home.
Furthermore, the structure of Burleigh Court makes
meetings very easy. Everything needed is in close
proximity (restaurant, meeting rooms and
accommodation) and there is always a member of
the staff ready to help and assist. (NATO Conference)
On reflection, every member of staff I engaged with were extremely professional, friendly, helpful and happy. I can't remember the last time I went to a hotel and received such outstanding customer service. A very big thank you and keep it up, you guys are great! (TARMAC)
I have just spent 2 three night stays at Burleigh Court attending courses and would like to thank all the staff but especially those in the bar and restaurant who were a credit to your business, nothing was too much trouble, all friendly approachable and all done with a smile. (DHL Aviation)


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Big (빅), episodes 1 to 8
I *love* Big. I want to hug it.
The hilarious thing is that most diehard Hong Sister fans seem to find this drama especially lukewarm because it's not as crazy as their past works, to which I say: BRING ON THE NON-CRAZY.
A serious question: how do people not get sick of the crazy? Individually I've liked almost all of Hong Sisters' dramas, but when you take their entire body of work together as a whole, there is just no more spark to be found with each new project. Yes the stories are extremely different, and yes the characters and the situations are different, but they all feel the same. It's the same metaphor spun in five different ways, the same kind of whacky humor, the same outrageous-moment-juxtaposed-with-quiet-moment scenarios. In fact, because they are so prolific, putting out a new drama every year, I'm surprised that viewers haven't gotten tired of their writing voice faster.
There's also the fact that the Hong Sisters are absolute bullshit with writing female characters. It's generally a TV problem, not specifically a Hong Sister problem. But again, because they are so prolific, and the contrast between their male characters and female characters is like clockwork, it becomes harder to ignore. It speaks to a bigger and more systematical problem to their writing, which is why I've become more and more skeptical of their projects from the past 2-3 years.
I'm also wary that discussion about these problems in their writing is so scant, and inversely proportional to how popular their work is in the international community. (Which is especially interesting, since their dramas consistently draw a very modest viewing in Korea. This also speaks to how the international K-pop and K-drama community can have such obvious and huge double standards when it comes to the things they pick and choose to find problematic, but that's another topic for another day.)
Okay, end rant. Onward to the actual drama!
I love this drama. *squishes Gong Yoo*
It took definitely took the whole first two episodes for me to settle comfortably into the story because I wasn't sure if the Hong Sisters were pulling a fast one on me and making Lee Min-jung's Gil Da-ran pathetic and intentionally going to keep her that way the whole drama through, but I'm so glad they're not. It would've been dreadful if she were spineless the entire drama, but also wouldn't be unexpected because the Hong Sisters just love making their females measure their self-worth based on how their male counterparts view them :\
I'm not sure how the story is going to turn out, because I don't even think the Sisters themselves know, but I'm glad that there's an element of surprise embedded into each episode. Every Hong Sister drama has been insanely predictable, and while Big doesn't have a rocket science situation, there are still a lot of uncertainties, something I revel in digging into in the remainder of the episodes.
I'm groaning a little at how there is going to be some familial connection between Seo Yoon-jae and Kang Kyung-joon, but it's not a K-drama obstacle I haven't hurdled over before, so that's not what's keeping me on my toes. Who exactly is going to end up on top is the bigger and more expensive million dollar question.
It's already established that Kyung-joon is the hero of this story, yet it would go against A-list Gong Yoo billing for Kyung-joon to get the girl in Shin Won-ho's body. So does Kyung-joon stay in Seo Yoon-jae's body for good, or are we going the more disappointing route of forcefully making Seo Yoon-jae go through a character transformation so that he's good enough by story's end to get the girl outright? That would be WAY less fun, but the fact that Gong Yoo can't not get the girl is something we cannot maneuver around, so regardless of which spirit gets the body, he's gonna have to do it through Gong Yoo's body.
I'm not too worried about the problem that Gil Da-ran might fall in love with the right person (Kyung-joon) because of the wrong reasons (he's in Yoon-jae's body) just because I think Kyung-joon is compelling enough that he can inspire love, and because his personality and Seo Yoon-jae's are so wildly different that I find them hard to mix up. In fact, the love might be doubly meaningful because he's in a host's body and if Da-ran falls in love with him, it'll be for his personality and she would've already had to cross the hurdle of acknowledging Kyung-joon for Kyung-joon and not Kyung-joon-in-Yoon-jae's-body.
While I believe that Yoon-jae and Da-ran had their moments of good faith with each other, there is no reason for me to see Yoon-jae as the winner. Kyung-joon is just the better person, more honest and forthright. His vulnerabilities are also easier to gauge and something that him and Da-ran can share, whereas Yoon-jae is closed off. I guess it's okay to be closed-off, but he voluntarily chose not to divulge parts of him to Da-ran, which I think is a huge foundation for a shaky, mistrustful relationship. It astounds me how little Da-ran knows about Yoon-jae and they were going to get married!
This drama is a lot more mellow than other Hong Sister dramas, and I welcome this change because I'm not sure how much I would've liked this drama if it was just zinger after zinger after sarcastic comment after sarcastic moment broken up with random quiet moment and then back to zinger and sarcastic comment. Don't get me wrong, I think their trademark humor is still here (Gong Yoo sticking his head out of that taxi cab, the entire existence of Choong-sik) but the drama feels a lot more mature, with a lot more room for the characters to think and breathe and just be.
There are a lot of unnecessarily antagonistic female characters: the school principal who hates Da-ran's mom for stealing her love, who dislikes Da-ran for just some random reason but bends over backwards for Yoon-jae; Se-young the amazingly annoying and trademark second lead; Ma-ari who's mostly cute, but also insanely psychotic with her clinginess and obsession. They and other side characters also get way more screentime than they deserve, but it's an annoyance I'll have to deal with with every Hong drama.
I want more backstory that I presume is coming soon in the remainder of the episodes. For the most part, I think Big is well-paced and there's still a ton of story left to explore and I think it can totally be done well in the remaining eight episodes. The worst is when you know there's no more story to tell yet there are way too many episodes left for it to be done speedily and effectually, or when there's too much story and too little episodes left and everything is rushed.
Definitely going to keep up with the rest of the drama to see how it resolves itself. Finally, another drama to love and not a moment too late (it's already July, folks).
(Gifs via Tumblr)


