text:
Prime Minister Datuk Seri Najib Razak has spoken of the challenges facing the Government as he pushes the reforms, which are bringing Malaysia forward as a modern, developed and democratic nation.
From the repeals of the ISA and the Printing Presses and Publications Act to the repeals of the Sedition Act and the Banishment Act, during his tenure the Prime Minister has set out to slowly but determinedly revolutionise Malaysia.Yet at the opening of the 2012 International Malaysia Law Conference, Najib acknowledged that despite the hard work, there would always be some who viewed the glass as half empty.
"To them I have this to say: walls are more easily crumbled than foundations raised. The painstaking effort of building strong and solid foundations that will stand the test of time, takes time," he explained.
"Just as Rome was not built in a day, the building of a just, equitable and democratic Malaysia cannot be achieved overnight."
Najib clearly saw the political landscape upended by GE12. It was his call to reform and transform Malaysia rather than simply trying the old formulae again.
Although such changes take time, the Prime Minister stressed that they were worth the wait.
"The journey is long and will continue, but the reforms will be irreversible, I promise you that."
Back in his very first address to Malaysia as Prime Minister, Najib made it clear that his time in office would be all about reform: in Government, in the private sector and the way the two worlds interacted with each other.
Today Najib can look back on a solid track record. He is a man who has delivered.
"We promised the Rakyat a more open, inclusive and dynamic democracy in Malaysia, and we annulled the three proclamations of emergency which lead to the expiry of Emergency Ordinances, an action which was unimaginable by many.
"We promised the Rakyat a more human rights friendly legal environment, and we repealed the three controversial laws namely the Internal Security Act 1971, Banishment Act 1959 and Restricted Residence Act 1933.
"We promised the Rakyat a better right to freedom of speech and expression, and we amended the Printing Presses and Publication Act 1984," he said.
"These are the few examples to corroborate when we said 'we walk the talk'. Judge me not by what I say, but by what I do," he said.
The key to Najib's success, and his high approval ratings, lies in what has become a mantra for him - moderation.
The Opposition is accusing him of either going too far or not far enough in his reforms. But Najib clearly believes that too-rapid reforms can be as dangerous as no reforms at all.
The decision for voters comes down to whether or not they have the patience and the desire to continue seeing the gradual, but compelling transformations that BN under Najib is bringing about.
Or whether their concern is tomorrow, but not the day after.
Given The Choice between a diligent statesman who stuck by his word and is in the process of elevating Malaysia to new heights and a demagogic Opposition leader, who oozes negativity and tries to dupe the rakyat with sweet but dubious promises, the verdict by Malaysians at GE13 should be obvious.


text:
The billing clerk reviews the financial work of other employees, ensuring tasks are completed in an efficient, effective manner. They inspect operational, technical, and financial information; for this reason, billing clerks must be be familiar with spreadsheet software, adding machines, audit reporting, and plans of action in case fraudulent activity is discovered. Further, the billing clerk must be willing to engage in clear, open, and honest conversations with the auditee, explaining any potential red flags or causes of suspicion. This is performed through a process of "final auditing," in which the strengths, weakness, highlights, and recommendations discovered during the audit are explained to the auditee.
Read More...Median of all compensation (including tips, bonus, and overtime) by years of experience.
Highly satisfied |
Rated 4 out of 5 based on 219 votes. |
90 % |
10 % |
Medical: 72% | Dental: 54% | ||
Vision: 39% | None: 26% |

subset: commoncrawl


text:
The Bible Miniseries
The Bible: The Official Score
Hans Zimmer, Lisa Gerrard, Lorne Balfe, Hans Zimmer
Starting at: $0.99
The Bible: Music Inspired by the Epic Miniseries
Chris August, Francesca Battistelli, Various Artists
Regular Price: $9.99 Special Price $3.99
Son of God: Music Inspired By the Epic Motion Picture
Chris August, Group 1 Crew, Love & The Outcome, Meredith Andrews, Side...
Starting at: $1.29
Need help ordering? Ask a question and we'll get back to you. Or call 1-888-319-0319


text:
quote:I can't even sit throught the commercials
quote:I can barely sit throught the commercials
quote:Somebody at TBS will get fired over putting this show on the air.
quote:There's no way it worse than the commercials. God he's trying so hard in those commercials, making the stupidest fricking faces.
quote:I miss the old TBS where it was all about WCW
quote:Has TBS had anything original that's been a hit in the last 7 years?


text:
Mission To Mars
NASA's Curiosity rover is scheduled to touch down early Monday morning.
After eight months in space NASA's Curiosity Rover is closing in on Mars and what some say is the most difficult landing in the history of the space agency.
"We go from 13,000 miles an hour to zero in seven minutes," says NASA's Dr. John Grunsfeld.
NASA engineers call it "seven minutes of hell," the time it will take the rover to travel through the atmosphere to the surface of the Red Planet, when a series of intricate events must unfold perfectly, all choreographed by computers with no help from the ground.
"Entry, decent and landing is like a game of dominoes," Dr. Grunsfeld explains. "If one of them is out of place it's very likely the last domino won't fall, which means Mars Science Lab, Curiosity Rover, may hit the ground harder than we want it to."
Once safely on the surface of Mars the $2.5-billion nuclear powered rover will begin its two year mission.
"The answer that we are seeking with curiosity is to figure out if the conditions at any point in Mars history could have supported life," says project scientist Ashwin Vasavada.
Scientists will search for that answer with environmental sensors, chemistry instruments and radiation monitors, all part of the most advanced scientific payload ever transported to the surface of Mars.
"It truly is a step forward both in technology and potential science return and science capability to unlock the mysteries of Mars in places that have never been accessible to human kind in the past," Grunsfeld says.
If all goes according to plans the curiosity rover will land just after 1:30 Monday morning.


text:
Hi, folks... this just showed up yesterday so I thought I'd share it. As always, I'm interested in any critiques you'd care to share.
Calling All Angels
The words hung in the air as heavy as the dew yet to lift from the graveyard sod, oppressive as the bayou heat; lingering and pervasive, inclined to force the most stalwart of souls to reach for a hanky to wipe away the sweat… or the tears. Connie Mack Tavish fidgeted as he stood, his ten years of earthly existence insufficient to teach him the finer points of mourning. Only once before had he stepped foot in the Pittman County Cemetery, and then the occasion had more to do with his wager with Jimmy Cartwright than any official function. Mother's increasing pressure on her grip of the soft tissue that surrounded his shoulder up close to his neck provided all the incentive he needed to quit daydreaming and listen to Pastor Rick expound upon the virtues of a life well-lived with the hope of eternal rest with the King of Kings. He did, however, regard the prospect of death to be a bit premature with any luck at all, although anything more than a glance into Mother's veiled eyes would have been dealt with as though it were a mortal sin.
"So we ask thee, Heavenly Father, to accept our brother into Thy care, to bless him and send Thy angels to escort him as he starts his journey to Thy Heavenly Choir… Amen!"
Connie Mack Tavish listened to the words and tried to imagine how the angels were going to get Beaufort Jackson's spirit out of that casket once they buried it. Beaufort was a big guy who liked to sit on the porch and shoot off pop-bottle rockets, even when it wasn't the Fourth of July, especially if he was drunk, which was most of the time. Personally, Connie Mack didn't give much of a damn one way or the other, but he thought Beaufort would have looked better lying there in that coffin, if he'd have been wearing his sweat-stained off-white undershirt that allowed his coarse gray chest hair to stick out, instead of that gray suit that made him look like a redneck version of a banker. Connie Mack remembered hearing Mother say that Beaufort never amounted to a hill of beans, but Beaufort had taught him to whistle through his teeth and several phrases now emulated by every ten-year-old boy at Calvert School, the pre-eminent one being, 'Fuckin-A, Dude', the same phrase that earned Connie a one-day seminar in Ivory 101 when overheard by Mother.
He'd gone to Sunday school for a while, before Beaufort became 'Uncle' Beaufort and moved in, but lately Mother hadn't insisted upon it. Connie and Uncle Beaufort remained at arm's length, having made an agreement with him—if Connie didn't tell Mother about the panties he found in Uncle Beaufort's glove compartment, then Uncle Beaufort wouldn't beat the living hell out of Connie Mack and dump him in the creek. For a while the truce held, if only because Mother seemed to like having the jerk around when he wasn't three-sheets-to-the-wind. But sure as kudzu grows on telephone poles, it couldn't last. Beaufort had been Beaufort nearly four times the length of time that Connie Mack spent on earth, and all roads led to his current struggle to fill his lungs on a sunny August morning at the bone yard; so with his divisive efforts to keep the truth contained neatly within his ability to control it, Beaufort held the upper hand, at least in so far as it concerned his new 'nephew', Connie Mack.
In fact, every day that passed brought another brick and set it in place, as Uncle Beaufort built a wall that threatened to enclose Mother from Connie Mack. The boy watched in silence as the only woman in his life, a once-vibrant, healthy specimen of Southern womanhood, become a caricature, not that Connie Mack would have had the sophistication to understand the term. He just knew that Mother had changed, and this wasn't good.
Connie Mack, had, however, learned enough mathematics to know that one divided by two left a resultant with a value less than one, so something had to give. Perhaps if Uncle Beaufort hadn't spent every evening on the porch drinking rotgut, he might have figured out that even a ten-year-old can use the internet. Then, maybe he would have learned that cyanide in great enough quantity smelled vaguely of almonds… for a little while.
Bob Church©7/31/07


