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Pain treatment in the emergency department: what do patients think?
*Sylweriusz Kosiński1, Bogusława Siudut2
1Therapy, Specialist Hospital of Lung Diseases in Zakopane
2Emergency Department, County Hospital in Zakopane
Background. Pain on admission, especially after trauma, is the most common complaint (over 80%) of patients in the emergency department. During a four-week period, an anonymous, voluntary survey on the quality of pain management was conducted among adult patients reporting to the emergency department.
Methods. Five hundred questionnaires were distributed during admission, and 260 were returned. Patients were asked about localisation and severity of pain (NRS – Numerating Rating Scale), the quality and speed of assistance in the emergency department, and the effectiveness of analgesia.
Results. Ninety percent of patients reported pain of varying intensity. The median pain scores on admission were 5.2, 7.3 during management, and 3.8 on discharge. Over 90% of patients were questioned about pain, but only 20% received some medication. Nevertheless, 80% of those surveyed were satisfied, and there was no correlation between the severity of pain and administration of analgesics. Fifty percent of patients received analgesics for home use, and 66% were instructed about further treatment.
Conclusions. Despite the frequency and intensity of pain, analgesics were rarely offered in the emergency department. A surprisingly high level of satisfaction was reported, despite suboptimal pain management. This indicates either that non-pharmacologic methods of pain treatment play an important role, or that the severity of pain is overestimated by patients.
According to estimates, up to 80% of patients reporting to emergency departments complain of pain of various severities [1, 2]. Only about half of them receive pharmacological pain treatment, whose effectiveness is often dubious [3, 4]. The reasons are not fully clear yet the key impediment to effective analgesia is thought to be lack of understanding of the problem on the part of medical personnel and anachronistic opinions concerning the role of pain in the diagnostic process [5, 6, 7]. Moreover, the individual ways of experiencing pain by patients and their preferences may be of importance [8].
A questionnaire study was conducted among patients reporting to the hospital emergency department (ED) to determine the opinions and feelings of patients about pain and its treatment as well as the analgesic efficacy of pain management.
A specially designed questionnaire included instructions how to use the numerical rating scale (NRS) and questions about the nature of pain sensations and their treatment.
Patients participated on a voluntary basis; questionnaires were available in several places of ED throughout the period of 24 h. The medical staff responsible for initial segregation and admissions to ED was to suggest the participation and explain the incompressible terms. The remaining members of staff were not informed about the objectives and details of the project. Children, patients under the influence of alcohol and those with suspected acute coronary syndrome were not asked to participate. Respondents left the questionnaires on leaving ED.
Descriptive statistics were presented as means and standard deviation or percentages. The significance of differences was evaluated using the Wilcoxon`s test for dependent samples. For estimation, the confidence interval of 95% was assumed. The correlations were assessed using the Spearman's rank, V Cramer or φ Yule coefficients as the majority of variables were discrete or qualitative. P=0.05 was considered statistically significant in all tests.
Five hundred questionnaires were distributed and 260 were returned (Table 1). In most of them some items were not filled; 51 (19.6%) questionnaires were fully completed. During the study period of 28 days 1384 patients were admitted to ED. The majority of them were male patients – 157 (60.4%), the mean age was 39.1±16.25 (range 16-85) years. The study group consisted of 97 individuals living in the Tatra county and 160 (61.5%) from other regions; 239 (91.9%) respondents reported to ED unaided and 21 (8.1%) were brought by emergency teams.
In the study group, 230 (88.5%) were asked about pain complaints during ED stay. The question about pain was most frequently asked by physicians (157 times), 55 times by paramedics, 46 times by nurses and 19 times by administrative personnel (medical secretaries). Forty respondents (15.4%) asked for analgesics and 215 (82.7%) did not. In total, analgesics were administered to 58 (22.3%) patients. The cumulative number of respondents assessing the efficacy of treatment as satisfactory (moderately satisfied, satisfied and very satisfied) was 216 (83.1%) (Table 2). One hundred and ten patients (42.3%) received prescriptions for analgesics and 171 (65.8%) were instructed about drugs and/or methods of pain treatment after discharge.
Trauma-related pain was reported by 235 respondents (90.4%); in the remaining patients, the aetiology of pain was different. In almost half of respondents, pain was located in the lower limbs (Table 3).
On admission to ED, pain was experienced by 233 respondents (89.6%), including 144 male and 89 female patients. The mean intensity of pain on admission assessed according to NRS was 5.2, maximum intensity during ED stay was – 7.3, whereas on discharge – 3.8 (Fig. 1). The interval between segregation and administration of drugs was 37.4±41.2 min (range 3-180 min), duration of ED stay – 76.25±70.4 min (range 0-552 min). There was no correlation found between gender and pain severity at individual stages of ED stay and between age and pain severity.
The hypotheses about the significance of treatment effects on pain reduction were verified using the Wilcoxon`s signed-rank test (two observations – before and after the treatment in the same patient). Pain intensity on discharge was found to be markedly reduced compared to its severity on admission and maximum pain during ED stay (p <0.05).
Four factors, chosen on the basis of earlier observations, which might have affected the use of analgesics were analysed: pain severity, gender, request for pain relief and place of residence. There was not correlation found between pain severity and administration of treatment (V Cramer = 0.157). To test the correlation between pain severity and time to drug administration the Spearman's rank correlation coefficient was determined; no significant correlation between these variables was observed. The severity of pain did not accelerate analgesia administration on admission (p=0.166) and during the highest intensity of complaints (p=0.064). Moreover, gender was not the factor affecting the administration of analgesics (p=0.066).
A slight relation was observed between requests for analgesics and their administration (coefficient of correlation φ=0.097). Likewise, the place of residence slightly affected the decision about administration of analgesia (φ=0.117). Furthermore, no higher levels of satisfaction in patients who received analgesics were demonstrated (φ=0.1366).
According to the 11-degree numerical scale, the mean intensity of pain on admission was moderate. Up to 60% of respondents experienced severe pain and almost 20% maximum pain at one of the stages of ED stay. The findings are similar to the results of studies carried out in other countries [5, 9, 10].
Only one in 5 respondents could count on administration of analgesics. Noteworthy, this number, so low, might be overestimated as each drug bringing relief, not necessarily an analgesic, could have been considered by patients as an analgesic. Low effectiveness of pain treatment is also visible in increased pain during the final stage of ED stay – almost 1/3 of respondents felt moderate or severe pain on discharge and 5 patients experienced maximum pain. Additionally, it is noteworthy that intensity of pain increased on average by over two ranges of the numerical scale during ED stay, which is likely to evidence the lack or insufficient analgesia during diagnostic procedures and manoeuvres frequently performed in trauma patients.
Our results demonstrated the lack of correlation between pain intensity and time to administration of analgesics and a slight correlation between pain intensity and institution of analgesia. The model of medical segregation applied should enable identification of patients with higher intensity of pain and the use of analgesia without any delay. The analysis, however, shows that the system used in the ED studied was ineffective. Pain intensity, one of the important vital parameters, should be obligatorily assessed during the initial examination. Severe pain sensations should be considered equal the consciousness disturbances, circulatory or respiratory abnormalities; and such patients ought to be provided with proper medical management [11, 12].
Patients who requested for analgesics did not receive them more often than the remaining respondents did. Searching for factors affecting the administration of analgesics, the place of residence and gender of patients were additionally analysed. The hypothesis of possible 'favouritism' of the local community and gender was not confirmed.
A relatively high level of satisfaction was found, quite disproportionate to 'sparing' use analgesia. This paradox was also demonstrated in other countries [3, 4], which may be associated with the psychological effect influencing the perception of pain achieved thanks to explanations about the causes of pain and mental support. Moreover, non-pharmacological measures might have been of importance – immobilisation, poultices, etc. The questionnaire used, however, did not assess the extent of their use. Furthermore, patients receiving analgesics did not think more highly of analgesic effects compared to the remaining respondents, which appears to confirm a high impact of non-pharmacological methods on the level of patients` satisfaction.
