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A crippling workforce crisis facing the health information management profession is placing the future of eHealth reform at serious risk, the Health Information Management Association of Australia revealed today. Click HERE for more.
Australia's first hospital with fully integrated, digital eHealth capability has been officially opened.
HIMAA has released its HIM Intermediate and Advanced Competencies Draft.
A MAJOR Sydney hospital breached a patient's privacy by giving her hostile ex-husband their children's medical records containing information about her health, a tribunal has found.
The Health Information Management Association of Australia (HIMAA) today expressed concern about the lack of health information management in plans to implement the PCEHR Review Report.
In a letter to Department of Health regarding its current round of consultations on the Review's implementation, HIMAA's CEO, Mr Richard Lawrance, commented that if the PCEHR was not functional as a health information management system, its impact upon the quality of care improvements expected of eHealth and in curtailing spiralling health care costs to the community will be severely impaired.
"The PCEHR Review report mentions 'information' 235 times," Mr Lawrance observed. "It is most commonly qualified as 'clinical', next as 'health'. 'Health information professionals' are mentioned just once in appendices, and 'health', 'information' and 'management' do not occur together at all; not even in the name of the Health Information Management Association of Australia, which is omitted from the list of 86 other contributors to the Review."
Mr Lawrance was expressing concern that the Review report was being taken 'as read', and consultations focussed on the practicalities of implementation of its 38 recommendations.
"HIMAA is largely supportive of the recommendations, but collectively they fail to address the need for a longer term and systemic plan for the management of the volume of information the PCEHR will store over time, such that the relevant information is actually accessible to point of care clinical decision making, both to clinicians and their patients," Mr Lawrance said.
"The PCEHR also needs an adequate classification system that renders it meaningful for population health management and research, and the application of its data as information for funders."
Mr Lawrance said that the absence of health information management as a central organising concept is all the more worrying in that it is also missing from the recent Health Information Workforce (HIW) Report from Health Workforce Australia.
"The HIW report places a more informatics-focused Chief Information Officer as the ICT coordinator of a range of clinically-oriented CIOs - Nursing, Medical, Clinical," Mr Lawrance said. "Information management expertise is completely absent from the report's future configuration of health information at the executive level."
"It would be disturbing if the exclusion of health information management from eHealth development represents a trend in government thinking."
The Health Information Management Interchange (Interactive version) is now available from the members area of the website. Please log in to view it.
As part of the research for the development of this Strategic Plan, members were asked to identify the challenges and issues facing the profession for both the next 5 years and for the future 5-10 years. The key challenges and issues facing the profession were identified by members and are available HERE
HIMAA now has a page on LinkedIn - please follow us there!
As university students around the country commence their academic year, the Health Information Management Association of Australia (HIMAA) asks why must it be the last opportunity for students in two states, two territories and anywhere in rural Australia to have distance learning access to a career in Health Information Management?
Click on the link below to view the press release (PDF).
After much planning, preparation, checking and re-checking, we are finally able to bring you the official launch of the Certified Health Informatician Australasia (CHIA) program.
CHIA is Australia's first ever credential for health informaticians.
To stay up to date with all things CHIA, sign up to this mailing list by clicking HERE.
Visit the website now by clicking HERE.What you need to know
1. The CHIA website is now live and contains full information about the exam, how it works, eligibility and benefits.
2. The exam is now live and you can register and start studying for it right now!
3. We're here to help if you have any problems, comments or questions. Please feel free to contact us.CONTACT :
Suzanna Zhang (HISA)
03 9326 3311
suzanna'AT'hisa.org.auVisit the website, HERE.
HIMAA and HISA have lodged a joint submission to the PCEHR Review based on a snap survey conducted online last week.
In just a 3 day turnaround, 673 individuals came forward to respond to the main issues raised by the Review Panel:
• Involvement with PCEHR
• Expectations and Consultation
• Use (of PCEHR)
• Barriers to usage
• Usability
• Future work required
• Key drivers and incentives
• Private sector involvement
• StandardsA BIG THANK YOU to the overwhelming number of HIMAA members who responded. We have, as a result, been able to make 9 key recommendations including:
• integration of health information/informatics professionals into current and future PCEHR and related infrastructure design, build and implementation
• simplification of the PCEHR registration process, particularly for health providers
• fast-tracking of universal hospital participation in the PCEHR
• vesting authority for the development and maintenance of technical and professional standards and associated engagement and change management strategies in the professional bodies concerned, rather than in the private sector or in government bureaucracy.HIMAA congratulates HISA on a successful collaboration in this advocacy venture, and we look forward to many more.
To view the joint submission, click on the link below.
As the independent facilitator for the development of Australian Standards relating to the PCEHR, Standards Australia forwarded its' submission to the Review Panel on Friday 22 November 2013.
In the interests of transparency, the Standards Australia submission has been posted to the e-Health website http://www.e-health.standards.org.au/Home/News.aspx and a copy has been attached to this email for your viewing.
Quality health records in Australian primary healthcare: A guide was developed by an inter-professional Advisory Group in consultation with colleagues across the Australian primary healthcare sector. The guide is:
- designed to assist health professionals produce, manage and use high quality health records that are fit for a range of purposes including safe clinical decision making, good communication with other health professionals, trustworthy partnerships with patients and effective continuity of patient care.
- applicable to all health professionals operating in the Australian primary healthcare sector whether as solo practitioners, members of single-discipline practice teams, members of multidisciplinary practice teams or members of larger organisations.
- comprehensive in covering electronic health record systems, paper-based health record systems and hybrid health record systems and describes a set of core principles and practical examples to illustrate particular principles in day-to-day clinical practice.
10.30am Adelaide, Tuesday 16 July 2013
The Health Information Management Association of Australia (HIMAA) is pleased to announce to members the launch of a national certification program for health informaticians at the Health Informatics Conference in Adelaide this morning.
Along with the Australian College of Health Informatics (ACHI), HIMAA is one of three partners brought together by the Health Informatics Society of Australia (HISA) to develop the competencies and examination structure for this inaugural program of professional development for health informatics in Australia.
HIMAA has enjoyed a strong relationship with HISA since its formation in 1992, and is aware of the consistent journey of development and advocacy health informatics has undertaken in Australia under HISA's stewardship. The pace of growth in health informatics and health information management has been rapid over the past two decades, and there is no sign of it abating any time soon.
HIMAA felt the need to introduce its own certification scheme in 2007, to support health information management professionals in maintaining and improving levels of skill and knowledge attained through their original qualifications. Our choice was to offer ongoing credentialing of professional qualifications already accredited by HIMAA against established competency standards, and to offer an ongoing certification program for HIMAA members based on continuing professional development.
As an emerging professional field, health informatics has not been well defined. Qualifications are many and varied, with the profession yet to achieve a unifying set of competencies and assessment of knowledge and skill against which the health informatics profession, as a whole, can benchmark quality of practice and performance.
With the launching of the Certified Health Informatician Australia program, HISA has achieved this important step in the identification and unification of the profession. Today's announcement, and the program of preparation and examination that underpins it, places Australia on the international health informatics map.
HIMAA congratulates its colleagues in the health informatics disciplines for achieving this important landmark in professional recognition, and looks forward to working alongside HISA and ACHI in supporting the delivery of this welcome contribution to our complementary professional development platforms. We particularly thank and applaud HISA for its inter-professional generosity in assuming the lead agency role in this endeavour.
Sallyanne Wissmann
Click HERE to download this anouncement in PDF -
2013 HIM Entry-Level Competency Standards
Click HERE to download in PDF. -
Eurofield Information Solutions (EIS) is also proud to announce the release of the enhanced TurboCoder with turbosearch.
View the turbosearch online demonstration at www.TurboCoder.com.au
The new turbosearch features:
Pre-emptive Search Help (PSH) detects when you have keyed three characters and offers a list of suggestions directly from the classification content. It will also provide suggestions for incorrectly spelt words.
Lead Term Search enables you to go directly to the Lead Terms in the Disease and Intervention Indexes providing a fast one click direct link to the code you require.
You can narrow or broaden your search with one click. Use the new turbosearch toolbar 'toggle' to change from 'Lead Term' in the Indexes to search 'Everywhere' in the classification.
And the best news – turbosearch is freely available NOW to all current TurboCoder subscribers.
Purchase and download directly at HERE
SNOMED-CT to ICD-10-CM Mapper has been announced ny the NLM. A working demonstration is available on-line here.
If you are looking to refresh your career in the new year do it the right way. Follow HIMAA WorkWeb on twitter. You will be notified of new positions as soon as they are listed in our WorkWeb pages. Whether you use your smartphone or desktop PC follow WorkWeb on twitter and be the first to know about the latest advertised positions for HIM and Clinical Coding professionals.
A very short, interesting introduction to SNOMED-CT. Also has links to other SNOMED resources.
HIMAA Advocacy/Representation
- As a result of a HIMAA submission, HIMAA has been invited to nominate representatives to NeHTA's Stakeholder Reference Forum and Clinical Terminology & Information Reference Group.
- HIMAA is represented on Standards Australia's IT 14-02 sub-committee, which is working on a revision to AS2828, among other things.
- HIMAA was represented at the DoHA forum to discuss the PCEHR Legislation Issues Paper on 25 July 2011.
- Along with HISA and ACHSM, HIMAA has been invited to collaborate with NeHTA to facilitate the "rollout" of its systems.
- A number of HIMAA Board members attended various workshops conducted by Health Workforce Australia (HWA) in relation to its National Health Workforce Innovation and Reform Strategic Framework for Action. In a "sidebar" conversation the HWA representatives specifically acknowledged their new found recognition of the essential role played by HIMs in achieving the healthcare reform agenda.
