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More Rachel Harms, Big Drink, Made in New York
Picture Skaneateles
From Gwen_blabla at http://www.flickr.com/people/64272467@N00/
Made in Skaneateles, Rachel Harms, Made in New York
Made in Skaneateles, Rachel Harms, Made in New York. Rachael is yet another local artists showcased at the Schweinfurth Art Gallery in Auburn, NY. Be sure to take in the exhibit during Summer 2007. Visit Rachael here
Picture Skaneateles, Gary Trento, Made in New York
Ace and Boswell Year: 2005 Medium: oil on canvas Dimensions: 42 x 42 Click Here to visit Gary on line and buy his work


text: 000 FXXX12 KWNP 040031 DAYDIS :Product: Forecast Discussion :Issued: 2015 Jul 04 0030 UTC # Prepared by the US Dept. of Commerce, NOAA, Space Weather Prediction Center # Product description and SWPC contact on the Web # http://www.swpc.noaa.gov/wwire.html # # Forecast Discussion # Solar Activity .24 hr Summary... Solar activity reached moderate levels this period. Region 2378 (S17E56, Dso/beta) produced an impulsive M1/1n flare at 03/1251 UTC which was the largest event of the period. Region 2378 underwent minor development this period. Region 2376 (N12E16, Eao/beta) underwent minor penumbral growth this period but appeared to simplify magnetically. No Earth-directed coronal mass ejections (CMEs) were observed. .Forecast... Solar activity is expected to be low with a slight chance for M-class (R1-R2/Minor-Moderate) flares over the next three days (04-06 Jul). Energetic Particle .24 hr Summary... The greater than 2 MeV electron flux was at high levels with a peak flux of 5,790 pfu observed at 03/1545 UTC. The greater than 10 MeV proton flux returned to background levels this period. .Forecast... The greater than 2 MeV electron flux is expected to decrease to normal to moderate levels on days one and two (04-05 Jul) due to the onset of a co-rotating interaction region (CIR) preceding the influence of a negative polarity coronal hole high speed stream (CH HSS). A return to moderate to high flux levels are expected by day three (06 Jul) due to CH HSS effects. The greater than 10 MeV proton flux is expected to remain at background levels throughout the forecast period (04-06 Jul). Solar Wind .24 hr Summary... Solar wind parameters were indicative of a nominal solar wind regime. Solar wind velocity decreased from initial values near 350 km/s to end-of-period values near 300 km/s. IMF total field values were steady near 2-4 nT and Bz was mostly northward throughout the period. The phi angle transitioned from a positive (away from the Sun) solar sector orientation to a negative (toward the Sun) sector orientation at around 03/1830 UTC. .Forecast... Solar wind parameters are expected to become enhanced late on day one (04 Jul) through day two (05 Jul) due to the onset of a CIR preceding the influence of a negative polarity CH HSS. This coronal hole produced solar wind speeds in excess of 600 km/s last rotation, but our proximity to the summer solstice suggests that this feature will be less impactful this rotation. Geospace .24 hr Summary... The geomagnetic field was at quiet levels throughout the period under an ambient solar wind environment. .Forecast... The geomagnetic field is expected to be at quiet to unsettled levels on day one (04 Jul) due to the onset of a CIR late in the day. A recurrent negative polarity CH HSS is expected to become geoeffective midday on day two (05 Jul) prompting geomagnetic field activity to increase to active to G1 (Minor) geomagnetic storm levels. Field conditions are likely to decrease to quiet to active levels on day three (06 Jul) as CH HSS influence begins to subside.

subset: commoncrawl


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My wife and myself want to express what a wonderful experience we
had with our driver, Frank from Quality Wine Tours who was extremely knowledgeable of the area and it's wine...
read more
My wife and myself want to express what a wonderful experience we
had with our driver, Frank from Quality Wine Tours who was extremely knowledgeable of the area and it's wine history, and excellent in his tour that he took us on. Ariel at
Bristol Harbor Resorts told us that she hoped we would have Frank, because
he was the...
Hello the is Amy Dubock and I'd love to share some feedback on the wine tour we
took on September 13th.. our driver Dave was fantastic. we were unfamiliar with
most of the wine trail and he brought us to all the right places. we enjoyed
every spot . he was on time and courteous .5 stars in my book.....
It was a girlfriends' getaway week, and one of the things we enjoyed most was our Quality Wine Tour. Bonnie, our driver, was great, and the sedan she drove was very comfortable for the three of us. Bonnie took our palettes into consideration when choosing the wineries we visited, and we were not disappointed with her choices. In fact, each...
My wife and I had the pleasure of taking one of their wine tours for our
first anniversary a couple of months ago. Our driver Kathy was absolutely wonderful. She was incredibly personable and mixed in the perfect amount of conversation while allowing my
wife and I to have our own time. She also did a fantastic job in terms...
We had the most awesome time on our tour with Quality Wine Tours. Steve was an amazing guide. He knew so much about the area wineries. He was a such a nice guy. He helped us in and out of our van at every stop. He had a cooler of water for the 11 of us which was a very...
This was our second wine tour using quality transportation. We can not say enough good things about our experience. Bonnie was the best, super friendly and a lot of fun! We highly recommend using them and make sure to request Bonnie!
I am really glad to hear that you had a wonderful time on your wine tour and that Bonnie mad your experience great. Please do look us up again when your are in the Finger lakes region.
Awesome time for a busy Mom & Dad with 3 kids! Took advantage of 5 hr Wine Tour package at the Inn on the Main B&B. Our driver, Ron was already there, 15 minutes early, to pick us up with the town car. He was very personable, friendly, & knowledgeable of the area. Very accommodating, as we wanted to visit...
I am very pleased to hear that you both enjoyed your tour and that Ron provided a memorable day for you. I will pas along your kind words to Ron I am sure he will b very pleased to read your letter.
Thank You!!
Dave was our guide for the day and he did an excellent job recommending new wineries to us. He arrived timely and had a small cooler full of water bottles as a nice addition to the tour. He explained the history of the area, pointed out some landmarks and added nicely to the tour. In all honesty, there was nothing...
We wanted to tell you that your Driver Steve was the best tour guide we have ever been with on a wine tour of the Finger Lakes. He was so informative and alsoan excellent driver. We had a lunch situation at one of the wineries and Steve came up with a plan B which not only resolved the situation,...
Hello Lorraine,
I am very pleased to hear that you had a wonderful time on your tour and that Steve provided an enjoyable day for your! I will pass along your nice comments about Steve I am sure he will be very pleased to read your letter. And please do look us up again when you a planning your next...
First, to people planning to use Quality Wine Tours that are local. If you know where you want to go and what you like make sure you talk to your driver right away and nail down a plan. Steve, our driver, took all my wants and managed to not only hit all the ones I really wanted to but also...
Hello Brian, Glad to hear that you had an enjoyable time at the wineries and your tour went well.
I see that Steve made you day go smooth and he recommended some good wineries along the wine trail. I will pass along your letter to Steve I am sure he will enjoy reading it. Please look us up again when...
Register now for free — and start getting automatic notification of new reviews, responding to traveler feedback, adding new photos to your listing and much more.


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Brett Ritchie Continues Hot Streak in Dallas Stars Debut
In Brett Ritchie's NHL debut, the 21 year-old winger scored on his first shot of the night. As the Dallas Stars scored 6 goals to close out the Arizona Coyotes […]
Results of the 2011 NHL Entry Draft held at the Xcel Energy Center in Minnesota
|Ryan Nugent-Hopkins
|Gabriel Landeskog
|Jonathan Huberdeau
|New Jersey
|Adam Larsson
|NY Islanders
|Ryan Strome
|Mika Zibanejad
|Mark Scheifele
|Sean Couturier
|Dougie Hamilton
|Jonas Brodin
In Brett Ritchie's NHL debut, the 21 year-old winger scored on his first shot of the night. As the Dallas Stars scored 6 goals to close out the Arizona Coyotes […]
With 6 goals and 13 assists through the first 27 games of the season, Ryan Strome's 19 points put him 45th in the league in scoring. It also puts Strome […]
At the tender age of just 20-years-old Dougie Hamilton is playing on one of the NHL's best teams over the past two seasons, which also happens to be one of […]
After winning the Stanley Cup in the spring of 2011, the Boston Bruins carried their good fortune over to the NHL's Entry Draft. Defenseman Dougie Hamilton, regarded as one of […]
After not making the New Jersey Devils opening night roster in October Reid Boucher, who scored 62 goals last season in the OHL, was sent down to the Albany Devils […]
With the Jonas Brothers safely in the rear-view mirror of popular culture, a new Jonas Bro has recently caught the eye of many hockey fans with his potential elite-level defensive […]
As an 18-year-old it's tough to earn a regular role in the NHL as it is, but as a defenseman it's even tougher as Adam Larsson found out with the […]
Brandon Saad was drafted by the Chicago Blackhawks in the 2nd round 43rd overall in 2011, after playing two NHL games he was returned to the OHL's Saginaw Spirit where […]
With the 14th selection in the 2011 NHL Entry Draft, the Dallas Stars selected Jamie Oleksiak from Northeastern University. Oleksiak, listed at 6'7″, 254lbs is a hulking defenseman with a […]
Brandon Pirri, Jimmy Hayes, and Ryan Stanton were assigned to Rockford today, cutting the roster down to 23 players. The Blackhawks will travel to Los Angeles with 23 players tonight […]
Belligerence. Pugnacity. Truculence. They're what Brian Burke seeks in a hockey player. In Tyler Biggs, a first-round selection of the Leafs in 2011, all three can be found.
The Anaheim Ducks have signed the 39th overall pick to a three-year entry level contract. Pittsburgh native John Gibson, 18, was the first North American goaltender selected at the draft […]


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Lotus Exige S Police Car boosts road safety
Image of 2 - Use your left and right arrow keys to navigate the gallery
Article Summary
November 2, 2007 Police in East Sussex have added a Lotus Exige S to their arsenal as part of a campaign to promote road safety. The fully liveried Lotus police car has proved an ideal ice-breaker in opening up lines of communication and educating drivers in the high-risk group 17-25 age group.
Read the full article: Lotus Exige S Police Car boosts road safety
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Kayser Ford Lincoln
Ford C-Max Hybrid
$24,170 As Shown*
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Ford Fusion
$22,600 As Shown*
Ford Fusion Energi
$33,900 As Shown*
Ford Mustang
$23,800 As Shown*
Ford Taurus
$27,055 As Shown*
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$25,800 As Shown*
Ford F-250
$31,810 As Shown*
Ford F-350
$34,905 As Shown*
Ford Edge
$28,100 As Shown*
Ford Escape
$23,450 As Shown*
Ford Expedition
$44,585 As Shown*
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Welcome to Kayser Ford Lincoln of Madison WI
Located in Madison WI, Kayser Ford Lincoln is proud to be one of the premier dealerships in the area. From the moment you walk into our showroom, you'll know our commitment to Customer Service is second to none. We strive to make your experience with Kayser Ford Lincoln a good one for the life of your vehicle. Whether you need to Purchase, Finance, or Service a New or Pre-Owned Ford, you've come to the right place.
Our dealership is eager to work with you to get you into a new car that will meet your needs. We take pride in providing exceptional personalized service. Our website offers our complete new Ford inventory, online financing application and credit information, as well as an online service appointment form, and a parts order form. We know that you have high expectations, and so do we.
Kayser Ford Lincoln....and the Areas We Serve
We are your Ford dealer servicing the following Wisconsin towns: Madison, Sun Prairie, Janesville, Rockford IL, Waukesha, Middleton, Verona, and Columbus with a huge selection of Ford trucks, cars, and SUVs. We look forward to helping residents from all over WI whether they are in search of their next vehicle, need parts, service, or collision repair!
New Ford Dealer in Madison WI
Are you in search of a new Ford vehicle in the Madison WI area? Kayser Ford Lincoln strives to make the car shopping experience enjoyable and our services offered does not stop at sales. We have the complete new Ford lineup in stock, and you can view our complete New Ford Inventory including the Explorer, Escape, Edge, F-150, Superduty, Flex, Focus, Fiesta, Taurus, Mustang, and more right on our website!
Used Car Dealership Madison, Sun Prairie WI
If you are shopping for used cars or trucks in Wisconsin, then our dealership is worth stopping by. You can view our used car and truck inventory and explore our easy to use website before hand, and find the perfect vehicle to suit your needs. We have a huge inventory with almost every make and model, and we will work with you to make sure you get the best deal possible. You will find an extensive selection of used Certified Preowned Used Ford cars, trucks, and SUVs as well as used models from some of today's top automakers, including Audi, BMW, Buick, Cadillac, Chevrolet, GMC, Honda, Mazda, Nissan, Subaru, Toyota, Volkswagen, and more. Kayser Ford is YOUR Used Ford dealer in Madison!
Auto Finance and Credit for Madison Wisconsin
Are you wondering about financing for your new or used Ford vehicle? When shopping for your next vehicle, it is beneficial to have a dealership that will work with you whatever your credit rating turns out to be. Everyone's credit situation is unique, and at Kayser Ford Lincoln we understand that. Our professional finance department will work with you individually. You can get your car shopping process started today by filling out our Ford credit preaprroval form.
Read our New Ford Model Reviews
|2013 Ford Escape
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Car Repair, Parts & Service of Madison WI
Our Service Center of WI features certified technicians with the experience that you can rely on! Our prices at our auto repair center are very competitive and we encourage you to compare our prices with other repair centers in the Madison WI area. Kayser Ford Lincoln has a variety of ways to keep your new or used car running at peak performance, such as routine oil changes. Whether you need a regularly scheduled tune-up, minor maintenance, or extensive parts and service repair, Kayser Ford Lincoln is your one-stop service destination. Fill out our online service appointment form to get your vehicle in the shop and back on the road in no time.
Check Out Our Top Shelby Mustang Muscle Cars Ever!
Are you a big fan of muscle cars? Then you will definitely be in for a treat when you see why we chose these Shelby Mustang Muscle Cars as some of the best muscle cars ever. Learn a little about the history of Carroll Shelby and what he did besides racing. Find out what these cars are made of and why their legacy continues to hold strong to this day.
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Development as Freedom in a Digital Age: join us for the book launch event on April 9
The majority of the poor in the world are gaining access to these technologies for the first time. The real question remains: does having access to a cell phone, the Internet, or social media have any tangible benefits for the living conditions of the most marginalized among the poor?
Is the "digital divide" widening or narrowing the "economic divide"?
Putting ourselves in women's shoes: Experiences from rural Bolivia
I recall a visit to a Bank-funded project in a rural Bolivian community. An enthusiastic Quechua woman was proudly telling me that she was about to undertake the 3-hour journey to Sucre with her "wawa" (baby) to get the three price quotes she needed to purchase wire for the community fences. She was participating in one of over 600 investments designed to help vulnerable rural communities in Bolivia lift themselves out of poverty, within the scope of the Community Investment in Rural Areas Project (PICAR) executed by the Ministry of Rural Development of Lands.
"You just have one wawa, right?," I asked. She replied: "Well, this is the youngest of six children; the others will stay home. My ten-year-old daughter will look after the younger ones. Right now my husband is working in the Chapare, harvesting coca leaves. He only comes home occasionally."
After talking with her I had mixed feelings. One the one hand, I was worried that our gender-targeted project was asking too much of her and might be harming her kids in some way. On the other hand, I realized that it was giving her a unique chance to engage in tasks historically performed by the men.
Five ways technology is improving public services
If you live in a country where electricity never or rarely goes out, you are lucky. In my country, Nepal, we are pleased when we get uninterrupted electricity for even eight hours a day.
Like Nepal, many countries around the world struggle to deliver basic services to their citizens. But things are slowly improving.
1. Participatory budgeting
In the Democratic Republic of Congo, citizens of South Kivu Province are using "mSurvey" to obtain information about budget meetings. Using just their mobile phones, they can actively monitor, discover what was decided at meetings, and evaluate those decisions via online voting. by actively reminding local authorities of their commitments while ensuring that citizens are getting services they deserve.
Who speaks for public media in Latin America?
Latin America has a long, fractured, and ultimately failed history of public media. So-called "public media" typically functioned as government-controlled institutions for spurious goals - propaganda and clientelism - rather than quality content in the service of multiple public interests.
In Latin America, Hard Hats and Tools are no longer only for Men
While driving around rural areas of Puno in Peru, Caaguazú in Paraguay or Granada in Nicaragua, do not be surprised to see women lifting rocks from the roads and using shovels and picks alongside men. In fact, in the past 15 years, the number of women that have joined organizations in charge of routine road maintenance in Latin America has increased significantly and with this their life conditions have improved dramatically.
- Tags:
- Umbrella Facility for Gender Equality
- Transport
- Trade
- Social Development
- Poverty
- Information and Communication Technologies
- Gender
- Financial Sector
- Agriculture and Rural Development
- Latin America & Caribbean
- Europe and Central Asia
- Venezuela, Republica Bolivariana de
- Peru
- Paraguay
- Nicaragua
- Ecuador
- Chile
- Bolivia
Corruption Fight Aided by Technology
Good governance is critical for all countries around the world today. When it doesn't exist, many governments fail to deliver public services effectively; health and education services are often substandard; corruption persists in rich and poor countries alike, choking opportunity and growth. It will be difficult to reduce extreme poverty — let alone end it — without addressing the importance of good governance.
For rural communities, good roads mean the world
On a Friday evening last November, twelve mayors from nearby districts gathered at the municipal office building in Tarapoto, Peru. Even though the rainy season was just ramping-up in this lush tropical area of the country, local roads were already being washed away. These mayors were eagerly planning for the local Provincial Road Institute to use their tractors to protect their roads to counter the negative effects of the rain.
One of them cried out, "How will my people bring grapes and coffee to local markets without good roads? Our products are going to rot and my people are going to suffer."
How avocados are changing the way of life of Peruvian farmers
A five hours' drive south of Lima lays the coastal provinces of Chincha. If one heads inland into the deserted mountains that are typical of costal Peru, one would be surprised to find agriculture blanketing the valley floor. For centuries local communities in these rugged terrains have been using water from small meandering streams to grow maize, and eke out a living by selling surpluses at nearby markets. However, in recent years the growth of industrial agriculture has squeezed these communities, making it hard for them to survive in these ancestral lands, forcing many of them to move to nearby cities such as Chincha Alta.
How to Take Control of your Personal Finances
Many of our aspirations revolve around improving our personal finances—keeping better track of spending, saving towards a goal or perhaps getting out of debt. How can we work towards these goals and follow through on these changes?


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Morrisville biotech could make $400M on sleep drug
Morrisville's Aerial BioPharma sold its sleep drug to Irish drug company Jazz Pharmaceuticals in a deal that could be worth up to nearly $400 million.
Jazz (Nasdaq: JAZZ) paid $125 million up front for a product Aerial has been developing to treat excessive daytime sleepiness in patients with narcolepsy. Jazz is acquiring all of Aerial's rights, title and interest in and to the product, called ADX-N05, which include patents, clinical data and other rights.
Jazz will also owe Aerial for various milestones it hits. Those could be worth up to $272 million.
Bizspace Spotlight
Aerial, which is supported in part by the N.C. Biotechnology Center, has had other success stories as well. It's the third company started by CEO Moise Khayrallah and his partners Stephen Butts, Gary Bream, Dr. David Ward, Karen Adams and Paul Ketreridge.
The Biotechnology Center has called Aerial one of the "world's most amazing serialized success stories."


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Rotation Orientation July 27, 2010 P3 Distance Students I. Requirements A. Students must complete eight, five-week rotations following the schedule below. Start and end dates must be followed as listed. Five hours of academic credit and 200 hours of internship credit will be earned for each rotation completed successfully. B. Start and End Dates: 1. June 6, 2011 – July 8, 2011 (off Monday, July 4 for holiday) 2. July 11, 2011 – August 12, 2011 3. August 15, 2011 – September 16, 2011 (off Monday, Sept. 5 for Labor Day holiday) 4. September 19, 2011 – October 21, 2011 5. October 24, 2011 – November 23, 2011 (ends Wednesday, off Nov. 24-25 for Thanksgiving holiday) OFF: November 28, 2011 – January 6, 2012 6. January 9, 2012 – February 10, 2012 7. February 13, 2012 – March 16, 2012 8. March 19, 2012 – April 20, 2012 (off Friday, April 6 for Good Friday holiday) GRADUATION: May 12, 2012 C. Required Rotations—Five See attached list for course descriptions. 1. Community 2. Hospital 3. Acute Care 4. Drug Information 5. Ambulatory Care D. Elective Rotations—Three See attached list for course descriptions. 1. Choices include: a) Academic b) Advanced Community c) AIDS d) Ambulatory Care Elective e) Acute Care Elective f) Cardiology g) Community Elective h) Community Management i) Community Compounding j) Community Outreach k) Critical Care l) Home Care m) Hospital Elective n) Hospital Management o) Institute for Latin American Concern (ILAC) p) Industry q) Infectious Disease r) Informatics s) International t) Long Term Care u) Managed Care (DUR) v) Nuclear Medicine w) Nutrition x) Oncology y) Pediatrics z) Pharmacokinetics aa) Pharmacy Organization Management bb) Poison Center cc) Psychiatry dd) Public Health ee) Research ff) Veterinary Pharmaceuticals II. General Guidelines and Rules A. See attached calendar of events and deadlines for the year. B. No guarantees can be made with regards to choice of rotation sites/preceptors, electives or times requested! C. All students must submit their rotation requests to us by November 19, 2010. The requests may be submitted from November 5 to November 19, 2010. Go to E*Value either via the experiential website or directly: Experiential web site: http://spahp.creighton.edu/experiential, Choose E*Value in right hand body of the home page. or Directly at https://www.E-Value.net Log into E*Value with the Login Name and Password that were emailed to you. You may wish to change your login name and password. Follow this menu path to change these: Home > Password Change > follow prompts. Your ID and password may both be changed from the same screen but they must be changed one at a time. If at any time you do not remember your password, please contact the experiential office and we will email it to you. You will then need to follow the step-by- step instructions about how to enter your rotation requests. Instructions for submission of your requests are listed on the ―P-3 Orientation: Submission of Rotation Requests‖ handout. D. Local students should expect to be assigned to at least one rotation that is located outside of, but adjacent to, the Omaha/Council Bluffs area (i.e., Lincoln, Blair, Atlantic, Nebraska City). Please note that these are considered within driving distance. E. The student is responsible for transportation to all sites, including out-of-town sites. F. The student is responsible for housing during all rotations, including out-of-town rotations. There are a few sites that may have housing available. The function to search for housing is currently not available in E*Value, so for those interested in viewing which sites have housing, please log-in to EMS, select the ‗Search Preceptor/Sites‖ icon, select ‗yes' for ‗Housing Available' and select ‗Search.' Please contact Kathy Widman in the experiential office if you have any questions. You may also want to speak to friends, relatives, and classmates in areas where you know rotations are more readily available to determine if you could stay with them for a rotation. G. The student is responsible for obtaining and paying for any tests and additional checks that the site requires above and beyond what Creighton performs. This includes required drug tests, any additional background checks the site requires, parking fees, etc. Site requirements are listed in E*Value under the following menu path: Reports > Sites > Listing > Site Report. Select site and under Custom Fields, Add Site Directions to Selected Fields, click on Next. Site requirements will appear in the table that comes up. Check with the preceptor for any additional requirements the site may have when you call two weeks before the start of the rotation. Please contact Kathy Stuhr in the Experiential Office to inform her of any additional requirements so they can be added to the system. H. In accordance with ACPE standards and guidelines, students shall not receive nor expect any financial compensation, reimbursement, or stipends for rotation experiences. I. If a site is located outside of Nebraska, the student is responsible for obtaining an intern license for that state. The student will need to contact that particular state's Board of Pharmacy to find out how to obtain an intern license for that state. Contact information for all the state Boards of Pharmacy can be found on the National Association of Boards of Pharmacy web site (http://nabp.net). J. Students must comply with all of the information in the 'Experiential Education Participation Requirements' policy. This policy can be found on the school's web site. (http://spahp.creighton.edu/spahp/student_affairs/policies/school_policies/experiential.asp ) These requirements include: All of your required and elective didactic coursework must be completed and grades recorded three weeks prior to starting rotations. You must be up-to-date with all immunizations with student health and include this information on the ―Student Profile‖ form submitted to our office by March 25, 2011. You must have current CPR certification. You must have a background criminal record check. Registration holds must be cleared three weeks prior to starting rotations. Students with registration holds will not be allowed on rotations. K. All students need to receive a Background Check prior to starting rotations. The form that gives authorization and needed information for the background check is due to our office by March 25, 2011. Distance Students: An email will be sent to you with the form for you to sign prior to the deadline. You will need to mail, fax, or scan it as an attachment back to us with your signature by March 25, 2011. Campus Students: Your form will be e-mailed to you and returned during a PPD session. L. All students need to submit a ―Student Profile‖ form by March 25, 2011. The student profile form is given to each preceptor at the beginning of the rotation year and includes information about your immunizations and CPR certification that the sites require. Any student who does not submit the Student Profile form by March 25th will lose his/her rotation sites that have been scheduled and will not be able to start rotations. M. Students cannot ―schedule themselves‖ with any site or preceptor. The student should not contact any current preceptors already in our Creighton database about scheduling of a rotation. The Office of Experiential Education (OEE) will contact the sites for scheduling of the rotations. N. The OEE does all scheduling only after (a) all sites and preceptors have been approved and site availability has been confirmed; and (b) consideration of all preceptor and student needs and requests. O. Please note unique instructions below for requests regarding the following sites: 1. For anyone wanting to complete a rotation at a CVS pharmacy location that is not in our database, do NOT fill out a new site form. Obtain the store contact information and enter it into the E*Value system by following this menu path: User Menu > Scheduling > Manage Schedule. Fill out the required information – course/rotation type, dates, select ‗new site', select ‗new preceptor'. Then, in the comments section give us the store name and store # (if known), store address, and phone number. If you know who the preceptor is, please list them also. 2. For anyone wanting to complete a rotation at any Longs in Hawaii, in E*Value follow this menu path: User Menu > Scheduling > Manage Schedule. Fill out the required information – course/rotation type, dates, select Longs Drug Pharmacy in Honolulu, HI, select Deanne Kaopua. Then, in the comments section give us the address of the place you will be staying in Hawaii. We will then forward the information to their representative who will try to assign you to a store near your location. 3. For chain pharmacy rotations that are not in our database (new sites), please contact the local store to obtain their information to submit on the new site form. Do NOT contact the district manager unless the pharmacist asks you to do so. (See directions above for new CVS rotations and Longs rotations in Hawaii). P. Students cannot do a rotation in the same area of an institution where they are currently working. They can do rotations, if approved, in different areas of the same institution. Q. Students cannot do a rotation with preceptors or sites where a conflict of interest exists with the site or preceptor. (e.g., preceptor is spouse, relative, etc…; site: financial interest). R. A preliminary draft of the 2011-2012 schedule will be posted in the E*Value system by March 1st and be viewable until March 8th, 2011. The final schedule will be posted on May 1st, 2011. S. The OEE will do our best to provide the best educational experience possible; however, no guarantees can be made concerning student requests. III. How to Request a Site that is not already in our database (A New Site) A. The student should contact the potential site and preceptor (this is usually the Director of Pharmacy or the Pharmacy Manager) to see if they are willing to take a student. 1. See if you can make an appointment to meet with them face-to-face or speak to them on the telephone. 2. If you make an appointment with them, be sure to dress professionally and take a Pharmacy Experiential Brochure and New Site Request Form with you to give to the preceptor. B. The student should introduce him/herself and state that they are a pharmacy student from Creighton University and would like to know if it is possible to do a rotation at that site. If visiting with them face-to-face, give them a Pharmacy Experiential Brochure to review during the discussion. C. When the student is finished with the discussion, regardless of whether they agree or disagree to precept the student, the student should thank them for their time. If they are unable to precept the student, the student should ask them if they have any ideas for other sites that they think may offer quality experiential rotations for pharmacy students. D. If the preceptor is interested and willing to take you as a student, you will need to obtain information for the ―New Rotation Site Request Form.‖ You can either ask them for the information over the phone to fill it out, obtain it in person, or have the preceptor fill it out and send it back to you. If the preceptor is too busy at that time to fill it out, many students have given the preceptor a self-addressed, stamped envelope to mail the form back to them at their convenience. You should give them a deadline earlier than the submission deadline so that they get it back to you in a timely fashion. You will then need to submit the form online during the preferences submission dates. E. Many students have found it quite useful to send a follow-up ‗thank you' letter to sites that have met with them concerning rotation opportunities. If you spoke with them over the phone and didn't give them a Pharmacy Experiential Brochure, the brochure could also be included with the thank you letter. Sites appreciate this and positive networking will be very important to you throughout your pharmacy career! F. For new sites that agree to precept you as a student, you will need to submit a ―New Site Request‖ form via the web by November 19th, 2010 to request the site. G. Once the preceptor information has been received, the information that was submitted will be reviewed. In January, Dr. Skrabal will begin contacting the potential preceptors and ask additional questions to determine if it is a quality site and preceptor. H. If it is a quality site and preceptor, the dates will be confirmed and an Affiliation Agreement will be sent to the site for signatures and then will need to be sent back to the OEE. The rotation will be entered into your schedule. I. The student will be notified via email of denial of any new site request so it is very important that you are regularly checking and responding to email during this process. J. Frequently asked questions from new sites: What if the preceptor tells me that they have only taken local students in the past? If the preceptor at the institution states that they routinely have only taken students from a local school or college of pharmacy, explain that you are from the local area and may be practicing in that area and are interested in completing rotations there. If they are willing to take you as a student, submit a new rotation site request form and we will contact them to officially consider the site for approval and determine what place in the schedule works best for them. What if the preceptor tells me that they prefer to schedule all students through the local school/college of pharmacy? If the preceptor prefers that they only go through the local college of pharmacy for all of their students and also agree to take you if we contact that local school, we will contact them. We contact local colleges/schools of pharmacy only as a last resort because they are very busy scheduling their own students. Their priority is their students and there is no guarantee that there will be openings left for placement of outside students. What if the preceptor tells me that they need a contract with the school before they are willing to take an outside student? Once the site has been approved, we will send the site/preceptor an Affiliation Agreement, which is a contract that covers all the legal aspects of having a Creighton student at their site for a rotation. We require this of all of our sites. If the preceptor has any questions about it we can contact them to discuss it. IV. General Advice in Choosing Elective Rotations A. Base your selections on career goals and the type of rotation rather than what your friends are doing/saying about a particular site/preceptor. If you have any questions, feel free to contact Dr. Skrabal at any time. B. Take advantage of this opportunity to learn about pharmacy practice in various settings—you will never get this opportunity again! C. If you plan to do a residency/fellowship/post-graduate education: choose a variety of solid, clinical rotations (e.g., cardiology, infectious disease, kinetics, oncology, psychiatry, critical care, etc.) if the residency program emphasizes a research project or teaching pharmacy students, a research or an academic rotation may be helpful do not choose two community or two hospital rotations—this looks very weak on your CV D. If you plan to work in a hospital setting (staff or clinical pharmacist): choose a variety of clinical rotations in the hospital or other settings choose pharmacokinetics, since the vast majority of hospital pharmacists are responsible for pharmacokinetic monitoring the home care rotation may be helpful, since some hospitals also have a home care section and some hospital pharmacists move on to home care later in their career do not choose two hospital rotations—this looks weak on your CV—take advantage of the opportunity to see various settings—you will have plenty of time to work in the centralized pharmacy setting after you graduate E. If you plan to work in a community setting: choose a variety of clinical rotations that pertain to common disease-states that a community pharmacist will fill prescriptions for (e.g., cardiology, psychiatry, etc.) managed care may be helpful, since you will learn about the world of managed care and third-party reimbursement from the ―third party‖ perspective a second ambulatory care rotation will help enhance your communication skills, expose you to common disease states, as well as expose you to the ―other side‖ of the prescription process if you want to move into an administrative position (chief pharmacist or owning your own pharmacy) someday, community management will be helpful do not choose two routine community rotations—take advantage of the opportunity to see various settings—you will have plenty of time to work in the community pharmacy setting after you graduate choose a compounding community pharmacy to learn about the compounding aspects of pharmacy F. If you plan to work as a consultant pharmacist in the nursing home setting: choose a variety of clinical rotations that pertain to common disease-states that are found in the elderly (e.g., cardiology, psychiatry, oncology, kinetics, etc.) choose a long term care rotation to see what nursing home consultant pharmacists do G. If you plan to work as an ambulatory care pharmacist: choose a variety of clinical rotations that pertain to common disease-states (e.g., cardiology, psychiatry, etc.) choose a second ambulatory care rotation to expose you to a different ambulatory care setting than the required ambulatory care rotation (we offer the V.A., Indian Health Service, private clinic (St. Joseph), and a managed care clinic (Kaiser) managed care may be helpful to expose you to the world of managed care and third-party reimbursement from the ―third party‖ perspective H. If you don't know what you want/plan to do: choose a variety of clinical rotations that pertain to common disease-states (e.g., cardiology, oncology, critical care, etc.)—chances are high that you will work with these diseases or medications no matter what you end up doing choose various settings (e.g., hospital, ambulatory, managed care, home care, etc.) to see what you like and don't like take advantage of learning about various types of pharmacy practice—you will never get this opportunity again as you progress through your rotations, ask your preceptors for the pros and cons of his or her job (be careful about asking questions that are too personal, e.g., his/her salary) V. Small Group Sessions A. All students are scheduled for small group sessions with Dr. Skrabal and Kathy Widman while on campus in July. B. The purpose of these sessions is to: Discuss career goals/work experience and personal circumstances. Answer questions concerning scheduling of rotations, finding sites, and any other matters pertaining to your rotation year. If you have any questions about rotations (e.g., selecting electives, scheduling, etc.), please contact either Kathy Widman (402-280-3664 or email@example.com) or Dr. Skrabal (402-280-5834 or firstname.lastname@example.com). Rotation Calendar/Timeline P3 Orientation July 27, 2010 Small Group Sessions July 27 and 28, 2010 Rotation Preference Submission and New Site Request Form Submission November 5 to 19, 2010 Draft Schedule Posted March 1, 2011 Corrections/Changes to Schedule Last Day to submit – March 8, 2011 Background Check Form Due – March 25, 2011 Student Profile Form Due – March 25, 2011 (Immunization dates will be needed for this form) Rotation Orientation May, 2011 Final Schedule on Web May 1, 2011 Rotations begin June 6, 2011 Graduation May 12, 2012 COURSE DESCRIPTIONS PHA 510; PHA 520: COMMUNITY PHARMACY PRACTICE ROTATION: The Community Pharmacy Practice Rotation is a clinical experience in an approved community pharmacy which emphasizes not only medication dispensing and control, but also communicating with patients, prescribers, and other health care professionals. PHA 511, PHA 540: HOSPITAL PHARMACY PRACTICE ROTATION: The Hospital Pharmacy Practice Rotation is an inpatient hospital experience in an approved hospital pharmacy which provides experience in the provision of pharmaceutical care in an acute inpatient setting. Particular emphasis is placed on the preparation, distribution and control of medications, medication monitoring, and the ability to communicate with other health care professionals. PHA 512, 560, 561: ACUTE CARE ROTATION: The Acute Care Rotation is a clinical experience intended to provide students an opportunity to apply didactically acquired information in the provision of pharmaceutical care to adult patients in an inpatient acute care environment. PHA 515; PHA 542: DRUG INFORMATION ROTATION: The Drug Information Rotation allows the student to provide drug information services to pharmacists and other healthcare professionals. Emphasis within the rotation is placed on how to properly receive requests for information, conduct a systematic information search, and assimilate the information obtained into an appropriate response form. The student will develop a working knowledge of information resources as well as develop the ability to critically evaluate such resources. The student may also have the opportunity to become involved with the evaluation of drugs for formulary inclusion, quality assurance/drug usage evaluation activities, news publications, and Pharmacy and Therapeutics Committee Support. PHA 516; PHA 524: AMBULATORY CARE ROTATION: The Ambulatory Care Rotation is a clinical experience during which the student provides pharmaceutical care in an ambulatory (outpatient) clinic setting. Emphasis is placed on how to appropriately identify, resolve, and prevent drug- related problems, as well as effectively communicates with patients and health care professionals. The skills developed in this rotation include patient counseling and education on drug information, written and verbal communication skills, assessment and documentation of services and therapy, and an appreciation for the pharmacist's role in the promotion of rational drug therapy. PHA 521: ELECTIVE COMMUNITY PHARMACY MANAGEMENT ROTATION: The Community Pharmacy Management Rotation provides experience in a community/retail pharmacy setting where students learn the various aspects involved with managing a pharmacy. The primary focus is financial analysis including third-party issues, inventory control, and personnel management as well as the processing of new and refill prescriptions. PHA 522: ELECTIVE ADVANCED COMMUNITY PHARMACY PRACTICE ROTATION: This Advanced Community Pharmacy Practice Rotation allows students to enhance their ability to provide pharmaceutical care to patients in a community/retail pharmacy setting. Pharmacotherapeutic knowledge and clinical skills are integrated with routine medication dispensing activities. The primary focus is patient assessment, counseling and education, medication therapy and disease state management, and documentation of patient information and interventions. PHA 523: ELECTIVE LONG TERM CARE FACILITY ROTATION: The Long Term Care Rotation is an experience in which the student will have the opportunity to develop clinical skills and competence in the provision of pharmaceutical care to residents of long-term care, assisted living, and other care facilities. Some of these facilities may include: psychiatric hospitals or residential facilities, facilities for the mentally retarded, correctional facilities, hospices, alcohol and drug rehabilitation centers, pediatric long-term care and youth outpatient and residential psychiatric facilities. The student will receive exposure to all of the functions and responsibilities of the consultant pharmacy practitioner in one or more of these facilities. PHA 525: ELECTIVE PHARMACY INFORMATICS ROTATION: The Pharmacy Informatics Rotation focuses on fundamentals of pharmacy informatics such as pharmacy automation technology and information systems in a hospital setting. This rotation is beneficial to students who are interested in hospital pharmacy practice or those interested in specializing in pharmacy informatics. PHA 526: ELECTIVE HOME CARE ROTATION: The Home Care Rotation takes place in a setting that provides home health care services. The student will become familiar with the pharmacist's responsibilities in preparation of home parenteral products. The student will participate in several of the home care facility's activities including home visit assessments with the nurses, inventory and quality control of products and patient discharge consultations. The student will also be exposed to pumps and other parenteral devices needed in home care. PHA 527: ELECTIVE COMMUNITY COMPOUNDING ROTATION: The Community Compounding Rotation is an elective experience in a community pharmacy that specializes in the compounding of extemporaneous drug products. The student will not only gain experience in preparing and compounding patient-specific dosage forms but will also learn how to provide pharmaceutical care for patients needing compounded medications. PHA 528: ELECTIVE THIRD WORLD CULTURES AND HEALTH CARE: The ILAC Rotation is a seven-week clinical elective rotation in the study and practice of inter-disciplinary assessment, planning, implementation, and evaluation of health-care delivery in the Institute for Latin American Concerns (ILAC) Program. Major focus is on the team approach to episodic health-care problems. This unique experience affords the student the opportunity to actively participate in the triage of health-care problems, health assessment, collaboration and diagnosis, explanation of treatment, and education in a Third World country under the direction of faculty. Must apply and be accepted via ILAC office (Contact Marlene 402-280-3179). PHA 529: ELECTIVE INTERNATIONAL ROTATION: The International Rotation is an elective rotation that gives the pharmacy student an opportunity to engage in the study and practice of health-care delivery systems in a foreign country. The major focus is opportunities available to pharmacists in the foreign country compared to the United States. Students will actively participate in a variety of settings gaining an appreciation for the differences in activities and regulations of the profession. We typically don't have sites available in our system at this time. We organize these on a case-by-case basis with the student initiating the first contact and submitting the new site request form. PHA 532: ELECTIVE PUBLIC HEALTH ROTATION: The Public Health Rotation provides the student with the opportunity to participate in specified public health activities with an identified public health partner. This experience is designed to focus on current and potential pharmacist contributions to public health. Dr. Linda Ohri at Creighton often offers and oversees experiences in this area. Feel free to contact her at firstname.lastname@example.com to discuss further. PHA 533: ELECTIVE PHARMACY ORGANIZATION MANAGEMENT ROTATION: Given the dramatic changes in the health care system, pharmacists cannot afford to stand by and assume that ―other pharmacists‖ will invest the time and effort to speak for the pharmacy profession. Professional pharmacy organizations present a unified professional voice at the local, state and national levels. Pharmacy students will benefit from participation in the management activities of professional organizations as they work to balance the needs of their members and simultaneously represent pharmacy to other constituencies, i.e., third party payers, government. PHA 535: ELECTIVE ACADEMIC ROTATION: The Academic Rotation is designed to emphasize teaching and learning philosophies, concepts, and tools that are applicable to a wide range of teaching roles in which students will find themselves in pharmacy practice. Specifically, the rotation introduces students to the expectations and activities of a faculty member. Preceptor must be a pharmacy faculty member at a school or college of pharmacy. PHA 536: ELECTIVE PHARMACOECONOMICS ROTATION: The Pharmacoeconomics Rotation will introduce the student to the insurance industry. The student will develop an understanding of the contemporary health care system with a specific emphasis on managed care pharmacy. The student will acquire expertise in health services research PHA 537: ELECTIVE COMMUNITY OUTREACH ROTATION: This rotation is a community-based experience with a service agency providing healthcare to patients in a variety of settings such as free clinics, community health centers, migrant health centers, homecare, senior services, mental health programs, drug/alcohol and/or HIV crisis programs, Visiting Nursing Associations, Area Agencies on Aging, health associations, and homeless clinics/shelters. Students will have the opportunity to develop clinical skills and competence in the provision of pharmaceutical care to clients of all ages. Students will gain experience in an interprofessional approach for community-based health promotion and disease prevention initiatives. PHA 538: MANAGED CARE ROTATION: The Managed Care Rotation is an elective rotation where the student will gain experiential training in the application of managed care pharmacy principles within the contemporary health care system. This rotation may take place at health insurance and pharmacy benefits management (PBM) organizations as well as other sites that provide formulary management and evaluation. PHA 541: ELECTIVE HOSPITAL PHARMACY MANAGEMENT ROTATION: The Hospital Pharmacy Management Rotation is an elective experience that provides insight on how to manage distributive as well as clinical functions within a hospital pharmacy environment. This rotation is completed with a hospital pharmacy director or manager PHA 543: ELECTIVE POISON CENTER ROTATION: The Poison Center Rotation offers students an opportunity to become familiar with the operation of a poison center. During the rotation, the students develop skills necessary for handling calls to a poison center while enhancing their knowledge-base in clinical toxicology. PHA 544: ELECTIVE DRUG UTILIZATION REVIEW ROTATION: The student will have the opportunity to develop skills in drug utilization review (DUR). Experiences will include: DUR processing and evaluation of patient profiles, analysis of utilization criteria, and correspondence with other health care professionals; and may include: article review for journal submissions, work on a specialty task force, etc. PHA 545: ELECTIVE NUCLEAR MEDICINE ROTATION: The Nuclear Medicine Rotation introduces the student to nuclear pharmacy and its applications to clinical nuclear medicine. The student will be exposed to the fundamentals of radiopharmaceutical preparation and utilization within a centralized nuclear pharmacy. PHA 546: ELECTIVE VETERINARY PHARMACEUTICALS ROTATION: The Veterinary Pharmaceuticals Rotation is a clinical elective experience during which students will obtain knowledge and skills that can positively impact educational and veterinary outcomes by applying their drug knowledge resources to veterinary situations. This course will provide valuable instruction on the uses and indications of human and veterinary labeled medications used in the treatment of diseases affecting companion, exotic and food animals. Common animal disease states affecting small animals, large animals and food animals will be presented and discussed. Legal and regulatory issues that affect the practice of veterinary pharmacy will be emphasized. Exploration and utilization of text and internet-based veterinary-specific resources will be highlighted. Rotations settings may include veterinary clinics or hospitals, the zoo, the humane society, large animal feedlots, or veterinary pharmacies. PHA 550: ELECTIVE PHARMACY INDUSTRY ROTATION: This Industry Rotation is an elective experience where the student learns the responsibilities of the industry pharmacist. The student observes various activities of the drug industry, such as research and development, manufacturing quality control, clinical testing, information support, marketing, and regulatory affairs. PHA 551: ELECTIVE RESEARCH ROTATION: The Research Rotation is an elective experience designed to provide students with experience in research design and development, performance of experiments, data collection and analysis, the peer review process, and animal or human research regulations. It is recommended that students have previously taken directed independent research, PHA 399 or PHA 499. PHA 562: ELECTIVE CLINICAL PHARMACOKINETICS ROTATION: The Clinical Pharmacokinetics Rotation is a clinical elective experience that will develop the student's ability to apply pharmacokinetics to drug therapy in the acute care setting. The student will acquire basic knowledge in applied pharmacokinetics and laboratory drug analysis necessary to provide consultative assistance to physicians in developing appropriate drug dosage regimens, including exposure to and utilization of computer programs for pharmacokinetic purposes PHA 563, PHA 564: ELECTIVE INFECTIOUS DISEASE ROTATION: The Infectious Disease Rotation is an elective clinical rotation which will allow students to develop proficiency in the monitoring and management of patients receiving antimicrobial medications for proven or suspected complicated infectious disease PHA 565: ELECTIVE AIDS ROTATION: The AIDS Rotation is a clinical elective experience that introduces the student to the care and treatment of patients in the various stages of HIV disease. Since many patients with AIDS experience numerous complications as their disease progresses, students will learn how to prevent and/or treat these complications in this specific patient population. This rotation may take place in an inpatient or outpatient setting. PHA 566; 567: ELECTIVE ONCOLOGY-ROTATION: The Oncology-Hematology Rotation is an elective clinical experience that is intended to provide the student with advanced experiential training in providing pharmacy care for oncology patients. The student will gain a better understanding of the care of a cancer patient, including antineoplastics, toxicity management, supportive care, and the administrative functions of an oncology pharmacist. This rotation may be completed in an acute care setting or an ambulatory care setting. PHA 568: ELECTIVE CRITICAL CARE ROTATION: The Critical Care Rotation is a clinical elective experience in which the student gains competency in patient medical management in the intensive-care unit of a hospital. PHA 569: ELECTIVE CARDIOLOGY ROTATION: The Cardiology Rotation is an elective clinical experience that will develop the student's ability to make rational decisions concerning cardiovascular medications in the patient care setting. The student will acquire specialized knowledge concerning major cardiovascular disease states, invasive and noninvasive cardiovascular diagnostic techniques and the pharmacology, pharmacokinetics, and clinical use of cardiac drugs. This rotation setting is most often inpatient, but in some cases may be in an ambulatory clinic. PHA 570, 571: ELECTIVE PSYCHIATRY ROTATION: The Psychiatry Rotation is a clinical experience intended to provide students an opportunity to apply didactically acquired information in the provision of pharmaceutical care to mentally ill patients in an inpatient acute care or outpatient environment. The student acts as a member of the mental health care team to which they are assigned and is involved with patient monitoring, decisions regarding drug therapy, patient medication counseling and provision of drug information to team members. Emphasis within the rotation is focused on teaching the student how to provide pharmaceutical care to the person with a mental illness and communication with patients and the mental health care team. PHA 572: ELECTIVE PEDIATRICS ROTATION: The Pediatrics Rotation is an elective clinical rotation in which the student gains competencies in the medical management of patients in the neonatal/pediatric populations. The setting for this rotation may be inpatient (hospital) or outpatient (clinic), neonatal/pediatric intensive-care unit or pediatric unit/clinic. PHA 573: ELECTIVE NUTRITION SUPPORT ROTATION: The Nutrition Support Rotation is a clinical elective rotation with a pharmacy preceptor on a nutrition support service which provides inpatient parenteral and enteral nutrition therapies. Students will gain experience reviewing patient's labs and recommending adjustments to their therapy. WEBSITES: Websites you may want to explore to determine if rotations in the following areas are of interest to you include: 1. www.ihs.gov (Indian Health Service) 2. www.nacds.org (National Association of Chain Drug Stores) 3. www.ashp.org (American Society of Health-System Pharmacists) 4. www.aphanet.org (American Pharmaceutical Association) 5. www.nps.cardinal.com (Cardinal Nuclear Rotations) Student Profile for Preceptor Information PLEASE NOTE THAT THIS PAGE CAN ONLY BE PRINTED AS ONE PAGE – PLEASE KEEP COMMENTS TO A MINIMUM. Name: Current Address: Phone Number: E-Mail Address: Home/Secondary Address & Phone Number In case of emergency, contact: (name, relationship, phone number) I have personal medical insurance under policy #__________ with ___________________effective through _____________ I hold Nebraska Pharmacy Intern Permit #________; issued on ________ and expiring on ____________. Other State Intern Permits: _____________________________________________ I have completed approximately _________ hours of pharmacy internship. Educational Experience: (Past degrees or majors from other college experience? Please describe briefly.) Pharmacy (Work) Experience: (Type and length of experience, i.e., community, hospital; including names, locations and duties performed at each.) Personal/Future Career Goals/Plans: (Briefly state your future goals or plans in pharmacy) I verify the following information for the required health screenings, immunizations or documented health status and will provide documentation upon request. Tuberculosis screening within the past 12 months (negative PPD skin test or a chest x-ray and health care provider review if a previous positive PPD reaction): Measles, mumps, and rubella (MMR) immunity (positive antibody titers or 2 doses of MMR): Diphtheria, pertussis, and tetanus immunity (Tdap, Adacel, or Boostrix): Polio immunity (3-dose series or positive antibody titer): Varicella immunity (positive history of chickenpox and positive antibody titer or Varicella immunization): Hepatitis B immunity (3-dose series and positive antibody titer): Creighton University Pharmacy Student Disclosure Statement I verify that I submitted accurate information for the required retrospective background check prior to my participation in clinical activities. Unless the site is notified in writing, all background checks are negative. The background check included the following reviews: Social Security number verification; Criminal Search (5 years); Violent Sexual Offender & Predator registry; HHS/OIG/GSA. I verify that I have CPR Certification (American Heart Association at the Healthcare Provider level) with an expiration date of _________. I verify that I have received the following required program instruction: Confidentiality (Patient Rights) Universal Precautions, including needle safety Dress Code HIPAA training I agree to abide by all policies and procedures of the sites hosting my rotations. ―Confidential Information‖ is any patient, physician, employee, and site business information obtained during the rotation or association with the site. I agree to treat all Confidential Information as strictly confidential and will not reveal or discuss Confidential Information with anyone who does not have a legitimate medical and/or business reason to know the information. I understand that I am permitted to access Confidential Information only to the extent necessary for patient care and to perform my duties while assigned to the site. I will not disclose identifiable Confidential Information (e.g., name, date of birth) if the identity of the individual can be removed. I understand that I am a member of the site's workforce for purposes of complying with the Health Insurance Portability and Accountability Act (HIPAA) of 1996, and its applicable privacy and security regulations, and agree to follow the site's policies regarding HIPAA while participating in rotations. If I am given any access security codes or passwords, I agree to use them solely to perform my duties and will not breach the security of the information systems or premises. I will not use or disclose or misuse security codes or passwords. I will not misuse or attempt to alter site information systems in any way. I understand that the site reserves the right to audit, investigate, monitor, access, review and disclose information obtained through the information systems at any time, with or without advance notice to me and with or without my knowledge. I understand I will be held accountable for my work and any changes made under my password and security codes. I understand that I am responsible for the accuracy of information submitted under my passwords and security codes. I am expected to be covered by my own health insurance at all times, including hospitalization insurance. Should I seek routine or emergency medical care, I understand that I will be responsible for the cost of such care. I am not and will not be an employee of the site by virtue of my participation in rotations at the site and shall not be entitled to compensation or employee benefits of any kind, including but not limited to health insurance, workers' compensation insurance or unemployment benefits. I understand that violations of site policy may subject me to immediate termination of my assignment at the site, as well as civil sanctions and/or criminal penalties. My signature acknowledges that I agree to the following: To the best of my knowledge, the information that I have provided is complete and accurate; to follow the above expectations and authorize the above information to be disclosed to preceptors prior to rotations; and a background check information may be provided to a site if requested. I have signed an affidavit attesting that the above information is correct and I will be in compliance with all information above. A copy of this affidavit will be kept at Creighton University School of Pharmacy & Health Professions in the Office of Experiential Education. Creighton University School of Pharmacy & Health Professions New Rotation Site Request Headings marked with an * are required information. Student Information First Name: Last Name: Email Address: Campus or Distance Student? ____Campus ____Distance Type of Rotation: Preferred date(s) for the rotation: If doing more than one rotation at this site, list rotation types and preferred dates: If there are other students planning to use this new site, list their name(s) along with rotation type(s) and preferred date(s) if known: Preceptor Information *Contact Person's Information: First Name: Last Name: Gender: Title: Phone #: Fax #: Email Address: *Site/Institution Information: Name: Street Address: City: State: Zip Code: Preferred Method of Contact: ____Phone ____ Email ____ Mail ____ Fax Degree(s): (Pharm.D., B.S., M.S., M.B.A., Ph.D,…) Institution and Year of Degree(s): Professional Licensure State and License #: Residency and/or Fellowship? ___Yes ___No Institution/year: If yes, please list institution and year(s): Significant Past Work Experiences: Specialty Certifications: Professional Organizations: Would you consider it a conflict of interest for the ___Yes ___No If yes, please explain: student to complete a rotation at your site? Are you the preceptor for the rotation(s) the student ___Yes ___No If no, please list preceptor's name, is/are requesting? degree, phone #, and email: Site and Rotation Information Type of practice setting: ___Community ___Hospital ___Clinic Other: Type(s) and description of pharmacy services ___Distributive ___Clinical Other: provided: Description: Typical patient load or volume: #Scripts/day: #Patients/day: Hospital Census: Other: Typical patient population: (e.g.; gender, age, ethnicity, disease states) Activities, projects, and assignments required of the students while on this rotation: Students are expected to be at the site full-time #Anticipated hours per week with student:: (40 hrs/wk x 5 wks). How much time do you expect to spend with the student? Creighton encourages preceptors to provide ___Yes ___No verbal feedback throughout the rotation and requires a formal evaluation at mid-point and at the end of the rotation. Are you willing to provide this feedback and complete these evaluations? Does the student have access to drug ___Yes ___No information references or a library? Does the student have access to patient ___Yes ___No information? Does the student have an opportunity to interact ___Yes ___No with or counsel patients? What other healthcare practitioners will the ___Physicians ___Nurses Other: student interact with at your site? Have you taken pharmacy students for rotations ___Yes ___No If yes, please list which schools and before? when students taken: Do you require payment to take a student? ___Yes ___No If yes, how much? $ Please comment on your availability to take future Creighton students: (e.g.; available for this student only; limited dates; would consider future students…) This rotation is an advanced pharmacy practice experience. Do you also offer or are you interested in provided introductory pharmacy practice experiences to students? Why do you choose to serve as a preceptor for students? Preceptors: Please return information to student. Students: Please submit at spahp.creighton.edu/experiential. Questions? Please contact Pat Lyons ((402) 280-2590, email@example.com) or Kathy Widman ((402) 280-3664, firstname.lastname@example.com ) or fax -- (402) 280-1888 or http://spahp.creighton.edu/experiential
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StartUpHire is the place to find Sales-Specialist jobs in and near . Review the list below of Sales-Specialist jobs. These Sales-Specialist jobs represent some of the most rewarding careers available. You can refine your job search for Sales-Specialist jobs in by adding a job title, company name, or keyword to the search box above … or click the "Advanced Search" link for more options. Don't see the employment opportunity you're looking for? Check back soon for more Sales-Specialist jobs in , or sign up for an email alert (link in upper left) to receive periodic updates on new Sales-Specialist jobs in , .
Description: Stonebranch is currently looking for a post-sales Workload Automation Specialist. The post-sales Workload Automation Specialist will be responsible for resolving complex customer problems via the phone, in-person and email. The position focuses on our toolset,6/6/2015 Alpharetta, GA Save This Job
Location:Audubon, PA Job Code:ARSDH0515 Description The Accounts Receivable Specialist will develop a positive relationship with our sales reps and customers to collect Purchase Orders in order to generate invoices timely after verifying all sales order entries are correct. You6/2/2015 Audubon, PA Save This Job
More information about this job Overview DDN Storage is the world leader in high performance and massively scalable data management and storage solutions that accelerate business results and scientific insights for data-centric organizations worldwide. Our unified, end-to-end5/31/2015 MN Save This Job
POSITION OVERVIEW: The new Financeware Marketing, Sales & Service Specialist will be part of a team responsible for marketing, selling and servicing Wealthcare's Financeware financial planning software solutions business for financial advisors, featuring the patented Comfort Zone5/26/2015 Richmond, VA Save This Job
The Marketing Automation Specialist is responsible for managing, programming and improving our marketing automation system for demand generation, lead nurturing, lead scoring, and automated communications programs. Main responsibilities include the setup, deployment, and5/19/2015 Boise, ID Save This Job
Location: New York Job Overview: ZEDO is looking to hire a Client Services Specialist for our New York office. The ideal candidate will have two key areas of responsibility: (1) Maintain strong client relationship with the publisher after the Publisher Development team has signed5/10/2015 New York, NY Save This Job
Location: Atlanta, GA or Ridgeland, MS Position Summary: This Content Marketing Specialist is responsible for developing, managing, distributing and training Sales to use Bomgar?s marketing content. This includes reviewing and organizing Bomgar?s current marketing content,5/10/2015 Ridgeland, MS Save This Job
Location: Billerica, MADepartment: AdministrationType: Full TimeMin. Experience: Mid Level Seahorse Bioscience is the world leader in tools for cell metabolism, listed the last 4 years in the Inc.5000 List of ?Fastest-Growing Private Companies in America?, and also voted ?Company6/24/2015 Billerica, MA Save This Job
LogRhythm is looking for an Associate RFP Specialist who will participate in the tactical and strategic execution of preparing LogRhythm responses to RFP?s, RFI?s, Formal Vendor Questionnaires and other similar documents. This work will be performed in direct support of and in6/15/2015 Boulder, CO Save This Job
Location: Menlo Park, CAType: Full TimeMin. Experience: Entry Level GuideSpark seeks a high caliber Account Specialist who thrives on building long-lasting, loyal client relationships, while evangelizing new ideas and cross-selling innovative communication tools to human6/10/2015 Menlo Park, CA Save This Job
Location:New York City , New York Department:Marketing Posted:04-28-2015 Location Name:NA Wage:Depends on Experience Position Type:Full-Time Reporting to the Content Marketing Director, the Content Operations Specialist will work in partnership with Reval?s Digital Marketing6/1/2015 New York, NY Save This Job
About the Job The Senior Marketing Specialist will support a range of marketing activities for the global NexantThinking Reports and Subscription Programs (PPE, PERP, POPS, SBA. STMC and BI) within Nexant?s Energy & Chemical Advisory Group. The ideal candidate must be very5/10/2015 White Plains, NY Save This Job
Back to top Boston, MA Our Marketplace Specialist will work closely with our VP Strategic Partnerships and Manager of Carrier and Vendor Relationships on our marketplace offerings with insurance carriers and projects related to that. This includes training our partners about the5/9/2015 Boston, MA Save This Job
Summary: The Data Conversion Specialist position efficiently and accurately transitions a client?s business-critical data into their MINDBODY software. This information most commonly comes from competitor software or custom databases. The position requires technical knowledge of7/1/2015 San Luis Obispo, CA Save This Job
The Technical Solution Specialist's Roles and Responsibilities will include: ? Engagement with non-technical and technical decision-makers for complete ownership of deals as customers move through a low-touch, self-service transaction process ? Technically present Alert6/30/2015 Houston, TX Save This Job
The Technical Solution Specialist's Roles and Responsibilities will include: ? Engagement with non-technical and technical decision-makers for complete ownership of deals as customers move through a low-touch, self-service transaction process ? Technically present Alert6/30/2015 Houston, TX Save This Job
Department: Finance Location: Boston, MA Acquia is helping more than 4,000 organizations provide a truly integrated digital experience that combines content, community, and commerce. These organizations include Twitter, Timex, Mercedes Benz, and Warner Music Group. Acquia's6/6/2015 Boston, MA Save This Job
Department: Marketing Location: Indianapolis, IN Employment Type: Full Time BidPal is the leading provider of SaaS solutions that help charities raise more money while adding fun and excitement to fundraising events. The company's commitment to helping nonprofits use6/2/2015 Indianapolis, IN Save This Job
Zuora is looking for a Demand Generation Specialist who will be responsible for supporting global demand generation programs, marketing operations, and paid social campaigns. A successful candidate will have hands on experience executing and measuring the results of all demand6/1/2015 Foster City, CA Save This Job
POSITION OVERVIEW: The new Marketing Graphics Design & Content Creation Specialist will be part of a growing team responsible for brand marketing & PR, digital UI/UX design, direct & digital marketing, sales & advisor support, and product & business development for the firm's5/26/2015 Richmond, VA Save This Job


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|Amount Per Serving
|% Daily Value
|Total Carbohydrates
|1.5 g
|Vitamin C
|250 mg
|28 mg
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Carlson Mild C® -- 250 mg - 240 Chewable Tablets
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|Amount Per Serving
|% Daily Value
|Total Carbohydrates
|1.5 g
|Vitamin C
|250 mg
|28 mg
Chewable, buffered Vitamin C with the fresh taste of tangerines.
Vitamin C is an essential antioxidant nutrient. It is necessary for the building of collagen, maintaining teeth and gum tissue health, and normal functioning of the body's natural defenses.*
Carlson Mild-C contains Calcium Ascorbate, a buffered form of Vitamin C that dentists prefer in chewable Vitamin C supplements. There is evidence that teeth may be harmed by chewing Vitamin C tablets containing ascorbic acid. The acidity of ascorbic acid can leach Calcium from teeth causing gradual dental erosion. Ascorbic acid may also be difficult for a sensitive stomach to digest. Calcium Ascorbate is a non-acidic form of Vitamin C that is gentle to the teeth and mild in the stomach.
Completely free of sucrose and sucrose-containing sweeteners such as honey, molasses and maple syrup. No color or preservatives added.
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Retail price: $8.99
Vitacost price: $8.99
Sale price: $8.09


text:
August 3, 2012 - Dallas, TX - Prosthetic Impressions, a local plastic surgery and prosthetics group, is announcing the launch of its new website. The company was in operation prior to the website launch, but its new prevalence on the Internet allows it to reach a wider range of clients in a faster, more convenient manner. Rather than having to come into the office to get the information they need, prospective customers can now research the company from the comfort and convenience of their home, and decide whether or not plastic surgery is right for them. This allows the company to focus its full attention on the clients that are serious about plastic surgery. The website provides information about the company, details about the various services performed by Prosthetic Impressions, and contact information.
It is understandably difficult to acknowledge the idea that you need plastic surgery. Whether you were born with a defect or you suffered an accident or illness, plastic surgery is a huge decision that can significantly alter the rest of your life. Prosthetic Impressions' new website makes the process of finding a plastic surgeon much easier and less stressful than ever before. Customers can peruse the website from the privacy of their own homes, at their own pace, rather than having to schedule a costly appointment just to get a consult. Prosthetic Impressions provides detailed information about their policies and procedures so that customers know exactly what to expect before scheduling an appointment.
The new website features the services and treatments provided by Prosthetic Impressions, along with an "About Us" section and a "Contact Us" page. The company's phone number is conveniently placed in the top right corner of the website so that customers can view it from any page. Above the phone number are links to Prosthetic Impressions' Facebook, Twitter, and Google Plus pages so that customers can easily connect and provide feedback to the company. The website's organic, neutrally colored design makes potential clients feel peaceful and at ease. Prosthetic Impressions used Click4Corp, a web hosting, designing, and marketing company for businesses, to assist with website development and design.
Prosthetic Impressions offers all kinds of cosmetic procedures, including prosthetic ears, eye treatment, nose surgery, finger treatment, and toe treatment. The company promises to demonstrate to its customers exactly how the prosthetic should be used so that they have a complete understanding of what they will experience. Customers will see exactly what their new prosthetic will look like prior to any surgery. Prosthetic Impressions strives to make its clients as comfortable as possible during their visits, ensuring them that they will receive the best care possible. The company asks customers to trust that its services are built to last with its slogan: "Let us leave you with a lasting impression."
Prosthetic Impressions
17110 Dallas Parkway
Suite 205 Dallas, TX 75248
(214) 363-2055


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Zinc finger protein 804A
|Zinc finger protein 804A
|ZNF804A ; C2orf10
|External IDs
|OMIM: 612282 HomoloGene: 18461 GeneCards: ZNF804A Gene
|RefSeq (mRNA)
|RefSeq (protein)
|Location (UCSC)
|Chr 2:
185.46 – 185.8 Mb
|Chr 2:
82.05 – 82.26 Mb
|PubMed search
Zinc finger protein 804A is a protein that in humans is encoded by the ZNF804A gene.[1] The human gene maps to chromosome 2 q32.1 and consists of 4 exons that code for a protein of 1210 amino acids (137 kDa).[2]
Little is known about the characteristics and function of the encoded protein. However, the protein sequence codes for a domain characteristic of a classical C2H2-type zinc finger near the N-terminal end.[2][3]
ZNF804A binds to the N-terminus of ATXN1.[4]
Binding of DNA[edit]
The tertiary structure of the C2H2 finger consists of a beta hairpin folded against an alpha helix. The folding occurs via a zinc(II) ion that coordinates to two cysteine residues (one on each beta sheet) and two histidine residues (both on the α-helix).[5] ZNF804A might use its zinc finger to bind DNA in a sequence-specific manner. For example, Carl Pabo and his colleagues in 1991 discovered that mouse transcription factor Zif268 binds DNA using three linked C2H2 zinc fingers. Amino acid residues sticking out from the α-helices of the zinc fingers interact with the guanine-rich region of the DNA double helix through hydrogen bonds and electrostatic and hydrophobic interactions. The spacing of the residues matches the spacing of the base pairs. Zinc fingers fit into the major groove and wrap around the DNA helix for almost one turn.[5]
Association with Schizophrenia[edit]
What is Schizophrenia?[edit]
Schizophrenia is best described as a disorder in which a person's ability to function normally is compromised by the inability to distinguish between what is real and what is not.[6] The three main psychotic classes associated with schizophrenia are perceptual (visible), ideational (thoughts) and behavioural (actions). In the class of perceptual domain, hallucinations are the most common symptoms observed.[6] Hallucinations can be plainly described as perceiving imaginary things as real, i.e. sensing things that are a creation of the individual's mind.[7] In the class of ideational domain, delusional disorder is the most common symptom observed.[6] Delusional disorder results in the patient's continued belief despite being continuously presented evidence against it.[8] In the class of behavioral domain, patients experience several physical abnormalities, such as bizarre movements, postures and speech.[6]
Schizophrenia has been viewed as a progressive disorder of the brain for over 90 years.[6] The neuroimaging studies conducted by Lieberman et al. on schizophrenic patients of various backgrounds have confirmed several hypothesized structural brain abnormalities, along with the grey matter reduction and further observed reduction in size of hippocampus, thalamus, temporal lobe, and prefrontal cortex which are primarily soft tissue structures in the brain.[9]
Clinical significance of ZNF804A[edit]
In humans, ZNF804A is expressed broadly throughout the brain, especially in the developing hippocampus and the cortex, as well as in the adult cerebellum.[10] ZNF804A is expected to bind DNA and thus regulate gene expression like other zinc finger proteins.[2] Interestingly, the mouse homologue of ZNF804A, zfp804a, has recently been reported as a target for HOXC8, suggesting that ZNF804A may be involved in the regulation of early neurodevelopment.[3]
A Genome-wide association study (GWAS) has identified ZNF804A as a susceptibility gene for schizophrenia.[11] From family, twin, and adoption studies, schizophrenia is found to have heritability of ~80%[3] and it is suspected that risk results from multiple genetic variants of small effect. The single-nucleotide polymorphism (SNP) rs1344706 in intron 2 of ZNF804A has been identified as a variant that is most strongly associated with schizophrenia.[11]
The same SNP has been reported to correlate with slightly disturbed functional coupling of several brain regions in healthy persons, resembling the changes described in schizophrenia.[12][13][14] A further study revealed that the SNP rs1344706 was consistent with schizophrenia association in European patients, but not in Han Chinese patients. Moreover, the study showed that SNPs rs1021042 and rs359895 are associated with schizophrenia in Han Chinese patients, and that the rs359895 allele increases the promoter activity of ZNF804A.[3] The results of another study suggest that there is no relationship between variant rs1344706 and impaired cognitive function in schizophrenia patients[2] and the results of yet another study indicate that ZNF804A also plays a role in how schizophrenia symptoms respond to antipsychotics.[15]
- ^ "Entrez Gene: Zinc finger protein 804A".
- ^ a b c d Walters JT, Corvin A, Owen MJ, Williams H, Dragovic M, Quinn EM, Judge R, Smith DJ, Norton N, Giegling I et al. (July 2010). "Psychosis susceptibility gene ZNF804A and cognitive performance in schizophrenia". Arch. Gen. Psychiatry 67 (7): 692–700. doi:10.1001/archgenpsychiatry.2010.81. PMID 20603450.
- ^ a b c d Li M, Luo XJ, Xiao X, Shi L, Liu XY, Yin LD, Diao HB, Su B (December 2011). "Allelic differences between Han Chinese and Europeans for functional variants in ZNF804A and their association with schizophrenia". Am J Psychiatry 168 (12): 1318–25. doi:10.1176/appi.ajp.2011.11030381. PMID 21890790.
- ^ Lim J, Hao T, Shaw C, Patel AJ, Szabó G, Rual JF, Fisk CJ, Li N, Smolyar A, Hill DE, Barabási AL, Vidal M, Zoghbi HY (May 2006). "A protein-protein interaction network for human inherited ataxias and disorders of Purkinje cell degeneration". Cell 125 (4): 801–14. doi:10.1016/j.cell.2006.03.032. PMID 16713569.
- ^ a b Isalan M (2004). "Zinc fingers". In Lennarz WJ, Lane MD, Modrich P, Dixon J, Carafoli E, Exton J, Cleveland D. Encyclopedia of Biological Chemistry. Amsterdam: Elsevier. pp. 435–439. doi:10.1016/B0-12-443710-9/00713-4. ISBN 0-12-443710-9.
- ^ a b c d e Walker E, Tessner K (2008). "Schizophrenia". Perspectives on Psychological Science 3 (1): 30–37. doi:10.1111/j.1745-6916.2008.00059.x.
- ^ Berger F, Zieve D (2012). "Hallucinations". MedlinePlus. U.S. National Library of Medicine.
- ^ Goldberg, J (2013). "Mental Health and Delusional Disorder". Retrieved 1 March 2013.
- ^ Lieberman J, Chakos M, Wu H, Alvir J, Hoffman E, Robinson D, Bilder R (March 2001). "Longitudinal study of brain morphology in first episode schizophrenia". Biol. Psychiatry 49 (6): 487–99. doi:10.1016/S0006-3223(01)01067-8. PMID 11257234.
- ^ Lencz T, Szeszko PR, DeRosse P, Burdick KE, Bromet EJ, Bilder RM, Malhotra AK (July 2010). "A Schizophrenia Risk Gene, ZNF804A, Influences Neuroanatomical and Neurocognitive Phenotypes". Neuropsychopharmacology 35: 2284–2291. doi:10.1038/npp.2010.102. PMID 20664580.
- ^ a b O'Donovan MC, Craddock N, Norton N, Williams H, Peirce T, Moskvina V, Nikolov I, Hamshere M, Carroll L et al. (September 2008). "Identification of loci associated with schizophrenia by genome-wide association and follow-up". Nat. Genet. 40 (9): 1053–5. doi:10.1038/ng.201. PMID 18677311.
- ^ Esslinger C, Walter H, Kirsch P, Erk S, Schnell K, Arnold C, Haddad L, Mier D, Opitz von Boberfeld C, Raab K, Witt SH, Rietschel M, Cichon S, Meyer-Lindenberg A (May 2009). "Neural mechanisms of a genome-wide supported psychosis variant". Science 324 (5927): 605. doi:10.1126/science.1167768. PMID 19407193. Lay summary – Schizophrenia And Manic-depressive Disorder: Genetic Variant Impairs Communication Within Brain.
- ^ "Schizophrenia-associated Variant in ZNF804A Gene Affects Brain Connectivity". Schizophrenia Research Forum.
- ^ Hill MJ, Jeffries AR, Dobson RJ, Price J, Bray NJ (March 2012). "Knockdown of the psychosis susceptibility gene ZNF804A alters expression of genes involved in cell adhesion". Hum. Mol. Genet. 21 (5): 1018–24. doi:10.1093/hmg/ddr532. PMID 22080834.
- ^ Mössner R, Schuhmacher A, Wagner M, Lennertz L, Steinbrecher A, Quednow BB, Rujescu D, Rietschel M, Maier W (April 2012). "The schizophrenia risk gene ZNF804A influences the antipsychotic response of positive schizophrenia symptoms". Eur Arch Psychiatry Clin Neurosci 262 (3): 193–7. doi:10.1007/s00406-011-0235-1. PMID 21892778.


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