text:
Lizzy 8 Year Old 1st Level 7 Floor Routine MP3
Lizzy performs her lovely floor routine for the very first time! It was a wonderful Floor Excercise crafted especially for her by the one and only Costela Mihaiuc.
Happy Birthday Lizzy - 8/2011 MP3
Happy Birthday Lizzy. The triplets, Conner, Lily & Jack celebrated for you here in the USA by eating a cupcake.
Lizzy (8 year old) 1st Level 7 Meet MP3
Lizzy competes for the first time as an optional gymnast. She finally has her own floor music!
Lizzy 8-ste paardrijles_03-01-2013 MP3
Paardrijden is toppie voor Lizzy, ze doet zo erg haar best ons meiske ! Mziek: eigen productie music maker.
Lizzy 8 Year Old 1st Level 7 Meet MP3
Lizzy takes the bronze in just her 1st outing as a Level 7. She and has quite a bit of fun in the process!
Thin Lizzy - Still In Love With You (Live) 8/9 MP3
Thin Lizzy - Still In Love With You (Live) From Life Live's Disc 2 Thin Lizzy's farewell tour in 1983 The best version of this song for me Enjoy!
10 Year Old Lizzy LeDuc at Level 8 Region 3 Championships MP3
Lizzy LeDuc has one her best All Around competitions for the final one of the year! She was the first competitor to step on the floor on the first rotation and her ...
★ Thin Lizzy - "Still in Love With You" | Dublin, Ireland, 1983 (8/11) ★ MP3
Thin Lizzy - "Still in Love With You" | Dublin, Ireland, 1983 (8/11) ☆ Phil Lynott: Vocals & Bass Brian Downey: Drums Scott Gorham: Guitars John Sykes: Guitars ...
Thin Lizzy - Got To Give It Up (Live) 8/10 MP3
Thin Lizzy - Got To Give It Up (Live) From Life Live's Disc 1 Thin Lizzy's farewell tour in 1983 A kinda interesting speech of Phil :P I would really love to be there.
Metallica- "Whiskey in the Jar" (Thin Lizzy cover) in 1080p @ Lollapalooza 8-1-2015 MP3
Recorded at Metallica's kick-ass performance at the Lollapalooza Music Fest held in Grant Park in Chicago, Illinois USA on Saturday, August 1st, 2015.
Thin Lizzy - Don't Believe A Word ( Live ) 8/10 MP3
Thin Lizzy - Don't Believe A Word Still Dangerous: Live At Tower Theatre Philadelphia 1977 Enjoy! :P.
Lizzy Acosta Top 8 Instagram Photos MP3
Anchorr met up with Lizzy Acosta in Punta Cana, Dominican Republic and she showed us her favorite instagram pictures. You may have to watch the video a ...
Rowen Reecks & Waysons Ft. Lizzy Dent - Tourist (Destination 8 .0. 8 Remix) MP3
Subscribe to us : http://goo.gl/qJ5pCd Like us on Facebook : http://goo.gl/8GyOwI Follow us on Twitter: http://goo.gl/5xhJkP Follow us on Google+: ...
Thin Lizzy - Jailbreak (8-Bit) MP3
Enjoy :) I don't own the rights to the song. This is a remix meant to sound as if it's 8-Bit (If you wanna get technical, it's not really 8-Bit, since it uses more then 4 ...
My first wedding video. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ FACEBOOK: ...
LGWI - Civ V Beakers Anonymous (Lizzy, Deity) 8 MP3
To turn 326. Sejong rules the world with his mighty Five-Year Plan. I ride on his coattails, but I can't close the gap. I catch a burst of happiness before cultural ...
【TVPP】Lizzy(After School) - Yellow Shirts Guy, 리지(애프터스쿨) - 노란 샤쓰의 사나이 @Duet Music Festival 8+ MP3
【TVPP】Lizzy(After School) - Yellow Shirts Guy, 리지(애프터스쿨) - 노란 샤쓰의 사나이 @Duet Music Festival 8+ After School #093 :Lizzy(After School) - Yellow ...
Thin Lizzy Chinatown Live Preston (8) MP3
One song from The Chinatown album.
Grim's Endless Gym Shower| Ep. 8 | Let's Play Sims 4 MP3
Please *boop* the like button to support my channel :) Today I'm continuing my Sims 4 series! Lizzie goes to the gym and witnessing a disturbingly long shower ...
Dizzy Miss Lizzy at Dürty Nelly's 8/7/15 MP3
I (Peter, lead singer on this one) start smiling about halfway through this one. That was about the time people started twerking on the dance floor. I felt like we ...
Inside Thin Lizzy (Part 8) MP3
Inside Thin Lizzy Part 8 Enjoy! :P.
Get Ready For (ep.8) - Summer Training - Lizzy in Zermatt MP3
For this Episode of Get Ready For, The North Face® Athlete Sebastien Chaigneau meets with Lizzy Hawker at the feet of the Matterhorn. After a trail session, ...
Top 8 Fanmade MLP Songs [Lizzy's Top Ten] MP3
This time it turned out an Top 8 tho xD Hi guys! Surprised? Who's surprised? I luv dis shit. It's freaking adorable. Yep, I started watching the show when I was ill ...
Thin Lizzy - Still In Love With You (Thunder & Lightning Tour) 8/11 MP3
Thin Lizzy - Still In Love With You Thunder & Lightning Tour Beautiful song Enjoy.
Three For All - Thin Lizzy dedication 8/24/14 MP3
http://www.ThreeForAll.net Three For All performing a dedication to Thin Lizzy - "Cowboy Song" + "The Boys Are Back In Town" + "Jailbreak" live from TFA's free ...
Thin Lizzy - Johnny The Fox (Live Paris '78) 8/16 MP3
Thin Lizzy - Johnny The Fox Paris Stadium 18.05.78 Enjoy!
M2o vol 8 Intro by Maverik & Lizzy B. "Fall in love with m2o" MP3
M2O MUSICA ALLO STATO PURO Volume 8.
Lizzy's Very First Meet - 8 Year Old future Elite Gymnast MP3
Lizzy's first meet ever at the Alpha Omega meet in Sugarland. She struggled at times but still managed to keep her composure for her first win ever.
Thin Lizzy - Suicide (Live) 8 MP3
Thin Lizzy - Suicide (Live) Sykes, Wharton, Gorham, Aldridge, Mendoza One Night Only Enjoy! :P.


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Welcome to another of trip report. This time im off with my brother and are going to present youseveral reports about our summertrip around the Middle East. In this report I will show you around the first leg, Gulfair from Frankfurt to Bahrain on an A320ER,and on to Dubai on a normal GF A320 .
( written by Emek96)
In january of the year, Gulfair had a big statusmatch promotion, where they would match ANY Goldstatus to Falconflyer Gold, so I applied and got my card not 3 weeks later. That was the point I started thinking about Gulfair, because I didn't want to waste my free goldstatus, and I had a look what prices they had, I finally found the combi FRA-BAH-DXB with an overnightstop in BAH for I think 230 € which is rather cheap in my opinion, also it would be very interesting to fly on an A320ER on a longhaul flight (6,5 hrs). After finding that price, my brother and I looked for other flights around the middle east and found out that it is quite cheap to fly around there. We found out that UA flies DOH-DXB for 40 € one way, also SWISS flight from DXB to MCT was on the agenda to try their long haul business class for one hour. All in all, this trip will be rather good for my log, I logged 5 new airports as well as 5 new airlines.
So all in all the routing would be as follow:
MCT-IST via BAH TURKISH AIRLINES A321
Thanks to gcmap.com
In this part im going to write about the flights on GF from Frankfurt to Dubai via Bahrain with a stop over there.
The day startd very early, like always when we fly from FRA because our hombase SCN is about 170 Kms away from FRA. This time we left relatively ''late" and not at Markus o'clock, at half past 5. We took the EuroCity train which has his final destination in Austria, but we would connect in Mannheim to an ICE to FRA long distance station.
Our train in SCN Main Station
And the luggage for this trip
Recently refitted compartments in the carriages
Interior of the ICE high speed train
Our ICE train in Frankfurt Flughafen Fernbahnhof
All in all, the rides were very comfy and no delays (!) this time. We arrived at FRA at around 8 am. We directely made our way to T2 where all the non-LH-partners are departing from.
