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US 3872448 A Abstract A system for automatically handling and processing hospital data, such as patient information and pathological test information, on an inline basis is disclosed as including a central data processing apparatus for storing and processing such data, a storage area in said data processing apparatus for providing for storage of information to be acted on, and providing for storage of new information, and a plurality of remote stations providing for data collection and inputting to said storage area, and readout of stored data from said storage area. The storage area in said data processing apparatus includes separately addressed files for relatively long term storage of patient description information, test library information, and past test results, and a transaction file for relatively short term storage of daily transaction data.
Claims available in Description (OCR text may contain errors) i 1 Mar. 18, 1975 United States Patent [191 Mitchell, Jr. [ HOSPlTAL DATA PROCESSING SYSTEM TirneSharing," Computers in Biomedical Research. VOL ll. i965, pp. 29i-3l2, L7l400042. Inventor: Baker A. Mitchell, Jr., Houston, Tex. . Primary Examiner-Raulfe B. Zache [73] Assignee. Community Health Computing, Inc., Attorney Agent or F Hyer; Marvin E Houston, Tex. Eickenmht [22] Filed: Dec. ll, 1972 [57] ABSTRACT A system for automatically handling and p hospital data, Appl. No.: 3l3,684 rocessing logical test information. on an inline storing and processing such l 5 References cu information to be acted on, and providing for storage of new information, and a plurality of remote stations roviding for data collection and inputting to said from said e area. The storage area in said data processing e area, and readout of stored data Ba 33 rlr mm 0.58 5 222 77- HHH 000 444 333 S T m: N m: E m: T w: A "H" P m: 8 n m; flww Tfl a SCPR D E7 3 T677 1999 NHHH U402 9- 0 308 6 7 ii .R 33 apparatus includes separately addressed files for rela- OTHER PUBLICATIONS tively long term storage of patient description infor- Allen. S. l.. et al., Use of a Time-Shared General-- mation, test library information, and past test results. Purpose File and a transaction tile for relatively short term storage of daily transaction data. -Handling System in Hospital Research," IEEE, Vol. 54, issue l2, December 1966. pp. l64l-l648, L7l40l l l. Baruch. Proceeding of the J. 1.. Hospital Automation Via Computer 2 Claims 5 Drawing Figures REMOTE STAT \ONS PATENTED HART 81975 SHEET 2 UP 5 TO RECORD ORDERlNG OFA TEST \NPUT PATTENT N X TEST N9- Y TEMP 1 TTEM 1, RECORD Y. T BDF TEST IS A BATTERY (NOTE 1) YEs.TEsT IS NoT A BATTERY TEMP 2 lTEM 1, RECORD Y. TLDF' DATA 1(- \TEM LRECORD TEMP 2.,TLF FOR ALL ITEMS i DATA i +1 4- TIME OF DAY (NOTE a) TEMP 3 ITEM 6,PAT\ENT X PDF PREVIOUS TEST ORDERED (NOTE 3) YES-NO PRlOR TEST \N TF FOR PATTENT K ACCESS PDF FOR PATIENT NAME LocAnoN. ACCESS TLF FOR TEST NAME. CONTNNER TYPE AND SPECMAN AMOUNT PRlNT CONTATNER LABEL TO REPORT THE RESULTS OF A TEST PATIENT NUMBER x A 251 NUMBER Y 7 TEMP 1 EM 6,PATI ENT X,PDF TEMP Z lTEM 1,RECORD (.TBDF NO TEST IS A BATTERY SEE TEXT 60 TO TBF YES OUT PUT No TEST REQUESTED" TEMP 1. ITEM 7. RECORD TEMP LTF TEMP 3- ITEM 3,RECORD TEMP 1,TF No (mus as THE TF RECORD coummma THE DATA FOR TEST Y ON PATTENT x) YES RES \TEM5,RECORDTEMP1,TF (NOTE 1) OUTPUT. TEST NOT COMPLETED ACCESS PDF FOR PATTENT NAME ACCESS TL FOR TEST NAME.UNITS NORMAL RA NGE,ETC. ou'rPuT: PATIENT NAME NUMBER TEST NAME, v gv mea has. UNITS. PATENTEDRAR I BIQTS 3, 8 72 448 saw u :15 5 TO OBTA|N A TEST RESULT FROM THE PAST RESULT F\L E \NPUTI PATENT N X ,TEST N Y. DATE 2 {TEMP 2 -|TEM mscono Y,TBDF] TEST \5 A BATTERY SEE TEXT [TEMP1 -|TEM LPATTENT x ,PDF I OUTPUT: NOT 1N PAST RESULTS FTLE" YES [TEMP 24-1TEMLRECORD marmyafl YES new a- \TEM Z,RECORD TEMPMPRFI HAVE NOW LOCATED PRF YES RECORD commmne RESULTS OF TEST Y OF lRES4-1TEM3,RECCRDTEMPPLPRF PATTENT x ON one 2 ACCESS LF FOR TEST NAMEUNITSMORMAL RANGEETC. ACCESS PDF FOR PATIENT NAME. \k OUTPUT; PATIENT NAMEJEST NAME. RES. UN\T$,DATE Z ETC. PATENIED 8 I975 3, 8 72 448 sum 5 or 5 TO OBTAIN A LTST OF SPECIMEN ACCESSION NUMBERS FOR INCOMPLETED TESTS AND THE ASSOCIATED PATIENTS NAMES FOR A PARTICULAR TEST E6. TO MAKE UP A TECHNlCIAN'S WORKLlST. (NOT DESIRED TEST) TEMP 1 ITEM 5,RECORD LTF TEST COMPLETED YES TEMP 1 ITEM Z,RECORD LTF GET PATENT N ACCESS PDF FOR PATIENT NAME. OUTPUTZACCESSON NUMBER ITEMI ,TF PATIENT NUMBER (TEMP 1) O PA'I TENT NUMBER (SEARCH FOR NEXT TEST) HOSPITAL DATA PROCESSING SYSTEM BACKGROUND OF THE INVENTION l. Field of the invention This invention relates to a system for automatically handling and processing hospital patient and pathological test data in a programmed data processing machine, and in one of its aspects to methods employed by the system for handling such data in-the data processing machine. 2. Prior Art Hospital administrators, nurses and laboratory technicians in a hospital or clinic of any size today must daily handle large volumes of data concerning patients in the hospital, and the various patha'logical tests performed on such patients. Although data processing machines which can handle, store and act on large volumes of information in relatively short periods of time have been suggested in the past for use in hospitals, satisfactory systems for the larger hospitals have not been provided because the storage arrangement of the data in the data processing machine has been broken down into relatively large numbers of separately addressed files, arranged so as to severely limit the useful storage capability of the computer, and the flexibility of, the system. Since storage capability is a function of dollars to be spent, this factor alone can cause the data processing system to be too expensive for many hospitals. Also. in those computer systems designed for a particular institution, the systems used have not been such that they could accommodate rapid changes in pathology practices and rapid changes in computer equipment and technology. BRIEF SUMMARY OF THE INVENTION It is thus an object of this invention to provide an automatic data processing system for hospital use which overcomes the above noted shortcomings, to provide a practical and economical system for handling large volumes of routine hospital patient and pathological data. Another object of this invention is to provide such a system which can readily accommodate changes in requirements for data storage and handling and changes in the type of peripheral equipment employed with the system. These and other objects of this invention, which will be apparent upon consideration ofthe appended claims and drawings, and the following detailed description are accomplished according to the preferred embodiment illustrated by providing a central processing unit having a relatively small number of separately addressed data files, handling a large majority of information storage in the system, such as four main files and a plurality of remote stations. The system storage is essentially provided by four expandable files, three of which provide for permanent storage, and one of which is a daily transaction file. The remote stations include at least one administrative or patient entry station where the data concerning a particular patient can be entered and stored permanently or for a relatively long period of time in a Patient Description File (PDF) in the central processing unit, at least one test request station where a test request and patient information can be stored in a relatively short term Transaction File (TF) in the central processing unit, and read out at the test request station, and at least one data collection station, generally associated with one or more pathological laboratories, where test data and results may be inputed into the Transaction File from one or more analytical devices, or from a manual input by the operator. The remote stations may also include a high volume collection station where high volume inquiries and readouts may be performed, for example, of all tranactions in the Transaction File for a particular date. Also a Test Library File (TLF) may be provided for relatively long term storage of information concerning each test available at the hospital. A Past Results File (PRF) may also be provided in the central processing unit and at the end of each day, or other suitable period, all completed tests during the day can be transferred into the Past Results File for permanent or long term storage. By reference to a particular file, it is meant that a group of related information is stored in the storage area of the computer so that by a common request or address, generally of but a few characters. one can cause the computer to act on or scan the group of information. For example, all patient description information is stored with a patient number so that when the computer receives a request for information on a particular patient by this number, it is only necessary to scan the Patient Description File to find the appropriate patient number in the file, and then the information associated with that number can be printed out. Also. each type of test can be assigned a different number and the information concerning the various tests stored in the Test Library File can be accessed by the use of a single number. The specific files can also be broken down into a series of logical records (Le. one logical record being all patients with last names starting with an A, a second logical record being all patients with last names starting with B, etc.) stored in a geographical record (a particular storage disk or a particular section of a storage disk wherein both the referenced first and second logical records would be located) and pointers provided in the program to the appropriate gcographi cal record, so that when a particular logical record is being hunted it will only be necessary to scan the one geographical record containing it. An important feature of the above described arrangement ofthe files in the central computer is that they are easily accessed by different departments or stations in the hospital to obtain the information that particular department requires. For example, a hospital administrator by using a particular test number may obtain cost information on that test from the Test Library File, while a technologist using the same test number may obtain a listing of the sample quantity for that test. As hospital and pathological requirements change it is a relatively simple matter to update the appropriate file without altering substantially the basic system or its underlying programs. While reference has been made to four basic data files for use in the present system, a number of other files may be provided for facilitating handling of the data into and out of the basic files, as described below. By way of example, a group of pathological tests may form a test battery'and some means (as to be described) may be provided for determining if a particular test is a battery test, and what tests are in a particular battery. BRIEF DESCRIPTION OF THE DRAWINGS In the drawings. wherein like reference numerals are used throughout to designate like parts. and wherein a preferred embodiment of the present invention is illustratcd: FIG. I isan overall schematic diagram of a data processing system of this invention; FIG. 2 is a detailed flow chart of the system of FIG. I when a particular test is ordered on a particular patient; FIG. 3 is a flow chart showing the system of FIG. I when the results ofa particular test are being reported; FIG. 4 is a flow chart of the system of FIG. I when past test results are being reported for a particular patient; and FIG. 5 is a flow chart showing the system of FIG. I when a list of sample accession numbers for incompleted tests of a particular type is requested. DETAILED DESCRIPTION OF THE DRAWINGS a. The System of FIG. 1. l. The Central Data Processing Station Referring now to FIG. I. the system of this invention is illustrated as including a central processing station and a plurality of remote stations 11, l2, l3, l4, l5. and I6. Central station 10 includes a central data processing device or digital computer 17 which includes a central processing unit (CPU) 17A. a primary core memory section I78 and peripheral storage units 19 and for storage of the various files incorporated in the system as hereinafter explained in detail. By way of example. computer 17 may be a Xerox Data Systems Sigma 3 digital computer. The software processors and file handlers may be written in FORTRAN IV for easy expansion and modification. and to provide a totally integrated system affording real-time processing simultaneously with background batch operation. The Central Processing Unit 17A of computer I7 ineludes 24.000 l6-bit words of core memory 178 with a read/write cycle time of about 975 nanoseconds. Communicating over a separate data bus 17C to primary memory 17A is an external input/output processor (EIOP) 18 (as referenced in Xerox Data systems. Inc. bulletin No. 64-l l0lB( 10/69)) which handles all input/output simultaneously with and independent of computer 17. A peripheral on-line random access storage unit [9 is provided which includes a high-speed 0.75 megabyte disc for the operating system and all software processors. and certain file directories may reside on this disc for very high speed operation. such as a Test Battery File (TBF) 190. a Test Battery Directory File (TBDF) 19b. and a Test Library Directory File (TLDF) l9c. Also. a main file storage unit 20 is provided which includes a 24.5 megabyte removable disc pack unit with fast access time (160 milliseconds maximum total and 87.5 milliseconds average}. As illustrated in FIG. I the main files of the system are stored in storage unit 20 and include a Patient Description File (PDF) 200. a Transaction File (TF) 2012. a Test Library File (TLF) 20c, and a Past Results File (PRF) 20d. While the type and number of directory files may differ in different embodiments of this system. and other peripheral files may be provided. the four main files listed are essential to the system. Also, each of the files referenced are stored in their respective storage disc so that the whole file, or an appropriate part of it, can be separately addressed and scanned for desired information by the computer. Various display and input/output devices [00. [0b. and such as shown in FIG. I. may also be provided at central station 10 for communications at the central station with the computer through EIOP l8. 