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2010 – 'Let's Cook' recorded with the Wiggles. Long time connection with Cockroaches. Touring Australia extensively. Win Mo award best original live band. Wiggles win Aria for best childrens album with Let's Eat featuring the collaboration with Mentals on 'Let's Cook'.
2009 – Warner Music Australia discover they have Mentals on their roster and plan to relaunch the greatest hits. The revamped collection called "Essential As Anything" contains "Close Again" and Martin Plaza's solo monster "Concrete n' Clay", and as a bonus Monumental 1 & 2 – 37 of the Mentals video clips on DVD for the first time ever. The band's back catalogue is now made available for digital download on iTunes. The Mentals started out on vinyl records and have ended up on the net. What next?
The Release of CD and DVD collection Essential As Anything on Warner Music. For the first time all the original hits and videos are available together. Mentals most well known tracks are now made available through ITunes and Rhino around the world.
In September Mental As Anything are inducted into the Australian Record Industry Association's Rock and Roll Hall Of Fame along with Little Patty, Kev Carmody, The Dingos and John Paul Young.
Around this time Warner Music releases Tents Up an album of new original Mentals compositions recorded at Electric Avenue in Sydney and mixed by Steve James at Rocking Horse near Byron Bay.
Release of new original album "Tents Up" on Warner Music – the culmination of all the effort, blood, sweat and tears of the past most tempestuous five years in the life of Mental As Anything.
The band continues touring to promote both releases including a series of australia-wide A Day on the Green concerts with the B52s and the Proclaimers.
2006, 2007, 2008 – The Mentals head into Electric Avenue Studios in Sydney to lay down tracks for Tents Up. This is the most satisfying recording experience for the band in a long time, but it turns out due to legal issues, it will be a long time before it will be released. Most of the tracks are mixed at Rocking Horse Studios, Federal in northern NSW, by Steve James ("Rock n' Roll Music" producer) and mastered by Aussie Leon Zervos at Stirling Sound, New York. While this is going on, the band is constantly touring Australia with detours to Shanghai and Macau and a short tour of Port Moresby in early 2007.
2005 – Release of Plucked. An album of acoustic recordings of familiar Mentals tunes for Liberation Blue. This shows Mentals classic repertoire in a thoughtful mood. Produced by the band, mixed by John Haeny (Linda Ronstadt, Little Feat and The Doors). This gives the new line-up a taste for recording to be realised with the sessions for a new original studio album.
2004 – Continues touring. September – David Twohill aka Wayne de Lisle aka Bird is asked to leave. He is replaced by the charming and talented Robbie Souter, drummer with the Dynamic Hepnotics and then Slim Dusty for the last fifteen years of Slim's career.
2003 – Release of Roadcase. Recorded and mixed by David Barraclough and the band. Continued touring in Australia. Mentals drop Cranium Management and appoint Grant Bartlett as manager of Mental As Anything touring.
2002 – Murray Cook replaced on guitar by Mike Caen in March. Originally a New Zealander, Mike is a most talented guitarist, songwriter and composer (recorded by Darryl Braithwaite, Dragon and Marc Hunter among others) and has played with Dragon, Jenny Morris, Margaret Uhrlich, Pink Slips and Street Talk. He keeps in the band that bit of Kiwi sensibility from Reg and Pete. Roadcase album recorded and Australia toured.
2001 – Video clip for "Stretchmarks" directed by Mark Hartley. Walkabout Club Shepherd's Bush, London; King Tut's Wah Wah Hut Glasgow, and Whelan's Pub, Dublin. Short but successful OS tour. More touring across Oz.
2000 – Mentals play Ho Chi Minh city in Vietnam on Australia day. Soon after, Reg Mombassa leaves the band to concentrate on his art. He is a major designer for the closing ceremony of the Sydney Olympics. He also continues as a major designer for Mambo Surfwear and he continues to have sell-out exhibitions of his painting, drawing and print making, both in Australia and overseas. Both Peter and Reg will continue to successfully perform and record as Reg and Pete's Dog Trumpet. Meanwhile back in the Mentals, Reg is replaced on guitar by Murray Cook, a gifted multi-instrumentalist who has played with Midnight Oil, Warumpi Band, Mixed Relations, Marlene Cummings, Leah Purcell and Lock, Stock and Darryl. Recorded Beetroot Stains album produced by the band, recorded by David Barraclough, mixed by John Haeny, Andrew Beck and Jonathon Burnside.
1999 – Bass player and songwriter Peter O'Doherty leaves the band to become a full-time painter. He goes on to win numerous art prizes and continues to this day to have very successful exhibitions around Australia and abroad. He is replaced by Rockhampton raised David Barraclough who had spent the previous seven years as guitarist for New Zealand pop rock idols The Exponents. He decides to switch to bass for The Mentals.
1998 – Tour UK
1997 – Release Garage LP. Mentals III art exhibition opened in Sydney by ex- PM Gough Whitlam. This exhibition then tours Australia continuously till late 2002.
1996 – Marianne, the final single from Liar, Liar…, is released and the band retreat into the studio to work extensively on their new album., An appearance at the Mountain Rock Festival in New Zealand, followed by the Australian Tour with Chris Isaak and a tour of New Zealand with The Exponents.
1995 – The album Liar, Liar Pants on Fire enters the top 40, to glowing reviews, and the single Mr Natural hits Top 30. Two other singles are released – Nigel, which instantly becomes a radio hit, and Whole Wide World, a cover originally written and recorded by Reckless Eric.
1994 – Bicycle EP Tour – limited copies of the EP given away to loyal fans around the country – Radio picks up Mr Natural off the Bicycle EP CD sampler
1993 – Release B Sides and rarities album Chemical Travel
1990 – Then deputy Prime Minister, Paul Keating, opens second Mental As Anything Art Exhibition with works by all five Mentals attracting huge critical acclaim. It tours Tamworth at the Country Music Festival, travelling on to Melbourne, Lismore, Campbelltown and back to Sydney.
1989 – Another Top 40 Album – Cyclone Raymond with the No.15World Seems Difficult and top 5 hit Rock n Roll music.
1988 – Rock & Roll Music from the film soundtrack YOUNG EINSTEIN reaches No. 6 on the charts
1987 – Release Top 20 album Mouth To Mouth. Singles Let's Go To Paradise & He's Just No Good For You also enter Top 20.
– Also release a Top 40 cover of Elvis Presley's Love Me Tender
– Band tours UK again and then N.E. USA and Canada with Robert Palmer.
1986 – Live It Up -no.1 in Scandinavia No.2 in Germany and No.3 in the U.K – Band tours UK, Holland, Spain and Italy (Band wins coveted Telegatto award on Italian TV)
1985 – Fundamental As Anything – Platinum Best Selling Australian Album – Live It Up – Best Selling Australian Single – singles You're So Strong( No. 8) / Date With Destiny(No. 18) – multi platinum Greatest Hits Vol I goes to No. 2 on the charts – Live It Up received Apra award for most performed work and Countdown award for best single and song writer.
1984 – Apocalypso (Wiping The Smile Off Santa's Face) the band's only Christmas single
1983 – Spirit Got Lost & Brain, Brain released off Top 10 album Creatures Of Leisure. Also release cover of Roy Orbison's Working For The Man. Too Many Times hits Top 20 in Canada as the band tours Canada and USA – First Group Art Exhibition, with works by each of the band members, held at Watters Gallery, Darlinghurst (Sydney). Buyers included Patrick White and Elton John. (White later bequeathed one of Reg's works to The Art Gallery of NSW)
1982 – Tour USA. Release single I Didn't Mean To Be Mean (produced by Elvis Costello). First single, Close Again, from the album Creatures Of Leisure. Band tours U.S and Canada.
1981 – If You Leave Me Can I Come Too? & Too Many Times, two of the year's biggest singles off the Platinum Album Cats And Dogs. Too Many Times goes to number 19 in Canada.
1980 – Come Around off the album Espresso Bongo manages to hit Top 20. Release another hit single (Just Like) Romeo and Juliet Dec '80
1979 – The Nips Are Getting Bigger and the album Get Wet hit Top 20 in Australia. Nips released in UK, reaches indy Top 40.
1978 – Move to the Civic Hotel, Sydney, for another year long residency on a larger stage.
1977 – 16th August (the night Elvis died). MENTAL AS ANYTHING (Reg Mombassa, Greedy Smith, Martin Plaza, Wayne 'Bird' Delisle and Peter O'Doherty) perform together for the first time at the Cellblock Theatre, East Sydney Tech. Start a year long residency at the Unicorn Hotel, Sydney (using the pool table as their stage).