The infamous Frankfurt Terminal One Check In area
We walked threw the tunnel and threw T1, which was very crowded that day, and finally took the Skyline from T1 to T2. Arrived there we had a look for the Gulfair desks, but more than 3 hours before depature we thought we had to wait some time, but the desks were already open, so we made our way for the Falcon Gold desks. A friendly male agent checked us in, took aabout 7 mins because he had some problems in sending our bags only to BAH insted of sending them all the way to DXB. He also handed a golden and very nice lounge invitation to me. The lounge GF uses in FRA is the Cathay Pacific lounge.
By the way, it was the first time I have seen that T2 is crowded that day, very long lines at the (of course) Emirates desks, also the line at the AF/KLM check in was rather long. We than made our way for passport controle and airside. Passport control took about 10 secounds with nobody in front at the EU desk.
Terminal 2 landside, rather crowded that day
As expected, T2 non-Schengen airside is as boring as Schengen airside, there is absolutely nothing exept one big duty-free store and many lounges (CX, EK, JAL and some contract lounges).
T2 airside
Emirates lounge
The usual Frankfurt traffic
Luckily we were allowed to go into the CX Business and First lounge who is the contract lounge for GF in Frankfurt.
After a simple breakfast consisting of some sandwiches and a drink or two, we slowly made our way to the gate where already a few people were waiting.
Simple breakfast
CX lounge
Outside CX lounge
T2 airside
The total load of todays flight was just about 50-60 persons so it promised to be a decent flight.
Boarding was soon called and we were allowed to get onto the bus which brought us to the beautiful GF Airbus. IMO GF has one of the best looking liveries around.
BA 767 on the way to LHR
Always great to see an old Airbus of KU
Something for the german holidaymakers
Under the wing, you know
Boarding our A320
Boarding was soon finished with the handful people and as we were boarding late and the bulkhead row was still empty we settled down there.
Russian neighbor
After the safety demonstration and a quick welcome from the cockpit we started our taxi to the "Startbahn West", which is only there for departing aircraft. Just as side information, so far only one commercial plane landed there, but that was a VO Dash in an emergency.
AB on the way to some sunny destination
And off we go
After a quite long take off roll, we made our way into the sunny german sky.
Quickly after the seatbelt sign was switched off, the crew started with there service in form of nuts and a drink.
As we were in holiday mood we ordered Gabriels signature drink, which tasted more like fuel&tonic, but still was a good way to start the holidays.
Still over Middle Europe
Not long after the cabin filled with the smell of heated food and seconds later the crew started serving lunch. Quite impressive to get the selection of Chicken, Beef and pasta.
Emek96 chose the beef whereas i went with the chicken which was well cooked and one of the best inflight economy meals i had so far.
The beef lunch option
And the chicken version of lunch
Main dish
Tasty cake for dessert
And a nice pasta salad as appetizer
After lunch it was time to check out the IFE, which was decent, but didnt have as many options as EK or SQ has, but still nice to see the PTV on a narrowbody.
The remaining 5 or so hours of the flight stayed uneventful.
The flight map remained my favorite IFE option
Bulkhead row
Over Turkey
Safety Card
As my brother is Goldmember with GF, he had this vouchers to gave away for F/As and after we did that, the service was even better with top ups of the drinks as soon as we finished one.
Always good to have a chilled can of beer
And our wing
As we were taking quite a lot pictures we were asked to fill out a questionnaire
Some weeks later i got back the following answer email:
Dear Mr Luxair747sp,
thank you for taking the time to fill-up our Suggestions/Comments form and may we say, it is a pleasure to hear from satisfied customers, like yourself.
On behalf of Gulf Air, we appreciate you taking the time to bring your feedback to our attention. It was heart-warming to note of your positive comments toward the level of service that was rendered to you by our cabin crew as well as the quality of meal and our in-flight product during your recent journey with us on the 25th July 2013.
Certainly, our Management will be delighted to receive your compliments. Hence, we have taken the liberty of sharing your kind words with Mr Mohammed Hassan, Senior Manager, Cabin Services, who we are sure will convey the same to the concerned staff.
We would also like to take this opportunity to thank you for your constructive comments and suggestions. As a customer focused organization, we consider your feedback an instrumental tool to enhance and improve our services. Rest assured, your comments have been forwarded to the relevant departments, for their perusal and consideration.
Once again, thank you for your warm words of appreciation. We look forward to welcoming you on-board our flights again soon and we would like to assure you of our continued efforts to serve you well
Customer Care and Service Quality Control
Gulf Air
In my opinion quite a nice answer.
Sun slowly going down
Nearly there
Unfortunately the flight went over way too quick and soon enough we started our decent into Manama Airport where we landed after a flight time of about 6h10.
Nice to see some old 727 there
Terminal showing up
Great looking tower
So far my longest flight in a narrowbody, but it was a very pleasent one as the GF A320ER planes have 34" legroom in Y and even more at the bulkhead.
After disembaring we quickly made our way to immigration where we had to fill out landing cards and pay a fee to obtain the visa on arrival but the the guy at immigration looked weird at us when we said we come to the Kingdom of Bahrain as tourists but nevertheless stamped us in.
After getting our luggage, went went out where fellow a-net member Eric was already waiting for us.
He was so kind to take us from the airport to the hotel , the Kempinski Grand Manama, where he was also staying.
Fancy bathroom with highly inovative glass
Pool area
View from the room at night
After a bit of refreshing in the hotel, we went ot a fancy restaurant called Bushido and it was one of the best ones in Bahrain and the food and service there was just outstanding.
Some pictures from Bushido ( thanks to Eric ) :
The next morning we started the day with a great breakfast.
Mind that we had the whole breakfast room to ourselves and with a great waiter from Spain, this was probably the best breakfast i ever had.
The food spread was so large and just so tasty.
After breakfast we went to the shopping mall, which was conveniently attached to the hotel, before leaving for a tour around Bahrain by car.
Bahrain City Centre Shopping Mall
We also went over the Causeway to the border of Saudi Arabia, which was an interesting side, as it was in the middle of the ocean, just connected to either Saudi Arabia and Bahrain via a bridge.
When do you get to see these destinations on a road sign?
Sandstorm over the causeway
Saudi Arabian Border
Interesting skyscraper
Unfortuantely the tour went over way too fast and as our flight was leaving in the afternoon, Eric brought us again to the airport around two hours ahead of departure.
Thanks a lot again Eric for your kindness and company and we really had a blast in Bahrain.
Outside of Bahrain airport
And landside
The premium check in at Bahrain airport was empty when we arrived there, so the check in was done within seconds and we went to security which was a breeze again.
I never had such easygoing security checks in either Europe, Asia or US so far.
Premium check in area
Bon voyage and goodbye from Bahrain
Stairway to heaven
Airside we did a bit of shopping as the duty free articles were dirt cheap there and then went to the Gulfair Lounge, which was quite a nice one with hot food options as well as a good non alcoholic drink selection.
Alcoholic drinks were not served during Ramadan.
Bahrain Airport airside
Inside the lounge
Some light lunch
Food offerings in the lounge
Tablet computers available at every table
Oman Air Embrear over to Mascat
And a Kalitta cargo Jumbo Jet
After some proper lounging time, we went off to our gate, where the A320 was already waiting and boarding soon commenced.
Boarding was again very quick due to a light load of around 40%
After the safety demonstration we pushed back and taxied to the runway where we took off soon after.
Again a beautiful winglet
The seatbelt sign was fastly switched off on this short flight and the service started with a drink run followed by a snack box which was a decent meal for the short flight.
The snack box
Mr FlyingFinn, do you still know this?
Soon after the captain already announced the decent into Dubai International Airport and after a bit more than an hour in the air we touched down on the sandy runway.
After leaving the plane we collected our luggage and went to the immigration hall which was deserted luckily so we were through in less than five minutes.
Immigration hall
To get to our hotel we took the metro as the Dubai World Trade Centre Station is conveniently just next to the hotel. This time we went for the Radisson Royal Hotel, as they had a good weekend deal for Club Carlson Gold Members.
Check in was done efficiantly and we were upgraded to a Deluxe room on the 38th floor with great views of the other skyscrapers in Dubai.
After some relaxing in the hotel we went off to Dubai Mall for dinner.
Great Ford Freakout burger by BurgerFuel
One of the best burger joints out there
Dubai Mall
Dubai Mall take 2
View from the hotel room at night
So lets leave it here until now and stay tuned for the next part of this series, meaning the daytrip over to Qatar on Qatar Airways and United Airlines.
The conclusion about all flights will be at the end of this trip report series.
