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1 DEVELOPING A STANDARD OPERATING PROCEDURE FOR FIREFIGHTER REHAB IN ORANGE COUNTY FIRE RESCUE DEPARTMENT EXECUTIVE LEADERSHIP BY: Ken Burke Orange County Fire Rescue Department Winter Park, Florida An applied research project submitted to the National Fire Academy as part of the Executive Fire Officer Program January 2005
2 2 CERTIFICATION STATEMENT I hereby certify that this paper constitutes my own product, that where the language of others is set forth, quotation marks so indicate and that appropriate credit is giver I have used the language, ideas, expression, or writing of another. Signed: Kenneth Burke
3 3 ABSTRACT The problem identified for this applied research project is that while OCFRD has been in existence for 23 years, a Standard Operating Procedure (SOP) for firefighter rehab on emergency incidents has never been developed. Although the winter climate is considered mild, the summers are hot, humid, and last approximately eight months. The purpose of this research paper is to develop an SOP for firefighter rehab during emergency incidents. The procedures used to complete this research included a literature review, a personal interview, an Internet search, and a survey of fire departments of similar climate that may encounter similar conditions. Descriptive and evaluative research techniques were used to answer the following research questions: 1. What factors should be used to determine when a firefighter should be sent to rehab? 2. What resources are required to establish an incident Rehab Sector? 3. What medical protocols should be followed during firefighter rehab? 4. What fluids and foods are recommended for firefighter rehab? 5. What factors indicate that a firefighter is rested and can return to incident operations? The results of this research indicate the need for an Emergency Incident Rehab SOP for OCFRD as well as any fire department without a SOP of this type. This research also showed the improved safety and health benefits provided by an organized Rehab operation. Recommendations included establishing and implementing an Emergency Incident Rehab SOP and training personnel on the benefits and proper procedures needed to comply with the SOP including the necessary documentation. It is also recommended that the Orange County EMS Council and the Medical Director research and consider the implementation of a heat stress
4 4 protocol for all fire departments in Orange County. Finally, every fire department without an Emergency Incident Rehab SOP should develop and initiate one.
5 5 TABLE OF CONTENTS CERTIFICATION STATEMENT 2 PAGE ABSTRACT TABLE OF CONTENTS INTRODUCTION BACKGROUND AND SIGNIFICANCE LITERATURE REVIEW PROCEDURES RESULTS DISCUSSION RECOMMENDATIONS REFERENCES APPENDIX A (Heat Stress Index). 45 APPENDIX B (Survey of Firefighter Rehab on Emergency Incidents.. 46 APPENDIX C (Survey Cover Letter) 49 APPENDIX D (Tables on Results of Survey) 50 APPENDIX E (Firefighter Rehab SOP) 56 APPENDIX F (Emergency Incident Rehabilitation Report)... 61
6 6 INTRODUCTION Orange County Fire Rescue Department (OCFRD) provides fire protection and Emergency Medical Service to most of unincorporated Orange County, Florida. OCFRD employs approximately 900 full-time paid firefighters and has a Volunteer Program with approximately 40 firefighters. OCFRD was created in October of 1981 through the consolidation of sixteen different fire districts. Although the winter climate in Central Florida is considered mild, the summers are hot, humid, and last approximately eight months. During these hot and humid months, firefighters can quickly reach the point of exhaustion. These extreme conditions promote the probability of injury to firefighters and others on the incident scene. The problem is that while OCFRD has been in existence for 23 years, a Standard Operating Procedure (SOP) for firefighter rehab on emergency incidents has never been developed. The 2003 Edition of the National Fire Protection Association (NFPA) 1584 states, An integral component of both an occupational safety and health program and incident scene management is an organized approach for fire department members rehabilitation at incident scene operations (p.1). The purpose of this research paper is to develop an SOP for firefighter rehab during emergency incidents using current techniques to ensure firefighters are rested, recuperated, and rehydrated before returning to active operations. Descriptive and evaluative research techniques were used to answer the following research questions: 1. What factors should be used to determine when a firefighter should be sent to rehab? 2. What resources are required to establish an incident Rehab Sector? 3. What medical protocols should be followed during firefighter rehab?
7 7 4. What fluids and foods are recommended for firefighter rehab? 5. What factors indicate that a firefighter is rested and can return to incident operations? BACKGROUND AND SIGNIFICANCE OCFRD was formed in October of 1981 by combining sixteen separate fire control districts. The department provides Fire and EMS to most of unincorporated Orange County, Florida. There are 36 operational stations with one more under construction. Each shift staffs 35 engine companies, 24 Advance Life Support (ALS) rescues, five truck companies, three hazardous materials squads, an air and light truck, and an ALS transport helicopter. OCFRD also has six water tanker trucks and 14 four-wheel drive brush trucks, which are not staffed fulltime, but are available for response as needed. A Rehab truck is available for response and is normally manned by volunteers. In spite of the size and age of the department, an incident rehab SOP does not exist. However, an SOP exists for the deployment of the Rehab truck on incidents and that a Rehab Sector should be established. On an average house fire, the Incident Commander assigns an ALS rescue crew to initiate a rehab sector. This crew provides water and may take vital signs in an area of shade. On larger incidents, the Rehab truck is usually requested. The crew of the Rehab truck usually works with the Rescue crew and provide snacks and sports drinks to personnel involved in emergency operations. Without an SOP, incident rehab is not standardized and is inconsistent. Only a minor amount of medical monitoring is initiated and usually without any documentation. Only firefighters needing transport to an Emergency Room for heat stress or exhaustion receive complete treatment with documentation. All too often, firefighters tend to exert themselves to the point of exhaustion during emergency scene operations. Many times, firefighters will refuse to take a break until the
8 8 incident is under control. This mindset can diminish the overall safety of scene operations (Treadwell, 1999, p. 5). On this topic, Angeli (2000) states, Firefighter rehab is designed to ensure that the physical and mental well-being of member operation at the scene of the emergency (or training exercise) do not deteriorate to the point of where it affects the safety of any other member. He further states, According to the Federal Emergency Management Agency (FEMA), any activity/incident that is large in size, long in duration and/or labor intensive will rapidly deplete the energy and strength of personnel and therefore merits consideration for rehabilitation. Chris Eckert (1996) assesses firefighter rehab as, The systematic removal of personnel from an incident scene for the purpose of providing rest, replacement of body fluids, and assessment of the overall physical and mental condition of the individual at the emergency scene. Eckert (1996) also describes an incident in which he had been sent to rehab. He stated that he felt tired which was normal for him after physical exertion on an incident. EMS personnel found his pulse to be rapid and irregular, and he was transported to the hospital for evaluation and possible treatment. After being diagnosed with atrial fibrillation, he was subsequently treated and released to return to full duty status. This incident demonstrates the importance of an organization having an Incident Rehab Program, which can intercept medical problems before they become life threatening. The importance of having a heat stress recognition component in an Incident Rehab Program is emphasized by Haftl (1998) in his description of a tragic incident that occurred in California. On the morning of May 30, 1997, California Conservation Corp firefighter David Ray died of heat stroke. The medical examiner s report listed the cause of death as hypoxic
9 9 encephalopathy, due to environment hyperthermia (heat stroke). Firefighter Ray was on his first wildland fire working in high heat and high humidity conditions. This research project directly relates to the U.S. Fire Administration s five-year objective of reducing the loss of life from fire by 15%. An additional part of the objective includes the reduction of 25% in the loss of life among firefighters. A properly administered Incident Rehab Program can prevent injury and the loss of life due to environmentally induced heat stress. Further, proper rest, rehydration, and early recognition of medical problems with subsequent care can reduce firefighter fatalities. LITERATURE REVIEW What factors should be used to determine when a firefighter should be sent to rehab? NFPA 1584 (2003) states Rehabilitation operations should commence whenever emergency operations or training exercises pose the risk of members exceeding a safe level of physical or mental endurance. In addition, NFPA 1584 states Rehabilitation Operations should consider temperature, relative humidity, and direct sunlight as factors in hot weather. This Recommended Practice refers to a Heat Stress Index table for additional guidance (p. 6 and 9). A copy of the table is provided in Appendix A. NFPA 1584 also encourages the Incident Commander to consider the scope of the operation and recognize the need to evaluate the incident with regard to time, complexity, and intensity. Time refers to the period of operation in bunker gear and exposure to the climate. Complexity refers to the difficulty in the completion of the work, such as search operations or standoffs. Intensity is the mental and/or physical stress endured by the members during an operation such as a major extrication or interior search and rescue (p. 6).
10 10 The Federal Emergency Management Agency/United States Fire Administration (FEMA/USFA) publication Emergency Incident Rehabilitation (FA-114/July 1992) for the establishment of a Rehab sector/group is a sample standard operating procedure (SOP). It indicates the need for a rehab area when the climate places the heat stress index above 90 o F. The heat index is the same as the one used in the NFPA 1584 (2003) guideline (Appendix A). FEMA/USFA (1992) also recommends the two air bottle rule or 45 minutes of work or exertion prior to a mandatory rehabilitation. With an objective evaluation of the member s fatigue level, the member should receive at least eight ounces of fluid for rehydration and rest for not less than 10 minutes. The SOP goes on to state that fatigued members are to be rested, evaluated, and then released by the Rehab Officer. Bonnano in an article for Health and Safety describes the importance of replacing carbohydrates during periods of heavy exertion by firefighters. Glycogen is the form of carbohydrate stored in the liver and muscles. Physical firefighting operations can significantly deplete muscle glycogen stores, which can have numerous effects on the body s ability to perform. Lower levels of glycogen hinder the upper levels of muscular exertion, and this depletion is the primary cause of fatigue. In addition, mental status can change causing poor judgment and decision-making. Bonnano goes on to state that after 30 to 45 minutes of anaerobic activity, a firefighter s body will actively seek to replenish depleted glycogen stores. If carbohydrates are not available, the body will break down its own muscle tissue to convert it to blood sugar to satisfy energy and glycogen needs (Bonnano, 1996). Dehydration is also a significant problem that must be addressed. Heavy physical exercise, especially in hot weather, can cause the body to lose up to 3% of its total weight in 90 minutes. The fluid lost through respiration and perspiration must be replaced or the individual
11 11 could develop an irregular heartbeat and cause damage to the heart or nervous system (Bonanno, 1996). Angeli (2000) states that, All personnel should report to the rehab sector immediately following: 1. Strenuous activity; 2. The use and depletion of two SCBA bottles; 3. Thirty minutes of operation within a hazardous/dangerous environment; and 4. Failure of an SCBA. Carafano (1990) also recommends, After the use of two SCBA air bottles (or 30 minutes of strenuous activity), a firefighter must be evaluated at the rehab area. In addition he feels, When setting operation limits for firefighters, contact area physicians to assist in forming workable parameters. The general physical condition of the department work force and the geographical area, plus each department s individual situation, must be taken into account. In summary, NFPA 1584 (2003) suggests the incident commander should use his/her discretion as to when emergency incident personnel should be sent to rehab. Angeli, Bonanno, Carafano, and FEMA/USFA support a rule of 30 to 45 minutes of strenuous activity as a guideline for sending emergency incident personnel to rehab. Angeli, Carafano, and FEMA/USFA suggest using the two-air bottle rule as a rough guideline for sending a firefighter to the Rehab Sector. Carafano also stresses a SCBA failure as a guideline for members being required to report to rehab. Bonnano cites his reasoning for sending members to rehab after 30 to 45 minutes of strenuous activity is due to fluid, electrolyte, and carbohydrate depletion.
12 12 What resources are required to establish an incident rehab sector? FEMA/USFA (1992) states, The Incident Commander will establish a Rehabilitation Sector or Group when conditions indicate that rest and rehabilitation is needed for personnel operating at an incident scene or training evolution. This sample SOP also states, A member will be placed in charge of the sector or group and shall be known as the Rehab Officer. Angeli (2000) expresses his agreement with the FEMA/USFA publication that a Rehab Sector must be under the command of a fire or EMS officer. Becker (2000) recommends that a Rehab Officer needs to function like any other sector, branch, or division officer. This officer should utilize common incident management system practices. The Rehab Officer must coordinate the flow of personnel in and out of the Rehab Sector with the Incident Commander. This is usually done utilizing the practice of first in/first out. The Rehab Officer is responsible for ensuring a proper site, procuring personnel for medical assistance, obtaining needed supplies and equipment, and documenting assistance to active incident personnel. Angeli (2000) states that the location for the Rehab Sector should be suitable to provide protection from the environment, such as a shady area in hot weather and a warm, dry area in cold, rainy weather. The area also needs to be free of hazards such as fumes, smoke, or gases from the incident or exhaust from vehicles. In addition, the location needs to be readily accessible to EMS-rescue personnel and their equipment for transport of personnel or replacement of supplies. Angeli also suggests close proximity of the air supply to enable members to return to operations with a fresh tank.
