text: Researching the Use of Emergency Pharmacists in the ED (Text Version) Slide presentation from the AHRQ 2008 conference showcasing Agency research and projects. Slide Presentation from the AHRQ 2008 Annual ConferenceOn September 8, 2008, Rollin J. (Terry) Fairbanks, M.D., M.S., F.A.C.E.P., made this presentation at the 2008 Annual Conference. Select to access the PowerPoint® presentation (596 KB; Plugin Software Help).Slide 1Researching the Use of Emergency Pharmacists in the Emergency Department (ED)Rollin J (Terry) Fairbanks, MD, MS, FACEPAssistant Professor of Emergency MedicineUniversity of Rochester School of MedicineRochester, New YorkAHRQ 2008; Sept. 8, 2008Slide 2AcknowledgmentsAHRQ—Partnerships in Patient Safety 2005-08Co-PI: Manish N. Shah, MD, MPHAdvisory Board Daniel J. Cobaugh, PharmD, FAACT, DABATRobert Wears, MD, MS, FACEPEmergency Pharmacists (EPh) Daniel Hays, Sarah Kelly-PisciottiEmergency Medicine Patient Safety Foundation Career development grant (via SAEM) www.EMPSF.orgSlide 3ObjectivesBriefly review pre-existing evidence supporting clinical pharmacist roles.Report findings from the Emergency Pharmacist Research Project.Describe some lessons learned.Slide 4Previous literatureIntensive Care Unit (ICU) Pharmacists Impact Medication Safety99% of Pharm recommendations accepted by physicians in ICU.66% decrease in preventable adverse drug events (ADEs) in ICU.Folli HL, Poole RL, Benitz WE, Russo JC. Pediatrics 1987; 79(5)Gattis WH, Whellan DJ. Arch Internal Med 1999. 159(16): p. 1939-1945.Kane SL, Weber RJ, Dasta JF. Int Care Med 2003;29(5):691-8Leape LL, Cullen DJ, Clapp MD, et al. JAMA 1999;282(3):267-70Slide 5BackgroundUniversity of Rochester Emergency DepartmentEPh Program Since 2000Accredited EPh residencyAnecdotally we found: Medication adverse events reduced.Staff consult the EPh often.Staff seem to value EPh input.Fairbanks RJ, Hays DP, Webster DF, Spillane LL, Clinical Pharmacy Service in an Emergency Department, American Journal of Health-System Pharmacy 2004; 61(9):934-937.Slide 6Role of the EPhClinical consultation—primary role.At the bedside: Critical patients, Trauma, Resuscitations.Order screening—as able, high yield cases.Education—patients, nurses, physicians.Preparation of urgent medications.MDs & RNs seek pharmacist advice.Slide 7Preliminary Data: Trauma CareImproved key measuresTime to: Pain medsRSI, paralytics, sedationADEs: 9/51 with, 0/153 withoutHays D, Kelly-Pisciotti S, O'Brien T, Fairbanks RJ, et al. American Association for the Surgery of Trauma 2006 Annual Meeting, September 28-30, 2006; New Orleans, LA.Kelly SJ, Hays D, et al. "Pharmacists Enhancing Patient Safety During Trauma Resuscitations." 2005 ASHP Best Practices AwardSlide 8AHRQ Partnerships in Implementing Patient Safety (PIPS) Project: Program ObjectivesOptimize role for patient safety (2005).Study outcomes: P/ADE/Qual (2005-7).Study staff perceptions (2006).Study EM residency program use (2007).Time-Motion Study (2007).Study barriers to implementation (2007).Develop tools for other hospitals (2005-7): www.EmergencyPharmacist.orgSlide 9Optimized Role ResultsHigh visibility/easy access: On duty/off duty signs.Portable phone.Frequent walk-rounds.Patient centered roles only: Minimal dispensing, no stocking.Focus on ED patients: Admitted boarders → inpatient pharmacy.Slide 10Optimized Role Results (continued)Maintain surveillance of provider orders: Mandatory review of pediatric orders: Ex: patients <1 year or <10 kg.Respond to all critical (traumas, medical).Focus coverage on peak volume periods.Minimize administrative responsibility: Committees, etc.Slide 11Time-Motion ResultsRounding pattern noted (21% total time).EPh highly utilized (sought after): 46% questions related to medication choice, dose, interactions, side effects, availability.Communication: 45% tasks, 22% Time: Vast majority RN (14%) or MD (22%) tasks.Slide 12Survey: URMC ED Staff