text:
Claire has been active in general practice undergraduate and postgraduate education and research for many years, and has been extensively involved in health services research and reform since the early 90s. She was appointed to the Chair in General Practice at the University of Queensland in 2005, and in 2008 was appointed to the 12 member National Primary Care Strategy Expert Reference Group, the guiding force behind our first national primary care strategy. In the same year, she provided a commissioned paper for the National Health and Hospital Reform Commission on new models in primary care. Her description of the 'beacon' practice model, piloted at Inala Primary Care, was adopted as both the clinical prototype for the Australian Association of Academic General Practitioner's endorsed model for GP Superclinics, and the basis for UQ's successful $10 m Superclinic tenders. Inala Primary Care won RACGP Qld 'Practice of the Year' in 2009.
Claire is Clinical Director of two $ 2.5 m Centres for Research Excellence in Primary Care Reform - one from the National Health and Medical Research Council (NHMRC) exploring new models of integrated care between hospital and community, the other from the Australian Primary Health Care Research Institute (APHCRI), investigating the impact of researcher and end-user 'co-creation' on quality and models of care.
Her current primary area of research interest is in health system reform involving primary care, a topic on which she has published and presented internationally. Her MD Thesis was entitled 'Building an Integrated Health Care Delivery System around Primary Care'. With Inge de Jong, Claire co-authored "Achieving Effective Health Care Integration - the Essential Guide", a publication that sold over 1000 copies.
She was heavily involved in the development of Australian Divisions of General Practice in the mid-90s, and sat on a number of Divisional Boards. She is currently Chair of Metro Brisbane North Primary Health Networks, one of Australia's largest.
She is also a current Board member of the Hospitals Contribution Fund of Australia Ltd (HCF), Australia's largest NFP private health insurer. She completed her time as a member of the Queensland Clinical Senate in 2004 and is a current member of the Queensland Ministerial Clinical Advisory Council.
Claire is immediate Past-President of the Royal Australian College of General Practitioners and is an active clinician and GP trainer in part-time general practice in Brisbane. She was a 2014 finalist in the Telstra Business Women's, Business Innovation and Community & Government Awards.


text:
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DEATHGRIP puts the defining style of Brendan Fairclough with the progressive filmmaking of Clay Porter, slamming them together into an in-your-face, non-stop onslaught of race-pace action set against Planet Earth scenery.
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The conclusion of the Tour de France has seen Simon Yates officially awarded the white jersey for the best young rider in Paris.
The SCOTT Vanguard Jacket is a multi-functional jacket that combines a removable, flexible yet shock absorbing D3O® back and shoulder protector, a hydration system and storage options for nutrition, tools and valuables.
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subset: commoncrawl


text:
If a call object is added to the program, this
method can run on it. It is used to reject a call. A call can be rejected if a
phone is not picked up yet.
To use it first you need to register to the onIncomingCall
event. This is to make sure your webclient knows when it gets an incoming call.
If your webclient receives a call then the incoming function is called.
In that function you can reject the incoming call (Code example 1).
OzWebClient.onIncomingCall(incoming); //registers to the onIncomingCall event
function incoming(incomingCall) {
incomingCall.reject(); //rejects the call
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Artist Tom Hughes moved to Bristol 13 years ago, and was so struck by the city that it became a main focus of his work. "There was something about the mix of urban grit, steep hills, Georgian houses and the wonderful suspension bridge and gorge that hooked me," he explains. "I started painting outside on location in 2012 and Bristol served as a wonderful place to learn a new craft."
Tom adds: "I paint a lot in the Cumberland basin, which gives a wonderful view down the Avon Gorge and up to the suspension bridge. It looks good in all weathers and any time of year, serving up a huge variety of colours and light effects that I strive to capture in a single sitting. Heading up to the top of gorge and looking back at the bridge generally means having the sun in your eyes which is a challenging effect to capture."
Born in Colchester and raised in Oxfordshire, Tom initially wanted to be a professional snowboarder but "wasn't good enough". His second choice was to make a full-time living from his art. His career began as an illustrator before switching to painting when the "lure of oils became too much".
Tom exhibits regularly at the Mall Galleries in London and has been selected for numerous prestigious prizes, including the BP Portrait Prize, the Lynn Painter Stainers Prize and The Royal Academy Summer Exhibition. In 2014 he won the Benton Purchase prize at the Discerning Eye and in 2015 he won both the Smallwood Architects Prize at Royal Society of Portrait Painters and the prestigious critics prize at the New English Art Club.
"I've met so many interesting people while painting on location and subsequently seen Bristol from a new perspective," Tom continues. "Everyone stops to chat, from lawyers to the homeless, there's no demographic that is more or less interested than the other. I'm currently experimenting with some larger works of Bristol back in the studio, but still keep heading out to paint, as the practice has developed in to quite an addiction."
Find out more about Tom Hughes at tomhughespainting.co.uk. Or follow him on YouTube, where he shares loads of insightful videos, or on Instagram for behind-the-scenes goodness.


text: A good news is waiting for Kannada music lovers. Yes! If sources are to believe, melody queen Asha Bhonsle will debut in Kannada film. Mungaru Male producer E Krishnappa is reportedly in talks with the Bollywood singer for his upcoming movie Mathe Mungaru. Earlier, it was reported that Ashaji would make her debut through Pratap Gowdas Udyan Express, but it never came to reality.Asha Bhosle has sung in over 14 languages including Assamese, Hindi, Urdu, Telugu, Marathi, Bengali, Gujarati, Punjabi, Tamil, English, Russian, Czech, Nepali, and Malayalam. Bollywood singers like Udit Narayan, Sonu Nigam, Shreya Ghoshal, Kunal Ganjawala have created sensation in Kannada music industry. Now the question is, will Ashaji face an accent problem? "Truly No, say experts in the music industry.Producer E Krishnappa, who made history with Mungaru Male is now back with his next movie Mathe Mungaru. After a gap of one year, he is producing this movie. His last movie was Moggina Manasu, which received rave reviews and bagged five Filmfare awards.His debut movie Mungaru Male rejuvenated Kannada music industry with its melodious tunes. The combination of Mano Murthy, Jayanth Kaikini, Sonu Nigam has set a new records in the industry. It gave a new dimension to the music industry and took Kannada audios to the next level. Now Kannada audio market is growing step by step. It made Kannada movie makers to consider music as opportunity to raise the cine market. Every single movie started proving that it has something to listen.Music directors like Mano Murthy, V Harikrishna, Raghu Dixit have overshadowed the likes of Gurukiran and Hamsalekha. The Kannada audience, who like and appreciate originality (Swamake), are red faced about filmmakers and wondering that, Can this music revolution inspire Kannada script writers?


