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The Big Fat Father Christmas Joke Book
Written by Terry Deary
Illustrated by Stuart Trotter
Lovereading4kids Price £4.79
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The Big Fat Father Christmas Joke Book by Terry DearyIn THE BIG FAT FATHER CHRISTMAS JOKE BOOK Horrible Histories author, Terry Deary, brings you two hilarious books in one \- Father Christmas' Joke Book and The Great Father Christmas Robbery \- full of rib-tickling fun for the festive season. This brilliant bind-up is sure to keep you laughing right through to the New Year and beyond.
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Scope height for benchrest
View Single Post
29th May 2015, 08:47 AM
Join Date: Mar 2014
Member of: BFTO Bisley
Location: Hampshire
Posts: 83
Scope height for benchrest
I was just sitting musing about sights and benchrest shooting and wondering what is the best scope height to use. I tend to use mounts as low as possible and a high mag and get reasonable results (we all have a bad day don't we?)
Anyway, I was just looking at some of the truly OT benchrest rigs used by, particularly, the Americans and their scopes are well away from the gun itself. This got me theorising about whether the use of a riser rail to lift the scope up higher has any advantages or disadvantages. I am particularly looking at airgun shooting and not .22 lr but I suspect that the question is still valid for them.
As is usual regarding my internal debates I cannot make my mind up so what does anyone else think?
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A 30-year-old man who robbed rebuild workers' vehicles to feed his drug addiction has been sent to prison.
Jason Francis Robb, 30, stole or received tools worth over $100,000 to fuel his methamphetamine addiction.
At the Christchurch District Court sentencing today, defence counsel Moana Cole said Robb relapsed into a methamphetamine habit, but was reliable when not using the drug and was not an inherently dishonest person.
She said he was motivated to complete rehabilitation programmes, and was genuinely remorseful.
Police prosecutor David Rusbatch said some of the offending occured while Robb was on bail for theft.
He said the loss to the victims was significant, and some had to replace tools before insurance claims were paid out.
Tools worth over $100,000 were recovered but some were not labelled and will be sold at auction, he said.
Judge Stephen O'Driscoll said he was sentencing Robb on 41 charges including burglary, thefts from cars, receiving, and cultivating cannabis.
He said Robb targeted the vehicles of builders and construction workers who were involved in the Christchurch rebuild.
Robb on-sold the stolen items to pay for his drug addiction and associated lifestyle, and had previous convictions for the same type of offending.
He co-operated with police and helped recover some items at other addresses, Judge O'Driscoll said.
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Question about Sony Handycam DCR-SR100 Camcorder
Hello, I can see my Time and Date when viewing the video file on the LED screen of my DCR-SR100. However after I transfer video to my computer (both a Vista and an XP) I can no longer see the time and date on the screen as the video plays. The Time and Date does display when I place the curser over the thumbnail of the video.
Larry Larsen
Posted by LAShamus on
Yes, on the camcorder.
I have always been able to see the Time and Date stamp on the camcorder. I need to press the display button first and then it displays. The problem is when I transfer these files or clips to my computer. From day one I could not display the time and date when I viewed these video files on my computer. I have spent about a week researching this problem and many other people are having the same problem. I have yet to see a solution posted.
I am a private investigator and I have about 90 hours of surveillance video files on my computer. If I knew I was going to have this problem I would have gotten another camera. But I am stuck with the video files I have.
The Time and Date I see displayed continuously on the camcorder and when I place my cursor over any of the thumbnails on my computer is correct because I also made a handwritten log of events and times and dates when video taping.
I need to share these video clips with my client and I told them I could do this and now I find I am unable.
From what I have learned is there is no problem with cameras that use AVI which is what my old camera used. The Sony DCR-SR100 sends MPEG files to the computer.
When I place the cursor over the video clip thumbnail on my computer it only shows on the thumbnail. When I play the video tape on my computer I only get elapsed time. When I play the same file clip on my camcorder I do see time and date.
I actually did one better I saved one whole day on a 9 hour VHS tape using a composite video cord to a VHS recorder and watched while the recording was being made and watched on the TV as well. The problem is that my surveillance lasted 9 hours each day which almost took up all of the hard disk on the camcorder. So I would have to transfer what I had at the end of each day to be ready for the next day. I only have one day of 10 days still on my camcorder.
Can we talk by phone?
Live chat sounds good!
I will have to resume in about an hour. I will try you then. Thanks.
Hi LAShamus, have you already configure your Time and Date?
Posted on Jan 02, 2008
If you havent, You can check your manual, or click Here and it will open a new window with the manual, at the page were you set your time and date
Larry were you able to see the date & time before? If yes, when did your problem started?
Larry i did some research and only in some cameras you can see the data and time on the screen of your computer,
Try this:
Connect your camera, and during playback, try to select the date & time in your camcorder, If you can select it, it might appear on the computer screen.
I think Sony removed that option of seeing the date & time in windows media player, since you can still see the date & time if you place your cursor over the tumbnail.
*You mean the date & Time when the films were made right?
Larry Connect your camera to the TV, To display the time and date , some camcorders have a Display Out (DISP OUT) function that must be set to V-OUT/LCD in the menu.
Please try that first and let me know if you can see the Date and Time on your television.
Larry one more thing you can try.
Are you using an Audio/Video (A/V) or i.LINK connection?
If you have only used one, (ex i.LINK) try the other connection and then if the date & time dosent appear, im sorry to tell you yor model cant display the date & time on the computer video.