Thanks a lot for reading and i hope you enjoyed the report so far.
Luxair747sp in coproduction with Emek96
[Edited 2013-08-22 10:05:04]

subset: commoncrawl


text:
Saturday, September 27, 2008
When vaginas just aren't enough...
Thursday, September 25, 2008
Letterman Says McCain Smells Like a Corpse, is a Coward and a Liar ( But Not in So Many Words)
David Letterman compliments, then punches McCain in the face. Verbally.
Co*% Deisel (Jeans that is)
Creative Porn.
Monday, September 22, 2008
Stem Cells to Destroy Baldness
Scientists have discovered a way to re-grow hair using stem cells and a special secret sauce. I don't know about you, but grounding up a few baby embryos to ensure I never go bald is a fair deal. (I know they don't actually need embryos anymore, but it makes for a better joke.)
50% of all men will experience some form of hair loss, Ranging from the bridge and tunnel look doll hair look to more of a James Gandolfini kind of problem. Either way, scientific breakthroughs like this are going to make for a interesting and hopefully baldness-less future. Soon, all those hot chicks will be able to focus on how shitty of a guy you are instead of how bald you look.
Apparently this treatment will be entering human trials and should be available in the next 3 years, unless Sarah Palin and company have something to say about it.
Shoot Your Meat: Dirty Harry Style
Has violence permeated every facet of society? NO!!!
Buy Now
Punch Apathy in the Face: Watch the Debates
Just as many of those hairy palmed d-bags voted last election as they did before people were impressed with their bullshit interest in politics. If the youth of this country (my demographic included) fucks us over again, I will make it my personal mission to punch every intellectually sycophantic , Birkenstock wearing, vacuous douche bag NYU student I come in contact with.
In closing this bearded ramble I would like to state that I personally don't think the debates are going to change anybody's minds. You watch the debate to root for your team, to be reminded why you chose to be a fan of your team. More importantly, you want to see your team beat the living crap out of the other team. I want to see Obama pulverize McCain and his broken elbows into a sack of quivering vaginas.
Friday, September 12, 2008
Drug Island Anyone?
I don't know how you feel about what is important in life but I would rank having had a broad range of experiences as pretty much the most important a human can do in their few years of existence.
Anywho, I was watching It's Always Sunny in Philadelphia (which is probably the funniest show on TV) and the main characters became crack addicts. Perhaps I am just an uptight nerd but I have never tried crack. Have you? It doesn't look like all that much fun but I have to admit that I am curious as hell.
So here is my suggestion for all of us prudicious nerds out there - let's make Drug Island. Before you get ahead of myself, let me explain. Drug Island would be like peer pressure and rehab all wrapped into one. We would be a fully comprehensive life destroying/restoring service. We/our clients show up to the island, do a bunch of drugs and then get rehabilitated before we return to our normal lives. No harm, no foul. After all is said and done, we can say we smoked some crack.
Maybe this is a lot to go through to do some drugs but like I said, I am a nerd. I mean, I hear private islands are expensive. You know what though?....if Richard Branson can blow some lines on his private island with his kids, why can't we recreate this situation for ourselves and many others that want to pay us a lot of money for this service?
I guess I could just do drugs like all of our Ivey League friends do but my parents (and probably yours) don't have lawyers on retainer and time shares at the Betty Ford Clinic, so what do you say?
Tuesday, August 19, 2008
Yo Gino! We Found Richie!
Sunday, August 17, 2008
iPhone 3G Review: The Greatest Review Ever Written
The Manternet isn't really a gadget site per se, but then again its not really a website that uses the phrase "per se" a lot. I don't claim to be enough of a nerd to be able to properly review any device more complicated than a coal BBQ. I mean brains are for pussies and ugly chicks. Any who, I never liked the original iPhone. I thought it was ugly, fat and slow. I never found aluminum and black to be an attractive color combination and the Edge network is as unbearable as any random Chuck Norris movie. However, the new 3G iPhone is one sexy piece of gadget ass. It has nice sleek Latin curves and the glossy black finish is nut bustingly gorgeous. If I've never had sex in my life I would mess my pants, but I have, so I know better than to blow my load over a gadget.
Not much to say. Its simple and elegant enough for a rabbit to use. Oh, did I mention it's not customizable, in any really sense of the word.
Mantastic!!! I never had a Blackberry, but I did briefly own a touch screen windows mobile phone and I have to say that the integration of the keyboard throughout the iPhone is pretty solid. Purist will cry rivers of blood proclaiming tactile keyboards as king. Sure it's easy to make a spelling mistake, but the internet is making people dumber and dumber, who's going to notice if you spelt sumting wronge.
Sound Quality:
The call quality is really impressive. I have long hated Apple's products that had anything to do with sound. (iPods are perfect for the YouTube generation, aka, people who consume vast amounts of low quality content.) Fortunately The iPhone 3G can be enjoyed by those who actually care about whether or not the person on the other end sounds like they are in a tin can. The music sound quality still isn't quite as good as the Zune or any creative mp3 player, but only by a small margin. Unfortunately , the included head set feels like someone is sticking concrete dildos in your ears. Once you have successfully raped your ears with them, you will be treated to some of the worst sound quality you've ever experienced. Suffice to say you should add in a new headset to the cost of the device.
The Faux Desktop browsing is certainly better then the junk you get on most phones. But it still isn't real desktop browsing. There is NO flash support, no embedded QuickTime support, no tabbed browsing and no page search function. What will chap your pale hipster ass is that you can't even search the damn page for a certain word or phrase; you have to douche-ily pinch and squeeze your iPhone like a molested child lost in the woods trying to find his pants! If you don't have any use for the CNTRL-F function in a web browser than you won't really care about that. But, I still find the experience enjoyable enough to waste hours of my time on it, unless I'm just trying to make myself feel better about the $90 after tax monthly bill.Email:
I can't think of anything easier than setting up E-mail on the iPhone 3G, except maybe wining in a prison shank fight against a newborn baby.
Punches to the Cerebellum:General:
There are things that boggle the mind, but are ultimately very "Apple," if you get what I mean. You can't assign custom ring tones to text, email, or calendar notifications. You can't even make your own ring tones on the fly, you need to use iTunes. On top of that, you can only make ring tones out of songs you purchased!!! Luckily there are websites like these. Also, the phone doesn't switch fast enough between Edge and 3G, but Apple has admitted to the problem and is working on a solution.
Overall the phone is very good, if not great, but with the phone you get iTunes. iTunes is the absolute worst aspect of this phone. I would go as far as to compare it to any of Steven Seagal's movies of the last 20 years. That is to say it is a gelatinous, sweaty bloated version of what it should be. It gobbles up your system resources and it is over simplified to the point where you wish it had a face just so you could round house it in the jaw. The main issues are that backing up takes at least 25 min, you can't sync individual songs, and you can't use the device on more than one computer without wiping out the phone first. Its too much of an all or nothing process. When you think about it, that sounds really manly, but in software it's downright annoying. I don't want to completely miss-state anything (only partially) but it at least does fill in the gaps on your phone. If you added a new contact or calendar event or song, it will add the new stuff on your *designated* computer. However, when it comes to media content, the fact that you don't have the option to be selective is really silly. If however you are tyring to use a different computer or have recently bought a new one or reformated an old one, you get to go through the hassle of having iTunes clear everything off of the phone, even after you have authorized the new system. The unfairly hated and I feel much better Zune software offers a lot more control and flexibility.
If there was ever a phone forged from steel this phone is certainly not it. It may just be the 2.0 software (even the 2.01 doesn't help) but this thing goes down more often than abstinent tweenager in the stairwell at catholic school. Apple enthusiasts will scream and shout and throw wrinkled brows of doubt and confusion at you claiming their phone has never crashed EVER. As they sip their Pabst Blue Ribbon, feel free to punch them hard enough that they vomit that junk beer all over their GAP skinny jeans. If you befriend an Apple cultist, they will eventually let slip that the software is a big steaming pile of man-crap and crashes constantly. Some blame the Apps, one of the biggest most advertised features of the new software. If I can't install apps because your quality control sucks balls, then don't tell me how amazing it is to have an App store.
At&t Service:
Coming from Verizon, At&t is just not as good. There is no argument to be made, its just a simple fact. At&t's service isn't the nightmare some people would have to believe, but you do get a lot less signal strength going inside of even small buildings. I'd say their service is very good, while Verizon's is near perfect.
