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Lance Armstrong, based on the testimony of more than two dozen people, including numerous former teammates, was at the center of an expansive doping program, according to the United States Anti-Doping Agency (USADA). The organization is scheduled to release its findings Oct. 10 and it will detail testimony from Armstrong's former teammates on the U.S. Postal Service team. Armstrong won ... Read More »
Tag Archives: Lance Armstrong doping
Jonathan Vaughters outs Garmin-Sharp riders as dopers on cycling forum
Jonathan Vaughters, CEO of the Garmin-Sharp team whose veteran rider Christian Vande Velde last month won the USA Pro Challenge in Colorado, is now seemingly talking at free will about pro cycling's doping problems — including outing current members of his team. Last month, about one month after denying several members of his squad provided testimony to the USADA in ... Read More »
Phil Liggett questions USADA motives in Lance Armstrong radio interview
Phil Liggett has been around cycling for more than 50 years. He was an amateur competitor, a print journalist and he's reported on the Tour de France as a broadcaster for 40 years. He considers Lance Armstrong a friend and they have a business relationship. Liggett, of course, is the preeminent cycling broadcaster for North America viewers of the Tour ... Read More »
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$ 32.99 $ 16.99
Lil Dragon Blocker by Century karate taekwondo martial arts c1057
Century, LLC $ 19.98
Century, LLC $ 19.98
Lil Dragon Blocker by Century karate,taekwondo martial arts NEW! c1057
Featuring a 12-inch blocking surface and 17-inch overall length, this training tool is great for working with your Lil' Dragon® on their strikes. Composed of 200 denier nylon with a convenient cord attachment.

subset: commoncrawl


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Nokia is taking the U.S market seriously this time; right now, they are getting ready to unveil their "portfolio of Windows Phone devices" in the U.S by early 2012–devices that have been designed with the U.S market in mind in Sunnyvale, California. But Nokia knows that hardware alone will not suffice in the American market, it is clear that the consumers here in the U.S want massive app catalogs to seal the deal when buying a new smartphone. Nokia knows this, and in order to strengthen their app offering through Windows Phone, they have just posted a job offering for a "developer evangelist who serves as the voice of developers inside of Nokia." The focus of this job is to work with Windows Phone
developers to "deliver unique and creative" apps to consumers, while maintaining a sustainable profit for developers. The position is being offered in Sunnyvale, California. You can read more about it here: Nokia Careers.
The position will be part of Nokia's Developer Experience team. The team's goal is to engage with developers through "world-class developer outreach programs," as well as providing technical support services to enable developers to efficiently design and distribute applications for Nokia Windows Phone devices. They make sure that developers have everything they need in order to create the next best-seller app for Windows Phone.
Hopefully we'll see more of Nokia's U.S strategy in the near future.
Via Cnet


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Make Certain You Will Discover A Lot More When It Comes To Your Property's Roofing Today
Many home owners will not give lots of thought to their own roof until there is a problem. Regrettably, this may end up costing them a large amount of money in repairs, most of which could have been averted if they had taken the time to find out more about their rooftop and also in order to make certain it's in good condition. With a number of homes, the rooftops could have only small issues, but will not be repairable. This is something they are going to wish to learn about in advance so they can save up for a new rooftop or perhaps have one installed well before the concerns arise.
Home owners that don't know very much with regards to their particular roof or perhaps who would like to have it inspected could contact a Roofing Expert for help. The roofing contractor will be able to look at their roof structure and inform them if there will be virtually any problems. For a lot of Georgia property owners, issues might not even include damage to the roofing. It may just be a problem of which asphalt shingles they'll have on their particular property. In case they will have Atlas Chalet roofing shingles, for instance, they could learn the roofing shingles have been discontinued and therefore are no longer available to purchase. This means that in case there's just about any problems with the roof structure, they will not have the ability to repair it. They are going to have to totally replace it instead.
A house owner with these types of roofing shingles might desire to speak with the expert with regards to their own possibilities. For example, if perhaps the rooftop is already damaged because of an issue that would normally be included under insurance coverage, they might have difficulties convincing the insurance carrier to replace the complete rooftop. The expert could help them along with the Roof Insurance Claim and may help encourage the insurer to fund a whole replacement as opposed to just funding the price of the repairs and forcing the property owner to cover the remainder required to be able to replace the asphalt shingles.
In case you don't know a lot regarding your roofing, it's a good suggestion to have it examined right away. You may be in a position to understand much more concerning your roof before you have just about any problems and also in the event there are any kind of problems they will be spotted before they turn out to be worse. In order to discover a lot more with regards to your property's roofing, make sure you contact a Local Georgia Roofer right now.


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First, sorry for the bad English...
Ok, so this is me... i wanna know what you guys think because i have low self-esteem, i mean, sometimes i feel beautiful but other times i feel i look like shit lol... and i never had guys showing interest on me, they never aproach me, i've notes before maybe two or three guys looking at me but they never said anything. :( I know my personality doens't help too, i never show my feelings or give the first step to get someone to know me, and im very shy :(
other thing, can you guess my race or where im from by my look? :pthis photo was taken about a few months ago
this one in 2013 summer
and this one, last week
Most Helpful Guy
I think you look very pretty. Above average. Maybe the guys have a fear of rejection from you. Based on your personality or other signs making them think that you are already taken. If they don't approach you then you should approach them. Start chatting. Get to know each other. It will make you and others feel more comfortable taking the next step.00|00|0
Most Helpful Girl
Seriously, stop waiting for guys to approach. Nobody will think you're desperate or easy. Guys are scared. Girls are scared. Everybody is scared, and they just sit around looking sad. I wasted years with that old mentality. Put yourself ahead of the game.
Next time you're in a fast food place, walk up to the table with that hot guy. 'Hey, what you eating? That looks good, i think umma order that.' We're girls. We can strike up conversation about anything. If you give him a decent opening, and hang around keep joking and stuff... trust me, he'll eventually ask for your digits, facebook or email.
I tried this with two guys in McDonalds, and they said they were eating Bojangles. Laughter ensued and I sat nearby with four older ladies, and said random stuff here and there. Later, the hotter one (in front of everyone) ended up asking me for my facebook. I was so shocked.
You're really pretty. Nuff said. That hair outta really grab their attention.00|00|0