Almost half of respondents received prescriptions for analgesics and 2/3 were instructed about analgesics and/or further pain treatment after discharge. The findings demonstrate that physicians were aware of the pain experienced by patients, which is also confirmed by the fact that almost 90% of patients were questioned about pain; in the majority of cases, such questions were asked by physicians. This poses a question why drugs are received by such a low percentage of patients during hospital stay and why pain management is initiated after discharge. This is likely to be associated with false yet still functioning belief that pain is an inseparable and necessary element of the diagnostic process.
Our respondents received drugs after 37 min, on average, thus relatively quickly compared to other reports [3, 13, 14]. However, a small number of respondents hinders detailed analysis. Since the correlation between pain severity and time of drug administration was not demonstrated, it seems that this tendency is related to organisational rather than diagnostic-therapeutic factors.
Our survey was mainly to determine the opinions of patients about quality and effectiveness of pain treatment. It was assumed that anonymity of respondents should provide more reliable and complete responses. Additionally, it was decided that collection of information by pollsters might affect the quality of data due to suspected impact of the speed and way of advice provision on obtained answers. However, the rule of anonymity excluded the possibility to analyse simultaneously the information contained in medical records, which limited the number of available data. Based on the set of questionnaire questions, the details of treatment could not be reliably assessed, e.g. kinds of drugs, their doses or routes of administration. Although the ED personnel were not informed about the assumptions and goals of the study, it cannot be excluded that the information obtained could have affected the attitude of some staff members towards patients.
1. Although the level of pain intensity experienced by patients in the emergency department is high, pharmacologic methods of its relief are rarely used.
2. Disproportion between the incidence of pain treatment and high levels of patients` satisfaction indicates potential significance of non-pharmacologic methods of analgesia.
3. The system of medical segregation applied in the emergency department does not ensure prioritisation of patients with high levels of pain.
4. In the majority of patients, pharmacologic pain treatment is initiated after discharge.
1. Tanabe P, Buschmann M: A prospective study of ED pain management practices and the patient's perspective. J Emerg Nurs 1999; 25: 171-177.
2. Karwowski-Soulié F, Lessenot-Tcherny S, Lamarche-Vadel A, Bineau S: Pain in an emergency department: an audit. Eur J Emerg Med 2006; 13: 218-224.
3. Todd KH, Sloan EP, Chen C, Eder S, Wamstad K: Survey of pain etiology, management practices and patient satisfaction in two urban emergency departments. Can J Emerg Med 2002; 4: 252-256.
4. Todd KH, Ducharme J, Choiniere M, Crandall CS, Fosnocht DE, Homel P, Tanabe P: Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain 2007; 8: 460-466.
5. Zohar Z, Eitan A, Halperin P, Stolero J, Hadid S, Shemer J Zveibel FR: Pain relief in major trauma patients: an Israeli perspective. J Trauma 2001; 51: 767-772.
6. Wilder-Smith OH, Mohrle JJ, Martin NC: Acute pain management after surgery or in the emergency room in Switzerland: a comparative survey of Swiss anaesthesiologists and surgeons. Eur J Pain 2002; 6: 189-201.
7. Kosiński S, Siudut B: Oligoanalgezja w medycynie ratunkowej – istota zjawiska, przyczyny i sposoby przeciwdziałania. Anestezjol Ratown 2009; 3: 336-343.
8. Singer AJ, Garra G, Chohan JK, Dalmedo C, Thode HC Jr.: Triage pain scores and the desire for and use of analgesics. Ann Emerg Med 2008; 52: 689-695.
9. Johnston CC, Gagnon AJ, Pepler CJ, Bourgault P: Pain in the emergency department with one-week follow-up of pain resolution. Pain Res Manag 2005; 10: 67-70.
10. Berben SA, Meijs TH, van Dongen RT, van Vugt AB, Vloet LC, Mintjes-de Groot JJ: Pain prevalence and pain relief in trauma patients in the accident & emergency department. Injury 2008; 39: 578-585.
11. Ritsema TS, Kelen GD, Pronovost PJ, Pham JC: The national trend in quality of emergency department pain management for long bone fractures. Acad Emerg Med 2007; 14: 163-169.
12. Silka PA, Roth MM, Moreno G, Merrill L, Geiderman JM: Pain scores improve analgesic administration patterns for trauma patients in the emergency department. Acad Emerg Med 2004; 11:264-270.
13. Nelson BP, Cohen D, Lander O, Crawford N, Viccellio AW, Singer AJ. Mandated pain scales improve frequency of ED analgesic administration. Am J Emerg Med 2004; 22: 582-585.
14. Decosterd I, Hugli O, Tamchès E, Blanc C: Oligoanalgesia in the emergency department: short-term beneficial effects of an education program on acute pain. Ann Emerg Med 2007; 50: 462-471.
*Sylweriusz Kosiński
Oddział Anestezjologii i Intensywnej Terapii
Szpital Specjalistyczny Chorób Płuc w Zakopanem
ul. Gładkie 1, 34-500 Zakopane
tel.: +48 602 480 289
e-mail: firstname.lastname@example.com
received: 15.06.2011 r.
accepted: 22.08.2011 r.

subset: commoncrawl


text:
Speeding tickets and employment
- 0Uugghh!!!! I did not know speeding tickets are class c misdemeanors in Texas. I had to resubmit application with correction to question asking if I had a misdemeanor. I already had interview but they are doing background check now. I was told at first that they will not hire you if you have a speeding ticket because it is a criminal offense but then was told to submit info and that it won't cause me to not get the job. How many of you have speeding tickets and have jobs? I'm so stressed. To think my whole career is over because of a speeding ticket is just the worse thing I can imagine.
- 12Jul 22, '11 by MickeyTongThat is absurd. Leave Texas.
- 4Jul 22, '11 by carbon86If they ask just tell them it's because you are so excited to get to work that you can't help but to have a leed foot. I am just kidding. Although speeding tickets are misdemeanors I can't imagine that they wouldn't hire someone because of it. When they say misdemeanor I am sure that it relates more to a crime such as possesion of drug paraphanilia, or something more along those lines. But its safer for them to ask about ALL crimes very broadly, its kind of like a catch all.
- 5Jul 22, '11 by xandarosaI live in Texas. I've seen the misdemeanors question but it always said excluding traffic violations. Sorry you're going through this cause it's crazy! There is a very few of us in America that haven't gotten a speeding ticket,
- 2True, I didn't think of it that way. I feel so dumb that I didn't know speeding tickets were class c misdemeanors. But I'm
glad I asked HR and corrected the form because I don't want them to think I'm dishonest, just not very educated in the law. Lol! I always think of criminal offenses as drugs, violence, theft, but never thought about speeding ticket. What would I do without Allnurses? I would be totally stressed out and alone. So nice to have a place to go to and vent.
- 1On the online application, it doesn't say "excluding traffic violations." It asks if you have had misdemeanor or felony. But I've seen applications where it says excluding traffic violations. Anyways, I'm glad HR knows and I corrected the application. They checked my background report and so far it didn't show the traffic tickets. I just want this job so much. Say a prayer please.
- 1Jul 22, '11 by belgarionJust curious, were you by chance applying for a job with the state? The only place I have seen where you are required to disclose speeding tickets are with the state prison system or other areas requiring a high level of security.
- 1Jul 22, '11 by MulticollinearityFYI, sometimes the question is asked to see if you are honest and disclose all offenses, including traffic tickets. It's not that the employer or licensing body actually cares about traffic tickets - it's a test to see if you honestly disclose everything. If the applicant hides tickets, what else might he or she be hiding?