13 13 Becker (2000) supports Angeli s (2000) site characteristics and recommends an area that has an easy access and supports the removal of protective clothing and equipment. He goes on to state that it is convenient if the Air Supply Sector can be located adjacent to the Rehab Sector. He also suggests an area far enough away to keep crews from watching the action and possibly rushing back into the incident if conditions intensify. FEMA/USFA (1992) adds to the site requirements of an area that the area should provide for prompt re-access to the emergency incident. The Rehab location should also be large enough to accommodate multiple crews. FEMA/USFA (1992) and NFPA 1584 (2003) are most comprehensive and incorporate all of Becker (2000) and Angeli s (2000) requirements for the Rehab sector site. Angeli (2000) suggests that at least two trained EMS personnel should be assigned to the Rehab Sector to access, monitor, and assist firefighters. The EMS personnel should be at least BLS trained though ALS is preferred. He also recommends immediate transport to a definitive healthcare facility if serious symptoms are presented to EMS personnel by firefighters during assessment. Becker (2000), in agreement with Angeli (2000), supports the use of trained EMS personnel in the Rehab Sector to reduce the chance of collapse of personnel due to cardiovascular complications. He recommends that EMS personnel should be able to perform and document medical evaluations, which include vital signs, mental status, and pulse oximetry readings. If firefighting personnel should need to be transported to an Emergency Room, he suggests using an ambulance, not involved in the rehab operation.
14 14 Similar to Angeli (2000), NFPA 1584 (2003) and FEMA/USFA (1992) recommend the use of ALS trained personnel for EMS staffing assigned to the Rehab Sector. Personnel assigned to work in the medical treatment area should be distinct from those assigned to the Rehab Sector. FEMA/USFA (1992) states drinking water must be available without regard to the size of the incident. Other fluids such as commercially prepared activity beverages may be provided as well. Depending on the size and duration of the incident, FEMA/USFA (1992) also suggests that fruits such as apples, oranges, and bananas provide excellent forms of energy replacement. In addition, soups, broths, or stews are warm foods suggested for fast digestion over fast-food products. Wieder (2000) recommends water for fluid replacement on any incident in which a rehab area is established. During incidents exceeding three hours in duration, he suggests food be provided, preferably bananas and high-energy bars due to individual packaging and ease in serving. Warm food may be necessary if the weather is cold or meals are missed due to the length of the incident. Additional supplies and equipment suggested by FEMA/USFA (1992) include awnings, tarps, fans, heaters, dry clothing, blankets, towels, and fireline tape. Obviously, the size of the incident and its duration coupled with the resources available to a department dictate the need for these additional supplies and equipment. Becker (2000) suggests the assistance of the Red Cross, the Salvation Army, ladies auxiliary, or other specialty canteen resources to assist in providing food or meals for a long duration incident. Heightman and O Keefe (2000) emphasize the variety and the extent to which a Rehab Sector can be expanded and equipped. The equipment available is only limited by the department s budget and imagination. Equipment available include inflatable shelters, awnings
15 15 mounted on vehicles, rapid deployment canopies, misting or fogging systems, cooling vests, specialized heaters and specialized rehab response vehicles. They also hold with the basics, such as water supplies and log sheets for documentation. Trashcans need to be provided to ensure wrappers, cups, and other trash is not left on the owners property. In summary, Angeli (2000), Becker (2000), and FEMA/USFA (1992) support placing Rehab Operation under the direction of a Rehab Officer. This officer is given the responsibility of ensuring the Rehab Sector is properly located, equipped, and staffed, and that activities are documented. Angeli (2000), Becker (2000), FEMA/USFA (1992) and NFPA 1584 (2003) recommend placing the Rehab Sector in a location convenient yet suitably distant away from the incident. The site should provide some protection from the elements and be free of exhaust fumes or smoke. In addition, the site should be large enough for the incident and adjacent to an area for medical treatment and transport. Angeli (2000) also suggests close proximity of the air supply to enable members to return to operations with a fresh tank. Angeli (2000), Becker (2000), FEMA/USFA (1992), and NFPA 1584 (2003) recommend staffing the rehab site with two medical personnel, including at least one paramedic to evaluate incident members. Additional equipment should include medical equipment, tarps, water coolers, canopies, and a variety of other items based on the climate, the size, and the duration of the incident. Becker (2000) suggests utilizing the Red Cross, the Salvation Army, or other canteens to support the need for refreshments and food. What medical protocols should be followed during firefighter rehab? Heightman and O Keefe (2000) state: For decades, half of all on-duty firefighter deaths have resulted from heart attacks and strokes. Emergency incident rehab assumes that if medical personnel closely monitor
16 16 firefighter and other rescue personnel during periods of physical stress, vital-sign trends will help identify personnel at immediate risk for developing and succumbing to these stress related illnesses. In addition Heightman and O Keefe (2000) stress tachycardia and severe changes in blood pressure represent significant alterations in cardiovascular physiology. Wieder (1999) recommends firefighting personnel sent to rehab should remove their SCBA, turnout coat, and hood. Personnel should be evaluated for injuries and for heat and/or stress-related illnesses. He stresses an initial set of vital signs be taken which includes blood pressure, heart rate, and temperature. Rehab medical staff also need to be aware of any potentially life threatening complaints such as shortness of breath or chest pain. However, medical evaluation in the rehab area should not preclude firefighters from getting proper rest and rehydration. NFPA 1584 (2003) recommends that members upon arrival to the rehab area be evaluated for their Rate of Perceived Exertion (1 to 10 scale), heart rate, blood pressure, and temperature. NFPA 1584 (2003) further suggests a fire department physician establish the parameters for medical evaluations (p. 7). In addition, EMS personnel should further question members arriving at rehab to establish if symptoms of dehydration, cold or heat stress, exhaustion, or cardiopulmonary abnormalities are present (p. 6). FEMA/USFA (1992) stresses the importance of medical evaluations of incident operational personnel with heart rate and temperature evaluations as soon as these personnel arrive in the rehab area. In addition, the recommendation states EMS personnel need to be assertive in their attempts to diagnose potentially serious medical problems early. FEMA/USFA (1992) emphasizes the importance of documenting all medical evaluations including names,
17 17 date, complaints, and times in/out of the rehab area. FEMA/USFA (1992) also recommends a member sent to the Rehab Sector should have their pulse checked for 30 seconds as soon as possible. If the heart rate exceeds 110 beats per minute, an oral temperature should be taken. If the firefighter s temperature exceeds F., he/she should receive additional medical evaluation and not be allowed to wear protective equipment. If the temperature is below F., and the heart rate remains above 110 beats per minute, then time in rehab should be increased. Heat stress is negligible in firefighters presenting with a pulse of less than 110 beats per minute. Angeli (2000) stresses that medical evaluations include pupil dilation, the Glasgow coma trauma score, lung sounds, body core temperature, skin condition, and/or color and administration of ECG if chest pain or an irregular heartbeat is discovered. Angeli also follows the heart rate and core temperature recommendations established by FEMA/USFA (1992). Sachs (2001, p ) concurs that many times heart attacks present with warning signs that are easily detected by EMS personnel in the Rehab Sector. He advocates that a complete set of vital signs with a temperature reading should be taken of members reporting to the rehab area. In addition, he supports the use of pulse oximetry to determine the oxygen saturation of the blood. Any personnel involved in the incident showing increased blood pressure, irregular heartbeat, and disorientation, or poor oxygen saturation should receive additional evaluation. In agreement with Angeli and FEMA/USFA, all medical evaluations should be recorded. This includes entry and exit evaluations from the rehab area. Sachs (2001, p. 75) further states that just because a member has not been involved in the physical aspects of the incident does not mean the person has not endured stress. There have
18 18 been numerous incidents in which the Incident Commander or another officer has presented abnormal vital signs when entering the rehab area. The two objectives of rehab are: 1. To provide an On-scene screening process to help determine if any personnel operating there are in danger of collapsing because of cardiovascular complications; and 2. to monitor how firefighters are reacting physiologically and emotionally to the stress of the particular operation. Treadwell (1999, p. 21) recommends blood pressures and pulse rates should be taken and recorded as soon as a member reports to the Rehab Sector. Treadwell (1999) cites guidelines suggested by Training Chief Debbie Morris for the Lubbock County EMS in determining when ALS personnel should further evaluate firefighters in the Rehab Sector: 1. Firefighters diastolic blood pressure is greater than 110 mm Hg 2. Firefighters systolic blood pressure is greater than 180 mm Hg 3. After 15 minutes in rehab the firefighters pulse is above 140 beats per minute 4. The firefighter is symptomatic. To summarize, FEMA/USFA (1992) emphasize the importance of medical evaluation when members report to the Rehab Sector. Personnel need to remove most of their protective equipment, have their heart rate checked, and have their temperature taken if the heart rate is above 110 beats per minute. This is the minimal physical evaluation. Heightman and O Keefe (2000) and Wieder (1999) stress the importance of including blood pressure readings for members who are evaluated. Angeli (2000) and Sachs (2001) support the additional use of pulse oximetry in the evaluation of members. Treadwell (1999) provides a set of parameters for members that should receive additional evaluation by ALS personnel. All of the sources cited
19 19 suggested EMS personnel should be aggressive in an effort to find potentially serious medical problems early. What fluids and foods are recommended for firefighter rehab? NFPA 1584 (2003, p. 7) stresses the importance of fluid replacement by stating, Multiple locations for self-fluid replacement should be established, based on the size and duration of the incident. This recommendation goes on to state, In the rehabilitation area, fluid intake should be increased to [sic] 12 oz. to 32 oz. during a 20-minute rest period. In addition the standard recommends, When operating in temperature extremes (hot or cold), members should increase fluid intake. NFPA 1584 (2003, p.11) further states that, Because plain water ingestion may suppress thirst and increase urine output, it is less effective for rapid rehydration than sports drinks. This recommendation goes on to suggest that 8 oz. of sports drink should contain 15 g. of carbohydrate. FEMA/USFA (1992) also recognizes the importance of fluid replacement and states, Water must be replaced during exercise periods and at emergency incidents. During heat stress, the member should consume at least one quart of water per hour. In addition, the rehydration solution should be a 50/50 mixture of water and commercially prepared sports drink served at about 40 F. Wieder (2000) states that personnel performing heavy work under stress and wearing heavy protective clothing are subject to excessive fluid loss, and also recommends, A 50/50 mixture of water and sports activity beverage for fluid replacement. However, Bonanno (1996) recommends water as the fluid of choice for fluid loss during periods of heavy exercise. He further states the kidneys effectively conserve electrolyses and there is little evidence to suggest electrolyte replacement is needed except in situations such as
20 20 encountered by endurance athletes. Bonanno (1996) does recognize the importance of carbohydrate replacement as well. He recommends a carbohydrate-based recovery drink with the key ingredient of Maltodextrin along with the mix of dextrose and fructose. Bonanno (1996) emphasizes, A final word is to read the label and ingredient list on your drink of choice! If the first few ingredients are sugar, glucose, glucose syrup and it has dyes, vegetable oils or rosins, steer clear. Dickinson and Wieder (2000, p. 112) propose the nutritional and fluid replenishment requirements of firefighters will vary from one incident to another. The needs of a fire crew working a room and contents fire will be far less than a crew controlling a wildland fire for 16 hours (p. 111). They also suggest viewing firefighter needs for fluid and nutritional support in rehab as a triangle. Dickinson and Wieder (2000, p. 112) state, The triangle s sides are made up of (1) the fluid/nutritional needs of personnel, (2) the local resources available to provide for those needs and (3) the ability of firefighters to retain and digest the fluids or foods provided. Dickinson and Wieder (2000, p. 117) also suggest managing firefighter fluid replenishment through prehydration and rehydration. They recommend firefighting personnel should be adequately hydrated at all times and preferably slightly over hydrated entering an emergency scene. The strategies suggested to accomplish this include the following: 1. Avoiding excessive use of caffeinated beverages while on duty, as these liquids promote excessive urination. 2. Avoiding excessive alcohol use before coming on duty: residual dehydration is common with hangovers. 3. Being aggressive about personal rehydration after strenuous, non-duty-related activities such as competitive sports or running.
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text:
Designing HP SMB Storage Solutions Rev 15.21 - 00729763
Date of Class:
Last Day To Enroll:
- Course Delivery: Virtual Classroom
- Duration: 8
This course is intended to plan stockpiling experts to counsel, planner, furthermore, plan and propose arrangements in the HP Storage SMB portfolio. It addresses the essential and key innovations affecting the SMB market. Utilization of the contextual investigation situations highlights the HP vision, and portfolio. Lab activities supporting the contextual analyses will utilize the HP stockpiling measuring devices, items, arrangements and administrations. These incorporate gathering lab work to experience rehearse in the counseling, architecting, outlining and proposing of arrangements utilizing the fitting items and devices.For more information, visit the HP ExpertOne website, hp.com/go/ExpertOne
This accreditation and its related preparing are essential prerequisites for presales or arrangement engineers working in a channel accomplice association that goals to accomplish or keep up Silver Storage Specialist in HP PartnerOne program with a specific end goal to build its offers of HP stockpiling arrangements basically to SMB clients.
Subject Matter Expert
Ingram Micro helps businesses fully realize the promise of technology helping them maximize the value of the technology that they make sell or use With its vast global infrastructure and focus on cloud mobility supply chain and technology solutions Ingram Micro enables business partners to operate more efficiently and successfully in the markets they serve No other company delivers as broad and deep a spectrum of technology and supply chain services to businesses around the world Founded in 1979 Ingram Micros role as a leader and innovator in technology and supply chain services has fueled its rise to the 69th ranked corporation in the FORTUNE 500
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subset: commoncrawl


