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Greg Kumparak
Greg Kumparak is an editor at TechCrunch.
Greg started at TechCrunch in May of 2008. He lead TechCrunch's sister site MobileCrunch as editor until AOL acquired the company in 2010, at which point the editors of TechCrunch's four main sites (TechCrunch, CrunchGear, MobileCrunch, TechCrunch UK) merged the sites under one domain.
Best known for his gadget coverage, Kumparak has broken hundreds of stories within the space — unearthing details on everything from abandoned Samsung smartphone prototypes to new Apple devices. He's also one of the Internet's most prolific "live bloggers", having reported from the scene at dozens of international events for live audiences in the hundreds of thousands.
He was one of the earliest writers to highlight and report on a number of companies that have since become "unicorns" (reaching a valuation of $1B or more), including Zenefits and Twilio.
Kumparak is a frequent guest on TechCrunch's Gadget, Apple, and Android podcasts, and often appears on stage as an interviewer or judge at TechCrunch's meetups and Disrupt conferences.
In 2012, Greg was featured on the BBC, Wired, Mashable, Engadget and many other outlets for a side project he called the "tARdis", or the Augmented Reality TARDIS. By combining augmented reality with a handmade physical model, Greg was able to replicate the otherwise physically impossible "bigger on the inside" visual effect that commonly appears on television's Doctor Who series.Crunchbase profile →
Featured Picks from Greg Kumparak
Latest from Greg Kumparak
Nokia officially unveils the 5800 XpressMusic touchscreen media phone
Just as expected, Nokia today finally pulled back the curtains on the 5800 XpressMusic device. After nearly six months of rumors, leaks, and Dark Knight cameos, the pretty little touchscreen device once known only as the "Tube" has been made official. Coming sometime in Q4 2008, the 5800 will be the first handset to rock Nokia's much anticipated S60 5th Edition platform and… Read More
Treo Pro, Pearl Flip 8220, T-Mobile G1 show up in Best Buy's inventory system
Thanks to an especially sneaky Best Buy employee with access to the company's retail stock system and a liking for the Boy Genius Report, we now know when to expect a few new handsets to arrive in the land of the blue polo. The only new non-smartphone making an appearance is the 5 megapixel Sony Ericsson C902, which actually managed to sneak in sans fanfare over the weekend. On the… Read More
Special Edition Gears Of War 2 themed Zune on the way [Update]
You know, the world just can't get enough dead bodies as shields. Microsoft knows this. To help satiate your dead bodies as shields desires, they've taken a bunch of 120 gig Zunes and done'm up with Gears of War 2 styling, not unlike the Halo 3 Zunes of yesteryear. They've laser blasted the game's iconic "Crimson Omen" into the back of each Zune… Read More
Two new high quality Duke Nukem Forever screenshots released
To help celebrate the XBLA release of Duke Nukem 3d and the 257th year of developing Duke Nukem Forever, 3d Realms tucked two hidden screenshots into the XBLA release which would be unlocked when the player fully completed the game. After a bunch of nasty camera-phone-screen-caps of the images made their way out over the weekend, 3d Realms released high quality official version of the… Read More
Nintendo-made pedometer trademark unearthed
Combining trademark search engine ninjary with a bout of boredom, NeoGAF user "Shiggy" managed to dig up some documents detailing a conspicuously generic pedometer. What's interesting about that? The document has Nintendo written all over it. Joystiq theorizes that it may be part of some sort of Wii Fit tie-in. Be it that this isn't just some idea long since shelved… Read More
New AC/DC Rock Band details: Exclusivity, No online play, Song exporting
The more I hear about the recently announced AD/DC Rock Band expansion, the less excited I am about it. After reading through the details unearthed by Variety today, my interest remains low. The New Details: Harmonix has exclusivity on AC/DC content indefinitely, after they've gone on the record as being against exclusive artist deals No character creation "There are some… Read More
Today on MobileCrunch
Not reading MobileCrunch yet? Why the heck not? While a MobileCrunch post or two might make the jump over to CrunchGear each day, there's a ton of good stuff each day that you'll only see on that side of the fence. Here's some stuff you may have missed on MobileCrunch today: Adobe working on Flash for iPhone, but the ball is in Apple's court Samsung and Verizon… Read More
Windshield-mounted GPS units no longer outlawed in California
[Pic Source: Marcin Wichary] Realizing that a little 6 inch obstruction on the windshield is probably a better solution than forcing people to take their eyes off the road, the State of California will once again allow windshield-mounted GPS units when the new year rolls through. Taking a break from solving economic crises and fighting crime, Gov. Arnold Schwarzenegger put his penned blessing… Read More
Penguin Ice mold makes penguins.. out of ice.
I know, I know. The headline may be a bit repetitive. I just wanted to make sure that no one walked away from this story thinking that the Penguin Ice Box Buddy Ice Mold made kittens out of fire. Penguins out of ice, people. That's it. I've never wanted something so useless so much. Look at that penguin. He's too small to be an effective ice sculpture, but he's too big… Read More
Adobe working on Flash for iPhone, but the ball is in Apple's court
After a nearly endless stream of hearsay and rumors on the matter, Adobe has now gone on the record about Flash on the iPhone. During a presentation at the Flash on the Beach expo today in the UK, Adobe's Senior Director of Engineering Paul Betlem mentioned that the Flash development team was actively working on a release for the iPhone, but due to the closed nature of the handset, the… Read More
Kind-of-wonky Nissan GT-R Transformer toys, transform and roll out!
Toying with the fragile memories of our youth, Japanese toy maker Takara-Tomy is working on an alternative universe Transformers line of 1:32 toys called "Alternity". In this crazy backwards universe, Optimus Prime (or Galaxy Convoy, as he's known in Japan) masquerades as a Nissan GT-R rather than the oh-so-classic Big Rig we all know and love. As Autoblog points out, the new… Read More
Kim Cattrall adds her voice to TomTom, makes you hate driving
Sorry Kim. I'm sure you're a nice lady and all, but after being forced to sit through umpteen seasons of Sex and the City and the 3 hours of bonus drivel provided by the movie, I don't think I could handle it. If anybody hopped in my car with your new voice pack installed on a TomTom, I would smash said TomTom with a brick. If you think you can bear your way through such… Read More
Laptops to begin shipping with completely unnecessary "Mobile Broadband" badge
Rehashing the idea set forth by all of those useless "Intel Inside" and "Designed for Windows XP" stickers that have been on laptops for years, 17 companies (including Asus, Dell, Microsoft, Lenovo, Toshiba, and 12 other heavy hitters) have banded together to bring out a new and equally useless "Mobile Broadband" sticker. What the hell is the point of… Read More
PS3 Eye hacked to work with Windows
Why would you want to hook up a PS3 Eye to your Windows machine? Well, you've already bought it – you might as well use it for something. (This is where someone is supposed to say "Ohhh snap!", or declare a successful "burn".) When AlexP over at NUI Group needed a high quality video recorder for multitouch projects, he turned to the PS3 Eye. Dirt cheap… Read More
Adobe working on Flash for iPhone, but the ball is in Apple's court
After a nearly endless stream of hearsay and rumors on the matter, Adobe has now gone on the record about Flash on the iPhone. During a presentation at the Flash on the Beach expo today in the UK, Adobe's Senior Director of Engineering Paul Betlem mentioned that the Flash development team was actively working on a release for the iPhone, but due to the closed nature of the handset, the… Read More
Samsung and Verizon announce the SCH-u430
If it feels like you've seen the u430 before, it's because you probably have. You've seen them at parties, on co-workers desks at work, and in the hands of the soccer mom in front of you in line at the store. Well, not this exact model, but ones just like it. The u430 is yet another flip-and-forget-it phone. Seeing as it wont cost you a cent out the door, you… Read More
Nokia Pilot product testing program goes live, registration opens
If you're a regular reader of MobileCrunch, there's a pretty good chance that you've got a bit of a thing for mobile. Maybe hardware leaks make your heart pitter-patter – or perhaps its the services that swoon you? Either way, Nokia wants to hear from you. Right as the sun cracked over the Western hills this morning, Nokia opened registration to their new Nokia Pilots… Read More
AT&T planning BlackBerry Bold launch parties, complete with ultra cheesy videos
For the sake of making sure employees are up to speed on the coming-any-day-now BlackBerry Bold (and likely as an excuse to booze and schmooze), AT&T is throwing a series of parties for employees in a few major cities around the country. The invite doesn't shed any information we're not already well aware of, but worthy of some note is the date of the final party: October 30th. Read More
LG KP500 aims to make touchscreens pocket-friendly
LG announced the KP500 this morning, which they're touting for it's "affordable introduction price". They're not actually, you know, telling anybody what it'll cost – just that it'll be "attractively-priced". For a supposedly budget-friendly phone, the specs they've disclosed so far aren't too shabby. It'll have… Read More
DIY: Turn your car's tow hook into a camera mount
(I'll go ahead and make the warning before anybody gets too excited: according to a warning by the author of the guide, this modification may disable your air bags, as the car will think it's being towed.) Ever wanted to take see how incredibly awesome and totally-not-boring the view is from the front of your car? For little more than a few bucks in hardware, a basic camera mount… Read More


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Price listed is an hourly rate.
AIA Iowa Office Space Rental
The American Institute of Architects, Iowa Chapter is located downtown Des Moines, Iowa. If you are looking for a place to hold our next meeting, lecture, presentation, or luncheon, this is the perfect place. The office is professionally designed and conveniently located. The space features free wireless internet connection throughout.
Wireless Internet
Restroom Access
Open Catering
Easels/Flip Charts
Flexible Layout
Conference Room Monday-Friday 8 a.m. – 5 p.m.
Seats up to 16 people
1/18/2017Architecture Billings Index Ends Year on Positive Note
1/9/2017Iowa Architects Elected to AIA Iowa Board of Directors
2/20/2017Design for Aging Knowledge Community Meeting
2/21/2017Iowa Architect Editorial Board Meeting

subset: commoncrawl


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SEJournal Online is the digital news magazine of the Society of Environmental Journalists. Learn more about SEJournal Online, including submission, subscription and advertising information.
SEJ Names Top Environmental Stories And Journalists
Pollution of lakes, streams and oceans, the long-lasting effects of mining and mineral processing and attempts to turn laws protecting fragile habitats on their heads were the subjects of the best environmental journalism of 2006-2007, according to the Society of Environmental Journalists.


