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Application Time of Plaster-of-Paris Splint Packs Compared to Bulk Supplies Following Standard Orthopaedic Procedure
Recruitment status was Recruiting
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
The investigators wish to perform a randomized controlled study to determine how much time and money is saved by orthopedic foot and ankle surgeons through the use of prepared splint packs compared to bulk supplies.
Post-operative Time Saving Techniques
Device: Pre-prepared Splint Pack composed by Medline
|Study Type:
|Study Design:
|Time Perspective: Cross-Sectional
|Official Title:
|Application Time of Plaster-of-Paris Splint Packs Compared to Bulk Supplies Following Standard Orthopaedic Procedure
- Total splint application time [ Time Frame: Immediately following the operation, beginning at the start of gathering splint supplies and ending when splint application is completed (approximately five total minutes) ] [ Designated as safety issue: No ]Time it takes to apply post-op splint
- Time to gather supplies [ Time Frame: Immediately following the operation, beginning with when medical personnel start to gather supplies and ending when they finish gathering supplies (approximately 1 minute) ] [ Designated as safety issue: No ]Time it takes to gather supplies prior to splint application
- Time to prepare splint [ Time Frame: Immediately following the operation, beginning with when medical personnel finish gathering supplies and ending when the materials are prepared to apply splint (approximately 2 minutes) ] [ Designated as safety issue: No ]Time it takes to prepare splint supplies prior to splint application
- Time to apply splint [ Time Frame: Immediately following the operation, beginning with when medical personnel finish preparing supplies and ending when the splint is applied (approximately 3 minutes) ] [ Designated as safety issue: No ]Time it takes to apply splint
|Estimated Enrollment:
|Study Start Date:
|October 2011
|Estimated Study Completion Date:
|July 2012
|Estimated Primary Completion Date:
|June 2012 (Final data collection date for primary outcome measure)
|Assigned Interventions
Splint Pack
Group of post-op patients who have splint applied from prepared Plaster-of-Paris splint pack
Device: Pre-prepared Splint Pack composed by Medline
Applying splint by using pre-prepared splint pack
Bulk Supplies
Group of post-op patients who have splint applied from bulk supplies
Detailed Description:
The most expensive variable in the operating room (OR) is time. At the Faulkner hospital one hour of OR time costs approximately $500, exclusive of supply and personnel costs. Many things contribute to the amount of time a surgical procedure takes. One of these is application of the post surgical immobilization required of almost all orthopedic surgery cases. Custom molded Plaster-of-Paris splints are used for immobilization after the vast majority of orthopedic foot and ankle procedures. They have many advantages including exact fit for each patient, low cost and excellent safety profile. Traditionally these splints are constructed from bulk supplies at the end of surgical cases. The collection, measurement and organization of the component materials require the circulating nurse or surgeon to devote time to these tasks. This necessarily precludes OR staff from performing other tasks in the OR and lengthens the overall case duration. By lengthening the duration of the case more cost is incurred. The total number of cases able to be completed in a single operative day may also be diminished by the aggregate increased case time. Recently, the investigators have started utilizing prepared splint packs containing all components necessary for single plaster-of-Paris splint applications. This alternative to the traditional method of splint application has minimal expense over that incurred with traditional methods. Pilot studies have shown that the use of these splint packs diminish the time of application by 50 percent.
|Ages Eligible for Study:
|18 Years and older
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Probability Sample
Post-operative patients undergoing standard splint application
Inclusion Criteria:
- patient undergoing post-operative standard Plaster-of-Paris splint application
Exclusion Criteria:
- amputation of foot or lower limb,
- procedure limited to skin or removal of superficial hardware,
- a medical condition that is contraindication for splint application, or
- an allergy to Plaster-of-Paris
Please refer to this study by its ClinicalTrials.gov identifier: NCT01602484
|United States, Massachusetts
|Faulkner Hospital
|Boston, Massachusetts, United States, 02130
|Contact: Eric M Bluman, M.D., Ph.D. 617-983-7202 firstname.lastname@example.com
|Principal Investigator: Eric M Bluman, M.D., Ph.D.
|Sub-Investigator: Christopher P Chiodo, M.D.
|Sub-Investigator: David A Palms, A.B.
|Principal Investigator:
|Eric M Bluman, M.D., Ph.D.
|Brigham Foot and Ankle Clinic
No publications provided
|Responsible Party:
|Eric Bluman, Research Director, Brigham Foot and Ankle Clinic, Brigham and Women's Hospital
|ClinicalTrials.gov Identifier:
|NCT01602484 History of Changes
|Other Study ID Numbers:
|Study First Received:
|May 16, 2012
|Last Updated:
|May 17, 2012
|Health Authority:
|United States: Institutional Review Board
ClinicalTrials.gov processed this record on October 09, 2015


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- Northern New York Newspapers
- Watertown
- Ogdensburg
- Massena-Potsdam
- Lowville
- Carthage
- Malone
- NNY Business
- NNY Living
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LOWVILLE Lewis County again has opened its all-terrain vehicle trail system early owing to unseasonably dry conditions.
There is no snow, so we went out and cleared all the trails to make sure they were passable and opened up early, county Trail Coordinator Robert C. Diehl said.
The county opened the fourth year of its permit-based system on April 15, the same date as in 2010. It will run through the start of rifle season in mid-October.
County officials each year tentatively plan for a May 1 opening day, as was the case in the inaugural 2009 season, but will start before then if weather permits, Mr. Diehl said.
The primary focus this year will be on developing trails in the Constableville and Highmarket areas, Mr. Diehl said.
More active leadership in the Highmarket Wheelers ATV club has led to 32 landowners in the towns of West Turin and Lewis signing agreements with the county allowing off-road trails to be developed on their properties, he said.
Weve started the SEQR work, Mr. Diehl said, referring to the State Environmental Quality Review process. Well be getting into trail work as soon as the weather cooperates.
Constableville trustees have set a public hearing for 6 p.m. Tuesday at the village fire hall to discuss opening portions of James and High streets to ATV traffic, which would allow access to the Alpine Restaurant and Nice N Easy properties along Route 26, he said.
Mr. Diehl said he also plans to ask county and West Turin town officials to open road portions to connect the new trails on private land, likely by July.
County legislators earlier this month agreed to accept a long-abandoned railroad corridor from Iroquois Gas Transmission System Inc., Shelton, Conn., connecting Lyons Falls with Burdicks Crossing Road in the town of Turin for recreational trail use. That property should be usable by ATVs without a great deal of maintenance work, Mr. Diehl said.
The trail coordinator said he plans to discuss soon with Lyons Falls officials the opening of some village street portions to allow direct ATV access to businesses, including the Edge Hotel, Boondocks Restaurant and, possibly the Stewarts Shop, all along Route 12.That process should be completed within the next couple of months, he said.
Mr. Diehl said he also is mulling development of a walking and biking trail along the Iroquois property, with a fence separating it from the motorized trail, that could run between Lyons Falls and Glenfield. The county holds a recreational easement on a corridor between Glenfield and Burdicks Crossing Road, owned by the Brantingham Snomads snowmobile club, which is used now only as a snowmobile trail.
The county contracts with the Lewis County Chamber of Commerce to sell ATV permits, with the chamber receiving a 10 percent administrative fee. There were 2,293 permits sold last year, resulting in $76,100 in revenue for the county and chamber.
The chamber thus far has sold 882 permits for the 2012 season, a handful more than in the same period last year.
Permits cost $40 for an ATV owned by a member of a club in the Tug Hill Adirondack ATV Association and $80 for a machine owned by a nonmember. There is a half-price discount on permits for the second through fifth machines purchased by members of the same household, with all ATVs having to be registered to the same mailing address. The county charges the full price for the first permit and any additional ones beyond the fifth machine.
Permits once again are being sold at the chamber office on South State Street, through its website and at several restaurants, motels and ATV dealers.
Thousands of readers like you have made Northern New York Newspapers the number one ranked website* for local news and sports coverage in the north country.
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subset: commoncrawl


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BOWLING GREEN, Ky. - With a chance to win 11 games before the start of a new year for the first time in program history, WKU returns to Sun Belt Conference play to face North Texas in the final game of 2012 for the Lady Toppers. Tipoff is set for 4:00 p.m. on Saturday, part of a doubleheader with the WKU Men's Basketball team.
WKU is 3-0 in Sun Belt Conference play entering the contest with North Texas (2-9), having posted a win at home over FIU and road wins over ULM and Troy.
The Lady Toppers are coming off a win over Florida A&M that propelled them to the championship of the Wright State Invitational on Dec. 21. The Lady Toppers beat host Wright State two days earlier in the event.
North Texas is coming off a 66-64 loss at Middle Tennesee on Thursday night. The Mean Green are led by Alexis Hyder. Hyder averages 12.2 points and 7.4 rebounds per game while shooting 52 percent from the field.


