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Dental work before a breast augmentation.
Doctor Answers 7
Breast augmentation
It should be fine to have dental work 3 weeks before breast augmentation. I would avoid this starting a week before and for several weeks after your augmentation. Some literature suggest doing prophylactic antibiotics for dental work once you have your implant.
Have you cavity filled!
Thanks for your question. I think you'd be fine getting a cavity filled 3 weeks before surgery. If you have a larger abscess that's a different story. Every surgeon will have their preferences, but I wouldn't hesitate to recommend getting your tooth fixed first.
Dental work and breast augmentation
Every surgeon has a different protocol about dental work and surgery. Sometimes there are periods of time that your surgeon will want you to wait between dental work and elective surgery. It is important to ask your doctor for her recommendations. Best, MMT
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I suggest getting your cavity filled now before surgery
As long as your surgery is still 3 weeks away, and you don't have an abscess that may require dental surgery or antibiotics, I don't think this will affect your upcoming breast surgery at all. I wouldn't want you to have a lot of manipulation in your mouth within about a week before the breast surgery, and probably about a month or so after the surgery, and definitely if you have any source of infection, like a periapical, or dental abscess. Because of the risk of bacterial transfer through the bloodstream to the breast wounds, those types of things should be fully resolved before elective breast augmentation. In the case of an abscess, you would likely need to undergo a root canal, followed by a few days of antibiotics depending upon how bad the abscess was. Typical cavities don't usually involve actual infection, like an abscess does, and as long as the filling is completed and stable early enough before your surgery that should be of no consequence. Make sure you run this by your own surgeon too, and get their recommendation as well. Good luck.
Dental work
Thank you for your question,
Have the dental work now. Do not want to risk any infection. Let your surgeon know, but you should be fine to proceed with the surgery. Best wishes.
Definitely get your cavity filled BEFORE your BA
it is important not to have any active infections in your body when you have a BA. you have plenty of time to get that cavity looked after before your surgery. very wise of you to look after that now. if the cavity is filled, you should not have any problems with your BA.
david berman md
Web reference: http://www.bermancosmeticsurgery.com/procedure/breast-augmentation/
Dental work before a breast augmentation.
Best to have dental work completed before breast augmentation surgery. What you don't want is to have an infection of any kind around the time of, or after breast augmentation surgery. Let your plastic surgeon know of your situation. Best wishes for an outcome that you will be very pleased with.
Web reference: http://www.poustiplasticsurgery.com/la-jolla-cosmetic-surgeon.htm
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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Andy Warhol
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this wiki
this wiki
Andy Warhol is an NPC introduced in The Sims: Superstar. He is slightly different from the other fame NPCs in that he appears to be tied to the photo shoot object, whereas the others are independent characters who can wander freely around Studio Town. He is based on the real-world artist and filmmaker of the same name.

subset: commoncrawl


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Could 'Occupy' Movement Make Comeback?
You might remember the 'Occupy' movement from a few years ago. It made a lot of headlines in 2001, but it ultimately faded away. However, the American economy could wind up allowing it to make a comeback.
We've seen economic protests recently in countries like England. And the U.S. economy contracted by almost 3% in the first quarter of 2014. That has led economists like Martin Armstrong to believe we could see protests fire up here. Lone Star College economics professor Hank Lewis says Armstrong isn't just blowing smoke.
"We could see some kind of protests," Lewis said. "Armstrong isn't out of touch. Is it time to panic? No. But are there issues that could lead to problems? Yes."
And if you think we won't see any protests here in Houston, Lewis says you might want to think again.
"You'd probably see it in Dallas, Seattle, New York and even in Houston. You could see some big protests," Lewis stated.
How big will they be?
"I wouldn't be surprised if they were pretty large," Lewis explained. But will we see SWAT teams and water cannons? I'm not so sure."
This isn't something that's going to happen today, but Lewis says if we continue down the economic path that we are on, he wouldn't be surprised to see protests fire up within a couple of years.


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The new Trek Women's Triathlon series has secured both the site and date of the popular Danskin race that drew 4,000 competitors to Pleasant Prairie's Lakeview RecPlex in 2008.
Pleasant Prairie expects to finalize a contract with Trek to host the sprint triathlon on July 12, which had been a tentative date on the Danskin race schedule. Village officials are working with Danskin organizers on finding a new date, according to Village Manager Mike Pollocoff.
The change in Pleasant Prairie is a ripple from the splash made late last year in the top ranks of women's triathlon events.
Organizers of the start up Trek series scored a coup when they signed Sally Edwards as their spokeswoman and Maggie Sullivan as the race director. Both had been instrumental in the success of the 20-year-old Danskin series: Edwards as the out-front inspiration, and Sullivan as the behind-the-scenes organizer.
The TREK series lists 10 races on the 2009 schedule, while Danskin has six and tentative dates on two others.
In Pleasant Prairie, Pollocoff said the Trek organizers made a faster and firmer proposal to secure the July 12 date and the RecPlex, with its 110-acre lake and large staging area.
Trek agreed to cover all the village's costs for the event, and to donate money for village recreation programs, Pollocoff said.
The door hasn't closed on Danskin.
"If we're able to do two triathlons, that's good," Pollocoff said.
The number, actually, could be three. The Pleasant Prairie Triathlon is on the calendar for Aug. 15, and renewing a deal with Danskin would bring the hat-trick.
"We are going to have triathlons this summer; we just don't know how many," Pollocoff said.


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Nathan & Larissa Thompson
Nathan and Larissa (Goris) Thompson were married on June 17, 2011 at Semple Mansion in Minneapolis, Mn.
Officiated by Pastor Russell Kalenberg.
Parents are Tim and Rae Thompson, Brainerd, Mn. and Tom and Jill Goris, Willmar, MN.
The grooms attendants were: Justin Delong, Grant Goris, Spencer Thompson.
The bride's attendants were: Lydia Goris, Kenzie Erickson Goris, Taylor Thompson.
The groom graduated from Brainerd High School, University of Wisconsin Stout and is employed at NW McGrath as a Field Engineer.
The bride graduated from Brainerd High School and Bethel College.
The couple are making their home in Silverdale, Washington.


