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August 14, 2013
Surveillance Systems
Home Surveillance Systems
Many people today think about getting a surveillance system for their homes. It's becoming an increasingly popular part of home security systems. Some people may feel like placing a bunch of security cameras around their home can become a bit overkill, but there's a huge reason why you will find that many public buildings of commercial businesses, ATM's and all government owned property have surveillance cameras installed. Not only do they provide the evidence needed if an event occurs, but they are a huge deterrent. There are many amateur criminals who decide against burglarizing a location that has cameras installed for the fear of getting caught. Once they see the cameras, many will turn away and decide against it. Even though home security cameras may not be for everyone, those who decide to purchase a system will have many levels of security coverage to think about. You'll have the choice between a few different types of systems which offer a variety of options between the resolution, clarity, and cost of equipment. Here are a few different facts that may help you with choosing the right system for your home.
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- Zap-Ease
- 'Clicking ' Zap-Ease several times around the area of the bite has the effect of localising the poison and inhibiting the histamine release which causes the itch and the urge to scratch. The toxicity of the mosquito bite becomes neutralised, with no harmful effect on the surrounding skin, thus stopping the customary inflammation and unsightly swelling.
- Zap-Ease is completely safe for the human body and an incredibly effective treatment for insect bites. Not suitable for those fitted with a pacemaker or children under 2 years.
After years of suffering, swift relief and recovery! Review by Shadreon
I don't usually rave about products but.... Having suffered from insect bites the last few years, some of which have lasted a week or so with painful swelling and itching, I chose Zap-ease instead of my normal spray. Amazing! One set of clicks reduced swelling markedly and itching totally. I did that twice more. And 36 hours later I can see the bite marks with a tiny patch of discoloring but all other symptoms have gone. I'm now going to rave about this on my social media profiles :-) (Posted on 27/07/2016)
amazing little item Review by tracey
bought one to go to mexico with last year, i can honestly say this is an absolute must, it stopped the bites itching straight away, we were panicking if we went out without it!! nearly a year later its still being used at home on the local mozzie bites it is also great on horse fly stings too, going to buy another two, so we have one each for our next Mexico visit (Posted on 25/07/2016)
Amazing little gadget that really works! Review by Fee
Delighted to have found a mozzie repellent which actually works and then the added benefit of this little zapper when I got bitten because I forgot to apply the repellent so got a few bites. The itch is usually unbearable and has spoiled holidays in the past but this really takes the itch away! (Posted on 26/06/2016)
Works great !!! Review by Lizzie
I took this travelling- lasts far longer than any creams I have bought previously... and also avoids any explosive spillages which always seem to happen at the worst times!!
Worked really well too and really subdued any itching I felt. (Posted on 09/05/2016)
clever little item which fits in a pocket and stops the itching! brilliant Review by nelly
clever little item which fits in a pocket and stops the itching! (Posted on 14/03/2016)

subset: commoncrawl


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Jason Hendriks Photographer
SamanthaGrayModel Female Toronto, Ontario, Canada
My MM URL: http://www.modelmayhem.com/SGray
Mayhem # 2015681
About MeHello, welcome to my MM profile. I am an aspiring fitness and glamour model and will be adding a significant amount of material to my portfolio this year. I will also be competing in several fitness competitions this year in order to gain exposure and experience in the industry. I'm looking to work with experienced photographers who will add quality images to my portfolio as well as photographers who are interested in having me test for magazines or having their work published. I am a very easy going, creative and reliable girl, who takes direction well and is also not afraid take charge. I am always aware of the bottom line in this industry; for all parties involved to make money.
Have you worked with SamanthaGray? Add Credits for SamanthaGray! >>
Jason Hendriks Photographer
Gord Weber Photography Photographer
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Randeeh Cruz Photographer
BellaDivas Photographer
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The Consequences of Diabetes on Your Skin and Feet
There are two consequences of diabetes that can have an adverse effect on your extremities, mainly your feet. The first of these is damage to your nerves. The main problem with nerve damage is that nervous tissue does not regenerate. That means that severe nerve damage, if it involves dead or severed nerves, cannot be reversed. If the nerves in your feet or hands get damaged, you will lose sensitivity. You may have a hard time noticing if your feet are hurt or if they are wounded in any way. A slight injury to your feet or hands could get worse and worse without you even feeling the problem. The second consequence from diabetes that affects your extremities is damaged blood vessels, or peripheral vascular disorders. If there is not enough blood reaching every part of your extremities, you may find that injuries take much longer to heal.
These two problems can interact to result in serious damage to your feet. For example, if you make it a habit of wearing ill-fitting shoes, you may develop a blister. Because of the nerve damage from diabetes, you will not feel that blister. This blister may then become infected, and the higher levels of glucose in your blood also help nourish the germs in the wound that worsen infection. The poor blood flow to your foot will make the infection take longer to heal which may result in the tissue dying and becoming gangrenous. Amputation may be necessary, all of which could have been prevented by wearing the right shoes.
There are some things that a diabetic can do to prevent damage to their feet. First of all is to check your feet daily for sores and injuries. It is necessary to wash your feet daily and to keep them dry. Prevent dry skin by using lotion and take care of calluses or corns before infection develops. Never walk barefoot and, remembering the example above, make sure to wear shoes that are comfortable and that fit well.
Your skin can also be affected by diabetes. By the same mechanisms of poor blood flow and nerve damage, your skin's regulatory systems (like the sweat glands and oil producing cells) may not work properly or react when necessary. There are some things you can do to prevent serious skin conditions from developing. Always use a soap that is mild, make sure to wash it completely off and to dry completely. That means drying all the little nooks and crannies, like your groin, armpits and between your toes.
If you suffer from dry skin, make sure to use creams or lotions to keep it hydrated. Apply these after you bathe or wash to lock the moisture inside. Before using any creams or lotions as a diabetic, it is a good idea to check with your doctor and see what he recommends. The best way to keep hydrated and to keep your skins as healthy as possible is to drink plenty of water. Also wear fabrics that breathe and allow air and moisture to naturally circulate; cotton is always a good choice. To make sure that skin problems do not lead to infection, check yourself daily for any sores or cuts, and do not let the problems go too far.
Recent Posts
- What Diabetes Supplies Should You Purchase? 29.02.2016


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SOI Snapback and Flexfit Hats
$ 20.00
The long-awaited Sub Ohm Innovations hats are finally here! Represent SOI with a stylish, branded hat in your choice of snapback or flex-fit!
Keep in mind that inventory will come and go QUICKLY with these. Get yours as soon as possible so you ensure you're one of few that has one!
Due to recent issues with USPS, while we will still try to the best of our ability to ensure shipping your package promptly, we cannot guarantee your package will arrive on the estimated delivery date displayed.


