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The College of Registered Psychotherapists of Ontario is responsible for addressing complaints and other concerns about the conduct, competence and capacity of its members.
Some complaints or concerns may raise the possibility that a member is incapacitated. "Incapacitated" is defined in the Health Professions Procedural Code, which is Schedule 2 of the Regulated Health Professions Act, 1991. Incapacitated means that the member is suffering from a physical or mental condition or disorder that makes it desirable in the interest of the public that the member's Certificate of Registration be subject to terms, conditions or limitations, or that the member no longer be permitted to practise.
If the Registrar or a panel of the Inquiries, Complaints and Reports Committee (ICRC) believes that a member may be incapacitated, the matter will be referred to a Health Inquiry Panel. A Health Inquiry Panel is a panel of the ICRC whose task is to inquire specifically into whether a member is incapacitated. The Health Inquiry Panel may seek documentary evidence, obtain witness statements and interview the member. If the panel has reasonable and probable grounds to suspect that the member is incapacitated, it can require the member to undergo an examination by a regulated health professional to assess their condition.
The Health Inquiry Panel has several dispositions available to it. It may:
- recommend a disciplinary investigation;
- issue advice or a caution;
- enter into an agreement with the member that safeguards the public interest;
- take no action; or
- if the concerns are serious and there is sufficient evidence to indicate that the member is incapacitated, refer the member to a Fitness to Practise hearing.
Fitness to Practise Committee
The Fitness to Practise Committee conducts hearings into allegations of member incapacity.
A fitness hearing is a formal legal process. Evidence is presented to a panel of at least three Fitness to Practise Committee members, including members of the profession and members of the public appointed to the College's Council by the Lieutenant Governor-in-Council.
The College is represented by a lawyer who leads the case. The member is advised to retain a competent representative, but may choose to be self-represented. In addition, the panel has its own legal advisor, known as Independent Legal Counsel (ILC), who is independent of the College and the Member.
Careful preparation goes into conducting a hearing. The names of witnesses, documentary evidence and the reports of expert witnesses must be disclosed in advance, both by the College and the member. In addition, pre-hearing conferences may be held to discuss whether any issues can be settled or simplified in advance of the hearing.
Fitness hearings are generally held in private, i.e. not open to the public.
If a member is found to be incapacitated, the Fitness to Practise Committee may make one or more of the following orders:
- direct the Registrar to revoke the member's Certificate of Registration;
- direct the Registrar to suspend the member's Certificate of Registration; or
- direct the Registrar to impose specified terms, conditions and limitations on the member's Certificate of Registration for a specified or indefinite period of time.
Rules of Procedure of the Fitness to Practise Committee
The Fitness to Practise Committee has Rules of Procedure that govern how fitness hearings are conducted and are reviewed by the Committee periodically.


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Transform your photos into one-of-a-kind, hand painted masterpieces!
Image Size
The image is near the edges of the product but doesn't cover the entire product. Some of the background color may appear around the outside edges of the image.
Background Color
Our shower curtains are made from 100% polyester fabric and include 12 holes at the top of the curtain for simple hanging from your own shower curtain rings. The total dimensions of each shower curtain are 71" wide x 74" tall.
Ships Within
2 - 3 business days
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Average Rating (4.86 Stars):
Alex Latham
May 23rd, 2019
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May 18th, 2019
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May 12th, 2019
Hello all, and thank you for looking through my gallery!!! I have been selling online for over seven years and have sold images to 48 different states as well as Washington DC. I have also had many international buyers with a total of 8 different countries and many repeat sales among them. My gallery is made up of a wide variety of images from waterfalls and wildlife to abstracts and autumn colors. I also feature skylines of 27 different cities and counting. My asking price for greeting cards is only 1$ ( though Fine Art America does have its own costs added on ). So please have a thorough look, and since they say a picture is worth a thousand words, I apologize in advance for talking your ear off! To those who do find something...
Our return policy is very simple:
If you're not happy with a purchase that you made on Pixels.com, for any reason, you can return it to us within 30 days of the order date. As soon as it arrives, we'll issue a full refund for the entire purchase price. Please note - Pixels does not reimburse the outgoing or return shipping charges unless the return is due to a defect in quality.
Pixels sells thousands of pieces of artwork each month - all with a 100% money-back guarantee. We take great pride in the fact that hundreds of thousands of artists have chosen Pixels to fulfill their orders, and we look forward to helping you select your next piece!
All shower curtains ship from our production facility within 2 - 3 business days of your order.

subset: commoncrawl


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randstad. The most important person here is you. Because we believe your potential defines the job, and not the other way round. We have our own name for it. human forward.
our HR technologies, empathy and intuition will help us find you a job matched to who you are and what you really need.
Drop in and say "hi" at one of our branch locations.
we will find you a job to assist your self-development. We are there for you to grow your skills.


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This blog provides information on conferences and novelties in the area of Medical Imaging Informatics (MII). MII has a broad scope ranging from the Radiology Information System and Picture Archiving and Communication System (PACS) to Advanced Visualization and Computer Aided Diagnosis (CAD). To find new opportunities in healthcare we need to look at informatics solutions in other areas to apply them into the medical field to achieve higher level healthcare at lower costs.
Wednesday, September 5, 2012
OTech: Ready to throw out your RIS/PACS vendor: prevent t...
OTech: Ready to throw out your RIS/PACS vendor: prevent t...: 18% of the users are ready to throw out their system Our newsletter poll showed that 18 percent of current PACS users are unhappy with the current vendor and another 18 percent is very frustrated, which could be a good reason to consider switching vendors.
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Recipe by Lolis Castilleja
Ingredients GF
50 g tasty cheese cubed
1 Onion peeled and quartered
1 Clove of garlic
20g olive oil
500gr chicken breast sliced in thin stripes
2 cans of Borlotti beans drained and rinsed
300g water
2 tbsp TM Vegetable stock concentrate
Salt and pepper
Handful coriander leaves
1 packet of 10-12 corn tortillas
100ml sour cream
Place cheese into TM bowl and grate for 10 seconds on speed 9. Set aside
Place onion and garlic in TM bowl and chop for 5 seconds on speed 7.
Add olive oil and sauté for 2 minutes at 100°C on speed 1.
Place chicken on Varoma Tray and season with salt and pepper
Add beans, water and stock concentrate to TM bowl, place Varoma tray in position and
cook for 20 minutes at Varoma temperature on speed 1.
Remove chicken and place into ThermoServer.
To make the bean sauce, add fresh coriander and blend beans for 15-20 seconds by
slowly going from speed 1 to speed 9.
Heat tortillas one by one on a dry and hot frying pan or in microwave oven. Keep them
warm by wrapping them in a tea towel.
To make Enfrijoladas: Dip one tortilla at a time in the bean sauce until fully covered and
place in an oven proof dish, add some chicken and fold in half, continue until all 12
tortillas have been used making sure chicken has been evenly used.
Pour remaining sauce over the enfrijoladas, pour sour cream and sprinkle with grated
Serve immediately.
General Tips
The above recipe can be prepared in advanced and place in hot oven to melt cheese.
Add some Mexican salsa to give it a hot taste


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Debate on the future of ITS is well underway
During its two-day annual meeting in London, the UK-chaired International Commission for the International Tracing Service (ITS) dealt with the question of the future organisational structure and administration of the ITS. Past humanitarian work done by the Tracing Service, the clarification of the fates of victims of the Nazi regime and the reunification of families, is to be continued as long as there is a need for such expressed by the victims and their descendants. "Apart from this, we are also discussing taking on an active role in the area of education, commemoration and research", said Daniel Bethlehem, President of the International Commission. "In any case, the international character of the institution shall remain."
The International Commission, whose eleven member states control the work of the ITS in Bad Arolsen, will continue its debate on the future of the institution in the coming twelve months under the Presidency of the United States. The Commission agreed that a new international agreement stipulating the tasks of the ITS should be drawn up in the near future. This agreement would replace the Bonn Agreements of 1955 and its amending protocols from 2006. "We made good progress during the discussions over the last year", added Bethlehem. "The International Commission and ITS are trustees of an archive of special significance for the whole of humanity."
The mandate of the strategic study group, created by the Commission last year to work out proposals on the future structure and management of ITS, was extended for another twelve months. The group will be chaired by the Netherlands. Negotiations on the focus of ITS were initiated in May last year, as the International Committee of the Red Cross (ICRC) indicated its wish to withdraw from running the archives now that they will have an increased focus on research. The International Committee of the Red Cross will continue to be an observer in the Commission after its withdrawal from the management of the archives.
The International Commission welcomed the ongoing process of opening up the archives for historical research. It gives high priority to the digitization and accessing of the documents in the ITS archives. On the occasion of the annual meeting, ITS handed over additional data copies of documents to Yad Vashem in Jerusalem, the US Holocaust Memorial Museum in Washington, D.C. and the Institute of National Remembrance in Warsaw. These are documents from German camps for displaced persons, 180,000 so-called CM1 questionnaires (care and maintenance). They provide information on the fate of those who were rescued from concentration camps, forced labour and, in some cases, war captivity.
ITS also handed over copies of lists of Holocaust survivors, which are referred to as F18 lists (ITS classification). These lists were compiled after WWII mostly by Jewish organisations from different countries. The 55,000 documents helped the Tracing Service clarify individual fates and reunite families. Based on a resolution from the International Commission, all eleven member states are entitled to a digital copy of the documents archived in Bad Arolsen. The remaining documents from DP camps in other European countries and emigration lists will follow at the end of the year once digitisation of this part of the archive's inventory has been completed.
Link to FCO: www.fco.gov.uk/en/newsroom/latest-news/