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Make the perfect shrimp scampi without standing by the stove to cook it. In just 20 minutes you'll have a meal that you'll never guess was easily baked!
With lent now in full swing, we're always looking for delicious meals to mix up our normal Friday pizza night.
Although I love to cook, having three young children doesn't make it easy to whip up a complicated recipe, especially during the week. So I am always on the lookout for ways to make those complex recipes more mom-friendly.
I love shrimp and anything scampi has always been one of my favorites…I can never get enough garlic!
But when I think of scampi I envision standing by the stove, mixing in a few ingredients at a time, and keeping a careful watch so nothing cooks too quickly or burns. Enter my family and that can be a disaster! Haha!
I need easy – easy and delicious!
How to Make the Perfect Shrimp Scampi – Bake it!
Baking has come to the rescue more than once for yummy meals and side dishes around here. I just love the simpleness of prepare, bake, and wah-lah!
I have to admit that I never thought of baking shrimp scampi until I came across this recipe, though.
This oven recipe makes the perfect shrimp scampi for those of us who just don't have time to stand by the stove to cook. In around 20 minutes you'll have a delicious shrimp scampi that you'll never guess was easily baked 🙂
- 1 - 2 lbs 16-20 ct raw shrimp (peeled with tails left on)
- 4 tablespoons butter
- 1/2 cup fresh lemon juice
- 4 cloves of garlic (minced)
- 1 teaspoon course salt
- 1 teaspoon cracked black pepper
- 2 teaspoons dried oregano
- 3/4 cup olive oil
- Preheat oven to 350 degrees.
- Thaw shrimp if frozen and peel, leaving tails on. Spread shrimp in 13 x 9 baking dish.
- Prepare sauce by mixing lemon juice, garlic, salt, pepper, and oregano until salt crystals have dissolved. Stir in olive oil.
- Pour sauce over shrimp in baking dish. Place butter slices on top of shrimp.
- Lightly season on top with additional salt, pepper, and oregano. You can also season with dried parsley and paprika for color if desired.
- Bake for 10 minutes or until shrimp are cooked - the exterior should be pink with red tails and the flesh will be slightly opaque and a little "white" in color.
- This recipe will make enough sauce for up to 2 lbs of shrimp.
At the same time I bake the shrimp, I roast the broccoli in the oven (just drizzle with olive oil and season with salt, pepper, and chopped garlic) and boil the angel hair.
No part of the meal requires more than a few minutes of attention so you'll be able to get a delicious meal on the table quickly while taking care of your other mom duties 🙂
Have you found an easy way to make the perfect shrimp scampi? I'd love to hear what you think of this recipe!
Don't miss these posts…
Beer-Boiled Crab Legs with Old Bay Garlic Butter
A Delicious BBQ Shrimp Recipe for Tonight's Big Game!
4 Simple Tips for Successful Meal Planning on a Budget
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I have a new theorem that explains the mysteries about why the explosion of Jughead didn't seem to have an effect on the island and a bunch of other things.
According to Lost, people having near-death experiences (including near-death experiences that end in actual death) flash between a sort of "afterlife" and the "real world." We know this because:
a) Charlotte Malkin supposedly died and when she was between worlds, spoke with Eko's brother Yemi.
b) As Juliet was dying, she muttered "We should get coffee sometime," "We can go Dutch," and thought, "It worked." We can assume this was because her consciousness was flashing between two realities: our reality and the flash-sideways, where she said these same lines to Sawyer at the vending machine in "The End."
c) (This is speculation) When Desmond turned the fail-safe, his consciousness went to the flash-sideways. I believe that this whole thing--waking up covered in paint, being in London, etc.--was the same universe as the flash-sideways because he got there in a similar fashion (exposure to electromagnetic radiation from turning the key--like being put in the electromagnetism chamber by Charles Widmore in season six) and just as in the flash-sideways, little things gave him deja vu, reminding him of his life on the island: hearing Penny say "It's not the end of the world," hearing the numbers, and seeing Charlie all gave him flashes of his real life just as, in the flash-sideways, seeing Charlie in the sinking car reminded him of "Not Penny's boat." Or maybe that's just the nature of any sideways consciousness, not just the afterlife. Anyway, the previous two examples still hold true.
Now, if Jughead's detonation really did cause what we knew as the incident, and everything that happened (the Losties crashing on the island in 2004, etc.) was a result of that, where was the bomb damage? The fallout? The residual radiation? And if the bomb was the incident, it must have opened up a damn big hole in the electromagnetic energy pocket--how would the Dharma Initiative be able to go in there and patch it enough to build the Swan? My conclusion is that Daniel Faraday was right when he said that humans are the variables and we can change the outcome of events. By deciding to set off the bomb, the Losties created an entire new timeline--a parallel reality--the flash-sideways. This is why the island was sunk in the flash-sideways. Because of the bomb. So flash-sideways Faraday was also right when he theorized that he had created this universe by setting off a bomb.
Or perhaps the flash-sideways timeline existed before they decided to set off the bomb. When the Losties time-traveled to 1977, they weren't actually in the past of their timeline: they were unknowingly in the flash-sideways. This is why:
The End/Theories goes into detail about how Eastern philosophies govern the show. Therefore, we shouldn't think of time as a straight line with past, present and future. So then how can you travel to the past? You can't! The Losties weren't in 1977; they were in the flash-sideways timeline.
When Charlotte Lewis was dying in Daniel's arms, she muttered a bunch of things that we assumed were a result of her temporal confusion: "Turn it up, I love Geronimo Jackson" was one. "You know what my mum would say about me marrying an American" was another. Then she said she thought she remembered Daniel from her childhood, and said "I'm not allowed to have chocolate before dinner." I think that these weren't temporal flashes. They were the same thing as "We can go Dutch"--her flashing between flash-sideways and our world as she was dying. It was the same flash-sideways we saw in season six, but thirty years earlier. She was recalling seeing Daniel when she was a little girl in the flash-sideways universe and Dharma was evacuating the island. As Charlotte was dying, she mistook this for her past. But it was the same world in which Oceanic Flight 815 landed safely in Los Angeles after flying over the sunken Island. Charlotte, as well as Ben Linus, never returned to the island because right after they evacuated it was sunk by Jughead. And as an adult in the flash-sideways, sometime after our Losties had moved on in the church, she started a relationship with Daniel Widmore and eventually told him "You know what my mum would say about me marrying an American."


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Minutes: October 29, 2013
Diversity Committee Minutes
10-29-13 Meeting Goal: Committee Welcome and Mission revision
Presentation: http://prezi.com/2kypsavtg6s0/?utm_campaign=share&utm_medium=copy
Hopefully the first weeks of school have gone great for you, and for those community members who aren't in education I wish this email finds you well. I would like to invite you to participate in the 2013-2014 Allen ISD Diversity Committee. Dr. Zoeller has asked me to help organize and continue the great work that many of you who have been a part of the committee in the past have started. It is our objective to continue the diversity committee's work to ensure that the district is meeting the needs of all its culturally diverse students. Our goal is to meet quarterly throughout the school year on the following dates to discuss topics that address our objective.
Meeting Dates:
October 29th
December 10th
February 25th
May 13th
During the meeting we highlighted the past committee's goals and accomplishments and came up with this year's goals. Other goals that were discussed but we felt needed to be implemented more long term or could be addressed/aided by this year's goals were:
- Increase the number of minority teachers, administrators, principals, and auxiliary staff across the district
- Develop an accountability protocol for hiring and diversity based goals
· Hire a director of diversity for the district in charge of recruitment and diversity needs
Thank you for joining us as we continue our work to maintain Allen ISD as an inspiring learning environment for all students.


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Congratulations to Assemblyman Joe Pennacchio of the 26th District. He has introduced Assembly Resolution 214 urging Congress to restore, and to promote the intended symbolism and meaning of Memorial Day by changing the day of its observance back to May 30th.
Assemblyman Pennacchio stated, "I feel it is up to us to restore the dignity of such an honorable day, generation to-generation." Thank you, Assemblyman Pennacchio, it could not be said any better.
Every citizen of this nation; right now, today write to you Representative in the United States House of Representatives; and every member of the Senate, to say YES, to Assemblyman Joe Pennacchio's Assembly Resolution #214, restoring Memorial Day back to May 30th. Senator Inouye, has already introduced into the Senate 5.61, a bill to restore Memorial Day to May 30th. Flood Washington D.C., with yes letters.
It is fitting and appropriate for Congress to restore Memorial Day back to May 30th. With your help, Congress will do it. Let them hear from you!!!
Montville Memorial VFW


