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Category: Patients
New Tower Signals New Opportunities for Nurses
Methodist Mansfield Medical Center is growing to meet the community's health care needs. That's great news for nurses and other health care professionals.
We're so fortunate to be in a thriving service area. In fact, our service area population has grown 59 percent since the hospital opened. The community's growing demand for health care services includes emergency, surgical, and acute medical, and our award-winning Women's Center has experienced dramatic growth in births and neonatal intensive care services.
Why are we so excited about the new Tower Two? Here are some quick facts about the new 208,000-square-foot building:
- 22 additional ICU beds
- Expanded dialysis unit from three to eight beds
- 32 additional cardiac telemetry beds
- 32 additional postsurgical beds
- Expanded telemetry monitoring capability to 144 units
- 32 beds available for future expansion
- Cath lab upgraded to accommodate electrophysiology procedures.
For nurses, Tower Two represents quality and safety improvements in the environment of care, including a new telemetry and nurse-call system to provide leading-edge patient monitoring and safety features. All rooms are WIFI ready for patients and visitors. The nurse-call system is integrated with the safety features of the patient's bed to alert nursing staff when someone needs assistance without the patient having to call. In addition, increased space in Tower Two will enable us to build on specialized services such as neurosciences.
Methodist Mansfield employees have always enjoyed working in a top-notch, family-friendly facility. Tower Two takes this to the next level with expanded food services, cozy areas where staff can take a break and get away, and other amenities.
The new Tower Two is tangible evidence of the reputation our staff has established for delivering top-notch quality patient care. In fact, since our opening, we've been voted a Best Medical Facility, Best Maternity Ward, and Best Emergency Department in North Texas. A big part of our quality and commitment to excellence is our commitment to our employees. We truly are one big family, a team of health care professionals that strives day in and day out to deliver the best care to our patients and their families. Quality and patient safety are our highest priorities and community service is a hallmark of our culture.
New buildings facilitate our ability to achieve our mission, but it's our people who make the difference. So with the opening of the new Tower Two, we're looking for nurses, patient care technicians, and ancillary staff who are committed to providing compassionate, quality patient care. The best additions for our team are people who have a positive attitude and strive to do their best for every patient, every time.
If you're ready to expand your career with a healthy, growing organization, consider Methodist Mansfield Medical Center. Visit us at Jobs.MethodistHealthSytem.org.
© Methodist Health System
Methodist Dallas First Hospital in DFW To Receive Baby-Friendly Designation
by Pamala Gessling, MBA, BSN, RNC-OB, NEA-BC
Director of Nursing, Women and Children's Services
Methodist Dallas Medical Center
February 10, 2015, was a big day for moms and their babies at Methodist Dallas Medical Center. That's the day the hospital became the first health care organization in Dallas County to receive the Baby-Friendly birth facility designation from Baby-Friendly USA.
Baby-Friendly USA, Inc. is the U.S. authority for the implementation of the Baby-Friendly Hospital Initiative, a global program sponsored by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF). The initiative encourages and recognizes hospitals and birthing centers that offer an optimal level of care for breastfeeding mothers and their babies.
I was extremely proud and happy for our wonderful staff and physicians who worked so hard to help Methodist Dallas attain this top certification for family-centered care. Every nurse who cares for mothers and their babies received 20 hours of extensive training. Our physicians each received three hours of education. These standards are part of national quality core measures, and breastfeeding is now a reportable measure for The Joint Commission.
Based on the universally accepted Ten Steps to Successful Breastfeeding, obtaining the Baby-Friendly designation required a huge commitment on the part of the hospital. It began with our decision to implement shared-care nursing in 2012. This is a model of nursing in which the same nurse provides care for mother and her baby in the same room. This dramatic departure from traditional postpartum care was based on research that showed having babies close to their mothers helps the new moms learn their babies' cues, supports the bonding process, and better prepares moms to succeed and have a good experience when they take their babies home.
Why is Methodist Dallas so committed to helping new moms successfully breastfeed their babies? In the new health care environment that focuses on improving care outcomes and patient experiences, pursuing the Baby-Friendly designation was simply the right thing to do. Breastfeeding is best for infants and mothers for many reasons:
- It's natural
- Babies who are breastfed are less likely to be obese or develop diabetes
- It supports the critical bonding between mothers and babies
- It provides an opportunity to educate moms before they take their babies home.
Most moms don't know that even one sip of baby formula changes the intestinal flora of their babies' stomachs. That means formula-fed babies are more likely to develop bacteria that's not normal for them to have. It's best for babies to keep the flora that they are born with to help them fight all kinds of infections. In short, it's healthier for the babies. Moms benefit from breastfeeding because it helps them return to their prepregnancy weight and get back in shape faster. Plus, breastfeeding is less expensive than purchasing baby formula.
It takes about two days post delivery to begin producing breast milk. These first few days, mothers produce a low-fat, high-protein milk called colostrum, which provides all the nutrients and fluid that newborns need in the early days, as well as many substances to protect babies against infections. Babies' stomachs are about the size of a marble when they are born. Breastfeeding babies will stop nursing when they are full. Often, we unintentionally teach formula-fed babies to overeat. Our goal is to help new moms establish breastfeeding the first few days. We help them better understand their babies and learn how to pick up cues that they are hungry. This helps ensure a better experience and outcome down the road.
If moms choose not to breastfeed, we will of course support their decision and provide the same outstanding care we provide to moms who do choose to breastfeed. Most important, our goal is to help educate moms so they can make informed decisions. We have a huge obesity issue in the U.S., and we have a relatively low exclusive breastfeeding rate. I'm gratified to report that since Methodist Dallas began the program, the number of moms who are exclusively breastfeeding their babies has climbed to 54 percent. That's huge for us.
By obtaining the Baby-Friendly designation, we are empowering women to naturally breastfeed their babies to help them get a healthier start in life. We're here to support them, regardless of their feeding choices, so they can get a good start on raising their children. Our staff believes in the value of this effort and is committed to strictly following the standards established by Baby-Friendly USA.
Several years ago, Methodist Health System's President and CEO, Stephen L. Mansfield, PhD, FACHE, set out to achieve his vision of creating one of the healthiest health care organizations in America by 2016. To achieve this vision, we need to educate our patients and the communities we serve about choices and healthy lifestyles. It's a powerful tool to get healthy and stay healthy and that's certainly one of the foundational principles of Baby-Friendly USA.
If you're ready to join one of the healthiest health care systems in the U.S., consider Methodist Health System. To learn more, visit us at Jobs.MethodistHealthSytem.org.
© Methodist Health System
Expanding Our Reach Through Accountable Care
by Purity Nyaga, MSN, RN
Clinical Director, Accountable Care Organization (MPCACO), Methodist Health System