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The Sedgebrook on Leichhardt
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- Spa
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TripAdvisor Reviews The Sedgebrook on Leichhardt Brisbane
Travel Blogs from Brisbane
5 October, 2015 (A Box Full of Gliders)
... the rest of the week. When Mel radioed Beck to tell her I was
with her, a crackly "yesss!" came back. Haha. "I would have
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herself. Thanks, Beck!
I cleaned Daisy and Beck came by with a
new vollie, Celeni from Brazil. Celeni has great English and will be
at Lone Pine for three months. She will be in Oz a year, studying.
We moved on and helped ...
26 September, 2015 (Riverfire!)
... bike store right on Queen Street closed. All
of humanity was in Brisbane for Riverfire, so I had to rush, bobbing
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50% off lock and snatched it up. Whew! There was no way I was going
to put my bike in a bush down by the river for the night and merely
hope it was there when I came back tomorrow. No, sir!
27 August, 2015 (Koala Capers)
... a black-headed python) over my
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scales. Andrew and I talked about Morpheus and after a few minutes he
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Back to civilsation
... to Darwin. With that sorted we had a day and a half left to enjoy Brisbane. We did a bit of shopping, visited the fake beach at Southbank for a paddle and abused the free wifi at the state library. We checked out the Queensland museum which was good and the museum of Brisbane which wasn't so good. We also took a free tour of the town halls clock tower, riding the lift right up to the top of the (once upon a time) tallest building in Brisbane but the ...
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- 86% of voters 50+ say it is very important to them that Social Security benefits are not reduced for current seniors.
- 84% opposed reducing Social Security benefits in order to reduce the deficit; in fact, 74% strongly oppose.
- 81% agree that the future of Social Security should be considered separately from budget reduction discussions.
- 78% oppose changing the way the cost of living adjustment is calculated for retired and disabled veterans' benefits.
Survey of Illinois Voters over 50 Shows Overwhelming Rejection of Cuts to Social Security Benefits; Illinoisans Urged to Call their Senators to say NO on Obama's Budget Deal CHICAGO, April 8, 2013 /PRNewswire-USNewswire/ -- As a chained CPI will be an element in President Obama's budget proposal, an overwhelming majority of Illinoisans oppose this plan as well as cuts in Social Security benefits according to a state survey conducted by AARP. Nearly 9 in 10 voters strongly believe that seniors should not be affected by changes to Social Security, while over 80 percent agree that the future of Social Security should not be part of deficit-reduction discussions. "President Obama is laying out a clear marker that he is willing to cut Social Security and other benefits to balance the budget. But Social Security is a separate, self-funded program that doesn't contribute to the deficit and shouldn't be a part of any deficit-reduction deal," said Bob Gallo, AARP Illinois State Director. "Both the House and Senate budgets rejected the idea of cutting Social Security benefits to reduce the deficit, and our survey shows that the overwhelming majority of older Americans agree Social Security should not be cut for deficit reduction." AARP's survey of Illinois voters 50 and older showed, among other things:


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It looks like you're new here. If you want to get involved, click one of these buttons!
I've got a marathon next Sunday, so was reading up on effective carb loading. I came across the article linked below, which suggests a 3 min very high intensity run the day before, suggesting that this shocks/primes the body into loading more glycogen.
Mumbo jumbo, or recognised approach?
I'm sure there are some grounds to the different methods to trick the body into holding onto more glycogen. It is quite risky to try out new things close to race day for the first time. I go with the approach that I am running less during the taper on the same the same diet, and then eat a higher % of carbs for 2 or 3 days before hand.
Sounds like you have been reading the Western Australian Carbo Loading method. If you are going to use it, make sure you already incorporate the short intense session needed to kick it off within training, otherwise you could risk injury
I'd be very cautious about this. For a start, the way the article is written it suggests to me that the author has misinterpreted the original study in some details. The only mention of a "24 hour" period in the study is the time within which glycogen levels are supposed to be boosted. It doesn't suggest carb loading only 24 hours before the race. This is far too close for either (a) risking a high intensity run, or (b) consuming a huge load of carbs and hoping to digest it all properly before the race - or getting a good night's sleep Even the author says he feels bloated on the start line. Other articles I've read suggest doing it 2 days before, and since you're doing so little (if any) subsequent exercise before the race, you can expect to maintain maximum glycogen stores by simply eating sensibly the day before the race.
Besides which, although the study hasn't been discredited, to my knowledge (willing to be corrected) it's not been conclusively proven to boost glycogen levels beyond those of a normal carb load. I've personally used this approach a couple of times without too much fuss, although the one time when I did try to get scientific about the amount of carbs to take in, it struck me as being absolutely bloody loads! Thankfully I did the 3-min effort on the Friday evening, felt bloated all Friday night but then had Saturday to get back to normality before the Sunday race. I just do a normal carb load these days - eating extra carbs between regular meals between Friday lunchtime and Saturday lunchtime, then eating normally for the rest of Saturday for a Sunday race. As Also-ran says, eating normally during the taper period will help to restore your glycogen levels anyway.
Sorry, "...the time within which glycogen levels are supposed to be boosted" should read "the time it takes to get glycogen levels back up..." i.e. this is not to suggest that there is only a 24 hour-window where glycogen levels remain topped up. Basically, do not try this the day before the race (in my opinion).
I did try the more sciency x grammes of carbs per y kg body weight. I love my carbs, but that was pure crazy
I had an interesting marathon last week. I came down with a virus, and for the week before the marathon I was on what I would call a carb / protein / fat de-loading experience. The marathon itself continued in the same vein (threw up my one attempt to stomach a gel), including 2 portaloo stops enroute for more deloading. I was amazed that in this state I was no more than 5 mins off a pb. I'm going to be a lot more relaxed next marathon that I do; most of them I have been feeling pretty bloated come the Saturday, yet still felt as though a few more carbs would mke all the difference. Maybe less is more?
I've tried the carb depletion/carb load method a couple of times. Not sure if it works but losing a couple of pounds during the depletion gets your head in the right place. As already mentioned, I won't be going mad with the carb load, as maintaining my normal marathon training intake will be plenty with the reduction in mileage due to the taper.