2. The Remote Data Handling Stations Communications between computer 17 and the remote digital stations "-16 occurs through EIOP I8. In the system of FIG. l. remote stations 11 and 12 are data request stations, which will be generally located at one or more of the nurse's stations in the hospital. For example, each of stations II and 12 may be utilized by a nurse who has drawn a sample from a patient. to request a particular test or group of tests on that sample. Each station may include a card reader 21 for input of a previously assigned patient number and a test number. and a message/label printer 22 for printing messages concerning a particular request. or a test result. and for printing a label for the particular sample to be tested. Also. if desired a CRT display 23 may be provided at stations II and 12, and a controller unit 24 (also as referenced in the above Xerox bulletin) for interfacing stations II and I2 with EIOP [8. As each test is requested. the files of computer I7 are updated with the test request information. A high volume inquiry station [3 is also provided which may include a alphanumeric keyboard 25. a nu meric keyboard 26. a CRT or printer display 27 and a controller unit 28 (also as referenced in the above Xerox bulletin) for interfacing station I3 with EIOP I8. Station [3 functions to provide high volume readouts such as listings of a total days activities. Also. one or more data collection stations 14 and I5 are provided generally located in or near to a pathological laboratory. Each of stations 14 and [5 include one or more analytical devives 29 (such as a device for performing coagulation profiling tests is shown in bulletin No. 21 l9-l0-70-6RH of Technicon Instruments Corporation) providing on-linc test data on a sample being tested. a keyboard printer 30 for printing messages. and a card reader 31 for inputting test data into computer 17. A separate data processor 32. such as a Xerox Data Systems CF lb with 8.000 words ofa 16-bit core memory is preferably provided at stations I4 and 15 for eol lection and pre-processing of test data from analytical devices 29. and interfacing with EIOP I8. Data proces sor 32 operates independently of central computer I7 except when results are passed for filing in the central computer and for checking. Data processor 32 may also be provided with additional magnetic tape storage units for temporary storage. In addition to the above referenced remote stations. a remote station I6 may be provided at the administrative or admissions office for inputting patient information. or for reading out needed information on a patient (such as his location in the hospital. or state of his bill or on tests available in the hospital. such as cost. Of course. the number of remote stations will var v with different hospitals or clinics and the capabilities of each station and the peripheral equipment used at these stations can vary from those illustrated in FIG. I without departing from the basic system of FIG. I. b. Detail Description of the Data Files at the Central Station Referring now to storage units 19 and 20, the files shown can be programmed to explicitly contain all procedural and operational details of laboratory functioning as well as current and past records of laboratory aclink would only require one or two bytes and the full name of the item would require several more. SPECIMEN TYPE FILE (STF) tivity at the hospital in which the system of FIG. I is in- 5 item stalled. A wealth of information concerning quality Dsscrlnlmn I Recogd Numbz-r 6 control. laboratory utilization. cost control information. and most important. a large volume of necessary I. Specimen Blood Urine ISF Smear information for research into the chemistry of disease Type TABLE patterns, can also be implicitly programmed into these SPECIMEN AMOUNT FILE (SAF) Item Description Record Number I. Specimen Amount l ml. 2 ml. l0 ml. 5 ml. 24 hr. Random TABLE III files. The files are coherently structured in a straight- S Pt-ZCtMEN CONTA NER FILE tSCFl forward manner making an orderly system of efficient, Desmpm" I 1 5 6 easily modifiable programs possible. This situation must prevail in oi'der for a progressive, up-to-date sys- 29 i 8 a g m' tern to evolve continually in fulfilling the everchanging Z S 0 e needs of a modern hospital. I COST FILE (CF) I. The Test Library File (TLF) D Item This file provides a complete library of all available 1 2 kecmddmmbers 6 tests at the hospital. A typical arrangement of this file in utilization of the present invention may be as shown Cost $5 $10 i'gfig I 520 in Table l below. TEST LIBRARY FILE (TLF) Item Description Record Number 1. Test Number )7 "ll I53 55] 20] til} 3 Test Name Sodium BUN GLU Micro CO, C'loridi: 3 Rccoril Link To Specimen l l 2 4 l l Type File 4 R.L. To Specimen Amount File l 2 5 6 4 Z S. R.l.. To Specimen Container File 2 2 3 l 2 2 h. R.l..'s To Other Misc. Characteristics (Units. Time Available. Etc.) 7. R.l.. To Cost File l 4 3 5 l 5 TABLE i For this file structure, by way of example. storage sections (geographical records) of storage in secondary storage unit 20 may be set aside with l6 tests (logical records) stored in each section and 64 bytes allotted per test. or logical record. Since in actual use a very small portion of this file comprises about 90 percent of the activity, this portion can be grouped into one or two geographical records and held in primary storage 178 in computer 17. thus reducing the access time and facilitating access to these files. Thus, by grouping tests according to activity, the bulk of the accesses to the Test Library File would be only to core resident portions. Using one section (L024 bytes) of storage unit 19c for the Test Library Directory File (TLDF) any test can be obtained in two accesses to the disk. Also the Test Library File may contain a number of pointers or record links to sub files in the secondary storage, such as shown by Tables ii to V below, so that it a l is under the appropriate record number column in Table l for item 3. the specimen type would be blood under record number 1, item 1 in the Specimen Type File. These sub files are illustrations of the types of files that can be provided to supplement the main file and conserve storage space in the main file since the record The Test Library File is read-only except for when number performed is requested and primarily contains record links to standard phrase lists to reduce storage. The majority of these record links could well be reduced to one byte each. A standard phrase list can be readily prepared for these pointers and the program can be set up to automatically read out these phrase lists or the appropriate items in the phrase list (such as illustrated by reference to the Specimen T pe File). or the record link can be manually compare with a prepared list. Whenever a test is requested. the Test Li brary File is accessed to insure that: l. The test number is valid 2. The test is available 3. The correct test request card was used 4. Determine who should collect the specimen 5. In general, any special conditions required by the test are made known to the person requesting the test. Whenever a technologist wishes to enter a test result into the Transaction File (to be described the Test Library File is accessed to insure that: l. The test number she gives is valid 2. The result is coming from the proper source 7 8 3. The result is within a reasonable range for the prowhose file residence time exceeds the expected turncedure or instrument used for that test. around time can be printed. All incompleted tests Also. to aid in retrieving data concerning a particular whose residence time exceeds 4 times the expected test from the Test Library File. a Test Library Directurnaround time can be purged and listed for reordertory File may be provided as follows: 5 ing if desired. TEST LIBRARY DIRECTORY FILE (TLDFI Item Description Record Number 97 lol I53 203 551 6| I. Record Link To Test Library File l 2 3 5 4 L TABLE VI In many cases in a hospital or clinic, a number of tests This file may be structured to link tests on the same may be arranged together as a battery of tests to be perpatient and contain a pointer to the patient in the Pa- Iormed on a particular sample. In this case it may be tient Result File. desirable to provide a Test Battery File and a Test Bat- To aid in obtaining information concerning a particutery Directory File in the secondary storage unit 19 lar test when only the sample accession number is structured as follows: known. a Sample Accession Directory File (SADF) can be provided and such a tile would be structured as fol- TEST BATTERY DIRECTORY FILE (TBDF) I 20 lows in Table X. Item Description Record Number 97 M3 TABLE X I. R d L' k T 5 5. B SAMPLE ACCESSION DIRECTORY FILE (SADF) TABLE v Item Record Number Description I3 14 I5 86 2I65 TEST BATTERY FILE tTBF) Record Link Item Description Record Number T f 2 3 5 T 1 5 tion File 5- gf mjiflgg iii. Patient Description File (PDF) 2 I This file is programmed for patient identification in- 3 Test Number IUI 203 A 4. TN Number 203 formation and IS used primarily to link the patient num- TABLE VIII her with other data such as name and location. Test requests are rejected for patients not appearing in this ii. Transaction File file. The file is the target for the majority of activity within In the illustrated example of FIG. I. a patient may be the system. As tests are requested, accession numbers included in the Transaction File by action from one of are assigned sequentially and the test number and patwo sources. Pathology may add. delete or modify a patient number are entered. Later. as results become 4 tient entry as indicated by information received from available they are inserted into the file along with the 0 admissions. Alternately. a nurse may enter a new pa- OI P "P i the Identification number of tient via the keyboard at one of the test request stations the technician performing the test Quer es for the cur- 11 or 12 after h fi t attempt u "squaring was rent test results access this File directly if the query IS j d d w m paliem's absence f [he m No atccSSlol? number F mlmberexisting entry may be altered by the nurse. however. ex- Table Ix "uslrales a lyplcal Struclure of me: cept possibly the location or room number of a patient. TABLE IX TRANSACTION FILE (TF) Item Description Record Number I 2 3 4 S T I. Accession Number I3 I3 I IS 86 2l65 2. Patient Number I032 I032 7l340 5Sl60 H340 ZIIJIU 3. Test Number 613 203 SSI 203 lOl (ill 4. Date Ordered llll4 ll/I4 ll/H ll/l4 ll/l5 lI/IS 5. Result 0) Or Test Lite t 0) M2 4 l -t 3 -3 h. Status Codes. Tech. No. Etc. 7v Record Link To Transaction File 0 l 0 0 3 (J For Previous Tests By way ofcxample. storage sectors of L024 bytes Table XI below illustrates a typical structure of the each may be allotted for the Transaction File. The sys- Patient Description File when utilized in accordance tem can be programmed by a real-time clock in the with this invention. As in the previously discussed files computer which initiates a program so that this file is 5 a number of record links are provided (items 6 and 7) purged each night of all completed tests which are to data in other files. Entrys may be made by admis added to the Past Result File to be described. In addisions when a patient enters the hospital and updated as tion to a journal of the merger. all incompleted tests tests are performed on the patient. PATIENT DESCRIPTION FILE (PDF) Item Description Recogd Number l Patient Number 71340 I032 233m 55l60 987 2. Patient Name Smith Doe Brown Jones Green 3. Sex M F M F M 4. Birth Date I940 I908 I950 i932 l94l 5. Other Items 6. Record Link To Transaction File 5 2 T 4 0 For Last Test 7. Record Links to 8 6 0 l I 0 Past Results File 6 o (a o o iv Past Rgsult filc {PIKE} V V ,4 ing that entry. Thus, the responsibility for correctness The Past Result File is an archival file capable of storwill lie directly upon the individual making the entry, ing well over a million test results. In accordance with and the individual should be fully cognizant of this fact. this invention, it is updated each night or other relain addition, checks should be made with the Test Litively short time period, by the addition of the com- 25 brary File or Patient Description File whenever possipleted tests from the days Transaction File. ble to insure that the entry is consistent with other in- Thus, the Past Result File is, in effect, sorted by date. formation contained in the system. Further it could be sorted by patient number and test Also, the various files described can be added to or number. All of the actual sorting is done on the Transd l t d a r ired f r a specific system and problem action File before transfer to the Past Results File. encountered. For esample, item 5 (or additional items) While the Past Result File will typically contain more in the Patient Description File could contain the name than a years pathology activity it can be programmed of the attending physician, date admitted, past credit so that cumulative patient reports span a fourteen day experience, etc. Also items (item 6 or new items) such period. Therefore to speed generation of these reports, as availability of test could be added to the Test Library pointers to each patients test results are maintained in File. Of course, many other examples could be given. the Patient Description File (item 7) for the most re- An important feature of this invention is that the four cent 2 weeks of test activity. These pointers are redunbasic files described are flexible to permit updating of dam and are used merely to increase search efficiency the information without requiring that the system be both for the cumulative reports and for the inquiries rerestructured. garding tests in the recent past. Ofcourse, current day's tests are readily available from the Transaction File. Table Xll illustrates a typical file in accordance with this invention for the Past Result File: TABLE XII c. Operation of the sytem of Flg. 1 FIGS. 2-5 show flow charts that illustrate the operation of the system of FIG. 1 with the file structures as PAST RESULTS FILE (PRF) Item Description Record Number 8 9 6 7 I0 I l l. Header Flag (l) l 97 l 613 203 Or Test Number Header Test 2. Patient Date 3 somber Ordered 1032 1 1/05 7 I340 l l/04 l U04 55160 ate Completed Result ll/Ofi 53 ll/Ofi I6 42 1 I107 4. Other Tech No. 5. Other Other The program utilized in the