text:
CANADA STOCKS-TSX turns positive in wake of Fed announcement
TORONTO, June 20 (Reuters) - Toronto's main stock index turned positive on Wednesday, recovering from the session low it initially hit after the U.S. Federal Reserve announced an extension of monetary stimulus.
The Toronto Stock Exchange's S&P/TSX composite index rose 3.36 points, or 0.03 percent, to 11,791.72. It later touched a session high of 11,824.61.
© Thomson Reuters 2017 All rights reserved.


text:
We'll help you find the right solution for your needs
Does this sound like your topic?
Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
I live in texas, what kind of agreements can i reach with the DEA?
An individual adjudged guilty of a Class B misdemeanor shall be punished by: (1) a fine not to exceed $2,000; (2) confinement in jail for a term not to exceed 180 days; or (3) both such fine and confinement. Tex. Penal Code Section 12.22.
As to community supervision, to stay out of jail, Class B misdemeanor punishment is up to 2 years community supervision or deferred adjudication. Court can extend the community supervision 3 additional years and an additional 2 years beyond that 3, if you do not pay a fine, cost or restitution. Plus, up to 30 days in jail as condition of probation. CCP 42.12 3(c), 5(a), 22(c) and 12(a), respectively.
I doubt the DEA (Drug Enforcement Agency) is involved in a misdemeanor case, but the prosecutor has a lot of leverage. I've many times obtained for my client 1 day time served if they'll just plead guilty, a reduction to a Class C misdemeanor or a dismissal... depending on the facts.
Last option, go to trial and get a not-guilty verdict, then an expunction from your record.
All this depends on how much evidence they have against you. One person's testimony may be enough for a conviction even if they lie and the jury believes them. Consult with an attorney, they can get access to the State's files and see what evidence the State has or can obtain. Remember, just because the State doesn't have it now doesn't mean they cannot get it. Sometimes the ADA will offer a sweet deal to get the case off the books if it looks like a weak case that will require a lot of work and YOU don't have a previous juvenile or criminal record.Ask a similar question
You would not want to be trading off with the Drug Enforcement Agency on a class B misdemeanor case. It carries up to 6 months in jail & up to a $2,000 fine. You could also possibly work out a deal for pre-trial diversion or deferred adjudication probation, depending on your criminal record.
Hire a lawyer to help you. Theft is a crime of moral turpitude and can be used against you far into the future. A lawyer can help you keep your record clear and clean.
Don't talk to the DEA about a situation like this. Not worth the potential problems.Ask a similar question
I would echo the previous answers and if you would like to do some further reading the section of the Texas Penal Code dealing with theft can be found here:
and the section dealing with punishment can be found here:
good luck and I agree, you should speak with a lawyer.
Post a free question on our public forum.Ask a Question
- or -
Search for lawyers by reviews and ratings.Find a Lawyer