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BW003 - Mijumaru? (Japanese Spoilers)
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September 30th, 2010 (1:37 PM).
just a guy
Silver Tier
Join Date: Sep 2008
Location: Florida
Age: 24
Gender: Male
Posts: 7,190
This episode was pretty fast paced as far as it goes with Ash "catching" Mijumaru.
Best moment of the show though was Mijumaru pushing Pikachu off of Ash's shoulder, and later blocking Pikachu's Thunderbolt with its shell. It's definitely the new Piplup of the show towards Ash, but more or less, its personality is an improvement.
After watching the episode, I can say I like Meguroko more than I originally had at first. They gave the Meguroko with the glasses both a leadership yet outsider role, which I found to be a nice mix. Seeing it again at the end makes me wonder if that was the last time we'll see it and if it's possible Ash can catch it at a later time. Even though I rather see James with it rather than the trash bag Pokémon some speculate he'll get. :\
Overall, the episode was for the least satisfying. Next week though, will Ash catch another Pokémon (three in a row)?
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First Look at DC Rebirth Designs For Bizarro, Red Robin, Batman Beyond & More
Comic Books
Comic Books
The Mission
The Buy Pile
The Buy Pile
Robot 6
Comics Should be Good
Comics Should be Good
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Robot 6
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Pasadena, CA
Mega-producer Joel Silver will develop a live-action movie based on Cartoon Network's hit Ben 10 animated franchise, Variety reports. Warner Bros. will likely distribute the feature.
The property, created by comics veterans Joe Casey, Joe Kelly, Duncan Rouleau and Steven T. Seagle, centers on a boy who finds an extraterrestrial watch-like device that allows him to transform into a variety aliens, each with its own special ability. Ben 10 aired on Cartoon Network from December 2005 to 2008 before it was succeeded by Ben 10: Alien Force, which gave way in April 2010 to Ben 10: Ultimate Alien.
The animated franchise has previously been adapted as live-action television movies in 2007 with Ben 10: Race Against Time and its 2009 sequel Ben 10: Alien Swarm. Dark Castle Entertainment's Steve Richards, who will produce the adaptation with Andrew Rona and Silver, said the big-screen take on Ben 10 will be different, and larger, than the live-action versions that came before it.
"We really see this as a large, big-budgeted tentpole movie," he tells the trade paper.
Silver and Dark Castle Entertainment are on the hunt for writers.
Didn't "The Last Airbender" teach anyone that what looks cool in animation doesn't always work in live action?
When was Ben 10 ever cool? :L
Ben 10 is Cool… LOL
Ben is very cool…
No it teaches hollywood not to give M. Night Whathisface the time of day let alone let him anywhere near something like the Last Airbender.
If you need a ben 10 chose me
This is well overdue – scoff all you want, but Ben 10 is a recognised and proven international brand. It could very well be the new Harry Potter franchise if done well.
That's the key though – done well. Although I enjoyed Airbender myself (as I was not a fan of the cartoon and had no preconceptions) it didn't appeal to the fans and thus didn't capture an audience.
I think a Ben 10 movie could be possible, but they would have to change this up and live out anything Alien Force and Ultimate Alien.
when????? thats the big question
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Update on CeriloCerilo is a 53 years old, married, and has two children. He lives in Clarin, Misamis Occidental. Cerilo owns and operates a farm, planting and harvesting bananas, corn, and coconut, which he sells to earn a living. He has been farming for many years and earns 8,000 PHP a month.
Cerilo joined GDMPC in 2009 and is requesting a new loan for 15,000 PHP, which he will use to purchase fertilizer and weeding maintenance items. He plans to use the additional revenue generated from the business to improve and expand his business.
Previous Loan DetailsCerilo is a 52 years old and married with 2 children. He lives in Clarin, Misamis Occidental. Cerilo owns and operates farmland, planting and harvesting bananas that he sells to earn a living. He's been with his business over four years and he earns 8,000 PHP each month. He joined GDMPC in 2009 a... More from Cerilo's previous loan »
Additional Information
About GDMPCGata Daku Multi-Purpose Cooperative (GDMPC) was founded in 1992 by 32 farmer-members to empower people by providing livelihood opportunities and other support services. Today, it has over 15,000 members located in upland, lowland and coastal regions of the Philippines, and offers credit, savings, education, and various social services.
Concurrent and Successive Loans
Our Field Partners often work with borrowers over a series of loans as the borrowers build credit, take out bigger loans, and expand their businesses. In order to make it easier for our Field Partners to post loans for borrowers who have been listed on Kiva before, we allow them to post successive and concurrent loans for their Kiva borrowers. This means that our Field Partners are able to post a borrower's second, third, etc., loan on Kiva without having to re-enter all of the borrower's information.
This borrower has been listed on Kiva before, so you'll see an updated loan description, as well as excerpts of the original descriptions from earlier loans. Most borrowers take out loans consecutively, meaning that they receive a second loan after having repaid the first. However, sometimes our Field Partners give out concurrent loans, allowing borrowers to take out one primary loan and a secondary "add-on" loan along with it. These "add-on" loans are typically smaller than the borrower's primary loan and serve a different purpose. Because Field Partners can now post loans as successive and concurrent loans, you will be able to track borrower progress over time and see the various ways a borrower is working with our Field Partners through funds from Kiva's lenders.
About Philippines
366View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 8 months (Additional Information)
- Repayment Schedule
- Monthly
- Pre-Disbursed:
- Jul 16, 2013
- Listed
- Aug 1, 2013
- Currency Exchange Loss:
- Possible
- Ended:
- Feb 17, 2014
Photo from previous loan
Kiva allows our Field Partners to re-use the same photo for individual borrowers that have been posted on Kiva's website once before in a 24 month period, and we allow them to re-use group photos for up to 24 months, provided that 80% of the current group's membership is represented.
Taking, collecting, and uploading photos of borrowers is one of the most challenging elements of using Kiva for our Field Partners. In order to make Kiva easier for Field Partners to use, we have allowed them to post successive and concurrent loans without taking a new photo of the borrower if the criteria above are met.


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Indian Hotels Plans to Sell Bonds
MUMBAI--Indian Hotels Co. plans to raise 2.5 billion rupees ($56.43 million) through a bond sale, a person familiar with the matter said Monday.
The hotel operator--part of the diversified Tata group--plans to sell 10-year bonds paying a yield of 9.95%, the person said.
The person, who asked not to be named, didn't specify what the money would be used for.
HSBC Holdings PLC is the sole banker to the deal, the person added.


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VHA National Desktop Library
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Access library resources from home or away from work without VPN by using an Athens remote access account. An Athens account allows you to access online library resources purchased at the national, VISN or local level with a single username and password when you are not on the VA network. Some resources are not available through Athens because the vendor has elected to not make their resource compatible with Athens remote access technology. For a list of resources not available through Athens remote access see below, or check for notes on the Find a Database page.
- Register for an Athens Personal Account (Initial registration must be completed on-site.)
- Athens user login
- Contact the Library Network Office for forgotten usernames
- Reset forgotten passwords
- Renew expired accounts (Account must be due to expire within 30 days or has been expired no more than 90 days. Re-registration must be completed on-site.)
- Recorded trainings, including how to register for and use an Athens personal account, can be found on the Training page
- Remote Access FAQs
For problems or questions regarding your Athens account please email the Library Network Office at firstname.lastname@example.com
Resources That Are Not Available Through Athens
The resources below are not accessible through Athens and require you to establish a username and password for each unique site.
eNCPT Electronic Nutrition Care Process Terminology (formerly IDNT) Email email@example.com to request a username and password.
Exam Master for PA Use your username and password. If you don't have a username and password, Request an Account.
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Sanford Guide Web Edition While off the VA network visit http://www.webedition-dva-sanfordguide.com. Near the top-right of the homepage click on 'Register' and complete the registration form using a valid va.gov email address.
STATdx Register for an account using your VA email address on the sign-up page.
Resources That Are Not Accessible Remotely
The resources below allow access only from within the VA network. You will not be able to access these from home unless you are logged in through VPN:
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The resources below allow access only from within the VA local area network. You will not be able to access these from Athens or VPN, only at a VA facility:


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The tricks to staying cool at the Johnson County fair this year are the same for both people and animals: spend as much time as possible in the shade, and keep the water and Gatorade flowing.
On Tuesday temperatures hit 90 degrees with heat indexes that climbed even higher for the second straight day, and similar temperatures are expected for the rest of the week. Those temperatures tend to keep fairgoers away, but some have no choice but to stay with their animals or man their booths for 12 hours a day.
Those fairgoers are the ones who know how to stay cool.
After mild temperatures so far this summer, a heat wave hit this week, and temperatures are expected to be around 90 degrees most of the week.
Many of the sheep, livestock and hog pens at the fairgrounds have fans hanging from their roofs or standing around the animals, keeping them cool. And by midweek many of the people staying at the fairgrounds all day — from families with animals to care for to groups working fundraisers — have either found shady spots to stay under or brought their own shelter from the sun.
"We learned that during (our) first year: stay in the shade as much as you can," Bryan Johns, Scoutmaster of Boy Scout Troop 266, said.
Members of Troop 266, including 13-year-olds Tim Johns and Nolan Feller, have been working traffic control at the fair for the past four years. From 9 a.m. to 9 p.m. Scouts spread throughout the fairgrounds' parking lots, making sure that no one is parking where they aren't supposed to.
The money they'll earn this week will help pay for their trips to summer camp or to high-adventure courses around the country.
The boys typically work in six-hour shifts, with about four boys working traffic control and four others cooling under a canopy that the troop brings with them. The boys coordinate traffic work for 30 minutes at a time before switching with those in the shade, Tim Johns and Feller said.
Feller also swore off eating anything salty during traffic duty.
And each boy almost always has something with them to drink.
Hydration is key to keeping families and animals cool, fair families said.
This week 17-year-old Makayla Plummer of Bargersville has been preparing to show sheep at the fair and has been prepping the animals with the help of her older brother Levi and her father Duane. Levi Plummer was a 4-H'er for 10 years who raised both sheep and hogs, and he learned importance of keeping the air around the animals moving and keeping them watered.
"They're just like us. They'll overheat pretty quick," he said.
The Plummers are watching for droopy ears or inattentive faces from the sheep, all of which can be signs that they're overheating.
And when raising hogs Levi Plummer always had to be sure none of the animals' skin was turning pink or purple and that they weren't panting too much — all signs of too much sun.
He also started mixing powdered Gatorade in with his animals' water to keep their electrolytes up.
While this year's temperatures are high, the Plummers are thankful that the fair isn't as hot as it was last year.
"It was so miserably hot last year. It just never cooled off at night," Duane Plummer said.
The heat has a mixed effect on business.
Fair concession stands, including the lemon shake-ups and pineapple whip station run by Gateway Services, are used to seeing a drop-off in sales after the first day, but this year sales took a steeper dive than expected. That's likely because people tend to buy more lemon shake-ups or pineapple whips when it's hot.
But fewer people come to the fair when the temperature rises, Gateway director of operations Dan Mustard said.