In 2012, Methodist Health System waded into the new world of accountable care by being selected as a participant in the Centers for Medicare and Medicaid Services (CMS) Accountable Care Organization (ACO) Medicare Shared Savings Program (MSSP). The ACO model was designed to provide beneficiaries with high-quality service and care while reducing overall expenditures by enhancing care coordination. To assure the achievement of this triple aim, CMS established 33 quality measures relating to care coordination and patient safety, identified appropriate use of preventive health services, improved care for at-risk populations, and enhanced the patient and caregiver experience of care.
Methodist was a pioneer in this care delivery arrangement. We applied for the MSSP and were accepted into the pilot program as the first ACO in North Texas. What's more, we were the only ACO in the area to achieve cost savings
As an early adopter, Methodist Patient-Centered ACO (MPCACO) focused on doing everything we could to reduce costs, improve quality, and increase patient satisfaction. There were a lot of opportunities to serve our beneficiaries with needs that included transportation, food, finding doctors and equipment, and so on. We saw lives changed and made a lot of friends in the process. Above all, we were able to positively affect a significant number of beneficiaries' lives, which in turn resulted in lower readmission rates, reduced unnecessary emergency room visits, and decreased avoidable hospitalizations. When CMS announced the first-year results, we were amazed — $12.7 million in savings! We were off to a great start.
You may be wondering why Methodist leadership decided to pursue this new venture. Our leadership was looking for innovative ways to fulfill our mission and vision. They were assertive and wanted us to be part of the solution to the health care challenges that face the entire industry.
Since 2012, we have seen the broad range of benefits that an ACO offers to patients, providers, and the community as a whole. Besides the cost savings, we have been able to document improvement in the quality of care for the beneficiaries covered by our organization. Our navigators have seen more than 3,000 patients. Even more important, we've seen individual lives impacted and changed for the better.
Coordinated care is the key to the ACO's success. Our care navigation department is staffed with registered nurses, clinical social workers, community health workers, health coaches, and other health care professionals who are ready to go into the community and into beneficiaries' homes to work with them according to their needs. The ACO staff also helps beneficiaries coordinate care with specialists, communicate with pharmacies, set up appointments for patients, arrange for home visits, assist with community resources, coordinate finding the appropriate post-acute-care providers, provide health care education and coaching, and much more.
We have been able to build the ACO from the ground up, including forming strategic community partnerships. One example is our partnership with the North Texas Food Bank, which helps us provide fresh fruits and vegetables to eligible beneficiaries. In fact, approximately 8,000 pounds of fruits and vegetables are distributed monthly. We also provide transportation cab vouchers to beneficiaries so they can get to their treatment and follow-up visits with their physicians. We refer our beneficiaries to area agencies for services, including:
- CitySquare — providing multiple services at reduced rates, like housing, food pantry, and legal
- Adult Protective Services — a safety support system for patients who need it
- Metrocare — mental health and developmental disabilities support
- American Cancer Society — a comprehensive program with a 360-degree assessment of medication and financial support needs for patients and their families.
Based on our patients' needs, we continue to pursue new strategic partnerships and collaborations.
What are some of the key takeaways we've learned over the past three years? They include:
- Realizating that the health care system is much more fragmented than we originally thought
- Learning that care incentives for doing the right thing under the traditional fee-for-service model are misaligned and contribute to many of the problems addressed by accountable care
- Appreciating that this effort is going to require a lot of work in order for all of us to continue to move forward.
The next two to three years will be an exciting time for the MPCACO. We anticipate significant growth in total number of lives covered, from our current number of 25,000 to around 100,000. We also look forward to networking and sharing with other participating organizations in the CMS ACO program, as well as commercial ACO programs within our region.
The ACO is still an unfamiliar concept to many in health care. From the beginning of the ACO movement, Methodist has taken a leading role to move from volume-based care to care that is value based. As an organization that cares for the well-being of its employees, the MPCACO will begin assisting in managing the health of employees and their dependents by offering navigation services, health coaching, weight-loss and smoking-cessation programs, and any other services that they may need to promote health and wellness. This is another example of Methodist's commitment to the health and well-being of our family members. As a caregiver, isn't this the type of organization where you want to work and grow?
If you're ready to join an innovative leader in health care delivery, consider Methodist Health System. To learn more, visit us at Jobs.MethodistHealthSytem.org.
© Methodist Health System
New Methodist Richardson Medical Center Opens April 14
By Cheryl Koch, RN, MSN, CNOR
Director of Surgical Services
Methodist Richardson Medical Center
We all know the feeling. You eagerly anticipate a special event and it seems like it takes forever for the date to arrive. Then when it finally arrives, it seems like it happens in the blink of an eye. The Methodist Richardson Medical Center family, along with the surrounding communities of Richardson, Wylie, Sachse, Murphy, Plano, and Garland, has been excited about the approaching opening date of the new hospital. Now, after many months of construction, the day is almost here.
The new Methodist Richardson Medical Center will accept its first patient at 7 a.m., Monday, April 14. Years of planning will culminate with a week of preopening festivities. The official ribbon-cutting with Richardson civic and business leaders will take place at 4 p.m. on Wednesday, April 9. Then mark your calendars for our community Grand Opening Party and Healthy Kids Day (in association with the Richardson Family YMCA) on Saturday, April 12, 9 a.m. to 1 p.m. Citizens of Richardson and surrounding communities are invited to tour the hospital; operate some of the new technology, including the da Vinci® Surgical System; experience diagnostic and treatment facilities of the future — cardiac catheterization lab, electrophysiology lab, endovascular room, and new operating suites; meet physicians; contribute to a community mural; go on a scavenger hunt; relish picnic food; express themselves with face painting; learn the art of flying a kite; have their fingers encased in a cast; and decorate surgical caps.
While the facility will be a wonderful resource for the community and provide an advanced healing environment for our patients, the most important thing for patients to know is that our staff remains steadfast in its commitment to quality, safety, and compassionate care. We've been a family of caregivers working together for many years. That gives us the ability to maximize our new surroundings to their full potential to help our patients recover and heal.
The new hospital is designed with the patient in mind with spacious, all-private rooms appointed in soothing colors. Equipment has been integrated into the rooms to make work flow as easy as possible, contributing to the overall positive patient experience. The opening of the new hospital couldn't come at a better time. Over the past several months, Methodist Richardson has experienced record volumes in our emergency department, and in March we delivered 100 babies, more than twice the number of births that we experienced just two months prior.
Other important components of the new hospital include:
- Expanded women's services department to accommodate the growing demands from the community
- Two new cardiac catheterization labs equipped with the latest diagnostic and treatment technologies
- Oversized operating rooms with large video displays
- New pre-op holding area with all-private rooms
- An outpatient infusion suite