text:
12 June 2009,
New York, Rockefeller Center
Price realised USD 625
Estimate USD 1,200 - USD 1,800
THE HAGUE 1746 -- Description des principales rejouissances, faites à la Haye, a l'occasion du couronnement de sa Majeste Imperiale François I. &c. &c. &c. Avec de belles planches, gravées par un des meilleurs Maîtres. The Hague: Anthony de Groot and Sons, 1747.
2o (521 x 375 mm). Title page in French and Dutch, printed in black and red, descriptions of plates in French and Dutch in parallel columns. Engraved vignette on title-page, engraved headpiece, and 7 engraved plates by JAN CASPAR PHILIPS after M. SCHLUYMER. Quarter calf, flexible speckled paper boards (worn).
In 1746, spectacular festivities were held in The Hague to celebrate the coronation of FRANCIS I (1708-1765), Holy Roman Emperor and Grand Duke of Tuscany, who had been elected to the Empire on 13 September 1745. The plates illustrate the fireworks displays, illuminations, and decorations for the ball held by Baron de Reischach on 19 January 1746 at the Hotel du Prince Maurice. Berlin 2964; Drugulin 4428; Vinet 688.
New York +1 212 636 2000
London +44 (0)20 7839 9060
Hong Kong +852 2760 1766
Shanghai +86 21 6355 1766