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Joined: 30 January 2005
Posts: 262
Hi All,
Our topic for this week revolves around Simran's life and the people who have influenced her in her life and in her decisions. As we all know Simran's life has been full of ups and downs, be it her marriage, breakup, issues regarding friendship, child loss, adoption etc...
But, we have seen Simran overcoming her grief everytime, ultimately emerging a winner. We have also discussed in the past about her being true to her Astitva. So, now we are moving ahead, trying to talk of all the people who have been around her during her bad times as well as good times.
So, the topic of discussion is that : Discuss about the people who have been influential in the decisions taken by Simran? In other words, Talk about the people who have helped Simran. Please take a particular situation Simran faced, then speak about the person lending a helping hand to her....
Please post your opinions, it will be very interesting to hear your views.
Moderator and Viewbie Team , IF
Joined: 24 March 2005
Posts: 1021
This is a great topic.
I think that Manas was defnitely a geart support in Simran's life. Manas put a differnt prespective on things and she could relate to him at certain levels. Where as with her father who also was her greatest support, she couldn't related to him because he was her father.
Everyone needs a great friend who is so supportive of everything you do in your life. Manas was that person for Simran, but I feel like as soon as he left, something inside of Simran died. She could never find another replacement to take Mana's place in her life,....not even Shaker.
Just my thoughs.....
Joined: 17 February 2005
Posts: 527
I agree.. Manas was the only one who could convince Simran to do or not to do things.. They had a very special friendship by it all means.. I agree with peaches that when he left, something has changed & died inside Simran.. She missed her support and advisor.. The one who could stand with or against her, because he cared about her.. I was surprised when their relation has changed dramatically and how he simply left without even saying a proper "good bye" to her..
Joined: 02 March 2005
Posts: 22
Joined: 24 March 2005
Posts: 1021
Very well said Nisha!!! .
But, why don't you like her father? He's only pushy because Simran being so strong and level headed to begin with, has her week moments too. Her father tires to conunter act that weekness by being stubborn and pushy. The reason he is like that, is because if he wasn't Simran would have given up on life a long time ago. She has a lot of support, from her extended family as well, but her father is alwyas with her 24 hours a day. Remember what she's been through. 2 broken relationships, both were the result of of infidelity, in addition to loosing her flesh and blood. I believe in this case, only a parent can support his or her child through these ordeals. Saurbh and done what any parent would do. I'm glad that he has always been with her constantly. I guess he is the way he is so Simran dosn't feel like she's all alone in this world. I love their father daughter relationship....I think it's so sweet!
Yes I agree Shaugna is very special too. But I will not go into that.
Sorry Nisha, I hope you're not offended.
Joined: 13 August 2004
Posts: 4673
Joined: 07 March 2005
Posts: 596
Hi Forum Friends,
"Influences on Dr.Simran's life" is like an extention of our previous topic because influence is an external force that makes the person whatever he or she is.It sometimes brings to the fore what we have inherited genetically or supresses it.
A person is normally influenced by those whom he/she holds in high esteem or admires and respects.It could be negative or positive.
With reference to Simran the most influential person in her life is her father; in her career as well as her in her personal life.Her dedication and integrity towards her profession is definitely her father's input.She is strong willed and determined like her father and hence the clashes.His influence is more evident after her split with Abhi because she starts to look at him for support once again.The most important decision of adopting Gudiya as her own and marrying Abhi again was her fathers idea.Mr.Mathur is interfering,perhaps with good intentions,but can seldom refrain form giving his opinion(forcefully) to his family.Simran has done the same on several occasions.
Her patience,tolerance,understanding and discretion are her mother's contribution.It was her mother's support in her early days of marriage and pregnancy that kept her close to her family.
Manas,her closest friend and colleague taught her not to allow personal relationships interfere with her profession.He was one person who could take the liberty of scolding her and correcting her.He helped her to come out of her sorrows by encouraging her to immerse herself in her work.
Abhi being much younger and youthful brought much fun and liveliness and romance in her otherwise tranquil lifestyle.His influence was strong enough to make her get over Dr.Joshi who was her first love.
Shaguna,the most loyal person in her life,Rashmi, her most loving sibling,Urmila and her mother in law(after a change of heart),Sid are all very supportive but I'm not sure if they have influenced her.Maybe I am not very clear on the term'influence'.
Saguna is someone she can trust and rely upon,Rashmi is her confidante since Manas left, but I think it is Simran who has influenced their lives.
It would be interesting to see more opinions on this topic,may be it would change my way of seeing things.
Joined: 18 February 2005
Posts: 1311
I don't watch this serial regularly and as some of u know I keep track of it regularly thanks to excellent updates by Sree. Based on what little I have seen and read below are my views
Simran's mother - Guess she understood the virtue of patience from her. I think Simrans mom put of with her dad's infidelity (This was not very clear actually. But I think it was close to infidelity. I may be wrong) as well and Simran also did the same thing with Abhi for quite some time (though I really don't endorse this)
Dad - Ambition. I think it was only because of her dad that Simran became a successful doctor. It was his support and dedication that enabled her to see success at a young age. Also Mathur comes across as a very honest man which shows in Simran as well.
1st Abhimanyu - I really dunno what kind of an influence he must have had but I think that her zeal to server the nation partly came from him as well. He went on to join Air force and served the army while she also decided to do the same in her own small way.
Manas - The most important person in her life I would say for a long time. From him she learnt the art of being supportive. Manas was always there for any decisions that she took with no questions asked and no criticision (something i really admire. Ppl generally advise you easily when it is not even expected of them. ). He was the one who helped Abhi-Simran marriage.This made Simran also as the helping person that she is. Never to expect anything in return for the help rendered.
2nd Abhi - her husband. The one person whom Simran still loves. When Abhi came into her life SImran was almost reconciled to the fact that she would dedicate herself to her patients and their wellbeing. Abhi was the one who instilled the love of fun in her life. He complemented her in every way. When she was serious he was humorous, when she was mature he was rash. The differences were shown clearly in their courting days. I don't seem to recall any particular incident but i sure did have the same opinion at that time as well.
Pranav - I would say filled in the void (partly) in SImran's life once Manas left. Pranav helped her in putting things in the right perspectve and was especially helpful in treating 1st Abhi with her as well as dealing with the kidnap.
Brian - As I say Pranav filled in the void partly the other part was filled by fun loving Brian. From Brian Simran learnt to face life's challenges. Simran had become cynical when she met Brian. But Brian was a person who in spite of his personal problems always put his best face forward and Simran also realized this fact from him. He also helped in their NGO initiative which really put Brian in a new perspective for her.
Fufa, Mausi, Catherine, Harsh, Rashmi, Abhi's parents especially his dad - proving to be the pillars of support in her difficult times. Being there for her when it was needed in the moment of sorrow.
Shaguna - Shaguna looked up to Simran. For any person that is a truly divine experience. She was always in awe of Simran and it showed in all her actions. Shaguna trusted Simran completely and when you have a person like that u strive to do better and better and that is what happened with SImran as well. As one of the member has put across a beautiful word Shaguna 'nurtured' Simran.
Neha - I think that Simran helped Neha more than vice versa. But yes, I think Neha made Simran realize that she was crossing her limits with ABhi;s relation but then by the time she realized this the damage was already made. But still Neha gave her the 2nd biggest happiness of her life (1st is anyways the birth of Simran's own biological daughter Aastha) Aastha. In her death Neha rised in Simran's eyes tremendously.
Radha - Always the misunderstood one. She is right to a certain extent that Simran was responsible for Neha's death. Yes Neha's insecurities with SImran also led to her death as I think that because of her doubts over Simran-Abhi relation Neha had lost all zeal for her life. But Simran was in no way really responsible for her death and this was understood by Neha as she gave off new born to Simran.
Sid - He proves himself to be a son of Manas. In spite of the age difference Sid is a person with whom Simran shares her thots abt Aastha and other things. Her support system in the hospital along with his mum Urmila.
Am giving a miss to Sia in this list as she is still new to Simran and they are just getting to know each other.
Lastly Astitva reiterates the point that for any person to be successful, we always need the help of ppl around us if not for anything at least to share our life. Ppl play a major role in our understanding of things around us. They can put the things in right perspective or they can even lead us to take some rash decisions.
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A peek inside the Robert Mondavi wine warehouse
Constellation Brands, owners of Robert Mondavi, ship the wine to 50 countries around the world.
Canada is the biggest consumer of California wine followed by Japan and China.PHOTO: Brian Hickey/KCRA
For the first time, wine is being shipped from this warehouse to Brazil.PHOTO: Brian Hickey/KCRA
Brazil is hosting World Cup Soccer in 2014 and the Summer Olympics in 2016.PHOTO: Brian Hickey/KCRA
Winemakers see this as an opportunity to break into the Brazilian market. Chile, Argentina and Portugal are the main suppliers of wine to Brazil.PHOTO: Brian Hickey/KCRA
These bottles of Opus One are awaiting speical labeling for international shipping. In the US they retail for $195 each.PHOTO: Brian Hickey/KCRA
Three containers holding 3600 cases of wine will ship to Brazil.PHOTO: Brian Hickey/KCRA
This is a rare 9 Litre bottle worth approx $4,800! Don't drop, don't drop.....
The Lodi warehouse holds the entire library of Opus wine.PHOTO: Brian Hickey/KCRA
This is Opus One from the first year it was bottled.PHOTO: Brian Hickey/KCRA
This one pallet of Opus One is worth approx. $1,000,000.PHOTO: HIS OBrian Hickey/KCRA
This is a look down one aisle at the 600,000 sq. ft. Robert Mondavi warehouse. This aisle contains the complete library of Mondavi wines from opening to present.PHOTO: Brian Hickey/KCRA