- Enhanced capability to perform additional endovascular and electrophysiology procedures — many of which are minimally invasive — thanks to new specially equipped procedure rooms
- Additional beds, including 25 medical telemetry beds, 25 intensive care beds, and 25 intensive medical care beds, all on the 3rd floor of the new hospital
- An expanded level III neonatal intensive care unit
- A new bistro with outdoor seating for staff, patients, families, and visitors.
The new hospital has also incorporated design aspects that will enhance work life for our staff, improving their ability to care for their patients. Staff lounges will be located on every patient care unit, many with balconies. Equipment has been standardized throughout the facility, enabling staff to enjoy a better work experience throughout the hospital.
If you're looking for a fresh start in a beautiful new environment working with experienced colleagues, it's time to choose Methodist Richardson Medical Center. Learn more by visiting Jobs.MethodistHealthSystem.org.
© Methodist Health System
Local Officials and Business Leaders Join Methodist Charlton Open House Celebration for New Patient Care Units
Campus Adds New Tower Units, Odyssey Hospice, and Select Specialty Hospital
Methodist Charlton Medical Center recently held an open house to celebrate several additions to the growing campus. These additions increase the number of hospital beds, and offer patients and the community more options in their continuum of care.
Methodist Charlton invested $27.3 million in this most recent expansion and renovation, which adds 35 new patient care beds and additional patient
care units. Three additional patient units are now open in the new patient tower to provide specialty care in cardiology, orthopedics, surgery, and oncology, and offer upgraded amenities to patients and families. The postcoronary interventional care unit (PCIU) was also relocated and enlarged to almost double its previous size to support cardiology patients.
"This expansion demonstrates Methodist Charlton's ongoing commitment to our community," says Methodist Charlton President Jonathan S. Davis, FACHE. "Our ultimate goal is to better meet the needs of our community and improve the care that we provide to our patients each and every day."
To further support the health care needs of the community, Methodist Charlton has leased space in the original tower of the hospital to Odyssey Hospice, an independent provider operating an inpatient hospice unit, and Select Specialty Hospital, an independent provider of inpatient long term acute care. Odyssey and Select bring much needed services to the southern Dallas County community and allow Methodist Charlton patients to receive hospice and long term acute care services without being transferred to another facility. The Odyssey inpatient hospice unit at Methodist Charlton is the only one in Dallas County located inside a hospital.
The expansion is also expected to enhance the patients' experience throughout the hospital. The additional 35 patient beds will help place patients from the emergency department in their inpatient rooms more quickly. With these transitions and expansions, approximately 85 percent of patients (not including Select Specialty Hospital or Odyssey Hospice units) will be placed in the new patient tower upon admission.
The open house celebration included prayer by Methodist Charlton Advisory Board Member the Rev. Jim Bowden, senior pastor of First United Methodist Church in Duncanville, as well as a tour of the new patient care area. Making remarks were Jonathan S. Davis, FACHE, Methodist Charlton president; Delia Jasso, Dallas city council member District 1; Joe Gordon, president of Select Medical's hospital division; Ron Crossno, MD, Odyssey Hospice senior national medical director; and Curtistene McCowan, Methodist Charlton advisory board member and DeSoto city council member.
Note to editor: Photos available at www.methodisthealthsystem.org/OdysseySelectOpenHouse
About Methodist Health System
Guided by the founding principles of life, learning, and compassion, Methodist Health System (Methodist) provides quality, integrated care to improve and save the lives of individuals and families throughout North Texas. Methodist Dallas Medical Center, Methodist Charlton Medical Center, Methodist Mansfield Medical Center, Methodist Richardson Medical Center, Methodist Midlothian Health Center, and Methodist Family Health Centers are part of the nonprofit Methodist Health System, which is affiliated by covenant with the North Texas Conference of The United Methodist Church. Additional information is available at www.methodisthealthsystem.org. To see why Methodist Health System is a brilliant choice for your career, join our talent community at Jobs.MethodistHealthSystem.org and connect with us through Facebook, YouTube, Twitter and our blog.
Odyssey Hospice and Select Specialty Hospital are independent, legal entities separate from Methodist Health System, Methodist Charlton Medical Center, Methodist Dallas Medical Center, Methodist Mansfield Medical Center, Methodist Richardson Medical Center, or any other affiliated institution.
Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System medical staff are independent practitioners who are not employees or agents of Methodist Health System.
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1441 N. Beckley Avenue
Dallas, TX 75203
Contact: Suzanne Lewis
12 Ways to Avoid the Holiday Eating Frenzy
By Karen Taylor
Employee Health Coach
Methodist Health System
Starting a diet during the holidays? Think again. Most dietitians agree that the season of giving is also the season of eating. Starting a quest to lose weight may be fraught with challenges. While gifting is great, the extra calories and fat grams found in many holiday foods result in the gift that keeps on giving.
Most people gain one to five pounds during the holiday season, which are hard to lose. In addition to temptations such as cookies, candy, and traditional favorites like dressing, gravy, and cranberry sauce, many people are driven to eat to relieve the stress of the holiday season. When we're stressed, we don't make the best health choices.
Losing weight during the holidays is tough. Watching portion sizes is important, but saying no to the many opportunities for extra treats is the most effective as well as the most difficult strategy. Instead of trying to lose weight over the holidays, the best plan may be to maintain your current weight. Then you can kick your quest to lose weight into high gear with the start of the New Year.
Maintaining your weight during the holidays may sound like a relatively easy thing to do, but there are many factors working against you — extra treats in the break room, lots of parties with high-calorie foods, and more.
So how do you avoid falling victim to the holiday eating frenzy? Here are 12 tips designed to keep you on track to maintaining your weight:
- Never skip meals. If you know you're going to be eating a large dinner, plan a low-calorie breakfast, such as oatmeal with blueberries, and a light lunch, such as a broth-based soup and half a turkey sandwich on whole-grain bread.
- Keep a food diary. Journaling what and when you eat is a great way to identify poor food choices. Then you can quickly adjust.
- Exercise. Some exercise is better than none. And more exercise is better than some. Personally, I enjoy the gym and attend a boot camp class on a regular basis. Here, we have gyms at Methodist Charlton and Methodist Dallas Medical Centers, and personal trainers are available to work with you one-on-one at reasonable rates.
- Watch portion sizes. They are critical to successfully maintaining your weight. Smaller servings can be just as satisfying while saving you lots of calories.
- Holidays are days, not weeks or months. Avoid the holi-week or holi-month cycle that causes many of us to lose control of our diets. Get back on track quickly!
- Choose wisely. Weigh your choices on the holiday buffet before making your selections. If you really want Aunt Betty's holiday fruitcake, take a small piece and consider foregoing the nuts and cheeses and other high-caloric treats that you can enjoy throughout the year.
- Skip the seconds. Limit your meal or party dining to one plate.
- Eat slowly. We often eat so quickly, we don't give our body time to send us that cue that we're getting full. This usually takes about 20 minutes.
- Drink water. Many calorie-laden beverages dot the holiday landscape — eggnog, hot chocolate, holiday punch, gingerbread lattes, and more. What's more, alcohol is full of calories. A wise alternative is one holiday beverage followed by water.