Perceptions#1 role: "being available for a consult."96%—EPh is integral part of the team.100% —use EPh more than if not in ED.73%—Value EPh order screening.85%—EPh should check all high risk meds.99%—EPh improves quality of care. 100% physicians agree.Fairbanks RJ, Hildebrand JM, Kolstee KE, Schneider SM, Shah MN. Medical and nursing staff value and utilize clinical pharmacists in the Emergency Department. Emergency Medicine Journal, Oct 2007; 24:716-719.Slide 13Impact Evaluation Study: 10,224 cases reviewedHypothesis: EPh improves medication safety and quality of care.Study Design:Prospective enrollment.Random selection for chart review Critically ill, pediatric, geriatric.2 groups: EPh absent vs. EPh Present: Blinded, so unable to determine whether EPh was actually involved in the care of individual patients.Slide 14Impact Evaluation StudyOutcome Measures [definitions]Adverse drug event (ADE), Potential ADE (PADE).Quality measures: list developed Specific to Emergency Medicine.Literature review & expert consensus.MethodsHarvard Medical Practice Study (HMPS) methods (acknowledgmentt: David Bates, Diane Seger). Data abstracted—nurse reviewers.Suspicion for ADE/PADE identified by RNs.Confirmed and classified by MDs.Brennan, Leape, Laird et al. NEJM 1991; 324(6).Slide 15Impact Evaluation: ResultsResultsTotal enrollment: 10,224 Pediatrics (<19) 5098 (Peds Critical: 144)Geriatrics (>64): 2873 (Geriatric Critical: 819)Critical: 3245 144 pediatric, 819 geriatric.One missing age.Slide 16Overall Event Rates: ALL PatientsOverall [see details]ADE 1.56% (159/10224)PADE 1.58%Compare:1997 study of 13,000 ED patients, retrospective chart review1.7% ADE Rate [included outpatient causes](PADEs were excluded)Hafner et al, Ann Emerg Med 2002;39(3):258-267.Slide 17Overall Event RatesPediatric (5099) ADE 0.47%—PADE 1.12%Critical Care (3245) ADE 3.45%—PADE 2.00%Critical Care (2873) ADE 2.61%—PADE 1.98%All are higher than inpatient published rates [see details]Slide 18Impact Evaluation: EPh vs no EPh ResultsEPh = Pharmacist PresentNo EPh = Not PresentCharacteristics of Groups:Similar sex, race, payor status.Mean age 38 EPh vs. 34 no EPh.Slide 19Difference between groups: Time of arrivalED Pharmacist as Safety Measure—Analysis by Visit (10/24/07)Examining Arrival Time by EPH-A GroupingScreen shot of two graphs comparing differences between the No EPh and EPh groups.The first graph shows the percent of "No EPh" between the arrival time of 0:00-23:22Range: 0-approximately, 0.2%The second graph shows the percent of "EPh" between the arrival time of 0:00-23:22Range: 0-approximately, 0.5%Slide 20Time of arrivalED Pharmacist as Safety Measure—Analysis by Visit (10/24/07)Screen shot of the two graphs from the previous slide. It show an 8 am to 8 pm subgroup analysis with a focus on that time period. Both graphs show peak activity during this time span.Slide 21Pharmacist Present—vs. Pharmacist Not PresentOverallEPh (2111)No EPh (8113)pEventsRateEventsRatet-testADE Events351.66%1241.53%0.699ADE-Preventable210.99%760.94%0.821ADE-Non-Preventable140.66%480.59%0.730PADE Events462.18%1161.43%0.036PADE—Non-Intercepted391.85%891.10%0.021PADE-Intercepted70.33%270.33%0.993Medication Errors210.99%690.85%0.548 Balanced Coverage (8a-8p)EPh (1922)No EPh (4447)pEventsRateEventsRatet-testADE Events301.56%621.39%0.646ADE-Preventable180.94%380.85%0.772ADE-Non-Preventable120.62%240.54%0.704PADE Events432.24%581.30%0.018PADE-Non-Intercepted361.87%451.01%0.016PADE-Intercepted70.36%130.29%0.652Medication Errors160.83%330.74%0.710Slide 22Pharmacist Present—vs. Pharmacist Not Present (continued)PediatricEPh (922)No EPh (4107)pEventsRateEventsRatet-testADE Events550%190.46%0.864ADE-Preventable10.10%70.17%0.561ADE-Non-Preventable40.40%120.29%0.611PADE Events161.61%411.00%0.159PADE-Non-Intercepted121.21%32.78%0.253PADE-Intercepted40.40%90.22%0.396Medication Errors70.71%180.44%0.349 GeriatricEPh (691)No EPh (2182)pEventsRateEventsRatet-testADE Events182.60%572.61%0.992ADE-Preventable142.03%361.65%0.573ADE-Non-Preventable40.58%210.96%0.282PADE Events192.75%381.74%0.164PADE-Non-Intercepted162.32%331.51%0.230PADE-Intercepted30.43%50.23%0.449Medication Errors91.30%281.28%0.970Slide 23Pharmacist Present—vs. Pharmacist Not Present (continued)CriticalEPh (660)No EPh (2585)pEventsRateEventsRatet-testADE Events294.39%833.21%0.211ADE-Preventable172.58%612.36%0.776ADE-Non-Preventable121.82%220.85%0.102PADE Events172.58%481.86%0.318PADE-Non-Intercepted152.27%321.24%0.119PADE-Intercepted20.30%160.62%0.241Medication Errors152.27%351.35%0.143Slide 24Results: Quality MeasuresTrend towards improvement, not statistically significant:Acute myocardial infarction (AMI) time to cath lab.Contraindicated antibiotic administration.Time to operating room (OR).Time to first antibiotics in C.A. Pneumonia.Time to first analgesic in fracture.Limitation: Study powered for ADEsSlide 25Lessons Learned & LimitationsOne Emergency Department.Contamination between 2 groups: Staff memory/education.Patients who's stay extends between 2 groups.Patients in "EPh present" group never interacted.Proactive medication selection. (Conners and Hays. Ann Emerg Med 2007 Oct;50(4):414-8.)EPh- increase ADEs awareness/charting?Underpowered for quality measures: Baseline ADE rate too low to detect changes?Slide 26Bottom LinePharmacists have been shown to improve quality and safety: Shown in other areas of hospital.Staff perceive this in ED as well: ALL of the staff in an EPh ED agree.More EDs are implementing.More research is necessary before conclusions can be drawn.Slide 27What's next?Future ResearchFurther evaluation of the EPh database.Evaluation in smaller, non-academic EDs.Head-to-head: central screening vs. EPh.The use of telemedicine: Remote EPh?Study effect and consequences of 100% order screening.Slide 28Final Quote"I will never forget being in the scanner with an intubated pediatric trauma, running around trying to keep the patient properly sedated and cared for when Dan Hays walks into the scanner with an infusion pump on a portable IV pole. 2 channels were attached, both programmed with my sedation meds, meds hung, tubing primed, and all I had to do was hook it up to the patient and press "Start." No med calculations, no worries about properly diluting, no worries about compatibilities, no worries at all! That is a feeling that I am sure many nurses have felt when Dan was on their shift. Thanks Dan for all that you do, and thanks for making my job (especially that day) so much more enjoyable!"—Kathryn Augustino, RN, URMC Pediatric Emergency DepartmentSlide 29Rollin J. (Terry) Fairbanks, MD, MS, FACEPAssistant ProfessorDepartment of Emergency MedicineUniversity of Rochester School of MedicineRochester, New Yorkwww.MedicalHumanFactors.comwww.EmergencyPharmacist.orgSlide 30Appendices: Supplemental SlidesSlide 31DefinitionsAdverse Drug Event (ADE): A preventable or non-preventable injury resulting from medical intervention related to a drug. (Bates, Cullen, Laird et al. JAMA 1995;274(1))Potential ADE (PADE): An incident that could have but didn't cause injury due to intervention, chance, or special circumstances.Problem Drug Order: Drug order which would have minimal potential for injury if carried out.Slide 3210 Most Commonly Given Medication Doses (n=21,378)MedicationCount% of totalMorphine238611.2%Albuterol15547.3%Ibuprofen14546.8%Propofol8063.8%Midazolam7573.5%Acetaminophen7303.4%Tetanus diphtheria vaccine6883.2%Fentanyl6873.2%Hydromorphone6783.2%Nitroglycerin5882.8%Slide 33Most Common Medications with EventsADE Medication% of ADEsPADE Medication% of PADEsMorphine16.9%Hydromorphone8.1%Propofol11.5%Acetaminophen7.4%Midazolam7.7%Morphine5.2%Hydromorphone7.7%Phenytoin5.2%Nitroglycerin7.7%Promethazine5.2%Phenytoin4.6%Cefazolin4.4%Fentanyl4.6%Fentanyl3.7%Metroprolol3.8%Aspirin3.7%Pip/Tazo3.8%Ibuprofen3.7%Lorazepam3.8%Hydrocodone/APAP3.0%Hydrocodone/APAP2.3%Prochlorperazine3.0%Ciprofloxicin2.3%Labetalol3.0%Slide 