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Pictures of Mary and Joseph
Mary and Joseph were Jesus's mortal parents while he was on Earth. This section of our website portrays some good pictures that capture the love Mary and Joseph had for Jesus Christ.
Some pictures of Mary and Joseph feature the famous star that led the 3 wise men to find Jesus. Jesus was an amazing figure in our history, these pictures show the love that emanated from him and his parents.
Mary Magdelene has become more famous then Joseph it would seem. More artwork and religious ceremonies are centred toward Mary then Joseph. While Joseph is portrayed in many pieces of artwork, he remains the fatherly figure Jesus had when growing up.
To view the pictures of Mary and Joseph in full size, just click on the pictures.
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"It's Not 100% Official Yet" Aaron Taylor-Johnson On Playing Quicksilver In Avengers: Age Of Ultron
A few of Marvel's mystery roles have started to come to light lately. Vin Diesel pretty well confirmed that he would be voicing Groot in Guardians of the Galaxy, and Aaron Taylor-Johnson has pretty well done the same regarding Quicksilver in Avengers: Age of Ultron the past few months. While doing press for Kick-Ass 2, the actor once again opened up about possibly playing Quicksilver and revealed that he's had several conversations with Marvel and Joss Whedon about the upcoming sequel.
Speaking with HeyUGuys, Taylor-Johnson was asked about the Avengers rumors. We pretty much know, barring some sort of fallout or freeze in communications, he'll be assembling with the Avengers to battle Ultron. The site asked the actor if he could confirm the role:
No, it's not 100% yet, it's not official. You've got to remember that they start filming next year in February or March or something like that so we're still a long way away. It's all in discussion and in a friendly way as well, you know, I've met with Joss Whedon now twice and we spoke about it a lot and I've been with the Marvel guys and they're f***ing awesome dudes, so I am flattered to be asked to be a part of The Avengers, who wouldn't? But more importantly to me, I have to know if I can convey that character in the right way because that's what it comes down to. So that's all for now really, they still have loads of other characters and actors to make sure they can schedule and stuff.
The Kick-Ass actor followed up with "I'd f***ing love to do it." As much as the actor knows about the film and as open as he's been about his conversations with Marvel, I'd say if it's not 100% official it's around 98-99% official. Nobody seems to care enough to ask if he's heard word on who could possibly be playing his sister, Scarlet Witch, in the film though. With this piece about to be in place, hopefully we start hearing some movement on the Scarlet Witch front. What do you think about Aaron Taylor-Johnson's latest comments?
All ComicBookTherapy contributors must agree and abide by our Site User Agreement. ComicBookTherapy.com is protected from liability under "OCILLA" (Online Copyright Infringement Liablity Limitation Act) and will actively enforce said provisions. If you represent an individual or company and feel as though this article has infringed on any of our terms or any existing copyrights, please contact us for a speedy removal.
Source : HeyUGuys


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Things to see and do - Denmark
Leaving for Denmark
Nearby hotels
Hotel Medi from795 DKKBook
Motel Viborg from475 DKKBook
Niels Bugges Hotel from600 DKKBook
Things to do nearby
Copenhagen City Hop-on Hop-off Tour
- 28 €
- Book
Copenhagen City and Harbor Tour
- 48 €
- Book
- 60 €
- Book
Comwell Borupgaard :
Nearby tourist sites
Comwell Borupgaard
Comwell Borupgaard
Address : Nørrevej 80 DK - 3070 Snekkersten
from : 598 DKKBook
Set in a North Zealand manor house, this hotel is within 10 minutes' drive of Helsingør. It offers a large spa, gourmet cuisine and spacious rooms with a flat-screen TV. Comwell Borupgaard's bright rooms include cable TV channels and movies on demand. All have a modern bathroom with a shower. Free Wi-Fi internet access is available in the lobby. The in-house restaurant serves Danish and international cuisine based on fresh, locally sourced ingredients. Drinks, snacks and light dishes are available in the bar. Featuring 14 treatment rooms, Comwell's spa offers a variety of bookable treatments and massages. Other leisure options include a billiards table and gym. Guests can also take a stroll in the park surrounding the hotel, and Snekkersten Beach is only a 15-minute walk away. Snekkersten Train Station is 2 minutes' walk from Comwell Borupgaard.
Useful Information
- Address : Nørrevej 80 DK - 3070 Snekkersten3070Snekkersten


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Ok, so I know it's not technically Fall yet, but I just can't help getting excited about it!
Fall is my favorite season! I just love the sights and sounds and smells of it; Pumpkins, hot apple cider, Fall festivals, sweaters and scarves, colored leaves falling and crunching under my feet, gearing up for the holiday season…
As I've been preparing for the Fall Craft Challenge {coming in September!}, I've been pinning to my "Fall Ideas" Pinterest board like crazy. Here's a sneak peek at a few of my favorite things so far:
I also love these "Candy Corn Pumpkins" and they look relatively quick and easy!
I'll have to get the boys to look for a tall skinny pumpkin like the one on the right.
I really want to make a handprint tree like this one and frame it to hang in our home seasonally.
As much as I love fall, I'm not a huge Halloween fan, except for seeing my little cutie all dressed up.
But I do think these lollipop spiders are clever, and Little Crafter will go bananas for them…he would eat ten lollipops a day if I let him.
What about you? Are you looking forward to the coming season?


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Book your room at Hotel Las Cortes De Cádiz
Get an overview of this hotel3-star family-friendly hotel, walk to Plaza de Espana
Collect 200 points
Simply enter your Nectar card number when prompted. Your points will be credited 30 days after you return from your trip.*Offers may apply
This family-friendly Cadiz hotel is located in a shopping district, within a 5-minute walk of Oratorio de la Santa Cueva and Plaza de Espana. Torre Tavira and Cadiz Cathedral are also within 10 minutes.
Hotel Features
A restaurant, a fitness center, and a bar/lounge are available at this hotel. WiFi in public areas is free. Other amenities include a coffee shop/café, a rooftop terrace, and a meeting room.
Room Amenities
All 36 rooms offer free WiFi, refrigerators, and flat-screen TVs. Minibars, room service, and free newspapers are among the other amenities available to guests.Information missing or incorrect? Tell us!
Hotel Amenities
Hotel Amenities
The hotel offers a restaurant and a coffee shop/café. A bar/lounge is on site where guests can unwind with a drink. High-speed wired and wireless Internet access is complimentary. Event facilities measuring 215 square feet (20 square meters) include a meeting room. This family-friendly hotel also offers a fitness center, a rooftop terrace, and tour/ticket assistance.
- 24-hour front desk
- Total number of rooms - 36
- Number of floors - 4
- Bar/lounge
- Breakfast available (surcharge)
- Coffee shop or café
- Concierge services
- Elevator/lift
- Fitness facilities
- Tours/ticket assistance
- Free WiFi
- Free wired high-speed Internet
- One meeting room
- Rooftop terrace
- Dry cleaning/laundry service
- Laundry facilities
- Multilingual staff
- Luggage storage
- Restaurant
- Safe-deposit box at front desk
- Offsite parking reservations required
- Conference space size (meters) - 20
- Conference space size (feet) - 215
- Shopping on site
- Number of buildings/towers - 1
Family Friendly Amenities
- Family Hotel
- Free Wi-Fi
- Laundry facilities
- Refrigerator
Available in all rooms: Free WiFi , Free wired high-speed Internet
Available in some public areas: Free WiFi , Free wired high-speed Internet
Offsite parking reservations required
Room Amenities
- Air conditioning
- Phone
- Refrigerator
- Minibar
- Daily housekeeping
- Turndown service
- Private bathroom
- Free toiletries
- Hair dryer
- Bathtub or shower
- Desk
- In-room safe
- Cable TV service
- Flat-panel TV
- Free WiFi
- Free wired high-speed Internet
- Dial-up Internet access (surcharge)
- Climate control
- Free newspaper
- Room service (limited hours)
Where to Eat
Onsite venue - This restaurant serves breakfast, lunch, and dinner. A children's menu is available.
Room service (during limited hours) is available.
Nearby Things to Do
- Bicycle rentals nearby
- In-room accessibility
Hotel Policies
Check-in time starts at 2 PM
Check-in time ends at Midnight
Check-out time is Noon
Payment types
Pets allowed, Only dogs and cats are allowed, Maximum number of pets per room 1, Pet maximum weight in kg is 6
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
Parking height restrictions apply
- Pet fee: EUR 16,50 per pet, per day
We should mention
Cash transactions at this property cannot exceed EUR 2500, due to national regulations. For further details, please contact the property using information in the booking confirmation. One child 2 years old or younger stays free when occupying the parent or guardian's room, using existing bedding.