system of FIG. 1 should be written to include extensive quality control procedures to provide monitoring of error rates. In addition, hard copy audit trails should be provided all the way back to the source of the original entry for tracing purposes. However, the most important consideration is to take every step possible to avoid errors at their source before they enter the formal portions of the system. Also, the various programs of the system should be all written to immediately echo each entry to the nurse or technologists for acknowledgements prior to acceptset out in tables I-XII. The symbols in the flow charts are keyed to the appropriate record or item in the files of tables l-Xll. These flow charts illustrate only four specific routines of the system FIG. 1, and of course a number of other routines can be provided depending upon the needs of a particular hospital and the extent of the software of the system. However. it is believed that the illustrated flow charts are sufficient to show the relationships between the various files of the system. and the functions of these files. In reading these flow charts, the right hand item in a particular box is the particular file being accessed. the next item to the left is the particular record column (vertical columns in Tables I-XII) being scanned, the next item to the left is the particular item row (horizontal row of tables I-XII in which the item of interest is found), and Tcmp" refers to the desired item in the desired column which is then acted on by the remainder of the program. Also, certain letters are used in the flow charts to designate certain file parameters, such as P current last used record in PDF T current last used record in TF R current last used record in PRF A current last used accession number. Referring to FIG. 2, where the operation of the system of FIG. 1 is illustrated when a test is ordered at one of test request stations 11 and I2, presume that a nurse arrives at request station 11 with a test request data card having the test type and patient number marked and a test specimen from the patient in the appropriate container. She will insert the test request card into card reader 21 whereupon computer 17 will validate the circumstances of the request through the Test Library File, retrieve the patients name and room number from the Patient Description File, enter the request into the Transaction File assigning the accession number; and lastly, print the appropriate messages and/or specimen labels on the label printer located adjacent to the card reader. The nurse can then affix one label to the specimen container, another to the test request card, and place these in an In Box for delivery to the laboratory and execution of the test. In FIG. 2, note 1, when it is determined that a test battery is involved (i.e., temp 1 does not equal zero when the Test Battery Directory File is addressed), the Test Battery File is accessed to obtain the individual tests which make up the battery. The routines then proceed similarly as for a single test, but repeating the steps for each test in the battery. Regarding note 2, FIG. 2, at this point in the routine it may be desirable to check the appropriate items of the Test Library File under the designated test to determine if the testis available, no appointment is required, etc. If accessing the Patient Description File determined that a patient has had a previous test ordered (Note 3), the prior test results in the Transaction File can be scanned to determine if a previously drawn sample may be used without having to collect a different sample. The accession number of the previous sample can be used to obtain a pointer from the Sample Accession Directory File (table X) to the appropriate place for the previous test or sample information in the Transaction File. Note 4 in FIG. 2 refers to the fact that when the Patient Description File is accessed with item 6 for a particular patient, a record link is established for the patients record to be the next available record (i.e., T l in the Transaction File. Note refers to the fact that when record T 1 under item 7 in the Transaction File is accessed, a record link to the Transaction File for a previous test result on that patient is established, until item 6 under that patient is zero in the Patient Description File at which time the chain of linking test is stopped. Note 6 refers to the fact that when the program ends it is necessary to update the file parameters A and T by adding I to them so that the next rising test request will result in the next available accession number being assigned. FIG. 3 shows the routine of system I to report the results of a test. This assumes that the data concerning the test (if completed) has been collected at one of data collection stations 14 and 15 and inputted into the Transaction File at the appropriate data collection station. The test result request will generally be made at one of the test request stations 11 or 12, or at station 13. Again, the same procedure occurs as described with respect to FIG. 2 if the test is a battery. The remainder of the flow chart is believed to be self-explanatory. To input the data concerning a particular test, such as the one on the data collection stations 14 or 15, the routine at the data collection station would be the same as in FIGS. 2 down to I, at which point the test result data, which would have been collected by preprocessing device 32, is transferred into the appropriate place in the Transaction File where it can be attained by the FIG. 2 routine. FIG. 4 illustrates the routines of system 10 when a test result is requested from the Past Results File. In the flow chart of FIG. 4, the letter I refers to the items 7 filed in the particular column related to patient X in the Patient Description File (Table XI), and the symbol I 1 refers to the fact that during the routine each of the separate items 7 in that patient number column will be separately acted on to determine whether that item is or is not zero. If all are zero, then the output not in past results file occurs. The letter I refers to the fact that each record number column of the Past Results File corresponding to an item 7 index from the Patient Description File must be separately scanned. If an item .I entry in a particular column (represented by temp 2) is -I, then the computer is updated to the next item 7 index number and the record number column under that second number is then scanned. If the entry is other than I but is not test No. Y, then the computer is updated to J l to look at the next record number column of the Past Results File. This is done with each item 1 of the Past Results File until Temp 2 is test Y, and then is done with each item 2 of the Past Results File until date 2 is found. With the test number and date ordered found, item 3 of the Past Results File is then accessed to get the result of the past test. The routine is then completed as shown in FIG. 4. The header flags (l) are provided in item I of the Past Results File for providing readouts of patient number and date completed for a particular test so that, for example. a sample listing can be provided for the technologist at the date collection station of what tests have been completed in a certain day. FIG. 4 illustrates the routine of system 10 for obtaining a list of incompleted test and patients names. This would probably be done at a data collection station. The letter I represents all the record number columns from I to T l in the Transaction File so that the routine runs until every column has been scanned and the computer has been updated to column T I. When the desired test X is found in an item 3 row, then item 5 in the Transaction File is accessed to determine if the listing in this item under test number X is 0. If the answer is yes, the test is incomplete, and the routine continues on to provide a listing of that sample number, patient number and name, etc. This is done for each text X found in the Transaction File. At the end of a day, all completed tests in the Transaction File are moved to the Past Results File, deleted from the Transaction File, and linking established from the Patient Description File to the Past Results File. lncompleted tests are deleted if item 5, TF is --l. if item 5, TF is 2 or -3 it is changed to l or 2 to hold the test in the Transac tion File for an additional day or two. Note that the test life for a particular type of test can be designated in the Test Library ltem 6. The above description of the routines of FIGS. 2-5 point out the relationship between the four main files of the system of FIG. 1. It is through the provision of these files in a manner such as described in system 10, that objects of this invention are accomplished. However, the details of how the particular files are internally arranged and how they are accessed by a particular program can be varied without varying the basic system of this invention. From the foregoing it will be seen that this invention is one well adapted to attain all of the ends and objects hereinabove set forth, together with other advantages which are obvious and which are inherent to the method and apparatus. It will be understood that certain features and subcombinations are of utility and may be employed without reference to other features and subcombinations. This is contemplated by and is within the scope of the claims. As many possible embodiments may be made of the invention without departing from the scope thereof, it is to be understood that all matter herein set forth or shown in the accompanying drawings is to be interpreted as illustrative and not in a limiting sense. The invention having been described, what is claimed I. An automatic data processing system for handling medical and patient records on an in-line basis during daily functioning of a hospital comprising: a central station including data processing apparatus for storage and processing of medical and patient records, said data processing apparatus providing for storage of separate files which may be individually accessed for record storage or retrieval, said separate files including a Patient Description File for storing descriptive data on patients of said hospital, a Test Library File for storing data concerning pathological tests available at said hospital, a Transaction File for relatively short term storing of patient and test data being acted on, and a Past Results File for storing past patient test data; at least one test request station including a test request device for permitting an operator to enter a test request into said Transaction File for a particular test on a particular patient specimen, and a readout device for providing readout of data in said Transaction File, interface means connecting the test request device and the readout device to said Transaction File, at least one data collection station including at least one analytical device for performing a test, and interface means for permitting data collected at said data collection station to be transferred to said Transaction File and means for automatically transferring completed transaction data in said Transaction File into said Past Result File at preselected intervals of time. 2. A method of storing and retrieving pathological data in a hospital or clinic by use of a data processing machine, comprising the steps of storing information concerning a plurality of a pathological tests in said processing machine to comprise a Test Library File, including storage of an identification number for each such test; providing for readout of such information from said data processing machine for a specific test in response to a request to the machine by test number of a specific test; temporarily storing on line in a Transac tion File in said data processing machine, data concerning a specific patient test, including storing a test accession number, test number, and patient number for each said test; providing for readout of data in said Transaction File of a specific patient test in response to a request including one of said test accession number. or patient number; storing in a Patient Description File in said data processing machine specific patient description information and storing a patient number for each patient, providing for readout of storage information concerning a particular patient in response to a request including the assigned patient number; providing a Past Result File for storage for a preselected relatively long period of time of test data concerning the patients described in said Patient Description File, which test data is periodically collected from said Transaction File over said period of time; and at preselected short intervals of time transferring test data stored in said Transaction File to said Past Result File for storage for said preselected relatively long period of time. ' a k :r Patent Citations
Referenced by
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text:
Shrewsbury cake
Shrewsbury cake | |
Fruit Shrewsbury cakes
Alternative names | Shrewsbury biscuit |
Course | Dessert |
Place of origin | England |
Region or state | Shrewsbury, Shropshire |
Main ingredients | Sugar, flour, egg, butter, and lemon zest |
Cookbook:Shrewsbury cake Shrewsbury cake |
A Shrewsbury cake or Shrewsbury biscuit[1] is a classic English dessert, named after Shrewsbury, the county town of Shropshire. They are made from dough that contains sugar, flour, egg, butter, and lemon zest. Shrewsbury cakes can be small in size for serving several at a time, or large for serving as a dessert in themselves.
The playwright William Congreve mentioned Shrewsbury cakes in his play The Way of the World in 1700 as a simile [2] (Witwoud - "Why, brother Wilfull of Salop, you may be as short as a Shrewsbury cake, if you please. But I tell you 'tis not modish to know relations in town"). The recipe is also included in several early cookbooks including The Compleat Cook of 1658.[3]
Also, today in India, Shrewsbury biscuits are one of the most popular biscuits in the country. They are locally produced in the city of Pune, Maharashtra.[4]
See also[edit]
- ^ "Shrewsbury Biscuit". A Guide To The UK's Traditional Foods. wetnelly.com. Retrieved 21 June 2009.
- ^ Congreve, William (1700). "The Way of the World". The Way of the World. Full Books. Retrieved 21 June 2009.
- ^ "Shrewsbury Cake Recipes". The Olde Cookery Book. Retrieved 21 June 2009.
- ^ http://www.bbc.co.uk/shropshire/food/2002/10/shrewsbury_biscuits.shtml