text:
The Office of the Registrar at Life Pacific College provides professional and personable services that assist in student success from applicant to graduate, developing individual responsibility, while supporting the academic and spiritual mission of the college. Within this structure the Offices are charged with ensuring adherence to academic policy, preserving academic integrity, safeguarding the security of academic records, and providing accessible service to our constituents by effectively and graciously dispensing, sharing, and applying knowledge.
Transcript Requests
Transcript Ordering
Life Pacific College, in partnership with SCRIP-SAFE International®, now offers online transcript ordering. Your transcript can be ordered through Transcripts on Demand™ online at iwantmytranscript.com. First-time users will be required to set up an account and to complete a consent form for FERPA compliance. This consent form only needs to be completed once and is kept on file for you in order to enable you to quickly request transcripts in the future. This form, which is provided on the Transcripts on Demand™ website, may be scanned, mailed, or faxed to SCRIP-SAFE International®. Save your account user ID (your email) and your password to use for future orders and to login to track your current and previous orders.
Each transcript is $3.00 through the Transcripts on Demand™ system (with a $2.25 processing fee) which you can pay with Visa and Mastercard. Standard issued transcripts are processed in 5–7 business days. Expedited processing and overnight shipping are available on the Transcripts on Demand™ website for additional fees.
- Transcripts from Life Pacific College (formerly LIFE Bible College), including distance learning transcripts, are available through the Life Pacific College school listed on the Transcripts on Demand™ website.
- Transcripts from LIFE Bible College East (formerly Mount Vernon Bible College) are available through the Life Bible College East school listed on the Transcripts on Demand™ website.
If your question is about the content of your transcript (courses, grades, degree, etc.), you should contact our Registrar's office by email at email@example.com or by phone at (909) 599-5433 x313. If your question is about the ordering service, login difficulties, or email message notifications, contact SCRIP-SAFE® International toll free at (877) 334-4062, Monday – Friday, 8:30am – 7:00pm (Eastern Time). You may also send an email inquiry to email@example.com.
Important Notes
Transcripts will not be processed for students with unpaid debts or other outstanding obligations to the college. Transcripts are issued in accordance with the Federal "Family Educational Rights Act of 1974." Current students may view their transcript online in their Life Link account. A paper Transcript Request form can be downloaded and mailed or faxed to the Registrar's Office for a fee of $5 for standard processing.
Forms & Requests
General Information
- Academic Calendar – View and Print the current Academic Calendar
- Final Exam Schedule – Current Semester's schedule of Final Exams
- Non-Returning Form – Complete & submit online if you are not returning to LPC next semester.
- Summer Address Form – Please complete if your summer address is different than the primary address listed on your registration information.
- FERPA Form – All students must have a Student Information Release Authorization on file. This form indicates the type of information and to whom information can be released.
- No-release of Information Form – This form is available for students who wish for none of their information to be released to any party.
Potential Student Forms
- Transcript Evaluation Form – This form is available to potential students who anticipate transferring to LPC.
- Courses that Transfer to LPC – Information about transferring General Education courses from other colleges.
Current Student Forms
- GPA Appeal – Complete and submit to the Registrar's Office if you are appealing to take more units in a semester than your GPA allows.
- Change of Address – Clicking here will generate an email to the Registrar's Office. Please include your street address, city, state, zip code, phone number, and email address. You should also indicate whether this is a permanent or summer address.
- General Request – Clicking here will generate an email to the Registrar's Office to request a change of address, grade reports, verification of enrollment or for any other general purpose request.
- Graduation Application – This form is for students who are potential graduates for the current academic year. This form must be submitted to the Registrar's Office no later than September 15th of the academic year in which you intend to graduate. For more information regarding graduation, click here.
- Ignite Graduate Application – This form is for Ignite students who are potential graduates for the current academic year.
- Program/Catalog Declaration – This form is for students who wish to change from one program to another (i.e. Biblical Studies to Transformational Ministry) or from their current catalog to a newer one (i.e. 2000–01 to 2001–02).
- Verification of Enrollment – See the General Request Form
- Academic Forgiveness Request Form – You may complete this form after five consecutive years of non-attendance to request Academic Forgiveness based upon academic performance.
- Audit Application – Please complete this form if you are interested in auditing a course at LPC.
- Concentration Declaration Form – This form is available to current students who wish to declare a concentration.
- Schedule Adjustment Form – After the first week of the semester, please complete this form in order to adjust your schedule.
Alumni Forms
Diploma Request – In the event that your diploma is lost or damaged you are welcome to order a new diploma with this form. Please note you will need to send your old diploma to the college, if available. Further details are noted on the Diploma Request form.
Traditional Program Registration
Registration for continuing students takes place in November for the spring semester and April for the fall semester. During registration periods, students can register or make changes to their schedules through our online student services site, LifeLink. Registration for new students will be completed in July for fall start students and December for spring start students. All new students must complete entrance testing prior to registration. Advising and registration instructions will be provided to new students by Registrar staff upon completion of entrance testing.
Prior to registration, packets of information will be distributed to all current students. The packet will include an individualized Registration Packet, a Class Schedule, academic advising materials, and other pertinent materials for the registration process.
Fall 2015 Registration & Advising Dates
Registration Packets published Monday, March 24th.
Required Advising: By appointment with faculty advisor beginning March 24th
Registration Opens: Monday, March 30th at 11:00PM
Required Advising: By appointment with faculty advisor beginning March 26th
Registration Opens: Thursday, April 2th at 11:00PM
Registration Opens: Tuesday, April 7th at 11:00PM
Required Advising:
UD students – By appointment with advisor beginning March 26th
Optional Advising:
LD students – available by appointment with the Registrar's office beginning March 30th
Registration Opens: Tuesday, April 13th at 11:00PM
Optional Advising: available by appointment with the Registrar's office beginning March 30th
Registration Resources
- Spring Class Schedule (2015) - View and print the current class schedule.
- New Student Registration Packet
- Course Offering Schedule – This document lists all of the traditional undergraduate classes we offer and indicates if the course is offered in the fall or spring semester. The online schedule of classes is also included.
- BA 4-Year Planning Checklist for Biblical Studies Major – A suggested 4-year plan and checklist to complete the BA course requirements. Attention has been given to prerequisites and managing the course load of each semester.
- BA 4-Year Planning Checklist for Transformational Ministry Major – A suggested 4-year plan and checklist to complete the BA course requirements. Attention has been given to prerequisites and managing the course load of each semester.
- BA 4-Year Planning Checklist for Business Administration Major – A suggested 4-year plan and checklist to complete the BA course requirements. Attention has been given to prerequisites and managing the course load of each semester.
- BA 4-Year Planning Checklist for Human Development & Psychology Major – A suggested 4-year plan and checklist to complete the BA course requirements. Attention has been given to prerequisites and managing the course load of each semester.
- AA 2-Year Planning Checklist – A suggested 2-year plan to complete the AA course requirements. Attention has been given to prerequisites and managing the course load of each semester. A checklist is provided for both the Biblical Studies and General Studies majors.
- Enrollment Slip – This document is provided to assist students which scheduling their classes for the upcoming semester.
- FAQ – Frequently asked questions about registration and advising. This document includes common error codes received during registration.
All documents are in Adobe Acrobat Portable Document Formats (PDF). If you do not have Adobe Acrobat you may download and install it by following this link: Get Acrobat Reader.
Welcome to the LPC Graduation webpage! This page contains helpful information for 2014-15 graduates about upcoming events, graduation requirements, important graduate information and much more! Family and friends of graduates can also find helpful information about graduation events and travel accommodations.
If you cannot find what you are looking for or have any questions, please contact us at (909) 599-5433 extension 313 or email us at email@example.com
Baccalaureate & Commissioning
Friday, May 8, 2015
The Baccalaureate and Commissioning service is an event where graduates are able to gather with their class for a final time of worship and prayer in a corporate setting. Two graduates, selected by the faculty, will share on the class name. Friends and family are encouraged to attend and participate in the individual prayer time as faculty and staff from Life Pacific College as well as representatives from the Board of Trustees and the Foursquare Church lay hands on the graduates much like the elders did with Timothy as 1 Timothy 4:14 records.
This event is required for all graduates participating in the Commencement Ceremony. Any graduate who does not attend may be restricted from participating in Commencement. Graduates should observe the graduate dress code for this event.
The Details
- Date: Friday, May 8, 2015
- Speakers: Two Selected Graduates
- Commissioning Speaker: Dr. Glenn Burris, President of the Foursquare Church
- Time: Graduate Arrival – 5:30 PM; Guests Seated – 6:15 PM; Service Begins – 6:30 PM
- Dress Code: Graduates should be prepared to look their best, dress conservatively and remain within the following guidelines when appropriate.
- Ladies: Wear a dress, skirt or suit (pants or skirt)
- Gentlemen: Wear a suit and tie or nice slacks, dress shirt and a blazer
- Location: Rolf K. McPherson Chapel
Simonson Building (A)
Life Pacific College
1100 W. Covina Blvd.
San Dimas, CA 91773
View Larger Map
Saturday, May 9, 2015
This is it! The final culmination of years of study and effort for each of our Life Pacific College graduates! Family and friends are encouraged to attend this celebration as Graduates are recognized for their satisfactory completion of all degree requirements at Life Pacific College. No tickets are required for attendance. Graduates should observe the dress code for this event.
The Details
- Date: Saturday, May 9, 2015
- Commencement Speaker: Charles Lee, CEO of Ideation Consultancy & former LPC Faculty (Fall 2000 – Fall 2008)
- Time:
- Service Begins at 11:00 AM – Doors Open at 10:30 AM
- Graduates must arrive promptly at 8:30 AM. Time is allotted for you to rehearse, robe, and take your graduating class photo. Late arrivals may result in being restricted from participation in the Commencement Ceremony.
- Dress Code: Graduates should be prepared to look their best, dress conservatively and remain within the following guidelines when appropriate.
- Ladies: Wear a dress, skirt or suit (pants or skirt)
- Gentlemen: Wear a suit and tie or nice slacks, dress shirt and a blazer (Note: blazer not recommended for Commencement due to regalia)
- Tickets: Not required, as plenty of seating is available.
- Location: Angelus Temple
1100 Glendale Blvd.
Los Angeles, CA 90026
Parking: Available in the parking structure directly north of Angelus Temple. - Restaurants Near Angelus Temple
View Larger Map


