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Paige Thompson (Ongoing Case Manager, SaintA) gave one of the student speeches at our New Training Academy October 2013 Cohort graduation ceremony. For a written transcript of her inspiring speech and more pictures for the January 31st 2014 ceremony, check out out Facebook page. Congratulations to all the graduates!
On November 4 through November 7 the University of Wisconsin Milwaukee Child Welfare Partnership hosted trainers from the Jordan Institute at the University of North Carolina Chapel Hill. Trainers Rodney Little and Tonia Jackson presented two trainings to staff from Children's Hospital of Wisconsin Community Services, Integrated Family Services, and Professional Services groups. The trainings focused on helping staff improve skills related to Family Interaction and Engaging Families through the Change Process. Two webinars will be scheduled early in the calender year 2014 to further address practice issues and additional training needs.
On Friday October 18th the MCWP held a graduation ceremony for the July 2013 Training Academy cohort. The Honorable M. Joseph Donald from Milwaukee County Circuit Court gave the keynote address. Congratulations graduates!
On April 4th, 2013, the Milwaukee Child Welfare Partnership hosted a "Fatherhood Conference." The conference featured guest speakers Eloise Anderson, Secretary of the Wisconsin Department of Children and Families, Dr Stan Stojkovic, Dean of the University of Wisconsin Milwaukee Helen Bader School of Social Welfare and keynote speaker Dr. David Pate from the University of Wisconsin Milwaukee, Helen Bader School of Social Welfare. The conference also featured a panel of fathers who have been involved with the Bureau of Milwaukee Child Welfare. Participants had the opportunity to participate in a number of afternoon workshops that were designed to help workers engage fathers in the child welfare process.


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"Pre de Provence 25g Bar Soaps (Set of 5) - Lavender" is not available for sale online.
This item may be discontinued or not carried in your nearest store. Please call your local store to check in-store availability before heading there. For informational purposes, the product details and customer reviews are provided.
- Gentle soaps, for face and body, scented and enriched with Shea Butter.
- Delightful for hostess gifts, showers, to use in a bathroom or guest bath.

subset: commoncrawl


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SARATOGA SPRINGS, New York (March 19, 2013)- Saratoga Casino and Raceway has been named the Premier Sponsor and host site of the 9th Annual Saratoga Lions Duathlon, an event run by The Saratoga Springs Lions Club each May.
The 2013 Saratoga Lions Duathlon will be held at 8 A.M. on May 26 at Saratoga Casino and Raceway. Race participants will tackle a 5k run, followed by a 20-mile bike ride, and finishing with another 5k run. Participants can be individuals or teams of two or three people. Area businesses can also participate with a three-person team in the Corporate Challenge category.
"We are excited to welcome this event to our property for the second year in a row," stated Rita Cox, Senior Vice President of Marketing and External Affairs at Saratoga Casino and Raceway. "We recognize the importance of supporting such a great organization, and are proud to enable the growth and awareness of the Saratoga Lions Club and this great event."
"The Saratoga Lions Club Foundation Duathlon and Saratoga Lions Club are greatly honored to partner again this year with Saratoga Casino and Raceway. Each year our event grows, and with partnerships from great community organizations like this, we can raise funds to support our missions: Sight, Hearing, Diabetes, Youth and Community," said Michael Baxter, Lions Duathlon Co-Chair.
Dave Carr, Duathlon Co-Chair, said bringing the race to the casino properties last year resulted in very positive feedback. "Our racers repeatedly said they loved the new location and the course last year, and couldn't wait to come back for the 2013 Duathlon."
Free shirts will be provided to the first 300 entrants and prizes will be awarded to the top three finishers in each age category. The results will be computerized.
Early-bird registration fees are $55 per individual, $80 per two-person team, and $100 per three-person team until May 9. (Mail-in entries must be postmarked by that date). Pre-registration fees from May 10 through May 23 are $60 per individual, $90 per two-person team, and $115 per three-person team. On-site registration fees for Saturday prior to the race and on race-day are $65 per individual, $100 per two-person team and $130 per three-person team.
To register, visit www.saratogalions.com or call 518-527-8787. About Saratoga Casino and Raceway
Saratoga Casino and Raceway, located on Crescent Avenue in Saratoga Springs, NY, features over 1,700 slots, electronic table games, Vapor Night Club, two full-service restaurants with buffets, a casual dining restaurant, three full-service bars, deli and a variety of guest services including valet parking and coat check. Operating hours for the gaming facility are 9 a.m. to 4 a.m. every day. Simulcast races can be viewed seven days a week and live harness racing runs March through mid-December. For a full racing schedule and additional information, please visit www.saratogacasino.com or call 800-727-2990. Must be 18 years of age or older to play video gaming machines or wager on horses. Please play responsibly. About the Saratoga Springs Lions Club Foundation, Inc.
The Saratoga Springs Lions Club Foundation, Inc. actively works to promote awareness of, and provide support for, the areas of sight and hearing conservation, diabetes and youth programs. For more information visit www.saratogalions.com. Media Contacts:
Mike Baxter
Saratoga Lions Duathlon Chair
518-788-7570 email@example.com
Crystal Beauchemin
Saratoga Casino and Raceway
518-581-5730 email@example.com


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November 30, 2015
HEMPSTEAD, N.Y. (AP) - John McCain has used the last and final
presidential debate to go on the offense against Barack Obama.
McCain assailed Obama's character and his campaign positions on
taxes, abortion and more at the forum. It was held in suburban New
York at Hofstra University.
McCain accused Obama of not telling the American people the truth. Obama parried each charge, and leveled a few of his own. He said 100 hundred percent of McCain's ads have been negative." McCain replied, "That's not true."
McCain accused Obama of waging class warfare by seeking tax
increases that would "spread the wealth around." Obama denied it and countered that he favors tax reductions for 95 percent of all Americans.
The Arizona lawmaker also sought to distance himself from President Bush. Early in the event, McCain reminded Obama that he's not President Bush. He said if Obama wanted to run against President Bush, he should have run four years ago.
Obama replied that McCain has been a "vigorous supporter of President Bush" and that the nation doesn't need eight more years of the same thing.
NEW YORK (AP) - Republican John McCain is raising rival Barack
Obama's link to a 1960s radical in the final presidential debate.
McCain brought up Obama's tie to William Ayers, a former member of the violent Weather Underground, who is now a university professor in Chicago. Ayers hosted a meet-the-candidate event at his home for Obama when the Democrat first ran for office and served on two boards with him. The two also served on the board of non-profit groups.
Said McCain: "We need to know the full extent of that relationship."
Said Obama: "The fact that this has become such an important part of your campaign, Senator McCain, says more about your campaign than it says about me."
NEW YORK (AP) - John McCain says America needs a new direction
in his closing remarks at the last presidential debate. Rival Barack Obama says the biggest risk for the nation would be to adopt the same failed policies and politics of the last eight years.
The two had their final say in their third presidential debate just 20 days before the election.
McCain sought to distance himself from President Bush and reminded voters of his years of service in the military and as a lawmaker.
He said: "We cannot be satisfied with what we've been doing for the last eight years."
Obama told voters: "We need fundamental change."
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Transformers 4 Announcement on Hasbro's Investor Day?
Hasbro has announced via press release that they are holding their annual Investor Day on November 9th. The day has the top level executives provide presentations and answer questions from the press and investors about the status of the company and future plans. Plans that likely will include an announcement about the status of Transformers 4. Last we heard from Hasbro CEO Brian Goldner, they were in talks with Steven Spielberg and Michael Bay about the movie.
According to an anonymous source, and various web rumors, the event will be used to confirm that a second trilogy is planned with Transformers 4 and 5 being shot back to back. The extent of Bay's involvement was still not determined. This remains speculation but I have no doubts Hasbro wants to move forward on another movie. Will be interesting to see how much they reveal on the day as such an announcement will likely help Hasbro's stock prices.
Hasbro Announces Investor Day Webcast on November 9, 2011
PAWTUCKET, R.I.--(BUSINESS WIRE)-- Hasbro, Inc. (NASDAQ: HAS) today announced it will webcast presentations from its annual Investor Day on Wednesday, November 9, 2011, beginning at 10:00 AM eastern time. The webcast will include presentations by the company's President and Chief Executive Officer, Brian Goldner; Chief Operating Officer, David Hargreaves; Chief Financial Officer, Deborah Thomas; as well as other Hasbro Senior Executives. The presentations will be followed by a question and answer session.
The webcast will be available live to investors and the media on Hasbro's Investor Relations home page at Hasbro, Inc. - Investor Relations. A replay of the webcast will be available approximately two hours following the completion of the event at the same location on Hasbro's Investor Relations Web site.