Larry i dont think we can talk by phone, im outside USA, But if you want, we can engage a preivate live chat sesion, it its ok with you.
Okay then Larry you have to start a new live chat via Fixya and then i will answer your live chat call.
Larry if you still want the live chat, go tohttp://www.fixya.com/PostQuestion.aspx?p...
briely describe your problem, and pay for a live chat, i will answer your call and then we can chat,
Or we can continue talking here, and i will keep assiting you and helping you here.
okay Larry, i will wait for your call then.
Remember we are here to help you and
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KIEV, February 3 (Itar-Tass) — Ukrainian President Viktor Yanukovich has said that the current price of Russian gas "in the long term threatens the national security of Ukraine."
"It worsens the position of our producers in the international markets," Yanukovich told the German newspaper Sueddeutsche Zeitung in an interview. "The gas contract concluded three years ago is extremely unfavorable for Ukraine."
Yanukovich said that Ukraine's gas pipeline system required upgrade. Experts estimate the costs at 5-7 million dollars, and the time required for this, at 5-7 years. For doing repairs on the pipelines he suggested creating a "trilateral consortium that would accommodate the interests of Russia and the EU member-states."
In his opinion, Russia and the EU might own 33-percent stakes, and Ukraine, 34 percent. Yanukovich believes that this would make the system transparent enough. Specifically, he pointed out that the talks on leasing the pipeline system had never been conducted. Ukraine is fundamentally interested in retaining the status of a transit country, because the transit costs are a major source of budget revenues.
Earlier, the deputy chief of the oil and gas industry department at Ukraine's Energy and Coal Ministry, Konstantin Borodin, said that due to the gas contracts the former prime minister, Yulia Timoshenko, signed in 2009 Ukraine this year, would overspend 6.4 billion dollars.
"The import of natural gas is expected at a level of 27 billion cubic meters at an average price of 416 dollars per 1,000 cubic meters. The expected value of imported gas will reach approximately 11.3 billion dollars. This is 6.4 billion dollars more than Ukraine would have paid at the 2008 price," Borodin said.
He recalled that Ukraine's overspending over the three years since the 2009 gas contracts have been in effect have exceeded 9.4 billion dollars. The 2010 accord on a discount off the gas price for Ukraine allowed for saving 7 billion dollars, and in 2012 the discount will be at approximately 2.7 billion dollars.
In the first quarter of this year the price of Russian gas is 416 dollars per 1,000 cubic meters, in the second and third quarters, 418 dollars, and in the fourth quarter, 413 dollars. The average annual price will be 415.7 dollars per 1,000 cubic meters. Ukraine's 2012 budget is based on a gas price of 416 dollars per 1,000 cubic meters.


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Newly arrived from Ghana with his mother and older sister, eleven-year-old Harrison Opoku lives on the ninth floor of a block of flats on an inner-city housing estate.
The second best runner in the whole of Year 7, Harri races through his new life in his personalised trainers - the Adidas stripes drawn on with marker pen - blissfully unaware of the very real threat all around him.
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Helicopters and diggers were used in China by rescuers to free three wild Elephants including a calf, from a water tanks.The two day stranded family of three elephants must have fallen rescuing the little calf, which was perhaps fallen inside a concrete basin just a few meters wide.
Pictures released by state media shows the trio languishing in muddy waters with their trunks raised to breathe, with the baby submerged up to its eyes.
More than a dozen wild elephants soon surrounded the tank, becoming agitated after repeated attempts to pull out their companions using their trunks.
It took a tough half hour labour and a slight injury on an elephant's eye before the basin was broken by firecrackers and helicopters used by the rescuers
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Evaluation of the Independence Initiative Detox programme pilot
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1 Evaluation of the Independence Initiative Detox programme pilot April 2009 Claire Shaw Centre for Public Health Research Directorate Faculty of Health and Applied Social Sciences Liverpool John Moores University Castle House North Street L3 2AY Tel:
2 Acknowledgements I would like to thank a number of people for assistance provided during the production of this report. Thank you to the participants who were open and enthusiastic throughout the evaluation. Thank you to the staff from Independence Initiative and Lighthouse Project who fully supported the research. Thanks to Sefton DAT for their funding support. Thank you to the staff at Centre for Public Health in particular Dave Seddon, Layla English, Sian Connolly, Lee Tisdall and Dr Caryl Beynon. 2
3 Contents Executive Summary Introduction Background Independence Initiative The Evaluation This Report Ethical Approval Methodology Evaluation Findings Evaluation of the Effectiveness of the Detox: quantitative findings View and experiences of clients: qualitative findings Findings from staff focus group Additional Observations Conclusions & Recommendations References Appendix
4 Executive Summary Background The Independence Initiative (II) is an aftercare service located in Bootle, Merseyside that supports the long term rehabilitation of drug users and their re-integration into society. Demand for new and extended services emerged due to the continued success of II since establishment in 1996, in particular II noted an anecdotal demand for a detoxification programme based on the oneto-one model. In 2007, II began planning for a pilot programme, named Detox. The aim of Detox was to provide each client with a safe house environment where they could undertake an opiate detoxification with 24 hour support and supervision. It was anticipated that with the group element and peer pressure associated with traditional detoxification services removed, the Detox would achieve higher rates of successful completion than other detoxification models. The Detox Lighthouse Project (LHP) was commissioned to provide the clinical elements of the detoxification and was the sole referral agency. In order to be accepted to the Detox clients had to meet the referral criteria. The criteria stated that clients must be receiving less than 40 mgs methadone mixture daily (or street heroin equivalent), compliant with their medication regime if diagnosed with mental health issues, committed to the detoxification process and