subset: commoncrawl


text:
UPDATE: Jefferies Raises PT on Tibco Software Following 2Q Revenue
In a report published Friday, Jefferies analyst Aaron Schwartz reiterated a Buy rating on Tibco Software (NASDAQ: TIBX), and raised the price target from $25.00 to $26.00.
In the report, Jefferies noted, "TIBX's 2Q revenue was essentially in-line with what were perceived as conservative estimates. But given the continued weak large deal environment, and the ongoing overhaul of the sales org, the results were okay and likely decent enough to support the stock. We believe current levels are an attractive entry point but the lacking evidence of a turn in the business or identifiable catalyst may keep the stock range bound in the near term."
Tibco Software closed on Thursday at $21.01.
Latest Ratings for TIBX
Date | Firm | Action | From | To |
Sep 2014 | RBC Capital | Upgrades | Underweight | Equal-weight |
Sep 2014 | Barclays | Upgrades | Underperform | Equal-weight |
Sep 2014 | Wells Fargo | Downgrades | Outperform | Market Perform |
View More Analyst Ratings for TIBX
View the Latest Analyst Ratings
Posted-In: Aaron Schwartz JefferiesAnalyst Color Price Target Analyst Ratings
© 2015 Benzinga.com. Benzinga does not provide investment advice. All rights reserved.