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Helping Hands Dementia Experts
Specialist care in the home is at the very heart of Helping Hands and we are determined to help families stay together in their own homes as far as possible.
That's why we now have the largest number of dementia carers in the industry with over 300 qualified carers, supported in the community by a team of dementia experts – called the Dementia Champions.
Tiffany Smith
The team, lead by Tiffany Smith and Jayne Vale are based in all regions across England and Wales and are on hand to support customers and their dementia carers. Tiffany tells us what led her to be a dementia carer and then later a champion, trained by the University of Worcester.
"Working as an Hourly Carer, I supported a 92 year old lady living with Vascular Dementia. I cared for her as her condition progressed, as she suffered a series of mini strokes. I supported both the customer and her family with various behavioural changes right through to end of life care. This intense involvement gave me a real insight into what it is like for people living with Dementia, which compelled me to learn more."
Jayne Vale
Q. Why have you chosen to be a specialist trainer and dementia carer, and why are you so passionate about caring for people with dementia?
The simple answer to this is that I didn't choose this subject to specialise in – it chose me. I have personal experience with this as my Granddad had Alzheimer's dementia which is why I am so passionate about learning as much as I can about the subject, so I can pass my knowledge on to others.
Working for Helping Hands has made me realise that my Granddad was misunderstood as he was never officially diagnosed and I don't want any other families to go through what we as a family went through.
I also cared for a gentleman for over five years who was diagnosed with Parkinson's and Lewy body dementia. When I first started to care for him he was able to walk and talk but over time I watched him deteriorate to a person with limited speech and no mobility. Both their determination to keep him at home, coping with all that life had to throw at them meant that we were able to care for him in the home that he loved, right to the end and this meant so much to him and his wife.
I strongly believe that all dementia carers, whether they are family members caring for a loved one or a paid carer, they should have knowledge of dementia, to enable them to provide the best levels of care.
Q. You have been working towards a Dementia Qualification, can you tell us more?
After a lot of hard work and dedication I will soon be credited by the Worcester University as a Dementia Specialist. The course that I have been attending has covered a wide range of subjects the key modules that I found of particular interest were:
- Brain functions
- Cognitive capacity and neurological impairment
- Impairments in memory, language, visual perception, spatial awareness, planning and judging
- Different types of dementia
- Cultural diversity in dementia
- Older adult health and the use of psychotic medication in dementia
- Health issues: depression in dementia,
- Assessment and management of pain
Q. What other training qualifications do you have which aid you in your training as a dementia carer?
As well as having many years of practical care experience I have completed my PTTLS course which is preparing to teach adults in the life-long learning sector, which I need to have to pass on my dementia knowledge to carers and customers.
I completed a Death Dying & Bereavement course which allows me to offer counselling to carers and customers, following the passing of a loved one. I have also completed three additional dementia courses held by Warwickshire and West midlands County Councils.
I have completed NVQ Level's 2 and 3 and also have my A1, which enables me to assess carers completing the new Qualifications and Credit Framework (QCF). I am qualified to teach moving and handling as well as train in level three medications incorporating stoma and convene care, surgical stockings and peg training.
Q. Helping Hands recently started to hold Dementia Awareness Days for families affected by Dementia. Why do you think this is so important and what feedback have you had?
Being able to offer this free training and support to families and loved ones of people with dementia shows how important dementia awareness is to Helping Hands. I am very proud and privileged to be able to provide the information and guidance to help those affected by dementia.
Those who attend our awareness days are really interested in how the brain functions and tend to be surprised at why they hadn't been provided with clearer information after their loved ones were first diagnosed. Understanding which parts of the brain are affected and how it operates, enables them to understand how their loved one is effected and why their behaviour changes.
Some comments that I have received from people that have attended the training are:
"I really cannot see how Jayne could have done any better. She really does understand the condition and was amazing with her teaching skills, I benefited from the day extremely well, Jayne was such an excellent teacher, she has so much knowledge of the subject and related it so well,"
"Thank you so much for giving up your time on a weekend to offer this to us. Holding the training on a Saturday has meant that both my father and I were able to attend, and it was a lovely day trip coming to visit you in Alcester"
Q. What are your three top tips for being a dementia carer?
Above all else you need to:
- Have lots of patience
- Remember that they are still the same person with feelings
- Have compassion and understanding for that person
Dementia Personality of the Year
Helping Hands dementia lead Jayne Vale was crowned the Dementia Care Personality of the Year at the National Dementia Care Awards. The Awards, held as part of the annual National Dementia Congress are already established as the leading UK Event to recognize and reward the very best people in dementia.
Dementia Care | Dementia training | Dementia toolkit | Dementia Case Study | Alzheimers Care


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June 18,2015
Study Reveals Hidden Costs of Reconciling Surgical Sponge Counts
General Surgery News reports on the latest retained surgical sponge (RSS) study, which is helping clinicians understand the risks, inefficiencies, and financial costs of preventing RSS without adjunct technology. The study's principal author and past AORN president, Dr. Victoria Steelman, PhD, RN, CNOR, FAAN, shares her findings and conclusions.view the full feature
June 16,2015
Still Too Many Never Events
A Systematic Review of Surgical Never Events published in the June issue of JAMA estimates 5,000 retained surgical items annually. Outpatient Surgery reports on they new study's data and its ultimate call-to-action of enhancing patient safety through greater focus on what's causing RSIs and how the high incidence of never events can be reduced.view the full feature
May 13,2015
How safe is your OR? 8 things to consider
Becker's ASC Review, by Emily Rappleye
Becker's Infection Control and Clinical Quality section reports that with foreign objects being left behind 39 times per week and wrong site surgery occurring at a rate of 20 times per week, "patient safety in the operating room is still not as good as it should be".
May 7,2015
Object Left Inside Woman For Years After Surgery
CBS Chicago, by Dave Sabini
CBS Chicago reports on objects left inside of patients during surgery – a mistake that may lead to years of undiagnosed pain for the patient-- a mistake that is becoming more common. The report cites a 49% increase in retained surgical items in Illinois between 2009 and 2013, and consults Joint Commission Officer Dr. Ronald Wyatt, who speaks further on the vast under-reporting of RSIs in the US today, an event that he describes to be occurring up to 4,000 times a year.
February 1,2015
Beware of Medical Sponges Left In Your Body After Surgery
Animal Planet's "Monsters Inside Me", by Dan Riskin
Medical sponges left in your body after surgery can be deadly. Each year as many as 6,000 patients have medical equipment left in their body after surgery. Up to 35% of those with sponges left in their body will die.
October 7,2014
Top 10 sentinel events for first half of 2014
ASC Accreditation and Patient Safety, by Ellie Rizzo
The most frequent sentinel event reported to the Joint Commission in the first two quarters of 2014 is unintended retention of a foreign body.
The Joint Commission has reviewed a total of 394 sentinel events so far in 2014. Here are the top 10 sentinel events the organization has reviewed between January and June 2014, based on the number of occurrences.
September 7,2014
CMS Makes Hospital Mistake Data Publicly Available
USA TODAY, by Jayne O'Donnell
Federal regulators are reversing course and will resume publicly releasing data on hospital mistakes, including when foreign objects are left in patients' bodies or people get the wrong blood type.
September 5,2014
Which item is most often left inside a surgical patient?
Becker's ASC Review, by Ellie Rizzo
The item most often left inside surgical patients, according to an article published in the Journal of the American College of Surgeons, is the surgical sponge, often difficult to see once soaked in blood and pushed inside of a body cavity.


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Alto, Foundation report Ontario Gold Assays up to 0.97 g/t over 61.7m
Alto Ventures Ltd ATV:CA in joint venture with Foundation Resources Inc FDN:CA announced assay results from the Coldstream Property in Ontario. Highlights include 0.97 g/t gold over 61.7 metres (including 1.9 g/t over 23.75 metres and 4.57 g/t over 6.05 metres), 0.76 g/t over 23.55 metres (including 2.8 g/t over 1.6 metres and 3.73 g/t over 2.3 metres) and 0.5 g/t over 25.5 metres (including 1.03 g/t over 7.7 metres).
Foundation is the project operator and is funding the program towards earning an initial 60% interest in the Coldstream Property. The property has an historical, non-NI 43-101 compliant mineral resource estimate of 1.5 million ounces gold inferred.
View Company Profile
Alto Ventures Ltd
Mike Koziol
by Ted Niles