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Live Music at Old Town Tavern
Looking for something to do this weekend? "Night Owl" is a quick guide to special nights at bars and clubs around town. We'll give you a few hints re: cover, dress code, music and atmosphere. Saturdays mark Live Music at Old Town Tavern.
Dirty LIngo at Old Town Tavern in Scottsdale.
Ryan Wolf
Old Town Tavern is a bar with many faces. The cozy and rather cramped interior of the bar has a pub feel. The upstairs area resembles a fort or treehouse. The outdoor patio/alley has a much more open and relaxed vibe, which is perfect for enjoying a bucket of beer and listening to bands such as Dirty Lingo on Saturday nights.
The patio and outdoor stage at Old Town Tavern.
Ryan Wolf
The Place: 7320 E. Scottsdale Mall, Scottsdale, AZ, 85251
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The psychologist with a troubled past...
Dr. Christopher Kellan spends his days at Loveland Psychiatric Hospital, overseeing a unit known as Alpha Twelve, home to the most deranged and psychotic killers imaginable. His newest patient, Donny Ray Smith, is accused of murdering ten young girls and making their bodies disappear. But during his first encounter with Donny, Christopher finds something else unsettling: the man looks familiar.
The killer with a secret...
Donny Ray knows things about Christopher - things he couldn't have possibly learned at Loveland. As the psychologist delves deeper into the mysterious patient's case, Christopher's life whirls out of control. The contours of his mind are rapidly losing shape, and his grasp on reality is slipping even faster. Is he going mad, or is that what Donny Ray wants him to think?
The terror that binds them...
In this taut psychological thriller from Andrew E. Kaufman, best-selling author of The Lion, the Lamb, the Hunted, a tormented man must face his fear and enter the mind of a killer to find the truth...even if it costs him his sanity.
©2015 Andrew E. Kaufman (P)2015 Brilliance Audio, all rights reserved.
"If you're reading this run for the hills!"
A different narrator who did better impersonations and voices such as Kate Mulgrew, Michael Carman or Will Patton. That's as far as the narrator goes anyway.
Not use ridiculous similies "it was like swimming through crocheted sweaters" and that actually isn't the worst of them. This book is only worth listening to if in doing so you teach kids not to write like this.
Monotone deep voice initially, high pitched impersonation of females sounded like a comedian's impression. Very lack lustre and just made an awful book worse!
Scenes when he speaks to his child, we understand he loves him that's apparent first off but the indulgent conversations he has with him later on in the book simply aren't justified. This guy starts off talking to a "six/seven" year old in language you would deem appropriate, by the end the kid is responding like an adult in order to progress the story. It's just ridiculous.
I was so disappointed by this book, I thought it sounded awesome and it had rave reviews on goodreads (which has now gone in the favourites bin!) it's not twisty if you are used to dealing with surprise endings books and films. TBH it's seven hours of "oh i wonder if he is insane" followed by a remainder of "i've lost the will to live, i don't care if i am right or not" I will not put spoilers on here but I am just saying this is a guaranteed returned credit book
"you must ride this rollercoaster"
I love novels that take me on a mind-bending ride. Saying that, it is easy for me to notice the clues left by the author in books like this determine the "reality" the character has fallen into. Sometimes, they become so mundanely predictable, that by reading the last few pages, I know the story.

Twisted is so not one of those.

I wanted to know every single detail of the mind-trip on which Dr. Kellan finds himself. I mean, there's recognition of a murderer transferred to his psych ward, for crying out loud. What is up with that?

The characters of Chris, his wife and son are so developed as to transport me into the mind of Chris and welcome the wildness. Especially when people start disappearing.

Excellent narration kept me listening all through a day of work and made the drudgery of everyday life simply fall by the wayside as I mulled over where the end would take me.

Twisted is definitely a recommended listen.
"Mind Blowing!"
There was nothing to not love. The entire book was a mind blowing roller coaster ride that kept me on the edge of my seat the entire time.
"Good narration"
The narrator was good. It was a
A good "story" but not as suspenseful and exciting as I anticipated. Not bad
"Outstanding and riveting."
The narrator did an outstanding job of bringing the reader into the story.
Christophe Kellan. He is so passionate about saving his family and getting to the bottom of the conspiracy.
His voice was captivating and lively. He really drew me into the characters' feelings.
Yes, but I can't say without risking giving away the ending. I can only say it is when Christopher finally realizes what is going on.
This psychological thriller is chilling, interesting, and riveting. Don't hesitate to pick it up.
"Disturbing yet engaging"
This was one of the more disturbing books I've read or listened to in a long time. It took me for a ride that I wanted to get off but couldn't stand the thought of not knowing what happened. I would recommend this as a great "listen on the way to/from work" book though be prepared to be late for a meeting because you just have to finish that chapter as you sit in the parking lot.
"Good Read..."
Not really sure about this one...I liked it but it dragged at times . One thing good it made you think about the book days after you finished it, which is a good thing with a book!
"It's Ok"
Readable, w/ some engaging periods, but in the long run it lacks a little something... It does toss you about a bit, and the pace does pull you in early, but the tension waxed and waned for me... I appreciated the ending, even if fairly obvious early... The journey to that point has its moments, and there's some good flashbacking, but it also has its instances of corny and saccharin... Narration woulda been adequate if not for the grating and jarring nature of the female voices, and a little less so for the child's... I don't regret the read... There are better psychological thrillers, but many worse...
this book has alot of twist and turns... It had me eating popcorn like I was at a movie.
"Had already read it, and promptly forgot it"
Yes. I read this for free last year through Amazon Prime. Forgetting that, I bought the Audible version. Seriously, I was a quarter of the way through before I realized it was the same book. The performance helped, but not enough.
I recall guessing the "twist" about 1/3 of the way through the first time. The storyline, at times, is so turgid and at odds with how real human beings act that I was rolling my eyes.
It was not worth a re-read but I paid for it I was going to be blasted if I wasn't going to read it. The audible version helped but the kid's and the wife's voices were really jarring and annoying.
Without a doubt, one of the saddest stories I have listened to or read. I might have to listen to it again to get everything straight for a better understanding. Saying more would ruin it for the first time reader...
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You Are Here:Home/Today in Long-Term Care
When completing the MDS, timing can make all the difference, especially when it comes to signatures. A late signature can invalidate an entire section of the MDS, or more, resulting in noncompliance and survey citations. Are you or members of your team making these common signature errors?
1) Signing for the interview too late at Z0400
When it comes to MDS interviews (Cognition, Mood, Preferences, and Pain), the requirement is that Z0400 be signed on or before the assessment reference date (ARD). If Z0400 is signed after the ARD, the interview is not considered completed.
One common mistake is that although an interview is completed timely, the documentation and signature are not. If an interview is not completed timely, you need to then dash the items. If the interviews are completed timely but not signed off on time they would be considered invalid, which could lead to noncompliance and survey citations.
Time management when scheduling interviews is imperative, preventing tardy and invalid submissions. Not only must interviews be scheduled at appropriate times, they must be scheduled with enough flexibility that, if the resident becomes unavailable, the assessor can reschedule interviews and remain within the mandated time frame.
To prevent errors, there must also be very good communication between the interdisciplinary team (IDT) and the NAC. The NAC needs to communicate interview deadlines as established by the ARD to other departments responsible for specific interviews to ensure that an interview is not missed.
2) Confusion over who can sign Z0500
It is imperative that an RN who understands the resident assessment instrument and requirements attest to completion of the MDS assessment (item Z0500A.) The signature in that item must be of an RN – not an LPN. Although this is not a problem in most facilities on a good day, there are times when the RN might be out of the facility and an LPN, acting as a backup, thinks, "I'm just going to get this done and sign off because I have a deadline." Staff education about who can sign Z0500 is critically important. Educators should emphasize that under no circumstances should anyone other than an RN with an understanding of the Z0500 sign off on the MDS, communicating the negative implications if signed by an LPN, etc.
3) Signing off for CAAs at V0200B without reviewing first
Signing for the completion of CAA notes, V0200B, has the same deadline as the MDS completion. This item should be signed off by an RN, who in signing is verifying that the CAA notes have been completed by her and the IDT. In some cases, the RN does not have a full understanding of what he or she is signing for in validating the completion of CAA notes. Depending on the software used, as soon as any member of the IDT signs off on his section of the CAA notes, the item may appear as if completed. For example, the item may turn green or show a check mark. If the NAC sees this list of "completed" items and doesn't open each to review and verify that it is in fact complete, there is a greater likelihood that some sections will be missing information. Therefore, the signature attesting that these items are complete could be inappropriate. The RN signature and date at V0200B certifies completion of the comprehensive assessment. Every RN signing off for CAA notes needs to know what he or she is certifying , be familiar with the software, and give each section the diligence it demands. The date at V0200B2 should then be used to determine the date by which the care plan must be completed (V0200B2 + 7 days).
4) Signing for the care plan at V0200C based only on whether the decision has been made to proceed
When signing for the care plan decisions at V0200C, the signature indicates that the care plan decision has been made on or by the date signed. This may lead the NACs to assume that just having the care plan decision made during completion of the CAA note is enough to justify signing off on the care plan. However, the care plan decision should be made only after the decision has been made by the interdisciplinary team AND the comprehensive care plan is complete. The signature does not have to be the NAC or RN, the person(s) who facilitates the care plan decision making is able to sign the completion date.
5) Misunderstanding the timing and order of signatures for Z0400 and V0200B
When an IDT member signs off at Z0400, he is attesting that every item is completed accurately in the sections for which he is responsible. Ideally the completion of the CAAs would occur after all items on the MDS have been signed for at Z0400. The Care Area Triggers (CATs) are very dynamic and it's possible that the IDT members may not have all contributing factors, risks, or considerations from the triggers if the CAA notes are completed too early. This can lead to CAA notes that are incomplete or inaccurate. This may happen when, for example, an IDT member (such as a dietitian) works at multiple facilities and is only present to complete her sections on specific days. If early completion of the CAA is unavoidable, the NAC will need to review the CAA after the MDS has been completed and provide updates to ensure it is accurate and considers all causal factors. If the CAA note remains incomplete or inaccurate, it could result in an inaccurate or incomplete care plan.
It is important to remember that the care plan should be completed by the IDT—as a team working together—rather than in a multidisciplinary fashion whereby each team member writes his or her own section independently. When the latter happens, there tends to be a lot of overlap or missing information. Be sure that within your IDT, team members complete their respective tasks in collaboration with other team members to prevent unintended consequences.
Most signature errors are completely avoidable with some extra staff education and attention to detail. Even on a busy day, remember to keep clearly in mind what exactly it is you are signing for, and don't let it get lost in the shuffle.
For permission to use or reproduce this article in full or in part, please complete a permissions form.
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Are you ready to take your GED exam in Belle Chasse LA? The General Education Development examination is only given in pencil and paper format. Usually in order to sit for the General Education Development (GED) exam the test taker must be at least 17 years old. The General Education Development examination cost in the state of Louisiana typically varies from $40 to $90.
The GED test covers five tests: reading, writing, mathematics, science and social studies. Each test gives a score between 200-800. Most states require test takers to receive a score of 410 on each of the five sections and an overall average of 450 for the GED exam to pass.
Usually GED testing centers in Belle Chasse LA are offered at:
- Belle Chasse Independent School District
- Belle Chasse Community Colleges
- Belle Chasse High Schools
- Belle Chasse Adult Learning Centers