- Vicki Bennett co-chairs the Australian Health Informatics Education Council.
- HIMAA has representation on the NCCC ICD Technical Group (formerly Coding Standards Advisory Committee) and the NCCC DRG Technical Group (formerly Clinical Casemix Committee of Australia).
- HIMAA has remained actively involved with Professions Australia, of which HIMAA is a member.
- Formal submissions have recently been made to:
- Health Workforce Australia regarding a Health Informatics Workforce Scoping Study,
- DoHA regarding the Draft PCEHR Concept of Operations,
- QLD Health regarding an internal discussion paper on future workforce capabilities in Health Informatics, and
- NSW Health regarding its proposed scheme for the training of clinical coders.
Multi-touch screen devices which you can carry any where, surf the web perform basic word processing applications and also read a journal, listen to audio casts. This is what health care professionals are looking at.
Many manufactures, ventured on this territory-noticeably,Cruchpad or JooJoo was a device with limited functions, it enabled you to surf the web and watch videos, but with the price at more that $300, it was not exciting enough.
Kindle, was promising but it performed only one function-to read e-books and surf the web on grey scale.
Ultra-light mobile computing devices generated a lot of interest among manufactures, they were portable and multi media rich enabled device, but the thumb mouse and split keyboard in some of the devices like Samsung Q1 didn't come across as easy to learn for consumers.
Apple studied these mistakes with care- remember Apple Newton.When Iphone was released at first it was popular as it was smart, small, sexy using sensor based touch screen. It was also internet based with multimedia rich applications product. Over the span of few years, many applications were built around it resulting in the tremendous popularity of Iphone.
Courtesy of: Constructive Medicine
The following story appears on Dr David More's Blog, "Australian Health Information Technology" at: http://aushealthit.blogspot.com.
NHS pulls the plug on its £11bn IT system
After nine years and with billions already spent, doomed computer system is abandoned
By Oliver Wright, Whitehall Editor
Wednesday, 3 August 2011A plan to create the world's largest single civilian computer system linking all parts of the National Health Service is to be abandoned by the Government after running up billions of pounds in bills. Ministers are expected to announce next month that they are scrapping a central part of the much-delayed and hugely controversial 10-year National Programme for IT.
Instead, local health trusts and hospitals will be allowed to develop or buy individual computer systems to suit their needs – with a much smaller central server capable of "interrogating" them to provide centralised information on patient care. News of the Government's plans comes as a damning report from a cross-party committee of MPs concludes that the £11.4bn programme had proved "beyond the capacity of the Department of Health to deliver".
The Commons Public Accounts Committee (PAC) said that, while the intention of creating a centralised database of electronic patient records was a "worthwhile aim", a huge amount of money had been wasted.
"The department has been unable to demonstrate what benefits have been delivered from the £2.7bn spent on the project so far," Margaret Hodge, chair of the PAC, said. "It should now urgently review whether it is worth continuing with the remaining elements of the care-records system. The £4.3bn which the department expects to spend might be better used to buy systems that are proven to work, that are good value for money and which deliver demonstrable benefits to the NHS." A further £4.4bn was expected to be spent on other areas of the vast IT project.
The nine-year-old NHS computer project – the biggest civilian IT scheme ever attempted – has been in disarray since it missed its first deadlines in 2007. The project has been beset by changing specifications, technical challenges and clashes with suppliers, which has left it years behind schedule and way over cost.
Accenture, the largest contractor involved, walked out on contracts worth £2bn in 2006, writing off hundreds of millions of pounds in the process. Months earlier, the US supplier IDX, contracted to provide software in and around London, had also withdrawn from the project, making a $450m (£275m) provision against future losses from the two contracts.
The PAC said part of the problem had been weak leadership in the department. "The department could have avoided some of the pitfalls and waste if they had consulted at the start of the process with health professionals," it said.
Read the whole story HERE.
The purpose of this article is to describe how I have been able to use "cloud technology" to simplify the process of getting useful clinical information from my patients. Since I am a neurologist, I have more than a passing interest in the management of patients with Parkinson's disease. The successful management of this condition is highly dependent on the patient-physician communication regarding how their disease state is responding to their Parkinson regimen. Too much medication causes involuntary movements while inadequate dopamine stimulation results in the inability to move. Since there are several different Parkinson's medications, all of which have different half-lives and durations of actions, the resultant clinical effectiveness is highly variable. Therefore, correlating clinical status with timing of medication ingestion is the only reliable means to make appropriate medication adjustments.
Ideally, a patient log or journal should be completed at half hour intervals to capture this information. An analogous condition in Primary Care would be regulating a Diabetic. Insulin type and dosage need to be correlated with blood glucose determinations obtained throughout the day in order to optimize the Insulin regimen.
Courtesy: Dr Steven Zuckerman, MD. Read the whole article HERE.
85. Test, retest, and test the network and wireless
Far too many EHR implementations fail because of basic technology issues. Of course, the blame usually gets placed squarely on the head of the EHR company. However, in many of the cases, the EHR company has no control over the issues you have. Your local wireless and network is one place where you can doom an EHR installation and the EHR company can do nothing about it. If you want to have a great EHR installation make sure you have a great network and/or wireless infrastructure set up and tested.
84. Have ONE number to call
This recommendation applies more to large EMR installations than it does to small ones. The basic suggestion is not to give one phone number for EMR issues (ie. I can't login) and another for technology related issues (ie. my PC crashed). The problem with multiple lines is that people don't generally know the difference between an EMR issue and a PC issue. At the end of the day, they're likely to consider almost everything an EMR issue. So, they're going to call the same number anyway. You might as well just have one number that knows how to triage the issue well and direct them to the right support resource.
83. Remember who the support team's customers are
Another recommendation for hospital EHR support. It is a great idea to remember that the support team's customers are the clinicians that are calling for help. Prepare them for the calls they're going to get. While clinicians are highly educated, that doesn't guarantee that their education included even basic computer skills. You'll be surprised how many of the issues have to do with basic computer skills as much as any EMR specific support.
Courtesy of: EMR and EHR Forum. Read more Here.
Regarding ICD-10, Australia has already "been there, done that." In Hayes' recent webinar, our guest speaker, health information manager Debbie Abbott, relayed some lessons learned from her experience rolling out ICD-10 to more than 200 facilities in Queensland, AU.
Debbie's team consisted of three major working parties: impact assessment, education and information technology. Key issues included: IT systems, vendor readiness, implementation plan/coordinators, education, DRG changes, output rates, identification of key stakeholders, and support.
Tips to overcome issues included:
- Predicting impact of output rates (program), ongoing education 18 months prior to implementation (all stakeholders)
- Focusing on processes
- Involving all stakeholders
- Putting the right people in the right roles (in the working parties)
- Providing education tailored to end users - not everyone needs to know everything. They also gave end users various ways to learn, including online, in person, etc.
And get this: Everyone LOVES ICD-10!
We were happy to hear that everyone Debbie works with loves ICD-10! She cited better classification, fewer "dump codes" (e.g., non-defined DX codes ending in 9 and 0) and better processes. They took the opportunity to enhance their workflows and processes during the transition.
It has been 12 years now that Australia has been using ICD-10, and Debbie reported that the impact was minimal.
Overall, Debbie said that their focus on education, early preparation and good work groups were the keys to their success. Now they are preparing for ICD-11 in 2015!
Courtesy: ADVANCE for HIM
Link: Process Variation Podcast
As more Physicians and Hospitals strive to meet requirements for Meaningful Use incentives, the topic of process variation comes to mind. Generally speaking, Nurses observe variation in all patient encounters. Some variations represent downward trends in patient stability or condition, while others trend upward with improved conditions and wellness. Often negative variations cause immediate clinical action, interventions and/or treatments.
I had not given much thought to the topic of process variation and its management as a tool to reduce costs and improve care until I heard this podcast from Hospitals & Health Networks. The ability to manage, recognize and act upon patient status trends in real-time has the potential to improve the quality of health care delivery and to lower cost of care. An interesting thought..
Courtesy: Healthcare & Technology
Each year, billions of pieces of health data are generated as patients visit the doctor's office, go to the ER, undergo procedures and answer the requisite personal questions at each location. That doesn't include the volumes of patient data generated by health plans, pharmacies, labs or even the patients themselves. Alarmingly, the majority of this data is not easily transferred, shared or made actionable./p>
The price we pay? An astounding $404 billion for poor healthcare coordination as shown in this The Price We Pay for a Broken Healthcare System infographic. In a more light-hearted attempt to exemplify the many issues, challenges and frustrations associated with the lack of health data coordination, Jonathan Rauch of The National Journal brings to life the inexcusable state of healthcare coordination today (you can access the video too.)
All healthcare stakeholders – patients, providers and health plans, are challenged by the lack of interoperability and high administrative costs associated with simple tasks such as scheduling patient appointments. A Markle Survey identified that close to 80% of both the public and doctors want hospitals and doctors to share information to better coordinate care, cut unnecessary costs and reduce medical errors. One Marlin & Associates report identified the high costs associated with manual administrative transactions and the use of paper records – a staggering $150 Billion per year.
Courtesy: HL7 Standards.
My family and I have escaped this week to our favorite vacation destination, Pensacola Beach. And so I sit here writing in the cozy confines of the condo that we call home for close to a week nearly every summer. I gave barely a thought to how I was going to transmit this blog to the HealthcareScene.com servers while here. As it turns out, there is no WiFi, which means I'm relying on my iPhone to do a bit of online research, my laptop for Word, and the hotel across the street's business center with which to cobble it all together.