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In The Parent Crap, Alice Laussade chronicles life as a mom in Dallas. Worried you're screwing up your kid? Tweet questions to @thecheapbastard and she'll confirm that, yes, you're screwing up your kid. See previous entries here.
"Scrapbooking" is what happens when you take a normal person and you give them a binder, a metric shit ton of photos, stickers, those weird zigzag scissors, a rainbow of cardstock, a poorly ventilated room and a hot glue gun. The process usually ends in a neatly bound vomit of memories with a bow on the cover.
If you do happen to have a moment of free time during your child's first years, and you choose to spend that time sticking "Mommy's Little Darling" stickers to stuff instead of chugging boozes, let's make sure you do this scrapbook thing right. Because everyone knows that if you create a crappy scrapbook, your baby will be ruined forever.
Of course, your first scrapbook instinct is going to be to make pages for big moments in a small human's life, like first steps and first words. But let's not forget the other important milestones of a toddler's first few years on The Earth:
1. Action shots. Be sure to take plenty of pictures of your newborn -- it's best if you document every single second, so you can make a flip book of her life without ever really having to pay attention in the moment.
2. Make your scrapbook into a book that teaches your kid about feelings, using real-world examples.
3. It's always more meaningful when you document traditions that are passed down in the family, generation to generation.
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4. Seeing the world through a toddler's eyes is truly amazing. Document that shit.
5. They grow up so fast. Take time to appreciate (and obviously document with unicorn stickers and tiny, expensive Martha Stewart-branded stick-on bows) the little things.