text:
Who do you think has the best singing voice? I like Dido's voice. My mom and dad, love John Denver. How about you all? What singer(s) do you think has the best singing voice?
POLL: Help decide the future of the forums
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Who has the best singing voice?
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Who has the best singing voice?Tags: None
Re: Who has the best singing voice?
I like female vocals best...
So, I'm voting for:
Fleming McWilliams
Utada Hikaru
And then also Enya's sister, Maîre Brenan is a nice heavenly vocal that I like even better than the more infamous Enya.-Tim
Re: Who has the best singing voice?
Oh and Julie Andrews too. Love Love Love ) I think I want to marry her singing voice back when she did mary Poppins and The Sound of Music. To bad her vocal cords got injured because of her singing .
Re: Who has the best singing voice?
You know, I must add Eartha Kitt, too. Dunno what it is about it -- I just love her voice.-Tim
Re: Who has the best singing voice?
I think Norah Jones has a absolutely Bewitching voice. Can't help but love it.
Re: Who has the best singing voice?
I don't care much for female singers. The few I like are pretty much from the 80's (Debby Harry, Dale Bozio, Pat Benetar), with the exception of Gwen Stefani.
For me a singer doesn't have to sing great... there has to be something in their voice that captures me. I've hear great singers who do absolutely nothing for me and then not perfect singers who just reel me in.
Anyhow, my faves have to be:
Dave Gahan
John Lennon
Bryan Ferry
David Bowie
Robert Smith
Michael Hutchence
David Sylvian
Stephen Christian
Robert Plant
Frank Sinatra
Re: Who has the best singing voice?
There are quite a few people with great voices. It does, however, depend on the style. Love Frank and Harry Connick Jr.. But I love Bono too. Different styles but neither can do justice to the other in the music genres.
As for female singer....Annie Lennox!Founding member of the B.A. I LOVE US!!
FratSor Sister-Delta Mu Chi Alpha ΔΜΧΑ"If all my friends were to jump off a bridge, I wouldn't jump with them, I'd be at the bottom to catch them"
I bring the magic!!!
Originally posted by Reverend DMotherGirl bonding is just so necessary. It's just as important as "me" time. A good girl bonding session leaves you feeling so refreshed. :love: I think of it as a NEED vs a want. There are just things that you need to talk to other women with. You may have the best relationship in the world with your husband, but there are just times you need your girlfriends. It makes for a healthier and happier you which makes everything else you do better.
Re: Who has the best singing voice?
Originally posted by Grumpy4As for female singer....Annie Lennox!
But such a difficult question, Diferrent voices are suited best for differnt music.
One I LOVE, that hasnt been mentioned yet-
Freddie Mercury.... Just Awesome.-----------------------------------------------
DISNEYLAND: Greatest Man-Made Place On Earth :thumbup:
YOSEMITE NATIONAL PARK: Greatest *GOD-Made Place On Earth :thumbup:
Re: Who has the best singing voice?
^Tool!! I also enjoy A Perfect Circle and Maynard's vocals.
I love the power that can be put behind Christina Aguilera, Mariah Carey, Aretha Franklin, Idina Menzel, Shoshana Bean, and many, many more. I'm not too into guy vocals that much."Tonight I wash my hands of you
You set the bar I could not live up to
Tonight the light is breaking through
So thank you very little and send me postcards from hell"
Re: Who has the best singing voice?
Dave Matthews, easy. And Nina Simone gets my vote as well.Looking for the truth about giraffes? http://www.menacinggiraffes.blogspot.com/
Re: Who has the best singing voice?
I always cringe when I see "Who is the best..." questions when it comes to the arts. It implies a competition and there are too many wonderful vocalists, musicians, artists, etc. to ever pick a best of anything."How old would you be if you didn't know how old you are?"
- Satchel Paige
Re: Who has the best singing voice?
Oh, I love Anthony Rapp. I don't know what it is, but he rocks my socks."Somebody need me too much; somebody know me too well. Somebody pull me up short, and put me through hell, and give me support for being alive. Make me alive. Make me alive! Make me confused; mock me with praise. Let me be used. Vary my days. But alone is alone, not alive. Somebody crowd me with love, somebody force me to care. Somebody let me come through, I'll always be there as frightened as you, to help us survive being alive."
--"Being Alive"
Company Stephen
Re: Who has the best singing voice?
Judy Garland
Frank Sinatra
Peggy Lee
Bing Crosby
Eartha Kitt
Mama Cass Elliott
Dean Martin
Julie Andrews
The Andrews Sisters
The Mamas and the Papas
Johnny Cash
Patsy Cline
The Sons of the Pioneers
Re: Who has the best singing voice?
For being such a pint size, I am always amazed at how Christina Aguilera can belt out the tunes. I also like Mariah Carey's voice...she has an incredible range!
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text:
Haunebu or Secret Aircraft Prototype is a non-playable aircraft that appears in Commandos: Strike In Narrow Path. It appears only in the mission Vertical Limit.
- It is based on Nazi UFO Haunebu I. However, it is inaccurate that the Haunebu project was just a test flight in real-life and not seen in the actual combat.