My connectivity issues pale, of course, in comparison to those of providers working outside of their hospital's four walls – be it in emergency situations such as the aftermath of a hurricanes like Ivan and Dennis, which hit Pensacola back in 2004 and 2005, respectively, or as part of a routine provider/patient encounter in telehealth programs. I wonder how providers at Pensacola's Sacred Heart Hospital, where I was born (and no, I'm not telling you what year), handled patient care in the aftermath of Ivan, which devastated the town and outlying beach communities, and how mobile health solutions might better enable them should Mother Nature pay the same sort of visit today.
Courtesy of the EMR Newsletter
SIN: Singapore to Combat Dengue With Facebook and Twitter
Singapore's National Environment Agency (NEA) is going to use new media channels, such as Facebook and Twitter, to fight dengue fever. They plan to release dengue updates on the new media channels that will provide information on, for example, the latest dengue clusters or areas that have been earmarked as high-risk. According to the Jakarta Globe, the goal is to realize these plans within the next three months.
The information is currently available only on the dengue website of the NEA and through a NEA iPhone application, which was released in early July this year. With the use of Facebook and Twitter, the public will be enabled to post feedback and provide information, if Singaporeans notice an increase of mosquitoes in a certain area.
The NEA is also developing software that can identify the species of mosquito from a photograph. It could enable NEA personnel to identify larvae, pupae or mosquitoes of the Aedes species, which spreads the dengue viruses. They plan to integrate this software with the iPhone app to make it available for the public as well.
These new measures will complement existing strategies. Singapore already uses methods of close monitoring and applying preventive measures to control dengue outbreaks.
Jakarta Globe:
Larry Dignan, Editor-in- Chief of ZDNet and SmartPlanet as well as ZDNet's sister site TechRepbulic has an interesting piece up today titled "Assessing the corporate tablet field: Why the enterprise may be different". In it he lays out a series of pros and cons for each potential tablet contender in addition to the primary criteria enterprise markets will look at when making their decisions. The two factors the article focuses on are bundling for price advantages and integration. Let's take a quick look at those two areas in relation to HP and the TouchPad to see if they have what it takes to be a real contender in the corporate world.
For the first time the International Health Terminology Standards Development Organization (IHTSDO) conference will feature an Implementation Showcase.
The IHTSDO Working Sessions and Implementation Showcase will take place in Sydney, Australia on October 10 – 14. In line with this years theme 'Implementing SNOMED CT: Realizing the Benefits', the Showcase will allow attendees to interact with SNOMED CT implementers from around the world who will share their first hand knowledge about the challenges, benefits and lessons learned of implementation. Workshops and education sessions will focus on approaches to implementing SNOMED CT for beginners as well as for advanced users. Session attendees will also have an opportunity to visit vendors in the vendor exhibit area.
In addition, meetings of the Quality, Content, Technical, and Implementation and Innovation Committees will be open for attendees to join the discussions.
The October Working Sessions and Implementation Showcase provides a valuable opportunity for attendees to learn more about the latest in terminology products in health systems, services and products from around the world.
The National E-Health Transition Authority (NEHTA) administers SNOMED CT licensing in Australia on behalf of IHTSDO and makes it available for use within the Australian eHealth community.


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text: Credentials Framework: An Overview Lifesaver # 11 On September 1, 2004, the Credentials Framework came into Ontario College Diploma, effect, and provided Ontario's Colleges of Applied Arts and Ontario College Advanced Diploma, and Technology with a vehicle for satisfying their responsibilities Ontario College Graduate Certificate. under the Ontario Colleges of Applied Arts of Technology Act, 2002. Through this legislation, colleges were given The Credentials Framework, then, speaks to the spectrum of responsibility for the credentials they were granting. An credentials that recognize successful completion of programs important principle was that the "[c]redentials awarded in the of instruction in the college system. college system must be credible and meaningful for, and understood by, students, employers and the general public."1 An Interview with Tim Klassen, Manager, Ontario College Quality Assurance Service To support this goal, the Ministry of Training, Colleges, and Universities created the Credentials Framework, a document In late August, 2007, Tim Klassen, Manager of the Ontario they continue to maintain in consultation with the college College Quality Assurance Service participated in a brief system. Under the jurisdiction of the Ontario College Quality interview on the subject of the Credentials Framework. Assurance Service (OCQAS), the Credentials Validation Service (CVS) reviews all programs of instruction against the CredentialsIf you had to choose one word to describe the Credentials Framework to ensure that programs: Framework, what would that one word be? Tim Klassen: AVANT-GARDE 1. include the necessary curriculum components for the Why? credential being granted, T.K.: I believe this is an apt descriptor for the Credentials 2. enable the reliable demonstration of curriculum outcomes Framework as the definition (and usage) in both French and of a similar breadth and depth as other programs leading to English speak to something that is groundbreaking, vanguard, the same credential, and innovative, progressive, etc. The Credentials Framework is all 3. follow accepted titling and nomenclature principles. of this to colleges and the programs they offer, as it provides two fundamental changes: the way credentials are defined In short, CVS ensures that programs of instruction conform to and the way credentials are titled. These changes are among the Credentials Framework so that "credentials awarded … [are] the most substantial changes to college programs since the credible and meaningful". creation of the system 40 years ago. The Types of Credentials INSIDE The Credentials Framework provides a wealth of information The Types of Credentials. about the credentials that are granted by the community An Interview with Tim Klassen, Manager, colleges in Ontario. The credentials are organized in the Ontario College Quality Assurance Service. framework in ascending order from left to right based on both the complexity of knowledge and the typical duration for Does the Credentials Framework represent an evolution of completion. There are seven credentials in total. It should, work begun in the early 1990's with CSAC (College Standards however, be noted that the Applied Degree is listed to provide a and Accreditation Council) or is it a change of direction? point of reference and that information about Applied Degree T.K.: For the most part I would say it represents a change of Standards can be obtained from the Postsecondary Education direction more than an evolution, although in reality, on the Quality Assessment Board (PEQAB) Their web site is spectrum of evolution to revolution it would be somewhere in http://peqab.edu.gov.on.ca . the middle. Why? The remaining six types of credentials discussed in the T.K.: The work begun through CSAC required colleges to think Credentials Framework are: about program completion in terms of specific outcomes for program areas covered by the Provincial Program Standards. Non-Credit, The introduction of the Credentials Framework required Certificate, colleges to think about all their programs in terms of program- Ontario College Certificate, (continued on back page) 1 "Framework for Programs of Instruction," Minister's Binding Policy Directive. Ontario Ministry of Training, Colleges and Universities, Issued: April, 2003. Revised: April 2005. p. 2. 1 Credentials Framework: An Overview The Credentials Framework Ontario College Ontario College Ontario College Advanced Ontario College Graduate Non-Credit Certificate Applied Degree Certificate ▼ Diploma ▼ Diploma ▼ Certificate ▼ 1. Scope of Curriculum Outcomes: Breadth and Depth 1.1 Locally determined Complexity of Meets all specific Meets all specific Meets all specific vocational Meets all specific vocational Degree level Complexity of knowledge may vocational learning vocational learning learning outcomes as defined learning outcomes as standards Knowledge focus on preparing outcomes as defined by outcomes as defined by by provincial program defined by provincial established by and graduates to begin provincial program provincial program standards, where these exist. program standards, where the postsecondary standards, where these standards, where these these exist. Postsecondary Vocational studies or may exist. exist. Education Quality Outcomes focus on targeted Breadth, depth, and Breadth, depth, and Assessment vocationally specific Breadth, depth, and Breadth, depth, and complexity of knowledge complexity of knowledge Board (PEQAB) skills. complexity of knowledge complexity of knowledge involve analysis, diagnosis, would enhance the ability of are applied by would prepare graduates to cover the planning and design, planning, execution, graduates to perform a more PEQAB when it perform in a range of initiation of alternative and evaluation across a specialized range of makes varied activities or approaches to skill and broad range of technical activities, most of which recommendations knowledge application knowledge application and/or management would be complex or non- to the Minister situations where the range across a broad range of functions. routine. Leadership and under the of contexts in which the technical and/or Opportunities may exist for guidance may be involved authority of the choice of actions required administrative new/additional applications when organizing self or Post-secondary is usually clear, and requirements; of technical, creative, or others, as well as when Education Choice complexity in the range of coordination; and conceptual knowledge to contributing to technical and Excellence options to be applied is evaluation. Performance practical and/or real world solutions of a non- routine or Act, 2000. limited. of a range of skills, with situations. contingency nature. Complexity of knowledge associated knowledge, Performance of a significant Performance of a prescribed prepares graduate for showing substantial range of skills associated range of skilled operations further Postsecondary depth in some areas with fundamental principles that includes the studies. where judgment is and complex techniques requirement to evaluate and Performance of a required in the planning across a wide and often analyze current practices prescribed range of and selecting of unpredictable variety of and develop new criteria, functions involving known appropriate equipment, contexts in relation to either and may include the routines and procedures services, or techniques varied or highly specific provision of some leadership and some accountability for self and others. functions. and guidance to others in the for the quality of outcomes. Contributions to the application and planning of development of a broad plan, skills. budget, or strategy are involved, as is accountability for self and others in achieving the outcomes for a Applications may include Applications involve team. Applications may involve some complex or non- participation in the some complex or non- routine activities involving development of strategic Applications of skill and routine activities involving individual responsibility or initiatives, as well as knowledge involve significant individual responsibility or autonomy and/or personal responsibility judgment in the planning, autonomy and/or leadership collaboration with others and autonomy in design, and technical and guidance for others as as part of a group or team. performing complex leadership and/or guidance part of a team or group. technical operations or functions related to products, organizing others. services, operations, or The qualification may involve Applications may include procedures. broadening the skills participation in teams, The degree of emphasis on individuals have already including teams breadth as against depth of gained in a postsecondary concerned with planning knowledge and skills may program of instruction, or and evaluation vary, with most weighting developing vocational functions. Group or team placed on depth. knowledge and skills in a coordination may be new professional area. involved. ▼ Portions of the above section are reproduced by kind permission of the Australian Qualifications Framework Advisory Board to the Ministerial Council on Education, Employment, Training and Youth Affairs, Australia. 