34Overall Event Rates: ALL PatientsOverallTotalEventsVisitsRateADE Events159102241.56%ADE-Preventable97102240.95%ADE-Non-Preventable62102240.61%PADE Events162102241.58%PADE—Non-Intercepted128102241.25%PADE—Intercepted34102240.33%Medication Errors90102240.88%Compare:1997 study of 13,000 ED patients, retrospective chart review1.7% ADE Rate [included outpatient causes](PADEs were excluded)Hafner et al, Ann Emerg Med 2002;39(3):258-267.Slide 35Overall Event Rates: Pediatric PatientsPediatricTotalEventsVisitsRateADE Events2450990.47%ADE-Preventable850990.16%ADE-Non-Preventable1650990.31%PADE Events5750991.12%PADE—Non-Intercepted4450990.86%PADE—Intercepted1350990.25%Medication Errors2550990.49%Compare:Of 10,778 medication orders for inpatient pediatrics:0.24% ADEs1.1% PADEsKaushal et al, JAMA 2001; 285(16):2114-2120Slide 36Overall Event Rates: Critical Care ED PatientsCriticalTotalEventsVisitsRateADE Events11232453.45%ADE-Preventable7832452.40%ADE-Non-Preventable3432451.05%PADE Events6532452.00%PADE—Non-Intercepted4732451.45%PADE—Intercepted1832450.55%Medication Errors5032451.54%Compare:ICU Inpatients PADE Rate (per patient day)1.04% before pharmacist0.35% after pharmacistLeape et al, JAMA 1999;282(3):267-270.Slide 37Overall Event Rates: Geriatric PatientsGeriatricTotalEventsVisitsRateADE Events7528732.61%ADE-Preventable5028731.74%ADE-Non-Preventable2528730.87%PADE Events5728731.98%PADE—Non-Intercepted4928731.71%PADE—Intercepted828730.28%Medication Errors3728731.29%Compare:HMPS (Leape 1991): Drug related adverse event ratesRate per 100 discharges, by age, for entire hospitalOf 71 Adverse Events (not just ADEs) 70.4% were deemed "due to negligence." Age0-1516-4445-64>65ADE Rate0.24%0.39%1.12%1.15% Current as of February 2009 Internet Citation: Researching the Use of Emergency Pharmacists in the ED (Text Version). February 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2008/Fairbanks.html


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Definition of selectee in English:
Line breaks: se|lect¦eePronunciation: /sɪlɛkˈtiː
- 1A person who is selected.More example sentences
- Such assumptions, on the part of both selectors and selectees, are in my view wholly unjustified, and I hope we have accumulated enough examples by now for you to understand why.
- The selectees from the municipal departments were basically the leaders of the news departments or their spokespersons.
- They ought to discuss regularly with the coach and captain to ensure that programs are developed for their selectees.
- 1.1US A conscript.More example sentences
- The reserve component stop loss announced earlier this year, however, requires all Reserve and National Guard soldiers, including promotion selectees, to remain with their units through deployment, plus an additional three months.
- The Board results are normally made public officially in January once approved by the Chief of the Military Intelligence Corps and the Corps has completed notification of the selectees.
- To the selectees AAFES presented a $250 certificate towards the purchase of a new Army Physical Fitness uniform.


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Quick Facts
- NAME: Diane Crump
- OCCUPATION: Athlete
- PLACE OF BIRTH: Milford, Connecticut
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Diane Crump was a professional jockey who racked up more than 230 victories in her career.
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A pioneer in the field of horse racing, in 1970, Diane Crump became the first female jockey to ride in the Kentucky Derby. A Derby win may have eluded her, but she scored more than 230 victories on track before leaving the sport in 1985. Since retiring from competition, Crump has worked as a trainer for many years and has her own horse breeding business.