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I'm 15 years old and this is my first attempt at painting my own
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Birth weight in a large series of triplets
Triplets are often born premature and with a low birth weight. Because the incidence of triplet births is rare, there are relatively few studies describing triplet birth weight characteristics. Earlier studies are often characterized by small sample sizes and lack information on important background variables such as zygosity. The objective of this study is to examine factors associated with birth weight in a large, population-based sample of triplets registered with the Netherlands Twin Register (NTR).
In a sample of 1230 triplets from 410 families, the effects of assisted reproductive techniques, zygosity, birth order, gestational age, sex, maternal smoking and alcohol consumption during pregnancy on birth weight were assessed. The resemblance among triplets for birth weight was estimated as a function of zygosity. Birth weight discordance within families was studied by the pair-wise difference between triplets, expressed as a percentage of the birth weight of the heaviest child. We compare data from triplets registered with the NTR with data from population records, which include live births, stillbirths and children that have deceased within days after birth.
There was no effect of assisted reproductive techniques on triplet birth weight. At gestational age 24 to 40 weeks triplets gained on average 130 grams per week; boys weighed 110 grams more than girls and triplets of smoking mothers weighted 104 grams less than children of non-smoking mothers. Monozygotic triplets had lower birth weights than di- and trizygotic triplets and birth weight discordance was smaller in monozygotic triplets than in di- and trizygotic triplets. The correlation in birth weight among monozygotic and dizygotic triplets was 0.42 and 0.32, respectively. In nearly two-thirds of the families, the heaviest and the lightest triplet had a birth weight discordance over 15%. The NTR sample is representative for the Dutch triplet population that is still alive 28 days after birth.
Birth weight is an important determinant of childhood development. Triplet status, gestational age, sex, zygosity and maternal smoking affect birth weight. The combined effects amount to a difference of 364 grams between monozygotic girl triplets of smoking mothers compared to dizygotic boy triplets of non-smoking mothers of the same gestational age. Birth weight in triplets is also influenced by genetic factors, as indicated by a larger correlation in monozygotic than in di- and trizygotic triplets.
The incidence of triplet births is rare. In the Netherlands, up to 1980, a triplet birth occurred once per 10 thousand births. The number of triplet births increased after the introduction of assisted reproductive technologies (ART). In 1990, the number of triplet births had increased up to 6 per 10 thousand. From 2000 onwards, triplet birth rates decline again, mainly because of a change in policy of fertility clinics. The Central Bureau of Statistics of the Netherlands has monitored triplet birth rates at 2 per 10 thousand births since 2005
The prevalence of low birth weight (BW) and preterm deliveries is high in triplet births. Both low BW and prematurity are risk factors for adverse health, cognitive and behavioral outcomes later in life, e.g. see Arnoudse-Moens et al. (2009) and Bhutta et al. (2002)
Other factors involved in triplet BW include sex, zygosity and birth order. As in singletons, boy triplets weigh more than girls
Not all three children in triplet pregnancies are similarly affected with regard to BW. Inter-triplet BW discordance is thought to be a direct effect of physiological adaption to the limited uterine environment. One triplet grows at the expense of his brother or sister. Compared to twins, BW discordance in triplets is less well documented, although the phenomenon seems to be more common in triplets than in twins
Maternal smoking during pregnancy is a known predictor for low BW in children
In the past two decades, around 37% of the triplets born in the Netherlands have been registered with the Netherlands Twin Register (NTR). In this study we present descriptive statistics on triplet BW and analyses of the effect of sex, zygosity, birth order, GA, and maternal smoking and alcohol consumption during pregnancy. Correlations in triplet BW are calculated as a function of zygosity to investigate the role of genetic factors on BW. Lastly, BW discordance is described. We compare characteristics of triplets registered with the NTR with data from the Netherlands Perinatal Registry (NPR,
We use the term 'triplet' to denote one of three individuals born at the same birth, and refer to a 'trio' as three triplets born at the same birth. In total, 1966 triplets from 664 families were registered with the NTR. The sample includes 642 complete trios and 22 incomplete trios. The complete trios consisted of 125 trios comprising 3 females, 187 trios consisting of 1 male and 2 females, 207 trios consisting of 2 males en 1 female, and 123 trios comprising 3 males. The incomplete trios consisted of 18 males and 22 females. Trios were incomplete for various reasons (e.g. in young triplets: one of the triplets was deceased; in adult triplets: not all members of a trio participated).
The Adult NTR (ANTR) registers multiples who are recruited as adults and the Young NTR (YNTR) registers multiples at birth. In figure
Figure 1
Number of triplets born in the Netherlands and number of triplets registered at the Netherlands Twin Register (NTR) as a function of birth cohort
Number of triplets born in the Netherlands and number of triplets registered at the Netherlands Twin Register (NTR) as a function of birth cohort.
To investigate the representativeness of the NTR triplet sample, we compared our sample with the Dutch triplet population regarding parity, BW, GA and age of the triplet mother when giving birth. In addition, we investigated factors that could have influenced non-response by comparing the study sample with trios who were registered with the NTR but did not participate in our surveys. The responders and non-responders were compared on age of the mother when giving birth, maternal education and population density.
Data collection
Table 1
Data collection in NTR triplets
N trio list retour
N triplet list retour
Response rate
Q familial twinning
CBCL age 3 - 12 mother
54 - 68%
CBCL age 3 - 12 father
54 - 68%
TRF consent form age 6 - 12
TRF age 6 - 12
YSR age 14 - 18
30 - 48%
ANTR surveys (list 1 to 8; ongoing)
47 - 48%
CBCL = Child Behavior Check List; TRF = Teacher Report Form; YSR = Youth Self Report; NTR = Netherlands Twin Register; ANTR = Adult NTR. Trio list are surveys inquiring about the trio, triplet list are surveys inquiring about a triplet.
In 2005, a questionnaire on familial twinning (Qft) was sent to all ANTR and YNTR mothers of multiples in the NTR
The Child Behavior Check List (CBCL;
The Youth Self Report (YSR;
Starting in 2009, the Teacher Report Form (TRF;
Triplets who agreed to participate in ANTR research have usually been included in the ANTR data collection. The procedure of data collection of the ANTR is described elsewhere
For the current study, we used the data on BW, smoking and alcohol consumption during pregnancy acquired from questionnaire Q1 and Q2, completed by the mother of the triplets. Data on ART came from Q1, Q2 or Qft. Data on BW and zygosity were available for 455 and 465 trios, respectively, out of the 642 complete trios. For 433 trios information on both was available. For 410 trios, data were available for all variables under study, i.e. BW, zygosity, GA, alcohol consumption and smoking. Information on ART was available for 329 out of these 410 trios.
Response consistency was investigated by correlating responses given at subsequent questionnaires. When comparing Q1 and Q2, correlation was 0.93 (N = 521) for BW, 0.94 (N = 182) for GA, 0.95 (N = 182) for smoking, 0.57 (N = 179) for alcohol consumption and 0.98 (N = 100) for ART. Correlation for ART between Q1 and Qft was 0.95 (N = 132), and for ART between Q2 and Qft it was 1.00 (N = 132). Except for alcohol consumption, responses were highly consistent. For alcohol consumption, 14 mothers reported to have consumed alcohol on Q1 but not on Q2, and 7 mothers reported to have consumed alcohol on Q2, but not on Q1. In these cases, the response given at Q1 was used in the analysis.
Statistical analyses
Analyses were performed using the software package Mx, which allows modeling of the dependency that exists between measures of pairs of relatives
First a full model, in which all effects were estimated, was fitted to the data. Subsequently, nested sub models were tested. In the full model the following parameters were estimated: the grand mean BW as a function of birth order and zygosity, the variance and covariance in BW (as a function of zygosity), and the regression coefficients on BW of GA, GA2, sex, alcohol consumption and smoking. In step 2, the means, variances and covariances of the MZ triplets from the MZ group were tested for equality with the MZ triplets from the DZ trio group. In step 3, the means, variances and covariances of the single remaining triplets in a DZ trio, not part of the MZ pair, and TZ triplets were constrained to be equal. In step 4, birth order effects on mean BW were tested within the zygosity groups. Finally, in step 5 it was tested whether the effects of GA, GA2, sex, maternal smoking and alcohol consumption on mean BW significantly differed from zero.
Using the raw likelihood method as implemented in Mx, the different models were compared using the log-likelihood ratio test. The difference in -2 times the log-likelihood (-2LL) between two nested models has a
In the regression analysis, sex was coded 0 for boys and 1 for girls and GA was coded as actual GA minus 40, ranging from 0 (GA of 40 weeks) to -16 (GA of 24 weeks). A possible flattening of triplet BW at the highest GA's was modeled with GA2. GA2 was calculated by squaring the normalized score of the variable GA as described above (
The MZ and DZ correlations were used to infer the influence of genetic and/or environmental factors on triplet BW. MZ triplet pairs and trios are genetically identical, whereas DZ and TZ triplet pairs and trios share on average 50% of their genetic material. A MZ correlation that is higher than the DZ correlation implies the influence of genetic factors. A DZ correlation that is higher than half the MZ correlation implies that shared environmental factors influence BW.
Birth weight discordance
Three definitions are commonly used for BW discordance in twins. First, an absolute definition: the absolute difference in BW. Second, a percentage definition: BW disparity is calculated as a percentage of the largest child's BW. Third, a statistical definition: BW as percentile of one or two standard deviations from the mean
The third method, specific to trios, takes into account the BW of the triplet that falls in between the heaviest and lightest triplets. In this method, a relative BW ratio is calculated by taking the difference between the middle and lightest triplet as a percentage of the difference between the heaviest and lightest triplet
We used the percentage definition to estimate birth weight discordance, as this definition is most frequently used.
Representativeness of the NTR triplet sample
Table 2
Descriptive statistics for a complete group of triplets born in the Netherlands between 2000 and 2006, a subset from this group including all triplets still alive after 28 days, and the NTR sample
Dutch triplets
(cohort 2000 -
Dutch triplets
(cohort 2000 -
2006) alive
after 28 days
NTR sample
2000 - 2006
2000 - 2006
1970 - 2006
Parity (% primiparous)
M (sd)
M (sd)
M (sd)
1745 (688)
1920 (546)
1900 (471)
32.3 (4.1)
33.4 (2.8)
33.7 (2.6)
Age mother
31.6 (4.3)
31.7 (4.2)
30.8 (3.6)
BW = birth weight; GA = gestational age; NTR = Netherlands Twin Register.
Comparing the current study sample with trios registered in the NTR but not participating in this survey yielded no significant age difference between the two groups (
Trio zygosity was determined by DNA, blood group assessments
DNA samples were available for 79 triplets from 31 families and blood samples for 65 triplets from 22 families. Both DNA and blood samples were available for 47 triplets from 16 families. Survey questions about resemblance and self or parental report on zygosity were available for 318 and 450 trios, respectively. Zygosity estimate was based on the trio. This signifies that if one pair wise comparison could be made but information on the third triplet was missing, trio zygosity could not be determined. There were 22 trios with zygosity based on DNA and/or blood information on all triplets. Seventeen trios had information on zygosity based on both DNA and survey questions regarding resemblance. This provided the opportunity to look at the reliability of the survey information. Pair wise comparisons were incorrect in 10% of the cases. This is comparable with zygosity determination based on survey questions on resemblance in twins
Table 3
Triplet sex and zygosity
Total zygosity
46 (10%)
123 (26%)
296 (64%)
Total sex:
MZ = monozygotic; DZ = dizygotic; TZ = trizygotic; FFF = trio of three females; MFF = trio of 1 male and 2 females; MMF = trio of 2 males and 1 female; MMM = trio of three males.
ART are more commonly seen in triplet pregnancies than in twin or singleton pregnancies. We asked the triplet mothers in 350 returned questionnaires about the possible use of ART. 127 answered that the pregnancy was spontaneous, 103 after in vitro fertilization, 17 after intracytoplasmic sperm injection, 25 after intrauterine insemination, and 63 after ovulation induction with hormone tablets or subcutaneous injections. The remaining 15 mothers gave an unclear or no answer to this question. The age of the triplet mothers who made use of ART ranged from 21 to 43 years (M = 31, SD = 3.5), the age of mothers who spontaneously conceived the trio ranged from 20 to 41 years (M = 30, SD = 3.8). ART was overrepresented in the TZ triplet group. 87% of the mothers of TZ triplets reported ART, compared to 19% of the mothers of DZ's and only 3% of the mothers of MZ triplets.