1.2 Essential Locally determined Graduates have achieved Graduates have achieved the basic fundamental, Locally determined Employability the basic fundamental, personal management, and teamwork skills to get, Skills personal management, and keep, and progress in a job-of-choice. There is an teamwork skills to get, appropriate depth of achievement, consistent with the keep, and progress in a essential employability skills learning outcomes, job-of-choice, or to enter identified for these levels of credentials. further postsecondary studies. There is an appropriate depth of achievement, consistent with the essential employability skills learning outcomes, identified for this level of credential. 1.3 General Locally determined Locally determined, Consistent with the general education policy for Locally determined Education however it is desirable that colleges of applied arts and technology, graduates have graduates at this level will been engaged in learning that exposes them to at least have been engaged in one discipline outside their main field of study and learning that incorporates increases their awareness of the society and culture in some breadth beyond the which they live and work. This will typically involve vocational field of study, students taking 3 to 5 courses (or the equivalent) especially in programs of designed discretely from vocational learning instruction intended to lead opportunities. This learning would normally be delivered to further postsecondary using a combination of required and elective processes. study in a related field. 2. Typical Specific design, delivery, and duration of curriculum is locally determined and may vary among programs and disciplines, recognizing Duration for that some colleges may use a system other than hours (e.g., credits) to determine program completion. Completion It is understood that a range of hours may apply to the achievement of program learning outcomes leading to any particular credential. This framework outlines the typical duration of a program at this level for students entering with the minimum admission requirements. Locally determined Typically the duration to Typically the duration to Typically the duration to Typically the duration to achieve this credential is 2 achieve this credential is achieve this credential is 6 achieve this credential is 2 academic semesters or 4 academic semesters academic semesters or academic semesters or approximately 600 to 700 or approximately 1200 approximately 1800 to 2100 approximately 600 to 700 equivalent instructional to 1400 equivalent equivalent instructional equivalent instructional hours. instructional hours. hours. hours. 3. Admission Locally determined Locally determined Admission requirements are established in O. Reg. 34/03 and Minister's Binding Ontario College Diploma, Requirements Policy Directive on Admissions Criteria. Ontario College Advanced Diploma, Degree, or equivalent 4. Name of Locally determined, Certificate Ontario College Certificate Ontario College Diploma Ontario College Advanced Graduate Certificate Credential excluding the use of the Diploma words contained in any Provincially approved Certificat Certificat d'études Diplôme d'études Diplôme d'études collégiales Certificat postdiplôme de credential titles. May collégiales de l'Ontario collégiales de l'Ontario de l'Ontario – niveau avancé l'Ontario use such terminology as Attestation, Award, Statement, etc. SOURCE: "Framework for Programs of Instruction," Minister's Binding Policy Directive. Ontario Ministry of Training, Colleges and Universities, Issued: April, 2003. Revised: April 2005. pp. 7 – 14. do believe that the results of the introduction and Professor Of The 21st Century implementation of the Credentials Framework is a first step in contributing to the quality of college curriculum. The content of this Lifesaver is related to the Why? following Professor of the 21st Century Teaching T.K.: As the framework focuses on program outcomes, the Competency: colleges are in a position to think clearly about "outcomes" before they think about "content". This means, that what a 7. Designing Courses and Programs. graduate is able to do takes some precedent over how they get there, thereby designing and delivering curriculum more clearly level learning outcomes. In this sense it is evolutionary. related to the program-outcomes The Credentials Framework However, to take the college system from a time-based way provides a "framework" for the first time against which to of thinking about programs and credentials to an outcomes- measure and evaluate programs. However, this represents just based way of thinking is revolutionary. It represents the first the "front-end" of a quality measurement or quality assurance time that the system has embraced the notion of outcomes- system for the colleges. Until the Program Quality Assurance based learning and credentialing. Process Audit has had full implementation there is no way to provide the "back-end" of the quality process. It is for these The second revolutionary aspect of the Credentials reasons I suggest it is too early to provide a definitive answer to Framework is the re-titling of the credentials offered by the the quality curriculum question. system. It represents the first time the public colleges have credentials that identify the source (i.e., Ontario College The Credentials Framework seems to provide the greatest credentials) and it also distinguishes, in title, levels of guidance for the development of curriculum for programs that do learning; something that was not previously available as not fall under a provincial program standard. If that is a fair credentials were titled and conferred on the basis of assessment, how familiar do you think that program developers program length. should be with the Credentials Framework? T.K: I would take some exception to the assessment stated Throughout the Credentials Framework, the term "locally above in terms of the direction provided by the Credentials determined" appears in a number of places. What, if any, Framework. It is true that the Credentials Framework makes impact does this have on ensuring consistency across reference to programs meeting the requirements of provincial programs with similar names? program standards where they exist. However, there are T.K.: The Credentials Framework represents the minimum standards for only a fraction of programs offered by the system provincial requirements for credentials to be awarded and and as a result there is a great deal of program development applies to all programs of instruction, regardless of funding that occurs outside of these program areas. source. The Credentials Framework establishes these The other factor at play is that as provincial program standards minimum requirements in 3 areas: Scope of Curriculum are developed and revised they too must meet or exceed the Outcomes; Typical Duration; and, Admission Requirements. minimum requirements set out in the Credentials Framework. The references to the parts of this framework that are It is my belief that program developers and curriculum designers "locally determined" allow colleges to set requirements that must become intimately familiar with the Credentials Framework are clearly within their jurisdiction (e.g., programs that are and that this work will become enhanced as this understanding offered on a non-credit basis, programs that build on the of, and familiarity with, the framework is also passed along to all attainment of other postsecondary credentials, or programs faculty in the colleges. that are preparatory in nature) and will have no impact on the consistency of other programs offered on a more Given your role with CVS (Credentials Validation Service), if you system-wide basis. The core of the Credentials Framework, could give program developers one piece of advice about the and in fact the core of activity within the colleges, is within Credentials Framework, what would that advice be? the programs leading to the conferring of an Ontario College T.K.: Think long and hard about the creation (development and credential (i.e., postsecondary programs of instruction). articulation) of program-level learning outcomes as the absolute Within these sections of the Credentials Framework there is starting point in any exercise of program development, program no area that is locally determined except that related to the renewal or program revision. inclusion of General Education courses in programs leading The single most important piece is getting the program-level to an Ontario College Graduate Certificate. outcomes correct (not from a content perspective; rather from an articulation perspective) right from the beginning. Based on your experience in the college system, how would you rate the contribution of the Credentials Framework to the overall quality of college curriculum? QUESTIONS?? T.K.: I would say that in many respects it is too early to For more information, contact Learning & Teaching answer this question in any definitive manner. However, I Services. 3 Credentials Framework: An Overview


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Key things you need to know aboutDr. Meyers:
Dr. Meyers' Experience
Research training, expertise and qualifications
Dr. Meyers' Specialties
- Ophthalmology
- View 1 specialty and 1 board certification
Procedures Dr. Meyers Performs
- Vitrectomy (incl. Macular Hole Repair)
Conditions Dr. Meyers Treats
- Age-Related Macular Degeneration
- Diabetic Retinopathy
- See all 5 conditions
More About Dr. Meyers' Background
Hospital Quality
The right hospital is as important as the right doctor
- Advocate Lutheran General Hospital
- 1775 Dempster Street
- Park Ridge, IL 60068
9 Facts About Hospital Quality
Patients' risk of dying during a hospital stay for heart bypass surgery could be 85.2% lower, on average, at a hospital rated 5 stars compared to a hospital rated 1 star for that procedure. Choosing the right hospital is critical to your health. View Slideshow
Patient Satisfaction
Patients' feedback on their experience with Dr. Meyers
Likelihood of recommending Dr. Meyers to family and friends is 5 out of 5
See More Survey Results
8 Facts About Patient Satisfaction Surveys
Patient satisfaction surveys provide a standardized way of reporting about healthcare experiences. But there can be more than meets the eye when reviewing scores. Here's what you should know
Appointments & Offices
Check insurance plans, locations and make an appointment
Accepting new patients?
- Yes
- Retina Consultants
- Des Plaines Office
- 2454 E Dempster St Ste 400
- Des Plaines, IL 60016
7 Tips to Prepare for Your Appointment
The key to a successful appointment is communication. To get the most out of your visit, prepare ahead of time so you can lead the conversation with your doctor. These 7 tips will get you ready


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SE Bikes Welcomes Josh Clemens 1
SE Bikes is stoked to announce the addition of Oregon shredder Josh Clemens to the flow team.
Film / Edit: Donald Lucero / Josh Clemens
Song: Portugal The Man-Lay Me Back Down
Head on over and "Like" us on Facebook: facebook.com/SEBIKES?ref=hl
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And check sebikes.com for daily updates.