A pioneer in the field of horse racing, Diane Crump was born in 1948 in Milford, Connecticut, and went on to become the first female jockey to compete in a pari-mutuel race in the United States at Hialeah Park, Florida, on February 7, 1969. (Pari-mutuel refers to a system of betting.) Crump again made sports history as the first woman to ride at the Kentucky Derby in 1970.
First Famous Ride at Hialeah
Diane Crump spent her teens in Florida. She began working at a thoroughbred horse farm at a young age, and made her first famous ride at Hialeah on a horse named Bridle 'n Bit at the age of 20. Although she didn't win that race, Crump showed that female jockeys could handle the track and the thoroughbreds as well as the male jockey.
1970 Kentucky Derby
Crump again illustrated that point at the 1970 Kentucky Derby while riding a horse named Phantom. Crump came in 15th in a 17-horse race, but, most notably, became the first woman to ride at the Kentucky Derby. A Derby win may have eluded her, but she scored more than 230 victories on track before retiring 1985. Competing came with a price: Crump suffered several injuries and had to deal with the resentment held by many in the sport against female jockeys.
Since retiring from competition, Diane Crump has worked as a trainer for many years. She also has her own horse breeding business.
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Snacking Naturally™: It's never been so delicious or nutritious!
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Ginger is a thick, knotted underground stem (rhizome) of the Zingiber officinale plant. Native to Asia, ginger is enjoyed for its distinct, somewhat spicy flavor. A common ingredient in stir fries and vegetable dishes, ginger is also brewed into tea and taken as a supplement. Ginger has a long history of use for its calming effects, especially on the digestive system. Ginger ale was invented in the mid-1800s and was considered the most popular beverage in the U.S. until 1930.
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How Hakeem Jeffries Became the Barack of Brooklyn
The emcee invoked Matthew 16:24. "Jesus said to his followers if anyone wants to follow me, he must say no to the things he wants. He must be willing to even die on the cross and he must follow me."
Hundreds of parishioners had gathered in the basement of the 96-year-old Brown Memorial Church in Read More


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Q. How do I use the Skin Bursting Stack for best results? A. For best results you would take the AE2/CEO Skin Bursting Stack on both training and non-training days. Here is an example of a dosage schedule to achieve the maximum benefits from these products: Training days
Take 4 caps of AE2 & 4 capsules of CEO Pre-Workout approximately 20 minutes prior to training Non-Training days
Take 4 capsules of AE2 & 4 capsules of CEO in the AM Q. How quickly will I see results with the Skin Bursting Stack? A. The two breakthrough products in the Skin Bursting Stack contain revolutionary ingredients that are formulated to give you immediate results. You will experience immediate skin bursting muscle pumps and extreme energy levels within minutes of taking the products. Hence, your workouts will be intense and powerful. After the workout, your muscles will begin to recover at an accelerated rate and continue to rebuild all day long so that you can witness quick results in muscle size, strength, and power. |
Skin Bursting Stack The world's most powerful nitric oxide & creatine stack The Skin Bursting Stack is the combination of two of the most revolutionary Nutrabolics products, AE2 and CEO, and is scientifically formulated to keep your muscles pumped 24/7. In this elite muscle-building stack you get one bottle of the superior Nitric Oxide stimulator, AE2, and one bottle of the superior Creatine Ester matrix, CEO. With this stack, you just can't go wrong. You will see immediate muscle pumps and amplified energy levels, followed by superior muscle recovery, advanced muscle growth, and unparalleled gains in strength & power. |


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There are more than a million orphaned children in Zambia - 1 in 10 people! How would a wealthy country like ours cope with this size of problem? How would you as a child have coped alone in the world? If they survive, what kind of adults will they become? They need food, shelter, education and training. But also someone to love them, someone who cares if they live or die. With our partners, we are trying to help some of these very needy youngsters at Kaliyangile in the small town of Chisamba.