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Disclosure of Material Connection: I received one or more of the products or services mentioned above for free in the hope that I would mention it on my blog. Regardless, I only recommend products or services I use personally and believe will be good for my readers. I am disclosing this in accordance with the Federal Trade Commission's 16 CFR, Part 255: "Guides Concerning the Use of Endorsements and Testimonials in Advertising."
Red Carpet Manicure offers beautiful nail lacquer. Gina's Library of Reviews is happy to share this review with you.
The Red Carpet Manicure company is committed to develop the finest quality manicure & pedicure products.
World renowned celebrities in the industry are wearing Red Carpet Manicure. The company stands behind their products. They offer you a money back guarantee if you do not love their products.
For my review I've received 6 different products. I received the Red Carpet base and top coat. I also received 4 different shades of nail lacquer.
The shades I received are: Swaggin which is a hot pink with glitter, Anxious with Anticipation which is like a sheer color, Envelope Please is mauve color, and Red Carpet Exclusive which is a red color.
I love this company's nail lacquer. My favorite shade is the Envelope Please. It's a nice timeless classic color that will match anything you are wearing. What I love is that you only need 1 coat, even with the glitter Swaggin shade. I've never seen a glitter nail polish that does that.
The base coat and top coat are easy to apply and dry quickly. Actually all of their products dry quickly. All of their nail lacquer retails $7.99. That is also the price for the base coat and top coat. I feel this is a great value since the lacquer will last longer since you can get away with only one coat.
There are a total of 52 different shades to pick from. I know that there are a few different shades I'd love to have in my growing collection of nail polish and nail lacquer. I really love their shades of blue.
There are a lot of nail lacquers on the market that are full of bright colors that look more suited for a teenager. All of the shades from Red Carpet Manicure I feel are more suited for adults. We can have fun with colors but they aren't bright and unprofessional looking. Why don't you try some today and fall in love with them yourself?
Red Carpet Manicure's Social Media:


text: The Department of Family and Community Medicine is actively involved in learning opportunities at all levels of medical school education. In the Essential Core Curriculum, FCM faculty are involved in Foundations of Patient Care (FPC) and teach in small groups, provide physical examination instruction, and give lectures. In the Clinical Core, FCM 110 is a required six-week clerkship offered at sites in San Francisco, Salinas, and Fresno. The Longitudinal Clinical Experience (LCE) and Model SFGH in the third year are directed by FCM faculty. A wide variety of electives, including clinical and research experiences, are offered throughout all four years of medical school. Through their involvement in required and elective courses, students are given the chance to learn about and experience the many facets and multiple opportunities of Family Medicine.


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Watching My Daughter Go Black Jenna Moretti
Added: Friday, December 03, 2010
Loading Watching My Daughter Go Black Jenna Moretti Video
Watching My Daughter Go Black Jenna Moretti
I've grown up but dad hasn't. He's gotten himself into some legal shit and now I have to fix it. I'm barely 18 and already having to take care of my father and his legal problems. Thankfully I was able to get Rico Strong and use his services so that dad doesn't spend the holidays behind bars. The only "catch" was that Rico's big black dick would have to hit my pussy harder than daddy has been hitting the weights in the big house. Getting on my knees for that fat black dick was natural since my sexual history is void of white dick. Dad's ordeal wouldn't be over until my narrow birth canal was obliterated by a cock that nearly cut me in two. I wasted no time in milking that big black dick so I could have my dessert as my old man wore the same expression on his face that he had on when the judge found him guilty. The only thing I'm guilty of is being a black cock worshipper.
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Allen Engineering Corporation (AEC) was founded in 1964 by Dewayne and Mary Ann Allen in Piggott, Arkansas. For almost 50 years, our company has been involved in various aspects of the concrete industry. Our company began as a ready-mix concrete and aggregate producer. We later operated as a concrete pumper as well as a concrete contractor. Today, Allen Engineering is a designer, manufacturer, and marketer of the Allen® line of concrete placing, finishing and paving equipment.
Our product line represents a complete system for placing, finishing, or paving all types of concrete. We design and build each piece of Allen Equipment to be "contractor tough." Furthermore, Allen Equipment is specifically designed to help improve concrete floor flatness (as measured by F-Numbers), and improve daily production (as measured by profit numbers).
Allen Engineering has maintained a leading role in the evolution of high tolerance concrete floors around the world. AEC is one of the few manufacturers of concrete equipment with a sales force certified in F-Numbers. Furthermore, Allen Engineering counts many of the major concrete contractors from around the world as satisfied owners of our equipment.
Allen Engineering Corporation, still owned by the Allen Family, is headquartered in Paragould, Arkansas, USA (located in the northeast corner of the state). AEC is a fully integrated equipment designer and manufacturer. Our in-house operations include equipment design, engineering, prototype & testing, CNC machining, metal fabrication, laser & plasma metal cutting, welding, powder coating, assembly, and warehousing & distribution.
Allen Engineering also employs an international sales and marketing team that includes a full-time sales force as well as a network of independent sales representative agencies. Allen Concrete Equipment is sold worldwide in over 60 countries through a network of concrete equipment dealers.
At Allen Engineering, we're as proud of our people and our engineering as we are of the machines we build.
From the very first truss screed, our name has included 'engineering.' It's been our commitment to deliver products that don't just perform at their highest level, they're built to stand up to the demands of the most difficult environments and job sites. That combination of precision engineering of sophisticated machines—coupled with the brute strength of heavy-gauge steel, welded frames and high-performance power—has served Allen Engineering well for 50 years and two generations of family management and ownership. Today we're investing in new products and new manufacturing muscle to build them. So while we may be one of the last of the "American Owned and Made" manufacturers of concrete and related equipment, we're so confident in our 'built-to-last' core principle and engineering innovation, that we're grooming the third generation of Allens to continue our tradition of excellence.


text:
Crooked Heart
From a luminous new voice in suspense fiction comes this wise, witty, and uplifting novel--a mystery with heart that will illuminate more than just whodunit and why. In her stunning debut, Cristina Sumners, an Episcopalian priest brings to life an unforgettable town, a less-than-perfect crime, and two flawed souls hoping to solve the mysteries of life, death...and possibly even love.Life isn t easy for Tom Holder. Middle-aged, appallingly married, and bored out of his wits, Tom is Chief of Police in Harton--an idyllic New Jersey town where, in spite of its eccentric cast of characters, nothing ever seems to happen. His dreary routine is brightened only by his visits to St. Margaret s Episcopal Church, where he can be sure of seeing the clever Reverend Kathryn Koerney, with whom he is secretly and hopelessly smitten. Tom is quietly wishing for a nice, interesting crime, if only to have something to discuss with the lady priest, who seems almost as confused by their nonrelationship as he is. He s about to get all that--and a whole lot more than he bargained for. When an affluent housewife is reported missing by her clearly hostile husband, Tom not only has a bona fide murder mystery on his hands, he has a perfect excuse to enlist Kathryn s help. The only person who may know what happened to Grace Kimbrough is a feverish child, and Tom--past master at nosy neighbors, flirtatious shut-ins, and the usual small-town neurotics--has precious little experience with children. Now, with a second woman missing, Tom s and Kathryn s sense of urgency to learn the truth about the disappearances--and about their feelings for each other--deepens. Together Tom and Kathryn will unravel more than just the secrets holding together the seemingly peaceful town, secrets that may conceal a crime of passion, jealousy, and rage. They will probe the mysteries of their own all-too-fallible, all-too-human hearts. And the miracles that might, just might, occur--even after a lifetime of playing it too safe.From the Hardcover edition.
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Alex (Wayertown )
Feel so nice. Gentle on the hand.
Aaron (Eureka )
I wish these were longer. And at first I wasn't happy with them because of others ratings. The tie leather broke on one but it was long enough to use anyway. And after being on for a week I do like them even though they are a little short 12 inches as advertised . Maybe 18 inches long would be more to my liking.
Dave (Livermore )
I use this holder all the time. My 40oz Hydroflask fits perfectly in this holder which is mounted on my left side saddle bag guard rail. If you want ice cold water on a 100 degree day do yourself a favor and get a Hydroflask. I fill it halfway with ice and then fill it with water. Mine has a flip up mouth piece. I can easily grab it and take swig at any time using one hand. The only time I don't use it is when my wife is riding with me because she said it hits the back of her calf. That's when I put the Hydroflask in either saddle bag or tour pak.
John (Helena )
The parts are great. But no one bothered to tell you that you need the bolts for the risers. Over all great looks and great fit.
Arlin (Las Vegas )
The parts look good, but to make them fit my 2007 Sabre, I had to make a couple of spacers to fit inside the rubber mount to make it look finished. You can use the part without the rubber mount but it looks like a hack job and unfinished cause there is a big hole around the base of the riser.
Richard (Irving )
Bought these to match my foam HD grips. Fit is excellent and the added traction gives a solid feel to the grips, even when your hands/fingers are sweating.