text:
Why Qualcomm (QCOM) Stock Is Down In After-Hours Trading Today
NEW YORK (TheStreet) -- Shares of QUALCOMM Inc. (QCOM - Get Report) are down -3.47% to $78.77 in after-hours trading today after the mobile chipmaker reported higher third quarter results, but its revenue outlook for the September quarter fell Wall Street's expectations, Reuters reports.
Qualcomm posted third quarter revenue of $6.81 billion, up 9% from the year ago quarter.
Analysts on average expected thirdquarter revenue of $6.52 billion, according to Thomson Reuters I/B/E/S.
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text:
Nadia Hussain is no doubt a woman of excellence, as she is a complete lady. She is super model, actress & host of Pakistan Fashion & Showbiz industry, a dentist by qualification & profession, and most of all a mother of two kids.
Nadia Hussain showcased lawn 2010
Mathira turned out be the biggest supporter of Homeland champions in Cricket world cup match played against Pakistan on Sunday Morning.
Franca Sozzani and Federico Marchetti Host a Cocktail Party for the Vogue Talents with TheCorner
Latest Int'l Fashion EventsYasmeen Ghauri`s father, a strict Muslim, and her German mother were vehemently opposed to her pursuit of a modeling career, believing the business was unsanitary and evil.
Today's Super ModelsLondon Fashion Week Autumn/Winter 2015 | Fashion week review
Latest Int'l Fashion WeeksAutumn/Winter Ready-To-Wear London Fashion Week 2015 Collection by Fashion designer David Koma
Latest Int'l Fashion ShowsYour home décor should be comfortable but should also be trendy so that you don't feel out of trends and other get a good impression of your house. Here are the top ten interior design trends 2014.


text: This is a short course by the score card, but you may be looking at some bogies on the shorter holes as the elevated greens and uneven fairways call for strategic shot playing rather then length. Woods narrow some of the fairways as well. Bunkers do not seem to be an issue, but some of the greens are recovering from... More


text:
Before you make a New Year's resolution for 2014, revisit the one you made for 2013. Did it work? If it did, then you're in a minority group. Most New Year's resolutions don't work out.
Roger Buehler asked final year students to declare two submission dates for their theses: a 'good' and a 'worst' date. Only 30 percent finished within the 'good' date. On average, students took 22 days more than their anticipated 'good' date. Some finished seven days after their 'worst' date. Conclusion: more than two thirds failed their 'good' date. This Canadian example is not unique. In Bangladesh, every year, the NBR extends tax-return dates more than once. Still some people fail to make it even on the 'final' final date. In 1979, Daniel Kahneman (2002 Nobel Laureate in Economics) and Amos Tversky first identified this psychological bias as the "Planning Fallacy". This is a bias that underestimates cost components of future actions and overestimates their benefits. We dearly want the harvest, but under-calculate costs towards the harvest.
With New Year's resolutions, we tend to fall in the "Planning Fallacy" trap. There is a time lag between sowing the seed (making the resolution) and reaping the harvest. This time lag requires planning. This planning requires willpower (mental strength). In 1998, Roy Baumeister found that willpower is like a battery that can drain out if exposed to harsh conditions.
Two groups were put in two different rooms. The aroma of chocolate biscuits baking fresh in an oven filled both rooms. In room 1 nobody was allowed to eat the chocolate biscuits, but was free to eat as many radishes as they liked. In room 2 anybody could eat as many chocolate biscuits as they liked. After some time, the two groups were asked to solve math problems. The group in room 1 gave up much earlier than the group in room 2. Room 1 had drained out their willpower battery resisting the temptation of the chocolate biscuits.
Baumeister further showed willpower is connected to the glucose in the bloodstream. People may become irritable when exposed to cold weather. Why? The immune system uses up its stock of glucose. This tends to make people impatient. Lab experiments show willpower can be increased in the short-term with a quick dose of sugar. What about the longer term?
In another experiment, Baumeister showed willpower can be maintained by exercising the 'willpower muscle'. Students were required to record their eating, exercise regularly, speak and write in full sentences (not use emoticons). After several weeks, the students were resisting their ego-depletion. They showed greater willpower to control their lives. They ate at regular intervals, watched less television, and studied more. Conclusion: the more organised (focused) one is over a long period, the higher the possibility of achieving a goal.
Now ask what went wrong with the 2013 New Year's resolution. Your willpower battery probably ran out of steam or was not properly recharged. Wait. What about the "Planning Fallacy"? Like all harvests, New Year's resolutions are also prone to unpredictable weather. How do you tackle that? Daniel Kahneman in his 2011 bestseller "Thinking, Fast and Slow" referred to Gary Klein's 'Pre-mortem'. It's simple and intuitive. Imagine it is December 2014. The 2013 New Year's resolution was implemented. The outcome was a disaster. Now take a few minutes and write a paragraph working your way from December 2014 back to December 2013. Evidence suggests this will make you think with more clarity before you finally commit to a New Year's resolution or any major decision as an individual or as a group.
Having revisited a New Year's resolution, it is important not to forget your health and happiness. Being in good health and being happy in what you're doing are worth more than many things in life. Wishing you all good health and happiness in 2014 and beyond.
Asrar Chowdhury teaches economic theory and game theory in the classroom. Outside he listens to music and BBC Radio; follows Test Cricket; and plays the flute. He can be reached at: firstname.lastname@example.com


text:
GRE, Practicing to Take the General TestThe Graduate Record Examinations (GRE) General Test consists of verbal, quantitative, and analytical writing sections. This book is the only test prep guide that contains questions and topics from actual tests administered worldwide. It contains verbal and quantitative questions from seven actual GRE General Tests and sample analytical writing topics from the complete pool of topics for the analytical writing measure. It includes information about the structure of the test, answering procedures, explanations of correct answers for verbal and quantitative questions, sample writing responses with scores, scoring information, a math review, and test-taking strategies. |
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Review: GRE: Practicing to Take the General Test
User Review - Rachel - GoodreadsThis book is no fun at all. It's mostly just a bunch of practice tests and answers. It would have been a lot more helpful if there had been more explanation of how to get the right answers. Standardized tests are so dumb. Read full review
Review: GRE: Practicing to Take the General Test
User Review - Keir Haug - GoodreadsThis book, and several other GRE books, has absorbed the past three months of my life. Glad I will be able to recycle it in a few days. Great read. I recommend it to anyone who has insomnia. If x>0 and y<0, what is greater x/y or y/x? Enjoy! Read full review
Purpose of the GRE General Test | 9 |
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text:
Well long story short i would like a small gain in performance outta my 2.7l taco. now before everyone trolls like hell i would like to say i want no more boost than 3-4psi out of a small turbo to assist with low end tourqe.
i was also consdering a centrifugal blower on low boost. would like to be able to maintain stock ecu and all. i know the stock ecu can handle up to 6psi of boost. i dont want to go that high for reliability reasons.
a remote turbo setup might be intersting as well


text:
Northern Iowa Panthers (19-10)
@Illinois St. Redbirds (22-7)
Tuesday, February 24
Redbird Arena
Attendance: None
Northern Iowa
Illinois St.
Normal, IL (Sports Network) - Adam Koch's tip-in with one second remaining in the second overtime lifted the Northern Iowa Panthers to a thrilling 69-67 victory over the Illinois State Redbirds in Missouri Valley Conference clash at Redbird Arena in Normal.
Koch ended the night with a contest-high 25 points and seven boards, as UNI (19-10, 13-4 MVC) put an end to three-game slide and remained in a tie with Creighton for the top spot in the conference standings. Jordan Eglseder tallied 11 points and six boards, and Travis Brown contributed 10 points and seven rebounds in the victory.
Leading the way for ISU (22-7, 11-6) was Brandon Sampay, who registered a double-double with 19 points and 12 boards. Emmanuel Holloway and Champ Oguchi netted 13 points, while Lloyd Phillips added 10 points and five assists. The Redbirds have now dropped two straight following a three-game win streak.
Tied at 55-55 in the closing moments of regulation, Osiris Eldridge had a chance to give ISU the win, but his contested jumper was off the mark and the game went into overtime.
With the score locked at 62-62 in the second overtime, Phillips had an opportunity to play the role of hero, but his layup in the final seconds was rejected by UNI's Lucas O'Rear.
In the second overtime, Koch tipped in Johnny Moran's missed layup in the final seconds for the two-point win. The play was reviewed and the referees confirmed the result.
UNI, which led 29-28 at the half, controlled the boards, 47-38, and shot 44.2 percent from the floor in the game.