resident in the Sefton DAT area. Clients who engaged with Detox were titrated from methadone (<=40mgs) or low levels of street heroin to Subutex (sublingual buprenorphine tablets) and were placed on a structured dose-reduction regime. Each client was offered a stay of 14 days for Subutex dosereduction and an additional five days where clients could be prescribed Naltrexone (an opioid antagonist) if desired. The length of engagement with the Detox was assessed jointly by keyworkers and the clients, the stay timetable was flexible and changed according to clients needs. In keeping with the model of community detoxification, clients were responsible for the administration of their own medication. A dose-reduction plan was supplied by the clinical staff at LHP. Each client was responsible for following the plan with support from both II and LHP staff. During their time engaged with the Detox, each client was invited to participate in the II structured day programme. Participation with the structured day programme was entirely voluntary and each client could access activities or lessons that suited them. 4
5 The Evaluation In January 2008 the Centre for Public Heath (CPH) at Liverpool John Moores University (LJMU) was commissioned to conduct an independent, formative evaluation of Detox. The evaluation investigated the effectiveness of Detox as an alternative to conventional models of detoxification and assessed the treatment outcomes for those who engaged with the detoxification programme. Key Findings Seventeen clients (15 male and 2 female) engaged with Detox during the pilot programme timeframe (March 2008-Januray 2009). In the pilot time period 20 episodes of treatment were undertaken as three clients engaged with the Detox on two occasions. The average length of clients first detoxification programme was 18.1 days (range 9-35 days). Prior to detoxification 35.3% (n=6) of clients reported that they were stabilised on an opiate substitute (i.e. methadone or Subutex ) and the remaining 64.7% (n=11) reported using heroin. Follow-up interviews were completed by nine clients after completion of their first episode of detoxification (52.9%). The average length of time between discharge and follow-up was 52.4 days (range days). The majority of those who completed follow-up interviews were male (88.9%, n=8). Rates of successful completion Approximately two-thirds of clients who engaged with the Detox successfully completed the detoxification programme and exited drug-free (64.7%, n=11). Comparison of the rates of drug-free completion indicate that the detoxification programme was considerably more effective than traditional community detoxification (with rates of 20% successful completion cited) and as effective as inpatient detoxification (with successful completion rates of 65-75% cited). The term successful completion used in this study refers to completion of the detoxification programme and achievement of a drug-free status. One-third of clients did not achieve this drug-free status before disengaging from the detoxification programme and exited stabilised on a low dose of Subutex (35.3%, n=6). However, when put in perspective, of the high rates of relapse typically found during community detoxification and drop-out from inpatient detoxification, it can be concluded that 100% of clients completed their detoxification programme and did not return to illicit drug use whilst engaged in the detoxification programme. This finding is in stark contrast to the rates of relapse/drop-out from other models of opiate detoxification. Differences in drug use before and after detoxification The lifetime prevalence of illicit drug use was high amongst clients, with at least 50% reporting use of illicit drugs except solvents. In the month prior to 5
6 engagement with the Detox, at least half of clients indicated that they had used heroin (58.8%, n=10) and crack cocaine (52.9%, n=9); the majority of these clients stated they used these substances frequently in the previous month. Post-detoxification, proportionately lower rates of heroin and crack cocaine were reported by clients (44.4% [n=4] and 33.3% [n=3] respectively). Frequent heroin use was reported by two clients and frequent crack cocaine use by one client at this stage. In addition to the differences in illicit drug use before and after detoxification, there was a reduction in client s use of prescription drugs. The findings suggested that this difference may be associated with the change in attitude regarding clients health. The findings from follow-up interviews indicated a low level of drug use amongst the majority of clients, and clients were more likely to lapse into drug use than relapse. This finding is important as it shows that, after returning to the community, many clients were able to return to a drug-free status after a small amount of drug use and that they were able to understand that a lapse did not signal a complete return to drug use. Changes in drug withdrawal Statistical analysis indicated that, overall, there was a significant change in client s reported symptoms of drug withdrawal across the three stages of interview. Evidence indicates that withdrawal from Subutex is less severe than from heroin or methadone (West, O Neal & Graham, 2000), but this drug induces withdrawal symptoms in some users. A number of clients reported during the post-detox and follow-up interviews that they had experienced withdrawal symptoms when on a low dose of Subutex, and one client reported I didn t expect the cold turkey feelings when I left. This finding was supported by the statistical increase in reported withdrawal severity between pre-detox and post-detox interviews. Experience of withdrawal symptoms on low dosages of Subutex may also have contributed to failure of some clients to achieve a drug-free status prior to disengaging with the Detox. Analysis of the clients severity of withdrawal across the three interview stages indicated that there was a significant decrease in clients reported withdrawal severity between post-detox and follow-up. This finding indicated that the withdrawal symptoms experienced on low doses of Subutex did not persist approximately four weeks after disengagement with the Detox. Desires for drugs There were no significant differences in clients desires for drugs as measured on the three subscales (desires and intentions, negative reinforcement and control) between the interview stages. The lack of significant differences may be due to a low desire for drugs amongst clients at the beginning of the detoxification process, potentially influenced by the proportion of clients stabilised on opiate substitute prior to detoxification. Another potential explanation for this finding may be due to the lack of cessation of 6
7 psychological opiate dependence after completion of physical detoxification (Ghodse, 1995; O Brien & McLellan, 1996). Changes in depression, anxiety and arousal There were significant decreases in clients levels of depression and anxiety between pre-detox and post-detox, and significant increases in arousal between pre-detox and post-detox. However, there were no significant differences between depression, anxiety or arousal across all three interview stages suggesting that there may have been a return to pre-detox levels at follow-up. These findings suggest that the positive effects on clients levels of depression, anxiety and arousal that occurred whilst present at the Detox diminished after a period of time (approximately one month) postengagement. During the follow-up interview many clients were thriving in the community, however, there were a number who reported low levels of motivation, high levels of boredom and anxiety, and difficulties coping with normality. Acceptability of the Detox Clients had high levels of praise for the Detox, the one-to-one model and the staff who had supported them throughout their detoxification programme. The qualitative analysis indicated that clients felt that the staff had provided a support package which could respond quickly to their individual needs, within a calm, relaxed and flexible environment. A key theme that was identified during the qualitative analysis was related to the level of choice and unregimented manner in which the detoxification programme was run. Clients indicated that this was an aspect that they particularly liked and that had enhanced their overall experience of the detoxification programme. Furthermore, clients indicated their level of personal responsibility within the programme facilitated their preparation for the future and enhanced their feelings of personal control. The one-to-one aspect of the detoxification programme was considered as a positive aspect of the service by the majority of clients, and provided a rare opportunity for clients to focus solely on themselves and their drug problem. None of the clients reported feeling isolated or lonely, suggesting that the high level of interaction between client and staff/mentors was sufficient. The model facilitated more client:staff contact time than other models of detoxification. Evidence indicates that, when an individual undertakes community opiate detoxification, they are vulnerable to drug related cues and triggers including contact with other drug users, being offered drugs or asked to acquire drugs (Gossop, Johns & Green, 1986; Unnithan, Gossop & Strang, 1992). Clients reported feeling less vulnerable to outside influences and protected whilst resident at the Detox, and as there was no contact with other drug users, clients were not exposed to drug related cues and triggers commonly associated with community detoxification. However, a small number of clients 7
8 felt that the additional support of contact with another client going through a similar experience could have been useful. Effectiveness The findings of the evaluation, as discussed above, indicate that, overall, the Detox has provided an effective alternative to traditional models of detoxification. In addition to a physical opiate detoxification service, the Detox has made significant differences to the clients quality of life, health, social relationships and educational/employment prospects. Additionally, the pilot programme has provided a response to the UK Drug Strategy and NICE guidance through the provision of individualised, personalised and outcome focussed treatment. Recommendations A number of recommendations for the future development and expansion of the Detox were made. A summary of the recommendations is detailed below. The summary recommendations should be read in combination with the full report. 1. Continued monitoring of clients exit status and treatment outcomes to facilitate longer term evaluation of effectiveness of the Detox. 2. Promotion of the drug-free period of residence at the Detox. 3. Preparation of clients for lapse and relapse through interventions focussed on coping strategies, drug related triggers and cues. 4. Ensure each client completes a full structured induction. 5. Consider each clients general mental health and seek to ensure that positive changes in clients levels of depression, anxiety and arousal are maintained. 6. Decrease the number of clients who did not engage post-detoxification for negative reasons. 7. Offer sessions which aim to increase clients self-confidence and selfesteem. 8. Encourage attendance at psychosocial interventions post-detoxification. 9. Continue to operate the Detox in its current facility at the three bedroom capacity. 10. Continue close partnership between II and LHP and maintain the use of gatekeepers at each agency. 11. Continue to utilise the LHP outreach team to re-engage clients. 12. Develop II governance framework. 13. Continue monthly meetings of steering group. 14. Clarify legislation regarding smoking. 15. Make available additional evening/weekend activities or sources of entertainment. 16. Expand the Detox into other Merseyside areas in a staged manner. 17. Seek to secure long-term funding for the Detox. 18. Consider the requirement of additional staffing capacity. 19. Assess the evidence of detoxification effectiveness for other types of drug users (i.e. stimulant users) prior to accepting them into the Detox. 8
9 1. Introduction 1.1 Background Opiate detoxification There is no universal cure for drug addiction and typically a range of interventions are required. In the case of opiate addiction, one of the most important and common treatment steps towards abstinence involves cessation of the physical dependence through withdrawal from the drug. Opiate detoxification typically takes place in one of a number of settings; inpatient (i.e. in hospital or a specialised drug dependency unit), in prison, in a residential drug treatment facility or in the community (i.e. in the individual s home or another safe location). The effectiveness of a programme of detoxification is typically measured on rates of clients successfully completing the programme drug-free (McCambridge et al., 2007). Community detoxification is more widely available than inpatient detoxification, and it is estimated that approximately 90% of opiate detoxifications take place in the community (National Collaborating Centre for Mental Health, 2008). However, detoxification effectiveness without simultaneous or additional interventions to respond to the psychological drug addiction has been questioned (Katz et al., 2004; O Brien & McLellan, 1996). Rates of successful completion of community detoxification have been cited at approximately 20% (Gossop, Johns & Green, 1986; Littlewood, 2007; Wright et al., 2007). Luty (2004) reported that inpatient detoxification was amongst the most preferential treatment modalities for opiate-dependent individuals. Rates of successful completion of inpatient opiate detoxification have been reported between 65%-75% (Broers, Giner, Dumont & Mino, 2000; Gossop, Johns & Green, 1986; Keen, Oliver, Rowse & Mathers, 2001). Inpatient detoxification is significantly more expensive than outpatient/community treatment (24:1 ratio), but, inpatient treatment yields almost double successful completions (1.9:1 ratio) (Gossop & Strang, 2000). The National Institute for Health and Clinical Excellence (NICE) (2007) recommend that in the first instance opioid dependent individuals wishing to undergo detoxification should be offered community detoxification. The NICE (2007) guidance states that residential/inpatient detoxification should only be offered to those with comorbid physical and mental health issues, those who have not previously benefited from community detoxification or those requiring detoxification from more than one substance. The number of bed spaces available for inpatient detoxification has been on the decline in recent years (Day, Ison & Strang, 2005) and NICE (2007) recommend that inpatient detoxification should only be considered for those who require a significant level of nursing and/or medical care for physical, medical or polydrug issues. 9
10 Factors affecting successful detoxification completion Whilst pharmacological approaches to detoxification should be the primary method of treatment for those dependent on opiates, NICE (2007) assert that psychosocial interventions and good quality keyworking are also essential to achieving positive outcomes for those undergoing detoxification. Furthermore, the NICE guidance (2007) states that opioid detoxification should be undertaken using a person-centred (p.6) approach where the specific needs, desires and opinions of the service user should be priority, ensuring informed consent from the individual and a partnership between the service user and the staff involved. In addition, it has been noted that treatment success can be improved by matching an individual s treatment needs to the drug treatment service provided (Gossop, 1992; McCaffrey, 1996; NTA, 2006). Research has shown that those who under-go community detoxification are more likely to be vulnerable to relapse as a result of drug-related triggers and interpersonal factors, than the physical effects of withdrawal (Unnithan, Gossop & Strang, 1992). Individuals who undertake detoxification in a community setting are more vulnerable to situations such as encountering other drug users, being offered drugs or asked to obtain drugs for others, all of which create temptation to use drugs (Gossop, Johns & Green, 1986; Unnithan, Gossop & Strang, 1992). The detoxification setting and the extent of non-pharmacological interventions (i.e. psychosocial interventions) offered during withdrawal have been reported as significant treatment outcome factors (Amato, Davoli, Ferri, Gowing & Perucci, 2004; Joe, Simpson & Broome, 1999). Research has found that detoxification programmes, without other treatment or psychological interventions, can serve as powerful harm-reduction initiatives (Chuntuape, Jasinski, Fingerhood & Stitzer, 2001). However, detoxification alone is not enough to ensure individuals maintain drug-free status and relapse is frequent and effectiveness can be poor (Amato, Davoli, Ferri, Gowing & Perucci, 2004; Gossop, 1992; Luty, 2003; O Brien & McLellan, 1996). Other interventions such as methadone maintenance, relapse prevention therapy, reinforcementbased therapy, structured aftercare and counselling have been found to enhance abstinence rates amongst opiate users (Jones, Wong, Tuten & Stitzer, 2005; McCambridge et al., 2007). Social support was found to have potential negative effects on detoxification completion in an inpatient setting, with those with secure housing and strong family support more likely to disengage with treatment before completion (Westreich, Heitner, Cooper, Galanter & Guedj, 1997). It has been reported that detoxification services closely linked to aftercare services produce higher rates of positive outcomes than those without links (Day, 2005). Confidence to remain opiate-free has also been shown to be an important predictor of post-discharge abstinence (Murphy, Bentall, Ryley & Ralley, 2003). 10
11 Lapse and relapse Regardless of the detoxification setting, relapse into drug use after detoxification is frequent and a significant problem in drug treatment (Broers, Giner, Dumont & Mino, 2000; Unithan, Gossop & Strang, 1992; Wilson, Elms & Thomson, 1975). The psychological dependence of opiates does not cease when withdrawal is complete and detoxification is not a cure to opiate dependence, but one stage in an individual achieving a drug-free status (Ghodse, 1995; O Brien & McLellan, 1996). Relapse not only has a profound effect on the individual but it also has wider social and economic consequences. Unithan, Gossop and Strang (1992) found that among opiate users undertaking an outpatient detoxification programme 40% had relapsed by the second week and regular interaction with other drug users was a highrisk factor associated with relapse. Evidence suggests that inpatient opiate detoxification yields better rates of abstinence compared to community detoxification. Research in Geneva found that 33% of those who had been resident in a specialist detoxification facility were dependent on drugs after one month and 50% after six months (Broers, Giner, Dumont & Mino, 2000). Whilst the rates of dependence reported by Broers et al. (2000) were less than that reported with individuals undertaking outpatient detoxification (Unithan, Gossop and Strang, 1992), 65% of those who had been resident in the specialist detoxification facility relapsed into at least occasional drug use in the month post-detoxification. Evidence suggests that an initial lapse into opiate use post-detoxification does not necessarily predict regular future use (Bradley et al., 1992; Ghodse et al., 1997). A UK study reported relapse amongst 71% of a sample of individuals in the first six weeks post opiate detoxification and 55% at six month follow-up (Gossop, Green, Phillips & Bradley, 1989). This study also indicated that opiate use may fluctuate from relapse to abstinence post-detoxification and there may be a critical period post-treatment of up to one week where initial relapse is most likely (Gossop, Green, Phillips & Bradley, 1989). A similar pattern was observed in a study conducted by Ghodse et al. (1997) where the authors also suggested that the fluctuations in opiate use post-detoxification could encourage those who relapse to focus on the very real possibility of reducing their drug use again. However, the authors also warned that drug treatment professionals should be very aware of these patterns and should not become complacent when an individual leaves detoxification drug-free as there is a very real possibility that they will relapse. Due to the high rates of relapse associated with detoxification from opiates the role of aftercare and support post-detoxification is vital and a poorer prognosis is expected for those who do not receive it (Ghodse et al., 1997; Haug, Sorensen, Gruber & Song, 2005). NICE (2007) recommend continued support for those who have undergone an opioid detoxification for at least six months post-detoxification. Although it is recognised that relapse after detoxification is frequent, this should not detract from the fact that even small periods of abstinence are a positive outcome for someone who is drug dependent and a number of detoxifications may be necessary to achieve abstinence (Ghodse, 1995). In order to address the issue of relapse in the 11
12 initial weeks post-detoxification Ghodse et al. (1997) suggested that a three stage model of detoxification should be adopted. The three stages were described as (1) detoxification and in-depth assessment of needs, (2) a drugfree period pre-discharge (approximately 5 days) and, (3) relapse prevention and social re-integration via a day programme. The second stage suggested by Ghodse et al. (1997) allows the individual to adjust to their drug-free status and prepare for discharge back into the community allowing the individual to focus on their finances and social care issues. UK clinical guidelines on opiate detoxification The Department of Health s (DH) guidelines on clinical management of drug misuse and dependence recommend that for the management of opiate addiction substitute prescribing should not be undertaken in isolation and should be accompanied by psychosocial interventions (DH, 2007). Specifically, DH recommend that psychosocial interventions should be utilised to enhance motivation, prevent relapse and respond to social, family and employment issues. In addition, the DH clinical guidelines indicate that a multi-disciplinary approach to addiction should be undertaken, and where possible a shared care model should be implemented. DH (2007) recommends that opiate withdrawal should only be undertaken after the individual has gone through a period of stabilisation, after which a dose reduction regime should be used until the individual has become drug-free. 1.2 Independence Initiative The Independence Initiative (II) is an aftercare service located in Bootle, Merseyside that supports the long term rehabilitation of drug users and their re-integration into society. Currently II utilises a model of one-to-one guidance and counselling, action planning, core/basic skills, pre-vocational training and ongoing support to achieve its aims. II offer clients, who show a commitment to changing their drug use, a structured day programme timetable of one-toone support and pre-vocational training. The Detox pilot Demand for new and extended services emerged due to the continued success of II since establishment in 1996, in particular II noted an anecdotal demand for a detoxification programme based on the one-to-one model. Structured day programme clients who had flourished in the one-to-one structured day programme indicated that they did not wish to undergo detoxification in a group setting. In order to provide evidence for the requirement of a one-to-one model of detoxification the II commissioned a feasibility study. This study investigated the potential demand for a one-to-one detoxification service and indicated that the service would be beneficial to a wide variety of clients and particularly advantageous as there would be little or no opportunity for the client to interact with other drug users (Wareing & Sumnall, 2006). 12
13 Twenty-four hour nursing care was not considered economically viable and therefore II developed the detoxification model in likeness to a structured community detoxification in a safe, homely environment. It was recognised that as there would be no clinical staff on site 24/7 there was a requirement to utilise a partner agency to deliver the clinical aspects of the detoxification. Lighthouse Project (LHP) at Oriel Road in Bootle was chosen as the preferred partner organisation to provide the clinical components, guidance and support. In 2007 II began planning for a pilot programme, named Detox. The aim of Detox was to provide each client with a safe house environment where they could undertake opiate detoxification with 24 hour support and supervision. It was anticipated that with the group element and peer pressure associated with traditional detoxification services removed (Unithan, Gossop & Strang, 1992) the Detox would achieve higher rates of successful completion than other models of detoxification. In addition, the model has sought to incorporate the principles of the new national strategy Drugs: protecting families and communities, the 2008 drug strategy (Home Office, 2008) through provision of personalised and outcome focussed treatment (p.27). The service aimed to facilitate and support each client who completed the Detox to engage with aftercare and relapse prevention agencies, reintegrate into mainstream society or attend another appropriate/preferred programme. Currently there are no public funded one-to-one detoxification facilities with constant supervision in the UK and the Detox is a unique service. Due to the unique model of one-to-one detoxification, there is no research which directly assesses its effectiveness or outcomes with opiate users. However, other available research indicated that improved outcomes in residential treatment programmes have been associated with single rooms, respect of client privacy, lower counsellor caseloads, individual counselling and a lower requirement for the individual to engage in domestic duties (Meier & Best, 2006). Early in 2008 renovations were completed and two ensuite bedrooms and a staff bedroom/office were ready for commencement of Detox. In March 2008 the first client was accepted into Detox. In September 2008 work began to develop a wheelchair-friendly third bedroom in the Detox which has since been completed. Funding for the pilot Detox was provided by grants from two ESF Pathways Partnerships in South Sefton and the South Sefton Development Trust. The funding was available until the end of June 2008 and ring-fenced to the inclusion of clients from the South Sefton area only, this included Bootle, Seaforth, Orrell, Litherland and Netherton. In June 2008 an interim evaluation report produced by the Centre for Public Health (CPH) at Liverpool John Moores University (LJMU) recommended that a steering group be established to help guide the future of the Detox, and that further funding be sourced to continue the pilot programme for approximately another six months (Shaw, 2008). In July 2008 the steering 13
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Cricket experts, officials and former cricketers react to the spot fixing verdict that was announced on Tuesday.
A few years ago when the Justice Qayuum report announced its verdict, served us with a warning and cautioned the PCB, nothing was done about it. That's not the fault of the Justice Qayuum committee. I don't think this verdict will make a difference to Pakistan or international cricket. If some players are out of the Pakistan team, others will take their place.
Rashid Latif, the former Pakistan wicketkeeper
I am sad about what has happened because it involves sportsmen, but at the same time I think justice has been done because if you do something wrong you pay the price. I just feel sad for Pakistan cricket as well, because cricketers are not supposed to be associated with crime and corruption. But I think in a way it is good for Pakistan and world cricket as it should serve as a deterrent to others.
Zaheer Abbas, the former Pakistan captain


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Personal Information
tapan pathak
Ahmedabad, India
Work Experience: 9yrs 10 months
Company: Sales/ Business Development Manager at M/S Spectra Technovision (India) Pvt. Ltd.
Educational Information
DOEACC Society
Professional Information
Aptech Ltd
Sr. Faculty - Corporate Batch
[ 2001 - 2002]
M/S Spectra Technovision (India) Pvt. Ltd.
Sales/ Business Development Manager
Current Company[ 2006]
Additional Information
Awards: No awards mentioned
Public Profile: https://www.techgig.com/tapanpathak


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I posted a similar question a while back and someone suggested a "poop spatula". I keep a spatula specifically for poop in the bathroom and scrape as much poop off of the diaper as I can. That gets most of the poop off the diaper and I don't worry about the rest of the poop. I clean the spatula using toilet paper and wet wipe to get the sticky poop off the spatula and into the toilet. I then clean the spatula with hot water (any maybe lysol wipes). I haven't had any trouble with bad staining or anything.
There was one time when DH came out of the bathroom holding the spatula asking "Why is this in the bathroom?" He had a horrified look on his face when I told him it was the 'poop spatula'. LOL
Becky, partner to Teague, SAHM to Keagan (7yo), Jonah (2yo)
We just dunk and rinse in the toilet. Fairly gross, but it works.
Leila, mama to Eleanor (10/08) and Emmett (4/10)
Visit my blog! www.rookblog.com
We just dunk and rinse in the toilet. Fairly gross, but it works.
Mama to three
Chasing DS since April 2007 and pumping for DD March 2013.
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text:
Olive unveils IP -based control for its music server line. NAS support added.
SAN FRANCISCO, CA - October 23rd, 2006 - Olive Media Products, Inc., a developer of innovative digital audio systems, today announced Olive RONDO, a new IP-based control interface for its complete music server line.
Olive unveils IP -based control for its music server line. NAS support added.
SAN FRANCISCO, CA - October 23rd, 2006 - Olive Media Products, Inc., a developer of innovative digital audio systems, today announced Olive RONDO, a new IP -based control interface for its complete music server line. Olive's music centers are now controllable via any PDA, PC, or touch -panel that supports the IP protocol.
Olive's new control interface, which can be launched from any standard web browser, allows users to manage the playback (play, pause, skip, stop) of their music, as well as view important music information such as artist, album, and title. In addition, users can create playlists, edit the metadata of their music, and configure the settings of their music center. Developed mainly as a remote control application, the new interface is available with an optimized display output for portable devices such as PDAs, internet tablets, and IP -capable remote controls.
Additional features of the new software:
* The integration of a UPnP/AV client module allows Olive's music servers to stream music from a UPnP/AV server, e.g. networked attached storage.
* In addition to WEP encryption, Olive's music centers now support the WPA standard, for the latest in wireless network security.
Olive's new software update is available for free to all existing customers, and is shipped with the current line of Olive music servers.
Headquartered in San Francisco, California, Olive is a privately held company
driven by a team of music aficionados with a vision to create the perfect music experience. With a deep understanding of audio and convergence technology Olive solutions deliver the best of both worlds, combining high fidelity sound and innovative features with intuitive navigation and attractive design. For more information about Olive(r) and its many fine products visit www.olive.us or call 1.877.BY.OLIVE.
Olive Corporate Communications
Telephone: (415) 908 3870
E -mail: firstname.lastname@example.com
Olive is a registered trademark of Olive Media Products, Inc. in the US and in the countries where Olive products are sold or distributed. Other brands and names are the property of their respective owners.
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Matt Gutman Celebrity Watchlist
Matt Gutman
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Sea Rescue - Season 1Hosted by Good Morning America's Sam Champion, the award-winning Sea Rescue tells the stories of marine animal rescue, rehabilitation, and return to t (more…)
Matt Gutman Discusses Lack Of International Audience At Olympics02:33 — Covering the Olympics for ABC News, correspondent Matt Gutman talks to INSIDE EDITION about the lack of an international audience at the Winter Games (more…)
Matt Gutman Talks Odd Experiences Olympics in Sochi03:26 — INSIDE EDITION's Paul Boyd spoke to ABC News correspondent Matt Gutman, who's in Sochi covering the Winter Olympics, about all the reported problems p (more…)
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Watch See all »
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A humpback whale's life is endangered when it gets caught in fishing gear; a leatherback sea turtle unexpectedly shows up in a backyard in Florida.
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text:
Stalin was anti-Semitic much like Hitler was, and much of his persecution was aimed at Jews. He just didn't make it a primary point of his propaganda.
As far as sheer body count goes, Stalin's was higher.
BTW I think the great man theory of history is BS.
A lot of the people murdered in each instance where victims because willing executioners existed who took advantage of the prevailing political circumstance.


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Quick Look
Property brokered by
Get more listing details on brokerage site
Presented By:
Jennifer Kerstetter
(248) 640-5548
Email Agent
Jennifer Kerstetter
(248) 640-5548
Email Agent
Property DetailsThis lovingly restored Italianate home welcomes you with it's original oak door with builtin doorbell, spacious foyer, & original open curved stairway. Home full of many original features including hardwood flooring and many builtins. Natural light floods through bay windows in both the spacious living room & formal dining room. Yet house is extremely functional with updated kitchen & baths, new stainless appliances & newer windows. Your choice of master bedroom on 1st or 2nd level. Enjoy the lushly landscaped private fenced yard but located on the corner right in downtown Clinton. You will love discovering uses for the up to 6 bedrooms, 3 baths & secret back stairway. Convenient 30 minute commute to Ann Arbor. ** The sale of this home is contingent upon sellers finding suitable housing.
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Additional Property InformationThis single family listing located at 214 N Jackson, Clinton, MI offers six bedrooms and three bathrooms. The property is currently offered for $194,900.
This property is listed by Jennifer Kerstetter of Howard Hanna Real Estate Services (PA-NY-WV-MD) based in Pennsylvania.


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Location: Africa , Somalia
Address: Somalia
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Web Site: www.unicef.org
Phone: 254762-28500
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Explore these ideas and much more!
printable inspirational quotes
Now. #Inspirational Quote.
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Err..yeah. I thought I wouldn't make it. Honestly. I did. Am strong enough. :) So many people to thank. The most unexpected people were there by my side. They didn't even know what was I going through. But, they were there. :)
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ZANUSSI FPZ1OV Owner's Manual
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hi jou - 2008-05-17
Hi, The manual is in perfect condition. Thank you very much.. You are doing an excellent job. Thanks again...
Wojciech Retko - 2008-12-01
Thank you very much. The best party that I met. The excellent quality. I recommend to all. This is my first purchase in this company. For sure not the last! Cheers from Poland!
Radom?r Hason - 2009-01-05
Complete service manual and easy to read,Lots of good info in this one
kayron kayron - 2009-07-01
Vladimir Pupkin - 2009-10-24
Manual received - Many thanks for an excellent service.
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Just another guy playing electronic music.
Listen to all music and sounds of 2beFlo and follow this user by signing in for free.
You can listen to 18 tracks and mixes and follow this user as 14 did before.
This artist liked 3 tracks, followed 14 others and reshared 1 tracks and mixes. 9 other people are following this page too.
Lexer - Dream & Love
C-Ro - Rollin' Flies
Gab Rhome - Ceremonie Des Adiuex
Sebastian Boldt - Schwaanensee
Fritz Kalkbrenner - One of These Days
Jan Blomqvist - More [ANR090]


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The extracts from the Neem tree, Azadirachta indica, have an enormously broad range of applications, ranging from pesticides, nutrification inhibitors, feeds for domestic animals, soap production, and antifertility and population control.
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Middlesex College Installs Geothermal System
Middlesex Community College has flipped the switch on a new geothermal project on the Bedford campus.
Geothermal technology has replaced the HVAC equipment in Trustees' House, a three-story, 9,800-square-foot building on the Bedford campus. Coneco Energy was the contractor on the project.
In addition to a 2008 federal grant, Middlesex has been awarded a $75,000 state grant from the Department of Energy Resources.
The $325,000 project has an estimated annual savings of $6,524 and 5,392 therms.
- a minimum of 6 or 7 closed loop wells to provide almost 100% of heating and cooling HDPE loop piping
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Medmobile Stand Alone Toilet Safety Rail
Orem, UT | 21 Hrs
Like new condition.
Invacare Solara 3G Tilt in Space Wheelchair
Orem, UT | 21 Hrs
Lightly used power wheelchair. Works great, looks great. Sell for $1800 new.
Inogen G3 Oxygen Concentrator
Orem, UT | 21 Hrs
Comes with Backpack Car Charger 2 Home Chargers 1 spare battery (4 hours) w/ charger We bought it in 2015. No longer need it. Sells for $3000 new.
Jazzy Select Elite
South Ogden, UT | 21 Hrs
Like new power scooter. Charger included. Seat has indentation where chair rested on it while in storage. Needs new batteries (some listed prices are more...
1000 Assure 4 Blood Glucose Test Strips
Salt Lake City, UT | 21 Hrs
I have (1000) Blood Glucose Test Strips They are Assure 4 by Arkay. They are EXPIRED. Asking $20 for all 1000 I prefer text to communicate
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Portable oxygen tank cart is fully adjustable to many positions, including the wheels spreading out as to lay the tank down horizontal. Handle pivots more...
New Cast Shoe
Layton, UT | 22 Hrs
Cast shoe (I have 2 available). Give easier stability and protection. Darco Body Armor cast shoe. Approx 12.5 inch long, 5 inch wide
Salt Lake City, UT | 22 Hrs
Cannula tubing and other oxygen therapy supplies. Please call bobby for more information 801-634-6364 more...
3 Wheel Walker
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Drive Transport wheelchair
Kaysville, UT | 22 Hrs
Never really used. Paid over $500 new.
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I've got 3 of these Safer Lock RX bottles. They also come with cap adapters that you can put on your own medicine bottles. They keep curious kids more...
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Rosa Ribbon Dress
Guide price: £45
Last updated on 31st Jan 2012
Rosa Ribbon Dress
A fresh, feminine, fifties style dress in ivory with pastel colour ribbons. A great style for this spring summer, perfect for special occasions.
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