text:
The Landsharks Band was formed in Vero Beach, Florida in 1986 by Gary Roland.
After landing an audition at Disney World, Orlando, the band quickly became one
of the most sought after beach bands in the country and began playing shows
regularly in Disney and all over the world. At one particular show, in Key West,
Florida, Jimmy Buffett, a Key West resident, joined the band onstage.
After performing with the band, Buffett hired them on the spot to play as the
"house band" at his soon to be open Margaritaville Cafe, in Orlando, Florida.
The band performed at Margaritaville almost every night for two years and
Buffett joined them onstage several more times. Eventually, the band began
playing large concerts and left the house band job at Margaritaville.
The band began playing concerts everywhere, and began to travel the world. In 2003, the band was selected from 200 other bands to open up, in concert, for the Beach Boys, at an event that was attended by The President Of The United States. When the New England Patriots won the Super Bowl, the Landsharks played two of there victory parties! In 2008, the Landsharks played at The NASCAR 600 in Charlotte, North Carolina!
or Email Here!
You are Florida Band History seeker # to investigate here!


text:
This property is no longer available.Search for Available Property.
1.45 acres in Stone County, Arkansas
Building Lot for Sale near Mountain View Arkansas. This mostly wooded 1.45 acre lot is on a paved county road that adjoins the Ozark National Forest on the back side. There is an old house place on the property and municipal water is available making this a great place to build a hunting cabin or put an RV. Blanchard Caverns, the Famous White River, and Fifty-six City Park are only a short distance away. With a price of $10,000.00 this property wont last long.
Roasting Ear Road, Stone County, Arkansas
Tax Data (Show Tax Data)
Tax data is not available for this listing.
Contact the Seller for more information.
Other Land for Sale in Stone County
- Properties for Sale in Nearby Counties
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NOTE: The information contained herein is provided as general information only and has been obtained from sources deemed reliable. It is provided without any guaranty, warranty or representation, expressed or implied, made by Lands of America, or any related entity, as to the accuracy or completeness of the information. The information is presented subject to errors, omissions, change of price or conditions, prior sale or withdrawal without notice. Prospective purchasers should make their own investigations, projections and conclusions concerning the information.


text: Why distress from insomnia must be addressed Dr David Cunnington and Hailey Meaklim | 15 June, 2017 | 0 comments Read Later Insomnia is a common problem in general practice, with 13-30% of the adult population in Australia having regular difficulty getting to or staying asleep.1,2 Insomnia has significant consequences, with untreated insomnia leading to an increased risk of developing or exacerbating existing anxiety, depression, hypertension, and diabetes mellitus.3,4 In addition, insomnia places a heavy burden on the economy through impaired work productivity and an increased risk of road and workplace accidents. This comes at an estimated cost of $118.7 million to the Australian healthcare system and a further $1.5 billion in indirect financial costs, such as early retirement.5 Earn CPD Points: How to Treat - Insomnia While insomnia can be a lifestyle disorder (eg, due to the increased use of caffeine), for most people seeking help from health professionals, lifestyle factors are not the problem. Neurobiological models of insomnia show there are real changes in how the brain transitions from wake to sleep in people with insomnia, with research suggesting the prefrontal cortex and default-mode network are not switching off to sleep adequately.6 Principles of treatment Short-term sleep disturbances are quite normal for people to experience from time to time. This short-term dissatisfaction with sleep quantity or quality does not necessarily constitute insomnia. However, if short-term sleep disturbance is accompanied by impacts on waking function and distress, it is called acute insomnia. Acute insomnia tends to resolve on its own once the stressor or sleep pattern disruption is removed. However, for about 10% of the population these acute sleep problems become chronic, and persist even once the acute stress or sleep-pattern disruption has resolved.7 This is insomnia disorder, and is characterised by problems initiating sleep, maintaining sleep or awakening too early, and being unable to return to sleep for three nights or more per week, for three months or more despite adequate opportunity for sleep.8 In other words, people are not able to sleep despite their increased efforts and time invested in trying to do so. An important differentiation between sleep disturbance and insomnia disorder is the level of distress a person experiences when not sleeping well. People with insomnia disorder can become distressed and concerned about the negative impact of insomnia on daytime functioning, such as reduced performance at work, school or social interactions. The distress associated with insomnia disorder mediates the impact of the condition, hence a high level of distress is a central feature of insomnia disorder.8 Therefore, it is important to note that insomnia disorder is not just about the minutes of lost sleep; the level of distress experienced by the patient is very important to identify and acknowledge. As a result of the increased distress about not sleeping, a person with insomnia disorder develops unhelpful changes in how they think and behave around sleep, which perpetuates the insomnia and leads to conditioned arousal response towards sleep (ie, the bed becomes a place of being awake and frustrated, and not of restful sleep). Treatment for insomnia disorder, therefore, needs to address these unhelpful thinking and behavioural perpetuating factors, which sleeping medications alone do not do. Cognitive behavioural therapy for insomnia (CBTi) targets these underlying psychological and behavioural factors, and has been shown to be an effective treatment for insomnia disorder.9 In addition to producing sustained benefits for sleep quality, CBTi does not have the risk profile for tolerance or adverse effects that pharmacological treatments do, and thus is recommended as a first-line treatment for insomnia disorder by the American College of Physicians.10 Related: Insomnia therapy puts depression to bed GP intervention works a dream for insomnia Despite strong research evidence for CBTi, there are barriers to accessing this treatment, such as lack of trained clinicians and the high cost of treatment. Patients also need to be willing and able to actively participate in treatment.11 In addition, not everyone responds to CBTi, and it does not produce the rapid symptomatic relief of insomnia that pharmacotherapy does. Therefore, for some people with insomnia disorder, combined pharmacotherapy and CBTi may be a better fit than any single treatment, especially for those presenting with very high distress around the insomnia.12 here is also a role for ongoing pharmacotherapy if the patient is a non-responder to CBTi or if they have physical or mental comorbidities that may also be impacting on sleep, such as pain and dyspnoea, and/or adherence to CBTi. Non-drug treatment Once insomnia has become chronic, addressing lifestyle factors and providing sleep hygiene advice are usually not effective treatments.13,14 This is because sleep hygiene doesn't target the psychological and behavioural perpetuating factors of insomnia disorder. CBTi, however, is a multicomponent therapy that addresses unhelpful thinking and behaviour around sleep (see table 1).9 Table 1. CBT for insomnia Intervention General description Specific Instructions Stimulus control Set of instructions aimed at conditioning the patient to expect that bed is for sleeping and not other stimulating activities. Go to bed only when sleepy. If unable to get to or return to sleep within 15-20 minutes, leave the bed and go to another room and do non-stimulating activity. Return to bed only when comfortable enough to sleep again. Sleep restriction Limits the time in bed to match the patient's average reported actual sleep time. Increases sleep drive and reduces time in bed lying awake. Set strict bedtime and rising schedule, limited to average expected hours of sleep. Keep a fixed wake time regardless of actual sleep duration. Relaxation strategies Various techniques including breathing-focused relaxation, visual imagery and meditation. Practise relaxation techniques daily. In addition, take shorter relaxation periods (2-3 minutes) a number of times throughout the day. Cognitive therapy Identifies and targets beliefs about sleep that may be contributing to anxiety and distress about sleep. Changes thinking about and approach to sleep. Address unhelpful beliefs about sleep such as the number of hours of sleep needed each night, overestimating the power of sleeping tablets, underestimating actual sleep and fear of threats to sleep. Sleep hygiene education Emphasises environmental factors, physiological factors, behaviours and habits to promote sound sleep. Avoid long daytime naps. Exercise regularly. Maintain regular sleep-wake schedule. Avoid stimulants (caffeine and nicotine). Limit alcohol before bed. Keep bedroom dark, quiet, clean and comfortable. There is strong evidence from a recent meta-analysis to support the effectiveness of CBTi in patients with insomnia, and also when insomnia is present with other psychiatric and medical comorbidities.9,15 In addition, there is good evidence to support sleep restriction as a single component to improve insomnia, a change that can be easily administered in a general practice setting.16 CBTi typically involves 2-10 treatment sessions, often with a psychologist. Participating in CBTi involves better matching of the time spent in bed with the amount of sleep that is actually occurring (sleep restriction), and getting out of bed if awake (stimulus control). Patients also learn relaxation strategies to help calm their minds and bodies, and, importantly, they learn to identify and challenge unhelpful thinking and worries about insomnia (cognitive therapy). It is important to explain that CBTi requires the patient to be an active and willing participant in their own treatment to get the best results. Access to CBTi treatment is becoming more widely available in Australia, with treatment centres available in most major cities, and validated online programs also available.17,18 Patients can be referred to a psychologist for insomnia disorder treatment under Better Access to Mental Health for individual or group therapy. It is important to ensure the psychologist is proficient in CBTi, as CBTi-specific training is not currently widely taught in psychology training programs. Related: National survey reveals reasons for Australia's insomnia epidemic Meditation, not medication, for insomnia In recent years, other mind-body treatments have been shown, in small studies, to be helpful for insomnia. For example, a small randomised controlled trial of mindfulness-based therapy was found to improve sleep quality, when using mindfulness-based stress reduction on its own or combined with the behavioural components of CBTi.19 Other research has found tai chi to be helpful for improving insomnia in older adults and in patients with breast cancer and comorbid insomnia.20,21 Medication for insomnia Although non-drug strategies such as CBTi are the preferred approach, there are times when medications are needed. Not everyone achieves a complete response to non-drug strategies, and there may be comorbid health conditions that mean insomnia symptoms and sleep disturbance persist even after thinking and behaviour around sleep have been optimised.22,23 Unfortunately, none of the medications that are available for sleep are perfect, so it's important to understand the limitations of medications and not expect too much. The perfect sleeping tablet would: work quickly every time; last for 7-8 hours; allow people to wake up feeling refreshed with no carry-over effects; have no side effects; maintain its effect in the long term; and have no potential for addiction or dependence. However, no medication meets all these criteria. So in choosing a medication, the priority is to determine what is important to the individual, as different medications have different profiles. Some work quickly, but only last 3-4 hours, whereas others can take longer to work, but can help with maintaining sleep throughout the night. Medications commonly used in Australia to treat insomnia are listed in table 2. Table 2. Commonly used drugs for insomnia Drug class Examples Indicated for the treatment of insomnia Evidence for efficacy Benzodiazpines temazepam, nitrazepam, flunitrazepam Yes. For up to four weeks. Small, short-term randomised controlled trials showing efficacy.27,28 Benzodiazepine receptor agonists zolpidem, zopiclone Yes. For up to four weeks. Multiple randomised controlled trials and meta-analysis showing efficacy.24 Melatonin melatonin (Circadin formulation) Yes. In adults over 55 for up to 13 weeks. Randomised controlled trial showing efficacy in people aged 55 and older for 13 weeks.29 Dual orexin receptor antagonists suvorexant Yes. Can be used for ongoing treatment. Requires clinical review at three months to assess response and need for ongoing treatment. Randomised controlled trials showing efficacy to three months and safety to 12 months.30 Calcium channel alpha-2 delta ligands gabapentin, pregabalin No. Randomised controlled trial showing efficacy for four weeks.31 Anti-depressants amitriptyline, doxepin, nortriptyline, mirtazapine, agomelatine No. Low-dose doxepin (6mg) shown to be effective in a randomised controlled trial in elderly adults for four weeks.32 Atypical anti-psychotics quetiapine, olanzapine No. No published studies showing efficacy for insomnia.33 Antihistamines promethazine, doxylamine No. No well-conducted studies.34 Research on most common hypnotics (benzodiazepines, benzodiazepine receptor agonists or dual orexin receptor antagonists) shows that they: shorten the time taken to get to sleep by 15-30 minutes; give people 15-30 minutes more sleep per night; reduce the number of awakenings.24,25 These results are very different from what is sometimes expected from medications, and indicate that if people rely on medications alone, they may be disappointed. An additional difficulty in prescribing for chronic insomnia has been the lack of agents indicated for ongoing treatment. However, suvorexant, a dual orexin receptor antagonist, (registered in November 2016) can be used as an ongoing treatment with review at three months. Suvorexant works via a novel mechanism, antagonising the alertness-promoting neurotransmitter orexin. Because of this highly selective mechanism of action, suvorexant does not cause global CNS sedation, unlike medications that enhance the effect of GABA widely throughout the brain, such as benzodiazepines, and also has a low risk of tolerance and dependence.26 Summary Insomnia disorder is a common problem in general practice and has real impacts at both individual and societal level. Left untreated, insomnia disorder will not go away by itself because changes in neurobiological, psychological and behavioural factors and sleep hygiene and lifestyle modification are not effective in themselves. Effective treatment for insomnia disorder, in the form of CBTi, is now available in most major cities in Australia and also via validated online programs. Despite these advances in non-drug treatments, there is still a role for sleeping medications when people are acutely distressed and also when other comorbidities are present. Combined psychological and pharmacological treatment may be the most appropriate option for some people, and medications with safer risk profiles are now available to help people with insomnia disorder. Dr Cunnington is a specialist sleep physician and director of the Melbourne Sleep Disorders Centre. Ms Meaklim is a psychologist who specialises in sleep psychology at the Melbourne Sleep Disorders Centre. Disclaimer: Dr Cunnington has acted as a consultant to MSD, a manufacturer of suvorexant, and has received honoraria from MSD for giving educational talks on insomnia to health professionals. References on request. Insomnia is a common problem in general practice, with 13-30% of the adult population in Australia having regular difficulty getting to or... Sign up to gain full access to this article! The content on this site is only available to health practitioners registered to practice in Australia. Log InSign up for access Haven't signed up yet?Sign up now! Australian Doctor is FREE Breaking news for GPs Informative and relevant Sign up free Why not subscribe to our newsletter? Breaking news A daily must-read for GPs Delivered to your inbox Your details are safe and won't be shared to any third party companies. The article you've just viewed can count towards earning you CPD points. For CPD points CLICK HERE There is an issue with loading the CPD module. Please contact customer service here Related Articles Rethink fitness of mind in fit-to-drive 19 April, 2017 | 0 Case Report: What's causing Sam's stomach pain, insomnia and depression? 21 June, 2016 | 0 Case Report: What caused sudden illness in this otherwise healthy stockman? 31 May, 2016 | 0 collapse Join The Conversation There are 0 about this story View Comments (0)


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Secretary's Database Tool
Blendon 339 has released a free for all, Microsoft Access database utility for Lodge Secretary's to use. Titled Project Quills, this open source utility allows for templated meeting minutes entry and easy reporting on a variety of items relevant to a Lodge's management.
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Aloha! So…yeah. Been a while, huh? Well, it's been quite a ride for me these last couple of weeks. It seems that, in my last post, I failed to mention that I was promoted! I am now a supervisor! Go me! ALSO. My lump is completely benign! HOORAY! It's not cancerous! I have so much cause for celebration yet no real time to celebrate. But have no fear. There will be celebration in the near future.
Today, however, I have my recovery mani for you today. It's one of my favourite manis I've ever done and it's so simple.
One of the first things I did with my first pay cheque, aside from the boring adult stuff, was buy nail polish I'd been staring at for a week. Or three. Sexy In Sequins is from L'Oreal's stab at texture polishes. It's a very rich purple base with a WHACK of shimmer thrown in. Oh. My. GLOB. There are no words. I used two coats of "Sexy in Sequins" and then for my accent nail, I used three coats of Maybelline's "Gilded Rose". Which is another great polish that should get its own post *adds to the To Do list*. Expect to see that post in about three months, if I keep up with this schedule.
ANYWAY. After I added Gilded Rose, I slathered on the top coat and placed two black stud gems at the base of the nail. The gems were from one of Sally Hansen's new nail art kits that I got at Wal Mart.
Holy friggin crap. Can I have pants like this? Yes please. Like, NOW. Despite my complete and total lack of sobriety while doing this mani (RE: Percocets+studs=BAD TIME) I think it turned out really well.
Yes please.
Do yourselves a favour and buy this polish. Both of these polishes! NOW!
Thanks for reading!


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Ohio Rushpubliscums Reveal Their Increasing Desperationon September 5, 2012 at 1:14 am
I once praised Jon Husted. I even mistakenly believed that he'd actually try to play a little bit fair.
I know better now. Like all Ohio Rushpubliscums (save for a tiny sliver of their numbers, like the remarkable Mayor of Wilmington, Randy Riley,) Ohio Rushpubliscums are interested into holding onto their power at all costs. And if one of the things that helps them happens to be preventing Ohioans from voting, then the Rushpubliscum Party has no problem with that. They aim to discourage as many voters as possible from voting, by whatever means are necessary to prevent the voting from occurring. And no Court is going to stop Jon Husted from doing what the Rushpubliscum Party wants done.
Secretary of State Jon Husted has ordered county elections boards not to set voting hours on the weekend before Election Day until a federal appeals court gets to weigh in.
Last week, a federal judge sided with the Obama campaign and Ohio Democrats and ordered the state to open polling places on the three days prior to Election Day. Ohio Republicans passed a law last year that ended early in-person voting on the Friday before Election Day, and Husted issued a separate order prohibiting early voting hours on any weekend.
Attorney General Mike DeWine said he will appeal the ruling, so Husted wants county election boards to hold off in setting voting hours those last three days. Setting new hours while the case is still under review "would further confuse voters to set hours now that the court may change later," he said.
Husted is ready to take this all the way to the SCOTUS, so determined is he to stop Ohioans from voting. This tells me that things must not be as rosy here for Willard as Assmussen keeps insisting they are. Hopefully, Husted will be thwarted, because if he isn't, the rest of us surely will be.


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Members of the City Council are:
Back Row (left to right): Council Member TJ Thomson, Council Member Ben Quintana, Council President Pro Tem Lauren McLean, Council Member Scot LudwigFront Row (left to right): Council President Elaine Clegg, Mayor David H. Bieter, Council Member Maryanne Jordan
Phone: (208) 384-4422
Email the Mayor
Email the City Council
150 N Capitol Blvd
Boise, ID 83702
The Dry Creek Area/West Boise Foothills is one of the three priority areas identified for Foothills land preservation prior to the passage of the $10 million Foothills Levy in 2001. Polecat Gulch Reserve was created in 2003 with the acquisition from the Blessinger family of 120 acres of undeveloped open space followed by several other adjacent acquisitions in 2005, 2010 and 2012. The entire Polecat Gulch Reserve area totals 835 acres which includes 360 acres of BLM. It lies between Cartwright and Collister Roads. The city has allocated $3 million in serial levy funds for property acquisition in this area.
Dogs are only allowed on-leash in Polecat Gulch Reserve due to the sensitive nature of the plants and wildlife. Polecat Gulch Reserve area features 7.5 miles of trails that seamlessly cross BLM and City property. The mature vegetation on the slopes supports mule deer year round and a substantial population of Aase's onion, a rare plant found in the Boise Foothills.
In 2007, a trailhead parking lot off Cartwright Road was built with a $46,000 grant awarded by the Idaho Department of Parks & Recreation. There is currently a small 1930s home on the property where a caretaker lives. A new trailhead is now available at the end of North Collister.
Park is open from sunrise to sunset.
Smoking is prohibited in all public parks, including within 20 feet of the Boise Greenbelt, except in designated areas within Ann Morrison and Julia Davis parks and city-owned golf courses.
NOTE: E-cigarettes are not prohibited under the ordinances.
Unauthorized vehicles will be towed at owner's risk and expense. Boise Valley Towing at (208) 389-9707.


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Back in the Southie basement, and still battling the heat, Marc and Mindy reminisce about the lovely weekend spent at the Bunker with Marc's family.
Marc's "Herb Nugget" talks about the teaching our young ones to survive. Food, water, shelter, health.
The "Herb of the Podcast" is the Solidago spp, otherwise known as Goldenrod. Marc discusses the many uses for this classic urinary tract herb.
Mindy's "Backed by Science" article is: de Jong, et al. Occupational allergy caused by flowers. Allergy 1998; 53: 204-209. A full-length .pdf is available here. Mindy also discusses this commentary: Aronson SM. The origins of the sneeze: divine gift or mere goldenrod pollen. R I Med J 2014; 97(5):10-1. A full-length .pdf is available here. These highlight the controversy of the goldenrod vs. ragweed pollen in terms of causing allergies.
We talk about our "Wildcrafting and Homesteading Updates"! Marc is making a bug spray from hydrosols of lemon balm and sweet fern, mixed with witch hazel. The hydrosols were produced in our Oilextech Essenex 100 microwave essential oil distillation unit. We will let you know how the bug spray works! We talk about making rubber from natural latex and cordage from cattail leaves, amongst other topics.
The Worldwide Herbal and Foraging News articles for this episode are this one, this one, and this one. Rainwater catchment is now legal in Colorado, robots are picking apples, and a couple lives on a homemade off-grid island.
Enjoy these last days of the summer break! See you next week!
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Vakku Pookkum Kalam | വാക്കു പൂക്കും കാലം | Episode VIII - March 9, 2017
Meet the Diplomats: B&R Opens Another Dimension for South-South Co-ops - March 9, 2017
Li's Hong Kong remarks send strong signals for region's next chief, say analysts - March 9, 2017
Bold 'armless' women provides for her family - March 8, 2017
Israel uncovers online weapons smuggling cell in West Bank - March 8, 2017
Muhyiddin: We'll wait for the final version of Hadi's Bill - March 8, 2017
Sthree Sakthi Award 2017 Award ceremony Part I - March 8, 2017
Sthree Sakthi Award 2017 Award ceremony Part II - March 8, 2017
C D Sarawathi won Sthree Sakthi Award 2017 - March 8, 2017
Muhyiddin: Don't exploit diplomatic row for political mileage - March 8, 2017
Police arrest dozens after violent clashes in Venezuela
Dozens of protesters in Venezuela have been arrested after clashes with police in Caracas, the country's capital and largest city. It is unclear how many people had been taken into custody. A peaceful protest took place on Thursday calling for a referendum against President Nicolas Maduro, and ended without incident. But shortly after, scores of people faced off with authorities on a highway. Young protesters hurled stones and petrol bombs at security forces, which fired back with tear gas.
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- Mary Y Sun, Joseph C Woolley, +4 authors Pamela J Kling
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Gestational iron deficiency (ID) can alter developmental programming through impaired nephron endowment, leading to adult hypertension, but nephrogenesis is unstudied. Iron status and renal development during dietary-induced gestational ID (<6 mg Fe kg-1 diet from Gestational Day 2 to Postnatal Day (PND) 7) were compared with control rats (198 mg Fe kg-1… (More)
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Chronic thromboembolic pulmonary hypertension (CTEPH) is a subset of pulmonary hypertension caused by acute and recurrent pulmonary emboli. Pulmonary thromboendarterectomy is the treatment of choice, but 10-50% of patients are ineligible for this procedure. We describe the case of a 25-year-old, morbidly obese (228-kg, body mass index 83.5 kg/m(2) )… (More)
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PURPOSE Development of a combination antibiogram to identify combinations of antibiotics that have the highest likelihood of attaining one active agent in the empiric management of presumed Pseudomonas aeruginosa bacteremia. METHODS Patients with cancer and P. aeruginosa bacteremia from January 1 to December 31, 2012 were included in this analysis. The… (More)
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Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease of the pulmonary vascular bed that is characterized by elevations in the mean pulmonary artery pressure in the setting of perfusion defects on ventilation-perfusion scan, and subsequently confirmed by pulmonary angiography. CTEPH, or World Health Organization (WHO) group 4 pulmonary… (More)
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Emily Charlesworth talks to Karen Morrison about her outfit choice
Karen Morrison, 54, from Crook, Studying Foundation Diploma at Kendal College, specialising in photography.
Karen is wearing a loose fitting grey cardigan, an abstract print scarf, a burnt orange corduroy tunic, grey leopard print leggings with knitted socks and wool topped ankle boots.
She said: "I'm not really a follower of fashion but I am normally drawn to the colour of clothes and or those things that instantly appeal to me.
"My tunic is from TOAST and the colour is one of my favourites.
"The cardigan and leggings are both from Marks and Spencer and my socks are from Falke.
"My scarf is from Liberty London which includes the colours from the rest of my outfit and brings all the elements together."
Karen added: "I work in sales within the design industry, delivering new collections to designers.
"In my spare time I enjoy photography which I am studying at Kendal College, cookery, reading and felting.
"My work is often very design led which is where my interest in colour comes from."


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Accession Number : ADP007919
Title : Laser-Induced Deposition of Amorphous Silicon: Relations between Chemical Processing and Performance,
Corporate Author : HEIDELBERG UNIV (GERMANY F R)
Personal Author(s) : Hess, Peter
Report Date : 22 MAY 1992
Pagination or Media Count : 2
Abstract : Hydrogenated, amorphous silicon (a-Si:H) is of great interest for thin film devices used, for example, for the transformation of photon energy and as semiconductor material. Important applications are thin film solar cells, thin film transistors for liquid crystal displays, photoreceptors for electrophotography and laser printing and image sensors. To improve and optimize the properties of the material for specific applications it is necessary to control the formation of the three dimensional network during the solidification process (bandgap engineering). Incorporation of hydrogen into the network reduces the density of defects near the middle of the bandgap (gap states) . For optimal performance a specific binding configuration should be realized. Distortions in the metastable silicon network, especially in the bond angle, are believed to be responsible for the tail states at the bandgap edges.
Descriptors : *PHOTORECEPTORS, *LASER PUMPING, *PHOTOCHEMICAL REACTIONS, *DEPOSITION, CELLS, CONTROL, ELECTROPHOTOGRAPHY, ENERGY, LIQUID CRYSTALS, MATERIALS, PHOTONS, SEMICONDUCTORS, SILICON, SOLAR CELLS, THIN FILMS, THREE DIMENSIONAL, TRANSFORMATIONS, TRANSISTORS, GERMANY.
Subject Categories : Radiation and Nuclear Chemistry
Distribution Statement : APPROVED FOR PUBLIC RELEASE


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A Chat with Lovely Locks
What services does your business offer and what makes your business stand out from the competition?
We have over a decade of experience transforming looks and beautifying our clientele.
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The smiles on our customer's faces when they see what a little color and cut can do for them.
What is the best reaction you've ever gotten from a customer?
"This is the second time in a row that people at my job have complimented me on how nice my hair looked, both times were the next day after she colored and cut my hair." "She is so awesome and always does exceptional work." "Never got so many wonderful compliments with the person that did my hair before I found Kate."


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Values such as transparency and integrity must be respected by companies so that young people can learn by example and help spur growth, Her Excellency Reem Al Hashimy tells business forum
Young people today need role models who are committed to transparent business so that future generations can help spur job creation in a responsible way, Her Excellency Reem Al Hashimy, UAE Minister of State advised at a recent event in Dubai.
Organised jointly by Pearl Initiative and UN Global Compact, the event raised issues of integrity in business and its impact on future competitive growth and sustainable development in the Gulf region.
Boosting the number of jobs is a hot topic in the Middle East and Gulf regions where youth unemployment reaches up to 30 per cent in some countries.
"If we want mature, responsible, thoughtful people tomorrow, then we need to provide them with positive role models today," Al Hashimy told an audience at the inaugural Corporate Accountability Matters Forum in Dubai. "We must help them to understand and absorb proper values, respecting their rights, the law, social responsibility, and honesty.
Failure to do so would harm all our futures, she added. It is not just sensible but also makes "sound business sense."
Some 500 business people, government representatives and young people attended at the Dubai World Trade Centre.
Transparent companies which adhere to sound financial, social and environmental principles, are more successful in the long run and therefore a key driver of economic growth and jobs, several panellists agreed.
If we want mature, responsible, thoughtful people tomorrow, then we need to provide them with positive role models today
Badr Jafar, an Emirati business executive and social entrepreneur who founded Pearl Initiative, said: "Corporations have an unwritten contract with their stakeholders, which is value creation.
"In the GCC we can expect our workforce to grow by 4 per cent each year, meaning that by 2020, the region will need an extra 3 million jobs for Gulf nationals entering the job market. We know we cannot, and we should not, expect our governments to employ all these people. The only sustainable solution is to have healthy companies generating jobs and strong economies providing opportunities."
Pearl Initiative, developed in cooperation with the UN Office for partnerships, was set up in 2010 and is a not-for-profit organisation led by the private sector. The voluntary network of businesses works across the Gulf to share best practice in transparency, accountability and good governance.
"All of us are determined that through global events like Expo 2020 and this important gathering today, we can promote the themes [of mobility, opportunity and sustainability] and provide the launch pad for us all as we use the words – and the thoughts that lie behind the words – to catalyse our thinking and crystallise our philosophy of collaboration, invention and discovery," said Al Hashimy, who is also director general of the Expo 2020's bureau.
The forum also launched a new study, 'Women's Careers in the GCC – the CEO Agenda'.
Lubna Qassim, group general counsel at Emirates NBD bank, said that greater diversity – including more female representation – among the higher echelons of business improves corporations' performance and competitiveness.
More than 60 per cent of women surveyed said they aspire to reach a senior or board level position in the next seven years. Still, some 80 per cent feel they are disadvantaged in the workplace because they are female.
Improving flexibility at work, getting CEOs to visibly support women and more mentoring for female employees would help the push to increase the number of women in senior positions, the study concluded. The Pearl Initiative report polled 600 senior businesswomen across the GCC.
"The challenges we're facing today are not exclusive to Gulf companies," Qassim told Vision. "From a global perspective, the lack of confidence of men in women is still a challenge."


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TRON: Legacy (2010)
The Game Has Changed.
Rating: 6.9/10
Action, Adventure, Sci-Fi, Thriller,
Jeff Bridges, Garrett Hedlund, Olivia Wilde,
The Big Lebowski (1998)
Times like these call for a Big Lebowski.
Rating: 8.2/10
Comedy, Crime,
Jeff Bridges, John Goodman, Julianne Moore,
True Grit (2010)
Punishment comes one way or another
Rating: 7.8/10
Adventure, Drama, Western,
Jeff Bridges, Matt Damon, Hailee Steinfeld,


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0 minutes to read
Hi gang. Did you come here expecting #Chucklemums?
Your usual hosts are Fran (Whinge Whinge Wine), Sarah (Mumzilla), Beth (Beta Mummy) and me, Sam. But I'm having a cheeky* week off, so please follow the links to hit up the other hosts with your linky link links. I'll be back with you next week. Byeee!
*Nothing cheeky about it actually. Just a week off innit bro.
Please copy the code below to display our beaut of a badge on your post.


text: Dolce & Gabbana Men's RTW Fall 2011 Domenico Dolce and Stefano Gabbana presented a youthful collection that was textured, body-conscious and experimental in its shapes, proportions and fabrics. IsSixWeeksAfterFashionWeek = false WWD Staff Share This Article Reddit LinkedIn WhatsApp Email Print Talk Galleries Celebrity Collection roadblock = false You're missing something! SUBSCRIBE NOW Collections Companies Fashion Season Types Fashion Season Years Fashion Show Cities Fashion Show Topics Fashion Shows Issues & Publications People People & Companies regions Share This Article Reddit LinkedIn WhatsApp Email Print Talk load comments blog comments powered by Disqus


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ngamer3k, post: 4669148 wrote:Also, through a failure to communicate and lack of listening, there's actually stuff going on at that place in Ames tomorrow starting around 6. I'll probably be there but not sure, so yeah. FYI even though all of you will not be there. I can see the future.
Grog, post: 4669141 wrote:SB still up in the air for me, my first day of work is on a Thursday Sept 23rd, I'm not allowed vacation for the first 3 weeks which will be right at SB, so we'll see.
Sounds good. Where's the venue and what's it like?DTJB, post: 4669158 wrote:Been a while, I've got an update for you all about doing a tourney here in Dub-Town. As far as a date, the people over at the venue are leaning towards a date in mid January. I'm fine with this but I was wondering if anyone here had a preference for a later date like sometime in the spring (April or so) like we've done in the past. As far as tourney fees, the guys want to do a venue fee of $10 with $5 being the fee for each game. Does this seem reasonable? I forget. Even with the tournaments I've been to I can't remember what's right or not.
Thinking about what games to run; Super 4, T6 and 3rd Strike are definites. Tell me what else you want.
Have you guys already registered and reserved a hotel?Quadcore, post: 4669161 wrote:Whats up, figured id stop lurking around and actually post. Im heading up to SB along with Link
LUCYM0N0, post: 4669166 wrote:My Xbox just RROD'd again.
jubatuba, post: 4669168 wrote:Grog, I thought you didn't play on XboxLIVE? :P
GGPO seems pretty sweet, but I am just so terrible at ST
Kamig, post: 4669165 wrote:GG grand finals were pretty neat.
I also watched BB grand finals, and I was shocked to see a tao win the last match against a bang.
Saw a bit of the KOFXIII semis too, and there was K' on every single team I swear.
MURPHAGATOR!, post: 4669138 wrote:Now having semi-regular Thursday casuals in Ames. Full address is: 3022 Wessex Drive Ames, IA 50014. You take the second right after entering the complex. Show up anytime after 6 pm. I'll try to keep first post updated if it's not going to be held that week.
Kamig, post: 4669177 wrote:Wow that venue looks amazing. What part of it are we going to be in? I'm guessing the "Arena" because of all the open space. Whenever you get details worked out for the tourney/post the thread, we should try to promote it hardcore and get more out of staters interested in going.


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