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|All Children's Honors DAISY Award Winners
On Thursday, July 22nd, All Children's Hospital honored our DAISY Award winners and nominees at a special recognition event in the Outpatient Care Center. The DAISY award is presented monthly to nurses who have provided extraordinary care, based upon patient, family, staff or physician comments submitted from BeACH and the GetWellNetwork. This year's event included a presentation by special guest, Tena Barnes Carraher, Co-founder of The DAISY Foundation. Tena was the wife of J. Patrick Barnes, who died at age 33 of complications of the blood-clotting disorder, Idiopathic Thrombocytopenic Purpura.
Patrick's family created the foundation in his memory in January 2000, focusing on the one positive thing they could hold onto from the experience of his eight-week illness – the skillful and amazingly compassionate care he received from his nurses. The DAISY Award For Extraordinary Nurses now recognizes the super-human work nurses do every day, all over the country. DAISY is an acronym for Diseases Attacking the Immune System.
In addition to honoring the past year's DAISY Award Winners and Nominees, the July DAISY Award was presented during the celebration to Kristen Kelly, R.N. Helping present the award was 8-year-old Aiden and his mother Lisa Hawk. Lisa nominated Kristen for her extraordinary nursing this past April, when Aiden developed sepsis due to a tear in his stomach lining. Lisa credits Kristen's fast and skillful actions in administering IV antibiotics with saving Aiden's life.
Aiden and his younger brother Mason, also an All Children's patient, presented bouquets of daisies to this year's award winners, following remarks from Arnie Stenberg, Executive VP & COO, and Hella Ewing, VP & CNO.


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Politics is the art and science concerned with government. It involves the activities associated with forming, directing and administering an area or political unit, and conducting relations with other political leaders. Political science usually refers to the analysis behind government and administration, political philosophy deals with the theory and ideology behind it, and politics often denotes the implementation of it. The disciplines of political science and jurisprudence are often entwined, as politics and governance naturally beget laws.
The history of politics parallels the history of civilization, as humans have had overseers since nomadic tribes developed. While several political treatises were written across ancient empires, Plato's "The Republic" is generally seen as the work that spurred the creation of political theory. Many political models and ideologies have emerged and been implemented since the time of Plato. (Photo: Shutterstock)

subset: commoncrawl


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Boat Steering Systems
Lavezzi Steering Wheel w/ Silver Inserts - Uf …Orig:$339.99Now $141.97
SeaStar Outboard Hose, 4' - SeaStar Solu …Orig:$145.41Now $120.33
Lavezzi Steering Wheel w/ Black Inserts - Ufl …Orig:$309.99Now $111.97
3/8" Nylon Tubing, 75' - SeaStar So …Orig:$181.58Now $154.34
SeaStar Outboard Hose, 8' - SeaStar Solu …Orig:$145.41Now $120.33
Gland Kit, BayStar Compact Cylinder - SeaSta …Orig:$95.82Now $76.66
SeaStar Pro, Outboard Hose, 16'(pr) - Se …Orig:$267.01Now $226.96
Lavezzi Steering Wheel w/ Black Inserts and C …Orig:$339.99Now $123.97
Bulkhead Hyd. Hose Kit, 2"X20' - Se …Orig:$248.70Now $211.40
Hyd. Cylinder, Outboard, Front Mount, Some OM …Orig:$784.95Now $658.63
SeaStar Outboard Hose, 22' - SeaStar Sol …Orig:$208.55Now $169.68
3/8" Nylon Tubing, 25' - SeaStar So …Orig:$74.98Now $63.73
SeaStar Oil, Quart - SeaStar SolutionsOrig:$25.12Now $19.22
Ace Steering Wheel, 13" - SeaStar Solut …Orig:$37.18Now $31.08
Kicker Motor Steering Connector Quick Release …Orig:$19.99Now $16.87
Zinc Adjustable Outboard Kicker Motor Steerin …Orig:$34.49Now $29.32
Seal Kit For Outboard Front Mount Cylinder W/ …Orig:$128.23Now $96.17
Helm Fill Kit - SeaStar SolutionsOrig:$19.29Now $15.14
Stainless Steel Adjustable Outboard Kicker Mo …Orig:$66.99Now $56.94
Boat Steering Cable Swivel Pulley with Strap …Orig:$13.39Now $11.35
Steering Cable Boot SeaDog LineOrig:$7.50Now $6.20
Zippered Rigging Sleeve, Black, 48" - T- …Orig:$67.99Now $48.99
13" Soft Grip Wheel With Cap - AttwoodOrig:$52.89Now $41.30
Stainless Steel Steering Wheel Maneuvering Kn …Orig:$28.25Now $23.34
Boating Know How
Learn About the Pros and Cons of Each Marine Steering System
In boating, there are typically three styles of boat steering systems: rack and pinion, rotary, and hydraulic. Each steering system is built with different advantages that cater to a variety of boat and ... read more engine applications. Each steering system has unique characteristics and features that set them apart and makes them useful under varying circumstances. They are set apart most notably by the shape of the component behind the helm. It is suggested that when replacing boat steering parts, you should replace it with the system that was originally installed. Rack and pinion systems should be replaced with a rack and pinion only, rotary with rotary, and hydraulic with hydraulic. There are many scenarios to consider with every boat steering system that will help boaters decide which will work the best for their requirements.
Each of these boat steering types are unique in their respects, fulfilling different purposes under different circumstances and requirements. As previously mentioned, it is crucial in cases of replacing the entire system or its components is to replace it with the same type of system or consult with a boating mechanic or a local technician as changes from the original boat steering system may affect handling of the boat. read less
Rack and Pinion Boat SteeringRack and pinion systems take on a long rectangular shape "rack" behind the helm. Many boaters will agree that rack and pinion boat steering is easier to control. Fewer components and pieces are required in a rack and pinion steering system, making it more straightforward and efficient. The construction is very basic, with a pinion gear attached directly into the helm shaft engaging a rack gear in the housing. However, while there are many advantages to rack and pinion boat steering systems, there are some setbacks as well. For instance, rack and pinion systems are more susceptible to damage upon impact, and because of the long housing rack, it will not fit behind many dashboards.
Rotary Boat SteeringRotary style boat steering has a circular casing behind the helm and works best for smaller engine applications that are below 150 horsepower. Rotary steering systems are more adaptable in construction, allowing component installation to accommodate for tight space constraints behind the dashboard. The angling in rotary boat steering is a lot more precise and responsive than rack and pinion boat steering. On the other hand, rotary steering systems are usually more expensive than rack and pinion systems, as well as heavy.
Hydraulic Boat SteeringHydraulic steering, the final of the three main steering systems, has a round shape behind the helm and is very accessible and easy to steer. Hydraulic boat steering systems are primarily recommended for larger engines that are over 150 horsepower due to their superior strength and durability. Hydraulic boat steering hoses are color coded in red for the port (left) side of the boat and green for the starboard (right) side of the boat, making identification easier for installation. However, it is important to remember that hydraulic systems are not completely indestructible; systems with liquids prone to leakage if not maintained properly. Also, incorrect installation and overfilling the helm with liquid could potentially cause damage to the boat or engine.
Each of these boat steering types are unique in their respects, fulfilling different purposes under different circumstances and requirements. As previously mentioned, it is crucial in cases of replacing the entire system or its components is to replace it with the same type of system or consult with a boating mechanic or a local technician as changes from the original boat steering system may affect handling of the boat. read less


text: [druid tank speaking here] So us tanks get about two thirds more threat? I've been tanking Zuls recently with dps outgearing me quite some, and I had to struggle for threat, but I liked it. It made me proud that I could do whatever the fight asked of me AND push out enough threat to keep aggro, even though it was the first time I went into Zuls. Plus it makes sense you know? I'm the tank, but that guy over there shooting fire and ice at you is much more dangerous in actual fact.. Yet since I'm a big scary bear and also hitting you (like a truck instead of like a train) you're still attacking me. I think this story can get away with this current factor three, but with a factor five? Don't think so. So Blizzard better give us something back for it. Luckily, it looks as though they are going to do that, with survivability becoming more active instead of just passively stacking stats. I'm hoping they'll do this right. And if they do it right, they're gonna give us something back in terms of gearing. Right now it feels pretty boring to me. Hey look I got an upgrade! Gem Agi/Sta, reforge anything that isn't crit or mastery to dodge. That's pretty much stat-stacking to me. What Greg Street is hinting at (you'll need hit/exp/crit/perhaps even haste for generating resources which you'll then use for your surviving abilities) sounds appealing to me. Unfortunately for us tanks, they're first taking something away from us, and in 'a later patch' giving us something back. From the viewpoint of my hunter though, rejoice. Worrying about threat all that much when you're DPSing, while it might sound logical, feels stupid.


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Home Environment
Step on to the inviting softness of a sumptuous ring-spun cotton rug that is crafted from very fine yarns in an incredibly plush 1800-grams-per-square-meter weight. The reversible rug will give a luxurious look and feel to any bath decor.
Luxuriously, lavishly soft, the towels and bedding from Home Environment will transform your bed and bath rituals into indulgent, pampering experiences. Its exceptionally absorbent towels are wonderfully bulky yet blissfully lightweight; slipping between its sheets is akin to nestling in a velvety cocoon.


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- Current Students
- Future Students
- Florence Tour
- OSMA Scholarship
Information For:
Quick Links:
Contact Us:
CCI Kent State
Kent State University
131 Moulton Hall
P.O. Box 5190
Kent, OH 44240
Apply Now for SLIS ScholarshipsPosted Aug. 27, 2012
The deadline is Friday, Sept. 28, to apply for one of 17 scholarships now available in the School of Library and Information Science. A total of $13,750 will be awarded to eligible students.
Scholarship descriptions and applications are available on the SLIS website. Applicants should read carefully the criteria for each scholarship to make sure they are eligible. For all LIS scholarships, awards are open to full and part-time students with a minimum of 3.25 GPA in all collegiate coursework.
All applications are fillable PDF files. Applicants must enter the requested information, save the file and attach it to an email, addressed to firstname.lastname@example.com. The email must be received by Friday, Sept. 28, 2012.


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The leasing pages on What Car? are monitored and controlled by What Car? Leasing a 'Vertu Motors Third Limited Company'.
All of the deals within these pages are advertised by franchised dealers from around the UK.
Leasing a Volkswagen Golf Plus couldn't be easier, choose the Volkswagen Golf Plus deal you like and phone the Volkswagen dealer. To see more information on the Volkswagen Golf Plus such as options and standard features click the more details button. Cheap Volkswagen Golf Plus car leasing and contract hire offers, Lease Cars only compares Volkswagen Golf Plus leasing offers from UK Volkswagen dealers.


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A Shelby business and several residents of nearby towns were part of a massive synthetic drug trade investigation that led to the seizure of more than $1 million and various drug products Wednesday.
Details of the investigation, which spanned 33 states, were released Wednesday afternoon during a news conference with the U.S. Attorney's Office, the Drug Enforcement Administration, the Cleveland County Sheriff's Office Vice/Narcotics Unit and the Cherokee County (S.C.) Sheriff's Office.
An Ellenboro resident and two Gaffney, S.C., residents were arrested as part of the nationwide investigation, dubbed Project Synergy. That investigation included searches of stores and smoke shops in various parts of the state.
Smokers Edge on Dixon Boulevard in Shelby and Carousel Music in Gaffney were included in indictments in the investigation, which also contained a forfeiture allegation that notifies the defendants of a potential money judgment of $1 million, according to a statement from the U.S. Attorney's Office.
Money seized, three charged
Steven David Petty, 42, and his wife, Sirena Petty, 39, both of Gaffney, were arrested Wednesday morning and charged with conspiracy to possess with intent to distribute and distribution of a schedule I controlled substance.
Jessica Owen Weast, 27, of Ellenboro, is a former employee of the Pettys. She was arrested Wednesday morning and faces the same charges.
Each defendant faces a maximum of 20 years in prison and a $1 million fine. All three were processed at a federal facility in Greenville, S.C.
DEA agents searched the Pettys' home in Gaffney as well as both smoke shop businesses on Wednesday morning. More than $600,000 was seized from nine bank accounts associated with the Pettys, and agents reported finding more than $800,000 in cash from the couple's home.
The investigation also included several purchases by undercover agents at the Smokers Edge of controlled substances commonly referred to as K2 and bath salts.
In 2012, while working on a story about synthetic marijuana, The Star was able to obtain the product at Smokers Edge in Shelby.
Massive investigation
The investigation was part of a larger nationwide crackdown by federal and local law enforcement agencies aimed at dealing with synthetic drug trafficking.
As part of the largest such operation to date, the DEA has executed more than 300 search warrants and more than 150 arrest warrants in recent weeks.


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GRANITE FALLS — In yet another rain-postponed game, Caldwell County Post 29 scored five runs in the bottom of the fifth on its way to a mercy rule 12-2 win over Gastonia Post 23 in Game 2 of the Area IV American Legion opening-round playoff series.
In the Game 3, Post 29 scored four runs in the second inning and held off a Post 23 rally for a 4-3 win and a 2-1 series lead heading to Gastonia.
The Game 2 five-run Caldwell County (19-7) explosion began with four straight walks from Gastonia pitcher Trey Stallings that allowed Aaron Moore to score and a wild pitch from relief pitcher Storm Payne scored Nick Shields. Post 29 batters Nic Horning and Taylor Purus added two RBI singles and another wild pitch scored Horning to give Post 29 a commanding 8-2 lead after five innings.
"It was a well-pitched game by Luke Watts and offensively we produced better than we have been," Post 29 head coach Brandon Banks said. "We made some adjustments, hit the ball, moved runners and scored runs and that's what it takes right there. If we can do that, we'll be OK."
Post 29 struck first in the bottom of the opening frame on a Horning two RBI triple that scored Colton Henthorne and AJ Watson. Later, Horning stole home to put Caldwell County ahead 3-0 after one inning.
Gastonia (9-12) chipped into the lead, adding two runs in the second and third to cut the deficit to 3-2.
After the five-run fifth inning, Caldwell County added four runs in the final two frames to force the mercy rule.
"Once again we had a rain out and it effects everybody with any layoff," Post 23 head coach Josh Cobb said. "I thought both teams came out prepared. For whatever reason, we just didn't have it the first game."
Horning led the way hitting for Caldwell County recording four RBIs on four hits and tallying three runs.
In a complete game, Luke Watts earned the win in Game 2, giving up two runs on seven hits while striking out 10 batters and walking two.
"Our pitching has been there all year, I don't have any doubt in that department, we've just got to score runs behind them," Banks said. "If we do that, we'll win ball games."
Post 23 Starting pitcher Trey Stalling took the loss in Game 23, giving up seven runs on three hits while striking out three and walking eight.
In Game 3, Post 29's four runs in the bottom of the second proved to be enough to hold off Gastonia.
"We just have to keep playing like we are playing right now with hitting the baseball," Banks said. "We're pitching it well, playing good defense and if we can keep those things going we should be OK."
"They're going to play hard and we're going to play hard, just look for a good competitive ball game tomorrow."
Caldwell County struck first on an error that allowed John Austin to take home, a Henthorne RBI single and a Watson two-RBI double to center gave Post 29 a 4-0 lead after two innings.
Gastonia wouldn't let this game get away from them as Wes Wood began the rally with a leadoff homer in the top of the fourth cut the deficit to 4-1.
Wood stuck again later in the sixth inning. This time, he connected for a sacrifice fly to score teammate Garrett Lowery to trim the deficit in half. A Boone Owenby fielder's choice RBI in the bottom of the eighth scored Lowery to pull within single run 4-3.
However, Post 23's march to tie the game was cut short in the top of the ninth as Post 29 retired the fourth batter with one left on base.
Horning got the win for Post 29 in Game 3 striking out nine and walking two while giving up only three runs on eight hits in 8 2/3 innings.
"He did a great job, I knew he would," Banks said. "He has a lot of confidence. He is a real poised player and I don't expect anything less from him."
For Post 23, Wood took the loss, giving up four runs on nine hits while striking out four and walking three in eight innings of work.
"We had that one rough inning where we gave up four runs, but I'm extremely proud of Wes, he went out there and battled all night," Cobb said. "We chipped away but we just didn't have enough time. Hopefully, it is something we can build on."
If Caldwell County wins Game 4 Monday, they will advance to the second round of the Area IV playoffs. Game 4 will be at Gastonia with a 7 p.m. start.


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Holiday Inn Express San Diego South – Chula Vista hotel is conveniently located off I-5 and is within minutes from San Diego International Airport, the Convention Center, downtown (Gaslamp District), SeaWorld, San Diego Zoo, world famous beaches, a wide variety of restaurants, shopping and entertainment.
Experience luxurious accommodations and a contemporary style. Guests will appreciate free parking and a host of amenities including plush new bedding, a complimentary hot breakfast buffet,
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Experience luxurious accommodations and a contemporary style. Guests will appreciate free parking and a host of amenities including plush new bedding, a complimentary hot breakfast buffet, free wireless Internet, Business Center, Fitness Room, outdoor heated pool and whirlpool.
Our exceptional location places you within a short distance from the ARCO Olympic Training Center, Knott's Soak City Water Park, Historic Old Town, Balboa Park, Seaport Village, PetCo Park, Qualcomm Stadium, Coronado Island, Pacific Beach, LaJolla, shopping malls such as Westfield Plaza Bonita, Fashion Valley, Mission Valley and Horton Plaza, USS Midway, Marine Corps Recruit Depot (MCRD), Point Loma, the Maritime Museum, as well as universities such as University of San Diego (USD), San Diego State University (SDSU) and University of California San Diego (UCSD).
Nearby businesses are Goodrich, US Naval Base San Diego 32nd Street, Ball Automotive Group, NASSCO, General Dynamics, Raytheon and Oxyheal Health Group. The Maquiladora industry is 10 mi south.
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(25) Customer Reviews
Price Range: USD $96.99 to $242.99
Passenger Cars
All Season
High Performance
Azenis PT722 is Falken's first ultra high performance,
all-season tire, with a deep tread depth and long lateral groove,
for anti-hydroplaning and stability in the wet.
The asymmetric tread pattern provides tremendous
comfort while Falken's Treadwear Indicators regularly
inform drivers of proper rotation timing, thus maximizing
wear performance for better mileage and longer life. Targeted
toward luxury vehicle owners, the PT722 is available in
44 sizes from series 30 to 60, with diameters ranging from 16 to 20-inch.
NEWLY DEVELOPED WIDE STEEL BELTS that are stronger than normal
cord, offer better wear and performance.
LONG LATERAL GROOVE reduces hydroplaning and provides
excellent driving stability in wet conditions.
UNIQUE RIB GROOVE inhibits irregular wear by enahancing rigidity of the tread.
DEEP TREAD DEPTH improves mileage and increases longevity.
JOINTLESS NYLOn CAP PLY & LAYER increase durability at speed and in wet conditions.
HIGH DENSITY CASING PLY improves wear resistance.
TREADWEAR INDICATORS regularly informs drivers of proper rotation timing.
All orders are verified for fitment guarantee.
The are installed on the car only for one week. So fare the dry, wet snow and comfort are excellent. should be able to give you a better review in a couple months.
Size: 245/45R20
Vehicle: 2011 Lincoln MKS 4 Dr Sedan EcoBoost 20" option with 200 KM of Tire Wear
made this review on 4/5/2015 and is a
Confident, Experienced Driver
Big decision buying tires. Had original Continental tires. Were away at 38,000. Needed tires to drive home from Florida. Experienced all four seasons. Felt comfortable in three seasons was cautious during the snow. But who drives fast in the snow. Good quality tire for the money recommend them.
Size: 235/50R18
Vehicle: 2013 Ford Escape 4 Dr Sport Utility SE 18" option with 7240 KM of Tire Wear
made this review on 1/30/2015 and is a
Confident, Experienced Driver
BMW 535I great handling and traction. Have lasted 25k already and not even half way on tread. High speed handling and confident, surprised by Falken tire
Size: 245/40R19
Vehicle: 40225 KM of Tire Wear
made this review on 1/13/2015 and is a
Aggressive Driver (Hard Cornering)
Not sure how these tires have good ratings, we just put them on a 2007 jetta and I'm very disappointed. All the dry/wet/snow rating doesn't matter because these tires have a 1 ply sidewall and feel wishy washy like riding on 4 flat tires. I won't make that mistake again.
Size: 225/45R18
Vehicle: 483 KM of Tire Wear
made this review on 6/16/2014 and is a
Confident, Experienced Driver
Size: 245/45R19
Vehicle: 32180 KM of Tire Wear
made this review on 5/2/2014 and is a
Confident, Experienced Driver
All orders are verified for fitment guarantee
Verified by tire & wheel expert
We honor the fitment.
If your vehicle information is present on your order, we will verify fitment to qualify you for the 100% Fitment Gaurantee. If your order arrives and the tires or wheels do not fit your vehicle, we will honor an exchange and pay for freight for the return and new set. If there are concerns about your order we will contact you about potential fitment issues.
Our Fitment Gaurantee applies to orders that come with full vehicle information (Year, Make Model, Sub-Model). If you are confident that the vehicle information is not necessary for your order, we will proceed without checking fitment. However, in the event there is a fitment issue with your order, we will honor a return/exchange, as per our return / refund policy. You will be responsible for freight charges (both ways).


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Image may not necessarily represent the actual item -Please read the title and description before purchasing.
Last Price: $990.81
Guns can only be shipped to a location within the USA that holds an FFL (Federal Firearms License) - this can be your local gun shop, pawn shop, sporting goods store, etc. Your local gun dealer will then handle the transfer of the firearm to you.
Please ensure that you have familiarized yourself with the process before placing a firearm order. Please note that you must confirm your acceptance of all of these policies to place a firearm order:
This LAR-15 features a 16" chrome moly barrel threaded with A2 flash hider. Also included in this impressive rifle is a over molded rubber grip, a two stage match trigger, and a RRA Tactical CAR stock. This series offers the option of either a carbine-length or mid-length gas system with corrisponding CAR or Mid-Length handguards.
Please Note: This description may represent a general group of products. Please read the item's title and specifications for more specific information about this particular item.
Action : Semi-AutomaticCaliber : 9mmBbl Length : 16"Capacity : 30+1Trigger : Single-StageSafety : LeverOAL : 36"Weight : 7.1 lbsStock : 6-Position CollapsibleFinish : Black
Reviews of Rock River Arms LAR-9 Mid-Length A4 Rifle 9MM1855, 9mm, 16 in Chrome Moly BBL, Semi-Auto, Blk 6-Pos Collapsible Stock, Blk Finish, 30+1 Rds
As thanks for your feedback, we will send you a $5 coupon code for writing a product review!
Just click the 'Write Review' button on the product's information page.
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Firearms | Handguns | Rifles | Shotguns | Tactical Rifles | Tactical Shotguns | All Manufacturers


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fitness wear with hidden shaping benefits
Getting slim at the gym takes time—so why not look more sleek while you're working on it? These fashionable fitness pants not only look modern and chic, but also feature a hidden layer of mesh compression to help raise your rear, smooth your hips and trim your thighs. They're stylish enough to sport while doing lunges or doing lunch, but they don't just look good: they're serious per-'firm'-ance wear, designed with moisture-wicking and antimicrobial properties. Activewear, meet shapewear! Supplex/lycra blend. Mesh lining: nylon/spandex blend.
• Look better before you even start your workout
• Mesh compression shapes the butt, hips and thighs
• Style lines create a visually slimming effect
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This is the right place to get up close and personal with Mr. Charlie Angus as he relates his services from assistance in birth certificate and passport claims to news and press releases on his advocacy on various current issues. In 2005, Mr Angus could be reached at two locations, Timmins and Kirkland Lake with the addition of Ottawa - House of Commons recently.
Charles Joseph Angus, popularly known as Charlie Angus, is a Canadian writer, broadcaster, musician and politician. He began as a community activist in Toronto.He juggles his time running a homeless shelter, singing for a punk rock and folk-oriented band, editing a magazine and writing a book on regional history. He was a recipient of the Jackie Washington Award for his outstanding contributions to Northern Ontario Culture.
In his political career, he was the NDP parliamentary critic for Canadian Heritage from 2004 to 2007, critic for Agriculture from 2004 to 2006, critic for Public Works and Treasury Board in 2007 and NDP spokesman for digital issues such as copyright and internet neutrality.
Physical Address:
Ottawa:House of Commons Ottawa Ontario K1A 0A6
Timmins:202 - 60 Wilson St Timmins P4N 2S7
Kirkland Lake:20 Duncan Ave South PO Box 276 Kirkland Lake P2N 3H7


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The Maldives Marketing and Public Relations Corporation (MMPRC) opens bid for the designing and construction of the Maldives Stand at China International Travel Mart 2012(CITM) Details are stated below; Stand Area: 216 m2 (floor plan attached) Stand no. 5E04, Hall 5 Stand requirements: attached
>The design should be in accord with the Maldives Stand Design Requirement and Stand Build Regulations of CHINA INTERNATIONAL TRAVEL MART 2012(CITM)
>A cost breakdown of the price quoted needs to be submitted.
>It is required to quote the price for stand construction for year 2012 with cost break down.
>Additional services such as electricity and internet should be ordered by the contractor on behalf of MMPRC (with prior approval).
>All documentation necessary for stand design approval should be submitted by the construction company before the deadline specified by CHINA INTERNATIONAL TRAVEL MART 2012(CITM)
>MMPRC will pay 50% of the total price quoted within 14 days of confirming the contract. The balance payment will be settled within 14 days of the completion of the project. That is, 14 days after the stand has been handed over to MMPRC.
>The completed stand has to be handed over to MMPRC two days before the opening of the exhibition.
>Any cost which may arise outside of the above quotation shall be borne by the construction company.
> The deadline to submit the proposal is 30 September 2012 and should be sent electronically to email@example.com, firstname.lastname@example.com, & firstname.lastname@example.com


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Elsie Green House & Home is a place to shop, learn, get organized and find inspiration for all your house and home projects big or small.
Every purchase you make from Elsie Green benefits environmental causes through donations to 1% for the Planet. That's how easy it is to do some good. Learn more..
We've moved to a new studio, and we're ready for some visitors. If you'd like to drop by and see our collection in person, please do. Find the address and hours here.


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Williams High School dominated the middle portion and held on to win the battle for city supremacy.
Four unanswered touchdowns — three of them by Christian Miles — in the second and third quarters pushed Williams to a 39-33 victory against Cummings High School in football Friday night at Burlington Memorial Stadium.
"We pretty much ran the same three plays all night," said Miles, who ran for 145 yards. "We didn't really change from it. (When the offensive line) gets a good push off and open up lanes, it's pretty much Jamieon (Harvey) or me or Tereak McCray running all day."
Harvey ran all night to the tune of a game-high 146 yards and scored Williams' first two touchdowns. McCray had one carry and one reception, with his catch proving pivotal.
McCray hauled in a 79-yard touchdown catch from Miles — the only pass of the game for Williams (2-1) — on the Bulldogs' first possession of the third quarter. That came after a botched field goal attempt by Cummings (0-3).
"Coach (David Green) told me, 'We're going to throw the ball to Tereak,' " McCray said. "It was a score that we needed, that was a good help to boost the morale of the team."
Miles tacked on a 7-yard touchdown in the last minute of the third quarter, giving his team a 32-14 lead.
Cummings came roaring back after being silenced in the second and third quarters, with Tevin Smith tossing a 51-yard touchdown pass to Quae Pinnix on the first play of the fourth quarter.
It was one of seven catches for the junior Pinnix, who finished with a career-high 161 yards.
"Nothing is safe. They've got athletes over there, they're well coached," Green said of Cummings.
The Bulldogs had a little more with Miles.
The senior quarterback slashed in for a 31-yard touchdown run through the right side of the field less than a minute after Pinnix's touchdown. That proved to be the game-winning score and was one of the numerous times Miles made the correct decision in running the Bulldogs' spread-option attack.
"I've gotta give it to Christian over there," Cummings coach Steve Johnson said. "He did an amazing job, and I told him at the end of the game, it's the best I've ever seen him play. He rode the ball in very well, hid the ball very well and made his reads very good."
The Cavaliers kept coming, with Desmond Satterfield pounding in a 1-yard touchdown run. When Smith ran in for his second touchdown of the night with 1:39 left, Cummings was an onside kick recovery away from having a chance to pull off a three-score comeback.
But Williams' Tyrek Enoch fell on the onside attempt and a first down thanks to an offside penalty on third-and-4 delivered enough breathing room for the Bulldogs.
Neither team punted in a first half that seesawed to the tune of five touchdowns and three turnovers.
Williams took an 18-14 lead with 19 seconds left in the half when Miles plunged in from 7 yards out. Between his 14 carries and 19 carries by Harvey, those two were the only players to record offensive statistics for the Bulldogs in the first half.
Satterfield ran for 80 yards for Cummings. Smith passed for 278 yards and added 77 rushing yards.
Cummings was without senior Will Richardson, who starts along the offensive and defensive lines.
Williams running back / linebacker Jaylin Jeffries suited up but did not play. Jonathan Huerta, a starting defensive tackle, was on crutches with a walking boot on his left leg.


text:
Individual International Exchanges
Iowa State partners with veterinary schools all over the world! Let Katie Davidson know where you want to go and she will put you in touch with a partner institution or create a partnership for your experience.
In past years, students have studied in Ireland, Spain, Australia, Mexico, the Philippines, Costa Rica, and many more!
The idea time for individual exchanges is during your fourth year clinical rotations. Minimum time abroad is 2 weeks. Maximum time depends on your rotation schedule and vacation weeks.
Contact Katie Davidson at firstname.lastname@example.com or 515-294-1501 for more information.


text: Hatch Replacement Hydration Reservoir for Hatch HUEX100 Water Pack has been discontinued by Hatch and is no longer available. Our product experts have helped us select these available replacements below. You can also explore other items in the BDU Uniform, Mens and Womens Apparel, Uniforms categories yourself to try and find the perfect replacement for you!


text:
(65 Reviews) Read Reviews
Questions & Answers
Low Price Guarantee
Please measure the circumference of your chest in inches using a cloth tape measure and choose the size from the chart below.
For example, if your chest is 27, choose size 27 which is Small, If it is 28 choose size 29 which is Medium.
Also choose next size up if you will be wearing multiple layers under the vest.
Comment: I am very satisfied the the quality, apperance, and the way they fit my kids. The speedy delivery is a major plus. Thanks so much for the prompt customer service. I will definitely continue to do business..
Tha Affiliates M/C President P-Mack
Garner N.C.
Comment: Great quality arrived fast.
Cindy Bragg
Comment: Fast delivery. Quality was beyond expectation. Definitely will do business again
Evanston, WY.
Comment: when i ordered this I did not notice that it was goat leather. but this vest is very nice. Looks great,feels great and looks good on my son!
burlington,iowa usa
Comment: Excellent quality. Very pleased with quality and super fast shipping.
Stevensville, Maryland
Comment: Excellent product, arrived super fast. Fits my son perfectly.
Phoenix, AZ
Comment: I am very satisified with the Childrens Leather Motorcycle Vest that we ordered. We had ordered a vest from another company and the sizing wasn't clear so after paying shipping to get it here we had to turn around and ship it back to that company. When we got this one we were very happy that the sizing was clear and it was a good fit. Thank you
Susan Nelson
Sonora, CA
Comment: I was a little apprehensive about ordering on line and when the sale price was so wonderful, I thought the product would be inferior! I was so happy with the quality and the quick service!
Dee Gilbertson
Fergus Falls, MN
Comment: smell & feel of good leather, sewn well and shape just like full size. Had some patches sewn on and he was one of the Big Boys. Could not ask for any better, thanks
Central Maryland
Comment: This vest was perfect for my daughter's Halloween costume. She wanted to be a biker and it arrived quickly and fit perfectly and was inexpensive. She loves it so much she wants to wear it all the time!
San Diego
Comment: Very nice vest for kids. I was having trouble finding a leather vest for my son and was thrilled when I found this one and even happier with the Quality!
Julie T
Comment: Great Value & fast shipping. Very pleased with this product! The leather is great quality!
Comment: Without being able to size the vest to my son, I took a chance and I am extremely happy!! The suggestions for the sizing were dead on and although the vest fits him, there is also room for him to grow in it too. The quality is great and because of this purchase I am VERY likely to use Jafrum again. Thank you!!
New Jersey
Comment: This vest is great. I bought one at a bike rally for one of grandsons and did not get two. I got a vest from you and the quality is by far much better. And got Grandpa out of hot water. Thank
Jim Wilson
Branson, MO
Comment: This vest is so well made. It is a bargain and my grandson just loved it. I will definately buy their leather jackets from this site.
Comment: My son loves it he wears it everywhere he goes. Had a few patches sewn on and now he is the coolest kid in kindergarten. Nice leather and looks as good as an expensive vest.
Comment: Very satisfied with the price, quality, and quick shipment of this product. I will purchase here again.
Comment: Purchased the vests for the grandchiuldren so they could be like Daddy. Put their patches on and as we speak they are enjoying bike week . Great value and classic look watched them open the box on skype PRICELESS.
New York
Comment: nice price well made fast shipping.
Comment: Perfect getting married in June western theme so we got this vest for our 3 yr old ring bearer and its perfect. Price cant be beat either and shipping was fast. What else can you ask for?
Campbellsville KY
Comment: Great vest, tried to find them locally but no luck. This was great fit. My grandson loves it
Colorado Springs
Comment: I got a vest for my grandson and I'm going to buy 2 more for my other grandchildren. The vest is soft and well put together.
Donna Smith
Tremont, Illinois
Comment: I just want to thank you the vest was for a boy who has brain cancer he has 7 tumors on his brain and 4 on his spine. He was the guest of honor rider for our charity Bikers Against Brain Cancer www.bikersagainstbraincancer.org and the vest made his day with our patch on the back I will be doing this every year from now on so I will be a return customer.
Cornwall Ontario Canada
Comment: Great price and great quality vest my son loves it! Excellent and fast service from Jafrum. Vest looks great with patches on it!!
Mckinney , Tx
Comment: Very responsive customer service staff when wrong size was sent. Awesome quality vest was sent - much better than expected/depicted!
Keith S.
So Cal
Comment: Can't top what has been said Grandson loves it!
Comment: I was very pleased to present this vest to my littlest biker buddy @ his 2nd birthday party.
R Spence
Comment: Coming from a motorcycle riding family...the little vests are so awesome! My 3 granddaughters (ages 3 yrs., 18 months, and 1 yr.) just love them! The fit was perfect. The arrival time was very quick. We've got embroidered patches sewn on! Love them & will order more as they grow!
Sherburne, NY
Comment: great purchase! I was very pleased with the material and look of the vest.
I will refer anyone to jarfrum!
queen creek
Comment: I ORDERED 3 PINK VESTS. THEY ARE SIMPLY XQUISITE FOR OUR GIRLS PATCHES. I WILL BE ORDERING MORE FROM THIS COMPANY. THE QUALITY IS GREAT!!
Comment: Great quality good price!
Kansas City
Comment: The vest was perfect! And our grandson loved it... it was for his birthday and he said "THIS IS THE BEST BIRTHDAY EVER!" Thanks for a quality buy at a fair price!!!!!
G Jones
Mt. Pleasant MI
Comment: This vest was part of a Halloween pirate costume. It looked great and provided a sturdy shoulder for the fake parrot to sit on. It's not a full-length, to the waist vest. It goes down to about the lower ribcage which actually worked very well for our costume. Quality is very good and it would certainly last for years and years.
Buffalo, NY area
Comment: I love it . Verry good quality . And Verry fast delivery
Topeka Kansas
Comment: Awesome quality with great fast service
Comment: wow the QUALITY IS OUTSTANDING turns out the pattern is the same as mine cant wait to show the kid he'll be thrilled that its just like dads-to all live hard and ride free
Open Roads
Comment: Great quality, arrived on time, and the kids really love them. Recommended to other biker clubs to get vest for their child.
Keionn Foster Foundation
Miami, FL
Comment: My orginization has bought several of these kids vests and they are very nice. We help abused kids. Price is excellent.
T-Mac Guardians of the Children
Comment: This is the fastest I have ever had anything shipped to me EVER!! Great quality vest and fantastic service!! Thank You!
Comment: I bought this vest for my niece. She loves it. We have to wait until she falls asleep to take it off of her. It arrived very quickly.
Cordova , SC
Comment: This was shipped very fast. It was the wrong size, so go bigger than what you think you will need. They received it and a bigger size was immediately sent out. I am impressed with the customer service and quality!
San Ramon, California
Comment: I was very pleased how fast I received my vest. It fits my son well, he is very proud of his very own biker vest. I was even more surprised when I noticed its an identical match to my husbands. :)
Comment: I bought this for my son to wear while we are riding and i have to say that i am VERY pleased. It is pretty heavy duty and the sizing was pretty accurate. The ony difference i would change is by making it a little longer. But that wont stop me from getting two move vests just like this one for my two daughters. Thank you Jafrum for a Grade A vest.
Lee Owen
Cass City, MI
Comment: I got this as a gift for my niece because she always wanted a leather vest like her auntie's. I was amazed at the quality of the garment. The leather is just as good as some of my expensive leather vests! Great product!
Brooklyn, NY
Comment: The vest is WAY cool. My son LOVES it. He feels like a total bad*** in it ;-) The vest has held up very well through hours and hours of intense play, indoors and outdoors.
Raleigh, NC
Comment: I ordered this for my 10 year old son because he wanted one like mine. I was very pleased with the quality. Good thick leather, good stitching. I put a few patches on it, just like dads. My son loves it and wears it everytime we go for a ride.
Farmington, MN
Comment: Very good quality leather. Well made. Runs very, very small.
Sylvia Walker
Richmond, VA
Comment: He loves it!
portland oregon
Comment: The quality of the vest is more than I expected. Only draw back was the sizing. I measured according to the instructions and it was still too small. I ordered L and he actually needed 2XL which is two sizes up. I wasn't charged to have another vest delivered but I still had to pay to return the original vest.
Ann Leslie
Kenner, LA
Comment: I bought 2 of these for 2 grandsons. They are going to bikers for Halloween. What great quality! My oldest grandson said he is going to wear it all the time!! I sewed some "biker" patches on them and they turned out adorable! I will say that they a least a size too small...
Comment: ordered these for my grandsons. They are great. So well made and exactly as described. Delivery was really fast too! I know they will be thrilled!
Doris Shapiro
League City, Texas
Comment: The vest is a very nice quality. It just runs extremely small. My son usually wears medium in t-shirts. This vest didn't even come to his belly button. It looks like it would fit a toddler, and my son is 9.
D Anderson
Comment: Perfect size for my son and arrived quickly.
Roanoke, Virginia
Comment: I was very pleased with the quality of this vest and the accuracy of the product description. The price was well worth it and my son wears it all the time (even though it was originally for a Halloween costume). Product was shipped and arrived fast. No complaints at all.
Tucson, AZ
Comment: I bought 3 vest as Christmas gifts and the kids loved them two of them were to small but it was very easy to exchange them and it didn't take long to get them back
Jeanette Maddox
Kaysville Utah
Comment: Ordered this vest (xl) for my 10 year old grandson who has a 30 inch chest. Waayy too small. Had to return . Quality was OK, nothing great.
Perrysburg Ohio
Comment: The quality of this vest is amazing! It's beautiful and sizing is very accurate. My son loves his new vest! Thank you Jafrum!
Chris Arnold
Post Falls, ID
Comment: Checked several different sites...actually looking for a western vest...this one looks just as country and cost a lot less...fits my little guy good just wish it were a little longer...nice quality and good service
Karrie VanHam
Comment: Very happy with the vest great quality and fit my boy loves it
Nathan Bowling
Greensburg In
Comment: Bought this for my 8 year old son he absolutely loved It! I
purchased one but it was too small. Returning was pain free and
simple and received the other one. would definitely recommend
this site.
Comment: I was very pleasantly surprised at the quality of the vest. Great craftsmanship and great value. Looks as if it costs much more. My great grandson wears it as a western vest and it looks wonderful. He gas received many compliments on it. Fast delivery. THANK YOU
Sacramento, CA
Comment: i have around 38 members an there ol ladies an kids i order for from jafrum never had a problem with orders an getting my vest ...all my members order for jafrum only problem we have run into is vest being sold out for mths at a time ....but will order from jafrum till they shut there doors with no problem ...
prez viper
williamston nc
Comment: Thank you for such fast sipping. Came just in time for granddaughters birthday dinner. She turned 8 and wanted a vest just like Papas. She thought she was just getting dinner and told her mom , "All I really want is a leather vest," Boy was she surprised. She loved it so much she wanted to wear it to bed and also took it to school for show and tell.
Great product, quality material. Great price. Fast shipping. A+++++
Perfect size does seem alittle shorter than I expected but I read that in a few reviews.
Kim Lathrop
Newark, NY 14513
Comment: I bought the XS for my Granddaughter to be born on April 8th, 2014. The quality is great and with a few patches now sewn on, she will be the youngest "lady biker" in Virginia.
Chet Schultz
Greene, NY
Comment: This vest is wonderful. I got this for my oldest son's 4th birthday. Now with the pins, and patches he looks just like his daddy with his vest on. I will DEFINATELY be buying any biking apparel here and recommending this site to my friends. THANK YOU!!!
Keli Lankford
McMinnville, Tennessee
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text:
Event Archive
Red Dot 2015
May 20, 2015, 6:00 pm - 10:00 pm
at Blue Star Contemporary
Save the date! It's DOT time again! Blue Star/Red Dot is San Antonio's most highly anticipated art sale of year, providing the opportunity to purchase contemporary artwork selected by collectors from around the state AND support San Antonio's premier...Read more »
Back From Berlin Panel Discussion
May 6, 2015, 6:30 pm - 8:00 pm
at Blue Star Contemporary
Join us for a panel discussion with all four of the currently exhibiting artists in Barck From Berlin, Karen Mahaffy, Vincent Valdez, Cathy Cunningham-Little, and Ricky Armendariz. Hear them discuss their works on view and what it was like to be the first...Read more »
The Big Give
May 5, 2015, 12:00 am - 11:59 pm
at Online
Family Day: Explore Public Art
March 28, 2015, 11:00 am - 3:00 pm
at Blue Star Contemporary
Join us for Blue Star Family Day! Families and kids of all ages are invited to attend Family Day: Explore Public Art. This annual event, put on by Blue Star Contemporary Art Museum's MOSAIC education program, brings local artists and community...Read more »
Berlin Brunch with Chris Sauter
February 21, 2015, 11:00 am - 1:00 pm
at Liberty Bar
Join Blue Star Contemporary Art Museum's most recently returned Berlin Resident Artist and hear about his experiences abroad at our Berlin Brunch.
Blue Star Contemporary is the sole U.S. partner of the renowned Kunstlerhaus Bethanien. Now in its second...Read more »
Northern Triangle Panel Discussion Moderated by Erina Duganne
January 22, 2015, 6:00 pm - 8:00 pm
at Blue Star Contemporary
Join us for a panel discussion featuring activists Yvonne Dilling, Alan Pogue, and Graciela Sanchez on Thursday, January 22, 6-8pm. The panel, moderated by art historian Erina Duganne, will historicize the current Central American refugee crisis along the...Read more »
An Evening with Richard Hunt
January 13, 2015, 6:00 pm - 8:00 pm
at Blue Star Contemporary
Join us in Blue Star's Main Gallery from at 6pm for an artist talk by Art in the Garden sculptor, Richard Hunt. Richard will return to San Antonio from Chicago to celebrate his offsite exhibition at the San Antonio Botanical Garden, which closes at the end...Read more »
Botanical Garden Walking Tour with Richard Hunt
January 13, 2015, 11:00 am - 12:00 pm
at San Antonio Botanical Garden
Art in the Garden exhibit walk with Chicago sculptor Richard Hunt. Enjoy a walking tour with this renowned sculptor to see his nine metal sculptures on exhibit in the Lucile Halsell Conservatory setting at the Botanical Garden. Art in the Garden is an...Read more »
Granito: How to Nail a Dictator Film Screening
January 8, 2015, 6:30 pm - 8:30 pm
at Blue Star Contemporary
Join us for the screening of Granito: How to Nail a Dictator, a powerful documentary which delves into some of the same histories addressed in Borderland Collective's Northern Triangle Project Space Exhibition.
"Granito: How to Nail a Dictator is a...Read more »
MOSAIC Recruiting Event
December 22, 2014, 2:00 pm - 5:00 pm
at Blue Star Contemporary
Blue Star Contemporary's MOSAIC Program will host a recruiting event on Monday, December 22 from 2-5pm. If you are a high-schooler interested in pursuing a career in art, join us to learn about this unique after school art program. This will be a...Read more »
Showing records 1 - 10 out of 168
116 Blue Star, San Antonio, TX 78204
(210) 227-6960 | Contact Us | Hours
Blue Star Contemporary gratefully acknowledges major support from the City of San Antonio Department for Culture & Creative Development; The Lifshutz Family; Ann Griffith Ash; The Brown Foundation, Inc.; Charles C. Butt; Capital Group; Penelope Speier and Sonny Collins; H-E-B; Ricos Products Co., Inc.; Valero Energy Corporation; and Weston Urban. Additional essential support is provided by 1010 South Flores Lofts and 1111 Austin Highway Lofts; Argo Group; Bury, Inc.; Casa Rio & Schilo's; C.H. Guenther & Son, Inc.; Pat and Geof Edwards; Frost Bank; King William Association; Muñoz and Company; The NRP Group, LLC; Rackspace; Silver Eagle Distributors; Strasburger & Price, LLP; Texas Commission on the Arts; and the Community Partners, Members, Individual Donors, and Board of Directors of Blue Star Contemporary.
© Contemporary Art For San Antonio 2015


text:
Staples is offering a printable coupon for 20% off Any One Item for In-store Purchases. Coupon is valid through 10/29/12. Thanks franzcatch
Note: exclusions apply.
Note: exclusions apply.
We've heard your feedback and are continuing to build a better Slickdeals. Click here to check out the updated site.
Frontpage Deal
Staples is offering a printable coupon for 20% off Any One Item for In-store Purchases. Coupon is valid through 10/29/12. Thanks franzcatch
Note: exclusions apply.
Original Post
franzcatch ( ) Oct. 15, 2012 at 12:22pm
Alternate link (just refresh the page for a new code): http://images.revtrax.
NOTE: This link produces a one-time-use coupon. If you want another coupon, simply print again and you will get another unique code.
When deal was originally posted each coupon showed an expiration date of 11/30/2012. This appears to have been "fixed" as now all newly printed coupons are showing an expiration date of 10/29/2012.
Wiki Community Board
This can and should be used by you to post updated deal information.
Be sure to read this because it may contain answers to your questions!
UPDATE: Apparently, the 11/30/2012 expiration coupons are still valid!
See here: Staples 20% off one item coupon is still valid!
As requested, I am updating this Wiki. If you need an answer then rt#t as its already been asked and answered.
There ya go, happy now.
The deal is dead as of 8:05PM CST, the print comes out with no barcode
Date has been fixed. It's good through 10/29/2012 now.[/CENTER]
For those that use Chrome just save the coupon as a PDF. Go to Print and instead of saving it to your printer just select save as PDF. Also uncheck "Headers and Footers" that way the date you printed it is removed from the PDF. Good luck!
Discount applies to highest-prices item. Limit one coupon per household. Not valid on desktop or laptop computers, LCD/LED displays, tablets, netbooks, Beats Audio, Soul by Ludacris, Amazon Kindle, Nook, HP ink and toner, Epson ink and toner, custom printing orders placed online, all Copy & Print self-serve and computer work station, gift cards, mobile phones and mobile phone services, Staples EasyTech (sm) professional-grade and on-site services, depot repair and parts, phone cards or postage stamps. Each item purchased can only be discounted by one coupon, applied by cashier in order received and prior to tax. Coupon not valid if purchased or sold and must be surrendered. No cash/credit back. Not valid on prior purchases or on purchases made with Staples Procurement or Convenience Cards.
Example of items the coupon could be used for: No computer, No tablets, No ink...
View Forum Thread
728 Comments
microkelvin () Oct. 15, 2012 at 12:23pm
interesting. refresh the page will generate a new code each time.
fwdmydeals ( ) Oct. 15, 2012 at 12:29pm
Nice, just printed off 10!
microkelvin () Oct. 15, 2012 at 12:33pm
microkelvin () Oct. 15, 2012 at 12:39pm
Popular Deals (By Votes)


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A Day Spent Learning How To Satisfy Patients
A Day Spent Learning How To Satisfy Patients
MANAGED CARE September 1997. ©1997 Stezzi Communications
For both physicians and health plans these days, it's imperative to make sure patients are satisfied "customers." But just how can that be done? Our reporter attended a workshop in Wisconsin to find out.
Bob Carlson
When it's very good, you feel that you're actually getting more value for your dollar. You may even find yourself smiling more and saying "hi" to people you don't know.
I'm talking about customer service. Granted, we probably think first of a retail setting when we hear that phrase. But for managed care plans and the physician offices they contract with, learning to treat patients as customers — and then obeying the well-worn exhortation to "Keep the customer satisfied" — is increasingly important for survival.
That is why I took a day recently to attend a workshop called "Successful Strategies for Patient Satisfaction," put on by the State Medical Society of Wisconsin at its headquarters in Madison.
"You're going to have to prove to us that you have satisfied patients before we will sign you on with our plan," said Karen Garrett, the society's director of education and meeting services. She was talking to physicians and their front-line staff in the voice of an HMO. She might equally have been addressing HMOs themselves in the voice of an accrediting organization such as the National Committee for Quality Assurance, which measures and reports patient satisfaction among its several quality indicators.
The role of staffers
"Front-line staff are critical to the success of patient satisfaction," said Garrett. "It's important that doctors recognize what's needed to get their staff up to speed so that they are providing the best service possible."
Two physicians and one nurse were among the 18 registrants welcomed by Garrett and co-presenter Brenda Saltz at 9 a.m. on a Thursday in a spacious conference room overlooking Lake Mendota. The dimensions of the patient satisfaction challenge for medical practices became apparent with Garrett's assertion that patient satisfaction is what each patient says it is.
She put the idea in terms of a formula: "Experience + Needs + Communication = Expectations." If a patient's perception of the actual care episode exceeds expectation, he or she is satisfied; if perception falls short of expectation, the result is a dissatisfied patient.
Most patients are unable to judge clinical quality, so they assess their care experience on the basis of other factors, what Garrett called "surrogate indicators" of quality. These can include such disparate questions as: How full is the waiting room? Does this seem like a friendly, smooth- running office? Can confidential patient information be overheard in the hallway or elevator, or because someone is talking on the telephone within earshot of the waiting area? How does this encounter compare with a visit with another provider, or with an earlier appointment here?
These perceptions can be influenced by a patient's needs, and needs, in turn, can vary by age, gender, time of day or day of week. A retired person, for example, may consider a half-hour wait acceptable, while a younger person taking time off work may not. An appointment on Wednesday morning may need faster attention than one on a Friday afternoon. An appointment at 4 p.m. may generate anxiety about getting to the day care center on time to pick up a child.
Ultimately, it's physicians and staff who are responsible for maintaining and improving patient satisfaction in a practice. But for many physicians and staffers, already scrambling to meet managed care's varied requirements, a patient satisfaction program looks like still more work.
Where's the time?
"Where's the extra staff going to come from to do this?" asked workshop participant Neal Rennick, a solo family physician in East Troy with a three-person support staff. "Where's the extra time going to come from?"
Garrett acknowledged that most physician practices are having to do more with less these days. "It's tough," she said in a conversation after the workshop, "but it's going to have to come from somewhere. If that satisfaction is not there, patients are going to go out the door and you're going to be looking at fewer dollars coming in. Physicians may need to change some priorities or hire an outside vendor to provide some services."
Central to patient satisfaction, Garrett explained, is the concept of patient as customer. Getting and keeping customers is something business has been refining for a long time, and the workshop adapted strategies from other businesses to fit the health care environment.
A customer, for example, is now often identified in most other businesses as either external, internal or intermediate. In a medical practice, that means the patient is the customer, but so are the patient's family members and friends, referral physicians, insurance companies, suppliers, practice employees and staff. Just one dissatisfied person in this universe of customers can have potentially negative consequences for the practice. Conversely, maintaining and continuously improving the satisfaction of all these customers contributes to the success of the practice.
But Rennick's office manager, Kathleen Gray, pointed out that patients' own unreasonable behavior causes some problems. Many patients make an appointment for one child and then expect the doctor to see a second child also during the same visit and for the same fee. Or they make an appointment for a sore throat and then expect to be treated for other, more complex conditions, too. "Things like that are what make doctors run behind schedule," she said.
Garrett suggested sitting down with such patients and explaining certain rules, such as the requirement that a separate appointment be made for the second child.
Patients and employers now expect the same high level of service from their health care providers that they've become used to in other business relationships, Garrett said. If they don't get it, they'll switch to another provider or plan. "Today's patients are very aware that you're selling a service and they're buying it."
The effect of customer satisfaction on his practice was important enough for William Scorby, M.D., M.P.H., to attend. He practices occupational health and preventive medicine at Gunderson Lutheran, a large multispecialty group and hospital in La Crosse with 20 satellite clinics. Scorby and Robert Ustby, a certified occupational health nurse, wanted to take in the workshop firsthand before sending their staff.
"Instead of going out of their way to say, 'Can I help you?' there's a tendency for some of our folks to wait for the patients to come to them, and that's not the way we want to do business," Scorby explained. "We also want to improve the quality of service our people deliver over the phone. Front-line folks really have a big influence on the perceptions of how our patients and employer customers are treated."
From about 10:30 on, the workshop was devoted to the "how" of delivering quality customer service, which Garrett defined as "high-quality health care delivered by a caring staff in an environment that is responsive to customer wants and needs." When it comes to dealing with individual customers, she said, the challenge is to determine the customer's wants and needs and do everything possible to meet and exceed them.
That can be a tall order, and even more so these days when consumers are already confused and suspicious about the changes in health care. (For specific tips, see "Principles for Dealing With Patients as Customers," on page 59.)
The power of communication
Brenda Saltz, project coordinator of the medical society's Division of Practice Management Training and Support, took over from Garrett an hour before lunch to focus on the role of communication in customer service. "Communication is the heart and soul of quality service in health care," said Saltz. "It's the 'ruler' patients use to gauge the overall quality of their encounter."
According to Saltz, 55 percent of what we learn from others comes from their body language, 35 percent from their tone of voice, and 7 percent from the words they say. To send the right message, nonverbal signals such as eye contact, facial expression, body posture, hand gestures, touching and interpersonal distance must be appropriate and consistent with the words being spoken.
One aspect of communication — listening — came in for special attention. According to the workshop, 75 percent of oral communication is forgotten, ignored or misunderstood.
Effective listening, Saltz explained, consists of hearing, attention and understanding. To understand, we must consider the context of the message and the verbal and nonverbal clues given by the sender. Good listeners also pay attention to their own physical stance, body movements, eye contact and encouraging words and gestures.
To improve listening, Saltz recommended identifying and eliminating "listening blocks," which come in four categories. Listeners with psychological blocks, for example, are easily distracted, stressed or prejudiced. Listeners with physical blocks may be suffering from impaired hearing, drowsiness or overwork. Environmental blocks include noise, an acoustically poor environment or uncomfortable temperatures. Personal expectations can also get in the way if the listener believes the speaker has low status or that the message is routine or bad news.
When patients are difficult
The ultimate test of communication skills may be in dealing with patient complaints and angry patients. In other businesses, it has long been gospel that customers who complain can be valuable assets in identifying and fixing problems before more customers are lost, and that the way a complaint is handled can leave a customer even more satisfied. According to the seminar workbook, 96 percent of unhappy customers do not complain; most of them simply take their business elsewhere. Each of these dissatisfied customers then shares the negative experience with about 10 other people. For health care providers who do it well, successful complaint handling can be a chance to leapfrog their competitors.
One technique adapted from neurolinguistic programming (NLP) involved "mirroring," or copying, another person's voice tone, speaking tempo, breathing rate, body movements and postures to foster relaxed communication. Once mirroring is established, "leading," or doing something differently, can help to change the other person's attitude or behavior.
I was one of the targets of an experiment that put these techniques to the test. Half of us were asked to leave the room, while the others were briefed on the basics of NLP. When my group was called back in, we were paired with those who had been instructed in our absence.
In the conversation that ensued, I remember thinking, "What an agreeable fellow Bill Scorby is." And no doubt he is — but my feeling surely also reflected the fact that NLP was working.
Did the workshop itself do its job? The attendees' verdict was generally positive. But perhaps only the future success of the practices represented will tell the full tale.
Bob Carlson writes exclusively about health care. He lives in Indianapolis.
East Troy, Wis., family physician Neal Rennick and La Crosse occupational health nurse Robert Ustby practice communication skills. (PHOTOGRAPH BY ANDY MANIS)
Principles for dealing with patients as customers
Here's a selection — not meant to be comprehensive — from the customer relations pointers offered in the recent workshop "Successful Strategies for Patient Satisfaction" presented by Karen Garrett and Brenda Saltz of the State Medical Society of Wisconsin in Madison.
Keep a professional appearance.
- For many patients, there is a relationship among cleanliness, neatness and health.
Convey positive nonverbal messages.
- Greater patient satisfaction occurs not only with more touch but with more nonverbal attention. This shows patients you want to establish a pleasant relationship or bond with them.
- Touching is a ritual that establishes your personal relationship with your patients. Reach out and offer a handshake as you greet the patient. It shows you are a caring person.
- Don't touch an angry person.
- Use eye contact. Look at patients as you listen or speak.
- Use an open body posture.
- Use nonverbal encouragements such as nods and gestures.
Acknowledge the patient immediately.
- Greet and comfort first, do paper work second. Don't let patients wait, even if you are busy. Show that you will assist them shortly and let them know you are aware of their presence.
- Give your full attention to those patients who are present. If you must answer the phone, do not hesitate to put the patient on the phone on hold while you address the patient in your immediate presence.
- If you are talking with another staff member, excuse yourself immediately and address the patient. All staff must recognize that the patient comes first.
- End all personal conversations on the telephone immediately upon the approach of a patient.
Introduce yourself.
- You, too, are a person with an identity to which the patient can relate. Give the patient your first name and describe in simple terms what you will doing.
- Reinforce the spoken use of your name with a visible name tag, a name plate on your desk or business card.
Greet the patient by name.
- Use the patient's name to personalize the service you provide.
- Open conversations with patients with a friendly greeting. For example, "Good morning, Mr. Smith." (Smile.) "I am Brenda, your receptionist. I need some information for your record. It will not take long." (Smile.)
Use a natural conversational tone.
- Speak with a calm, firm, caring and confident tone. Do not raise your voice in anger. Speak clearly and distinctly.
Pay attention to details.
- Little things are important and send signals to patients about who you are.
Give the patient your full attention.
- Staff members should not interrupt when you are with a patient except in emergencies.
Use appropriate language.
- Use language the patient will understand. Don't talk about irrelevant subjects. Use the time to explain procedures and routine tasks.
Tell the patient what you can do.
- Do not begin comments with statements about what you cannot do. Provide choices or alternatives that you and the patient have.
Inform, instruct and explain.
- Provide as much information as the patient is interested in knowing, such as basic and elaborate instructions, explanations and directions.
- People respond better when they are informed about what is going to happen to them. Uncertainty causes fear, worry, confusion.
- Explain delays and changes truthfully.
- Explain why you are performing certain tasks The informed patient is likely to be more cooperative.
Do something extra.
- Take the initiative and go out of your way to provide the extra touch.
Build a partnership with the patient.
- Partnership-building goes beyond informing and soothing the patient. It is involving the patient in a participatory relationship by enlisting patient input.
Show appreciation.
- Show and tell patients how much you value them.
Be discreet.
- Respect the patient's privacy.
Be competent and knowledgeable.
- This includes performing tasks quickly and accurately.
- Patients want to know that you are up to date and have the latest clinical information.
Acknowledge errors quickly.
- Don't try to cover up mistakes with excuses. Admit your error and start solving the problem.
- Report patient service problems you see or experience to the person who keeps track of these incidents in your organization.
Look for small opportunities.
- Going out of your way for a patient requires that you maintain technical, administrative and procedural knowledge. You should know when and how far you can depart from established protocols, guidelines and procedures.
Make the last impression count.
- Use a positive manner to wrap up the interaction.
- Don't end the interaction on a hostile note.
Make follow-up contact.
- Following a procedure or treatment, it makes good business and therapeutic sense to check on the patient's condition.
- Document telephone calls.
Handle complaints effectively.
- Take the patient seriously. Apologize for any inconvenience. Tell the patient that you will do everything possible to solve the problem.
- Maintain your composure, no matter what the patient says to you.
- Give the patient the opportunity to describe the full complaint without interruption. Avoid the temptation to retaliate against patients who are rude; focus your energy on determining the facts and on evaluating the action the patient wants you to take.
- Help the patient save face if it becomes obvious that he or she is in the wrong.


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Wanted: Roberto VasquezJuly 23rd, 2013
SPRINGFIELD, Mass. (WGGB) -- Springfield Police says 31-year-old Roberto Vasquez is one of those guys who just can't stay out of trouble. "He's been locked up numerous, numerous times by the Springfield Police Department," says...
Wanted: Nelson Marcano
Wanted: Jocelyn Christiansen
Wanted: Christian Omar Baez
Wanted: Cheyenne HarrisJune 25th, 2013
SPRINGFIELD, Mass. (WGGB) -- Springfield Police have dealt with Cheyenne Harris in the past. In fact, there are several warrants out for her arrest. The most recent comes from the night of July 29th, 2012, when police say she hatched a plan to...
Wanted: Kevin OrtizJune 20th, 2013
SPRINGFIELD, Mass. (WGGB) -- Springfield Police say drugs are behind almost all crimes committed in the city, which is why they're quick to act when they learn where the drugs are coming from. "Our narcotics officers conduct drug raids all...
Wanted: Aaron Samuel BodleyJune 18th, 2013
SPRINGFIELD, Mass. (WGGB) -- Springfield Police started keeping an eye on 21-year-old Aaron Bodley last year, while he was working at a video game store at the Eastfield Mall. "The owner became suspicious of this guy because he was always...
Wanted: Justin Lee RodriguezJune 13th, 2013
SPRINGFIELD, Mass. (WGGB) -- Justin Lee Rodriguez has been racking up charges for quite a while -- long before last summer, when Springfield Police say they heard an extremely loud vehicle driving through the North End. "The stereo was pounding,...
CAUGHT: Carlos LebronJune 6th, 2013
UPDATE June 16 - Springfield Police Sgt. John Delaney says that Lebron was arrested the afternoon of June 16. He says that an office on patrol downtown saw Lebron near State and Chestnut Streets and recognized him from our...
Wanted: Edgardo HernandezJune 4th, 2013
SPRINGFIELD, Mass. (WGGB) -- One night last Spring, Springfield Police say 23-year-old Edgardo Hernandez of Holyoke was spending the evening in Springfield's Entertainment district. It wasn't until closing time he caught the attention of...
Wanted: Domenic FowlerMay 30th, 2013
SPRINGFIELD, Mass. (WGGB) -- It was about six weeks ago, on the night of April 16th, when Springfield Police observed 36-year-old Domenic Fowler driving through a light at the corner of Worthington and Federal streets. "They ran his plate through...
Wanted: Lorenzo DeJesusMay 21st, 2013
SPRINGFIELD, Mass. (WGGB) -- Lorenzo DeJesus has had his fair share of run-ins with the law. Most recently, on the night of March 8th at the Corner of Walnut St. and State St. in Springfield. "While he was driving in the Northbound lane coming...
Wanted: Johnathan RojkoMay 16th, 2013
SPRINGFIELD, Mass. (WGGB) -- Springfield Police say Jonathan Rojka is a violent guy with a criminal past, but they didn't learn about him until recently. "There are over a dozen warrants out of Chicopee, but the warrant we're looking for him...
Wanted: Freddy Arroyo Jr.May 14th, 2013
SPRINGFIELD, Mass. (WGGB) -- If you recognize this mugshot, it's probably because you've seen it before. His name is Freddy Arroyo Jr. and he's got quite the rap sheet with the Springfield Police Department. "He has a history of violence,...
Wanted: Alexander MelendezMay 9th, 2013
SPRINGFIELD, Mass (WGGB) -- The parking lot outside of an apartment complex at 405 Franklin Street is well-marked and the message is clear -- park here without a permit and you can expect to get a ticket. But police say one night last...
If there's news happening in your community, then we'd like to know. abc40 is your local news station. We're here to report what's going on in Western Massachusetts. Send your news tips to abc40.


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I just checked my email and read the LDGC news letter. I love it. Thanks to all involved, you did a great job
I just checked my email and read the LDGC news letter. I love it. Thanks to all involved, you did a great job
Glad you like it and thanks for the feedback!
Where we have strong emotions, we're liable to fool ourselves. Carl Sagan
Newsletter has been great
We want to reach more people....please forward the newsletter to any friends or family who might have interest in disc golf
The newsletter also needs writers...who out there would be interested in writing some fun, exciting, and entertaining disc golf reading?
Is this posted anywhere online? If not can it be?
Anyone who has never made a mistake has never tried anything new..........Albert Einstein
It could be...do you not get email?
I just looked at the newsletters for the first time also and they are great. Very clean and laid out well, cudos to those involved. I also second an archive online somewhere for those who don't check email often.
Orc / Vision / Predator / Teebird / TL / Condor / Roc / Stingray / Voodoo
Martin, it would be fun if we had someone who could write a "Harry and Charlie" type story. They are fictional characters found in Bass Master magazine. Do we know anyone with a flair for writing?
Acts 4:12
There is salvation in no one else, for there is no other name under heaven given to people by which we must be saved.
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text:
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Comments about Madeline Ready Set Go (Women's):
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{ entityCount: 0 }


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|Experts Expect Increased H1N1 Influenza Activity in Schools this Fall
Center for Disease Control H1N1 Flu Website
"Swine Flu" or novel H1N1 influenza remains in the news headlines. With continued flu activity even throughout the summer months, national & state health experts expect to see increased influenza activity in schools as soon as they open in the fall.
How is it spread?
It's thought that novel influenza A (H1N1) flu spreads in the same way that regular seasonal influenza viruses spread, mainly through the coughs and sneezes of people who are sick with the virus. But it may also be spread by touching infected objects and then touching your nose or mouth. Infection has been reported to cause a wide range of flu-like symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue. In addition, many people also have reported nausea, vomiting and/or diarrhea.
Who is at risk?
The high risk groups for novel H1N1 flu are not known at this time, but it's possible that they may be the same as for seasonal influenza usually seen in the fall and winter. People at higher risk of serious complications from seasonal flu include people age 65 years and older, children younger than 5 years old, pregnant women, people of any age with chronic medical conditions (such as asthma, diabetes, or heart disease), and people who are immunosuppressed (such as many cancer patients).
State health officials note that one way to reduce the number of people who'll get this flu is to keep the "ill" separate from the "well" as much as possible.
What are symptoms?
If you are sick, you may be ill for a week or longer. Unless necessary for medical care, you should stay home and minimize contact with others. Avoid travel - even to work or school - for 7 days after your symptoms begin or until you have been symptom-free for 24 hours - whichever is longer. If you leave the house to seek medical care, wear a facemask, if available and tolerable, and cover your coughs and sneezes with a tissue. In general, you should avoid contact with other people as much as possible to keep from spreading your illness. People may be contagious from one day before they develop symptoms to up to 7 days after they get sick. Children, especially younger children, might potentially be contagious for longer periods.
What can I do?
Stay informed and follow these common-sense guidelines:
Health officials will provide additional information as it becomes available. Visit the CDC H1N1 Flu website for the latest information.