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Craftsy Member since June 2011
I'm enrolled in these Craftsy classes:
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QuiltCon Lecture Series 2013
Enjoy quilting, making stained glass, gardening, reading, sewing clothes, playing piano, arranging music for instruments. I have always enjoyed crafting - I think my grandmother gave me a "craft of the month" Christmas gift once and it was my favorite gift ever!
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Craftsy Apps for iOS and Android. Read more »


text: Meuble Garni Cima Bianca Hotel Quick Specs Commissions 10.0%Rates $51-$67Year Built 1973Year Renovated 2012 View Large Interactive Map Address Via Credaro 5Bormio, Italy 23032 Web http://www.cimabianca.it/ Phone + 39 0342-901449 Fax + 39 0342-919287 Toll-free Email firstname.lastname@example.com OverviewMeeting Specs Description Year Built: 1973Year Renovated: 2012Check in Time: 2:00 PMCheck out Time: 10:30 AMNumber of Floors: 3Total Number of Rooms: 12Rates: $51-$67Commissions: Room Only 10.0% Meuble Garni Cima Bianca Hotel Location & NeighborhoodMountain, Suburban. Meuble Garni Cima Bianca Hotel Rates & PoliciesMeuble Garni Cima Bianca Hotel rates are Daily in USDStandard: $51-$67 Credit Cards Are AcceptedReservations must be guaranteed with a credit cardMeals: Continental Plan Nearby AirportsDolomiti (45.50 miles east)Orio Al Serio Intl (63 miles southwest)Brescia/Montichiari (71 miles south)More Airports » Meuble Garni Cima Bianca Hotel Room AmentitiesMeuble Garni Cima Bianca Hotel amenities are in All rooms unless noted otherwiseRooms for Non-smokersRefrigeratorInternet Access (High Speed & Wireless) Guest ServicesLaundry/Dry Cleaning ServiceFree Onsite ParkingCommon Area Internet Access (High Speed & Wireless) Nearby RecreationGolf CourseHealth ClubHealth Spa/MassagePool (Indoor Pool, Outdoor Pool) Meuble Garni Cima Bianca Hotel Meeting Rooms & Events Hoteliers! Is your listing up to date? With over 130,000 hotels in our database, no other source compares to our depth of information. Click here to review and be sure the travel professional knows your hotel's latest details.


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Sunday, April 06, 2014, 7:30 PM
Get up close and personal with American tenor Paul Appleby and Canadian baritone Joshua Hopkins before they make their WNO debuts in Mozart's The Magic Flute! Together with piano accompaniment, they offer a delightful evening of stories and song.
David and Alice Rubenstein are the Presenting Underwriters of WNO.
Please use the event calendar to search for current events.


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Friday, April 14th, 2006
How to Share Videos
So, you finally got that video off of your digital camera and on to your computer. Maybe it was from a family event or a night on the town with a bunch of friends. But, it had been sitting there on your camera for weeks and everyone else was dying to see it.
Now that the video is ready to go, the question is: how do… Continue reading


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Mobile payment technology positions itself as game changer for 2012
Mobile payment technology exploded in popularity in 2011, and most experts now predict exponential growth into the foreseeable future for the mobile payment industry.
After breaching the milestone of 100 million active accounts, PayPal President Scott Thompson predicted in July that within the next three years, people will conduct literally all their business transactions using their smart phones.
"Consumers are increasingly giving up traditional payment methods such as cash and checks and turning to a more modern – and anytime, anywhere – form of payment," Thompson wrote in a company blog post. "We believe that by 2015 digital currency will be accepted everywhere in the U.S. – from your local corner store to Walmart. We will no longer need to carry a wallet."
Most major credit card companies have embraced this view, as almost every brand made a move toward mobile in 2011. American Express released Serve, a mobile payment platform that enables customers to make offline, online and peer-to-peer payments. Visa launched its own peer-to-peer platform and mobile payment strategy that connected mobile payment programs in developing markets. MasterCard partnered with Google to help launch Google Wallet in the United States, and Quick Tap in the U.K. And Discover became the original partner of Isis, the mobile payment collaboration among Verizon Wireless, AT&T and T-mobile.Read More »


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The upcoming Dell Adamo seems to be the XPS13: a thinner than Air (Macbook Air, that said) laptop that might not beat Apple in terms of design, but most likely beat them in price and possibly comfort, thanks to the leather-wrapping. The price of the Macbook Air basically prevented it from getting any significant market share and there's a good opportunity for Dell here. I hope that the XPS13 looks better in real-life than it does in these pictures (the pic above is the best shot) - we'll see soon enough. The bottom line is: customers want light and cheap and Dell might just give them that! Check out the photo gallery
Source : .ubergizmo