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Put down the manual and hit play instead. We've put assembled some handy videos to help you keep your ŠKODA in tip top condition. Keep scrolling and you'll also find some helpful information to become even more in tune with your ŠKODA.
We're confident you'll find these resources useful, but for any further technical assistance be sure to get in touch with your local ŠKODA retailer.
Here you can find instructions on how to download and update to the latest maps. Updating your ŠKODA MIB Amundsen or MIB Columbus navigation system will save you time and fuel and help you to reach your destination confidently and safely. New roads and itineraries are included in these updates.
Amundsen navigation system
Click here to find out how to update your Amundsen navigation system.
Columbus navigation system
Click here to find out how to update your Columbus navigation system.
Air conditioning does a lot more than simply cool you down in summer. It also removes moisture from the air helping demist your windscreen in cold, wet weather hence improving driving visibility.
ŠKODA recommends regular use of your car's air conditioning all year round:
Are you experiencing any nasty smells?
If so, it could be because your car's air conditioning system needs cleaning.
Why does my car's air conditioning system need cleaning?
Over a period of time, the condensation that settles in your car's air conditioning system mixes with dirt, dust and other airborne pollutants. If left untreated this becomes a breeding ground for microorganisms often resulting in an unpleasant odour and sometimes cold-like, or allergy-like symptoms.
Why does this happen?
The evaporator is the part of the air conditioning system which cools the air. It is constructed as a series of 'fins'. This construction maximises the surface area in contact with the surrounding air to cool the largest amount of air at any one time for maximum efficiency. The cooling effect is developed using refrigerant and any moisture in that surrounding air will settle on the surfaces of the evaporator as condensation, just like warm, damp air settling on a cold window. When the air conditioning isn't in use the gaps between the evaporator fins become a warm, damp environment. As any microbiologist knows, a warm damp environment is the ideal place to grow bacteria and biological cultures.
How can ŠKODA help?
Participating ŠKODA retailers use a ŠKODA approved disinfectant treatment which gets to the root of the problem. The treatment disinfects the system and leaves your car bug free and smelling as fresh as a daisy. The treatment is quick and is available at very competitive prices.
We also recommend an air conditioning re-gas service every two years to maintain the system's cooling performance, optimise fuel consumption, and help prevent costly repairs.
Beware of imitations!
Many cleaning treatments are used for cosmetic effect. They are either simply masking agents that temporarily eliminate the smell or they are only partially effective, e.g. they penetrate only the 'easy to reach' areas. The ŠKODA approved treatment disinfects the system using an applicator which generates a vapour of less than 5-micron diameter droplets which are light enough to circulate through the entire air conditioning system, including those pesky evaporator fins.
The ŠKODA treatment is water-based, non-toxic, non-irritating and non-flammable and when the application is complete the car is left completely dry and ready for immediate use (other treatments often require ventilation time).
What else should I be doing?
Just like any other component on your car, your ŠKODA's air conditioning needs regular maintenance. ŠKODA UK recommends an air conditioning re-gas service every two years to:
Find out the necessary information you need if you are importing or exporting your ŠKODA, the documentation you may need and organisations you may have to inform.


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DIA 61 x H48.5
View all Tribu collections ›
Designed by Monica Armani, this new collection of poufs are specially made for the outdoors, and they are totally waterproof thanks to the innovative draining structure. The body of the ottomans are slightly raised from the ground with tiny feet to assist with the drying process.
Available in three different sizes and heights, the Nomad range can be ordered in a wide variety of colours and materials.
DIA 61 x H48.5
DIA 91.5 x H43
DIA 122 x H43


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The San Jacinto Monument, rising 570 feet above the battleground, stands as a memorial to the men who fought for Texas independence. As such, it is fitting for San Jacinto to honor all military personnel in celebration of Veteran's Day.
The San Jacinto Museum of History, located at the base of the Monument, will admit active and retired military personnel and their accompanying family members and guests to all its attractions free of charge the entire week of Veteran's Day - Saturday, Nov. 9 through Sunday, Nov. 17, 2013. The Monument and its surrounding parkland are open 9 a.m. — 6 p.m. daily.