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Air France, Lufthansa Drop on Results; Singapore Also Misses
July 28 (Bloomberg) -- Air France-KLM Group and Deutsche Lufthansa AG tumbled as Europe's top airlines said they'll rein in capacity after earnings missed estimates. Singapore Airlines Ltd. will also slow growth following numbers that came up short.
Air France fell 8.1 percent on a second-quarter operating loss of 145 million-euro ($208 million) and Lufthansa slid 2.8 percent when profit of 230 million euros failed to meet the 325 million-euro estimate of analysts. Singapore Air, reporting at the Asian close, missed targets as net income fell 82 percent.
Air France-KLM, expected to report operating profit of 43.4 million euros, will almost halve the pace of seat increases this winter to cope with high fuel prices and the legacies of unrest in the Middle East and Japan's nuclear crisis. While Lufthansa will also revise capacity plans, it still aims to lift annual earnings, whereas Air France's target remains to be profitable.
"The impact of some of these events is even bigger than previously reported," said Jonathan Wober, an analyst at Societe Generale in London. "There is also some vulnerability to the macro-economic environment and the euro situation. But even if both results came in lower than expected, there's a big difference between the two. Air France is more disappointing."
Demand 'Flat'
Singapore Airlines, the world's second-largest carrier by market value, said today that bookings for the next few months are almost flat, with traffic hurt by the Japanese disruption and uncertainty over the world economy posing "significant challenges" in the key markets of Europe and the U.S.
Global passenger growth slowed to 4.4 percent in June from 6.8 percent in May, the International Air Transport Association said today. IATA, which predicts a 78 percent drop in industry net income this year to $4 billion, a 0.7 percent margin, blamed the slowdown on fuel costs, a sluggish economy and higher taxes.
Air France, Europe's biggest airline, closed 76 cents lower at 8.62 euros in Paris, where the Franco-Dutch company is based, for the steepest drop in five months. The stock has declined 37 percent this year, valuing the business at 2.59 billion euros.
Cologne-based Lufthansa ended the day 41 cents lower at 14.06 euros in Frankfurt and has slipped 14 percent this year, giving a market value of 6.44 billion euros. Both companies published results after markets closed yesterday.
The European carriers said the aftermath of the Japanese earthquake and tsunami and political unrest in the Middle East and North Africa are still weighing on traffic. The crises cost about 100 million euros at Air France-KLM in the second quarter and 117 million euros in the first half at Lufthansa, which said the full-year toll could reach 200 million euros.
The German company will examine winter seating plans in response to the "new demand climate" and aims to accelerate restructuring of Austrian Airlines and British Midland. The main-brand airline will trim winter capacity growth to 6 percent from a previous plan of 12 percent by using smaller aircraft, deferring planned routes and shutting the Lufthansa Italia unit.
Lufthansa maintained its target of increasing annual sales and operating profit beyond last year's tallies of 27.3 billion euros and 876 million euros respectively. Quarterly traffic rose 11 percent, Europe's No. 2 carrier said in a further statement today, as disruption caused by volcanic ash from Iceland eased, with revenue climbing by the same degree to 7.6 billion euros.
The company, which has its main hub in Frankfurt, is also wrapping up a program to cut costs by 1 billion euros from 2008.
Quarterly fuel expenses climbed 16 percent to 1.67 billion euros at Air France-KLM and 27 percent to S$1.44 billion ($1.2 billion) at Singapore Airlines.
While Lufthansa's three-month fuel bill rose 22 percent to 1.7 billion euros, the full-year estimate -- 6.8 billion euros originally -- was cut again to 6.4 billion euros, and the company says hedging positions benefit it when oil is priced above $94 a barrel. Brent crude for September settlement was at about $118 today on London's ICE Futures Europe exchange.
"Lufthansa is in a better position," said Stephen Furlong, an analyst at Davy Stockbrokers in Dublin with an "outperform" rating on the carrier. "The oil price and the Middle East and Japan crises are taking some of shine off the overall numbers, but it's still overall very solid."
Seats Slashed
Air France-KLM's statement reiterated its forecast of a positive operating result for the full year after passenger traffic rose 9.4 percent in the quarter, spurred by gains of 15 percent in Europe and 13 percent on routes to the Americas, and revenue advanced 8.7 percent to 6.22 billion euros. Ivory Coast traffic has also begun to recover after a civil war there, Chief Executive Officer Pierre-Henri Gourgeon said on an analyst call.
Still, the Eurozone crisis and setbacks in Japan and the Mideast mean markets are "uncertain," the company said, adding that it will reduce long-haul winter capacity growth from 5.1 percent to 2.7 percent, including cuts at KLM unit Martinair. Lufthansa said all of its divisions are "revising their plans."
Singapore Airlines said management will monitor business trends closely "and respond appropriately." Capacity will now increase 5 percent in the fiscal year that began April 1, a reduction of 1 percentage point, it said in a statement.
Ryanair Holdings Plc, Europe's biggest discount airline, will cut year-to-year capacity for the first time in its history for the low season starting in October as fuel costs threaten to render dozens of routes unprofitable, it said May 23.
Higher Fares
"You could say at first glance that this is negative, but I've always felt that the planned capacity increases were over-ambitious," said Per Ola Hellgren, an analyst at Landesbank Baden-Wuerttemberg in Mainz, Germany. Slower growth in seating may also help airlines boost average fares, he added.
Air France-KLM reported a net loss of 197 million euros for the quarter versus a year-earlier profit of 736 million euros, when earnings were boosted by the sale of a stake in the Amadeus booking system. The adjusted loss narrowed to 212 million euros from 252 million euros.
Lufthansa's three-month net income increased 55 percent to 301 million euros and demand and sales are likely to develop positively as the year progresses, it said, helped by a recovery in Japan. The German company had a year-earlier operating profit of 159 million euros and Air France a loss of 132 million euros.
Costs Gap
Singapore Airlines said quarterly net income fell to S$44.7 million, missing the S$127 million analyst consensus, as a 3 percent gain in revenue to S$3.58 billion failed to keep pace with an 11 percent jump in spending. The main airline unit swung to a S$36 million operating loss from a S$136 million profit.
The stock declined 0.4 percent to S$14.71 ahead of the earnings announcement and has fallen 3.9 percent this year. Singapore Air has a market value of S$17.6 billion, ranking it second in the airline industry only to Air China Ltd.
International Consolidated Airlines Group SA, Europe's third-biggest airline by traffic, formed from the merger of British Airways and Spain's Iberia, reports earnings tomorrow. The stock was trading 1.4 percent lower today, valuing the London-based company at 4.29 billion pounds ($7 billion).
To contact the reporters on this story: Andrea Rothman in Paris at firstname.lastname@example.com; Cornelius Rahn in Frankfurt at email@example.com
To contact the editors responsible for this story: Chad Thomas at firstname.lastname@example.com; Kenneth Wong at firstname.lastname@example.com


text:
Navigating Data Privacy and Security in Telemedicine's Uncharted Territory
Insurance Limits and Case Value - A Clear Correlation?
Polsinelli Podcast - What Employers Need to Know About Dealing With Cash
Medical PL Risks in Retail Healthcare
Physician Considerations When Prescribing Medical Marijuana
Do I need an expert witness in my case?
Electronic Medical Records: Help or Hindrance?
How Does King v. Burwell Decision Affect the Affordable Care Act?
Antitrust Law Issues for Health Care Providers
Variables Affecting Medical PL Settlement Values
Polsinelli Podcast - Is a Single U.S. Food Agency a Reality?
The Biggest Obstacle to Value-Based Care
Technology in Healthcare
Do healthcare professionals have to report legal trouble to their licensing board?
Health Care Enforcement: The Impact on Private Equity Investments
Polsinelli Podcasts: Cloud Computing, From Cybersecurity to Confidentiality Issues
Polsinelli Podcast - Pharmacy Compounding: What's Next in Regulation?
Polsinelli Podcasts - The Latest on a Shift in Regulation in Dietary Supplements
A Moment of Simple Justice - Vaccines
Editor's Overview -
As it is well known, in Cigna Corp. v. Amara, 131 S. Ct. 1866 (2011), the U.S. Supreme Court identified several forms of appropriate equitable relief that may be available under Section 502(a)(3) of...more
The New Jersey Superior Court Appellate Division recently ruled that the damages a physician-independent contractor can recover are limited to those sustained during a notice period in the physician's contract. The decision...more
Last week, a New Jersey federal court allowed medical device maker Boston Scientific Neuromodulation Corp. ("Boston Scientific") to proceed with counterclaims against two of its former employees for violating their contracts...more
The federal government was busy over the summer when it came to decisions and settlements under the Stark Law, anti-kickback law and federal False Claims Act. This article revisits recent developments with respect to...more
The Sixth Circuit held in Hi-Lex Controls, Inc. v. Blue Cross and Blue Shield of Michigan that a service provider was liable as a fiduciary under ERISA for unauthorized fees it assessed against a self-funded health plan. In...more
Last week, the Third Circuit reversed a New Jersey district court's decision to dismiss a False Claims Act (FCA) qui tam law suit, holding that the court applied an overly demanding pleading standard to relator Thomas...more
On May 13, 2014, a California federal court substantially denied summary judgment motions in United States ex rel. Trinh (No. 4:10-cv-01904 [consolidating Nos. C 10-1904 CW, C 12-2895 CW, C 10-2433 CW, C 10-4605 CW] [N.D....more
The Patient Protection and Affordable Care Act ("ACA") has significantly changed the healthcare industry in the United States. Among the many changes is the new requirement that healthcare providers must provide all "Food...more
The Justice Department announced that Johnson & Johnson will pay $1.273 billion to the federal government and most states to settle a civil False Claims Act investigation into its off-label marketing of its antipsychotic drug...more
Speed Read -
The Sixth Circuit, in a unanimous decision, affirmed a lower court ruling in Pipefitters Local 636 Insurance Fund v. Blue Cross and Blue Shield of Michigan, holding that an entity providing services to a...more
In Larson v. United Healthcare Ins. Co., __ F.3d __, 2013 WL 3836236 (7th Cir. 2013), the Seventh Circuit upheld the dismissal of plaintiffs' putative class action claims that health insurers violated Wisconsin state law...more
The Employee Retirement Income Security Act of 1974 ("ERISA"), 29 U.S.C. § 1001, et seq., was passed with the goal of protecting plan assets so that those assets would be available for plan participants and beneficiaries. See...more
The Seventh Circuit's recent decision in Kenseth v. Dean Health Plan, Inc. provides a means for employees to collect monetary relief on their claim for benefits if they can show that the terms of the plan were not clear, and...more
I blogged recently warning employers to be careful when enrolling employees in plan benefits because the employer could be responsible to pay life insurance or disability benefits if an employee who is improperly enrolled...more
Five days away from email equals less stress.
This may sound obvious, but that was the conclusion of a recent study that took away email from thirteen civilian workers at an Army facility outside Boston, according to a...more
In This Issue:
- Editor's Overview
- ERISA Preemption in Provider Misrepresentation Claims: An Overview of the Jurisprudence Leading Up to the Fifth Circuit's En Banc Review of Access Mediquip and What Lies...more
A recent Sixth Circuit Court of Appeals decision considered whether a third party administrator of a self-funded medical plan was a fiduciary under ERISA. Under ERISA, fiduciaries owe strict duties of loyalty and prudence to...more
The Affordable Care Act, signed into law by President Obama in 2010, has various provisions that kick in starting this year. One provision requires that insurance companies spend a certain percentage of health insurance...more
In This Issue:
- Supreme Court's Decision on Healthcare Reform – What Does This Mean To ERISA Welfare Benefit Plans? ....1
- DICKINSON WRIGHT ERISA...more
In This Issue:
- Editor's Overview ...1
- Health Care Reform Remains Alive and Well as DOL Enforces ACA through Plan Audits ...2
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A federal district court dismissed an action against an employer alleging vicarious liability for an employee's dissemination of a patient's protected health information (PHI) related to treatment for a sexually transmitted...more
Insurance companies have been using computer technology to target providers with greater effect, but not always with the correct result. If you are a specialist who utilizes a set of medical codes more than any other codes,...more
The Dodd-Frank Act includes new and expanded whistleblower protections as well as bounty hunter provisions that are designed to increase the referrals of larger fraud actions by incentivizing employees, contractors, and many...more
Honored and rresented by the Financial Planning Association of America (FPA) at their annual meeting last fall, this article was written at the request of ADVISOR TODAY - the Journal of the National Association of Insurance...more
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Here at SPS, we offer a one-year, full-time program in Public Policy and Administration, a part-time program for working professionals, and combined studies with the Faculty of Law.
Public Policy/Administration
|Master of Public Administration (MPA) program has been preparing students at the entry and mid-career levels for leadership roles in public service and policy-making for more than thirty-five years. Graduates hold positions as ministers and senior officials in all three levels of government, as well as providing leadership in hospitals, community organizations and national associations across Canada.
Professional Master of Public Administration (PMPA) is a part-time, multidisciplinary program, designed expressly for mid-level managers and senior professionals who are seeking to enhance their knowledge, skills and confidence for leadership roles in public service and other policy-making roles.
Indigenous Policy and Governance Initiative - In partnership with FNTI (First Nations Technical Institute), Tyendinaga Mohawk Territory, Queen's School of Policy Studies now offers participants in the PMPA program the opportunity to concentrate their elective courses in Indigenous Policy and Governance. This series of courses, unique in Canada, integrates traditional knowledge and philosophies in indigenous policy, governance, management and related areas with contemporary theoretical frameworks and best practices.
Master of Public Administration-Juris Doctor combined degree (MPA-JD) program is offered together with the Queen's Faculty of Law. Students complete an MPA degree with prescribed law electives in the first year and a JD degree in the latter three years and article after graduation.
|Exchange/Interchange Study Opportunities


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- Northern New York Newspapers
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- Lowville
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- Malone
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Elections commissioners believe that with new voting technology, fewer election inspectors are needed and election districts could be consolidated, which will save money for cash-strapped counties.
Only one thing stands in the way: politics. The jobs they seek to eliminate are plum for political patronage machines downstate, they noted. Plus, the parties divvy up spots on county committees by the number of election districts in the county, complicating any changes to those numbers.
But evolving technology justifies the move, officials say.
"We're required by law to hire people we don't need," said Jerry O. Eaton, Jefferson County Republican election commissioner.
The changes would require a new state law. The state Election Commissioners' Association put together a legislative agenda in 2011, but it appears the ideas did not gain much traction in Albany. Lawmakers did not introduce bills on the consolidation matters, according to association members. The chairmen of the Senate and Assembly committees on elections did not respond to requests for comment.
By state law, county boards of elections are required to have four election inspectors in each election district. Some poll sites are home to several election districts. And one new optical scanning machine can do the work of three separate lever machines in a place like Antwerp, where voters from three election districts vote in one place. So 16 election commissioners aren't exactly necessary there, Mr. Eaton and his Democratic counterpart, Sean M. Hennessey, argue.
"We know we need 12, but we're forced to have 16," Mr. Hennessey said.
Mr. Eaton and Mr. Hennessey could not offer a firm figure on how much the county could save. Each inspector makes about $200 a day, plus a stipend for training, they said.
"When you add those pennies up, they become dollars," Mr. Hennessey said.
Election inspectors are hard to come by in the north country, Mr. Eaton said. But downstate, they're handed out as political favors, so limiting the number of them runs into practical political realities.
Also on the commissioners' docket is consolidating election districts. Under state law, 1,150 people can live in an election district.
Three election districts in the town of Ellisburg, for example, cannot be consolidated because doing so would surpass that maximum.
Mr. Eaton and Mr. Hennessey want to move that number to 2,500, which would cut down on the number of election districts. That would save time when tallying votes, but it would not necessarily mean the closing of any poll sites. The election commissioners can already close sites and have several election districts vote in one place.
But the major political parties may balk at the proposal, because they base their committee membership on the number of election districts. Mr. Hennessey and Mr. Eaton said the parties could change their internal rules to reflect change in election district numbers, preventing them from having to cut down on the number of committee members.
"Your power structure gets affected," Mr. Hennessey said. But "they'd just have to change" some of their rules.
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Listen to a Discussion About Replacing College Presidents
Three of Ohio's largest public universities are looking for new leaders.
- Former Ohio State University President E. Gordon Gee retired in July.
- Kent State University President Lester Lefton will retire next summer.
- University of Akron President Luis Proenza will retire in June.
So how do you find three new leaders to head up institutions with combined budgets topping $XXX?
WOSU's All Sides with Ann Fisher took on the topic of picking a college president recently:
It's a time of transition for Ohio colleges and universities. Kent State and the University of Akron will bid farewell to their presidents next summer, as will several community colleges, and OSU has hired a consulting firm to help with their current presidential search. This hour we'll look at the changing role of university presidents, and discuss whether schools should be run more like Wal Mart or the Red Cross.
Guests included Chronicle of Higher Education reporter Jack Stripling, college president head hunter Jessica Kozloff, and Denison University President Emeritus Dale Knobel.


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American University professor and Teaching Shakespeare Institute faculty member Caleen Jennings introduces herself and the clips in which she will be demonstrated various performance choices.
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Western Kentucky names Jeff Brohm head coach
Western Kentucky didn't waste any time hiring a replacement for Bobby Petrino.
The Hilltoppers named Jeff Brohm, WKU's offensive coordinator last season, their next head coach Friday afternoon.
School officials didn't expect Petrino to be around long, and Brohm had been unofficially promised the job when he arrived as offensive coordinator.
Western Kentucky led the Sun Belt in yards per play (6.29) and ranked No. 29 nationally. The unit broke 18 single-season school records including total offense, individual passing yards and individual rushing yards.
The team finished 8-4, with a 4-3 record in Sun Belt play, but did not receive an invitation to play a bowl game.
Brohm is a former Louisville quarterback began his college coaching career with the Cardinals under Petrino in 2003. He remained on staff through 2008, remaining through the transition from Petrino to Steve Kragthorpe.
He left to join Howard Schnellenberger at FAU, followed by short stints at Illinois (2010-11) and UAB (2012).
Brohm then rejoined Petrino at Western Kentucky prior to the 2013 season, serving as assistant head coach and offensive coordinator.
Photo: Brandon Carter, WKU Herald


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A 28-year-old pregnant Pontiac woman and her two babies died due to the mother's enlarged heart, the Oakland County Medical Examiner's Office ruled today.
The woman was found unresponsive at 1:10 p.m. Sunday in a home in the 100 block of W. Kennett, according to an Oakland County Sheriff's Office report released today. She was taken by ambulance to McLaren Hospital, where she was declared dead at 1:47 p.m. and her babies were declared dead at 2:01 p.m.
Medical examiner's investigators determined after an autopsy today that the ...


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Tomorrow the Frank Phillips College Lady Plainsmen will make their first appearance in post-season play when they compete in the NJCAA Region V West Softball Tournament in Lubbock.
The Lady Plainsmen clinched a berth into the regional tournament this weekend by winning three of four games against Clarendon College.
The Lady Plainsmen will open the tournament by taking on the Howard College Lady Red Hawks at 11:00 a.m.
The winner will take on Midland College tomorrow afternoon at 5:00 p.m.


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Gear up for UFC International Fight Week in Las Vegas with this UFC-inspired tee! It features vibrant UFC graphics printed across the front and upper back.
- Lightweight ribbed T-shirt
- Rib-knit collar
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Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.


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Seize The Day Belt Buckle
Seize The Day Belt Buckle Come and buy this adult buckle.
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WUFT News
Author Archives: Taryn Bray
Florida Parks Receive Record Number Of Gold Medals For Excellence
By Taryn Bray on November 18th, 2013 | Last updated: November 18, 2013 at 4:08 pm
Florida is the first state to win three National Gold Medals for Excellence from the National Recreation and Park Association.
Substitute Teachers Will No Longer Fill Empty Full-Time Positions
By Taryn Bray on October 29th, 2013 | Last updated: October 30, 2013 at 2:18 pm
Marion County School District can no longer fill empty full-time positions with substitute teachers after a ruling on Monday.
Marion County's East Marion Elementary School Fights Infectious Outbreak
By Taryn Bray and Stephanie Denardo on October 7th, 2013 | Last updated: October 9, 2013 at 8:31 am
A Marion County elementary school is dealing with an enteric infection outbreak that has already affected more than 200 students.
Florida's Bridges Stand Strong Compared to States Nationally
By Taryn Bray on September 16th, 2013 | Last updated: September 17, 2013 at 4:41 pm
Florida ranks among the lowest for percentage of bridges considered structurally deficient, according to a recent report. Only 27 North Florida bridges are in the "structurally deficient" category.


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Home › Makeup › Eye › Under Eye Concealer
Trish McEvoy Instant Eye Lift
Trish McEvoy's Instant Eye Lift is a long-wearing line filler and under-eye brightener that diminishes the look of fine lines while awakening the eye area for an instant, all-day lift.
First apply your eye cream and give it time to absorb. Place Instant Eye Lift in the shape of an inverted triangle - starting from the inner corner of the eye, moving across the bottom lash line, bringing the point just past your area of darkness. Blend with a Laydown Brush or your ring finger.
Trish McEvoy Instant Eye LiftWrite A Review
3 Reviews(Avg 4.7/5)
Age Range:25-34
Location:Washington, DC
Skin Type:Normal
Skin Tone:Light
Hair Color:Brunette
Eye Color:Blue
Great product!7/09/2014
I have struggled with dark circles under my eyes for years. I have tried endless combinations to cover them up, but to no avail. This product, along with the "triangle of light" trick, is a life-saver! It is is light and you don't need much to cover up dark circles. Now I only use this product for an under eye concealer.
Pros: light & creamy
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3 Reviews(Avg 4.7/5)


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This Promotion is only for ordering the same item no.
Each purchase can only enjoy this promotion once.
This offer is valid while stock last.
This promotion is only available online at Sasa.com.
Hong Kong's only wall-broken Cordyceps - " Vital-Qi Wall-broken Cultivated Cordyceps ", with the use of high-frequency pulse principle, the Cs-4 crushed to 100 nanometers, the cells were completely broken , nutrients have all been released.Confirmed by the Hong Kong Institute of Biotechnology, the concentration of the active ingredients are 130% higher than those cell wall were not broken, strengthen immunity, improve symptoms of nasal allergy and insomnia."Vital-Qi Wall-broken Cultivated Cordyceps " also invited famous actress Ms Angie Chiu as spokesperson." Vital-Qi" has an internationally recognized quality certification and patents. No. 323176


text: Clara Low | IBDB: The official source for Broadway Information IBDB: The official source for Broadway Information Official Broadway League sites: - sites - broadway.org broadwayleague.com broadwayfanclub.com kidsnightonbroadway.com stagespecs.org tonyawards.com Quick Search For: In This Category: All Show People/Org. Theatre Season Clara Low Director Female Productions ProductionsDate of ProductionsTorches[Play, One Act, Original] Directed by Clara Low May 10, 1923 - May 10, 1923 Find out where Clara Low and are credited together © 2001-2015, The Broadway League, All Rights Reserved. (Copyright and Disclaimer)


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The Making of Belgium's Golden Generation, and Imported Versus Cultivated Talent
July 02, 2014
It has been noted: Maybe what US soccer needs is more military bases in places like Spain and Brazil
Yes, American Soccer Has Finally Arrived
July 01, 2014
Was that exciting, America? Well, good—you better get used to it.
USA 3, Belgium 0! Or, Looking for Hope in the 1930 World Cup
July 01, 2014
And they can do it again!
USA-Belgium Preview: How the USMNT Can Win in 4 Not-So-Easy Steps
July 01, 2014
"Not-so-easy" are the key words. But it can happen, if Klinsmann's team does these things.
Why U.S. Fans Should Hope for Less from Michael Bradley
June 30, 2014
The midfielder is covering way, way too much ground
Photos: This Is How Brazilians Reacted When Their Team Won Its Shootout with Chile
June 29, 2014
Scenes from the FIFA Fanfest in Cuiabá. Matthew Niederhauser's Photo Diary, Day Ten.
Bravo, Klinsmann. And Look Out, Belgium!
June 26, 2014
It wasn't pretty, but we cheated (the Group of) Death
USA-Germany Recap: 9 Takeaways On The Loss That Felt Like A Win
June 26, 2014
And on to the Round of 16 we go.
Photos: Dramatic Scenes in Recife, as City Floods Ahead of US - Germany Clash
June 26, 2014
Matthew Niederhauser's (waterlogged) photo dispatch.
USA-Germany Preview: The Jermaine Jones Show
June 26, 2014
Can Klinsmann's most valuable German-American outmuscle Germany's Germans?


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A player has sacrificed three teeth to tackle an opponent with his face during a football clash in Argentina.
The hard-fought 0-0 draw between rivals Argentinos and Boca Juniors featured typical South American attacking flare and no-nonsense defence, but the effort by Boca' s Gaspar Iniguez was something completely out of the ordinary.
Moving to meet a threatening run by an Argentinos opponent, Iniguez appeared to stumble, heading towards the turf as he struggled to regain his balance. His fall could not have been more perfectly timed nor placed if he had actually meant to collect the player's boot in his mouth.
The referee showed the bloodied-mouth defender no sympathy, handing him a yellow card for the challenge. Dazed, confused and in need of a dentist, Iniguez wasn't aware later that he had received the caution.