The new iPhone 3G is like that hot stripper chick you want to break up with (wish you dated), but she is just too damn hot. She does a lot of things that make you feel really good, but doesn't do certain more important things that she absolutely should be better at. Sometimes you want to have really deep intelligent conversations, but she is just 2 points away from being fully blown moron, but on the other hand she keeps YOU fully blown. The phone has reception problems, massive stability issues, sluggish contacts and customization limitations that will blow your mind, but in the end that ass is just too fine to return to where you bought it from. The good news is most of the problems I have with the phone should be fixed with the 2.1 update. Which, if you troll the numerous gadget sites, is the proper OS, not the half baked one they shipped with the device. Even better news is that you can use your purple headed warrior to navigate the iPhone3G, if you so desired.
If I possessed the ability to love, I'd have to say I really really like the phone.
Friday, August 15, 2008
Smells Like Bigfoot's Dick: For Reals this Time?
Michael Phelps: Manliest Swimmer That Ever Swam
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This video is from after tropical storm Cindy on the Mississippi coast. Beach workers blading and picking up debris from the water also flooding still is a threat while the bayous are out of their banks here.
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Tropical Storm Cindy made landfall along the southwest Louisiana early this morning. Storm surge flooding conditions were observed on Rutherford Beach, and in the city of Cameron.
New video from the storms in Western MN tonight. Great time lapse of the setting sun on the longest day of the year with a wall cloud and rising motion near Morris, MN and storm footage from near Fergus Fall, MN.
TS Cindy moves cloaked to the tax/la coast and will cause strong winds, beach erosion, and coastal flooding throughout the day. This is a morning look at mae's beach in Cameron parish Louisiana.
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Shot 1. Medium shot. House on stilts
Tropical weather modes coming through the Mississippi coastline as the tropical system moves closer
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Many women discovery that their covet to have sex fluctuates during their maternity from right-down removal therefrom to a hasty craving. I come to pass to cognize a woman who would rouse up in the in-between of the darkness with such a strapping wish for sex that she had to consequence her partner up. On the some other hand, she herself admitted that she suffered from stretches of example in which she didn't get the impression any feel like at all.
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Hendersonville City Council voted to put a cap on the city's impact fees for new water and sewer customers after at least one business owner — keyed on expansion — complained of having to pay 18 times what he paid to get his first car wash going in the city three years ago.
Hendersonville City Council voted to put a cap on the city's impact fees for new water and sewer customers after at least one business owner — keyed on expansion — complained of having to pay 18 times what he paid to get his first car wash going in the city three years ago.
At its meeting Thursday night, council members agreed to cap system development charges for new customers at $10,000 for water and $19,460 for sewer until further options on the impact fees can be developed.
City Manager John Connet said they hope to have a new fee schedule to the council before its next meeting.
He requested additional time to finalize options for the revised water and sewer system development charges.
"We should be able to meet with council over the next 30 days," he said.
Connet presented a spreadsheet comparing the city's old fees with its new rate structure approved in August 2012. Smaller businesses, which use less water, would realize between $132 and $5,380 more in savings with the new rate schedule. They would save between $105 and $7,583 in fees for sewer.
Larger water consumers, on the other hand, would be charged an extra $200 to up to $94,400 more in water impact fees with the new rate schedule. They would pay an extra $272 to $187,986 in fees for sewer.
"We've taken that information into consideration as we're developing options," Connet said.
With the stopgap in place, he asked council members to consider allowing the city to use its current rate structure for the benefit of small businesses. Fees for larger customers would be capped at the rate of businesses using 5,000 gallons per day.
Caraker also asked that the city look at shortening the timeframe for reassessments of water and sewer usage.
The city currently has a system in place that allows for refunds of impact fees if, after two years, customers show they used less water than first estimated over a span of 18 months. Those who use more could be billed the difference.
Recycling grant
Council approved the purchase of a recycling truck to help the city roll out its new recycling carts.
The city has been awarded a recycling cart grant to help fund a switchover from blue bins to roll-out carts. In order to move forward with the program, Public Works Director Tom Wooten said the city will need to purchase a recycling truck.
"We have found a Crane Carrier chassis with a Heil 20-yard compactor that is available through the National Joint Powers Alliance, which is a national contract purchasing agency, for $208,721.08. This method of purchasing has no fees for the city," he wrote in a memo to council. "We also received a grant of $30,000 from N.C. Department of Environment and Natural Resources toward the purchase of this truck."
In other action, City Council:
--Agreed to postpone until next month a decision on whether to amend a zoning ordinance to allow farms to operate small stands and sell produce on their properties.
--Announced that the city has filed an application with the Local Government Commission to seek authorization to issue Parks and Recreation bonds of up to $6 million. The bonds, if approved by residents Nov. 5, will be used to improve and expand the existing parks and recreational facilities of the city, including work for Berkeley Park.
--Approved a rental policy for the ball field at Berkeley Mills Park. The field can be used from 6 a.m. to 10 p.m. with a reservation and permit. Fees for a 12-week season are $20 per player. Other fees include $150 a day for tournaments and $100 a day for camps.
--Chose to name its Seventh Avenue Dog Park the "Pet's Own Place" after receiving suggestions from the public. The following four names were suggested: Oklapawpaw Park, Dixie's Dog Park (in honor of the fire department's first Dalmatian), Pet's Own Place and Four Seasons Dog Park. The council chose to go with the name "Pet's Own Place" as suggested by Leah Ryel.
--Approved a lease agreement with the Mills River Partnership Inc. that will allow the group to occupy a vacant room at the Mills River water plant. The new lease permits either the city or Partnership to end the agreement with 45 days' notice. The city has no other obligation under the lease, aside from not unreasonably blocking the Partnership's access to the room and not cutting off their utilities, according to the city.
--Approved access to Berkeley Mills Park for the Hands On! A Child's Museum's third annual Mad Mountain Mud Run to be held May 31, 2014.
--Approved a resolution to allow the Hendersonville Police Department to apply for funds of $38,000, approved in a grant from the Governor's Highway Safety Program. The funds will be used to purchase a new Harley-Davidson motorcycle and trailer to assist with further training of motor officers in the N.C. Bike Safe Program. Officers teach civilian drivers proper motorcycle safety skills and defensive driving techniques.
--Approved a recommendation to hire Altamont Environmental Inc. of Asheville to assist with testing the wells and updating a report on environmental work needed on the old Grey Hosiery Mill building at a cost of $6,500.
Reach Weaver at firstname.lastname@example.com or 828-694-7867.


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Students Partnership Worldwide (SPW) Tanzania is a youth-led, youth-focused NGO.
It harnesses the energy and talents of educated young professional peer educators between the ages of 18-25 years so that they can empower other young people to make more informed decisions about their health, and crucially, reduce their vulnerability to HIV/AIDS.
SPW Tanzania programmes perform an important role in the Tanzanian national response to HIV/AIDS, and are recognised as best practise by both the government and international community.
Location: United Republic of Tanzania (Iringa)
Job Description
The Senior Manager for Programmes Impact and Quality will be part of the SPW Tanzania Senior Management team, responsible for focusing on how to maximise our programmes impact, ensuring quality delivery and support in all aspects of our programmes implementation.
The post's main duties include:
The successful candidate will have:
Vacancies Contact
A detailed Job Description and SPW Application Form for the above position is available either from Philip Obala by email (philip.obala [at] spwtz.org) or online via our website:
Application: By SPW Application Form only (no CVs accepted).
Applications by Email are encouraged and should be sent to philip.obala [at] spwtz.org.
Applications by Post should be sent to:
Human Resource Manager,
SPW Tanzania,
P.O. Box 737, Iringa.
Spw Tanzania Highly Encourages Young Applicants To Fill These Available Positions; In Particular Female Applicants.
See more at: Jobs in Africa » Jobs Africa » Careers in Africa


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Dr. John Paletta MD
- Plastic Surgery Savannah, GA
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Reviews reflect patients' level of satisfaction with the care they received from this provider. Dr. John Paletta xhas an overall rating of 4.1.
Dr. John Paletta, MD is a Doctor primarily located in Savannah, GA. He has 22 years of experience. His specialties include Plastic Surgery and General Surgery. Dr. Paletta is affiliated with Memorial University Medical Center, St Joseph's Hospital and Candler Hospital Campus. He speaks English.
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Dr. John Paletta has the following 7 areas of expertise, 2 specialties and 1 board certification.