text:
No spittin', no swearin', no instigatin'...
Skip to content
Return to Injuries & Player Updates
Moderator: Baseball Moderators
by superjags99 » Thu May 31, 2007 11:32 pm
by poopdungbeatle » Thu May 31, 2007 11:35 pm
by d18Mike » Thu May 31, 2007 11:52 pm
by dynastykid22 » Fri Jun 01, 2007 12:07 am
d18Mike wrote:Quick! Someone post another Rich Harden update thread. There hasn't been a new one for over 5 hours -- and there are only two active on this very page -- down from an average of three last week.
by pangbones » Fri Jun 01, 2007 3:50 am
by jtbarr » Fri Jun 01, 2007 2:27 pm
poopdungbeatle wrote:i think i heard mid-june. But i would expect the end of June most likely...
by silverZ » Fri Jun 01, 2007 2:55 pm
by STLCards16 » Fri Jun 01, 2007 5:30 pm
silverZ wrote:Has this kid even picked up a baseball within the last week?
by schmidty » Mon Jun 11, 2007 4:24 pm
Jun 10 Harden, who is on the disabled list with a right shoulder impingement, did not throw prior to the Athletics' game on Saturday, according to the Contra Costa Times.Advice: A's manager Bob Geren claimed the right-hander said he was feeling "great" after throwing a bullpen session of 65 pitches on flat ground. Harden is expected to have another session on Sunday, but his return is still uncertain. Continue to monitor his progress.
Jun 11 Mychael Urban, of Oakland.Athletics.MLB.com, reports Oakland Athletics SP Rich Harden (shoulder) was throwing at around 90 percent off flat-ground Sunday, June 10, and could join the active roster in a couple weeks.
by jnormy » Mon Jun 11, 2007 5:15 pm
Users browsing this forum: No registered users and 4 guests


text:
15 Actors Who Made Extreme Weight Changes for Movies
Kaley Cuoco Shows Off Her Tennis Skills
'Furious 7' First Trailer Released: Video
The Worst Jeopardy Fails of All Time
A New Batman and New Batmobile for 2016 Movie
Will The Hulk Come Back?
This Dress Got a Utah Teen in Major Trouble at Her School Dance
Watch Russell Brand Get Kicked Off Of Fox News
COACH OVERSTOCK CLEARANCE: New Coach Bags for $99 & Falling!
Big Bang Fans: The Sad Truth?
8 Actors Who Nailed Their Historical Roles
The Worst Superhero Movies You've Never Seen
A New Justice League: Throne of Atlantis Clip is Here
Deadpool Set Visit Was Awesome
Will Christian Bale Ever Play Batman Again?
Doctor's Rave Over Popular 'Skinny Pill' Combination
Teen Titans Live Action is Headed to TNT
Details on the Fight Between Two Arnold Schwarzeneggers in Terminator Genisys
Robert Downey Jr. Confirms Iron Man 4 is on the Way!
The Best Female Superheroes of All Time
Joss Whedon Talks Ultron's Powers in Avengers: Age of Ultron
The 10 Best Movie Trailers of all Time
Ryan Gosling Took Over Disneyland
Sizzling Footage Leaks for Avengers: Age of Ultron
Action Packed New Video From Batman VS. Superman
A New Arrow Clip Teases a Surprising Twist
Mila Kunis Stuns In Jupiter Ascending
28 Marvel Comic Facts You Probably Didn't Know
The 50 Best Horror Movies Of All Time
The Ghostbusters Reboot Cast Revealed!


text:
Finally I'll have an excuse for lying in bed all day and watching "Law & Order" marathons! The folks over at NASA are paying $5,000 per month to participants of their bed rest study. The study lasts for 87 days and is designed to help them research the effects of zero gravity space travel on the human body.
What You'll Do
Once you've entered the 60 day bed rest portion of the study, your options to pass the time are, of course, somewhat limited. Every participant is setup with a TV, computer, and video game console. You can also read or spend time with visitors. The researchers suggest that every participant begin the study with a goal so that the time in bed is productive. Learn a foreign language, transcribe War & Peace, beat Pac-man, you get the idea…
All of your meals are provided for and the diet is designed to keep you at your current weight. If 3 months of watching TV and reading magazines didn't already sound enticing, add not having to cook to that list.
Image Source :factualfacts.com
The Requirements
If you are going to be there as a participant than you need to be in good health – body and mind.
Source : thepennyhoarder


text:
Submit a file
Our awards
Link to us
RSS Feeds
Popular search phrases
:: sam
short descriptions
full descriptions
Blog Comment Poster 5.4
Blog Comment Poster is automatic blog commenting software dedicated to businesses and individuals who seek faster indexing, improved search engine rankings, more targeted visitors, and increased number of sales at the same time. By utilizing user-defined keyword lists, the auto blog commenter can find thousands of posts related to specified niches and automatically post comments to blogs (with backlinks to your sites) in real time.
Download now
Wizard Is Not Destiny 2.9
This game develops memorization skills by locating pairs of cards. Choose from 3 levels of difficulty (easy, normal, difficult). In each level, there are the same number of cards (12), but the locations of the pairs will change. For incorrectly selected card 5 seconds is subtracted, while you gain 10 seconds by locating a pair. When a player finds all the pairs of cards, shuffle, and you can play again and try to do better. When time runs out..
Download now
Mini Golf 2.6
Mini Golf Championship is a real 3D simulator of the same game. We tried to make game interesting and fascinating. In the game rules of true mini golf are realized. In the game there are 72 kinds of different tracks. They are banked in 4 levels, by 18 tracks at each level. At the first level there are the most simple tracks, on the second and the third - is more complex. At the fourth level the most composite tracks are located. Each new game
Download now
Lizard 2.8
Sam lizard was basking in the sun on the rocks of the Sahara, and was grabbed by a hawk and carried towards the city. Sam escaped from his clutches and fell into a building's ventilation system. Now he has to get out of this building and you will help him navigate the maze of ventilation ducts.
Download now
The Brave Moon 1.0
Are you ready to defend the planet Earth against volleys of asteroids? Collide asteroids that are of the same color collide due to their lunar gravitational field, collect bonuses, get points, all at different levels of complexity.
Download now
Efficient Calendar Network 220.127.116.113
Efficient Calendar Network is designed for SME to share data. Begin to use Efficient Calendar Network now to let different users in organization can access the same copy of data, to work in conjunction and improve work efficiency! All appointments, meetings, events and tasks can be reminded in time as configured, and you will never miss any important event!
Download now
All Billiards 2.6
"Billiards club " is a 3D pool simulator, giving you full reality sensation. The big amount of games, beautiful graphics, realistic ball movements - only some features of this billiard. You can play with your computer in three difficulty levels, with a partner on the same computer and in the network. For each type of games stipulated separate tables. Tables, spheres and cue are made according to their real sizes. In game special tracking mod
Download now
Threeghost 3.1
In this game you have to help a ghost of cursed knight to find peace. Solve logic puzzles on 40 interesting levels. Ghosts move in the same direction at same time. They need to be joined together and leaded into the portal to go to the next level. Help the ghost of a noble knight to beat the curse.
Download now
Billiards Pyramid 5.2
Moscow Billiards is a Piramyd billiards simulator. The game can be played either against a computer or human opponents (on the same PC) on several playing tables. Training mode and trick shots available now. Exersices for beginners and advanced players. Small and Big Russian, English, American Poll, games rules hints. Lot of ball sets, animated 3d players.
Download now
Heli Racer 4.8
This game is a simple 3-D Helicopter Simulator. Each helicopter is equipped with two engines - the main rotor (for lift) and horizontal rotor (for acceleration and steering). The task is simple - to fly around and shoot down enemy helicopters before they do the same to you. You must manage to do everything at once, keep the helicopter aloft while fighting the enemy. Helicopters are armed with air to air missiles.
Download now
FoneCopy 1.1.12
FoneCopy can copy your iPhone Music, Movies, Photos, Contacts and more other files to the other Apple device. It can detect more than 2 devices simultaneously. Don't be afraid of losing data if your iPhone is dead or broken, FoneCopy can sync the files on your iPhone/iPad/iPod to another one with fast speed. It also allows users copy file from Android devices to iOS devices. It can supports devices such as iPhone 6/6 Plus, iPhone 5S/5C, iPad mini 2, iPad Air, iPod touch 5 and so on. Moreover, it compatible with the new iTunes 12.1. Key Features: 1. Transfer files between any two Apple devices With this free powerful software, you can copy your iPhone files to another device such as iPhone 6 or iPad Air. This FoneCopy software makes it possible to backup Text content(3 types) and Media content(13 types) from one Phone to another, even from the dead or broken one. 2. Copy files from Android devices to iOS devices Do you want to copy files from your Android device to the new iPhone? Fonecopy can ...
Download now
Dissolute Pair 5.5
The game "Lecherous pair" is an arcade puzzle that requires quite a bit of logic to solve. You need to free 30 virgins who are held captive by a villain named Necropuzzle. The goal is to find identical images, which are hidden in the playing field. If you open 2 slots with the same icons they will be destroyed and a section of blocks holding the girl in prison will vanish.
Download now
Paste Manager 3.6
Paste Manager is a lightweight application that was created to provide you with a means of creating hotkeys for pasting various text strings. You can configure a set of personal details, for example, and use the assigned keyboard shortcuts to paste the details in the corresponding field to avoid repeatedly typing the same information.
Download now
Space Glass 3.7
Meet! An interesting puzzle game with nice graphics, good music and hardcore gameplay! Colored blocks are constantly falling on the field, and you must click on and destroy them. The challenge is making a special rule, as you can only click on the cubes of the same color as the mouse cursor. Act quickly, because the field is constantly replenished with new bricks. The beautiful design and fun music will help you to pass some time.
Download now
Pizza Defence 2.2
You decide to have a picnic with friends on this beautiful day. What could be more delicious than cheese pizza fresh out of the oven with thin slices of bacon, olives and tomato sauce? Great choice! But it turns out that the voracious beetles and ants agree! These annoying insects strive to steal a slice of pizza or more. You have to quickly deal with these pests without hitting harmless butterflies and ladybirds at the same time.
Download now
Birds 1.1
Birds is a PC analogue of the famous Flappy Bird game for Android, so now you can play it on your computer! The game is made in 3D with slightly modified gameplay, but otherwise it's the same as the Flappy Bird you already know. Compete with your friends, score as many points as possible, fly as far as you can while avoiding obstacles. Perhaps you will be the first person who gets to the end, and not even remember you're playing it on your PC!
Download now
Sea Genius 2.3
In ancient times, sea voyages were dangerous, but at the same time the adventure proved irresistible to explorers. Down there swim little people with their human concerns. Struggle with the elements, fear of sea monsters, and the mercy of nature. To earn his share winning player must have what it takes or they will sink in the storm. Choose the Captain and help him in his travels. Protect against pirates, direct passing wind to clear storms out o
Download now
Aiseesoft HD Video Converter 6.3.96
Aiseesoft HD Video Converter aims at converting HD video and other popular videos to any video(AMV, ASF, AVI, DivX, Flash H264, FLV, SWF, H.264 AVI, H.264/MPEG-4 AVC, MOV, MKV, M4V MPEG-4, MPEG-1, MPEG-2, MPEG-4, MTV, VOB, WMV, XviD, DV, VCD, WebM, HD) and audio(AAC, AC3, AMR, FLAC, M4A, MKA, MP2, MP3, OGG, WAV, WMA, AIFF, AU) format. Also you can use it to convert one audio to another. What's more,applying AMD APP and NVIDIA CUDA technology, it works much faster. And it also supports most popular portable devices, like iPhone 6/6 Plus/5S/5C, iPad mini 3/2, iPad Air 2, HTC One X, HTC Butterfly, Samsung Galaxy S4, Samsung Galaxy Note 3, Kindle Fire HD, etc. Key Features 1. Convert HD videos A variety of HD Video formats can be converted by this software, including TS, HD WMV, QuickTime HD MOV, MTS, M2TS, MXF/P2 MXF, HD MP4, HD H.264, and it can also convert standard-definition videos, like MPG, RMVB, WMV, ASF, MKV, AVI, MPEG, MPEG 2, 3GP, 3G2, QT, etc. 2. Convert 2D video to 3D format 2D videos ...
Download now
Tower Defence Warriors Outpost 2.1
Tower Defence Warriors Outpost game is the best way feel the warriors' spirit! Start playing this amazing game and get into wonderful world of medieval kingdoms, castles and villages, thrones, skirmish, defence tower, dungeon, crusader, defence war, onslaught, defence heroes, fury and invasion! Do you remember movies about crusader, castle defence or defence tower heroes or another medieval community? Do you want to get to the same medieval empir
Download now
Falco Lines II 5.9
Lines is a logic game with beautiful animated graphics, special effects and jazz music. As with the classical Lines game, 3 figures appear on the field, and you must move them to form horizontal, vertical and diagonal lines of 5 or more of the same figure. There is also a magic ball, which is filled as you accumulate points, along with a table of record scores.
Download now
Falco Lines 6.3
The game starts with a 9x9 board with three colored balls selected from seven possible colors. The player may move one ball per turn, and only to a particular space on the board if there is a path (linked set of vertical or horizontal empty cells) between the current position of the ball and the desired space. The goal is to remove the balls by forming lines (horizontal, vertical or diagonal) of at least five balls of the same color.
Download now
The Labyrinth 2 1.1
TheLabyrinth2 is a fun game in which you need to get out of a maze. To do this you need to correctly position the levers and find the key which is always in the same place. Their are tips to on each level to help you manipulate the necessary levers as they appear on the map randomly. To find them you have to explore the entire maze. The game has 5 levels of difficulty. The higher complexity, the more labyrinth you'll have to navigate.
Download now
HelpSmith 5.2.8
With HelpSmith, you can create HTML Help CHM files, PDFs, Web Help by reusing the same content, and Printed Manuals. You do not have to learn anything or know anything about HTML or CSS coding. The tool includes dynamics styles and other unique tools such as the editors for rapid Table of Contents and alphabetical index creation.
Download now
Silver Soul 3.5
Silver Soul. Our hero wears armor with incredible magical powers. Only he can prevent the imminent war. But there's a catch. The magicians are not going to immediately disclose the full powers of armor until they receive their reward. At the same time, a mysterious stranger wants our hero to start "hunting gods," in exchange for paying the magicians for their knowledge.
Download now
Math Mania 1.1
The goal of this game is to get the tile with the number 2048. In each round there is a tile with the number "2" with 90% probability, or "4" with 10% probability. The player can remove all the tiles of the playing field in one of the 4 sides by pressing the arrows. If two tiles of the same denomination are dropped, there is a "raid" on one another, and they stick together with the one whose value is equal to the sum of reconnected tiles. After e
Download now
MP3 & Audio
Home & Desktop
Multimedia & Design
Software Developer
Web Developer
Another tags
screen capture
screen saver
screen saver builder
screen saver creator
screen saver maker
screen saver toolkit
screen savers
screensaver builder
screensaver maker
Page 2 of 10
Legal disclaimer
Privacy policy
© 2004-2015 IT Shareware