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[ Posted Monday, April 29, 2002 ]
Mediabistro Q&A:
Cohen, The New York Times Magazine's "Ethicist"
Charleston, South Carolina.
Current gig:
Writes the "Ethicist" column for The New York Times Magazine.
Career highlights: "News Quiz"
columnist for Slate; staff writer for Late Night with David Letterman;
"stupid rock band" drummer.
First job: Parking lot attendant.
First Sunday Times
section he reads: Weddings.
"I make no claims to virtue," says Randy Cohen, who has written the
"Ethicist" column at The New York Times Magazine since 1999.
Indeed, his favorite quote about his job is from Samuel Johnson: "Be not
too hasty to trust or to admire the teachers of morality. They discourse like
angels, but they live like men." Leading a self-proclaimed "dull"
freelance writer's life, the divorced father of a 14-year-old girl ("a
fine student at Stuyvesant, I might add, with great paternal pride") works
from his Upper West Side apartment, spending his day sifting through the mail,
making life-changing decisions at his readers' behest, and otherwise taking
newspaper, bagel, and bike-riding breaks. Now, with his first book, The
Good, the Bad & the Difference: How to Tell Right from Wrong in Everyday
Situations in stores, Cohen is losing his erstwhile self-consciousness about
his lack or formal qualifications for his job, but maintains that it's mostly
a relief that the caricature
that accompanies both the book and the column prevent him from ever ("Never!
Not even once!") being recognized by his readers.
your new book, you refer to yourself as an "accidental ethicist."
Is it just me, or do you seem almost proud that you have no official credentials
as an ethics expert?
[Horrified shriek.] I'm not proud! Nothing could be further
from the truth. I'm seriously and truly mortified by the great mass of ignorance
in which I swim every day. It's like blurting out the most shameful thing about
yourself in a pre-emptive strike being on a horrible blind date, and
saying, "I killed a guy."
Have you ever taken an ethics or philosophy class?
So there's no school of ethics that you subscribe to?
There is none.
Are you familiar with the schools of ethics?
More than I was three years ago. There are many ethical precepts
that I find useful and am not bound by. Like the categorical imperative
there are times when I will invoke it, but other times, it doesn't seem to be
a helpful tool for the situation.
On that note, are you always trying to read and learn more?
Are you saying I could learn more?! I wish I were a better-educated
person. I wish I had a Ph.D. in philosophy. That would undoubtedly be a good
thing. But I'll put it to you this way: One of the functions of credentials
is to help you anticipate how well someone will do a job. The reader
can see now whether or not they find my performance satisfactory. There are
150 examples. And if I'm not writing something engaging, they should by all
means stop reading it. As I understand our laws, it's still optional
not mandatory to read me. But I'm spending some time in Albany to see
what we can do about that.
Do you practice what you preach?
I believe it's my job to write about these things in a compelling way, but I
don't believe it's a job requirement to be exceptionally virtuous. I think it
would be presumptuous of me to claim to be a better-than-average person. I think
it would be particularly embarrassing if I were to get caught at the supermarket
with a package of steak down my trousers.
In recent columns, you've addressed the fact that people attack
you personally when they disagree with your advice.
I wish they wouldn't. I blame email, frankly. People say things in email that's
rude and so personal, things they wouldn't say in a regular letter or
to your face.
Who are your favorite writers?
If I had to pick one, I'd say it was Alan Bennett. I admire so much the way
he's able to be simultaneously funny and heartbreakingly sad. It's pretty impressive
to pull off. He sees so deeply into the human heart then it just makes
you remember 50 more people you love.
What's your favorite magazine?
I don't think there really are any good magazines.
Not even The New York Times Magazine?
Yeah, but that seems so self-serving. I'm not such a big magazine reader. I
subscribe to The New Yorker and the London Review of Books (because
I love Alan Bennett).
How about your favorite newspaper?
That's not hard at all. And I don't think it's self-serving to say the Times.
What's your favorite magazine or newspaper feature?
I've always admired Dan
Savage's column. He seems about as smart and funny and bold as anybody.
What's the first section of the Sunday New York Times that
you open up?
The weddings section. Is there anything more inspiring than reading, "Lawyer
to wed other lawyer"? My heart is pounding just thinking about it! Could
anything be more romantic? Well, that, and the obits. And it's not just that
marriage is like death that was just my marriage but they both
give this wonderfully vivid picture in this short space of how life is lived
Times won't let you answer political questions. Does that still get to
That sounds slightly more restrictive than it is. I don't feel like I'm being
censored at all. I really don't. They've really been splendid. But my job is
to address ethics, and they have many writers on staff who are employed to write
about politics. And I think that's reasonable.
Have you ever avoided a question because it was too hard?
All the time. I defer them. There's a lot that just sit around. I feel like
I don't have an adequate grasp. I talk to others and continue to think about
it. "You discover inadvertently that your best friend's spouse is having
an affair. Do you tell?" That's really tough. It hung around for months
before I could work it out.
What was your last personal ethical crisis?
I have such a dull life.
There has to be something. You're raising a child.
I decided to let her live. I can't think of one, really. I'm not being coy
you have no idea how dull my life is. I'll come back to this one. I'll try to
think of something sufficiently lurid.
How's the book tour coming?
There's a bit of book publicity for me to do for about a month, but then I'll
sink back into the obscurity when the book stuff goes away. Then I'll take on
a new project. It is true that 99 percent of all books swiftly move from the
publisher's warehouse to the [bargain] bin without stopping anywhere in between.
You never know. It might go to paperback.
Yes, I've heard that such things happen. Actually, I'm having a lot of fun with
it. But really, most book-publishing experiences are really so demoralizing
for the writer. How could it not be? It's like dating someone who's dating 49
other people. You just don't get that you love you as much as you love them.
I think they're publishing other books even this week. They're cheating on me.
What's been the highlight of your career?
The first time The New Yorker took a piece. This was when Bob Gottlieb
had the magazine before Tina [Brown] took over, when it still counted
for something. I mean, seriously, it's a nice magazine, but it doesn't matter
anymore. You know, it was thrilling when they took my piece. Also,
getting hired at Letterman. It was a life-changing experience, just wonderful.
I did it for seven years. You'd write something, and they'd put it on TV. Astonishing.
I didn't write jokes. They had trained specialists for that. There were two
guys who wrote opening monologue jokes, and the other eight of us provided the
two six-minute chunks needed to fill up the show in an entertaining fashion.
My best piece was Monkey Cam. Those who watched the show back then will know
what that is.
Where did you go to college?
Oh, I made a complete hash of my education. I got 750 on my boards, had an A
average, and was a National Merit semi-finalist, and I got turned down by every
college I applied to: Swarthmore, Brandeis, Antioch, and Duke. An odd selection,
I grant you, but still. Brandeis? I was a Jew! It's been a source of great mystery
and misery in my family for years. I ended up at Vanderbilt
for a year, then quit to play drums in some stupid rock band. Then I went to
Penn State for two quarters, then left school again to play in some other stupid
band in Philadelphia. Then I got fed up playing in stupid bands or did
they get fed up with me? I can't remember and I went to Albany State
for two years as a music major, studying composition.
Did you ever work as a composer?
I came back to New York and messed about, trying to lead some kind of musical
life. I once had a job where I was shown slow-motion film footage of a woman
pulling out a spit curl and letting it spring back in slow motion I remember
it taking about two hours. It was like an Andy Warhol movie. It was a shampoo
commercial, and I was to provide the sound [that the curl made]. That's the
kind of work I would get. It was not a happy time.
Do you do any work outside your New York Times column?
The Times column is the only one I write now. Up until November, I did
the "News
Quiz" for Slate. I stopped doing it because, like Kmart, I was
a volume operation, and five columns a week is an awful lot. We shut it down
on Election Day. I had to clear time because I was writing the book.
Are you freelance status for the Times?
Yes. Health insurance, some sort of vacation time, some sort of pension, things
a regular worker in an advanced industrial nation would receive? Why, no. None
of that. Purely freelance.
Well, I guess we're done, unless you've remembered your last
ethical crisis?
Wow, I really can't think of one.
No sweat. Maybe you haven't had one. Maybe this ethics stuff
just comes so naturally.
No, no, no. It's just that my powers of self-deception are vast.
Akner is fabulous.
Follow these simple steps to long-term success in a journalism career.
With a lifestyle focus that extends beyond the kitchen, this celeb cook's eponymous mag has many opportunities for freelancers.
Hiring managers reveal the basic elements every media pro's cover letter should have.
This offshoot site of iconic Rolling Stone aims to put the spotlight on emerging country artists.


