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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
A summary utility index is useful for deriving quality-adjusted life years (QALY) for cost analyses or disability weights for burden of disease studies. However, many quality of life instruments provide descriptive profiles rather than a single utility index. Transforming quality of life instruments to a utility index could extend the use of quality of life instruments to costs analyses and burden of disease studies. The aims of the study were to map a specific oral health measure, the Oral Health Impact Profile to a generic health state measure, the EuroQol, in order to enable the estimation of health state values based on OHIP data.
Data were collected from patients treated by a random sample of South Australian dentists in 2001–02 using mailed self-complete questionnaires. Dentists recorded the diagnosis of dental conditions and provided patients with self-complete questionnaires to record the nature, severity and duration of symptoms using the EuroQol (EQ-5D) and 14-item version of the Oral Health Impact Profile (OHIP-14) instruments. Data were available from 375 patients (response rate = 72%). A random two-thirds sample of patients was used in tobit regressions of EQ-5D health state values estimated using OHIP-14 in a model with categories of OHIP responses as indicator variables and in a model with OHIP responses as continuous variables. Age and sex were included as covariates in both models. The remaining one-third sample of patients was used to test the models.
The OHIP item 'painful aching in mouth' was significantly related to health state values in both models while 'life less satisfying' was also significant in the continuous model. Mean forecast errors relative to the mean observed health state value were higher when fitted to the categorical model (17.4%) compared to the continuous model (15.2%) (P < 0.05).
The findings enable health state values to be derived from OHIP-14 scores for populations where utility has not or cannot be measured directly.
Oral health related quality of life measures have been developed because objective clinical measures of disease provided little insight into the impact of oral disorders on daily living and quality of life [1]. The value of oral health related quality of life measures in the description of the experience of disease and treatment could be enhanced further through the development of a summary utility index that could measure health state values on a scale from zero to one where zero represents worst health and one best health [2]. Transforming health related quality of life instruments to a summary utility index is useful for deriving quality-adjusted life years (QALY) for cost analyses [3], or disability weights for burden of disease studies [4].
The Oral Health Impact Profile (OHIP) is a disease-specific measure of people's perceptions of the social impact of oral disorders on their well-being [5]. OHIP contains 49 questions that capture seven conceptually formulated dimensions based on Locker's theoretical model of oral health [6], and the OHIP-14 was developed as a shorter version of the OHIP for settings where the full battery is inappropriate [7]. While the OHIP is widely used as a measure of oral health related quality of life it does not provide an index of health state value.
The EuroQol was developed as a standardised generic (non-disease-specific) instrument for describing and valuing health-related quality of life [8]. The EuroQol is intended to complement other forms of quality of life measures and it was purposefully developed to generate a generic index of health that places health states on scale from zero (worst health) to one (best health). The EuroQol is widely used internationally and reported to have adequate construct and convergent validity, but is highly skewed and has relatively poor sensitivity especially in relation to disease-based outcomes research [9].
The EuroQol is an index measure that provides a single number that represents an individuals' health status and preference value for that health state [10]. The EuroQol has been used in population surveys such as in the U.K. to establish population norms for the instrument [11], and has been linked to the development of disability weights that have application in burden of disease studies based on disability-adjusted life years [12]. Disability-adjusted life years were developed in conjunction with the World Bank and have been used for priority setting in health policy [13], for example, by the World Health Organization [14]. In Australia the Australian Burden of Disease and Injury Study used the EuroQol to estimate disability weights for a range of disease categories for which there were no published weights [15].
The aims of the study were to map a specific oral health measure, the Oral Health Impact Profile to a generic health state measure, the EuroQol, in order to enable the estimation of health state values based on OHIP data.
The research project was reviewed and approved by the Human Research Ethics Committee of the University of Adelaide.
The Burden of Oral Disease Study was conducted as a cross-sectional study using a mailed survey approach. Dentists were provided with a practitioner logbook in the dentist questionnaire to record for the first 1 to 5 consecutive adult patients (depending on study group assignment of dentist) of a random clinical day the diagnosis of the oral disease or condition treated and treatment they performed. At the conclusion of treatment each practitioner (except those in the study group that had no patient questionnaires to distribute) passed on a survey kit to their sampled patient(s) containing a patient questionnaire, cover letter and explanation sheet. Sampled patients completing the patient questionnaire recorded basic socio-demographic characteristics and data concerning the nature, severity and duration of their symptoms. The primary rationale for this 2-stage sampling methodology was to allow linkage of dentist-assessed oral health status to patient perceptions of quality of life. The patient questionnaires were identified using the practitioner identification number allowing linkage between the practitioner logbook data and patient questionnaire data, but maintaining the anonymity of each patient to the investigators.
A pilot study was conducted which collected five patients per dentist in order to establish the feasibility of the 2-stage methodology. Since the optimum number of patients to sample from dentists was not known, dentists in the main study were randomised into six equal-sized groups in order to assess the sample size-related efficiency and response properties of recording data on from 1 to 5 patients and distributing between 0 to 5 patient questionnaires.
A 2-stage sampling design was used where stage 1 involved sampling dentists and stage 2 involved sampling of patients within selected dentists. Dentists were randomly sampled from the South Australian Dental Register. The Dental Register was used as a sampling frame as it provides a comprehensive listing of all persons registered to work as dentists in the State of South Australia, and is therefore representative of the target population of dentists. Sampled dentists were randomised into one of seven equal-sized study groups to assess the optimum number of patients to sample from dentists and sent a mailed self-complete dentist questionnaire along with up to five self-complete patient questionnaires depending on the study group. Note that dentists in the group that had no patient questionnaires to distribute recorded details of 5 patients in their dentist questionnaire, while dentists in all other groups recorded the same number of patients in their dentist questionnaire as they distributed patient questionnaires.
Data were collected during 2001–02 with a primary approach letter sent initially to each dentist, followed a week later by the survey materials, with a reminder card two weeks later, and up to four follow-up mailings of survey materials to dentists who had not yet responded in order to ensure higher response rates [16].