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Limited health literacy is associated with poor health and is a significant problem in Australia.
Only about 40% of Australian adults can understand and apply health information in the way it
is usually presented. We have developed this guide to help service providers produce health
information that is appropriate for all consumers, including those with low health literacy


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Clothes That Work is looking to add an experienced Development & Marketing Leader to our team!
Director of Development & Marketing
Location: Job Center, 1133 S. Edwin C. Moses Blvd., Dayton OH
Reports to: Executive Director
Hours: Full-time Exempt; 40 hours/week; some evenings and weekends required
Posted 03.14.16
Clothes That Work seeks to hire an experienced Director of Development & Marketing to secure financial resources through individual, public and private appeals, and grants to support the mission, programs and services of the organization. Additional responsibilities include oversight of the brand equity and reputation of Clothes That Work; development of an annual comprehensive development plan with targeted goals, objectives, methods, quantifiable outcomes and timelines; department management and supervision; management of fundraising events; resource development; donor stewardship and cultivation; annual fund solicitation; and maintaining exceptional customer service with all persons interacting with the organization.
The Director of Development & Marketing is a full-time exempt position that works 40 hours per week; some evenings and weekends required.
Minimum of five years progressive experience and demonstrated skill in fundraising, corporate sponsorship sales and event management, preferably in the non-profit sector. At least two years of professional experience in a leadership role as part of a senior organizational team. Bachelor's degree in marketing, communication, social service or related field preferred. Experience working with volunteers is desirable. Membership in AFP and/or CRFE accreditation is desirable. Experience with Donation Management System software preferred. Demonstrated skills using Microsoft Office applications including Word, Excel and Power Point and Outlook.
Extensive knowledge of nonprofit fundraising processes with demonstrated skill and significant track record in fundraising. Demonstrated leadership skills. Excellent customer service and problem-solving skills; strong oral, interpersonal, and written skills with high attention to detail essential. Able to deal professionally and sensitively with diverse audiences.
For consideration, please send letter of interest (including salary history), resume and three (3) references to Paula Alexander, HR Consultant, Sheakley, c/o 1133 S. Edwin C. Moses Blvd., Suite 392, Dayton, OH 45417 or send an email to email@example.com. EEOC. No calls please.
Submission deadline: Open until filled


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Searching for an old experiment of mine I just rediscovered a piece from 2001/2002 which I thought I had lost - it's a implementation of PONG in Flash 5 with a file size of 5K. Back then it was an submission for the 5K award - a site which featured some amazing entries all under 5K which is unfortunately not online anymore.
There have been some impressive examples in recent time of PONG made in 510 bytes or even in 349 bytes - so 5k is not really world record anymore. On the other hand - this file is from the good old Flash 5 days where there was no gzip compression available (with compression it already goes down to (1742 bytes). But this version is a two player game with keyboard control, it has sound, scoring and several different play modes. I guess that there is still some room for improvement, maybe one can get it down to 1k or so without loosing any features - feel free to give it a try. Here's the original Flash 5 FLA file.Posted at May 05, 2008 05:39 PM | Further reading


text: Yep you read it right. The Tampa Bay Lightning have not one, but two diabetics on their team. I was at a game in Pittsburgh, and noticed the athletic trainer giving BJ Crombeen something that looked REALLY similar to glucose tablets, but didn't really say anything because I wasn't sure. But, a couple weeks about when the Pens played the Lightning again, one of the TV announcers mentioned something about BJ, but the other one noted Cory Conacher was diabetic too. My mom and I both went "Whaaaa!???" lol I found a couple articles on line. I thought it was way to awesome not to share! http://www.wtsp.com/sports/pro_hock...y-area-athletes-help-teach-kids-with-diabetes http://diabetic-cyclist.weebly.com/1/post/2013/01/bj-crombeen.html


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No Bake Apple Pear Crisp
This no bake apple pear crisp is the perfect healthy dessert (or even breakfast!) for all fall dinner parties. Best served warm with ice cream and friends.
- 2 cups sliced apples
- 2 cups sliced pears
- 1 tbsp coconut oil
- 1/3 c maple syrup
- 1/4 c almond milk
- 2 tbsp chia seeds
- 2 tbsp lemon juice
- 1 tsp cinnamon
- 1 tsp vanilla
- 1/4 tsp sea salt
- 3 medjool dates,pitted and chopped
- 1/3 c walnuts, chopped
- 1/3 c pecans, chopped
- Get all your ingredients prepared and measured out
- In a large sauté pan over high heat sauté the apples and pears in coconut oil for two minutes
- Add in your maple syrup, almond milk, chia seeds, lemon juice, cinnamon, vanilla and salt. Once the ingredients are all added it cooks quickly so it is best to have all your ingredients pre measured
- Reduce heat to medium and simmer for eight minutes until the liquid has reduced and mixture has thickened.
- Serve warm sprinkled with date and nut topping. Ice cream is always a good option too!
Servings: 6
Main Ingredient: Apples, Pears
Categories: vegan, vegetarian, gluten-free, breakfast, dairy-free, snack,