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From theory to 'measurement' in complex interventions: Methodological lessons from the development of an e-health normalisation instrument
Although empirical and theoretical understanding of processes of implementation in health care is advancing, translation of theory into structured measures that capture the complex interplay between interventions, individuals and context remain limited. This paper aimed to (1) describe the process and outcome of a project to develop a theory-based instrument for measuring implementation processes relating to e-health interventions; and (2) identify key issues and methodological challenges for advancing work in this field.
A 30-item instrument (Technology Adoption Readiness Scale (TARS)) for measuring normalisation processes in the context of e-health service interventions was developed on the basis on Normalization Process Theory (NPT). NPT focuses on how new practices become routinely embedded within social contexts. The instrument was pre-tested in two health care settings in which e-health (electronic facilitation of healthcare decision-making and practice) was used by health care professionals.
The developed instrument was pre-tested in two professional samples (N = 46; N = 231). Ratings of items representing normalisation 'processes' were significantly related to staff members' perceptions of whether or not e-health had become 'routine'. Key methodological challenges are discussed in relation to: translating multi-component theoretical constructs into simple questions; developing and choosing appropriate outcome measures; conducting multiple-stakeholder assessments; instrument and question framing; and more general issues for instrument development in practice contexts.
To develop theory-derived measures of implementation process for progressing research in this field, four key recommendations are made relating to (1) greater attention to underlying theoretical assumptions and extent of translation work required; (2) the need for appropriate but flexible approaches to outcomes measurement; (3) representation of multiple perspectives and collaborative nature of work; and (4) emphasis on generic measurement approaches that can be flexibly tailored to particular contexts of study.
Advancements in new technologies of health and medical care – and in their social organisation - promise to benefit the health and well-being of patients and society. However, getting new technologies into practice beyond the context of research projects that demonstrate the (clinical) efficacy or effectiveness of new practices and procedures remains a problem. Researchers are now investing much effort in understanding and resolving issues of 'implementation' in relation to health care interventions and practices, and this is reflected in a fast growing field of 'implementation science'. Understanding the science behind implementation processes has also become an important concern for healthcare policy and practice. Following Linton
There is a vast literature on implementation in service organisations
In attempting to address such problems of implementation, the application of theory to designing health care interventions
However, obstacles to the use of theory for such purposes are numerous, and include the identification of relevant and useful theoretical perspectives from the huge body of literature on implementation that spans diverse academic disciplines (for example, psychology, sociology, business, healthcare management). Such theoretical diversity includes approaches that emphasise attitudes and behaviours
Advances in theory-based intervention development and implementation have been made particularly with regard to changing healthcare professionals' behaviour and practice to facilitate the uptake of evidence-based-practice strategies
We would argue, however, that in practice, many interventions being implemented in healthcare settings are subject to more complex influences than those known to directly affect the behaviour of individuals. New practices get taken up and become 'workable' due to a complex interplay between features of the intervention/practice itself, the actions of individuals involved in the process, and aspects of the physical and social environment in which implementation activities are undertaken. Normalization Process Theory (NPT)
Coherence: the process of sense-making and understanding that individuals and organisations have to go through in order to promote or inhibit the routine embedding of a practice to its users. These processes are energized by investments of meaning made by participants.
Cognitive participation: the process that individuals and organisations have to go through in order to enrol individuals to engage with the new practice. These processes are energized by investments of commitment made by participants.
Collective action: the work that individuals and organisations have to do to enact the new practice. These processes are energized by investments of effort made by participants.
Reflexive monitoring: the informal and formal appraisal of a new practice once it is in use, in order to assess its advantages and disadvantages and which develops users' comprehension of the effects of a practice. These processes are energized by investments in appraisal made by participants.
A considerable body of research now supports NPT as an adequate and useful theory for explaining processes of the normalization of practices associated with complex interventions. This evidence spans diverse settings in which new technologies and practices have been the focus of its application, such as telecare
The development of structured tools for assessing implementation processes, which take account of this complex interplay between interventions, individual actions, and context, would represent an advance in applying theory to understand and address implementation problems in practice. Existing assessment tools that focus on organisational factors relevant to 'readiness' for interventions in healthcare
A further challenge for the development of theory-based measures that capture the complexity of implementation activities concerns the various ways in which
Thus the development of structured assessment tools for understanding the complex processes involved in integrating complex interventions, including e-health
The objective of this study then was to advance work on translating theory into structured assessment instruments for research and practical purposes in these contexts, by drawing on the findings of a study
Normalization process theory: Theoretical development
NPT was initially developed as an applied theoretical model to assist clinicians and researchers to understand and evaluate the factors that inhibit and promote the routine incorporation of complex healthcare interventions in practice. Since then, it has been developed as a middle-range theory of socio-technical change
The development of NPT
Considerable work has been undertaken to critique NPT in terms of its potential for describing key processes that underpin the success or otherwise of implementation, and to ensure that NPT's core constructs can be operationalised in a stable and consistent way by multiple user constituencies, including testing out NPT in qualitative studies of a variety of practices and in a diverse range of contexts
The development of good practice for designing and administering structured instruments to
Development of technology adoption readiness scale (TARS)
An instrument development study was undertaken as part of a larger study that used a multi-method approach to understanding barriers to the uptake and integration of e-health into healthcare professionals' practice
This project was undertaken in two stages, each of which is described here in turn. The first stage was the development of the instrument and the second stage was a preliminary test of the utility of the instrument in two different NHS settings in which staff were using particular e-health systems. The focus of this project was on development rather than the empirical determination of psychometric properties, thus the final discussion in this paper will focus primarily on the processes and experiences of translating empirically derived theoretical constructs into structured tools and the implications of this for undertaking applied assessments in health care settings.
Phase 1: Item development and conceptual validation
In this phase, we aimed to draw on the NPT to develop a comprehensive set of general items –TARS items - reflecting factors affecting the routine use of e-health ready for application in specific settings.
Methods (phase 1)
The first step was understanding the key 'assumptions' of NPT and identifying implications and challenges for developing measures based on the theory. Table
Item generation
The TARS items were developed using three sources of knowledge about factors that affect the use of e-health:
At the time the study commenced, we were working with the Normalisation Process Model (NPM)
Contextual Integration (CI): the degree to which the proposed e-health system fits (or integrates) with the overall goals and structure of the organisation (context), as well as the capacity of the organisation to undertake the implementation.
Relational integration (RI): the way in which different professional groups relate to each other, and how well the proposed e-health initiative fits (or integrates) with existing relationships, as well as the degree to which it promotes trust, accountability and responsibility in inter-group relationships.
Interactional workability (IW): the degree to which the e-health system enables (or impedes) the work of interactions between health professionals and patients – e.g. a consultation.
Skill set workability (SSW): the degree to which the e-health initiative fits with existing working practices, skill sets, and perceived job role.
Item construction began by translating the theoretical constructs into plain language statements, each of which having a single and comprehensible meaning. For example, the construct of '
Expert survey
An online survey of experts was conducted to (a) test the face validity of items intended for inclusion in the final item set and (b) collect data about the perceived relative importance of individual items. The 27-item set was pilot-tested as a live link by members of the project advisory group (n = 5), resulting in minor refinements (shown in Table
The sample was defined as authors of published reviews of e-health, drawing on papers included in the scoping review, and supplemented with additional searching of relevant fields (eg. telecare, telemedicine) to develop a sufficient sampling frame. A database of 308 potential respondents with (unverified) email addresses was produced. Authors were invited via email to take part in the survey, and were sent personalised links for response tracking. Non-responders were sent up to two reminders, approximately 10 days apart.
Results (phase 1)
A total of 63 participants completed the expert survey out of 252 invitations (24% response) that were presumed to be received (subtracting invitations returned as 'undeliverable'). Sample characteristics are presented in Table
Additional file 1
Table S1.Means, Standard Deviations and Frequencies of importance ratings (Expert survey)
Click here for file
Preliminary descriptive analysis was undertaken to make decisions about excluding or combining existing items, analysing each item in terms of (i) the mean rating of importance for that item, and (ii) any correlations between the item and other items in the set (correlations of r > 0.5). The results of this decision analysis are presented in Table
Participants in the Expert survey were invited to suggest (using free-text) any factors they felt to be particularly important and which they believed had not been covered in the item set. Analysis of these free-text comments made by (n = 31) survey participants resulted in the eventual inclusion of five new items about contextual integration issues (Q.5-9 in Table
Phase 2: Testing TARS items in specific health contexts
Methods (phase 2)
This phase tested the utility of TARS for assessing normalisation processes in relation to specific e-health systems, using convenience samples in two NHS contexts. These sites were chosen because (i) specific e-Health systems were in use by health professionals, and (ii) the two sites reflected different levels of 'normalisation' of e-health. At Site 1, use of the e-health system (community nurses using Personal Digital Assistant technology) was relatively new, and provided an opportunity to use the TARS items in a context where e-health was still in the experimental stages for some users. At Site 2, the entire organisation is based on e-health systems – so staff could be expected to have greater experience of e-Health and over a longer time.