The emphasis of the project was to obtain precise estimates of the component measures of the burden of oral disease. These are typically expressed as percentages, such as the percentage of persons or percentage of time experiencing symptoms of a given degree of severity. Taking a parameter size of 10% as a reference estimate for any given measure, in order to achieve a level of precision of 20% or less relative standard error, a minimum target sample of n = 225 patients was required. This would provide an acceptable level of precision for estimates as low as 10% in size, and better precision for any estimates larger than 10% in size.
Dentists recorded the details of the dental conditions that patients had, and patients recorded their experience of those dental conditions. In the patient questionnaire, patients were asked if the dental conditions had caused problems in each of six health state dimensions using the European Quality of Life indicator or EuroQol (EQ-5D+) instrument [8]. The six health state dimensions were: mobility (e.g, walking about), self-care (e.g, washing, dressing), usual activities (e.g., work, study, housework, family or leisure), pain/discomfort, anxiety/depression and cognition (e.g, memory, concentration, coherence, IQ). The EuroQol measures each of these six dimensions according to a 3-level response grading from 1 = no problems, 2 = some/moderate problems and 3 = extreme problems. Patients were also asked to rate their experience of dental problems in the last year using the OHIP-14 [7], which uses 14 items to capture measures of the seven dimensions of functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap. For each of the 14 OHIP questions subjects were asked how frequently they had experienced impact in the preceding 12 months using a Likert-type response scale re-coded as a Guttman scale 4 = very often, 3 = fairly often, 2 = occasionally, 1 = hardly ever and 0 = never.
The main output measure was calculated by converting EuroQol item responses to health state values, where each set of responses on the standard 5-item instrument was matched to a health state value where 0 = death and 1.0 = perfect health by an algorithm derived from modelling values [17] using health state preferences elicited from a general population [8]. The responses to the OHIP-14 instrument were coded into categories of 'Never', 'Hardly ever' and 'Occasionally/Fairly often/Very often' with each category converted into indicator variables with values of one if there was a response in that category or with values of zero if there was no response in that category. Age was entered in years and sex was coded as one for males and zero for females.
The characteristics of responding patients were compared descriptively with published data on dental patients and the Australian population. A random sample of two thirds of the respondents was used to construct models of health state values (see Figure Figure11 for an outline of the sampling and analysis). Two tobit regression models were constructed using the EQ-5D based health state value as the dependent variable with the independent variables of OHIP-14 items, sex and age. Tobit regression was used to account for censoring of the characteristically bounded nature of health state values that can result in biased and inconsistent estimates using ordinary least-squares regression [18-20]. One model used the OHIP-14 items as categorical variables with the category 'Never' as the reference category, while the other model used the OHIP-14 item responses as continuous variables that were coded from 0 to 4. Cases with missing data on the dependent or independent variables were excluded from the analysis. Non-significant terms were retained for comparability across models, and their potential value in controlling for confounding [21]. The remaining one third sample of the respondents was used to test the models by comparing fitted versus actual values using forecast errors. Forecast errors were calculated by subtracting fitted values from actual health state values and dividing by the mean actual health state value to convert absolute forecast errors into relative forecast errors as a percentage of the actual sample mean health state value. Model building strategies also included testing model fit after inclusion of additional terms such as age-squared to model non-constant age effects and interactions between OHIP-14 items, and examining correlations of independent variables for possible collinearity. The design effect of clustering of patients within sampled dentists was calculated and used as a weight to adjust the reported confidence intervals.
A total of 378 dentists responded to the survey (response rate = 60%). Response rates between study groups varied from 49 to 70% and tended to be higher in study groups that required dentists to sample less patients, but the effect was not monotonic (Table (Table1).1). Data were available for 375 patients from the patient questionnaire, comprising a response rate of 72% of patients sampled, with response rates between study groups varying from 69 to 92%.
The characteristics of patients are presented in Table Table22 where data from private general practice [22] and Australian population estimates [23,24] are presented for comparison. The majority of patients were female (59.5%), born in Australia (75.5%), had dental insurance (64.8%) and had visited a dentist in the last 12 months (65.3%). The main reason for dental visiting was for other dental problems not involving relief of pain (46.7%), followed by check-ups (35.2%) and emergency visits involving relief of pain (18.1%).
The mean health state value was 0.852 (95% confidence interval 0.840 to 0.964). Table Table33 shows that a minority of patients reported symptoms in the 'Occasionally/Fairly often/Very often' category, ranging from 3.6% for 'unable to function' to 46.0% for 'uncomfortable eating'. Responses in the 'hardly ever' category ranged from 6.9% for 'unable to function' to 29.0% for 'painful aching in the mouth'. Mean values for the OHIP-14 items ranged from 0.140 for 'unable to function' up to 1.355 for 'uncomfortable eating'.
The OHIP-14 items and sociodemographic covariates had relatively high pseudo R-squared values (Table (Table4).4). OHIP items relating to 'painful aching in mouth' were significantly related to health state values in both models while 'life less satisfying' was also significant in the continuous model. In each case, the regression coefficients were negative indicating that responses to the OHIP-14 items were associated with lower health state values.
Table Table55 shows the mean forecast errors for both the categorical and continuous variable models. Mean forecast errors relative to the mean observed health state value were higher when fitted to the categorical model (17.4%) compared to the continuous model (15.2%), (P < 0.05). However, the forecast errors were not consistently higher for the categorical model at each level of observed health state value.
Table Table66 demonstrates the relationship between observed and fitted values within selected ranges of observed health state values using the categorical model. At each level of observed health state values the fitted values slightly overestimated the observed health state value.
Note that alternative versions of the models were attempted using an age-squared term and also exploring interactions between OHIP items, but as they did not substantially alter pseudo R-squared values or forecast errors, the results for these additional models are not presented. Examination of correlations among the independent variables indicated that OHIP items were positively correlated with rho ranging between 0.19 and 0.84. The only correlation above 0.75 occurred between the items 'Felt self-conscious' and 'Been embarrassed'. However dropping one of these items had no effect on the direction of associations and only minimal effect on the pseudo R-squared value or the significance and magnitude of the regression coefficient, hence the full set of items were retained in the analysis.
Response rates to the survey were adequate for both the dentist and patient questionnaires [25]. Comparison of respondents against estimates for private general practice and the Australian population indicated a slightly higher percentage of female patients compared to the population consistent with higher reported visiting rates by females [24], but both place of birth and time since last visit was similar. While dental insurance was higher, the percentage of check-up visits was lower among patients indicating a higher percentage of dental problems for patients compared to the population.
The use of data from a self-selected typical day was used to provide representative estimates. A report has shown that there was no significant difference in service rates in all 10 main areas of service between data collected over a 10-day sampling period compared with estimates based on one typical day nominated from the 10-day sampling period by the responding dentists [22].
Previous analysis of the EuroQol and OHIP-14 instruments found that both the generic and specific measures showed evidence of discriminant validity in detecting associations with visit characteristics and main dental condition being treated among dental patients. There was little difference by type of measure used with simple counts, additive scores and scale scores demonstrating discriminative ability in both bivariate and multivariate analyses [26]. The generic and specific instruments showed a degree of overlap in dimensions, particularly for pain [27]. The partial separation in the domains of both instruments confirms that generic and specific measures can be used in combination to capture different elements of quality of life – with both instruments covering symptom experience of pain but EuroQol tapping daily activities such as self-care and usual activities and OHIP tapping oral health-specific aspects of oral functional limitation and physical disability as well as psychological and social aspects of disability and handicap. There are, however, plausible potential links between the two descriptive systems. For example, mobility could in some persons be influenced by oral health problems, such as severe toothache that results in their seeking bed rest or limiting their movements. It is also worth noting that in this study the EQ-5D was asked in relation to dental problems, hence potential effects of co-morbidity on health state value would not be confounding the relationship between EQ-5D health states and OHIP-14 items.
As reported for population surveys [10], the distribution of the EuroQol was skewed among dental patients with a minority reporting problems on any one dimension [26]. The effect of skewness is to produce a ceiling effect where most of the responses are clustered at one extreme [28]. This ceiling effect was less marked for the pain/discomfort and anxiety/depression dimensions, but the large numbers of respondents reporting no problems may make the instrument less appropriate for studies of milder conditions [2]. Despite the simplicity of the EuroQol in terms of dimensions and response categories, there is growing evidence of its construct validity [10]. Similarly, the OHIP has also been noted as displaying ceiling effects even among dental patients [29], indicating limitations in both the generic and specific instruments as descriptive measures. Floor effects are just like ceiling effects but they are found at the opposite end of the scale. Floor effects, with high percentages reporting problems, have not been reported to be of the same extent for the EuroQol compared to other generic measures such as SF-6D or HUI3 making it more suitable for generating preference-based index values for use in economic evaluation when the conditions studied are more severe [2,30].
The present study provides an algorithm that transforms OHIP-14 scores into estimates of health state values. While both the models performed similarly, the lower forecast errors for the continuous model indicate that this may be preferred over the categorical model. This algorithm can then be used in QALY or DALY analyses from databases that contain OHIP-14 scores, but not health state values. While, the preferred method would be to derive health state valuations from a population sample, the mapping algorithm facilitates cost-effectiveness and burden of disease studies through proxy health state values that can be derived from the numerous oral health studies that have collected data using the OHIP instrument.
The proportion of variance explained by the algorithm from a previously reported mapping of a profile measure on an index was between 35% – 55% of the variance in HUI3 explained using SF-12 items [3]. In this study the values of pseudo R-squared were higher. However, values of pseudo R-squared are based on likelihood statistics from a model containing the independent variables versus a model containing a constant term only, rather than a comparison of fitted to observed values as obtained from linear regression models (31). Previous mapping studies have cautioned that the use of such mapped utility values would not be appropriate for use at the individual level and instead should be applied to analyses performed at the group level [3]. In the present study, the fitted mean was higher than the observed mean for the group of patients as a whole, and when stratified into different levels of health state value. Hence, an individual's predicted health state value may be an over- or under-estimate of the true health state if it were observed (i.e., directly measured), and as a group, health states would be slightly over-estimated. Such variation may be acceptable at a group level where aggregate health state values are of interest. However, some caution should be applied in interpreting findings as health states will tend to be slightly over-estimated (i.e., healthier than if directly measured) and in the case of disability weights for burden of disease studies the over-estimation of health states equates to lower or conservative estimates of disability weights (i.e., less disability than if directly measured). As participants in this study were dental patients who may have more oral disease than the general population the over-estimation of health states may be exacerbated when applied to general populations. The consistency of the over-estimation of health state values suggests that no systematic variation or bias would result from the application of the algorithm to sub-groups with different underlying health states.
The approach enables health state values to be derived from OHIP-14 scores for populations where utility has not or cannot be measured directly.
The author(s) declare that they have no competing interests.
DSB and AJS were chief investigators on the grants obtained to fund the study. DSB performed data collection, analysis and drafting of the manuscript. AJS participated in the design and coordination of the study, and completion of the manuscript. All authors read and approved the manuscript.
The pre-publication history for this paper can be accessed here:
This research was performed at the Australian Research Centre for Population Oral Health, School of Dentistry, Faculty of Health Sciences at The University of Adelaide with funding from the Australian Dental Research Foundation and University of Adelaide Small Research Grants Scheme. The participation of responding dentists and patients is acknowledged.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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subset: commoncrawl


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About Us
Broadway Builders is a Bendigo based building company, its two directors being local boys originally from Wycheproof.
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Whilst playing football for North Melbourne Kangaroos for 10 years, Corey continued his involvement in the building industry. He has experience as a previous part owner in a volume building company as well as working on new houses, renovations and extensions.
With a combined 35 years experience in the building industry, Corey and Jeremy are committed to delivering quality workmanship and personalised service to all clients. From the initial concept or idea to completion, we will ensure a professional and enjoyable building experience.


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[ https://issues.apache.org/jira/browse/CB-6582?page=com.atlassian.jira.plugin.system.issuetabpanels:comment-tabpanel&focusedCommentId=15575095#comment-15575095 ]
jcesarmobile commented on CB-6582: ---------------------------------- We didn't do it, should we do it but for iOS 7? it's really hard to test iOS 7 unless you use an old computer or old device. > All core plugins: add <engine> tag with name="apple-ios" with version=">=7.0" > ----------------------------------------------------------------------------- > > Key: CB-6582 > URL: https://issues.apache.org/jira/browse/CB-6582 > Project: Apache Cordova > Issue Type: Task > Components: iOS > Reporter: Shazron Abdullah > > As specified here: > http://cordova.apache.org/docs/en/edge/plugin_ref_spec.md.html#Plugin%20Specification > This is to signify that the plugins only support iOS 6.0 or greater. > Not sure if we want to actually test whether the plugin really supports 6.0 > or greater. This requires installing an older version of Xcode with the iOS > 5.0 SDK and compiling each and every plugin (no, running the 5.x simulator > does not count) -- This message was sent by Atlassian JIRA (v6.3.4#6332) --------------------------------------------------------------------- To unsubscribe, e-mail: issues-unsubscr...@cordova.apache.org For additional commands, e-mail: issues-h...@cordova.apache.org


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I applied through college or university. The process took 1 day. I interviewed at Kraft Heinz Company (Pittsburgh, PA) in January 2013.
2 - 45 mins on campus interviews with a director and a brand manager.
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Interview Questions
Would you like us to review something? Please describe the problem with this {0} and we will look into it.
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I just received the GoPiGo starter kit! It has been FANTASTIC so far!! One issue I am running into is that the Ultrasonic sensor doesn't seem to work.
I have connected the sensor to the A1 port. The issue is that the sensor always returns a reading between 670 - 675 cm, regardless of the actual distance from objects in front of it. I have tried the basic_test_all.py, basic_obstacle_avoid.py, us_servo_scan.py, and none of these tests are giving me the expected results due to the above issue. I have tried reseating the connections multiple times.
Can you please help?
Hey Amol,Can you try running this example: https://github.com/DexterInd/GoPiGo/blob/master/Software/Python/sensor_examples/grove_distance_sensor.py. There is a variable to set the port on which the ultrasonic sensor is connected on line 44 there. Can you try both the digital and analog ports and see if it works for you.
Hi Karan,I meet the same problem. The reading sensor values are always 670,671,672 no matter where the obstacle is when using function us_dist(15) (because I connect it to A1 port). I have tried your method and find that the print show me that my port is 10 (it should be 15).Then I try us_dist(10) and the reading sensor values become 0 all the time. Can you help me find the solutions, since I have tried to reboot the system, change batteries, re-connect the ultrasonic sensor and even restart my computer as well. None of them solved my problem.I will appreciate if you can help since ultrasonic sensor is very important to the GoPiGo car.
Hi Rui,Sorry for taking this long to reply back. I had missed this post. I think we have already shipped a new sensor to you. In the meanwhile it would be great if you could run the troubleshooting script by following the instructions here: https://www.youtube.com/watch?v=ZMadpIEYq5o and upload log to the forums. It would help us to see if there is anything wrong with the software or settings.
Hi Karan,Thanks for your reply. Attached is my log.text file. Please have a look at it.
Hi Karan,
Thanks for your response. Unfortunately I have not had a chance to run that example yet, but I will do it tonight and get back to you.
Thank you,-Amol
I ran the example you provided. In each case, the obstacle was about 6 inches in front of the ultrasonic sensor.
1) Sensor connected to A1 and distance_sensor_pin = gopigo.digitalPort
pi@dex ~ $ python grove_distance_sensor.py00000000
2) Sensor connected to A1, and distance_sensor_pin = gopigo.analogPort
pi@dex ~ $ python grove_distance_sensor.py672673674672672673673672672
3) Sensor connected to D11 and distance_sensor_pin = gopigo.digitalPort
pi@dex ~ $ python grove_distance_sensor.py674672672673673672672672673
4) Sensor connected to D11 and distance_sensor_pin = gopigo.analogPort
I also ran the troubleshooting script, and the resulting log file is attached.
Hey Amol,Can you run the firmware update on the GoPiGo following the instructions here: http://www.dexterindustries.com/GrovePi/get-started-with-the-grovepi/updating-firmware/ and then try running the example again. Also, can you connect the distance sensor to A1 port and give the pin as distance_sensor_pin = 15 and see if that works.
distance_sensor_pin = 15
Also, when and from where did you buy the GoPiGo and the ultrasonic sensor and the GoPiGo and has the sensor worked before .
The link you provided is for the GrovePi, and not for the GoPiGo, so I am assuming its an incorrect link. Please let me know if that is not so.
When I initially set up the GoPiGo, I had followed the instructions to upgrade the firmware: http://www.dexterindustries.com/GoPiGo/getting-started-with-your-gopigo-raspberry-pi-robot-kit-2/5-using-your-gopigo-for-the-first-time/
According to the log_amol.txt file I attached earlier, I am on firmware version 1.6. Isn't that the latest version? I repeated the firmware update steps, and I am still on version 1.6.
I connected the distance sensor to port A1 and repeated the example, and got the same results as before, even after I explicitly set distance_sensor_pin = 15.
One thing I noticed today is that when I connected the RaspberryPI to the USB power supply for the firmware update, the ultrasonic sensor got pretty warm to touch. It does not warm up this way when the GoPiGo is connected to battery power.
I purchased the GoPiGo directly from the Dexter Industries website. I received it around June 1st, and the ultrasonic sensor has never worked for me.
Hey Amol,Sorry for the wrong link, the reason I was asking for you to run the firmware update was that the i2cdetect was showing a no device on the I2C bus which looked a bit weird. Can you run i2cdetect -y 1 on the terminal and check if you can see a device on 0x08. Also, does everything else work fine on the GoPiGo.
The sensor should not warm up and might be a bad sensor. Thanks for testing it out. I'm really sorry for the frustration.Can you contact us here, under "General Questions and Feedback": http://www.dexterindustries.com/site/?page_id=65. We will have one shipped to you immediately. Please post a link to this forum post when you reply us and it would be great if you could send the bad sensor back to us when you receive the newer one so that we can have a look at what went wrong with that one
Again, I'm really sorry to hear about this; we'll make it right immediately.
Karan and Amol,
I was having the same issue with my GoPiGo2. What seems to be the issue is exactly what my father told me: that the ultrasonic sensor is timing out. If you're sleep counter is too small, then the reading won't come back accurately. In my case:
was too small, so in order to fix it, you need to increase the sleep time to .2.
In order to test it, I created a modified version of the Avoider program example, replacing the movements with LED ons an offs and making it never break:
Let me know if you have any questions!
@Midimistro,Thanks for letting us know about this


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Pet Bereavement Support
See also Pet Bereavement Counsellors
Pet Bereavement Support Service (The Blue Cross):
Call the support line on 0800 096 6606 (UK only including Northern Ireland). The support line is open from 8.30am - 8.30pm every day. All calls are free and confidential from a landline. If calling from a mobile phone, some phone networks may charge. Support is provided by trained volunteers. The service does not offer a counselling service but is able to offer emotional support and information for pet owners who may be experiencing the loss of a pet. If you prefer you can contact them by email instead on email@example.com; emails will be replied to within 48 hours so use the phone service for a quicker response.
Paws to Listen Grief Support Service from Cats Protection:
Free and confidential phone line on 0800 024 94 94 to talk to one of their trained volunteer listeners for a sympathetic ear.
Poffins pet advice helpline:
Tel: +44 (0) 1869 244010
Cruse Bereavement Care
Cruse Bereavement Care provides support for anyone bereaved by death to understand their grief and cope with their loss. They can be contacted on 0844 477 9400 (daytime helpline) or via email at email@example.com.
Samaritans provide confidential non-judgmental emotional support, 24 hours a day for people who are experiencing feelings of distress or despair. They can be contacted on 0845 790 9090 or via email at email@example.com.
SupportLine offers confidential emotional support to children, young adults and adults by telephone, email and post. They work with callers to develop healthy, positive coping strategies, an inner feeling of strength and increased self-esteem to encourage healing, recovery and moving forward with life. They also keep details of counsellors, agencies and support groups throughout the UK. Helpline number 01708 765200. E-mail: firstname.lastname@example.com
Pet Loss Support Online Surgery
See here for more information about the Pet Loss SOS
Online Pet Bereavement Courses for pet carers/guardians
A Different Grief: Coping with Pet Loss by Marty Tousley


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Get Your Dog Care Questions Answered by Experts
Welcome to Justanswer. I am Dr. Loretta, a licensed veterinarian, and would like to assist you. I will respond quickly after reviewing your question.
Good Morning and welcome! I am Dr. Loretta, a licensed veterinarian and I am happy to answer your question.
I am so sorry that Suzie is not feeling well.
This condition is caused by the following:
Digestive disturbance from ingestion of foreign materialDehydrationSide effect of drugsMetabolic diseaseWorm Load
The treatment is aimed at the cause but in general, laxatives can be given. Laxatone, a cat laxative available at the pet store can be given every 4 hrs to help slide the stool through. Dulcolax can be given at 5 to 20 mg per day. Lactulose is also a good laxative. If this is not successful, your vet may have to perform an enema to remove the stool.
It is important that this condition be resolved since , if it does not, your dog is at risk for a bowel perforation from this excess stool that is blocking a part of the intestinal tract.
Does that make sense to you?
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This is Issue #19 of Dead Frontier by Walkerbait22, titled Off The Deep End. This is the first issue of Volume 4.
Issue 19 - Off The Deep EndEdit
Cole has that same dream. The one where he must watch as Micah and Hannah are devoured by infected. Then more nightmares come to haunt him.
In one, it's present day, but his mother is there. Cole expects this dream to actually be a happy one--when his mother is present they usually are--but it quickly goes downhill.
He's visiting his mother at her house, and they've just finished eating her chocolate cupcakes. The one's she made him when he was little. Cole stands, ready to leave, and hugs his mother, giving her a kiss on the cheek. But she doesn't pull away.
She growls, and Cole instantly knows what's going on. He tries to push his mother away, but she doesn't budge. Instead, she sinks her teeth into his neck, and he screams.
Cole screams, and his eyes shoot open. He sits up in the motel room's bed and looks into the darkness. He can hear his heartbeat and feel the sweat running down his face. After rubbing his eyes, he grabs his crutches and trudges out of the room into the parking lot.
It is still dark outside, and the early morning cold makes him shiver. Slowly but surely, he approaches a tiny four-door car and plops onto the hood. He sets his crutches on the ground and leans against the dusty windshield, staring at the moon.
After about ten minutes of staring blankly at the sky, he hears the unmistakable creak of one of motel doors. Cole doesn't turn to see who it is--probably John who always tends to wake up early--but he is startled when he sees Hannah sit next to him on the hood of the car.
"Why are you up so early?" Hannah asks. Cole scrambles to get up, struggling slightly because of the pain in his leg.
"Couldn't sleep," Cole replies.
"Nightmares?" Cole nods his head. "Me too."
There is a long silence until Hannah clears her throat and says, "I'm kind of glad you're not dead."
Cole chuckles softly. "Only kind of glad?"
"I knew you wouldn't think that from how I was acting, but yeah, I like you better when you're not dead."
"You're dad looked really overjoyed when he saw me, though," Cole says sarcastically.
"Don't worry about him. He's an ass. Did you know he told me it was stupid for me to be sad when I thought you were dead?"
Cole sighs. "I wouldn't expect any less from him."
They sit in silence for a long time. It's not awkward or uncomfortable, but nice. Cole's just happy neither of them is a walking corpse.
Then, he thinks back to what Billie said on the highway. If one of you is dinner for the infected, you're gonna regret not telling her how you feel. He takes a deep breath and makes the bold decision of grabbing her hand, interlocking his fingers with hers.
"Are...are you okay with this?" he asks apprehensively, then he wants to kick himself for practically ruining the moment.
Hannah just laughs at him and he blushes. She squeezes his hand a little harder.
"You angry, Grandpa?" Roger teases Mick. Cole leans against the door of his motel room for support instead of using his crutches. He watches the spat between Mick and Roger unfold.
It started with Roger making another crude remark about Hannah with Mick within earshot. Furious, Mick lunged at Roger, grabbing him by the collar. John now stands between the two in attempts to cool them both down. Hannah is near her father and, knowing his temper, is trying her best to make sure he doesn't do anything rash. Wanda stands behind her daughter and husband, scowling at Roger while everyone else stands in the doorway of their respective motel rooms to observe the action.
Cole must admit, the way Mick's face gets red when he's angry is pretty hilarious. He smirks as Mick and Roger shout back and forth at each other.
"Never say anything about my daughter you worthless piece of shit!" Mick roars.
"Dad!" Hannah pleads, grabbing his arm and trying to pull him away, but he stands his ground. He's had enough of this drunkard. "Just walk away."
"Micky, honey," says Wanda. "Hannah's right. He's not worth it."
Mick's eyes are practically bulging out of his head. "No, I won't walk away, because this little shit is going to learn to stop fucking with me!"
Roger gives an exaggerated laugh. "Really? What are you going to do? I'd love to know how an ancient fuck like you is going to teach me a lesson."
"You want to know?" Mick seethes. The older man cocks his fist back and brings it forward onto Roger's nose with an amazing amount of force. Roger falls backward and hits his head on the hard ground of the parking lot. He touches his nose and feels a warm liquid running down his face. When he sees the blood, he jumps up and lunges at Mick. Dwight, Billie, Micah, and Hannah rush towards Roger but stop abruptly when the drunk pulls a pistol from his waistband.
Mick lies on his back, and Roger has his knee pressed into his neck. Roger waves the gun recklessly in the air. "That's right. You wanna fuck with me, Mick?" He says the name with obvious distaste.
Hannah lunges at Roger, but he quickly points the gun at her. She stops in her tracks. "Nuh-uh, baby. Better back up, or you gonna taste this bullet."
In a deliberately slow manner, Roger moves the gun from Hannah and stuffs it into her father's mouth, the metallic taste making him want to vomit. Mick shakes his head rapidly in a plea to be let go.
Roger suddenly feels the cold steel of a gun pressed against the back of his head. "Roger, put it down," Billie orders.
Roger sighs. "How come? If I let him go, y'all gonna probably kill me anyways. And I had enough of this ugly fuck disrespectin' me."
"This is completely unnecessary, Roger. You've gone off the deep end. Seriously."
Suddenly, Roger begins to cry and presses the gun deeper into Mick's mouth. Everybody watches with wide eyes. "I ain't gone off the deep end! You all just don't get it do you?" He wipes his runny nose with his free hand and glares at the people surrounding him. He doesn't want to be here. These people don't like him. They don't respect him. He figures if he has to go, he might as well leave with a bang.
"You living here like there ain't dead people all over the fucking place! You all just delusional. That's all. You don't understand this world like I do."
"Billie, shoot him!" Hannah demands.
"Y'all can go ahead and shoot me. I'll be in a better place than this shithole." When Roger pulls the trigger, the bottom half of Mick's face explodes into a heap of blood. Almost immediately afterwards, the bullet from Billie's pistol speeds through the back of Roger's head, and he falls forward onto Mick.
Hannah screams and rushes toward Roger's dead body, pulling him off her father. She sobs and kicks his corpse until she has no more energy left. Wanda's body is wrecked with sobs as she cradles the corpse of her husband. Everyone else stands watching with wide eyes and open mouths.


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17 25 in Three Light Contemporary Pendant
Product Info:
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Born to humble surroundings in Ladywood, Manitoba on April 17, 1953, Glenn worked hard to accomplish and achieve, carving an impressive path in business and life. Glenn started his career at Canada Packers in Winnipeg followed by Custom Profile and Pipe Extrusion in 1971. In 1979 he moved to Calgary as one of the founding owners of Engineered Profiles Ltd, a company Glenn loved and directed. In 1989 the company was sold to Sauder Industries and then to Westlake in 1993. Glenn continued his career with Westlake Building Products until the time his passing. Glenn's hard work and commitment was instrumental in taking Westlake public on the NYSE in 2004. Glenn proudly led this company.
In 2014 he was honoured as the recipient of the Pioneer Award from Fenestration Canada. This award was given to him for being a pioneer in the window and door industry. Glenn was an inspirational leader and mentor to many at work. His glass was always overflowing, always seeing the best in everyone. His positive attitude was an inspiration to everyone he met. Glenn met his first love Maureen (Moe) Pachal in 1974 and they were married at St. Peter & Paul Roman Catholic church on October 19, 1975. Their parental dreams were finally fulfilled when their son Jesse was born in 1988 followed by their daughter Adina in 1994. In 2008 Moe was diagnosed with cancer and Glenn devoted himself to supporting Moe's battle, remaining strong throughout, and after. Sadly, Moe passed away on January 19, 2009.
Glenn is survived by his Mother Josephine, loving sisters Judy (Denny) and Linda (Butch), and brother Patrick (Wendy).
The last chapter of Glenn's life began in 2009 when friends introduced him to Judie Yarish. Glenn and Judie fell in love instantly. For seven glorious years they rejoiced in love and laughter and the company of the six amazing children that bound them together as a family. Judie and Glenn never took for granted how fortunate they were to have found each other. It was with immense pride and joy that they celebrated the marriages of two of their oldest children this year. Both celebrations were wonderful family events, further strengthening the bond between them all. Jesse (Candace), Kim (Devin), Taylor (Nicole), Adina (Conrad), Harrison and Brooklyn (Colton) are united in their love and sorrow today. As they struggled to deal with Glenn's illness this fall, another moment of bittersweet joy arrived in the form of Glenn and Judie's wedding on November 12, 2016. Their loyal and loving circle of friends and family united in celebration to share their joy, and toast their union. This magnificent day shall remain alive in our memories forever.
Glenn's passion was his family and also his cars. He took pride in the '69 Roadrunner he restored which now sits in a museum in Lethbridge. His '70 Nova took his friends and family for a few rides the day of his death. He loved country music, red wine and grey goose. He loved people ...people loved him!! He loved their dog Lulu who slept by his side and was reluctant to leave him without many kisses when he passed on. Glenn Syrowitz was a giant of a man: strong, kind, gentle, tough, wise, and clever. We were fortunate to have had him in our lives, and we are all better for it. It was heartbreaking and shocking that he was taken from us so suddenly, and so young. Our hearts shall forever ache at his absence.
The family would like to thank the staff at Southwood Hospice in Calgary for all of their care and compassion as well as the many friends and family that have offered us support. In honour of Glenn's giving nature, donations may be made to the CJD foundation at www.cjdfoundation.org to support research that will one day save someone's life, or to the Southwood Hospice. A Celebration of Life will be held at Foothills Centennial Centre (#4, 204 Community Way, Okotoks, AB., T1S 2N3) on Saturday, February 11, 2017 from 2:00 – 4:00 p.m.
Glenn Syrowitz 1953 - 2016
Jan. 5, 2017 - Glenn Syrowitz, beloved husband of Judie, passed away on December 2, 2016 at the age of 63 years with his loving family by his side. A devoted son, husband, father, brother, boss, uncle and friend, Glenn will be mourned and missed by so many people. His loss leaves a gaping hole in our lives. He touched so many, earning respect and admiration wherever he travelled.
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Lyrics Depot is your source of lyrics to Happy Tracks by Wanda Jackson. Please check back for more Wanda Jackson lyrics.
Happy Tracks Lyrics
Artist: Wanda Jackson
Album: I Wouldn't Want You Any Other Way
I know you've heard people say many many times
Don't pass through this world but once you'll get yours and I'll get mine
And I've got a philosophy I believe I'd rather go by
And if you'll just listen you may want to give it a try
Leave a lotta happy tracks as you go down life's road
Leave a lotta happy tracks everywhere you go
Leave a lotta happy tracks and keep this in mind
Others will have to follow in the path you leave behind
As you walk the tangle streets of life notice your fellow man
When he gets in trouble lend him a helping hand
Sow good seeds in your fields of life as you go along
Let others reap your happiness a long time after you're gone
Leave a lotta happy tracks...
Don't ever use a good friend for a personal game
To game wealth and lose one friend would only be in vain
Let your happy tracks be many leave 'em everywhere you go
Cause others will have to harvest each and every seed you sow
Yeah leave a lotta happy tracks...
Others will have to follow in the path you leave behind
Wanda Jackson Lyrics
Wanda Jackson I Wouldn't Want You Any Other Way Lyrics
More Wanda Jackson Music Lyrics:
Wanda Jackson - Blues In My Heart Lyrics
Wanda Jackson - Hello Darlin' Lyrics
Wanda Jackson - I Wonder If She Knows Lyrics
Wanda Jackson - I'm So Lonesome I Could Cry Lyrics
Wanda Jackson - It's Such A Pretty World Today Lyrics
Wanda Jackson - Why I'm Walkin' Lyrics
Wanda Jackson - Yakety Yak Lyrics


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Nasarawa State University, Keffi, NSUK first postgraduate admission list for the 2016/2017 academic session is out.
Latest Update: NSUK New Postgraduate Students Registration Procedure – 2016/17.
The Nasarawa State University, Keffi (NSUK), School of Postgraduate Studies, released the names of candidates offered provisional admission into it postgraduate programmes for the 2016/2017 academic session.
NSUK postgraduate admission list has been successfully uploaded on the university portal.
Check NSUK Postgraduate Admission List.
NSUK postgraduate admission list has been uploaded online in pdf format. It is accessible from HERE (link).
MSG Team congratulates all the candidates that made it to NSUK postgraduate admission list.


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|Message view
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|Glen <glenl...@model3.net>
|using James to queue outgoing mail and forward to another smtp server
|Thu, 10 Jun 2004 01:30:14 GMT
Hello James User List, I am managing 300 kiosks that has quite a robust notification system that uses email. The only hole in it is their must be a good internet connection to the central smtp server for the "robust" emails to go out. What I want to do is setup james on each of these kiosks to act as a local smtp server forwarding all mail to the "central" smtp server. This way it will queue when the network is down. I have looked into the docs and played with an installation but cannot find where to start. Can someone push/nudge me in the right direction? regards, Glen PS I also want to make sure that outgoing smtp services are "locked" down so the kiosks down become spam distribution points ;-) Please share ideas on how best to do this as well... --------------------------------------------------------------------- To unsubscribe, e-mail: firstname.lastname@example.com For additional commands, e-mail: email@example.com
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Welcome back all students to PE classes at Blessed Sacrament!
I am looking forward to seeing all students and excited to meet the students who are new to Blessed Sacrament this school year.
It should be a lot of fun playing games and performing activities that help develop skills and promote healthy physical fitness levels.
May God bless this school year
Mr. Ron Hiebert
Physical Education
125 N. Quentin Ave. Wichita, KS 67208 | 316.684.3752 | firstname.lastname@example.com


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Subject: Preparation Begins for Operation Black Eden
Major Richard Blake took custody of "Nellie" from SRPA NT at 0800 hours this
morning. He is transporting it to field headquarters in Cocodrie, Louisiana. Blake has
ordered that the two surviving Sentinels. Lieutenant Nathan Hale and Corporal Joseph
Capelli, accompany him on the operation. Lieutenant Hale has remained in a
medically induced coma since he was nearly killed in Iceland on May 17th. Dr. Malikov
has requested more time in order to complete the Zeta series of inhibitors that he
believes might reverse the transformation process that Hale has experienced. Dr.
Malikov claims he is very close to finishing the new series, but he may need two more
weeks before he can create sufficient quantities of the inhibitor to be used in the field
Without the new series of inhibitors, he believes Hale can survive approximately three
hours once woken up. After that, Dr. Malikov predicts he will become irreversibly
Major Blake has ordered that Hale join the operation on June 26th whether or not the
Zeta series inhibitors are ready. He estimates that the operation will either succeed or
fail in the span of four hours. Using Hale for the operation is a calculated risk but
Blake insists that it is the best chance we have for the operation to succeed.


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What a great pilot episode! I'm not sure I ever appreciated how good this pilot is. It really does a thorough job of introducing the prime players and setting up their relationships. It also establishes early on who the major political factions are and how they relate to each other. I always loved the political intricacies of DS9, something none of the other Trek series really had much of. Plus we get to go on a convincing emotional journey with Sisko that helps him close the door on one part of his life and open the door to another while setting things up for the series to move forward. Continue reading
- Chief O'Brien (1)
- Dax (1)
- housekeeping (2)
- Major Kira (2)
- Odo (2)
- Quark (1)
- Season One (16)
- Sisko (1)
- Uncategorized (1)
TagsAndrew Robinson Anne Haney aphasia B'Etor Brian Keith Camille Saviola disease Duras sisters Emissary Ferengi Fionnula Flanagan Garak Grand Nagus Zek John de Lancie Kai Opaka liveblog Lursa Lwaxana Troi Majel Barrett pilot episode Prime Directive Q Rumpelstiltskin symbiont Tosk Trill Vash Wallace Shawn


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The electronic age has offered many benefits to the fisherman. It has also, in some ways, done an injustice to the beginner and novice. They have been led to believe by simply pushing a button, dropping a probe, taking a reading and watching a screen that fish will easily be caught.
It must be realized that electronic fishing aides are great tools, which should be combined with a "natural" knowledge, and not magical devices providing a 100 percent success rate. This knowledge is developed over a period of time by observing what nature is trying to convey.
Nature's primary visual fish locators are birds, turtles, wind, current, sun, weeds, shoreline contour and bait. The following is a brief breakdown of the uses of each category.
The best birds to watch are the heron, gall, blackbird and crow. All of these can indicate the presence of bait. Herons are shallow water feeders that will lead you to active bait fish, or areas of dead or crippled bait where larger fish are feeding. If the herons are setting high above the water, or flying around, then chances are the bait is deeper, out of the area or holding tight.
Galls that are flying and diving will indicate active bait and feeding fish. They are good open area locators. If they are seen setting or bobbing around in the water, then look elsewhere.
Two shoreline scavengers are the blackbird and crow. They will be seen walking the shore feeding on pieces of bait.
Frogs and turtles
The frogs and turtles are excellent indicators of the warmest water areas in early spring. They will show a strong presence along a warm shoreline, giving an angler a prime area on which to start.
Later in the season, frogs can be a very useful tool. If there are many of them croaking, to the extent of almost wanting to shout "shut up," then often the fish are actively feeding. Also, if the frogs are holding tight to shore, especially if there is a water cover such as duckweed, then this may indicate that bass are active, and perhaps feeding on topwater lures.
Wind performs several tasks. It stirs the water, creates break lines and provides a current.
The stirring action will help water temperature change, wash out bait along a shore or weedy point, and provide clarity break lines.
Another type of break line is formed where wind rippled water meets calmer water. These can be excellent locations to use crankbaits and spinnerbaits.
Wind blowing parallel to a shore or through a gap in an island will provide a current. Areas with little or no natural current can benefit greatly from this occurrence, especially during hotter weather.
As mention with the wind, current can be a great benefit. Rivers are the primary fishing areas for locating natural current.
Current break lines are formed by anything breaking the natural flow. The edges of these can be excellent fish holders. I've done very well casting my catfish bait across these break lines, and allowing it to drift parallel to the break and just inside of the calmer water.
Any unusual currents, such as water from a drain tube or cutting through a land gap, eddies, and wherever food is being washed out are all potential fish holders.
While current can be important at any time, it holds more importance during hot weather. Fish will choose the cooler more aerated areas provided by current, over calm and stagnated water.
Warmth and light intensity are the two factors provided by the sun.
On a bright, sunny day in early spring or late fall, shallow areas along an open shoreline will warm, resulting in the potential for some great fishing. In the same respect, this open area could be too sunny and hot in the summer, unless there is a weed cover, at which time the sun would push the fish into the weeds.
Weeds are a very important part to fish life - being a major key to fish location. They provide oxygen, filtration, cover and a prime feeding area. For all of these reasons, never pass up weeds.
Shoreline contours
Analyzing a shoreline's contour will quickly provide an idea of a desired fishing location. For example, a sharp dropping shore will most likely indicate a sharp drop beneath the water, while a gradual sloping point should continue in the same manner out into the lake.
The same type of factors can be applied to river cuts, chutes and sloughs. Cut-away and straight up-and-down banks on an outward swing can indicate a hole, which could be a good catfish hideaway, or, if there are roots, an ideal place to flip a worm or jig for bass.
Everything mentioned so far has either been for locating or holding bait. This should be no surprise since the most important key to locating fish is locating their feeding area. As the late John Eastwold, of the Bull Shoals Lake Boat Dock, always said, "Locate the kitchen, and you'll find the fish."
The types of bait can vary, but the most important are bait fish (minnows, shad), crawfish, bluegills, and leeches.
Learning to watch for "natural fish locators," and analyze what is being seen is very important. Combining this with overall fishing knowledge, electronic aides, the proper selection and use of tackle, and as much time on the water as possible will greatly enhance your fishing success.


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Archive for June 18th, 2017
नातेसंबंध – ग्रह, रास आणि आजार (Medical Astrology)Published June 18, 2017 Spandane Astrology , Spandane Books , Spandane Medical Leave a Comment
Tags: Astrology, Diseases, Doctor, Hospital, Life, medical, Pain
'Spandane' means 'Vibrations of mind.' At times it is difficult to express this feeling in words. However I have made an attempt to place before you some thoughts which arose in my mind about the Life, People and Nature etc. in this website. Your Life should be like square meal. Your destination of 'Happiness' in Life will be your mind it self if you can manage to keep balance between your educational/occupational career, family, health and friendship.


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Reservations Office
If you would feel more comfortable discussing reservations by phone, or schedule an appointment for an off-season unit walk-through please call. We are happy to answer any questions that you might have as you consider your booking. The Reservation Office is available by phone year a round. Please leave a detailed message and we will return your call as soon as possible.
Seasonal PHONE HOURS
Spring; May 1 to June 7 - 9:00 a.m. to 5:00 p.m.
Summer; June 8 to August 22 - 8:00 a.m. to 7:00 p.m.
Fall; August 23 to October 27 - 9:00 a.m to 5:00 p.m
Winter Hours ~ Monday, Wednesday, Friday ~ 9 a.m - 5 p.m. MTS
Form more information on booking accommodations at Glacier Lodge in Estes Park, Colorado please see our Terms & Conditions.