text:
Sportingbet Plc and Bwin Interactive Entertainment have announced they've ended takeover talks as of today, and it hasn't gone over well for Sportingbet shareholders.
News of the discontinued talks resulted in a 9% drop in Sportingbet shares within hours.
"On March 7," the now Channel Islands-based Sportingbet said in a released statement, "the board of Sportingbet announced it was in discussions with Bwin Interactive Entertainment AG regarding a possible acquisition of Sportingbet.
"These discussions have now been mutually and amicably discontinued."
"Both parties decided to terminate the discussion," Konrad Sveceny, head of Investor Relations at Bwin re-iterated to the Gaming Intelligence Group. "As a result of regulatory and legal changes in a number of markets in which both Bwin and Sportingbet operate, and not just ones with European Union borders, we have not been able to agree on terms."
The two companies have both been beset by the uncertainty in online gaming markets since the passing of the UIGEA last October, with Sportingbet, the owner of Paradise Poker, already selling off their U.S.-facing assets.
Bwin shares however saw a small boost with the news, jumping 4.2%.
Related Articles:
Sportingbet's Future Brightens This Week


text:
New Delhi: India has toppled Australia to become number 2 in the One Day International (ODI) ranking after New Zealand defeated the world champions by six wickets in the second ODI in Melbourne.
Now India becomes a more serious contender for the top ranking in the world cricket. South Africa is performing very solidly in recent times like India but how long the good run continues will have repercussions on their being the number one team in the world cricket.
India are now three points behind top rankers South Africa. The Proteas recently climbed to the top of the table at Australia's expense.
Australia (121) have been pushed to the third place while New Zealand follow on fourth rung with 117 points. Pakistan is further down the ladder at fifth while England and Sri Lanka are sixth and seventh respectively.
Mahendra Singh Dhoni's side, already 4-0 up in its ongoing series against Sri Lanka, can close the gap to the Proteas to two points if it secures victory in the final ODI in Colombo on Sunday.
But Australia can regain second spot if it wins back-to-back matches against New Zealand in Sydney on Sunday and Adelaide on Tuesday.
And if Australia can string three wins together to take out the series then it will draw level on points with South Africa, although it will still lie second when the ratings are calculated beyond the decimal point.


text:
Baxters revenues soar as Wornick deal drives up US sales
Revenues leapt 40% at soup manufacturer Baxters last year after huge US growth saw international revenues outstrip UK sales.
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text:
Chinese Qing carved jade pendant
- Sold for: Start Free Trial or Sign In to see what it's worth.
- Item Category: Ethnic, Folk & Native American Art
- Source: Dallas Auction Gallery
- Sold Date: Sep 08, 2011
- Channel: Auction House
Chinese Qing carved jade pendant depicting double gourds and bats. 2.5"H x 1.5"W, Circa - 19th C.