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The Last Word with Lawrence O'Donnell 02/04/14
Bill Nye's debate victory lap
Bill Nye "The Science Guy" went to the Creation Museum to debate "is creation a viable model of origins in today's modern scientific era?" After the debate, Bill Nye came to the Last Word to discuss his faceoff with the founder of the Creation Museum, ... more Duration: {{video.duration.momentjs}}
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Sparks and Taylor's Nursing Diagnosis Pocket Guide
ISBN13:by Ralph, Sheila S.; Taylor, Cynthia M.
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SanDisk intros new player, cuts prices to take on iPod
SanDisk has introduced an 8GB version of its flagship media player and reduced prices on its entire Sansa line up in a bid to lure customers away from the iPod. SanDisk, which is a distant second to Apple in the digital music player market, today announced its $250 Sansa e280 player, which offers 8GB of flash storage (expandable to 10GB with microSD slot), audio, photo and video capabilities, FM tuner and recorder, a user-replaceable battery, and a 1.8" TFT display. SanDisk also cut prices on its existing line of Sansa e200 players. The e250 (2GB) now sells for $140, the e260 (4GB) is now priced at $180, and the e270 (6GB) now sells for $220. According to the NPD Group, SanDisk accounted for 9.7% of U.S. MP3 player sales in the second quarter, up from 3.1% last year.
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Thats cool. But I still wouldnt buy one.
Posted by LC Angell on August 21, 2006 at 10:30 AM (CDT)
that's a great deal but i only buy hard disk drive players neway.
Posted by LC Angell on August 21, 2006 at 10:34 AM (CDT)
The Sansa e-series are certainly great players, but they don't support AAC. No AAC support = no sale. Also, the scroll wheel is too tiny, and the way it protrudes from the body, it makes it difficult to access the buttons surrounding it.
Posted by LC Angell on August 21, 2006 at 12:03 PM (CDT)
Well, I'm going to give it a look. I would have no problem having both an iPod AND a SanDisk. I like the integrated FM radio, something the iPod has yet to address. I like the video in a small player and the user interface looks pretty cool.
Only thing, Windows Media player, no iTunes. Yuck! The only way to get these things to sell on a massive scale is to develope something superior to WMP. (shouldn't be hard to do)
Posted by LC Angell on August 21, 2006 at 1:10 PM (CDT)
WMP 11 is far superior to iTunes. A far more graphical interfase and a better experience overall in my point of view. Videos look ugly on iTunes, (even ipod ready ones). WMP11 can play a lot more formats, and it even plays AAC.
Posted by LC Angell on August 21, 2006 at 1:38 PM (CDT)
WMP11 looks like a (good) clone of iTunes.
I do like the feature where it w
Posted by LC Angell on August 21, 2006 at 2:01 PM (CDT)
double the capacity, fm radio, expandable storage, and now with the latest firmware update a customizable EQ, all for the same price as the 4gb nano. time for apple to play the catch-up game.
Posted by LC Angell on August 21, 2006 at 2:15 PM (CDT)
iPod's all the way, Apple started the trend and now ScanDisk think's they can turn over the sales from iPod onto this ...no way in my opinion…
Posted by LC Angell on August 21, 2006 at 2:54 PM (CDT)
You know what I've been loving lately… Pandora. If Apple could somehow get Pandora on an iPod (I don't know how) that would be awesome!
Posted by LC Angell on August 21, 2006 at 3:30 PM (CDT)
sno_cat219: You can! Check out Pyrrha… http://pyrcast.com/index.html
Posted by LC Angell on August 21, 2006 at 3:39 PM (CDT)
You can use windows explorer to port your songs over. You could even use iTunes to organise your library… as long as you kept everything in mp3. However, I see no .aac support, therefore no sale.
Posted by LC Angell on August 21, 2006 at 4:32 PM (CDT)
Very cool looking. I would buy one in a heartbeat if I could use it with iTunes. My 4GB nano just can't hold all my music. I guess I'll have to wait until Apple releases their 8GB flash player, whenever that is.
Posted by LC Angell on August 21, 2006 at 6:01 PM (CDT)
When people say they want ACC support, do you mean you want ACC support, or that you want Fairplay DRM support?
I don't see the problem with having to convert your whole library to mp3 or whatever if you want a new better DAP.
I doubt you won't convert it for quality reasons, as you probably wouldn't have ripped your tracks into ACCs if you were desperate for CD quality music.
So do you mean you want ACC support (which really, most players should have, there's no reason not to), or Fairplay DRM (which is never going to happen if Apple has it's way)
Posted by LC Angell on August 21, 2006 at 6:12 PM (CDT)
They mean AAC support not ACC - 2 different audio codecs. They may mean that they would like to play their iTunes-purchased music on any new DAP they might wish to switch to. Or they may simply mean that they don't feel like re-encoding their AAC-encoded library of music (who wants to do that?). As regards quality, my understanding is that for a given bitrate, AAC provides better quality than MP3, so I can see why some folks might not want to re-encode their AAC libraries to MP3 just from the standpoint of quality even disregarding all the extra work.
But Apple needs to get their act together and get some new iPods on the market. They were the first company out with a 4GB flash player, but SanDisk has beat them with 6GB and now 8GB flash players. The iPods could definitely use a refresh. I personally don't want any extra features, I just want more storage capacity and perhaps better battery life.
Posted by LC Angell on August 21, 2006 at 6:40 PM (CDT)
I guess their iSheep campaign wasn't working too well, so they bumped up the specs and lowered the price.
Only problem is, most buyers will hold off purchasing until they see what Apple has up its sleeve.
And, once Zune hits, SanDisk might as well throw in the towel, because the market for all the iPod wannabes will be owned by MS.
Posted by LC Angell on August 21, 2006 at 9:40 PM (CDT)
how do i record music from pandora?
Posted by LC Angell on August 21, 2006 at 11:56 PM (CDT)
looks cool. 128 HOURS PLAYBACK TIME WITH THE 8 GIG???? THAT'S CRAZY!!!!
Posted by LC Angell on August 22, 2006 at 12:16 AM (CDT)
Sandisk has one key advantage over Apple: they make their own silicon. Apple has to depend on partners like Samsung or Toshiba. It's probably why Sandisk can get their higher cap flash players to market faster than anyone else (doesn't explain why Sony can't though, but then again they're probably too busy and red-faced right now making all those replacement batteries for Dell laptops to notice).
Wonder when other companies like Patriot and Corsair finally decide to make the leap. Been pretty impressed with my 4GB Patriot flash drive…seems that they can do flash just as well as RAM.
Posted by LC Angell on August 22, 2006 at 2:06 AM (CDT)
8 GB for $250? Why not spend the extra 50 bucks (or 30 if you get it on amazon) and get the iPod? The iPod that has practically everything from shoes to cars built to fit with it, and has an extra 22 GB? Plus, iTunes has the best collection of videos out there.
Posted by LC Angell on August 22, 2006 at 3:12 AM (CDT)
>> 8 GB for $250? Why not spend the extra 50 bucks (or 30 if you get it on amazon) and get the iPod?
Uh .... because you want a small flash-based player with high capacity and long battery life?
The same argument could be made for choosing between the iPod nano and the iPod 30 GB - why not spend $50 extra for 26 GB more space (an even more compelling argument than for 22 GB) - and yet millions of people still choose the 4 GB nano. Different people have different needs / wants.
Posted by LC Angell on August 22, 2006 at 7:22 AM (CDT)
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Number: 0579
Aetna considers microvolt T-wave alternans (MTWA) diagnostic testing using the spectral analytic method medically necessary for the evaluation of persons at risk of sudden cardiac death who meet criteria for implantable cardioverter-defibrillator placement.
Aetna considers MTWA diagnostic testing using the spectral analytic method experimental and investigational for all other indications Including the following (not an all-inclusive list):
See CPB 0585 - Cardioverter-Defibrillators.Background
The term alternans applies to conditions characterized by the sudden appearance of a periodic beat-to-beat change in some aspect of cardiac electrical or mechanical behavior. Many different examples of electrical alternans have been described clinically; a number of others have been reported in the laboratory.
T-wave alternans has long been recognized as a marker of electrical instability in acute ischemia, where it may precede ventricular tachyarrhythmia. Studies have shown that T wave (or ST-T) alternans can also precede non-ischemic ventricular tachyarrhythmias. Considerable interest has recently been shown in the detection of microvolt T wave alternans as a noninvasive marker of the risk of ventricular tachyarrhythmia in patients with chronic heart disease.
Assessment of left ventricular ejection fraction (LVEF), Holter monitoring, and signal-averaged late potentials are the principal non-invasive means of determining the risk of ventricular arrhythmias after myocardial infarction (MI). However, these measures of vulnerability to arrhythmias have been found to be less predictive of arrhythmic events than invasive electrophysiologic testing.
Microvolt T-wave alternans testing is performed by placing high-resolution electrodes, designed to reduce electrical interference, on a patient's chest prior to a period of controlled exercise (CMS, 2005). These electrodes detect tiny beat-to-beat changes, on the order of one-millionth of volt, in the EKG T-wave. Spectral analysis is used to calculate these minute voltage changes. Spectral analysis is a sensitive mathematical method of measuring and comparing time and the electrocardiogram signals. Software then analyzes these microvolt changes and produces a report to be interpreted by a physician.
T-wave alternans has primarily been used for defining the risk of ventricular arrhythmias in persons at risk for sudden cardiac death and determining which patients are most likely to benefit from implantable cardioverter-defibrillators. Cambridge Heart, Inc. (Fort Lauderdale, FL) Cardiac Diagnostic System Model CH 2000, which measures T-wave alternans at rest and with exercise, was cleared by the Food and Drug Administration (FDA) based on an 510(k) application.
A decision memorandum from the Centers for Medicare and Medicaid Services (CMS, 2006) found that the quality of evidence is adequate to conclude that microvolt T-wave alternans testing using a spectral analysis algorithm can improve net health outcomes, and is reasonable and necessary for Medicare patients who are candidates for ICD placement. The decision memorandum explained that the reviewed literature contains a number of studies evaluating the use of microvolt T-wave alternans (MTWA) in a variety of population settings, including subjects with congestive heart failure (CHF), ischemic CHF, non-ischemic CHF, dilated cardiomyopathy, hypertrophic cardiomyopathy, post-MI, and in healthy subjects. The decision memorandum noted that the material reviewed included not only small prospective studies with a homogenous patient population, but also large systematic reviews with heterogeneous patient populations. Also included in the CMS analysis were studies that looked specifically at MTWA's role as a risk stratification tool in patient populations similar to those in pivotal clinical studies of implantable cardioverter-defibrillators.
The decision memorandum noted that most of the studies used in CMS' assessment of MTWA included measures of diagnostic accuracy (e.g., sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) (CMS, 2006). CMS found that, when reviewing these measures of accuracy, MTWA testing demonstrated superior findings related to sensitivity and NPV when compared to other diagnostic tests used to assess risk of ventricular tachyarrhythmias.
The CMS decision memorandum stated that "[a]cross a number of population settings, MTWA [microvolt T-wave alternans] consistently demonstrates superiority when compared to other diagnostic measures that assess risk of VTEs [ventricular tachyarrhythmic events]. Though some of the studies noted some limitations related to methodology as well as research design, these limitations were not enough to invalidate their findings" (CMS, 2006).
The CMS decision memorandum commented on a technology assessment of MTWA published by the BlueCross BlueShield Association (BCBSA) Technology Evaluation Center (TEC). The TEC assessment concluded that that "[t]he available evidence on MTWA is insufficient to permit conclusions regarding the effect on health outcomes." Regarding use of MTWA in evaluating subjects eligible for placement of an implantable cardioverter defibrillator given current patient selection criteria, the TEC assessment stated that the available evidence is limited (BCBSA, 2005).
The CMS decision memorandum explained that differences in the conclusions of the TEC assessment and CMS analysis are due, in part, to the unique characteristics of the Medicare-eligible population (i.e. elderly, and more likely to have multiple co-morbidities) (CMS, 2006). The decision memorandum explained that sudden cardiac death has a higher potential to occur as a result of ventricular tachyarrhythmias in this population. The decision memorandum explained that potential harms from adverse events are also more likely to occur within this population. The CMS decision memorandum stated that "[b]ecause of these features of the Medicare population, the potential for benefit or harm from ICD placement varies from that of the BCBSA population at large, and plays a prominent role in our decision making." The decision memorandum also noted that indications for ICD placement also differ between the 2 organizations. "Because of the higher potential for VTE occurrence in the Medicare population, and because CMS recognizes VTEs as an indication for ICD placement, CMS feels that the use of MTWA is reasonable and necessary to address problems related to VTE and its adverse consequences."
The CMS decision memorandum concluded that MTWA is a useful risk stratification tool and can identify which heart patients are at negligible risk of sudden death, and who may therefore be able to avoid implantable cardioverter defibrillator placement and its attendant risks (CMS, 2006).
The CMS decision memorandum states that MTWA testing is only covered when the spectral analytic method is used (CMS, 2006) because the evidence only supports the use of this algorithm for the detection of MTWA. The decision memorandum explained that, although algorithms other than spectral analysis have been used to measure MTWA (e.g., modified moving average), CMS identified no peer-reviewed published articles discussing these other algorithms.
It has also been suggested that MTWA testing may be useful in determining the types and doses of medications (e.g., angiotensin converting enzyme inhibitors, beta-blockers, aldosterone antagonists) used to treat underlying cardiac conditions (e.g., left ventricular dysfunction, patients with recent MI) and to suppress arrhythmias. However, there are no prospective clinical studies of the use of MTWA testing in adjusting pharmacotherapy.
Verrier and Nieminen (2010) stated that over 100 studies enrolling a total of more than 12,000 patients support the predictivity of TWA testing for cardiovascular mortality and sudden cardiac death during both exercise and ambulatory electrocardiogram monitoring. To date, the main intended application has been to aid decision-making for cardioverter-defibrillator implantation. The prospect that TWA could be used to guide pharmacologic therapy has not received adequate attention. These investigators reviewed the literature supporting the utility of TWA as a therapeutic marker of anti-arrhythmic effects and pro-arrhythmia for each of the major anti-arrhythmic drug classes. Beta-adrenergic and sodium channel blocking agents are the most widely studied drug classes in clinical TWA investigations, which report reductions in TWA magnitude. Patients with Brugada syndrome constitute a significant exception, because sodium channel blockade provokes the diagnostic electrocardiogram changes as well as macroscopic TWA. Calcium channel blockers have undergone extensive research in several animal models, but, surprisingly, no clinical studies on TWA with this class of drugs have been performed. Interestingly, TWA may help to detect the beneficial effects of non-antiarrhythmic agents such as the angiotensin II receptor blocker valsartan, which exert their protective effects through putative indirect actions on myocardial remodeling. There is also suggestive evidence that the pro-arrhythmic effects associated with cardiovascular and non-cardiovascular agents may be disclosed by elevated levels of TWA. Thus, the emerging collective evidence indicates the broad utility of TWA in estimating anti-arrhythmic and pro-arrhythmic effects of diverse agents across differing pathologies. The authors concluded that quantitative analysis of TWA has considerable potential to guide pharmacologic therapy.
Gold et al (2008) noted that sudden cardiac death remains a leading cause of mortality despite advances in medical treatment for the prevention of ischemic heart disease and heart failure. Recent studies showed a benefit of implantable cardioverter-defibrillator implantation, but appropriate shocks for ventricular tachyarrhythmias were noted only in a minority of patients during 4 to 5 years of follow-up. Accordingly, better risk stratification is needed to optimize patient selection. In this regard, MTWA has emerged as a potentially useful measure of arrhythmia vulnerability, but it has not been evaluated previously in a prospective, randomized trial of implantable cardioverter-defibrillator therapy. This investigation was a prospective substudy of the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT) that included 490 patients at 37 clinical sites. Microvolt T-wave alternans tests were classified by blinded readers as positive (37 %), negative (22 %), or indeterminate (41 %) by standard criteria. The composite primary end point was the first occurrence of any of the following events: (i) sudden cardiac death, (ii) sustained ventricular tachycardia/fibrillation, or (iii) appropriate implantable cardioverter-defibrillator discharge. During a median follow-up of 30 months, no significant differences in event rates were found between MTWA-positive or MTWA-negative patients (hazard ratio 1.24, 95 % confidence interval [CI]: 0.60 to 2.59, p = 0.56) or MTWA-negative and non-negative (positive and indeterminate) subjects (hazard ratio 1.28, 95 % CI: 0.65 to 2.53, p = 0.46). Similar results were obtained with the inclusion or exclusion of patients randomized to amiodarone in the analyses. The authors concluded that MTWA testing did not predict arrhythmic events or mortality in SCD-HeFT, although a small reduction in events (20 % to 25 %) among MTWA-negative patients can not be excluded given the sample size of this study. Accordingly, these results suggested that MTWA is not useful as an aid in clinical decision making on implantable cardioverter-defibrillator therapy among patients with heart failure and left ventricular systolic dysfunction.
Scirica (2010) stated that although there are many established tools for diagnosis, prognosis, and clinical decision making for acute coronary syndrome, understanding the advantages and limitations of each tool according the clinical scenario is essential. Several emerging tools, such as novel biomarkers (e.g., high-sensitivity troponin and growth differential factor-15), electroencephalogrphic (ECG) techniques (e.g., heart rate turbulence or TWA), and imaging modalities (computed tomography angiography and cardiac magnetic resonance) may potentially improve clinical care; however, they must be fully evaluated and validated in different scenarios and patient cohorts before they are incorporated into clinical practice.
On behalf of the International Society for Holter and Noninvasive Electrocardiology (and co-sponsored by the Japanese Circulation Society, the Computers in Cardiology Working Group on e-Cardiology of the European Society of Cardiology, and the European Cardiac Arrhythmia Society), Verrier et al (2011) prepared a consensus guideline on the electrocardiographic phenomenon of TWA. This statement focused on its physiological basis and measurement technologies and its clinical utility in stratifying risk for life-threatening ventricular arrhythmias. Signal processing techniques including the frequency-domain spectral method and the time-domain modified moving average method have demonstrated the utility of TWA in arrhythmia risk stratification in prospective studies in more than 12,000 patients. The majority of exercise-based studies using both methods have reported high relative risks for cardiovascular mortality and for sudden cardiac death in patients with preserved as well as depressed LVEF. Studies with ambulatory electrocardiogram-based TWA analysis with modified moving average method have yielded significant predictive capacity. However, negative studies with the spectral method have also appeared, including 2 interventional studies in patients with implantable defibrillators. Meta-analyses have been performed to gain insights into this issue. Frontiers of TWA research include use in arrhythmia risk stratification of individuals with preserved ejection fraction, improvements in predictivity with quantitative analysis, and utility in guiding medical as well as device-based therapy. The authors concluded that although TWA appears to be a useful marker of risk for arrhythmic and cardiovascular death, there is as yet no definitive evidence from interventional trials that it can guide therapy.
In a meta-analysis, Chen et al (2013) systematically reviewed current literature to determine the ability of MTWA to predict the outcome severity following ischemic cardiomyopathy (ICM). Major endpoints include composite endpoint of cardiac mortality and severe arrhythmic events in primary prevention of patients with ICM, as well as all-cause mortality (cardiac death, and/or non-cardiac death). A total of 7 trials were included by using MTWA for risk stratification of cardiac events in 3,385 patients with ICM. All patients were distributed into two groups according to the results of MTWA tests: non-negative group included positive and indeterminate, and negative group. Compared with the negative group, non-negative group showed increased rates of cardiac mortality or severe arrhythmic events (RR = 1.65, 95 % CI: 1.32 to 2.071), sudden cardiac death (SCD) (RR = 2.04 95 % CI: 1.11 to 3.75), and all-cause mortality (RR = 2.11, 95 % CI: 1.60 to 2.79). The funnel plot revealed that there might be bias within current publications. The fail-safe number of composite endpoint and all-cause mortality was 14.42 and 18.93, respectively (when p = 0.01). The fail-safe number of SCD was 1.07 (when p = 0.05), which may be caused by the small case number of included studies and some patients with ICD included. The authors concluded that the non-negative group of MTWA had a nearly double risk of severe outcomes compared with the negative group. Therefore, MTWA represents a potential useful tool for judging the severity of ICM.
Quan and associates (2014) stated that exercise-based spectral TWA has been proposed as a non-invasive tool for identifying patients at risk of SCD and cardiac mortality. Prior studies have indicated that ambulatory electrocardiogram (AECG)-based TWA is an important alternative platform to exercise for risk stratification of cardiac events. These investigators reviewed data regarding 24-hour AECG-based TWA and discussed its potential role in risk stratification of fatal cardiac events across a series of patient risk profiles. Prospective clinical studies of the predictive value of AECG-based TWA obtained with daily activity published between January 1990 and November 2014 were retrieved. Major end-points included composite end-point of SCD, cardiac mortality, and severe arrhythmic events. Data were accumulated from 5 studies involving a total of 1,588 patients, including 317 positive and 1,271 negative TWA results. Compared with the negative group, positive group showed increased rates of SCD (hazard ratio [HR]: 7.49, 95 % CI: 2.65 to 21.15), cardiac mortality (HR: 4.75, 95 % CI: 0.42 to 53.55), and composite end-point (SCD, cardiac mortality, and severe arrhythmic events, HR: 5.94, 95 % CI: 1.80 to 19.63). For the 4 studies evaluating TWA measured using the modified moving average method, the HR associated with a positive versus negative TWA result was 9.51 (95 % CI: 4.99 to 18.11) for the composite end-point. The authors concluded that the positive group of AECG-based TWA has a nearly 6-fold risk of severe outcomes compared with the negative group. Therefore, AECG-based TWA provided an accurate means of predicting fatal cardiac events.
Goldberger and colleagues (2014) performed a meta-analysis to estimate the performance of 12 commonly reported risk stratification tests as predictors of arrhythmic events in patients with non-ischemic dilated cardiomyopathy. A total of 45 studies enrolling 6,088 patients evaluating the association between arrhythmic events and predictive tests (baroreflex sensitivity, heart rate turbulence, heart rate variability, left ventricular end-diastolic dimension, LVEF, electrophysiology study, non-sustained ventricular tachycardia, left bundle branch block, signal-averaged electrocardiogram, fragmented QRS, QRS-T angle, and TWA) were included. Raw event rates were extracted, and meta-analysis was performed using mixed effects methodology. They also used the trim-and-fill method to estimate the influence of missing studies on the results. Patients were 52.8 ± 14.5 years of age, and 77 % were male; LVEF was 30.6 ± 11.4 %. Test sensitivities ranged from 28.8 % to 91.0 %, specificities from 36.2 % to 87.1 %, and odds ratios (OR) from 1.5 to 6.7. Odds ratio was highest for fragmented QRS and TWA (OR: 6.73 and 4.66, 95 % CI: 3.85 to 11.76 and 2.55 to 8.53, respectively) and lowest for QRS duration (OR: 1.51, 95 % CI: 1.13 to 2.01). None of the autonomic tests (heart rate variability, heart rate turbulence, baroreflex sensitivity) was significant predictors of arrhythmic outcomes. Accounting for publication bias reduced the OR for the various predictors but did not eliminate the predictive association. The authors concluded that techniques incorporating functional parameters, depolarization abnormalities, repolarization abnormalities, and arrhythmic markers provided only modest risk stratification for SCD in patients with non-ischemic dilated cardiomyopathy. It is likely that combinations of tests will be needed to optimize risk stratification in this population.
An UpToDate review on "T wave (repolarization) alternans: Clinical aspects" (Narayan, 2015) states that "Major society guidelines -- The major limitation to implementation of TWA protocols is that specific guidance is not available on how to use TWA in clinical practice. In addition, the optimum measurement conditions and criteria for detecting TWA remain controversial. We agree with the 2008 American Heart Association/American College of Cardiology/Heart Rhythm Society (AHA/ACC/HRS) scientific statement on noninvasive risk stratification, which concluded that a moderate amount of data suggest that TWA may be useful for risk stratification for SCD, but that further information will be needed to determine the clinical applicability of this test".
Risk Stratification of Sudden Cardiac Death following Repair of Tetralogy of Fallot:
Cheung et al (2002) stated that sustained MTWA is a marker of increased risk for malignant ventricular arrhythmia (VA). There is a significant risk of arrhythmia and sudden death after repair of congenital heart disease. These researchers determined the prevalence and characteristics of TWA after repair of tetralogy of Fallot (TOF). T-wave alternans was evaluated during bicycle exercise in 49 subjects who had consecutively undergone transatrial-transpulmonary repair. Median values for age, age at repair, and follow-up duration were 14.9 years (11.5 to 20.8), 1.6 years (0.2 to 4.9), and 11.6 years (9.4 to 17.2), respectively. All patients were in New York Heart Association (NYHA) functional class I and were asymptomatic. Median QRS duration was 120 msec (80 to 150). Sustained TWA was detected in 7 (23 %) of 31 subjects with adequate tests. In these 7 subjects, median onset heart rate (HR) was 120 (98 to 155). Median HR threshold as a percentage of predicted maximum HR (220 – age) was 58 % (48 to 77). Sustained TWA prevalence was not significantly different compared with normal subjects (7/31 versus 9/83; p = 0.1). Onset HR in the TOF group was significantly lower [mean (SD) of 122 (20) versus 139 (12), p < 0.05]. In the TOF group with sustained TWA, the TWA occurred in 4 of 7 at less than 60 % predicted maximum HR versus 1 of 9 normal subjects (p < 0.05); 3 of 7 had onset HR less than 120 versus 0 of 9 normal subjects (p < 0.03). There was no significant difference in age, gender, transannular patch use, restrictive right ventricular physiology, QRS duration, QTc, QT/QRS dispersion, or non-sustained ventricular tachycardia in subjects with or those without sustained TWA. The authors concluded that the onset HR for sustained TWA was significantly lower after repair of TOF. They stated that further study is needed to examine if this represents an increased risk for arrhythmia in this patient group.
Bartczak et al (2015) noted that indications for SCD primary prevention are unknown in patients with repaired ToF. The role of MTWA in SCD risk stratification was documented. However, the prevalence of spectral MTWA and its association with VA in adults after ToF repair were not elucidated. In this study, MTWA, ECG, ambulatory ECG monitoring, echocardiography, and spiro-ergometry were evaluated in 102 adults after ToF repair. Microvolt T-wave alternans results were classified as normal: negative(-), abnormal: positive(+), and indeterminate(ind). Owing to similar prognostic significance, MTWA(+) and MTWA(ind) due to patient factors were combined into non-negative group: MTWA(abnormal). Microvolt T-wave alternans(abnormal) was more frequent in the studied group as compared with controls (p = 0.0005). The MTWA(abnormal) group had greater right ventricular end-diastolic diameter (p = 0.005), higher incidence of pulmonary regurgitation (p = 0.015), lower peak oxygen consumption (p = 0.01), and higher VE/VCO2 slope (p = 0.04) in comparison with MTWA(normal). Univariate logistic regression proved pulmonary regurgitation (OR = 3.57, 95 % CI: 1.27 to 10.04), VA (OR = 3.26, 95 % CI: 1.06 to 10.05), right ventricular end-diastolic enlargement (OR = 1.11, 95 % CI: 1.03 to 1.2), increase in VE/VCO2 slope (OR = 1.08, 95 % CI: 1.01 to 1.17), and decrease in peak oxygen uptake (OR = 0.91, 95 % CI: 0.83 to 0.99) to increase MTWA(abnormal) prevalence. The authors concluded that in adults after ToF repair, abnormal MTWA occurred more often than in controls. Probability of abnormal MTWA did not rise with prevalence of malignant VA; however, presence of abnormal MTWA was associated with VA risk factors: pulmonary regurgitation, right ventricular enlargement, and consequent heart failure. They stated that the role of MTWA in selecting patients late after ToF repair at risk of SCD needs further observation.
Furthermore, UpToDate reviews on "Pathophysiology, clinical features, and diagnosis of tetralogy of Fallot" (Doyle and Kavanaugh-McHugh, 2015) and "Management and outcome of tetralogy of Fallot" (Doyle et al, 2015) do not mention the use of MTWA as a diagnostic/management tool.
|CPT Codes / HCPCS Codes / ICD-10 Codes
|Information in the [brackets] below has been added for clarification purposes.  Codes requiring a 7th character are represented by "+":
|ICD-10 codes will become effective as of October 1, 2015:
|CPT codes covered if selection criteria are met:
|Microvolt T-wave alternans for assessment of ventricular arrhythmias [not covered for the diagnosis and risk assessment of acute coronary syndrome and guiding anti-arrhythmic therapy]
|Other CPT codes related to the CPB:
|93000 - 93010
|External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professional
|recording (includes connection, recording, and disconnection)
|scanning analyis with report
|Signal-averaged electrocardiography (SAECG), with or without ECG
|93600 - 93662
|Intracardiac electrophysiological procedures/studies
|ICD-10 codes covered if selection criteria are met:
|Other and unspecified cardiomyopathies
|Cardiac arrest [not covered guiding anti-arrhythmic therapy]
|Paroxysmal tachycardia [not covered guiding anti-arrhythmic therapy]
|Ventricular fibrillation [not covered guiding anti-arrhythmic therapy]
|Ventricular flutter [not covered guiding anti-arrhythmic therapy]
|Junctional premature depolarization
|Ventricular premature depolarization
|ICD-10 codes not covered for indications listed in the CPB (not all-inclusive):
|Unstable angina
|Atherosclerotic heart disease with unstable angina pectoris
|Other cardiac arrhythmias [other than tachycardia, ventricular fibrillation, ventricular flutter, and cardiac arrest]
|Tetralogy of Fallot [not covered for risk stratification of cardiac events e.g., sudden cardiac death]
|Bradycardia, unspecified