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These are two aspects of human nature, according to the ancient Greeks. The Dionysian represented the wild, the undisciplined, the primal. The Apollonian represented the civilized, the logical, the refined.
Donald Trump embodies Dionysius (or, given his age and girth, Bacchus), with his lifestyle of the rich-and-famous, his roster of beautiful wives (and presumably beautiful mistresses), and his dedication to hedonism and display. As a real-estate developer, he concentrates on posh hotels, posh casinos, by-definition posh country clubs, and posh condominium towers. His "brands" include indulgent products like Trump Vodka, and Trump Steaks. (His alleged preference for his steaks as "burnt offerings" is another connection to the god--.)
Appropriately, his entire appeal is based on emotion: he appeals to inchoate wants, to greed, anger, and fear (Pan, the god who gives us the word "panic" is often associated with Dionysus). His attractiveness is based on his wealth, power, and lustiness.
On the other hand, Hillary Clinton is highly Apollonian in her approach. She appeals to logic, reason, and common sense. Perhaps, since she is a woman, we should say that Hillary is "Athenian," since Athena, Goddess of Wisdom, partakes of many of the same attributes of Apollo and is a warrior goddess (some of Hillary's non-fans fear that she would be too aggressive--.) . (Of course, Clinton also partakes of aspects of Hera, the put-upon wife of a roving husband. She had her own martial aspect: few recall that, in the Trojan War, when Athena took the field against Ares, Hera was her charioteer.)
As follower of Apollo/Athena, I naturally prefer Clinton, but I see Trump's appeal to the insecure and angry. I don't think last night's debate will change minds among the already committed, but hopefully might have made some difference among the so-far undecided.
This entry was originally posted at http://sinister-sigils.dreamwidth.org/302410.html. Please comment there using OpenID.


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Some Cingular employees must have been overjoyed this weekend. Seems Treo 750 demo units started showing up in a few Cingular stores recently. Is it the same thing as the Vodafone version? Yes. Are all the features still the same? Yes. But do we care because we're fanatical geeks? Sadly, yes. It's still looking good and has a "Q4 release date," but with only 13 days left in December, we're not sure if it's going to stay true to that statement.
Cingular Treo 750 Demo Model Arrives To Stores [BGR via Mobility Today]


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In previous entries, we've discussed different types of financial elder abuse. One thing is certain, Medicare abuse and fraud is rising. Experts estimate that in 2010, Medicare and Medicaid together made $65 billion in improper payments, and that number rose to $98 billion in 2011. [1] As thieves become more sophisticated, seniors and caregivers must become more vigilant – as Medicare abuse and fraud can affect a loved one's health and healthcare programs. Here's a quick guide to Medicare fraud and a few tips to protect yourself and your loved ones:
Medicare fraud is defined as any individual or company searching for Medicare reimbursement payments under false pretenses. [2]
There are a few common types of Medicare fraud that include:
- Identity Theft: When a medical professional steals patient information to use to over-bill Medicare.
- Equipment Substitution: An order for medical equipment may be intercepted, with Medicare being billed for newer or more expensive equipment and the patient being provided with cheap or used equipment.
- Phantom Billing: A doctor's office may bill for services never performed.
- Upcoding: A medical provider may submit bills to Medicare for a more expensive service than the one actually performed.
- Unnecessary Procedures: A doctor may perform procedures that are not medically necessary in order to bill Medicare for the cost.
- Generic Drugs: Medicare is often billed for name brand medications when generic drugs were actually provided to the patient.
Medicare fraud doesn't just cost the federal government. It often results in substandard medical treatment for the patient, and the additional costs can mean that the patient's Medicare allotment is used up due to fraudulent billing. Fraud costs also increase health care costs and can eventually lead to higher taxes.
Here are a few things you can do to protect yourself or a loved one from Medicare fraud:
- Review your claims for mistakes or concerns:
- Keep a record of the dates of your doctors' appointments and save your receipts and statements that you receive from providers to check for errors.
- Compare your records with the Medicare processed records to ensure you were not billed for any services you did not receive. You can review your Medicare claims by:
- visiting www.mymedicare.gov (claims are normally available within 24 hours after processing)
- calling 1-800-Medicare (1-800-633-4227) or
- looking at your Medicare Summary Notice (MSN)
- If you notice an incorrect charge on your bill, call your doctor or health care provider to give you more information to better understand the billing issue—it is possible there was a billing error.
- Make sure that the information below is readily accessible before contacting your doctor, health care provider, or Medicare:
- Your name and Medicare number
- The date of your Medicare Summary Notice (MSN)
- The provider's name & any identifying number;
- The service or item in question;
- The date the service/item was received;
- The payment amount approved/paid for by Medicare;
- The reason you think Medicare should not have paid;
- Any information providing evidence to show why Medicare should not have paid for the service/item in question.
If you think you or your loved one may have been a victim of Medicare fraud, help is available. The Senior Medicare Patrol is a federally-funded resource to help seniors combat Medicare abuse. To contact the New York Senior Medicare Patrol, call the 24-hour hotline at 1-877-678-4697 or visit http://www.aging.ny.gov/ResourceGuide/HealthInsurance.cfm. For more information about our elder law services, visit www.elderlawnewyork.com.
[1] http://www.nytimes.com/2012/09/12/business/retirementspecial/medicare-fraud-victimizes-patients-and-taxpayers.html?ref=retirementspecial
[2] http://www.cheatingculture.com/common-types-of-medicare-fraud/