Within the subset of triplets with information on ART, we did not find a significant effect of ART on BW (
Birth weight
Descriptive statistics of the observed data are given in Table
Table 4
Descriptive statistics of the raw scores on triplet BW and GA, and percentage of smoking and alcohol consumption during pregnancy, as a function of zygosity
N trios
N boys/girls
GA mean (sd)
33.3 (2.15)
33.6 (2.89)
33.7 (2.52)
N mothers consuming alcohol
3 (8%)
19 (19%)
36 (13%)
N mothers smoking
6 (16%)
19 (19%)
49 (18%)
Mean BW first born (grams)
Mean BW second born (grams)
Mean BW third born (grams)
Variance triplet BW
Pair-wise covariance triplet BW
Pair-wise correlation triplet BW
SGA first born (% SE ss/US ss/US ts)
SGA sec. born (% SE ss/US ss/US ts )
SGA third born (% SE ss/US ss/US ts)
*MZ triplets from DZ trios; ** DZ triplets from DZ trios; GA = gestational age; BW = birth weight; SGA = small for gestational age; US ss = United States' singleton standard; US ts = US triplet standard; SE ss = Swedisch singleton standard; MZ = monozygotic; DZ = dizygotic; TZ = trizygotic.
The uncorrected data on BW are presented as a function of zygosity and birth order. For the DZ trios two columns are presented. One column gives mean BW for the MZ pairs within the trio. The other column gives mean BW for the single remaining DZ triplets that are not part of the MZ pair.
Fit statistics of all tested models are presented in Table
Table 5
Model fitting results of the means model on triplet BW
to model
Δ df
Full model
a. Equal mean MZ pairs within MZ and DZ trios
b. Equal var MZ pairs within MZ and DZ trios
c. Equal cov MZ pairs within MZ and DZ trios
a. Equal mean DZ/TZ
b. Equal var DZ/TZ
c. Equal cov DZ/TZ
a. Equal mean within MZ
b. Equal mean within DZ
c. Equal mean within TZ
a. Effect GA2 = 0
b. Effect GA = 0
c. Effect sex = 0
d. Effect alcohol = 0
e. Effect smoking = 0
MZ = monozygotic; DZ = dizygotic; TZ = trizygotic; GA = gestational age. The best fitting model is printed in bold font.
Table 6
Parameter estimates for triplet BW and causal agents influencing BW, based on model 5d
Mean/variance/covariance (grams)
DZ/TZ (fb, sb, tb)
2915/2826, 2811, 2710
0.42 (0.29 - 0.54)
0.32 (0.25 - 0.38)
Effect in grams
-16 to 0: weight gain per week
0/1: Boy/girl
0/1: No/yes
GA = gestational age, fb = first born, sb = second born, tb = third born. Results given for MZ triplets include triplets from both the MZ group and the DZ group.
The tests of the fixed effects showed that GA was the most important contributor to mean BW in triplets. Between a GA of 24 to 40 weeks, the triplets gained 130 grams per week. No significant flattening of the growth line (GA2) was observed (
Correlations in triplet BW as a function of zygosity were calculated before and after including the effects of GA, sex and smoking on mean BW in the model. Before correction, the MZ correlation was 0.70, and the DZ and TZ correlations were 0.64 and 0.67 respectively. Correlations in triplet BW were lower when the effects of GA, sex and smoking were included, indicating that these variables explain part of the resemblance in triplet BW. Furthermore, the MZ triplet correlation is higher than the DZ triplet correlation, 0.42 compared to 0.32, respectively. This indicates that in addition to common environmental effects, genetic factors also explain part of the variance in BW.
Finally, BW discordance was calculated. We compared the heaviest and the lightest triplet of a trio and found that in only 17.9% of the trios, BW discordance was less than 10%. In 60.6% of the trios BW discordance was between 10 - 30% and in 21.5% BW discordance was more than 30%. A total overview of the BW discordance distribution is given in table
Table 7
Percentages of triplet pairs per BW discordance category
BW discordance
Heaviest - lightest
Heaviest - middle
Middle - ligthest
< 10%
10 - 14.9%
15 - 19.9%
20 - 24.9%
25 - 29.9%
≥ 30%
BW = birth weight. First presented percentage is calculated from triplets registered at the NTR, het second percentage is based on a national sample of triplets born in the Netherlands between 2000 and 2006, including triplets that deceased before 28 days after birth.
Figure 2
Percentage triplets per BW discordance category as a function of zygosity
Percentage triplets per BW discordance category as a function of zygosity. BW = birth weight; MZ = monozygotic; DZ = dizygotic; TZ = trizygotic.
The present study describes the influence of genetic and environmental risk factors on BW in a large population based sample of Dutch triplets. BW is affected by zygosity and birth order. MZ triplets were lighter than DZ and TZ triplets, and BW decreased with decreasing birth order in TZ triplets. GA, sex and smoking during pregnancy also had an effect on BW. No effects of ART and alcohol consumption were seen. We did not observe a significant flattening of the BW curve in the last stage of mature triplet gestation. The resemblance for BW was higher in MZ triplets than in DZ triplets after correction for the other risk factors indicating that genetic factors are also of importance. BW discordance in triplets is common since in 21.5% of the trios the difference in BW between the heaviest and lightest triplet was more than 30%.
Factors affecting triplet BW
The most important factor in triplet BW is GA. As expected, in this sample a higher GA was associated with a higher BW in triplets. The literature describes the occurrence of a flattening of the growth curve during the last weeks of triplet pregnancies. This growth restriction period emerges round a GA of about 36 to 37 weeks
The effects of alcohol consumption and smoking during pregnancy on BW were both examined. No effect of alcohol consumption on triplet BW was seen. We hypothesize that in this sample the absence of an effect was seen because of the low maternal alcohol consumption during pregnancy. In addition, mothers reported less consistent on alcohol consumption than on other variables.
Mothers of triplets who smoked had children who were on average around 100 grams lighter than non-smoking mothers, which is a decline in BW of 4%. This is the effect of smoking after correcting for the GA of the triplet. Studies in singletons report that children of smoking mothers are 119 to 241 grams lighter, which is 4 to 7% lighter than children of non-smoking mothers. The amount of loss in BW is dependent on the quantity the mother smoked during the pregnancy. Within the NTR group of smoking mothers around 70% smoked 0 to 5 cigarettes per day, 15% smoked 5 to 10, and about 15% smoked more than 10 cigarettes per day. In singletons an interaction between alcohol consumption and smoking has also been observed. We did not test for such an effect because only 3% of the triplet mothers both consumed alcohol and smoked.
First born TZ triplets were heavier than the second born TZ triplets, who were heavier than the third born children. No significant birth order effect was seen in the group of MZ and DZ triplets. As the MZ and DZ groups were small, this might reflect a lack of power to detect a difference. In twins, the first born (and heavier) twin, has an heavier placenta and a more optimal (a central instead of peripheral) cord insertion
BW discordance and SGA
The prevalence of BW discordance is comparable with a study of Jacobs et al. (2003)
We also estimated the resemblance in BW of triplets. The resemblance for BW in MZ triplets was higher than in DZ triplets. Both were higher before correction for GA, sex and smoking than after adjusting for these factors. This suggests that genetic as well as common environmental factors influence birth weight and that GA, sex and smoking are some of the specific common environmental factors.
We observed that, when taking US singleton standards as a reference, 40-50% of the triplets were SGA. Children who are born SGA are at risk for asphyxia and intrauterine mortality
Population based triplet zygosity distributions have changed over the years. Imaizumi
Studies in singletons report that children born after ART are lower in BW than spontaneously conceived children. In twins the effect of ART is less clear, some studies find an effect, while others do not
Limitations and strengths
The present sample consisted of triplets who were registered at the NTR and whose parents were willing to participate in survey studies. This led to a small positive selection bias. Triplets from families in which all three children are alive 28 days after birth also have more favorable scores on BW and GA. Moreover, parents are possibly more willing to participate in research when the triplets are healthy compared to parents dealing with illnesses of one or more of their children. The NTR sample was more comparable with a selection of Dutch triplets that were still alive 28 after birth, than with a complete group of Dutch triplets including children who died soon after birth. A comparable positive selection bias was found in a study on secular trends in gestational age and birth weights in twins. In this study twins registered at the NTR were compared with a national reference set. The twins registered at the NTR were found to have a higher GA (36.5 (2.4) compared to 35.9 (3.0) weeks) and a higher BW (2498 (550) grams compared to 2459 (615) grams)
We investigated whether zygosity influenced triplet BW. MZ triplets are more in competition for nutrients than DZ and TZ triplets. A more direct measure of triplets sharing placenta's and therefore triplet nutrients competition is chorionicity. Information on chorionicity would therefore have been a valuable addition to the information on zygosity. Currently, no reliable information on chorionicity was available.
Parity has been associated with BW but was not included in the analysis of present study, as information on parity was only available for about three-quarter of the mothers. Including parity would therefore have decreased sample size considerably. In an analysis within the reduced sample, there was no significant effect parity on BW.
Some strengths of this study are also noteworthy. The sample is relatively large. We do not know of another study that took so many risk factors into account analyzing their effect on triplet BW. This study is the first to describe triplet zygosity in the Netherlands based on individual zygosity measures instead of population based estimated zygosity distribution. We therefore could confirm the assumption that ART has inflated the Dutch TZ triplet population. Furthermore, this study is the first to investigate the effect of maternal smoking and alcohol consumption during pregnancy on triplet BW. In addition, although our sample is somewhat positively biased when comparing it to all triplets born in the Netherlands, it is a representative sample for the Dutch triplet population that is still alive one month after birth.
Longitudinal data collection on triplets is scarce. Data collection within the Netherlands Twin Register (NTR) is broad, including an important focus on behavior. The data collection in triplets that we are currently establishing is unique in its kind. With this dataset it is possible to study long term effects of low BW in triplets, both on physiologic and also on behavioral level. This study was limited to a description of the sex and zygosity distribution of the triplets and the effect of a number of BW characteristics. We found an effect of GA, sex, birth order, zygosity and maternal smoking on triplet birth weight, but found no effect of ART and maternal alcohol consumption. The combined effects implied that differences of 364 grams can be observed between MZ girl triplets of smoking mothers compared to TZ boy triplets of non-smoking mothers of the same GA. Furthermore, we found that MZ triplets resembled each other more than DZ triplets, indicating that, in addition to environmental factors, genetic factors contribute to triplet BW.
List of abbreviations
ART: assisted reproductive techniques; BW: birth weight; DZ: dizygotic; GA: gestational age; MZ: monozygotic; NICU: neonatal intensive care units; NPR: Netherlands Perinatal Registry; NTR: Netherlands Twin Register; TZ: trizygotic.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
DJL: performed the statistical analyses and participated in the design of the study, data acquisition, interpretation of the statistical analyses, and the draft of the manuscript. CMM: participated in the design of the study, interpretation of the statistical analyses, and draft of the manuscript. CEMB: participated in the data acquisition. JMV: participated in the data acquisition. MCH: participated in the interpretation of the statistical analyses. DIB: participated in the design of the study, interpretation of the statistical analyses, and draft of the manuscript. All authors read and approved the final manuscript.
Acknowledgement and Funding
We are grateful to the triplets and their mothers for participation. The data-collection for this project was supported by "Database Twin register" (NWO grant 575-25-006 and 904-57-94); "Spinozapremie" (NWO/SPI 56-464-14192); "Twin-family database for behavior genetics and genomics studies" (NWO 480-04-004); Genetics of Mental Illness: European Research Council (ERC-230374); Genetic influences on stability and change in psychopathology from childhood to young adulthood (NWO/ZonMW 91210020). Dr. Middeldorp is financially supported by NWO (VENI 916-76-125). Dr. Vink is financially supported by NWO (VENI 451-06-004).
Centraal Bureau voor de Statistiek
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Pre-publication history
The pre-publication history for this paper can be accessed here:


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Cranial and vertebral magnetic resonance imaging revealed destruction of the second thoracic vertebra and a major paravertebral abscess, causing cord compression, which suggests tuberculous spondylitis. The diagnosis of Mycobacterium tuberculosiswas confirmed by polymerase chain reaction assay on samples of the cutaneous lesion biopsy material and dorsal abscess. After 2 months of taking 4 antituberculous drugs, the patient completed 16 months of treatment with isoniazid and rifampin.
Computed tomography–guided abscess drainage was initially performed, which resulted in a partial reduction in abscess volume. During the second week of therapy, the patient underwent anterior debridement and drainage through costotransversectomy and posterior spinal–instrumented fusion. The patient had an uneventful recovery, regaining normal gait with full motor strength in both lower extremities. Complete healing of the cutaneous ulcer was achieved after 8 weeks of treatment, and spinal fusion was documented at 12 months.
Tuberculosis remains a global epidemic.1Children and adolescents are more prone to develop the disease after infection than adults. Bone and joint infections account for less than 6% of tuberculosis cases,2and cutaneous tuberculosis is even more rare,3occurring in less than 1% of cases of tuberculosis. It can be acquired endogenously or exogenously and may have various manifestations, including erythematous rashes, nodules, and chronic ulcerative or verrucose forms.4Published case series show that up to one-third of patients with cutaneous tuberculosis also have other forms of systemic disease.5,6Therefore, chest and vertebral radiographs should be considered in all patients with cutaneous tuberculosis, as lung and vertebral disease are the most frequent foci of concomitant infection in these patients. History and physical examination findings should disclose other possible foci (eg, tuberculous adenitis) and guide further diagnostic evaluation.
The effectiveness of diagnostic methods for cutaneous tuberculosis varies with infection route, the patient's immune system capability, and disease manifestations.4Tuberculin skin testing (Mantoux test) results are usually positive in immunocompetent patients who acquire the disease by direct inoculation. However, smears for acid-fast bacilli and cultures may be negative because these are paucibacillary disease forms. Endogenously acquired cutaneous disease is frequently associated with variable degrees of immunosuppression (especially with cutaneous abscesses and orificial and miliary cutaneous tuberculosis). Accordingly, tuberculin skin testing responses may be anergic as a result of impaired cell-mediated immunity and decreased delayed hypersensitivity reaction.
This clinical case represents a rare association between tuberculous spondylitis and cutaneous tuberculosis. More frequently implicated as a cause of cutaneous ulcers are Mycobacteriumin M tuberculosiscomplex (including M bovisand the bacille Calmette-Guérin–attenuated form of M bovis). Other mycobacteria acquired through direct skin inoculation may cause cutaneous lesions in children: M marinum(found in saltwater and freshwater, tropical fish tanks, and swimming pools), M ulcerans(found in tropical rain forests; causes Buruli ulcers), and others found more readily in the environment (M fortuitumand M aviumcomplex and M kansasii).7Other infectious causes, particularly in tropical climates, include deep and subcutaneous mycosis (eg, blastomycosis, chromoblastomycosis, and mycetoma), tropical ulcer (infection with fusospirillary bacteria association), localized cutaneous leishmaniasis, and cutaneous diphtheria. Other possible causes for chronic ulcerations are late syphilis (cutaneous gummas in tertiary stage), other treponematosis (yaws or endemic syphilis), leprosy, tularemia, and actinomycosis.
Return to Quiz Case.
Correspondence:Isabel Castro Esteves, MD, Pediatric Infectious Diseases Unit, Child and Family Department, Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisbon, Portugal (email@example.com).
Accepted for Publication:April 29, 2009.
Author Contributions:Study concept and design: Esteves and Marques. Acquisition of data: Esteves. Analysis and interpretation of data: Esteves and Fernandes. Drafting of the manuscript: Esteves. Critical revision of the manuscript for important intellectual content: Esteves, Fernandes, and Marques. Administrative, technical, and material support: Esteves. Study supervision: Esteves and Marques.
Financial Disclosure:None reported.
Additional Contributions:Odete Valério, MD, and Filipa Osório, MD, of the Breast Diagnostic Clinic of the Gynecology and Obstetrics Department of the Santa Maria Hospital collaborated in the topical treatment of the cutaneous lesion and provided photographs documenting it.
Picture of the Month—Diagnosis. Arch Pediatr Adolesc Med. 2009;163(9):864. doi:10.1001/archpediatrics.2009.146-b
© 2017