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When Caldan's parents are brutally slain, he is raised by monks and taught the arcane mysteries of sorcery. Vowing to discover for himself who his parents really were, and what led to their violent end, he is thrust into the unfamiliar chaos of city life. With nothing to his name but a pair of mysterious heirlooms and a handful of coins, he must prove his talent to earn an apprenticeship with a guild of sorcerers. But he soon learns the world outside the monastery is a darker place than he ever imagined, and his treasured sorcery has disturbing depths. As a shadowed evil manipulates the unwary and forbidden powers are unleashed, Caldan is plunged into an age-old conflict that brings the world to the edge of destruction.
"Loved It!!!"
Christmas 1292. Time travel has meant many things to Meg, David, and Anna over the years. But regardless of the circumstances, it's always been about saving lives: their own, their family members', and their friends'. This time, it's a combination of all three.
Przenikajace z innego wymiaru zlo laczy sie z mocami, które w malej wiosce znalazly podatny grunt i blyskawicznie rosna w sile. Witold Uchmann przekonal sie juz na wlasnej skórze, czym to grozi, wiec postanawia stawic im czola. Niespodziewanie otrzymuje wsparcie i wszystko wskazuje na to, ze sa szanse na pozytywny obrót spraw, gdy nagle z objetej klatwa zatajenia Szarzyzny zaczynaja do niego docierac coraz bardziej niepokojace wiesci. Wyglada na to, ze bedzie musial wrócic tam raz jeszcze, by stoczyc ostateczna walke z Czarnym i jego sprzymierzencami.
Trwa wielka wojna z Thirami. Przeciwko silom wroga moze wystapic pieciokrotnie mniejsza armia WayEmpire, dowodzona przez admirala Hawka. Sytuacja jest niewesola. Moze nowa zdolnosc kilkunastu tysiecy Ranów do przeobrazania sie w stumetrowe anioly zaglady uratuje Imperium? A moze to Arka - wywrotowy eksperyment Sergia Lamy odegra decydujaca role?
Set a thousand years (give or take) before the events of Disenchanted, Distopia tells the story of Wyngalf the Bold, the legendary hero renowned for ridding the land of Dis of the scourge of dragons. The story begins as Wyngalf, a young missionary for an obscure religious sect, arrives in the port city of Skuldred. Desperate to prove his worth to his superiors, Wyngalf finds himself drafted into leading a missionary voyage across the sea to the semilegendary land of Dis.
The world has ended. No one's quite sure how or why, but one thing is for certain: there's only one washing machine that still works in the entire wasteland, and it belongs to Mr. Dottier. That is, until it's stolen from him. Embarking on a journey of self-discovery and enlightenment, Mr. Dottier will not rest until he has rescued his washer in distress.
Out in the star ocean, the Frontier is a harsh place. Katrice Wylde knows this more than most. Most of her face and limbs were taken in an explosion after retrieving the plans for an experimental space ship and artificial intelligence. She thought she was dead, but was given new life by Ryker Mallory, her lover.
Gratka dla graczy, czyli zbiór anegdot ukazujacych sie w latach 2001-2004 w miesieczniku "Swiat Gier Komputerowych". Gratka tym wieksza, ze zbiór wzbogacono o teksty dotychczas niedrukowane. Bylo to bowiem tak: redaktor naczelny (Piotr Pienkowski) zamawial u autora (Marcin Przybylek aka Martin Ann) pietnascie short-stories miesiecznie, a z nich do druku wybieral trzy. Pozostalo wiec mnóstwo perelek, które dopiero teraz ujrzaly swiatlo dzienne.
In Spirit Breaker, Mark Talon must confront an evil psychic and the terrifying forces of the afterlife in his most heart-pounding adventure yet.
In The Days of Noah, Book Three: Perdition, the end times fall on America like a shadow of darkness, and the last days bring an onslaught of sword, famine, and plague. Biblical prophecies are fulfilled when a world leader arises to pull the nations back from the brink of disaster and usher in a new age of peace, but at what cost?
There are no happily ever afters in the new Undead World. There are no vacations or time-outs or do-overs. There's only the endless daily grind of living or the shockingly horrific fact of death that hangs over every living creature left on the face of the earth. For some, that death lies in a single mistake or a moment of bad luck, or simply in fate. For others, that hard death hounds them day and night, relentlessly.
A strange phenomenon occurs out of nowhere: an omnipresent light that engulfs the entire planet. Humanity is forever changed by the light. NOAA and NASA are mystified. People soon face a new threat; even the smallest, most insignificant injury will no longer heal. Doctors cannot stop it. The sick do not die. They change. They are Scabs.
Talisman the Australian Shepherd is a feisty, young show dog with psychic gifts. Tali's extended family includes her neurotic sisters, the hilarious spirit of Mae West, a hyper, freestyle-dancing Border Collie, and her heart person Valentino DeMitri - who has just found his own heart person. In this humorous novella, Tali must deal with star-crossed love and a terrifying ghost haunting the prestigious dog show she is attending. Can her innate ghostbusting abilities save the day?
The Pnume were an ancient race of the planet Tschai, living underground in a vast network of caverns with their human slave species, the Pnumekin. The Pnume were the historians of Tschai, collecting its past with ruthless and scholarly dedication. Surface dwellers never saw the Pnume - if they were lucky. Adam Reith was not so fortunate. The Pnume had heard rumors of a strange man claiming to have come from the planet Earth, and they wanted him for Foreverness, the museum of Tschai life.
Time agents Ross Murdock and Eveleen Riorden are recalled from their honeymoon to take part in a dangerous assignment: find a team of Russian scientists who have vanished without a trace from a research mission in the past of a far-off planet. Along with a team of Russian time agents with their own mysterious agenda and Saba, a new agent teamed with Gordon Ashe, they leap into the alien world's distant history.
For many years, Murdock, Ashe, and other members of the Time Patrol have contended with threats to our time continuum, none more deadly than the alien Baldies, who hate other high-tech civilizations and want to destroy Earth. Evidence of time travel has been found in ruins dating to the ancient world...in the legendary realm of Atlantis. So Murdock, Ashe, Eveleen Riordan, and other Time Patrollers deck themselves out as foreign traders to discover whether something is amiss in Atlantis.
In a small diner on the Oregon Coast, Kelli Rae meets a handsome man named Jesse Parks. Turns out, she had seen him in a picture taken in an old mining town in Idaho more than 100 years before. And even worse, he had been following her.
In the future, the war between men has ended; but the battle for Earth's survival has just begun. Dr. Tennyson Chaucer and the crew of the Daedalus must test his theory and slip their earthly bounds, but has mankind's reach exceeded its grasp?
Exiled from Dystopia, Dana is forced to wander in the barren wasteland until she chances upon a small settlement. There, she meets a man named Sampson who introduces her to a new way of life; one that involves independent achievement. Learning the value of living independently, for the first time Dana is able to decide her own fate and manages to create a new life for herself.
2124 was an interesting year...I was court-martialed, demoted and sentenced to perform hard labor for the rest of my natural life...Then things got rough.
Zapraszamy do mrocznego swiata wykreowanego przez jednego z najpopularniejszych polskich pisarzy grozy, który potrafi wywolac u odbiorcy gesia skórke, ale tez czesto zainspirowac do glebszych przemyslen. Zbiór "Opowiem ci mroczna historie" usatysfakcjonuje zarówno zdeklarowanych milosników horroru, jak i czytelników sporadycznie siegajacych po ten rodzaj literatury. "Opowiem ci mroczna historie" to pierwszy zbiór krótszych tekstów autorstwa Stefana Dardy. Zawarte w nim utwory powstawaly przez kilka lat i sa niejako zwienczeniem oraz podsumowaniem pierwszego etapu twórczosci Autora.
October "Toby" Daye is a changeling, the daughter of Amandine of the fae and a mortal man. Like her mother, she is gifted in blood magic, able to read what has happened to a person through a mere taste of blood. Half-human, half-fae, outsiders from birth, most changelings are second-class children of Faerie spending their lives fighting for the respect of their immortal relations. Toby is the only changeling who has earned knighthood, and she re-earns that position every day.
"What a fantastic book!"
Changeling knight in the court of the Duke of Shadowed Hills, October "Toby" Daye has survived numerous challenges that would destroy fae and mortal alike. Now Toby must take on a nightmarish new assignment. Someone is stealing both fae and mortal children — and all signs point to Blind Michael. When the young son of Toby's closest friends is snatched from their Northern California home and his sister falls into a coma-like state, the situation becomes way too personal.
"Misleading Description Book 2 / Book 3"
Two years ago, October "Toby" Daye believed she could leave the world of Faerie behind. She was wrong. Now she finds herself in the service of Duke Sylvester Torquill, sharing an apartment with her Fetch, and maintaining an odd truce with Tybalt, the local King of Cats. It's a delicate balance - one that's shattered when she learns that an old friend is in dire trouble. Lily, Lady of the Tea Gardens, has been struck down by a mysterious, seemingly impossible illness, leaving her fiefdom undefended. Struggling to find a way to save Lily and her subjects, Toby must confront her own past....
October "Toby" Daye is finally doing all right. She's settling into her new role as the Countess of Goldengreen; she's actually dating again; she's even agreed to take on Quentin as her official squire. Life is looking up all around - and that inevitably means it's time for things to take a turn for the worse. Someone has kidnapped the sons of Duchess Dianda Lorden, regent of the Undersea Duchy of Saltmist. To prevent a war between land and sea, Toby must not only find the missing boys, but also prove that the Queen of the Mists was not behind their abduction.
"The best October Daye book so far"
The world of Faerie never disappeared: it merely went into hiding, continuing to exist parallel to our own. Secrecy is the key to Faerie's survival—but no secret can be kept forever, and when the fae and mortal worlds collide, changelings are born. Half-human, half-fae, outsiders from birth, these second-class children of Faerie spend their lives fighting for the respect of their immortal relations.
"A fairy tale with grit."
It's been almost a year since October "Toby" Daye averted a war, gave up a county, and suffered personal losses that have left her wishing for a good day's sleep. She's tried to focus on her responsibilities - training Quentin, upholding her position as Sylvester's knight, and paying the bills - but she can't help feeling like her world is crumbling around her, and her increasingly reckless behavior is beginning to worry even her staunchest supporters. To make matters worse, Toby's just been asked to find another missing child…only this time it's the changeling daughter of her fellow knight....
"Fantastic Series"
Things are starting to look up for October "Toby" Daye. She's training her squire, doing her job, and has finally allowed herself to grow closer to the local King of Cats. It seems like her life may finally be settling down…at least until dead changelings start appearing in the alleys of San Francisco, killed by an overdose of goblin fruit.
"Truly excellent !!!"
Toby thought she understood her own past; she thought she knew the score. She was wrong. It's time to learn the truth.
"Fantastic as always"
Things are looking up. For the first time in what feels like years, October "Toby" Daye has been able to pause long enough to take a breath and look at her life - and she likes what she sees. She has friends. She has allies. She has a squire to train and a King of Cats to love, and maybe, just maybe, she can let her guard down for a change.
"Excellent story"
Six days ago, astronaut Mark Watney became one of the first people to walk on Mars. Now, he's sure he'll be the first person to die there. After a dust storm nearly kills him and forces his crew to evacuate while thinking him dead, Mark finds himself stranded and completely alone with no way to even signal Earth that he's alive - and even if he could get word out, his supplies would be gone long before a rescue could arrive. Chances are, though, he won't have time to starve to death. The damaged machinery, unforgiving environment, or plainold "human error" are much more likely to kill him first.
Since time immemorial the Spires have sheltered humanity, towering for miles over the mist-shrouded surface of the world. Within their halls aristocratic houses have ruled for generations, developing scientific marvels, fostering trade alliances, and building fleets of airships to keep the peace. Captain Grimm commands the merchant ship Predator. Fiercely loyal to Spire Albion, he has taken their side in the cold war with Spire Aurora, disrupting the enemy's shipping lines by attacking their cargo vessels.
"A Brave New World"
With The Alloy of Law, Brandon Sanderson surprised listeners with a New York Times best-selling spinoff of his Mistborn audiobooks, set after the action of the trilogy, in a period corresponding to late 19th-century America. The trilogy's heroes are now figures of myth and legend, even objects of religious veneration. They are succeeded by wonderful new characters, chief among them Waxillium Ladrian, known as Wax, hereditary lord of House Ladrian.
At once wildly original and stuffed with irresistible nostalgia, Ready Player One is a spectacularly genre-busting, ambitious, and charming debut—part quest novel, part love story, and part virtual space opera set in a universe where spell-slinging mages battle giant Japanese robots, entire planets are inspired by Blade Runner, and flying DeLoreans achieve light speed.
"I'm sorry I waited so long to read this book."
Four hundred years in the future the Earth has turned primitive, following a nuclear fire that laid waste to civilization and nature. Though the radiation fallout has ended, for some unknowable reason every person is born with a twin. Of each pair one is an Alpha - physically perfect in every way - and the other an Omega burdened with deformity, small or large.
"Cannot make it!!!"
In a time long forgotten, a preternatural event threw the seasons off balance. In a land where summers can last decades and winters a lifetime, trouble is brewing. As the cold returns, sinister forces are massing beyond the protective wall of the kingdom of Winterfell. To the south, the king's powers are failing, with his most trusted advisor mysteriously dead and enemies emerging from the throne's shadow.
"Review of First 5 Books"
Taking place nearly a century before the events of A Game of Thrones, A Knight of the Seven Kingdoms compiles the first three official prequel novellas to George R. R. Martin's ongoing masterwork, A Song of Ice and Fire. Before Tyrion Lannister and Podrick Payne, there were Dunk and Egg. A young, naïve, but ultimately courageous hedge knight, Ser Duncan the Tall towers above his rivals - in stature if not experience. Tagging along is his diminutive squire, a boy called Egg - whose true name (hidden from all he and Dunk encounter) is Aegon Targaryen.
The second Death Star has been destroyed, the emperor killed, and Darth Vader struck down. Devastating blows against the Empire and major victories for the Rebel Alliance. But the battle for freedom is far from over. As the Empire reels from its critical defeats at the Battle of Endor, the Rebel Alliance - now a fledgling New Republic - presses its advantage by hunting down the enemy's scattered forces before they can regroup and retaliate. But above the remote planet Akiva, an ominous show of the enemy's strength is unfolding.
"Journey to nowhere"
The White Tree (book one): In Mallon the dark magic of the nether has been banned for centuries. Its users have been driven out or killed. Its secrets lost. But the holy book of the nethermancers has just been found by a boy named Dante. As he works to unlock the book's power, he's attacked in the street. The nethermancers aren't gone—and they want their book back. Caught between death cultists and the law, Dante fights for his life, aided by his growing skills and a brash bodyguard named Blays.
A comet the color of blood and flame cuts across the sky. And from the ancient citadel of Dragonstone to the forbidding shores of Winterfell, chaos reigns. Six factions struggle for control of a divided land and the Iron Throne of the Seven Kingdoms, preparing to stake their claims through tempest, turmoil, and war.
"Good listen, but what's up with the chapter set up"
Few books have captivated the imagination and won the devotion and praise of readers and critics everywhere as has George R. R. Martin's monumental epic cycle of high fantasy that began with A Game of Thrones. Now, in A Feast for Crows, Martin delivers the long-awaited fourth book of his landmark series, as a kingdom torn asunder finds itself at last on the brink of peace . . . only to be launched on an even more terrifying course of destruction.
"Jarring change in Dotrice's performance"
As opposing forces maneuver for the final titanic showdown, an army of barbaric wildlings arrives from the outermost line of civilization. In their vanguard is a horde of mythical Others, a supernatural army of the living dead whose animated corpses are unstoppable. As the future of the land hangs in the balance, no one will rest until the Seven Kingdoms have exploded in a veritable storm of swords.
"Chapter and part breaks are incorrect"
Like every other hobbit, Bilbo Baggins likes nothing better than a quiet evening in his snug hole in the ground, dining on a sumptuous dinner in front of a fire. But when a wandering wizard captivates him with tales of the unknown, Bilbo becomes restless. Soon he joins the wizard's band of homeless dwarves in search of giant spiders, savage wolves, and other dangers. Bilbo quickly tires of the quest for adventure and longs for the security of his familiar home. But before he can return to his life of comfort, he must face the greatest threat of all.
"Absolutely Amazing."
Dubbed the American Tolkien by Time magazine, George R. R. Martin has earned international acclaim for his monumental cycle of epic fantasy. Now the number-one New York Times best-selling author delivers the fifth book in his spellbinding landmark series - as both familiar faces and surprising new forces vie for a foothold in a fragmented empire.
"Should be entitled "Dances with Snails""
Why we think it's a great listen: An all-time Audible favorite that mixes historic fiction, adventure, and romance with one of the most fascinating literary devices: time travel. Outlander introduces an exhilarating world of heroism and breathtaking thrills as one woman is torn between past and present, passion and love. In 1945, former combat nurse Claire Randall returns from World War II and joins her husband for a second honeymoon. But their blissful reunion is shattered....
"The Time Travel VS Romance Quandary"
Getting a life isn't always easy. And hanging on to it is even harder.... Jodi Taylor brings all her comic writing skills to this heartwarming tale of self-discovery. Known as The Nothing Girl because of her severe stutter and chronically low self-confidence, Jenny Dove is only just prevented from ending it all by the sudden appearance of Thomas, a mystical golden horse only she can see. Under his guidance Jenny unexpectedly acquires a husband - the charming and chaotic Russell Checkland.
"So much better than I expected"
Stan and Charmaine are a married couple trying to stay afloat in the midst of an economic and social collapse. Job loss has forced them to live in their car, leaving them vulnerable to roving gangs. They desperately need to turn their situation around - and fast. The Positron Project in the town of Consilience seems to be the answer to their prayers. No one is unemployed, and everyone gets a comfortable, clean house to live in...for six months out of the year. On alternating months, residents of Consilience must leave their homes and function as inmates.
"Thoughtful and intriguing"
Helene Wecker's dazzling debut novel tells the story of two supernatural creatures who appear mysteriously in 1899 New York. Chava is a golem, a creature made of clay, brought to life by a strange man who dabbles in dark Kabbalistic magic. When her master dies at sea on the voyage from Poland, she is unmoored and adrift as the ship arrives in New York Harbor. Ahmad is a jinni, a being of fire, born in the ancient Syrian Desert. Trapped in an old copper flask by a Bedouin wizard centuries ago, he is released accidentally by a tinsmith in a Lower Manhattan shop.
"Enchanting Debut Novel - Delicious!"
This is a tale of sorrow, a tale of survival, a tale of one man's search for meaning in his universe, and how that search, and the indomitable will that drove it, gave birth to a legend.
From the Audie-nominated narrator of The Martian. In eleven years' time, a million members of an alien race will arrive at Earth. Years before they enter orbit, their approach will be announced by the flare of a thousand flames in the sky, their ships' huge engines burning hard to slow them from the vast speeds needed to cross interstellar space. These foreboding lights will shine in our night sky like new stars, getting ever brighter until they outshine even the sun, casting ominous shadows and banishing the night until they suddenly blink out.
"Audible Where Are The Rest?!"
The folks in Mike Erikson's small New England town would say he's just your average, everyday guy. And that's exactly how Mike likes it. Sure, the life he's chosen isn't much of a challenge to someone with his unique gifts, but he's content with his quiet and peaceful existence. That is, until an old friend presents him with an irresistible mystery, one that Mike is uniquely qualified to solve.
There are some odd things about Nate's new apartment. Of course, he has other things on his mind. He hates his job. He has no money in the bank. No girlfriend. No plans for the future. So while his new home isn't perfect, it's livable. The rent is low, the property managers are friendly, and the odd little mysteries don't nag at him too much. At least, not until he meets Mandy, his neighbor across the hall, and notices something unusual about her apartment. And Xela's apartment. And Tim's. And Veek's.
"Super solid listen!!"
He knew it was a dumb stunt from the start. A midnight run through a cemetery to impress a couple of girls is hardly the stuff of legend, but Alex Carlisle longs to escape the crushing mediocrity of life after high school. Then he stumbles upon the ritual, and the cultists, and two bound and bloodied women. Alex intervenes and the ritual blows up in his face, leaving him bound to them both: Rachel and Lorelei, an angel and a succubus.
"Read the Warning Label!"
Lieutenant Travis Long of the Royal Manticoran Navy is the sort of person who likes an orderly universe. One where people follow the rules. Unfortunately he lives in the real universe. The good news is that Travis is one of those rare people who may like rules but has a talent for thinking outside them when everything starts coming apart. That talent has stood him - and the Star Kingdom - in good stead in the past, and it's one reason he's now a "mustang" - an ex-enlisted man who's been given a commission.
Angel finds herself in redneck hell when hordes of people descend on her hometown for the Deep South Zombie Fest - complete with zombie 5K runs, shamble-a-thons, costume contests, zombie paintball hayrides, and mock-zombie hunts. She intends to avoid the whole mess and focus on her upcoming college midterms - with the help of her stash of illicit zombie drugs - but that all changes when a decapitated body turns up at the edge of town.
Three times they tried to kill her. Then they hired a professional. She hired Riyria. When the last member of the oldest noble family in Avryn is targeted for assassination, Riyria is hired to foil the plot. Three years have passed since the war-weary mercenary Hadrian and the cynical ex-assassin Royce joined forces to start life as thieves for hire. Things have gone well enough until they receive the odd assignment to prevent a murder.
Stealth. Gorgon. Regenerator. Cerberus. Zzzap. The Mighty Dragon. They were heroes. Vigilantes. Crusaders for justice, using their superhuman abilites to make Los Angeles a better place. Then the plague of living death spread around the globe. Despite the best efforts of the superheroes, the police, and the military, the hungry corpses rose up and overwhelmed the country. The population was decimated, heroes fell, and the city of angels was left a desolate zombie wasteland like so many others.
"Shockingly Good"
George A. Romero terrified a generation with his iconic horror film and with this cult-classic novel. Immerse yourself in this unparalleled vision from the revered master of the zombie apocalypse...and be terrified all over again. Zombies have overpowered the living and ravaged the world. Society has collapsed as humans race to save themselves. No one knows how far the creatures have spread or how to stop them. In downtown Philadelphia four people escape the chaos and find shelter in a vacated shopping mall.
"Reminds me of the 80s film."
The pall that had descended over the North is gone, and a new day has dawned on a victorious Mithral Hall, but no matter how bright things seem on the surface, Drizzt and his companions know that what lurks just under their feet remains steeped in evil and charged with unimaginable power. The dark elves of Menzoberranzan, including the powerful Archmage Gromph, aren't done with Drizzt yet.
"Its about time"
A human diplomat creates an interstellar incident when he kills an alien diplomat in a most unusual way. To avoid war, Earth's government must find an equally unusual object: A type of sheep ("The Android's Dream"), used in the alien race's coronation ceremony. To find the sheep, the government turns to Harry Creek, ex-cop, war hero and hacker extraordinaire.
"Covertly flatulent Scifi at it's best!"
In a steel-and-lead-encased bunker 20 feet below the basement level of his house, a soldier waits for his final orders. On the surface, a plague ravages the planet, infecting over 90% of the populace. The bacterium burrows through the brain, destroying all signs of humanity and leaving behind little more than base, prehistoric instincts. The infected turn into hyper-aggressive predators, with an insatiable desire to kill and feed. Someday soon, the soldier will have to open the hatch to his bunker, and step out into this new wasteland, to complete his mission....
"Die Hard Meets 28 Days Later"
You were on your way home when you died.It was a car accident. Nothing particularly remarkable, but fatal nonetheless. You left behind a wife and two children. It was a painless death. The EMTs tried their best to save you, but to no avail. Your body was so utterly shattered you were better off, trust me.And that's when you met me." A short story about the universe.
"Laughed for 8 Minutes"
In the wasteland of commercial culture that is future America, police are operated not by government but by private companies. In Seattle, that role is filled by Civil Protection, and Daniel Gray is a detective in Homicide Solutions. What used to be considered an important - even glamorous - department for public police is very different for the corporate species, and Gray finds himself stuck in a dead end job. That is, until the Spine Thief arrives. When a serial killer begins harvesting the spinal tissue of corporate employees all over the city, Detective Gray finds himself plunged into the first truly major case of his career.
"This is a great cyberpunk crime story !"
In a ruined and toxic landscape, a community exists in a giant silo underground, hundreds of stories deep. There, men and women live in a society full of regulations they believe are meant to protect them. Sheriff Holston, who has unwaveringly upheld the silo's rules for years, unexpectedly breaks the greatest taboo of all: He asks to go outside.
"So these people are trapped in a silo"
Unknown aliens attack Earth. Their planet is uncharted, mysteriously having avoided detection for centuries. It's a world packed with the most vicious aliens humanity has yet to encounter. James McGill has discovered: Death World.
"Plant World"
Humans expanded into space...only to find a universe populated with multiple alien species bent on their destruction. Thus was the Colonial Union formed, to help protect us from a hostile universe. The Colonial Union used the Earth and its excess population for colonists and soldiers. It was a good arrangement...for the Colonial Union. Then the Earth said: no more.
"Terrible reader in the middle of the book."
The exciting sequel to Good Intentions! Alex Carlisle has enough to deal with even on quiet days. Living with an angel and a succubus is no easy feat. One has divine responsibilities she can't explain, and the other tempts him toward a decadent lifestyle he's not sure he can manage. Add to that the stresses of college and trying to hold down a job, and it's lucky Alex can even keep his head on straight.
In a prosperous yet gruesomely violent near future, superhero vigilantes battle thugs whose heads are full of supervillain fantasies. The peace is kept by a team of smooth, well-dressed negotiators called The Men in Fancy Suits. Meanwhile a young girl is caught in the middle and thinks the whole thing is ridiculous. Zoey, a recent college graduate with a worthless degree, makes a reluctant trip into the city after hearing that her estranged con artist father died in a mysterious yet spectacular way.