- Keep healthy snacks handy. Put them in your bag, purse, or car. Carry healthy alternatives such as granola bars, carrots, and apples so on-the-run fast-food choices won't be tempting.
- Be the healthy holiday hero. Bring a healthy side or entrée to a holiday gathering so you'll know there will be at least one nutritious, good-for-you item you can enjoy.
- Learn to say no. We're often overwhelmed with commitments during the holidays. If we can prioritize things that matter most, then you will be well on your way to managing stress and avoiding stress eating.
As a health coach, my top priority is helping our employees stay as healthy as possible, including maintaining an ideal weight and making lifestyle changes that will improve their well-being. If you're ready to give yourself and your career the gift of happy, healthy holidays, then it's time to choose Methodist Health System. Learn more by visiting Jobs.MethodistHealthSystem.org.
© Methodist Health System
Diabetes: Fact or Myth
By Joyce Kaska-Laird, MA, RD, LD, CHES, CDE
Diabetes Program Manager
Methodist Charlton Medical Center
As someone who works with diabetes patients every day, I often find myself in the role of a myth buster. Patients who have been newly diagnosed with diabetes and those who have been dealing with the disease for some time often have to be reminded about the realities of living with their chronic condition. In a word, I reinforce moderation with my patients.
While each patient requires individualized instruction and a care plan specifically tailored to meet his or her needs, commonly held myths still exist. Here are just a couple:
- Potatoes, bananas, grapes, and other foods are strictly off limits. False. The reality is that patients with diabetes can eat these foods, but they must be vigilant about portion size and balancing food groups to maintain their blood sugar level within desired limits.
- Sweets are a definite no-no. False. Again, moderation and portion size are the keys to satisfying a sweet tooth. An acceptable portion is a 2-inch square piece of cake or one-half cup of ice cream. Because sweets have carbohydrates, patients must integrate sweets into that particular day's nutrition plan. For instance, if they ingest carbs with a serving of sweets, they need to reduce carbs elsewhere in their food intake that day. That's where the balancing act becomes important.
The facts are patients come to us exhibiting the same risk factors that are growing among the population as a whole — obesity, lack of exercise, increased levels of stress, poor eating habits, and a predominantly sedentary lifestyle. Most troubling is the rapidly increasing incidence of diabetes appearing in teens and young adults, which translates to increasing health care costs.
The good news is we've come a long way in helping patients manage their diabetes. New pharmaceutical advances offer patients improved quality of life. For example, some medications increase the amount of insulin made by the pancreas after a meal and help control the amount of sugar made by the liver. New injectable medications help patients' bodies make more insulin after they eat and act to suppress appetite.
Thanks to technological advances with blood sugar meters, tracking information is easier. Older adults can use meters with larger displays and numbers. Meters no longer require coding. New meters can display reading trends over an extended period of time. And we can now monitor patients remotely while giving real-time information to members of their care team. This enables quicker modification of medications, diet, exercise, and other aspects of patients' lives.
Here are the four most important things that patients can do to either prevent the onset of diabetes or keep their diabetes under control:
- Lose weight and maintain an ideal body weight. By reducing weight by 10 to 20 percent, patients can improve their blood sugar levels. Maintaining an ideal body weight is as easy as limiting fast-food intake, eating a balanced diet, limiting fat intake, and eating more fresh fruits and vegetables.
- Maintain balance throughout the day. Watch carbohydrate intake. Don't skip meals. Instead, eat balanced meals throughout the day.
- Be active. Try to get at least 30 minutes of aerobic exercise each day. Walking, cycling, and running are good examples.
- Control stress. If stress is an issue, consider joining a support group. Look for activities you enjoy doing. And remember, exercise reduces stress.
At Methodist Charlton Medical Center, we help patients get involved in their care so they can better manage their diabetes for a better quality of life. If you're ready for a better quality of life, maybe it's time to make a change in your career and choose Methodist Health System. Learn more by visiting Jobs.MethodistHealthSystem.org.
© Methodist Health System
Does a full moon mean higher emergency department volumes?
By Joben Rieth, RN, BS, MBA
Director of Emergency Services, Methodist Dallas Medical Center
Does a full moon mean higher emergency department (ED) volumes? Will more women really go into labor? Halloween conjures up thoughts of black cats, werewolves, and other superstitions, so that begs the question, "What's fact and what's fiction when it comes to health?"
ED nurses will tell you that patient volume goes up during the full moon. This year, the full moon falls on Monday, October 29, a night sure to be filled with parties, tricks, and treats. In labor and delivery, clinicians say it's busier the day before, day of, and day after the full moon. There is no conclusive evidence to support these observations, but here's what we do know about the full moon and other medical myths.
Tale: ED visits increase during holidays.
Fact: On Halloween, the ED sees an increase in finger and hand injuries, cuts, and broken bones in children. For adults, alcohol is often involved. Alcohol impairs balance and judgment, so driving while intoxicated isn't the only issue. Using power tools under the influence, decorating, climbing on ladders, and a host of other activities can become more dangerous when alcohol is in the mix.
Tale: Seizures are brought on by a full moon.
Fact: Researchers at the University of Patras Medical School in Greece studied 859 patients treated for seizures and found a "significant clustering of seizures" around the time of a full moon. They aren't sure why, but what we do know is that there seems to be a link with riskier behavior and a full moon on a weekend. Do we change our staffing in the ED when there's a full moon? No. We staff according to historic statistics, which show that Sunday and Monday are traditionally busier in the ED than other days of the week.
Tale: An apple a day keeps the doctor away.
Fact: While some experts say the only way an apple will keep a doctor away is if you throw it at him or her, several recent studies have suggested that the high levels of phenolics contained in apples work as a potent antioxidant that can reduce the risk of breast and colon cancer. In addition, a recent study from researchers at Ithaca, New York–based Cornell University suggests that apples may also stave off Alzheimer's disease.
Tale: Feed a cold, starve a fever.
Fact: Regardless of your illness, the bottom line is that your body needs energy in order to overcome the illness. Your best bet if you're feeling under the weather? Stay home, drink plenty of fluids, and eat your normal, nutritionally sound diet.
As for staying out of the ED this Halloween and throughout the fall season, here are some tips for you and your family:
- Don't eat any candy without sealed wrappers. You can't guarantee safety or good hygiene with unwrapped items.
- Make sure costumes are reflective for safety when crossing streets.
- If you want to paint your face, be sure to read the label to ensure the product is safe for face application.
- If you're going into neighborhoods you aren't familiar with, be careful. Go in pairs with adults.
- Also, remember that this is the season for Halloween, tailgating parties, fairs, and fun. If you choose to drink an alcoholic beverage, be responsible and get a designated driver.
At Methodist Health System, we help take away the fear of finding a job that works for you. For more information, visit Jobs.MethodistHealthSystem.org.
© Methodist Health System
Live from Methodist Dallas Medical Center, It's the Pink Glove Dance!
By Allison Vo, RN, BSN, OCN
Cancer Program Manager
Methodist Dallas Medical Center