text:
Welcome to the home of the British Dental Health Foundation! We are an independent charity dedicated to improving oral health - in the UK and around the world.
The charity provides an exclusive range of dental patient information consisting of frequently asked questions about dental terms and treatment procedures, oral hygiene, and all you need to about in order to take care of your dental health.
The Foundation evaluates consumer oral health care products to ensure that manufacturers' product claims are clinically proven and not exaggerated. Currently there are over 150 approved products on sale in 80 countries around the world.
The dental health blog is exploring the latest news and issues of the heart of dentistry and oral health, includes opinion, comments, facts, tips and information.
Our Dental Helpline, staffed by fully trained oral health experts and dental nurses, gives free and impartial dental advice. We can help you on subjects such as current UK legislation and regulations, NHS and private dental charges.
Back to top
Erosion is the loss of tooth enamel caused by acid attack. Enamel is the hard, protective coating of the tooth, which protects the sensitive dentine underneath. When the enamel is worn away, the dentine underneath is exposed, which may lead to pain and sensitivity.
Erosion usually shows up as hollows in the teeth and a general wearing away of the tooth surface and biting edges. This can expose the dentine underneath, which is a darker, yellower colour than the enamel. Because the dentine is sensitive, your teeth can also be more sensitive to heat and cold, or acidic foods and drinks.
Every time you eat or drink anything acidic, the enamel on your teeth becomes softer for a short while, and loses some of its mineral content. Your saliva will slowly cancel out this acidity in your mouth and get it back to its natural balance. However, if this acid attack happens too often, your mouth does not have a chance to repair itself and tiny particles of enamel can be brushed away. Over time, you start to lose the surface of your teeth.
Bulimia is a condition where patients make themselves sick so that they lose weight. Because there are high levels of acid in the vomit, this can cause damage to tooth enamel.
Acids produced by the stomach can come up into the mouth (this is called gastro-oesophageal reflux). People suffering from hiatus hernia or oesophageal problems, or who drink too much alcohol, may also find they suffer from dental erosion due to vomiting.
There are a number of things you can do:
Acidic foods and drinks can cause erosion. Acidity is measured by its 'pH value', and anything that has a pH value lower than 5.5 is more acidic and can harm your teeth.
Fizzy drinks can cause erosion. It is important to remember that even the diet brands are still harmful. Even flavoured fizzy waters can have an effect if taken in large amounts, as they contain weak acids which can harm your teeth. Acidic foods and drinks such as fruit and fruit juices, particularly citrus ones including lemon and orange, contain natural acids which can be harmful to your teeth, especially if you have a lot of them often.
'Alcopop' drinks that contain acidic fruits and are fizzy can cause erosion too.
Still water is the best drink for teeth, and milk is also good because it helps to neutralise the acids in your mouth.
Many sports drinks contain ingredients that can cause dental erosion. However, it is important for athletes to avoid dehydration because this can lead to a dry mouth and bad breath.
We recommend you use a fluoride toothpaste twice a day. Children up to three years old should use a toothpaste with a fluoride level of at least 1000ppm (parts per million). Three-year-olds to adults should use a toothpaste that contains 1350ppm to 1500ppm. In severe cases fluoride supplements such as rinses and gels may be used once a day. Your dentist or hygienist will tell you the best supplement to use.
Dental erosion does not always need to be treated. With regular check ups your dentist can prevent the problem getting any worse and the erosion going any further. In other cases it is important to protect the tooth and the dentine underneath to prevent sensitivity. In these cases, simply bonding a filling onto the tooth will be enough to repair it. However, in more severe cases the dentist may need to fit a veneer.(see our 'Tell me about' leaflet Veneers).
Costs will vary, depending on the type of treatment you need.
It is important to talk about all the treatment options with your dentist and get a written estimate of the cost before starting treatment.
If you need free and impartial dental advice please do not hesitate to contact our Dental Helpline or call 0845 063 1188 (local rate call in the UK).
An investigation into the effects of sport supplement drinks on dental health. R Kidner, Dental Health Vol 42 No 2 of 6 March.
Dental erosion - changing prevalence? A review of British national children's surveys. J Nunn and others, International Journal of Paediatric Dentistry,Volume 13, Issue 2, Page 98, March 2003.
Dental Erosion and Acid Reflux Disease. Schroeder and others, Annals of Internal Medicine, 1 June 1995; 122: pages 809-815.
Browse by:


text:
Print Reviews
Product Reviews
Sacred Heart Medallion
Beaded shield pendant with metal chainlink. *By Vanessa Mooney *Handmade in Los Angeles *14" chain drop, 3" pendant drop
Customer Questions & Answers:
Question |
Read all Questions and Answers
Product Details
Customer Reviews for
Sacred Heart Medallion
This product has not yet been reviewed.
Click here
to continue to the product details page.
Product Details