- 2Jul 22, '11 by tele jellyDONT WORRY! I live in Texas and have TONS of speeding tickets. Yes, a speeding ticket is a class C misdemeanor, but it is always an exception.
...and I don't appreciate the leave texas comment either! hahaha
- 0Jul 22, '11 by xiaobear007well , i think it make no sense to be picky about your speeding ticket. maybe the governor has that too but can it stop him from being the governor. I really think the HR is doing ridiculous thing if she is picky about your speeding ticket.
btw, it seems Texsas is a good place to find nurse jobs and many other jobs. my friend just told me he will relocate there and find a electrician job, is that true ?
Quote from tele jellyDONT WORRY! I live in Texas and have TONS of speeding tickets. Yes, a speeding ticket is a class C misdemeanor, but it is always an exception.
...and I don't appreciate the leave texas comment either! hahaha


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Our flagship product, Mightyvites, will be launching in six days. But what exactly is a Mightyvite? At its core a Mightyvite is an invitation experience that moves an event guest offline to on. Guests receive in the mail one printed invitation and a single enclosure. The enclosure has a web address and a unique code. The guest later visits the web address and uses the code to unlock the remainder of their invitation. Once unlocked the guest is greeted with a personalized web page from which they can RSVP and view event details.
Read the rest of this entry »
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Click any word in a definition or example to find the entry for that word
90% of the time, speakers of English use just 7,500 words in speech and writing. These words appear in red, and are graded with stars. One-star words are frequent, two-star words are more frequent, and three-star words are the most frequent.
The thesaurus of synonyms and related words is fully integrated into the dictionary entries. Click on the T button in an entry to review the synonyms and related words for that meaning.more
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Hannah was the guest of honor and presented the prizes.
We are very pleased to have been presented with this prestigious award.
Finally the mayor presented the medals to the winners.
It was argued that the group's activities presented a threat to national security.
Despite its free-market reforms, the country still presents foreign investors with a challenge.
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The movie presents a disturbing image of youth culture.
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A westbound coal train skirts the Colorado River, approaching tunnel 39 on a chilly fall morning.
After a quiet morning on the Moffat Sub, an eastbound coal train skirts the Colorado River, passing through Tunnel 40 in this rugged stretch of railroad.
A loaded BNSF coal drag crawls slowly southward down the Joint Line at sunset
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text:
Advanced Search
Ed Tech | News
The United States Department of Education (ED) has overwhelmingly favored educational gaming in its annual Small Business Innovation Research (SBIR) contract awards. This year, 12 of the 20 awards went to educational game and game-related projects.
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Many of this year's SBIR games winners feature adaptive technology that automatically adjusts difficulty based on the player's ability, story-based narratives, rewards and competition, an instructional component, and a teacher dashboard that provides teachers with formative assessment results.
The SBIR contract awards provide up to $1.05 million of funding to small businesses that are conducting research and development on commercially viable educational or assistive technology, science, or engineering projects. The SBIR program is managed by the Institute of Education Sciences (IES), the research division of the ED.
SBIR awards funds in two phases:
A small number of Fast Track awards cover work in both Phase I and Phase II.
Previous IES SBIR award winners include Filament Games, which won the National STEM Video Game Challenge in 2011; Sokikom, which won several industry awards and $1 million in angel funding; and Triad Interactive Media, which won a 2013 SIAA CODiE award.
The winning 2013 IES SBIR awards for games this year are:
Phase I:
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Further information about the 2013 SBIR award winners can be found on the IES site.
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Sharp Electronics Corporation's (Mahwah, NJ, U.S.) line of Plasmacluster air purifiers is designed to clean air as well as remove odors, airborne irritants, allergens, and smoke. The Plasmacluster Ion technology generates positive and negative ions, which are said to reach all areas of the room to clean the air space. The models are also equipped with a triple filtration system, which includes a true HEPA (High Efficiency Particulate Air) filter and an active carbon filter that work to remove household odors. Some units also feature Library Quiet(tm) performance.
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|Froch On Ward: No Punch, Not Physically Tough, Homebody
WBC super middleweight champion Carl Froch has no problem serving as the underdog on December 17th in Atlantic City. He faces WBA champion Andre Ward in the final round of Showtime's Super Six tour...
reviews | forums
|Andre Ward: I'm Not Worried About Froch Targeting My Cut
WBA super middleweight champ Andre Ward (24-0, 13 KOs), trainer Virgil Hunter, and promoter Dan Goossen hosted members of the media at King's Gym in Oakland, CA on Friday to discuss how his traini...
reviews | forums
|Video: Andre Ward Talks Carl Froch Bout, Training, Injury
Ryan Maqui�ana catches up with WBA super middleweight champion Andre Ward, as he holds a media day to discuss his upcoming unification fight with WBC champion Carl Froch, training camp and more.
reviews | forums
|Andre Ward�s Team on Fighting with Cuts, Scoring, More
Flanked by Trainer of the Year candidate Virgil Hunter and promoter Dan Goossen, WBA super middleweight champion Andre Ward of Oakland recently held his Media Day at his hometown training grounds o...
reviews | forums
|Froch is Training For Ward Alongside Olympic Hopefuls
CARL FROCH is being fired up to become the world�s best super-middleweight by training alongside Britain�s Olympic hopefuls.
reviews | forums
|Carl Froch Getting Anxious To Get Ward in The Ring
Carl Froch believes it will be worth the wait when he finally engages in a world title unification fight against Andre Ward in next month's Super Six tournament finale.
reviews | forums
|Brook vs Galarza Set For The Froch-Ward Undercard
Unbeaten British welterweight Kell Brook will face Luis Galarza in December 17 in what should be his final fight before a tilt at a world title.
reviews | forums
|Carl Froch Views Ward Delay as Blessing in Disguise
The delay to the Super Six final clash with Andre Ward has been a blessing in disguise for Carl Froch. The Cobra has revealed he would have been struggling with a cold had the Atlantic City showdow...
reviews | forums
|Carl Froch: After Ward I Want Bute, Mikkel Kessler Too
CARL FROCH has been given �5million reasons to beat Andre Ward next month.
reviews | forums
|Sauerland Eyes Record Offer For Kessler-Super Six Victor
On December 17 in Atlantic City, N.J., Super Six-finalists Andre Ward and Carl Froch will fight for the Super Six trophy, two championship belts, and super middleweight bragging rights.
reviews | forums
|Gonzales To Continue Helping Ward Prepare For Froch
Virgil Hunter was familiar with Brandon Gonzales before he began training the undefeated 160-pound prospect.
reviews | forums
|Brook: Christmas Came Early, I'm Fighting on Froch-Ward
Unbeaten British Welterweight star Kell Brook will make his debut on American soil on December 17 as part of the undercard of Carl Froch�s Super Six final against Andre Ward at the Boardwalk Hall i...
reviews | forums
|Andre Ward Discusses His Cut, Training For Carl Froch
Current WBA super middleweight champion Andre Ward recently spoke to BoxingScene�s official audio show - "The Boxing Lab" - regarding the circumstances which forced him to postpone his upcoming fig...
reviews | forums
|Carl Froch: I Will Knock Andre Ward Out, No Decision
WBC super middleweight champion Carl Froch (28-1, 20 KOs) is not expecting WBA king Andre Ward (24-0, 13KOs) to last the twelve round distance on December 17th at Boardwalk Hall in Atlantic City. F...
reviews | forums
|Froch-Ward: Kell Brook's Appearance is Looking Likely
KELL BROOK's American debut on December 17 is looking more and more likely to happen. Brook wants to get some much needed exposure in America before he targets a world title shot against either And...