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Yes, you've seen this idea before. Yes, I asked permission from Indigo-Night-Wisp. I would ask Mr. Lee, but the man doesn't care at this point. (That was my clever disclaimer ;)
Kazoo: You should do your homework now.
Dude! Whose side are you on?
It was a memory that she'd take into the eternity. It was too good to let go. The look of stunned pleasure on his face the first time he saw her in an honest-to-goodness dress was just too priceless.
If anyone else had compared her to a flower, she'd have laughed at them and called them a sappy moron for saying something so stupid. For some reason, he didn't get that same treatment.
They made it a game. It was like they were watching each other while trying to make it look like they weren't when everyone else already knew the deal. Someone should tell them they were obvious.
He knows skin contact makes her nervous so he doesn't mind wearing them. When she asks about them, he claims that it's so they match and refuses to let her hand go.
He has no shame. So imagine her delight when red crept up his neck while his brother told the story of how he stole Tante's brownies, and the woman chased him down with a rolling pin.
It was a small, almost trivial fact that no one knew, but recently, she'd taken to keeping her nails painted a shining, ruby red under her gloves.
No one says anything, but everyone notices when he takes to wearing an emerald pendant.
Was something that became a norm during Danger Room sessions since he joined. It seemed like they always had to stop so she could properly yell at him for taking stupid risks and keeping his hands to himself.
He would do almost anything she asked of him. Almost. Yet it took quite a bit of coaxing for him to let her drive his bike.
After a while, Kitty finds nothing unusual about her roommate's new habit of coming in from the balcony into their room on the second story in the middle of the night.
Of course, the boy has a copy of her attacking the Acolytes. And she doesn't care how much he shows everyone that kiss. She always maintains that the voices made her do it.
When Logan hauled him out of the bayou and pinned him against the tree, for one terrifying second, she thought he was going to kill him. Then she remembered that she had the man wrapped around her little finger and relaxed.
She scowled at Kurt who scowled at him who scowled at Angel who seemed oblivious to all the tension that was giving everyone else indigestion.
Emma laughs and bluntly calls her a liar and a coward when she says she doesn't want him.
When he smiles, she does too because that means he's genuinely content. But when he smirks, that means something totally different, and it would take a paragraph to detail each reaction.
Honestly, she could care less that Logan, Kurt, and Scott have practically formed a club to share all the reasons why they don't like him. As long as they're smart enough to keep it to themselves, peace will reign in the mansion.
Despite his devil-may-care attitude, it really does bother him when Logan explains the ways he's going to castrate and gut him and what exactly his organs will be preserved in if he doesn't treat her right.
If the world really was a stage, and she was the princess locked away in the treacherous tower, and he was the prince to win her love and save her, would someone please explain just where Bella Donna came from? Because that was putting a serious dent in the whole happily ever after thing.
As they were representatives of the mutant race and the X Men, the professor expected them to behave accordingly while out on the field. He flirted, and she threatened, and they blew up a train simulatneously leveling a city block. Still, they catch the bad guy without getting a scratch. Yet the old man still complains?
During a rant of hers, she wonders aloud why he even joined in the first place. While her friends stared at her blankly, she came to the conclusion that, yeah, that was a stupid question.