text:
The market regulator disposed off representation made by Dushyant N Dalal and Puloma D Dalal, who have been restrained from securities market for seven years
Market Securities and Exchange Board of India (SEBI) has disposed of a representation made by two individuals, who had sought the vacation of restrictions imposed on them with respect to securities market dealings.
The representation made by Dushyant N Dalal and Puloma D Dalal, who have been restrained from securities market for seven years starting 21 July 2009, has been disposed of, SEBI said in an order.
After finding that they indulged in fraudulent, deceptive and manipulative practices in initial public offers (IPOs) of various companies, SEBI had directed them to pay a disgorgement amount of Rs6 crore. The amount included simple interest at the rate of 12% annum for four years (2005-09) on the unlawful gain of over Rs4 crore.
In its order on 21 July 2009, SEBI had said that in case Rs6 crore disgorgement amount is not paid within 45 days of the order, the two would be restrained from dealing in the securities market for a further period of seven years.
SEBI also said the request made by the applicants for vacating the restraint imposed on them for non-compliance with the disgorgement order within the time stipulated in the order cannot be acceded to.
"A view on the quantum of penalty to be levied on the applicants have already been taken in the SEBI order. The applicants are undergoing the restraint only because of their non-compliance with the disgorgement order and as directed vide the SEBI order," Prashant Saran, whole time member of SEBI said.
In last one month, onion prices have jumped by 90% to Rs18.50 per kg as against Rs9.75 per kg on 30th May
Over the past two weeks, onion prices at Lasalgaon, the country's largest wholesale market for the edible bulb, jumped almost 40% to Rs18.50 per kg. This is despite the imposition of minimum export price (MEP) on the vegetable to check its domestic rates from going up.
According to RP Gupta, director of National Horticultural Research and Development Foundation (NHRDF), onion prices have increased due to speculation amid anticipation of weak monsoon affecting Kharif (summer-sown) crops.
The impact of rise in onion prices at Lasalgaon in Nashik is being felt at Delhi's Azadpur market where they are ruling at Rs15-25 per kg depending upon the quality, traders said.
Average rate of onions at Lasalgaon have soared to Rs18.50 per kg from Rs13.25 per kg on 18th June, as per NHRDF.
On 17th June, the Centre had imposed an MEP of $300 per tonne on onion to curb overseas sales and control rising retail prices.
In last one month, prices have jumped by 90% to Rs18.50 per kg as against Rs9.75 per kg on 30th May.
"Onion prices have gone up purely on anticipation of drought as there has not been any decline in the supplies," Gupta said.
About 39 lakh tonnes of rabi onion is stored in the country but that may not be sufficient if kharif crop gets affected on account of deficient monsoon, he added.
The Met department has predicted a below normal monsoon this year, posing threat to kharif crops including rice.
Monsoon rains are key for the farm sector as about 40% of agriculture land is irrigated through rain water.
The domestic demand during the lean period from June to November is met through stored rabi (winter) crops and fresh kharif (summer) crops.
Onion production is estimated to have risen to 192 lakh tonne during 2013-14 crop year (July-June), from 168 lakh tonne in 2012-13. Exports meanwhile fell to 13.58 lakh tonnes last fiscal from 18.22 lakh tonnes in 2012-13.
Onion is predominantly a rabi crop grown throughout India.
During the kharif season it is grown mainly in Maharashtra, Karnataka, Gujarat and Andhra Pradesh.
According to Nomura, demand perspective for Indian IT industry looks better due to some possible uptick in technology outsourcing and a more stable pricing outlook as against pricing pressure indications in second quarter
Accentures has annoucned its third quarter results in the US, which accorging to Nomura points out towards an optimism in both revenues and earnings, which are higher than analysts' forecasts.
According to Nomura's research note the key positives for Indian IT players, based on Accenture results, are: (a) broad-based revenue growth ahead of guidance; (b) strongest growth in consulting in nine quarters at 6% year-on-year and consulting booking growth of 10% year-on-year; and 3) strong growth in outsourcing at 10% year-on-year, which is the best in past seven quarters.
The key negatives, as pointed out by Nomura are (a) weak growth in outsourcing bookings up 2% year-on-year; 2) lowering of top end of FY14F revenue growth guidance to 5%; and (c) reduction in top end of diluted EPS guidance.
Nomura believes that the results are marginally positive for India IT from a demand perspective as it indicates: (a) some uptick in technology outsourcing; (b) continued strength in Digital; and 3) a more stable pricing outlook (vs pricing pressure indications in 2Q).
Nomura remains constructive on IT sector demand and remains overweight on the sector. The recommended top Buys are HCL Tech, TCS and Tech Mahindra.


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Parents would be forced to sign home-school contracts and teachers would be paid more to work in schools in poorer areas under Conservative plans released on the eve of a crucial vote on the school reform bill.
The Tory leader, David Cameron, today launched his party's charter for inner-city schools at Kobi Nazrul primary school, in London, saying the party was "not afraid to confront the difficult questions" about education.
The prime minister, Tony Blair, is facing a backbench revolt tomorrow over plans to introduce independent "trust" schools that are set up and run by private companies and faith organisations. In an embarrassing blow, Mr Blair may have to rely on Tory votes when his bill, which has bitterly divided his party, returns to the Commons.
Today, Mr Cameron insisted he would back the bill, describing it as "a step in the right direction", but that it did not go far enough.
The charter calls for all parents living in deprived areas to sign contracts saying they are committed to the ethos and the discipline policies of the school.
The government has included in its education bill a call for the greater use of parent contracts to aid discipline, but schools are banned from using these as a condition of entry. The Tories said they want to overturn this ruling.
"Pupils can only learn in classrooms where good order and discipline are maintained. Pupils form inner cities where social influences may be less stable should be able to look to school for that order and stability," reads the charter. "Schools should make greater use of home-school contracts to ensure parents and pupils sign up to the ethos and its discipline policies. The government currently bans their use as a condition of entry. We will table amendments to the current education bill to remove this ban, and would like our policy group to consider how else these contracts should be made enforceable."
The charter also says schools should focus on literacy and the English language, even if the majority of pupils in inner city schools do not speak English as a first language. Pupils would also be taught in sets according to ability, it adds.
Schools should have the freedom to pay higher salaries to attract and keep good teachers, says the charter. Schools should have the freedom to vary pay and conditions in "tough" areas.
Speaking at the school today, Mr Cameron said: "The government's education bill takes a few steps in the right direction, which is why we'll support it. But our ambitions are bolder. We're going to stand up for those parents and children who live in our inner cities, where too many schools fail too many children. And we're not afraid to confront the difficult questions.
"For example, why shouldn't schools have the freedom to reward good teachers? Why not set all children according to their ability? Why shouldn't there be enforceable home-school contracts, so parents have to take responsibility for their children and schools can enforce proper discipline?"
However, the government said the education bill would drive up standards in every community, "particularly for the most disadvantaged".
The school standards minister, Jacqui Smith, said: "Yesterday, Ruth Kelly launched the government's review of classroom teaching and learning with the emphasis on catch-up and stretch. Clearly the Tories are still in catch-up mode.
"[Mr] Cameron today posed questions on education in inner city areas. For the answers he needs only to look at Labour's record in government - 1,300 failing schools turned round and faster GCSE improvements in inner city areas.
"All of this achieved as a result of the investment that has gone into our schools - all of it opposed by the Tories."
The Liberal Democrats accused Mr Cameron of "political posturing".
The party's education spokeswoman, Sarah Teather, said: "This may in fact be a tool for schools to weed out the difficult kids they don't want. The test for policies that tackle indiscipline isn't whether you can clear out the troublesome children from a school, but whether you can change behaviour. "We should use innovative funding schemes to create incentives for schools to accept disadvantaged pupils. Schools need the resources to help them teach under performing kids, not a new way to exclude them."
She added: "To improve educational standards in our inner cities we need to look at the whole picture. Academic underachievement in places like my constituency of Brent are linked to deprivation and poor housing, areas where successive Tory and Labour governments have failed thousands of families."


