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Identification of features of electronic prescribing systems to support quality and safety in primary care using a modified Delphi process
Electronic prescribing is increasingly being used in primary care and in hospitals. Studies on the effects of e-prescribing systems have found evidence for both benefit and harm. The aim of this study was to identify features of e-prescribing software systems that support patient safety and quality of care and that are useful to the clinician and the patient, with a focus on improving the quality use of medicines.
Software features were identified by a literature review, key informants and an expert group. A modified Delphi process was used with a 12-member multidisciplinary expert group to reach consensus on the expected impact of the features in four domains: patient safety, quality of care, usefulness to the clinician and usefulness to the patient. The setting was electronic prescribing in general practice in Australia.
A list of 114 software features was developed. Most of the features relate to the recording and use of patient data, the medication selection process, prescribing decision support, monitoring drug therapy and clinical reports. The expert group rated 78 of the features (68%) as likely to have a high positive impact in at least one domain, 36 features (32%) as medium impact, and none as low or negative impact. Twenty seven features were rated as high positive impact across 3 or 4 domains including patient safety and quality of care. Ten features were considered "aspirational" because of a lack of agreed standards and/or suitable knowledge bases.
This study defines features of e-prescribing software systems that are expected to support safety and quality, especially in relation to prescribing and use of medicines in general practice. The features could be used to develop software standards, and could be adapted if necessary for use in other settings and countries.
Medicine prescribing and health information record-keeping are changing from paper-based to computerised processes in healthcare systems all over the world. Electronic prescribing (e-prescribing) can be a stand alone process, but is usually part of an electronic health record system which may also link to pathology, radiology and patient administration systems. In the UK, Australia and some European countries the majority of prescribing in primary care is computerised, whereas uptake is less extensive in hospitals. In the United States, e-prescribing is widely used in some hospital-based organisations but is less common in primary care; this is likely to change with recent government incentives to encourage e-prescribing
Most studies on the effects of e-prescribing systems have been carried out in the hospital setting, and have found evidence for both benefit and harm. E-prescribing produces legible prescriptions, can provide rapid access to information and decision support, and can reduce prescribing errors and adverse drug events
Numerous software applications have been developed for e-prescribing in the last 10 to 15 years, however guidance and standards for these systems has lagged behind development of the applications. The question of how these systems can maximise benefits and limit harm is receiving increasing attention. Some research has been done on the desirable functionality of these systems,
We undertook a study to identify features of prescribing systems used in general practice that support patient safety and quality of care and that are useful to the clinician and the patient, based on the consensus of an expert group. The focus was on the quality use of medicines (QUM i.e. judicious, effective and safe use of medicines): this is one of the four key objectives of the Australian National Medicines Policy, and the National Prescribing Service is the organisation that is responsible for promoting QUM. A list of the 114 features identified, together with their expected impact in four domains, is reported in this paper.
A list of features was developed by the authors and an expert panel was convened to establish consensus on the expected impact of these features. Features included functional capabilities and other attributes of the prescribing system.
The study was conducted between November 2006 and December 2007 and was overseen by an 8-member study guidance group. The study protocol was approved by the Australian Department of Health and Ageing Ethics Committee.
Identification of features
The features were identified by a literature review, key informant interviews and invited written submissions.
Literature review
Key papers and reports were identified by members of the project team who were familiar with work in this area. We searched Ovid MEDLINE(R) (Jan 1995 - Feb 2007) and used Google to search the internet to identify papers that covered features of e-prescribing systems that could significantly improve safety or quality, especially in relation to prescribing medicines and monitoring drug therapy. Scientific journals and grey literature were included. The papers and reports were assessed for relevance, and information about potential features was extracted.
Key informant interviews
We sought the opinions of Australian experts in general practice, public health, quality and safety, health informatics and pharmacy. A telephone interview guide was developed asking participants to identify current or potential features of electronic prescribing systems that could contribute to patient safety and quality patient care, or would be useful to the clinician or the patient. The interview guide was pilot tested with a user and non-user of e-prescribing systems, and was incorporated into a template to facilitate computer data entry during the interviews.
Written submissions
Written submissions were invited from members of the Medical Software Industry Association, the body representing general practice software vendors for most systems in use in Australia.
Development of features list
A list of candidate features was developed and was reviewed by five members of the project team (MW, MS, JR, KH, AS) in a series of round-table discussions. The inclusion of each feature was considered in terms of evidence or expectation that it would contribute to improved safety and quality or would be useful to clinicians or patients, and relevance to the general practice setting in Australia. For those features selected, some were merged, separated or the wording adapted for local relevance while maintaining the key concepts. The final wording of each feature was reviewed to ensure that it was clear, concise and accurate. The ability to implement each feature was considered - that is, whether it was possible to implement the feature given constraints such as lack of a suitable agreed standard or knowledge base. A rationale for each feature was developed based on the literature review and the clinical experience of the researchers, and the features were classified into convenient groups.
Confirmation of features and rating of expected impact
A modified Delphi process was used with a 12-member multidisciplinary group of experts to gain consensus on the expected impact of the features. The Delphi process is used to predict effects where the available evidence is limited
Expert panel recruitment
Participants were selected based on their experience in general practice, public health, quality and safety, health informatics, pharmacy or consumer health issues. Prior to the first meeting, each participant received information about the study and signed consent, confidentiality and declaration of interests forms. Participants were compensated for their time and travel expenses according to the organisation's remuneration policy.
Expert panel role
The panel members were asked to: (1) confirm that the proposed features were relevant, and add any other features that they considered important; (2) rate the expected impact of each feature (using a -5 to + 5 scale) across four domains, via a modified Delphi process (see Figures
Figure 1
Modified Delphi process
Modified Delphi process.
Figure 2
Ratings system used by expert panel
Ratings system used by expert panel.
Identification of features
A list of 114 features was developed, selected from an initial list of over 200 candidate features; these were based on the review of the literature, key informant interviews and expert panel member recommendations.
Literature review
Six key literature sources
Key informant interviews
Twenty-seven experts were contacted, 19 of these agreed to participate and 17 completed the interview. Their professional backgrounds were in general practice (6), health informatics or information technology (4), pharmacy (3), a medical specialty (2), nursing (1) or health policy (1), with many also having expertise in healthcare quality and safety. The key informants identified a broad range of features, with 62 of the features based on or supported by key informant comments.
Feedback from software vendors
General comments were received, most of them about the project methods and the need for industry standards in order to improve systems. These were not incorporated into the features list.
Preliminary features list
One hundred and seven features were selected for inclusion initially, with 7 added later by the expert panel (see below). The features were classified into eight groups: patient data (18 features), medication selection (24), decision support (22), patient information and education (6), monitoring, reports and recalls (17), interoperability and communication (13), security and administration (9) and transparency (5).
Confirmation of features and rating of expected impact
Expert panel members
The 12-member expert panel was assembled from an initial pool of 23 potential participants, all based in Australia; their details are shown in Figure
Figure 3
Expert panel members
Expert panel members. *1 = clinical, 2 = academic, 3 = health policy, 4 = quality and safety, 5 = health informatics, 6 = consumer.
Expert panel ratings and recommendations
The expert panel recommended that all 107 features on the preliminary list be retained, and suggested the addition of seven new features, making a total of 114 features. Panel members rated the expected impact of each feature across four domains: patient safety, quality of care, usefulness to the clinician and usefulness to the patient (see Figure
The panel recommended cut off points for classifying the expected level of impact of each feature as follows: high positive impact = at least 1 of the 4 median scores is 4-5; medium positive impact = at least 1 of the 4 median scores is 2-3.5 (and none are ≥ 4); low positive or negative impact = all four median scores are <2.
Final features and their expected impact
The complete features list including the expected impact in each of the four domains is shown in Additional file
Additional file 1
Features list including expected impact in 4 domains. Shows the 114 features and the expert panel ratings for each feature. Expected impact: H = high positive impact, M = medium positive impact, L = low or negative impact * Features marked with an asterisk were rated by the expert group as high positive impact across 3 or 4 domains including safety and quality. ** Features marked with two asterisks were classified as "aspirational". † Indicates an Australian agency or entity; there may be equivalent agencies or entities in other countries.
Click here for file
The 27 features of e-prescribing systems that were considered likely to have high positive impact across multiple domains (including quality and safety) include the following: The system should allow the user to record patient clinical details, medication information, allergies and pregnancy and breastfeeding status; this information should be recorded in a format that can be used for decision support, and should be displayed to the user. When there are changes to or discontinuation of medications, the system should allow the date, prescriber and reason/s for change or discontinuation to be recorded. Apart from direct entry of data into the patient record, it should be possible to import clinical data from external sources and also to export it to external sources, allowing details of the record to be shared and updated. As part of the medication selection process, the system should offer the user information on recommended therapeutic options for the condition being treated, and provide access to evidence-based drug information at the time of prescribing. The system should display medication lists in a way that makes it easy for the user to differentiate between similarly named products, to reduce the risk of product selection errors. The system should also provide information on drug strength, form and dosage, and display the generic name when a product is selected by brand name.
All decision support should be underpinned by high quality, up to date knowledge bases and guidelines, and alerts should be prioritised by clinical importance. Warnings should be provided when prescribing a drug if: that drug (or another drug in the same class) is already on the current medications list; the patient has a recorded contraindication to the drug, including allergy, pregnancy or breastfeeding; the drug is renally cleared and the patient has renal impairment; the dosage regimen may be harmful; or where the regulator has issued a safety warning for a product. Finally, the system should enable the user to produce a suitably formatted current medication list for the patient, and should use standard clinical terminologies and messaging protocols.
One hundred and fourteen features of general practice prescribing systems that support quality and safety were defined, with a focus on promoting better use of medicines. All features were rated by a multidisciplinary expert panel as being likely to have medium to high positive impact on safety, quality of care and/or usefulness to the clinician or the patient. Ten "aspirational" features were identified; they require significant system changes before they can be implemented, for example availability and use of national clinical terminologies and unique patient identifiers. Many of these are essential "building blocks" for e-health, and are necessary for sharing patient data, for example a shared medication list.
The strengths of our study include the comprehensive approach and the focus on safety and quality, particularly in relation to medicines use. The features were developed and rated drawing on multiple sources, including the international literature and experts with different backgrounds. An expert panel reached consensus on the expected impact of the features not only on patient safety and quality of care, but also on whether they were likely to be useful to clinicians and to patients.
The scope of our features list has some limitations. The features were developed for the Australian general practice setting, although we believe most of the features are relevant to e-prescribing in other settings. Non-clinical functions of software were largely excluded, for example billing and practice management. The features are high level statements rather than detailed specifications; if they are used as the basis for specifications, factors such as usability and the quality of knowledge bases used for decision support also need to be considered.
Our results endorse the importance of many of the features that others have identified in different settings as being important for safety and quality in e-prescribing. We took a similar approach to Avery et al.
While the rating of our features cannot be compared directly with those of Avery et al.
The features list produced in this study could be used by policymakers and professional bodies to develop certification criteria or standards for prescribing software systems, and as guidance for software vendors. It could also be used by clinicians to assist them in assessing the suitability of an e-prescribing system when selecting or changing systems.
Several lines of follow on work suggest themselves. Detailed specifications or criteria can be developed for incorporating (or testing) the features in e-prescribing systems. (Following this study we assessed seven e-prescribing systems in Australia to find out whether the features had been implemented in these systems; the results will be reported in the near future). It would be valuable to observe the actual impact of each feature when implemented. We would emphasise the importance of monitoring and evaluating the effects of e-prescribing systems when they are introduced or changed, being especially vigilant for unintended effects. Finally, new functionality will become possible as technologies and systems evolve; any list of recommended software features requires ongoing review.
This study defines the features of e-prescribing systems that are expected to support safety and quality, with a focus on prescribing and use of medicines in general practice. The definition of such features is important for the development of software standards, with the aim being to maximise the benefits and minimise potential harms associated with e-prescribing. Software standards and certification processes are required to ensure that the features are incorporated into e-prescribing systems. The features list could be adapted for use in other settings and countries.
Competing interests
JO represented the Medical Software Industry Association on the study guidance group; the MSIA covers more than 80 commercial companies with products and services in health IT.
Authors' contributions
MW, MS and JR developed the idea for the study. All authors contributed to the study design. MS, MW, JR and KH reviewed the literature and administered the Delphi process with the expert panel. All authors reviewed the results. MS drafted the manuscript. All authors revised the manuscript critically and approved the final manuscript.
We wish to thank the following people who made a significant contribution to this study:
Adi Smith, Christine Walker, Michael Ahearn and Bryn Lewis contributed to the study design. Adi Smith also reviewed the literature, collected and analysed data and performed administrative tasks.
The expert panel members rated the features in a modified Delphi process. They were: John Aloizos, Ian Cheong, Michael Dooley, Sue Healy, Peter MacIsaac, David More, Greg Peterson, Marie Pirotta, Janette Randall, Peter Sprivulis, Shiong Tan, Johanna Westbrook. They were compensated for their time and travel expenses in accordance with the standard National Prescribing Service remuneration policy.
Meg Stuart, Jonathan Dartnell and Malcolm Gillies provided valuable comments on the manuscript.
Sources of funding for the study
This study was carried out as part of the research activities of the National Prescribing Service (NPS) Ltd. NPS is an independent, non-profit organisation for Quality Use of Medicines, funded by the Australian Government Department of Health & Ageing.
MS, MW and JR are employees of NPS and carried out this study as part of their day to day work. At the time of the study AS, MA, BL, M Stuart, JD and MG were also employees of NPS. KH was compensated for his time and travel expenses incurred in carrying out his role reviewing the literature and facilitating the expert panel meetings, in accordance with the standard NPS remuneration policy. JO's employer (Episoft Ltd) received reimbursement for some of JO's travel costs to attend face to face meetings.
E-Prescribing Incentive Program
The effect of electronic prescribing on medication errors and adverse drug events: A systematic review
The effects of electronic prescribing on the quality of prescribing
Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system
Role of computerized physician order entry systems in facilitating medication errors
High rates of adverse drug events in a highly computerized hospital
The impact of ehealth on the quality and safety of healthcare - A systematic overview & synthesis of the literature
Electronic prescribing in hospitals - Challenges and lessons learned
Identifying and establishing consensus on the most important safety features of GP computer systems: e-Delphi study
Recommendations for comparing electronic prescribing systems: results of an expert consensus process
ePrescribing Functional Specification for NHS Trusts
Microsoft Health Common User Interface
Guidelines for hazard review of ePrescribing systems
GP Systems of Choice (GPSoC)
Ambulatory EHR 2007 Certification
General practitioners' use of computers for prescribing and electronic health records: results from a national survey
Delphi process: A methodology used for the elicitation of opinions of experts
The determination of relevant goals and criteria used to select an automated patient care information system: A Delphi approach
Expert consensus on the desirable characteristics of review criteria for improvement of health care quality
Buying Guide: General Practice Software Packages
Electronic Health Record System Functional Model Normative Standard
ISO/TS 18308:2004 Health informatics -- Requirements for an electronic health record architecture
Viewpoint: Controversies surrounding use of order sets for clinical decision support in computerized provider order entry
Patient information leaflets for medicines: using consumer testing to determine the most effective design
Chronic Disease Functionality Project - Final Report
A pragmatic approach to implementing best practices for clinical decision support systems in computerized provider order entry systems
Medication-related clinical decision support in computerized provider order entry systems: A review
Clinical decision support and electronic prescribing systems: A time for responsible thought and action
PRODIGY: implementing clinical guidance using computers
RACGP Standards for general practices
Clinical relevance of automated drug alerts from the perspective of medical providers
Pre-publication history
The pre-publication history for this paper can be accessed here:


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My 1st ISTE TAckk with my PLN
Team Aldine ISD
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Eugene M. Avrutin
Eugene M. Avrutin is Associate Professor of modern European Jewish history and Tobor family scholar in the Program of Jewish Culture and Society at the University of Illinois. He is the author of Jews and the Imperial State: Identification Politics in Tsarist Russia (Cornell University Press, 2010). Avrutin has published articles on documentation practices, the concept of race, and religious toleration and neighborly coexistence in the East European borderlands. His new book, The Velizh Affair: The Story of Jews, Christians, and Murder in a Russian Border Town, will be published by Oxford University Press in 2018. He is at work on two projects: a short book tentatively entitled Race in Modern Russia: Critical Perspectives, and a longer book on crime and criminality in the borderlands. His scholarship has been supported by the National Endowment for the Humanities, the Woodrow Wilson Center for International Scholars, the American Council of Learned Societies, and the Memorial Foundation for Jewish Culture.
Research Interests
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Research Description
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Fair board proceeding with Columbus meet
COLUMBUS, Neb. - Racing in Nebraska averted a potentially crippling blow Monday night when the Platte County Agricultural Society Board voted to proceed with plans to put on a 2010 Columbus race meet from July 30 to Sept. 12.
About 100 supporters, including horsemen, Columbus residents, and representatives from the Chamber of Commerce, attended the agricultural board's meeting, with former board members and the general public urging the board to give their authorization to move forward with the race meet.
A main concern of board members is the track has received an annual purse subsidy from the Nebraska Horsemen's Benevolent and Protective Association, but a such a payment is not scheduled for this year. According to HBPA officials, Columbus had a purse overpayment of $40,000 last year and those funds are yet to be paid to the HBPA, which controls the purse accounts in the state.
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Browsing School of Economics by Subject "Millennium Development Goals"
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Global Poverty Estimates: A Sensitivity Analysis (2011-11)Current estimates of global poverty vary substantially across studies. In this paper we undertake a novel sensitivity analysis to highlight the importance of methodological choices in estimating global poverty. We measure ...


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text: The French Braid is a hairstyle in Soul Calibur IV. It is a single, long French braid with parted bangs in the front. It comes in a blonde color when selected. This hairstyle was made exclusive to female characters only; but in Soul Calibur: Broken Destiny, male characters can equip it as well.


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Students work on dance moves
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Bob le Flambeur aka Bob the Gambler (1956) - French film noir from director Jean-Pierre Melville
Rating 7.7/10
Runtime: 103 min
Language: French
Country: France
Directed by: Jean-Pierre Melville
IMDb Link: http://www.imdb.com/title/tt0047892/
Isabelle Corey ... Anne
Daniel Cauchy ... Paolo
Roger Duchesne ... Robert 'Bob' Montagné
André Garet ... Roger
Gérard Buhr ... Marc
Guy Decomble ... Commissaire Ledru
Description: Bob, a old gangster and gambler is almost broke, so he decides in spite of the warnings of a friend, a high official from the police, to rob a gambling casino in Dauville. Everything is planed exactly, but the police is informed about the planned coup. Meanwhile in the Casino Bob starts to gamble.
Also included set of extras, with English subtitles where applicable:
* "Video interview with Daniel Cauchy ("Paulo") - 22'00"
* "Radio interview with Jean-Pierre Melville - 20'33"
* "Theatrical trailer - 3'26"
Video and audio information:
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Audio : 103 MB, 192 Kbps, 48000 Hz, 2 channels, 0x55 = MP3, VBR
Subtitles (English, Spanish, Portuguese-Brazilian, Polish, German, Italian, Turkish, Greek, Croatian, Serbian), posters, sample and screenshots included


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In less than a week, McGraw has visited Alabama, Georgia Tech, Tennessee, and UAB.
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"I met the entire defensive staff when I was there and I really liked them. I spent time in the office of Coach [Sal] Sunseri and he and Coach [Derrick] Ansley were the ones that told me I had an offer.
"I spent time with them and I also took the campus tour, I saw all the upgrades they are making on their facilities, and I liked that. I really like the defensive coaches there too."
The UT coaches are not the only coaches that impressed the 6-foot-, 185 pound cornerback out of Nashville (Tn.) Ensworth.
"I really liked the coaches at Georgia Tech. I visited them on Saturday and the coaches are great people there. I really like Coach Speed [Joe] Speed and we really connected while I was there."
Alabama impressed the sophomore too.
"I loved it over at Alabama. They have so much tradition, they have great cornerback production, and I really liked it over there."
The Crimson Tide may be the early team to beat for McGraw.
"I have a lot of interest in Alabama, I like them a lot," he said. "I like them, then I also like Tennessee and Ole Miss too. Alabama just showed the most interest in me."
McGraw will be visiting Ole Miss on Friday before returning home on Saturday.
He hopes to visit Alabama, Auburn, Georgia, Georgia Tech, and other schools this fall to check out their game-day atmosphere.


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8202 Sweetgum Cir Jasper, GA 30143
PLEASING VIEWS UNDER BIG SKY: MOUNTAIN RIDGES, SUNSET, SUNRISE, TWINKLING STARS, RIDGE-LINE NIGHTSCAPE. Position 3BR/3BA w garage on easy build cul de sac lot; BUY NOW AND GET ACCESS TO BIG CANOE AMENITIES, NO TIME LIMIT TO BUILD. Premier gated community like no other in N. GA, 35 miles to N ATL: 27 hole golf; tennis & swim in & outdoor; huge fitness center, trails, fishing, lakes, marina, boating, playfields, dog parks, casual Pub; 7600 ac wildlife sanctuary; enjoy 50+clubs & orgs. Close to gate. Perfect for families, commuters, weekenders, retirees. See topo, aerials
- Listing Status Active
- Neighborhood Big Canoe
- County Pickens
- Sale Type Normal sale
- Elementary Pickens - Other
- Middle Pickens - Other
- High Pickens
- Kitchen
- Appliances
- Bedrooms
- Master Bath
- Dining Room
- Fireplaces
- Laundry
- Rooms
- Basement
- Pool
- Lot 199F x 234 x 211R x 145
- Disability Access
Other Information
- Interior
- Exterior
- Construction
- Green Building Certifications
- Heating
- Cooling
- Energy Features
- Home Warranty
- Setting Lake, Mountain
- Amenities Playground, Fishing, Swimming Pool, Gated, Restaurant, Tennis Lighted, Physical Fitness Facilities, Golf
- Neighborhood Amenities
- Parking
Waterfront Features
- Lake Name None
- Waterfront Footage
- Boathouse
- Dock None
Legal/Financial Information
- Taxes $445 (2015)
- Special Circumstances None
- Association Fee
- Association Fee Includes
Listing provided courtesy of null. Listings identified with the FMLS logo come from FMLS, are held by brokerage firms other than the owner of this website and the listing brokerage is identified in any listing details. Information is deemed reliable but is not guaranteed. ©2017 First Multiple Listing Service, Inc.
Look Promising?
Want to schedule a showing? Have any questions? We're experts and ready to help!
Call us anytime at 404-965-4080
Listings identified with the FMLS IDX logo come from FMLS, are held by brokerage firms other than the owner of this website and the listing brokerage is identified in any listing details. Information is deemed reliable but is not guaranteed. ©2014 First Multiple Listing Service, Inc.
© 2014 North East Georgia MLS. the information provided is for the consumer's personal, noncommercial use and may not be used for any purpose other than to identify prospective properties that the consumer may be interested in purchasing. Some or all of the listings displayed may not belong to the firm whose web site is being visited.


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ZabaSearch is a website that collates and freely distributes public records information for United States residents. This includes a person's name, address, birth date and phone number.Continue Reading
There are a host of other ZabaSearch free services. These include reverse phone look ups, ZIP code searches, area code searches and IP address searches. Aside from the free searches, ZabaSearch also offers a premium service. These pay services include Social Security number searches, criminal background checks, reverse cellphone searches and a more extensive people search. ZabaSearch was originally founded by Nick Matzorkis and Robert Zakari. The website was sold to Intelius in 2008.Learn more about Internet & Networking


text:
Ask an Eye Doctor and Get an Answer ASAP
Hi. I'm online and happy to answer your question today.
For a 7 year old, you sure have an excellent command of the English language :) Would you, by any chance, be the parent of the afflicted 7 year old? I only ask since you need to be 18 years old to use the services of JustAnswer.....


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The poll was commissioned by Amnesty International to coincide with the 'Amnesty CILIP Honour', the first ever human rights commendation for children's books. Parents were asked which pastime is most likely to develop a child's ability to put themselves in other people's shoes. 53% chose reading a book, 12% watching a TV programme, 5% watching a film at the cinema and just 3% selected playing a computer game as the best way to develop empathy.
This belief is backed up by the findings of Dr Raymond Mar, associate professor of psychology at York University in Canada. He has conducted research into the connection between reading and empathy, and found that children exposed to more storybooks tend to be better at understanding the thoughts and emotions of other people. Commenting on the link between reading narrative fiction and social abilities, Dr Mar said:
"Reading with your child may help them to think about others and their feelings, a key to developing empathy for others. It's great that the intuitions of parents seem to line up with what we know from scientific research."
Parents were also asked to select one book from a list of titles which they felt had best helped them to learn to identify with others. The ten books most popular books were:
- The BFG by Roald Dahl
- To Kill a Mockingbird by Harper Lee
- The Secret Garden, by Frances Hodgson Burnett
- Goodnight Mr Tom, by Michelle Magorian
- Charlotte's Web, by EB White
- Winnie the Pooh, by AA Milne
- The Adventures of Huckleberry Finn, by Mark Twain
- Harry Potter and the Philosopher's Stone by JK Rowling
- Noughts and Crosses, by Malorie Blackman
- Roll of Thunder, Hear My Cry, by Mildred D Taylor
The findings come as Amnesty is set to make a special children's book commendation in a new partnership together with the professional librarian's body, the Chartered Institute of Library and Information Professionals (CILIP). In a first for the world of books, Amnesty and the librarians will select one book from the Carnegie shortlist, and one from the Kate Greenaway illustrated book shortlists, awarding the Amnesty CILIP Honour to the books that most distinctively illuminate, uphold or celebrate freedoms. The shortlists were announced on 16 March and the two overall Amnesty winners will be announced in June, in time to inform parents' summer reading selections for their children.
Nicky Parker, Amnesty's Head of Publishing, said:
"There is no doubt that the ability of books to develop a child's empathy and compassion is unparalleled. Of course the world needs a generation of people growing up with those engrained qualities - now more than ever.
"As Harper Lee's Atticus had it, 'you never really understand a person until you consider things from his point of view ... until you climb into his skin and walk around in it.'
"We hope the Amnesty award will make it easy for parents and teachers to identify books which will teach children about truth, freedom and justice, and encourage them to feel they can shape a better world."
Former Carnegie winner and inaugural Amnesty CILIP judge Tanya Landman, said:
"Books break down barriers. They have the ability to show us that we're all members of one human race. The Amnesty award will have a huge impact in recognising books that open up difficult situations. As a judge, I want to be transported by a gripping story but I want to be moved by it too and know more about an issue than I did at the beginning. I want it to open up hungry minds to what's going on in the world."
The shortlists are:
The CILIP Carnegie Medal 2016 shortlist in full (alphabetically by author):
- One by Sarah Crossan (Bloomsbury)
- The Lie Tree by Frances Hardinge (Macmillan)
- There Will Be Lies by Nick Lake (Bloomsbury)
- The Rest of Us Just Live Here by Patrick Ness (Walker Books)
- Five Children on the Western Front by Kate Saunders (Faber)
- The Ghosts of Heaven by Marcus Sedgwick (Indigo)
- Lies We Tell Ourselves by Robin Talley (MiraInk, HarperCollins)
- Fire Colour One by Jenny Valentine (HarperCollins)
The CILIP Kate Greenaway Medal 2016 shortlist in full (alphabetically by illustrator):
- Willy's Stories illustrated and written by Anthony Browne (Walker Books)
- There's a Bear on My Chair illustrated and written by Ross Collins (Nosy Crow)
- Once Upon an Alphabet illustrated and written by Oliver Jeffers (HarperCollins)
- Sam & Dave Dig a Hole illustrated by Jon Klassen, written by Mac Barnett (Walker Books)
- Something About a Bear illustrated and written by Jackie Morris (Frances Lincoln)
- Captain Jack and the Pirates illustrated by Helen Oxenbury, written by Peter Bently (Puffin)
- The Sleeper and the Spindle illustrated by Chris Riddell, written by Neil Gaiman (Bloomsbury)
- Footpath Flowers illustrated by Sydney Smith, written by JonArno Lawson (Walker Books)
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text:
Netflix's Stranger Things Looks Like a Cross Between E.T. and Stephen King's It
Yes, that's Winona Ryder with an axe.
Advertisement - Continue Reading Below
Stranger Things looks like the perfect scary summer binge. Netflix just released the trailer for the mystery series, which is set in an idyllic Indiana community in the 1980s. It stars Winona Ryder as a mom whose son just went missing. Netflix describes it as "A love letter to the supernatural classics of the '80s." It looks like a mixture between E.T., It, and a little bit of Twin Peaks, and it will definitely be the creepiest thing you stream this summer.
Stranger Things premieres July 15.
More from Esquire:


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Using the Office Envelope
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Using the Office Envelope
Using the Office Envelope Many Windows applications are email-enabled and include a File, Send E-mail menu that enables you to send the current document by email
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Nội dung Text: Using the Office Envelope
- [ Team LiB ] Using the Office Envelope Many Windows applications are email-enabled and include a File, Send E-mail menu that enables you to send the current document by email. Some applications, such as Word, have several send options and you can send a file as an attachment or embedded in the email message, whereas others can send a file only as an attachment. When you click on the E-mail icon in the toolbar or choose File, Send To, Mail Recipient and a message header is added to the file, you're using the Office Envelope to send the file. If you want to send it as an attachment, choose File, Send To, Mail Recipient (As Attachment) instead (see Figure 23.4). Figure 23.4. Word's File, Send To menu includes options to send Word documents for review, as attachments, save in an Exchange folder, or send using Internet Fax— all these options send the document using Outlook. Using the File, Send menu from any application will always use the Outlook editor, even if you have Word selected as your email editor. Word, Excel, Publisher, OneNote, and Access have the capability to send open files using the Office Envelope. This enables you to send the file in the message body, instead of as an attachment. When the Office Envelope is available, you'll see File, Send To, Mail Recipient or an email icon on the toolbar (see Figure 23.5). Figure 23.5. The Office Envelope sends the current file as the message body. Use the E-mail button to toggle the message header and E-mail toolbar on and off.
- The Mail icon on the toolbars in Office applications is either an open envelope or includes a paper clip, which usually means the file will be added as an attachment. Each Office program handles Office Envelopes differently: • Publisher converts the publication to a JPG and embeds it in HTML, resulting in a larger message. • Word converts the document to HTML. • OneNote converts the note to HTML and has the option to send the note file as an attachment. When used with a Tablet PC or graphics tablet, Ink is converted to images. • Access uses the Office Envelope on a limited number of objects, such as forms. An ActiveX control is embedded in the message, which is blocked in the restricted zone Outlook uses for email. • Excel sends the current sheet or a selection as the message body. Some elements, such as text boxes and buttons, are converted to JPG. Sending the current sheet or large selection can result in a very large message and takes several minutes for Excel to render and send it.
- • FrontPage sends the current page as HTML. • Picture Manager has an option to send the selected images embedded in an HTML message and include the image as an attachment. Although Office Envelopes are an easy way to send information, the resulting message can be much larger than sending the document as an attachment. When you send messages using the Office Envelope, they often can be opened for editing in the application that created them. Look for Open in [program] on the Edit menu or on the context menu when you right-click in the message body. In addition to sending documents using the Office Envelope, you can use the Insert File dialog to insert a file either as an attachment or—for Word documents, HTML, and other text-based documents—insert the file as inline text by selecting Insert As Text (see Figure 23.6). Figure 23.6. Use the Insert File dialog to insert attachments or inline text to your messages. Insert As Text works well when you send HTML newsletters created in an HTML editor. Using For Review or As Attachment In addition to using Office Envelopes to send files, you can send files as attachments. The File, Send To menu uses two types of attachments: attachments sent for review and
- standard attachments. Standard attachments are just that—it's the same as sending a file using the Insert File option in Outlook. Sending an attachment for review includes document information that enables you to merge the changes when the reviewer sends the file back to you. In addition, the Reviewing toolbar is visible and Track Changes is turned on. Recipients are able to reply with changes if the Add Properties to Attachments to Eenable Reply with Changes is enabled in Outlook's Tools, Options, Preferences, E-mail Options, Advanced E-mail Options. With this feature turned on, Outlook includes information about the original file so that when it's sent back to you the documents can be merged. Sending from Other Applications Many other applications are MAPI-aware and can be used to send open files by email. Users occasionally have a problem using the File, Send To menu (some applications call it File, E-mail) and sending attachments using Outlook. After opening a new mail form using the File, Send To menu, you can't do anything in Outlook until you save and close or send the message. Additionally, when you save the email message, it's saved in the inbox, not in Drafts. This is a limitation of MAPI and is just how Outlook works. Common problems users face when sending Web pages or links to Web pages from Internet Explorer using Outlook include • Pages are sent as attachments, not in the message body. This is because you're using plain text as your default message format. When you use HTML as your default format, Web pages are embedded in the message body. When you use Internet Explorer and send links by email, you can install a small script called Mailto_URL that adds a Send Link by Email item to the context menu when you right-click on a page. The script is available at slipstick.com. This script works with any email program and does not keep focus in Outlook like using the File, Send To menu does. • • Early versions of Windows XP do not send text URLs, only attachments, which Outlook's security model blocks. Windows XP SP2 corrects this behavior by adding a text URL to the message body. Until SP2 is available, use Mailto_URL to send text URLs. [ Team LiB ]
Office 2010 - All in one for Dummies
820 p | 161 | 82
Microsoft Office 2010 Product Guide part 3
10 p | 92 | 49
Tài liệu Microsoft Office 2010
819 p | 113 | 35
Using the Visual Basic Editor
18 p | 75 | 17
MS WORD - Keyboard shortcuts
33 p | 75 | 15
Microsoft Excel and Access Integration with Office 2007 P1
30 p | 76 | 14
PC Magazine Office 2007 Solutions .
50 p | 60 | 10
0 p | 36 | 8
Using Digital Signatures
8 p | 49 | 7
Using Windows Fax Service
4 p | 46 | 6
Module 2: Solution Design Using the MSF
26 p | 72 | 6
Using Search Folders
4 p | 45 | 5
Using Folder Home Pages
4 p | 58 | 5
Using the Personal Address Book
2 p | 57 | 4
Using the Navigation Pane
8 p | 55 | 4
Using the Office Save My Settings Wizard
2 p | 67 | 3
Module 11: Accessing Data from the Outlook 2000 Client
62 p | 66 | 3


text:
Our Pretties
Cheerful and positive. Enjoy keeping in a good shape. Good sense of humor. Cultured. Family-oriented. I like discovering new places, things. I have a sense of adventure. If the set of my great strengths match your vision of your dream girl - this is exactly ME!
I like outdoor activities in my free time.Yoga, swimming. Doing photography. I love jazz. Appreciate good cuisine.
Need partner: 40 - 50 years old
The attractiveness of the men is the integrity of his nature, extraordinary inner strength, which is the core of his personality. Perfect Man does not exist, but I find the ideal for me.


text:
Here are a few more Kroger deals that you can stock up on right now. You can get Colgate Toothpaste or Toothbrushes for only $.50 each, Keebler Club Crackers for $.49 each and Kellogg's Special K Granola for $1.49!
At Kroger:
BUY ONE COLGATE TOOTHPASTE 4.6 oz – on sale $1
use one $.50/1 Colgate Toothpaste 3 oz or larger printable coupon (preclipped)
Net Price: $.50
BUY ONE COLGATE TRIPLE ACTION TOOTHBRUSH – on sale $1
use one $.50/1 Colgate Adult or Kids Manual Toothbrush SS 1/3
Net Price: $.50
BUY TWO KEEBLER CLUB CRACKERS 9 – 13.8 oz – on sale $1.49
use two $1/1 Keebler Crackers 6.6 oz or larger printable coupon (must use 850 points)
Net Price: $.98 ($.49 each!)
BUY TWO KELLOGG'S SPECIAL K GRANOLA 10.6 – 11.3 oz – on sale $1.99
use one $1/2 Kellogg's Special K Granola 10.6 oz or larger printable coupon (preclipped)
Net Price: $2.98 ($1.49 each!)
Thanks Kroger KrazyExtreme 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.
Never miss another hot coupon, deal or freebie again! "Like" Couponaholic .NET on Facebook, Follow us on Pinterest, Follow us on Twitter, Follow us on Instagram or Subscribe to our Daily Email Newsletter!


text:
Tropical Storm Erika Update
Jackson Health System is open for business and operating as usual.
Jackson Health System gynecologists provide comprehensive services in gynecologic care for women of all ages. We offer a full-range of services, from routine medical screenings and treatments to gynecologic surgery and oncology at many of our locations throughout South Florida.
Services Provided At These Hospitals & Locations
- Jackson Memorial Hospital
- Jackson Community Mental Health Center
- Jackson South Community Hospital
- Jackson Multispecialty Center at Jackson North
- Jackson Multispecialty Center at Jackson South
- Jefferson Reaves Sr. Health Center
- Rosie Lee Wesley Health Center
- North Dade Health Center
- Miami International Obstetrics & Gynecology
Jackson Memorial Hospital
The Women's Hospital Center at Jackson Memorial Hospital offers a warm environment with high quality care for women. We have 29 staff beds for gynecology and gynecology/oncology patients. Teaching rounds are made daily on the general gynecology service. There are three operating rooms allocated to the gynecology service in the general operating area, and additional space is allocated in the ambulatory/minor surgery unit three days a week.
Specialized Services
- Gynecology Oncology
- Pelvic Relaxation
- Uro-gynecology
- Vulvar Disease
- Family Planning
- Reproductive Endocrinology
- Infertility
Ambulatory Service
Jackson Memorial Hospital's ambulatory service is used mainly for patients undergoing endoscopic procedures. More than 3,000 operations are performed in the main operating rooms including major cancer surgery, and tubal and neovaginal reconstructive surgery.
In general gynecology, physicians specialize in such areas as uro-gynecology, repair of major degrees of vaginal vault prolapse and the use of automated surgical instruments. Residents are involved in every case, and all surgery is performed under the supervision of attending physicians.
There are a number of special gynecology clinics at the Ambulatory Care Center, including:
- Gynecologic Oncology (general radiotherapy and chemotherapy
- Pelvic Relaxation
- Uro-Gynecology
- Vulvar Disease
- Family Planning
- Reproductive Endocrinology
- Infertility
Miami, FL 33136 305-585-1111
Jackson Community Mental Health Center
Specialized Services
- Fibroid Treatment Center
Twenty-five million women in the United States live with excessive bleeding and pelvic cramping caused by uterine fibroids. These benign tumors are often treated with invasive surgery or even a hysterectomy, which can require weeks of recovery. The Fibroid Treatment Center at Jackson North offers an innovative, non-surgical treatment called Uterine Fibroid Embolization, which is an alternative treatment for women who want to keep their uterus.
Tests, Treatments & Procedures
- Uterine Fibroid Embolization
An outpatient procedure which injects tiny spheres into the uterine artery. The spheres block the blood supply to uterine fibroids causing them to disappear. Research shows UFE produces fewer major compliccations and shorter hospital stays.
Contact Us
For more information on the Fibroid Treatment Center at Jackson North, call 305-654-3090.
Jackson South Community Hospital
Miami, FL 33157 305-251-2500
Jackson Multispecialty Center at Jackson North
Jackson North FIU Multispecialty Physicians Practice in North Miami Beach provides routine gynecological care for women.
North Miami Beach, FL 33169 305-654-6850
Jackson Multispecialty Center at Jackson South
Miami, Fl 33176 305-256-5018
Jefferson Reaves Sr. Health Center
Jefferson Reaves Sr. Health Center provides routine gynecological care for women in the Overtown community.
Miami, FL 33136 786-466-4083
Rosie Lee Wesley Health Center
Rosie Lee Wesley Health Center provides routine gynecologic services for women in South Miami communities.
South Miami, Florida 33143 305-585-6000
North Dade Health Center
North Dade Health Center provides gynecology services for women in the Miami Gardens, Opa-locka and North Dade communities.
Specialized Services
- Office Procedures such as Endometrial
- Biopsies, Colposcopies, Cryotherapy and Polypectomies
- IUD Removal
- Contraception and Family Planning Services
Contact Us
Hours of Service
Monday – Friday
8:00 a.m. – 5:00 p.m.
North Dade Health Center
16555 N.W. 25th Avenue
Miami Gardens, Florida 33054-6583
Miami Gardens, FL 33054 786-466-1500
Miami International Obstetrics & Gynecology
Miami International Obstetrics and Gynecology (OB/GYN) cares for women's unique medical needs including low-medium risk pregnancies, sexually transmitted diseases and other common ailments facing women.
Medical Conditions Treated
- Low/Medium Risk Pregnancies
- Sexually Transmitted Diseases
- Bartholin's Cyst
Tests, Treatments & Procedures
- Prenatal Care
- Vaginal Delivery
- C-Section Delivery
- Post Partum Care
- OB Non Stress Testing
- Treatment for Ectopic Pregnancy
- Rhogam & Progesterone injection
- GYN Routine Exams
- Pap smear
- STD screening and treatments
- Family Planning
- Injection of Depo Provera
- Insertion of Intrauterin
- Diaphram fitting
- Uterin Prolapse
- Gardasil vaccines
Office Procedures
- Endometrial Biopsy
- Colposcopy with biopsy
- Endocervical Biopsy
- IUD insertion/removal
- Pessery fitting/cleaning or insertion
- Incision and drainage of Bartholin's Cyst
Hospital Surgery
- Hysterectomy
- Myomectomy
- Diagnostic D&C
- Hysteroscopy
- Minimally Invasive Gynecologic Surgery
North Miami Beach, FL 33169 305-653-4105


text:
three. by awfultoseeWatch
©2012-2017 awfultosee
and i'm counting the minutes, the hours, the days and the weeks.
Bella profondità di campo!!
the comment on the second photo should be posted here as well, it is amazing, because the grey scale on everything makes it look kind of sad and somehow add a deeper meaning or simply it creates atmosphere that makes you wanna reconsider everything in life once again and push you to think deeply. anyway, i love this, even if i am not quite sure what it is ;D leaves, i guess...?


text:
Login or Register
Moisture problems often develop in bathrooms when homeowners refuse to use noisy bath fans. The solution: fans rated at 1.5 sones or less. We survey the options.
Read more
For small, tight houses and apartments, full-blown mechanical ventilation systems may be overkill. Here's a tested approach that uses an upgraded bath fan, a programmable timer, and a few air inlets to guarantee fresh air at minimal cost.
Read more


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Went on a family trip here for a week in December, the place is great to get away from the madness of the Kuta/ Legian area. Villa Lumbung is not near the beach but with the lovely pool area you don't need it. The staff are great and the room are large but a bit dated, but good for the price. They have a great restaurant there but it was only busy at breakfast, the reasons is it is much too expensive, there are lots of eating places in the area with great food at a reasonable price, but we went out every night, even though some nights we would love to have eaten around the lovely pool and garden, but Villa Lumbung needs to wake up to this, many people in the place said the same thing. Everything else is great, but lower your prices and we will give you our money, lower the drink prices around the swim up pool and we wont drink our own, you are missing out on a lot of Aussie dollars. But thanks to the lovely staff for their help.
- Official Description (provided by the hotel):
- Hotel Vila Lumbung is located in Seminyak area, just 15 minutes drive by car from Kuta or Legian and 10 minutes walk to Seminyak Square shopping centre. Set on 15.000 square meters of lush tropical gardens and just 800 meters away from Petitenget Beach, this hotel also close to several famous restaurant and beach club in Seminyak. The hotel features with 36 Superior Rooms and 34 Deluxe Bungalow and this is the perfect place for those who seek a fresh tropical atmosphere. All villas are in the Lumbung style with typical Balinese wooden roofs (sirap) in spacious Balinese rooms. Flooded with natural light, the well-designed rooms with a balcony and DVD player prepared in each room. All of them are fully equipped with individually controlled air-conditioning, in-room safe, minibar, coffee or tea maker facility, bath-up and shower, and free complimentary Wi-Fi access.In addition, an open air restaurant with an adjacent pool bar and 2 level swimming pool with waterfall and cave, tropical island, whirl pool, gazebo and day spa, kids playground, tour desk and recreation room. Luxury and style within a true Balinese atmosphere awaits you at this Bali resort hotel. ... more less
- Reservation Options:
- TripAdvisor is proud to partner with ACCOR, Expedia, Booking.com, Agoda, Hotels.com, TripOnline SA, Travelocity, Hotwire, Cheap Tickets, HotelQuickly, Cancelon and Evoline ltd so you can book your Hotel Vila Lumbung reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- Resort Vila Lumbung
- Vila Lumbung Hotel
- Hotel Vila Lumbung Bali/Seminyak


text: I will be here for another week or so for business and want to pick up a pair or two of jeans from here, especially since i dropped two waist sizes and all my jeans are too big on me currently. I am not too familiar with Japanese brand denim as you guys are. i'd like to stay in the $100-200 range if possible. One store I was at was carrying Edwin 503 (non selvedge) jeans that looked nice for about 8500 yen (~$105). If i'm able to swing by the pure blue japan store in tokyo i might splurge on a pair there since everyone seems to highly regard them. Any other recommendations? I'd really appreciate it!


text: Raytheon Company22.Dec 2015 Employee Working for Raytheon in Goleta 4.00 4.00 Suggestions for improvementHas been too long for me since I left the company so I have no idea what it's like now. Company Raytheon Company City Goleta Are you a Current or Former Employee? Not specified Position Others Department Design


text:
Laurie Sperlak
Best Time: 5K: 21:27.18 (9/9/05).
2006: Did not compete in a varsity race during season.
2005: Ran one race as a freshman, posting a 21:27.18 at the Great American Legends (9/9).
High School: Lettered four years in cross country at Hinsdale South High School; was an all-conference honoree as a sophomore and junior before claiming the conference championship as a senior; named the squad's MVP during senior year.
Personal: Lauren Alyssa Sperlak was born on Dec. 15, 1986, in Hinsdale, Ill.; is the daughter of James and Kathy Sperlak.
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Download Graphics C programs apk 1.5 free for Android smartphone
Posted by Akshay Mathur in Education | Jan. 11, 2014 | 63 Comments
Apk file size: 3.5 MB
**Got more Graphics C programs with you other than in this app??
Mail them to [email protected] with your pic to see your program and photo in the next app.....I am waiting ;) !
This app contains programs on Computer Graphics written in C language which will be useful for students learning computer graphics or people interested in computer graphics using C language.
There are 97 graphics programs like:
-->DDA Line Algorithm
-->Cohensutherland Line Clipping Algorithm
-->Bresenham's Line Algorithm
-->Bresenham;s Circle Algorithm
-->3D scaling, rotation and translation
--> Bresenham's ellipse drawing algorithm
-->Liang Barsky Line Clipping Algorithm
-->DDA Circle Algorithm
and many more.. WITH SAMPLE REAL OUTPUT SCREEN !!
v1.5 Big Update!! New interface, bug fixed, more programs, programs divided into 3 categories:
-Basic Programs
- Projects
v1.4 added more programs and output screen
v1.3 minor update :just fixed some programs and fixed alignment
v1.2 added new programs and improved interface
If you find any bugs in this app or any problem with the programs or want to suggest something about this app then please mail me at [email protected] before rating.
Akshay Mathur part of our Education and have average installs from 10000 to 50000. Last Update Jan. 11, 2014. Google play rating is 86.3704. Current verison is 1.5. Actual size 3.5 MB.
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63 Comments
vinay bs
Very useful and good job. App is vry user friendly. Try to work on outputs with animation or with videos.give some simple explanation about each commands which is vry useful for basic users. Add more projects too. Again very good job team.thank you very much :-)
Bhagyesh Joshi
Really..Awesome ? Rily an awesome app and really helpfull.. I appreciate your efforts. Thank you very much..:)
Anshul Khare
It's. Very useful for student having this subject, but i think there should be short description about how to use header files. But I like this app and programs
Thameem Ansari
C graphics Cool dude I love it ...I m excited.. I know some of the functions already I know to program basic projects because of the interest I have actually I am 17 I started programming from my age 16...cool right...thanks
Vijay Yadav
C projects Very useful if anyone try it , it also show output of any project in mobile
Rob Hyde
Not wot i wanted but.... This is probably great if it is learning c language programming that you want but its very basic as a start to the language but as basic ad it needs to be...not the logo design or grafix design prog/app i was expecting tho..
Prabakar R
Good really awesome I'm very happy to share my thoughts... All programs are excellent.. Great.. Appreciate your team.. Thanks to all.. If possible please add the sharing features.. Good.
Vivek Chhonkar
complet package I am in bca 4th sem I got all programs and more then that I need. fully satisfied.
Azax Maj
Good one... Thanx for the help.....this will go even soone shuhaga if you explain the few statements " //".... same line.
R Paddy
Nice work Plzzzz add more programs like circle inside another circle then filling colour inside shapes,scaling as well as rotation on triangle and more.....
Rahul Sharma
rahul superb app for student this is ap very information in c programme students try this app
Gaurav Mankotia
U rock man Last 2 year,its my first app which i like the most.keep it up.waiting for ur new apps and updates bro.
Azhar Khan
very gud app for computer graphics beginners add more description it will be the best.....
shubham vinayak
Guys awesome if more projects are available please remind me
sachin verma
Extraordinory It helped me alot throughout my semester nd also in my mini project.!!!! A must have application for graphics.!!!! Loved it.!!!
Santiago Garabaya
Turbo C? Old stuff, DOS and TC will never get you anywhere. Try SDL instead.
Rohit Pal
loved the app but need explanation and aninated output thx good job
john trace
Totally Awsum!! Beyond what i expected...very informative.
Good app but....... :( No line clipping programs . This app really helped a lot for my practical exam preparation :)
Ashish Rasne
Ashish Its totally useful for those guys who are learning computer graphics subject in diploma.....
When I figure out how I think it is a great cheat sheet I really needed one of these. I like it good job
Nihad Pp
Useful Very useful and helpful app i love this
Diribo Hassan
It's awesome, and just the best thing for learners who wanna go deep!! Thanks
Amazing Ths is the amazing app I have seen yet. It is quite fantastic. Thank u verrrrrry muchhhh
Maheswar Behera
Very usefull apps Graphic r including in coading.
Hanumanth Budihal
It's good apps to learn c programming, very clearly explain with short notes. . very useful apps
muthu lakshmi
Very helpful app Its one of the best
Prakash Bhatti
its nice its amazing .. good.. learning graphics to easy by this app..
Devjit Mandal
Savior Helpful app and perhaps the best for building the base of graphics
Akash Mishra
This is the Best application for graphic user.
ram narayanan
Good job Nice work keep it up
Good application for students Nice explainaction of graphics
Tejbhan Sahu
Graphics This is an excellent programes for me.
Asif Imam
great work Never thought that learning graphic would be so easy
chandan kumar
looking for some more dude please upload some more
zaiyaul haque
zaiyaul hk very helpful apps for us..............
It's useful for students n everyone interested in c.....Thank u so much. ..
Puneet Rana
Excellent Hey....its gud for enhance my knowledge.......nnn make me so confident for further future
Dastan x.x.x
Good job... Very usefull program for beginners!
Bikramjit Mondal
Great!! I really very easy to use and very user friendly. I got some useful programs. Really appreciate it..
Jumo Sumo
Amaaaaaaaaaaagazingggggg Thanks a lot developer ! Something for aspiring programmars ! Thanks for helping me with my project and thanks for making this app ! Please release updates ! You deserve mpre than a cookie ;)
Superb app I love this app. Very user friendly .it include programs algo and project with output
Awesome This app is most beautiful and very useful for using graphics program
adarsh patodi
Useful Need to add theory nd more programmes
Don Ventimiglia
Awesome learning tool I like it a lot
aman fatima
Good This app is very helpful to learn the basics of graphics evrybdy can easily learn it.
rupesh konduru
Awesome Very simple and good collection...
Abirraj74 Ahamed
Greetings I loved it very much. This app is full of very important patch.thanks.
Siddharth Arendula
Nice It works fine and awesome
Several problem i have noticed No share button, problem with indian flag, which compiler is used .
Amazingly... Great :) One of the best apps of programming. Wonderful interface & covers nearly each and every topics of graphics starting from the very basic....thank u developer
koder Blake
Awesome. This app is great. Some basic 3D programs will he much appreciated. Also, I agree that we should respect woman.
Anex 0111
VERY NICE TO LEARN GRAPHICS The program are converted into very smallest language.... it was an excillent projects codes to do fun
Stonecold WWE
Great one fellas Please add more projects in updated version because i love learning this subject from all edges...
shakthi nagaraj
I loved it We expect just explanation of the programme. That's all and i need more simple animation projects with explanation
Rushii S
So stupidly made.. Nothing greatly about it..!!
Sham Ishmael
This Is Great APP This application shows the easy way to learn Graphics programming. Thank you Very much.
Mohamed Riaz
Very small, but very knowledgeable Little drops of water makes a big ocean. Fine work
Ganesh kavhar
Bad Very error full program....
Sanjay Kahar
Very good This app is help full for general project. Just the thing is it should be little more.
Saloni Buddhadeo
Videos for output Cool app. It would be better if videos or gifs are used to display the output of projects.
Sachin D
Awesome..!! Its very nice app..and explanation with example is nice...Team U did it well ...great job


text:
Retroperitoneoscopic donor nephrectomy with a gel-sealed hand-assist access device
Endourology and technology
The hand-assisted technique enables the rapid extraction of the graft, shortening the warm ischemia time (WIT), and the retroperitoneoscopic approach is potentially associated with a less incidence of postoperative ileus in donor nephrectomy for living kidney transplantation. The aim of this study was to assess the efficacy and safety of retroperitoneoscopic donor nephrectomy with a gel-sealed hand-assist access device (GelPort), which is a wound sealing device that permits the access of the hand to the surgical field, free trocar site choice within it, and rapid conversion to open surgery if necessary, while preserving the pneumoperitoneum/pneumoretroperitoneum.
Seventy-five consecutive donors receiving this procedure were retrospectively studied. A 2-cm skin incision was made at the midpoint between the tip of the 12th rib and superior border of the iliac bone in the midaxillary line, through which retroperitoneal space was made. Preperitoneal wound with a 6 – 7-cm pararectal incision in the upper abdominal region was connected to the retroperitoneal space. A GelPort was put inside the pararectal surgical wound. The principle was pure retroperitoneoscopic surgery; hand-assist was applied for retraction of the kidney in the renal vessel control and graft extraction.
The mean operation time including waiting time for recipient preparation was 242.2±37.0 (range: 214.0–409.0) min, and the mean amount of blood loss was 164.3±146.6 (range: 10.0–1020.0) ml. The mean WIT was 2.8±1.0 (range: 1.0–6.0) min. The shortage of renal vessels or ureter was observed in none of the grafts. No donor experienced blood transfusion, open conversion, or injury of other organs. Blood loss was greater in patients with body mass index (BMI) of 25 kg/m2 or higher than in those with BMI of <25 kg/m2 (218.4±98.8 vs. 154.8±152.1 ml, P=0.031). No donor had postoperative ileus or reported wound pain leading to decreased activity of daily life or wound cosmetic problem.
Retroperitoneoscopic hand-assisted donor nephrectomy with the mentioned approach was suggested to be a feasible option without compromising safety, although further improvement in surgical techniques is warranted.
Laparoscopic donor nephrectomy has been developed to promote organ donation in living kidney transplantation, alleviating morbidities associated with conventional open surgery
Wolf and associates reported the efficacy and safety of hand-assisted laparoscopic donor nephrectomy in 1998
We reviewed the medical records of 75 consecutive patients/donors, who received hand-assisted retroperitoneoscopic living donor nephrectomy at Niigata University Hospital between October 2008 and March 2012. Written informed consent was obtained from all of them. The procedure for this research project and retrospective study was approved by the Ethics Committee of Niigata University. Renal vascular anatomy was evaluated using computed tomography. Donors with multiple renal arteries and/or veins were not excluded in the indication of this procedure; during the same period, an open nephrectomy was selected in a male marginal donor because of previous abdominal polysurgery and comorbidities. Patients' demographics were shown in Table
Surgical procedures
The patient was placed in the standard right full-flank, mild lumbar flexion position. The surgeon and assistant stood on the back side of the patient. A 2-cm skin incision was made at the midpoint between the tip of the 12th rib and superior border of the iliac bone in the midaxillary line. Through this small wound, the lumbodorsal fascia was exposed, the fascia was bluntly detached from the muscular layer, and a retroperitoneal space was bluntly made. Thereafter, the retroperitoneal working space was extended by inflating a balloon dilator/dissector (PDB™ Sterile Balloon [Kidney Shape], Covidien, Mansfield, MA, USA) under the observation using an endoscope inserted through the balloon tip cannula; this wound was used as a scope port (12 mm blunt tip port). Subsequently, a 6 – 7-cm pararectal (border of the rectus abdominis) incision was made in the upper abdominal region, and in a pararectal approach, preperitoneal wound was made. This preperitoneal wound was connected to the mentioned retroperitoneal space. A hand-assist access device, GelPort, (Applied Medical, Rancho Santa Margarita, CA, USA) was put inside the pararectal surgical wound; the GelPort system is an innovative wound sealing device that permits the access of the hand to the surgical field, free trocar site choice and exchange within it, and rapid conversion to open surgery if necessary, while preserving the pneumoperitoneum/pneumoretroperitoneum
The pneumoretroperitoneum was maintained by the insufflation of carbon dioxide at 10 – 12 mm Hg. Next, the 12-mm second port was placed between the 12th rib and superior border of the iliac bone on the posterior axillary line, and another 12-mm port and a 5-mm trocar were inserted penetrating GelPort. The arrangement of GelPort, trocars and the scope port was shown in Figure
Figure 1
A: Skin incisions. B: The arrangement of GelPort, trocars and the scope port
A: Skin incisions. B: The arrangement of GelPort, trocars and the scope port. The surgeon operated using the ports S1 (12-mm) and S2 (12-mm, through GelPort), and the port A (5-mm, through GelPort) was occasionally used by an assistant for retraction or suctioning. C: Schema.
Finally, the distal ureter was transected below the level of the iliac vessels. In the control of the renal vessels, to make a conspicuous surgical field and facilitate the access to them, the kidney was retracted by hand-assist. A linear non-cutting stapler (Autosuture Endo TATM 30 Covidien, Mansfield, MA, USA or Endocutter EZ45, Ethicon Endo-Surgery, OH, USA) was used to staple the artery, and the artery was transected with laparoscopic scissors, followed by a similar control for the renal vein and immediate graft extraction from GelPort (Figure
Figure 2
In the control of renal vesels, the kidney was retracted by hand-assist to facilitate the access to the renal vessels
In the control of renal vesels, the kidney was retracted by hand-assist to facilitate the access to the renal vessels. Hand-assist through GelPort also enabled the rapid extraction of the graft.
Statistical analysis
In addition to the chi-square test, Mann–Whitney U test was used to compare unpaired parameters between two subgroups. Correlations between parameters were analyzed using Spearman's rank correlation coefficient (rs) analysis. Statistical analyses were calculated and tested using SPSS software version 15.0 (SPSS, Inc., Chicago, IL, USA) in Windows-based computers. The test was two-sided and p < 0.05 was considered significant.
Perioperative outcomes
Perioperative outcomes were summarized in Table
Short-term functional outcomes in donors and grafts
None of the patients developed surgical-site infection or ileus postoperatively (observation period: range 3 – 24, mean 12 months). No patients reported wound pain leading to decreased activity of daily life or cosmetic problems associated with the surgical wound (Figure
Figure 3
Postoperative appearance
Postoperative appearance.
The avoidance of surgery-related adverse events, minimizing WIT, and the prevention of graft dysfunction are rationales in living donor nephrectomy. Although transperitoneal/laparoscopic approaches are superior to retroperitoneoscopic surgery in acquiring a wide surgical field and anatomical orientation, postoperative ileus is possibly encountered in a fraction of donors treated transperitoneally
We principally performed the procedures with the pure retroperitoneoscopic technique without hand-assist except for the control of renal vessels and graft extraction. In the present study, the mean WIT was 2.8 min; it was seemingly shorter than those in previous reports
Although it was previously reported that laparoscopic/retroperitoneoscopic donor nephrectomy under pneumoperitoneum/pneumoretroperitoneum was associated with reduced renal function possibly brought about by renal ischemia and/or perfusion abnormality
Laparoendoscopic single-site (LESS) surgery performed through a single small skin incision has been associated with less postoperative pain and fewer port site-related complications, and LESS-donor nephrectomy has recently been reported with similar perioperative outcomes and less adverse events represented by hernia, pain, and bleeding from epigastric vessel injury compared with those of laparoscopic donor nephrectomy
Several methods have been reported to develop hand-assisted retroperitoneoscopic donor nephrectomy. Wadström and associates reported a large case series; they performed 413 procedures and concluded that this technique reduces risk of intraabdominal complications
The present study had several limitations. It had a retrospective study design, and the study volume was not large. Also, the study did not have control arms, which could stress the advantage and disadvantage of the mentioned approach. Additionally, several points need to be improved for the applied procedure. The operation time was seemingly longer, although it included waiting time for differently-timed recipient preparation in 66 procedures (accurate time data missing). The injury of the diaphragm may potentially take place in the current approach
Short operation time and small intraoperative blood loss are favorable in donor nephrectomy. In our study, blood loss was positively correlated with the operation time, and also, BMI was an important parameter associated with blood loss. Larger volume of perirenal fat in donors with greater BMI may account for more frequent dissection/detachment procedures leading to greater blood loss.
This is the initial report on retroperitoneoscopic/laparoscopic donor nephrectomy with a gel-sealed hand-assist access device, which is suggested to be a feasible and safe option. In combination with the endoscopic linear non-cutting stapler, this approach possibly contributes to the preservation of graft function and quality by curtailing the WIT. Further improvements in surgical techniques are warranted to minimize surgery-related morbidity and to maximize safety for living kidney donors.
WIT: Warm ischemia time; CT: Computed tomography; BMI: Body mass index; LESS: Laparoendoscopic single-site.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
KA performed data collection and analysis, and assisted to draft the manuscript. TN participated in all surgical procedures in donors. NH wrote the manuscript and supervised throughout the study. KA, NH, TK, and KS performed surgical procedures in donors. KS and KT performed recipient surgery, and assisted to draft the manuscript. All authors read and approved the final manuscript.
This work has not been funded by any commercial company or grant. The authors thank Dr. Tatsuhiko Hoshii, Dr. Toshiyuki Itoi, and Dr. Yuki Nakagawa for their contribution to treatment of patients.
Laparoscopic live-donor nephrectomy
Laparoscopic donor nephrectomy: current role in renal allograft procurement
Laparoscopic donor nephrectomy vs. open live donor nephrectomy: a quality of life and functional study
Laparoscopic living donor nephrectomy: a look at current trends and practice patterns at major transplant centers across the United States
Retroperitoneal laparoscopic live donor nephrectomy: a cost-effective approach
Retroperitoneoscopic living donor nephrectomy: experience of 425 cases at a single center
The transition from laparoscopic to retroperitoneoscopic live donor nephrectomy: a matched pair pilot study
Anatomical variation of the posterior lumbar tributaries of the left renal vein in retroperitoneoscopic left living donor nephrectomy
Hand assisted laparoscopic nephrectomy: comparison to standard laparoscopic nephrectomy
Hand-assisted laparoscopic live donor nephrectomy
Comparison of hand-assisted laparoscopy versus open and laparoscopic techniques in urology procedures: a systematic review and meta-analysis
Hand-assisted laparoscopic surgery using Gelport
Meta-analysis of the complications of laparoscopic renal surgery: comparison of procedures and techniques
Obtaining cuff of inferior vena cava by use of the Endo-TA stapler in retroperitoneoscopic right-side donor nephrectomy
Overcoming reduced hepatic and renal perfusion caused by positive-pressure pneumoperitoneum
Effect of donor pneumoperitoneum on early allograft perfusion following renal transplantation in pediatric patients: an intraoperative Doppler ultrasound study
Comparison of laparoendoscopic single-site donor nephrectomy and conventional laparoscopic donor nephrectomy: donor and recipient outcomes
Introducing hand-assisted retroperitoneoscopic live donor nephrectomy: learning curves and development based on 413 consecutive cases in four centers
Pre-publication history
The pre-publication history for this paper can be accessed here:


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it does what needs to do
it was affordable bought it with my rakuten points :)
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it was affordable bought it with my rakuten points :)
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Product works great. I have multiple type of storage cards so a single product to interface with makes life much simpler
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|Mfg Part#
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Good value card reader on Nov 13, 2013
Neat little product by tom on Oct 23, 2013
It Works Better Than I Expected by Jo Ann J. on Oct 21, 2013


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Location Source is an implementation of Java's Location API (JSR-179). It is intended to give Java applications access to location data on platforms that do not have a JSR-179 implementation of their own. It currently only runs on Windows Mobile using IBM's WebSphere Everyplace Micro Edition (WEME) 6.1.1 bu can easily be extended to run on other platforms. For example, you could use it on any laptop by tying it into SkyHook's Loci API.
|Software Development Libraries Java Libraries
|Apache 2.0
|Java J2ME
Release Notes: This beta implementation is 100% working on the Samsung BlackJack II from AT&T.
A Fluent OpenStack client API for Java.
A TWiki appliance that is easy to use and lightweight.


text:
Who -- or what -- killed haute cuisine? There are plenty of suspects in Patric Kuh's fascinating history of America's culinary revolution.
One of them is the advent of credit cards, first Diners Club in 1952, then American Express. Their introduction transformed the old payment system, whereby favored customers received house accounts at elite restaurants, to a more democratic system in which all cardholders could eat now and pay later. As a result, the clientele shifted from the upper to the middle class.
Another is Restaurant Associates, the can-do firm that American Express hired to create and run a group of themed restaurants, from Zum Zum to La Fonda del Sol to the concept's ultimate expression, The Four Seasons. (In these ventures, the Falstaffian James Beard serves as a guide to authenticity.) Restaurant Associates' mass-merchandising of the restaurant experience overturned the old, elitist notions of gastronomy.
Another -- albeit unlikely -- suspect is Ronald Reagan. In the 1966 California gubernatorial election, he overwhelmingly beat two-term governor Pat Brown, even as the young radical Robert Scheer was defeated for a congressional seat in the primary. Among the disenchanted Democratic supporters was Scheer's campaign manager in Berkeley, a young Montessori teacher named Alice Waters. With politics behind her, she decided to create her own reality, a restaurant in Berkeley.
To put it all in perspective, Kuh, a Paris-trained chef, writes of the choices diners had in the 1950s: "In the 1950s, we didn't have to choose between Northern and Southern Italian, Asian fusion, Cal-Med, or Franco-Californian. Contemplating a meal at a certain price range, we had one very simple decision to make. Did we want to sit among drapes of red velvet or in a cocoon of red leatherette?" Red leatherette was the choice at the "21" Club in New York, Dinty Moore's in Chicago, Chasen's in Los Angeles. Red velvet was the choice at the halls of fine dining, like the Pump Room in Chicago, Le Pavillon in New York, and Ernie's in San Francisco.
Twenty-five years later, around the time that California wines unexpectedly beat out French wines in a blind tasting in Paris -- judged by Frenchmen -- California also took over the culinary lead. Kuh quotes from the review of Alice Waters's Chez Panisse in the October 1975 issue of Gourmet: "One evening some months ago, while diners in restaurants the length of California were facing that unholy trinity of onion soup, duck à l'orange, and créme caramel, we were occupying a window table in the enclosed porch off the dining room at Chez Panisse and discovering a ramekin of mushrooms in the style of Quercy, roast duckling with fresh basil, and an almond tart surely made in heaven."
From the 1941 opening of Le Pavillon to contemporary restaurants like Le Cirque and Spago with their extensions in Las Vegas, Kuh brings to life the very moments that transformed the American restaurant and cooking scene. Joseph Wechsberg, Henri Soulé M.F.K. Fisher, Julia Child, Ruth Reichl, Sirio Maccioni, Danny Meyer, and many others are well represented. It is a lively, engaging history. (Ginger Curwen)


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Think-tank Lunch --21st Century Zen Project
Tempyozan International Zen Monastery
Saturday, February 8, 2014 from 12:00 PM to 2:30 PM (PST)
Who's Going
San Francisco, California
London, United Kingdom
Florence, Italy
Event Details
Calling all wisdom keepers, social entrepreneurs, deep thinkers, sustainable wealth creators, Zen masters, and agents of enlightenment...
Help answer som BiG questions:
How does ancient Soto Zen training meet the 21st century western world?
How do we grow the tallent, funding, and comunity to support this project?
How can we cross-polinate with other progressive changemakers to manifest a world of peace, wisdom and compassion?
This will be an intensive think-tank event, with creative vissioning, colaborative discussion, and delicious lunch. We hope you will join us with your good minds and wise council...
Learn more about the project at OakZen.org
We welcome you to bring friends! Anyone you think will add to the discussion...
R.S.V.P. so we know you are coming, Thanks!
What are my transport/parking options getting to the event?
Yoshi's Oakland is conveient to public transit --Bus, BART or Ferry! and there is ample validated parking. Learn more here...
Where can I contact the organizer with any questions?
Contact Justin at 510.612.4410 or juntoku{at}oakland-zencenter.org
Do I have to bring my printed ticket to the event?
You do not have to bring a ticket, but please let us know you will be coming so we make plenty of lunch...
When & Where
Yoshi's Oakland
510 Embarcadero West
Saturday, February 8, 2014 from 12:00 PM to 2:30 PM (PST)
Add to my calendar
Tempyozan International Zen Monastery
Our vision is to cultivate an understanding of impermanence and interconnection, to manifest a world of wisdom and compassion.
Our Mission is to support the training of Soto Zen Buddhist teachers and priests in a lineage-neutral setting, providing facilities for intensive and immersive encounters with zen arts and culture, while creating opportunities for cross pollination with other disciplines and wisdom traditions, in a economically sustainable, ecologically regenerative, and inspiring setting.
Find out more at OakZen.org


text:
by V
(Toronto Canada)
She was just six weeks when this little puff ball caught my eye. For the next few years she was at my side regardless of my destination. On business trips, the office, shopping. She was so loving, affectionate; wanting nothing more than to be touched. I love my Kisses.
As time passed her personality was unique. Completely loyal and yes very jealous.
She was always in excellent health and I never had any issues with her. She was loved by so many and spoiled. But then again she was my little girl.
At age 12 her life became more complicated. A bladder infection, displaced discs, failing heart was part of her daily life. It pained me to see her like this. I provided the very best in vet care and she improved. But steroids and pain meds were part of her life now.
On a sunny Saturday afternoon without any warning she began to yelp loudly; the pain was evident. Later the vet determined that her hip bone came out of the socket, her heart was enlarged and she was in plenty of pain. During the exam the vet managed to restore the hip into its socket, medicated i took her home. I new time was not on her side. She could barely stand.
Sunday came and I visited my parents. Kisses was spoiled with treats. Only hours later as I placed her onto the grass she again yelped in severe pain. The vet again determined that the hip bone was displaced. With a bad heart and no promise that an operation would improve her life, I made the single most difficult decision of my life. Did I do the right thing? I hope so. I have lost my little Kisses. My pain although not physical cannot be measured. Your name had been etched on my body many years ago Kisses, the memory of you forever in my heart. I Love you Kisses.
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