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- NicaraguaRetailFunding via MiCredito
Carmenza Be...NicaraguaRetailFunding via MiCredito
Paola SaraNicaraguaRetailFunding via MiCredito
Isaura Suyen
Update on Isaura SuyenIsaura continues with clothing sales and now with accessories for mobile phones like chargers, cases, cartridge belts, batteries, protector in order to obtain higher profits to support her family. Her two small children attend elementary school and her husband works as an accountant in a private firm providing economic and moral support.
She will use this new loan to buy batteries of various brands, chargers, cases and cords for mobile phones as well as clothes to continue maintain her sales and acquiring clientele to be able to cover basic and personal expenses; she's also been able to make this new investment thanks to Afodenic loans.
Con este nuevo préstamo, comprara: baterías de varias marcas, cargadores, carcasas, cordones para celulares, así como ropa para seguir manteniendo sus ventas y la captación de clientes. Para poder apoyar con los gastos básicos y gastos personales, también ha logrado esta nueva inversión gracias a estos financiamientos otorgados en Afodenic.
Previous Loan DetailsIsaura has been in business for the past five years. She is a mother who is very dedicated to the support of her children. With the help of her husband who works in a bottling plant, she sells clothing and cosmetics which she started with little money. Thanks to her tenancity and hard work sup... More from Isaura Suyen's previous loan »
Additional Information
About AFODENICThis loan is administered by AFODENIC, La Asociación para el Fomento al Desarrollo Nicaragua, a Kiva Field Partner based in Managua, Nicaragua. Founded in 1999, AFODENIC was created to promote the socio-economic and cultural development of sectors that are excluded from commercial banking. Integrating economic and human resources, AFODENIC offers affordable and adaptable financial services aimed at strengthening the family unit of their clients, who include students, producers, and micro- and small entrepreneurs from rural and urban areas. AFODENIC is a socially responsible institution engaged in society and making a positive impact on its professional partners and communities.
Supporting a borrower through AFODENIC contributes to the pursuit of innovation in mitigating poverty in Nicaragua. Visit AFODENIC's partner page for more information.
Concurrent and Successive Loans
Our Field Partners often work with borrowers over a series of loans as the borrowers build credit, take out bigger loans, and expand their businesses. In order to make it easier for our Field Partners to post loans for borrowers who have been listed on Kiva before, we allow them to post successive and concurrent loans for their Kiva borrowers. This means that our Field Partners are able to post a borrower's second, third, etc., loan on Kiva without having to re-enter all of the borrower's information.
This borrower has been listed on Kiva before, so you'll see an updated loan description, as well as excerpts of the original descriptions from earlier loans. Most borrowers take out loans consecutively, meaning that they receive a second loan after having repaid the first. However, sometimes our Field Partners give out concurrent loans, allowing borrowers to take out one primary loan and a secondary "add-on" loan along with it. These "add-on" loans are typically smaller than the borrower's primary loan and serve a different purpose. Because Field Partners can now post loans as successive and concurrent loans, you will be able to track borrower progress over time and see the various ways a borrower is working with our Field Partners through funds from Kiva's lenders.
About Nicaragua
62View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 15 months (Additional Information)
- Repayment Schedule
- Monthly
- Pre-Disbursed:
- Jul 26, 2012
- Listed
- Aug 9, 2012
- Currency Exchange Loss:
- Possible
- Ended:
- Sep 18, 2013