text:
The Aging and Disability Resource Center (ADRC) will be offering their free services at Richmond Branch Library on Mondays from 10am - 1pm and Wednesdays from 10am-12pm. They provide information and referral, help with filling out forms, and translation services to seniors and disabled. Staff speak English, Chinese, and Russian.
Upcoming Events
- The Customs of the Lunar New Year 2015
- Friday, March 6, 2015Chinatown/Him Mark Lai, Chinatown Meeting Room
- Computer Help for Adults/Seniors
- Friday, March 6, 2015Parkside, Parkside Teen's Area
- Russian Kaleidoscope - Russian, Ukrainian and Gypsy Music
- Saturday, March 7, 2015Western Addition, Western Addition Meeting Room
Upcoming Classes
- Basic Computer Class for Seniors
- Thursday, March 5, 2015Ocean View, Ocean View Computer Lab
- Computer Help for Adults/Seniors
- Saturday, March 7, 2015Excelsior, Excelsior Meeting Room
- Teen Computer Corps
- Sunday, March 8, 2015Ortega, Ortega Meeting Room


text:
NFL avoids another PR disaster
In the private booth next to the press box at Sun Life Stadium, the takeaway and clinching touchdown sprint brought gleeful whoops and high fives from Jacksonville owner Wayne Weaver, whose team has been tormented by Indianapolis for years. On the Saints' bench, grown men hugged each other and cavorted like kids. The sequence sent fans spilling into Bourbon Street, a kind of Mardi-Gras-come-early for the long-suffering Big Easy football loyalists.
And somewhere, far removed from the intrusive eyes of television cameras, it likely elicited a collective exhale from commissioner Roger Goodell and his lieutenants.
Another year, another Super Bowl in which the league dodged a controversial bullet, since there was no overtime and no resultant debate over whether the NFL championship should be possibly determined by a coin flip.
Let's be honest: Who among us didn't feel that Peyton Manning would author his typical late-game heroics and will the Colts to a game-tying score with about two minutes to play? Who didn't think Super Bowl XLIV was destined to become the first title game of the Super Bowl era to go into a fifth period or perhaps beyond?
And then, thankfully for those legions who detest the NFL's current overtime policy, which makes a winner of the first team to score, here came Porter, perfectly reading the third-down inside slant to Reggie Wayne, stepping in front of the pass intended for the Indianapolis wide receiver and racing for the score that determined the outcome.
That also saved Goodell and other NFL executives from a whole lot of explaining.
Odds are that the league's good fortune isn't going to hold out forever. Fact is, that there has not been a Super Bowl that has gone into overtime is unfathomable.
Since the NFL established overtime in 1974, more postseason games have been decided by overtime than regular-season contests, on a percentage basis. Through Sunday night, 23 of 362 postseason contests, or 6.35 percent, have gone to overtime. That includes two of the past three NFC championship matchups, both of them involving Brett Favre. Of the 8,204 regular-season games played since '74, just 445, or 5.42 percent, have gone to overtime.
Extrapolating the numbers, roughly three of the 44 Super Bowls played through Sunday night should have gone to overtime. That not one has stretched to extra quarters is the definition of good luck for the league.
But it's not going to last forever.
The past two title games, in fact, came tantalizingly close to overtime. In addition to Sunday's contest, Super Bowl XLIII was too close for comfort to an overtime stanza. Had quarterback Ben Roethlisberger and wide receiver Santonio Holmes not pulled off their miraculous 6-yard hookup, propelling Pittsburgh to a 27-23 victory over Arizona, it's likely the Steelers would have had to settle for a Jeff Reed chip-shot field goal and a 23-23 tie that would have pushed the Super Bowl to overtime.
Sooner or later, it figures, luck is going to catch up to the NFL and the Super Bowl. The more title games the NFL plays without an overtime, the stronger the likelihood the league will inevitably have an extra-time championship.
And then, look out, because the league is going to be facing a public relations firestorm.
At his pre-Super Bowl news conference Friday morning, Goodell was asked, in a lengthy and rambling question, about any potential changes to the overtime rule. The questioner suggested a system that called for sudden death, but only if a team scored a touchdown, not a field goal. Responded the commissioner: "I wouldn't hold your breath on that one."
But given the equality of teams in the Super Bowl and the league-encouraged perception that the title game matches the two best franchises, the NFL will continue to hold its breath that there isn't an overtime in the Super Bowl.
And will continue to breathe a huge sigh of relief that there are players the ilk of Porter around to help avoid one.
Len Pasquarelli, a recipient of the Pro Football Hall of Fame's McCann Award for distinguished reporting, is a senior writer for ESPN.com.
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text:
Fassbender can't get no satisfaction.
"Shame" —a film that chronicles in great detail the joylessness of sex —is a movie that has been taken seriously at several international film festivals including the 2011 Independent Spirit Awards which selected it as the year's Best Foreign Film. The independent spirit behind "Shame" is British visual artist Steve McQueen who directed and co-wrote the movie which stars Michael Fassbender. Fassbender also played the protagonist in McQueen's brutal examination of I.R.A. hunger striker Bobby Sands in 2008's "Hunger."
With such credentials—not to mention a certain amount of shock value— "Shame" well deserves the attention it's been attracting, but that doesn't mean it deserves yours. Consider very carefully whether you are up to 99 minutes of obsessive, compulsive behavior by a sex addict barely masquerading as a corporate player who hangs with the guys after a successful day at the office.
His name is Brandon, and it doesn't take long to discover that he is rarely thinking about anything other than his next sexual encounter—whether it is with a call girl in his apartment, a bar pickup in an alley, or himself in the office men's room. As played by Fassbender, Brandon is good-looking, well-dressed and completely without humor. An early scene where one imagines he might be inviting a flirtation with an attractive young woman sitting opposite him on the subway is as close as McQueen comes to a tease. The incident ends when the woman disappears into the crowd; the chase is not really a part of Brandon's MO.
By way of plot, the deadly seriousness with which Brandon pursues his compulsion is interrupted by an uninvited houseguest, his emotionally needy, dependent sister Sissy (Carey Mulligan) who insists on ignoring the fact that he obviously wants nothing to do with her. For one thing, she is his messy, undisciplined opposite; for another her presence cramps his style by limiting his compulsive self-indulgence.
Brandon's best bud—and boss—played by James Badge Dale, provides a touch of comic (or is it cynical?) relief. He's the happily married dad who fancies himself a pickup artist, but usually goes down in flames while Brandon gets to stir the ashes. He is so clueless about his star employee that, when a routine office check of employee hard drives uncovers Brandon's porn obsession, he attributes it to the summer intern who had access to Brandon's computer. Although Brandon is totally unphased by this threat to his career, he completely loses his cool when Sissy sleeps with the boss after the two men catch her vocal act in a downtown club.
In this scene, Sissy steals the spotlight with the slowest, moodiest rendition of "New York, New York" in musical memory, performing it as a torch song that drives her brother to tears and his boss to indiscretion.
As his roommate, Sissy comes pretty close to discovering Brandon's dirty secrets, a situation which leads him—briefly—to an attempt to change his ways. In a frenzy, he disposes of closets and boxes full of print and video porn and actually asks a new office colleague on a date. Their awkward social encounters make it clear that Brandon can't handle a normal relationship and, in fact, drive him to an orgy that is the most explicit yet least erotic sequence of simulated sex scenes in my film-going experience.