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GPTS Audio
Welcome to the GPTS Audio pages.
The Mount Olive Tape Library, Inc. was formed in 1969 in Mississippi under the oversight of the late George M. Calhoun, a rural postal carrier and Presbyterian elder. Thirsting for a deeper knowledge of the Reformed faith and desiring to pass that on to others, Mr. Calhoun eventually collected and recorded audio of nearly 10,000 sermons and lectures. These were made available for rent via cassette tape for a minimal fee, and through this tape ministry, thousands of individuals were given access to materials that would normally have been beyond their reach. Soon after the death of Mr. Calhoun in 2001, an effort was made to begin digitizing the content of the library in order to expand the reach of the ministry.
To date, over 4600 audio files have been digitized and posted online. The postings of the library have consistently averaged around 20,000 downloads per month and are being accessed across the globe by pastors and laymen alike, many of them having no access to similar lecture materials and sermons in their own countries and language. Speakers featured in the collection, among many others, include: Cornelius Van Til, John Murray, Leon Morris, O. Palmer Robertson, C. Gregg Singer, Morton H. Smith, and Walter Chantry. The library covers a wide range of topics in biblical studies, church history, apologetics, and ethics.
In 2006 the stewardship of the library was given to Greenville Presbyterian Theological Seminary and the Smith-Singer Library, which currently maintains the postings on SermonAudio.com, archives the master tapes, and collects and digitizes additional material as funds are available. The postings of the Mt. Olive Tape Library, as well as many recordings from GPTS chapel services and special events, are available free of charge through our website and www.SermonAudio.com. It is our prayer that these materials will continue to provide rich spiritual nourishment for years to come.
If you have benefited from this audio ministry, please consider how you can help expand its outreach. There are several ways to do this:
First, you can encourage your friends to use the GPTS & Mt Olive Tape Library postings for their own personal edification. They can easily find sermons and lectures to listen to while exercising, traveling, or even while cleaning the house or crocheting a blanket.
Second, if your church has hosted and recorded (or will be hosting and recording) conferences and/or special speakers, please encourage your session to consider sending copies of the master recordings to GPTS so that the body of Christ around the world can benefit from them. We are interested in a broad range of materials (biblical exposition, topics related to family life, church history, worldview issues, etc.). We would especially like to obtain recordings of Dr. Pipa or any of the GPTS faculty that have spoken at your church. Once we have received a quality copy of a master CD or cassette, we will convert it to MP3 format and upload it to SermonAudio.
Third, if your church has considered posting audio to the web, please consider using www.SermonAudio.com, our partner in this audio minstry. If you decide to use their services and you mention that you were referred to them by GPTS, the seminary will receive coupons that can be used to feature GPTS and the audio contained in the GPTS & Mt Olive Tape Library collection on the SermonAudio main page.
Fourth, you or your church may want to support the audio ministry of the seminary directly. If so, you can use the donation button on this page (coming soon) or send funds directly to the seminary to be applied to our audio ministry. Please include these matters in your prayers and discuss them with your session. This is an opportunity to partner with us in a far-reaching, truly worldwide, part of our ministry.