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text:
On May 7, 12:58*pm, raul28 <bpri...@gmail.com> wrote:
> Get inside the hidden cookbooks of America's favorite restaurants. The
> secret recipes for over 100 all-time favorite dishes
If you really want to share, post them here. Otherwise, don't let the
door hit you on the way out.
For Dinner:
Baked Cod Filet:
Rub cod filet all over with olive oil. In a shallow dish, mix Panko
crumbs, about a T. of lemon zest, some parsley flakes, salt, pepper
and garlic powder. Crush this coating into the filet, top and bottom.
Place filet in a greased shallow oven-proof dish; bake at 375 deg. for
about 20 minutes or until fish is done through and the crumbs are
light brown. Serve with fresh lemon wedge. For sides, a colorful
vegetable (green beans, broccoli, carrots or beets (yeah, Barb!) and a
baked potato. Yum.


text:
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This is a list of all my clients, including writers and directors for theatre, film and television
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text:
"April Fools' Day or just can be said as Fools days is celebrated by people around the world. People make kind of a practical jokes & play hoaxes (trick into believing or accepting as genuine something, which is false) with each other. This tradition being funny many giants also publish many false news."
Today, it's easier to reach wider audience due to the spread of internet. Something a little bit similar done on Holi festival in India. And when it comes to Cyber giants "Google" always wins the race, each year. They add seriousness into it by making a video & releasing it on YouTube. May be their Gmail Motion or Google's Animal Browser. This time Google has come out with 15 April Fool Pranks out of its different product. The thing people will be waiting whole year for.
Gmail turns blue.
After nine years of its launch, you compose button turns blue when u click. Complete Story. May be to compete new Outlook.com. ha ha ha.
YouTube all set to close.
They say site was started in 2005 to choose the best online Video & catalyse peoples creativity. Video also says site will be closed & again will open on 2023 & they will be declaring the best video. No doubt they are acting as catalyst for human creativity. But, the last years prank was much better. Complete Story.
Google's Treasure Maps.
According to Google, a deep sea expedition off the coast of Madagascar while getting underwater Street View photos (real, not April Fools' related) — led to the discovery of infamous pirate William "Captain" Kidd's treasure maps. Thus, the birth of Google Maps: Treasure Mode. Google need your help to decipher these symbols and find Captain Kidd's treasures; therefore they have decided to digitize the map and make it accessible to everyone. Though, Google might be having more treasure then these maps wants to speak. Complete Story.
Emotion+ in Google+.
An option to add stylized emotions to your photos in Google+. Would be good thought if you people do so. At least there would be some more traffic on Google+. Got only some 700 shares when this article was written. Click below image to read complete story.
Google Analytics shows surprise visitors from Space Station.
Google Analytics which shows how visitors are interacting with your website, yesterday suddenly showed visitors form International Space Station. But, this was limited to some accounts. I got a pic for you all.
Get Google Fibre from Electricity Poles.
After its successful launch in Kansas City, Google fibre the 1 Gbps connection is set to come to Kerala, India. I have a fear that the connection doesn't drop like power failures in India. Enjoy the video below. The most hilarious part of this is the a Hacker on footpath.
Google's Levity App.
Business emails which are usually boring can be made funny with just a click – Google Enterpriser's "Levity Algorithm," made in conjunction with Chicago's Second City Communications. The app can rename boring meetings like "business roundtable discussion" to "Drinks with S. Colbert" or "Peanut Butter Jelly Time."
Google Nose.
Get ready for "new scentsation in search", Google Nose, the only tool that allows you to search for smells. (Now in BETA testing.). I felt it most hilarious. But imagine if this becomes possible one day then we can buy perfumes online by smelling.
This was with Google. They even made a Australian specific prank. Now lets head to some other interesting pranks from say twitter.
New service Twttr.
They said they shifted to Freemium model. There service "Twttr" will allow you to use just consonantss. If you want to use Vowels in your Tweets then you need to pay $5/month in order to continue to use old "Twitter". This came along with the most Re-Tweeted photo of Barack Obama & his wife. This was a very interesting joke for some interesting people. In Twitter style.
Twyttyr? Why byy vywyls whyn yyy gyt "Y" fyr fryy? Syckyrs! #nvwls
— Joan Rivers (@Joan_Rivers) April 1, 2013
Skype into Space.
This was another interesting prank, but not much spread like others. This had some features of using Skype in Space. The funniest was :
Automatic video rotation If you float around in zero gravity while on a video call, the person you're calling will always see you the right way up.
White House.
White house was no way behind. Excellence Barack Obama himself addressed to wish Happy April. Click the below video.
Virgin exaggerated so much that they announced glass-bottomed plane.
Coursera an online website which offers free courses. For some even provides certificates. It is almost a year old & has gathered a great online reputation. They announced a new course. Description.
Sony introduces products for animals. Targeted at owners with dogs, cats and hamsters. This was funny no doubt.
Disney founds Mickey's face like craters on Moon.
Way back in India. All eyes where on Twitter. Because, Twitter celebrated this day in India as Rahulday with jokes on our future Prime Minister Rahul Gandhi. You can still follow those by hash tag #Rahulday. This reached the top most spot among trending topics around 3 p.m. There where even some vulgar talks, I got some sober comments below. enjoy.
#RahulDay On Airport, RG started shouting Boeing Boeing. SG said "be silent beta". RG started shouting "Oeing Oeing".
— Shiv (@shivsBHARAT) March 31, 2013
#RahulDay He thinks ADIDAS aur DEVDAS rishtedaar hai. — Shiv (@shivsBHARAT) March 31, 2013
#RahulDay because Rahul Gandhi says : "Politics is everywhere. It's in your shirts, it's in your pants" : youtube.com/watch?v=eEMFmi… — Akhilesh Mishra (@amishra77) March 31, 2013
#RahulDay Rahul Gandhi took a ruler to bed to see how long he slept
— Meethi Chhuri (@riya043) March 31, 2013
LOL, #rahulday is trending! bad that #swamyday is forgotten! is this the way to treat a patriot?!
— Prashanth (@itisprashanth) April 1, 2013
Ha ha. #RahulDay is trending instead of #FoolsDay.. This is hilarious.
— Pankaj Kapoor (@pannkaz) April 1, 2013
Disclaimer : No comments published here are from any member of netizensstop.com. These are just collection got from various sites.
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text:
Speak Out
Share your concerns and spread the word!
Tell our government to protect its people by supporting and advocating safe energy policy.
In The News…
Share your concerns and spread the word!
Tell our government to protect its people by supporting and advocating safe energy policy.