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What is SAS® Global Forum, you ask? It is the premier event for SAS professionals worldwide, offering educational and networking opportunities, as the conference has done since the first meeting in 1976. The conference is an annual event planned and sponsored by the SAS Global Users Group, which is open to all SAS software users throughout the world.
This year's conference will be held in San Francisco's Moscone Center West from April 28 – May 1, and JMP will be shown in many ways. You can find JMP incorporated into some of the sessions listed below. And some of these presentations will be by our very own JMP development staff.
Speakers: Mantosh Kumar Sarkar, Oklahoma State University; Goutam Chakraborty, Oklahoma State University
Location: Room 2004 - Moscone West
5:30 p.m.-5:50 p.m.
Speaker: Michael Hecht, SAS
Location: Room 2014 - Moscone West
8:00 a.m.-8:50 a.m.
Speaker: John Sall, SAS
Location: Room 3016 - Moscone West
9:30 a.m.-10:20 a.m.
Speaker: William Benjamin, Owl Computer Consultancy LLC
9:30 a.m.-9:50 a.m.
Speaker: George Hurley, The Hershey Company
Location: Room 2003 - Moscone West
3:45 p.m.-3:55 p.m.
Speaker: Junyao Ji, SAS
Speaker: Richard Zink, SAS
Location: Room 2000 - Moscone West
11:00 a.m.-11:50 a.m.
See JMP in action at the SAS Support and Demo Area, located on Level 1 of Moscone West. This space is 64,256 square feet of SAS user delight. From Sunday evening until 5 p.m. on Wednesday when the demo floor closes, you can stop by the JMP booth and visit with JMP developers, ask those burning questions you may have, and talk with other JMP and SAS users about how you are using the software -- and if you're lucky, you might even be able to find out a little bit about new features that will be available in JMP 11, which is coming out later this year.
We will have cool giveaways, including JMP stickers and window clings (so you can spot your fellow JMP users), and you can join us in support of the International Year of Statistics by sporting an I ♥ Statistics, Statistics 2013, or 2013* pin. We will also be dealing out a new design of playing cards to show our love of statistics in every language.
If you aren't able to make it to San Francisco at all this year, you can still be a part of the action via SAS Global Forum Livestream! You can watch the opening session, the presentation by SAS Co-Founder and JMP chief architect John Sall -- From Big Data to Big Statistics on Tuesday morning from 9:30 a.m.-10:30 a.m. PST -- and Wednesday morning's Live Report, all via the Livestream!
That's just a sampling of what you can expect from JMP at this year's SAS Global Forum. If you'd like to learn more, visit the SAS Global Forum website. We hope to see you in San Francisco!
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