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text:
SB Tween2Teen
For Teens
Volunteering: Give back
Learn something about yourself while making new friends. Plus, you can connect with your community, help those who need it, and make a difference!Read More
For Tweens
Making Friends: Be yourself
Making new friends can be scary sometimes. Not sure how to start? We've got lots of great tips for you!Read More
Get Your Free Teen Guide
SBA has recently published a new booklet, Illuminations for Teens: Guide for Teens with Spina Bifida. Click here to receive your free copy today.
From the Blog
A new show debuting on NBC next season will feature Brock Waidmann, a 12-year old with Spina Bifida!
Real Stories
Tweens and teens with Spina Bifida are doing extraordinary things and having amazing adventures every day. Read these accounts highlighting their amazing achievements…and share a few of your own!
Watch our Videos
These videos capture tweens and teens in our Community excelling at amazing athletic, academic, and extracurricular achievements.
Fact Sheets
SBA's tween and teen fact sheet series highlights what is important to you with important information, great tips, and recommendations – many from tweens and teens like you!
Ask the Expert
Sometimes there are questions we just don't know the answer to. That's when we need to call in the big guns – experts. Review questions that other tweens and teens have submitted or send in your own question and we'll find the perfect expert to answer it!


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What is causing your symptoms? 5 possible conditions
See a list of possible causes in order from the most common to the least.
Bipolar disorder mental illness marked by extreme from mania to depression. Bipolar disorder is also called bipolar disease or manic depression.
Dementia may affect memory, thinking, language, judgment, and behavior. Mental impairment must affect at least two brain functions to be considered dementia.
Postpartum depression affects as many as 13 percent of new mothers. In the U.S., that's half a million women. Learn about symptoms, causes, risks, and more.
Post-traumatic stress disorder (PTSD) is an anxiety disorder that occurs after experiencing or witnessing a traumatic event. PTSD can cause disruptive symptoms of panic, increased arousal, and mental/emotional problems.
Hypercalcemia is a condition in which you have too much calcium in your blood. Serious cases could cause symptoms like abdominal pain, nausea, constipation, and weakness.
Please consult a healthcare professional if you have health concerns.
Click to add a symptom to your list
- Top Symptoms
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This year, we continued on our three year journey of transformation to become the clear choice. We stimulated growth in our business, turned the spotlight back up on our Values and reflected on and communicated our Purpose
A bi-annual report compiled with Markit which highlights potentially significant impacts on broadcasters as viewers' habits change.
How connected and autonomous vehicles will transform the way we drive. What are connected versus autonomous vehicles?
The workforce is changing. Are today's people issues the sole responsibility of the HR function or does the changing business landscape push them firmly within the board's remit?
Since the recession many companies have been faced with margin challenges and yet so few have truly grasped the potential of pricing.
Explore the opportunities available for school and college leavers at KPMG.
Find out about careers for graduates from all degree disciplines in Audit, Tax, Advisory, Technology, Marketing and HR.
Keep up to date with the latest news and views from KPMG in the UK by following our twitter feed.
KPMG's leadership blogs brings you insight, opinion and debate from our senior partners and industry experts.
Three quarters (75 percent) of the world's 250 largest companies[1] (G250) researched by KPMG acknowledge risks to their business from environmental and social "megaforces", such as resource scarcity and climate change, in corporate responsibility (CR) reports. Yet only one in ten (10 percent) that reports on CR clearly links CR performance to remuneration[2], suggesting that many companies are failing to incentivise their executives to manage these risks effectively.
The findings from the eighth KPMG Survey of Corporate Responsibility Reporting published today also reveal that only 5 percent of G250 reporting companies quantify and report the potential impact of environmental and social risks on financial performance.
"Environmental and social risks can impact the supply chain, productivity, financial performance, reputation and brand value. So it is disappointing to see that so many companies still shy away from quantifying these risks in financial terms and few factor in the management of these risks into executive remuneration," said Yvo de Boer, KPMG's Global Chairman, Climate Change & Sustainability Services.
"More and more investors accept that environmental and social megaforces put company value at stake. As their understanding grows, they will expect companies to be transparent about the risks they face, what the financial impacts of those risks could be and what the company is doing to mitigate them. Our research suggests that many companies still have a long way to go on that front."
According to the KPMG survey results, financial quantification of environmental and social risks is most prevalent in the financial and oil & gas sectors. Eight of the 11 G250 companies, that quantify at least some of their environmental and social risks in financial terms, are in these sectors.
The KPMG Survey of Corporate Responsibility Reporting 2013 also shows that CR reporting is now a mainstream business activity all over the world practiced by 71 percent of the 4100 companies studied across 41 countries. In 1993, when the KPMG survey was first published, the average global CR reporting rate was only 12 percent.
The greatest growth in CR reporting has been in the Asia Pacific region where the average CR reporting rate has increased from 49 percent two years ago to 71 percent in the 2013 survey.
Ninety one of the UK's largest 100 companies by revenue report on CR - the 6th highest CR reporting rate among the 41 countries studied. The top countries for CR reporting are France, Denmark and South Africa where reporting is driven by mandatory reporting legislation.
A mindset shift from risk to opportunity?
KPMG's research suggests a shift in mindset from risk to opportunity occurring among many large companies. More G250 companies mentioned the opportunities of environmental and social megaforces in their CR reporting than mentioned risks (87 percent vs 81 percent of G250 companies reporting).
Of the opportunities referred to, innovation and learning is the most commonly mentioned - identified in almost three quarters of G250 CR reports (72 percent). Around half (51 percent) of reporting companies mention the opportunity to strengthen their brand and around one third (36 percent) report the opportunity to grow market share.
"Corporate responsibility is no longer simply a moral issue and companies recognise this. They increasingly view it as a critical lens on concrete business risks and opportunities. It is encouraging to see that large companies are now seeing environmental and social change as a source of opportunity as much as, or more than a source of risk, providing a more rounded view for stakeholders," said de Boer.
CR reporting leaders
This year, for the first time, the KPMG Survey of Corporate Responsibility Reporting includes an in-depth assessment of CR reports published by the G250 companies – the world's 250 largest companies according to Fortune 2012.
KPMG professionals assessed the quality of G250 reports against seven key criteria (strategy, risk and opportunity; materiality; targets and indicators; suppliers and the value chain; stakeholder engagement; governance; transparency and balance). Each company's reporting was awarded an overall quality score. For the 93 percent of G250 companies that publish a CR report, the average quality score was 59 out of 100.
The electronics and computer sector emerged as the leader for quality of reporting, scoring an average 75 out of 100, closely followed by the mining and pharmaceutical sectors, each achieving an average of 70. At the other end of the scale, sectors which trailed with the lowest scores were construction and building materials at 46 and metals, engineering &manufacturing at 48.
The survey was also used to identify a cluster of 10 companies that stood out for the quality of their CR reporting. They were: A.P. Møller Mærsk (Transport - Denmark), BMW (Automotive – Germany), Cisco Systems (Communications & media – USA), Ford Motor Company (Automotive – USA), Hewlett-Packard (Electronics & computers – USA), ING (Finance, insurance, & securities – Netherlands), Nestlé (Food & beverage – Switzerland), Repsol (Oil & gas – Spain), Siemens (Electronics & computers – Germany), and Total (Oil & gas – France).
About the Survey
This KPMG Survey of Corporate Responsibility Reporting 2013 is published primarily for business leaders, company boards and CR and sustainability professionals. It provides a snapshot of current global trends in CR reporting with benchmarks, guidance and insights to help companies worldwide determine their own approaches to CR reporting and to assess and improve the quality of their reports. This year the survey, which has been regularly published since 1993, covers a record 41 countries and 4100 companies across 15 industry sectors.
The growth in the number of countries and companies covered in this survey is just one indication of how CR reporting has evolved into a mainstream business practice over the last two decades.
This format of this survey has changed to reflect that evolution. This year the survey is divided into two parts:
This section looks at the 100 largest companies by revenue in 41 countries to explore how many companies are producing CR reports and other issues such as the drivers for reporting, sectoral variances, and the use of standards and assurance for CR reports.
This section looks specifically at the world's largest 250 companies. It assesses the quality of their CR reports, identifies leaders and uses these examples to offer guidance and insights.
Download a copy of the KPMG Survey of Corporate Responsibility Reporting 2013 here.
About KPMG
KPMG is a global network of professional firms providing Audit, Tax and Advisory services. We operate in 156 countries and have 152,000 people working in member firms around the world. The independent member firms of the KPMG network are affiliated with KPMG International Cooperative ("KPMG International"), a Swiss entity. Each KPMG firm is a legally distinct and separate entity and describes itself as such.
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[1] Defined as the 250 largest companies by revenue according to Fortune 2012
[2] 10 per cent of G250 companies that report on CR explain which employees are remunerated based on CR performance, the percentage of employee remuneration linked to CR performance and the process for assessing performance. KPMG's analysis identified a further 12% of G250 companies that report on CR and discuss employee remuneration related to CR performance, but do not give further details and offer only a partial explanation of the link.
© 2015
KPMG LLP, a UK limited liability partnership, and a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative, a Swiss entity. All rights reserved.
KPMG International Cooperative ("KPMG International") is a Swiss entity. Member firms of the KPMG network of independent firms are affiliated with KPMG International. KPMG International provides no client services. No member firm has any authority to obligate or bind KPMG International or any other member firm vis-à-vis third parties, nor does KPMG International have any such authority to obligate or bind any member firm.