In The News…
Right now, 5 very important bills are under consideration that will increase public safety and protect public health. If they pass, it will cost Entergy a hefty sum of money to implement. Bill H.2045 188th – An Act increasing nuclear power plant protections to a twenty mile radius (Current) Sponsors: Sarah Peake & Ann Margaret… Read on
PLYMOUTH, Mass. — Twelve Cape Cod residents were found guilty Friday in Plymouth District Court for illegally entering the grounds of the Pilgrim Nuclear Power Plant. The defendants admitted to trespassing at the Plymouth facility, but used the seldom argued necessity defense, declaring they were innocent because they were trying to prevent an imminent public… Read on
A group of Cape Cod residents marched on the Boston State House (March 10, 2014) to call upon Governor Patrick to shut down the outdated, dangerous Pilgrim Nuclear Power Plant (PNPP) in Plymouth, Massachusetts. The group presented extracts of official petitions signed by all 15 Cape Cod towns. Governor Patrick, after speaking that day with… Read on
The Association for the Preservation of Cape Cod has released their study: http://www.apcc.org/documents/pdfs/statements/2014/March/Pilgrim-3-17-14.pdf "Based on the importance of Cape Cod's natural resources and the impacts and threats posed by Pilgrim, APCC calls on public officials and regulatory agencies to revoke Pilgrim's permits and to require that Pilgrim be decommissioned in the shortest time and safest… Read on
December 20 is the deadline to submit comments to the NRC's draft GEIS, "Waste Confidence Generic Environmental Impact Statement," which forms the basis for proposed amendments to the NRC's regulations pertaining to the environmental impacts of continued storage of spent nuclear fuel beyond a reactor's licensed life for operation and prior to ultimate disposal. Beyond… Read on
Dear friends, With the recent closure of the Vermont Yankee nuclear reactor, and the ongoing disastrous radiation leaks at the Fukushima reactor, there is heightened awareness of the problems at our Pilgrim nuclear reactor. There are a handful of state representatives who have filed bills at the state house to increase public protections such as… Read on
PLYMOUTH – A series of mechanical difficulties at the Pilgrim Nuclear Power Station has kept the plant from operating at peak for more than two weeks. Currently Pilgrim is completely off the electric grid, shut down Sunday evening because of a steam leak in a pipe supplying hot water to the nuclear reactor. Spokesmen for… Read on
UPDATE: Susan Truitt (event organizer) has decided to cancel the rally tomorrow in Boston because of recent developments regarding the Ethics Commission and has stated the following: The Massachusetts Ethics Commission and our State Senator Dan Wolf are now in productive negotiations which could clear the way for Dan to stay in the State Senate… Read on
Read the letter: Sen. Markey & Warren: Letter to Entergy The state's two U.S. senators recently stepped into the nuclear safety debate, writing a letter to Entergy Corp. to urge the owner-operator of the Pilgrim Nuclear Power Station to expand the emergency planning zone and develop a realistic evacuation plan should the plant have a… Read on


text:
Attention Fleet Managers:It's time to update your CP Vehicle Identification Decals.
Fresh Signals
Japanese parade floats from the 1800s.
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A post from the daily flow of linkage called Fresh Signals, at Coudal.com.
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Every automaker is intent on downsizing its engines and adding some kind of hybrid component to its vehicles, and Nissan is no different. Today in Japan, Nissan introduced its latest in-house developed hybrid drive system, comprised of a 2.5-liter four-cylinder engine and a compact lithium-ion battery pack. But here's the kicker: it's packing a twin-screw supercharger on top.
According to engineers we spoke with, that means the same output as Nissan's tried-and-true 3.5-liter V6 – somewhere in the neighborhood of 260 horsepower and 250 pound-feet of torque – all while returning fuel economy improvements of up to 10 percent when mated to Nissan's all-new Continuously Variable Transmission (expect more on that later).
Engineers claims that the torque curve of the new supercharged mill is nearly identical to the V6 and that power delivery will be just as seamless as the 3.5-liter. Officially, Nissan says that a model packing the new engine is due to arrive in 2013 in North America, and it's safe to assume that's going to be the next-generation Altima.
Nissan reps confirm that the combination of superchargers and hybrids will proliferate throughout the Nissan line-up in the coming years, and that's sure to extend to Infiniti as well. That last bit has us pontificating that the mystery mid-engine Infiniti concept coming to the Geneva Motor Show could be packing a variant of this same mill, but augmented with plug-in tech. We'll find out soon enough...


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Scenic Hudson Valley Hiking
Exceptional Hiking Year-Round
Overnight guests at Mohonk Mountain House have unlimited access to over 85 miles of upstate New York hiking trails throughout the year. Winding their way through thousands of pristine acres, these hiking trails offer stunning views of Lake Mohonk, Sky Top Tower, the Catskill Mountains and more. Guests can take guided hikes, participate in a walk with our naturalist, or even order a backpack picnic for longer hikes. Enjoyable in every season, our Hudson Valley hikes are great for the entire family. We encourage everyone to take time during their stay to explore the beautiful grounds surrounding Mohonk Mountain House.
Generations of guests have discovered the miles of well-marked trails honeycombing the Mohonk woodlands. Step into thousands of acres of land untouched by time – secluded trails, enchanting forests, and impressive mountains. The Shawangunk region was awarded the distinction of being named "one of Earth's 'Last Great Places'" by the Nature Conservancy, for good reason.
Guests can enjoy various levels of Hudson Valley hiking, ranging from beginners strolls around the lake to more advanced paths along the cliffs. View our hiking map to plan your route.
Early Morning Canoe Tours
Get out on Lake Mohonk early in the morning with our Staff Naturalist, who will point out the many birds, mammals, fish and reptiles who are especially active at this hour.
Bird Walks
Take a walk with our Naturalist, who will focus on the diversity of bird life on our mountaintop including behavior and vocalization. These walks are year-round; binoculars are available.
If you are interested in visiting Mohonk Mountain House for the day, visit our day guest section.


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Free Entry
The branding of cattle is an integral part of raising cattle. The 'brands' are unique designs that belong to each cattle property, and 'brands' from surrounding properties can be viewed at the Morven Branding Board.
... more
In the past, using a hot branding iron, the brands were branded onto the skin of the cattle, as proof of ownership. Today, many owners use ink stencils to 'brand' their cattle. A recent innovation is to insert micro chips under the skin of the cattle.
To celebrate the year of the Outback in 2002, a re-enactment of the Harry Redford Cattle Drive was carried out. As the Cattle Drive travelled through Morven, the Community got together to celebrate the occasion, by burning their local cattle brands into a piece of bloodwood, which became 'The Branding Board'.
The Branding Board is a collection of brands from surrounding properties who paid to have their mark placed on this board. Monies raised were then donated to the Starlight Foundation. Please take a look at each brand and you will notice some innovative designs. For cattle people often a quick glance at the brands is all they need to recognise the station that the cattle have come from.... less
Supervised children are welcome.
Pets Allowed:
Yes. Pets are allowed, however, must be restrained at all times.
How To Get There
If arriving from Charleville, Morven is 83 kilometres from Charleville on the Warrego Highway. The Branding Board is within Morven town precinct on the left hand side of the road, past the Museum in Albert Street.
If arriving from Brisbane, Toowoomba or Mitchell the Morven Branding Board is located within Morven town precinct on the right hand side of the road before the Morven Museum, but after crossing the rail line.
* Please note: These rates are indicative based on the minimum and maximum available costs of listed products and services. To obtain a firm price from the provider, please use the contact the operator. All prices are quoted in Australian dollars.