Fred Astaire and the top hat. Chubby Checker and "The Twist." Michael Jackson, the sequin glove, and the moonwalk. "Dancing with the Stars" and the mirror ball trophy. Over the years, dance has had its iconic associations. With the arrival of October, we take time to celebrate Breast Cancer Awareness Month and a new dance association, the Pink Glove.
Several years ago, latex glove supplier Medline began producing pink gloves to call attention to the monthlong observance. In 2009, Medline rolled out a dance video as a way to increase awareness of breast cancer and its support of the effort to battle and defeat the disease. A 2010 sequel involved more than 4,000 people from across the nation, including hundreds of survivors and their families. Everyone involved knew they were onto something when the video received more than 13 million views on YouTube.
The Pink Glove Dance video continued to take on a life of its own as Medline launched the first competition in 2011, and 139 individuals and organizations submitted entries. Judging was through online voting, and a hospital from South Carolina was crowned the winner with more than 61,000 votes.
In 2011, Pink Glove Dance fever spread to Methodist Mansfield Medical Center. This year Methodist Dallas Medical Center also joined the competition. We produced a video that features eight breast cancer survivors and represents 17 departments, including volunteer services, environmental services, information services, labor and delivery, clinical outcomes management, human resources, and more. The video is set to Katie Perry's A Part of Me that includes these lyrics: "This is the part of me that you're never gonna ever take away from me, no."
The underlying theme of the video is things that cancer can't take from you. Participants in the video wear T-shirts imprinted with words like "beauty and friends," "hope and love," "family and peace," "faith and joy," "life and support," "dreams and spirit," "courage and strength," and "survival and health." The choreography is built around boxing as participants try to knock out cancer.
The Pink Glove Dance video has been a unifying experience as staff members from throughout the hospital have come together to rally around our breast cancer patients and their individual journeys to well-being. We want to help them find a support system that works best for them and, in doing so, we connect with each one in the way that provides the resources that are best suited to their specific situation. We think the video is also a great way to remind women about the importance of yearly mammography, reinforcing our commitment to early detection and screening.
At Methodist Dallas, we had a ball producing the video. In fact, we learned a few things that may be helpful to other hospitals as they create their videos:
- Keep it simple.
- Keep it fun.
- The more participants, the merrier.
- Trust your co-workers to come up with something creative. They won't let you down.
- Always feature survivors, lots of survivors. They're the real stars of the video.
- Share the completed video with all employees. At Methodist Dallas, we included our video in our September G.R.E.A.T. Award celebration, which helps us recognize exceptional staff and encourage Giving Recognition for Excellence, Achievement, and Teamwork. We will also show it at each of our Employee Forum sessions, in staff meetings, at physician section meetings, at community outreach events, and at survivor support groups, and we will put it on our recruitment and general websites.
To see the Methodist Dallas and Methodist Mansfield 2012 Pink Glove Dance videos, visit PinkGloveDance.com. We welcome and appreciate your vote! The Pink Glove Dance Competition 2012 will begin at noon CST on October 12 and will close at midnight on October 26. Winners will be announced on November 2, 2012.
If you're ready to ready to kick up your heels with an organization that provides a fun, caring environment, then it's time to choose Methodist Health System. Learn more by visiting Jobs.MethodistHealthSystem.org.
© Methodist Health System
Monday Night Mammos: This Isn't Your Mother's Mammogram Experience
By Allison Vo, RN, BSN, OCN
Cancer Program Manager
Methodist Dallas Medical Center
Picture this. It's 7 p.m. Monday evening. You're headed to the breast imaging center to have your mammogram. You pull your car up to the entrance and are met by a friendly valet who parks your car. An escort guides you to the imaging center where you are greeted by a friendly staff member who offers you a mock-tail (an alcohol-free beverage) and healthy snacks such as fruit, cheese, and crackers. You're then ushered into a private room where you slip into a fluffy pink robe to the strains of soft music and aromatherapy. As you wind down, a nurse navigator introduces herself and takes you to the imaging suite, where a caring technician explains what the mammogram involves and what to expect. After the procedure, you change into your street clothes and are escorted back to the lounge where you receive a chair massage and hand scrub. Amid congratulations for taking time to care for yourself and your health, you are offered a freshly cut gerbera daisy, a bag of pink M&Ms, and a chilled bottle of water for the ride home. Perhaps best of all, you're assured that you will receive your test results via a personal call within 24 hours. Not your mother's mammogram experience, you say? Welcome to Monday Night Mammos at Methodist Dallas Medical Center.
What began as a pilot program in early 2012 has become a much-anticipated event by women who have come to rely on Methodist Dallas for their well-being. Women have told us they love the experience, not a usual response when asked to describe their last mammogram.
By adding relaxation and pampering to the mammography experience, we've managed to strike a chord that resonates with women of all ages. "Finally, I don't dread getting a mammogram," one woman told me. "You treated me like a queen," another said. The personal, caring touch is a hallmark of the entire mammography experience. And I think we're onto something!
While the extra touches set the Methodist Dallas mammography experience apart from other area imaging centers, state-of-the-art digital technology and medical expertise are the foundation of our breast screening program. If, for some reason, the mammogram shows abnormal results, our breast health nurse navigator calls the woman the day after her procedure to answer her questions and schedule follow-up diagnostic testing. We follow the American Cancer Society screening guidelines, which recommend a baseline mammogram between 35 and 40 years of age and an annual mammogram after 40. If a woman has a history of breast cancer in her family, we strongly recommend she discuss the timing of her mammogram with her physician.
The Monday Night Mammos program is offered on the last Monday of every month (except for Memorial Day), as well as the first four Mondays in October in recognition of breast cancer awareness month. A similar program is offered at Methodist Mansfield Medical Center. An appointment is required (visit www.MethodistHealthSystem.org/MondayMammos for information), and Methodist Health System bills your health insurance company directly for the charges.
The program is ideal for women ages 40 and older who are due a regular screening mammogram. In fact, we encourage our employees to take advantage of the opportunity to be pampered, because like most women, we as caregivers are so busy caring for others, that we forget to take care of ourselves.
Methodist Charlton and Methodist Richardson Medical Centers also offer imaging centers. What's more, Methodist's Women's Imaging Centers are among only about 30 percent of breast imaging centers in the United States to offer a softer digital mammogram, which makes the exam more comfortable.
Today, we are seeing younger women diagnosed with breast disease, so we are committed to educating women about the importance of beginning breast self-exam when they are in their 20s. In addition, women should have an annual breast exam by a qualified medical professional. Our commitment to educating women about prevention and early detection of breast disease extends beyond the Methodist campuses. Through our mobile units and community partnerships with organizations such as the Bridge Breast Network, YMCA, University of North Texas, and Dallas Cancer Disparities Community Coalition, as well as funding from the Susan G. Komen Foundation, we are able to sponsor a breast screening program for uninsured and underserved women.
If you're ready to join an innovative team of caregivers, then it's time to choose Methodist Health System. Learn more by visiting Jobs.MethodistHealthSystem.org.
© Methodist Health System