text: Company Fined After Steelwork Collapses On Worker HSE Says Work At Leicestershire Site Was Not Properly Planned 24.03.2014 A 39-year-old man suffered life-changing injuries when he was crushed by falling steelwork at a site in Shawell, Lutterworth in Leicestershire last year. The unnamed worker had been attempting to dismantle some framework that was supporting a heavy aggregate mixer. He was employed by HCL Equipment Contracts of Somercotes, Derbyshire, which admitted to breaching Section 2(1) of the Health and Safety at Work etc Act 1974 and was fined £10,000. The man sustained eight fractured ribs, two broken vertebrae, a fractured sternum, broken teeth and a serious head wound when the 380kg frame landed on him. According to the Health and Safety Executive (HSE), companies should always produce a method statement when there is a risk of an uncontrolled collapse during the dismantling process. Having conducted an investigation into this particular case, the regulator ruled that there were "serious flaws" in the way HCL Equipment Contracts instructed its workers to complete this task. Inspectors found that the men used ladders to reach the top of the steelwork, which was seven metres high. Although both used lanyards and harnesses in order to prevent a fall, the HSE concluded that these were not fit for purpose. The men were expected to use cutting equipment to break the steel down into small pieces and then drop the tools through a gap in the centre of the frame so they could be picked up below. It emerged that the injured man was unable to get out of the way as the structure started to drop and no safe escape route had been planned. Speaking after a hearing at Leicester Magistrates' Court, HSE representative Tony Mitchell suggested the employee had been let down by the company. "HCL Equipment Contracts was responsible for the welfare of its workers and for ensuring the dismantling work was carried out in a safe manner," he commented. "Our investigation found that if this work had been properly planned and risk assessed and sufficient training given, it could have been avoided." Tags Personal Injury Workplace Injury Construction Accidents David Urpeth Related articles 24.02.2017Holidaymaker Instructs Lawyers After Summer Holiday Leaves Him Needing Medical Attention 24.02.2017Homeowners Face Large Probate Fees Following MoJ Plans 23.02.2017Whirlpool Issue Advice On The Use Of Tumble Dryers Due To Increased Fire Risk 23.02.2017Settlement For Couple Whose 50th Wedding Anniversary Was Ruined By Illness On Board Cruise Ship 22.02.2017Didcot Power Station Collapse Legal Update


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New Vision Pavilion Construction at Shasta Camp is Complete
November 10, 2011
By Carol Kern
Members and friends of First United Methodist Church in Redding and Shasta Camp supporters gathered for a Shasta Camp benefit barbecue dinner and concert at the church on Friday, Oct. 14, 2011.
The dinner served as prelude to a concert in which the church highlighted its music ministry. Included were vocal/guitar ensembles, solo vocals, and the church's adult, children's and bell choirs. A Christian "rapper" from Paradise added a different dimension to the program.
As publicity chair for the Camp Management Committee, I showed a video of the camp and told those present about a grant of $50,000 to help pay construction costs of the New Vision Pavilion. The new two-story building will provide an indoor venue for programs, dining, fellowship, and worship for about 100 participants, with storage on the ground floor.
Also part of the evening's fundraiser was the sale of Shasta Camp T-shirts, sweatshirts, and hoodies. Camp brochures, supporter letters, bumper stickers, and pens were made available to all.
Another Shasta Camp benefit concert on the North Coast was held at the same time. Together, the two concerts raised more than $4,000!
The building has had its final inspection and is ready for next summer's camps. However, donations still will be joyfully accepted. Send your check to Shasta Camp, Bill Youngs, Treasurer, 3376 Heritagetown Drive, Redding, CA 96002.


text: The continuing government Internet ban in English-speaking areas of Cameroon is paralysing banks and affecting the economy. The ban was implemented in an attempt to quash opposition, but the lack of Internet has affected business and other areas, as well as media and journalism, with journalists resorting to sending reports by SMS. As collateral effects, ATM services have been suspended, and even civil servants' pay has been interrupted, in spite of last year's United Nations Human Rights Council resolution that proclaimed uncensored Internet access as a basic human right.


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The UK's government organization for drug awareness, Frank, has released a new viral video over youth social netwoking sites. The ad is a spoof wild life documentary, showing the camera venturing nervously into a house party and uncovering an array of strange species. Such are the "pill taker" ( watching his "vigourous mating dance"), the "acid dropper" and the "Hibinating stoner" (also known as the common puker".
The ads will not be shown on TV, only YouTube, Bebo, Metacafe, Myspace and Face Party. It proves how viral marketing via social networking sites is being identified as highly influential and is being commonly utilized by even government now.
Drug Addicts As Animals
More Stats +/-
Tablet-Critiquing Commercials
Monochromatic Nut Butter Branding
Juice-Only Vending Machines
Refreshing Dog Biscuits
Fermented Food Festivals
Spoof Wildlife Doc as Viral Anti-Drug Ad
Jan 20, 2008By: Victoria Tremlin -
References: talktofrank
References: talktofrank


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Mon-Fri 10-4 EST
Free Shipping on orders over $99
Free Shipping
on orders $99+
Ground Shipping - Contiguous US
Shop Casafina Pet Boutique.
The Pet Boutique collection by Casafina consists of hand painted earthenware food and water bowls and treat jars for your favorite dog or cat.
There are no products matching the selection.


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Fye Backstage Pass Vip Rewards Program Reviews
Clear all filters (3 of 3 reviews match)
Last time I was at FYE the cashier asked if I wanted to sign up for the rewards program. When I asked if it cost anything, she said no. Later found out that it is only free for the first 30 days and then costs $12/month. Cashier never explained this and I would not have agreed to sign up if I knew it cost anything. Have tried to cancel online through the website but it still says I have a membership and that I will be charged next month. FYE is...Read more
#897340 by anonymous
So my brother went to one of the FYE shops and signed up for their rewards program. Which fine no big deal. The problem? He was using my debit card to do it. So what happened a month later? Money was taking from my account that I had no idea where it came from. So I called the service and had it canceled. Then I wake up this morning and I have a noticication on my banking app that says my accounts been overdrawn and I'm like what the ***? So I...Read more
#864424 by anonymous
Got scamed big time thanks to FYE. Will never shop here again. They offered me some kind of backstage pass (which i cancelled) and I have been charged a total of $47.45 since for some magazine that I supposedly ordered and yet never received. Had no idea these reoccurring charges were being withdrawn from my account. It took an hour but I was able to get the transactions reversed and stopped. Unfortunately I had to close my account and open a...Read more
#863027 by anonymous


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Search for help on enabling JavaScript
Welcome to the ZooGala 2016 Auction Catalog. To start bidding, please register via the "Bidder Registration" tab.
Bidding for the Silent Auction starts September 9 and ends September 16 at 10:00pm.
Bidders do not have to be present at ZooGala to participate.
For questions regarding the Birmingham Zoo, ZooGala 2016, or the silent auction, please contact:
Kristin Martin, Development Director


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web development
This project received 36 bids from talented freelancers with an average bid price of $18 USD / hour.Get free quotes for a project like this
Project BudgetN/A
Total Bids36
Project Description
Build a internal management system runs on Tomcat server. Use HTML/JSP/Javascript/XML as UI, Java as BS and DS to access to MS SQL database. Also will need to get/write data to Quickbooks 2013 from the project with Java. The core function of the project is done. Still need to add different business modules to the project.
Skills Required
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- Set your budget and the timeframe
- Outline your proposal
- Get paid for your work
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To each their own
- Posted May 11, 2012 by Trish Viewed 4461 times
- This is a migrated legacy post. Image resolution is low. Info
The dogs i am sitting even had their own ideas while i was recooping!
each gal had her own favorite spot!
4 There are 4 comments, add yours!
2012.05.13 Edited
Glad everyone was doing their thing. Especially when "Mom" is needing to be on the down-low. Feel better: power and strength to you, my friend!
2012.05.13 Edited
Cute shots...
2012.05.13 Edited
pretty dang cute girls, especially that Tesseroo
2012.05.13 Edited
Good they all got along... nothing worse the a bunch of gals that are all fighting!! 8^) Cutes shots!


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Is Solo Fencing Systems incorrect or missing key business information? Update your Hotfrog listing today.
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Hotfrog NewZealand provides information regarding Solo Fencing Systems in South Canterbury. Solo Fencing Systems is located at PO Box 573 Timaru 7940, South Canterbury and provides Engineering services. Contact them on 04 831 9388 or by visiting them on their website http://www.solofencingsystems.com.
News & updates
He said though he will be initially continuing to build them himself, he hopes as they expand in the market an industry in Timaru will grow around them.
Another advantage of the unit is its simplici… Read more
Is Solo Fencing Systems in PO Box 573 Timaru 7940, South Canterbury your business? Claim your listing and attract more leads by adding more content, photos and other business details.
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From the Raleigh Blog:
An Eventful Stay with Alpha 4!
As well as Sun Bears, we also saw a group of Makaks, including some very cute baby ones. However, we were warned that they are very mischievous, travel in packs and will approach if you have any food with you. For this reason we were advised to stay together in a group, and if approached by any, call the rangers- we were no longer saying "awwww" at this point!
Work started straight away on Monday with everyone getting up at 5.30 in order to get breakfast, do a radio sitrep(situation report)and get to the BSBCC, a fourty minute walk away by 8am. The team were divided into two groups in the morning, one to reclaim wood and the other to start clearing a path in the jungle where another bear enclosure would be.
By 2pm, huge progress has been made, with a long stretch of the jungle path having been cleared by Jermae, Josh, Berniece, Lucy, Nas and Euan. It went from this:
To this:
After lunch it was time for a team effort. There were two very heavy bits of wood stuck in the wood piles that required a team effort to get out(the tug of war practice from Raleigh Olympics came in handy here):