text:
A little bird told me you were wishing for a bit of spring! Me too!!!! Every morning I put my boots on and go out to feed the birds. Don't forget them. Their food is hidden by tons of snow here.
On the morning news it looked like everyone in Houston was ice skating on the highways with their cars. Way to much fun for me! I'll take snow over ice any day of the week.
Here is the prize and here are the winners:
#606 Laurie in Iowa said...
Woo hoo... both quilts look fabulous.
#228 Sampler Lover said...
Thank you for the pattern. This is the perfect quilt to make for one of my children - Sandra.


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Recessive genes came together in all three children in the second generation of this hypothetical family, making it inevitable that the third generation would be carriers.
Spinal muscular atrophy (SMA) is an autosomal recessive disorder carried on chromosome 5. In this family, the father and mother are both carriers of a mutation on chromosome 5. They have no symptoms of the disease, since it takes two such mutations in a recessive disorder to cause symptoms.
They had two daughters and one son, all of whom inherited a chromosome 5 with an SMA-causing mutation from each parent. They all have the disorder. One affected son married an unaffected woman. Their children are all unaffected carriers of SMA, having inherited one chromosome 5 with a mutation from their father and one without this mutation from their mother.
All of the children of this man had to inherit a chromosome 5 SMA mutation, because they had to get one chromosome 5 from their father and both of his chromosome 5s have this mutation. They couldn't have inherited this kind of mutation from their mother because she's not a carrier.
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text:
|Central Otago is the southernmost vineyard area of the world, lying on the 45th parallel. In the northern hemisphere, the 45th parallel runs through the southern Rhône and
Oregon's Willamette Valley, whereas in the southern hemisphere, only the sheep farms of Southland separate it from the cold reaches of Antarctica. It has some of the most dramatic
and beautiful vineyard scenery that I have ever seen. Rippon Vineyard on lake Wanaka, with the snowcapped backdrop of the Southern Alps, must be one of the most photographed
vineyards in the world.
It had been seven years since I last visited Central Otago, and the progress in that time has been enormous.
In 1995 there were four wineries; now there are some forty-five licenced
wine producers, some with their own wineries, some planning wineries, and others using the wine-making facilities of the Central Otago Wine Co.
In an amazingly few number of years,
Central Otago has established a global reputation for Pinot Noir, as witnessed by the Pinot Noir celebration which took place in Queenstown in February this year.
Rolfe Mills was the very first to plant vines at Rippon back in 1976. He was followed by Alan Brady at Gibbston Valley, who remembers how the sceptics said it was "too cold, too
high, far too south, and in any case what did an Irish journalist know about making wine? " "Absolutely nothing" was the answer to the last question, illustrating the attitude of the
early pioneers which was very much "plant and to hell with it!" Then from the early 1990s things became more professional, as the existing wineries gained experience, and the
newcomers - grape growers and investors alike - took a more serious and commercial approach. John Olsen of Olsens of Bannockburn explained how he commissioned a MAFF
land survey, which identified various sites in Central Otago that would be suitable for grape growing. They looked at soil and climate, for an altitude of less than 400 metres, with a
slope of less than 15E, and an aspect going from NW to NE.
Originally this land had been used for sheep farming. Alan Brady remembers that when he first came to the
Gibbston Valley, there were six high country sheep stations, ranging between 6000 and 40,000 acres. And John Olsen finally bought a plot of dry barren land, which has been
used for grazing a few sheep for a few weeks of the year. With the visible success of the vineyards, land prices have inevitably escalated. Twenty years ago you could have bought
20 acres for 20,000 AUS; nowadays you will pay that for a single acre. There are people who want to invest in the industry without being involved in the physical aspects of grape
growing and wine-making. For these people, Wentworth Estates with Peregrine, one of the new proudcers, have set up a scheme whereby investors buy a tract of land, on which they
can build a house, with vineyards that are planted and managed for them by Peregrine. Their investors include professional people from all walks of life: some local; some from other
parts of the country. There are also New Zealanders living abroad and foreign incomers. There are also rumours of various American investors, some already in the wine industry in
California or Oregon.
Central Otago is the one region of New Zealand with a continental climate, meaning hot summer and cold winters. All the other main vineyard areas are on the coasts of the North or
South Islands, and influenced by sea breezes. Gradually four broad sub-regions have been identified, namely the Gibbston Valley to the east of Queenstown, Bannockburn which
includes the vineyards around the old mining town of Cromwell and the artificial lake Dunstan, Wanaka, and warmer Alexandra.
There are vast tracts of vineyards along the road to Wanaka from Cromwell which have yet to come into production, to the extent that over half the Pinot Nor vines in Central Otago
have as yet to yield their first crop. This is a sobering thought. Who is going to drink all this wine? There are two ways of looking at it: New Zealand wine production is a tiny part,
just 2 per cent of world production, and although Central Otago is the fastest growing New Zealand wine region, it is still very small compared with Marlborough.
So the new production will be just a small drop of wine in the world scheme of things. On the other hand are consumers prepared to pay £15 - £20 for wines that have little track
record? The market for New Zealand Pinot Noir, and Central Otago Pinot Noir in particular, may well be limited.
Some of the people behind the new plantings have looked at the export market and have a marketing plan, while others do not. And they cannot depend on cellar door sales and the domestic market alone. However there is no doubt that New Zealand provides some of the most satisfying Pinot Noir outside Burgundy, and that Central Otago is contributing to that success, as witnessed by a tasting of the 2000 vintage at the Pinot Noir celebration. Compared to other regions, maybe the wines of Central Otago have a purity of fruit and a freshness of acidity. Nor does Central Otago mean Pinot Noir alone.
|Pinot Gris is a grape variety that has attracted a lot of interest, with varying vinification techniques and flavours,
ranging from the firmly dry to the richly opulent. Peregrine's is delicately spicy, as is Carrick's; Gibbston Valley's has a touch of residual sugar. Chard Farm has moved away from
Pinot Gris � la Chardonnay to make a wine aged not in oak, but on its lees, with a satisfying mouth feel. I liked them, not least for providing a refreshing change from the
ubiquitous Chardonnay. Riesling too does well, as witnessed by Chard Farm and Felton Road.
As for Pinot Noir, wines that stood out, in the afternoon tasting, included:
Akarua, a winery established by Sir Clifford Skeggs, a former mayor of Dunedin: quite firm spicy nose, with smoke overtones, repeated on the palate, with fresh acidity and fruit.
Carrick, masterminded by Steve and Barbara Green with a couple of other partners, and currently building a winery which they hope will be ready in time for the 2002 vintage. This represents a career change for Steve, who was in local government. Light nose, elegant rounded fruit with a firm backbone.
Chard Farm, another of the early pioneers, run by Rob Hay since 1987, who aims to make what he called seamless wine. And certainly his 2000 Pinot Noir was wonderfully harmonious and complete, without having a great deal of body.
|Felton Road, a relative newcomer which has created an international reputation in just a few years, thanks in part on their talented winemaker Blair Walter. Good colour; quite ripe dense nose, with ripe fruit, good concentration and silky tannins.
Gibbston Valley Wines, another pioneer, with a cellar or cave dug out of the hillside. Some sweet ripe fruit, with layers of flavour on the palate, quite plummy.
Mount Difficulty, now one of the largest Central Otago wineries, with vineyards controlled by Robin and Matt Dicey with other partners. Quite firm tight nose, with fresh ripe fruit; balanced and structured.
Mount Edward, Alan Brady's "retirement project" and own tiny winery. Spicy fruit, ripe, rounded and elegant.
Olsen's of Bannockburn, set up by John Olsen some ten years ago. Medium colour, light nose, raspberry fruit and acidity.
Peregrine, Masterminded by Greg Hay, with a professional approach to the investment possibilities. Ripe fruit on the nose, rounded, attractive palate, with firm tannins and layers of flavour.
Quartz Reef, Austrian born Rudi Bauer was one of the pioneer winemakers in Central Otago, and is now in partnership with Clotilde Chauvet, whose family own a Champagne house. Stylish Pinot Noir, with firm dry raspberry fruit on the nose and an elegant ripeness on the palate.
Rippon Vineyard, Another pioneer on the shores of lake Wanaka. Quite deep colour, with firm nose, lovely ripe supple fruit balanced with firm tannins on the palate.
Two Paddocks, owned by cinema actor Sam Neill, with the wines made for him by Dean Shaw of the Central Otago Wine Co. Cherry fruit on the nose, quite ripe rounded palate, with some fresh acidity.
See also wine-pages guide to New Zealand