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Voting for #BestofManayunk has been extended to January 15th!
Voting has been extended for the Best of Manayunk!
Vote for our stars Tara Ann and Lisa Miller. Tara Ann is your friendly bartender during brunches and evenings and makes sure that glass never goes empty and Lisa Miller goes above and beyond for everyone who steps in our door!
Click the link below help us claim best bartender and server, along with the other great categories we and Smokin' John's have been nominated for! You can vote as many times as you like!

subset: commoncrawl


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Nine shortcuts to looking much better this autumn
See in autumn with a beauty overhaul the easy way. Lisa Haynes reveals nine quick steps to have you looking wonderful.
You're considering: Lip fillers
Shortcut: Lip pumping product
Take the needle-free option to a cushion-like pout with an instant plumping gel. To get prolonged but natural volume, aim to apply three times daily before your regular lipstick or gloss.
TRY: Transformulas Lip Volume, £29.95 (transformulas.com)
You're considering: Hair extensions
Shortcut: Hair thickening fibres
Camouflage scalp show-through and fill out wispy locks with micro-fibres that bind to even super-fine hair strands in seconds. Sprinkle on in areas you need a fullness fix and they'll stay put until you next shampoo.
TRY: Toppik Hair Building Fibers, from £6.95 for 3g travel size (toppik.co.uk)
You're considering: Laser teeth whitening
Shortcut: Whitening boosters
Ramp up your daily brushing with add-on whitening serums that lift stains and brighten teeth. Stick to a twice-daily regime and you can expect a smile that's five shades whiter in two weeks.
TRY: Pearl Drops Pure White Whitening Kit, £25 (boots.com)
You're considering: Botox injections
Shortcut: Skin-tightening device
Get tighter skin with a high-tech tool that (safely) heats skin tissue and stimulates natural collagen production. Use religiously five times a week for a month for optimum face firming.
TRY: NEWA Beauty Tool, £350, from October (newabeauty.co.uk)
You're considering: Medi pedi
Shortcut: Intensive Foot Peel
Shift the hard skin that's accumulated over summer with an alpha hydroxy acid peel specifically for feet. Pop on the booties for two hours, and dead skin will peel off over seven days.
TRY: Skin Republic Foot Peel Foot Mask, £9.99 (graftonsbeauty.co.uk)
You're considering: Laser hair removal
Shortcut: Targeted cream
Remove stubborn hair and avoid the ouch factor with a depilatory. A precision tip tube avoids mess and dissolves facial hair for up to seven days.
TRY: Nair Upper Lip Kit, £5.29 (www.superdrug.com)
You're considering: Eyelash extensions
Shortcut: High-tech mascara
Encourage growth as you bat voluminous lashes with a two-in-one mascara. A formula with conditioning peptide stimulates keratin for longer eyelashes.
TRY: LashFusion XXL Extreme Volume + Lash Enhancing Mascara Mascara, £24.50 (spacenk.com)
You're considering: Dermal filler
Shortcut: At-home hyaluronic acid
Bypass the hypodermics; you can plump facial tissues without puncturing skin using a combo of hyaluronic acids and peptides. Use for 14 days for a visible plumping effect.
TRY: Fillerina Filler Gel Treatment Kit, from £79 (marksandspencer.com)
You're considering: Pro gel manicure
Shortcut: Nail polish transformer
A polymer-altering base coat and LED lamp combine to cure normal lacquer into a gel mani that stays chip-free for 10 days(ish).
TRY: SensatioNail Polish to Gel Starter Kit, £49.99 (boots.com)
Belfast Telegraph


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Govt Saves K777m in Monthly Foreign Mission Payments
The ministry of foreign affairs says it has significantly reduced salary payments from K1.3 billion to K523 million a month by decreasing the workforce in Malawi embassies and consulates.
The saving has also been attributed to the decision to recall staff who terms ended.
Principal Secretary in the Ministry of Foreign Affairs Dr Dalitso Kabambe said currently over 80 envoys to other countries have been recalled.
Speaking to Zodiak, Dr Kabambe disclosed that government is saving about K700 million monthly which was used to pay envoys and staff in embassies and consulates.
He further said all the recalled staff are no longer on the payroll and the last group of returnees is expected to jet into the country this week.
"About 82 have already arrived in the country and as a result of that their wage bill, compared to November last year, has gone down from K1.3 billion monthly to K523 million per month," Kabambe said.
With the revelation over K500 million was found to have been misused in all embassies, the foreign affairs ministry provided auditors to go and monitor funds management in various embassies.
According to the National Audit office (NAO), 10 embassies to be audited first are Berlin, Brussels, India, London, Tokyo, Beijing, Johannesburg, South- Africa, Tanzania, Cairo in Egypt and Dubai.
The auditing exercise is to take place in two weeks from November 21.


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Let us take the worry out of dinner tonight! Our extensive selection of store made meals are made from scratch using local farm fresh ingredients whenever possible.
We offer a great selection of frozen meals that are prepared from scratch using nutritious, farm-fresh ingredients with no preservatives added! All our meals are portion-controlled and ready to heat either in the microwave or right in their oven-safe dishes.
The Portions and Newton's No Gluten kitchen is a dedicated gluten, wheat and peanut free facility with completely separate preparation and packaging areas for dairy and egg-free cooking and baking.
Many of our meals were developed with input from local dietitians to meet the requirements for a balanced, diabetic-friendly diet.
Signature Meals
Shepherd's Pie
Lean ground beef and mixed vegetables topped with whipped potatoes.
Dairy-free and egg-free.
Spaghetti & Meatballs
Tinkyada brown rice spaghetti with Portions hand made meatballs and marinara sauce.
Dairy-free and egg-free.
Traditional Meatloaf
Oven baked meatloaf with mashed potatoes, our own real gravy & acorn squash.
Dairy-free and egg-free.
Butter Chicken
Tender chicken pieces in Portion's own Indian butter chicken sauce, served with biryani rice.
Dairy-free and egg-free.
Coconut Curry Chicken
Pieces of chicken breast, slow simmered in our authentic coconut curry sauce, layered over basmati rice with bell peppers and green peas.
Dairy-free and egg-free.
Pineapple Chicken Chili
Lean ground chicken seasoned with our own Portion's Chili Blend plus butter beans, cabbage, and pineapple tidbits in our house made savoury tomato sauce.
Dairy-free and egg-free.
Vegan Coconut Curry
A medley of root vegetables plus lentils, green beans, tomatoes and peas slow roasted in our own fragrant coconut curry sauce.
Dairy-free and egg-free. Suitable for a Vegan diet.