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He Sees in Threes! Cake
Additional Information
Step 1
In advance: Prepare base board. Tint 36 oz. fondant dark Kelly Green. Prepare and cover foamcore board with rolled fondant. Tint 24 oz. fondant orange, 8 oz. light green, 4 oz. black; reserve 6 oz. white.
Step 2
Bake and cool cake; position on foil-wrapped board, cut to fit. Ice cake smooth. Prepare and cover with rolled fondant; reserve excess fondant. Position cake on base board.
Step 3
Roll out black fondant 1/8 in. thick. Use pattern to cut out mouth; attach using damp brush. Roll white fondant into 1 1/4, 1 3/4 and 2 in. balls. Flatten to 1/2 in. thick and attach for eyes. Roll and attach 3/4 in. and 1 in. diameter flattened pupils. Use orange fondant to roll two 3/4 x 4 in. long logs. Cover arm pattern with waxed paper. Flatten and shape logs over pattern for arms. Attach using damp brush. Roll out some light green 1/2 in. thick. Use pattern to cut two legs; reverse pattern for second leg. Attach. For stem, roll out remaining light green 1/8 in. thick. Cut a 6 x 3 1/2 in. half circle; attach to top with damp brush. Cut a wavy edge and remove excess fondant. Roll a 1 1/2 x 2 in. cone for stem base; attach. Cut a 4 1/2 x 5 in. long strip; wrap over base. Flatten top 3 in. of strip and shape into a curl; smooth out seams.
* Combine Orange with Red-Red for orange shown.
* Combine Leaf Green with Lemon Yellow and Moss Green for light green shown.
Ready-To-Use White Rolled Fondant ((78 oz.))
In Stock (ships in 1-2 business days)
Orange Icing Color
Red-Red Icing Color
Kelly Green Icing Color
Leaf Green Icing Color
Moss Green Icing Color
Lemon Yellow Icing Color
Black Icing Color
In Stock (ships in 1-2 business days)
In Stock (ships in 1-2 business days)


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If you are concerned about colon cancer, talk to your doctor. Your doctor will advise you on when to check for Colon cancer detection in Jensen Beach, what tests to have and how often to have them.
These following tests are used to detect polyps, Colon cancer detection in Jensen Beach, or other abnormalities, even when a person does not have symptoms associated with colon cancer. Your health care provider can explain more about each test.
• A fecal occult blood test (FOBT)
• A sigmoidoscopy
• A colonoscopy
• A virtual colonoscopy
• A double contrast barium enema (DCBE)
• A digital rectal exam (DRE)
Common signs and symptoms of colon cancer include:
• A change in bowel habits
• Diarrhea, constipation, or feeling that the bowel does not empty completely
• Blood (either bright red or very dark) in the stool
• Stools that are narrower than usual
• General abdominal discomfort (frequent gas pains, bloating, fullness, and/or cramps)
• Weight loss with no known reason
• Constant tiredness
• Vomiting
Most often, these symptoms are not due to colon cancer. Other health problems can cause the same colon cancer symptoms. Anyone with these symptoms should see a doctor so that any problem can be diagnosed and treated as early as possible. Usually, early colon cancer does not cause pain. That is why it is important to know the possible signs and symptoms of colon cancer. It is important not to wait to feel pain before seeing a doctor.
Contact us for more information. Request an appointment phone (772) 539-9556 or (772) 539-9119


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Links to previous posts about New Orleans Trip Review:
Part 1 & 2
Part 3
**Again I apologize for the quality of some of the photos. They were taken with either an iPhone or my Leica Point & Shoot w/out flash.**
Thanks for reading my posts about our trip to New Orleans & the Florida Panhandle. New Orleans is one of my favorite cities and I can talk about it forever, hope you all get a chance to go if you haven't already.


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Cell division requires that a parent cell's chromosomes are aligned and separated equally to opposite poles of the cell before the center of the cell is pinched in to ultimately create 2 separate daughter cells. The complex interplay involved in each of these steps requires a highly dynamic process of microtubule assembly and disassembly.
Taxanes, an established and active class of cytotoxic drugs, disrupt microtubule dynamics to prevent proper cell division, which leads to cell death.1-6 Development efforts on intravenous taxane formulations have led to the use of albumin instead of chemical solvents for drug delivery to improve clinical benefit.7
The safety and efficacy of the agents and/or uses under investigation have not been established. There is no guarantee that the agents will receive health authority approval or become commercially available in any country for the uses being investigated


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Hundreds of people lined the streets of Morpeth to welcome their Wembley heroes.
Players and staff from Morpeth Town FC were the star attraction at this year's Morpeth Fair Day.
The FA Vase winners were cheered on by young and old as they took part in an open top bus parade to mark their Wembley triumph last month.
The bus was the last vehicle in a parade that also included Harley Davidson motorbikes and classic cars.
The players and staff were introduced on the stage before going to Morpeth Town Hall for a civic reception.
A new feature for Fair Day, organised by Morpeth Chamber of Trade, was a food court area on Newgate Street.
Big attractions included Turners Funfairs, chainsaw demonstrations and falconry displays in High Stanners and novelty games, while a range of organisations, as well as local groups and charities, had information displays on Bridge Street and Oldgate.
Performers on the main stage included Morpeth Pipe Band, King Edward VI School steel band, a brass band, dancers, Along Came Lola, Jason King, escape artist Rob Roy Collins and a group demonstrating karate.


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Stone Search helps its clients supplement their existing staff during peak periods as well as in hiring permanent employees. The Company saves clients time and money while increasing their efficiency, productivity, and profitability.
The Company is committed to understanding the business, work environment, and corporate culture of its clients in order to provide the best candidates with minimal turnaround time. Stone Search selects only the most qualified candidates to present to its clients.
Stone Search staff is continually in contact with Information Technology professionals across a variety of vertical markets. The Company maintains a robust database of information on candidates, allowing a quick response to client searches with well-targeted candidates for a given position. Every candidate is subject to a thorough pre-screening process, which includes the following:
- Phone screen / telephone interview
- Personal interview
- Skills testing (when necessary)
- Minimum of 2 technical references from past supervisors
- Verification of degrees and certifications (upon request)
- Drug testing (upon request)
- Criminal background check (upon request)
- Credit check (upon request)
Stone Search, LLC provides technical staffing solutions to client companies using a variety of successful and proven methods. Core services revolve around the placement of skilled professionals in the fields of information technology at client companies across industry verticals. Stone Search provides professionals in two primary ways:
Perm. This option provides a direct-hire solution and allows clients to interview pre-screened candidates who meet their qualifications. The rigorous recruiting process provides clients with the most qualified candidates. It affords clients the opportunity to hire their candidate of choice immediately.
Temp-to-perm. The temp-to-perm (also called contract-to-hire) option is used to hire an employee for a specified period of time, on a trial basis, prior to extending a full-time/perm offer. This is one of the most popular hiring methods in practice today. The talent needed for a requirement is provided immediately and a sliding scale conversion plan offers a cost effective solution.


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|Photo credit: Sweet Treasures Quilts
My friend Ibby made a Window Garden quilt for her niece's graduation. She used Sundrops by Corey Yoder. What a warm and lovely version!
|Photo credit: Sweet Treasures Quilts
Each time I see this pattern - no matter which lovely fabric used - it truly reminds me of pretty kitchen curtains framing the outside scenes. Love the gold border used in your Tilda version - perfect with these beautiful fabrics.ReplyDelete
Thank you so much Sigi! It was my daughter who named the pattern, when she came into my sewing room and it was all laid out. She said, "Mom, it looks like little windows with curtains. You brought me back to a sweet memory this morning. Thank you! Have a great weekend!Delete
This fabric is beautiful I love the pattern too. Taunja, this is another huge success. I love the colors!!!ReplyDelete
Thank you Rosemary! I hope all is well with you! Have a great weekend!Delete
Your quilt is beautful!! Love those colors!ReplyDelete
Thanks so much Susan! :)Delete
I purchased your Window Garden pattern awhile back and have the project ready to go...sometime. Thank you for showing pictures of it in the different fabrics! I know I am going to love making mine.ReplyDelete
Thanks so much Patti! I do hope you enjoy the project! Keep me posted when you get farther along with yours! I would love to see a picture!
such pure and delicate look of your new project, Taunja... that after quilting will be gone forever...
I often wonder if quilting stage is that necessary... Yes it holds things together and it makes mistakes less visible, it may add texture and certain beauty,.. but it also takes away a lot
heavily quilted and barely quilted (in the ditch or with knots) have such different effects, and I'm not sure that i like the former better...
You are sure right, sometimes less is more! Thanks for stopping by Lily!Delete
Love the pattern and the fabric of your new Window Garden quilt top, Taunja! I have been 'drawn' to this pattern, but haven't purchased it yet. Now I know I have to buy it!! ;-)ReplyDelete
Oh thanks Gail! I just love this Tilda fabric too! Happy sewing to you! If you pick up a Window Garden, I sure hope you enjoy the project!Delete
Your quilt is lovely Taunja especially with Tilda's fabric. I have all of her books from when she first published and have yet to find time to use them. I even purchased a doll kit with a lovely taupe floral for the dress and it sits there waiting for me. Also waiting for me is your Window Garden pattern! I want to make a quilt for my brother using Barbara Brackman's William Morris layer cake and I need to find a solid for the pane's that will go with her fabric. My brother has a Craftsman style home built around 1900 in Davis CA and I thought the William Morris fabric in the blues would look so beautiful and thought of your pattern not only because it uses a layer cake, but I could think of looking out of a window into the world of William Morris. Have a wonderful November!
Karen in NC
Hi there Karen! Oh, I think you should just get out that doll kit and make it!! That sounds like fun and I bet you will be so happy when you are done! Your plan for your brother's quilt sounds fabulous, and so meaningful! I sure would be honored if the Window Garden patterns was the one you chose to show off those William Morris prints. I think it would be beautiful! Thanks so much for popping by again! I sure like hearing from you! :)Delete
Your blog is very nice,Thanks for sharing good blog.
Love your quilt pattern and especially this one with Tilda fabrics. It's an absolute charmer.ReplyDelete
Thanks so much Claudia!! I appreciate that!Delete


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If you ever try to buy anything off the Internet, chances are you've probably looked at reviews first before making a decision. If this is how you normally buy stuff online, rest assured, you're not alone. In fact, the vast majority of people at least consider external sources, like review sites, or reading sites, before they make their ultimate decision on a purchase. This has been the trend for quite some time now.
As you know, more and more people own mobile devices like tablets and smart phones. Accordingly, they're not far from reference sites that can help them gauge the benefits and disadvantages of particular products or services that they're thinking of buying. This is both a blessing and a curse.
If you've ever bought anything online, chances are you've probably looked at reviews, and it's not uncommon for you to be quite skeptical about some of those reviews. In fact, if you read through the lines, it might even seem that the review is one-sided.
You are not imagining things. You're not seeing things. Your mind isn't playing tricks on you. This actually happens because a lot of the software reviews, as well as product reviews out there, are actually pieces of commercial content. In other words, they were put there and specifically composed to get you to do one thing and one thing alone: to buy the product supposedly being reviewed.
What's wrong with this picture? Three words: conflict of interest. There are two interests here, the interest of the person who wrote the review is, obviously, to sell you on the product. The person couldn't care less whether the product benefits you or not. The person definitely doesn't care whether you get maximum bang for every hard-earned buck you spend buying the product being reviewed.
You, on the other hand, want to make sure you make the right decision. You want to make sure that you get the most value out of the money that you're going to be spending. It's very hard to earn dollars; it's very hard to earn money, you know that. That's why you want to guard the value of your money.
Unfortunately, if the interest of the person behind the review is to simply sell you on the product, chances are, you're going to be settling on cents on the dollar, you really are. Maybe the product only solves 60% of your needs. You're on your own when it comes to 40% of your other needs.
To avoid this unnecessary drama, you need to know how to find the hallmarks of truly trustworthy reviews for the type of product or software you are shopping for. What follows are the six hallmarks of truly trustworthy software reviews for multi-level marketing automation software.
If you run a multi-level marketing program, you know there're so many different things that can go wrong. You know what's at stake; you know that the reputation of your program as a whole depends on how smoothly your program is managed. Increasingly, this is being handled by software, and this is why you need to be very careful regarding the types of MLM software reviews you read online. They're not created equal. In fact, the vast majority of them are for all intents and purposes, worthless to you as far as your business interests are concerned.
Here are the six hallmarks of MLM software reviews that you can trust:
They are not obviously focusing on one product over others
One dead giveaway of a worthless product review is that the vast majority of the review, in terms of word count, is dedicated to one product. The review is supposed to be reviewing ten products, but you know something is wrong when 30% or more of the text is just devoted to one of those ten products. Good reviews, at least the trustworthy ones, evenly space out the words in the review. All the products being reviewed get equal attention. Pay attention to this.
They focus on both positives and negatives
Beware of reviews that only focus on the positives of a product and has nothing negative to say about the product. A very common variation of this is when the review seemingly says negative things about the product, but when you read between the lines, and you think about the supposedly negative traits of the product, it turns out that they're not that negative at all. Don't fall for this trick. This is a very common trick being pulled by reviews that suffer from a conflict of interest. Be on the lookout for this very imbalanced and biased treatment.
The negatives mentioned are substantial
As mentioned above, one of the most common tricks in creating some seeming form of balance in an otherwise imbalanced and biased review is to trot out some supposed negatives. Upon closer inspection, the negatives are rather shallow. In many cases, they don't even apply to most consumers' situations. Don't fall for that trick. Real reviews focus on substantial drawbacks. In other words, the disadvantages of the product are real. They go to the core value of the product.
Now, this doesn't mean that you shouldn't touch the product. This doesn't mean that you should look for something else, but this does go a long way in showing you that whoever wrote the review did their homework. Their service is to the truth, not to make a few bucks off you.
They feature actual screenshots
When you're looking through MLM system reviews, be suspicious of reviews that are all text. If all you get is a textual description, it's anybody's guess whether that description is accurate. You would be more justified in placing your trust in a reviewer who actually took screenshots of the software.
They walk you through the actual process
A great review walks you through the decision-making process. They also lay out the different parts of the software that you would be using. This is very useful because, chances are, such reviews don't leave anything to imagination. They don't overlook what would otherwise be a crucial detail that may impact the overall value of the product as far as you are concerned.
Written in plain English instead of technical jargon
Be very suspicious of reviews that go out of their way to try to "impress" you with technical jargon. The more ten-dollar words they throw your way, the more suspicious you should become. In fact, you should be skeptical of reviews that are so technical in nature that they can easily be boiled down to a simple statement: Just trust us, we know what we're talking about.
If you feel you're being pushed to just simply trust the reviewer, close the window and look for another review. It's really that simple.
By paying attention to the six hallmarks described above, you can go a long way in avoiding problematic MLM software purchases. Make no mistake about it, your MLM empire needs to run smoothly. If you build your empire on the sand of faulty MLM software due to misplaced trust on the wrong reviews, you only have yourself to blame.


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Colorless, listless, painstakingly market-tested, and coated in a sarcophagal sheen, the American mannequin lives to serve, to melt away unseen beneath the fervent, must-have glamour of Product X or the effusive, shimmering perfection of Product Y. The paragon of social progress, this silent hero of the show window dutifully forgoes all ethnic, religious, and sexual identity to do it's part to secretly calm even the slightest tempest in the mind of the anxious consumer. When failing to escape notice, the American mannequin often finds its impossible waistline, soaring cheekbones and chiseled abs the envy and dismay of all but the smallest subset of slender teens and fitness freaks.
The Cusqueñan mannequin, while still of an unnatural svelte, revels in the varied aspects of its imperfection. The presence of skin tone begets blemish and the presence of well-coiffed hair begets bald patches, just as the freedom endowed by the absence of the show window demands the occasional cosmetic trauma. Whereas the American varietal prefers the unimposing sterility of a permanent poker face, the Cusqueñan mannequin entices the consumer- sometimes with a jolt- by employing the full spectrum of emotions and expressions in its sales pitch. The Cusqueñan mannequin finds no virtue in melting away blandly beneath a covetous gaze, no merit in elevating product over identity when the heart of every transaction ought always to possess something of communal and, ultimately, human value.


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Countryside in Ireland || walk in Tilgate park || getting snuggy in a jumper
Brighton with the besty || selfie hoe || got my fave jammies out again
Watercolour doodles || piglets at a country show! || packing to move back to Portsmouth!
When this goes live I'll be in my new pad back in Pompey with no internet *sadface*. Looks like I've had such an exciting month!! Lots of hot drinks and getting cosy in jumpers thanks to the cold weather coming back. Lolz soz mentioned the weather again *shut up ambs*. I got to go to Ireland for a few days to visit the fam which was bliss, nothing like playing with my little cousins to forget everyday stresses. And my bud came down to visit so I dragged him to London and Brighton, weather wasn't great but we still had loads to do :) The piglets at the country show were adorable! I'd never been to a country show and my friends took me along with them. Not sure what I expected haha, despite living in Sussex for more than ten years I don't think I've ever quite fitted in here...
Anyone I'm not following on insta yet wanna leave their username? Mine is amberlove146 if you want to see more weirdo pics.


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Members of the L.A. County Department of Children and Family Services just arrived at the Jackson family home in Encino ... TMZ has learned.
As we first reported, social workers will be interviewing Michael Jackson's children, along with the other children living in the home. DCFS will also interview family members and employees about the stun gun incident.
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- Carhartt -
Spring/Summer Carhartt continues the sportswear inspired theme with a variety of sweatshirts, hoods, sweat pants and accessories.Shop Now
- Stone Island -
Stone Island's garment dyeing expertise gives an out standing colour to the outer face while preserving the performance features of the inner membrane.Shop Now
- Fred Perry -
Fred Perry was the first British heritage brand to successfully blend sportswear with streetwear to create one of the most iconic styles of the last century.Shop Now
Established in Peterborough back in October 1986, Niro's success proves that dressing with style is no longer the prerogative of the major cities or confined to the pages of glossy magazines. Niro's popularity comes from a combination of exclusive fashions, first-class service and unique mood, which makes a visit at Niro into a truly pleasurable experience. Our Peterborough Niro branch is situated just outside the main shopping centre...


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Jake Thorne
Name Jacob Thorne
Title Senior Crown Prosecutor
Affiliation Crown Prosecution Service
Status Alive
Actor Dominic Rowan
First Appearance "The Wrong Man"
Jacob Thorne grew up an only child on a farm and was sent to boarding school at a young age. His working-class background plays a major role in his competitiveness and moralistic views of right and wrong. He is aggressive in the courtroom, and butts heads at times with Alesha, but he recognises her strengths and has demonstrated significant trust in her. He is fiercely intelligent and performs well at his job, and had to work hard to get where he is. He is also something of a player. Jake can be unpredictable, and keeps his private life very much to himself. While this tends to keep Alesha guessing, they work very well together.


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We provide onsite, personal service throughout the greater Auckland Region from Papakura to Torbay. We are able to serve outer Auckland as well but additional charges will be applicable.
We do have an excellent live repair facility – it is an online service and not dependent on physical boundaries. If you can access the internet you can access our live repair service – it's not only efficient but cost effective too!
Business Hours
Our normal business hours are 8:30am to 5:30pm from Monday to Friday and 11:00am to 1:00pm on Saturday. you are always requested to book an appointment before coming over.
Weekend & Emergency Repairs
We are available on weekend but premium service charges will be applied on Saturday and Sunday. In case of emergency we can serve you after hours as well, premium service charges will be charged in this case as well.
How to Get a Geek
To book the appointment you just need to call 0800 349 648 or you can book it by live chat moreover you can book it by filling a simple "Get A Quote" form on your right.


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Pol Kefton is a prestigious kitchen company where style, innovation and creativity come together to create beautiful bespoke kitchens and bathrooms for their discerning clients.
The client brief was to create a highly styled and visually led website that would show case their work and the products they use. The website has its own content management system and can be updated and managed by Pol Kefton. The site features a selection of image galleries showcasing kitchens, bathrooms and a range of designer led products for the home.
The new Pol Kefton site is both stylish and functional. It provides this client with a well designed platform to showcase the beautiful kitchens and bathrooms they have created in their portfolio and manage the image galleries and content across their entire site from an Umbraco content management system. The site is fully responsive and is designed to look great and perform well on a broad range of devices from PC to iPhone.
Contact us today to discuss your project or idea and we'll give you a free no obligation quote.
Retox Digital Limited, Newcastle, North East, UK, is a company registered in England and Wales with company number 07447099 and our VAT registration number is 102557935
Retox Digital Limited The Charcoal Building, Blagdon Estate, Seaton Burn, Newcastle upon Tyne, NE13 6DB


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Operation Compass. The harbour at Tobruk, Libya, is cleared of wrecks and opened to British ships. The first vessels in are troopship Ulster Prince (which takes Italian POWs back to Alexandria, Egypt) and supply ships Cingalese Prince, Rosaura and Chakla which unload men and supplies in a severe sandstorm. Tobruk will become an important supply point for the continued Allied advance across Libya. 100 miles Northwest along the coast from Tobruk, Australian 6th Division takes Fort Rudero overlooking the small town of Derna (capturing 290 Italian prisoners and 5 field guns). However, they meet stiff resistance from Italian troops and artillery dug in the far side of Wadi Derna (a steep ravine, a mile wide and 700 feet deep).
100 miles North of Tripoli, Libya, Fairey Swordfish of Fleet Air Arm 830 Squadron from Malta sink German steamer Ingo (crew rescued by Italian torpedo boat Orione).
Minesweeping trawler HMT Darogah sinks on a mine in the Thames Estuary.
Wednesday, January 26, 2011
Day 515 January 27, 1941
Posted by WWII at 70 at 6:44 PM
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The days of summer are officially upon us. You know what that means—sipping wine on a terrace, pottering on a patio, vegging out on a veranda. Throw on some shades, grab a book or your laptop, and head to one of these Tokyo terrace cafe/bar locations for a good dose of vitamin D.
Segafredo (Mita, Shimokitazawa, Hiroo locations)
Segafredo is well known for being one of the best coffee chains when it comes to getting a decent espresso. At the Mita Bellju Building location, they put tables out on the plaza under the shadow of the skyscrapers around, and sell glasses of Moët for about 500 yen a pop. The runner-up cheapo terrace prizes go to Shimokitazawa for four tables of outdoor seating (open till 2am at weekends), and Hiroo for having a reasonable vista.
La Boheme (Shirokanedai location)
La Boheme has a reputation for being a place to get cheap, good value Italian food. At the Shirokanedai branch, you can while away the night on a beautiful leafy terrace with inexpensive drinks almost until dawn—they're open until 3am and glasses of house wine start at 350 yen. A glass of Heartland beer goes for 500 yen. They have decent cocktails to boot.
Paul (Yotsuya location)
Paul, the French bakery chain that makes outta-this-world sesame flutes, usually only has a take-away storefront, or at most a few chairs where you can sip your café creme. But at the Yotsuya location, Paul boasts a full-service restaurant café with a lovely outdoor seating area. Wine and beers start around 500 yen, and if you order food, it comes with a BOTTOMLESS BREAD BASKET!
El Caliente (Shinagawa)
Like it hot? El Caliente serves up Nuevo Mexican cuisine on the fourth floor of the Atre Building in Shinagawa. Winning with a spacious open terrace, this place offers beer, sangria, and a generous handful of liquors and cocktails for 500-600 yen. And of course, what goes better with beer than tacos? This spot has not only the standard Corona, but also Sol and Tecate in the bottle all for one of those shiny gold fivespot coins.
Marunouchi House
The seventh floor of the Shin-Marunouchi Building is terrace heaven. You can order grub from any of the nine restaurants inside—they're not super budget-friendly, but with a spot of strategic menu selecting, you can cobble together a decent meal for 1,200 yen or so. The tables outside offer views of the Parliament building as well as Tokyo Station—both of which seem less stress-filled when they're lit up at night. There is also a decent pub called Stand T on the first floor, which spills out onto the pavement. Here, you can swig 500 yen glasses of wine and watch the hustle and bustle of the CBD pass by.
Urban Terrace
The main streets of Otemachi, Marunouchi and Yurakucho have, since summer 2015, been opened up to pedestrians during lunch time. To "create new bustle" in the business districts, and designed with the office workers of the area in mind, an urban terrace goes live between 11am and 3pm on weekdays, and 11am and 5pm on weekends and holidays. Stroll around and you'll see mobile shops, open cafes, art installations and—quite often—live entertainment. In late August 2016, a "night lounge", complete with plushy sofas, was added to the mix—it remains to be seen whether we can expect the same this year.
You can find something similar, albeit lower-key, in Ginza on weekends. The main roads are closed to cars during the daytime, and pedestrians can lounge around tables and chairs in the midst of the shopping hubbub.
Royal Garden Cafe
This chain of terraced cafes might not be the cheapest option, but they've got a bit of swank (admittedly not shown in the image above). Their lunch sets hover around the 1,200 yen mark (on weekdays, weekends are closer to 2,000), so you'll be paying for the atmosphere—but if you make a day of it, it's worth your while. Collect some of those yens and head down to the Aoyama branch—that's always our first choice.
Cafe Rostro
For good, strong coffee and a light meal, grab a seat at this brand-new (as of late May, 2017) cafe in Tomigaya (not far from Shibuya). Cafe Rostro is right next door to its roastery origins, and features a full-on outdoor terrace—both of these things make us very happy. Knock back an espresso for 250 yen, and try their breakfast set for 800 yen if you stop by in the morning.
20% off coupon code: TYO7382.
BONUS TERRACE: Cafe Terrace Tree Garden in Kamakura
Also known as Itsuki Garden, this little spot in the mountains of Kamakura (just south of Tokyo, in Kanagawa Prefecture) is surrounded by trees and pleasant views. While it's not cheap (a coffee costs 600 yen, and drinks go up from there), it's jolly nice, and we highly recommend it.
This post was originally published in May 2015 and was updated in May 2017 by Carey Finn.
Location Map:
Our guide to prepay SIM cards, wifi routers, cafe wifi and other places to quickly find wifi whilst visiting Japan.


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During the Holmdel New Jersey stop on the Drake vs. Lil Wayne Tour on Tuesday night Drake brought out Bobby Shmurda for a performance of "Hot Ni**a".
Drake Finally Did The Shmoney Dance, With Bobby Shmurda By His Side, The crowd went wild!
KeepItBasement Was In Attendance Props: Champagnemami/ Twitter @Marbellaxo


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Germany has a bit of a reputation for being rather a pricey destination, but there are several handy budget travel tips for Germany that will lessen the sting to your wallet / purse and let you see more of the country for fewer euros. Whether you're backpacking around Europe, or just being careful with the cents, here's how to enjoy Germany on a budget:
Check Out Inter-City Bus Deals
Aside from accommodation, transportation is often one of the biggest costs for someone travelling around Germany. Whilst the country is served by excellent rail routes, you can often get better deals if you travel by bus or coach. The vehicles are usually in tip-top condition, with clean and comfy seats, and services are typically on time, frequent, and fairly fast. Booking seats in advance online can make the prices even lower. Operators to compare include Postbus, Flixbus, and Megabus; the prices might just pleasantly surprise you!
Bunk Down in Hostels
There are many hostels all over Germany, most of which are clean and offer terrific amenities for solo budget travellers. Prices are competitive and not only will you save money as compared to a room in a hotel, but you will get to meet new people from all over the world as well. If you're travelling as a couple or with a small group of friends, lots of hostels also have private rooms that you can book for a relatively low cost. Guesthouses are another relatively inexpensive accommodation option, and you can also compare prices on Airbnb for private, well-equipped accommodation options at a decent price and with a local vibe.
Eat Like a Local
Of course, eating local fare in any country is generally always more cost effective than opting for imported items and foreign specialities. There are many quick bites to be found in Germany, with grab-and-go dishes often costing significantly less than a sit-down meal in a restaurant. Meat-eaters are especially well catered for, with hot dogs aplenty! Look out for bratwurst and currywurst stalls to give you your protein fix. Breads, pastries, and cakes can also be found in abundance, with the local bakeries providing a great array of affordable options.
Drink Like a Local
Ditch the spirit-based drinks and grab yourself a glass (or six!) of beer. Okay, so don't go overboard, as that really won't help your budgeting efforts, but, when it comes to socialising and having evening fun, beer is one of the cheapest alcoholic drinks you can find across Germany. If your feet are longing to dance the night away, many clubs offer free or low-cost admission too.
Take a Free Walking Tour
Many of Germany's main tourist-visited cities feature free walking tours, with a volunteer guide leading the way, pointing out places of interest, providing interesting overviews, and helping you to orientate yourself better when arriving in a new place. Berlin, Munich, Cologne, Frankfurt, and Hamburg are amongst the cities where you can find such free tours. An operator to look out for is Sandemans New Europe.
Churches and cathedrals are often free to enter, and you'll find a good array of museums around the country, with many offering certain periods of free or discounted entry. Stroll alongside the country's rivers and admire the views, admire fairytale-esque castles from the outside, stroll through lively markets, and relax in the numerous green spaces all over the nation. There are plenty of ways to have fun when visiting Germany on a budget!


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Veteran linebacker London Fletcher has appeared in 234 straight games. He may not get to 235.
Fletcher, who overcame a hamstring injury and a balance problem in order to extend the number from 231 to 232 last month, now has an ankle injury. He missed practice on Tuesday, and the short week prior to a Thanksgiving date with Dallas will make it difficult for him to keep the string going.
"It matters to London," coach Mike Shanahan told reporters on Tuesday. "It matters to us, not necessarily the streak, but playing. And there is a reason why he has played all those games because he plays when he is hurt and hopefully he will be able to play. But I can't tell you for sure."
Shanahan said that Fletcher likely will be tested during pregame warmups, with a decision made then.
Fletcher and Bucs defensive back Ronde Barber are tied with 234 straight appearances, the most among all active players.


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93 Days Movie Premieres For Free Tomorrow!
93 days is a movie that talks about bravery and sacrifice. It centers on the deadly Ebola virus outbreak in 2014 and the role of courageous and resilient doctors who placed there lives on the front line to combat the deadly virus.
The significant role played by late Doctor Stella Adadevoh who sacrificed her life to save several lives was very brave and appreciated.
The central themes of this powerful movie are; triumph, heroism and a country's determination to rise above the storm. Which makes 93 days a movie to see and to be remembered .
This epic movie 93 days is showing on Tuesday September 13, 2016 at The Rock Cathedral, 4th roundabout, Lekki-Epe Expressway Lagos.


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[vc_row][vc_column][vc_column_text]Mommy's Bliss Gripe Water is a gentle, effective and all-natural supplement that offers relief to babies who suffer from gas, colic, hiccups, general fussiness or teething pains. Thousands of moms across the country prefer Mommy's Bliss brand of gripe water because it contains no parabens or harsh chemicals, is derived from all-natural ingredients, and is gentle yet effective.
For parents whose babies suffer from colic, we understand that it can be overwhelming and frustrating. All you want to do is find a solution that will comfort your baby. Our all-natural gripe water is easy to administer and provides fast, gentle relief.
Are there any side effects when using Mommy's Bliss Gripe Water?
• Because our gripe water is made with all-natural ingredients, there are no side effects when using this product.
• Parents may notice that their babies become sleepy after administering gripe water. This is because babies who have been suffering from colic, extreme discomfort or gas are often exhausted due to the tension. Gripe water offers much-needed relief.
As with any medicine, whether all-natural or otherwise, we recommend consulting with your pediatrician before giving your little one anything. Our gripe water is the number one selling natural supplement for colic and gas and is pediatrician recommended, but it is always best to err on the side of caution and consult with your pediatrician first.
What makes Mommy's Bliss Gripe Water so special?
It contains no alcohol, parabens, harsh chemicals, gluten, starch, dairy, wheat, artificial colors, artificial flavors, binders, fillers, sucrose or petroleum-based by-products. It is created using organic ginger and fennel and is 100% vegetarian and vegan. You do not need to refrigerate the product after opening and each bottle comes with an EZY Serving Dropper for simple application.
For more information about gripe water from Mommy's Bliss, or if you have any questions about any of our products, please feel free to contact us today. We look forward to hearing from you.[/vc_column_text][/vc_column][/vc_row]


text: Digital Roll Call: Telemundo Media, Widmeyer Communications, and Simon & Schuster By Elizabeth S. Mitchell|May 22, 2013 Share By Elizabeth S. Mitchell|May 22, 2013 Share Telemundo Media announced the appointment of veteran marketing and communications executive David Alvarado as vice president of entertainment publicity. Alvarado is based in Miami will now be responsible for leading the publicity efforts for Telemundo's alternative and prime time programming and productions, as well as working closely with Telemundo's talent department to strategically position Telemundo's prime time stars across electronic, print and online media platforms. He is in charge of developing cross-functional efforts in partnership with Telemundo Studios and the non-scripted production teams, as well as the execution of internal cross promotions efforts among Telemundo Media's network shows, stations, affiliates, digital media, and the NBCUniversal properties. Alvarado will oversee publicity strategies for all network program launches including press events and tours aimed at maximizing exposure and visibility for the Telemundo properties across multiple media outlets. (Release) Widmeyer Communications announced the promotion of Marina Stenos to vice president and director of Widmeyer's PreK-12 team in its New York City office. In addition Tracey Bryan joins the PreK-12 team as vice president. Stenos has been a communications professional for nearly 20 years, working with varied clients. At Widmeyer, Stenos oversees NYC-based non-profit clients focused on science, technology, engineering and mathematics (STEM) and various arts and philanthropy issues. Before joining Widmeyer, Bryan was President/CEO of The Bridge of Southern New Mexico, a cross-sector partnership designed to bring leaders in business, economic development and education together to solve the problem of elevated high school dropout rates. (Release) Simon & Schuster has named Doug Stambaugh to the newly-created position of vice president, global eBook market development and strategy. He has been with Simon & Schuster Digital since 2007, most recently as vice president of business development. In an internal email, the company said that, in his new roll, Doug will "help us further develop our ebook business in a manner that best positions us for success in all our markets around the world. He will work with sales colleagues from each of our companies to identify and evaluate opportunities for retail expansion, and new partnerships, digital channels, and publishing initiatives. He will develop company-wide strategies, policies, and best practices for all our domestic and international publishing units in areas ranging from terms and pricing to digital rights management, technology platforms and new business models. He will assist our teams from legal, sales, technology, and operations in opening up new accounts and in negotiations with existing retailers, and will help all our divisions around the world to work in a unified fashion with our common retailers." (goodereader.com) Share http://adweek.it/2l3mFNU copy Adweek Adweek


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The CMS API provides uncached read access to the data. This is important for time-sensitive publishing workflows because you make changes to videos and playlists using the CMS API and quickly read the data to verify that is correct.
The CMS API also provides write access to allow you to fully manage your library of videos and assets.
Note that to add videos to your account, the CMS API is used together with the Dynamic Ingest API.


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This is my new layered pinwheel. The file comes with two mat pieces and two layered pieces to alternate the colors. This file can be sized to fit your needs and is compatible with both the 8x12 and 12x12 mats.
Here is the tutorial:
1. Cut out all your pieces. Adhere your smaller pieces on the mats.
2. Your pieces should look similar to this now.
3. Bring the end to the center and place a brad through the center holes to hold them in place. Repeat this step for the remaining piece and then use the brad to join them together staggering the petals.


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Hi everyone,
I am so excited to be part of the Haze blog tour. If you had a chance to catch my review of Shadows a year ago, you know how much I LOVED it. I am so happy that I got a chance to be part of the blog tour again with Tundra Books (thank you! thank you!) for Haze.
I decided to split my post in two so it wouldn't be too long. This one, part 1, will have my interview with one of the characters in the Rephaim series, Gaby! Part 2 will be my thoughts about Haze (spoiler alert: there's much gushing).
First, though, here's what Haze is all about.
"But what if we can't find Jude?"
He leans closer. His breath is warm on my ear. "We will."
"How can you be so sure?" I want to believe him so badly, but this is Rafa. The guy who's all action and no plan. His smile is tired, knowing. An echo of a shared past I don't remember.
"Because I'm not smart enough to give up, and you don't know how to."
Gaby Winters' nightmares have stopped but she still can't remember her old life. Still can't quite believe she is one of the Rephaim—the wingless half-angels who can shift from place to place, country to country, in the blink of an eye. That she was once the Rephaim's best fighter. That demons exist. That Rafa has stayed.
But most of all, she can't quite believe that her twin brother, Jude, might be alive.
And Gaby can't explain the hesitancy that sidetracks the search for him, infuriates Rafa, and sends them, again, into the darkest danger.
|Author Paula Weston
via Celia Southcombe, Flow Photography
Hi Gaby! Thank you so much for stopping by to chat with me. Thanks for asking. Most people aren't that keen to strike up a conversation with me. I must be mellowing.
What is your current favorite song in your iPod?
I keep humming Foo Fighter songs ("Long Road to Ruin" is stuck on a loop at the moment), but on my iPod, it's a track by Dan Sultan called "Under Your Skin" (https://www.youtube.com/watch?v=bpjhjKw-LMg). It's got attitude and a great hook. I've been listening to a lot of Australian music in the past year: The John Butler Trio, Stonefield and Birds of Tokyo also get a thrashing on the iPod.
What is your current favorite movie?
I haven't been to the movies in ages (no cinema in Pan Beach and Maggie and I can't afford cable), but a few weekends ago we were hanging out at Simon's and watched Divergent. I liked it: faithful to the book, well cast and a budget to do the setting justice.
And who is your favorite author and why?
I'd have to go with Marcus Zusak. The Book Thief was the first thing I read after the accident (or whatever it was that happened last year) and I got totally lost in the story to the point I forgot about everything else for a while. It took a pretty special book to do that. Of course, it made me cry at the end… But then I found his earlier books in the library and read them too. Australians made a bit more sense after reading The Messenger and the Wolf Brothers books.
|Mila Kunis via Vogue UK
Maggie says I look like Mila Kunis but I'm at least a foot taller, and I've got a lot more scars.
With your current, confounded knowledge of your actual past, name one characteristic or event that you admire most about your past self?
Given it's saved my life more than once, I'd have to say fighting skills. I still wish I knew what I was doing, but I'm starting to trust that if I get in trouble, those old instincts will kick in. Or at least I'm more optimistic I can hold my own in a fair fight.
What are you top five places to visit (or re-visit)?
It's hard to think about travelling without thinking about Jude, so maybe it's easier to tell you the five places we had the most fun together (or, at least, the places I remember us having fun together):
- Peru: hiking up to Machu Picchu. Huge moment for both of us when we caught our first sight of the ruins at dawn.
- Switzerland: bungee jumping from a cable car (even though it scared the crap out of me).
- Cinque Terra, Italy: we ate so much food in those five fishing villages, but we walked or ran most of it off.
- Istanbul, Turkey: Jude loved the noise and bustle of the Grand Bazaar (and the hookah pipes) and I loved the breathtaking beauty of the Blue Mosque.
- Santorini, Greece: So much sun and sea, and wine and seafood. And galaktoboureko, a sweet Greek pastry that one of my favourite foods in the world.
Name one thing from your bucket list.
Honestly, there's nothing I can imagine doing on that list with Jude.
I hope you all enjoyed my interview of Gaby! A huge thank you goes to author Paula Weston for making this interview with Gaby possible. For more info, Paula Weston and the Rephaim series visit Paula's website, chat with Paula on Twitter and the Rephaim on Facebook. And if you haven't already
|Add the Rephaim series by click on the button above.
Oh, and another fun thing I did as a participant of this blog tour was take a quiz to see which character I am most like in the Rephaim series and...
Yep! I'm Ez. Wanna know who Ez is? You gotta read the book! Trust me, you need to pick this series up even if you think you're over paranormal YA. The Rephaim series is sooooo good!
Happy reading,
P.S. If you missed my non-spoiler review of Haze, you can find it here.


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James Koehler, MD is a board certified cosmetic surgeon with an impressive list of academic and professional achievements.
His patients love him for his charm and warm sense of humor, and when you meet him, it is abundantly clear how sincere his interest is in each patient's individual concerns. Supporting him, Dr. Koehler's staff goes above and beyond to create an exceptional experience for every patient, no matter how big or small the concern.
Background and Training
- Dr. Koehler obtained his Bachelors of Science Degree with distinction followed by a Doctor of Dental Surgery Degree from the University of Alberta in 1994. He ranked first in his class and was awarded with the most prestigious ADA gold medal.
- Dr. Koehler attended Medical School at the highly respected University of Alabama and graduated Magna Cum Laude in 1999, where he was awarded Alpha Omega Alpha honors and the Scholastic Achievement Award in Medicine.
- Dr. Koehler first became interested in a surgical career during a general practice residency at the University of Washington in Seattle. During his training at Harborview Medical Center, he found he was armed with the skilled hands and keen eye for detail required for the technical demands of surgery.
- After completing a general surgery internship, Dr. Koehler further pursued his interests in maxillofacial surgery at the University of Alabama, currently one of the top programs in the United States. He then completed a facial cosmetic surgery fellowship under the guidance of Dr. Peter Waite, a past president of the American Academy of Cosmetic Surgery.
- Dr. Koehler accepted a faculty position at the University of Alabama School of Medicine to share his knowledge and experience with residents and students, and was honored to serve on the admissions committee at the School of Medicine for two years.
Dr. Koehler rounded out his training by completing an accredited full body cosmetic surgery fellowship at Tulsa Surgical Arts. During this fellowship program, he trained intensively in breast and body surgery, liposuction, endoscopic surgery as well as minimally invasive techniques. Continuing in the tradition of high standards and quality patient care, Dr. Koehler joined the cosmetic practice at Tulsa Surgical Arts and served thousands of cosmetic surgery patients there, before returning to Alabama to join Eastern Shore Cosmetic Surgery.
Dr. Koehler is dedicated to providing quality care in the field of cosmetic surgery. He has published book chapters and articles in the field of Cosmetic Surgery and lectures both locally and nationally.
View our Facebook page
You are always welcome to email Dr. Koehler directly with cosmetic surgery questions of any kind.
Telephone No.(251) 929-4051


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Rooibos Ltd joins Rol & Jol for a good cause
Supporting a family in need – this is what Rol & Jol at the Clanwilliam Bowling Club on 27 April 2017 was all about. In December last year, Henrico and Janine Hayward's daughter Arike was born with a rare lung condition – one of only six cases worldwide. With Arike still in ICU at the N1 City Hospital, medical bills are piling up. A special bowls tournament was then organised to raise funds for Arika. Both her parents play bowls for Rol & Jol. Rooibos Ltd entered three teams of four members each. Every team member and other supporters donned pink shirts to show their support for the little girl. The community and business sector of Clanwilliam supported the event generously. Members of the community can still contribute to the Arike Fund:
Bank: FNB
Account name: Arike Hayward
Account number: 74667709959
Branch code: Clanwilliam


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If your card expires or otherwise cannot be billed, we email the billing email address to notify them. If this happens several times, your account may automatically be cancelled. To fix this:
Please enter your updated credit card details by doing the following:
Open a help ticket in ProjectLocker Portal to request reactivation. A support representative will attempt to bill the new card (ProjectLocker employees do not have access to the card information) and will reactivate your account when it has been successfully billed.


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Subscribe To How Paul Rudd Felt When Edgar Wright Bailed On Ant-Man Updates
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When Paul Rudd first signed on to star in Marvel Studios' Ant-Man in December 2013, he was also signing on for the opportunity to work with the brilliant director Edgar Wright. Of course, this opportunity all went away when a few months later Wright and Marvel decided to part ways over creative differences. Naturally, this had a pretty big impact on the film's star - and he has recently revealed that he was actually devastated by the British filmmaker's departure from the project.
Rudd spoke his mind about the situation with Edgar Wright and Ant-Man while doing an interview with Entertainment Weekly, explaining that the whole thing really took him by surprise - though he did get word about the director leaving prior to the story making its way to the press. Asked if there was any temptation on his part to follow Wright and leave the superhero film, Rudd said,
"There are lots of things that go through your mind. There are certain things I can and can't do, and then there also certain things I will and won't say. But I was devastated, you know?"
Instead of cutting and running, however, Paul Rudd instead decided to take the exact opposite approach: he took more creative control. When Adam McKay was brought aboard to work on the script, Rudd found himself "organically" falling into the role of co-writer, and together they started generating new ideas for the project and expanding on the story elements that were already present in the previous drafts that had been written by Edgar Wright and Joe Cornish. The movie will be only his second screenwriting credit - the other coming on the 2008 comedy Role Models - and Rudd was thankful to have his Anchorman director by his side simply due to the fact that the material was unlike anything he had ever worked with before. He explained,
"It's a little strange writing something that's really, truly out of my comfort zone. I wouldn't know how to begin to write [something like this], but sometimes you just hit the ground running, I guess. Thankfully Adam was there."
It will definitely be fascinating to see what the end result of Ant-Man will be - especially after watching the trailer that was released earlier this week. With Paul Rudd and Adam McKay taking care of the script, many of us anticipated that the preview would be filled with jokes and various gags - but instead what was delivered was a much more somber, serious piece about second chances and living up to true potential.
We will all always wonder what Ant-Man would have looked like had Edgar Wright stayed with the project all the way through production, but we're still tremendously excited to see what director Peyton Reed has cooked up for us. We're waiting with baited breath for the film's release on July 17th


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The numbers of mobile internet users around the world are fast increasing, according to some estimates they will overtake the desktop internet users within the next couple of years. The recent advancement of the mobile internet has made it possible for more and more users to use their mobile devices for browsing and they have become their primary web browsing tool. And what does that mean for you if you a web developer? The answer is that you'll have to develop the sites that are there not just for a couple of screen resolutions.
Mobile internet is the recent trend and more and more businesses are recognizing it. If you have a responsive website then it does not only make you cooler but it is also the way of increasing conversions and getting better traffic to your website.
And the best part is that responsive design is not that difficult to practice and to become an expert of. There are quite a lot of frameworks and plugins available that will your task of creating responsive designs that much easier. Today we will be sharing with you some useful tools for creating responsive web design and some great examples of the responsive web design.
320 and UP
This tool prevents the mobile devices from downloading the higher resolution assets that are meant for desktops by using screen's stylesheet as its starting point.
This is a free image gallery that is based on HTML/CSS/JavaScript and specifically targets the mobile devices.
Adaptive Images
By detecting the visitor's screen size, Adaptive Images automatically creates, caches and delivers the rescaled versions of your web page's embedded HTML images that are appropriate for the device in use.
Responsive Testing
Responsive Testing is an easy to use tool for testing a web design in multiple screen widths.
MediaQuery Bokmarklet
This tool provides you with a visual representation of the current viewport dimensions and most recently fired media query.
Less Framework 4
This is a CSS grid system through which you can design adaptive websites. It contains four layouts and three sets of typography presets and they are all based on a single grid.
Mobile Boilerplate
This is a famous template made custom for creating mobile web applications. It provides you with cross browser consistency among all the famous smart phones also provides the support for symbian, Blackberry and IE mobile.
Tutorials and Publications
If you want to learn responsive web design then there cannot be any better way for doing this than getting up and doing it yourself. Here are a few tutorials that can be helpful in teaching you the basics of responsive web design but do search online for some other such stuff.
Awesome Tutorials To Master Responsive Web Design via Cats Who Code
Here you will find a number of tutorials relating to different aspects of responsive web design.
Fluid Images via Unstoppable Robot Ninja
In this tutorial Ethan Marcotte has cleared the confusion that the most designers have about responsive design and that is how will the images render in low resolution. This confusion is partly because of the fact that in the early days of responsive design most of the sites that adopted it were the text based ones. This tutorial will surely help you in understanding the fluid images better.
Responsive Data Tables via CSS Tricks
Data tables are highly important for showing results, or grouped information on a website. In this tutorial, you'll learn how you can keep this aspect with style.
If you feel more comfortable by learing through books then here a few of the best books written on the subject, hope you find them helpful.
Responsive Web Design via sitepoint
Responsive Web Design via A List Apart
Responsive Web Design Demystified via Elated
Seven Lessons Learned From Responsive Web Design via .Net Magazine
Responsive Web Design Techniques, Tools and Design Strategies


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Livable Housing refers to basic and easy to implement features that improve the accessibility of new homes. Livable Housing features improve new homes so that they are:
Banyule's planning requirements incorporate a suite of livable housing features to ensure that new homes better meet the current and futures needs of our community. Livable Housing Design Guidelines were adopted by Council in early 2013, supported by clause 21.06, Built Environment, Objective 4, Housing Change of the Banyule Planning Scheme which states: 'Encourage design that meets the needs of people with impaired mobility and other special needs, or can be adapted to meet such needs.'
You will find more information in the Guidelines, available under Related Information. Other related links are also provided. For any enquiries, contact our Planning Department on 9457 9808.
Please provide your feedback below and if you would like to be contacted about your request, please provide an email address in the text. *
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Transformational Tidbits
March 2014: Our Journey beyond the Vortex in Sedona 11 – 18 Feb 2014
Undoubtedly one of the most powerful Sacred Sites on our planet, Sedona delights, inspires and shifts all those who visit her. The natural beauty of the red and orange sandstone formations is breathtaking and our incredible Feb journey there, was a perfect balance of the inner and outer journey – adventure, synchronicity, intense activations, personal development, bonding with like-minded people and a deep connection with the Earth, ourselves and each other.
Canadian born, Charlotte Szivak was our Journey Leader. Charlotte is a deeply gifted psychic, dedicated light worker and loads of fun to travel with. This was her 7th visit to Sedona so she guided us to all of the hidden gems with ease. Her activations were incredibly powerful and all of us went through processes, shifts and shadow integration throughout the journey.
Charlotte and I arrived on the night before the group and immediately went to the Airport Mesa, one of the major vortexes to greet and connect to Sedona's energy, which you can feel as soon as you enter the greater Sedona area. Vortexes are funnel shaped created by the motion of spiraling energy and are similar to the energy found in our bodies so when we come into contact with them, it amplifies all that we are. Couple this natural energy with deep, profound energy processes and activations and the result is complete transformation producing significant and lasting positive changes in your life and the ability to master challenges with greater ease, grace and equanimity. An easy method of identifying where the vortexes are at their strongest is to look at the tree trucks, which are twisted by the vortex energy.
It is understandable that the ancients did not live in Sedona itself but rather in the surrounding areas and then traveled to the sacred sites for ceremony and pilgrimage. The energy is palpable in the centre of town, which can be overwhelming and not conducive to a good nights sleep – one of the many reasons we chose the Hilton Hotel, which is located in Oak Creek. The hotel has magnificent views of the majestic Bell Rock, a powerful yet nurturing vortex, all about physical healing and it was a blessing to rest in its energy at night.
Rising out of the mesa close to the Village of Oak Creek, Bell Rock stands tall as one of the more formidable vortexes in the Sedona area. Because of its topography, Bell Rock is considered an up flow vortex, spiraling energy up through its center radiating empowerment to all who visit and where we did our opening and closing ceremonies.
Besides offering 360 degree views and being the most sought after sunrise and sunset photo spot, The Airport Mesa Vortex (an inflow vortex) was the perfect vortex to release all that no longer served us. The activation here was done as the full moon was rising and we saw a blue unidentified flying object dancing around the moon. Two of us were taking photo after photo of the moon and in every shot, just seconds apart, the blue UFO was in a completely different location!?!
Designed by Marguerite Brunswig Staude, the Chapel of the Holy Cross is beautiful and non‐denominational. It was completed in 1956 after nearly 2 years of construction and ranks as a favorite tourist attraction in the area. It is a masterpiece of simplicity: nestled beautifully into the red rocks and offering breathtaking views of the majestic Cathedral Rock, Bell Rock, Courthouse Butte and the eastern rim of Sedona. The energy of this location is one of the strongest and most easily felt in all of Sedona. The feeling at this site is one of inspiration, joy and gratitude including love, harmony, unity and ONEness with All that is. I loved the figures we could see in the rocks. Most prominent for me was an Eagles head and various faces, including a distinctly alien one.
After a spectacular Sunday brunch at the Enchantment Resort, we ventured into Boynton Canyon where the open topography creates an inflow vortex, cleansing the negative energies of the earth and its people.
After a few days, we realised that we had encountered a Blue Jay every time we were looking for our meditation site and it became great confirmation for us as this continued throughout the journey. In addition to the vortex sites, we enjoyed a sunrise at the Buddhist Stupa, visited the ruins of Palanaki, walked a labyrinth to balance male and female energies and tried to hold ourselves back when shopping in the many crystal and new age shops (not always successfully)
I really love that there is always something unexpected on the journeys and this is why I always say that we will cover every-thing on the itinerary although it may not be in the planned order as we allow room for guidance and synchronicity.
In addition to our planned activities, we were guided to attend an afternoon workshop with Bryan De Flores updating us on the latest Angel information and we were invited to a closed meditation group at the home of Jaap Van Etten, who has been researching Crystal Skulls for over 15 years and has written 2 books on the subject. We meditated with over 300 crystal skulls, which set us up nicely for what was to come…an afternoon with one of the ancient skulls called Einstein.. Carolyn Ford is the caretaker of Einstein and graciously joined us for an afternoon, we shared a Hoóponopono ceremony before a few of us chose to spent some private time with Carolyn and Einstein.
Whist I had heard of the legend of the ancient skulls and have picked up many crystal skulls in various crystal shops around the world, I had not yet been drawn to buy one. That changed in Sedona and I am now the proud owner of 2 beautiful small crystal skulls. What I find interesting is that in my private session with Einstein, Carolyn placed him behind my head so our crown chakras were lined up and I received, what I can only describe as, a download. I have felt a deep connection with him since then and he has been appearing in my soul reading sessions. Please let me know if you have had any cool experiences with crystal skulls as I feel my interest growing daily.
We shared our time with wonderful people: we laughed, we cried and most of all celebrated in gratitude that we were gifted with an incredible experience that will enhance all of our lives in so many ways. I always marvel at the profound inner journey that happens for each individual in the group, including my own.
Charlotte and I have decided to offer the Sedona journey again next Feb so if you are interested, please let me know as we have limited the journey to a maximum of 16 people and we have already had a few sign-ups. Details will be on the site by May 2014 – we will offer a similar itinerary and include an afternoon with Carolyn Ford and Einstein plus a few optional extra opportunities.
Check out the Photo Album here
Wishing you all a glorious month and if you live in the Northern hemisphere, enjoy the early signs of Spring. Let your dreams be bigger than your fears, your actions louder than your words and your faith stronger than your feelings.
Love and blessings
Managing Director
Spiritual Quest Journeys
Spiritual Sites with Spiritual Quest Journeys
Since ancient times, sacred sites all over the world have had a mysterious allure for millions of people, drawn to their unexplained power and presence. Sacred sites have the power to heal the body, enlighten the mind and awaken the soul with endless accounts of life-changing and profound experiences as testament. This newsletter feature endeavours to share interesting information on sacred sites and inspire you to experience them for yourself.
Sedona – Holographic Journeys
Whist Charlotte Szivak has facilitated many holographic journeys, this was the first time that I was a part of it and I am blown away at how effective this type of journey is. A holographic journey is ideal for people who aren't able to physically make the journey themselves yet want to receive the activations. During the journey, we were receiving messages of amazement and gratitude and whilst every participant felt the energy differently, all have reported shifts in their lives.
Here is what a few of them had to say:
I visited Sedona with Charlotte via holographic transmission and I was bathed and saturated in powerful energies sent by Charlotte during each transmission. I feel expanded with infinite love and clarity. It feels like I just hopped off a cosmic roller coaster ride!! My body feels renewed with the light frequencies sent from Sedona. Absolutely amazing!!
Z.R Canada
Throughout the journey, I could feel the energy. It started the night before the journey started and continued until the last day. I felt present, alive and fully in the flow. It was like being elevated into a higher realm and the results were astounding. I am richer for the experience in every way – financial, in my relationships with my husband and children and in myself. Thank you, Thank you, Thank you!
C.B Norway
Thank you for including me in on the holographic journey when you were in Sedona. I had no idea what to expect although was totally open to the experience. I started noticing that my perceptions were changing and found myself more clear, grounded and serene. Then on the 3rd day, I woke up and knew that something energetic was going on. It's hard to explain, as I have not experienced any-thing like it before. It was as if the room had grown bigger and I was seeing every-thing in a sharper way. I wondered if I was receiving a transmission so relaxed and tried to clear my mind. All of a sudden, I saw some images and felt an overwhelming sense of peace wash over me and my fear melted away. This feeling has stayed with me ever since. Extraordinary!
G.T Australia
Charlotte's holographic transmission from Sedona were once in a lifetime experience and simply cannot be put in words. I have experienced other transmissions via Charlotte but Sedona's energy was just amazing. Charlotte gave us an incredible opportunity to be a part of something and for this I will be eternally gratefully. Thank you for allowing us to feel Sedona from miles away.
S.R Canada
For more information, please visit Holographic Journeys – Your interdimensional Passport
I am delighted to add that Charlotte will be offering the holographic journeys on all of her tours with Spiritual Quest Journeys and does offer a holographic link up to her regular meditation/activations sessions.
Where are you going in 2014?
Where are you going in 2014? Check out our incredible journey offering:
In a world where we are overwhelmed by the constant bombardment of technology, responsibilities and relentless pursuit of our goals, it is critical that we regularly take some time to step back from our day to day lives and objectively reassess where we are on our life path, who we have become, and more importantly, who we choose to be in the future.
At Spiritual Quest Journeys, we believe that there is no better way to do this, than to explore both our outer and inner worlds. Our spiritual tours explore ancient sacred sites, mystical and magical locations, fascinating places, holistic wellness centers and retreats around the world. Most importantly, we recognize that time away is hard earned vacation time and our tours are imbued with a sense of excitement, adventure and fun.
As spiritual travelers ourselves, we acknowledge the importance of a well balanced tourism offering, and each itinerary is carefully designed to offer a subtle blend of seamless destination management; interconnectedness with the earth, exploration of the area and culture; personal development, relaxation and integration time; ceremonies and meditation; group consciousness support and guidance; and something unique and exclusive. In essence, unique travel experiences that an individual would be hard pressed to create on their own.
So if you are waiting to exhale or looking for an amazing life changing experience, explore our website or contact us.
Life changing spiritual tours to enrich your life
|Satori Experience Journey to Paradise Maui, Hawaii | March 2014
|Peru – Expansion of the Heart Peru | 11 – 20 April 2014
|Alchemy & Divine Egyptian Magick Egypt | 30 April – 13 May 2014
|Mythical Scotland, Mystical JourneyThe Hebrides, Scotland | 11-18 May 2014
|Take a walk on the wild side Zambia | 18 – 25 May 2014
|Desert Sands & Gaia´s Gifts Crystal Journey Namibia | 28 May – 7 June 2014
|Women´s Journey to Avalon England | 29 May – 6 June 2014
|Malta´s Mediterranean Temples – Journey to the Goddess Malta | 8 – 15 June 2014
|Sacred Sites and Crop Circles England | 20 – 29 July 2014
|Land of Leprechauns and Celtic Magic Ireland | 22 – 31 August 2014
|Diversity and Dharma of India | India | Nov 2014
|Spectacular South Africa South Africa | Dec 2014
If you would prefer to travel on your own or with friends and family, we can tailor make tours to all of our destinations.
If you believe you have what it takes to be a journey leader and would like to travel with your own groups, please contact me: firstname.lastname@example.com
Find of the Month
Holographic Journeys – for the armchair traveller
For those of you that are unable to join the Sedona or Egypt journey in May, consider signing up for a holographic journey (known as SOUL TRAVELING). This is a brilliant way to join us energetically to the global sacred sites, magical places & temples that from the luxury of your home. All you need to do is send a picture of yourself with your full name. Then set your sacred intentions for (physical healing, conscious soul evolution, financial growth, direct access to your gifts and talents) and receive the energy transmissions from the sacred sites, vortex's, magical places and Temples visited.
The investment is US$ 88 per person and you will receive step by step instructions how to receive your transmissions.
Intuitive Coaching Sessions
Are you Stuck? Is there something holding you back, blocking you from stepping into your full potential or are you sick and tired of being sick and tired?
The quickest way to identify your blocks is to notice what triggers you (pushes your buttons). These blocks are trapped pain or an unresolved issue and cause us pain and limitation. As every-thing is energy, once you identify your blocks and shift the energy, you will find yourself in a neutral space and will no longer be triggered by the issue. There is a direct correlation between the energy we hold and the way we experience life and blocks need to be resolved in order for the physical result to be different.
If you are ready to live fully and in joy, contact Peta for a personal intuitive soul reading. With your permission, Peta will tune into you and look at the energy around the issue. Using various techniques, Peta is able to guide you through a transformational releasing what no longer serves you Sessions are available over skype or in person for US$ 120 per hour.
For more information and for bookings, please email me at firstname.lastname@example.com.
If you have received this email from a thoughtful friend and would like to sign up for future newsletters and receive a copy of our free eBook on practical energetic work SIGN ME UP NOW!0


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Microsoft Expert Says Ballmer Was A Salesman Not A Visionary
Ryan Martin / 6 years ago
Microsoft Expert Michael Cusumano, management professor at the Massachusetts Institute of Technology and author of a book on Microsoft published in 1995, has been talking to Bloomberg about Steve Ballmer's time at the helm of Microsoft. Cusumano is quite critical of Ballmer's leadership skills stating that:
"Microsoft had a great run for 30 years, but it's too much to expect somebody like Steve, who is more of a caretaker CEO than a visionary leader, to just bring Microsoft to the next level."
Despite that Cusumano believes Ballmer was still a great motivator, but just not enough of a visionary leader that Microsoft urgently needed:
"I've met Steve a number of times. He's a great motivator, he has terrific energy, tremendous enthusiasm, and he loves the company deeply, That energy is contagious. But Microsoft competes in a market where the competition and the pace of change is really quite fast, and if you're not ahead of the game, then you're likely underneath it."
Steve Ballmer also took over at a critical time in Microsoft's development, when Bill Gates stepped down, but was apparently the wrong man for the job:
"In many ways he had a very hard job. When Bill Gates stepped down in 2000, he left at a critical juncture, All of these changes, and Ballmer, who is much more of a sales guy than a technical leader or market visionary, was left holding the bag."
Image courtesy of ZUMA / Rex Features


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As with human medicines, animal antibiotics are carefully monitored by the FDA after they are put on the market. Federal agencies use risk assessments to make decisions about health and safety. These assessments measure and quantify the risks involved in taking or not taking a particular action.
How Risk Assessments Work
In conducting risk assessments, scientists develop a model to describe an issue or potential threat as a series of steps, or chain of events, to assess the next step in the process. By piecing together the chain and measuring the probability of each link, the researcher can calculate the actual risk of an event.
For example:
- Does a particular use of an antibiotic on the farm cause a significant increase in antibiotic resistant bacteria?
- If yes, the researcher can then apply available data to assess whether these bacteria species persist further up the food chain.
- If no, the researcher can conclude that the use does not result in a food safety hazard, and therefore is of little risk to human or animal health.
In the realm of animal agriculture, science and risk assessment show that risks from animal antibiotics are minimal. In fact, the potential benefits are more than a thousand times the potential risk. The total disease risks have remained stable or on the decline as antibiotics have continued to be used in animals.
To learn more about how risk assessments work, view this chain of events.
Risk Assessments Results
The FDA, company sponsors and researchers have conducted numerous post-approval risk assessments on animal antibiotics and consistently found very low risk to human health or have shown that not using antibiotics to control diseases might result in an increase in foodborne illness. Research has shown, for example, that:
- The effect of airsacculitis on bird weights, uniformity, fecal contamination, processing errors, and populations of Campylobacter spp. and Escherichia coli. Russell SM., Poultry Science 2003; 82 (8): 1326-1331. In a study conducted at the University of Georgia, carcasses from harvested poultry not treated with antimicrobialsfor a respiratory disease called airsacculitis were more likely to be contaminated by E. coli and Salmonella, thus increasing the risk of foodborne infections.
- Quantifying potential human health impacts of animal antibiotic use: enrofloxacin and macrolides in chickens. Cox LA Jr, Popken DA, Risk Analysis 2006; 26(1): 135-46. A follow-up risk assessment using the University of Georgia data found that not using animal antibiotics can cause far more human illnesses than they would prevent. The estimated human-benefit-to-risk ratio for continued animal antibiotic use on human health exceeds 1000:1 in many cases. The model tested the impact of the use of virginiamycin in poultry as compared to human drug treatment failures. By looking at what would happen over the next five years, the model showed that a ban on the product would result in zero to less than one statistical life saved over the next five years.
- Assessment of the impact on human health of resistant Campylobacter jejuni from flouroquinolone use in beef cattle . Anderson SA, et. al., Food Control 2001; 12(1):13-25. A Georgetown University risk assessment on the use of fluoroquinolones in beef cattle and the resulting human health risk of fluoroquinolone-resistant Campylobacter on beef estimated the risk to humans to be 40 additional hospitalizations and 1 case of mortality over the course of 10 years.
- Public Health Consequences of Macrolide Use in Food Animals: A Deterministic Risk Assessment . Hurd, et. al., Journal of Food Protection, Vol. 67, No. 5, pgs. 980-992. According to the results of an Iowa State University study, the probability of someone in the U.S. experiencing a treatment failure due to the acquisition of resistant food borne bacteria from eating meat from animals treated with macrolide antibiotics (tylosin, tilmicosin) is less than one in 10 million for resistant campylobacter, and less than one in 3 billion for resistant Enterococcus faecium. As one of the scientists said; "People would be more likely to die from a bee sting than for their antibiotic treatment to fail because of macrolide-resistant bacteria in meat or poultry."
- Assessing Potential Human Health Hazards and Benefits from Subtherapeutic Antibiotics in the United States: Tetracyclines as a Case Study. Cox and Popken, Risk Analysis, 2010. An assessment of the risk of using tetracycline in food animals concluded that reducing tetracycline use in food animals in the United States should not be expected to cause any improvements in human health or to reduce the risks of tetracycline-resistant infections.
- Human health Risk Assessment of Penicillin/Aminopenicillin Resistance in Enterococci Due to Penicillin Use in Food Animals. Cox, et. al., Risk Analysis, Vol. 29, No. 6, 2009. A risk assessment of penicillin used in animal feeds concluded that the use of these drugs were unlikely to seriously impact human health from antibiotic-resistant bacteria.
Additionally, the FDA's own studies reinforce the results of these and other independently conducted risk assessments. For example, the FDA's risk assessment on the use of Virginiamycin, a common antibiotic, found that "assuming a food pathway attribution of 10 percent, the average risk to a random member of the U.S. population of having SREF (streptogramin-resistant e. faecium) attributable to animal uses of virginiamycin and that may result in impaired Synercid therapy ranges from 7 chances in 1 billion to 14 chances in 100 million in one year."
Public policy decisions or actions regarding animal antibiotics should not be made without using risk assessment.
A recent report by the Institute of Food Technologists (Comprehensive Reviews in Food Science and Food Safety, Vol. 5, 2006) made the following recommendation: "Determine the public health impact of antimicrobial resistance on the basis of risk assessment, and consider resistance on the basis of an individual microorganism exposed to a specific agent under a specific condition of use."
Risk assessments are the proper tools for making public policy decisions about the use of antibiotics in animal agriculture, as they allow policymakers to measure the potential consequences of actions.