text:
By Lola Butcher
Key Takeaways
Providers at the forefront of business intelligence share a number of lessons learned:
Across the country, health systems are turning data into useful information in surprising new ways. By combining data from a myriad of sources, analyzing it to inform specific processes, and presenting it in easy-to-understand formats, they are improving efficiency, lowering costs, and saving lives.
For example, Denver Health is using business intelligence to identify patients who are likely to have a heart attack or other serious cardiac event. A programmed "workflow" continually scans the hospital's data warehouse in search of patients who are deteriorating. If certain factors-for example, oxygen levels or systolic pressure-hit predetermined thresholds, clinicians are notified so they can intervene.
"We can now predict hours ahead of a cardiac event that a patient is likely to code," says Gregory Veltri, the system's CIO. "As a result, in our non-ICU areas, we have experienced zero cardiac resuscitation events for some quarters."
While quick to praise the noteworthy improvements attainable with business intelligence, those in the trenches warn that these efforts are time-consuming and often frustrating. As the industry adopts value-based performance approaches, many healthcare leaders-from physicians and nurses to administrators and IT-will likely see their responsibilities for data collection, analysis, and monitoring increase in future years.
"The most important thing to know is that business intelligence is a work in progress," says Michael C. Lindberg, MD, chair of the medicine department, Hartford Hospital. "You can't just say, 'This is it,' and leave it alone. You have to be looking at the data all the time and making adjustments."
One key upfront decision that healthcare organizations have to make about their business intelligence strategy is where to house all the data. Denver Health and Northeast Georgia chose different approaches.
Creating a single data warehouse. Denver Health built a data warehouse for financial data in the mid-1990s and began adding clinical data in 2005. Since then, the data warehouse has grown to support registries that help manage chronically ill patients, inform quality reporting and benchmarking, and develop patient management reports-not to mention dashboards, or the easy-to-read interfaces that allow clinicians and executives to quickly assess progress on key measures.
"We have produced CFO dashboards, CEO dashboards, core measure dashboards, and ambulatory indicator dashboards," says Veltri. "And we're now actually producing a hospital dashboard that tracks all of our meaningful use indicators, plus all of our core measure and regulatory indicators."
Veltri calls the warehouse "the single source of truth" for Denver Health, and access to that truth is disseminated throughout the organization.
"We wanted analytical tools that were easy to use with the idea that departmental super users or physicians would eventually mine the data," he says. "Today we have approximately 50 physicians and departmental users plus 12 IT staff who leverage the data warehouse, enabling improved quality, safety, and patient outcomes."
Building a data warehouse is a huge IT project that can cost millions of dollars, depending on the size and scope of such a project. Costs include not only the tools for development, but hardware, storage, training, and resource costs. For an organization the size of Denver Health that wants to centralize organizational reporting as much as possible, the cost of a data warehouse is an ongoing expense, says Veltri.
"A lot of organizations are not willing to invest millions in a project without an upfront definable ROI, but there's no return in building a data warehouse until the foundation is built and data integration in some form is completed," says Veltri. "And the return received is based on how the platform is leveraged by organizational leadership. If you're not willing to take some risks, then just don't start."
Pulling data from multiple sources. At Northeast Georgia Health System in Gainesville, Ga., the business intelligence journey began two years ago. Instead of a traditional, physical data warehouse, Northeast Georgia employs a so-called "virtual" data warehouse strategy, using technology that allows data to be pulled from multiple sources without first being aggregated inside a warehouse.
"Knowing how fast health care is continuing to change, we believe we can accomplish our virtual enterprise intelligence strategy with this newer technology rather than having everything in a traditional data warehouse," says CIO Allana Cummings.
Northeast Georgia's business intelligence tool uses "in memory" computing, an approach that is less expensive than building a data warehouse because there are no costs for the warehouse hardware, software, implementation, or support. Cummings says it allows for data to be analyzed more quickly. However, because data is pulled from disparate sources, there is no central point of control that ensures that all data is "normalized" for analytical purposes.
In Cummings' view, that does not present a problem as data can be normalized on an as-needed basis, which is required in a small percentage of analyses. Northeast Georgia's business intelligence work is overseen by a data quality council that is chaired by the system's chief data architect and includes representatives from clinical, ancillary, quality improvement, revenue cycle, and other areas of the health system. "The council's goal is to help us ensure the integrity of data being reported in the organization, and that starts at the point of actual data collection," says Cummings. "We're looking at standardizing definitions, how the information is entered, how it is pulled, and how it is used."
From left, Northeast Georgia's Zan Miller, chief data architect, and James M. Bailey, MD, chief medical information officer and chief quality officer, serve on the health system's Data Quality Council that oversees business intelligence work.
Connecticut's Hartford Hospital, an 867-bed regional referral center, is gaining market share as its ability to move patients through the hospital improves. As a result of monitoring pertinent data and taking needed actions, the hospital is now discharging patients in a more efficient manner. Every Sunday night, inpatient data from several systems-patient billing, bed management, and transport-is compiled and loaded into the hospital's patient throughput dashboard. "Come Monday morning, we can pull up the latest data from the last week," says Michael C. Lindberg, MD, chair of the medicine department.
The dashboard includes three subsections:
Since the dashboard came online in 2009, the percentage of patients meeting the hospital's early discharge target of 11 a.m. tripled-increasing from 9.5 percent to 30 percent.
Lindberg keeps his eye on the weekly updates to ensure no one is backsliding. "If I see a physician who is starting to drift-for instance, if three data points show him missing our patient throughput goals-I will pull him into my office," he says. "I pull up the graph and show him, 'This is you. Here's how you compare with everyone else. Let's take a look at this right on the screen. Why are you having trouble?'"
A multidisciplinary group including pharmacists, hospitalists, nurses, midlevel practitioners, and representatives from various clerical areas are tasked with combing the patient throughput dashboard for information that can be immediately put to use. "All of us go over this stuff on a weekly basis to see what the trends are," says Lindberg. "We go to individual patient floors to give them feedback. We reward the floors that are doing great, and we use the lessons learned from the great floors to help the floors that are having trouble."
For example, the dashboard revealed that a medical floor consistently had an extremely long length of stay for its patients and a lot of opportunity days. Both results contributed to a backlog in the emergency department (ED). "We slightly restructured our hospital medicine service to put two dedicated hospitalists on that floor," says Lindberg. "That floor was then able to reduce its length of stay to below the hospitalwide mean by simply redistributing resources."
In another case, dashboard data showed that the length of stay was unnecessarily high for medical patients who were placed on a floor that is usually reserved for surgery patients. "By getting surgical midlevels-physician assistants and nurse practitioners who were working on that floor-to not only take care of their surgical patients, but to help with medical patients, they improved throughput and helped get the patients out earlier in the day with a shorter length of stay," he says.
Having met its early discharge target, Hartford is currently focusing on readmissions: Its overall readmission rate is currently about 10 percent-which is below the hospital's 2012 target of 12.3 percent. Its heart failure readmission rate has fallen from 24.7 percent in early 2011 to 21.4 percent this year. "We think we can get our heart failure readmissions down to 15 percent or lower," says Lindberg.
Mercy Hospital St. Louis, the flagship hospital of the Sisters of Mercy health system, is reducing sepsis mortality with a business intelligence approach. Data pulled from electronic health records (EHRs) is being used to monitor-and improve-the hospital's handling of severe sepsis and septic shock.
Shortly after the 31-hospital Sisters of Mercy Health System installed its EHR system, hospital leaders engaged a vendor to start mining data that could be used to improve clinical performance. The upshot: new care protocols for patients who develop one of the deadliest hospital-acquired conditions.
Severe sepsis strikes about 750,000 Americans each year, and it is estimated that between 28 percent and 50 percent of these people die-more than the number of U.S. deaths from prostate cancer, breast cancer, and AIDS combined (National Institute of General Medical Sciences, 2009). Researchers estimate that about half of sepsis cases may be hospital-acquired (Eber, M.R., et al, "Clinical and Economic Outcomes Attributable to Health Care-Associated Sepsis and Pneumonia," Archives of Internal Medicine, Feb. 22, 2010, vol. 170, no. 4).
Timely diagnosis and treatment are essential for survival, says Robert Taylor, MD, a critical care physician, Mercy St. Louis. Evidence-based guidelines call for a "resuscitation bundle" of treatments to be delivered within six hours of diagnosis and a "management bundle" to be administered within 24 hours.
Like most hospitals, Mercy Hospital St. Louis did not know how well it was complying with those guidelines until EHR data was available.
An analytics vendor extracted data from 27,000 de-identified patient records at four hospitals in the Mercy system and created a database that could be analyzed to reveal the facts: Overall, the four hospitals were less than 3 percent compliant with the entire six-hour bundle and less than 20 percent compliant with any of the individual elements.
That was just the information Taylor needed to start an improvement initiative. The "change elements" of that initiative include the following:
Mercy St. Louis began tracking several measures on a daily report card: time from sepsis diagnosis to ICU admission, time to placement of a central-venous catheter, time to achievement of the volume resuscitation goals of the sepsis care bundle, and time to administration of antibiotics.
The results are astounding: In the first months of 2012, the mortality rate for severe sepsis at Mercy St. Louis was 5.5 percent-down from 22 percent in early 2011. At the same time, the ICU length of stay for sepsis patients has fallen from eight days to three, and the overall length of stay for the sepsis diagnosis has decreased from 10.6 days to 8.7.
"We are talking about a disease process that will kill one in four patients, and our survival rate has improved remarkably in just six months," says Taylor. "Our ICU and total hospital lengths of stay have also decreased. Those are important, fundamental markers that suggest that we are already making a difference."
The sepsis treatment protocols that Taylor is developing will be disseminated throughout the Mercy system. Meanwhile, Mercy leaders are returning to the database to find other opportunities for improving performance.
"We're really excited about what we are already able to do, and what we are going to be able to do," says Tim Smith, MD, vice president of research at Mercy's Center for Innovative Care. That said, using EHR data in this way presents many challenges.
Capturing the right data. The first is ensuring the EHR captures the right data in the right format so it can be analyzed to produce actionable information. "It takes teams of people to be able to do that, and even with the help of an outside analytics firm, it takes a lot of resources," says Smith.
Contracting with an outside vendor that will work with patient data is time-consuming because the health system must ensure that it is complying with the Health Insurance Portability and Accountability Act. "There's a lot of work that goes into that before you can even push the first button," he says.
Overcoming those data challenges-not to mention the process improvement challenges that follow-is worth the work when lives are being saved, says Smith: "When this whole story unfolds in the next year or two, we are going to be able to point to some pretty phenomenal success rates in sepsis management."
Identifying the right targets. While the technical aspects of business intelligence have been worked out in other industries, the conceptual questions specific to health care are just now emerging. For example, when administrators and clinicians have the opportunity to get information they have never had before, it is not always clear what information they need or how it should be used.
Veltri discovered this when Denver Health created a registry for hypertension patients. Clinicians could-for the first time-see that about 30 percent of patients had blood pressure under control. Veltri assumed the visual target to be used on the registry dashboard was 100 percent of patients, but clinicians pushed back: "They said, 'Is it possible to get to 100 percent?'"
After a debate on whether targets should be achievable or aspirational, physicians agreed to set the target at 70 percent. In the three years since the registry was established, blood pressure is under control for 71 percent of Denver Health's hypertensive patients, compared to approximately 50 percent nationally.
The achievable-versus-aspirational target is just one of many issues that must be considered when presenting data that is used for decision making. Veltri recommends that all business intelligence requests be evaluated on six questions:
"Learning to create the right metrics is a journey, and these guidelines can help an organization measure metrics that matter," says Veltri. "Understanding what is being measured, and why, is as important as the measurement itself."
Helping users interpret the data. Electronic dashboards must be built with the audience in mind, an understanding of how the information will be used, and a clear indication of how frequently the data is refreshed. "Everybody assumes that the data that they are looking at is current as of the time they are looking at it, and that's not necessarily true. Some data is one-day old, some data is real time," says Veltri. "But the users have to know that."
Most business intelligence dashboards use visual cues-such as red flags or green arrows-to help users quickly interpret the information. Denver Health embeds another layer of information. "When you mouse over an indicator, it tells you what value is good and what the target is," says Veltri. "If national benchmarks or research is available, that information is provided to help the user interpret what is being displayed."
The business intelligence pioneers profiled in this article share other lessons they have discovered in their journey:
Do not try to engage physicians in the start-up phase. "During that time, there's really nothing for anybody to decide. You're just building data maps and dictionaries and the basic foundational elements of the warehouse," says Veltri. "If you put organizational leaders or physicians into this upfront process, they get bored because there is little progress toward the things they want, such as dashboards or reports."
Appoint the right group of people to set priorities, depending on your organization's needs. At Northeast Georgia, an Enterprise Priority Council is made up of the system's vice presidents and medical staff members. "Based on what we are trying to accomplish strategically, they help prioritize the next opportunity, whether that is developing a new dashboard tool or taking on an improvement project with some technology need," says Cummings.
In Denver, clinicians and revenue cycle leaders serve on the Warehouse Advisory Council that sets priorities. "They prioritized colorectal cancer screening as the first registry that we would build-even over diabetes," says Veltri. "The primary reason was that a key stakeholder had received a grant to support a colorectal cancer screening project, which paid for some of the development. Without such a council, IT never would have known that this direction was acceptable to the physicians."
Share dashboard data broadly. At Hartford Hospital, the chief physicians of every department and every division have access to all the data-as do the nurse managers. "Any nurse who is managing a floor can go in and look at my physicians and I can go in and look at her floor," says Lindberg. "That allows us to have a conversation on how the different things are impacting one another. We can brainstorm together and come up with good solutions, working as a collaborative management team."
Document how EHR data can be used to drive clinical improvement. Because this capability is so new, everyone is a trailblazer, making mistakes as they gain experience. "I would encourage others that want to embrace a program like this to document the processes and the failures and successes and how we can improve this," says Smith. "We can all learn from one another as we go forward."
Veltri believes business intelligence answers the question: Can hospitals improve quality and charge less for that quality? "The answer is: 'Yes, Denver Health has proven this can be accomplished,'" says Veltri. "But the organization must manage the use of quality data, and use this data to make informed decisions based on data."
Lola Butcher is a freelance writer and editor based in Missouri.
Interviewed for this article (in order of appearance): Gregory Veltri is CIO, Denver Health, Denver (firstname.lastname@example.com). Michael Lindberg, MD, is chairman, department of medicine, Hartford Hospital, Hartford, Conn. (firstname.lastname@example.com). Allana Cummings is CIO, Northeast Georgia Health System, Gainesville, Ga. (email@example.com). Robert Taylor, MD, is a critical care and internal medicine physician, Mercy Hospital St. Louis, St. Louis. Tim Smith, MD, is vice president of research, Mercy Center for Innovative Care, St. Louis. (firstname.lastname@example.com).
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The efficiency of a medical practice's billing operations has critical impact on the financial performance. In many cases, patient billings are the primary revenue source that pays staff salaries, provider compensation and overhead operating cost. Inefficiencies or inaccurate billing will contribute to operating losses.
Succeeding in Value-Based Care
This publication identifies and outlines the necessary characteristics of a fully-functioning clinically integrated network (CIN). What it doesn't do is detail how hospitals and providers can participate in the value-based care environment during the development process.
One common misconception is that the CIN can't do anything significant until it has obtained the FTC's "clinically integrated" stamp of approval. While the network must satisfy the FTC's definition of clinical integration before single signature contracting for FFS rates and contracts can legally start, hospitals and providers can enjoy three key benefits during the development process.
Therapy: Benefits at All Levels of Care
Nearly half of all Medicare beneficiaries treated in the hospital will need post-acute care services after discharge. For these patients, a stay in an inpatient rehabilitation facility, skilled nursing facility or other post-acute care setting comes between hospital and home.
Does Your Budgeting Process Lack Accountability?
With the proper process, tools, and feedback mechanisms in place, budgeting can be a valuable exercise for organizations while helping hold organizational leaders accountable. Having a proper monthly variance review process is one of the most critical factors in creating a more efficient and accurate budget. Monthly variance reporting puts parameters around what is to be expected during the upcoming budget entry process.
Cost Accounting: the Key to Cost Management and Profitability
Managing the cost of patient care is the top strategic priority of most hospital CFOs today. As healthcare shifts to more data-driven decision making, having clear visibility into key volume, cost and profitability measures across clinical service lines is becoming increasingly important for both long-range and tactical planning activities. In turn, the cost accounting function in healthcare provider organizations is becoming an increasingly important and strategic function. This whitepaper includes five strategies for efficient and accurate cost accounting and service line analytics and keys to overcoming the associated challenges.