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text: I was just wondering I was re reading green lantern no fear and revenge of the green lanterns as well as green lantern recharge. I noticed at the end of revenge of the green lanterns that guy was already an honor guard. So where does the recharge arc take place? Im assuming its after rebirth and before no fear


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Your Chelmsford, MA Real Estate Agent
April 23rd, 2013 By H&H Real Estate Media in Blog. Tags: Real Estate
Dan Sullivan
Dan Sullivan has been a Realtor® for over 25 years. He is a licensed broker in both Massachusetts and New Hampshire. He has exemplified his dedication to the industry through his commitment to excellence, his continuing professional development, and his involvement in local, state, and national Realtor® organizations. He is a graduate of the Massachusetts Association of Realtors® Leadership Academy in 2006 and the National Association of Realtors® Leadership Academy in 2009. He is a past president of the Northeast Association of Realtors® 2007, NEAR's Realtor® of the year in 2008, inducted into the NEAR Hall of Fame in 2010 and received the 2014 Distinguished Service Award from NEAR. Dan is a Regional Vice President of the Massachusetts Association of Realtors® for 2014 and previously in 2008. Dan is a member of the board of directors for the Northeast Association of Realtors®, the Massachusetts Association of Realtors® and is a past alternate director for the National Association of Realtors®.
He has further committed himself to upholding the professional standards of the Code of Ethics for clients, customers, the public, and fellow Realtors®. He has been trained in both Professional Standards and Mediation. His commitment extends to all three levels of the Realtor® organization, local, state and national. He is a staunch believer in the power of education, having received training from the National Association of Realtors® "Surround Sound" in 2008 and 2009. He is a strong supporter of RPAC and has seen first hand what can be done by the Realtor® party.
Dan Sullivan received a Bachelors of Science degree from Boston State College (UMass Boston) and a Masters degree in Criminal Justice from Anna Maria College. He is a retired police sergeant from Lowell, MA.
NAR Designations: ABR, CRS, GRI, SRES
ABR: Accredited Buyer's Representative / ABR®
CRS: Certified Residential Specialist® / CRS®
GRI: Graduate REALTOR® Institute / GRIsm
SRES: Seniors Real Estate Specialist, SRES
NAR Certifications: AHWD, TRC
AHWD: At Home with Diversity / AHWD
TRC: Transnational Referral Certification
MAR Designations: CBR, LMC
CBR: Certified Buyer's Representative
LMC: Loss Mitigation Course
Kathleen Sullivan
Kathleen M. Sullivan, Ed.D. works in partnership with her husband, Dan Sullivan, as a Realtor®. Her personal goal as a Realtor® is to deliver optimum service and commitment to her clients, making their real estate wishes come true while adhering to the Realtor's® code of ethics. This ensures that her clients are receiving the best quality of service.
She is a visiting associate professor for the National Association of Realtors® in their Masters of Real Estate Program. She designed and teaches the Capstone Course in this program.
Prior to her current position, Kathleen taught in the Lowell School System for thirty-eight years. After teaching in Lowell for a number of years, she earned her Masters Degree in Instructional Technology from Lesley College (currently Lesley University) and her Doctoral degree in Instructional Technology and Distance Education from Nova Southeastern University. Her continuing involvement in education as a Committee Chair and Adjunct Faculty for Nova Southeastern University and Northcentral University enhances her career as a Realtor®. Both areas require a high level of dedication and loyalty.


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Switzerland wants its gold back
May 14, 2012
In 1921 the world's governments agreed to pool their gold in the World Collateral Accounts, on the theory that this would prevent wars (where nations invade others to steal it).
The Federal Reserve then misused it for its own purposes in the 1950's, and when the bonds came due, they claimed they were fakes and refused to give back the gold.
In recent years, some nations have been able to get their gold returned to them, including Venezuela. Now it appears that Switzerland wants theirs returned.
It will be interesting to see if that will take place, since many believe that most of the Fed's gold has been sold off already, and the rest has been turned into bars of gold-plated tungsten (counterfeit gold).
Dr. Stephen Jones
Add Pingback


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We use words to exchange information. Words can inform our minds or warm our feelings but also anger us or destroy our self-confidence.
How does this relate to business? Business relationships are built mainly through the exchange of words: telephone calls, emails, sales pitches and closing deals, to name a few. What we say is therefore a vital element in the success of our companies. We use technology now more than ever which increases the importance of words. For example, remote working is becoming more common. The Virgin Media Business predict that 60% of people will work regularly from home by 2022. This means that we do, and are continuing to, communicate face-to-face less.
Communicating with someone remotely means that you are not using body language or tone of voice -which normally accounts for a total of 93% of all communication. The words that you use therefore hold far more significance. When writing emails, the following should be taken into account:
A professional email should be structured using 6 simple steps:
1 Use their name. It has also been shown that adding a "Hi" or "Dear" before their name encourages a positive relationship to be built.
2 Emote in your opening sentence.
3 Be concise but not snappy.
4 Try and mirror their tone of writing as it will help to build rapport.
5 Add your next steps.
6 End well.
Words to avoid include:
1 "Just" – This minimises the significance of what you are saying.
2 "Hopefully" – This shows that you have relinquished control over something.
3 "Actually" – This implies that you are lacking confidence in what you are saying
Thinking carefully about what you say and how you say it will prove to make a difference in your working life. By adhering to these simple rules of email etiquette, strong relationships can be built. Successful businesses are built on strong relationships.
What impact do you think technology is having on communication in the office?


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Bruce Jenner has advising Lamar Odom how to deal with the end of his marriage to Khloé Kardashian, and keeping him in a positive frame of mind.
Bruce Jenner is advising Lamar Odom how to deal with the end of his marriage to Khloé Kardashian.
Former Olympic gold medallist Bruce - who split from Khloe's mother Kris Jenner after 22 years of marriage toward the end of 2013 - spent over an hour on the phone to her estranged husband on New Year's Day to keep him in a positive frame of mind.
A source told Hollywoodlife.com: ''He told Lamar to forget about everything that happened in 2013 and not drag all the drama, defeats and embarrassments with him.
''Bruce told him, 'It will eat you alive and ruin any progress if you stay in the past.' He also told Lamar to stay off the websites and turn the TV off and not listen to gossip about him. He basically gave Lamar a lot of advice and mental support.''
Khloé, 30, called time on her four-year marriage to basketball player Lamar, 34, in September after allegations surfaced accusing him of cheating on her with multiple women and using illegal drugs. He is now said to be worried about the way he will be portrayed in the forthcoming series of reality show 'Keeping up with the Kardashians', which centres around Khloe and her sisters Kourtney and Kim.
Bruce reportedly told him to ''hope for the best but expect the worst when it comes to that show and what they're going to reveal because this is how they survive - by putting everything on the table.''
It was recently revealed Khloé is still in contact with Lamar and is determined to help him stay sober, although friends insist they have no plans to reconcile.
The new series of 'Keeping Up with the Kardashians' will air in the US on January 19.
Take a look back at October's inaugural event.
The film is expected to continue without Mendes' involvement.
Jack Sadelstein loves his family. He loves his wife, Erin and he loves his two...
An attempt to do for hair stylists what "This Is Spinal Tap" did for heavy...


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Limited time only.
If you're still trying to stock your winter wardrobe, then it's well worth paying Topshop a a visit.
For a limited time only, Topshop and Topman are taking a further 25% off already reduced sale items.
You can shop the sale in store now.
Topshop and Topman 25% off Sale Items
In stores
Limited time only
Want to be notified of more sales like this? Enter your details below and we'll send you a weekly round-up of the best.