African families have always been good at absorbing orphaned children. But with the huge numbers of adults dying of HIV the strains on those remaining have become intolerable. The risk is that these children fall to the bottom of the pile - in danger of neglect, malnutrition, abuse, dying very young or moving to live rough, glue-sniffing on the streets. They need to be helped as early as possible, valued and cared for, given support, schooling and training to break the downward spiral of poverty
Needy children are identified in the local rural community. Teenage girls and boys come for training in agriculture and their choice of carpentry and tailoring. The centre also offers some basic catch-up literacy and numeracy, along with health education and one meal per day. The training is to a recognised government standard offering a final certificate and they aim to give successful students some tools as a reward at the end. We also want to provide a sheltered workshop for new graduates.
The aim is to lift the self-esteem of these young people by giving them training which offers hope, allows them to hold their head high and provide for themselves and their families into the future. This has the potential to break the cycle of poverty.
Total Funding Received to Date: $1,203 Remaining Goal to be Funded: $42,616 Total Funding Goal: $43,819
This project has provided additional documentation in a Microsoft Word file (projdoc.doc).
MONMOUTH, MONMOUTHSHIRE, United Kingdom http://www.hatw.org.uk
Chief Executive Monmouth, Monmouthshire United Kingdom


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Camrose can be described as a petite city located in Alberta's central region in Canada. Camrose lies amidst certain richest farmlands in prairies. It's, in fact, a... |


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Easy to find and good rates brought us to this hotel for the Muddy Buddy run as it was only 15 miles from the state park. check-in was quick...front desk not very friendy but efficient. No upgrades and two or three big events going on. Keys didnt work so had to go back down to get new keys. Lounge isnt that nice, employees were very nice in lounge and elsewhere. Wouldnt stay here again as there is a new Hyatt down the street.
- Also Known As:
- Sheraton Richmond
- Richmond Sheraton
- Official Description (provided by the hotel):
- The Sheraton Park South Hotel in Richmond is conveniently located 19 miles from the Richmond International Airport (RIC), close to 2 major shopping centers and Richmond's lively downtown. ... more less
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- TripAdvisor is proud to partner with Starwood, Travelocity, Booking.com, Expedia, Orbitz, Tingo, Priceline, EasyToBook, TripOnline SA, Asiatravel.com Holdings, Hotels.com, Venere and Agoda so you can book your Sheraton Richmond Park South Hotel reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.


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Therapeutic Riding
Horseback riding is recognized as one of the more progressive forms of therapeutic recreation and is an ideal activity to supplement traditional therapy. Windrush Farm has carefully chosen and trained horses with adaptive equipment to make riding accessible for those with physical and cognitive disabilities. The ability to control a horse as well as one's own body inspires self-confidence and creates a special relationship between rider and horse.
Therapeutic Riding Series I
Friday, April 5, 2013
Friday, April 12, 2013
Friday, April 26, 2013
Friday, May 3, 2013
Friday, May 10, 2013
Friday, May 17, 2013
Friday, May 24, 2013
Friday, May 31, 2013
30 Brookview Road
Boxford, MA 01921
8 Sessions for $200
Sessions run rain or shine in an indoor arena.
185 lb weight limit. Space is limited. All skills, ages and abilities welcome.
For more information, please email Kathleen Salas


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Grand Rapids Public Schools
Serving Grand Rapids
225 Mayfield Ave Ne
Grand Rapids,
Main (616) 819-2710
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- Details
- Category: Hot topic
- Published on 26 December 2012
- Written by Administrator
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Families Online Magazine provides you parenting tips from the experts:
Family Counselors - Teacher - Financial Expert - Doctor - Nutritionist - Crafts - Recipes
What's for Dinner? and Are we there yet? Plus family finances, child development, kids books, sports and entertainment columns and features.
Free - You Can Download All of These Ebooks, Cookbooks, Game Cheats, Weight Loss Guides, Crafts and Other eBooks Free By signing up for Families Online Magazine Monthly Free Newsletter.


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Lobsters corner sunblock market. Prawns protest!
adgrunt Errol does some ad sniping in Singapore and brings this fresh Badland catch. Click continue to see the twin ideas. Ooops.
Advertising agencies are hothouses for creativity, but sometimes their ideas aren't as farm fresh as they should be.
adgrunts, click continue to see what's growing in the garden of Badland (DirecTV vs. Fruit Harvest).
... OR does it?
Is this a case of dupliclaims - or are these just wet dreams of creatives?
It's been a while since we've seen this kind of Badlander*.
The original is a web movie - an animation made by some talented freelancers who wouldn't mind some work thrown their way.. The non-original is made by Nike... Have a look to see what you think about this.