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5 out of 5
Xbox One review
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Mailing Address:
Harvard Medical School
Department of Population Medicine
133 Brookline Avenue, 6th Floor
Boston, MA 02215
Phone: (617) 509-9879
Fax: (617) 859-9853
Staff Assistant:
Associate Professor, Harvard Medical School
Associate Professor, Department of Nutrition, Harvard School of Public Health
Fish Center for Women's Health, Brigham and Women's Hospital
Emily Oken, MD, MPH
Dr. Oken is an Associate Professor in the Department of Population Medicine. Her research is focused on the health effects of nutrition and environmental toxicants on health and disease, with a particular focus on pregnancy early childhood. She has studied the balance of risk and benefit from maternal fish consumption during pregnancy on child development, long term health effects of breastfeeding for both mother and child, and determinants and sequelae of excess gestational weight gain. She has also performed a number of studies on the influence of modifiable behaviors during pregnancy, such as smoking, physical activity, and diet, on risk for obesity among both mothers and their children. Within the Department of Population Medicine Dr. Oken is Director of Faculty Development and site director for the Harvard General Medicine fellowship. At Harvard Medical School, she is a Peabody Society Research Fellow, in which role she guides medical students in meeting their research requirement for graduation. Dr. Oken completed residency training in both internal medicine and pediatrics. She practices as a primary care physician at the Fish Center for Women's Health at Brigham and Women's Hospital, and has a clinical interest in medical care for women before, during, and after pregnancy.
Selected Publications:
- Fleisch AF, Rifas-Shiman SL, Koutrakis P, Schwartz JD, Kloog I, Melly S, Coull BA, Zanobetti A, Gillman MW, Gold DR, Oken E. Prenatal exposure to traffic pollution: associations with reduced fetal growth and rapid infant weight gain. Epidemiology. 2015 Jan;26(1):43-50.
- Perng W, Rifas-Shiman SL, Rich-Edwards JW, Stuebe AM, Oken E. Inflammation and weight gain in reproductive-aged women. Ann Hum Biol. 2014 Dec 16. [Epub ahead of print].
- Walter JR, Perng W, Kleinman KP, Rifas-Shiman SL, Rich-Edwards JW, Oken E. Associations of trimester-specific gestational weight gain with maternal adiposity and systolic blood pressure at 3 and 7 years postpartum. Am J Obstet Gynecol. 2015 Apr;212(4):499.e1-499.e12. Epub 2014 Nov 13.
- Perng W, Stuart J, Rifas-Shiman SL, Rich-Edwards JW, Stuebe A, Oken E. Preterm birth and long-term maternal cardiovascular health. Ann Epidemiol. 2015 Jan;25(1):40-5. Epub 2014 Oct 18.
- Perng W, Gillman MW, Fleisch AF, Michalek RD, Watkins SM, Isganaitis E, Patti ME, Oken E. Metabolomic profiles and childhood obesity. Obesity (Silver Spring). 2014 Dec;22(12):2570-8. Epub 2014 Sep 24.
- Perng W, Gillman MW, Mantzoros CS, Oken E. A prospective study of maternal prenatal weight and offspring cardiometabolic health in midchildhood. Ann Epidemiol. 2014 Nov;24(11):793-800.e1. Epub 2014 Sep 3.
- Zallman L, Ibekwe L, Thompson J, Ross-Degnan D, Oken E. Development of a Mapped Diabetes Community Program Guide for a Safety Net Population. Diabetes Educ. 2014 Apr 21. [Epub ahead of print].
- Martin RM, Patel R, Kramer MS, Vilchuck K, Bogdanovich N, Sergeichick N, Gusina N, Foo Y, Palmer T, Thompson J, Gillman MW, Smith GD, Oken E. Effects of promoting longer-term and exclusive breastfeeding on cardiometabolic risk factors at age 11.5 years: a cluster-randomized, controlled trial. Circulation. 2014 Jan 21;129(3):321-9. Epub 2013 Dec 3.
- Oken E, Switkowski K, Price S, Guthrie L, Taveras EM, Gillman M, Friedes J, Callaghan W, Dietz P. A qualitative study of gestational weight gain counseling and tracking. Matern Child Health J. 2013 Oct;17(8):1508-17.
- Belfort MB, Rifas-Shiman SL, Kleinman KP, Guthrie LB, Bellinger DC, Taveras EM, Gillman MW, Oken E. Infant feeding and childhood cognition at ages 3 and 7 years: Effects of breastfeeding duration and exclusivity. JAMA Pediatr. 2013 Sep;167(9):836-44.
- Oken E, Patel R, Guthrie LB, Vilchuck K, Bogdanovich N, Sergeichick N, Palmer TM, Kramer MS, Martin RM. Effects of an intervention to promote breastfeeding on maternal adiposity and blood pressure at 11.5 y postpartum: results from the Promotion of Breastfeeding Intervention Trial, a cluster-randomized controlled trial. Am J Clin Nutr. 2013 Oct;98(4):1048-56. Epub 2013 Aug 14.
- Oken E, Guthrie LB, Bloomingdale A, Gillman MW, Olsen SF, Amarasiriwardena CJ, Platek DN, Bellinger DC, Wright RO. Assessment of dietary fish consumption in pregnancy: comparing one-, four- and thirty-six-item questionnaires. Public Health Nutr. 2014 Sep;17(9):1949-59. Epub 2013 Jul 24.
- Regnault N, Gillman MW, Rifas-Shiman SL, Eggleston E, Oken E. Sex-specific associations of gestational glucose tolerance with childhood body composition. Diabetes Care. 2013 Oct;36(10):3045-53. Epub 2013 Jul 22.
- Oken E, Guthrie LB, Bloomingdale A, Platek DN, Price S, Haines J, Gillman MW, Olsen SF, Bellinger DC, Wright RO. A pilot randomized controlled trial to promote healthful fish consumption during pregnancy: the Food for Thought Study. Nutr J. 2013 Mar 15. [Epub ahead of print].
- Martin RM, Patel R, Kramer MS, Guthrie L, Vilchuck K, Bogdanovich N, Sergeichick N, Gusina N, Foo Y, Palmer T, Rifas-Shiman SL, Gillman MW, Smith GD, Oken E. Effects of promoting longer-term and exclusive breastfeeding on adiposity and insulin-like growth factor-I at age 11.5 years: a randomized trial. JAMA. 2013 Mar 13;309(10):1005-13.
- Maslova E, Strøm M, Oken E, Campos H, Lange C, Gold D, Olsen SF. Fish intake during pregnancy and the risk of child asthma and allergic rhinitis - longitudinal evidence from the Danish National Birth Cohort. Br J Nutr. 2013 Oct;110(7):1313-25. Epub 2013 Mar 8.
- Patel R, Oken E, Bogdanovich N, Matush L, Sevkovskaya Z, Chalmers B, Hodnett ED, Vilchuck K, Kramer MS, Martin RM. Cohort profile: The promotion of breastfeeding intervention trial (PROBIT). Int J Epidemiol. 2014 Jun;43(3):679-90. Epub 2013 Mar 7.
- Boeke CE, Gillman MW, Hughes MD, Rifas-Shiman SL, Villamor E, Oken E. Choline intake during pregnancy and child cognition at age 7 years. Am J Epidemiol. 2013 Jun 15;177(12):1338-47. Epub 2013 Feb 20.
- Anderson EL, Fraser A, Martin RM, Kramer MS, Oken E, Patel R, Tilling K, . Associations of postnatal growth with asthma and atopy: the PROBIT Study. Pediatr Allergy Immunol. 2013 Mar;24(2):122-30. Epub 2013 Feb 3.
- Oken E. Secular trends in birthweight. Nestle Nutr Inst Workshop Ser. 2013;71103-14. Epub 2013 Jan 22.
- Morisaki N, Esplin MS, Varner MW, Henry E, Oken E. Declines in birth weight and fetal growth independent of gestational length. Obstet Gynecol. 2013 Jan;121(1):51-8.
- Herring SJ, Nelson DB, Davey A, Klotz AA, Dibble LV, Oken E, Foster GD. Determinants of excessive gestational weight gain in urban, low-income women. Womens Health Issues. 2012 Sep;22(5):e439-46. Epub 2012 Jul 17.
- Benjamin Neelon SE, Oken E, Taveras EM, Rifas-Shiman SL, Gillman MW. Age of achievement of gross motor milestones in infancy and adiposity at age 3 years. Matern Child Health J. 2012 Jul;16(5):1015-20.
- Huh SY, Rifas-Shiman SL, Zera CA, Edwards JW, Oken E, Weiss ST, Gillman MW. Delivery by caesarean section and risk of obesity in preschool age children: a prospective cohort study. Arch Dis Child. 2012 Jul;97(7):610-6. Epub 2012 May 23.
- Villamor E, Rifas-Shiman SL, Gillman MW, Oken E. Maternal intake of methyl-donor nutrients and child cognition at 3 years of age. Paediatr Perinat Epidemiol. 2012 Jul;26(4):328-35. Epub 2012 Mar 14.
- Guthrie LB, Oken E, Sterne JA, Gillman MW, Patel R, Vilchuck K, Bogdanovich N, Kramer MS, Martin RM. Ongoing monitoring of data clustering in multicenter studies. BMC Med Res Methodol. 2012 Mar 13. [Epub ahead of print].
- Oken E, Choi AL, Karagas MR, Mariën K, Rheinberger CM, Schoeny R, Sunderland E, Korrick S. Which fish should I eat? Perspectives influencing fish consumption choices. Environ Health Perspect. 2012 Jun;120(6):790-8. Epub 2012 Feb 22.
- Price SN, McDonald J, Oken E, Haines J, Gillman MW, Taveras EM. Content analysis of motivational counseling calls targeting obesity-related behaviors among postpartum women. Matern Child Health J. 2012 Feb;16(2):439-47.
- Karagas MR, Choi AL, Oken E, Horvat M, Schoeny R, Kamai E, Cowell W, Grandjean P, Korrick S. Evidence on the human health effects of low-level methylmercury exposure. Environ Health Perspect. 2012 Jun;120(6):799-806. Epub 2012 Jan 24.
- Taveras EM, Blackburn K, Gillman MW, Haines J, McDonald J, Price S, Oken E. First steps for mommy and me: a pilot intervention to improve nutrition and physical activity behaviors of postpartum mothers and their infants. Matern Child Health J. 2011 Nov;15(8):1217-27.
- Zera C, McGirr S, Oken E. Screening for obesity in reproductive-aged women. Prev Chronic Dis. 2011 Nov;8(6):A125. Epub 2011 Oct 17.
- Tovar A, Chasan-Taber L, Eggleston E, Oken E. Postpartum screening for diabetes among women with a history of gestational diabetes mellitus. Prev Chronic Dis. 2011 Nov;8(6):A124. Epub 2011 Oct 17.
- Tovar A, Guthrie LB, Platek D, Stuebe A, Herring SJ, Oken E. Modifiable predictors associated with having a gestational weight gain goal. Matern Child Health J. 2011 Oct;15(7):1119-26.
- Cohen JF, Rifas-Shiman SL, Rimm EB, Oken E, Gillman MW. Maternal trans fatty acid intake and fetal growth. Am J Clin Nutr. 2011 Nov;94(5):1241-7. Epub 2011 Sep 14.
- Mahaffey KR, Sunderland EM, Chan HM, Choi AL, Grandjean P, Mariën K, Oken E, Sakamoto M, Schoeny R, Weihe P, Yan CH, Yasutake A. Balancing the benefits of n-3 polyunsaturated fatty acids and the risks of methylmercury exposure from fish consumption. Nutr Rev. 2011 Sep;69(9):493-508.
- Moholdt TT, Salvesen K, Ingul CB, Vik T, Oken E, Mørkved S. Exercise Training in Pregnancy for obese women (ETIP): study protocol for a randomised controlled trial. Trials. 2011 Jun 17. [Epub ahead of print].
- Tilling K, Davies NM, Nicoli E, Ben-Shlomo Y, Kramer MS, Patel R, Oken E, Martin RM. Associations of growth trajectories in infancy and early childhood with later childhood outcomes. Am J Clin Nutr. 2011 Dec;94(6 Suppl):1808S-1813S. Epub 2011 Jun 1.
- Donahue SM, Rifas-Shiman SL, Gold DR, Jouni ZE, Gillman MW, Oken E. Prenatal fatty acid status and child adiposity at age 3 y: results from a US pregnancy cohort. Am J Clin Nutr. 2011 Apr;93(4):780-8. Epub 2011 Feb 10.
- Huh SY, Rifas-Shiman SL, Taveras EM, Oken E, Gillman MW. Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics. 2011 Mar;127(3):e544-51. Epub 2011 Feb 7.
- Herring SJ, Oken E. Obesity and diabetes in mothers and their children: can we stop the intergenerational cycle? Curr Diab Rep. 2011 Feb;11(1):20-7.
- Patel R, Martin RM, Kramer MS, Oken E, Bogdanovich N, Matush L, Smith GD, Lawlor DA. Familial associations of adiposity: findings from a cross-sectional study of 12,181 parental-offspring trios from Belarus. PLoS ONE. 2011 Jan 27. [Epub ahead of print].
- van Rossem L, Taveras EM, Gillman MW, Kleinman KP, Rifas-Shiman SL, Raat H, Oken E. Is the association of breastfeeding with child obesity explained by infant weight change? Int J Pediatr Obes. 2011 Jun;6(2-2):e415-22. Epub 2010 Oct 28.
- Oken E, Belfort MB. Fish, fish oil, and pregnancy. JAMA. 2010 Oct 20;304(15):1717-8.
- Bloomingdale A, Guthrie LB, Price S, Wright RO, Platek D, Haines J, Oken E. A qualitative study of fish consumption during pregnancy. Am J Clin Nutr. 2010 Nov;92(5):1234-40. Epub 2010 Sep 15.
- Tse AC, Rich-Edwards JW, Rifas-Shiman SL, Gillman MW, Oken E. Association of maternal prenatal depressive symptoms with child cognition at age 3 years. Paediatr Perinat Epidemiol. 2010 May;24(3):232-40.
- Oken E. Fish intake and mercury levels: only part of the picture. J Pediatr. 2010 Jul;157(1):10-2. Epub 2010 Apr 18.
- Donahue SM, Kleinman KP, Gillman MW, Oken E. Trends in birth weight and gestational length among singleton term births in the United States: 1990-2005. Obstet Gynecol. 2010 Feb;115(2 Pt 1):357-64.
- Herring SJ, Platek DN, Elliott P, Riley LE, Stuebe AM, Oken E. Addressing obesity in pregnancy: what do obstetric providers recommend? J Womens Health (Larchmt). 2010 Jan;19(1):65-70.
- Oken E. Maternal and child obesity: the causal link. Obstet Gynecol Clin North Am. 2009 Jun;36(2):361-77, ix-x.
- Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW. Dietary quality during pregnancy varies by maternal characteristics in Project Viva: a US cohort. J Am Diet Assoc. 2009 Jun;109(6):1004-11.
- Stuebe AM, Oken E, Gillman MW. Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. Am J Obstet Gynecol. 2009 Jul;201(1):58.e1-8. Epub 2009 May 21.
- Oken E, Kleinman KP, Belfort MB, Hammitt JK, Gillman MW. Associations of gestational weight gain with short- and longer-term maternal and child health outcomes. Am J Epidemiol. 2009 Jul 15;170(2):173-80. Epub 2009 May 13.
- Herring SJ, Oken E, Rifas-Shiman SL, Rich-Edwards JW, Stuebe AM, Kleinman KP, Gillman MW. Weight gain in pregnancy and risk of maternal hyperglycemia. Am J Obstet Gynecol. 2009 Jul;201(1):61.e1-7. Epub 2009 Apr 15.
- Taveras EM, Rifas-Shiman SL, Belfort MB, Kleinman KP, Oken E, Gillman MW. Weight status in the first 6 months of life and obesity at 3 years of age. Pediatrics. 2009 Apr;123(4):1177-83.
- Schmidt ME, Rich M, Rifas-Shiman SL, Oken E, Taveras EM. Television viewing in infancy and child cognition at 3 years of age in a US cohort. Pediatrics. 2009 Mar;123(3):e370-5.
- Fasting MH, Oken E, Mantzoros CS, Rich-Edwards JW, Majzoub JA, Kleinman K, Rifas-Shiman SL, Vik T, Gillman MW. Maternal levels of corticotropin-releasing hormone during pregnancy in relation to adiponectin and leptin in early childhood. J Clin Endocrinol Metab. 2009 Apr;94(4):1409-15. Epub 2009 Feb 3.
- Oken E. Excess gestational weight gain amplifies risks among obese mothers. Epidemiology. 2009 Jan;20(1):82-3.
- Herring SJ, Oken E, Haines J, Rich-Edwards JW, Rifas-Shiman SL, Kleinman ScD KP, Gillman MW. Misperceived pre-pregnancy body weight status predicts excessive gestational weight gain: findings from a US cohort study. BMC Pregnancy Childbirth. 2008 Dec 22. [Epub ahead of print].
- Oken E, Braverman LE, Platek D, Mitchell ML, Lee SL, Pearce EN. Neonatal thyroxine, maternal thyroid function, and child cognition. J Clin Endocrinol Metab. 2009 Feb;94(2):497-503. Epub 2008 Nov 25.
- Wright CS, Rifas-Shiman SL, Rich-Edwards JW, Taveras EM, Gillman MW, Oken E. Intrauterine exposure to gestational diabetes, child adiposity, and blood pressure. Am J Hypertens. 2009 Feb;22(2):215-20. Epub 2008 Nov 20.
- Oken E, Rifas-Shiman SL, Field AE, Frazier AL, Gillman MW. Maternal gestational weight gain and offspring weight in adolescence. Obstet Gynecol. 2008 Nov;112(5):999-1006.
- Oken E, Østerdal ML, Gillman MW, Knudsen VK, Halldorsson TI, Strøm M, Bellinger DC, Hadders-Algra M, Michaelsen KF, Olsen SF. Associations of maternal fish intake during pregnancy and breastfeeding duration with attainment of developmental milestones in early childhood: a study from the Danish National Birth Cohort. Am J Clin Nutr. 2008 Sep;88(3):789-96.
- Belfort MB, Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW. Infant growth and child cognition at 3 years of age. Pediatrics. 2008 Sep;122(3):e689-95.
- Taveras EM, Rifas-Shiman SL, Camargo CA, Gold DR, Litonjua AA, Oken E, Weiss ST, Gillman MW. Higher adiposity in infancy associated with recurrent wheeze in a prospective cohort of children. J Allergy Clin Immunol. 2008 May;121(5):1161-1166.e3.
- Gillman MW, Rifas-Shiman SL, Kleinman K, Oken E, Rich-Edwards JW, Taveras EM. Developmental origins of childhood overweight: potential public health impact. Obesity (Silver Spring). 2008 Jul;16(7):1651-6. Epub 2008 May 1.
- Taveras EM, Rifas-Shiman SL, Oken E, Gunderson EP, Gillman MW. Short sleep duration in infancy and risk of childhood overweight. Arch Pediatr Adolesc Med. 2008 Apr;162(4):305-11.
- Oken E, Bellinger DC. Fish consumption, methylmercury and child neurodevelopment. Curr Opin Pediatr. 2008 Apr;20(2):178-83.
- Herring SJ, Rich-Edwards JW, Oken E, Rifas-Shiman SL, Kleinman KP, Gillman MW. Association of postpartum depression with weight retention 1 year after childbirth. Obesity (Silver Spring). 2008 Jun;16(6):1296-301. Epub 2008 Mar 27.
- Oken E, Radesky JS, Wright RO, Bellinger DC, Amarasiriwardena CJ, Kleinman KP, Hu H, Gillman MW. Maternal fish intake during pregnancy, blood mercury levels, and child cognition at age 3 years in a US cohort. Am J Epidemiol. 2008 May 15;167(10):1171-81. Epub 2008 Mar 18.
- Belfort MB, Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW. Maternal iron intake and iron status during pregnancy and child blood pressure at age 3 years. Int J Epidemiol. 2008 Apr;37(2):301-8. Epub 2008 Feb 8.
- Pearce EN, Oken E, Gillman MW, Lee SL, Magnani B, Platek D, Braverman LE. Association of first-trimester thyroid function test values with thyroperoxidase antibody status, smoking, and multivitamin use. Endocr Pract. 2008 Jan-Feb;14(1):33-9.
- Radesky JS, Oken E, Rifas-Shiman SL, Kleinman KP, Rich-Edwards JW, Gillman MW. Diet during early pregnancy and development of gestational diabetes. Paediatr Perinat Epidemiol. 2008 Jan;22(1):47-59.
- Gunderson EP, Rifas-Shiman SL, Oken E, Rich-Edwards JW, Kleinman KP, Taveras EM, Gillman MW. Association of fewer hours of sleep at 6 months postpartum with substantial weight retention at 1 year postpartum. Am J Epidemiol. 2008 Jan 15;167(2):178-87. Epub 2007 Oct 29.
- Kleinman KP, Oken E, Radesky JS, Rich-Edwards JW, Peterson KE, Gillman MW. How should gestational weight gain be assessed? A comparison of existing methods and a novel method, area under the weight gain curve. Int J Epidemiol. 2007 Dec;36(6):1275-82. Epub 2007 Aug 22.
- Oken E, Ning Y, Rifas-Shiman SL, Rich-Edwards JW, Olsen SF, Gillman MW. Diet during pregnancy and risk of preeclampsia or gestational hypertension. Ann Epidemiol. 2007 Sep;17(9):663-8. Epub 2007 May 23.
- Oken E, Taveras EM, Kleinman KP, Rich-Edwards JW, Gillman MW. Gestational weight gain and child adiposity at age 3 years. Am J Obstet Gynecol. 2007 Apr;196(4):322.e1-8.
- Oken E, Taveras EM, Popoola FA, Rich-Edwards JW, Gillman MW. Television, walking, and diet: associations with postpartum weight retention. Am J Prev Med. 2007 Apr;32(4):305-11.
- Oken E, Ning Y, Rifas-Shiman SL, Radesky JS, Rich-Edwards JW, Gillman MW. Associations of physical activity and inactivity before and during pregnancy with glucose tolerance. Obstet Gynecol. 2006 Nov;108(5):1200-7.
- Oken E, Rifas-Shiman SL, Kleinman KP, Scanlon KS, Rich-Edwards JW. Trends in childhood anemia in a Massachusetts Health Maintenance Organization, 1987-2001. MedGenMed. 2006 Sep 7. [Epub ahead of print].
- Kim J, Peterson KE, Scanlon KS, Fitzmaurice GM, Must A, Oken E, Rifas-Shiman SL, Rich-Edwards JW, Gillman MW. Trends in overweight from 1980 through 2001 among preschool-aged children enrolled in a health maintenance organization. Obesity (Silver Spring). 2006 Jul;14(7):1107-12.
- Gold DR, Willwerth BM, Tantisira KG, Finn PW, Schaub B, Perkins DL, Tzianabos A, Ly NP, Schroeter C, Gibbons F, Campos H, Oken E, Gillman MW, Palmer LJ, Ryan LM, Weiss ST. Associations of cord blood fatty acids with lymphocyte proliferation, IL-13, and IFN-gamma. J Allergy Clin Immunol. 2006 Apr;117(4):931-8. Epub 2006 Feb 14.
- Rifas-Shiman SL, Rich-Edwards JW, Willett WC, Kleinman KP, Oken E, Gillman MW. Changes in dietary intake from the first to the second trimester of pregnancy. Paediatr Perinat Epidemiol. 2006 Jan;20(1):35-42.
- Oken E, Huh SY, Taveras EM, Rich-Edwards JW, Gillman MW. Associations of maternal prenatal smoking with child adiposity and blood pressure. Obes Res. 2005 Nov;13(11):2021-8.
- Oken E, Wright RO, Kleinman KP, Bellinger D, Amarasiriwardena CJ, Hu H, Rich-Edwards JW, Gillman MW. Maternal fish consumption, hair mercury, and infant cognition in a U.S. Cohort. Environ Health Perspect. 2005 Oct;113(10):1376-80.
- Oken E, Kleinman KP, Olsen SF, Rich-Edwards JW, Gillman MW. Associations of seafood and elongated n-3 fatty acid intake with fetal growth and length of gestation: results from a US pregnancy cohort. Am J Epidemiol. 2004 Oct 15;160(8):774-83.
- Raby BA, Celedón JC, Litonjua AA, Phipatanakul W, Sredl D, Oken E, Ryan L, Weiss ST, Gold DR. Low-normal gestational age as a predictor of asthma at 6 years of age. Pediatrics. 2004 Sep;114(3):e327-32.
- Oken E, Martinez Stoffel E, Stern LJ. Use of volunteer medical brigades to assess growth in Honduras. J Trop Pediatr. 2004 Aug;50(4):203-8.
- Oken E, Kleinman KP, Berland WE, Simon SR, Rich-Edwards JW, Gillman MW. Decline in fish consumption among pregnant women after a national mercury advisory. Obstet Gynecol. 2003 Aug;102(2):346-51.
- Oken E, Kleinman KP, Rich-Edwards J, Gillman MW. A nearly continuous measure of birth weight for gestational age using a United States national reference. BMC Pediatr. 2003 Jul 8;36. Epub 2003 Jul 8.
- Oken E, Gillman MW. Fetal origins of obesity. Obes Res. 2003 Apr;11(4):496-506.
- Oken E, Duggan C. Update on micronutrients: iron and zinc. Curr Opin Pediatr. 2002 Jun;14(3):350-3.
- Lightdale JR, Oken E. Breastfeeding, food choices, restrictive diets, and nutritional fads. Curr Opin Pediatr. 2002 Jun;14(3):344-9.


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Hey guys i am the new owner of Prius from Cambodia, i have some problem with my 2005 Prius. I want to ask u guys some question about the Hybrid High Voltage Battery. My Hybrid High Voltage Battery is dead so is there any problem if i replace it with the 2008 Hybrid High Voltage Battery? Need Help ASAP
G'day Tyming, I think a lot of us on Prius Chat will be interested in your experience -- tell us a bit about how it failed (any early warning, scan codes etc), how many miles / kM on the clock, any rear-end accidents? Did the IC engine keep you going after the battery "failed", at least for a while? How much will a new or reconditioned battery cost in Cambodia? Will you try fitting it yourself? Good luck in the project - please keep posting.
Well first of all my car was imported from Miami, Florida USA as all of the Prius here in Cambodia were imported from USA too. I don't know the reason about how it failed because when my car imported it was in the collision state, when i take it to the dealer the technician told me that my HV Battery is nearly dead. It is too low to start the engine, it showed only 1 bar in the instrument panel. About the mileage is 30000++ Miles. And for the cost is 630$ for the second hand + 100$ for the service, and there is no new in here. Thank
Just for fun I would try charging the 12V battery first OR replacing it: Then see what your symptoms are. Things may improve and it is much cheaper than immediatelly delving into the high voltage battery.:target:
If the HV battery has been sat for a long time - whilst waiting for shipping in the US, during shipping and then whilst being repaired in Cambodia - it could very well have lost charge. It is feasible that the car could have been stood for 6 - 10 months? It is my understanding that if the HV battery is too low to start the engine then it needs to be charged by Toyota or their dealers/agents using special equipment.
Yeah it sounds like it needs a charge, not a replace...of course nobody knows its condition. Price the charge and weigh the cost vs risk.
You can remove the battery, carefully disconnect the front bus bars (makes the battery safe by isolating the modules in pairs), and use a module recharger/balancer to charge, balance and test each of the 28 modules. Then carefully discharge each module using a 10ohm-10watt resistor and a digital voltmeter to 80% SOC (7.8v). Then reattach the bus bars (carefully - there be high voltages) and reinstall. If any of the modules have low capacity or failed cells, replace them with modules that have gone through the same procedure. (note: a module must be in a pressure clamp while being charged or it will burst. The battery assembly does have all 28 modules clamped) I used a Supermate DC6 (low-cost ~$30 US but needs a 12v supply) to do this on my modules (set the parameters to 5a charge, 7250 mah limit) but it takes 32 hours to do a 3-cycle discharge/charge rebalancing per module so it takes a while to do 28 modules. You can run up to 14 simultaneously (every other module - run a fan to control heat) if you are willing to spend the money for the equipment. Good luck. JeffD
Thanks for your reply, but unfortunately there is no that kind of charging equipment here in Cambodia.
Thank You so much for the advice JeffD. Unfortunately in Cambodia we don't have the ability to do that, because nearly all of the technicians don't even know the Prius at all. As i can say a lot of Cambodian people just know Prius. so my father decided to renew it with the 2008 HV Battery.
So, how did the 12V Battery charge or replacement go? This battery is responsible for many quirky behaviors including, not being able to go to ready, to run the ICE, to charge the HV Battery. etc. :yo:
Hi Tyming, congratulations on your Prius. As GrumpyCabbie said: your car has been stored after the collision, during the storage BOTH batteries (HV battery and small 12V auxiliary battery) has both discharged. During the shipping and delivery the battery has discharged even more. andyprius has really good idea to charge -or- replace 12V small auxiliary battery. Coincidentially the small 12V battery is also in the rear of the car (in the boot on the right side under the plastic/carper cover) Below is very usefull link to Prius Repai r ma nual. For all future repairs and you could share these with your friends who will repair your car, I recommend you to download the Technical Documentation from this link: http://priuschat.com/forums/gen-ii-...ownloadable-toyota-prius-repair-manual-2.html it will be help for you to maintain your Prius. Please charge or replace small 12V battery and let us know how Car behave. Wait with replacement of HV battery until you do some testess as it may not need to be replaced.
Could you please provide link to order this item (recharger/balancer) from US to Cambodia? What sort of 12v supply does it require? would simple converter from Mains 110v/ 220v/230v to 12v suffice? It look's like $30 it's not too expensive and it's worth trying this equipment! Perhaps Tyming could order this item or some forum member in US could accept delivery to US address and forward it via courier/registered mail to Tyming in Cambodia. That way Tyming could charge his HV battery for less than 80$ ($30 + $50 shipping). Makes sense?
Actually your suggestion really make sense but my father decided to replace it and sold that broken HV Battery to the technician that repaired my car for 80$...
Great, does the car drive well now? It's always great to be present while mechanics works on your car and take some educational pictures and post here for us to share them. Was that the large flat HV battery that was replaced or did mechanic just replace that small 12v auxiliary battery in the right hand corner of the car. Remember: this car has two batteries.


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Veterinary Care in Washington Court House, OH
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At Court Street Animal Hospital in Washington Court House, Ohio, our ongoing mission is to provide affordable, high-quality veterinary care in a clean, odor-free environment. Our doctor, Robert G. Vanzant, D.V.M., and experienced staff provide your dogs and cats with the state-of-the-art, compassionate care they deserve in a relaxed, friendly environment.
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Sorry - this product is no longer available
This Boardman Team 29er X7 is no longer available although you may find similar or newer versions below:
Alternative products you may be interested in
Boardman Team 29er X7
The Team 29er takes the essential requirements for the perfect all-round trail bike: climbing ability, controlled descending & singletrack handling, and puts them into a great package centred around the 29er compatible frame design.
Top Features of the Boardman Team 29er X7
- New lightweight alloy frame constructed of triple butted tubing
- Full smooth welding
- 29er XC/Trail geometry designed for 100mm travel forks
- Oversize box section chainstays for increased power transfer
- Tapered steerer for increased stiffness and steering precision
- RockShox Recon Silver 100mm travel forks
- SRAM X7 drivetrain components (FSA Comet double chainset)
- Mavic XM319 wheels and Avid Elixir 3 hydraulic disc brakes
Product Data
Unisex: | Yes |
MTB: | Yes |
Mudguard Mounts: | Yes |
Rear Rack Mounts: | Yes |
Number of gears: | 20 |
Front Axle Type: | 9mm QR |
Cable Routing: | External |
Model Year: | 2015 |
Frame: | Lightweight triple butted alloy with smooth welds |
Bike Weight: | 12.98kg |
Fork Material: | Other |
Fork: | RockShox Recon Silver with 100mm of travel |
Steerer: | Tapered 1 1/8 - 1 1/2 |
Bottle Cage Mounts: | Double |
Front Derailleur Mount: | Band On |
Dropouts: | Replaceable Rear Derailleur Hanger |
Wheel Size: | 29" (622) |
Wheelset: | Mavic XM319 built on Formula hubs |
Groupset Manufacturer: | SRAM |
Shifters: | SRAM X7 |
Front Derailleur: | SRAM X7 |
Rear Derailleur: | SRAM X7 |
Brake Type: | Hydraulic Disc Brake |
Brakes: | Avid Elixir 3 |
Brake Callipers: | Avid Elixir 3 with 180/160mm rotors |
Chainset type: | Double |
Chainset: | FSA Comet 368, 39x27 |
Chain: | KMC X10 |
Bottom Bracket: | FSA MegaExo |
Cassette: | SRAM PG1050, 10 speed |
Cassette Range: | 12-36 Tooth |
Handlebars: | Boardman E4P |
Stem: | Boardman E4P |
Seat Post: | Boardman E4P, 31.6mm x 350mm |
Saddle: | Boardman E4P |
Tyres: | Continental X-King 29 x 2.2 |
Pedals: | Supplied with basic flat pedals |
Warranty: | 2 year frame warranty, 12 month parts warranty |
Fork Type: | Unknown |
The frame and drivetrain
The frame features smooth welds, double water bottle bosses and a lightweight alloy, triple butted, construction with a set of RockShox Recon Silver 100mm travel forks featured at the front-end. The shifting is taken care of via SRAM's X7 2x10 components (shifters and mechs) giving you 20 gears to play with. At it's centre is the double chainset from FSA and their Comet model. This uses a ring combination of 39/27 and works well with the 12-36 rear cassette. A wide selection of gears is at your disposal enabling you to tackle most off-road terrain situations with relative ease.Avid Elixir brakes and Continental tyres
The Avid Elixir 3 hydraulic disc brakes provide awesome stopping power, which you'll need as you hurtle down the trail. Carving their way through the trail (and mud) are a set of Mavic XM319 wheels and these come supplied with a pair of Continental X-King 29 x 2.2 tyres.Faster and bigger wheels
The 29" wheel has established itself as the most popular MTB wheel size for good reason. The benefits are simple to understand. A bigger wheel rolls over bumps better than a smaller wheel: this increases control, builds confidence, maintains momentum and makes you faster. The big wheels also provide extra traction in corners and off cambers as more rubber is in touch with the ground.Built, tested and fine tuned
At Wiggle our dedicated team of qualified mechanics build, test and fine tune each Team 29er bike before it is carefully packaged for despatch to ensure yours arrives in perfect working order. To find out which size you need check our size guide below.
Note: Manufacturer may reserve the right to change the specification of that listed or shown on this page.
About Hard Tail Mountain Bikes
If you are looking for a mountain bike that can comfortably negotiate bumpy, cross-country, singletracks yet still be quick and nimble on the road, then a hardtail bike is for you. Hard tail mountain bikes have front suspension, weigh less and are more pedal efficient when the terrain is smooth, than full suss bikes. A good number of single track racers still use hardtails for these reasons. At wiggle, we stock a wide variety of hardtail mountain bike brands including Felt, Focus, GT, Kona, Mongoose, Saracen and more. So if you are searching for superb, quality spec hardtail mountain bikes at great value with a legendary service to match, then you've come to the right place.
About the Boardman brand
The latest exciting range of Boardman bikes inspired by a true
cycling legend.
From mountain and road to performance hybrid and track bikes there is
something in the range for everyone - so no matter what kind of bike you
ride, or what level you're at, Boardman keep your cycling experience at the
forefront of their minds.
Chris Boardman MBE, record holder of the fastest
ever Tour de France Prologue, achieved many victories throughout his
illustrious career including World Champion, National Champion (at both
Junior and Senior level winning over 30 titles) and his iconic Olympic Gold
Medal winning performance aboard the famous Lotus track bike.
Chris has represented his country at four Olympic Games, the Commonwealth
Games and the World Championships, and went on to work at the cutting edge
of bike design with the record breaking Beijing Olympic track team and now
brings his expertise to you through Boardman Bikes.
Small | Medium | Large | ||
Height | cm | 155 - 170cm | 173 - 178cm | 183cm |
Inside Leg | cm | 69 - 76cm | 74 - 86cm | 84cm |
Top Tube (Virtual) | mm | 590mm | 610mm | 630mm |
Seat Tube - Center to Top | mm | 406mm | 457mm | 483mm |
Head Tube | mm | 100mm | 110mm | 110mm |
Head Tube Angle | Degrees | 69° | 69° | 69° |
Seat Tube Angle | Degrees | 73° | 73° | 73° |
Chainstay Length | mm | 435mm | 435mm | 435mm |
Fork Travel | mm | 100mm | 100mm | 100mm |
Handlebar Width | mm | 680mm | 700mm | 700mm |
Stem Length | mm | 70mm | 70mm | 70mm |
Crank Length | mm | 170mm | 175mm | 175mm |
Delivery Information
The delivery options available for shipping this product along with the contents of your basket to USA are:
International Delivery
Wiggle ships to over 100 countries. To see what delivery options are available for other destinations you can update your delivery destination via the International Options feature at the top right of the website.
Goods are shipped from the UK. Does not include delivery charges, local taxes or import duties, if applicable.
More information on International delivery options
Returns Information
We will happily refund or exchange any item purchased on Wiggle if returned to us within 365 days, excluding Wiggle gift vouchers and personalized products except when faulty.
Returned goods must be unused and supplied with their original packaging, unless the goods are faulty.
Wiggle will pay the return postage costs for any faulty items.
More information on Wiggle's return policy
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Posted in Convention
The finale programming schedule for the Ohio Comic Con has been published. Since former Firefly colleague Ron Glass has joined the convention as well, they will have a panel together on Saturday at 5.00 pm. Photo op tickets with both of them are still available for $70 here. The recommended VIP ticket for $199.99 for Summer is still available here, as well as the Serenity ticket for $249.99 here. |
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Jedi Knight III
QuakeConnect v1.0
Well this certainly is a nice mod, once you get it working. I spent ages trying to get this to work. I'm a bit of a dumb ass when it comes to these types of mods, but it was worth getting it to
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