text:
Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts
Objectives To determine the frequency with which computerized alerts occur and the proportion triggered as a result of prescribers not utilizing e-prescribing system functions.
Methods An audit of electronic inpatient medication charts at a teaching hospital in Sydney, Australia, was conducted to identify alerts fired, to categorize the system functions used by prescribers, and to assess if use of short-cut system functions could have prevented the alerts.
Results Of the 2209 active orders reviewed, 600 (27.2%) triggered at least one alert. Therapeutic duplication alerts were the most frequent (n=572). One third of these (20.2% of all alerts) was 'technically preventable' and would not have fired if prescribers had used a short-cut system function to prescribe. Under-utilized system functions included the option to 'MODIFY' existing orders and use of the 'AND' function for concurrent orders. Pregnancy alerts, set for women aged between 12 and 55 years, were triggered for 43% of drugs ordered for this group.
Conclusion Developers of decision support systems should test the extent to which technically preventable alerts may arise when prescribers fail to use system functions as designed. Designs which aim to improve the efficiency of the prescribing process but which do not align with the cognitive processes of users may fail to achieve this desired outcome and produce unexpected consequences such as triggering unnecessary alerts and user frustration. Ongoing user training to support effective use of e-prescribing system functions and modifications to the mechanisms underlying alert generation are needed to ensure that prescribers are presented with fewer but more meaningful alerts.
- Computerized alerts
- preventable alerts
- electronic prescribing
- human error
- decision making
- decision support
- medicines
- adverse events
- evaluation
- medication safety
Background and objectives
Electronic prescribing (e-prescribing) systems with decision support are increasingly being adopted by hospitals around the world as a means of reducing prescribing errors. These systems eliminate illegible handwriting, increase order accuracy and completeness, and improve response time and continuity of care.1–4 Computerized alerts integrated into e-prescribing systems have the potential to reduce prescribing errors because they warn prescribers about possible risks such as allergies, inappropriate doses, and duplicated orders.5 In a recent systematic review, most studies evaluating the effect of computerized alerts on prescribing behavior found positive and often substantial effects.6 For example, presentation of alerts designed to reduce the use of contraindicated drugs in patients with renal failure resulted in a large drop in the likelihood of a patient receiving at least one dose of contraindicated medication.7
Embedding real-time alerts in an e-prescribing system is a challenge in any hospital setting.8 To ensure that decision support remains relevant and effective, it has been suggested that ongoing monitoring of alerts that are triggered and the subsequent actions taken by prescribers is required.8 The majority of previous research evaluating alert effectiveness has adopted this approach.8–13 The evaluation methodology chosen at our site was initially qualitative. We observed prescribers use the e-prescribing system on ward rounds and discovered that approximately half of the medication orders initiated by doctors triggered one or more alerts.14 We found that prescribers rarely read the alerts and these alerts were therefore having little impact on prescribing behaviors on ward rounds.14
Interestingly, during observations it was noted that a number of alerts were triggered because prescribers were not utilizing all the system functions.14 For example, instead of using the 'THEN,' 'AND,' or 'OR' functions which allow similar sequential, concurrent, or alternative orders for the same medication to be prescribed together (eg, frusemide 40 mg in the morning 'AND' 20 mg at midday), users often prescribed the two orders separately, which resulted in the triggering of a therapeutic duplication alert.
Sub-optimal use of technological systems has been identified as a potential cause of failure of systems following their implementation.15 It is well known that most users of applications utilize only a subset of system features or functions and several longitudinal studies have shown that despite considerable experience using a technological system, many users never progress beyond a minimally sufficient skill level.16 ,17 For example, the majority of Microsoft Excel users utilize only the low-level features of spreadsheets.18 Sub-optimal use of health information technology has received limited attention in the literature, however studies on workarounds show that clinicians may use applications in less optimal ways to manage problematic or poorly designed information technology. For example, users of an electronic patient record used the free-text boxes in the application instead of the appropriate in-built functions because the functions were difficult to locate.19 In another study, pre-written order-sets in a computerized provider order entry system were not used by doctors because the order-sets were classified and so arranged in a way not familiar to prescribers.20 No studies have previously examined the association between the use of functions of an e-prescribing system and the generation of computerized alerts.
While e-prescribing systems are designed to enhance efficiency in prescribing by, for example, eliminating the need to re-enter information about a new medication order when it is similar to an older order, little research has examined how such design features require changes in ways of working and conceptualizing tasks. Nor has previous research focused on identifying the consequences of unchanging user work practices when change is envisioned by system designers. This study set out to examine how use of e-prescribing system functions by prescribers can influence alert generation. Our primary aims were to determine the frequency with which alerts (of various types) occurred and to identify the proportion of alerts triggered as a result of prescribers not utilizing e-prescribing system functions. The study was designed to further our understanding of the mechanisms underlying alert generation, allow targeted removal of particular alert types, and indicate system functions where suboptimal use was frequent.
Study site
The study was conducted at a teaching hospital with approximately 320 beds in Sydney, Australia. The hospital specializes in heart, lung, and bone marrow transplantation, cardiology, cancer, HIV medicine, respiratory medicine, drug and alcohol services, and general community health problems, but does not provide pediatric or maternity services.
e-Prescribing system
At the time of the study (June–July 2011), all inpatient wards used the e-prescribing system, MedChart (Version 4.2.0B1; http://www.isofthealth.com), except for the emergency department. Wards (typically 34 beds) varied in the number of computers available, but all were equipped with on average eight wireless laptops fixed to lightweight trolleys and eight desk-top computers located at clinical work stations. As MedChart could be accessed from any computer on the hospital network, doctors could prescribe on or off the ward.
MedChart is an electronic medication management system that allows prescribing, pharmacy review, and drug administration. The system is integrated with the hospital's clinical information system, which includes online ordering and results reporting for laboratory and imaging tests, paging, rostering, and clinical documentation.
Electronic prescribing in MedChart can be completed in three ways: (1) long-hand prescribing, where the doctor enters all order parameters (eg, dose, administration time, etc) after he/she selects a medication name (see figure 1), (2) 'quicklists,' or pre-written orders, where the order parameters are pre-populated, and (3) 'protocols,' collections of pre-written orders, for example, the blood and marrow transplant hematology protocol included 26 medication orders. As can be seen in the bottom right-hand corner of the prescribing screen shown in figure 1, MedChart also includes short-cut functions (THEN, AND, and OR) that allow similar sequential, concurrent, or alternative orders for the same medication to be prescribed together. For example, if a doctor wished to prescribe frusemide in the morning and at midday, then they would enter an order for frusemide in the morning and then click the 'AND' button. This would bring up a new order screen below the initial frusemide order screen and the prescriber would then be required to make only one change to this additional order (change morning to midday). Use of this short-cut function would save the prescriber up to 11 mouse clicks. During a 2 h MedChart training session (compulsory for all doctors), prescribers are shown where to find the short-cut functions and are required to complete several case scenarios using the system short-cuts. Prescribers are encouraged to use the short-cut functions as they save the prescriber significant amounts of time.
Computerized alerts
At the time of the study, decision support alerts enabled in MedChart included allergy and intolerances checking, pregnancy warnings, therapeutic duplication warnings, some dose range checking, and approximately 100 hospital developed messages offering prescribers advice about the medication selected (see table 1). Drug–drug interaction alerts were not yet operational. The alerts appeared to the prescriber immediately following the selection of a drug or drug product as a new screen. Alerts varied in length, but all used Courier 10 font and included a bold heading specifying the alert type (eg, 'Substance Duplication'). An example alert appears in figure 2.
Duplication and dose range alerts triggered by the second of two orders for paracetamol tablets
First order: Paracetamol (500 mg) Tablet: 1 g oral PRN: minimum dosage interval 4 h: up to 4 doses per day.
Second order: Paracetamol (500 mg) Tablet: 1 g oral Four Times Daily.
The patient had an existing active order for PRN paracetamol (order #1), but the second prescriber wanted a regular four times daily order (order #2). A duplication alert was triggered when the drug product (Paracetamol (500 mg) Tablet) was selected for the second (regular) order. The duplication warning was overridden and the new regular order was activated. The first order also remained active. The patient then had two active orders (one regular and one PRN) for paracetamol, which could have led to a serious overdose (maximum dose is 4 g per 24 h; exceeding this will place the patient at risk of permanent liver damage). A dose range alert was therefore also triggered for paracetamol. The PRN order was not canceled until 17 h later (the following day).
This duplication alert potentially was clinically useful, as the MedChart regular order screen and PRN order screen cannot be viewed simultaneously. The two orders could only be viewed at the same time on the MedChart summary screen.
The duplication alert would not have been triggered if the second prescriber had MODIFIED the existing PRN order. This would have also automatically ceased the now obsolete first (PRN) order while generating the new regular order.
Local message that appears when the prescriber selects Oxycodone (could be replaced with a hyperlink 'Advice on selecting appropriate form and brand')
Please ensure the correct form and brand of Oxycodone is being prescribed:
Oxycodone immediate release tablets (Endone)
Oxycodone controlled (modified) release tablets (OxyContin)
May only be prescribed by the Pall Care and Acute Pain Service teams.
Oxycodone immediate release capsules (OxyNorm).
Other forms of Oxycodone include:
Oxycodone liquid (OxyNorm) – an immediate release product
Oxycodone injection (OxyNorm Injection)
This rule is for information only.
Approximately half of the alerts were for information only (ie, prescribers were not required to take action, just to click past the alert screen), while others required the prescriber to take action. In most of these latter cases, the alerts required prescribers to first tick the 'override box' (but not to provide a reason) and then close the alert screen (see alert #2 in figure 2). In approximately 10% of the alerts, prescribers were required to also type a reason for overriding the alert in a free-text box before proceeding with the order. All but seven of the decision support alerts allowed the prescriber to continue to prescribe a medication following the warning presentation regardless of whether they changed their order in response to the alert.
Technically preventable alerts
No reporting function was available within MedChart to allow extraction of information about triggered alerts, thus it was necessary to conduct a detailed audit of electronic medication charts to identify alerts presented to prescribers. This approach allowed identification of the exact process used by prescribers to enter each medication order into the e-prescribing system and of the alerts generated as a result of the ordering process used. In this way, the association between the system functions used and alert firing could be established. For all orders in which at least one alert was triggered and overridden, an assessment was made as to whether the use of a different system function for the same order could have prevented the alert from firing. Alerts were determined to be technically preventable if they were triggered as a result of a prescriber failing to use the system shortcut functions (THEN, AND, and OR) or failing to use the MODIFY function that allowed medication orders to be edited, rather than ceased and re-ordered, when modifications to an order were required (eg, a change in dose).
Only alerts that were 'overridden' by prescribers were visible on the electronic medication charts at review. If a medication order was not proceeded with following the presentation of an alert, the order (and with it the accompanying alert information) was lost from the system.
A pilot study comprising a review of 50 inpatient electronic medication charts was conducted to obtain an estimate of the proportion of alerts that were technically preventable (ie, triggered as a result of system functions not being utilized). We found approximately five alerts for every 10 orders and an average of 12 orders per patient. Approximately 15% of the alerts were determined to be technically preventable. Using these figures, we calculated that the sample size needed to estimate the proportion of technically preventable alerts with precision ±2.5% (95% confidence limit) was approximately 143 patient charts. Using this estimate, we reviewed 180 patient medication charts to reliably identify the proportion of alerts triggered as a result of prescribers not utilizing e-prescribing system functions.
For the main study, a clinical pharmacist reviewer randomly selected patients each day (using a random number generator) from a list of all inpatients received every morning from the hospital Medical Records Department. If a prescriber had received an alert while ordering a medication, a small icon appeared beside the medication name on the electronic chart. The reviewer could determine what alert(s) had fired by clicking on this icon. Electronic charts were reviewed daily (Monday–Friday) for 6 weeks until the required 180 patient charts had been audited for alerts.
Patient medical record number (MRN), age, sex, ward, and the admitting consultant were recorded for each selected patient record. The total number of active orders, number of active orders with at least one alert, and total number of alerts were recorded for each patient. All medication orders active at the time of review were examined in detail. For each order with at least one alert, the following information was collected: prescriber, medication name, date and time ordered (if available), medication schedule (eg, regular, PRN (as required)) and alert type (eg, allergy, duplication; see table 2). For all duplication alerts, the following additional information was collected: name of duplicated drug, schedule of duplicated drug, reason for the duplication (eg, different drugs belonging to the same therapeutic drug class), whether the duplication alert was technically preventable, and an alternative system function that would have prevented the alert from triggering (eg, use of the 'AND' function). Prescriber level (eg, intern) and admitting specialty (eg, cardiology) were subsequently collected from the hospital's clinical information system.
Statistical analysis
Descriptive statistics (percentages, means, medians, and IQR) were used to summarize the key characteristics of patients, orders, and alerts. Pearson's χ2 test and two-sample t tests were applied to further test associations between variables of interest. All p values calculated were two-sided with a significance level set at 5%.
Patients and orders
In the random sample of 180 patients, the mean age was 63.7 years (range 20–100 years) and 104 (57.7%) were male. A total of 2209 medication orders were active for the 180 patients (mean 12.3 orders/patient, median 11, IQR 8–16). See table 2 for order types and alert frequencies for each order type.
PRN orders were more likely to have an alert than regular, variable dose or STAT (immediately) orders (χ2=31.88, p<0.0001). PRN orders with alerts were also found to have a greater number of alerts (1.74, 95% CI 1.60 to 1.89) than regular orders with alerts (1.46, 95% CI 1.37 to 1.55; p=0.001). Orders for oxycodone (n=68) triggered 143 of the total of 934 alerts (15.3%), followed by orders for morphine (n=32 orders, 58 alerts, 6.2%), paracetamol (n=42 orders, 55 alerts, 5.9%), and temazepam (n=26 orders, 39 alerts, 4.2%).
Alert types
Of the 2209 active orders reviewed, 600 (27.2% of all orders) had one or more computerized alerts (table 2). A total of 934 alerts were identified (mean 1.6 alerts/alerted order, median 1, IQR 1–2). Table 3 shows that the majority of alerts were duplication or local messages.
A total of 149 prescribers were responsible for initiating the 600 orders with alerts. Most (96.8%) medication orders with alerts were initiated by junior doctors (house staff), with only 19 medication orders with alerts found to be initiated by a specialist consultant. On average, orders generated by interns had fewer alerts (1.41 alerts/order, 95% CI 1.29 to 1.54) than registrars (3–6 years after graduation) (1.61, 95% CI 1.48 to 1.74; p=0.03) or residents (1.61, 95% CI 1.47 to 1.76; p=0.04).
Technically preventable alerts
One third of the duplication alerts (n=189, 20.2% of all alerts) were determined to be the result of prescribers not utilizing available e-prescribing system functions; that is, if the prescriber had used a short-cut function to order the medication in MedChart, the duplication alert would not have triggered. Most frequently, a prescriber ceased an existing order and re-ordered the medication with one parameter different (eg, dose) instead of using the MODIFY function to change the existing order. Table 4 shows alternative ways to prescribe and the proportion of duplication alerts which could have been prevented by using these system functions. Table 5 includes some examples of duplication alerts that were determined to be either technically preventable or not preventable with use of an alternative prescribing method in MedChart.
A large proportion (n=240, 82.8%) of alerts where the original order and 'duplicated' order were both active were determined to be non-preventable; however, in the case of duplications where one of the orders was ceased, over half the duplication alerts (n=133, 56.1%) could have been prevented with use of a system function. The majority of these preventable therapeutic duplication alerts (n=110, 82.7%) would not have been triggered if prescribers had used the MODIFY function in order to alter an existing order.
Therapeutic duplication alerts
The most frequent trigger for a duplication alert was the ordering of a different drug in the same therapeutic class as a medication already prescribed for a patient (n=229, 40.0% of duplication alerts). Other common triggers included prescribing a medication with a different formulation or strength to a medication already prescribed for that patient. Examples of the five most common duplication triggers are shown in table 6.
Half the duplication alerts (n=282, 49.3%) were triggered because a medication was prescribed that was identical to, or in the same therapeutic class as, a drug that had been ordered for a patient but had been ceased within the previous 24 h; that is, for half the duplication alerts, the 'duplicated' orders were not both active.
Pregnancy alerts
Twenty patients met the criteria set within the e-prescribing system for pregnancy alert triggers (ie, female and between 12 and 55 years of age). Of the 119 medications ordered for these patients, 43.3% triggered a pregnancy alert. Prescribers received on average five pregnancy alerts per female patient in the appropriate age range (range 1–10 alerts) and half the alerts (n=100, 49.7%) triggered for these patients were pregnancy alerts.
Previous research has focused on examining the extent to which alerts are ignored and the high rate of alerting resulting in alert fatigue.8–13 While studies have shown that users will often not use all available functionality of technological systems,16 ,17 we are not aware of any previous study which has demonstrated that this is a significant contributor to a new class of 'technically preventable' alerts. We found that prescribers did not use the e-prescribing system functions as intended, despite the functions' potential to improve efficiency of work. As a consequence, clinically unnecessary alerts were generated, most likely adding to the frustration of prescribers. The time saving associated with use of the short-cut functions was lost to prescribers. Importantly, the generation of clinically unnecessary alerts potentially devalues alerts and confounds any attempt to assess alert effectiveness and impact. The hospital was unaware of the extent to which 'technically preventable' alerts were being generated as a result of prescribers not using the recommended short-cut functions. This may also be the case for e-prescribing systems in operation at other sites.
Computerized alerts were triggered in nearly a third of medication orders, with many orders triggering multiple alerts. Not surprisingly, interns, residents, and registrars encountered many more alerts than consultants, as the former groups ordered the majority of medications. We observed fewer alerts for orders generated by interns than registrars and residents, possibly because interns overrode fewer alerts than the more senior doctors. One might expect decision support to be of greater value for prescribers who are less familiar with the medications they are prescribing or the patient/condition for which they are prescribing.
Frequent sub-optimal use of system functions suggests that either the efficient strategies are not known to users, that the strategies are known but system design features are poor, or the system functions are not viewed by users as beneficial or consistent with preferred prescribing practice, resulting in strategies not being used. Training may not have been sufficient to instill a widespread understanding of the short-cut functions in MedChart and redesign of certain system functions may be necessary. For example, making functions more obvious or easier to use may result in increased adoption as interface design (eg, layout of screen and controls) has been shown to guide users to select optimal strategies for a specific task.21 More importantly, the finding that doctors did not use the e-prescribing short-cut functions, despite the possible time saving and the avoidance of a computerized alert, indicates discordance between the prescribing task, as envisioned and performed by prescribers, and the underlying assumptions about the prescribing task reflected in the design of the system. For example, although the 'THEN' function allows users to prescribe similar sequential orders together, saving the user up to 11 mouse clicks, prescribers may organize their thinking in terms of entering each order as an independent event, giving little attention to future medication orders until the first order-entry is complete. When designing a new system or technological application, one of the most important principles of user-centered design is consistency (in content, layout, and user cognition) between old and new systems,22 but several functions in the e-prescribing system designed to improve efficiency require clinicians to think about their prescribing tasks in different ways than when prescribing on paper. Technology creates new ways of doing things, it rarely maintains the old ways with the simple substitution of one medium for another,23 and prior experience of manual tasks can have a significant effect on the performance of computerized tasks.16 There is a tension between designing systems which replicate paper-based processes and thus may integrate more quickly into clinical practice, versus harnessing the advantage of technology to allow tasks to be completed in more efficient ways, but which requires a change in work processes and changes to cognitive processes which necessitate a greater level of training.24
There is value in alerting prescribers to the fact that a duplicated medication is being prescribed when the duplication has potential to result in patient harm (see box 1) as this has been shown to be a frequent prescribing error in hospitals.4 Therapeutic duplication alerts are frequently included in e-prescribing system alert sets, but limited evidence exists demonstrating their effectiveness.6 ,7 The high volume of duplication alerts overall in our study suggests that the firing threshold may be too low. It is interesting to note that more than half of all the duplication alerts would not have triggered if the system was reconfigured so that alerts only fired when the two medication orders were active at the same time. By maintaining the 24 h time frame for certain medications only, such as gentamicin (where a second dose in within 24 h of a once daily dosing regimen would pose a significant risk of toxicity) or colchicine (which carries a risk of cumulative toxicity due to its low therapeutic index), a large proportion of duplication alerts would be eliminated.
For female patients aged 12–55 years, pregnancy alerts were triggered more frequently than any other alert type. Ideally, a prescriber should be able to enter a patient's pregnancy status into the system (just as they currently do for a patient's allergy status) so that if the patient is not pregnant, pregnancy warnings do not fire. Alternatively, pregnancy alerts for an individual patient who is not pregnant could be suppressed for the duration of that particular hospital stay when a user overrides the first pregnancy alert, a strategy known to reduce repeat alerts.13
One quarter of the alerts we identified were local messages. These messages are currently presented to prescribers in an identical fashion to other safety alerts, but the majority of hospital messages offer doctors advice about the medication being selected (see box 2) rather than warning prescribers about a safety critical event. Low priority alerts have been shown to cause user frustration and slow down the medication ordering process.25 Research has shown that interrupting prescribers for only the most serious warnings is an effective strategy for increasing alert acceptance rates.26 To reduce alert fatigue, most local hospital messages could be removed and presented to prescribers in a non-interruptive fashion. For example, the alert shown in box 2 could be replaced with the hyperlink that appears in the box caption. These hyperlinks could appear on the prescribing screen, not on a separate alert screen that interrupts the prescriber and needs to be clicked past. The presentation of additional text on a portion of the usual prescribing screen would give prescribers direct access to information with minimal interruption to workflow.27
It is not surprising that medications ordered to be administered when required (ie, PRN) were more likely to carry an alert than other schedules of medications. PRN orders are less likely to be ceased, as they remain active 'in case' required. They are also often listed as an alternative to a regular medication, or as a stronger option. For example, a patient may be prescribed oxycodone tablets as a regular order, with 'add-on' PRN oxycodone or PRN morphine injection for breakthrough pain. Oxycodone and morphine, both opioid analgesics, each trigger a duplication alert when the other is ordered. Oxycodone (which also triggers a local message alert) carried more alerts than any other medication, followed by morphine, paracetamol (all analgesics), and then temazepam (for sleep). These drug types pose specific challenges when designing decision support rules.
Limitations of the study
Only orders with alerts that were 'overridden' by prescribers were available for review as the system did not log orders abandoned following an alert. Given the value of being able to monitor alert generation and its consequences on prescribing behavior, organizations implementing e-prescribing systems should specify the logging and reporting of these data by vendors. The lack of these data limited our ability to assess the extent to which alerts were effective in changing prescribers' orders. However, our previous observational work undertaken during ward rounds suggests that the proportion of orders abandoned or changed as a result of the current alerts in the system is small.14 Thus we hypothesize that the results presented here are largely representative of all alerts triggered in the system. In this study, we only reviewed orders generated using one e-prescribing system, but as the alerts we examined are typical of those encountered by clinicians using other e-prescribing systems, our findings may provide generic lessons for a range of systems.
A detailed analysis of safety alerts revealed that modifications to the mechanisms underlying alert generation, and to the alert types chosen by designers to be displayed, are needed to ensure that prescribers are presented with fewer but more meaningful computerized alerts. Importantly, this is the first study to examine how use of e-prescribing system functions may influence alert generation. Prescribers often did not use the e-prescribing system short-cut functions, despite the functions' potential to improve efficiency of work. This finding indicates discordance between the prescribing task, as performed by prescribers, and the underlying assumptions about the prescribing task reflected in the design of the system. Designs which aim to improve the efficiency of the prescribing process but which do not align with the cognitive processes of users may fail to achieve this desired outcome and produce unexpected consequences such as triggering clinically unnecessary alerts and user frustration. The generation of clinically unnecessary alerts also potentially confounds any attempt to assess alert effectiveness and impact. Developers of decision-support systems should test the extent to which technically preventable alerts may arise when prescribers fail to use system functions as designed.
All listed authors for this paper contributed to the design, acquisition of data or analysis and interpretation of data, to the drafting and revising of the manuscript, and to the final approval of the version to be published.
This research was supported by NH&MRC Program Grant 568612. This funding source had no involvement in the design, data collection, data analysis, interpretation of data, writing of the report, or decision to submit this paper for publication.
Competing interests
Provenance and peer review
Not commissioned; externally peer reviewed.
- Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions


text:
ViewsWatchers |
Acton is a district of west London, England, located in the London Borough of Ealing. It is situated west of Charing Cross. At the time of the 2001 census, Acton, comprising the wards of East Acton, Acton Central, South Acton and Southfield, had a population of 53,689 people. North Acton, West Acton, East Acton, South Acton, Acton Green, Acton Town, Acton Vale and Acton Central are all parts of Acton. Acton means "oak farm" or "farm by oak trees", and is derived from the Anglo-Saxon ac (oak) and tun (farm). Originally an ancient village, as London expanded, Acton became absorbed into the city. Nowadays, Acton lies predominantly in the London Borough of Ealing, although some of East Acton lies within the London Borough of Hammersmith and Fulham, and a small portion of South Acton within the London Borough of Hounslow. Acton is home to more railway stations than any other area of London; seven stations in the locality feature Acton in their name. Central Acton lies on the former main road between London and Oxford (the Uxbridge Road) and several inns along it date back several centuries as stopping places for travellers. Nowadays, the principal route linking London and Oxford (the A40 dual carriageway) bypasses central Acton, but passes through East Acton and North Acton. [edit] Research TipsActon is one of the ancient parishes of Middlesex. It became an Urban District in 1894 and a Municipal Borough in 1921. In 1965 it became part of the London Borough of Ealing.


text:
Arcomar Apartments - These small and well established family run apartments have a loyal clientele who return year after year because of the friendly atmosphere and personable service. The pool area has a good sized terrace with loungers and chill-out zone and the Arcomar's cafe bar and restaurant serves up international dishes and snacks throughout the day and has its own terrace, perfect for people watching in the evening.
The apartments are furnished and decorated in a modern, uncluttered style which makes them seem even bigger than they are and is relaxing on the eye. The stylish kitchenette is well equipped and all the apartments are fully air-conditioned, which is a touch of luxury in such economically priced accommodation.
Situated only 150 m from the beach and on the neon lit 'strip' of bars, restaurants and shops of San Antonio Bay, the Arcomar Apartments are in just the place to enjoy a holiday which won't hurt the bank balance. Eating and drinking is reasonably priced in this area, there's lots of free entertainment with live bands, singers and variety acts appearing at nearby venues whilst a trip over to the bright lights of San Antonio on the bus or ferry costs next to nothing. There are also buses passing right by to fashionable beaches like Calas Bassa and Conta, and in high season the airport buses run 24/7.
Hotel Facilities
- Open all year
- 24 hr reception
- Wi-Fi internet - in public areas and terraces ( free)
- Internet corner
- Outdoor swimming pool
- Children's pool
- Sun terrace with sun beds
- Chill-out zone
- Restaurant
- Cafeteria/snack bar - with Sat.-TV
- Bar
- Bar - pool area
- Lounge
- Babysitter service - on request, extra charge
- Laundry service - extra charge
- Closed-circuit tv security cameras
- Parking
- Late check-out facilities - Left-luggage, showers, changing room
- Double beds available on request - please mention in special requests
- Dining/living room
- Kitchenette with fridge - and microwave
- Bathroom
- Balcony or terrace
- Air-conditioning - hot & cold
- Heating
- Wi-Fi internet
- Safety deposit box - for hire
Entertainment and Sports
- Table-tennis
- Pool table
- Video games
Surrounding Area
- Airport - 22 km
- San Antonio - 4 km
- Nearest beaches - 150 m (Playa Pinet)
- Ferries - to San Antonio and nearby beaches
- Supermarket - 50 m
- Bus stop - 100 m (buses to San Antonio and nearby beaches)
- Taxi rank - 2 km
- Pharmacy - 500 m
- Water sports - 400 m
Bed linen and bath towels provided


text:
Join our network of non-profits, companies and individuals who believe social change can happen through design.
Become A MemberPopular Blogs
- winema gaven
1 Votes / 1 Posts - LogicGateOne Corp
0 Votes / 4 Posts - jeff clayborn
0 Votes / 2 Posts - Monty Kennar
0 Votes / 2 Posts
Most Active Members
- Kate Andrews
321 Recent Posts - v-neeta
305 Recent Posts - steven landau
157 Recent Posts - Douglas Best
126 Recent Posts
Recent Work Samples
- vasilis capellas
Designer - Vina Domingo-Roy
Designer (Product Design) - fert det
Designer (Journalism) - HeatherRose Studios
Designer (Illustration)
William Morgan
United States
Member since December 09, 2012
There is by no means a shortage of brokers for on the net foreign exchange day buying and selling. Really a several will explain to you they are shrewd authorities who can turn your principal funds in to stock trading software thousands and thousands inside of a brief time. In the occasion you go into the trade with this sort of a mindset, you are setting yourself up for disappointment. The truth is, any metatrader broker anyoption who guarantees quick outcomes will be the 1st 1 you ought to ditch. Benefits from fx trading can be swift and also the likelihood of generating losses are continuously glaring. binary options trading It is consequently crucial to pick a fx broker wisely normally experience the destiny of a good deal of investors who have been left penniless immediately after their brokers designed losses and trade rush closed store. Under are some easy suggestions to enable you in selecting the most effective mt4 broker to enable you trade
Commissions The active intraday currency trading trader pays much pennystocks4509.com much more commissions to brokerage businesses than normal traders. This is simply simply because there is prospective to make much more in this line of enterprise than other people. Pay consideration to the reality that commissions paid out towards the mt5 broker slices off your normal earnings. If you are investing in shares, you can come across two options to feel about per reveal pricing penny stocks and for each ticket pricing. In fx or futures trading, there is certainly the spread and spherical flip price and margin.
Customer provider How does the brokerage firm take care of their buyers? You day trading could be a green foreign exchange trader with little comprehension on the very best way to start out in this area. The brokerage firm must tutorial you one action at a time commodities market and make guaranteed you understand as much as achievable about what you are acquiring your self in to. No issue the dimension and name of the organization, if they absence forex market shopper assistance, that you are higher off elsewhere.
Trading approaches The fx broker need to offer you with immediate entry to your account at all situations. Some notorious foreign exchange brokers day trading acquire payments on buy flow and may possibly potentially even trade from you. Currency trading on the net buying and selling requirements trading personal computer computer software and platforms to function effectively. The personal computer software package presented need to be fx trading consumer helpful and provide you with immediate accessibility to the latest specifics relating to your account. Personal software builders have occur up with innovative trading platforms which will url up with broker's computer system application. Though they occur at a selling price, they can result in the trading method smoother involving you and also the broker.
Redundancy This is a term forex software that makes any person within just the currency trading day trading current market cringe. There have been brokerage firms which have arrive up swiftly and gone down at the exact identical charge with options trading investors' dollars. The metatrader four broker ought to provide assurances of what will take place supposedly items go awry. They ought to also have diverse means of communication by which it is feasible to trace your account.
My Interests
- Industrial Design
- Environmental Design
- Communication Design
- Fashion Design
- Audio/Visual Design