text:
Junior Rashad Greene has led FSU in receiving each of the past two seasons.
- Filed Under
Florida State football coach Jimbo Fisher announced through the Seminoles' sports information department that junior wide receiver Rashad Greene will be "fine" after sustaining a finger injury Monday morning.
Greene will be listed as "day to day," according to FSU.
That is very good news for a Florida State receiving corps that already has lost three veterans during the preseason.
The Florida State football team, which already has lost three senior wide receivers before the start of the season, now is awaiting word on the status of junior star Rashad Greene.
Greene, who has led the Seminoles in receiving each of the past two seasons, left Monday morning's practice early with an undisclosed hand injury.
FSU coach Jimbo Fisher spoke to reporters following the practice but said he hadn't heard a report on Greene's condition.
The Seminoles lost senior receiver Willie Haulstead due to academics at the start of fall camp. Senior Jarred "Scooter" Haggins was sidelined last week by a knee injury. And senior Greg Dent was suspended indefinitely following an arrest this summer.
FSU opens the 2013 season in exactly two weeks, on Sept. 2, at Pittsburgh.
Check back with NoleSports.com for more on this story.


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- Faith and Fear in Flushing - http://www.faithandfearinflushing.com -
A Winning Preposition
Posted By Greg Prince On January 23, 2009 @ 9:47 am In Main Page | Comments Disabled
FAFIF Fantasy Camp Correspondent Jeff Hysen [1] is rounding third and sprinting toward his final full day in St. Lucie. Are his pockets lighter? Did he prepare his laundry correctly? Is it possible one former Met is a stickler for grammar? Here's the dope from Thursday.
One piece of advice [2] that I would give someone going to a baseball fantasy camp is to do sprints. I took up jogging and that's helped me lose weight and gain stamina but it doesn't help you when you have to drop the bat and run or run around the bases or move to track a fly ball. As a result, my quads hurt. I'm not complaining, though. It's part of the Fantasy Camp experience. The trainers are fantastic — they are from the Mets minor league system — and they treat us great. There are a lot of campers with injuries far worse than mine but nobody is going home or missing a game.
Having regular Mets staffers here is one of the ways that they treat each of us like a major leaguer. Our bus driver is used during Spring Training, and he drives the Port St. Lucie Mets during their season. The clubhouse guys are regular staffers. They've welcomed us like we're part of the team.
Thursday officially began with the daily meeting. First, we received our third talk about the laundry loop [3]. Then, Commissioner John Stearns gave out the Golden Rope and Brown Rope. The Golden Rope is for play the previous day. They have multiple nominees (and were generous enough to make me one) and wound up giving the rope to a guy who pitched a complete game despite having a broken bone in his pitching hand. The Brown Rope goes to players and coaches for misdeeds like forgetting to wear your helmet; wearing your chest protector inside out; or for making a bad managerial move. Everybody applauds and it gets the day going on a fun note.
A lot of credit for that goes to Stearns who has nonstop enthusiasm. The four games are on adjacent fields and he goes from field to field cheering us on.
To amend the original coaches list — not here: Eric Hillman, Rodney McCray, Rafael Santana, Guy Conti; here: Ed Kranepool (for two days but two days of seeing Kranepool was special); Bernard Gilkey; and, as of Thursday, Tim Teufel.
The weather finally turned warm as the day went on. We won our final "regular season" game. Bunting is not encouraged because guys usually want to swing the bat, but with the game on the line, I bunted with the score tied in the bottom of the sixth (we play seven innings) and runners on first and second, nobody out. I managed to beat it out and we scored 4 runs. Later, we won our first playoff game in extra innings to advance to the semis.
Pat Zachry [4] update: he said that I seemed sinister because I smile [5] so much. Zachry is one of many good guys [6] among the coaching staff. Wine, Brantley, Randle, Schourek, Gaspar, Millan, Capra, Montañez…I really could name them all.
Thursday night was the Kangaroo Court. As it was a "closed session," I will not tell you exactly what transpired, but I can tell you that I managed largely to escape its wrath. I was told that I would be fined for wearing jeans in the batting cage — it was 7:30 in the morning, at least I was in the cage! — but there were other transgressions worse than mine.
From there, it was back to Duffy's. I'll just say that the coaches don't mind hanging out with the players and the players are thrilled to hang out with the coaches. Turns out one of them claims to have been reading my reports here and believes I end too many sentences with prepositions.
Nevertheless, he's still a good guy to hang out with.
Article printed from Faith and Fear in Flushing: http://www.faithandfearinflushing.com
URL to article: http://www.faithandfearinflushing.com/2009/01/23/a-winning-preposition/
URLs in this post:
[1] Fantasy Camp Correspondent Jeff Hysen: http://www.faithandfearinflushing.com/blog/_archives/2009/1/19/4063179.html
[2] advice: http://www.faithandfearinflushing.com/blog/_archives/2009/1/23/4067153.html
[3] laundry loop: http://www.faithandfearinflushing.com/blog/_archives/2009/1/22/4066126.html
[4] Pat Zachry: http://www.faithandfearinflushing.com/blog/_archives/2009/1/21/4064538.html
[5] I smile: http://www.faithandfearinflushing.com/blog/_archives/2007/6/29/3058463.html
[6] good guys: http://www.faithandfearinflushing.com/blog/_archives/2009/1/20/4063591.html
Click here to print.
Copyright © 2010 Faith and Fear in Flushing. All rights reserved.


