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Start > Nevada - NV > Clark County > 89147
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Therapists in Spring Valley - Las Vegas, NV 89147
Verified by Psychology Today
Ayako Sakuragi
Psychologist, PsyD
"I have been licensed in Nevada for four years, providing psychotherapy for mostly children and their families. I have worked as a mental health professional both in United States and in Japan for the past nine years. In Japan, I worked at a hospital for alcohol dependency and provided counseling for both clients and their families. My job is to guide you to reach your goals and gain greater insight, assisting you to sort out emotional difficulties and recognize the pattern of behaviors that may be hindering your progress. I look forward to working together and finding a path to your personal growth.
(702) 761-3754
Las Vegas, Nevada 89147
Verified by Psychology Today
Wiseheart Counseling Services
Clinical Social Work/Therapist
"I can help you! I have 30+ yrs of experience working with individuals, relationships and families struggling with: Mental Health issues: Depression, Anxiety, Stress, Anger, Low Self-Esteem, Trauma & PTSD, Impulse Control Disorders. Addictions: Alcohol, Drugs, Gambling, Pornography and other Sexual Addictions. Relationship Issues. Communication. Life Coaching. Crises of Faith & Spiritual Discovery.
(702) 570-2236
Verified by Psychology Today
Jen Mitzel
Clinical Social Work/Therapist, LCSW
"We all suffer challenges in life and oftentimes therapy is the answer to those challenges. I am a Licensed Clinical Social Worker specializing in individual and family work. I have been a Social Worker for 16 years and have worked in a variety of settings including both in-patient and out-patient therapy. I enjoy working with all age groups from children to geriatrics.
(702) 983-2034
Verified by Psychology Today
Paula Shannon
MS, NCC, CADC-In, CPC-Int
""Just when the caterpillar thought life was over, it became a butterfly." You cannot even imagine what is in store for you! My focus is to help you create additional choices and new patterns of behavior, with a heavy focus on purpose, hope, and developing a deep sense of autonomy. I have over 10 years of life coaching experience with a focus on conflict resolution and communication skills. Since 2012, I have worked with an alcohol and drug treatment facility in Las Vegas, as well as in private practice.
(702) 761-3509
Verified by Psychology Today
Ashley Hurley
MS, CPC-, Intern
"My passion is to help you understand yourself better so you can live a more fulfilled life. We are all trying to navigate through this journey of life with vitality, connection and a sense of peace. I want therapy to be about discovering your strengths, building new skills to help navigate challenges and learning more effective ways to communicate. I am an active partner in your journey. You will not travel this road alone.
(702) 904-8385
Verified by Psychology Today
Gail Silva
Marriage & Family Therapist Intern, MA, LMFT-I
"I received my degree in Counseling Psychology with an emphasis in Marriage & Family Therapy from Regis University. I enjoy working with a diverse population of adults, children and teens dealing with life issues ranging from depression to post-traumatic stress, victims of abuse, homeless transitioning to parenting frustrations and behavior management. Growth occurs one step at a time and that knowledge of process and circumstances leads to more effective decision-making. I have a passion for assisting victims of abuse (sexual, physical, neglect) in healing and "growing through" to a successful and healthy life.
(702) 712-4071
Verified by Psychology Today
Lisa Lamb
Psychologist, PhD, CCHT, CC
"As a Licensed Psychologist my practice focuses on Cognitive Behavioral Therapy (CBT). If you are looking for a therapy process that is time-limited, focuses on present situations, problem-solving oriented, develops specific skills that you can use for the rest of your life, such as modifying beliefs and changing behaviors, then CBT is for you!
(702) 381-6525
Verified by Psychology Today
The Brain Train Center
Clinical Social Work/Therapist
"With more than 30 years experience in the mental health field, I have served the Las Vegas Valley Community since 2004, specializing in unique stress management solutions for teens, adults and seniors. I offer a variety of techniques to enhance self awareness and empower people to take charge of their mental and physical health. In special cases, I can be mobile and come to you.
(702) 728-4676
Verified by Psychology Today
Nytisha L Gaston
Clinical Social Work/Therapist, LCSW
"My name is Nytisha Gaston and I have experience working with clients who need help in addressing problematic behaviors that tend to impair their ability to function. I have treated individuals, from childhood to adulthood, who struggle with ways to manage emotions, mood, impulsivity, and addictive behaviors. In addition to this, as a behavioral specialist, I have also worked closely with parents seeking help in managing the behaviors of their special needs children.
(702) 690-4580
Verified by Psychology Today
Debra L Wilson
Marriage & Family Therapist, LMFT, LCADC
"Hello, my first priority is to create a safe environment to develop a healthy therapeutic relationship.Together we can to explore challenges in your life and identity possible solutions.
(702) 487-3965 x248
Verified by Psychology Today
Evergreen Counseling
Clinical Social Work/Therapist
"Please view our website at 2evergreencounseling.com for credentials and services provided. We have 5 different therapists, each therapist having a specific area of expertise. Please call for more information.
(702) 248-6290
Verified by Psychology Today
Marv A Glovinsky
Psychologist, PhD
"Emotional distress affects mental and physical health. We can complicate or make life much more absurd for ourselves and our significant others with very little effort. Although misery may indeed love company and birds of a feather perhaps flock together, the assistance provided by a committed knowledgeable readily available professional can make a difference! I hold an adjunct faculty appointment in the Department of Psychiatry and Behavioral Science, University of Nevada, School of Medicine. I am board certified and acknowledged as a clinician who has achieved advanced training in health related psychological specialties.
(702) 714-0971
"I've been a Certified Life Coach and therapist for almost two decades. I am a Master Practitioner & Trainer of Neuro Linguistic Programming (NLP), Hypnotherapy & Time Line Therapy®. In addition, I created the renowned coaching technique - The Ideal You®. I have helped thousands of clients to overcome problems that have been plaguing them for years; everything from drug & alcohol addiction to anger management and lack of motivation. As your life coach, I will help you discover passion in your life and you will start achieving growth and change in the first session. Guaranteed. NLP Master Coach #N60124
(702) 625-1441
Verified by Psychology Today
Sarah Longson
Marriage & Family Therapist Intern, MS, LMFT-I, CADC-I
"Everyone knows life can be difficult but not everyone in your life understands just how difficult. Sometimes talking to someone outside of our circle helps sort out the chaos. I understand how little problems can start to push us away from the ones we love the most. Silence is suffocating. I find joy in helping a person reconnect with the world around them. Let me help.
(702) 830-5121
Verified by Psychology Today
Griffin Family Therapy
Clinical Social Work/Therapist
""Always Remember Your Potential"...my goal is to offer support in reaching that potential. I am a Licensed Clinical Social Worker and Certified Group Psychotherapist dually licensed in Nevada and New York, as well as a Board Approved Supervisor for Social Work Interns. Individuals come to see me for a range of reasons, including work stress, coping with medical concerns, adjusting to loss, and family communication challenges. We work together as a team, utilizing your unique strengths and talents, to address the issues that you bring to the table. Feel free to contact me for a free phone consultation.
(702) 534-3788
Verified by Psychology Today
Lindsey Lee
Marriage & Family Therapist Intern, MS, JD, MFT-I, CADC-I
"**Accepting New Clients** Everyone faces challenges now and then. Through a non-judgmental, encouraging, and peaceful therapeutic environment, I help clients find ways to overcome those challenges. I have worked with a diverse population, and I believe that everyone has the power to make positive change. I work with individuals, couples, and families of all ages. I use cognitive-behavioral therapy and strengths-based approaches in my work. However, I understand that each client is unique; thus, I try to utilize therapy models that I believe will work best with the client's needs and presenting issues.
(702) 945-0123
Verified by Psychology Today
Christine Rowe
Marriage & Family Therapist, MS, MFT, LCADC
"Change is often an exciting yet difficult process that can be enhanced by appropriate support and guidance. I use solution-focused, Motivational Interviewing, and cognitive-behavioral approaches with clients (adults, teens and children) to address a wide variety of issues, including depression, anxiety, life transition adjustments, and relationships. I also have extensive experience in treating trauma and abuse, as well as addiction issues, which are often related. I believe in utilizing clients' strengths to guide them to reach their personal goals. I aim to provide a supportive, nonjudgmental, and appropriately challenging atmosphere in which to learn, grow and reach unrealized potential.
(702) 799-9660
Verified by Psychology Today
Karen Anderson
Marriage & Family Therapist, MS, MFT, LADC
"Welcome to my practice! My name is Karen Anderson and I graduated with a Master of Science in Marriage and Family Therapy from the University of Nevada, Las Vegas. During my academic work I was the recipient of the UNLV Excellence in Marriage and Family Therapy Practice award and am currently registered with the State of Nevada as a Licensed Marriage and Family Therapist as well as a Licensed Alcohol and Drug Counselor Counselor.
(702) 570-0242
Verified by Psychology Today
Tracye L Ditmore
Marriage & Family Therapist, MS, LMFT, LADC
"Is it time for a different perspective on your current circumstances? How about looking at things from higher ground. Let's use what appears to be challenges in your life and transform them into access to your full potential. Whether you use this process for an individual journey or a way to improve relationships, let's get started today.
(702) 930-8156
Verified by Psychology Today
Michelle Formica
Clinical Social Work/Therapist, LCSW, CCTP
"Michelle Formica is the founder of Aspire Mental Health. Michelle is a licensed clinical social worker who earned her Master's degree from the University of Nevada Las Vegas with her undergraduate in Psychology from Nevada State College. Michelle also is a certified clinical trauma professional (CCTP) earning her certificate from the International Association of Trauma Professionals. Michelle is a native to Nevada and has built a network of community partners that also share her dream of assisting children, adults and families achieve their fullest potential and mental wellness.
(702) 793-2824
Not enough Therapists in Clark County, Nevada (NV), 89147 to choose from?
Try expanding your search for Therapists in 89147 to a larger area (e.g. click the plus sign or 89147+ .)
How can I tell if a therapist is right for me?
Therapists in Spring Valley - Las Vegas have broad skills and are able to work with a wide range of issues.
For example, if you're seeking a marriage counselor in 89147 you'll find that most therapists are trained in marriage counseling or couples counseling in 89147 and couples therapy. And they welcome families for family counseling in 89147 or family therapy in Spring Valley - Las Vegas.
How to find a specialist?
If you're looking for specialist counseling in Clark County, Nevada 89147, such as a child psychologist or sex therapist, try to refine your search with our left nav bar.
What method of therapy is right for me?
When it comes to treatment methods, there's no "right way". A couples counselor or a family counselor may use different treatment methods depending on the one that works best for you.
How to use my insurance?
Many therapists accept health insurance. Check to see if your insurance is covered. Feel free to discuss this when you contact the therapist.


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We offer discount to nonprofits, government agencies, and federal contractors
AILA created this PSA, in English and Spanish, to inform DACA grantees who received 3-year work permits erroneously issued or mailed after 2/16/15
AILA Doc No. 07021460 | Dated February 14, 2007 | File Size: 143 KDownload the Document
DOS Visa Bulletin for March 2007, which reflects retrogression in the family-based third preference category for Mexico and the Philippines. Also, little forward movement is expected in the employment-based third preference category in the near future.
[[To print the PDF on this page please use the print function in the PDF reader.]]
Cite as AILA Doc. No. 07021460.Open the Document
American Immigration Lawyers Association
1331 G Street NW, Suite 300
Washington, DC 20005
Copyright © 1993-2015
American Immigration Lawyers Association.

subset: commoncrawl


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Hotel Alda Plaza Mayor
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Travel Blogs from Salamanca
Rest day but still managed over 15kms
... cream and can get cream everywhere, but not tabs) and no they didn't have but could have them in an hour! What service and what joy and gratefulness that brought. Happy pants on! The lady there had her honeymoon in Sydney and Perth many years ago.
So a bite to eat and then on a bus to check out the Decathlon store. I had Google mapped it yesterday and was only 4.3 kms so we said we'd walk. Why decathlon? They stock Quecha which is a brand of outdoor gear we ...
Just another day
... pictures not allowed) and we got to see some things in there about Franco as well. There was a small room you went into first, and that was where you decided if you were going to commit to Franco. Once you passed through there, you went into a big dining room type area. After that we got to see a bunch of artifacts that were significant to the war. There were a lot of handwritten old documents and slips that were kind of like "missing ...
Big day - 21st and 3 weeks in Spain!
So on Thursday it was my 21st birthday. I was a bit apprehensive about spending such a big birthday abroad without being surrounded by family and friends from home. Yet, thanks to my lovely flatmates and international friends I had an ACE birthday, deffo one to remember, or not to remember in some cases haha. I woke up to FaceTime with my family and opening birthday cards that had been sent to me in Salamanca, a lovely but emotional way to mark ...
Thursday, day 4.
... a few of us went to the plaza and had a drink. Michelle was there. I hadn't seen her since Monday. She is also hainvg foot problems. They are so swollen after flying that she is having terrible pain and trouble walking. She has been going to class and then home again. She went to the doctor and they gave her something that she has to inject. Just before 7, I left to go to the cathedral, as it knew that ...
Santander to Salamanca
Thursday 10th
Weather: Warming up as the day progressed. Some rain around
We stopped for lunch at a small walled town just off the
main road down to Salamanca and had a walk through to admire the church with
its numerous stork nests on the roof and bell towers. The town also had an
impressive fort style building. Later that afternoon we found a campsite about
4 kms outside Salamanca and set up ...


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News Tagged: kickstarter
Tag Results
[Keri "Pwny" Honea]
09:57 am EDT @ July 30th, 2015
Comcept, Keiji Inafune's newest studio, doesn't have Mighty No. 9 out the door yet, but that hasn't started them from Kickstarting a new project, Red Ash. Red Ash is a sci-fi exploration game with heavy anime inspiration. They have asked for 800,000, but are about halfway short with four days to go...
[Keri "Pwny" Honea]
10:45 am EDT @ July 30th, 2015
Yooka-Laylee, the Banjo-Kazooie spiritual successor on Kickstarter, has teamed up with Team17 to assist with publishing. "From the very start we said that we'd welcome only a partner that could genuinely improve the creation of our game, while respecting the independence and creative autonomy of our development team," Playtonic creative lead Gavin Price said...
[Keri "Pwny" Honea]
08:22 am EDT @ May 26th, 2015
One team of former BioShock developers failed at their Kickstarter project for The Black Glove, but another team hopes to have better success. Deep End Games' first project is a horror game called Perception, which features a blind woman making her way through the Echo Bluff mansion in Gloucester, Massachusetts...
[Keri "Pwny" Honea]
11:49 am EDT @ May 01st, 2015
The creator of the original Banjo-Kazooie formed a new development studio, Playtonic Games, and they launched a Kickstarter campaign to fund their first project—Yooka-Laylee, a spiritual successor to Banjo-Kazooie. The team behind the studio includes Steven Mayles, the Banjo-Kazoozie creator, environment artist Steven Hurst (Viva Pinata), and veteran software engineer Chris Sutherland...
[Keri "Pwny" Honea]
10:28 am EDT @ February 20th, 2015
Back in 2013, a Kickstarter project proposed the Delta Six, a video game controller shaped like a gun. They asked for $100,000 and received nearly $200,000. They were supposed to ship product within about six months, and nearly two years later, backers still have not received their controllers...
[Keri "Pwny" Honea]
07:58 am EDT @ February 19th, 2015
And yet another Kickstarted game project has folded after funding. The Stomping Land, a multiplayer survival game about dinosaurs, has officially closed even after raising over $100,000 for the Kickstarter project. A freelance artist for the game broke the news...
[Keri "Pwny" Honea]
08:50 am EDT @ November 04th, 2014
Day for Night Games (former devs from Irrational Games) has less than a week left on its Kickstarter campaign for The Black Glove, and they're quite a ways off from their $550,000 goal. Perhaps with hopes for turning things around, they've announced that Black Glove will support the Oculus Rift on the PC and Project Morpheus for the PlayStation 4 version...
[Keri "Pwny" Honea]
02:12 pm EDT @ October 07th, 2014
Earlier this summer, former BioShock Infinite developers from the Irrational Games days banded together to form a new studio, Day for Night Games, and they have one project underway—Black Glove. So far they've run into one snag, and that's a lack of funds...
[Uros "Vader" Pavlovic]
07:49 am EDT @ October 02nd, 2014
During 2014 crowdfunding site Kickstarer marked a tremendously decreased budget pool for video game projects, when compared to the year 2013. Fresh data has arrived from analyst firm ICO, pointing to this very fact. The gathered data shows that during the first half of the year (extrapolated to estimate its remaining half) $27...
[Keri "Pwny" Honea]
08:12 am EDT @ August 11th, 2014
Kickstarter seems to be the place these days where fans attempt to resurrect long forgotten franchises that were either too niche for big publishers to remember or too niche for consumers to remember. Night Trap is the latest to foray into the Kickstarter grounds...
[Keri "Pwny" Honea]
08:01 am EDT @ July 17th, 2014
The Kickstarter game Yogventures was extremely successful in its fundraising goals in 2012, having raised over $550,000 when it had an original goal of $250,000. The campaign was pushed by Yogscast for developer Winterkewl, and Yogscast sadly announced that Winterkewl Games has stopped all work on the game and has canceled the project...
[Keri "Pwny" Honea]
01:12 pm EDT @ May 30th, 2014
Keiji Inafune, you may remember him from Mega Man, has released new video footage of his upcoming game, Mighty No. 9. The game was a successful Kickstarter campaign last year, raising $3.8 million with an original goal of $900,000. If it looks familiar, well, there's a reason for that. Mighty No. 9 is currently set to release in April 2015 for pretty much every platform imaginable: PC, Wii U, Xbox 360, Xbox One, PlayStation 3, PlayStation 4, PlayStation Vita, and 3DS.
[Keri "Pwny" Honea]
10:26 am EDT @ May 05th, 2014
Harmonix released Amplitude for the PlayStation 2 in the early 2000s, and even though they have gone on to bigger things since that rhythm game release, they really want to produce a proper successor to the game for the PlayStation 3 and 4. And apparently they need the fans' help to do so, as they've launched a Kickstarter crowdfunding campaign for it...
[Keri "Pwny" Honea]
08:16 am EDT @ March 26th, 2014
The Oculus Rift VR techonology originally came about thanks to a very successful Kickstarter campaign. Now that the company has been bought by Facebook, the backers of the campaign are less than pleased. They've flooded the Kickstarter page with a bit of rage...
[Keri "Pwny" Honea]
12:59 pm EDT @ January 14th, 2014
Yasumi Matsuno, creator of Final Fantasy Tactics, has launched a Kickstarter project with Playdek studio asking for $600,000 to make a spiritual successor to the game. The game will be called Unsung Story, and the Kickstarter page describes it as a "spiritual successor in a storied line of epic tactical RPGs designed by Yasumi Matsuno...
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Daily Devotional
Just For Today
A Daily Approach to Prayer and Scripture
Thursday, July 30
"Lay your hand upon your mouth."
Pr 30:32 AMP
Your tongue is just inches from your brain, but the way some of us rattle on you'd think our mouths and minds were miles apart! James says, "The tongue…corrupts the whole person" (Jas 3:5-6 NIV). Author Ramona Cramer Tucker writes: "I admit I'm a talker …I don't set out to break a confidence, but somehow my mouth kicks into gear before my brain…But God takes a clear stand on gossip. He knows loose lips can ruin another person's reputation, introduce mistrust into a relationship, encourage the gossiper to embellish their tale, and cause them to sin by being tempted to lie when confronted…I love to share news, to be 'in the know,' and because I'm wired this way it's easy for me to spread gossip under the guise of being well-meaning, even prefacing my news with 'I wish you'd pray for'…But just because my sharing is well-meant doesn't mean it's appropriate." The most common reason for making someone else look bad—is to make ourselves look good! We are like the proud Pharisee in the temple who stood alone and prayed, "God, I thank you that I am not like other people" (Lk 18:11 NCV). The writer of Proverbs says, "If you have done foolishly in exalting yourself, or…thought evil, lay your hand upon your mouth." It's one thing to think bad thoughts—it's another to voice them. The saying goes: "You can't stop the birds from flying over your head, but you can stop them from building a nest in your hair!" So do yourself and everybody around you a favor—practice putting your brain in gear before engaging your mouth.
Friday, July 31
"If we could control our tongues."
Jas 3:2 NLT
When you're upset, it's tempting to "hand out other people's dirty laundry." But making yourself look good at somebody else's expense always backfires. One Christian author observes: "That righteous feeling turns to shame faster than you can walk away, hang up the phone, or hit 'send.'…I can't emphasize enough how crucial it is to get control over your tongue. I wish someone had warned me to stop talking and start praying." A lady named Michelle learned her lesson the hard way. She was having lunch with a co-worker at a restaurant and they visited the ladies' room. While they were fixing their hair they started to talk about people at work who drove them crazy. Immediately Michelle launched into a diatribe about Beth, a co-worker who had no idea how much trouble she created for the rest of the team. As Michelle prepared to launch into more specifics, a stall door opened and out walked Beth, flushed and upset. In a split second what felt like a pressure-relief session turned into an embarrassing mess…Beth ran out in tears, and Michelle couldn't take back the words she'd said. Beth never returned to work, and the next day she resigned. While her co-workers openly cheered at what they considered to be good news, Michelle was miserable…She tried to call Beth, and even wrote a letter of apology, but there was no response. And what's worse, Michelle is a Christian and Beth made no such profession. Treat others the way you'd like to be treated (See Mt 7:12). What goes around comes around, and idle chatter will surely come back to haunt you.


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table talk with ti ~ feb 7th 2014
in Blogs
Same LovelyTi Time....Same LovelyTi Channel
in Blogs
Tonight on the Table Talk w/ LovelyTi Show, we will discuss these highly controversial trending topics on social media as well as other ongoing matters on and offline. Call In. Tune In. Speak On It.
1/31/14 - Black Snow in the Forecast
in Blogs
Some of these things are not like the others...Some of these things just ain't quite the same...As usual, we have quite a bit of strange things that occur daily and man....Stay tuned for another episode of Table Talk w/ Ti for the blunt perspectives of today's events and much more...Same Ratchet Ass Time yet Same Blunt Ass Channel...
1/27/2014 - Open Discussion
in Blogs
Tonight, on the Table Talk w/ Ti broadcast, we gather around and discuss a myriad of topics happening recently and across the board. Looking forward to listening, learning, conversing and teaching each other as always. See you there...
1st show of 2014
in Blogs
this is our first official show in 6mths glad to be back on BTR. come join me tonight at 9pm cst we will be talking about relationships and single parent hood, hoes winning in the new year and many other topics.
feel free to call in at: GUEST CALL-IN NUMBER (347) 637-3635
holiday giveaway
in Podcasting
welcome to table talk with ti, join us tonight for my gift card giveaway! we will be talking about a wide range of topics, feel free to call in respect is a must! ti
welcome back
This is my 1st show after a 2yr hiatus
i'm excited to be back on BTR, with 2 new co-hosts.
we have a lot to discuss , so log in to the chatroom
or give us a call, let's get it in=)
table talk with ti
in Blogs
talking about random things tonight join us
table talk with ti~sick em!
in Blogs
Please join us at 9pm CST for another show. we will be talking about the Melissa Lawrence the irrate women who sicked her pitbulls, on a local news crew. we will also be talking about a wide range of other topics as well.
table talk with ti~pop-tart mom tells her side of the story
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table talk with ti~pop-tart mom tells her side of the story
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table talk with ti~ rape culture
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OceanWorks International has again been authorized by the U.S. Navy's Naval Sea Systems Command (NAVSEA) Note 5000 to perform Deep Submergence Systems Scope of Certification (DSS SOC) work in support of designated submarine rescue and intervention systems.
The authorization is a renewal of the existing Note 5000 authorization which has been held by OceanWorks International since September 8th, 2011. The authorization is based on OceanWorks International having demonstrated, as verified by regular NAVSEA audits, that our products are constructed and maintained via disciplined work and material control practices, with proper documentation and compliance verification being achieved throughout the certification process. OceanWorks International is one of only 8 civilian and 14 government/ military organizations in the world that have received this elite authorization. Moreover OceanWorks received the highest level of compliance for each section that was audited.
"We are very happy to again be granted the renewal of our NAVSEA Note 5000 certification by way of the recent functional audit by the U.S. Navy. Being able to demonstrate that we meet the world's most stringent quality requirements for something as critical as manned subsea systems for the U.S. Navy is a true endorsement of the hard work we have put in over many years to develop and constantly improve some of the world's most thorough quality and safety processes", said Rod Stanley, the CEO of OceanWorks International. OceanWorks International has been working with NAVSEA and the U.S. Navy for many years. As the OEM designer and manufacturer of both the Pressurized Rescue Module System (PRMS) submarine rescue system and associated systems, as well as the ADS2000 Atmospheric Diving Systems, OceanWorks International has played a key role in enabling the submarine rescue capabilities of the world's largest submarine fleet.
NAVSEA strives to be an efficient provider of defense resources for the nation, and it plays an important role in the Navy Enterprise. As a Provider Command, it has the responsibility of directing resource sponsors into the proper mix of manpower and resources to properly equip the fleet. NAVSEA has the further responsibility of establishing and enforcing technical authority in combat system design and operation. These technical standards use the organization's technical expertise to ensure systems are engineered effectively, and that they operate safely and reliably.
The U.S. Department of Transportation's Maritime Administration (MARAD) today announced that it is providing $500,000 to support a feasibility study for the design,
On 17th July 2015 M/V "GEORGIANA H" with IMO number 8911413 was detained in Marina di Carrara (Italy). This is the third detention in the Paris MoU region within the last 24 months.
Ghana is considering establishing modalities to compel shipping companies to introduce a training regime which ensures that their local staff gain professional qualifications in shipping.
The Spanish company SENER, Ingeniería y Sistemas S.A has closed a contract with U.K.-based BAE Systems PLC for the integration between FORAN CAD/CAM System and
Costa's two new cruise ships will be the largest ever built based on guest capacity; Costa will join sister brand AIDA Cruises in building the first-ever cruise
Japan will send a high-level delegation to Adelaide for talks on building Australia's next-generation fleet of submarines.
A former commander of the Japanese
Voyager IP, the Irish marine telecoms solutions specialist, has partnered with the Irish National Space Center to win a €500,000 contract to manage the entire satellite
A small group of protesters and activists are gathering at the Cathedral Park boat ramp in Portland, preparing to stay for a 24-hour vigil as they wait for Royal Dutch Shell Oil's ice-breaker ship,
Idreco (International Dredger Constructions) of the Netherlands informs it has designed, built and installed its second dredger, an ISD 600 with a digging depth of 30 meters,


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Get some gaming in pre ChimaeraCon! Usual house stuff - bring your favorites to play. I'll provide some Coke and drinks and yall decide if you want to split for Pizza or other favorite dish. BYOB.
Closing time at night when people get bored (as if).
Sorry i couldnt make it, mum wouldnt let me have the car XDD
0 · April 2, 2014
I will try and get out there.. but its way far from where i live ( arond 410) and not sure mum will let me go on highway 10 yet alone XDD
0 · March 28, 2014
Hey everyone. I'm new to the group and don't know anyone, but I'm looking forward to gaming with you. I'll probably arrive mid-afternoon.
1 · March 27, 2014
Current best guess I should be there at or just after 2; but might have to leave a tad on the early side.
0 · March 27, 2014
Eric changed the time from 1:00 PM to 2:00 PM
March 24, 2014
We just grab a coffee and speak French. Some people have been coming every week for months... it creates a kind of warmth to the group.
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Soapstone candleholders, 'Floral Star' (set of 4)
Roll over image to zoom in
- Candle(s) included
- Natural stone - some variations in color and/or pattern are to be expected
- 1.0" H x 3.5" W x 3.5" D
- Weight: 1.9 lb
- Soapstone
- Offered in partnership with NOVICA, in association with National Geographic.
Ships directly from our partner office in India. Please allow 12 to 24 days for delivery. This item is not available for express shipping and cannot be delivered to PO Boxes or APO/FPO.
This item ships from a third party and may be excluded from certain promotions. Please see the Current Promotions page for details.
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3 years as a Shipyard welder with 1 year as 1st class or 5 years as a structural welder with some Shipyard experience. Shipyard Welder 1st Class.... - Indeed
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Small Structural Steel Company. Must be able to read architectural and structural blue prints. Seeking Self Motivated, reliable individual.... - Indeed
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Who We Are
Williamstown Assembly of God Church is located in the village of Williamstown three miles East of Perry, Kansas at the junction of Hwy 24 and U.S. 59 Hwy. We want to be a church unchurched people love to attend. In order to be that kind of church, we need the help of people who share our passion to lead people into a growing relationship with Jesus Christ.
If you share that passion you can fully engage in the life of the church by doing four things: Connect, Serve, Love, and Grow!
If you share that passion you can fully engage in the life of the church by doing four things: Connect, Serve, Love, and Grow!
What's Going on at Williamstown Assembly
Right Now Media
Right Now Media will be available for another three months! …Read More
Wednesday Evening Series: Words Life or Death
Robert Morris teaches the series; Words: Life or Death. Because …Read More
Summer Fun
We do not have any special events scheduled for the month of July. …Read More
Events and Services
Aug 1
Boys & Girls Swim Afternoon
5:00 pm – 7:00 pm
Children and Seniors - $3, Ages 18-59 - $4
Parents are welcome to join in on the fun!
Aug 10
CCC Food Distribution
1:00 pm
Aug 16
Special Called Business Meeting
12:00 pm
We presently have two nominations for the Church Board and both have consented to serve if elected. Today is the last day for further nominations. Each nominee that is presented must have 2/3 of the cast votes at the Special ...
Aug 17
Harversters Food Distribution
1:00 pm


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Trotman was prevented from playing in cup competitions for Saints, meaning he will be available to play in North End's FA Cup third-round tie at home to Colchester if needed.
Source: Team_Talk
Source: Team_Talk
Manchester United have confirmed that the Barnsley midfielder Paul Digby is at Old Trafford for a trial ahead of a possible permanent deal.
With Filipe Luis' move back to Atletico Madrid finally done and dusted, a deal for his replacement is also being finalised.
Premier League winners Chelsea are moving towards signing Brazilian left-back Alex Telles, currently of Galatasaray, according to reports on Tuesday.
With their second straight FA Cup silverware firming planted in the trophy case, does Arsenal have what it takes to
Juventus are looking to take Chelsea outcast Juan Cuadrado on loan, but the Blues are looking to offload him permanently.
Imagine if Zeus, Poseidon, Apollo, Hades, Athena, Artemis, Aphrodite, Hermes, Dionysus, Demeter and Ares all occupied the same hall at


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Angel 1999 | TV Show Watchlist
Season 5, Episode 5 Life of the Party
First Aired: October 29, 2003
In addition to handling Wolfram & Hart's celebrity clients, Lorne is also in charge of the firm's annual Halloween bash, an event he's having a devil of a time getting the gang to commit to attending. But as soon as his pals show up at the party, they suddenly submit to his every suggestion. Harmony: Mercedes McNab. Eve: Sarah Thompson. Sebassis: Leland Crooke.
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Cast & Details See all »
- Premiered: October 5, 1999
- Rating: TV-14
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- Premise: The enlightened vampire risks his soul to battle dark forces in the City of Angels in this noirish 'Buffy the Vampire Slayer' spin-off. Formerly the Slayer's lover and ally, Angel relocated to L.A. seeking redemption for years of preying on innocents by co… (more)
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Mar 9, 2001
Virginia International Raceway Improved For Motorcycle Use
© 2015, Roadracing World Publishing, Inc.
(This original, copyrighted material may not be copied, cut and pasted, published or otherwise reproduced in any way in any medium, which means, don't post this on another website or BBS. If you want somebody else to see this, send, share or tweet a link or post a link to this page.)

Virginia International Raceway General Managers Jack and Vicky Abbott, along with Connie Nyholm (one of the track's owner/developers), were at Daytona researching motorcycle events in preparation for the track's WERA, Formula USA, and AMA National road race events in 2001.

On Thursday, the VIR management team reported changes and plans made to improve the track for motorcycle racing, including several based on requests made by AMA riders who tested at the track last summer. The changes made include:

-Trees located between turns one and five have been thinned so that fans located in the turn four/five area can see bikes all the way from the end of the front straightaway through turn five.

-Although the earthen embankment outside of turn four could not be moved, there will be Air Fence installed in front of the embankment for the national road races.

-The barrier that was close to the track outside of turn five has been moved back and will also be covered by Air Fence and haybales.

-The uphill right-hand turn seven had featured a steep down slope, Armco barrier, and trees in its impact area. The run off area's level has been brought up to meet the track level, the barrier has been removed, and the tree line has been pushed back.

-The esses that preceeded the braking area for the "Roller Coaster" have been opened up to create a new overtaking zone just as racers recommended.

-The barrier that could have possibly come into play at the bottom of the "Roller Coaster" has been moved back and re-angled. Racers had asked for either/or and got both.

-Armco barriers along the full, 3.27-mile course's long straight protecting the North paddock have also been moved back from the edge of the track just in case one of the organizations runs the longer, full course.

The Abbotts said that all three racing organizations have said that they will run the shorter 2.26-mile, 15-turn North course.

VIR has also acquired a special liquor license to sell alcoholic beverages at the concession stands despite being located in a "dry" county. Camping will also be allowed at National events despite rowdy campers burning down track buildings in the racetrack's previous life, over 25 years ago.

VIR is located just East of Danville, Virginia on the border with North Carolina. For additional information about Virginia International Raceway, call (804) 822-7700, FAX (804) 822-8033, e-mail firstname.lastname@example.com, website
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text:
dr,shannon please answer to me
Sep 30, 2012
i have marrage next month ,before 3 month i had sex with call girl but i dont know who is she and she has hive positive or not ,but my 90 days test result was negative but still im scared can i marry next month ? or i want to wait or i need any test please guide me
Response from Ms. Southall
Hi The guidelines for HIV testing are to be initially tested at 3 weeks then again at 3 months, if both of these tests are negative then so are you, as long as there were no other types of exposure during that 3 month period, if so then the timing starts over again.
With your test being negative, you are HIV free and can marry with peace of mind.
Be well and stay safe,Shannon
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text:
Chrystal needed a place to stay and I accommodated her. She agreed to pay the rent by getting fucked by Renato. This hot little eighteen year old, had pretty eyes and a cute smile. She undressed and put on a couple of sexy lingerie outfits to tease Renato. She said she loved getting her pussy licked and Renato was willing to fulfill her desires. He spread her out on the bed and munched on that sweet pussy. Then, she got her wet pussy drilled. They took a break from fucking to let her suck some cock and sixty nine some. Then, she got her pussy pounded and got cream all over her. She was a sweet tenant.
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Transcript of "C A M P A I G N"
1. C A M PA I G NUpdateSeptember/October 2007 In This Issue 2 Leadership Perspective: ED/ICU Collaboration 3 In the Literature 3 Calendar 4 Venezuelan launch 4 Campaign-at-a- Glance Number of Charts as of 1 September 2007 The special edition of Campaign Update (April 2007) focusing on the Plan-Do-Study-Act cycle highlighted that improvement is needed in the early recognition and immediate management of patients with severe sepsis. Critical care staff have the foundations of knowledge, skills, and motivation to complete the tasks in the 6-hour resuscitation bundle. Clinicians outside the ICU may be less aware of the Campaign and may not have skills in line placement and infusions management. Empowerment crucial Engaging staff beyond critical care is crucial. If individuals with the ability to assess patients for physiological abnormality and apply the screening tool are not at the front door, valuable time has elapsed on the 6-hour clock. We know that staff members are more likely to buy in to a project if they feel empowered to contribute to it. Even the most inexperienced nurses and doctors are able to implement elements of the resuscitation bundle by taking blood cultures, administering antibiotics, measuring lactate, and initiating fluid resuscitation. Education program design Survive SEPSIS is an education program developed in the United Kingdom with the primary aim of improving compliance with the Surviving Sepsis Campaign care bundles. The program is available and applicable worldwide. Aimed at a multiprofessional audience and particularly targeted at junior nursing and medical staff in acute care areas, the focus is on early recognition and immediate management, with timely and appropriate referral to critical care. These principles are underpinned by a background in the pathophysiology of sepsis from humoral changes through cellular dysfunction to organ compromise. The importance of the prevention of transmission of infection and judicious antimicrobial therapy is stressed. Case studies are used to highlight good and bad practices, and to establish the value of accurately pinpointing time zero. Survive SEPSIS launch in UK 6-hour bundle is initial focus (continued on page 4) Copyright © 2007 by the European Society of Intensive Care Medicine, the International Sepsis Forum, and the Society of Critical Care Medicine. A global effort to improve care for patients with severe sepsis and septic shock Campaign Update is the official newsletter of the Surviving Sepsis Campaign. The Surviving Sepsis Campaign is a partnership of the European Society of Intensive Care Medicine, the International Sepsis Forum and the Society of Critical Care Medicine. This bi-monthly communiqué focuses on topics related to local, regional and national SSC activities. Feedback and content suggestions may be sent to firstname.lastname@example.com. Austria Brazil Chile Colombia Germany Italy Northern Ireland Portugal Singapore Slovakia Spain The Netherlands United Kingdom USA Wales 0 500 1000 1500 2000 2500 3000 3500 4000 4500 By Dr. Ron Daniels Consultant in Critical Care and Anesthesiology Good Hope Hospital, Heart of England Chair, Surviving Sepsis Campaign UK Steering Committee Survive SEPSIS Programme Director 1 1153 200 4 396 219 70 106 2 4 2531 226 644 284 4197 In addition to the 15 countries represented in the chart above, 31 countries have registered the SSC data tool but have yet to submit charts to the global database.
ED and ICU Collaboration: A US Perspective The importance of collaboration between the emergency department (ED) and intensive care unit (ICU) for improvement in the management of severely septic patients in the US was evident from the beginnings of the Surviving Sepsis Campaign. Like most US hospitals, at Cooper the majority of the patients in the SSC database (60%) come from ED admissions. Contributions of the American College of Emergency Physicians in the planning and development of the care bundles, particularly in clinician outreach efforts, have been crucial to the data collection that drives the performance improvement efforts. An association between 6 hour or longer stay in the ED of severe sepsis patients and worsened outcome was recently described by Chalfin et al.1 These data reinforce the need for strong interdepartmental relationships between ED and critical care staff in achieving the goal of improved patient care. Challenges in managing severe sepsis patients in the ED include limited resources and overcrowding in the ED. Shorr et al described one hospital's experience in reducing mortality and use of resources through aggressive early application of multiple therapies in a comprehensive approach to sepsis management.2 Similar success stories have been shared by participants in the North American SSC networks and among hospitals in the IHI Critical Care Collaborative. Relying on critical care team resources to assist the ED staff in caring for severe sepsis patients has been a useful strategic approach at Cooper. The seamless continuum of care beginning with the initial efforts of the ED staff requires follow through and support from the critical care team when and where it is needed. To ensure that the timely application of the bundle elements occurs at triage in the ED, providing critical care staff to assist with central line insertion, hemodynamic monitoring, and nursing staff for patients remaining in the ED can make a demonstrable difference in patient care. Identifying champions among key department leaders who promote multidisciplinary collaboration has been essential in attaining and maintaining success with the SSC performance improvement strategies. Gaining the support of administrators, physician directors in the ICU and ED as well as residents, and nurse managers and clinical nurse specialists is essential. Key to successful Campaign implementation includes careful evaluation of interdepartmental relationships encompassing communication channels, culture, resources, and specific workplace issues such as staffing, medical record protocols, and support from other departments. Interdepartmental alliances can also facilitate making critical care beds available quickly. Continuing regular joint meetings is valuable. To achieve improved patient care, a receptive environment for learning emphasizing "education" over" training" is helpful. The Campaign and IHI provide tools to promote a culture of clinical behavior change leading toward measurable improvement at http://www.survivingsepsis.org as well as through educational programs, manuals, and networking opportunities. Using standardized terminology and protocols during interdepartmental sepsis education (eg, current definitions of sepsis, severe sepsis, septic shock, screening tools, application of the bundle elements) will generate demonstrable data to evaluate progress and encourage rapid cycle change in patient care. To generate enthusiasm for the program, involve all staff members in establishing performance improvement goals. You may choose to start small, eg, measuring lactate in all patients suspected of having severe sepsis, and collect data consistently. Deliver feedback in a timely fashion and highlight areas of improvement. Add elements as the program evolves and celebrate achievements. To address deficiencies in achieving goals, conduct regular chart reviews to identify potential causes and provide data. Employ the Plan-Do- Study-Act process regularly. If necessary, alter protocols promptly with re-education, emphasis on performance goals, and reinforcement of collaboration and support. Above all, keep your and your team's emphasis on improving outcomes in the management of patients with severe sepsis and septic shock. The results of your efforts will speak for themselves.. R. Phillip Dellinger, MD, FCCM Professor of Medicine Robert Wood Johnson Medical School Director, Section of Critical Care Medicine Director, Medical/Surgical ICU Cooper University Hospital Camden, New Jersey, U.S. Member, SSC Executive Committee 1. Chalfin DB, Trzeciak S, Likourezos A, Baumann BM, Dellinger RP: Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med 2007; 35:1477-1483. 2. Shorr A, Micek S, Jackson W, Kollef M: Economic implication of an evidence-based sepsis protocol: Can we improve outcomes and lower costs? Crit Care Med 2007; 35(5) 1257-1261. L e a d e r s h i p P e r s p e c t i v e s 2 Surviving Sepsis Campaign
CAMPAIGN Update 3 I n t h e L i t e r a t u r e Huang DT, Clermont G, Dremsizov TT, Angus DC. Implementation of early goal-directed therapy for severe sepsis and septic shock: A decision analysis. Crit Care Med 2007; 35(9): 2090-2100. Implementation of early goal- directed therapy (EGDT) faces several barriers, including perceived costs and logistic difficulties. These authors conducted a decision analysis to explore the potential costs and consequences of EGDT implementation for hospitals and for society under three alternative implementation strategies: emergency department–based, mobile intensive care unit team, and intensive care unit–based (after emergency department transfer). They demonstrated that cost savings primarily depended on achieving ICU length of stay (LOS) reductions. Their estimates were particularly sensitive to effect of time delay to implementation and EGDT's efficacy on reducing mortality and LOS. They concluded that EGDT has important start-up costs, and modest delivery costs, but assuming LOS and mortality are reduced, EGDT could be cost-saving to the hospital and associated with favorable lifetime cost- effectiveness projections. Jones AE, Focht A, Horton JM, Kline JA. Prospective external validation of the clinical effectiveness of an emergency department-based early goal-directed therapy protocol for severe sepsis and septic shock. Chest 2007;132 (2):425-32. Prospective interventional study conducted to determine the clinical effectiveness of implementing EGDT as a routine protocol. This protocol differed from the original Rivers' protocol in that: (1) it was executed by the physicians and nurses who were providing clinical care to the patient (Rivers et al provided additional physician staffing at the bedside); and (2) it was initiated in the ED, but care was subsequently transitioned to the ICU. The protocol was discontinued at the discretion of the admitting attending physician (Rivers et al delivered care in the ED for 6 h). This study supports the clinical effectiveness of EGDT to treat sepsis and septic shock in the ED with a 9% absolute (33% relative) mortality reduction. Rivers EP, Kruse JA, Jacobsen G, Shah K, Loomba M, Otero R, Childs EW. The influence of early hemodynamic optimization on biomarker patterns of severe sepsis and septic shock. Crit Care Med 2007; 35(9): 2016-2024. Although early hemodynamic optimization strategies repeatedly have been shown to improve resuscitation end points, decrease organ dysfunction and mortality, and decrease health care resource consumption in patients with severe sepsis and septic shock, the associations between the magnitude and pattern of biomarker response with resuscitation strategy, severity of global tissue hypoxia, severity of organ dysfunction, and mortality of patients during the early phase of severe sepsis and septic shock have never been investigated until this study. A significant association existed between temporal biomarker patterns in the first 72 hrs, severity of global tissue hypoxia, severity of organ dysfunction, and mortality. The authors provide the most convincing human data to date that hypoxia triggers the expression of inflammatory mediators. Indeed, patients randomized to receive early goal-directed therapy had a lower cytokine and caspase expression than patients assigned to the control group, showing that interventions aiming at ameliorating tissue hypoxia lead to a modulation of the inflammatory response. These data show that hypoxia and inflammation are inter-related in patients with severe sepsis and septic shock and provide a potential mechanistic link for why early effective resuscitation can be beneficial. Cinel I and Dellinger RP. Advances in pathogenesis and management of sepsis. Curr Opin Infect Dis. 2007; 20(4): 345-52 The authors highlight the recent developments in the pathogenesis of sepsis and the importance of early identification of sepsis with protocolized screening leading to the triggering of evidence-based protocolized care. When accomplished in a timely manner in sepsis treatment, recognition and early intervention is anticipated to reduce sepsis morbidity and mortality. 2 0 0 7 September 24 SSC North American Summit, Session I East Coast Collaborative 8am-5pm Hyatt Regency Miami Miami, Florida, USA September 26-29 Sepsis 2007 Institute Pasteur Paris, France October 7-10 ESICM 20th Annual Congress SSC Educational Session Wednesday, October 10, 2007 11:10am-noon Berlin, Germany November 7 SSC North American Summit Web Conference East Coast Collaborative 2-3:30pm EST November 29 SSC North American Summit, Session I West Coast Collaborative 8am-5pm The Brown Palace Denver, Colorado, USA 2 0 0 8 January 16 SSC North American Summit Web Conferences (2) East Coast Collaborative 2-3:30pm EST West Coast Collaborative 11am-12:30pm EST February 2-6 SCCM 37th Annual Congress SSC Educational Session Monday, February 4 6:30-8:30am Honolulu, Hawaii, USA March 5 SSC North American Summit, Session II East Coast Collaborative 8am-5pm Hyatt Regency Miami Miami, Florida, USA March 26 SSC North American Summit Web Conference West Coast Collaborative 2-3:30pm EST April 29 SSC North American Summit, Session II West Coast Collaborative 8am-5pm The Brown Palace Denver, Colorado, USA C A L E N D A R Send us your SSC meeting information and we will include it in future issues of Campaign Update. Send submissions to email@example.com. Articles below may provide additional background for SSC implementation. Ismail Cinel, MD, PhD, editor
Campaign Update is a publication of the Surviving Sepsis Campaign. Comments or suggestions should be sent to campaignupdate@ survivingsepsis.org. Asia China Europe Denmark—Lone Poulsen England—Jane Eddleston Germany—Konrad Reinhart Ireland—Jeanne Moriarty, Brian McCloskey Italy—Roberto Fumagalli Netherlands—Arthur Van Zanten, Dave Tjan Poland—Andrzej Kubler Portugal—Antonio Cameiro Scotland—Simon Mackenzie, Louie Plenderleith Spain—Antonio Artigas Sweden—Hans Hjelmqvist Wales—Mark Smithies Latin America Brazil—Eliezer Silva Chile Venezuela— Pablo A. Pérez d'Empaire North America Alabama—Moustaffa Hassan Arizona—Donald Maxwell California (Southern)— Herbert Rogove California (Sutter)—John Mesic Colorado—Ron Rains Connecticut—Dawn Martin Florida—Edgar Jimenez Georgia—Kenneth Kalassian Illinois—Nathan Lidsky, John Butler, Michael Ries, Jay Cowen Iowa—James Boddicker, Jill Morgan Kansas—Steve Simpson Maryland/Washington, DC— Gabriel Hauser Michigan—Joseph Bander Minnesota—Henry Mann New Jersey—R. Phillip Dellinger New York (NYHHC) North Carolina—C. Diane Byrum Puerto Rico—Gloria Rodriguez Texas (Memorial-Hermann)— James Heisler Virginia—William Brock C A M PA I G N at-a-Glance SSC Industry Support Policy: The SSC leadership adopted the policy document titled Surviving Sepsis Campaign Implementation and the Appropriate Role of Industry in February 2006. This policy is intended to clarify and delineate official SSC implementation activities from those initiated by third parties, including, but not limited to, the pharmaceutical and medical device industries. A copy of the policy is available at www.survivingsepsis.org. 4-part educational program Survive SEPSIS comprises four elements: 1. A one-day training program approved for professional development portfolios by the Royal College of Anaesthetists, Royal College of Physicians, and Royal College of Nursing. This day uses a combination of didactic lectures, tutorials, group workshops, and case studies. 2. A 45-minute point-of-care tutorial 3. A toolkit comprising the SSC Evaluation for Severe Sepsis Screening Tool and care pathways 4. A full-color provider manual In addition to professional development approvals, the program is endorsed by the Surviving Sepsis Campaign internationally and within the United Kingdom by the Intensive Care Society, Society for Acute Medicine, Intercollegiate Board for Training in Intensive Care Medicine, and British Association of Critical Care Nurses. Survive SEPSIS is actively promoted by the SSC UK Steering Committee. The national launch on September 7 included in excess of 320 individuals representing more than 45 healthcare organizations and 6 universities. The launch was designed to bring about the creation of a national network of centers implementing the SSC Guidelines, with the aim of raising compliance with the resuscitation bundle (currently 11% nationally) and the management bundle (currently 36% nationally) over time. To evaluate effectiveness, organizations participating in the program are expected to install the Chart Review Database and contribute a minimum number of datasets to the Campaign each quarter, with a statement of intent to collect and submit data for all patients. It is anticipated that compliance frequencies will initially fall, since the number of centers contributing data for the first time will rise; but compliance targets of 25% for the resuscitation bundle and 50% for the management bundle by April 2009 have been set. Survive SEPSIS is a non-commercial initiative in the interests of maximizing benefit to the Campaign and to patients. There is to be no license fee and no charge for electronic materials to approved institutions. Advertising materials, posters for emergency departments, and provider manuals will be provided at cost. Survive SEPSIS launch in UK (continued from page 1) Global applications Survive SEPSIS is designed to complement rather than replace existing education in the care of patients with severe sepsis. Training packages exist elsewhere in Europe. To be effective, an episode of training must be accessible to all relevant staff, and the messages delivered must be acceptable to them. In the UK, it would be difficult in the majority of facilities to complete the resuscitation bundle in its entirety on an individual patient without involving critical care staff. Elsewhere, needs may differ, but it remains crucial that these needs are assessed locally prior to designing or importing an education resource. Further information on the program is available at www.survivesepsis.org. To learn more about the UK launch or to implement the program outside the UK, e-mail firstname.lastname@example.com. 4 Surviving Sepsis Campaign According to Dr. Pablo Pérez d'Empaire, Unidad de Cuidados Intensivos del Hospital de Clìnicas Caracas, Caracas, Venezuela, the development of local and global networks has promoted data collection and improved sepsis diagnosis and treatment worldwide. Case in point is the activity now occurring in Venezuela. With the support of the Venezuelan Society of Critical Care Medicine, the first step toward implementing the Campaign occurred in May 2007 with pilot activity in Hospital de Clìnicas Caracas. As interest in the Campaign grows throughout Venezuela, activities were launched to inform physicians and healthcare professionals about the Campaign. Training of emergency department and ICU staff has taken place in the pilot program, and the SSC tools have been translated into Spanish. Adaptations have been made for local concerns and specific health system conditions so the goals could be met more effectively. This is an example of the Plan-Do-Study-Act cycle in action. Data collection has begun in the pilot hospital, with the plan to begin collection in additional hospitals soon. Venezuelan clinicians recognize the difficulties of implementing the Campaign, but are eager to accept the challenge and concentrate on the effort to achieve effective goals quickly. Venezuela in Latin American Network


text:
Sebastian Kehl's long-ranger helped Borussia Dortmund beat Freiburg, while Mainz missed a chance to go fifth in the Bundesliga on Sunday.
The Dortmund captain struck in style just before the hour mark to seal a 1-0 win and move Jurgen Klopp's side four points clear of third-placed Bayer Leverkusen, who could only draw at Hannover on Saturday.
Kehl instinctively shot after Kevin Grosskreutz fed the ball into his path, with the 25-yard effort curling over Freiburg goalkeeper Oliver Baumann and into the back of the net.
The midfielder's first goal in any competition since April 2012 secured the three points for Dortmund, but they were made to work hard by the relegation-threatened hosts.
Christian Streich's side felt Dortmund defender Sokratis Papastathopoulos should have been sent off for bringing down the impressive Philipp Zulechner on the stroke of half-time.
Hampered by the absence of Robert Lewandowski (knee) and Marco Reus (foot), Dortmund started slowly in a tame first half.
Sokratis' challenge on Zulechner was the talking point of the first half, but the defender was only given a yellow card despite being the last man in defence.
Kehl produced his moment of magic in the 58th minute and although Freiburg battled hard for an equaliser, they lacked the cutting edge to hurt their opponents, despite playing well, as they remained in the bottom two of the Bundesliga.
Sunday's other fixture saw Mainz come from behind to claim a 1-1 home draw against Hertha Berlin as they failed to move into a UEFA Europa League spot.
Adrian Ramos put the capital club into the lead, continuing his excellent season with his 15th league goal in the 51st minute.
Cameroon attacker Maxim Choupo-Moting levelled proceedings with 25 minutes left though, and his penalty ensured both sides would share the spoils.
The draw leaves Mainz on 38 points, level with sixth-placed Augsburg, whom they trail on goal difference, and one adrift of Wolfsburg.
|O. Baumann
|P. Krmaš
|O. Sorg
|M. Ginter
|C. Günter
|G. Fernandes
|J. Schuster
|J. Schmid
|V. Darida
|P. Zulechner
|A. Mehmedi
|Coach: C. Streich
|R. Weidenfeller
|M. Hummels
|Ł. Piszczek
|S. Papastathopoulos
|M. Schmelzer
|S. Kehl
|N. Şahin
|H. Mkhitaryan
|K. Großkreutz
|P. Aubameyang
|J. Schieber
|Coach: J. Klopp
for V. Darida 66'
for P. Zulechner 70'
for J. Schuster 76'
for N. Şahin 63'
for J. Schieber 74'
for H. Mkhitaryan 90+3'
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text:
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Matthew Deffebach
Biglaw, Cozen O'Connor, Deaths, Lawyer of the Day, Partner Issues
Lawyer of the Day: A Compassionate Managing Partner
Meet a managing partner with empathy.
Biglaw, Health Care / Medicine, Partner Issues
Mother of Biglaw-Kidney Recipient Expresses Thanks
It's still early in 2010, but the runaway leader in the clubhouse for feelgood Biglaw story of the year is coming out of Haynes and Boone. It was widely reported last week that Matthew Deffebach, a partner at Haynes and Boone, donated a kidney to the son of a staffer at the firm. Deffebach didn't […]
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