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- CambodiaAgricultureFunding via KREDIT Microfinance Institution Plc.
Khom GroupCambodiaAgricultureFunding via KREDIT Microfinance Institution Plc.
Nay GroupCambodiaAgricultureFunding via KREDIT Microfinance Institution Plc.
Ye's Group
She has been with from VisionFund (Kiva's partner) for four loans already. The past loans were successful and meant she was able to solve her family's problem which was to have three meals a day.
Now, she is in a group of three as the leader. The total amount being requested by her group is 2,500,000 KHR. Ye's loan portion is 1,000,000 KHR. She will use her loan to buy potash and insecticide for her cash-crop. She highly hopes that this purchase will boost her yield and minimize the loss due to the pest; thereby she can make more profit for her family.
Additional Information
About VisionFund CambodiaVisionFund Cambodia is a Christian organization and microfinance institution that provides small loans and other financial services to improve the lives of children, empower poor women and their families, and grow successful businesses. The organization works primarily in rural parts of Cambodia and has distinguished itself by targeting the very poor who require smaller loan sizes, regardless of religious beliefs, gender or ethnic background.
Kiva lenders' funds will help the organization to expand into the northeastern provinces of the country, which have historically been underserved and difficult to reach with financial services.
This is a Group Loan
In a group loan, each member of the group receives an individual loan but is part of a larger group of individuals. The group is there to provide support to the members and to provide a system of peer pressure, but groups may or may not be formally bound by a group guarantee. In cases where there is a group guarantee, members of the group are responsible for paying back the loans of their fellow group members in the case of delinquency or default.
Kiva's Field Partners typically feature one borrower from a group. The loan description, sector, and other attributes for a group loan profile are determined by the featured borrower's loan. The other members of the group are not required to use their loans for the same purpose.
About Cambodia
107View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 14 months (Additional Information)
- Repayment Schedule
- At end of term
- Pre-Disbursed:
- Feb 7, 2013
- Listed
- Mar 20, 2013
- Currency Exchange Loss:
- Possible
- Ended:
- Mar 17, 2014