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According to a recent United Kingdom (UK) study, drinking coffee on a regular basis may lower the odds of having a stroke.
Researchers from the University of Cambridge in England monitored nearly 23,000 men and women over a 12-year period and found that "self-reported coffee consumption was inversely related to stroke risk."
In the study, individuals who drank coffee on a regular basis had a 27 percent decreased risk of having a stroke compared to those who never consumed the beverage. The researchers found that the results were consistent irrespective of which type of coffee was consumed, including caffeinated, decaffeinated, instant or ground.
"This association was consistent in subgroup analyses stratified by sex, age, social class, educational level, smoking status, alcohol drinking, tea drinking, physical activity, plasma vitamin C and diabetes status," said study leader Yangmei Li, an epidemiologist at the university.
Although the researchers suspect the antioxidants in coffee help lower inflammation in the blood vessels, additional studies need to be conducted to understand the perceived health benefits of consuming the beverage.
Separate studies have also indicated that drinking coffee and tea may help reduce the risk of developing diabetes.


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The purpose of this correspondence article is to report opinion amongst experts in the delirium field as to why, despite on-going training for all health professionals, delirium continues to be under recognised. Consensus was obtained by means of two conference workshops and an online survey of members of the European Delirium Association.
Major barriers to recognition at an individual level include ignorance about the benefit of treating delirium. At an organisational level, reflecting socio-cultural attitudes, barriers include a low strategic and financial priority and the fact that delirium is an orphan condition falling between specialties.
Keywords:Delirium; Education; Training; Geriatric psychiatry
Delirium is the commonest medical complication in hospital with rates varying from 13% of young patients to 53% of older patients and up to 88% of patients with terminal cancer [1]. Delirium symptoms are also frequent in nursing homes, varying between 6.5% to over 50% of all nursing home residents depending on the characteristics of the nursing facilities [2,3]. Delirium is a source of distress for patients and families and has been shown to be associated with poorer short and long-term outcomes [4]. For instance, a recent meta-analysis of more than 700 subjects with delirium across seven studies and adjusted for the effect of age, sex, co morbid illness and pre-existing dementia showed a significantly increased post discharge mortality rate (hazard ratios, 1.95 [95% confidence interval, 1.51-2.52]), and similar increased risks for institutionalisation (odds ratio [OR], 2.41 [95% CI, 1.77-3.29]) and future dementia (OR, 12.52 [95% CI, 1.86-84.21]) [5]. Furthermore, compared to non-delirious patients, the average costs per day survived among patients with delirium until one year after discharge are more than 2 ½ times higher, leading to additional annual health care costs between $38 billion to $152 billion in the United States [6].
Recently, there has been greater interest in the management of delirium. For example in England NICE guidelines for Delirium have been published in 2010 [7]. Arguably this greater interest has stemmed from the emerging literature that delirium is preventable and to an extent treatable. For example, multifactorial interventions have been shown to effectively prevent delirium [8,9]. The evidence base for the treatment of delirium is less strong; however it is possible that this represents a lack of formal evidence as a consequence of a paucity of studies of a sufficient size [10].
Given the growing evidence base for effective prevention of delirium, it follows therefore that screening for this costly and highly prevalent disorder is essential for all staff working in the hospital and nursing homes, and a prerequisite for proper management [7,11]. A recent systematic review identified as many as 11 screening tools developed to date [12]. The authors concluded that the choice of screening instrument is determined by the amount of time available and found best evidence to support the widespread use of the Confusion Assessment Method. However, time required for rigorous training and implementation of valid administration of screening instruments in a real-world clinical setting may be high and onerous for busy clinicians [13,14].
Unfortunately, in practice there is converging evidence that delirium is poorly detected. Rates of under diagnosis vary from 33 to 72% and diagnostic errors include, among other things, misattribution to dementia or depression [15,16]. Furthermore diagnostic uncertainty is reflected by the widespread use of the unhelpful lay term "confusion"; a term which can be either a symptom or a diagnosis, as well as by the failure to consistently use standardized screening instruments in daily practice [17].
Expert consensus
With this in mind, we report the findings of a three stage iterative process which aimed to gain consensus amongst experts in the delirium field as to why, despite on-going training and clear benefit from prevention strategies, delirium continues to be under recognised. Opinion was sought from participants at two conference workshops at the European Delirium Association (EDA) Scientific Congresses held in October 2010 (Amsterdam, Netherlands) and November 2011 (Umea, Sweden). The EDA Annual Scientific Congress is the largest meetings of professionals dedicated to advance understanding of delirium. Professionals represented were from the whole healthcare spectrum, though predominantly composed of doctors and nurses working either within the acute medical or mental health setting. In total delegates at the two workshops gave views from 20 countries worldwide.
Since this work was a consensus exercise designed to produce information to help delivery of good educational practice in relation to delirium care (rather than test hypothesises), it was exempt from ethical approval. Furthermore we specified to delegates that participation was voluntary and that reporting of consensus results assured their anonymous participation and did not permit identification of individual opinions.
The first workshop specifically aimed to explore barriers to detection and generate potential solutions to overcome these challenges. The second workshop, a year later, involved presentation of the initial workshop findings in order to determine the degree to which they resonated with a second group of experts. Lastly, the authors undertook an online survey of members of the European Delirium Association to further seek further opinions which may not have been expressed during the workshops. Eight responses from members were obtained over a month period. By this iterative process consensus was obtained on under recognition and an argument developed for a call for action.
1 In which settings is screening for delirium appropriate?
There was consensus that the population at risk in the acute hospital was entirely appropriate for screening. Specifically, there was agreement within the group that this should include acute hospital emergency admissions (with special attention for older persons), along with the inpatient critical care population (ICU/HDU). There was less agreement surrounding screening in community settings but the suggestion was made that screening may be the domain of the attending primary care doctor. Furthermore, in order to reduce hospital admissions of delirium there is also a need to recognise and prevent delirium in high risk settings such as nursing homes.
2 What are the barriers that prevent recognition of delirium?
Barriers to recognition of delirium emerged at an individual and organisational level. At both levels the lack of immediate recognisable benefit to bringing about delirium recognition was felt to be a major factor to hamper change. Despite the fact that ICU and Emergency settings had been identified as particularly important settings for detection, barriers fell more broadly to the hospital setting as a whole.
a Individual Level Barriers
A lack of education and general ignorance of delirium, in particular about the benefits of early recognition and treating delirium, emerged as a strong barrier to diagnosis. This may be due to preconceived ideas developed at undergraduate level as a consequence of a superficial teaching about delirium during medical or nursing studies. This echoes the findings of Davis and MacLullich who found that even though professionals may be aware of delirium they had a poor knowledge of diagnosis and treatment [18]. Furthermore, since there is competition of screening instruments from other domains, it was felt that delirium is not perceived as priority.
In terms of recognition a common diagnostic error identified was the misdiagnosis of delirium as dementia. Additionally, delirium is often perceived as a complication of another physical disease and thereby deemed, inappropriately, as being of secondary importance. In this situation the lack of clarity around all elements of the pathway, from assessment to diagnosis and treatment, added weight to the argument that recognition is crucial.
b Organisational and Cultural Barriers
At an organisational level poor leadership, both clinical and strategic, was felt to be an exacerbating factor. Leaders were felt to hold the view that "no-one will die of delirium". This low strategic and financial priority to diagnosing delirium was seen as a factor preventing improvement in diagnosis.
There was considerable debate relating to the fact that delirium was not seen as belonging to a specific specialty. Consequently, it is perceived as an orphan condition managed haphazardly by a number of specialties and all too often falling between the gaps. This was underscored by the differing opinion, even among delegates, as to whether delirium should best be managed by general hospital staff or mental health professionals. This division in roles was articulated by expressions of "them and us" scenarios.
Views about delirium were felt to be compounded by cultural ageist attitudes which are prevalent in modern societies. More specifically, the lack of interest in geriatric care issues, which are perceived by many healthcare workers as unchallenging and not their responsibility, shape the identified organisational barriers. Finally, the lack of public awareness for delirium was highlighted. Without the existence of a patient association the public lobbying voice is unfortunately currently not part of the improvement process.
3 What can be done to improve delirium recognition and drive change?
The general consensus was that having identified barriers we had a responsibility to implement actions to overcome these challenges. Dividing barriers into individual and organisational was crucial in driving change as there was consensus that individual training alone without attending to organisational learning was unlikely to improve patient care.
Suggested appropriate training strategies incorporated developing an understanding of delirium, the poor outcomes, efficient and effective ways of recognition and management and crucially the patient experience. Furthermore, elements of modelling and opportunistic learning to showcase good practice were deemed essential. It was felt that educational innovations should be offered for all healthcare professionals at pre and post qualifying levels and where possible be freely accessible on line. For example, results of a study presented at the most recent EDA meeting showed a delirium e-learning program to be an effective educational approach to improve nurses' knowledge about delirium [19,20]. Lastly, the importance of interprofessional education as a teaching method was also highlighted [21].
In order to overcome organisational barriers to good practice, communicating with healthcare managers to situate delirium on the corporate agenda was identified as an important driver for change. Further, showcasing examples of ongoing good practice and associated efficiency savings could be cited as a means of promoting organisational learning. For example, making explicit performance indicators for delirium may be used to guarantee effective enforcement of the quality of delirium care. This approach has been recently introduced in the Netherlands as a mandatory initiative in all hospitals by the National Health Care Inspectorate. Indicators include, "registration of the proportion of patients with an elevated risk of delirium, in which a screening tool is used to confirm a diagnosis of delirium, regardless of the outcome" (http://www.igz.nl/english/ webcite).
A need to place delirium on an equal footing to other medical disorders was highlighted. This would require a concerted public awareness and education programme in order to bring about societal change to this orphan illness. Strategies might include the use of widespread patient information leaflets explaining in lay language the importance of the delirium in the dementia population. Videos involving carers and patients could be developed and used as teaching tools to understand the patient experience. Lastly, public lectures and awareness events (such as a Delirium Fair), could help promote an understanding that the reasons why patients with dementia do badly in general hospitals are due to their delirium.
It was noted that in contrast to other common illnesses in late life there currently exist no dedicated patient groups (e.g. The Alzheimer's Society in the UK) which could raise the profile and help educate the public and ultimately change attitudes. There was a feeling within the workshop that public awareness of delirium was potentially similar to perceptions of dementia 30 years ago. Lastly, some at the workshop argued that the time was right to change the name of the disorder from delirium to another name which could enhance the credibility and detract from ill formed ideas about delirium.
Call for action and conclusions
Based on the consensus obtained the authors call for a concerted call for action to address difficulties with under recognition of delirium (Table 1). In particular, they advocate more strategic education at individual and organisational levels which should be undertaken in an integrated manner. Educational approaches, targeted at all healthcare professionals wherever possible, should focus on promoting awareness of delirium and clearer training in delirium prevention and treatment. As a first step we have developed an on-line freely accessible video of patient experience which can be used to aid effective educational approaches a. An on-line freely accessible delirium e-learning tool (in Dutch) is also available b, which increases access for learners, integrates knowledge and skill development (e.g. use of screening instruments such as Confusion Assessment Method (CAM [22] and CAM-ICU [23]) or Delirium Observation Screening Scale (DOSS [24])) and promotes active, problem-based learning.
Table 1. Call for action: suggested approaches at individual, organisational and societal level
At an organisational level there exists a requirement to place delirium on an equal footing to other life threatening disorders. To aid with this the European Delirium Association endeavours to contact the leads of healthcare organisations to help prioritise delirium and draw attention to the healthcare as well as economic benefits of elevating delirium higher up on the healthcare agenda.
In summary, we propose that the challenge for the modern day healthcare leaders will be to shift the focus of attention to delirium care and accordingly adapt systems and training around this preventable and treatable serious illness in the future. Only by means of such a concerted action will improvements in delirium care truly be gained.
ahttp://www.europeandeliriumassociation.com/delirium-information/health-professionals/patient-experience-of-delirium-teaching-video/ webcite.
Competing interests
The authors declare that they have no competing interests.
Author contributions
ER and KM conceptualized and facilitated the original workshop in 2010. AT took notes at this workshop. AT co facilitated the workshop in 2011 and the on line survey (with ER and KM). AT wrote the original draft and all authors have revised it. All authors read and approved the final manuscript.
We are grateful to all those who took part in the workshops and the on line survey. We would especially like to thank Mr Tony Jamieson-Allen for help with coordinating the electronic survey.
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Marcantonio E, Kiely D, Simon S, John Orav E, Jones R, Murphy K, Bergmann M: Outcomes of older people admitted to postacute facilities with delirium.
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Inouye SK, Bogardus ST Jr, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, Cooney LM Jr: A multicomponent intervention to prevent delirium in hospitalized older patients.
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Deschodt M, Braes T, Flamaing J, Detroyer E, Broos P, Haentjens P, Boonen S, Milisen K: Preventing delirium in older adults with recent hip fracture through multidisciplinary geriatric consultation.
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Pre-publication history
The pre-publication history for this paper can be accessed here:


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This will kick sherman is engines!
Back to Basics is a total conversion mod, that not only adds units and abilities but also a new weapon damage and penetration system. This improves gameplay and requires more tactical assaults and defenses. Weapon ranges are also greatly increased and also includes a greatly improved AI. Back to Basics: Battle of the Hegdes adds realism to Company of Heroes, to make it even better. It is compatible with Company of Heroes, Opposing Fronts and Tales of Valor, always with the latest patch. You do not have to own all 3 products of the Company of Heroes series to play Back to Basics.
In v3.0 the Tiger Ace is the former Tiger 812 'Tiki' in the Wehrmacht Blitzkrieg Doctrine. The vehicle simply got a new name and texture, to fit more with the other textures in Back to Basics. It was also quite strange that the Tiger 812 could be granted every battle, even if it was destroyed in another..
The Tiger Ace can use Flank Speed, Smoke Dischargers and Tank Shock, and will grant nearby friendly vehicles an offensive combat bonus.


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Highlighted Show chord diagrams
D A Bm G D A Hallelujah, you have won the victory. D A Bm G D A Hallelujah, you have won it all for me. [ Tab from: http://www.guitaretab.com/p/planetshakers/249835.html ] G D A Bm Death could not hold you down G D A Bm You are the risen king G D A Bm Seated in majesty G D A You are the risen king
Related for The Anthem chords
The Anthem chords by Planetshakers


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Skip to main content
When Jim Nicholson joined the Oklahoma Department of Human Services (OKDHS) in 1972, Americans were fighting a war in Southeast Asia and the last Apollo mission went to the moon.
After a tour in Vietnam, Nicholson left the military and began his OKDHS career as a social worker. In 1988, he became a programs administrator in the Developmental Disabilities Services Division (DDSD) and was named division director in 1991.
Effective Jan. 31, 2013, Nicholson retired from OKDHS after four decades of service to the people of Oklahoma. He was the longest tenured DDSD director in the country.
"Jim became our leader when we were a small division struggling with a federal lawsuit, (Homeward Bound v. Hissom Memorial Center)" says JoAnne Goin, incoming Director of DDSD. "His commitment to making the system work for our families has led Oklahoma to be nationally known for its services to people with intellectual disabilities. As the most tenured development disabilities director in the nation, his legacy in Oklahoma - and nationally - will be with us for years to come."
Nicholson was an active member of the National Association of State Directors of Developmental Disabilities Services. He holds a Master's Degree in Social Work from the University of Oklahoma and a Bachelor of Arts degree from St. John's University in Collegeville, Minnesota.
"Under Jim's leadership we have been able to offer services that improve the lives of persons with disabilities and their families," says Mark Lawton Jones, OKDHS Chief Coordinating Officer. "Jim brought the service delivery system through its developmental years and he leaves OKDHS with programs in excellent shape."
Nicholson plans to spend more time with his family, grandchildren, and beloved yellow lab retriever, Grace, and to remain active with the Animal Rescue Friends of Nichols Hills and Oklahoma People First, a non-profit advocacy group for Oklahomans with developmental disabilities.
Jim Nicholson