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Bibliographic Details
Title: Masterworks of Japanese Art. Based on the ...
Publisher: Charles E. Tuttle Company, Rutland, Vermont, and Tokyo, Japan
Publication Date: 1958
Binding: Hardcover
Book Condition: Very Good
Dust Jacket Condition: Very Good+
Edition: Fourth printing
Cloth, illustration stamped in black on upper board; in dust jacket and publisher's slipcase; 4to; pp. x, [2], 252, lavishly illustrated in b/w and full-color. Snag in the cloth on upper board, affecting the illustration; stain at bottom corner, affecting boards and the margin of text block (not the text or images). Dust jacket faintly rubbed; head of spine a little wrinkled; tear at bottom corner of rear panel. In lightly worn and soiled slipcase. Bookseller Inventory # JC8297
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Doctor insights on:
Severe Hip And Leg Pain
Can a colonoscopy procedure cause severe hip and leg pain?
Unlikely, but...: Conceivably, an abscess in the pelvis can cause your symptoms, but very unlikely to be caused by a colonoscopy, more likely found by it. If you are concerned, a ct of the abdomen/pelvis may be indicated, especially if you are having fevers and had diverticulosis on your colonoscopy, but let your doctor know this is going on. ...Read more
Leg Pain (Definition)
Leg pain is a clinical finding that can occur with exercise, injury, arthritis, infection, ...Read more
My 11 yr old son has mesenteric adenitis , dx'd 12/17/13 and is having severe hip & leg pain bi-lateral. He is on tylenol (acetaminophen) 1000 mg q6 hrs. What to do?
MESENTERIC ADENITIS:: An inflammatory condition of mesenteric lymph nodes with enlargement >10mm, with acute or chronic abdominal pain. Causes: viral (common), bacterial (e.g. Yersinia enterocolitica/ pseudotuberculosis, cat scratch disease, gr. A strep. Etc), lymphoma, inflammatory bowel disease, etc. Your son needs further tests to find out the cause. Tylenol (acetaminophen) 1gm every 6h is not the answer as not doing better. ...Read more
I am having severe right hip and leg pain it is really painful i cannot get any relief from the pain i can't hardly walk or move i've noticed that my right leg is about an inch or more shorter than my left leg and it seems to be swollen I have had blood c
Sorry : Sorry about your condition! you problem presents several diagnostic possibilities and, understandably, diagnosis will be impossible via this forum. You don't mention a few important details that will ultimately help your doctor in diagnosing your problem: 1. How long have you had the pain? 2. Is this episode unique? Is this similar to when you've had "blood clots" in the past? 3. Have you always noticed a leg length discrepancy or is this new? 4. Have you experienced any new trauma or are you aware of anything medically new elsewhere in your history (i.e. Recent congestive heart problems, new medications, and so forth). I'd suggest you be seen soon by a primary care doctor to get this diagnosed. Good luck! ...Read more
Are pednizone pills going to help with severe left leg pain toes to hip worse with walking?
Probably: Depends on the cause but that is a potent anti inflammatory that should provide some relief for most conditions. However it is not a pain pill so the relief may not be immediate. ...Read moreSee 1 more doctor answer
I have experienced severe right leg pain. Almost and electrical sensation I have lower l4, L5 deteriotion and i get spinal injection. But this time it has not helped the pain in my right from the hip to my foot when the pain hits the hardest i sweat prof
Back : Back and leg pain can be caused by disks, stenosis, slipping of the spine (spondylolithesis), foraminal stenosis, spine fractures, etc. Most likely your right leg pain is from herniated l4-5 disk. Patients with disk herniations may benefit from giving time for the pain to settle, physical therapy, steroid injections and surgery. If the disk herniation did not respond to steroid injection then you should see a spine surgeon to discuss surgical options. There has been many advances in spine surgery and i would recommend looking into endoscopic spine surgery. Please see my health guide on lumbar disk herniations and sciatica. Maximum Ibuprofen dose varies on your weight and medical conditions i recommend discussing this with your doctor. Good luck! ...Read more
Thrown off 2nd story roof age 2 ended with severe sprain both legs. Pain in legs lasted till now age 27. Why do my knees/hips hurt even when bending?
Thorough work up : I agree that x-rays are a good place to start. A good evaluation to determine if the discomfort is coming from the bones, muscles, or nerves is helpful and can help direct treatment. One cleared, a tailored exercise program developed by a physical therapist will help you find ways to achieve your goals with minimal discomfort. ...Read moreSee 1 more doctor answer
L hip and leg pain when lay on my r side but no l sided pain when i lay on my l side. Why? Thank you.
Radiculopathy: Your symptoms may reflect a lumbar radiculopathy (radiating pain due to a pinched nerve in the lumbar spine). In many patients, certain positions can cause increased irritation of the pinched nerve, which can lead to increased pain. See a physician for further evaluation/treatment if symptoms persist. ...Read more
I have bad hip and leg pain my son is now 11 months old but it's getting worse since having him?
Get it evaluated: Many people think they have hip pain when it is actually back pain. In any event have your family doc take a look. ...Read more
I have excruciating hip and leg pain and lower back. Started a few hrs ago. No accident What could be the cause?
Disc?: If we apply the concept of trying to explain each complaint with one diagnosis, then we would target your back, pinched nerve or disc ...Read more
I have hip and leg pain for a couple of months, especially in the morning, I have an hour long commute to and from work, i'm 54 and in menopause, ?
Exercise: It's impossible to say where your pain is coming from without an examination but it's usually musculoskeletal. Long commutes are difficult on the body and the body tends to complain if it's not getting proper exercise and stretching. There is also a condition called piriformis syndrome which acts like sciatica, pain in hip and buttock radiating down leg. This responds to exercise too. Y. ...Read more
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My first cruise
Sail Date: July 06, 2015
Reviewed: 1 year ago
Traveled As: Couple
Room Type: Oceanview
This was our first cruise and had a very good experience, from the beginning to end. The flight to Florida, the embarkation to the ship, the personnel inside the ship, the exit of the ship on 7/10 and flight back, no problems at all, great experience, we had a great time, a lot of entertainment, you can not get bored. We planning to repeat this cruise with the kids too. Keep up the good work.
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|Nice and clean, enough space to just rest/sleep - bathroom/shower big enough. Maintenance very good.
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Everything was fine, don't have nothing to say.
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Season 14, Episode 02 – "Being Bad"
NCIS uncovers a bomb plot and a long-running theft ring while investigating a death at a Quantico reunion. Meanwhile, Torres and Quinn adjust to life on Gibbs' team, including new seating arrangements in the squad room.
Explore the inner workings of the government agency that investigates all crimes involving Navy and Marine Corps personnel, regardless of rank or position. Leading this team is NCIS Special Agent Leroy Jethro Gibbs, a skilled investigator and interrogator who is smart, tough and willing to bend the rules to get the job done.
(113 downloads) Aired September 28, 2016
(113 downloads) Aired September 28, 2016


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Wonderful First Cruise
Sail Date: February 01, 2013
Reviewed: 4 years ago
Traveled As: Large Group
Room Type: Oceanview
Pros: Being at sea on the ship.
Cons: None
Recommends Majesty of the Seas? Yes!
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Member since 6/24/2013
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Reviews & Stories
Awesome Doctor Very Knowledgeable Avesome Results - Haledon, NJ
I went to Dr. James Goodnight for botox treatment. I was very much overdue yet this was my 3 rd time getting botox ever and the best experience so far. I had dysport and botox previously and the results was ok especially with dysport. This time Dr. Goodnight suggested I try something new and I decided to listen to him and we use Xeomin , like botox or dysport but newer product .The results are... READ MORE


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Molycorp expects significantly lower first-half revenue
Jan 23 (Reuters) - Rare earth producer Molycorp Inc expects significantly lower-than-estimated revenue and cash flow for the first half of 2013 and said it might have a cash shortfall of about $250 million for the year.
Fourth-quarter revenue and cash flow were also significantly less than expected, the company said in a regulatory filing on Wednesday. ()
© Thomson Reuters 2017 All rights reserved.