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Dreaming of sugar plum fairies
Filename: In_the_News_2010b.pdf
Dreaming of sugar plum fairies BY REBECCA MAYER The Forest Grove News-Times, Nov 9, 2006 The regal notes of Tchaikovsky's Dance of the Sugar Plum Fairy float through ...
Filename: SG Strain Guide 08.pdf
Available Seed: Yes Cutting: No Berkeley Super sugar and super fast ... Seed: No Cutting: Yes Candy Cross between Burmese and Sugar Plum. Bright orange hairs and great crystal count.
Experience the start of the Christmas Shopping Season
Filename: IX Christmas Connection Brochureforweb.ashx
H Just for kids — Sugar Plum Village, a place to play ... friendly" services such as in-house security, low ... goods, wooden items H** Homemade edible items: jellies, jams ...
Filename: Spanish_words.pdf
... Blancanieves y los siete enamitos - Snow White and the ... of the Sugar Plum Fairy Caperucita roja - Little Red Riding Hood ... Influir Sobre las Personas - How to Win Friends ...
Administration Building and Demonstration Garden Plant List
Filename: admin_plant_list.pdf
... Geranium (mix) Geranium 'Brookside' Geranium cantabrigiense 'Biokovo' Geranium incanum 'Sugar Plum' Geranium 'Johnsons Blue' Geum c. 'Lady Stathedon' Geum chiloense Gladiolus ...
> SHARE is sponsoring a group field trip to see the narrated ...
Filename: custom3807.pdf
The website also has the popular The Nutcracker Study Guide and info about the Sugar Plum ... Once they seat our group, others will be filing in quickly right behind us.
Filename: ScholasticCanada_Fall07Rights_2.pdf
... Size: 8" x 10" When Mary and Joseph leave the stable, the animals left behind tell ... At The Nutcracker , the Sugar Plum Fairy gives Sadie a chance of a lifetime.
Donor LIVE - AUCTION ITEMS 100 I Must Be in the Front Row ...
Filename: bids.pdf
... Sew 10% discount card, unlimited, at Sugar Plum Sugar Plum Purple hand-knitted scarf FuSing Temple 213 Scrapbook Savvy $200 $65 12X12 Christmas album, Summer Making Waves ...
"An 1836 Portsmouth Nutcracker" Rehearsal Schedule
Filename: Nut-Rehearsal-Schedule.pdf
"An 1836 Portsmouth Nutcracker" Rehearsal Schedule November 19 th - December 12th Please contact ... Friday, December 10 2:00p - 4:00p Grand Pas De Deux with Sugar Plum & Cavalier ...
Filename: 2011_DANCING_PRELIMINARYV2OPT.pdf
cast list 2011 - subject to change - preliminary cast list fri dec 17 sat dec 18 sat dec 18 sun dec 19 sun dec 19 mon dec 20 @7pm @2pm @7pm @1pm @6pm @7pm sugar plum palma craddock ...
The Ice Chalet & The Robert Unger School of Ice Skating present
Filename: 2008nutcrackerentry.pdf
... Sugar Plum Fairy ___Escort___ Snowman ___Currier & Ives ... Advance = Tickets Purchased by 10:00 p.m. on December ... or duplicate and to use or re-use the Products in whole or ...
Filename: 2010LSS_np.pdf
... 614 - Mocha614 - New Penny614 - Pewter 614 - Sugar Plum 614 - White 614 - Poinsettia 661 ... Fax: 888.689.9080 • www.lakeshorestudios.com 7 WASHER (wa) CLIP (cl) Types of ...
Filename: anderson.pdf
The Project in Interpreting the Texas Past Dr. Martha Norkunas ... by the time I've got that, because I go from a dead ... Sugar Plum Fairy, I've done it for twenty-four years ...
Filename: Dance_Sugar_Plum-sample.pdf
Dance of the Sugar Plum Fairy Dance of the Sugar Plum-sc P.I. Tchaikovsky transcribed by Gordon Cherry ...
Dance of the Sugar Plum Fairy - Free-scores.com
Filename: tchaikovsky-piotr-ilitch-dance-the-sugar-plum-fairy-8105.pdf
Title: Dance of the Sugar Plum Fairy Author: Tchaikovsky, Piotr Ilitch - Arranger: Aryliin Subject: Art Libre Created Date: 3/13/2010 2:40:09 PM
sugar plum luncheon - THE US GRANT Hotel
Filename: 2014_Sugar-Plum-Fairy-Holiday-Luncheon-1.pdf
a family dining experience with the city ballet's sugar plum fairy and friends from the nutcracker $59 adults / $33 children prices include tax & gratuity
10 Musical Selections including Dance of the Sugar Plum ...
Filename: tchaikovsky-piano-ebook.pdf
Meet the Composer Series Volume Three 10 Musical Selections including Dance of the Sugar Plum Fairies Swan Lake Romeo and Juliet Arabian Dance 1812 Overture
DANCE OF THE SUGAR PLUM FAIRY - Sonology Music
Filename: 07-03_locked.pdf
Dance of the Sugar Plum Fairy - solo- arr. Garton - page 3 ...
Dance of the Sugar Plum Fairy - free scores
Filename: header_telechargement_PDF.php?membre=free-scores-admin&fichier_PDF=free-scores-admin_20070818060211_en.pdf&file=tchaikovsky-piotr-ilitch-dance-the-sugar-plum-fairy-8105.pdf
Title: Dance of the Sugar Plum Fairy Author: Tchaikovsky, Piotr Ilitch - Arranger: Aryliin Subject: Art Libre Created Date: 3/13/2010 2:40:09 PM
Sugar Plum Nightmare in D minor: Mary Goes to the Nutcracker
Filename: Nutcracker-storyboard.pdf
Page 1 Sugar Plum Nightmare in D minor: Mary Goes to the Nutcracker An Example Design Comic Martin Hardee


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Celebrity plastic surgery: Before and after pictures
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Lil' Kim, Lisa Rinna and more: Take a look at celebs who appear to have had some work done. Some have confirmed their procedures and others have not.
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29 big new movies out this winter See the 2017 Oscar nominees list Oscars 2017: Behind-the-scenes celeb photos Erykah Badu turns 46: See photos through the years Great actors who have never won an Oscar Youngest Oscar nominees 14 celebrities who have twins The best Oscar-nominated LI movies, actors of all time See 20 years of Oscars red carpet evolution Ringling Bros. and Barnum & Bailey Circus protesters Your Ringling Bros. and Barnum & Bailey Circus memories Recent notable deaths


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Payment Card Security on the Internet
The key aspect of online shopping is payment card data security, thus it is important to know how to protect your payment card information and account from malicious use.
In order to avoid unpleasant incidents, the following data protection principles should be observed:
Payment Card Security on the Internet
- General Regulations for Transactions
- Spending limits
- SMS notifications
- Payment card number
- Secure channel for communication
- Security of information
- PIN code
- E-services of the retailer
- Anti-malware software
- In case of suspect
Carefully read the Bank's General Regulations for Transactions available on the Bank's website or at any of its branches. Discuss any uncertainties with the Bank's customer service specialist;
Consider the necessity to set daily/monthly spending limits on your payment card or additional card that may differ from the original limits set by the Bank (information on these limits can be found in the Bank Fees on its website);
Apply for SMS notification service (SMS bank) and stay informed. The Bank will send information about incoming and outgoing transactions in your account to your mobile phone. Regularly monitor your account statements with payment details via the Bank's remote account management system (Privat24 online banking facility) or by requesting account statements at any of the Bank's branches, since the period for submission of claims is limited;
To avoid the possibility of fraud with payment cards, do not send your payment card number, as well as any other information related to your finances via e-ail;
The Bank uses its remote account management system (Privat24 online banking facility) as a secure channel for ongoing communication with its customers;
Do not open messages from unknown senders. Do not respond to e-mails in which you are asked to provide personal information, including payment card data, PIN codes, etc., on behalf of the Bank. NB! The Bank will never send you an e-mail or SMS to inquire the following information: your payment card data, card expiry date, CVV2 code, payment card PIN codes, credit limits on your payment cards, and passwords for online banking. If you receive such letters, please contact the Bank by calling at toll-free phone number 8000 1515 (for 24/7 calls from Latvia) or +371 67041368 (for calls from abroad) or submitting report via the Bank's remote account management system (Privat24 online banking facility), and verify whether the letter was sent by the Bank. Do not reveal personal information or banking details, such as payment card number, online banking codes etc., via e-mail, SMS or even phone calls;
Under no circumstances disclose your payment card PIN code to anyone.
- Shopping on the Internet: use services of well-known and verified retailers/service providers only. Before using your payment card online, make sure that you have the possibility to contact retailer/service provider in case of any disputes or questions. Make certain that all the addresses (telephone numbers) provided on the website are correct (by format, country codes).
- Addresses of secure web pages begin with https://, and not with http://. Thus, the letter "s" is important, as it verifies the enhanced security of the website;
- Make sure that retailer uses data encryption systems. If encryption is used, a padlock icon will be seen at the bottom of the page.
- Before making a purchase and entering payment card information, read the terms and conditions of purchase and returns provided by the retailer/service provider on their website. Do not make the purchase, if these terms are not understandable or acceptable to you.
- Read the confidential/personal data storing and processing conditions provided by the retailer/service provider.
If you want to use e-services of the retailer or service provider, verify whether by making payment you will get ownership rights to the service or enter into a service subscription agreement with the service provider and from then on (once a week, month or year) will be receiving invoices for the service.
- Avoid using services of suspicious Internet resources; frequently they are created in order to obtain payment cards' information for unlawful use.
- If you have doubts about authenticity of the website, e. g. prices of the selected products or services are 30–50% lower than prices on similar websites, it is better not to use their services prior to additional checking.
Install a firewall and anti-virus software on your computer/tablets/mobile devices and update it regularly, as well as update any other software that you are using (operating systems and application software); this will protect you from viruses and spyware;
For websites, e-mail services and access to online banking, use non-trivial passwords that are not related to your birth date or other personal data, names your of children or pets. If possible, use password containing both symbols and digits. Do not write passwords down or share them with anyone. If you have troubles remembering your password, create a system for writing down passwords which is understandable to you only;
For websites, e-mail services and access to online banking, use non-trivial passwords that are not related to your birth date or other personal data, names your of children or pets. If possible, use password containing both symbols and digits. Do not write passwords down or share them with anyone. If you have troubles remembering your password, create a system for writing down passwords which is understandable to you only;
If you suspect that your identification data or payment card information has become known to an unauthorized person, please contact the Bank immediately.
Ключевым аспектом при покупках в Интернете является безопасность данных платежной карты, поэтому важно знать, как защитить эту информацию и свой счет от злоумышленного использования.
Чтобы максимально избежать неприятных инцидентов, необходимо соблюдать следующие принципы безопасности данных:
The Bank's General Regulations for Transactions determine the cases in which card validity and user's activity must be suspended. In case of uncertainties, you can always contact the Bank by calling at toll-free number 8000 1515 (24/7 number for calls from Latvia) or +371 67041368 (for calls from abroad) or by sending a letter in the Bank's remote account management system (Privat24 online banking facility).