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text: [floatleft][/floatleft] Here is the podcast for our August 2010 staff meeting. The low quality MP3 is around 20MB. This meeting lasted for 2 hours. We will hopefully be reconvening for a 3rd meeting in October 2010. Podcast Feed: Windows 7 Forums - Forum Announcements Many issues were discussed in this meeting, and thanks to all who participated and would like to take a listen. We encourage your feedback on your discussions. Unfortunately, we weren't able to get all team members to join us this round, and we had hoped a Premium Supporter could join us as a guest. We will look forward to even bigger goals in October. Some new feature announcements have been made in this podcast, as well.


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Aloha Startups provides a forum for articles and opinions covering Hawaii's startup ecosystem.
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Our goals are to:
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Scene One
Hansel and Gretel's house
ENSEMBLE stand in a half-square facing inwards. HANSEL and GRETEL are DSR, MOTHER and FATHER are USL. NARR.s 1&2 are CS.
NARR. 1: This is a story of trickery and magic...
NARR. 2: And happy endings. For some.
NARR.s split. NARR. 1 goes DSL, NARR. 2 goes DSR.
NARR. 1: There once was a family-
NARR. 2: With no food.
NARR. 1: They had been hit particularly hard by the recession, which meant that they were so poor that one night, the mother turned to the father and said:
MOTHER: We haven't any food.
FATHER: Really? Check the cupboard. I'm sure I saw something around here the other day...
MOTHER checks the cupobard.
MOTHER: It's empty.
FATHER: Oh. That's odd. Um. So... Now what do we do?
MOTHER: We have enough bread for us all tomorrow, but that's it. If we keep going like this, we'll all starve.
NARR. 1: And so she came up with a plan...
NARR. 2: A dastardly plan.
MOTHER: Tomorrow, we take the children out into the woods.
FATHER: Oh yes, good idea - we can have a picnic!
MOTHER: (deadpan) No. We leave them there to die.
HANSEL and GRETEL start listening in from DSR.
MOTHER: It's them or us.
FATHER: But they're my kids!
MOTHER: (aside) Yeah, well, they're not my real kids. (to FATHER) They might be okay... But if we all stay together you can be sure that we will all die. We might as well save some of us.
NARR. 1: The father was a little bit useless and cowardly-
NARR. 2: So he gave in.
NARR. 1: Without a huge amount of encouragement, I might add.
MOTHER: Let's not tell the kids, okay? We don't want to spoil our last evening all together... We'll explain in the morning.
MOTHER and FATHER exit CS.
NARR. 1: This plan might have worked-
NARR. 2: Had Hansel and Gretel not been listening in.
NARR. 1: And so, in fact, they knew their stepmother's whole plan.
GRETEL: Oh no! Hansel, what are we going to do? I can't believe our father just said yes...
HANSEL: It's awful! It's terrible! It's horrendous! It's-
GRETEL: Hansel. Please. Get a grip.
HANSEL: Okay...
GRETEL: So what are we going to do?
HANSEL: Um... Don't worry. I'll come up with something.
NARR. 1: Okay, so we'll leave Hansel to puzzle out an idea between (checks watch) now and tomorrow morning. That means you've got about eight hours, Hansel.
NARR. 2: Think quickly.
HANSEL: Ok, will do.
HANSEL and GRETEL exit CS.