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Globalization is a bottom-up phenomenon with all actions initiated by milions of individuals, the sum total of which is "globalization." No one is in charge, and no one can anticipate what the sum of all the individual initiatives will be before the result manifest. A global economy can only be the result of "spontaneous order.John Naisbitt
Instead of having a set of policies that are equipping people for the globalization of the economy, we have policies that are accelerating the most destructive trends of the global economy.Barack Obama
We can no longer allow America's dependence on foreign oil to compromise our energy security. Instead, we must invest in inventing new ways to power our cars and our economy. I'll put my faith in American science and ingenuity any day before I depend on Saudi Arabia.Senator John Kerry
The whole of the global economy is based on supplying the cravings of two per cent of the world's population.Bill Bryson
Let`s give the individual the space to grow, instead of the economyLoesje
America is a great power possessed of tremendous military might and a wide-ranging economy, but all this is built on an unstable foundation which can be targeted, with special attention to its obvious weak spots. If America is hit in one hundredth of these weak spots, God willing, it will stumble, wither away and relinquish world leadership.Osama bin Laden
If the recovery has been built on the illusion of money games like this, then one has to wonder what it is we are seeing that is getting better in the economy.Seiji Maehara
[E]conomic liberty and creative entrepreneurship are the basis of any solution to todays social and economic difficulties. Blaming business, setting wages, and attempting to run the economy by decree from Washington only exacerbates the problems. Consider the minimum wage. It seems so simple: Tell business to pay its workers more. But a hike in the minimum wage is essentially a tax, punishing precisely those companies that hire workers with the least skills.Doug Bandow
Be glad that you're greedy; the national economy would collapse if you weren't.Mignon McLaughlin
The secret affinity between gambling and the desert . . . Gambling itself is a desert form, inhuman, uncultured, initiatory, a challenge to the natural economy of value, a crazed activity on the fringes of exchange. But it also has a strict limit and stops abruptly; its boundaries are exact, its passion knows no confusion. Neither the desert nor gambling are open areas; their spaces are finite and concentric, increasing in intensity toward the interior, toward a central point, be it the spirit of gambling or the heart of the desert a privileged, immemorial space, where things lose their shadow, where money loses its value, and where the extreme rarity of traces of what signals to us there leads men to seek the instantaneity of wealth.Jean Baudrillard
Our agricultural economy in the Hudson Valley continues to face historically low prices and producer income, as well as losses due to weather and other disasters.�Sue Kelly
The gap in our economy is between what we have and what we think we ought to have - and that is a moral problem, not an economic one.Paul Heyne
Remove advertising, disable a person or firm from proclaiming its wares and their merits, and the whole of society and of the economy is transformed. The enemies of advertising are the enemies of freedom.David Ogilvy
Democrats have laid out a program that, if adopted, would make us independent of Middle Eastern oil in ten years, and create a new economy especially for those in rural America. Our program invests in clean energy alternatives and provides energy assistance for those in need.Jim Clyburn
Even the striving for equality by means of a directed economy can result only in an officially enforced inequality - an authoritarian determination of the status of each individual in the new hierarchical orderFriedrich August Hayek
The sun of liberty is set; you must light up the candle of industry and economy.Benjamin Franklin
If the terriers and bariffs are torn down, this economy will grow.George W. Bush
The concept of social inclusion in essence means replacing a welfarist approach to helping the underprivileged with one of investing in them and their communities to bring them into the mainstream market economy. It's a modern and fresh approach that views everyone as a potential wealth creator and invests in their human capital. My reason for adopting such an approach is simple: at a time when Australia needs more skilled people and has an ageing population, we simply can't afford to have one in ten or more of our people out of the workforce due to unemployment, low skills or the effects of chronic poverty. Social inclusion is an economic imperative.Julia Gillard
Soviet rocket troops possess enough equipment to be able, if need be, to sweep any aggressor from the face of the earth at whatever point of the globe he may be and whatever military power, territory, or economy he may possess.Sergei Semenovich Biriuzov
I find that whenever I am in power, or my father was in power, somehow good things happen. The economy picks up, we have good rains, water comes, people have crops. I think the reason this happens is that we want to give love and we receive love.Benazir Bhutto


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Having assessed the replacements for Moussa Dembele in the middle of the park after the talismanic Belgian's move to Tottenham, it is fair to say that Martin Jol's options were limited. The Dutchman had either the choice of inexperience in Pajtim Kasami or the stable but hardly inspirational likes of Steve Sidwell. Thus, the signing of veteran Greece international midfielder Giorgos Karagounis on a free transfer this week, although not a complete surprise given the club's lack of creative midfield options, came out of the blue.
Karagounis has quite a prodigious history, having played for the likes of Benfica and Inter Milan on the way to obtaining 120 caps for his country, taking part in their glorious Euro 2004 triumph and captaining them eight years later at Euro 2012. However, at the age of 35 and completely unproven in the Premier League, Martin Jol may have taken a risk in bringing the free agent to Craven Cottage.
However, Jol is a canny manager and will know that Karagounis will hardly be churning out consecutive 90 minute performances week after week. Indeed, he may not even be looking to play the former Greek captain away from home, where Fulham have consistently struggled since their arrival to the Premier League back in 2001. Away from home comforts, Karagounis may be spared for more solidity in the form of Sidwell or Chris Baird alongside Mahamadou Diarra.
However at home, where Fulham under Jol love to come forward and prioritise keeping possession, Karagounis could prove a shrewd signing. He may be 35 but he showed in the Euros that he retains an ability to keep the ball as well as an eye for a creative, defence-splitting pass. Karagounis is also cool in front of goal and showed it as he scored to put Greece into the quarter-finals ahead of favourites Russia.
Furthermore, Karagounis will himself know better than anyone his own limitations. He is experienced enough to know that in the Premier League, reckless dashes forward at his age will come to no avail. Indeed, with the likes of Dimitar Berbatov, Bryan Ruiz and Mladen Petric ahead of him, Jol will perhaps even stress to Karagounis that there is no real need for his body to go forward, simply his passing.
Fulham are quickly gaining a reputation under Jol for being an overwhelmingly attacking side, particularly at Craven Cottage, and opposition defences are beginning to arrive in West London and sit deep in an attempt to deny the home side space. Here, Karagounis can provide the answer with his vision and ability to provide for the likes of Berbatov to wreak havoc.
There is no doubt that Karagounis is not the long term future for Fulham but until a proper replacement can be brought in for Dembele, the Greek legend can at least provide a short-term fix to the issue.
See what the expert tipsters at OLBG are tipping on Fulham v West Brom
West Ham's Sam Allardyce says Leicester City fans should show more loyalty to manager Nigel Pearson
Everton's Kevin Mirallas could return to play in the Christmas fixtures
Crystal Palace striker Marouane Chamakh out of action until the New Year
Fulham agree deal for Leeds striker McCormack
Fulham prepare big bid for Leeds captain McCormack
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hey guess what? i havnt seen my b/f in two or three weeks... >.O ::twitch:: i m hoping to see him saturday at carly's party but i dont know if he will be there r not. i am assuming he is. school is ok. i had to walk this morning cause my dad left me... and i had to walk home yesterday cause my mom was sick and my dad was out. somewhere. >.O. tomorrow clays musci ideo for invisible premieres on TRL YAY! which means i can tape it and watch it over and over and over...etc. anyway i have 3 days left to live. oh how unfortunate i die on halloween. creepy...... well here is something for your "entertainment"Things I Love... Things I Hate...-clay aiken -cats -harry potter -heights-my b/f -the beach/ocean/sand/everything in between-christmas -preps-music - people who judge people too quickly-food - my handwriting-coke - smoking,drugs and the people who do it (its SUCH a turn off)-writing (about clay) - drinking and the people who do it -my friends -taebo ( >.O >.O >.O ::TWITCH:: )-reading -smart people who show ff their smartness- and other namless things i have forgotten
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text:
Last year a Large group of my friends and I did group discount, who do I email about that this year?
(has cleaned out email since then)
Csifreak86 wrote: »I cant get my tickets till next friday when its pay day God i hope 3 day passes dont sell out by then
Calm down a little. Last year the 3-day passes didn't sell out until mid-July, and the 1-days took another month. Even if they sell a bit faster this year, you have months of time.
now it's just odd to think about prepping for the road trip from Canada
I'm hoping this is the appropriate place to ask this and that I'm not being annoying by asking. I can't seem to get any messages through to my Enforcer buddy to ask him.
This is the first time I've applied to be an Enforcer and I am just wondering how long I should expect to wait to hear back about whether I will be chosen or not. I applied today. I'm a bit nervous about not buying a 3-day pass during the wait to find out, but I don't have the extra cash to buy one and then stress about trying to find someone to buy it from me if I don't need it. Will it be days? Weeks? Months? Thanks for any info!
ChrisManji wrote: »ACHIEVEMENT UNLOCKED. 3-day tickets for myself and the fiancee.
I don't know what it is, but something tells me that August 25th-28th is going to be the BEST THREE DAYS EVER.
probably shouldnt mention that around the fiancee lol
Pax wrote:I don't want to alarm anyone, but based on current sales trends, we're going to sell out of PAX Prime 3-day badges in about... 15 days.