text: Old news but posted here for those who may not see UK-orientated news. From REUTERS here: I'd like to visit in 2013, to see what has changed. My prediction is that Umm Qasr will be a thriving deep sea port. Before 1991, it was where Kuwaitis went for a wild night out Bare


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SYNDICATE BANK Recruitment 2017 -400 Vacancies Apply online - www.syndicatebank.in. SYNDICATE BANK Probationary Officers Recruitment, Age Limits, Educational Qualifications, Online Test, Syllabus, Selection Process, Application Fee, How to Apply details refer information given below. Candidates looking for the Bank Jobs in India? Can apply online for SYNDICATE BANK Recruitment 2017-18. Bank released official notifications in its websites, keep visiting this page for latest updates.
Post Contents
Syndicate Bank Recruitment 2017 - 400 Probationary Officers
Name of the Organization: Syndicate Bank
Post: Probationary Officer in Junior Management Grade / Scale-I
Vacancies: 400 Posts (UR – 202, OBC – 108, SC – 60, ST - 30)
Age Limit: 20 – 28 years as on 01.10.2016. Age relaxation is applicable as per the govt rules.
Educational Qualification: Degree (Graduation) with minimum 60% (55% for SC/ST/PWD) marks in any discipline from a recognized University OR any equivalent qualification as such recognized by Central Government.
Application Fee: Rs.600/- (Rs.100/- for SC/ ST/ PWD)
Selection process: Online test, Group Discussion or/and Personal Interview
Interested candidates can apply online for Syndicate Bank Probationary Officers Recruitment 2017 from 14.12.2016 to 28.12.2016.
For more details refer to Syndicate Bank PO Recruitment Notification.
Quantitative Aptitude -- Reasoning Ability -- Computer Awareness
Syndicate Bank Recruitment - 116 Specialist Officers
Vacancy Details:
- Assistant General Manager (Economist): 01 Post
- Assistant General Manager (Statistician): 01 Post
- Assistant General Manager (Company Secretary): 01 Post
- Manager (Law): 20 Posts
- Manager (CA): 51 Posts
- Manager (Security): 15 Posts
- Technical Officer (Civil): 22 Posts
- Technical Officer (Electrical): 04 Posts
- Dy. General Manager (Law): 01 Post
SYNDICATE BANK Specialist Officers Recruitment Eligibility
Educational Qualification:
Post-Graduation in Economics, Statistics/ Applied Statistics/ Econometrics /Qualified Company Secretary (ACS) / LLB / Qualified Chartered Accountant / B.E/ B.Tech in Civil & Electrical Engineering / Degree in Law.
Experience: Experience needed in relevant fields
Age : 25 to 50 years
Pay Scale: Rs.19400 – 28100/-
Selection Procedure: Selection will be on the basis of online written test, GD/Interview
SYNDICATE BANK Online application form
Application Fee: Rs.50/- For SC/ST , Rs.600/-For all others (including OBC) . Requisite Application Fee may be paid at any of the Branches of Syndicate Bank, by means of a Payment Challan as per the format given in Banks website. The payment at Syndicate Bank Branches can be made free of charges.
How to Apply: All eligible candidates should apply online through syndicate bank website from 25.11.2015 TO 10.12.2015
- Before filling Online Application, candidates should keep ready scanned copy of Passport size Photograph & signature.
- Candidates are required to possess a valid e-mail ID, Mobile No
- Fill in the Online Form with all the Relevant Details
- Upload scanned copy of Photo& signature
- Candidate should ensure that all the details entered in Online Application should be correct.
SYNDICATE BANK Specialist Officers Syllabus& Exam Pattern
|No. of Questions
|Test of Reasoning
|2 hours
|Quantitative Aptitude
|English Language
|Professional Knowledge
General Awareness -- Current Affairs
Syndicate Bank Recruitment of Attenders and Part-Time Sweepers
Vacancy Details:
- Attender: 145 Posts
- Part Time Sweeper: 166 Posts
Age Limit: Candidates age limit should be minimum 18 years and maximum 26 years as on 01-10-2015. Age relaxations are applicable as per the rules.
Educational Qualification: Candidates should have pass in 8th Standard & not have passed Intermediate or 12th (10+2) Examination / pass in 5th Standard & not have passed Intermediate or 12th (10+2) Examination
Selection Process: Short listed candidates will be called for interview.
How to Apply: Eligible candidates can send their application in prescribed format & affix recent passport size photograph along with self attested xerox copies of the documents (Education Qualification, Caste Certificate, Proof of Date of Birth & Employment Exchange Registration Card) addressed to The Deputy General Manager, Syndicate Bank, Regional Office, Personnel Cell, No.110, Radha Vittal Mansion, R V Road, V V Puram, Bangalore – 560004 on or before 30-11-2015.
Important Dates:
Last Date for Submission of Application: 30-11-2015.


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Themedica » Pharmaceutical Raw Material » Pharmaceutical Additives » Astringent » Silver Nitrate
|Silver Nitrate
Atico Medical Pvt. Ltd ( India)
Company Profile: We are leading manufacturer, exporter & supplier of silver nitrate. These are highly admired for its safe usage, precious ph value & accurate composition.
Contact Details:
Solar Applied Material Technology Corporation ( Taiwan)
Advanced Technocracy Inc. ( India)
Masbekon Enterprises ( Zambia)
Company Profile: Dealers of sodium hydroxide, aqueous ammonium, sodium ii carbonate, calcium hydroxide, potassium iodide, barium chloride, silver nitrate, barium nitrate, iron ii sulphate, iron iii nitrate, copper ii sulphate, iron ii chloride etc.
Contact Details:
Tongling Kangli Metal Powders Co. ( China)
Ricca Chemical Co. ( United States Of America)
Bharat Scientific World ( India)
Company Profile: We are a leading manufacturer, exporter, wholesaler, supplier & trader of a wide range of laboratory reagents & silver nitrate.
Contact Details:
Cooper Chemical Company ( United States Of America)
Company Profile: Wholesale manufacturer of various types of chemicals such as aluminum ammonium sulfate, ammonium iodide, barium nitrate, calcium iodate, cuprous iodide, potassium bisulfate, silver chloride, silver sulfide and cuprous bromide.
Contact Details:
Anhui Qingyang Tongxin Chemical Plant ( China)
Company Profile: Leading supplier of all kinds of chemical such as lead nitrate, cotton sulphate, nickel sulphate, cobalt oxalat, silver nitrate, potauium argentocyanide and potassium aurocyanide.
Contact Details:
Evans Chem India Pvt Ltd ( India)
Company Profile: Manufacturer and exporter of ammonium ceric nitrate, ammonium ceric sulphate, silver diethyl dithio carbonate, silver carbonate, ethyl pyruvate, peracetic acids, platinum chloride, raney nickel, silver iodide and silver nitrate.
Contact Details:
Shan Chemicals ( India)
Company Profile: Engaged in exporting miscellaneous chemicals, copper powders, electrolytic copper powder, pentahydrate copper sulphate, anhydrous copper chloride, di hydrate cupric chloride, black cupric oxide, copper acetate, copper nitrate and silver nitrate.
Contact Details:
Pheonix Industries ( India)
Company Profile: Manufacturing and exporting silver salt, silver nitrate, silver sulphate, silver oxide, silver chloride, pharma chemicals, pharmaceutical chemicals, silver metal powder, silver nitrre and silver cloride.
Contact Details:


text:
TheRedPin's insider and platinum agents have priority access to pre-construction condo projects before other agents and the general public! Priority access provides you with the best opportunity to secure the best floor plans, levels, pricing and incentives.
Buying a property through TheRedPin gives you additional benefits not found anywhere else!
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- Leslie Mews Townhomes
- Questions?
Gerrard Street East and Leslie Street
Preconstruction condo project for sale in
Leslieville, Toronto
Form and function effortlessly fuse in these fashionable townhomes designed for sophisticated Toronto families and couples seeking proximity to the core in a vibrant, multi-faceted neighbourhood. Efficient land use provides for 19 spacious 3 bedroom townhomes that provide premium features such as master suites on their own floor, contemporary kitchens and skylights that suffuse the space with natural light. With convenient access to shopping, schools transit and major roads, Leslie Mews Townhomes is certain to sell out quickly.
Leslie Mews Townhomes is a new preconstruction project being built by Atria Developments. It has 19 units for sale It's located in Toronto in the Greater Toronto Area region. The price range hasn't been provided. Leslie Mews Townhomes hasn't been released to the public yet.
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text:
Is George Bolam (Foods) Limited incorrect or missing key business information? Update your Hotfrog listing today.
Contact details
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Hotfrog UK provides information regarding George Bolam (Foods) Limited in Stockton On Tees Cleveland. George Bolam (Foods) Limited is located at Salters Lane Sedgefield, Stockton On Tees Cleveland TS21 3EE and provides meat services.
Is George Bolam (Foods) Limited in Salters Lane Sedgefield, Stockton On Tees Cleveland TS21 3EE your business? Claim your listing and attract more leads by adding more content, photos and other business details.
We have more meat services in Stockton On Tees Cleveland available on Hotfrog UK. You can update your search for Stockton On Tees meat by location, keyword or service options.
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Sedgefield Way Portrack Interchange Business Park STOCKTON-ON-TEES Cleveland TS18 2SG
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text:
Red meat has for centuries been in the dark slate, especially for fitness freaks. A new study published in the American Journal of Clinical Nutrition has given surprising evidence to the positive effects of red meat to one's health. The study revealed that eating beef everyday improves cholesterol levels
The study was done by involving participants who followed a DASH or Dietary Approaches to Stop Hypertension diet. The diet encouraged low-fat dairy, lean meats, fruits, vegetables and whole grains along with the consumption of 4 to 5.4 ounces of lean beef per day instead of fish or chicken. When the participants consumed the aforementioned diet, their levels of harmful LDL cholesterol decreased by 10 percent.
The researchers point out that earlier studies that found that red meat increased heart disease risk had a big flaw: they included processed meats such as hot dogs, spam, sausages etc in the category of red meat, which the nutritionist Michael Roussell said are completely different from lean beef in terms of nutrition. Russell also found in his study that consuming a healthy diet along with lean beef reduced levels of triglyceride inside the HDL cholesterol particles. This, he said, is important because it not only enhances the function of one's good HDL cholesterol but also improves their anti-inflammation function that helps to fight diseases.
Roussell believes that the steric acid in the beef may be a contributing factor to the favourable changes in the HDL cholesterol. Furthermore, almost half of the fat that exists in the beef is oleic acid, which is also a heart-healthy monounsaturated fat. He said that beef is an assortment of heart-healthy and unique fats that one may not get from other food items.
Your busy schedule may not be allowing you to eat breakfast, but is that all right? New study says that you are increasing your risk of heart attack by skipping breakfast.read more
Triphala is an Ayurvedic medicine composed of three herbs that have a great effect on boosting one's health.read more