text:
I Done My Best
As I was rushing home I saw an older man sitting crosslegged (or I assumed, he only had half of his left) on a corner stoop, wailing away on a harmonica. There wasn't hat or case to be seen, but I saw a pile of change below him. I stood & listened for a while.
After a few licks he stopped. He turned his face towards me, then smiled. "Come on up here, sonny," he invited in a Creole drawl.
Tentatively I edged towards the man. "You play great, sir," I mumbled as I sat down.
He chuckled. "Jus' doin' what I do. Don' got much 'cept me, my 'monica, the food I eat & the air I breathe. Play on corners for folks, & pray to the Lord for one more day."
He hummed a little more. "Y'know sonny," he said, "never know what you got till it's long gone."
"I've heard," I replied rather stiffly.
"No no, you listen to me. All a man need on this earth's a shirt on his back, a meal in his gut & a head fulla knowin. But some know too much." He shook his head sadly. "I know too much; some things not meant to be seen, Sonny Jim. Do your knowin' early, so you can't get knowin' what the Lord don' want'y't know. I done what I did, & I done my best. Y'jes gotta do whu'y'do, an' y'gotta praise the Lord, & He'll take care'v'th rest. He done so with me."


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News By Tag
Industry News
* Electrician
* More Industries...
Industry News
Choosing a Licensed Nevada Contractor
In any field of human endeavor, there are instances when a person may not be up to the task at hand. Even if the chore involved is considered to be easy and simple by many
The presence of numerous electrical contractors is a blessing. However, you should not just choose an electrical contractor simply because somebody recommended the contractor to you. In order for you to make the right choice for an electrician, always take note of the following things:
1. Always check the history of the electrical contractor that you are contemplating to hire the services. A good historical record of electricians Las Vegas consists of the various electrical tasks the contractor has undertaken along with the time frame. In some cases, comments as to how these tasks were accomplished may also be provided.
2. If you have friends who have contracted and were satisfied with the service of a specific electrical contractor, one is actually given a first hand advice. While advices can come from various sectors, none is perhaps more important than the assessment or feedback given by a friend. Other people may tell things a little off from the truth, but you can trust a friend to give you a true and correct assessment.
3. If you are in touch with an electrical contractor who asks for an initial deposit for the project, chances are the work may not be done properly. While this is common for extensive electrical projects such as for a subdivision or for a big establishment, this is unusual for electrical installations for just the home. Before you get cheated by your electrician, it is for your own good to back out from the deal at once. The mark of credible electricians Las Vegas is to finish the task on hand first and some even provide warranty on their projects.
4. Although it is a given that electrical contractors, especially the reliable and famous ones, rarely have moments when there is no contracted project, it is nonetheless for your best interest to avoid tapping into the services of an electrical contractor that is engaged in various projects at the moment. This may show that the contractor will not be able to give full attention to the wiring project at your home. Such information may not be obtained from the office of the electrical contractor, so it is always preferred to keep an eye for projects in the neighborhood.
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I have 2 remote sites synching with a central helpdesk. I setup user portals on both sites as they are 2 different companies. In the User Portal of Company A, everything works as it should. I am able to see open tickets and closed tickets logged by the admin account.
Company B does not show Closed Tickets until I go to "Completed IT Help Requests". Also, on this page if I add content "Closed Ticket", then it works.
Additional troubleshooting:
1. Central helpdesk is running 5.1 and Company A is running 5.0. I installted 5.0 and 5.1 in Company B with same results
2. Modified DB tables to change tickets between Company A and B. Again closed tickets show in Company A User Portal but not in Company B when switched back.
Ticket Involvement->user_ID
The issue is I need the Closed Tickets to appear on the first page of the User Portal. Anyone have any ideas as to why this is happening? This seems like a bug but can anyone confirm this?
Thanks in advance!
Jul 20, 2011 at 10:19 UTC
Go ahead and email firstname.lastname@example.com and they'll be able to help you sort this out.
3 Replies
Jun 21, 2011 at 3:03 UTC
Niagara Technology Group (NTG) is an IT service provider.
Have you gotten any response on this?
Jun 21, 2011 at 3:53 UTC
Virtual TechPool IT Support Services Inc. is an IT service provider.
No responses as of yet
Jul 20, 2011 at 10:19 UTC
Go ahead and email email@example.com and they'll be able to help you sort this out.