The factor statements developed in Phase 1 were translated into directional statements and given a 7 point response scale eliciting level of agreement in relation to the e-health technology being assessed in that context. The scale of responses was anchored at either end with 'strongly disagree' and 'strongly agree' with non-labelled interim points. Explanatory text and demographic questions varied slightly between sites. Following the set of TARS rating items, two additional questions were included to assess: (i) participants' perceptions about whether the system was not at all, partly, or completely in routine use; and (ii) their perceptions about the likelihood of it becoming routine (on a 5 point scale: definitely not; probably not; possibly; probably will; definitely will). Although the complexity of developing outcome 'measures' to represent the concept of normalisation has already been noted (and was not the focus of this study), these questions were included to represent perceptions of the current state of normalisation of the e-health technology, for the purpose of exploring the utility of the TARS items that were developed to represent processes contributing to normalisation.
In both sites, the survey was conducted electronically using a commercial provider (
Data were analysed descriptively, using frequency tables to visually assess the distributions for ratings elicited using the scales. As responses on individual items were in many cases skewed and non-normally distributed, non-parametric cross-tab analysis with Pearson's Chi Square statistic was used to explore differences in perceptions relating to TARS items according to perceived level of routinisation of the e-health system. For these analyses, new categorical variables were created by combining rating points. For Site 1, responses to the TARS items were dichotomised into groups indicating non-agreement (responding 0 strongly disagree −3 neutral midpoint) and those responding with various levels of agreement (rating 4–6). At Site 2 (with a larger sample size and different spread of responses), TARS item responses were trichotomised as follows: Disagreement (0–2); neutral or some agreement (3 or 4); and moderate to strong agreement (5 or 6).
Results (phase 2)
At Site 1, 46/243 participants completed the survey (19% response rate). At Site 2, 231/1351 (17% response rate) completed the survey sufficiently for inclusion in the analysis.aIt should be noted that response rates are approximate and conservative, as calculation is based on total number of staff emailed an invitation to participate. These rates do not reflect adjustment for reasons for non-participation such as absence from work, or failed delivery of emails, as such information was not available to the researchers. It should be noted that response rates are approximate and conservative, as calculation is based on total number of staff emailed an invitation to participate. These rates do not reflect adjustment for reasons for non-participation such as absence from work, or failed delivery of emails, as such information was not available to the researchers. Sample characteristics for both sites are presented in Table
At Site 2, nine TARS items indicated significant differences in responses between participants perceiving different levels of routinisation (Table
Together, the results from both sites suggest that the ratings made on the instrument items are related to participants' perceptions of how routinely the e-health systems are being used in their practice contexts.
This paper has set out to (1) describe the process and outcome of a project to develop a theory-based instrument for measuring processes involved in the implementation of e-health interventions based on Normalization Process Theory; and (2) identify key issues and methodological challenges for further advancing work in this field.
The practical output of this study was the development of the TARS instrument, which was intended to enable researchers and practitioners to quantify a range of processes proposed by the NPT to contribute to the successful normalisation of e-health, either as a 'diagnostic' tool or for evaluation purposes. Developing TARS required considerable 'translation work', both in terms of the methodological implications of the theory's underlying theoretical assumptions (Table
As one of the first studies to use the NPT in quantitative research, this study aimed to progress work on NPT towards statistical investigation of relationships between implementation processes and outcomes in terms of 'normalisation'. Although only tests of associations (rather than causality) between normalisation processes and outcomes were possible in this study, ratings of normalisation processes differed between groups holding different perceptions of whether or not the e-Health systems in the respective study sites had become part of routine practice. The two study sites themselves differed – both in terms of the technology being implemented (mobile electronic devices to facilitate community nursing versus computerised decision support services) and the level of progress towards the technology being considered 'normal', so differences between them in terms of which items related to perceptions of normalisation would be expected. Although preliminary, however, these finding lend support to assessing the potential predictive value of the TARS in prospective, longitudinal studies. Furthering work on the predictive utility of TARS – and NPT more generally – will however require flexible approaches to identifying and specifying 'outcome' measures. The process undertaken in this study demonstrates that 'normalisation' is highly context-dependent, relating to the practice itself, the environment in which it is operating, and the different groups of individuals that relate to it. As such, NPT does not provide any particular definition of 'normalisation' for the purpose of measurement as an outcome variable for quantitative studies, and designers of studies based on NPT to assess outcomes will need to develop study-specific measures based on what outcomes are relevant, and which are likely to be multiple and include both subjective (self-report) and objective (eg. usage data) measures. For example, just some normalisation 'outcomes' that might be considered are: level of use; increasing use over time; amount of shift from one practice to another; disappearance of a previous practice; reported acceptability of a practice; or measures of quality of work stemming from use of the practice. The development of approaches to measuring such outcomes will require not only developing and testing quantitative measures, but also further qualitative investigation about how people make judgements about whether or not a new practice can be considered 'normalised', and how that may or may not have happened.
This project aimed to develop a simple structured research instrument that could be used in other contexts. However, the process of considering the many possible ways to frame questions about processes involving change, demonstrated that use of tools such as TARS in other research context will require highly flexible and adaptive approaches to ensure that questions are framed appropriately to reflect the stage of implementation/use of the new technology or practice being studied. Here, we chose to frame questions as likert type statements about the e-health technology of interest and elicit respondents' agreement with those statements, but in other situations it might be preferable to frame questions in a multitude of ways, such as: eliciting expectations of a technology planned but not yet used, inviting direct comparisons between key aspects of one type of technology/practice against another (eg. 'X is a better way of working than Y'), or even assessing the perceived impact of the technology/practice over time (eg. 'The impact of X on [practice] has been....). Although not intended at the outset of this study, the set of TARS items framed as 'factors' in the format in which they were presented for eliciting ratings of perceived relative importance (ie without reference to any direction of effect, as presented in Table
In relation to NPT, the study described in this paper has also contributed to theory development. It has successfully achieved the development of a set of quantitative questions that can be used to assess staff perceptions of processes relevant to the normalisation of e-health with reference to underlying aspects of the constructs within the Collective Action component of NPT, along with single items for assessing perceptions relating to the NPT constructs of coherence, cognitive participation, and reflexive monitoring. This development process, which included gathering and incorporating views from diverse sets of academic and professional stakeholders, challenged our thinking about the constructs, and the multiple interpretations that could be made about their meaning. In part, the processes described here contributed directly to the expansion of the theory from the NPM to the NPT as currently presented (see elsewhere
Despite such limitations, the study offers preliminary support for the conceptual distinctions between and within the constructs of the NPT (particularly with respect to the Collective Action construct), and for the potential predictive potential of items in the instrument with respect to normalisation outcomes (as demonstrated by associations between NPT processes as represented by the TARS items and perceived normalisation of e-health in the contexts of study). Although the TARS instrument does not represent balanced coverage of NPT in its entirety, the key underlying assumptions of the theory as a whole – such as the focus on the collaborative nature of work required of a practice-based intervention – remain constant across the developmental shift from NPM to NPT and thus the methodological challenges and issues described in this paper are of enduring relevance. In relation to the TARS study, the emphasis on the 'collective action' component for framing data collection was appropriate, as we were undertaking assessments focused on the 'enactment' stage of e-health implementations. However, to further develop the TARS instrument – and to develop measures of NPT that more comprehensively cover the wider frame of implementation activity that spans stages of conceptualising (coherence), engagement of individuals (cognitive participation), and reflection/evaluation (reflexive monitoring) – more longitudinal research will be needed.
This study was focused primarily on instrument development rather than formal validation, however key limitations are worth noting. Despite considerable effort by the research team to maximise response rates, achieved rates were lower than expected. It is difficult to consider the implications of the response rates achieved, as the rates themselves are a 'worst estimate', as true response rates (ie in terms of percentages participating out of those who received and read the invitation) could not be calculated due to limited access to information. Reliance on key contacts at survey sites (who were helpful but already working under pressure) also limited the timing and frequency of reminders that could be achieved, and thus the need for greater researcher control over access to research participants must be emphasised. Also, selection of sites for data collection in this study was necessarily pragmatic, and access was negotiated well in advance of the instrument being developed and ready for data collection (as is often the case with applied research). Given that the study sites already had at least some level of adoption of e-Health technology, the scope for prospectively assessing the predictive value of the instrument items in terms of normalisation outcomes was not possible in this study, but should be the objective of further studies where assessment of perceptions can be undertaken prior to, during and after the implementation of a new practice-based initiative. In relation to health technology in general, the challenges of assessing new technologies in practice contexts are recognised
In highlighting valuable lessons for theory-based instrument development, the study advances knowledge within the field of implementation science. The processes involved in implementing complex interventions are exactly that – complex. NPT has been built from over a decade of observation and analysis of the complex interplay of the structural, organisational, social, and individual factors that affect the ways in which new practices become (or do not become) embedded in routine practices and the contexts in which they are enacted. Such theoretical complexity presents challenges for the development and validation of 'simple' measures that can be used generically across contexts that differ qualitatively in ways that reflect the reality of health care service settings. However, the research described in this paper supports the observation of others
The findings of this study suggest four key recommendations for developing and assessing theory-derived measures of implementation processes useful for assessing complex healthcare interventions in practice. Firstly, careful consideration must be given to the underlying assumptions of the chosen theory itself, and to the considerable translation and validation work likely to be required (drawing on multiple sources of evidence) for the identification of key concepts and their appropriate expression as simple questionnaire-style items. Secondly, identification – or rather development- of appropriate measures of implementation (or normalisation) 'outcomes' is key to the practical utility of theory-derived measures for such assessments, but this is highly context-dependent and thus requires tailored development within specific study (or practice) contexts, for example through conducting preparatory (and qualitative) assessment of what it would mean for a particular intervention to be considered 'normalised' within that context. Thirdly, a comprehensive understanding of implementation and normalisation processes in any given context requires adequate multiple perspective assessments that are sensitive to the varied contributions of different professional (or other) groups working individually and collaboratively, and which reflect good understanding of the roles of such individuals and the contexts in which they conduct their work. Finally, we suggest that in undertaking theory-based assessments of this kind, it must be recognised from the outset that approaches to measurement must themselves be 'fit for purpose' and as such are unlikely to be achieved entirely by standardised measures developed for use across diverse settings. Thus, consideration should be given to the development of research instruments that come with guidance on how they can be applied flexibly according the objectives of the research study and specific contexts of use
Understanding the processes by which new technologies and practices can become normalised in health care settings – so that we can improve approaches to implementation - remains an important challenge for academics, policy makers, health care managers and practitioners. This study extended work on Normalization process Theory (NPT) towards tests of predictive utility of the theory by developing an instrument to assess normalisation potential in relation to e-health. We suggest that pursuit of the development of generic tools and measures for these purposes – such as the TARS instrument described here - is a useful starting point. However, the practical utility of theory-derived research instruments for measuring implementation and normalisation processes can only be fully realised through research and development activity that is focused on providing guidance for the operationalisation and adaptation of such measures for use in the contextually diverse environments in which health care work is conducted. We suggest that this study represents the beginning of a very complex journey.
aIt should be noted that response rates are approximate and conservative, as calculation is based on total number of staff emailed an invitation to participate. These rates do not reflect adjustment for reasons for non-participation such as absence from work, or failed delivery of emails, as such information was not available to the researchers.
Competing interests
The authors declare that they have no competing interests
Authors' contributions
TLF conducted data collection and statistical analysis, and drafted the manuscript. TLF, CRM & FSM conceived of the study, TLF coordinated the study, and all other authors participated in its design and helped to draft the manuscript. All authors read and approved the final manuscript.
We wish to acknowledge the support of key contacts in our two study sites, who facilitated the conduct of the surveys within their organisations, and Dr Tom Chadwick who advised on the statistical analysis. We also wish to thank the reviewers of this manuscript, whose suggestions led to substantial improvements to the paper. We would like to acknowledge the NIHR Service and Delivery Organisation (SDO) for funding the study via project grant 08/1602/135. This article presents independent research commissioned by the National Institute for Health Research (NIHR) SDO programme. The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the NIHR, or the Department of Health. The NIHR SDO programme is funded by the Department of Health, UK.
Implementation research: state of the art and future directions
Diffusion of innovations in service organizations: Systematic review and recommendations
From best evidence to best practice: effective implementation of change in patients' care
Disseminating research findings: what should researchers do? A systematic scoping review of conceptual frameworks
What is eHealth(4): A Scoping Exercise to Map the Field
The role of e-health and consumer health informatics for evidence-based patient choice in the 21st century
Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings
Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives
Normalisation process theory: a framework for developing, evaluating and implementing complex interventions
Exploring implementation and sustainability of models of care: can theory help?
Effectiveness and efficiency of guideline dissemination and implementation strategies.2004;8(6)
An adaptation of the theory of interpersonal behaviour to the study of telemedicine adoption by physicians
Why do people use information technology? A critical review of the technology acceptance model
Power, Technology and Social Studies of Health Care: An Infrastructural Inversion
Making psychological theory useful for implementing evidence based practice: a consensus approach
Multiple goals and time constraints: perceived impact on physicians' performance of evidence-based behaviours
Development of a theory of implementation and integration: Normalization Process Theory
Implementing, integrating and embedding practices: an outline of normalization process theory
Barking up the wrong branch: Scientific alternatives to the current model of sociological science
Why is it difficult to implement e-health initiatives? A qualitative study
Arduous implementation: Does the Normalisation Process Model explain why it's so difficult to embed decision support technologies for patients in routine clinical practice?
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Process evaluation of infertility management in primary care: has open access HSG been normalized?
What work has to be done to implement collaborative care for depression? Process evaluation of a trial utilizing the Normalization Process Model
An assessment of the readiness of hospice organizations to accept technological innovation
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Development and pilot testing of an Organizational Information Technology/systems Innovation Readiness Scale (OITIRS)
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Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT)
Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enabled toolkit
Development of a theory of implementation and integration: Normalization Process Theory
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Complex interventions and the chamber of secrets: understanding why they work and why they do not
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Understanding the implementation of complex interventions in healthcare: The Normalization Process Model
A rational model for assessing and evaluating complex interventions in health care
Established users and the making of telecare work in long term condition management: Implications for health policy
Multiple Informant Methodology: A Critical Review and Recommendations
When and how to assess fast-changing technologies: a comparative study of medical applications of four generic technologies
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Brandon Lee: [Peoria Central HS]This is a weekly recap from Press Reports -- The actual links appear in the NU Sports News daily.
Scored 15 in a big 93-43 win over Streator to advance to the Sectionals in the Illinois HS Tournament.[He could have scored more, but they pulled the starters with 12 minutes left int he game]
They next face #4 seed Peoria Richwoods at the Peoria Manual sectional Tuesday.
Gary Lee: [Flint Northern HS]
His Vikings are 2nd in the City Series League with a 11-8 [4-2] record.
They face some tough competition, starting with Carman-Ainsworth, who is picked to make it to the title game over the Vikings. The games start at Northern Monday night with Northern vs C-A..
Sterling Williams: [Whitney Young HS]
Scored 16 points and recorded 9 rebounds as Young advanced over #5 Crane, 64-62 last Friday. They face #1 seed Farragut Tuesday 3/9 in a match that many think will go to Farragut..
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'RHoDC': Stacie Turner on Her Birth Father, Castmates
On last week's episode of "Real Housewives of D.C.," resident real estate expert Stacie Turner helped Michaele and Tareq Salahi search for homes around D.C. But when the Salahis started throwing out how much they'd like to pay for a home ($100,000 to $8 million), Stacie became a little suspicious. "The prices they were throwing around were so outrageous that it begs you to wonder if they're dealing in reality," said the D.C. mom while speaking with ESSENCE.com about finding her birth father and what we could look forward to in this week's episode. Find out what she had to say...
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We work hard to make sure that we take care of all of the needs of the chickens here at The Chicken Sanctuary, frequently including surgery and special care. Any donations of your time, money, or talents are greatly appreciated.
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New veneers have spaces between them? (Photos)
Doctor Answers 3
Spaces between new veneers #DrSoftTouch
It is not uncommon for some patients to take a few weeks or so to fall in love with their veneers. That being said, the way they look is a matter of preference. If you're unhappy, you should speak with your dentist about your concerns. Good luck and I hope this helps. Click save on the save button below my name, so that you may ask me more questions in the future.
Learn more: https://www.realself.com/find/Missouri/Saint-Louis/Dentist/Sarah-Thompson#photo-3165515
Porcelain veneers, spacing
I would wait a week for everthing to settle, if spacing still bothers you I suggest to go back to the dentist and voice your concern. Please pay close attention to see if food particles also gets trapped in the space as well. This can cause gum irritation and should also be handled.
Dr.. Maddahi
Spaces between new veneers
If there are spaces that bother you and you did not get the result that you want, it would be best to have them redone if you and your dentist can reach an agreement. In my office, we would redo them at no charge if this situation were to occur. We want our patients to love their smiles....and do what is necessary to make this happen, within reason. Each dentist has his own policy on this, hope your dentist will go the extra mile for you. You paid for the services and should get a result you are happy with.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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Rescue Suzette from the Netherworld, before she is lost.
This quest is broken up into two parts and is unlocked in Chapter 7 of the storyline. Part 2 is available to Ellen during the day by speaking with the Pub Landlord.
- For Part 1, see Dark Impulse (Part 1).
Guide Edit
We start at the Road to Daru in the Faery Realm. Go north, talk to Keats, Frizzie and the Faery. Then continue north and take the north exit. Run past or you can fight Bargest. Exit this area to the north. Go north, talk to Charlie and Damona for a scene.
We are now on Dwarf Beach in Doolin. Go east talk to the Mnemosyne, go east and talk to another Mnemosyne. Now go to the Cliff of Sidhe. There is a Mnemosyne talk to it, then go to Harriet's house and talk to the Mnemosyne. Go back to the henge, talk to the Mnemosyne, go to O'Connell's house and Suzette will be outside his house. After talking to her, go to the Mnemosyne next to her.
We are now at Dr. Lester's house; talk to Mrs. Lester. When you can turn right (Ellen's right) and talk to Suzette.
Reward Edit


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|Page (1) of 1 - 09/13/13
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Ask the new wave of Canadian directors why they're getting calls from Hollywood and the answer is easy: Canada's thriving film industry has allowed them the freedom to tell the stories they want to tell, in the way they want. In a Hollywood built around commercial success - often at the cost of originality - Canadian directors are now bringing their voices to major feature films.
|Canadian Directors Hear Hollywood's Call, But May Not Head South
Source:GrabNetworks (c). All Rights Reserved


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This hotel seemed to be snuck away in a private, secretive location and was a welcome sight when I arrived in Delhi. The rooms are absolutely amazing! with all modern amenities you could need. The staff was incredibly helpful and food was delicious (for Indian food). I genuinely wish I could've stayed here longer. Tip: there is a wonderful lounge downstairs by the pool that's great to hang out with friends at.
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- Mantra Amaltas is an exclusive boutique hotel offering elegant and spacious accommodation. Located in an up-market area of South Delhi, just moments from the thriving shopping, business, and entertainment districts. The amenities in the room as well as the dining menus are specially designed to cater to both, the leisure and the business traveler. Facilities include Multi Cuisine Restaurant, an indoor swimming pool, steam / sauna, Travel Desk, Conference Room, Banquet Hall, Open Air terrace garden Party Floor and Free Wireless Internet. ... more less
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Question: Did LHH use any of the principles of negotiation described
Did LHH use any of the principles of negotiation described in the chapter?
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Answer to relevant QuestionsHow did LHH use the concept of "lateral relations?" Does managing virtual teams require more attention to communication technology?Contrast decision trees and probability trees. How might each be used by project managers? Which would be the more valuable?What other approaches might Facebook have used to handle the risks? In preparing a budget, what indirect costs should be considered?
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The yak (Bos grunniens) is a long-haired bovine found throughout the Himalayan region of south Central Asia, the Tibetan Plateau and as far north as Mongolia. In addition to a large domestic population, there is a small, vulnerable wild yak population. In Tibetan, the word gyag refers only to the male of the species; a female is a dri or nak. In most languages which borrowed the word, including English, yak is usually used for both sexes.
|Includes CC-BY-SA content from Wikipedia's Yak article (authors)


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Nintendo Prez Satoru Iwata has confirmed that DS owners will soon be able to watch digital TV on their handheld games machine. Nintendo will introduce a plug-in card with an antenna able to receive Japan's One-Seg digital TV service in the autumn. Currently One-Segment broadcasting is received by mobile phones and dedicated portable devices.
Ninty has boosted monthly DS production to around 2 million units. Total sales of the handheld are in excess of 8.43 million, since its launch 18 months ago.
Satoru also took a snipe at Sony and Microsoft, both of whom have confirmed that they will take significant losses with the launch of their next generation games machines. "We do not expect to make a significant loss with the launch of the Wii," he said. Game on…
Nintendo DS plays up digital TV upgrade
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(The Hosting News) – Hibernia Atlantic, the organisation responsible for the deployment of the 'Project Kelvin' high speed, diverse network, announces today that Novosco, Ireland's leading provider of virtual and cloud IT infrastructure and services, chose Hibernia Atlantic for its fast, diverse connectivity within Northern Ireland and throughout the rest of Europe. This increased capacity enables a 'future-proof' network for Novosco's virtualization and cloud expansion.
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Police are hunting for a man who exposed himself in St Albans.
Hertfordshire Constabulary said that a man, aged between 30 and 40, indecently exposed himself to a woman in her 20s along Sandpit Lane, near the junction of Clarence Road at around 10.30pm on Wednesday, July 16.
After exposing himself, the man allegedly spoke to the woman before she crossed the road to get away from him.
Hertfordshire Constabulary stressed that the man made no attempt to follow the woman and instead walked away.
The man is described as white and of medium build. He had dark brown hair, which was "spiked with a gel-like product". He was wearing a dark coloured t-shirt with a white or light-coloured motif centred on the front of it.
PC James Irlen, who is investigating the incident, said: "The victim has been left understandably shaken by what happened and we are appealing to anyone who was in the area at the time of the incident to make contact with police.
"It is believed there were a number of people in the road directly before and after the incident and so I would urge any such people, who remember seeing someone acting unusually or suspiciously, to contact me straight away.
"If you believe you know the identity of the man, please call me."
Anyone with any information in relation to this incident is asked to contact PC Irlen via Hertfordshire Constabulary's non-emergency 101, citing crime reference F1/14/2316. Alternatively call Crimestoppers on 0800 555 111.


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Cala San Vicente is a relaxing resort on the North coast of Majorca. The resort is very popular amongst families and couples looking for a peaceful, relaxing holiday together. It is a lovely resort to take in all of your surroundings, with beautiful beaches and lovely sights to see. There are a few hotels in Cala San Vicente, which vary in their star ratings, with many ranging from 1-3-star, with a few luxury 4-5-star hotels. The three beaches in Cala San Vicente are quiet and relaxing, offering white sands and crystal clear waters. The water on the beaches is shallow making it safe for children to use. Flights to Palma take approximately 2.5 hours.
Cala San Vicente is so relaxed, there aren't actually many activities to keep you entertained. During the day the main thing to do is lay on the beach, go in the sea, or go on relaxing walks around the resort. There are prehistoric caves further inland and trips to neighbouring resorts will show you the livelier side to Majorca. The famous Inca Market that is held in many of the resorts is held every Thursday in Cala San Vicente and is well worth a visit. Taking in the views is popular as you are surrounded by mountains and hills covered in woodland.
Cala San Vicente is a very peaceful resort and offers a few shops, restaurants and bars. There is food for everyone, although you may not find a wide variety of cuisine. The nightlife is very quiet, with many people travelling to nearby Alcudia and Puerto Pollensa for a lively evening. Much of the entertainment in Cala San Vicente takes place in the hotels and is put on for families and couples. There are daily buses taking you into Palma, Puerto Pollensa and Pollensa where you can experience more shops and a lively nightlife. The shops in Cala San Vicente offer souvenirs mainly, which is why many people choose to visit neighbouring resorts as there you can find clothing, jewellery and electrical goods.
Cala San Vicente is a resort that has good weather for most of the year. The winters remain mild, and the summer temperatures rarely fall below 25°C. The water temperature in the summer is around 26°C making it perfect for those of you wanting to go for a swim, and even in the winter, water temperatures still remain fairly high. July and August offer the best weather, but the whole summer season is from April until November. October however does bring the most rain to the resort, closely followed by November and December.


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