text:
Foursquare © 2017 Lovingly made in NYC & SF
People tend to check in during these times:
Jittlada Thai Cuisine
Thai · $$
Lotte Shopping Avenue, 3rd Floor (Jl. Prof. Dr. Satrio Kav. 3-5)
"A very nice place and warm... Green Curry Beef is a must try food"
Mie Thai
Setiabudi One (HR Rasuna Said)
"love the nasi goreng nanas :) yummyyyyyy"
Setiabudi One, Lt. 1 A206-207 (Jalan HR Rasuna Said Kav. 62)
"recommended padthai!"
ITC Kuningan
Jalan Profesor Doktor Satrio Kav. 25 (Karet Kuningan)
"The most wanted place for budget shopping, from fashion to computer, from cell phone to grocery, choices of culinary as well, tourist most welcome"
Kuningan City
Jalan Prof. Dr. Satrio Kav. 18 (Karet Kuningan, Setiabudi)
"I love this mall, it's quite, classy, and neat"
ITC Kuningan, Basement I (Jl. Prof. Dr. Satrio)
"best killing time-place, update price list of my needs, and there's a lot of discount nowadays... ;)"
Yummyyy Food
Created by Shadelina Eka129 items
Makan nasi goreng tomyam pedas
Created by Sapto Nugroho1 item
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text:
Bladder control or urinary incontinence involves accidental leakage of urine. Kidneys make urine and store it in a sac called urinary bladder. A tube called urethra from the bladder leads to the prostate and member to the outside of the body. A ring of muscles called urinary sphincter is present around this tube. When the bladder gets filled with the urine, the sphincter stays squeezed shut while the bladder remains relaxed. The muscles and nerves work together to prevent the urine from leaking out the body.
The nerve signals tell the muscles to squeeze when you need to urinate forcing the urine to pass from bladder to urethra. When the bladder squeezes the urethra relaxes allowing the urine to pass out of the body.
It may occur if the bladder squeezes at the wrong time or it squeezes too hard causing urine to leak out.Urine can also leak if the muscles of urethra are damaged or weak.
You may have too much urine in the bladder if it does not empty when it should. The urine may leak if the bladder gets too full.
The urine may also build up in the bladder when urethra gets blocked. This can also cause leaking.
Prostate treatment is one of the major causes of urinary incontinence in men. However, short term incontinence after prostate surgery can go away on its own in younger men.
Image Courtesy: Getty
Read more articles on Bladder Control for Men Causes and Risks
Bladder control problems, or urinary incontinence, are more common in women, they do occur in men.read more
Menopause is a transformational phase in a woman's life.read more


text: Bless The Broken Road Look Inside Bless The Broken Road SATB choir (SATB)By Rascal Flatts. Arranged by Mark A. Brymer. Choral. Concert; Sacred; Wedding. 10 pages. Duration 3:10. Published by Hal Leonard - Digital Sheet Music (HX.267451). Available Instantly (Minimum order: 10) More info Add to Cart { "catalogRefId":"19904019", "productId":"prod19904019", "quantity":"1" }


text:
One of the highlights of previous trips to Las Vegas has always been breakfast at Tableau at the Wynn. I have just learned that Tableau is no more, and has been replaced by the Tower Suites Cafe. Has anyone had breakfast there, and how does it compare to Tableau?
Updated 11 months ago | 11
Updated 1 year ago | 6
Updated 1 year ago | 8
Updated 10 months ago | 5
Updated 12 months ago | 7


text:
Port of Corpus Christi commissioners have approved a two-year lease of 110 acres for Cheniere Energy subsidiary Corpus Christi Liquefaction LLC to use for temporary fabrication yards during construction of an LNG export terminal on the North Side of Corpus Christi Bay, Texas. The lease is a "vital component" for getting FERC approval of the project, according to Bill English, vice president of business development for Cheniere. Read more in the Caller article.
Eversheds Sutherland is an international law firm helping the Fortune 100, industry leaders, sector innovators and business entrepreneurs solve their biggest challenges and reach their business goals. Dedicated to unfaltering excellence in client service, we are known for our business savvy and industry intelligence, providing creative and custom solutions for each of our clients. Industry and business experience makes the difference for our clients.
Complete the fields below to send your briefcase via email. Separate multiple email addresses with semi-colons(;)


text:
repulsionnoun [ U ]uk /rɪˈpʌl.ʃən/ us /rɪˈpʌl.ʃən/
repulsion noun [ U ] (DISLIKE)
Thesaurus: synonyms and related words
repulsion noun [ U ] (PUSHING AWAY)
Thesaurus: synonyms and related words
Physics: energy, force & power
(Definition of "repulsion" from the Cambridge Advanced Learner's Dictionary & Thesaurus © Cambridge University Press)
Get a quick, free translation!
Create and share your own word lists and quizzes for free!
Word of the Day
a piece of light crescent-shaped pastry, usually eaten in the morning


text:
Arabs In France Continue Peaceful New Year Tradition of Car Burning. Over 1,000 Cars Torched On New Year's Eve. France Does Nothing
Arab Vandals in France torched over 1,000 parked cars on New Year's Eve in an arson rampage that has become a sinister annual "tradition" amid a row over whether the government sought to play d
By: Anon51 | Comments: 83 | Views: 4291 | Votes: 6 | Shared: 9
Location: United States | Leaked: Jan-4-2017 in Regional News, Other News, Politics
'Peace Torch' begins world journey
As part of Austrian initiative for Christmas, flaming torch lit in Church of Nativity in Bethlehem and transported on commercial flight under supervision of Aviation specialist. Torch to make its way
By: aydeo | Comments: 10 | Views: 8961 | Votes: 0 | Shared: 0
Leaked: Dec-1-2010 in Middle East
Iranian Equestrian to carry symbolic torch 7400 miles on horse
http://www.iranmania.com/News/ArticleView/Default.asp?NewsCode=59026&NewsKind=CurrentAffairs Iranian equestrian to carry symbolic peace torch Tuesday, April 15, 2008 - ?2005 IranMania.com L
By: Iranianguy | Comments: 14 | Views: 8593 | Votes: 1 | Shared: 0
Location: Reston, Virginia, United States | Leaked: Apr-15-2008 in Iran, Middle East
Jewish man arrested for calling on FB to torch Arab villages in retaliation for last week arsons
Yair Grinshpan, a resident of central Israel, was arrested on Saturday night after calling on his Facebook page "to burn Arab villages," one of 5 people (3 Jews,2 Arabs) arrested so far for onlin
By: aydeo | Comments: 36 | Views: 1123 | Votes: 1 | Shared: 0
Location: Israel | Leaked: Nov-28-2016 in Other News
Black Lives Matter Protesters Torch French Town
25 July 2016 - Multiple Black Lives Matter protesters have been arrested in France after demonstrations against the death of a Malian man in police custody left Beaumont-sur-Oise and other nearb
By: gemini | Comments: 25 | Views: 1659 | Votes: 3 | Shared: 0
Location: Beaumont-sur-Oise, Île-de-France, France | Leaked: Jul-25-2016 in Other News
Muslim broadcast journalist Lucy Aharish light a torch at Israel's Independence Day ceremony
At points it seemed that Israeli-Arab journalist Lucy Aharsih was stifling tears as she delivered her address before lighting a torch at the Independence Day ceremony in Jerusalem yesterday. Ahari
By: aydeo | Comments: 23 | Views: 1217 | Votes: 1 | Shared: 0
Location: Jerusalem, Yerushalayim, Israel | Leaked: Apr-23-2015 in Other News, Other Middle East
Israel does not want peace
Rejectionism is embedded in Israel's most primal beliefs. There, at the deepest level, lies the concept that this land is destined for the Jews alone. Israel does not want peace. There is nothing I h
By: demonizedworld | Comments: 128 | Views: 23481 | Votes: 7 | Shared: 0
Location: Israel | Leaked: Sep-9-2014 in Other Middle East
Sunni Islam leader calls for peace, urges Muslims to have 'patience and wisdom'
From Ian Lee, CNN updated 11:08 PM EDT, Sat September 22, 2012 Cairo (CNN) -- A leading figure in the Sunni Islam world called for fellow believers to respond to recent controversial portrayals of Mo
By: gorillabiscuits | Comments: 28 | Views: 2342 | Votes: 1 | Shared: 5
Location: Cairo, Cairo Governorate, Egypt | Leaked: Sep-23-2012 in World News, Regional News, WTF, Religion
Price tag: Peace Now activist's entryway vandalized
Slogans spray-painted on Israeli leftist activist's door and stairway, including 'Peace Now, the end is near.' "In the years that I have spent with Peace Now, nothing like this has ever happened t
By: aydeo | Comments: 6 | Views: 5631 | Votes: 0 | Shared: 0
Leaked: Sep-12-2011 in Other Middle East
Settlers, Palestinians gather to discuss peace
Activists from both sides of divide tour Jewish outpost of Migron, which part of it was demolished by IDF few days ago,say: 'We can make peace' Later the group continued to the Palestinian village
By: aydeo | Comments: 16 | Views: 1774 | Votes: 0 | Shared: 0
Leaked: Sep-7-2011 in Other Middle East
Brother of kidnapped soldier Shalit interrupts traditional torch-lighting ceremony
Yoel Shalit walks onto Independence Day ceremony grounds along with other several activists calling for captive's release. 'Gilad is still alive,' they chant till being removed by force. according t
By: aydeo | Comments: 1 | Views: 3991 | Votes: 0 | Shared: 0
Location: Jerusalem, Israel, Israel | Leaked: May-10-2011 in Other Middle East
German Synagogue Attacked by Arsonists Demanding Jews Give Palestinians Peace…
A synagogue in the city of Worms, in Rhineland-Palatinate state, was attacked by arsonists on Monday. The vandals left a note linking their torching of the synagogue with the Israel-Palestinian con
By: jumpingforJoy | Comments: 18 | Views: 9271 | Votes: 0 | Shared: 0
Leaked: May-18-2010 in Middle East
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text:
JPSS, for information about studying in Japan's universities and graduate schools. > Search Japanese Colleges of technology in Tokyo. > Japan Electronics College
Professional training college / Tokyo
Face to Face!
In 1951, Japan Electronics College was founded in Shinjuku Tokyo, the information transmission mecca.
Ever since its foundation the Japan Electronics College has remained sensitive to global developments and has been committed to the training of professionals that meet the demands of society.
Official site
Scholarship Students
Amount of money 150000 (JPY)
Period a lump sum
Financial Aid for a Family of Graduates
Amount of money 100000 (JPY)
Period a lump sum
Financial Aid for a Sibling of Current Students
Amount of money 50000 (JPY)
Period a lump sum