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Norman area briefs for Dec. 13, 2012
United Way sets 4 REAL deadline for applications
NORMAN — United Way of Norman is taking applications for the United Way 4 REAL program, a leadership and volunteer group for high school freshmen. This program prepares participants for community leadership.
The application deadline has been extended to noon on Jan. 7. Pick up an application at the office at 2424 Springer Drive, Suite 304. Applicants are selected on the basis of their commitment to addressing the social challenges of today's youth, a desire to develop personal leadership skills and an enthusiasm for volunteerism. Classes are held weekly for an eight-week period.
Spring registration
open for Spike's Club
NORMAN — Registration is open for a six-week session of Spike's Club, a weekly after-school program at the Sam Noble Oklahoma Museum of Natural History for children in first through fifth grade. Session 1, for first and second grades, will meet from 4 to 6 p.m. Jan. 29, Feb. 5, 12, 19 and 26, and March 5. Session 2, for children in third through fifth grades, will meet from 4 to 6 p.m. Jan. 31, Feb. 7, 14, 21 and 28, and March 7. Cost is $35 for museum members or $45 for nonmembers. Registration deadline is Jan. 29. To register or for information on financial assistance, call 325-1008.


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Saturday, January 11, 2014
9 Comments | Copyright: IANS
Alia Bhatt has been under fire for performing at the Saifai Mahotsav, following which her father Mahesh Bhatt issued an apology. However, superstar Salman Khan, who was also amongst the performers, says the filmmaker needn't be apologetic about his daughter's "upbringing".
"Bhatt saab, no need for apology, Alia's upbringing is great. I was proud to share the stage with her. She earns her living with hardwork and dignity," Salman posted on microblogging site Twitter Saturday.
Mahesh Bhatt had apologised for letting Alia perform at the Saifai Mahotsav organised by Samajwadi Party chief and former Uttar Pradesh chief minister Mulayam Singh Yadav.
Alia's sister, actress Pooja Bhatt also took to her father's defense and said that he had "not failed as a father".
"Mahesh Bhatt, you have not failed as a father. Alia needs representation that has a far more sensitised and astute world view. End of story," Pooja tweeted Saturday.
Several Bollywood stars were flown in in a chartered jet and Uttar Pradesh Chief Minister Akhilesh Yadav too has been criticised for spending money on the actors while this could have been used for the relief and rehabilitation of the Muzaffarnagar riot victims.
The other celebrities who performed in the festival included Madhuri Dixit, Ranveer Singh, Mallika Sherawat, Varun Dhawan, Sidharth Malhotra, Remo, Sajid Wajid and Hard Kaur.
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White people, you're privileged, and guilty, guilty, guilty of oppressing disadvantaged minorities. Denial only makes things...
White people, you're privileged, and guilty, guilty, guilty of oppressing disadvantaged minorities. Denial only makes things worse.
This is the message currently emanating from the Seattle School District. Never mind that this dubious construct undercuts needed emphasis on minority student achievement.
District officials this month are sending students from four high schools to an annual "White Privilege Conference" in Colorado. The conference is billed as an "opportunity to examine and explore difficult issues related to white privilege, white supremacy and oppression" — "a challenging, empowering and educational experience."
The conference has little to do with mastering reading, writing, math and science; or with graduating from high school and keeping one's head above water in college. Those are the lessons high-school students should be learning, not that they will be given social promotions in the name of equity and inclusion.
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The focus of Seattle Public Schools bureaucracy is clearly political indoctrination, not academics. The district is even planning an "equity summit" in the spring, which White Privilege Conference attendees are to help lead.
What's the thinking behind this theory of white privilege? For the 2006 conference, a paper by Tobin Miller Shearer (who is white) argued that white people could not enter the kingdom of God unless they confronted the way racism and white privilege shaped their lives and spirituality. He maintained that white people tend to be far too individualistic and need to acknowledge their membership in a group that is unavoidably racist.
Robert Jensen, a journalism professor writing in the Kansas City Business Journal, echoed those sentiments. Breaking free of white privilege means "challenging the pathological individualism of this culture so we can see how our successes and our failures are always partly social, not strictly individual," Jensen asserted.
So, there you have it. Somehow, in 2007 in the United States, "society," racial bias and stereotyping are still controlling forces, oppressing minorities.
I have a different view. What we have here is an institutional evasion of personal responsibility. Why is it such a great bugaboo to think that actions have consequences?
The emphasis in Seattle Public Schools on "institutional racism" and "white privilege" flows from unpleasant outcomes that must be spun politically to explain such things as the district's most recent state achievement test scores.
In core academic subjects, whites and Asians still exceed blacks, Latinos and Native Americans. The disparity is not simply a matter of color: School District data indicate income, English-language proficiency and home stability are also important correlates to achievement.
In encouraging academic success for all, rather than blaming the larger society for minority-student failures, let's take the parental role into greater account. In Washington state, according to the U.S. Census, the families with the highest percentage of single-parent households are black, Native American and Latino, the same groups that most often lag behind in our state's achievement tests.
As for family stability and well-being, a troubling indicator is that home ownership among African Americans in Seattle and the state — once above the national average — has dropped precipitously. And, for the first time in Washington state, the 2000 census found more black children living with single rather than married parents. Those are the dynamics that need to be addressed.
In the real world, success in school and as adults results from individual responsibility, hard work, family cohesion and a home culture that exalts student learning, planning and respect for authority.
By promoting the "white privilege" canard and by designing a student indoctrination plan, the Seattle School District is putting retrograde, leftist politics ahead of academics, while the perpetrators of "white privilege" are minimizing the capabilities of minorities.
That diminishes us all.
Matt Rosenberg is a Seattle writer and communications consultant (www.rosenblog.com). E-mail him at firstname.lastname@example.com