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Reports to: GM
Crothall Healthcare is a Compass One Company that provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry. Crothall serves many of the Top 100 Hospitals among their 1200 healthcare clients and across the nation in 39 states. Crothall has earned a spot on the Top 100 Best Places to Work in Healthcare in 2013, 2014, and 2015, and a Becker's Healthcare Top Places to Work in 2016. Our core services include: Environmental Services, Patient Transport, Laundry & Linen, Facilities Management, Healthcare Technology Solutions, and Ambulatory Services. For more information, go to www.crothall.com.
Key Responsibilities:
- Prepare work schedules for production and transportation employees
- Provide daily work assignments
- Monitor productivity records
- Monitor daily fill rates
- Ensure a safe working environment for employees
- Inform manager of any problematic situations related to laundry operations
- Provide direct supervision to the laundry employees
Preferred Qualifications:
- Associates Degree in a related field would be highly preferred
- At least 5 years supervisory experience
- Should have completed or be able to complete the coursework for certification as an "Institutional Laundry Manager" as defined by the National Association of Institutional Laundry Managers (NAILM) within the first 24 months of acceptance of the position
- Proficient in the use of Windows based office software including but not limited to Microsoft Office, Word, Excel, PowerPoint and Outlook
Apply to Crothall today!
Crothall is a member of Compass Group USA
Click here to Learn More about the Compass Story
Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.
Location: Wisconsin-Milwaukee
Activation Date: Thursday, March 23, 2017
Expiration Date: Friday, September 1, 2017
Apply Here


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Hollywood happy endings oftentimes aren't based in reality — though they'd like us to think so — but for one Liverpool man, dreams did come true, Tinseltown-style. Better known by his Internet moniker "Dancing Man," Sean O'Brien had a star-studded Hollywood celebration with the likes of Moby, Monica Lewinsky, Pharrell Williams, Andrew WK and some 1,000 supporters.
In case you missed it, O'Brien was body-shamed on social media after Internet trolls posted a video of him dancing with the caption: "Spotted this specimen trying to dance the other week. He stopped when he saw us laughing." The video made the rounds on the Internet, prompting a wave of verbal abuse.
It was eventually spotted by Cassandra Fairbanks, a writer at The Free Thought Project, who decided to do something remarkable to counter all the online bullying. She and a group of women set out on an Internet hunt dubbed #FindDancingMan to invite O'Brien to a VIP dance party in Los Angeles.
Once found, O'Brien was flown out to Los Angeles from his London home for an exclusive celebration — but not before making an appearance on "The Today Show" in New York, where he danced with "All About That Bass" singer Meghan Trainor.
Andrew WK, a singer who has made a career from a love for (positive) partying, told the crowd at the event:
"Probably one of the worst things that ever happened to Sean – or that I can imagine happening to anybody – has turned out to probably be one of the best things that has ever happened to him."
Moby — who previously tweeted an offer to DJ at O'Brien's party for free — and vocal anti-bullying advocate Monica Lewinsky also attended the party.
If O'Brien thought that that was the apex of the experience, he was also granted the throwing of the symbolic first pitch at a Dodgers game on Sunday.
O'Brien told Good Morning Britain:
"It was daunting at first. I was a bit worried about how it all happened but it's turned into the most wonderful journey, I've met some of the most wonderful people you can imagine. It's been truly life-changing."
And to top it all off, he met with burlesque queen Dita Von Teese, and the two lunched on tacos.
Fairytale ending? Hollywood couldn't have done it better.


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The spirits of the ancestors in times of apartheid
Sydney Kumalo, internationally known above all for his work as a sculptor, was born in 1935 in Johannesburg. From 1952 to 1959 he attended the sculpture classes of the London-born Cecil Skotnes, probably South Africas most famous artist, and of Eduardo Villa in the Polly Art Centre in Johannesburg. The Polly Art Centre was originally founded as an adult education institution; in 1952 it was converted into an art and exhibition centre. Until its closure in 1960, the year in which the ANC was banned, it was the only place apart from a few private galleries where black artists in Johannesburg could pursue their art and show their works. In 1958 Kumalo, who had begun teaching himself at the Polly Art Centre during his last few semesters as a student, became its Official Art Organiser, which provided him with a certain financial security at the beginning of his career, as well as creative opportunities.
In 1961, along with Cecil Skotnes, Eduardo Villa, Cecily Sash and Guiseppe Cattaneo, Kumalo founded the artist group Amadlozi a name from the Bantu meaning spirit of the ancestors. This group brought together five very different artistic temperaments with one thing in common: the conscious appropriation of African sculptural traditions. However, especially in Kumalos case, this should not be misunderstood as a kind of search for his roots. For Kumalo, the use of traditional sculptural techniques, restrained at first and becoming increasingly evident over the course of his career, was part of an entirely modern conception of art that constantly oscillates between abstraction and figuration while searching for mystical depth.
If one chooses, one can find a wide spectrum of artistic influences in Kumalos sculptures, both in motifs and in styles, ranging from the expressionists to Marino Marini and Henry Moore. Flowing lines and elongated volumes dominate, as in the piece Mother with Child. Kumalo distributes masses with great elegance and compositional sophistication, and figures often dissolve into pure forms, geometric building blocks such as spheres, trapezoids or cuboids.
For all his elegance, Kumalo has always retained his sense of the absurd and existential, as in his sculpture of a horse lying on its back, its legs stretched out (Killed Horse, 1962). Or in paintings such as Antelope Hunt, from 1979, in which masked tribal beauties swathed in billowing, strangely dynamized veils perform a ritual dance.
In the course of his artistic career Sydney Kumalo took on a number of commissions for art in public spaces, for example at the Catholic Church in Kroonstad (Stations of the Cross, 1958 with Cecil Skotnes), the State Pavilion in Millner Park in Johannesburg (Praying Woman, 1960), at the Kitwe Hotel in Zambia (Adler, 1963) and at the Civic Centre in Cape Town(The Blessing, 1980). Kumalos works are also displayed in many public and private collections in South Africa, Europe and the USA. Sydney Kumalo was equally, if not more important in his function as a teacher; he, more than anyone else in South Africa, has influenced the generation born between 1950 and 1965.
1952-1959 studied painting and sculpture with Cecil Skotnes and Eduardo Villa at the Polly Art Centre in Johannesburg
1958 Appointed Official Art Organiser at the Polly Art Centre
1988 died in Johannesburg


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At more than twice the size of Texas, Alaska is the by far the largest state in the U.S. but with only 481,487 drivers, it ranks 48th in size of drivers. But that's not stopping the Alaska Department of Transportation from taking steps to promote safer, text-free driving on Alaskan roads and highways.
We're thrilled to be providing text-free driving materials to the Alaskan D.O.T. for their text-free driving campaign. It's great to see an entire state getting involved in the fight against the deadliest driving habit since drinking and driving and we know they're going to make a great impact throughout the state and save lives along the way.
With over 400,000 people injured in texting and driving accidents last year alone, we need more states to take the initiative and work on changing driver's thoughts and misconceptions about texting and driving. Most people still admit that they believe they have the ability to safely text and drive, despite the overwhelming evidence to the contrary.
Changing people's thoughts and behaviors about drinking and driving and seatbelt use has made significant impacts on the overall safety of driving throughout the U.S. Together we can do the same for texting and driving and makes the roads a safer place for all of us. Thanks, Alaska, for doing your part to help!