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Mirabilis Jalapa otherwise known as Evening Flower produces fragrant flowers in late summer which give off the fragrance during the evening. Mirabilis Jalapa is easy to grow but should be dug up and stored frost free at the end of the year in almost dry peat substitute.
Subject to weather conditions and harvests these bulbs are available for dispatch from Mid-January to May.
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Lafayette County is located in South Wisconsin. The County Seat is Darlington and the largest city is Darlington. The Official Web Site is located at http://www.co.lafayette.wi.gov . The 2014 population estimate is 16,853 and the 2010 census population was 16,836. The land area is 633.59 square miles and there are 26.6 persons per square mile.
97.9% of the population is White, 0.4% is Black or African American, 3.7% is Hispanic or Latino, 0.4% is Asian, 0.6% is American Indian or Alaska Native, 0% is Native Hawaiian or Pacific Islander, and 0.6% is two or more races. 89.8% have a high school degree or higher, and 16.5% have a Bachelor degree or higher.
The median home value is $121,800, there are 6,605 households, an average of 2.53 persons per household. The per capita income is $23,483, the median household income is $49,107, and 11.7% of the persons in Lafayette County are considered below poverty level.
The total number of firms, at last estimate, was 1,462. Retail sales (in $1000) were $96,802, and sales per capita were $6,127. The percentage of black-owned firms is 0%, and the percentage of women-owned firms is 14.8%.
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Lafayette County, Wisconsin website, official directory, maps, meetings, calendar.
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Find Lafayette County property by address or tax key number. Includes cities and towns such as Argyle, Belmont, Benton, Blanchardville, Darlington, Gratiot, Shullsburg, South Wayne, Woodford, and more.
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Saint Peter Martyr was a Dominican friar and an Inquisitor. In 1252 he was murdered in a wood by heretics. He accepts his murder (foreground) for the cause of Christ (angels appear above his head with a martyr's palm). His colleague (right) was also attac
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Article date: 27 May 2008
Poole photography student Andrew Bagworth got a taste of life in the fast lane when he spent the day as an official Team RAC photographer at the HiQ British Touring Car Championship at Thruxton.
As an official photographer at the Hampshire circuit Andrew was given exclusive behind the scenes access to capture all the action from the day. Andrew got access to Team RAC drivers Colin Turkington and Stephen Jelley, as well as the track, pit lane and Team RAC garage. One of his favourite photos is below, showing both Team RAC drivers on the track.
Andrew, who is studying for a national certificate of photography at Bournemouth Arts Institute, has been a huge motorsport fan since he was a child and, when he also became involved in photography, decided to combine the two.
Andrew said: "It was a brilliant experience to act as the Team RAC photographer at Thruxton, and I really learnt a lot. Being able to get up close to the action has made me realise that I definitely want to pursue a career in motorsport photography."
Kerry Gazzard, RAC sponsorship and PR consultant, commented: "It's important for RAC to make the sponsorship interactive for the public and bring them closer to the action, which initiatives like this are able to do. We are having a great season so far and I thought that Andrew did an outstanding job as our official Team RAC photographer."
Download the photograph taken by Andrew Bagworth (Link is no longer active)
For further information please contact:
Laura Wootton / Nina Cresswell
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Notes to editors:
About BTCC
The British Touring Car Championship (BTCC) was formed in 1958 and is the UK's most popular motor racing spectacle. Its race season comprises ten events at top circuits across the UK. It is contested by professional racing drivers in competition versions of every day road cars, giving it tremendous public appeal. Around 300,000 watch the BTCC trackside each year. www.btcc.net
About RAC
RAC is one of the UK's most progressive motoring organisations and a provider for both private and business motorists. Whether it's roadside assistance, windscreen repair and replacement, learning to drive, vehicle inspections, legal and financial services or up-to-the-minute traffic and travel information - RAC is able to meet motorists' needs.
About HiQ
HiQ (part of Goodyear Dunlop) has become the BTCC's new title sponsor in 2008 in a new three-year agreement. It provides a fast-fit car care service at its 150 centres across the UK. In the next two years, that number will rise to 250 as HiQ embarks on revolutionising the fast-fit industry. It has already taken the lead by offering a unique online service www.hiqonline.co.uk for motorists to buy tyres and arrange a fitting appointment.


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Sharpshooter / Falcon's Run(2013)
An omnibus of novels by Cynthia Eden and Aimée Thurlo
Sharpshooter Two years ago Gunner Ortez saved Sydney Sloan's life. Now, working together in the jungles of Peru, the heat between Elite Ops agents Sydney and Gunner is hotter than ever - and so are the threats to their lives. But Gunner also poses the greatest risk to the secret Sydney carries in her heart...and in her belly. Falcon's Run Detective Preston Bowman has a gift for sensing danger and the danger stalking Abby Langdon is undeniable. Alone on her isolated ranch Abby has only Preston to trust and, as the risk intensifies, so does her desire for the strong, silent lawman. But even if he could keep everyone on the ranch safe...she couldn't say the same for her heart.
Used availability for Cynthia Eden's Sharpshooter / Falcon's Run
See all available used copies of this book at Abebooks UK or Abebooks US
Paperback Editions
July 2013 : UK Paperback
|Title: Sharpshooter: Sharpshooter / Falcon's Run (Mills & Boon Intrigue)
Author(s): Cynthia Eden, Aimee Thurlo
ISBN: 0-263-90368-0 / 978-0-263-90368-3 (UK edition)
Publisher: Mills & Boon
Availability: Amazon UK
Genre Pages


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With 2017 just around the corner, it's time to start thinking about getaways for the New Year. Here are five deals that'll inspire you to get up and go in January and February. From $81: Holiday Inn Paris Gare de l'Est (Paris, France) This isn't your grandma's Holiday Inn. Located in Paris' 10th... Read More
San Diego
Your Thanksgiving weekend will undoubtedly be filled with food and making memories with loved ones, but don't spend too much time away from the computer — there are plenty of Black Friday (November 25) and Cyber Monday (November 28) travel deals to cash in on. Whether you're looking to score... Read More
For most of the country, December and January are chilly months that drive travelers to seek warmer locales. From Miami Beach to San Diego, here are four travel deals that are guaranteed to save you money and bring you farther away from the cold and closer to sunshine. From $99: Lafayette Hotel Swim Club... Read More
Every September, hotels ramp up their wellness offerings to honor National Yoga Month. While a discounted yoga package with your stay is nice, the beauty of yoga is that you can do it anytime, anywhere. As celebrity yoga instructor Rodney Yee once said: "The most important pieces of equipment you need for doing... Read More
From Washington to California, the west coast of the United States is chock full of road trip opportunities, including journeys that cross state and country borders, meander up and down the coastline, bypass mountains and lakes, and offer endless opportunities to stop the car and enjoy. Here are five... Read More
San Diego is amid a hotel boom. After a long hiatus from construction, the city's established accommodations are getting fresh faces, and there are more new hotels slated to open in the next two years than have opened in the last eight. Downtown alone will get 10 new properties — including a 400-room InterContinental on the waterfront, Marriott's millennial-focused Moxy Hotel, and... Read More
Here's a quick look at what's new this week in cruising, and how it could impact your next trip. The world's largest cruise ship, Royal Caribbean's 5,500-passenger Harmony of the Seas, debuted in Southampton, bringing the latest insane shipboard thrill attraction — the Ultimate Abyss. Those who like heart-stopping fun and/or... Read More
Picture yourself spying on a herd of sleeping elephants or waking up next to giraffes enjoying breakfast. No, you're not on an exotic safari, but you are spending the night at the zoo. From California to Connecticut, here are five zoos and aquariums where you can have a sleepover with lions, zebras... Read More
AP Photo Pablo Martinez Monsivais By Jo Piazza for Yahoo! Travel Some of us travel for adventure, for culture, for the opportunity to meet new people. And some of us travel to see all of the adorable animals. Don't get me wrong. I love the adventure, the culture and most of the people... Read More
San Diego is part of the mainland, but in places, it can feel outright tropical thanks to the sailors and soldiers who brought a love of Polynesia back with them after World War II. While there's no shortage of attractions in the kitschy, Americanized "tiki" style, there are plenty of places where... Read More
San Diego's wide stretches of sandy beaches can be jam-packed with surfers, families, and sun worshippers — especially on summer weekends. Avoid the crowds at these three often overlooked beaches in San Diego, California. ... Read More
San Diego has several go-to neighborhoods for food, drink, and fun: Little Italy, Old Town, Del Mar, and La Jolla, to name a few. But, if you want to experience San Diego like a local, add these five neighborhoods to your itinerary. ... Read More
Cliché though it may be, breakfast is the best way to kick off the day. And in San Diego — where the scent of eucalyptus, salt, and sea are hunger inducing — the options are plentiful. Here, you can savor a morning meal that can be both traditional and unique, incorporating local ingredients... Read More
By Nick Aster for Yahoo! Travel Who doesn't love a picturesque landing? (Photo: Thinkstock) If you're a window seat fan, you're probably especially fond of checking out the views upon landing. The slow descent provides a fabulous vantage point to check out your destination. Some landings, especially at airports far out in... Read More