You wouldn't think computer chips and denim would have anything in common, but these two spots tell a different story.
Yeah, the spots look different, but they sure sound alike!
Adgrunts, click continue and give these ads a listen.
Back in April, The Wall Street Journal advertised its new redesign by running a funny trade campaign. To announce a new, lean pork, Smithfield Ham is running a funny ad of their own. Too bad it's the same funny as the Wall Street Journal!
Click continue to see what's on the magazine racks in badland!
These two advertisers couldn't be more different, and their commercials couldn't be more similar.
Superadgrunts, click read more to view "sleepy" spots from DuPont and Sealy.
Tobacco has always been a hard sell, and not even copycat creative can help it. Click continue to view the good and the bad.
Here's a dupliclaim I never thought would happen, but I have seen many many ghosts lately.
First spook encounter was in March and later in April when an interview with Jeff Goodby - done by a ghost - was sent out planet wide. This was the mere beginning of Ghost plan of raising unpublished ads up on the pedestal they deserve. These ghosts later invaded Cannes during the adfest to scream a different kind of booh than usually heard in those parts.
here comes the second ghost..
First up, the grand prix of Cannes 2002, second, Missing Links campaign for the same shop in 1999. Interestingly they both hung posters on dogleash holders and other places for "piercing" a poster = same unusual media idea too!
The top one was pierced onto dog leash holder etc - the bottom one was nipples pierced by the staples mid-magazine. Either way, OUCH!
Here is the God campaign done by Smith Agency Fort Lauderdale in 1999 :http://www.csmonitor.com/durable/1999/04/09/p1s4.htm
This work won at the New York Festvials and was awarded by the OAAAhttp://www.oaaa.org/Publicside/PublicService/God/GodCampaign.htm
Also check out O&M 's Cannes award-winning God campaign of 2001:http://www.dailyexcelsior.com/01june05/inter.htm#3
God help us!
Remember the Diet Coke commercial where cheeky female office workers organized "Diet Coke breaks" to drool over a construction worker named Lucky?
Well, they're back again (at least the creative concept is) and they now have eyes for an Imagistics photocopier repairman!
How many buff construction workers you know drink diet soda? Maybe the repairman should fix the ladies' Gay-dar!
This month the ict have brung down it`s axe on many ads. XBOX CHAMPAGNE BBH bartleboglehegarty.com
This ad,which featured a very short life (Literally,it lasted thirty seconds) received 160 complaint`s resulting in it being banned from TV.Although,as with French connection,this don`t stop them keeping it on their website at http://www.playmore.com i can see why this one was banned,as i didn`t really like it. (read more)
Badland hypothesis 1: It's bad enough when you're forced to use stock footage. It's worse when the money guys are too cheap to buy exclusive rights to the scenes.
Badland hypothesis 2: An agency with two clients. Brainstorm! We'll use the same location and crew for two different clients, air both at the same time and bill each one the full charges. Ka-ching! No one will ever find out!
Badland hypothesis 3: A 1-in-a-bajillion freaky fluke. At least one agency had the aesthetic good taste to get rid of that annoying power line.
"Read more" to view the clips.
The five steps to badland infamy* 1. You can't come up with a concept to sell State Fair Corn Dogs. 2. You see an Extra Gum commercial and dig the idea. 3. You rip the idea. 4. Extra's agency renews gum ad for another 13 weeks. 5. Your corn dog spot runs immediately after gum spot during commercial break.
"Read more" to view the ensuing 45 seconds of mirth and doppelgänger mayhem (if you're a super adgunt, that is).
StopTheCyborgs wants to...


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wrfu.co.nz, allblacks.com and hertz.co.nz 03.Feb.2013Getty Images
Behaviour at the stadium continued to improve with the arrest count even less this year than the low count in 2012.
"We are very happy with how our new initiative of wrist banding was received by patrons," said Hertz Sevens General Manager Steve Walters.
"We would be keen to see wristbanding continue to ensure everyone attending the tournament has a fantastic time. The crowd was in great spirits and the atmosphere was enjoyable for all."
Over the two days, 12 people were arrested at the Stadium and 47 evictions. In 2012 there were 14 arrests and in 2011 there were 44.
Hertz Sevens Operation Commander Inspector Simon Perry says that police staff at the stadium noticed a higher standard of behaviour than in previous tournaments. Wellington Free Ambulance Events Co-ordinator Ross Weddell who has been involved with the tournament since day one also saw a noticeable difference this year in relation to the people who needed help.
"We treated approximately a hundred patients over the two days but this year there was a big drop in the number of intoxicated patients we had to deal with. The main complaint we had to treat was foot injuries which could be sorted on site. We only had to transport four people to hospital throughout the two day event," said Weddell.
Meanwhile on the field there was plenty of action to keep the fans entertained with a number of upsets and an unpredicted England and Kenya Cup Final. The All Blacks Sevens side took the third place honours and still lead the HSBC Sevens World Series.
Walters added, "The quality of sevens rugby on display this year was extremely high. To see the underdogs knock over some of the traditionally successful teams in Wellington only adds to the exciting nature of this game. As the teams prepare towards the 2016 Olympics, this is only set to continue."
The colour and costumes were still a highlight of the event, making the choice for overall Museum Art Hotel Costume Catwalk Winner extremely hard. The Snow Globes took home the Best Group and Supreme Award, a total of $15,000 which was again put forward by Chris Parkin, with a total of $25,000 in prizes awarded.


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Arts and Entertainment
Whidbey Art Gallery has holiday gifts
During November, Whidbey Art Gallery features art under $100 in the "Yours Truly" show. November's Saturday Art Walk is scheduled for 5 to 7 p.m. Saturday, Nov. 3.
Whidbey Art Gallery is located at 220 Second St. in Langley. For information, visit whidbeyartists.com.
We encourage an open exchange of ideas on this story's topic, but we ask you to follow our guidelines for respecting community standards. Personal attacks, inappropriate language, and off-topic comments may be removed, and comment privileges revoked, per our Terms of Use. Please see our FAQ if you have questions or concerns about using Facebook to comment.
Read the latest Green Edition
Browse the print edition page by page, including stories and ads.
Mar 8 edition online now. Browse the archives.
Local display advertising by PaperG


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Our compassionate team of doctors and nurses truly make the difference in the Pediatric Intensive Care Unit (PICU)/Pediatric Cardiac Care Center (PCCC). Our pediatric intensivists are board-certified with certification in critical care and expertise in life-threatening conditions. They co-manage or collaborate with other medical professionals (such as a pediatric cardiologists or surgeons) to provide the most complete care for each patient.
Our nurses are also specially trained in pediatric critical care. Nurses are generally assigned to care for only one or two intensive care patients at a time. A primary nurse supervises much of your child's care, providing consistency and security. This nurse responds to your family's needs as well, providing support, answering questions, and keeping you up-to-date on your child's progress.
What is a Pediatric Critical Care Specialist?
Pediatric Critical Care Golisano Children's Hospital 601 Elmwood Avenue Box 667 Rochester, NY 14642 Office: (585) 275-8138 Parent Information Line: (585) 275-2639 Fax: (585) 276-1128
Transfer Center (800) 499-9298 (585) 273-4344 or (585) 275-4999
Pediatric Transport (585) 273-1500
Neonatal Transport Program (585) 275-2198


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Java Developer jobs - Framingham, MA
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Mar 14 | Software Developer - JAVA, Database, AGILE & SCRUM, CSS | Systems Technology International | Boston, MA |
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have an urgent requirement for Java developer please see the Job Description ... a dynamic and motivated Software Engineer/Java Developer to join its Technology group. more |
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services, is seeking a Java (J2EE) Developer for a full time, W-2; multi-year ... requirements.Design and develop Oracle and Java based 3-tier systemsDefining and... more |
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creating mods for Minecraft using Java and Eclipse. Qualified candidate has ... for developing course curriculum in Java, Photoshop, Blender and Minecraft for... more |
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HTML5, CSS, JavaScript, AngularJS, Java, Spring MVC (or equivalent) and ... utilizing HTML, CSS, JavaScript, Java/C# MVC-based frameworks, SQL and NoSQL... more |
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Our client is currently seeking a JAVA DEVELOPER located in the Quincy, MA ... years software design and development in Java, J2EE Helpful: iReports/JasperReports... more |
Feb 28 | Sr Java Developer | Spencer Thomas Group | Boston, MA |
Immediate need for senior java developers in the Greater Boston Area. DescriptionKey skills/tools used:JavaHibernatejQuery/backbone.js "Javascript Library"WebServices via CFX... more |
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