text: Hello, I found xenForo is very neat. For one of my recent project I need some customization on xenForo. The site is more like social community rather than just a forum. Here are the requirements: Homepage will include some blocks, like top authors, top posts, recent threads, recent blog posts etc. There should be a blog where users can submit articles. There should be a group page, and user can create or join in groups. FAQ or Knowledge base system. vBulletin have all these features, but its old and I don't like it much. I want to implement all these on xenForo. Looking for the reply. Thanks!


text:
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News : Bickford's/Vok Go Mobile in the Cloud with StayinFront CRM
March 31, 2014 -- Customer relationship management (CRM) solutions provider StayinFront has moved further into the Fast Moving Consumer Goods (FMCG) market, securing a contract with Australian drinks producer The Bickford's Group to transform the company's sales operation.
The new FMCG contract follows on from contracts StayinFront won with L'Oreal and Vitality Foods earlier this year, and includes Bickford's Australia softdrink business and sister organisation Vok Beverages alcohol business unit.
Chris Illman, Group Marketing Manager at Bickford's said the group's "sales endeavours" were being constrained by the limitations of its existing CRM application and ageing Windows Mobile devices, and required a move to the latest mobility devices for high quality in-store selling.
"A priority was to reduce the overhead of on-premise servers and software with a shift to a cloud solution," Illman said.
The two business units will use StayinFront Edge SaaS CRM and Analytics solution for consumer goods companies and StayinFront TouchCG for mobile devices.
Illman said the two distinct soft drink and alcohol business units of Bickford's/Vok are operated separately but leverage efficiencies from a shared infrastructure and administration.
Kerrie-Anne Turner, StayinFront's APAC Vice President and Managing Director Australia, said reporting agility was a crucial component for Bickford's/Vok with requirements for greater visibility of information in-field to support better decision making.
From sales offices located around Australia, Turner said Bickford's/VOK managers have real time access to all data "for the production of timely, meaningful reports from StayinFront's powerful Analytics capabilities."
Turner said Bickford's/Vok was also benefitting from increased efficiency in order processing with automated turn-in orders from the field, sent via XML and email, straight through to wholesalers.
"It is clear from the requirements of our customers like Bickford's/Vok that the FMCG sector's technology needs are evolving very quickly. In only a matter of a couple of years, sales teams have moved from paper-based systems to iterations of CRM.
"We are now experiencing the rapid uptake of our cloud-based 'out of the box' industry-specific sales force automation solutions that support all mobility devices demanded by employees."
Posted by Veronica Silva Cusi, news correspondent
Source: http://www.itwire.com
Related Editorial
- Amneal Pharmaceuticals Selects StayinFront Mobile Cloud CRM Solution
- Simplot Staying in Front with CRM Deployment
- StayinFront's Announces the Latest Life Sciences CRM Software Release
- StayinFront CRM Announces Upgrade to it's Sample Management Module
- StayinFront Releases TouchCG 12.11
- StayinFront Announces New Enhancements to StayinFront TouchRx
More Editorial From Stayinfront
- StayinFront's Announces the Latest Life Sciences CRM Software Release
- StayinFront CRM Announces Upgrade to it's Sample Management Module
- Amneal Pharmaceuticals Selects StayinFront Mobile Cloud CRM Solution
- StayinFront Releases TouchCG 12.11
- Simplot Staying in Front with CRM Deployment
- StayinFront Announces New Enhancements to StayinFront TouchRx
About Stayinfront:
StayinFront is a provider of enterprise-wide customer relationship management (CRM) applications, decision support tools and eBusiness systems. StayinFront combines unique technologies with an extensive implementation and support infrastructure to ensure a successful CRM project.
Published: Tuesday, April 1, 2014


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The starlet who has her say on everything under the sun says, "Our nation is already divided into bits and pieces. I fail to comprehend the need for the birth of Telangana.
Are the people responsible for this segregation indeed of the people, for the people and by the people? The thousands of crores that are going to be spent on setting up Telangana as a new state could have been spent on the socio-economic growth of the former AP."


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Why Is Your Relationship so Money Important?
Whatever you think about money, whether you are even aware of your thoughts or not, will determine how much money you will acquire your whole life.
Just think about it, there're lots of things going on in your body all the time without you thinking about the processes. Your heart beats, you take a breath, your body controls temperature et cetera.
All of these processes are so vital to your health and well-being that they can't be left to conscious thought. They come so naturally you don't have to think about doing any of it.
What if I were to tell you that making money could be just as easy as that, it happens seamlessly in the background without you even doing anything.
That is possible if you stop and dismantle your self-limiting beliefs, you know what I'm talking about, the quiet voice in the back of your head that knack at you telling you, you are worthless.
Self-limiting beliefs hold you back because they prevent you from reaching your full potential. It tells you that you can't do something, or you don't deserve something.
You may even think that money is a finite substance, there is only so much of it to go around. That idea is very common, but at one time the idea that the world was flat was also common and both ideas are poppycock.
Money is a currency, governments print it on a piece of paper. That $20 bill in your pocket is not represented by a piece of paper that is worth $20 it represents a government promise to pay.
When you look around you will have noticed that some people seem to be so lucky, money just flows in their direction like a liquid pool of lava down the mountain? Nothing can stand in the way of that inevitable inexorable flow!
Other people, maybe even you, work so very hard all their life and money is very hard to come by. In fact, money is synonymous with struggle and hardship and difficulty.
You may even have noticed that the rich get richer while the poor get poorer. This statement is very often true, but not necessarily for the reasons, you may think.
The rich get richer because they expect money to come to them! There is no doubt in their minds that they deserve money. They expect money to come to them and indeed, it does.
Do you think that you may think any of the following subconscious thoughts about money?
"Money is dirty?"
"Money often cost too much. "
"Money corrupts."
"Money doesn't grow on trees."
"I don't really deserve money."
"I have always been poor and will always be poor."
"I can't afford it."
"Happiness is More Important than money."
There are much more than this list, I could go on forever, and a day , but by now you should start to be getting the gist. Hopefully, the penny is dropping you think some of these things. (Everybody pun intended!)
The really frightening thing about these attitudes is that they are not yours. You can't own them. They were given to you (some present eh) by someone else.
The chances are you were given self-limiting when you were less than three years of age. At some point, you will have heard your parents, your elder siblings, your grandparents, your neighbours and uncle Tom Cobbly and all talk about money. You will have heard one of those statements, or another million like them and internalized them.
It gets worse than this , though, the chances are, they heard this claptrap about money from their parents and grandparents!
Worse than that, they probably got it from their grandparents. It just goes on and on.
No wonder money is such a struggle when you think like that about money.
The truth is what we really want to do, is what we really are meant to do. When we do what we are meant to do, naturally, doors open for us, money flows to us and we feel both useful and grateful and what we do feels like play.
If you really want to be a success online then come and join us in our private Facebook group where we will take you by the hand and teach you how to make money. Join here and we will personally help you fulfil your financial dreams.
Along the way, Su and I, have realised that money is made in the mind and anyone can and should create an abundant lifestyle for themselves.
That doesn't mean you don't need skills. We believe here at learn marketing that success is 75% Mindset and 25% Strategies. So those strategies have to count they have to be the correct ones to propel you forward to fulfil your potential.
So, if you have been thinking about starting an Internet marketing business, or you have tried and failed, - why not try this because the chances are you are held back by a self-limiting belief somewhere along the line.
Everything is energy, and that's all there is to it. Match the frequency of the reality you want and you cannot help but get that reality. There can be no other way because this is not philosophy this is physics.
So don't forget to join our Facebook group and come and ask us, any questions about Internet marketing, affiliate marketing how to make money online.
We have 30 years experience between us and that's a lot of miles around the block where Internet marketing is concerned. We are more than happy to share that knowledge and get you started. So what are you waiting for , take the first step now!
We will equip you with the skills you need and help you with your mindset until you are up and running.
You can only make money by being fulfilled, by chasing money you will always be poor you need to pursue the things you love doing and then to do them so well, you knock everybody else's socks off!
Be Blessed .....................