text:
93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee amount-$10-$20
93005 - Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report
93010 - Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only - Average fee payment $3 - $10
93040 - Rhythm ECG, 1-3 leads; with interpretation and report
93041 - Rhythm ECG, 1-3 leads; tracing only without interpretation and report
93042 - Rhythm ECG, 1-3 leads; interpretation and report only
The following is a summary of Current Procedural Terminology (procedure ®) codes commonly used for various electrocardiograph procedures performed with a Midmark ECG device. This information is provided only as a guide and is not intended to replace any official recommendations or guidelines, and does not constitute a promise or guarantee by Midmark regarding coverage or payment. Always check with the specific payer for the appropriate use of any procedure or ICD-10 codes. Physician fee schedule values listed are based on a national average and are rounded for brevity. Specific payments vary geographically. Codes and rates are subject to change. It is the responsibility of the provider to determine the correct coding for services provided.
procedure Manual Instructions for Reporting Electrocardiographic Recording
• Codes 93040-93042 are appropriate when an order for the test is triggered by an event, the rhythm strip is used to help diagnose the presence or absence of an arrhythmia, and a report is generated.
• There must be a specific order for an electrocardiogram or rhythm strip followed by a separate, signed, written, and retrievable report.
• It is not appropriate to use these codes for reviewing telemetry monitor strips taken from a monitoring system.
• The need for an electrocardiogram or rhythm strip should be supported by documentation in the patient medical record.
Bundled Services per procedure Manual:
• Do not report 93040-93042 when performing 93279-93289, 93291-93296, or 93298-93299
Report proper ICD-10-CM diagnosis codes to support the medical necessity for the use of an ECG.
ICD-10-CM codes and/or ranges are provided below to help with your decision process.
ICD-10-CM Diagnosis Codes
I10 Essential (primary) hypertension
R94.31 Abnormal electrocardiogram [ECG] [EKG]
R94.4 Abnormal results of kidney function studies
I25.2 Old myocardial infarction
T46.5X6A Underdosing of other antihypertensive drugs, [initial encounter]
Z91.120 Patient's intentional underdosing of medication regimen due to financial hardship
Z01.810 Encounter for pre-procedural cardiovascular examination
Other Impacts
For hierarchical condition categories (HCC) used in Medicare Advantage Risk Adjustment plans, certain diagnosis codes are used as to determine severity of illness, risk, and resource utilization. HCC impacts are often overlooked in the ICD-9-CM to ICD-10-CM conversion. The physician should examine the patient each year and compliantly document the status of all chronic and acute conditions. HCC codes are payment multipliers.
Scenario Details
Chief Complaint
• Dizziness, weakness, and feeling tired last few days. He reports passing out at school.
• 20 year old male college athlete with no prior medical history. On wrestling and cross country running team. Feeling dizzy, lightheaded, weak, and tired for the past two days. Had three several second witnessed syncopal episodes at school yesterday. Went to university clinic and was referred by nurse. Patient states no palpitations, no tachycardia, and no blurred vision noticed prior to each episode1.
• Upon questioning, patient admitted he had to lose 11 lbs. to meet wrestling weight requirement. He accomplished this by ingesting carbohydrates, minimal fluids, heavy exercise, and purging2 .
• No medication or allergies. Denies alcohol, drugs, supplements, or diuretics use.
• Looks exhausted. No apparent distress. Afebrile.
• Orthostatic VS:
• Lying BP 116/78 with HR 56,
• Sitting BP 107/60 with HR 74,
• Standing BP 92/49 with HR 1123
• Mucus membranes pale, skin is dry, with turgor and tenting. Capillary refill is 2-3 seconds.
• Chest is clear. Heart sounds normal.
• Labs significant for creatinine (2.13), BUN (43), glucose (60).
• EKG shows sinus tachycardia4 .
Assessment and Plan
• Orthostatic intolerance. Dizziness, fatigue, and syncope likely secondary to hypotension, dehydration and hypovolemia.
• Provided fluid challenge of 2L IV NS in office today with improved condition post infusion including resolution of orthostasis and tachycardia.
• Ordered nutritional consult for dietary intake requirements, physical activity, and potential bulimia2.
• Recommended patient have a psychological consult for potential bulimia; stated he would think about it.
• Scheduled a follow-up in 2 weeks to ensure no further symptoms. Return earlier if symptoms persist. No driving until follow up appointment.
Summary of ICD-10-CM Impacts
Clinical Documentation
1.Since the etiologies for syncope and collapse scenarios are multifactorial, clear documentation is required to support your clinical thinking and judgment. Quantify the number of syncope or pre-syncope episodes.
2.Note if the purging behavior is recurring or if it is a one-time occurrence (e.g., in this case due to the need for the significant weight loss of 11 pounds).
3.Orthostatic hypotension should be supported in the record with specific vital signs or measurements, and clinical manifestations whenever possible. This note provided clear documentation to support the orthostatic hypotension and the link with the patient's initial dehydration and hypovolemia. Given the patient's presentation, and the resolution of the orthostatic intolerance with IV fluids, addressing the coding for autonomic dysfunction syndrome is not relevant.
4.Ideally, if the note is to stand alone, then more detail needs to be provided to document sinus tachycardia.
ICD-10-CM Diagnosis Codes
R55 Syncope and collapse
R00.0 Tachycardia, unspecified
I95.1 Orthostatic hypotension
E86.0 Dehydration
E86.1 Hypovolemia
ICD-10-CM Description ICD-10-CM Code/ Range
Abnormalities of heart beat R00.0-R00.9
Angina pectoris 120.0-120.9
Atherosclerotic heart disease I25.10-I25.119
Atrioventricular and left bundle-branch block 144.0-144.7
Cardiac arrest I46.2-I46.9
Cardiac murmurs and other cardiac sounds R01.0-R01.2
Cardiomyopathy I42.0-I42.9
Cardiomyopathy in diseases classified elsewhere I43
Essential (primary) hypertension I10
Gangrene, not elsewhere classified I96
Hypertensive heart disease I11.0-I11.9
Multiple valve diseases I08.0-I08.9
Old myocardial infarction I25.2
Other acute ischemic heart diseases I24.0-I24.9
Other cardiac arrhythmias I49.0-I49.9
Other conduction disorders I45.0-145.9
Other pulmonary heart diseases I27.0-I27.9
Pain in chest R07.1-R07.9
Rheumatic aortic valve diseases I06.0-I06.9
Rheumatic mitral valve diseases I05.0-I05.9
ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction I21.0-I21.4
Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction I22.0-I22.9
Usage With Modifier TC and 26
Billing Example – Procedure 93000
*Procedure code 93000 has a PC/TC "4" indicator on MPFS Relative Value file
*Code described as global test only
*Modifier 26 or TC should not be appended to this procedure code
Billing Example – Procedure 93005
*Procedure code 93005 has a PC/TC "3" indicator on MPFS Relative Value file
*Code described as technical component only
*Modifier 26 or TC should not be appended to this procedure code
Billing Example – Procedure 93010
*Procedure code 93010 has a PC/TC "2" indicator on MPFS Relative Value file
*Code described as interpretation only
*Modifier 26 or TC should not be appended to this procedure code
Electrocardiography is a graphic record of electrical potentials produced by cardiac tissue. An electrographic tracing is created when electrical impulses produced by the heart spread to the body surface where they are detected by electrodes connected to a recording device. The ECG specifically addressed in this LCD is the standard 12-lead ECG, with or without a rhythm strip or other special leads. A qualified physician or NPP who is licensed by his state to perform these services must make an interpretation. The recording and interpretation should be part of the patient's medical record.
The ECG is valuable in the evaluation and management of primary diseases of the heart, pericardium and coronary arteries. Electrocardiography may be useful in management of diseases that are not primarily cardiac but which frequently affect the heart either directly or indirectly. The following are indications for which the ECG is appropriate:
- Cardiac ischemia or infarction (new symptoms or exacerbations of known disease).
- Anatomic or structural abnormalities of the heart such as congenital, valvular or hypertrophic heart disease.
- Rhythm disturbances and conduction system disease.
- Chest and central nervous system trauma.
- Use of medications or exposure to toxic substances that affect the heart.
- Metabolic abnormalities such as hyper/hypokalemia, hyper/hypocalcemia, hyper/hypothyroidism, acidosis, alkalosis.
- Systemic diseases that involve the heart.
- Evaluation and management related to invasive cardiac procedures.
- Evaluation of implanted electronic cardiac pacemakers.
- Preoperative management of selected patients.
- Patients with cardiac ischemia often present with chest pain. Not infrequently, patients with cardiac ischemia present with symptoms (including atypical chest discomfort) that are atypical for, but which may actually represent myocardial ischemia or infarction. The ECG may be utilized in the evaluation of patients with chest pain (typical or atypical) or other symptoms that are atypical but may be due to cardiac ischemia when an alternate explanation for the symptoms is not apparent.
Whereas there is no argument that the ECG is an important diagnostic tool, coverage cannot be provided for ECGs performed when there is no clear relationship to treatment or diagnosis of a specific disease or injury, or a sign, symptom or complaint is apparent. Payment for the services affected by this LCD must be made only for those services that directly contribute to the diagnosis and treatment of an individual patient. Services provided that do not directly contribute to the diagnosis or treatment of an individual patient (such as ECGs that are performed routinely upon admission to a facility or routinely performed prior to surgery) are not medically necessary and will be denied when billed and coded appropriately.
Preoperative electrocardiography is an important part of assessment of risk of preoperative cardiac morbidity. Important considerations include patient-specific predictors as well as surgery-specific risks. Medicare coverage of preoperative electrocardiography is limited to those patients who possess one or more patient-specific indicators of increased risk for perioperative cardiac morbidity and who will undergo surgery of high or intermediate risk of cardiac morbidity/mortality. Preoperative ECGs performed in circumstances other than those listed above are considered screening and should be billed accordingly.
Patient-specific predictors are such things as age, absence or presence of cardiac disease or dysfunction, current and recent stability of cardiac symptoms and syndromes, and the absence or presence of comorbid conditions known to increase the risk that undisclosed cardiac disease is present. Surgery-specific risks relate to the type of surgery and its associated degree of hemodynamic stress. High-risk procedures include major emergency surgery, aortic and major vascular surgeries, peripheral vascular surgery and prolonged procedures associated with large fluid shifts or blood loss. Intermediate-risk procedures include carotid endarterectomy, prostate surgery, orthopedic procedures, head and neck procedures, intraperitoneal and intrathoracic surgery. Low-risk procedures include endoscopy, superficial procedures, cataract surgery and breast surgery.
Medicare generally does not cover screening for heart disease. Though performance of a baseline ECG in certain asymptomatic patients is considered by many to be appropriate and standard medical practice, Medicare, by statute, may pay for such an ECG only as part of the one-time "Welcome to Medicare" preventative physical examination afforded by section 611 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. All other electrocardiography performed on asymptomatic individuals is considered screening regardless of the presence of risk factors (for cardiac disease) such as family history, hypertension, diabetes mellitus, hyperlipidemia or advanced age in circumstances where information obtained from the electrocardiogram does not directly affect management of the underlying disease.
Generally, one interpretation should be paid per ECG tracing. ECG interpretations (including "over-readings") that are not made contemporaneous to patient care and/or that do not directly contribute to the diagnosis and treatment of the individual patient are not covered and should not be billed to Medicare. Examples of such non-covered over-reading services include those that are performed by a physician whether or not that physician is treating the patient in such a manner that the interpretation is unavailable to the treating physician timely for use in decision-making regarding patient care (i.e., interpretations of preoperative tracings that are not available to the surgeon prior to the procedure and interpretations of tracings performed during an Evaluation and Management (E/M) service prompted by acute symptoms that are not available until after the medical decision-making is complete).
Contractors shall consider a service to be reasonable and necessary if the contractor determines that the service is:
- Safe and effective.
- Not experimental or investigational (exception: routine costs of qualifying clinical trial services with dates of service on or after September 19, 2000, which meet the requirements of the clinical trials NCD are considered reasonable and necessary).
- Appropriate, including the duration and frequency that is considered appropriate for the service, in terms of whether it is:
- Furnished in accordance with accepted standards of medical practice for the diagnosis or treatment of the patient's condition or to improve the function of a malformed body member.
- Furnished in a setting appropriate to the patient's medical needs and condition.
- Ordered and furnished by qualified personnel.
- One that meets, but does not exceed, the patient's medical need.
- At least as beneficial as an existing and available medically appropriate alternative.
CPT/HCPCS Codes
Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book. The American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) require the use of short CPT descriptors in policies published on the Web.
Electrocardiogram, complete
Electrocardiogram, tracing
Electrocardiogram report
ECG and EKG billing and coding Guidelines
CPT code 93000 has a PC/TC "4" indicator on MPFS Relative Value file
▪ Code described as global test only
▪ Modifier 26 or TC should not be appended to this procedure code
CPT code 93005 has a PC/TC "3" indicator on MPFS Relative Value file
▪ Code described as technical component only
▪ Modifier 26 or TC should not be appended to this procedure code
▪ CPT code 93010 has a PC/TC "2" indicator on MPFS Relative Value file
▪ Code described as interpretation only
▪ Modifier 26 or TC should not be appended to this procedure code
Anthem Central Region bundles 93000, 93010, 93018, 93040, 93042 and 0180T as redundant/mutually exclusive to 99281-99285. Anthem considers interpretations of tests to be a component of performing the evaluation and management service. An ECG is performed while the patient is in the emergency department. The emergency physician performing his evaluation and management service interprets this ECG and makes a decision as to the type of treatment that is required for this patient. This interpretation is a component or part of the decision making portion of the evaluation and management services.
Anthem Central Region is following the Enterprise Reimbursement policy #0023 which reads: Separate reimbursement is not allowed for codes 93010, 93018, 93042 or 0180T when submitted with Emergency Room evaluation and management services on the same date of service. No modifier will override this Claim Edit.
An EKG will be considered medically necessary in any of the following circumstances:
1. Initial diagnostic workup for a patient that presents with complaints of symptoms such as chest pain, palpitations, dyspnea, dizziness, syncope, etc. which may suggest a cardiac origin.
2. Evaluation of a patient on a cardiac medication for a cardiac arrhythmia or other cardiac condition which affects the electrical conduction system of the heart ( e.g., inotropics such as digoxin; antiarrhythmics such as Tambocor, Procainamide, or Quinidine; and antianginals such as Cardizem, Isordil, Corgard, Procardia, Inderal and Verapamil). The EKG is necessary to evaluate the effect of the cardiac medication on the patient's cardiac rhythm and/or conduction system.
3. Evaluation of a patient with a pacemaker with or without clinical findings (history or physical examination) that suggest possible pacemaker malfunction.
4. Evaluation of a patient who has a significant cardiac arrhythmia or conduction disorder in which an EKG is necessary as part of the evaluation and management of the patient. These disorders may include, but are not limited to, the following: Complete Heart Block, Second Degree AV Block, Left Bundle Branch Block, Right Bundle Branch Block, Paroxysmal VT, Atrial Fib/Flutter, Ventricular Fib/Flutter, Cardiac Arrest, Frequent PVCs, Frequent PACs, Wandering Atrial Pacemaker, and any other unspecified cardiac arrhythmia.
5. Evaluation of a patient with known Coronary Artery Disease (CAD) and/or heart muscle disease that presents with symptoms such as increasing shortness of breath (SOB), palpitations, angina, etc.
6. Evaluation of a patient's response to a newly established therapy for angina, palpitations, arrhythmias, SOB or other cardiopulmonary disease process.
7. Evaluation of patients after coronary artery revascularization by Coronary Artery Bypass Grafting (CABGs), Percutaneous Transluminal Coronary Angiography (PTCA), thrombolytic therapy (e.g., TPA, Streptokinase, Urokinase), and/or stent placement.
8. Evaluation of patients presenting with symptoms of a Myocardial Infarction (MI).
9. Evaluation of other symptomatology which may indicate a cardiac origin especially in those patients who have a history of an MI, CABG surgery or PTCA or patients who are being treated medically after a positive stress test or cardiac catherization.
10. Pre-operative Evaluation of the patient when:
- undergoing cardiac surgery such as CABGs, automatic implantable cardiac defibrillator, or pacemaker, or
- the patient has a medical condition associated with a significant risk of serious cardiac arrhythmia and/or myocardial ischemia such as Diabetes, history of MI, angina pectoris, aneurysm of heart wall, chronic ischemic heart disease, pericarditis, valvular disease or cardiomyopathy to name a few.
11. Evaluation of a patient's response to the administration of an agent known to result in cardiac or EKG abnormalities (for patients with suspected, or at increased risk of developing, cardiovascular disease or dysfunction). Examples of these agents are antineoplastic drugs, lithium, tranquilizers, anticonvulsants, and antidepressant agents.
12. When performed as a baseline evaluation prior to the initiation of an agent known to result in cardiac or EKG abnormalities. An example of such an agent is verapamil.
93005 (Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report) and (Rhythm ECG, one to three leads; tracing only without interpretation and report) bundles with A0426 (Ambulance service, advanced life support, non-emergency transport, level I {ALS}), A0427 (Ambulance service, advanced life support, emergency transport, level I {ALS I-emergency}), A0428 (Ambulance service, basic life support, non-emergency transport {BLS}), A0429 (Ambulance service, basic life support, emergency transport {BLS-emergency}), A0430 (Ambulance service, conventional air services, transport, one way {fixed wing}), A0431 (Ambulance service, conventional air services, transport, one way {rotary wing}), A0432 (Paramedic intercept {PI}, rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers), A0433 (Advanced life support, level 2 {ALS 2}), A0434 (Specialty care transport {SCT}), A0800 (Ambulance transport provided between the hours of 7 p.m. and 7 a.m.), and A0999 (Unlisted ambulance service).
93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report), 93010 (Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only), 93040 (Rhythm ECG, one to three leads; with interpretation and report) and 93042 (Rhythm ECG, one to three leads; interpretation and report only) bundles with A0426 (Ambulance service, advanced life support, nonemergency transport, level I {ALS}), A0427 (Ambulance service, advanced life support, emergency transport, level I {ALS I-emergency}), A0428 (Ambulance service, basic life support, non-emergency transport {BLS}), A0429 (Ambulance service, basic life support, emergency transport {BLSemergency}), A0430 (Ambulance service, conventional air services, transport, one way {fixed wing}), A0431 (Ambulance service, conventional air services, transport, one way {rotary wing}), A0432 (Paramedic intercept {PI}, rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers), A0433 (Advanced life support, level 2 {ALS 2}), A0434 (Specialty care transport {SCT}), A0800 (Ambulance transport provided between the hours of 7 p.m. and 7 a.m.), and A0999 (Unlisted ambulance service).
An electrocardiogram is a graphic tracing of the variation in electrical potential caused by the excitation of the heart muscle and detected at the body surface. The normal electrocardiogram shows deflections resulting from atrial and ventricular activity. The first deflection, P, is due to excitation of the atria. The QRS deflections are due to excitation (depolarization) of the ventricles.
The T wave is due to recovery of the ventricles (repolarization). The U wave is a potential undulation of unknown origin immediately following the T wave, seen in normal electrocardiograms and accentuated in hypokalemia. It is abbreviated ECG or EKG. The ECG tracing shows changes in magnitude of voltage and polarity (positive and negative) with time.
In the inpatient and outpatient hospital and emergency room settings, billing for ECGs may be divided into a technical component (performing the ECG) and a professional component (interpretation and report of the ECG).'
1. BCBSNC only reimburses providers for services delivered directly to the member or to the management of a member's condition. Consistent with Medicare guidelines, interpretation of the ECG must be done contemporaneously (at the time that clinical management decisions are being made).
2. BCBSNC will reimburse for interpretation of the ECG once, except under unusual consultative circumstances. The interpretation or the fee for the interpretation should be submitted based on place of service where the ECG was performed.
3. BCBSNC reimbursement for the professional component (procedure 93010) is for "interpretation and report" of an ECG procedure, not "review" of the procedure. A review of the findings of these procedures, without a written report, does not meet the conditions for separate payment of the service since the review is already included in the emergency room visit payment.
4. "Global only" codes represent a routine ECG with at least 12 leads and include the physician's interpretation and report. Other procedure codes are established to specify the "technical" component, (the ECG tracing only), and the "professional" component (for interpretation and report only). It is not appropriate to use modifiers -26 or –TC with these latter codes.
5. When Rhythm ECG, interpretation and report only, is billed the same date as an Evaluation and Management service in the hospital setting, then the rhythm ECG will be denied as a component f the Evaluation and Management service.
ECG Reimbursement
Blue Cross and Blue Shield of North Carolina's Criteria for Reimbursement of Professional Interpretation of ECGs Physicians may be eligible for professional reimbursement of ECG interpretation (procedure 93010) when ALL of the following criteria are met:
1. Based on information obtained from the hospital and provider, BCBSNC will determine which providers are eligible for reimbursement for the professional component of ECGs performed in the emergency room. AND
2. The medical record supports the provider assertion that the ECG reports document independent reimbursable services, including ALL of the following:
a) The ECG is used to diagnose and/or manage an ER patient's condition acutely.
b) The report is identifiable as a separate report (either a separate document or a clearly identifiable and independent portion of the ER record).
c) The report contains ALL components of a full 12 lead ECG report, including:
i. Name of patient
ii. Date of patient's birth and age
iii. Patient identification number
iv. Ordering physician's name
v. Date the technical portion of the study was performed
vi. Full and permanent graphical representation including I, II, III, aVL, aVR, aVF, and V1-V6, and rhythm strip.
vii. Measurement of all intervals (PR, QRS, QT) and axis.
viii. Documentation of rhythm and heart rate.
ix. Interpretation of the ECG tracing by the billing provider.
x. Legible signature by interpreting provider and date of interpretation noted independently of the ER record.
Please note: In light of the recent advances in information technology, specifically the development of electronic health records (EHR), BCBSNC will accept documentation of the above criteria in EHR format. This includes the physician's interpretation and electronic signature Policy Guidelines
BCBSNC may request medical records for determination of correct coding. When medical records are requested, letters of support and/or explanation are often useful, but are not sufficient documentation unless all specific information needed to ensure correct coding is included.'
Documentation Requirements
- Documentation supporting medical necessity should be legible, maintained in the patient's medical record and made available to Medicare upon request.
- Documentation should demonstrate that services are provided according to all requirements of this LCD. In this respect, the record should demonstrate the following:
- Evidence of recent, past, ongoing or suspected cardiac disease or symptoms.
- For patients in whom the ECG is performed as part of the evaluation of chest pain or symptoms that are atypical for cardiac ischemia, the record must substantiate that the ordering clinician has a valid concern that the etiology of the chest pain or other symptoms is cardiac in origin. Conversely, the record may show that the ECG is being used to exclude cardiac origin for symptoms (including chest pain) for which cardiac origin cannot be excluded by history or physical examination.
- For serial ECGs, information supporting the medical necessity for repeating the studies at the given interval should be present. Sequential ECGs, either short-term for an acute condition or long-term for a chronic condition, are often appropriate. Documentation must demonstrate that the findings of the test affect management of the condition.
- The report of the professional component (the interpretation) for the ECG must be a complete written report that includes relevant findings and appropriate comparisons. The interpretation may appear on the actual tracing or with a progress note or other report of an E/M service when the ECG is performed in conjunction with performance of an E/M service. An interpretation reported in the latter fashion, when billed as a separate service from the E/M service, should contain the same information as a report made upon the tracing itself. A simple notation of "ECG/EKG normal," without accompanying tracing, will not, in this circumstance, suffice as documentation of a separately payable interpretation.
- Preoperative ECG studies must indicate the underlying cardiac condition or risks, as well as the proposed operation for which cardiac evaluation is being performed. The ECG must be performed reasonably proximate to the proposed surgery to be considered medically necessary.
EKG Interpretations
For services provided between January 1, 1992, and December 31, 1993, carriers must not make separate payment for EKG interpretations performed or ordered as part of, or in conjunction with, visit or consultation services. The EKG interpretation codes that are bundled in this way are 93000, 93010, 93040, and 93042. Virtually, all EKGs are performed as part of or ordered in conjunction with a visit, including a hospital visit.
If the global code is billed for, i.e., codes 93000 or 93040, carriers should assume that the EKG interpretation was performed or ordered as part of a visit or consultation.
Therefore, they make separate payment for the tracing only portion of the service, i.e., code 93005 for 93000 and code 93041 for 93040. When the carrier makes this assumption in processing a claim, they include a message to that effect on the Medicare Summary Notice (MSN).
For services provided on or after January 1, 1994, carriers make separate payment for an EKG interpretation.
For services provided between January 1, 1992, and December 31, 1993, carriers must not make separate payment for EKG interpretations performed or ordered as part of, or in conjunction with, visit or consultation services. The EKG interpretation codes that are bundled in this way are 93000, 93010, 93040, and 93042. Virtually, all EKGs are performed as part of or ordered in conjunction with a visit, including a hospital visit.
If the global code is billed for, i.e., codes 93000 or 93040, carriers should assume that the EKG interpretation was performed or ordered as part of a visit or consultation.
Therefore, they make separate payment for the tracing only portion of the service, i.e., code 93005 for 93000 and code 93041 for 93040. When the carrier makes this assumption in processing a claim, they include a message to that effect on the Medicare Summary Notice (MSN).
For services provided on or after January 1, 1994, carriers make separate payment for an EKG interpretation.