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Public Services
Emergency Services
American Citizen Services hours are Monday 8:00 – 12:00 and Friday 8:00-11:00. After those hours during the week and on weekends, a duty officer is available for emergencies only. The emergency numbers are (236) 21 61 02 00 and (236) 21 61 02 00.
When the Consular Section is advised that an American has been arrested, a consular officer visits the American as soon as possible, provides information regarding the local legal system and a list of attorneys, and offers other assistance such as contacting family or friends on the prisoner's behalf, arranging to transfer private funds for delivery to American prisoners, and arranging dietary food supplements and/or medical care through a U.S. Government loan. Although consular officers can provide informative and supportive assistance, they cannot "spring" an American from detention, serve as the prisoner's legal representative, or intervene in the foreign judicial process.
Financial Assistance
The Consular Section assists Americans overseas in financial trouble. When a destitute U.S. citizen turns to the Consular Section for help, the Section first attempts to locate private sources of funds, usually from family, friends, or business associates. After these private funds are identified, the Section helps in transmitting the funds to the individual through State Department facilities.
Medical Assistance
Consular officers facilitate handling the serious problem of Americans who become physically or mentally ill while traveling or living abroad. The officer assists in locating family members, guardians, and friends in the United States and advising them of the problem, identifying and transmitting private funds when necessary. When necessary the officer also assists in the return of the ill or injured individual to the United States via commercial air.
Death of American Citizens
When an American dies abroad, the consular officer notifies the next of kin or legal representative. The officer provides guidance on how to make arrangement for local burial or return of the body to the United States according to the preference of the next of kin. The State Department has no funds to assist in the return of ashes or remains of U.S. citizens who die abroad.
Welfare and Whereabouts
In welfare and whereabouts cases, the Consular Section tries to obtain all pertinent data available on the individuals, and based on the information available, attempts to locate the individuals, determine their welfare, pass on any urgent messages, and, consistent with the Privacy Act, report back the results of their search efforts.


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System Brake Transmission Shift Interlock Description Dodge Truck 2006 Ram 2500 Truck : Manual repair.
Filed Under (Honda) by admin on 15-04-2012
Download System brake transmission shift interlock description the brake transmission shifter interlock (btsi), is a solenoid operated system. It consists of a solenoid permanently mounted on the gearshift cable. Operation the system locks the shifter into the park position. The interlock system is engaged whenever the ignition switch is in the lock or accessory position. An additional electrically activated feature will prevent shifting out o…


text: Jerry Markland // Getty Images A Scary Scene For This Skydiver By Bryan Rose March 2, 2015 See what happened 12000 feet in the sky for this unfortunate skydiver. Don't worry though, there's a happy ending. Read More|Comment Category: Videos Tags: skydive, viral, Youtube Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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This Neighborhood rated:
98 out of 100
Rates: $150-265. Depends on room choice, dates of travel and number of people in your party.
Also see us on:
Visit Our Website:
Premier Dupont Circle Location
7 Rooms With Private Baths, some with Jacuzzis
Hot, Cooked Breakfasts
Free Wireless Internet Access
TV with Cable and DVD Player in Each Room
Off Street Parking Available, $20/nt
Easy Access to the Smithsonian Museums, Washington Convention Center, and Much More
Non Smoking/Pet Free
Romance Packages Available
Each Guest Room includes a Mini Refrigerator for your personal use
Each Guest Room includes a private line telephone with message
Children 12 and over accommodated in the B&B. Children younger than 12 can be accommodated in the Writers Suite Apartment.
Enjoy the Victorian charm of this, the Capitol city location of the Akwaaba family of Bed and Breakfasts, conveniently situated at 16th and R Street NW, just East of Dupont Circle. The house was erected in the 1890s as a single family home, and retains many of that period's architectural details, including lofty ceilings, hand carved woodwork, and beautiful fireplaces. Dupont Circle offers visitors more than 80 restaurant choices, plus boutiques, bookstores, movie theaters, nightclubs and the District's Improv Comedy Club. Metro access, at Dupont Circle Station, is just four blocks from the house; about an 8-minute walk. The S bus stops right in front of the house, and will get you to the White House or K Street business district in about ten minutes. For a Capitol business trip, sightseeing tour or a romantic getaway, the Akwaaba Bed and Breakfast in DC will make your stay comfortable, convenient and memorable.
The Akwaaba Bed and Breakfasts are unique unto themselves. Here in Washington, the site offers a choice of eight guest rooms - all with private baths- each themed and decorated to honor a specific author or classic literary genre. The guest rooms are located on the second, third and fourth floors. Unfortunately, the home has only walk-up access as elevators were still quite rare when the house was built, and the owners have stayed true to the house's original design. In addition to the eight guest rooms, there is a garden level, efficiency apartment with a private entrance. The apartment's sitting area has a leather sofa, easy chair, and TV with cable and DVD player. The front bay window lights a small dining table. A galley kitchen and full bath complete the apartment. Guests staying in the apartment generally do not participate in breakfast in the main house, but it can be arranged if desired.
Click here for more on the Writer's Suite Apartment
Romance and Pampering:
Looking for a treat for someone special? The Whipped Cream and Strawberries Package is sure to set a romantic mood. With this package, your Innkeeper will set your room with candles, sprinkle rose petals, and provide you with homemade whipped cream, fresh strawberries and a split of Champagne or sparkling soda. Akwaaba can also offer a selection of in-room spa services, including: personal massages, couples massages, and facials. Please be sure to inquire about these special services when you make your reservation. Advanced scheduling is strongly recommended.
Located at 16th and R. Street NW
Washington, DC 20009
Exact street address provided with reservation.
Rates are seasonal, with Spring and Fall peak seasons for Washington. Most reservations require a 2 night stay. Special events, holidays and peak season weekends may require 3 nights. Please call if you are looking for 1 night accommodations.
Please click on images to enlarge.
Romance Suite
Langston Hughes Suite
Dining Room
Inspiration Suite
Walter Mosley Suite
Zora Neale Hurston Suite
Toni Morrison Room
Modern Classics Room
Writers Suite
Related Links:
Main Links:
All contents ©
1997 - 2015 by Bed and Breakfast Accommodations, Ltd. All Rights Reserved
Web Site by Right Angle, Inc.


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Cash flow is vital for business success, but there are many things that can impede it, such as customers paying invoices late or products selling more slowly than anticipated. Waiting for money to come in eventually will not just cut it if you want to run a successful operation so you need to take steps to maximize money coming in on a regular basis so it is there when you need it.
Organize Your Billing
Disorganization is a major contributing factor to losing money, wasting money and not making as much money as we can in our business. Shoddy organization of your accounts receivables may be impeding your cash flow because you are not getting on top of late payments as quickly as you should. Automated billing software lets you track the age of accounts and immediately notify you when an account has gone past its terms.
Monitor Inventory More Carefully
Lots of money is tied up in inventory waiting to be sold and this is a necessary part of doing business, but if you are not monitoring inventory more carefully, you may be tying up more cash into it than necessary, which limits money available to you right now. Careful tracking will help you know when to take up the supplier on that discount for a larger purchase or when to pass and keep the cash for something else.
Offer a Discount for Paying an Invoice Before it Is Due
Customers love to save money and you love to get paid as soon as possible; consider offering some sort of discount for paying the invoice within a certain time frame before the actual due date. It may be a fixed amount or a percentage of the total bill.
Make Your Business Credit Card Friendly
If you are not accepting credit cards for your business, you may be missing out on extra revenue. Studies have shown that individuals and businesses spend more when paying by credit card than by cash..wonder why? Offer customers the options to pay invoices with credit cards and you will get paid faster. With so many different credit card processors on the market, you are in a good position to negotiate rates for fees and equipment.
Make it Easier to Pay By Check
If your customers pay you by check, make it as easy as possible. There is software available that lets you create a check based on information your customer sent you by email, fax or over the phone. There are also online services that allow your customers to send a ''check'' through email, which you can print and put into your bank account.
Evaluate How You Pay Suppliers
When it comes to cash flow and paying your suppliers, there are couple of ways you could improve cash flow and the best one would depend on your individual business. Waiting to pay them until right before the invoice is due helps you hold onto cash longer while invoices from your customers are coming in. On the other hand, some suppliers may offer discounts as an incentive to pay an invoice early, which could also boost your cash flow, perhaps significantly when you look at it over the long-term.
Look to Switch Certain Clients to a Retainer Structure
If you have many clients where you are not regularly providing them service but work more on a project-by-project basis, switching them to over to a retainer-fee system may help improve cash flow. They would pay you a monthly fee that would entitle them to a certain number of services should they need them; some sort of discount or value-added service could be offered to encourage the switch; overall profit from the customer could drop but cash flow would be more predictable.
Evaluate Suppliers More Carefully
You may be able to save money by switching up where you buy your supplies and equipment. Many companies may use a third—party reseller to facilitate software contracts or help them assess the right equipment for their company needs, and subsequently purchase it, but for things like printer cartridges, their mark-up may be costing you more and you could get these items more cheaply somewhere else.
Make Sure Staff are Handling Accounts Properly
If your cash flow is suffering, it is a good idea to evaluate how your company is handling accounts. What sort of notification system is in place for past due invoices? Are there any reminders a certain time period before an invoice is due? How do you handle customers who are past-due?How are invoice disputes handled and resolved?
Consider Accounts Receivable Financing/Factoring
Accounts receivable financing may be a good option for your business. These companies will pay you a percentage of a customer's invoice and hold the rest in reserve until your client pays you minus the fee for their services. This is only an option for credit-worthy customers, however; your credit is not a factor. This will allow for immediate cash flow improvement.
Kelli Cooper is a freelance writer who covers a wide range of business topics. Follow the link to learn more about financing of accounts receivable.
Photo Credit: http://www.flickr.com/photos/warholaimages/