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December 22 2005
ILR Expands Credit Internship Program to Asia
Helen Yang, BS '07, will spend the Spring semester in Beijing working with the ILO's International Programme on the Elimination of Child Labour (IPEC). As an ILR Credit Intern, Helen will join an ongoing project to prevent trafficking in girls and young women for labor exploitation in China. The main objective is to "prevent girls and young women ending up in the 'entertainment industry' or other unacceptable forms of work in China by reducing vulnerability to trafficking," something IPEC says is fueled by unprepared and ill-informed migration. It is very difficult to protect the rights of migrant workers if their migration is not managed through safe channels, and the influx of huge numbers of rural laborers has created opportunities for those who would exploit the most vulnerable.
In proposing intervention, the ILO, in collaboration with the Chinese government and non-governmental agencies, is working with communities to warn those at high risk and, among other things, to promote managed migration for employment. Read a summary of the project (pdf).
Helen's internship in Beijing marks the first placement in Asia arranged through the ILR Credit Internship Program. Brigid Beachler, assistant director of the Credit Internship Program, worked closely with the ILO in Beijing to make this opportunity a reality. In announcing the placement, Director Clete Daniel also noted the essential role of The Waks Family Fund for International Education and Research, "That we are able to afford such an extraordinarily enriching educational opportunity to Helen Yang is due, in substantial measure, to the exceptional generosity of Jay (ILR '68, Law '71) and Harriet Waks." A grant from the Waks Family Fund is offsetting travel expenses.
Expressing deep gratitude for the opportunity, Helen says, "This is my first opportunity to experience Beijing. Though I feel nervous, I also cannot wait to step off the plane and see China for myself. The material that I read in available news and literature, see in movies and on the television, will soon come to life. This will be quite an adventure for a newly-minted twenty-one year-old! I wish to thank Professor Daniel, Brigid Beachler, the International Labour Organisation professionals, ILR International Programs, and the Waks family for making this unprecedented opportunity a reality. Only with your dedication and hard work could the ILR Credit Internship Program and the Waks Family Fund send an ILR student who has never set foot in China to do an internship there with the ILO."
ILO headquarters in Geneva, Switzerland, will host eleven ILR credit interns during the Spring '06 semester. Learn more about the ILR School's global partnership with the ILO.


text:
Choose a section
Hardware Stores
Home Centers
Pro Dealers & LBM
Green Central
The Wichita Eagle reported that the Dondlinger family of Dondlinger and Sons Construction plans to add two more Williams Ace Hardware stores.
The Goddard and Andover, Kan., locations are expected to open in the coming months. The family already owns the Williams Ace Hardware in Wichita.


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Marchese Hospital Solutions is looking for an innovative full-time Pharmacist to join our team in Mississauga. Marchese Hospital Solutions is a team of professionals who are committed to delivering innovative services in a state-of-the-art multifunctional compounding facility.
Responsibilities include, but are not limited to the following:
• Oversee the preparation of admixtures in a sterile environment • Provide the final review and check of all admixtures • Actively participates in the Marchese Hospital Solutions meetings with Management, bringing forward ideas for new initiatives and assuming leadership for special projects mutually agreed upon by the team • Seek opportunities to minimize risk through improvements to policies and processes that will support the reduction of errors and other factors that contribute to unintended or adverse outcomes • Act as a drug information resource for physicians and hospitals • Act as Pharmacist with Infusion speciality to guarantee the highest level of competency and staff efficiencies • Other duties as assigned
EDUCATION: • Bachelor of Science in Pharmacy is required • Minimum of two years of active licensure with OCP required KNOWLEDGE & SKILLS REQUIRED: • Excellent communication skills; ability to build rapport with external medical professionals in the field and internal staff working as part of a multidisciplinary team • Knowledge and understanding of all applicable legislation as it relates to Ontario College of Pharmacists and Health Canada. • Strong clinical pharmacy skills with enhanced knowledge of patient care, drug therapies and inter-professional collaboration
EXPERIENCE/QUALIFICATIONS: • Experience in dealing with Ministry of Health (i.e. Health Canada) and Ontario College of Pharmacists inspections • Extensive knowledge of aseptic technique and validation experience within sterile environment. • Environmental validation of sterile facilities and microbiological validation of finished goods and critical systems is required • Quality assurance sterile operation experience. The ability to create an engaging environment and motivate team members. • Key disease state management services experience an asset e.g. palliative care and infectious disease • Experience in a hospital or community health care setting is an asset • Strong analytical and problem solving skills and critical thinking abilities. Experience in identifying troubleshooting, investigating and correcting problems affecting sterility assurance
Competitive compensation package
If interested please send resume and cover letter by e-mail to email@example.com by January 17th, 2014.
Please quote job posting "Full-Time Pharmacist – Mississauga".
**Please only new applicants are to apply**
We thank all candidates who apply, however, only those selected for a personal interview will be contacted. No phone calls and/or agencies please. Candidates may be subject to background inquiries which are satisfactory to us.
Recruitment Human Resources
Phone: 905-528-4214 (Ext )
Email: email@example.com
Notice to Hamilton Customers
Marchese has been notified by the City of Hamilton that James Street North from Barton to Strachan will be closed for infrastructure upgrades starting in August and anticipated to be complete in late October to early November. Marchese will remain open and accessible throughout the duration of the road work. For more information Click Here.
Marchese Health Care's
New ISO Registrar
Marchese Health Care is pleased to announce that we recently engaged with BSI to become our new ISO registrar. Marchese's switch to BSI was driven by our desire to align ourselves with a renowned, world class registrar possessing global scale as well as close proximity to our site in Hamilton. BSI's combination of local offices with a global presence and excellent reputation was clearly a perfect fit!
Marchese is currently ISO 9001:2008 registered for the management and administration of pharmacy service, infusion service and medical supplies at our location in Hamilton. To view our certificate of registration, Click Here.
Changes to Pharmacy
Delivery Service
We have made changes to our pharmacy delivery services so we can continue to provide you with the customer service you have come to expect from Marchese Health Care.
Medication Delivery
• Prescriptions without refills require a minimum of 48 hours notice.
• All refill orders require a minimum of 24 hours notice.
Saturday Deliveries
• Saturday orders must be received by our Pharmacy by 11:00 a.m. for same-day delivery.
Marchese Health Care
50th Anniversary Legacy Fund
Marchese Pharmacy on James Street North has been a crucial neighbourhood resource for five decades. To mark the milestone, owner Marita Zaffiro established the Marchese Health Care 50th Anniversary Legacy Fund at Hamilton Community Foundation in 2011. Click here to read more in the Hamilton Community Foundation Annual Report 2011-2012
New Narcotics Safety
Regulations in Effect
Ontario is taking action to reduce the abuse of prescription narcotics and controlled substances. Click here for more information, including acceptable pieces of identification, or visit the Ontario Ministry of Health and Long Term Care website.


text:
Plant used for/Antitussive
From EcoReality
Please add more about plants that are used for Antitussive here!
- Antitussive
- Prevents or relieves coughing.
For more information
Here is EcoReality's seed inventory for plants that are used as Antitussive:
|common name
|latin name
|days to germ
|days to maturity
|Angelica Tree, Japanese
|Aralia elata (dg fo pf wp)
|2013-04-22 00:00:00
|240 each seeds in 8cc blocks
|Soak berries overnight, then smash them (it's easy) and float off the fruit and plant the seeds. Sow seeds in the fall to early spring. Slow and spotty germ is normal, so do not prematurely discard flats.