text:
Supplying America Since 1960
Are you Looking for Used Guardrail For Sale?
At LiveStock Steel we have used guardrail panels but, we specialize in New Guardrail Panels for LiveStock Applications. LiveStock Steel guardrail panels are an excellent replacement for board fencing or to match up to existing guardrail panels. YES! We have TONS of used highway guardrail for sale just waiting to be shipped. YES! We have truckloads of "never installed," shiny, galvanized, 26 foot W-beam panels. LiveStock Steel W-beam guardrail is consistent in quality and is immediately ready to ship from coast to coast. We have it on both the East and West coast so you can either come pick it up or we can ship it to you. Either way, we'll load it NOW so it can start its lifetime of service on your farm. Even more amazing is that this new, "never-been-put-up" W-beam guardrail is often cheaper than the used highway guardrail we have available!
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LiveStock Steel has guardrail available now across the USA. We also have an endless supply of new 26 foot W-Beam Guardrail which you may view at the following link: LiveStock Steel Guardrail Panels. We also have used guardrail for sale. Currently, our panels are being installed in Hereford, Texas – Fountain Inn, South Carolina – Columbus, North Carolina – Calmar, Iowa – Chester, South Carolina – Buckhorn, New Mexico – Santana, Kansas – Bloomfield, Nebraska – Wiggings, Colorado – Cheyenne, Wyoming – Redwood Falls, Minnesota – Hondo, Texas – Ripley, West Virginia – Alliance, Nebraska – Flagler, Colorado – Springville, Alabama – Sturgis, Kentucky – Sale City, Georgia – Pritchett, Colorado – Delphos, Ohio, Gastonia, North Carolina – Coweta, Oklahoma and Iroquois, South Dakota
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text:
Decision makers
- Governor Andrew M. Cuomo
Include representation of Parents on the Education Reform Commission
Parents of school-age children constitute the one group who will not be represented and whose voice will not be heard on Governor Cuomo's Education Reform Commission. We need to remind the Governor that it is the parents who are most in touch with the every day realities of school life and how it affects our children.
Beata Moon & Victoria Zunitch (Co-Creators of this Petition)
- Governor Andrew M. Cuomo
I just signed the following petition addressed to: Governor Andrew M. Cuomo.
Dear Governor Cuomo:
We, as citizens and parents or guardians of school-aged children, expect to have equal representation and a significant voice on the Education Reform Commission.
We want parents who represent the diversity of families across the state to be named to the Education Reform Commission as soon as possible. These parents need to be in addition to any existing members who happen to be parents.
Parents know the most about the everyday reality of school life for our children and what they need from school in order to build a better future. For that reason, we respectfully demand of you, and of every other arm of government, our rightful say in their education.
Beata Moon started this petition with a single signature, and now has 67 supporters. Start a petition today to change something you care about.
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text:
Rusted E-11
Many people attempt to reskin guns, and in my opinion only a few stand out. Thankfully, this happens to be one of them. Phoenix has set out to make a better-looking E-11 skin for JK2. While the
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one provided by Raven does its job, you have to admit it is quite bland looking. Perhaps too bland looking, and so this author decided to give it a rustier, better feel. In my opinion, he completely succeeds. Many gun reskins aren't quite worth a second look, but this one will likely hold its place in my base folder for a while. While the skin isn't as "rusted" as Phoenix may have intended, it is still quite a bit more detailed. It simply looks better, and gives it a more "exciting" look. Frankly, when I see a stormtrooper coming with this one, I run. Of course, that's just me. :-P If you are looking for something new, or perhaps even just for a bit of "eyecandy" while playing JKA, this is exactly what you want. As an added note, the screenshot on the left has the older E-11 on the left, with the rusted one on the right. The second screenshot has the rusted E-11 on the top and "dulled" E-11 on the bottom. ~Wassup1444465
- File Name:
- rustede11.zip
- File Size:
- Date Added:
- 29/11/2004
- Download Last 2 Week:
- 1
- Downloads All Time:
- 416
- Popularity:
- 0.06%


text:
Awards: MSc, PgDip
Study modes: Full-time
Funding available
Programme website: Sustainable Energy Systems
This internationally renowned degree, based within a world-leading renewable energy research group, equips graduates and professionals with a broad and robust training.
Wind, marine and solar energy technologies are covered, as well as the wider environment in which they are to fit, including: resource assessment; energy production, delivery and consumption; efficiency; sustainability; economics, policy and regulation.
In addition, our MSc students actively engage in research as part of their dissertation projects either within the Institute for Energy Systems or with industry, with some joining our PhD community afterwards.
This programme is accredited as counting towards further learning (FL), as a requisite in the educational base for a Chartered Engineering (CEng). This programme is also affiliated with the University's Global Environment & Society Academy.
This programme is run over 12 months, with two semesters of taught courses followed by a research project leading to a masters thesis.
Depending on quotas and timetabling, we can offer further courses from the Schools of Engineering, GeoSciences, Mathematics, and Social and Political Science, and from Scotland's Rural College.
Graduates go on to a wide range of activities in industry, public organisations or academia. The MSc has well established links with industry, with many graduates finding employment with leading national and international companies involved with energy, consultancy and engineering. Recent graduates are now working as civil, structural, automotive, subsea and electrical engineers and as power systems, energy and environment and renewable energy consultants. Employing firms include Arup, Alston, Avery, Dennison, GE, Schneider, SSE and Scottish Power.
A UK 2:1 honours degree, or its international equivalent, in engineering or physics.
If you apply with a background in another field, you may be accepted if you hold a UK first class honours degree, or its international equivalent, and have studied mathematics to first year undergraduate level, including vectorial calculus (gradients, curls, etc), complex algebra and Fourier transforms. You must also be able to demonstrate a strong interest in the energy sector.
Check whether your international qualifications meet our general entry requirements:
All applicants must have one of the following qualifications as evidence of their English language ability:
an undergraduate or masters degree, that was taught and assessed in English in a majority English speaking country as defined by UK Visas and Immigration
Degrees taught and assessed in English must be no more than two and a half years old at the beginning of your degree programme. Language tests must be no more than two years old at the beginning of your degree programme.
Find out more about our language requirements:
MSc students at the School of Engineering are required to pay for their own Personal Protective Equipment (PPE). These costs can range from £3 to £70, depending on the programme.
Find out more about tuition fees and studying costs:
Find out more about scholarships and funding opportunities:
Select your programme and preferred start date to begin your application.
We encourage you to apply at least one month prior to entry so that we have enough time to process your application. If you are also applying for funding or will require a visa then we strongly recommend you apply as early as possible. We may consider late applications if we have places available, but you should contact the relevant Admissions Office for advice first.
You must submit a reference with your application.
Find out more about the general application process for postgraduate programmes:


text:
This week at Target Kraft Mac & Cheese are on sale for $.94. When we combine that with the new coupon that we got last night we can get them for only $.61 per box. We can also use that new Little Debbie coupon to get Christmas Tree Cakes for only $.84 each!
At Target:
BUY THREE KRAFT MAC & CHEESE DINNERS – on sale $.94
use one $1/3 Kraft Mac & Cheese Dinners printable coupon (preclipped)
Net Price: $1.82 ($.61 each!)
BUY ONE LITTLE DEBBIE CHRISTMAS TREE CAKES – regular price $1.99
use one 20% off Little Debbie Christmas Snacks Target Cartwheel (will deduct $.40)
use one $.75/1 Little Debbie Family Pack or Big Pack printable coupon
Net Price: $.84
Thanks Totally Target
Extreme Couponing Tip: You can usually get two prints of most internet coupons. To find them in the easiest possible way, use our preclipped links that take you right to the coupon. Then come back and click the same link to get your 2nd print. This will save you the time spent searching for the coupon.
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text:
Our programmes are intellectually exciting and flexible, allowing you to follow your mathematical interests as you develop your professional and mathematical skills.
Our research extends across analysis and differential equations, applied mathematics, mathematical physics, operational research and statistics.
Explore our options to study part of your mathematics degree through the medium of Welsh.
Work for us and be part of one of the UK's leading universities for the provision of mathematics education.
We collaborate with industrial partners on research projects and industrial placements for dissertation students.
20 July 2017
Dr Gandalf Lechner, Mathematics Lecturer, was part of a team of researchers who have discovered that quantum mechanical particles have the unique ability to move in the opposite direction to the way in which they are being pushed.
19 July 2017
22 May 2017
15 May 2017


text:
originally posted in:Crimson Shadows
All of the leaders of there Fireteam report here
Posting in language:
Welcome to The Crimson Shadows where (Team Work is Everything). This Clan is for all game system (Ps4, Ps3, Xbox one , Xbox 360). We now have Squad so pick a squad to join or you are Active you can start one. An only (Active Players) can join. Are tag is (CRIM) and We are ready for Destiny!!! So come Join the Fun and make your on Destiny.
Posting in language: