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E-Business – Technology and Networks
Varna Free University E-Business – Technology and Networks Teodora Bakardjieva Prof. Dr., Varna Free University
What is E-business? [ [ [ [
E-business (electronic business) is the conducting of business on the Internet, not only buying and selling but also servicing customers and collaborating with business partners. [ The processes and tools that allow an organization to use Internet-based technologies and infrastructure, both internally and externally, to conduct day to day business process operations. [ Stands for electronic business and refers to any kind of sales, services, purchasing or commerce on the Internet. [ A new-tech jargon word used more for marketing than for technical description. Most commonly it broadly refers to conducting business over the Internet ( and web) by communicating and perhaps transacting (buying and selling) with customers, suppliers, and business partners. [
e-business e-business = Web + I/T Web IT What is E-business?
Universal Access Standards e-business Using internet technologies to transform key business processes IT Data Applications Core business processes Reliability, security and availablitiy e-business = Web + I/T
E-business types: C2C B2B B2C B2A C2A CONSUMERS BUSINESS
What is Consumers to Consumers (C2C) ? [ [
Abbreviation for consumer-to-consumer commerce; that is, commerce with no middle business people The most notable examples are Web-based auction and classified as sites. Most large venues for such models (for example, eBay and Classifieds2000) are quickly permeated by consumers who participate so actively and regularly that they become small businesses for them. [ C2C stands for consumer to consumer electronic commerce. The Internet has facilitated new types of C2C although it is important to note that this kind of commerce -- in the form of barter, yard sales, flea markets, swap meets, and the like -- has existed since time immemorial. Notably, most of the highly successful C2C examples using the Internet actually use some type of corporate intermediary and are thus not strictly "pure play" examples of C2C. [
What is Business to Business (B2B) ? [ [ [
B2B stands for "business-to-business," as in businesses doing business with other businesses. The term is most commonly used in connection with e-commerce and advertising, when you are targeting businesses as opposed to consumers. [ [ On the Internet, B2B (business-to-business), is the exchange of products, services, or information between businesses. B2B is e-commerce between businesses. B2B Communication using XML over HTTP B2B - the basics Business-to-business electronic commerce (B2B) typically takes the form of automated processes between trading partners and is performed in much higher volumes than business-to-consumer (B2C) applications. [
What is Business to Consumers (B2C) ? [ [ [
Refers to businesses selling products or services to end-user consumers. [ B2B stands for transaction activities involving two business entities (business-to-business transaction). B2C stands for transaction activities involving a business and a consumer (business-to-consumer transaction). [ Electronic commerce comprises commercial transactions, involving both organisations and individuals. From the technical point of view e-commerce is the processing and transmission of digitised data. E-commerce decreases the distance between producers and consumers. Consumers can make their purchase without entering a traditional shop.
What is Business to Administration (B2A) ? [
Short for business-to-administration, also known as e-government. B2A is the idea that government agencies and businesses can use central Web sites to conduct business and interact with each other more efficiently than they usually can off the Web. FindLaw is an example of a site offering B2A services -- a single place to locate court documents, tax forms and filings for many different local, state and federal government organizations [
E-business category [ [ [ [ [ [ [ [ E-banks E-trade E-consulting
E-engineer [ E-learning [ [ E-marketing [ E-transactions
An example for e-bank
An example for e-trade
An example for e-consulting
An example for e-engineering
An example for e-learning
An example for
An example for e-marketing
INTERNET ACCESS, SERVICES, E-payment, CERTIFICATES, ADVERTISEMENT
E-business infrastructure INTERNET ACCESS, SERVICES, E-payment, CERTIFICATES, ADVERTISEMENT HARDWARE SOFTWARE
Virtual connections to other markets
Virtual Markets goods, services, deadline and circumstances Needed, measure price offer buyers seller mediators buyers seller Goods A Goods B buyers seller finished orders orders Virtual connections to other markets
The path of the deal buyers seller buyers seller buyers seller
[ How safe are e-Business financial transactions? INTERNET
New security technology like 128-bit SSL encryption ensures the safety and privacy of both you and your customers, and is built into the latest e-Business software tools. Your security and privacy is a top priority with all e-Business providers. Secure VPN WEB SERVER Merchant Storefront WEB SERVER Merchant Storefront WEB SERVER Merchant Storefront INTERNET Consumer SSL Acquiring BANK VIRTUAL POS Credit Card Network PAYMENT GATEWAY
[ [ [ [ [ [ [ Can my business benefit from e-Business?
Reduce administrative and operating costs [ Reduce inventory costs [ Reduce the cost of procurement [ Improve customer service and satisfaction [ Streamline procurement procedures [ Increase communication efficiency and interaction with employees, vendors, customers and strategic partners [ Increase revenues and profit margins
E-Business – Technology and Networks
Thank You !
Chapter 4 Managing Information Technology & E-business
Reesycakes.com -- Bargaining online
Thanks to the Internet, haggling has never been easier, especially in the area of online apparel sales.
Technology – Impact on Our Lives
Information technology– processes and applications that create new methods to solve problems, perform tasks, and manage communication.
The Impact of Technology
Technology – the application of knowledge, including the processes and procedures to solve problems, perform tasks, and create new methods to obtain desired outcomes
Technology – Impact on Our Lives
Technology is the driving force in advancing economic systems and the quality of life. Information Technology (IT) is changing traditional products. AFE Cosmetics and Skincare provides customized cosmetics and skin care products.
Technology – Impact on Our Lives
Technology has improved business effectiveness and reach Improved global access Faster productivity growth Improved efficiency Reduced costs
Managing Information Data, knowledge, & information Data – numerical or verbal descriptions related to statistics or other items that have not been analyzed or summarized
Managing Information Data, knowledge, & Information Knowledge – an understanding of data gained through study or experience.
Managing Information Data, knowledge, & Information Information – meaningful and useful interpretation of data and knowledge that can be used in making decisions.
Management Information Systems
Information is a major business resource. It is an asset to be developed and distributed to managers. Management information system (MIS) – used for organizing and transmitting data into information that can be used for decision making.
Management Information Systems
The Vit Watch information system enhances management at Scheid Vineyards
Management Information Systems
Management Information System (MIS) Breaks down time and location barriers Global information access Anytime, anywhere with wireless
Management Information Systems
MIS & Data Collection Collect data Store data Update data Process and present information
Management Information Systems
Database -- A collection of data stored in one place and accessible throughout the network.
The Internet Internet – Global information system than links many computer networks together.
The Internet World Wide Web – a collection of interconnected Web sites or pages of text, graphics, audio, and video within the Internet.
The Internet Intranet– a network of computers similar to the Internet that is available only to people inside an organization.
The Internet Extranet– a network of computers that permits selected companies and other organizations to access the same information and may allow collaboration and communication about the information.
History of Information Technology
Wireless Technologies
PDA's Smartphones Digital devices Apple iPhone Wi-Fi Networks WiMax VOIP RFID GPS MMS
E-Business E-business has the same goal as traditional business. E-Business – carrying out the goals of business through utilization of the internet.
E-business models E-Business Business-to-Business (B2B)
Business-to-Consumer (B2C) Consumer-to-Consumer (C2C)
E-Business Business-to-Business (B2B) B2B– use of the Internet for transactions and communications between organizations. Cisco Systems Ford Motor Company General Motors IBM Procter & Gamble
E-Business Business-to-Consumer (B2C) B2C– delivery of products and services directly to individual consumers through the Internet (e-tailers). Dell Computer MapQuest Travelocity.com Expedia RetailMeNot.com
E-Business Consumer-to-Consumer (C2C) C2C– market in which consumers market goods and services to each other through the Internet. eBay Zshops at Amazon.com
E-Business E-Commerce
Customer Relationship Management
CRM CRM – focuses on using information about customers to crate strategies that develop and sustain desirable long-term customer relationships.
Customer Relationship Management
CRM Developing long-term customer relationships Building satisfying relationships Provide the best product solution for customers
Legal and Social Issues
Privacy, identity theft, & intellectual property Privacy Consumer tracking via Internet purchases Data gathering via "cookies" Federal Trade Commission (FTC) TRUSTe Better Business Bureau Online
Legal and Social Issues
Privacy, identity theft, & intellectual property Spam – unsolicited commercial . racking via Internet purchases Data gathering via "cookies" Federal Trade Commission (FTC) TRUSTe Better Business Bureau Online
Privacy Laws affecting commerce
Legal and Social Issues
How Spam Volume Has Changed
Legal and Social Issues
Spam Volume by Country
Legal and Social Issues
Privacy, identity theft, & intellectual property Identity Theft – criminals obtain personal information allowing them to impersonate others in order to use their credit to obtain financial accounts and make purchases. 258,427 cases reported in 2007
Legal and Social Issues
Privacy, identity theft, & intellectual property Intellectual Property & Copyrights– protecting rights to property including: Songs Movies Books Software Ideas, creative materials American Society for Industrial Security (ASIS)
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"I stayed home so I could go to all the football work outs. I didn't go to any visits this summer at all. I plan on taking an official visit to West Virginia and possibly Michigan."
Holloway, 5-foot-9 and 160 pounds, talked about those two schools.
"My top colleges are West Virginia and Michigan. West Virginia, I always talk to them, my coaches know the coaching staff at West Virginia real;y good. I get a letter from them almost every day. Michigan, when I first got the offer and I called and always kept in touch with Coach Pryor and Coach Rodriguez."
Holloway, who says he grew up a Miami fan but isn't being recruited by the Canes, claims offers from each of his favorites and a few more.
"I have offers from West Virginia, Michigan, Western Kentucky, and Indiana. I am supposed to have more offers but it takes time to get it through the mail."
Holloway talked about what he's looking for in a school.
"How long a coach is gonna be there, I am looking for a winning program, fans and academics."
The standout receiver, who claims a 2.0 GPA and a 740 SAT score, talked about his goals for this season.
"Winning and going to state. Winning a state championship. Getting over a 1,000 receiving yards, possible over 500 rushing and 3,200 all purpose yards."

subset: commoncrawl


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Get an overview of this hotelBoardwalk Berlin hotel in Charlottenburg-Wilmersdorf, near Kaiser Wilhelm Memorial Church
Located in Charlottenburg-Wilmersdorf, this hotel is 1.4 mi (2.3 km) from Berlin Zoo and within 6 mi (10 km) of Potsdamer Platz and Olympic Stadium. Museum Island and Potsdam's Brandenburg Gate are also within 20 mi (32 km).
Hotel Features
This smoke-free hotel features a rooftop terrace, valet parking, and a meeting room. WiFi in public areas is free. Other amenities include express check-in, express check-out, and tour/ticket assistance.
Room Amenities
All 25 rooms boast deep soaking tubs and offer free WiFi and pillowtop beds. TVs come with satellite channels, and other amenities that guests will find include hair dryers and safes.Information missing or incorrect? Tell us!Opens in a new window
Hotel Amadeus Am Kurfürstendamm
Hotel Amenities
Popular property highlights
Hotel Amenities
Hotel Amadeus Am Kurfürstendamm features a rooftop terrace, tour/ticket assistance, and multilingual staff. Event facilities measuring 30 square feet (3 square meters) include a meeting room. Public areas are equipped with complimentary high-speed wireless Internet access. This Berlin hotel also offers express check-in, express check-out, and a safe deposit box at the front desk. Onsite parking is available (surcharge). A total renovation of this property was completed in March 2012.
Hotel Amadeus Am Kurfürstendamm is a smoke-free property.
- Number of floors - 7
- Number of buildings/towers - 1
- Free WiFi
- Total number of rooms - 25
- Elevator/lift
- Express check-out
- Tours/ticket assistance
- Express check-in
- Rooftop terrace
- Luggage storage
- One meeting room
- Multilingual staff
- Valet parking (surcharge)
- Safe-deposit box at front desk
- Long-term parking (surcharge)
- RV, bus, truck parking (surcharge)
- Conference space size (meters) - 3
- Year Built 1980
- Conference space size (feet) - 30
- Smoke-free property
- Front desk (limited hours)
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Long-term parking (surcharge), Valet parking (surcharge), RV, bus, truck parking (surcharge)
Room Amenities
- Private bathroom
- Free toiletries
- Hair dryer
- Bathtub or shower
- Deep soaking bathtub
- In-room safe
- Television
- Satellite TV service
- Pillowtop mattress
- Rollaway/extra beds (surcharge)
- Free WiFi
Where to Eat
Continental breakfasts are available for a surcharge.
Nearby Things to Do
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
- Bicycle rentals nearby
- Golf lessons available nearby
Hotel Policies
Check-in time starts at 2 PM
Special check-in instructions:
Check-out time is 10 AM
Payment types
You need to know
Extra-person charges may apply and vary depending on property policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- The name on the credit card used at check-in to pay for incidentals must be the primary name on the guestroom reservation.
No cribs (infant beds) available
Additional policies and fees may apply when booking more than 3 rooms. For more details, please contact the office using the information on the reservation confirmation received after booking.
- Deposit: EUR 20 per stay
- A city tax is imposed by the city of Berlin. Business travelers with proof of business-related travel are exempt from this tax. For more details, please contact the property using the information on the reservation confirmation received after booking.
- A 5 percent city/local tax will be charged
Hotel Name
- Amadeus Am
- Amadeus Am Kurfürstendamm
- Amadeus Am Kurfürstendamm Berlin
- Amadeus Am Kurfürstendamm Hotel
- Amadeus Kurfürstendamm
- Hotel Amadeus Am Kurfürstendamm
- Hotel Amadeus Am Kurfürstendamm Berlin
- Hotel Amadeus Kurfürstendamm


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Star Ocean: The Second Story Fantasy Megamix
First Smile Japan
Audio CD
Once bought, this item cannot be cancelled or returned.Get informed when this item is in stock by using our Personal Agent from the right.
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|Original Name
|スターオーシャンセカンドストーリー Fantasy Space Mix
|Video Game Soundtrack
|Catalog No.
|Item Code
track listing1.Field of Nede2.The incarnation of devil3.At the crack of dawn4.Silent the universe5.The Ultimate terror6.The venerable forest7.A feeling of oppression8.STAR OCEAN forever9.The fateful a moment10.Resolution
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I get very hungry when I do not feel well.
I'm not sick.. I'm just in a lot of pain...
My body interprets that as... "You're in pain, have a piece of candy."
Well, Monday it was, "Have a Mini Candy bar!"
Tuesday it was, "Have a protein bar!"
And today, "Have a Herhsey's Almond Kiss!"
I am snacking more than I have in 6 months...
I'm not scared, I am still staying as active as I can, given the way my body feels.
I'm not scared, I am still staying as active as I can, given the way my body feels.
Today, was an easy day... I got up reasonably pain free.. and was able to get to the gym and do a normal workout. Last night, we walked around our towns "National Night Out, Against Crime!" event, and I managed to do my sit ups and aerobics later on.
But, I don't want to get into the habit of... snacking.
It's not really something I need... it's just something my body WANTS...
But, yet tonight... I keep day dreaming about the cupcake for last weekends birthday party...
The one with the Oreo on the inside... The one sitting in the downstairs fridge.
It's a balance.
It's a give and take.
But, my body needs to understand that I don't NEED this thing... I just really WANT it...
And that may mean that I won't have it.... even though it will make me very sad.
It goes to show you that 6 months have gone by... and I still have those tendencies.
The weight is off.. It's gone.. It's not coming back... I won't let it...
My body can fall right back into the... "It won't kill you."
As long as I stay away from the bagels... I think I'll be safe.
What's your guilty pleasure snacks?
When is it hardest for you to resist them?
When is it hardest for you to resist them?


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Oui will helps brands understand what makes them unique and how to communicate their story through systems of expression.
Brand Identity, Brand Guidelines, Messaging Platforms, Branded content, Print Collateral, Social Strategy.
We create award-winning interactive digital solutions by maintaining a constant focus on innovation and the users overall experience.
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A picture is worth a thousand words. Making a genuine impression on today's consumer means telling a compelling story, which is driven by captivating visuals and consistent branded content.
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Professional Services / Non-profit / Public Sectors / Restaurants / Hospitality / Sports.


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Engine was cranking but was not starting?
Sent from my QMobile Z10 using PW Forums mobile app
yep, but after remove negative terminal its start
Yes, but why i am facing this issue?
Injector ko supply nahi arahi shayed current ki so they cannot inject fuel to start the car...maybe...jab aap dobara lagatay ho terminal tou aik dum se current jata hai...its a wild guess... Go to Babar Ecotec in line of Diamond Super mart..he is very technical
Ye Shahid ka case nahi hai @khurribaba[emoji14]
Cost of both bumper repaint, sideskirt repair and repaint, some qalam work on scratches and rubbing Polish was 8.5k.Ikraam took two days to repair. His shop is opposite to Shahid's shop.
@abid110Does Babar have the equipment to test fuel pump pressure and will he be able to test injectors to diagnose any issues with them ?Second Question. Can I replace the fuel filter alone or fuel pump also has to be changed if any issue with filter ?
And how much did ikram charged? I had my car's dash covered with a material and its 2nd year and its all right - costed me just 1200 rupees
He must have..i have seen lots of lianas with him..he has scanners..
If you live near fb area, lets meet up..
Check light blinking and engine cranking but not starting up is caused due to immobilizer. The immobilizer is not getting proper signal from your key to let the engine start.
Any good touch screen player for liana? That fits in without any alteration?
Technically i am correct too cuz immobilizer is reaponsible to give first signal to injectors to FIRE!
Blinking check engine light is always linked with immobilizer. Anything other will keep the check engine light stay on without blinking
That is normal. High RPM on a dead battery is because of alternator working extra hard at higher RPMs desperately trying to charge the battery. If your car stalls on CNG than that is a totally different problem. If you take my advice then get rid of this laanat named CNG once and for all and enjoy your car on petrol because that's what its engine has originally been designed to run on.
Beautiful car masha Allah. Take good care of it and it will serve you for a long time.
Check the fuel pressure. If it's towards the low end of normal range then you have a dirty fuel filter that's restricting fuel flow to the engine. That can also tremendously affect top speed and engine performance.
I am getting cold air on passenger side both vents and on driver side a little bit less cold air.Like normal air with room cooler cooling.Any one with any idea what is the possibility.Before it was working great i was getting cold air on both sides.
Will surely do that. Can I replace only fuel filter or Fuel pump has also to changed compulsorily ?
If fuel pressure returns back to the higher normal range after replacing the filter then fuel pump is OK. Otherwise you can change the whole assembly. Normally fuel pump doesn't go out unless someone really abuses the car by driving it around on a nearly empty fuel tank.
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How do we convince large organizations to offer their employees commuter benefits?
For business decision makers, quantified and articulated the bottom-line value of offering better commuter benefits to employees. Benefits included:
Developed tailored content and messaging targeting various audiences for use in direct mail, email, and website
All design elements and messaging leveraged lessons from social psychology, behavioral economics, and the science of human decision making, including…


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The Boss
01-29-2011, 08:50
A 311 lb Tim the maniac Sylvia looked less then impressive in last nights match up against Abe Wagner in the great state of Kansas. Tim caught a right pretty quick and stammered backwards across the cage trying to slap the punches away from his face until he got caught again and landed face first on the mat. I will admit it was a premature stoppage, but honestly I'm just glad it ended quick unlike many of his old time borefeasts frm years gone by.


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Kramer Introduces the MV-6 3G HD-SDI Multiviewer
Displays up to six inputs in any combination and outputs the image in SDI, HDMI and CV formats.
Kramer Electronics is pleased to introduce the MV-6, a versatile, high�'performance multiviewer for 3G HD�'SDI video signals. The device can display up to six inputs in any combination, and output the image in multiple formats supporting either pre�'programmed or customizable screen divisions.
The MV-6 features Kramer's re�'Klocking™ and equalization technology on each input, which rebuilds the digital signal so that it can travel longer distances. In addition to being HDTV compatible, the multiviewer has a maximum input data rate of 3Gbps.
The device supports standard definition, high definition, and 3G high definition serial digital video signals (SD/HD-SDI/3G HD-SDI). Specifically, the MV-6 is compatible with SMPTE 259M, 292M, and 424M signals and supports data rates of 270Mbps, 1483.5Mbps, 1485Mbps, 2967Mbps, and 2970Mbp. Furthermore, each input also has a corresponding looping output. On the output side, the MV-6 supports SDI (259M), HD-SDI (292M), and 3G HD-SDI (SMPTE 424M) serial digital signals, and has an HDMI and composite video output as well.
The MV-6 is housed in a standard 19" 2U rack-mountable enclosure with rack "ears" included. The flexible control options featured are via IR remote and Ethernet & RS�'232 (supplied with PC control software). The two�'row 4.3" color LCD preview screen (16:9) displays the output signal on the front panel. The front panel also features buttons to freeze, resize, and position the picture; in addition to, four pre�'programmed and two user�'definable screen handling buttons making the unit easy to monitor and control.
The MV-6 multiviewer is the ideal device for use in professional broadcasting, production studios, rental & staging, and presentation applications.
The MV-6 is available and in stock from Kramer Electronics sales companies around the world. This device has a list price of $5,395.00. Complete product information can be found at www.kramerus.com.
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Comelit - VIP Kit With Planux Monitor With WIFI/3G/4G Remote APP - 8512IM
The kit allows use of the video entry phone system via a door entry monitor as well as tablets and smartphones on the Wi-Fi network, or remotely on 3G (or higher) networks. The gateway in the pack allows connection of other devices (Comelit VIP door entry monitors or PCs) besides the door entry monitor supplied. In all cases, the gateway should be connected to an ASDL router or another device guaranteeing local Wi-Fi and mobile 3G connectivity. Depending on bandwidth limitations, the gateway can serve up to 15 appliances (including door entry monitors, smartphones, tablets and PCs) with 4 simultaneous door entry monitor streams. It also allows "intercom" communication between all of the 16 devices served. For mobile devices, whenever both modes are available and enabled, the app automatically switches. .


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A few weeks ago, I chopped up a pile of feverfew, and now have it brewing in vodka to eventually use as a tincture for stress and headache. Tonight, with fresh beans from the garden, I added some fronds of our dill. We've had basil, oregano, and marjoram on pizza, parsley and dill in a yummy orso salad (from Quick Vegetarian Pleasures by Jeanne Lemlin), and gorgeous mint infused into iced tea. The sage I am looking forward to infusing in some local honey.
I'm having fun figuring out all the different ways I can make use of the herbs from our garden, and am already considering additions for next year's garden!


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De Laurell and Kruse score twice in 8-3 win at AIC
Dec. 2, 2011
SPRINGFIELD, Mass. - Kyle De Laurell and John Kruse each scored two goals as Air Force beat AIC, 8-3, in an Atlantic Hockey Association game Friday, Dec. 2, at the Olympia Ice Center in Springfield, Mass. Air Force improved to 8-4-2 overall and in first place with a 7-2-1 AHA record. AIC fell to 3-11-2 overall and 2-6-2 in the league.
Air Force scored four goals in the first period for a 4-0 lead. The teams traded scoring chances in the first seven minutes as the shots were deadlocked at six each. Air Force opened the scoring at the 8:41 mark when Kyle De Laurell scored his ninth of the year from Scott Mathis. The junior extended his scoring streak to five games with a wrister from the left circle. AFA then scored three goals in a span of three minutes later in the first period. Sophomore George Michalke III gave the Falcons a 2-0 lead at the 16:26 mark. After the Falcons won a faceoff in the offensive zone, Michalke put back a rebound right in front for his second of the season. Linemates Casey Kleisinger and Tony Thomas assisted on the goal. Freshman Scott Holm scored his first career goal with 51 seconds left in the period. Mitch Torrel won a stick battle in the corner in his own end and started the rush. Holm's shot went off of goaltender Ryan Kerpan as Adam McKenzie and Jason Fabian assisted on the play. AFA took a 4-0 lead with 31 seconds left. After the Falcons won a faceoff in the offensive zone, Paul Weisgarber centered to Cole Gunner in front and the freshman netted his fourth of the season.
The Falcons scored two goals in the first three minutes of the second period. Off of the opening faceoff, De Laurell scored his second of the game nine seconds into the period. Chad Demers and Scott Mathis assisted as the Falcons took a 5-0 lead. Three minutes later, AFA took a 6-0 lead on Paul Weisgarber's first of the season. Adam McKenzie took a shot from the point and Weisgarber tipped it in at 3:34. AIC got on the board at 4:31 when Nielsson Arcibal skated down the right side and fired a wrister from the bottom of the circle. The Falcons answered at the 9:25 mark as John Kruse took a great pass from behind the net by De Laurell for a 7-1 lead. Mike Walsh also assisted on the play. The Yellow Jackets cut the deficit to 7-2 with 1:45 left in the second period. On a delayed penalty, Adam Pleskach stuffed one in after a scramble in front.
Kruse scored his second of the game at the 14:45 mark of the third period on a flurry in front of the Yellow Jacket net. De Laurell and Demers assisted on the goal. With five minutes left in the game, Jon Puskar scored from Chris Markiewicz and Michael Penny to make up the final margin. Air Force outshot AIC, 37-28, in the game. The Falcons were 0-for-4 on the power play while AIC was 0-for-1. Stephen Caple earned his eighth win of the season as he stopped 19 of 21 shots he faced. Freshman Paul Moberg saw action in just his second career game, playing the final 14 minutes and making six saves while allowing a goal.
"It was very important for us to get a lead in the game so that we could play our style," head coach Frank Serratore said. "It appears to be coming together for us and everyone is embracing, and feeling comfortable with, their roles. We need to play the same way whether the game is tied, we are up by five or down by five. We just kept coming at them all night and we answered their first two goals with a goal of our own. We need to keep our guard up tomorrow night."
The Falcons and Yellow Jackets conclude the two-game series Saturday, Dec. 3, at 7:05 p.m. ET at the Olympia Ice Center in Springfield, Mass.
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The theory of Appraisal framework was developed by Jim Martin, Peter White and their other associates and is useful in interpreting and analyzing any text while critically choosing those lexical choices which are related to our emotions, our behavior and appreciating things. The present work is about how interpersonal can be evaluated in language Systemic Functional Linguistics identifies three modes of meaning making resources in language. This means that all utterances realize three metafunctins of a language i.e. the ideational, the interpersonal and the textual. Appraisal can be traced within interpersonal metafunction. Appraisal has three domains in it; attitude, engagement and graduation Appraisal is concerned with evaluation and it is probably most closely related to the concept of stance as developed by Biber and his colleagues in their corpus based quantitative studies Appraisal framework can be a very powerful tool for negotiating social relations. In the present work Appraisal as a discourse semantics system has been proposed along with its subsystems.


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The Lunar Chronicles series
13 works, 4 primary works
Each book entails a new take on an old fairy tale, including Cinderella, Little Red Riding Hood, Rapunzel and Snow White. The story takes place in a futuristic world where humans, cyborgs, and androids all coexist.
Other Series by Marissa Meyer
Wires and Nerve (2 books) The Lunar Chronicles Split-Volume Edition (4 books)


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Kids & Cash: LessonsTeaching our kids money skills is more important than teaching them to say thank you and you should start when they are sitting in the shopping cart.
Credit: Debit Or Credit?When you go to pay for something do you hand the cashier your credit card or your debit card?
Credit: Too Much Of A Good ThingA cashless society is closer than you think. Cashiers can't make change.
Credit: Your Credit ScoreCredit scores are a quick and easy method for a creditor to judge you as a potential customer.
Credit: Credit ReportsWhen was the last time you checked your credit report?
Credit: Your Credit CardWe certainly do like our credit cards! Unfortunately, according to one financial website the average credit card debt for Massachusetts residents last year was $5,700.
The Millionaire Club: Sixty-SomethingRetirement is so close but you have not saved enough and you know unless you win the lottery there will never be a million dollars in your bank account. What are you going to do?
The Millionaire Club: Fifty-SomethingsIf you just celebrated your 50th birthday you don't qualify as a Baby Boomer you belong in the Generation X demographic.
The Millionaire Club: Forty-SomethingForty-Somethings have been hearing about retirement and they do know it is approaching like a speeding train but some have been too busy to plan and many thought they still had lots of time.
The Millionaire Club: Thirty-SomethingSo how does a thirty-year-old become a millionaire? With some discipline!
The Millionaire Club: Twenty-SomethingWe are going to spend the week figuring out how to have a $1 million saved by the time you retire. And we'll do it by decades.
Baby Boomers: The Pot Holes In Retirement PlanningThis is not about those potholes that send us to get our tires realigned! These are all about the misalignments in retirement planning.


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Discussion in 'Army Reserve' started by Jagythistle, May 25, 2007.
The heart of the site is the forum area, including:
apols if posted elsewhere
Good news.
Welcome home
is that all they sent only seven? i thought the jocks would be queueing round the block to go and earn some money
Welcome back Guys.
I wonder if Shrek, lost any weight this time.
He didn't go. May I take this opp to say well done lads! Good Job!
Welcome home lads,glad to see your all safe & well.
and ...they were replaced by?....oh!, some more soliders.....
I think you are thinking of a different Shrek. Shrek from 7 RRS Assault Pioneers definatley went.
Tartan, welcome back mate. Hows the dressing gown
& is the Gimpy missing you?
Cheers guys...think more press should go to the poor buggers in the battle groups that were in the city rather than the media guff on us!
(Not that I am saying the Jocks did not do a grand job!)
All the best Guys...I will miss you all have a good leave you have earned it.
welcome home
cold beer, and another, and another.......
GOC what are you trying to say here?
Well done to the Jocks for a job well done and safe home-coming
Well done Lads...Bloody good show!
Welcome home guys. Tartan i think a welcome home drink could be in order!
Separate names with a comma.


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New 'Alien: Covenant' Images Tease Grotesque-Looking Neomorphs (Photos)
Film starring Michael Fassbender, Katherine Waterston and Danny McBride hits theaters next month
Film starring Michael Fassbender, Katherine Waterston and Danny McBride hits theaters next month
TheWrap Summer Movie Preview 2017: "Guardians of the Galaxy Vol. 2," "Despicable Me 3" and "Atomic Blonde" are also among season's big releases
Ridley Scott's horror opens May 19, 2017
CinemaCon 2017: Ridley Scott unveils a spoiler-heavy sneak peek of his next "Alien" installment
TheWrap movie critic Inkoo Kang reassesses the director's 23-year career, from "Reservoir Dogs" to "The Hateful Eight"
It's clear humans aren't welcome
Beautiful but empty tone poem/love triangle that shows a great filmmaker in a mythopoetic rut
SXSW: Gorgeous opening night film sees several stars get the famous Malick chop
Popcorn movies, headsets abound as Hollywood invades Austin
Horror starring Katherine Waterston and Danny McBride arrives in theaters May 19
Ridley Scott's sci-fi sequel hits in theaters May 19
Ridley Scott's sci-fi sequel hits in theaters May 19
The new trailer lands tomorrow
Ridley Scott's film stars Michael Fassbender, Katherine Waterston and Danny McBride
How does the critically beloved miniature Caped Crusader fare in our rankings?
SXSW 2017: Female action flicks, Bill Nye and Muppet documentaries light up festival program
Joseph Nobile claims M.L. Stedman novel that the film was based on and its screenplay plagiarized his work
What has become of Amy Pascal, Michael Lynton, Mike de Luca and Tom Rothman since the November 2014 Sony cyberattack?
New film, set in Austin, will have its world premiere on March 10
"Alien: Covenant" is set to hit theaters May 19, 2017
Ridley Scott is directing sequel to "Prometheus"
Image may reveal the other Michael Fassbender robot
Bryan Cranston's "Why Him?" was the only wide-release newcomer on Thursday with $975,000 in previews
Illumination Entertainment's newest animated film earns $1.71 million at preview screenings
Poor reviews of this adaptation show Hollywood still hasn't figured out how to break the video game curse
The star power attached to the Fox video game film should help attract non-gamer crowds to U.S. theaters
"Rogue One" likely to stay put at No. 1 in second week
Reteaming with his "Macbeth" co-star (Marion Cotillard) and director, Fassbender's latest tries and fails to break the game-to-film curse
All aboard the "Crazy Train"
Fans should brace for a much scarier "Alien" installment, according to director Ridley Scott


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Grantland.com columnist Bill Simmons developed the phrase "The Tyson Zone" a while back with the help from one of his readers.
A reader emailed Simmons to talk about Ron Artest and the reader said that Artest had entered a certain zone among people who "if a friend said, 'Did you hear about (fill in a celebrity's name) just (fill in the insane behavior: urinated on a police officer, began breeding unicorns, etc.)?' I would have no problem believing it was true."
Simmons named it "The Tyson Zone" in honor of all of the bizarre things Mike Tyson has done over the years. Well, Tyson was at it again on Wednesday, getting in the zone during halftime of the Knicks-Kings game.
MSG's Jill Martin tracked down the former heavyweight champ for a quick interview, and the result was, well, awesome.
Among the discussion points were Tyson's frivolous spending habits, his infamous bite of Evander Holyfield's ear ("That ear thing was pretty heavy") and his pigeons. Seriously.
Check it out below, but be warned, there is one naughty word (as well as a hilarious reaction from Tyson) around the 29-second mark.
Can we just save ourselves the trouble and call this photo from The Birmingham News the best of 2012?
"That's embarrassing. It's very classless. It could have been a dangerous situation."
–Bruins forward Brad Marchand on Canadiens fans at Bell Centre cheering after Zdeno Chara was hit in the face with a puck.
Dude. That's not a good pass.
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The weather's been a bit chilly lately. But that doesn't mean you can't wear summer dresses. Pair them up with some lightweight scarves and boots for a simple chic look. Or wear a skirt and casual tee with a long coat and boots to look stylish, comfy and warm.
coat: f21, top: fashion store, skirt: volcom, boots: qupid


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There is always something totally new concerning celebrities. It might be pure news or actually true nevertheless the fun is in not being able to notify the two apart so you maintain guessing. But some sources are usually entirely reliable for example a few television stations and online sites.
Celebrity Pictures That People Are Talking AboutPosted by gvalentine67 145 days ago (http://www.kiwibox.com)
Who Voted for this Story
Pixador is a PR 4 DoFollow Social Bookmarking Site
High PR Social Bookmarking Sites List 2015
- TechyTape.com
- www.UsefulEnglish.net
- www.AixinDashi.org
- Jofrati.net
- London8.net
- GardiCanin.net
- BookmarkingCentral.com
- Cosap.org


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How does a startup go from 0 to 10 million users in a month? Facebook's open graph.
Adam Rifkin stashed this in Growth Hacks!
Stashed in:
To save this post, select a stash from drop-down menu or type in a new one:
Nabeel Hyatt writes:
Why is it that Viddy, Socialcam, Pinterest, and others have suddenly accelerated their growth in such a short timeframe? The surface answer is, of course, the integration with Facebook's open graph.
This is how Pinterest got 10 million users in a year, and how Viddy, Socialcam, and Chill have gotten 10 million users in a month:
The fourth wave, which has just begun it seems, is Facebook open graph for rapid adoption, propelling to the top of the Apple App Store to spread to the mainstream, combined with dozens of nuanced product decisions that are in weekly flux right now. While this phase will eventually subside, Facebook is more than just playing around. If you doubted tthe seriousness of its role in growth on mobile, it topped off its recent moves by launching its own app store, with even more to come. They will be swinging heavy.
I wonder how much loyalty people have to applications that grow that quickly.
One thing is for sure: The Rules of Facebook Open Graph are ever-changing.
Read more about Chill's amazing growth in user numbers.
And Socialcam.
Beware using Facebook Social Readers to grow your application.
One day Facebook will wipe out that channel entirely: http://pandawhale.com/convo/1733/facebook-social-reader-apps-are-dying-cjc


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Back in November 2016 we posted about some major management changes at Richemont, with the retirements of CEO Richard Lepen, CFO Gary Saage, and eight Board members, the abolishing of the CEO position, and a new structure in which the… Read More ›
Industry news
BREAKING NEWS : CEO Aldo Magada to leave Zenith
In breaking news, CEO Aldo Magada is leaving his Zenith, with Jean-Claude Biver taking over the temporary helm. The press release is below. Horologium met Mr Magada during Baselworld 2016. To read our interview, click here.
NEWS : TAG Heuer China expansion
Against the backdrop of what has been another challenging year for the watch industry, not only are TAG Heuer's sales are up but they have had a 10 per cent increase in revenue and are looking to expand further in… Read More ›
NEWS : Global personal luxury goods market steady but Chinese shoppers' share of global luxury purchases drops
Bain & Company's annual global luxury study, released in collaboration with the Italian luxury goods manufacturers' industry foundation Fondziona Altagamma, has found that the global luxury market is growing at 4% to an estimated 1.08 trillion EUR in 2016. China… Read More ›
NEWS : Richemont announces consolidated results for six months to 30 September 2016 and major management changes
On 5 November 2016 the Richemont Group announced their most recent six month results, which were significantly below the same period last year, reflecting the difficult period that the watch industry is still under. Most markets reported a downturn, and… Read More ›
NEWS UPDATE : Swatch Group 2016 first half profit lowest in seven years
Further to a post from a few days ago, the Swatch Group has reported its lowest first-half profit in seven years as demand cratered in Hong Kong, France and Switzerland. The operating profit for the first half of the… Read More ›
NEWS : Swatch Group's profit for first half of 2016 down by 60 percent
In an early warning ahead of the Swatch Group's announcement of its half yearly results, President Nick Hayek has announced that the Group's profits dropped by 60 percent for the first six months of 2016. The drop is mostly due… Read More ›
NEWS : Swatch/ ETA seeking increase in mechanical movement deliveries
The downturn in the Swiss watch industry has lead to a rather interesting situation. Swatch Group SA have announced that the Swiss Competition Commission Weko are reviewing at whether there's room to manouver within the 2013 agreement made between the… Read More ›
NEWS : FTC vs Shinola
During his recent visit to the U.K. President Barack Obama gave British Prime Minister David Cameron an American gift : a Shinola watch with the presidential seal engraved on the back. When the Shinola brand of watches was launched in… Read More ›
NEWS : Citizen Watch Co. Ltd acquires Frederique Constant Holdings SA
Citizen Watch Co. Ltd has just announced that they have entered into an agreement for the acquisition of the Frederique Constant Holding SA as part of Citizen's plan to strengthen its brand portfolio of "accessible luxury watches". Frederique Constant Holdings… Read More ›


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Category: Pop Culture
12 Concept Cars That Should Have (But Never) Became a Reality
Top Grade CarsMar 07, 2017
The concept car is the purest dream of an automotive designer. It's a car that doesn't obey the practicalities and regulations that often sully many a finished...
Check Out These Super Car Limos
Top Grade CarsJan 25, 2017
I mean, who wouldn't want to show up in one of these?
Ferraris That Aren't Insanely Expensive
Top Grade CarsJan 17, 2017
There's really no such thing as a "cheap" Ferrari. At best, you might call some of them "less expensive." Still, it's a shame that for true prancing-horse...
10 Toyota Models Many Believe Are The Best Ever. Do You Agree?
Top Grade CarsDec 19, 2016
When you shop for a car, you want one that is reliable and that you like looking at. Toyota has many models that get top ranks, but these are the best of the best, as...
10 James Bond Cars That Memorable!
Top Grade CarsDec 10, 2016
He is known as Bond...James Bond. But besides, the glitz and glamour and the women that James Bond loves on screen, one of the favorites are his cars. Here's our Top 10...
21 Of The World's Worst Cars On The Road
Top Grade CarsDec 01, 2016
Don't take our word for it, just look in any junkyard to see these masterpieces of drunken engineering. If these piles didn't blow up or disintegrate on the way to your...
Check Out These Incredible Super Car Cutaways
Top Grade CarsNov 23, 2016
It used to be that when you'd pick up the brochure for a car, you'd get a glorious cutaway of all the mechanical inner bits. Most exciting, of course, were the...
Cars That Deserve A Remake
Top Grade CarsOct 28, 2016
Like modern movies, it's now popular to remake a classic. The Camaro, Challenger and Charger all came back from the dead. Here are a few more cars we feel deserve a...
Best Car Detailing Tips
Top Grade CarsSep 20, 2016
With car detailing, you have to go over and beyond soaping up your car and hosing it off like you do every other day. A car detailing requires that you pay special...
7 Cars That Looked Better in the 90s
Top Grade CarsAug 30, 2016
Cars, in general, are getting better looking. Even your run of the mill mom-mobile can be beautifully styled. However, there are a few instances where cars just looked...


text: Roamio updated two days ago. Now Roamio does not list my pc in Now Showing, but Tivo Deskotp does see the Roamio. I've switched the network settings in Tivo Desktop back and forth between Tivo Beacon and Bonjour, I've restarted the pc and the Roamio - I've checked to make sure the correct folder is published for videos - no luck. The Roamio IS on the network (it's wired ethernet and it can connect to Tivo Central). Any thoughts before I call cs? Thanks much.


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Forgiveness What does forgive mean? It has several definitions: 1. to stop being angry about or resenting somebody or somebody's behavior 2. to excuse somebody for a mistake, misunderstanding, wrongdoing, or inappropriate behavior 3. to cancel an obligation such as a debt
Forgiveness Forgiveness means: 1. the act of pardoning somebody for a mistake or wrongdoing 2. the tendency to forgive offenses readily and easily In a quick examination do you possess these? Are you able to forgive? Is forgiveness part of your character?
Forgiveness If we are going to understand forgiveness we might begin with the forgiveness offered by God. O Psalm 130 – the psalmist speaks of the forgiveness offered by God
Forgiveness The psalmist rightly points out that no one could stand without God's forgiveness. O Lev. 4-6; Num. 14-15 O Psalm 78:34-39 – the psalmist sings of God's forgiveness This forgiveness is only possible by God because only God could see forward to the perfect sacrifice of Jesus.
Forgiveness So as we realize that God alone can forgive sins we learn how we might have the forgiveness of our sins. O Heb. 9:23-28 – Jesus offered Himself once for all sins O Rom. 6:3-7 – we are baptized into His death O Acts 2:38 – repent and be baptized for the forgiveness of sins
Forgiveness After baptism: O Acts 8:22 – repent and pray for forgiveness O 1 John 1:9 – He is faithful and just to forgive O Heb. 8:12 – He will remember them no more
Forgiveness We can see the characteristics of forgive and forgiveness, as defined by man, in God. Where do we go to learn forgiveness? We go to God.
Forgiveness Can we forgive? Do we have forgiveness in our hearts? As Christians we must possess these.
Forgiveness O Matt. 18:21-35 – Jesus teaches a basic principle of forgiveness O Luke 17:3-4 – Jesus teaches a basic principle of forgiveness O Eph. 4:32 – Paul teaches a basic principle of forgiveness As we look at each of these principles do we apply them as necessary?
Forgiveness The first principle is one of readiness to forgive. O Matt. 18:21-35 – forgiveness should be abundant and readily given, forgiveness must be from the heart O 2 Tim. 4:16 – Paul had forgiveness in his heart – Acts 7:60 O Gen. 50:15-21 – Joseph is an example of this principle
Forgiveness The second principle involves order. O Luke 17:3-4 – rebuke, if he repents forgive O Matt. 18:15-17 – go to him, if he hears you have gained O Eph. 4:26 – anger must not lead to sin – wrath and hatred O Rom. 12:19-21 – we must remember that God will avenge all things
Forgiveness The third principle is forgiving as we have been forgiven. O Eph. 4:32 – tender hearted and forgiving O Mark 11:25-26 – forgive for forgiveness O Col. 3:12-13 – just as we have forgiveness we must forgive O Matt. 6:12 – Jesus teaches this in our prayers O Luke 24:34 – Jesus demonstrates this
Forgiveness Forgiveness can be difficult. We can say "I forgive you" and still hold a grudge. Is that forgiveness? We can refuse to forgive when asked. We must seek forgiveness and be ready to forgive.
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Posted April 14, 2011 by Global Vito in Enuff Updates
Summer Jam 2011
Hey Just a note to my friends…I do not have Summer Jam Tickets. Listen to Hot97 for your chance to get tickets. If your down with the click? You can get tickets now on Hot97.com Angie doesn't have tickets, Drewski does not have tickets. If your not down with the click then April 16th you can purchase tickets to Summer Jam 2011 The Biggest and Hottest ticket on the Planet. New Meadowlands Arena Sunday June 5th 2011. See Ya There


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Sleep Medicine on the Fly- What Every Physician Should Know \Integration of Psychiatry into Primary Health Care Conference- January 2014 Raed Hawa MD, FRCP, DABSM, DABPN Deputy Psychiatrist in Chief- UHN Associate Professor Department of Psychiatry, University of Toronto Diplomate American Board of Psychiatry and Neurology Diplomate American Board of Sleep Medicine Specialty Certification in Psychosomatic Medicine Specialty Certification in Sleep Medicine 1
Disclosure: Dr. Raed Hawa
Advisory board, speakers' bureaus, grant, financial or research support No conflict of interest and no financial interest or other affiliation to declare
A Road Map? At the end of today's session participants are expected to: 1. improve their knowledge of sleep medicine as it pertains to their practice 2. become aware of the options that are available to treat these sleep disorders 3. appreciate the complexity and co-morbidity between psychiatric disorders and sleep disorders *It is all about how it applies to your practice*
Why should physicians be interested in sleep disorders?
Sleep/tiredness/sleepiness complaints Insomnia is often an early presentation of a psychiatric or medical illness Many sleep disorders may mimic psychiatric illnesses ( sleep apnea and depression) Medications affect sleep Our patient population can benefit from basic sleep hygiene practices
QUESTION What is Philagrypnia?
Clinical Vingette David, a 48 yo married male, a banker, and a father of 2 ages 14 and 16. Long history of recurrent major depressive episodes with multiple trials of SSRIs, SNRIs and Bupropion Currently of Venlafaxine XR 225mg/day Current complaints of increased irritability and missing work that he attributes to poor sleep What might be the causes for David's insomnia? Primary sleep disorder Residual depression Medication related ? Poor sleep hygiene Alcohol/caffeine intake Something else
Tools to help us
SLEEP Awake – low voltage – random, fast
Drowsy – 8 to 12 cps – alpha waves N1-Stage 1 – 3 to 7 cps – theta waves N2-Stage 2 – 12 to 14 cps – sleep spindles and K complexes N3 -Delta Sleep – 1 1/4 to 2 cps – delta waves > 75 mV R-REM Sleep – low voltage – random fast with sawtooth waves
Normal Sleep Histogram
REM W N1 N2 N3 1 - light sleep, 5-10% of total sleep time, transition between awake and asleep % of total sleep time 3,4 - deep or delta wave sleep, occurs mostly early in the night REM sleep, 20-25% of sleep All 4 stages repeat in ultradian rhythm of about 90 minutes 1 2 3 4 5 6 7 Hours of Recording
Is it a primary sleep disorder?
Obstructive sleep apnea (4-8%) Restless leg syndrome (2-15%) Insomnia (10-30%) Parasomnia ( 5-10% ) EDS ( <5% )
OSAS Cessation of breathing lasting at least 10 seconds with desaturations and arousals. Some of the signs and symptoms: Snoring, gasping for air, stopping breathing at night, memory complaints, irritability, depression, morning headaches, sexual problems, restless sleep, and sedation or tiredness during the day.
OSAS Why treat? High blood pressure
Heart problems- 8 to 10 times more likely to have heart attacks or strokes More health care money- 2.5 times more likely to visit a doctor More likely to die in their sleep- 2.5 times more likely Poor quality of life and 3 times more likely to be involved in car accidents
OSAS Rx Didgeridoo!! Weight loss/ Bariatric Surgery EPAP
Surgery/ Pillar procedure/ Maxillofacial Dental Device CPAP – gold standard
If (s)he snores suspect apnea
STOP BANG questionnaire
S do you Snore T do you feel Tired, fatigued or sleepy O have you been Observed to stop breathing P high blood Pressure B BMI >35 A Age >50 N Neck circumference >40 G Gender: Male Anesthesiology 2008; 108:
Does the patient have apnea?
Her BMI is 22. She is on methadone for prior heroin abuse. She denies sleep difficulties but has been complaining of sleepiness. What would be your clinical concern?
What About This?
Restless leg syndrome First described by Willis in 1672
Diagnostic Criteria ( strictly clinical ): Desire to move limbs ( creepy crawly sensation, itchy and aching feeling, crampy and painful ) with Motor restlessness Worse at rest Temporary relief by activity Worse at night International RLS Study Group 2006
Periodic limb movements
PLMS: Diagnosis is based on PSG findings. PLMD: PLMS plus sleep dysfunction. 80% of RLS patients have PLMS Asymptomatic PLMS does not require treatment.
RLS Rule out: Iron deficiency, Uremia, RA, Peripheral neuropathy, Diabetes, Pregnancy, Spinal cord lesion, Medications. "The Mimics" Akathisia ( drug induced or positional ), peripheral neuropathy, nocturnal leg cramps, sleep starts, anxiety, and psychosis.
Pathophysiology RLS SPECT/PET Reduction of caudate and putamen D2 receptor binding Brain Iron Transport CSF ferritin low- abnormal iron transport fMRI Decreased thalamic blood flow during RLS symptoms
Treatment RLS Dopamine Agonists Ropinirole-- 0.25 to 3 mg (D2 agonist)
Pramipexole to 1.5 mg (D2 and D3 agonist) Cabergoline-- 1 to 4 mg Pergolide to 0.75 mg Bromocriptine– 5 to 20 mg Ldopa-carbodopa– 25 to 400 mg
Treatment RLS Opioids: Benzodiazepines: Other treatments:
Codeine( mg),Oxycodone( mg), Methadone ( mg) Benzodiazepines: Clonazepam (0.5-2 mg), Temazepam (15-30mg) Other treatments: Gabapentin, Carbamazepine, Clonidine, Baclofen, B12, Folate
If your patient has RLS/PLMD?
R/O other causes Check ferritin levels If less than 50 – treat with Fe Add vitamin C If no help, try medications
B. Wayne Blount, MD, MPH Professor, Emory S.O.M.
insomnia B. Wayne Blount, MD, MPH Professor, Emory S.O.M.
Insomnia- Scope of the Problem
Prevalence: 30% of general population have complaints of sleep disruption and 10% have associated functional impairment Almost all major mental illness is associated with "some" sleep complaint Insomnia can be the presenting complaint for anxiety, depression or a sign of abuse potential Many medical problems can have sleep complaints as part of the presentation Bidirectional model between depression and insomnia, between anxiety and insomnia
Insomnia- Definitions
Global dissatisfaction with sleep and one of: 1.Difficulty initiating sleep 2. Difficulty maintaining sleep 3. Early morning awakening With distress or impairment 3 nights/week for 3 months 3 months Despite adequate opportunity for sleep Episodic, persistent or recurrent Transient- do not seek medical attention- usually related to stress/minor event/change in environment Short term and chronic- seek medical attention Primary include idiopathic or sleep state misperception or fatal familial insomnia Secondary- related to psych or medical rpoblems/ meds/circadian problems
Pathophysiology of Insomnia
Disorder of hyperarousal - hypervigilance during day with difficulty initiating/maintaining sleep during the night Cognitive model Physiologic model Neuroendocrine model Increased autonomic activity in sleep ( HR, MR, BP,Temperature ,NE secretion, HPA activation) Increased beta/gamma and decreased delta EEG activity Increased brain glucose metabolism Sleep Med Rev (1):9-15 Spielman – behavioural model predisposing factors( heightened arousals, family hx, prior hx,) external factors (stress), produce insomnia perpetuated by maladaptive coping strategies Morin- cognitive model ruminative thoughts around bedtime is the central component; cognitive arousal leads to physiological arousal, with time and repetition there is pairing between temporal and environmental cues and sleeplessness. Physiologic model- RAS interacting with hypothalamus ( anterior) and thalamus. Increased body temp near sleep onset Increased HR during sleep, decreased heart period variability during sleep; increased whole body metabolic rate during sleep in INSOMNIACS Elevated beta activity during NREM in insomnia- this is even more substantiated in insomnia plus depression where there is even more beta activity and metabolic activity in the orbitofrontal cortex ( decreased activity in the dorsolateral prefrontal cortex during wake ) Increased cortisol and ACTH before and during the first half of sleep
Why care about insomnia?
Insomnia prevalence increases with greater medical comorbidity There is increased prevalence of medical disorders in those with insomnia Insomnia with objective short sleep duration is associated with high risk for hypertension Insomnia with objective short sleep duration is associated with high risk for type 2 diabetes Insomnia with objective short sleep duration is associated with neuropsychological deficits Sleep 2009;32: Sleep 2010;33: Sleep 2007;30920:
Treatment Options I. Behavioural and Cognitive therapies
II. Prescription medications
Behavioural and Cognitive Therapies Standards of Practice
Stimulus control Relaxation therapy Cognitive behavioural therapy CBT-I Sleep restriction Sleep hygiene Sleep 2006;29: Stimulus control: conditioning between sleep environment and sleepiness HOW- go o bed only when feeling sleepy; in no sleep in minutes then leave bed and bedroom; use bed for sleep; no naps and no snoozes. Bed restriction- increase sleep drive HOW? Strict bedtimes and rising time limited to hours of sleep reported in one night; increase time in bed by advancing bedtime by minutes when efficiency is at least 85%; keep wakeup time fixed; if efficiency is still less than 85% after 10 days, delay bedtime by minutes Sleep hygiene- limit caffeine, alcohol, stimulants; no naps, no clock watching and exercise regularly Relaxation- guided imagery and jacobson's progressive muscle relaxation Cognitive restructuring- overall overestimation/fear/ apprehension
Clinical Practice Point
Most behavioural treatments studied are six one-hour sessions by trained therapists There are a few basic principles that can be utilized in your practice Establish a rapport with your patient, listen, instill hope and follow-up Rely on principle of conditioning and good sleep hygiene practices Self monitoring , treatment rationale, and homework
Psychological & Behavioural Treatments For Chronic Insomnia
Standard therapies (Level 1 Evidence) Guideline therapies (Level 2 or 3 Evidence) Psychological / behavioural interventions Stimulus control therapy Relaxation training Cognitive behaviour therapy ± relaxation Sleep restriction Multicomponent* Paradoxical intention Biofeedback KEY MESSAGE: Several types of psychological and behavioural interventions have been shown to be effective for chronic insomnia; the recommendations outlined here may be applied to patients with MDD. For chronic insomnia, CBTi (which includes sleep hygiene practices) is a treatment of choice because its benefits are more long-term compared to medications that can help short-term. ADDITIONAL DISCUSSION NOTES: Stimulus control therapy: interventions that train the insomnia patient to reassociate the bed and bedroom with sleep and reestablish a consistent sleep-wake schedule. Relaxation training: methods aimed at reducing somatic tension (e.g., progressive muscle relaxation, autogenic training) or intrusive thoughts at bedtime that interfere with sleep. Sleep restriction: curtailing the amount of time in bed to the actual amount of time spent asleep, thereby creating a mild sleep deprivation, and then lengthening sleep time as sleep efficiency improves. Cognitive behavioral therapy: various combinations of cognitive and behavioural components aimed at changing patients' beliefs and attitudes about insomnia, as well as therapies such as stimulus control, sleep restriction, or relaxation training. Sleep hygiene education is also often included. Multicomponent therapy (without CBT): combines stimulus control therapy, relaxation training and sleep hygiene education. Paradoxical intention: instructing the patient to remain passively awake and avoid any effort (i.e., intention) to fall asleep. The goal is to eliminate performance anxiety, as it may inhibit sleep onset. Biofeedback: provides visual or auditory feedback to patients to help them control some physiologic parameters (e.g., muscle tension) in order to seek reduction in somatic arousal. There is insufficient evidence to recommend sleep hygiene education as a single therapy for chronic insomnia Morgenthaler et al. Sleep 2006;11: *stimulus control + relaxation + sleep hygiene OR stimulus control + sleep restriction + sleep hygiene.
FDA Approved Insomnia Treatment
Immediate Release benzodiazepines Dose (mg) T1/2 (hr) Estazolam (ProSom®) 1, Flurazepam (Dalmane®) 15, Quazepam (Doral®) 7.5, Temazepam (Restoril®) Triazolam (Halcion®) .125, Immediate Release Non-benzodiazepines Eszopiclone (Lunesta®) 1,2,3 5-7 Zaleplon (Sonata®) 5,10 1 Zopiclone (Imovane®*) 5, Zolpidem (Ambien®) (Sublinox *) 5, Selective Melatonin Receptor Agonist Ramelteon (Rozerem®) Doxepin----3m and 6 mg(for maintenance insomnia) * Available in Canada and not in USA
Benzodiazepine Receptor Agonists
All BDZ receptor agonists are GABA modulators at the GABAA receptor complex GABAA-receptor: pentamer Allows chloride ions to enter Greater polarization and hence inhibitory Non benzodiazepines have a higher degree of alpha1 subtype selectivity
Recommendations For the Management of Insomnia: Pharmacotherapies
Line of therapy Class of medication Example medications 1st line Short-intermediate acting benzodiazepines Melatonin receptor agonist Zolpidem, eszopiclone,* zaleplon,* temazepam Ex: agomelatine* 2nd line Alternate short-intermediate acting benzodiazepines Sedating antidepressants Trazodone, amitriptyline, doxepin, mirtazapine Insomnia + comorbid mood disorder Combined benzodiazepine and sedating antidepressants Anticonvulsants Gabapentin, tiagabine* Atypical antipsychotics Quetiapine, olanzapine KEY MESSAGE: This slide outlines recommended pharmacological treatments for insomnia in the general adult population. Specific recommendations are made for patients with comorbid insomnia and mood disorders, with agents that target both disorders figuring prominently. Short-term hypnotic treatment should be supplemented with behavioural and cognitive therapies when possible Adapted from Schutte-Rodin et al. J Clin Sleep Med 2008;4: *not available in Canada.
Insomnia and Depression
Up to 90% of MDE patients complain of insomnia Up to 40% of patients complaining of insomnia could have a mood disorder Subjective complaints of difficulty initiating, maintaining sleep or early awakening Objective findings: decreased REM latency, increased % REM, increased first REM period and decreased SWS
Antidepressants and Sleep
SSRI Venlafaxine Duloxetine BUPROPION MIRTAZAPINE TCA
SSRIs and Sleep Idiosyncratic effects: can cause insomnia or agitation in any individual patient Up to 60% of patients on SSRIs are also on a hypnotic All SSRIs decrease SE, suppress REM, delay REM onset, and increase S1 sleep There appears to be a trend where: Fluvoxamine and paroxetine are more sedating Fluoxetine is more stimulating Sertraline, citalopram and escitalopram are neutral Clonazepam plus Prozac- WT Smith 2002 Zolpidem with SSRIs in depression Asnis 1999
Clinical Practice Point
Trazodone, TCAs and mirtazapine are commonly used to help insomnia complaints in patients who suffer from depression or anxiety disorders SSRI could be used alone or with a BDZ/hypnotic to help insomnia complaints in depression Adjusting dose or timing can be helpful Combining medication with CBT is an option
Are Antidepressants To Blame For Sleep Disturbances?
Class Drug Insomnia Sedation Headache Tremor Dry Mouth Sweating Nausea Diarrhea Constipation Fatigue Anxiety SSRI Citalopram Escitalopram Fluoxetine Fluvoxamine Paroxetine Sertraline SNRI Duloxetine Venlafaxine Desvenlafaxine Others Bupropion Mirtazapine >50% Quetiapine XR KEY MESSAGE: Residual symptoms of sleep disturbance can also be side effects of antidepressant treatment. Insomnia has been associated with many SSRIs and SNRIs, whereas sedation has been associated with all classes of antidepressants. Sertraline having been associated with fatigue and excess sleepiness as well. 0-9% 10-29% ≥30% Data from placebo-controlled trials from respective product monographs; not for direct comparison between agents. Adapted from Lam et al. J Affect Disord 2009:17:S26-43 and Seroquel XR Product Monograph (2011).
Role for Antipsychotics
A 45 year-old male was referred to see me for a sleep assessment By the time I saw him he was already put on olanzapine 2.5mg po qhs and has been "doing great". He was not sure why he needed to see me now What are the effects of antipsychotics on sleep parameters? What is the evidence for use of antipsychotics in insomnia and in complicated insomnia?
Antipsychotics and Sleep
Typical antipsychotics Clozapine Risperidone Olanzapine Quetiapine Ziprasidone Total Sleep Time + ++ Sleep Efficiency However consider: Weight gain and therefore worsening of apnea Increased leg restlessness Hyperlipidemia Glucose dysregulation QT prolongation
Important Quotes- NIH Chronic Insomnia Panel
"all (antipsychotics) agents have significant risks, and thus their use in the treatment of chronic insomnia cannot be recommended" Eszopiclone and zolpidem extended release are not indicated for "short term" use Intermittent vs regular prescription Short term vs long term prescription
Clinical Practice Point
Antipsychotics are commonly used in patients who have psychosis and bipolar illness to help with sleep complaints Antipsychotics are sometimes used in patients whose depression is successfully treated but still complain of their sleep Potential effects on weight, lipids and glucose Quetiapine is commonly used for "psychiatric insomnia"
Back to David Is David's insomnia most likely...
A primary sleep disorder? A residual symptom of depression? Medication-induced? Due to poor sleep hygiene? Due to something else? Use this question as an opportunity for participants to share their experience with one another and to ask expert facilitators for guidance as it relates to challenging cases.
Back to David David is exhibiting residual symptoms of depression and mild anxiety His insomnia is affecting his work functioning Would you change his treatment plan? If yes, how? Use this case vignette as an opportunity for participants to share their experience with one another and to ask expert facilitators for guidance as it relates to challenging cases. It is important to address any issues pertaining to sleep hygiene, maladaptive behaviours or cognitive distortions (e.g., I am going to die if I do not sleep).
Treatment of Insomnia What is the most common prescribed medication for the treatment of insomnia in the United States? in Kuwait?
Clinical aspects of Insomnia
Treatment of insomnia is based upon the following principles: A. Insomnia is always a symptom of a larger psychiatric disorder B. Insomnia may lead to hypertension and diabetes C. Reduction of depressive symptoms can improve insomnia D. Sleep studies are always helpful in confirming the diagnosis of insomnia B and C are right answers
Depression and sleep Polysomnographic features of depression seen in 50% of patients diagnosed with depression include: Abbreviated REM sleep onset Increased REM amounts Decreased slow wave sleep Increased sleep fragmentation and arousals Sleep studies are indicated in cases of suspected depression E is incorrect
Case of Mr. B Mr. B is a healthy 20 yo male whom you have been seeing in therapy for treatment of anxiety. According to his roommate, the patient has been waking up screaming, with severe sweating and difficulty to communicate with during these episodes. The patient had severe nightmares as a child. The events typically occur after missing his normal amount of sleep because of social events or studying for tests. Q: How would you treat these "nightmares"?
Events during sleep Nightmares Night terrors Panic attacks (nocturnal)
REM behaviour disorder Sleep walking Nocturnal seizures CONSIDER: prior history, age, dreaming episode, time of occurrence, ability to console, autonomic arousability, and behaviours during episode.
Screening for Parasomnias
1. do you or your bed partner believe that you move your arms, legs, or body too much or have unusual behaviour during sleep? 2. do you move while dreaming as though you are attempting to carry out a dream? 3. have you ever hurt yourself or your partner while asleep? 4. do you eat or drink without full awareness during the night? 5. review medication(hypnotic) list/alcohol intake
Events during the night
Fuseli's Fuseli's nightmare
Nightmares vs Night terrors
REM related Last 1/3 of night Scared Little movement Remember dream Consolable Delayed back to sleep Non REM related First half of night Confused Active Amnesia in morning Not consolable Easy back to sleep
Nightmares REM related events Last third of the night Vivid dreams
Dreams are remembered Autonomic hyperarousability- mild No confusion or disorientation
Nightmares- cont'd Treatment to be directed for culprit- medications, withdrawal, sleep disorder, sleep deprivation No harm results from awakenings- Reassurance Imagery rehearsal treatment Prazosin in cases of PTSD related n/m Tryptophan?
Night terrors Occur out of SWS ( N3 )* First half of the night
Positive hx of sleep walking Behaviour is stereotypical Extreme autonomic discharge Difficult to console Potential self harm/ harm to others * in children out of N1/N2 High amplitude and Hypersynchroonous bursts of slow waves preceed the abnormal behaviours In children can occur out of stage 1 and 2 Tachycardia, tachypnea, prespiratoin, screaming with confusion, glassy eyes, pick at blankets, get up and walk around. Family history of sleepwalking- Incidence of somnambulism and related parasomnias increases aqs follows: 22% when remote relative has it 44% when one parent has it and 60% when both parents affected
Night terrors- cont'd May be triggered by: febrile illness, alcohol, sleep deprivation, stress. Medications can induce such events- hypnotics/neuroleptics/stimulants/anti-histamines and antiarrhythmic meds R/O brain insult, brain glioma, epilepsy, cardiac insufficiency.
Night terrors- cont'd Treatment of NREM Parasomnia
Education and reassurance Safety precautions- if sleep walking BDZ/ TCA Relaxation Hypnosis
Unusual dreams A 66 yo male who you see for depression presented to your office with bruises to his hands and feet after falling off the bed few days earlier. He recalls having a dream where he had to defend himself from a snake. On further inquiry he indicated that his wife has been scared to sleep with him in the same bed due to his excessive movements at night. His sleep record epoch shows the following: 2/3 of males above 50 with RBD will develop Parkinsonian type disorder within a mean interval of 13 years.
Unusual dreams
Unusual dreams A 66 yo male who you see for depression presented to your office with bruises to his hands and feet after falling off the bed few days earlier. He recalls having a dream where he had to defend himself from a snake. On further inquiry he indicated that his wife has been scared to sleep with him in the same bed due to his excessive movements at night.This man likely: Has loss of muscle atonia during his REM sleep Has REM sleep behaviour disorder (RBD) Would benefit from an SSRI Will develop neuropathy with Guillain Barre-like illness Will benefit from Clonazepam 2/3 of males above 50 with RBD will develop Parkinsonian type disorder within a mean interval of 13 years.
For apnea, RLS, Insomnia, parasomnias with com0rbid depression and anxiety is:
For apnea, RLS, Insomnia, parasomnias and com0rbid depression with anxiety is: Review this lecture
EXTRAs If we have time we can cover: Excessive Daytime Sleepiness
Excessive Daytime Sleepiness
Sleepy! The "switch" for sleep is considered to be the ventrolateral preoptic nucleus (VLPO) of the anterior hypothalamus. VLPO uses GABA and galanin to initiate sleep by inhibiting the arousal regions of the brain. VLPO inhibits the wake-promoting regions of the brain including the tuberomammillary nucleus, lateral hypothalamus, locus coeruleus, dorsal raphe, laterodorsal tegmental nucleus, and pedunculopontine tegmental nucleus. Hypocretin (orexin) neurons in the lateral hypothalamus help to stabilize this switch
EDS A 45 yo female has been referred to a sleep clinic for assessment of day time sleepiness and fatigue. How do you differentiate between EDS and fatigue? Is there a role for a sleep study? MSLT? MWT? What are the causes for EDS?
The Epworth Sleepiness Scale
From: Multiple Sleep Latency Test and Maintenance of Wakefulness Test
Date of download: 2/16/2013 Copyright © American College of Chest Physicians. All rights reserved. From: Multiple Sleep Latency Test and Maintenance of Wakefulness Test CHEST. 2008;134(4): doi: /chest Figure Legend: MSLT protocol. Adapted from Littner et al.1
Excessive Daytime Sleepiness
Final question Of the following which is the most specific finding in a patient who is known to have narcolepsy? MSLT with average sleep onset of 6 minutes Improvement of EDS when drinking coffee Sleep paralysis Hypnagogic Hallucinations Cataplexy
Bibliography An update on the dopaminergic treatment of restless legs syndrome and periodic limb movement disorder. Sleep 2004:27(3): Brower KJ. Alcohol's effects on sleep in alcoholics. Alcohol Research and Health ;25(2): Kushida CA,Littner MR,Hirshkowitz M etal. Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep related breathing disorders. Sleep 2006:29(3): Morgenthaler T,Kapen S,Lee-Chiong T etal. Practice parameters for the medical therapy of obstructive sleep apnea. Sleep 2006;29(8): Morin CM,Bootzin RR,Buysse DJ etal. Psychological and behavioural treatment of insomnia. Update of the recent evidence. Sleep 2006;29(11): Neubauer DN. The evolution and development of insomnia pharmacotherapies. JCSM ;3(5): S11-S15 Peterson MJ and Benca RM. Sleep in mood disorders. Psychiatr Clin N 2006;29: Roth T. Insomnia: Definition, prevalence, etiology, and consequences. JCSM 2007;3(5): S7- S10 Schenck C, Mahowald M. Parasomnias. Post Med 2000;107(3): Silber MH. Chronic insomnia. NEJM. 2005;353:803-10
Fun Websites The sleep IQ test:
Sleep meditation quilt square: A couple of simple things to remember and a cool site. t/Water_files/water14_help_with_sleep/help_with_sleep.html Practice parameters for treating chronic primary insomnia in the elderly. Nat'l. Guideline Clearinghouse;
QUESTIONS If you have any questions I could be reached at the following address: Raed Hawa MD FRCPC DABPN DABSM Associate Professor, Department of Psychiatry Deputy Psychiatrist in Chief, University Health Network Deputy Clerkship Director, UME, University of Toronto Director, Undergraduate Psychiatry Program, UME, University of Toronto
Extra Slides
Agomelatine and Sleep B A SLEEP EFFICIENCY SLEEP LATENCY 29.7 29.9 80 78.9 78.9 30 28.4 78.8 78.3 78.4 26.7 28.1 27.8 79 78.2 78 77.2 25 23.5 77 76 22.5 Sleep Efficiency (%) 75 76.5 76.4 20 75.8 75.7 74 75.1 75.2 19.5 19.6 20.2 74.8 18.8 18.8 18.9 73 15 Agomelatine 72 Agomelatine Sertaline Sertaline 71 70 10 1 2 3 4 5 6 1 2 3 4 5 6 Week Week P value – <.0001 .018 .001 <.001 .007 Agomelatine n 117 112 105 99 88 Sertraline n 114 113 101 93 87 79 71 KEY MESSAGE: Although not yet available in Canada (except through a Special Access program), agomelatine has a favourable effect on the relative amplitude of the circadian rest-activity/sleep-wake cycle in depressed patients as early as week 1, reflecting improvement in sleep and daytime functioning. P value – <.001 .003 .005 Agomelatine n 117 112 105 99 88 Sertraline n 114 113 101 93 87 79 71 Double-blind, randomized, controlled clinical trial of agomelatine mg/d (n=154) vs. sertraline mg/d (n=159) over 6 weeks. Agomelatine is only available in Canada through a Special Access program. Kasper et al. J Clin Psychiatry 2010:71:
Efficacy of Adjunctive Modafinil In Partial Responders To SSRIs With Persistent Fatigue & Sleepiness
Placebo 6 8 10 12 14 16 18 Mean = SEM HAM-D-17 Score * † ‡ Week 1 2 4 Final Visita Baseline Other significant improvements for adjunctive modafinil vs. placebo: ↑ CGI-I scores ↓ fatigue KEY MESSAGE: This study supports the efficacy and safety of modafinil as augmentation therapy in patients who are partial responders to SSRI therapy. Benefits were noted in terms of both depressive symptomatology, fatigue / sleepiness, and overall clinical condition. Double-blind, randomized, placebo-controlled clinical trial of 60 depressed, insomniac outpatients receiving open-label fluoxetine plus add-on eszopiclone 3 mg or placebo at bedtime for 8 weeks. CGI-I: Clinical Global Impression – Improvement. *P=0.07; † p=0.06; ‡p<0.08. Fava et al. J Clin Psychiatry 2005:66:85-93.
Quetiapine XR: Significant Effect On Sleep In Patients With MDD
Pooled analysis of two 8 week†, RCTs of quetiapine XR in patients with MDD (n=968) KEY MESSAGE: In this pooled analysis of two of the registration studies for quetiapine XR, sleep quality was significantly improved by both doses of the active agent compared to placebo. *p<0.001; †6 week randomization phase, 2 week discontinuation phase; results shown are at week 6. PSQI: Pittsburg Sleep Quality Index. Weisler et al. Int Clin Psychopharmacol 2012; 27:
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High Touch Operations Manager
Location:Mumbai, Maharashtra, India
Area of InterestProfessional Services
Job TypeProfessional
Technology InterestInternet of Everything
Job Id1019106
What You'll Do
The function of a High Touch Operations Manager (HTOM) helps customers maximize network availability and functionality to achieve their business goals. In this role, you will be "Cisco's face to the customer," working in a fast-paced, high-impact environment as a visible contributor delivering on our commitments.
This is an opportunity for someone who possesses patience, empathy for customers, and the wish to hone skills whilst providing customer value.
- Designated to customer's network to provide a point of contact for operations and process issues
- Understand customer's business goals and how the network operations support the business goals
- Prioritization and support customer to open TAC Service Requests (SR)
- Sev1 & Sev2 incident management - Provide case request and escalation management support for Severity 1 and Severity 2 cases during business and non-business hours
- Conduct trend analysis on customer's issues (e.g. by product type, case priority, IOS and RMA.)
- Identify and analyze operational area of improvements.
- Manage the effective communications within different levels of customer's organization and Cisco
- Understand current customer operations processes, and partner with related parties (customer/partner/Cisco team) to streamline customer/vendor operation support processes in order to make more effective issue resolution.
- Keep track of customer's network activities, and proactively arrange TAC standby as required.
- Leverage different resources in Cisco to prioritize resolving customer's issues, proactive escalate if required.
- Manage customer's contract, and proactively monitor depot sparing status
- Share operational best practices with customer
- Provide training to customer's on TAC processes, as well as share cisco.com knowledge base and other Cisco troubleshooting tools
- Focal point for all customer escalations on operational issues
- Promote Cisco services value, partner with related teams to position the right support model to the engaged account.
- Produce a regular report of the customer Service Requests (SR). The report should contain (but not limited to) the following:
- Current status of the issue - business impact
- Progress of the defined action plan
- Issues should be prioritized
- Any correlation amongst the different customer SRs identified
- Manage weekly SR review meetings - focus on resolution by ensuring:
- Right resources from Cisco and customer are engaged and are fully aware of the action plan.
- Business impacts are clearly understood and taken into account
- Build and effectively execute the communication plan with all levels of customer's organization are in place for critical issues
- Quarterly review and report of customer's network activities and operations; case trends analysis by product type, case priority, IOS and RMA. The report should include key analysis, executive summary and recommendations on training and operational processes.
- Provide recommendations on the operational abnormalities and gaps identified.
- Proactively manage TAC/FTS resources standby for major customer events
- Provide training to customer's on TAC processes, as well as share cisco.com knowledge base and other Cisco troubleshooting tools
Who You'll Work With
As part of the Cisco GSP FTS organization, you will be part of a dynamic, fast paced and supportive team that will build you up as you manage the technical support for some of Cisco's biggest customers. You will be given the opportunity to work alongside many of Cisco's Technical and Advanced Services organizations and will receive unique insight into the IT services industry all the way from pre-sales to day 2 support as an engineer focused on some of Cisco's key customers
Who You Are
- Typically require BS/CS/Business or equivalent plus 10+ years' experience in a network or telecommunications support environment.
- Experienced in manage customer, especially in network operation environment.
- Strong account management skills.
- Strong communication skill.
- Able to collaborate with cross functional team and work under pressure
- ITIL certification is a plus.
- Fluency in English.
Why Cisco
We connect everything: people, processes, data, and things. We innovate everywhere, taking bold risks to shape the technologies that give us smart cities, connected cars, and handheld hospitals. And we do it in style with unique personalities who aren't afraid to change the way the world works, lives, plays and learns.
We are thought leaders, tech geeks, pop culture aficionados, and we even have a few purple haired rock stars. We celebrate the creativity and diversity that fuels our innovation. We are dreamers and we are doers.
We Are Cisco.


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Got the big box of vintage out of house and shipped.
Stopped at Goodwill on way home and found a cute pair of Born chocolate leather flats, normally >$50, for $3.50, yay.
Got in pool with all 3 boys, was a nice day in low 80s.
Ate spaghetti squash for our "natural starch" allotment of the day. It wasn't quite ripe enough to form strands when cooked but was good anyway.
Day 47
4th #100happydays


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The EPA in November approved plan to allow dumping in Connecticut portion of waterway
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A Southold town police captain says the lone occupant of the aircraft did not survive.
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Cozzo (ZIP 27030) is 56 kilometers far from the town of Pavia, that is the Chief Town of the homonymous province to whom Cozzo belongs.
Cozzo has a population of 371 abitanti ( Cozzesi ) and a surface of 17,61 square kilometers thus showing a population density of 24,83 inhabitants per square kilometer. It rises 105 metres above the sea level.
The City Hall is located in Via Roma 65, phone 0384 74102, fax 0384 74102. The e-mail address is email@example.com.
Population: The town of Cozzo had a population of 432 accordingly to the results of the national census made in 2001.
After the national census made in 2001 the population was 371 inhabitants, thus showing during the years 2001 - 2011 a percentual variation of -14,12% inhabitants.
The inhabitants are distributed in 200 families with an average of 2,16 people per family.
The place: The territory of the municipality lies between 102 and 110 metres above sea level. The altimetric spawn is thus of 8 metres.
Work and workers: There are 1 industrial firms employing 2 people that are the 3,85% of the total of the workers. There are 11 service firms employing 19 people, that are the 36,54% of the total of the workers. There are 11 other service firms employing 26 people, that are the 50,00% of the total of the workers. There are also 5 administrative offices employing 5 people, that are the 9,62% of the total of the workers.
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