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Men's shoes from Gander Mountain are available for every adventure. We have trail running shoes, hiking boots, and boating shoes, as well as casual shoes, slippers, and sandals. We also offer insulated boots, tactical boots, and work boots. Our popular shoe and boot brands include Danner, Timberland, LaCrosse, Merrell, Keen, and Columbia.
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Hidden pocket
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Hidden pocket
5.11 Tactical ATAC 8" Side Zip Boot
Designed for routine patrol shifts
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5.11 Tactical ATAC 6" Side-Zip Boot
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Ariat Men's Rambler Cowboy Boot
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Gander Mountain Men's Rugged Force Safety-Toe Work Boot
Durable, comfortable tumbled leather upper
Texon Eco moisture board for stability/flexibility
Composite toe cap meets EH safety standards
Lace-up front closure for a secure fit
Carhartt CORE 11-Inch Men's Waterproof Insulated Wellington Steel...
Dark bison brown oil-tanned leather
Abrasion resistant Ballistic 1200D construction
Storm Defender waterproof, breathable membrane
TPU heel guard with Achilles flex joint
400 LiteFire insulation for added warmth
Carhartt Core 11-Inch Men's Bison Brown Waterproof Wellington ...
Dark bison brown oil-tanned leather
Abrasion resistant Ballistic 1200D construction
Storm Defender waterproof, breathable membrane
Directly attached welt with dual density outsole
PU strobel pad and PU cushion insoles
Irish Setter Men's 6" Leather Work Boot
Goodyear welt construction for long-lasting wear
Premium Briar Turbo Vegas leather upper
Removable polyurethane footbed for cushioning
White rubber/EVA Traction Tred outsole
Iconic triple-stitching; tasteful moc-toe styling
Carhartt 8-Inch Men's Rugged Flex Waterproof Insulated Composite ...
Cement constructed with rubber Rugged Flex outsole
EVA midsole with PU strobel pad
Ortholite cushion insoles mold to feet
Heel and toe rubber bumpers
400 Thinsulate insulation for added warmth
LaCrosse Men's Quad Comfort 6" Plain-Toe Work Boot
Durable leather uppers
Hyper-dri waterproofing system
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Irish Setter Men's Waterproof 400g 8" Insulated Steel-Toe ...
Rugged Crazy Horse leather upper
UltraDry waterproof membrane
400-gram Thinsulate Ultra insulation
Removable polyurethane footbed
Vibram TC-4 Plus rubber/PU outsole
Irish Setter Men's Marshall 11" Steel-Toe Boot
RPM composite material reduces the boots weight
Waterproof, full-grain leather upper
UltraDry technology; moisture-wicking nylon lining
Removable polyurethane footbed for cushioning
Nonmarking, dual-density Rubber-RPM Roper outsole
Keen Men's Flint Utility Mid Steel-Toe Work Boot
Durable waterproof nubuck leather upper
Dual-density compresssion-molded EVA midsole
Removable metatomical dual-density EVA footbed
Oil-and-slip-resistant nonmarking rubber outsole
Left and right asymmetrical steel toes
Muck Boot Men's Arctic Pro Steel-Toe 16" Work Boot
High-performance boot is fleece-lined for warmth
Stretch-fit, top-line binding for a snug leg fit
100% waterproof 8mm CR flex-foam bootie
Reinforced instep, heel, and Achilles area
Ultra-durable, aggressive Bob-Tracker outsole
Chinook Men's Rancher 11" Waterproof Boot
100% waterproof full-grain leather upper
Waterproof breathable membrane keeps you dry
Durable Goodyear welted construction
Lined with moisture-wicking fabric
Multi-cushion footbed for comfort
Irish Setter Men's Waterproof 6" Work Boot
Tough Voyageur leather upper for durability
Removable polyurethane footbed for cushioning
UltraDry waterproof membrane keeps feet dry
Dual-density Comfort Trek rubber/PU outsole
Lace-up front closure with brass hardware
Ariat Men's Groundbreaker Round-Toe Cowboy Boot
Full-grain leather upper; breathable mesh lining
Extra comfort insole with higher rebound
4LR technology: 4-layer footbed; lightweight shank
Flexible, heavy-duty Duratread rubber outsole
2-row stitch pattern; full vamp; rounded toe
Irish Setter Men's Bar 7" Waterproof Boot
USA-made, roughout waterproof leather upper
Removable polyurethane footbed for cushioning
Soft, flexible gum rubber midsole and outsole
Goodyear leather welt construction for durability
Carhartt CORE Men's 6-Inch Bison Brown Waterproof Work Boot
Brown oil-tanned abrasion resistant leather
Dual density PU Carhartt CORE outsole
PU strobel pad with PU cushion insoles
TPU heel guard with Achilles flex joint
Storm Defender waterproof, breathable membrane
Irish Setter Men's AT Work 11" Work Boot
Direct-attach welt design for durability
Dual-density Comfort Trek sole for traction
Aluminum safety toe cap for added protection
Full-grain waterproof leather upper
Abrasion-resistant nylon overlays
New! LaCrosse Men's Quad Comfort 4x8 8" 400g Steel-Toe Work ...
Innovative 4-layer platform for comfot and support
All-leather upper with extra-wide padded collar
Dry-Core waterproof barrier lines the entire boot
400-gram Thinsulate Ultra insulation for warmth
Oil-/slip-resistant Quad outsole; low-lug design
Bogs Rancher Steel Toe Men's Work Boot
100% waterproof
EVA insole with Dura-Fresh anti-odor protection
2mm EverDry with Max-Wick technology
7mm of Bogs Neo-Tech insulation
BioGrip outsole is slip and chemical-resistant
Carhartt Men's 11" Waterproof Wellington Safety-Toe Work ...
Direct-attach welt construction for durability
Oil-tanned leather upper is rugged, stylish
Abrasion-resistant Cordura nylon upper material
Ortholite insole for cushioning and flexibility
Oil-, chemical, and slip-resistant PU outsole
Ariat Men's Groundbreaker Steel-Toe Cowboy Boot
Full-grain leather upper; breathable mesh lining
Extra comfort insole with higher rebound
4LR technology: 4-layer footbed; lightweight shank
Flexible, heavy-duty Duratread rubber outsole
Two-row stitch pattern; rounded toe
5.11 Tactical A.T.A.C. 6" Shield Side-Zip Boot
ASTM F2413-05 M C/75 I/75 EH PR safety toe
Waterproof, polishable full grain leather upper
Breathable bloodborne pathogen resistant membrane
Shock Mitigation System
Oil slip-resistant, quiet outsole
Danner Men's Vicious GTX 4.5" Work Boot
Rich, full-grain leather upper for durability
GORE-TEX 100% waterproof/breathable lining
Dual-density EVA midsole for shock absorption
Abrasion-resistant toe cap for added durability
Oil-and-slip-resistant Vibram Vicious outsole
Irish Setter Men's 6" Waterproof Aluminum-Toe Work Boot
Sturdy full-grain and waterproof Gaucho leather
UltraDry waterproof/moisture management technology
Removable polyurethane footbed for cushioning
Deep-lug, nonmarking Stars and Bars sole design
Heat Resistant outsole protects from extreme heat
Carhartt Men's 8" Vintage Saddle Leather Waterproof ...
High-quality Goodyear welt construction
Vintage saddle oil-tanned leather and nylon upper
Composite toe and WoodWorks rubber outsole
TPU heel stabilizer with Achilles flex joint
Storm Defender waterproof breathable membrane
Danner Men's Quarry 8" Boot
Full-grain, all-leather upper for protection
100% waterproof GORE-TEX lining keeps you dry
Exclusive Vibram Quarry outsole for traction
Meets ASTM F2892-11 electrical hazard standards
Made in the USA
Danner Men's Vicious 8" Boot
Rich, full-grain leather upper for comfort
100% Waterproof GORE-TEX lining keeps you dry
Danner Trailguard platform for support
Vibram Vicious outsole for superior traction
Meets ASTM F2892-11 Electrical Hazard Standard


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"Dancing on the Moon with Tears in My Eyes" is an exhibition of new works by Dutch artists Henny Overbeek, Simon Schrikker and Boris Tellegen (Delta). The three artists have met each other in the scene during the nineties. After a few years, each of them went their way, pursuing an education in arts or design, seemingly going in completely different directions. All doing their art, but one doing it with oil paint, the other with paper and canvas collage, or with layers of wood. Recently after meeting up again, they realized that their work has more in common then they previously thought. Maybe it is due to listening to the same music in the eighties… "Dancing on the Moon with Tears in My Eyes" is kicking off December 11th and runs til January 10th. The opening reception takes place tomorrow at 6pm. An exclusive catalog limited to 49 pieces has been published to celebrate the three being united once again.
Alice Gallery & Shop
182 Rue A. Dansaert
B-1000 Brussels
Opening hours: Tu to Sa 11:30am to 7pm