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Tom Clancy's Ghost Recon Wildlands Mobile Wallpaper
Wallpaper Info
Dimensions: 1600 x 1854
File name: 2017/03/Tom-Clancys-Ghost-Recon-Wildlands-Mobile-Wallpaper.jpg
File size: 660.22 Kb
File type: image/jpeg
Uploaded on: 11 March 2017
- You can download every picture for free. However, you have to specify the source to publish to another site. There is no image download limit. You can download and use as many wallpaper as you want.
- Computer , Android, Apple iPhone Mobiles, Tablets , XBOX , Playstation and such…


text:
Sailing School
Learn to sail with the RMYC Sailing School
We are committed to deliver sailing tuition of a high standard to attract more people to our beautiful sport and pastime, no matter if you are a complete beginner or someone who has tried sailing earlier in life and would like to take it up again.
We offer dinghy sailing courses for all ages 7 and above from our base at the Royal Malta Yacht Club, Ta' Xbiex, situated beside the Black Pearl Restaurant.
What is Dinghy Sailing?
Dinghies are small open sailing boats which are great for day sailing, having fun and racing. They are a popular, affordable and exciting way of getting afloat. Nearly all of the sailing clubs and Training Centres will use sailing dinghies making them really accessible.
What equipment do you need?
You don't need to bring anything special with you just a change of clothes, a T-shirt, shorts and a pair of gym shoes you don't mind getting wet. We will provide you with lifejacket.
What can you do after you have learnt to sail?
There are so many opportunities to make being on the water a part of your life. You may like to join a club and enjoy the social life that comes with it, or take part in competitions, or even work towards a career in the watersports industry.
Winter Programme (October to May)
Saturday mornings 09:30 to 12:30 adults and families
Saturday afternoon 13:30 to 16:30 teenagers
Sunday mornings 09:30 to 12:30 7 to 12 year olds
Sunday afternoon 13:30 to 16:30 teenager improvers
Summer Programme (19th June to 29th September)
Children and Teenagers
Monday to Fridays - 09.30 to 12.30 or 13.30 to 16.30 - €20 per child per lesson
Summer 3 lessons a week package (Morning or Afternoon) - €200 per month
Summer 5 lessons a week package (Monday to Friday, Morning or Afternoon) - €320 per month
Saturday Mornings 9.30 to 12.30 - €35
Wednesday Evenings from 6pm - €35
Tuesday Race Evening - 6pm to 8pm– €20 per person
Private lesson (pre-booking only) - €20 per person per hour
Beneteau 21 (pre-booking only) - €50 for the first sailor €10 extra per additional sailor.
Special Offers
Siblings 3 for 2 – When 3 siblings attend a lesson together, one will sail for free. This offer can't be used when booking the summer packages.
So, how do you get started?
For further information please contact us at:
e-mail: email@example.com
Web site: http://www.rmyc.org/sailing-school/
Address: Royal Malta Yacht Club,
Ta Xbiex Seafront, Ta' Xbiex, XBX 1028, Malta.