text:
Corowa, New South Wales, Australia 1902 – Melbourne, Victoria, Australia 1993
Australia 1926 – 1996
commenced 1972 – 1996
publisher (organisation)
Helen Ogilvie: wood engravings.
1995 Description: comprises 42 pp plus end papers, frontispiece, title page, contents page, printers note, introduction pages and colophon. With wood-engravings and associated text.
Place made: Deakin, Canberra, Australian Capital Territory, Australia
Materials & Technique: books, wood engravings, printed in black ink, each from one block; letterpress text, hand-set and printed in black ink, from movable type Support: medium-weight smooth cream wove Mohawk Superfine paper
Manufacturer's Mark: no manufacturer's mark.
Edition State: published state
Impression: 187/200
Edition: edition of 200


text:
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text:
Tim Henman breezed into the third round of the Japan Open with victory over Frank Dancevic.
The British No 2 beat his Canadian opponent 6-2, 6-1 in Tokyo in his first match in the city for eight years.
Henman, who reached the last eight of the Thailand Open before being defeated by Paradorn Srichaphan last week, was rarely extended by Dancevic and had no problem beating the world No 88.
The 10th-seeded Englishman received a bye to the second round and will now play either Robby Ginepri or Juan Martin Del Potro in the last 16.
After the match Henman


text:
On the heels of our recent acquisition news, we're glad to have Mark Ragan as our guest speaker to interview Michael Kogon, CEO of Definition 6 and Synaptic Digital, a Definition 6 company, on the future of content marketing, and why the recent acquisition is so unique in the marketplace today.
We'll be discussing how breaking news and social media impacts your clients' news, how mobile marketing is changing the media conversation and how to socially enable video content through multiple channels.
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Michael Kogon is the CEO of Definition 6, the unified marketing agency he founded in 1997. Kogon has consistently refined the agency's focus over the years, helping it evolve from the largest independent digital agency in the Southeast to one of the fastest-growing unified marketing agencies in the country.
Kogon is credited with developing the agency's Unified Marketing Strategy model, which helps clients adapt to the reality of marketing in an always-on world, uniting brands and people in motion. Kogon and Definition 6 have helped generate over $15 Billion in revenue for clients since founding the firm.
As this is an invite-only event, if you are interested in attending, please email firstname.lastname@example.com with your name, company and title, and we'll make sure to get back to you as soon as we can to confirm if there is space available.


text:
Mini Key Post Earrings
Regular price $42.00 Sale price
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Wear your inspirational message with these tiny, but intentional mini key earrings. Available in the words LOVE, HOPE and DREAM.


text:
Over the years I have received Austudy, FTB, rent assistance, baby bonus, CCR and CCB.
Why? Because I was eligible for each payment under the eligibility criteria in force at the relevant time.
End of story.
Over the years I have received Austudy, FTB, rent assistance, baby bonus, CCR and CCB.
Why? Because I was eligible for each payment under the eligibility criteria in force at the relevant time.
End of story.
Alexander Beetle (17-04-2012),bugsy (17-04-2012),Deserama (17-04-2012),HarvestMoon (17-04-2012),mrsdj1234 (17-04-2012),SimplyMum (17-04-2012)
share a book (17-04-2012)
I'm surprised people answered.
OP you've been on the hub this morning. Why aren't you interested in your own thread? Or was it just to stir the pot.
I was a SAHM and left my ex, so I had to receive benefits to be able to have a home to live in. I am applying for uni courses to begin studying full time next year (double degree Nursing/Midwifery), so I should be qualified and working in that field by the time DD starts school as it's a 4 year full time course.
My goal is to become self sufficient after I graduate and take my dad up on the offer of a house deposit (he paid my sister/BIL's house deposit and said I will get it too - very fortunate am I ).
Am I on welfare? Yes
Why? Because I'm a single parent. FOB was no use in the father catagory (or brother, son, uncle, friend or perhaps even person catagory).
What have I done to better myself/get off welfare? I have studied since DS was 4 months old. Got a job at 9 months and went full time when he was 18months. In all that time (6.5years) I have had 6months off study. Now- I still receive a very small amount of pension working full time and studying part time. In a years time, I will still be doing the same thing (working full time and studying part time), earning no doubt the same amount of money (I apply for promotions within my workplace but have had no luck thus far).
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