Seed best sown as soon as ripe in a cold frame. Stored seed requires 3 - 5 months of cold stratification. Germination usually takes place within 1 - 4 months at 20°c. When large enough to handle, prick the seedlings out into individual pots and grow them on in light shade in a greenhouse for at least their first winter. Once the plants are 25cm or more tall, they can be planted out into their permanent positions, late spring or early summer being the best time to do this.
Root cuttings 8cm long, December in a cold frame. Store the roots upside down in sand and pot up in March/April. High percentage.
Division of suckers in late winter. Very easy, the suckers can be planted out direct into their permanent positions if required.
Prefers a good deep loam and a position in semi-shade but it also succeeds in a sunny position. Requires a sheltered position. Plants are hardier when grown on poorer soils. Prefers an acid soil. Dormant plants are hardy to at least -15°c. The young growth in spring, even on mature plants, is frost-tender and so it is best to grow the plants in a position sheltered from the early morning sun.A very ornamental species, there are a number of named varieties. It is usually a single stemmed shrub, spreading by means of suckers. This species is closely allied to A. chinensis.
|Plant prefers full sun to part shade and moist soils.
|sun or partial shade
|100 each
|Hardiness: All temperate zones.
Deciduous perennial shrub to small tree native to China. Highly ornamental, with narrow compound leaves and masses of fragrant, white flowers. Leaves turn bright red in the fall.Widely used in native medicine, the plant is known to treat everything from coughs to cancer.
|Anodyne, Antitussive, Cancer, Carminative, Food, Ornamental
|Basil, Holy, Tulsi
|Ocimum sanctum (dg fo pf wp)
|2013-03-15 00:00:00
|400 each seeds in 8cc blocks
|250 each
|Adaptogen, Antidermatosic, Antifungal, Antimicrobial, Antioxidant, Antipyretic, Antitussive, Antiviral, Anxiolytic, Cardiac, Carminative, Diuretic, Expectorant, Febrifuge, Immunomodulator, Lithontripic, Mouthwash, Ophthalmic, Pectoral, Seasoning, Stings
|Vetch, Kidney
|Anthyllis vulneraria (dg fo pf wp)
|Scarify the seed on medium sandpaper and sow in spring. An overnight soak will speed germination, which takes 1 to 3 weeks. Barely cover with soil, tamp well. Easy to sow in place, or if you like, sow in pots. Excellent for open garden, grasslands, rock gardens, or potted culture.
Seed: sow spring or autumn in a cold frame. If there is sufficient seed it can be sown outdoors in situ. Pre-soak the seed for about 12 hrs or scarify the seed. It usually germinates in 1 -2 months at 10°c. When large enough to handle, prick the seedlings out into individual pots and plant them out in the summer.
Division in spring or autumn.
Prefers a sunny position and an alkaline soil. Tolerates a pH in the range 4.8 to 8. Prefers a sandy loam. Thrives in poor soils.A rich food source for bees, butterflies and caterpillars.
|This easy creeper fixes nitrogen and provides nectar for an extended time period from midspring through midsummer, and again, sometimes, with the fall rains.
|sun or partial shade
|50 each
|Herbaceous perennial native to Europe and flowering yellow to about 8 inches. Plant prefers full sun to part shade and calcerous soils or regular garden soils. I frequently see this growing in the wild on the Pacific Coast, and it is relatively famous for doing well around beaches, sea cliffs, etc.
With its soft and pretty, globular flowers and forgiving, slightly downy foliage, Kidney Vetch is a natural choice as an emollient treatment for the skin, and has been used as such since time immemorial. The plant may be poulticed, or dried and made into an infused oil and incorporated in that way into cosmetics, lotions, or salves. The plant detoxifies, and it soothes inflammations.
This plant is an ancient remedy for skin eruptions, slow-healing wounds, minor wounds, cuts and bruises, it is applied externally.
Internally, it is used as a treatment for constipation and as a spring tonic. The plant can be used fresh in the growing season, or harvested when in flower and dried for later use.The dried flower heads are a tea substitute.
|Boron, Nitrogen
|Antitussive, Astringent, Beverage, Emollient, Insectiary, Laxative, Vulnerary
You can search for all plants that
- are in a particular family
- Agavaceae, Aizoaceae, Alliaceae, Amaranthaceae, Anacardiaceae, Apiaceae, Apocynaceae, Araliaceae, Asteraceae, Boraginaceae, Brassicaceae, Campanulaceae, Caprifoliaceae, Caryophyllaceae, Chenopodiaceae, Crassulaceae, Cucurbitaceae, Elaeagnaceae, Ephedraceae, Ericaceae, Fabaceae, Fagaceae, Hamamelidaceae, Hyacinthaceae, Hypericaceae, Lamiaceae, Lythraceae, Malvaceae, Myricaceae, Onagraceae, Papaveraceae, Poaceae, Polygonaceae, Ranunculaceae, Rosaceae, Rubiaceae, Saururaceae, Schisandraceae, Scrophulariaceae, Solanaceae, Tropaeolaceae, Valerianaceae, Verbenaceae, Vitaceae
- have a specific use
- Adaptogen, Alterative, Analgesic, Anaphrodisiac, Anodyne, Anthelmintic, Antibacterial, Anticholesterolemic, Antidepressant, Antidermatosic, Antidote, Antiecchymotic, Antiemetic, Antifungal, Antiinflammatory, Antimicrobial, Antioxidant, Antiperiodic, Antiphlogistic, Antipruritic, Antipyretic, Antirheumatic, Antiscorbutic, Antiscrophulatic, Antiseptic, Antispasmodic, Antitumor, Antitussive, Antiviral, Anxiolytic, Aperient, Aphrodisiac, Appetizer, Aromatherapy, Astringent, Basketry, Beads, Beverage, Bitter, Bronchiodilator, Cancer, Cardiac, Cardiotonic, Carminative, Cathartic, Charcoal, Cholagogue, Compost, Contraceptive, Cosmetic, Curdling agent, Demulcent, Deobstruent, Depurative, Detergent, Diaphoretic, Digestive, Diuretic, Dye, Emetic, Emmenagogue, Emollient, Essential, Expectorant, Febrifuge, Fibre, Flavouring, Food, Forage, Fragrance, Fuel, Fungicide, Galactogogue, Green manure, Haemostatic, Hedge, Hepatic, Homeopathy, Hypnotic, Hypoglycaemic, Hypotensive, Immunomodulator, Immunostimulant, Infertility, Insect Repellant, Insectiary, Insecticide, Kidney, Latex, Laxative, Lithontripic, Litmus, Mordant, Mouthwash, Mulch, Narcotic, Nervine, Nutritive, Oil, Oneirogen, Ophthalmic, Ornamental, Parasiticide, Pectoral, Pioneer, Pipes, Pollution, Poultice, Purgative, Refrigerant, Restorative, Rubefacient, Sacrificial, Salve, Seasoning, Sedative, Shelterbelt, Sialagogue, Skin, Soil stabilization, Sternutatory, Stimulant, Stings, Stomachic, Strewing, Stuffing, Sweetening, Tannin, TB, Tonic, Uterine tonic, Vasodilator, Vermifuge, Veterinary, Vulnerary, Warts, Waterproofing, Wood
- are sensitive to a particular nutrient
- Nitrogen, Phosphorous, Zinc
- supplies a particular nutrient (dynamic accumulator)
- Antioxidants, Boron, Calcium, Carbohydrate, Chromium, Copper, Fat, Fat: Omega-3, Fibre: Non-Soluble, Folate, Iodine, Iron, Lycopene, Magnesium, Manganese, Niacin, Nitrogen, Phosphorous, Potassium, Protein, Silica, Sulfur, Vitamin A, Vitamin B, Vitamin B1 (thiamine), Vitamin B6 (pyridoxine), Vitamin B12 (cyanocobalamin), Vitamin C, Vitamin E, Vitamin K, Zinc
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