text:
What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you're getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you'd like help immediately, feel free to search for a similar question, or submit your question or concern.
JotForm Support
Hello Crina,
If I understand your question correctly, you want to see the submissions in a list. Is that correct?
Well there are a lot of options available to achieve your requirement:
1. You can integrate your form with google spreadsheet which will save a copy the submission data in google spreadsheet as soon as the form is submitted. The following guide should help you: http://www.jotform.com/help/228-How-to-Integrate-Form-with-Google-Spreadsheet
2. You can export your submissions in excel and the following guide should help you : http://www.jotform.com/help/44-How-to-Export-Form-Data-to-Excel
3. There are a lot of reporting options also available. Please click on the following URL to get a complete list of reporting options: http://www.jotform.com/help/chapter-6-Reports
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text:
Getting Performance Metrics Right: A Qualitative Study of Staff Experiences Implementing and Measuring Practice Transformation
- First Online:
Quality improvement is a central goal of the patient-centered medical home (PCMH) model, and requires the use of relevant performance measures that can effectively guide comprehensive care improvements. Existing literature suggests performance measurement can lead to improvements in care quality, but may also promote practices that are detrimental to patient care. Staff perceptions of performance metric implementation have not been well-researched in medical home settings.
To describe primary care staff (clinicians and other staff) experiences with the use of performance metrics during the implementation of the Veterans Health Administration's (VHA) Patient Aligned Care Team (PACT) model of care.
Observational qualitative study; data collection using role-stratified focus groups and semi-structured interviews.
Two hundred and forty-one of 337 (72 %) identified primary care clinic staff in PACT team and clinic administrative/other roles, from 15 VHA clinics in Oregon and Washington.
Data coded and analyzed using conventional content analysis techniques.
Primary care staff perceived that performance metrics: 1) led to delivery changes that were not always aligned with PACT principles, 2) did not accurately reflect patient-priorities, 3) represented an opportunity cost, 4) were imposed with little communication or transparency, and 5) were not well-adapted to team-based care.
Primary care staff perceived responding to performance metrics as time-consuming and not consistently aligned with PACT principles of care. The gaps between the theory and reality of performance metric implementation highlighted by PACT team members are important to consider as the medical home model is more widely implemented.
KEY WORDSpatient-centered medical home primary care performance metrics team-based care focus groups qualitative research
Quality improvement is a central goal of the patient-centered medical home (PCMH) model, and performance measurement has become a foundation for quality improvement.1 Performance measures can be used to stimulate care delivery improvements, establish standards by which success in care delivery can be gauged, and monitor performance.2 Ideally, a collection of performance metrics would guide comprehensive care improvements and minimize unintended harmful effects.2
Performance monitoring has been associated with important improvements in care quality and efficiency.3,4 However, as experience with, and literature examining, performance measurement has increased, there have been concerns raised about the narrowness and burden of measures, the inability to capture all aspects of whole person care, and the potential for negative unintended consequences.4–8
Beginning in 2010, the Veterans Health Administration (VHA) began nationwide implementation of its version of the patient-centered medical home model, called the Patient-aligned Care Team (PACT) model of care, and performance measurement has continued and expanded as part of PACT. Care delivery in the PACT model rests largely with multidisciplinary care teams, and the principles guiding care are that it is patient-driven, team-based, efficient, comprehensive, continuous, and coordinated.9 In practice, PACT teams do much of the daily work to address many process of care measures, such as screening for alcohol misuse and low density lipoprotein measurement in high-risk patients. Clinical reminders built into the electronic health record are a commonly used tool for addressing these measures. There is also a growing slate of PACT-related metrics meant to capture access to care outcomes such as short-term appointment access, and care delivery processes such as use of non face-to-face visits.
One qualitative VHA study conducted prior to PACT implementation found VHA providers perceived that performance metrics detracted from provider focus on patient needs, led to inappropriate care, and compromised patient education.10 Many of these problems were thought to arise from the ways in which metrics are implemented locally.4,10
Provider perceptions of the impact of performance metrics on care delivery within the context of the medical home has not been well researched. Given that PACT teams are on the front lines of performing the work that is being measured, it is important to understand how team members are responding to performance metrics, whether or not they perceive these metrics as aligned with PACT principles, and whether they have recognized any unintended consequences from implementation of these metrics.
Our research team conducted a large focus group study with staff at 15 VHA primary care clinics that were implementing the PACT model. The objective of this analysis is to examine multidisciplinary staff perceptions of the utility of performance metrics in the context of a team-based medical home model of care.
This study focuses on staff comments related to performance metrics collected during a larger qualitative evaluation of PACT implementation. The term staff includes clinicians as well as other staff. We use the term performance metrics in this manuscript to describe any quality metric against which the performance of PACT teams is measured, whether or not there are financial rewards associated with them.
The study took place in 15 VHA primary care clinics, including hospital-based and community-based clinics in urban and rural settings in Oregon and southern Washington. Clinic size varied, with a range of 3–48 primary care staff per clinic. The Institutional Review Board of the Portland VA Medical Center approved this study.
Data Collection
All clinical and administrative staff at the 15 primary care clinics were eligible to participate. We conducted focus groups and interviews between December 2010 and February 2013. Focus groups lasted approximately 1 h in length and were led by one or two of the experienced group facilitators on the research team (DH, CN, and AT). In larger clinics, focus groups were stratified by roles into primary care providers (PCP; ten groups), nurse care managers (NCM; eight groups), or clinical and clerical associates (eight groups). Two focus groups were held with NCMs and clerical and clinical associates participating together. In the four clinics with two or fewer teams, a single focus group was held with all available staff. We also interviewed group practice managers, clinic operations managers, and staff who requested a private interview or who were unable to schedule participation in a focus group.
Interviews lasted from 15 to 50 min, and were conducted by two team members (DH and AT). The interviews and focus groups examined staff-perceived facilitators and barriers to PACT implementation. Our focus group and interview guides did not include questions about performance metrics, but participants often spontaneously discussed performance measures when responding to questions about their overall impressions of PACT. Sessions were recorded and transcribed.
Data Analysis
Two co-investigators conducted a rapid analysis of results and reported preliminary results at feedback sessions to nine of the clinics. These feedback sessions served as a participant validity check and helped identify preliminary themes, which were further refined in analysis of coding. Two research assistants trained in thematic content analysis11 independently coded transcripts and field notes using Atlas.ti software (Atlas.ti GmbH, Berlin). Coding and analysis were supervised by two experienced qualitative researchers, one of whom is also a primary care provider in a university hospital. The lead qualitative researchers and coders met regularly to review and compare coding and to resolve differences by consensus. Our iterative process resulted in two codes related to performance metrics. The code "focus on metrics" included all comments related to perceptions that a focus on performance metrics somehow impacted clinic activities. Another code, "metrics versus what matters," identified participants' observations that current performance metrics were either missing or in conflict with other important activities or values in the clinic. These two codes identified the relevant text for further analysis and development underlying all five of our themes in this paper.
Frequency of Performance Metric Codes
Employee group
# (% of total) participants*
Codes occurred in :
Average coded passages (range, where codes occurred)
78 (32 %)
9 of 10 focus groups (90 %)
Focus groups: 4.8 (2–11)
9 of 13 interviews (69 %)
Interviews: 3.7 (1–7)
75 (31 %)
9 of 10 focus groups (90 %)
Focus groups: 3.7 (1–7)
6 of 8 interviews (75 %)
Interviews 2.8 (1–5)
Clinical/Clerical Associates
88 (37 %)
7 of 8 focus groups (87.5 %)
Focus groups: 4 (2–7)
Mixed team roles
3 of 4 focus groups (75 %)
Focus groups: 1.7 (1–2)
Of 1,393 coded passages in the original data set, 159 received one or both of the codes selected for this analysis. These codes occurred in 27 of the 32 focus groups and 17 of the 23 interviews, and were evenly distributed among the different staff groups (see Table 1).
Care Delivery Changes Made in Response to Performance Measures Are Not Always Perceived as Consistent with Key PACT Principles
Many staff expressed concern that the front-line implementation of quality metrics has not always taken into account the alignment with different PACT principles. A number of staff observed that some quality measures may have the unintended consequence of promoting changes that are at odds with PACT principles, such as patient-centered care and efficient delivery of care. Some staff found that quality metrics could have opposing effects on different PACT principles.
…One of the problems is there's a really strong dichotomy of ideologies. So on one hand we say we want the PACT team, we want to have more phone clinic, we want to have more kind of non face-to-face stuff so we can manage these people better….On the other side of the coin, it's like, "Boy, that veteran really wants an appointment, and you had better give it to him on the day he wants it." You can't win, you're given two directives that…just bounce off each other, you can't make that fit. [PCP]
Whether the patient even needs to have his cholesterol, or his A1c checked, or any of that nonsense—there's still those little boxes that we're still expected to check…. the patients are expected, either by themselves or by the clinic managers, to come in once a year, whether or not they need an appointment. That's a system thing. So we have this system, these system requirements that don't speak to the PACT model. [PCP]
So you could be more efficient if you weren't spending 20 min of a 35 or a 45 min appointment doing reminders and with the expectation that you were only going to see this patient once in this year…. Primary care is about forming long-term relationships and continuity of care with, between a patient and a provider. And that's not doing everything for a person at one visit…. Today the person's in mental distress and ya know, they're having problems, they're suicidal, then I'm not gonna ask them about their cholesterol and their colonoscopy…I mean that's just not appropriate, it's not relevant. But, if you're empanelled with 1,200 patients and you're gonna see that one Vet, one point however many times in a year, then you really do need to do everything at that visit—or maybe you need to shrink the panel size. [PCP]
There is a Perception that Performance Metrics Are Not Truly Measuring Patient-Centered Care Quality
Unfortunately, at least the perception of some of us, is that's the way you're measured…if you put the numbers right, well you're doing a great job, when that is not the case. [PCP]
To us in the beginning, it was: we're going to get away from doing all these reminders and worrying about that, and if the patient's happy, that's what we're focused on, we're gonna be there for the patients. But here we are, like spending half our day, like chasing these reminders…looking at the recalls, trying to preemptively do this stuff, and… …. I feel like this was supposed to be focused towards like making the patient happy, but in the end we're kind of chasing our own numbers. [Clerical Associate]
There is a Perceived Opportunity Cost in Responding to Performance Metrics
You just clear your list, versus taking the time to, you know, truly give good education, truly get a good assessment. That time crunch is, you know, a lot of pressure, in all areas I think that you guys [clinical associates], you have all these reminders that you have to do, and some of the reminders, some of these guys have a zillion million of them when you're checking in, and uh, it's like, "please don't say you're depressed." [Nurse Care Manager]
I think we're reaching to some of those core performance measures, that we're able to help our providers reach some of those goals and attain them…but others are being left behind…it feels like maybe our diabetics and our congestive heart failures, COPDers, those kind of people, we're attaining those goals with them. But it doesn't seem like we're giving the same amount of attention and care to all of them across the board. [Clinical Associate]
There is a Perception that Performance Metrics are Imposed by Administration with Little Communication and a Lack of Transparency
For me that's the biggest frustration with the VA…There is no training, it just shows up that day and you have at it. It's like, you will get new reminders. No training, no explanation, out of the blue up pops a new reminder. And that complicates PACT model because people are now wasting more time trying to figure out what that reminder is—where it came from and what we're supposed to do with it, than spending time with the patient saying that hemoglobin A1C is significant. Do you notice yours is 12.9? This is the range we're hoping for; how can we accomplish lowering that? No, I'm busy trying to figure out how to answer the newest reminder that appeared. [Clinical Associate]
What it seems like to me is from the top down they're dictating that you have to do this [new measure or report]…without making sure the structure at the bottom is built and solid…you don't even have the staff to put this in place. Then they keep pouring on this additional work and you don't have the full time staff. [PCP]
There is a Perceived Need to Adapt Performance Metrics to the Team-Based Model of Care
The performance measures…[and] the workload measures are largely based on what the provider is doing. But the work the provider is doing is changing. And you know, a lot of what we do in Primary Care is coordinate care, particularly during transitions when patients are you know, are either decompensating, or getting out of the hospital, you know that kind of thing. And we don't have any, there's no acknowledgment, that I can see, that's kind of built into our schedule. [PCP]
On one hand, we're saying we're a PACT team and we're a team, but…we're using…the individual's performance as the metric for how well the team is doing…. To be able to go and say the PACT model doesn't work because these people haven't made their metrics, where's the breakdown? Is it the individual provider that's not really providing leadership and guidance, is it the NCM who's not really good, is it that people don't understand their roles very well? I mean, they're not really stepping up to the plate to go through the diabetic registry and are the systems in place that support the provider to have maximum performance on those metrics? [PCP]
I'm also frustrated, when his [PCP's] numbers are clean and better, he gets the pat on the back for it. And they just say, ok, well now that you've got that done, here's what else I need you to do. And so that's very frustrating for me too. Because, uh, what am I chasing numbers for? To, to make somebody, I mean, it's not, to me it's not about patient care, it's about making him, or the provider meet their marks. [Clinical Associate]
In this qualitative study, we found that the nurses, physicians, medical assistants, and administrative assistants comprising Patient-Aligned Care Teams had concerns about the way performance metrics are currently being implemented in the VHA primary care medical home. Their concerns highlight the potential gaps between the theory and reality of performance measurement. Though each individual metric may be well-intentioned, the actual front-line implementation of a collection of metrics is perceived as having unintended negative consequences on patient care, team function, and the satisfaction of team members.
Ideally, performance metrics would inspire systems changes that improve care beyond the measure in question.2 Process-of-care measures such as yearly cholesterol testing are frequently used as proxy measures for anticipated health outcomes, but do not constitute an end in and of themselves. However, a recurring observation of PACT staff was that process-of-care metrics were often viewed as a terminal goal, rather than an opportunity to identify gaps in systems of care.
Team members' comments echo broader ongoing debates about the accuracy with which some metrics measure care quality.6,12 Many staff comments implied a shared belief that the patient perspective was critical in determining care quality, but that this perspective was not always well-represented in the performance metrics to which they were held responsible. Indeed, there is some evidence that structural and process-of-care metrics may not align with patient-perceived care quality.13
The implementation of a medical home model within a very large, centrally controlled, integrated health system presents its own set of challenges. Often the choice, prioritization, and incentivization of performance metrics are determined by administrators through processes that are not well understood by front-line staff. Some of the frustration expressed by staff reflected this lack of transparency, as well as the incongruence between the emphasis on team-based care and staff empowerment and the perceived "top-down" approach to performance measurement. That performance pay rewarded physicians rather than the entire team was also seen to contradict the principle of team-based care.
Themes and Suggested Responses to Improve Performance Measurement Practices
Suggestion for improvement
Care delivery changes made in response to some performance measures are not always perceived as consistent with key PACT principles
Review the collection of performance metrics being implemented against a framework of the medical home attributes guiding PACT development. Provide quality improvement training and infrastructure to PACT teams.
There is a perception that performance metrics are not truly measuring patient-centered care quality
Investigate patients' priorities for care quality.
There is a perceived opportunity cost in responding to performance metrics
Review performance metrics collectively. Investigate the amount of time PACT teams spend responding to performance metrics. Titrate the portfolio of performance metrics to the amount of time available.
There is a perception that performance metrics are imposed by administration with little communication and a lack of transparency
Disseminate the clinical rationale for each performance metric to clinic staff. Allow adequate lead-time when implementing new metrics. Incorporate a feedback loop system so that observations from front-line staff about potential unintended harms of metrics can be communicated to the appropriate officials.
There is a perceived need to adapt performance metrics to the team-based model of care
Adjust performance incentives to reflect staff members conducting the work.
The relationships between metrics should also be considered. For instance, near-term access to care is an important central goal of PACT that could be at odds with metrics encouraging alternatives to face-to-face visits, especially if access is measured as time to outpatient appointment and if scheduling triage decisions are made by those outside the team (i.e., by a central scheduling unit).
Second, feedback from staff suggests there are opportunities to increase the transparency of the performance measurement process and better align it with the principles of team-based care. For example, posting metrics, their rationales, their intended effects on patient care, and their relationship to one or more PACT principles in an accessible and understandable format might help engage front-line staff. Providing adequate lead-time for staff education when new measures are implemented may increase the acceptability of new measures. Establishing open channels for communicating feedback to regional and national quality and performance administrators may provide an important avenue for improving the way performance measurement is used in VHA.
Third, the financial incentives tied to some metrics target physicians, but the work to meet performance goals is often done by other PACT team members. Study participants indicated that this was detrimental to team functioning, and should be corrected.
Finally, there are calls for performance metrics to move towards "assessments that are broad-based, meaningful, and patient-centered."12 One step toward this ideal would be to consider the implementation of various metrics in light of the type of care delivery changes they inspire. As staff noted, the response to some process-of-care measures, for example, has been simply to send patients reminders to complete laboratory testing that meets the requirements for specific measures. Once this metric is achieved, there may be a tendency for providers and administrators to conclude that excellent care for the condition has been achieved. The performance metric approach can thus turn attention away from the need for broader and more sustainable systems change, based on local quality improvement measures that can encourage teams to more deeply evaluate and improve their processes .7 For instance, Group Health, whose medical home pilot has led to reductions in cost and improvement in care quality, emphasized in its standard management practices basic quality improvement techniques such as root cause analysis and PDSA (Plan-Do-Study-Act) cycles.15
The work presented here suggests a need for more research to guide improvements in performance metric implementation in PACT. Future studies should examine how teams respond to performance metrics and reminders, and assess whether metrics are being used as a fulcrum for sustainable and systematic improvements in care. Future studies should also attempt to quantify the opportunity cost of responding to metrics, including information about time, workflow, and personnel engaged. Finally, there is a pressing need to examine patients' perspectives on performance metrics and whether they are aligned with patient-identified priorities for care quality.16
Like any qualitative study, this study was designed to generate in-depth knowledge of issues and practices in a particular context, rather than generalizable findings. On the other hand, our findings represent input from a large number and broad variety of clinic staff from many different clinics in both urban and rural settings, suggesting broad relevance at least within the VHA system in our region. Our study was designed to assess provider attitudes; whether patient experiences and outcomes mirror providers' concerns is unclear. The larger qualitative study from which this study was derived was not designed specifically to assess staff perceptions of performance metrics, and thus some relevant observations on the topic may not have surfaced, or negative comments may have been more likely to surface with this approach. However, we believe that, because these themes emerged spontaneously and commonly out of a broader discussion, that the findings represent observations of central importance to many staff.
Clinic staff representing multiple disciplines perceived performance metrics as time-consuming and not consistently aligned with PACT principles of care. Furthermore, staff perceived some metrics as having negative impacts on patient care and staff satisfaction. The gaps between the theory and reality of performance metric implementation highlighted by PACT team members are important to consider as the medical home model is more widely implemented. Further research is needed to identify performance metric implementation strategies that primary care staff perceive as more fully aligned with the overall goals of PACT.
We would like to acknowledge the contributions of all members of the VISN 20 PACT Demonstration Lab research team, as well as the primary care staff who shared their insights and experiences as research participants. Funding for the PACT Demonstration Laboratory initiative is provided by the VA Office of Patient Care Services.
Conflict of Interest
We have no conflict of interest, financial or otherwise, to disclose in relation to the content of this paper. Funding for the PACT Demonstration Laboratory initiative is provided by the VHA Office of Patient Care Services. The Department of Veterans Affairs did not have a role in the conduct of the study, in the collection, management, analysis, interpretation of data, or in the preparation of the manuscript. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or the U.S. Government.
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text:
Does makeup help or hinder a woman's self-esteem?
Isabel lopez
period 5
According to the New York Times, some argue that makeup gives women some sense of power to themselves and other say it hides them from their true equality.
The survey below talks about how makeup increases a women's likability and competence in the work place. In the study it states that the right amount of makeup increases the ability to be trustworthy in the work place. It also brings up a woman's activeness.
The video below talks about how young women feel they need to be accepted in society by their looks. This young ladies give there opinions on what they think about this issue
Structural functional
•nd while I don't subscribe to the notion that makeup can single-handedly make a women beautify or enhance her self-esteem, it can at times boost self-esteem or lift spurts particularly bad days.
•Cleopatra pretty much invented the eyeliner, and she ruled a kingdom! Many consider her to be the first feminist ever, and her legacy is testimony to the fact that a women can be beautiful, smart, empowered and wear a ton of eye makeup.
•Psychologists distinguish between trait and state self-esteem, a stable state of confidence versus a transient boost.
social conflict
•Avoiding pancakes of foundation on the face by all means, unless on is actively seen to frighten people or repel men.
•Our global investment in makeup total over $18 billion, and much of it is spent on expensive products that many dermatologist label as "cosmetic hoo haw". (Latent function)
•But it should be a choice, not a requirement imposed on employees where it is not essential to job performance.
symbolic interaction
•I have no deep-rooted fear of being ostracized by society, or of Equinox revoking my membership, were I dare bare my face sans maquillage.
•I don't think I'm ugly without it.
•I don't think makeup diminishes my power, Cleopatra's legacy is proof enough.
•Women should have the ability to do whatever they want, it's their body.
my response
i believe that makeup does boost a women's self esteem whether it's for the right or wrong reasons. Some individuals wear makeup for them selves, just because they like it or it makes them look a certain way. Other individuals wear makeup for others, for example women or young ladies that get make fun of for their looks refer to makeup as an out let. If it makes them happy about themselves and people don't make fun of them then they should by all means wear makeup if they choose to. Makeup allows a women to make herself look a different way everyday without getting to exteme. I like makeup myself bit it gets out of hang when girls put piles and pile of it on. I think women shouldn't feel that insecure to have to put all of that on. Also women have to keep in mind of what goes with what, you don't have to cover ever inch of your face with something. For example, if you go really heavy on eye makeup you don't have to put blush on it just makes them look like a clown and no women or man wants that. Makeup should allow women to enhance their feature and beautify their natural beauty without looking scary. Any person should be allowed to make themselves more appealing to society even if it's adding a little makeup.


text:
Travis Biggert
Experienced Oklahoma Risk Consultant
About Travis Biggert
Travis Biggert, a Certified Insurance Counselor (CIC) and a Certified Risk Manager (CRM), serves Hub International as a Senior Risk Consultant with the Risk Management Team. The company ranks among the ten largest insurance brokerage companies in the world. In his leadership capacity, Travis Biggert helps Hub clients lower costs associated with certain risks. Before accepting his current position, he worked as the Senior Vice President of Global Risk and Insurance at Nueterra, where he focused on their worldwide risk and insurance matters. While there, he developed complex cost-allocation models, capable of managing many millions of dollars worth of premium allocations across over one hundred entities.
In his private life, Travis Biggert enjoys reading popular nonfiction titles, many f which from his favorite author, Malcolm Gladwell. He also enjoys spending time with his loved ones. To stay active, he pursues outdoor sports like snowboarding, wakeboarding, and skiing. In terms of nonprofit involvement, Mr. Biggert supports the Pierce Philips Charity, an organization dedicated to advancing research efforts to cure childhood cancers and the Gatesway Foundation, which helps adults with developmental disabilities to lead more active and productive lives.
New Strategy for Reducing Unnecessary Claim Costs
As a Senior Risk Consultant with Hub International, Travis Biggert helps his clients develop and implement risk-management strategies. Travis Biggert has specific specialization in reducing companies' exposure to workers' compensation claim expenses.
Worker injuries can be extremely costly for an employer, and many of these costs arise once the employee has entered the medical system for care. For this reason, innovators in the field of workers' compensation have begun to research alternative ways of addressing employee injuries. According to these professionals, nurse triage programs are emerging as one of the most promising such approaches.
Pre-claim triage allows an employee to speak with a nurse and receive advice about an injury. Thus far, such interventions have proven effective at reducing the cost of unnecessary claims by as much as 25 percent, while bringing employees back to work faster and thus reducing indemnity costs. Data currently suggests that every 2,000 calls reduces workers' compensation spending by $1.5 million. Furthermore, adopters of pre-claim nurse triage have found that employees also feel cared for and valued by their employers, a mindset that increases employee loyalty and the perceived value of benefits.


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We provide hints and tips to help you get started with the main programs RFEM and RSTAB.
Is there a possibility to change the cover sheet after it has been created?
The cover sheet of the printout report can be changed by using the "Cover" on the "Settings" menu. If available, you can also right-click the "Cover" entry in the navigator, and then select "Properties."
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I would like to pay a compliment to your support team. I am always impressed how quickly and professionally the questions are answered. In the industry of structural analysis, I use several software including service contract, but your support is by far the best."


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Putre Vacation Packages
It's little wonder Putre is so popular with travelers from all over the world; the region is home to a treasure-trove of great attractions.
About 55 miles (89 kilometers) to the west of Putre is Arica, a regional center where you can explore Iglesia de San Marcos, Arica Culture House and Parque Baquedano. Archaeological and Anthropological Museum of San Miguel de Azapa, Arica Sea Museum and Las Machas Beach are also good to visit.
No matter if you are taking the popular tourist route or heading off the beaten path, picking up a few useful Spanish phrases will help smooth out your journey. "¿Querría bailar conmigo?" ("Would you like to dance with me?") is handy. And, for "This gentleman will pay for everything", you can learn how to say "Este caballero pagará por todo" Why don't you give it a try!
Those spending time in Putre or in other towns and cities in Chile on the 18th of September, can take part in national Independence Day festivities and events.
When it is time to leave Putre, use the last of your Chilean pesos on last-minute souvenirs and bid a fond Adiós (farewell).


text: Breaking down Clemson's historic championship Kyle Thele Taking down the top Despite their success through the years, Clemson only has one previous national championship in their long football history, coming in 1981. In fact, their win over Alabama was the first time the program has ever knocked off the top-ranked team in the nation. Kevin C. Cox/Getty Images Clemson's historic win The Clemson Tigers completed the improbable in the College Football Playoff championship game, coming back to beat Alabama 35-31 in a game that will go down as one of the greatest in college football history. But simply looking at the score, or watching the game, doesn't do justice to how impressive Clemson was. The Tigers overcame history and handled Alabama like no other team has in recent history. Streeter Lecka/Getty Images Dabo comes home For Clemson head coach Dabo Swinney, this was an especially sweet win. Swinney was a wide receiver at Alabama and even attempted to join the coaching staff after graduation. After being repeatedly passed over, Swinney eventually rose up the coaching ranks and took over Clemson. With their championship win, Swinney became the first coach to win a national championship over his alma mater. Kevin C. Cox/Getty Images Beating the best The old saying states that to be the best, a team has to beat the best. There is no question that Clemson followed through with this in every way possible. During this past season alone, Clemson played the four college football programs who have won the last seven national championships — Auburn, Florida State, Ohio State and Alabama — beating each of them. Streeter Lecka/Getty Images Topping Mount Rushmore More than just the last seven programs, there have been two head coaches that have dominated the college football landscape. Urban Meyer, at Florida and Ohio State, and Nick Saban at Alabama have won seven of the last 10 national championships. Swinney and Clemson came head-to-head with both of those coaches during this season's playoff run, beating them by a combined 65-31. Jamie Squire/Getty Images Taking down the top Despite their success through the years, Clemson only has one previous national championship in their long football history, coming in 1981. In fact, their win over Alabama was the first time the program has ever knocked off the top-ranked team in the nation. Kevin C. Cox/Getty Images Stopping Saban In beating Alabama, Clemson did something that no team has ever done — beat Saban on the biggest stage. Before losing to Clemson, Saban had never lost a national championship game, winning four with the Crimson Tide and one more at LSU. Streeter Lecka/Getty Images Recovery Since the establishment of an official championship game, first in the BCS era and now with the College Football Playoff, Clemson is only the second team to ever win a national championship after losing in the championship game the year before. The only other team to accomplish that feat was the 1999 Florida State Seminoles who returned to the BCS title game and beat Virginia Tech after losing the previous year to Tennessee. Kevin C. Cox/Getty Images Winning matters Over the last two years, Clemson has been able to match Alabama in both overall record and championships, but their connections date back even further than last season. Since the beginning of the 2011 season, Alabama and Clemson are the two winningest FBS schools with Alabama at 76 and Clemson now at 70. They are also the only two teams over that stretch to win at least 10 games in each season. Jamie Squire/Getty Images The rematch Clemson and Alabama were clearly the two best teams over the last two seasons, meeting in the championship game both years. But just how even those two teams were was remarkable. In their two games against each other, Alabama outscored Clemson by the smallest of margins — 76 to 75. Kevin C. Cox/Getty Images Winning when it counts The four fifth-year seniors playing for Clemson have seen an era unlike any before for the program. The team has played in nine postseason games, four playoff games, three bowl games and two ACC championship games during their tenure. The Tigers were a remarkable 8-1 in those games with the only loss coming in last season's championship game. Tom Pennington/Getty Images Leading Tiger Clemson's success over the last two years have been directly connected to the play of star quarterback Deshaun Watson. Specifically, Watson has played some of his best football in the championship games. In the two title games against Alabama, Watson has completed 64 percent of his 103 passes for 825 yards and seven touchdowns. But what has made Watson so difficult to defend is his dual-threat ability. The Clemson quarterback also has 116 yards rushing and a touchdown, which came with Clemson down 14-0 in the Tigers championship win. Ronald Martinez/Getty Images Hunting Hunter For as good as he played, Watson's ability was well known. But in both championship games it was lesser-known Hunter Renfrow that proved the biggest pain in Alabama's back side. Originally a walk-on at Clemson, the wide receiver did things to Alabama's secondary that almost no one else was able to do. Dating back to the start of the playoffs last season, Alabama has allowed only 19 passing touchdowns. Four of those were caught by Renfrow, two in each game and the biggest of which came with only one second left in this year's game to give Clemson the final lead. Kevin C. Cox/Getty Images 99 problems What may have made the biggest difference this year compared to last for Clemson was its amount of opportunities, created by their success both offensively and defensively. Clemson ran 99 plays against the Alabama defense, the most ever run against them in Alabama's long history. This was a result not only of Clemson's successful long drives but also its defense's ability to quickly get the Crimson Tide offense off of the field. Tom Pennington/Getty Images Start Slideshow »


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'Who was one person who helped you along in your first camp? "Daniel Paille was probably the biggest one. He was there my first year. He was a guy coming around making sure everyone knew how to get back to the hotel and knew where they were going to eat. He was the guy I looked up to then. Hopefully I am as good as he was. He was an excellent leader for us."'
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Main Dhoondne Ko Zamaane Mein Remix V.A (Heartless 2014) Adhyayan Suman & Ariana Ayam
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hello! I just started dating this guy for about 4 weeks, and I've seen him only 4 times, and we don't text much. The thing is I'm an 18-year-old virgin, and I only went to 2nd base with only one other guy apart from this one. I don't know how fast I want to go and how fast he expects me to go, but I feel that he is always ready for more (he is 19). I don't want to regret anything. I'd really appreciate some insight into the male mind and similar experiences from girls.Thank you! Have a nice day!
Most Helpful Guy
Uh, have you ever seen a guy drive a car for the first time? They'll basically want to see how fast it will go. Unfortunately, they often don't think much differently dating girls. You have to be very frank telling them about your limitations, then be prepared to firmly enforce them.
You are right. Assume your guy will always be ready for more.11|00|0
I will then, thank you!


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BMW Z4 GTLMs Finish Fourth and Eighth at 63rd Twelve Hours of Sebring.
Woodcliff Lake, N.J. — March 21, 2015…Lucas Luhr (DE), John Edwards (US) and Jens Klingmann (DE) finished fourth in the GTLM class for BMW Team RLL in the 12 Hours of Sebring (US), the second round of the TUDOR United SportsCar Championship (USCC). The three drivers completed a total of 329 laps with the No. 24 BMW Z4 GTLM. The No. 3 Corvette crew of Antonio García (ES), Jan Magnussen (DK) and Ryan Briscoe (AU) claimed the GTLM victory.
With ambient temperatures up to 91degrees Fahrenheit, the endurance classic at the Sebring International Raceway turned out to be a truly heated affair. For most of the race, the GTLM field was running closely together, delivering some gripping racing action for the fans surrounding the 3.74-mile, 17-turn circuit. Following a final full-course yellow with two hours to go, the cars on the lead lap were once again bunched up before entering the decisive phase of the race. With final-stint driver Luhr at the wheel, the No. 24 car crossed the line in fourth after 12 hours of racing, despite a problem with the power steering in the final stages of the race.
For Dirk Werner (DE), Bill Auberlen (US) and Augusto Farfus (BR) the race didn't go according to plan with the No. 25 BMW Z4 GTLM. After five and a half hours, Werner entered the pit lane with a damaged front subframe, running in sixth at that time. The necessary repair work cost the trio more than ten laps, and they dropped to the very back of the GTLM field. Werner, Auberlen and Farfus proved their fighting spirit in the second half of the race, ultimately finishing eighth. p>
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Posted: March 23, 2015, 10:01 pm
Ultimate performance it's the least we expect. Team spirit. Readiness to experiment. Perfectionism. With one goal: to surpass the highest demands. Yours. Ours. And the road's. There's nothing we...


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