text:
NEWTON's HOME PAGE
Privacy Policy
Electron Flow and Temperature
Name: Jean K. Status: other Age: 20s Location: N/A Country: N/A Date: 2001-2002
I am an education student studying to be a elementary education teacher. I want to know where I can find information on the following for lessons I am developing. Do electrons move faster in cold or warm power lines? I have read conflicting statements on this topic.
Hi, Jean !!!
As you know, the electrical resistance of a wire is proportional to the temperature. In other words, the more heated, the greater will be the resistance. In power lines, the electron flow occurs somehow concentrated at the external surface of the wires. Nevertheless, this does not invalidate this argument. So that the conclusion should be that warm power lines make electrons move slower than under the same conditions in cold lines.
Alcir Grohmann
Dear Jean-
Remember Ohm's Law: V=IR. This can be re-arranged to I=V/R. This states that the current (I) through a circuit is equal to the voltage across the circuit (V) divided by the resistance in the circuit (R). Since I is inversely proportional to R, then for a fixed V, the current will decrease as the resistance increases. One of the things which increases electrical resistance is the increased motion of the molecules and free electrons of a conductor caused by heating. This is due to their random collisions with the electrons making up the current which tends to interfere with their forward progress. So, it is true that heating of the power line causes the free electrons to move faster, but in random directions. As a result, the net electron current will be diminished due to the increased frequency of random collisions.
Do not confuse this everyday state of affairs with what happens in a superconductor. When certain metals are cooled to extremely low temperatures, they exhibit virtually no resistance to electrical current. This is due to quantum mechanical coupling of pairs of electrons in a fashion that causes them not to interact with the atomic electrons in the conductor. For further information on electrical current at ambient temperatures, you might want to consult any encyclopaedia with entries for 'conduction' and 'superconductivity', or the Electricity section of any introductory physics text in your school library.
Best wishes,
Electrons move faster in a warm wire, but they do not travel as far along the wire as they would if it were cold.
The motion of an electron can be separated into two components:
1) rapid motion driven by temperature. This motion produces no net transfer of charge along the wire.
2) slow drift driven by the electric field in the wire
Because the resistance of a wire increases with temperature, less current flows in a warm wire than would flow in a cold wire with the same applied voltage. The drift speed of electrons in the wire is proportional to the current.
Tim Mooney
I do not know a web site that addresses this particular question, but I believe I may be able to explain the conflict. You must more clearly state your question. Are you asking whether individual electrons jiggle faster or whether the overall current move faster?
At higher temperatures, individual electrons jiggle faster, but in a less organized fashion. The current speed is effectively the average motion of the electrons. In a wire with zero current, the electrons move very fast; however, there is no preferred direction. In a wire with current, there is a slight preference for an electron to move toward the higher voltage (actually opposite the current, since electrons have negative charge). In a standard current, electrons actually move trough about 4 meters of wire per second. Individual electrons move at speeds approaching that of light.
At high temperatures, the true speed of an electron is higher because the electrons have more energy from the heat. At high temperatures, current tends to be less because the electron motion is less organized, more random. For a more day-to-day example, it is easier to direct the motion of a calm cow than a raging bull. Still, the raging bull moves much faster.
Dr. Ken Mellendorf
Illinois Central College
Click here to return to the Physics Archives
NEWTON is an electronic community for Science, Math, and Computer Science K-12 Educators, sponsored and operated by
Argonne National Laboratory
Educational Programs
, Andrew Skipor, Ph.D., Head of Educational Programs.
For assistance with NEWTON contact a
System Operator (firstname.lastname@example.com)
, or at Argonne's
Educational Programs
Educational Programs
Building 360
9700 S. Cass Ave.
Argonne, Illinois
Update: June 2012


text:
2010 Hyundai Elantra Touring
Choose Hyundai Elantra Touring Style:
C/D Overview:
"Touring" means a small, five-door wagon in Hyundai-ese. New in 2009, the Touring has 65 cubic feet of cargo capacity, exceptional for its class. So is the freebie list, which includes stability control, ABS, and six airbags. Prettier than the Toyota Matrix, this is the one to get.
Base Price: $16,715 - $20,515
Roomy and handsome interior, loads of standard equipment, good fit and finish, great value quotient.
Suspension transmits noise on rough roads, lesser structural rigidity makes it a bit flexy.
What's New
Introduced for 2009; minor trim changes for '10.
Behind The Wheel
Exceptionally quiet, adequately powered, and reasonably disciplined on the road, it's an excellent choice for small-wagon lovers.


text:
Banquet & Catering Menu Options
Whether it's Breakfast, Lunch or Dinner we have many options for all your catering needs at your place or ours.
Click on the names from the list below to see the menus
Pig Roast - A good ole' country style pig roast with all the trimmings is the perfect feast after a hayride through our orchards. Our Enchanted Forest makes a beautiful setting for your outing!
Breakfast Menu - Our down home hearty breakfast just can't be beat. Choose from an assortment of options that will satisfy any appetite.
Graduation & Summer Packages - Make your planning for your Graduation or Summer Party easy with a wonderful selection of Catering Packages. Try a Tailgate Party with our wonderful fixings!
Appetizers - We offer as Appetizer Buffet where you can mix and match your favorite appetizers OR Appetizer trays that serve about 30 people.
Apple Holler on the Move - Your Favorite Apple Holler specialties, packaged in disposable pans for your convenience.
Platters - Trays of fruits, vegetables, meats, cheeses, sandwich fixings, and more!
Box Lunch - The perfect option for the working lunch! Customize each lunch the way you want it, then we pack it up with mayo, mustard and silverware so it's ready to go!
Buffets & Bars - Country Buffets, Sandwich Buffet, Soup, Salad & Sandwich Bars & Buffets, and Pasta Feast
Desserts - Our homemade goodies are the perfect finishing touch to any meal! We believe in doing things the old fashioned way, so our baker makes all our treats from scratch daily!
Just call our Party Planner for Pricing. 262-884-7100


text:
Join our network of non-profits, companies and individuals who believe social change can happen through design.
Become A MemberPopular Blogs
- winema gaven
1 Votes / 1 Posts - LogicGateOne Corp
0 Votes / 4 Posts - jeff clayborn
0 Votes / 2 Posts - Monty Kennar
0 Votes / 2 Posts
Most Active Members
- Kate Andrews
321 Recent Posts - v-neeta
305 Recent Posts - steven landau
157 Recent Posts - Douglas Best
126 Recent Posts
Recent Work Samples
- vasilis capellas
Designer - Vina Domingo-Roy
Designer (Product Design) - fert det
Designer (Journalism) - HeatherRose Studios
Designer (Illustration)
Sandra Foreman
United States
Member since July 22, 2012
If you've been participating in the CityVille due to the fact its kick off, you almost certainly have the money you require. However, the regular player, or all those iphone ringtones who do not have that kind of time, like me, may possibly use a couple of pointers. Don't worry this article is readily available listed here to assistance make ringtones for iphone you on Cityville cheats. CityVille's resident billionaire has left some ideas on the CityVille weblog, and I am right here to talk about them iphone ringtones with you all. The beauty of this function with fictional characters is awesome.
Construct franchises in your Neighbours Cities and also give invitation iphone ringtones apple to your pals to create some of them in your City as well. No person has ever claimed that it is a crime to capitalize iphone ringtones on your friendships.
1st you require to improve the Bakery and the Noodle Outlet. Make some further money, preserve some area and making ringtones for iphone try to modify the appearances of these businesses.
Now offer your corporations with goods on daily basis. Often make it positive that you add ringtones to iphone retain some extra materials on hand for a rainy day, both equally top quality and standard goods. Don't be afraid to stock up your materials iphone ringtones .
Businesses must be wisely picked out. That business ought to be developed which get the job done for you and the men and women in your surroundings.
Test to how to get ringtones on iphonehow to add ringtones to iphone decorate the front of your corporations which is significant. Did you know that you can easily improve your payout by adding decorations close to iphone ringtones apple your every company? Decorations are very good expense and that's why ought to be accomplished. Hold your eyes out for these large bonuses to arrive how to make iphone ringtones .
You must total your quests. Several of them would reward businesses that are not offered to you by any other way. Even really don't overlook to catch people bandits as well. The moment you have caught several of them, hence it will reward you with exceptional corporations.
A wise iphone ringtones determination is to broaden. The additional you possess the land the a lot more companies you can put than.
The finest of the organizations in my making ringtones for iphone opinion is the Tower Eats. The large guy has a sturdy payout.
Greater part of the tips are standard, but they do offer you you how to get ringtones on iphonehow to add ringtones to iphone a several insider ideas to guidebook your progress. In I opinion, the very best way to make some funds is to make several make ringtones for iphone Tower Eats and enhance them and you may witness the funds movement in as a consequence soon ample.
CityVille Collections give you a ton of making ringtones for iphone Energy, coins and other advantages, which are fantastic. On the other hand, Collections are substantially far more critical than this in the game. These how to get ringtones on iphonehow to add ringtones to iphone Collections have various products which are essential for Targets to complete them.
For instance, you can simply appear at your existing Aims and then ringtones for iphone 4 know what finished Collections you presently have to avoid spending the important merchandise. In addition, this is the explanation that it is fruitful ringtones for iphone 4 to vary your businesses and residencies, even it is obviously not 100 percent important. New Aims normally is made up of prerequisites for new Collection things. Therefore these Cityville cheats are significant to comprehend.
My Interests
- Industrial Design
- Environmental Design
- Communication Design
- Fashion Design
- Audio/Visual Design


text:
Talk to a personal shopper Monday-Friday
Conventional fuel gels can be especially dangerous. With their low flash points and volatile gases, alcohol based fuels have been known to cause many accidents. But not to worry! ORGANICA fuel gel is totally safe! The high temperature flash point means you can literally pour liquid fuel on an open flame without risk of ignition or explosion. The 100% organic compound has the absolute lowest emissions possible and is non toxic to the environment.
Because of safety concerns traditional gel fuel is no longer available for purchase. Organica fuels are the only government approved fuel source for ventless fireplaces and similar heating products.
Currently unavailable for purchase.
Keep your catering business burning clean & eco-friendly with cheap, organic chafing fuel.
Safe, easy, ecologically friendly fuel for your ventless fireplace, camping stove, or chafing dish warmer.