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Practice Areas
Divorce (Equitable Distribution, Alimony, QDRO's, etc.)
Child Custody (Time-Sharing, Parenting Plan, Child Support)
Paternity (Establishment/Disestablishment)
Modifications of Court Orders
Contempt Actions
Nicole attended the University of Florida where she duel majored and received a Bachelor's degree in Criminology (B.A.), and a Bachelor's degree in Psychology (B.S.). After graduating from the University of Florida, she attended Stetson University College of Law. Nicole received her Juris Doctorate (J.D) degree, and graduated in the top 5% of her class.
While attending Law School, Nicole interned with a Federal Court Judge where she was able to observe Federal cases, and most importantly write opinions on Federal Civil cases. Nicole also clerked with the State Attorney's Office for the Sixth Judicial Circuit. Here she was certified to prosecute cases under the direction of a licensed attorney.
Experience and Advocacy
Nicole obtained employment with the State Attorney's office while she was studying for her Bar Exam. After Nicole was admitted to the Florida Bar, she continued to work at the State Attorney's Office as an Assistant State Attorney for four (4) years. During her time at the State Attorney's Office, Nicole prosecuted hundreds of cases ranging from misdemeanor DUI's and Batteries to Life Felonies.
In 2009, Nicole was promoted to position of Lead Trial Attorney over one of the Pinellas County misdemeanor divisions. Nicole also served as a prosecutor in traffic court, and was responsible for prosecuting drunk driving offenses and other related traffic crimes.
While serving as an Assistant State Attorney, Nicole tried over fifty (50) jury trials, and obtained valuable courtroom experience.
Nicole then joined the firm Denmon and Denmon Law in 2012, where she has devoted her practice to representing her divorce clients in courtrooms throughout the Tampa Bay area. Nicole has brought numerous family law cases to trial, and has been able to apply her courtroom experience in the Family Law arena. Nicole has also brought over a hundred Family Law cases to completion; whether resolved at mediation or decided by a Judge at trial. In addition, Nicole has submitted and won several appeals on Family Law cases.
Nicole continues to use the knowledge obtained from her extensive case history to give her clients the best possible outcome.
Awards, Recognitions, and Associations
Nicole has received the recognition of "Top 100 Trial Lawyer" as awarded by the National Trial Lawyers Association.
Nicole is a member of the Tampa Law American Inn of Court where she meets with other Family Law attorneys, and Family Law Judges to discuss the most recent changes and status of Family Court laws. This insures that she is up to date on the most current laws for her clients. Nicole is also a member of the Florida Association of Criminal Defense Lawyers.
About Nicole
Nicole was born in Florida and has lived around the State her whole life. Nicole recently welcomed her son Ryker into the world, and loves to see him change each and every day. Nicole is also an avid sports fan, and cheers on her team "The Florida Gator's" each and every game.


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Dr. Nicole DeVecco Kim's Credentials
Accepting New Patients
Yes, this doctor is accepting new patients
Dr. Nicole DeVecco Kim is a general dentist with clinical expertise in all procedures related to family and cosmetic dentistry. She received a Doctorate of Dental Medicine from the Tufts University School of Dental Medicine in Boston, Massachusetts. "Dr. Nic" worked in several private practices throughout her career as well as full-time staff at St. Joseph's Hospital for 6 years working exclusively with children and young adults. From 2000-2002, Dr. Nic served as Director of Dental Services at New Visions of Newport County (now East Bay CAP). During her tenure at St. Joseph's and New Visions, Dr. Nic served with the National Health Service Corps for 6 years providing dental services to underserved areas in Rhode Island. Dr. Nic has dedicated her entire career to learning about teeth! Upon graduation from high school, Dr. Nic attended Luzerne County Community College in Pennsylvania to become a dental hygienist. Prior to attending dental school, she worked for 6 years as a hygienist while pursuing a Bachelor of Science in Dental Hygiene Education from Bloomsburg University in Pennsylvania. She now resides in North Kingstown with her husband Gary and her 2 children.
- Tufts University (Grad. 1998)
Other Specialties
Areas of Expertise
Awards & Recognitions
Publications & Research
Insurance accepted by this Doctor
- United Healthcare Dental
Address has been updated from "1109 SPRING ST STE 702" to "5835 Post Road, Suite 113". Suite has been updated from "None" to "null".February 2, 2016
Phone Number has been updated from "None" to "(401) 884-3340".February 1, 2016
A new 5-star rating has been posted. "Dr. Kim is excellent in all regards. Nice office, nice staff and her bedside manner is kind and commendable. Recently my 6-year-old daughter had an issue and ..."October 14, 2014


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Every year, our scholars, facilities and city inspire 46,000 students to engage with big questions head-on. We're a comprehensive university. We search for innovative solutions and make positive contributions to society. Our creativity powers Montreal and connects us to the world. See how we plan to redefine the 21st century university.
Telephone : 514 848-2424
Activities and services
- Accommodation assistance
- Language courses
- Lodging on the premises
- Packages
Vehicle and Parking Services
- Paid outdoor parking
- Paid indoor parking
Related services and activities
Student residence:
Schedules and rates
Open year round
- Reservations required


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Microsoft Exchange Server 2010 vs 2007
Buying Guide
Microsoft Exchange Server 2010 brings the latest updates and enhancements in flexible communication tools to your business. Trying to decide whether-or-not to make the upgrade?
Microsoft Exchange Server 2010 brings the latest updates and enhancements in flexible communication tools to your business. Trying to decide whether-or-not to make the upgrade?
With various editions of Microsoft Visio 2010 and Visio 2007 available, many are asking, "Which edition of Visio is right for me? What does Visio 2010 do that Visio 2007 doesn't? What's the difference between Visio Standard vs Professional vs Premium?" Without a little guidance, choosing can be very difficult. This Visio Comparison Guide is designed to compare the key features in each version and edition and help simplify your shopping experience.
Looking for ways to make your Apple experience a little more fun or productive? We've compiled a list of the bestselling Mac software 2010 so you can see what other Mac users purchased most in 2010.
If you're looking for basic home computing needs like email and internet access, check out Vista Home Basic. For advanced home computing needs including digital entertainment, connectivity, and mobility, Vista Home Premium might be more your style. There is also an Ultimate Edition for small businesses or those who want all the features including mobility, home entertainment features, advanced data backup and theft protection and more.
As any business owner will attest, their number one goal for starting their business was because they had an idea, product, or service to provide the consumer and make a profit from. However, finding success isn't as easy at slapping a label on "Widget X" and watching the orders come in. The top companies worldwide take advantage of the best business software. These programs help businesses with everything from data security and stability, employee management, productivity, account organization, and much more.
If you're part of a new business, or even an established one that could use a little boost to your bottom line, you're in luck. We've compiled a list of the top 10 software every successful business should have to give you the inside scoop on what helps make the greatest companies run smoothly and efficiently.
Whether you are getting inundated with spam or just want to prevent it, this article can help you outline steps to prevent spam and talk about the top anti-spam software programs out there. With a few easy steps you can make your e-mail virtually spam-free.
These days, identity theft is a huge concern. You should ensure that you are knowledgeable about identity theft online and offline, because preventing identity theft in everyday life takes just a few simple changes. Use this convenient identity theft overview to learn about identity theft and how you can protect you and yours.
Whether you have been affected by spyware or you are simply trying to prevent it, you should learn about spyware and the measures you can take to stop it. This article outlines how to stop spyware and details some of the best anti-spyware software programs available.
Symantec is a global leader in data storage management, security and system management solutions to help consumers and organizations secure and manage their information driven world. With this new release of Backup Exec 2010, Symantec is delivering capabilities that focus on a number of key areas like intelligent storage management. Backup Exec 2010 has many new and exciting features to help companies store more data while cutting on operating costs.
vSphere Kits combine a number of vSphere licenses with vCenter for central management – everything you need to start your virtualization journey. Essentials Kits are great for smaller environments, while Acceleration kits have more advanced features and can scale to any sized environment. If you're an SMB with vSphere Essentials or Essentials Plus on or before January 31, 2011, you may by eligible for a 40% off on upgrades to the Standard Acceleration Kit. Upgrade Now!