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Business in brief
Thomas Fredell has joined Glen Allen-based Snagajob as the company's chief technology officer. Fredell will oversee Snagajob's engineering and product departments and is charged with enhancing and expanding the company's product offerings and support architecture. Prior to joining Snagajob, Fredell served as chief technology officer at IntraLinks for 10 years. He is also the founder of Membly.com, a social sharing site that helps users capture, contribute and share memories, and serves as a board member for the Knowledge Is Power Program in Massachusetts, which prepares students in underserved communities for success in college and in life. *** Simply FIT has acquired a new fitness facility at 2830 Ackley Ave. in Henrico. Simply FIT offers individualized fitness options including personal training, group fitness classes and boot camp style workouts. A grand opening will be held Saturday, Nov. 3 from 12 p.m. to 4 p.m. Enjoy free food, classes, giveaways and more. For more information, call 262-7777 or visit http://www.livesimplyfit.com . *** Agents with Cushman & Wakefield | Thalhimer recently handled the following lease negotiations: Advance Trailer Systems, Inc. – renewed its lease of 67,968 square feet at 4207-4209 Eubank Rd.; Baby Jogger – leased 20,800 square feet in Windsor Business Park at 8575 Magellan Pkwy.; Belfor USA Group, Inc. – leased 12,150 square feet in Dabney IV at 2161 Tomlynn St.; Agents Licensing, LLC – renewed its lease of 3,253 square feet in Commerce Plaza I at 2809 Emerywood Pkwy.; Approved Cash Advance Centers, LLC – renewed its lease of 1,500 square feet in Fairfield Shoppers World at 5176-5206 Nine Mile Rd.; Children's Place – leased 3,400 square feet in The Shops at White Oak Village at 4531 S. Laburnum Ave.; Aikido of Richmond – leased 2,315 square feet in Wistar Center at 8101-8157 Staples Mill Rd.; Staffmark – leased 1,879 square feet in The Arrington Building at 1802 Bayberry Ct.; and Jackson Summer & Associates – leased 1,152 square feet in Glenburnie Office Park at 5401-5413 Patterson Ave. *** Billy Casper Golf, the largest domestic owner-operator of golf courses, country clubs and resorts, has been selected to manage the public-access The Crossings Golf Club in Glen Allen. BCG will provide turnkey management of The Crossings' operations, golf course and property maintenance, sales, marketing and public relations, staffing and training, merchandising, restaurant and banquet activities, special events and financial management. BCG will also introduce a membership option which includes reciprocal playing privileges at Kiskiack Golf Club in Williamsburg, Va. In addition, BCG will enact its proprietary "BCGreen" initiative at The Crossings to conserve, protect and enhance the environment. *** Charlottesville-based search engine marketing firm Search Mojo has been named to the Inc. 5000 list of the fastest growing private companies in America, ranking at 1153. Revenue growth over the past three years has allowed Search Mojo to double its staff in that same time period and facilitated the opening of an additional office in Charleston, SC. Search Mojo was founded by Godwin High School alumna Janet Driscoll Miller. *** Henrico-based Safe Harbor has received a $20,000 grant from the Mary Kay Foundation. In observation of Domestic Violence Awareness Month in October, the Foundation awarded grants to more than 150 domestic violence shelters across the country for a total of $3 million. Without emergency shelters, many survivors face the unimaginable choice of either becoming homeless or returning to their abuser. During their stay, families participate in intensive counseling and support services. In FY12, Safe Harbor provided over 2,600 nights of safe shelter. *** Truven Health Analytics, an industry leader in health care data, has named St. Mary's Hospital as one of the Top 50 Cardiovascular Hospitals in the nation and the only one in central Virginia for inpatient cardiovascular services. This is the fourth year in a row that St. Mary's has been included. The 50 Top Cardiovascular Hospitals is an annual, quantitative study that identifies the nation's best providers of cardiovascular service. Selected from more than 1,000 U.S. hospitals, these winners provide top-notch care and set new standards for the health care industry. *** In honor of International Credit Union Day on Oct. 18, RF&P Federal Credit Union will celebrate with week-long activities for members and nonmembers. Monday, Oct. 15 is child IDs, Tuesday is the Enterprise Used Car event, Wednesday is member appreciation day and Thursday is a Red Cross blood drive. RF&P FCU is located at 6011 Staples Mill Rd. As a not-for-profit financial institution, RF&P is open to employees of CSX, RF&P employees and retirees, Amtrak, UNK Machine Manufacturing and Virginia Millworks. |
RAMPS receives $8k grant
Citizen Staff Reports 03/03/2015
RAMPS (Ramp Access Made Possible by Students) recently received an $8,000 grant from the Christopher and Dana Reeve Foundation. The award was one of 75 grants totaling more than $600,137 awarded by the Reeve Foundation to nonprofit organizations nationwide that provide more opportunities, access, and daily quality of life for individuals living with paralysis, their families and caregivers.
RAMPS, an organization founded by then-Henrico County high school students to build ramps for local low-income residents who need them, will use the grant to purchase modular wheelchair ramp supplies. These supplies will be used by local high school RAMPS clubs, who provide volunteers to build the ramps. > Read more.
Henrico man to compete in Liberty Mutual Invitational National Finals
Citizen Staff Reports 02/19/2015
Henrico resident Larry Loving, Jr., will compete with three other locals – Thomas Scribner (Richmond), Roscoe McGhee (Midlothian) and Larry Loving (Richmond) in the Liberty Mutual Insurance Invitational National Finals at TPC Sawgrass, in Ponte Vedra Beach, Fla., Feb. 26-Mar. 1. The foursome qualified for the national golf tournament by winning the Liberty Mutual Insurance Invitational, held at Whiskey Creek Golf Club in Ijamsville, Md. on June 11. That event supported the RiteCare Center for Childhood Language Disorders.
In total, 240 amateur golfers will compete in Florida. > Read more.
In total, 240 amateur golfers will compete in Florida. > Read more.
Henrico PAL recognizes supporters, HSHS athlete
The Henrico Police Athletic League (PAL) held its Sixth Annual Awards Banquet Feb. 5 at The Cultural Arts Center of Glen Allen, celebrating accomplishments of 2014 and recognizing outstanding contributions to the organization. Henrico County Juvenile Domestic Court Judge Denis Soden served as master of ceremonies and former Harlem Globetrotter Melvin Adams served as keynote speaker.
Among the 2014 honorees were Richmond International Raceway (Significant Supporter), Richmond Strikers Soccer Club (Significant Supporter), Henrico County Schools-Pupil Transportation (Summer Camp Supporter), Bruce Richardson, Jr. (Youth of the Year), Sandra Williams (Volunteer of the Year), Thomas Williams (Employee of the Year), Mikki Pleasants (Board Member of the Year), and Michelle Sheehan (Police Officer of the Year). > Read more.
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CACGA to celebrate 16th anniversary March 14
The Cultural Arts Center at Glen Allen will celebrate its 16th anniversary Saturday, March 14 at 6 p.m. with "A Date with Frank & Marilyn," an evening of fun and entertainment designed to raise funds for the center's three outreach programs – Art Matters, Artful Living and Creative Family Studio. A performance by a duo impersonating Frank Sinatra and Marilyn Monroe will highlight the evening.
The evening will include an artist live and silent auction with a variety of unique and hard-to-come-by prize packages including two tickets to the 2016 Masters golf tournament, a trip for two to Napa Valley, dinner for 10 by celebrity chef Patrick Evan-Hylton served at CACGA's gardens, followed by opening night tickets to The Capital Steps and 10 individual date-night packages around Metro Richmond. > Read more.
Restaurant watch
Find out how your favorite dining establishments fared during their most recent inspections by the Virginia Department of Health. > Read more.
Weekend Top 10
It's a great weekend to support local theatre! The Stable Theatre at Christ Presbyterian Church will present "Freud's Last Session;" Jewish Family Theatre at the Weinstein JCC will present "Parade;" and the youth theater program CharacterWorks, Inc. will present "Fiddler on the Roof" at The Steward School. Another fun show will be at the Cultural Arts Center at Glen Allen tonight – "An Evening of 20s Tin Pan Alley Jazz" featuring the unique sounds of the Rumble Seat Revival. For all our top picks this weekend, click here! > Read more.
ProgressVA sees loopholes in ethics bills
HCPS among national leaders in reducing suspensions
Henrico Fire officials pluck a duck, dog from icy ponds
Woman wins $4M lottery prize in Henrico
General Assembly finalizes ethics bill
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Mar. 5, 2015
Click here to read the print edition.Entertainment
CACGA to celebrate 16th anniversary March 14
Restaurant watch
Weekend Top 10
Travinia brings contemporary elegance to Willow Lawn
Soak up the fun
- More Entertainment
Obituary – Barbara Lehman Williams
Obituary – Frances Anderson Crowder
Obituary – Bonnie B. Blake
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RAMPS receives $8k grant
Henrico man to compete in Liberty Mutual Invitational National Finals
Henrico PAL recognizes supporters, HSHS athlete
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Getting schooled
Time to give spanking the boot
Bored senseless
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Monument City Classic volleyball tournament returns to town this weekend
Richmond Strikers form girls lacrosse program
Virginia fisherman wins James River event in Henrico
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HATTheatre, 1124 Westbriar Dr., will present "The Whale" Feb. 27 to March 8. The play tells the story of Charlie, who, driven by grief to a state of morbid obesity,… Full text


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Pancake Mix
From WinifredFay11 Report abuse
This recipe was submitted by a reader and has not been tested in our kitchen.
A thin battered non-sweet pancake.
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Serves: 6
U.S. | Metric | Conversion chart |
- 1 cup(s) milk
- 2 egg
- 1 flour
- 1.Mix all ingredients, until they are well blended. Can be lumpy.
- 2.Put 1/4 cup batter in a hot skillet, turning over when bubbles pop.
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What does WDMS mean in Conferences?
This page is about the meanings of the acronym/abbreviation/shorthand WDMS in the Community field in general and in the Conferences terminology in particular.
Find a translation for WDMS in other languages:
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Discuss this WDMS abbreviation with the community:
Use the citation below to add this abbreviation to your bibliography:
"WDMS." Abbreviations.com. STANDS4 LLC, 2015. Web. 5 Mar. 2015. <http://www.abbreviations.com/term/45990>.
WDMS also stands for:
- Wastewater Data Management System
- Water Demand Management Suite
- West Deptford Middle School
- Wild Dragons Maelin Starpyre
- Wisconsin Donkey and Mule Society
... see them all »
Nearby & related abbreviations:
Alternative search:
- Search Workshop on Dependable Middleware Systems on Amazon
- Search Workshop on Dependable Middleware Systems on Google


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Bosque de Duraznos No 75-205 Bosques De Las Lomas Mexico City 11700 Mexico (T) +52 (01)55 5596 4040(F) +52 (01)55 5596 4040
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I was having a debate with myself whether or not to buy from Penguin, because I didn't want to support somebody with bad ethics. But thanks to MJM's...Read More ->
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Wale - Aston Martin Music Freestyle
Aston Martin Music Freestyle Wale
Editor Rating: HOTTTTT
User Rating:
**JUST ADDED**Have you heard Wale's new track Aston Martin Music Freestyle? It dropped on Wednesday, November 3rd, 2010.
Bump Aston Martin Music Freestyle, the latest cut from Wale. It dropped on Wednesday, November 3rd, 2010. Wale's horizons are broadening with each new release, and Aston Martin Music Freestyle is no exception. It's a worthy addition to a catalogue that has seen much growth since Wale stepped foot in the rap game. We're looking forward to hearing more.
Hear more of Wale on Talk2Me, featuring Roscoe Dash. If you're down, make sure to visit Wale's profile page for the newest info, news, songs, and mixtapes.


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Share your reviews,
photos and videos here!
Involvement:General (knows how to use it) - Ownership:1 week to 1 month
Pros:Same as picture, and matches greatly the original figure. Lightweight, good material, and bottom cap to remove coins when wanted. Has no sharp ends, which means I can surely hand this to a child. The size also satisfies me, as it is no larger than a regular mug. Suits fine to take to the office too. As it is not made of can or such metal materials, will make no huge noise when I drop a coin in. Won't rust too, has no metal parts.
The top white spot had a deffective painting. But for this price, I accepted the problem without being much upset. Should be able to choose colors. It would be sure success on a child party favor. But if it were a boy and it came pink, it would ruin my plans, hehe. Should have wholesale more reduced prices too.
I was lucky to receive the red one (original character color) but it would be much nicer if I could choose colors when ordering.
I would definitely buy as a gift for some little friends, if I could choose color and price was worth buying more than one (more attractive price).
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RC Cheerleader Candice blogs on RC website
Candice from South Africa is one of the cheerleaders that you might have seen on TV an in the stadium cheering for RC. I have been there myself and seen the amazing spirit that these girls create among RC supporters in the audience.
Candice would love to chat with the RC fans on our website. And so here goes........ Candice's blog page!
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Texas-sized beehive discovered in Utah
POSTED: Tuesday, May 7, 2013 - 6:00am
UPDATED: Tuesday, May 7, 2013 - 6:14am
Some 60k bees in cabin
Salt Lake City, UT — The Houston Chronicle is reporting; it was the biggest beehive that that Ogden beekeeper Vic Bachman has ever removed — a dozen feet long, packed inside the eaves of a cabin in Ogden Valley.
"We figure we got 15 pounds of bees out of there," said Bachman, who said that converts to about 60,000 honeybees. To read more, head to The Houston Chronicle's website: http://www.chron.com/news/us/article/Utah-cabin-had-uninvited-guests-60-000-bees-4489914.php?cmpid=hpfsln


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Unbiased Reviews by Real People
One of the things you learn when you switch from electric to gas is the meaning of the phrase "now we're cooking with gas!" When my wife and I went looking for a gas cook top after I had our house converted over to gas heat and hot water, We were not looking for a Dacor, but ended up buying one, it had all the right combination of features, size, functionality and looks that we were looking for. Here's what this particular model is packing: - One large burner that can boil a teapot in 2-3 minutes at sea level. - two median burners. - two small burners. - centralized levels that are laid out in the same pattern as the burners (it's easy to know which one is which!) - flame restarter. - solid brass burners that fully disassemble very easily for quick cleaning. - sealed cook top that cleans up easy. - simmer plate for precise low temperature cooking. - special coating on black flame exposed surfaces that prevents burn through, discoloring, helps against wear. All in all we love this cooktop. It cooks fast and even with our Calphalon cookware, and the level controls are precise down to a very low level, even on the "big burner." It was the right size, only slightly larger than our original GE electric, it looks great, and wasn't the monolith cooktops with the extra burner you'll never use unless cooking for 20. We recently went to visit the in-laws during the holidays and were cooking on the kitchen-aid radiant cook top, and boy did we notice the difference in speed and evenness that gas and good cookware give you. I'd heartily recommend this one.
Amount Paid (US$): 1100


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Find your festival below!
(North Wales must be proper jealous)
Planning to go live August 2015.
Oxfordshire, Buckinghamshire, Warwickshire, Northamptonshire, Berkshire and Bedfordshire
Friday 25th to Sunday 27th September 2015 at Bo Peep farm Aynho road Adderbury near Banbury Oxon, OX17 3NP.
Suffolk, Norfolk,
Cambridgeshire, Essex
Friday 28th to Sunday 30th August 2015
at Suffolk Academy in Barrow (Bury St Edmunds) the birth place of Homegrown.


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Sign in to digital edition
Thursday 5 Mar 2015
By Cristina Ruiz. News, Issue 234, April 2012Published online: 28 March 2012
The Robert Rausch-enberg Foundation is intending to increase the scale of its operations dramatically over the next 15 years. By then, it will be one of the largest grant-making bodies for the visual arts in the US, distributing as much, if not more, money every year than the Andy Warhol Foundation. It will also fund international artists, support philanthropic ventures and run a project space in New York and an artist residency in Captiva Island, Florida, where the artist lived until his death in 2008.
See also:
To enable this to happen, the assets of Rauschenberg's estate are being transferred to the foundation so they can be used to grow the organisation "slowly and carefully", says its executive director, Christy MacLear.Founded by Rauschenberg in 1990 to promote awareness of the causes he cared about, such as world peace, the environment and humanitarian issues, the foundation has hitherto been relatively low key.The aim now is to build an endowment with a projected target of $350m, starting from the organisation's current investment pool of $18m, MacLear says. This will be done through the sale of art and real estate. The foundation owns many works by Rauschenberg from every period of his career. However, only a few of these will be sold to museums. The bulk of the money for the endowment will come from the sale of works by other artists collected by Rauschenberg. An initial group, which includes works by Marcel Duchamp, Brice Marden, Ed Ruscha and Andy Warhol, was consigned to the Gagosian Gallery last year and is valued at around $40m. Various properties in New York owned by Rauschenberg will also be sold."The goal is to create an endowment that will support the foundation's activities in perpetuity," MacLear says. As the endowment increases, so will the number of the foundation's grants, from a total of around $2m this year to a projected $15m to $20m in 2027, with an additional sum of around $17.5m spent by then to run the organisation's various programmes. In comparison, the Warhol Foundation awarded around $13.5m in grants in 2011—the highest amount it has disbursed in a single year in the past decade—and has an endowment that stands at just over $324m.The selection of the grants' recipients will be guided by Rauschenberg's belief that "art can change the world", MacLear says. Last year, the foundation launched its "Artist as Activist" print project and invited Shepard Fairey to focus on an issue of his choice. The editioned work he made was sold to raise funds for the Coalition for the Homeless. The foundation is in talks with Shirin Neshat to be this year's "artist as activist".In January, the foundation's first Artistic Innovation and Collaboration grants were launched; nine have been given, ranging from $50,000 to $150,000. The recipients include the Bemis Center for Contemporary Arts in Omaha, Nebraska, for a project led by the artist Theaster Gates to design a new cultural centre and artist residency programme in the poorest part of the city.Many more grant programmes will be introduced in the future, MacLear says: "Next year we will expand into art and education, as Bob routinely funded organisations that used art to assist learning, particularly for disabled people. We will also [launch] a programme called 'Seed', which will support grassroots artistic exploration, even by small organisations." Their work will be shown in a former warehouse of Rauschenberg's, now a project space on 19th Street in Manhattan.This gallery will also be used to display the lesser known aspects of Rauschenberg's work, such as his theatre designs, sound pieces and photographs, MacLear says.In parallel with its philanthropic activities, the foundation will work to further Rauschenberg's artistic legacy. There are plans for a catalogue raisonné, and the organisation's building on Manhattan's Lafayette Street, formerly Rauschenberg's home and studio, will become a scholarship centre.Its biggest impact, however, is likely to be in its funding of the visual arts. "The rise of artist-endowed foundations will change the landscape of arts funding," MacLear says. "We look at this funding as [being in addition to] governmental, private or corporate funding. Over the past ten years, the National Endowment for the Arts [NEA] appropriations ranged from $115m in 2002 to $146m in 2012. If you consider the Warhol Foundation contributing $13.5m, the Dedalus Foundation [founded in 1981 by the artist Robert Motherwell] contributing $3.6m, and the Rauschenberg Foundation, even in our early years, contributing $2m—to name just three organisations—then, as this sort of support grows, it will be larger in aggregate than the NEA's contribution," MacLear says."I believe we will see the [increase] of support for early stage work and operating capital, broader direct support for artists, a dedication to exploration and more risk-taking commissions… the money coming from artists [will] be the most fearless, rounding out a donor landscape that has been negotiated down a more conservative path. It will be a bright future for the arts."
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Also in News
Sharjah Biennial's 12th edition casts a utopian gaze across the city
UK galleries gain prize works from Lucian Freud's estate
Koons at cutting edge with giant stone mills
New magazine launched by Russian Orthodox artist association to promote contemporary Christian art
Koons and Sherman offer up limited-addition works to US government
Also by Cristina Ruiz
Miami's art museums are becoming rudderless ships
ICA Miami interim director steps down
The great African art buy-back
ArtCenter South Florida's windfall will benefit local artists
Miami MoCA goes back to its roots


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Bananas Packaged in the same facility as peanuts, tree nuts, wheat, soy, and milk products.
Approximately 25 pieces per pound.
Nutrition Facts
Serving size 50g (~1.8 oz.)
Amount per serving | |
Calories | 165 |
Calories from Fat | 2.5 |
Total Fat | 0.5g | 0% |
Total Carbohydrate | 39g | 13% |
Dietary Fiber | 1g | 0% |
Sugars | 28g |
Vitamin C | 2% |
Iron | 6% |
Store in a cool dry place for up to 1 year. Refrigeration is not needed.
Found In
Country of origin: Thailand


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Hello folks. I have been wanting a good shoulder holster for a motorcycle CCW.
TwinCarry is now one short on his 250 holsters. He sold me a beautiful Alessi Bodyguard for my new S&W model 19-4. Took it for it's inagural ride after work and this rig and 19 are perfect for packing while riding a motorcycle. The pics aren't mine but wx permitting I'll take a few shots with my beloved Sportster tomorrow.
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