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First Tutors helps you to find a home welsh tutor in Lochailort and anywhere in the UK. Local welsh tuition is an excellent way to boost confidence as well as increasing grades and doesn't have to be boring! Please use our service to find Lochailort welsh tutors and select the one who best meets your needs.
First Tutors is the best place to discover through one search the most suitable Lochailort welsh tutors for your needs, enabling you to find a home Lochailort welsh teacher for any subject, for example, GCSE English, A-Level Maths or even university Physics. We also help with language tuition, so if you want to learn French, take a Greek course or prepare yourself for Spanish life, we can help - and all in Lochailort! Our search will order welsh Lochailort teachers in your area according to their welsh tuition charges and proximity to you.
If you are a Lochailort welsh tutor wanting to offer your private welsh tuition services in Lochailort or anywhere else across the UK, please register with First Tutors or find out more about what we offer here. Private welsh tuition is a fantastic way to re-affirm your welsh knowledge while helping someone else, all in the Lochailort area!


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The main cast and new staff members have been announced for RS Project - Rebirth Storage -, an original TV anime special that will air in June of 2016 on Fuji and that is based on the winner of the "Let's Make the Mecha Anime That We Want to Watch" contest. Hit the jump to learn more.
The winner of the 2015 "Let's Make the Mecha Anime That We Want to Watch" contest, RS Project - Rebirth Storage -, will broadcast as a television special on Fuji TV in June of 2016. Hit the jump to learn more.
In conjunction with the birthday of voice actress / singer Miyuki Takagi, a new cross-over collaboration between Wake Up, Girls! and Hacka Doll the Animation has been announced. Hit the jump to learn the details.
This week, DeNA and Anime Consortium Japan Inc announced that they plan to stream Japanese anime titles through English database/forum site MyAnimeList. The MyAnimeList website was purchased by DeNA Group in January 2015 from male-lifestyle publisher CraveOnline Media. More after the jump.
DeNA is working to vastly expand the library of its Japanese "Mangabox" smart phone app, with the goal of eventually hosting more than 50,000 books. Hit the jump to learn more.
DeNA is branching out from e-commerce websites and mobile games into new and unexpected directions, specifically the development of robot taxis designed to serve the transportation needs of visitors for the 2020 Olympic games in Tokyo. Hit the jump to learn more.
Nintendo and DeNA, a Tokyo-based company that provides Internet and mobile game services, have formed a business and capital arrangement that promises to bring Nintendo's popular characters into the world of mobile gaming. Hit the jump to learn more.


text: Human Rights Observatory Pakistan Denies It Is Holding Taliban's No. 2 Man Pakistan has denied the Afghan Taliban's claim that its second-in-command, Mullah Baradar, has not been freed, as Pakistan promised. In a text message to journalists, a spokesman for Pakistan's Foreign Office, Aizaz Ahmad Chaudhry, said Baradar was a free man. "As far as we are concerned, he is free to meet and contact anyone to advance the cause of reconciliation," Chaudhry's message read. The Taliban in Afghanistan disputed Pakistan's announcement last month ...Read complete article© Voice of America - Wednesday, October 9, 2013


text:
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Jumpers and Cardigans
Feeling Nostalgic
Oh, I just love knitting baby things. Even though I knitted for the boys when they were little, there is just something special about knitting for little girls. It's been a while since I've knitted matinee coats, but I just loved making this one.
I've knitted it using a lovely baby DK in a very pale mint green. The buttons did come from the trusty button tin. There will be more baby items to come, although I must finish Jonathan's jumper first.
Jumpers and Cardigans
Lazy Daisies
Well this seems to be the best way to combine two of my loves, knitting and embroidery. I'm on a mission to use up some of the odd balls of yarn and there is a need for baby items here. We've got two babies arriving very soon, one of each variety, so I thought I'd get busy.
This is a very simple cardigan, but the addition of the embroidered lazy daisies makes it just a little special. My trusty button tin came up trumps for the buttons too.
It's a good job I like this yarn, there is still lots more on the ball to use up. The top is covered, I think we'll go for the feet next.
Jumpers and Cardigans
Child's Zipped Cardigan
The sewing machine and zip behaved impeccably and the cardigan is finished. The video for inserting the zip will be available in a couple of weeks.
The cardigan is knitted in 100% cotton, I used Drops Belle Uni Colour. As it's a cross between a cardigan and a jacket, it's a longer length, perfect for a tall child.
The cuffs are buttoned and my trusty tin has come up trumps again. These navy buttons, with faux stitched detail are perfect for a young man. I hope he will be happy.
Now that this is finished, I have to decide what knitting project is next. Will it be more socks, or will I go back and finish Jonathan's jumper?
Jumpers and Cardigans
Almost Done
As usual, there has been knitting going on in the background. This time, it's a child's cardigan. I love the moss stitch borders, makes a change from ribbing. The sleeves also have buttoned cuffs, so I'll be shopping from my button tin again.
It needs a zip inserting to complete the cardigan, it's on my list of things to do today. Once it's complete, I'll get a proper photo.
Jumpers and Cardigans
Zippered Jacket
You may remember the colourful hat from last week, it has a colourful jacket to go with it. I've always avoided putting zips into my knitted garments, always putting in a button band, but I thought it was time to give it a go.
The hardest thing was finding a zip to fit and in the right colour. That's where online shopping is such a help, local shops just didn't carry anything out of the ordinary. The zip has been machine stitched into place using a matching thread.
The jacket is to fit a child with a 24" chest size which is about four years of age.
All Finished
Happy Knitting
As we had visitors, I've had to put the camcorder to one side, but it did make way for the knitting needles. Now, I have not one sleeve, but two.
It didn't stop there. The shoulder seams were sewn together and the borders were done on the both sides.
The borders marked the end of the knitting and the mammoth task of sewing up began.
It now needs a button. I'll have a look through my button boxes today to see if I have one here, otherwise, I'll have to go shopping. Once the button has been attached, I'll get some proper photos of the finished cardigan.
Jumpers and Cardigans
No Longer Armless
The day may not have gone as planned yesterday, but I did get some more knitting time. That means my cardigan has another piece to add to the jigsaw. One sleeve done, one more to go.
I need to get this one finished quickly. More yarn was acquired yesterday for a new crochet project, which I'm keen to get started. It's going to be white and sparkly, but more details on that once I get started.
Join me tomorrow for something new to the blog. I have a guest interview for you and I can't wait!
Jumpers and Cardigans
A Body
It's been a fairly good weekend for knitting, and good progress has been made on the cardigan. I now have two fronts to add to the back. This week is going to be all about the sleeves.
It's going to be a varied week here. I shall be on a yarn hunt for an interesting project and the sewing machine should be in action this week, as well as the video camera. I can't forget about the guest blogger too, I think we could be in for some fun.
Jumpers and Cardigans
One Front Done, One to Go
So here's the first front to go with the back of the cardigan. I love seeing how it all starts to come together, even the sewing up isn't as daunting as it used to be when I was younger.
All being well the second front should be completed this weekend. That will mean sleeves will be the focus for next week.
Talking about next week, keep your eyes open for a interview coming next week. It's going to be the first of two interviews with Jen Gale of Make Do and Mendable. I hope you will enjoy it.
Jumpers and Cardigans
Jane Galley
I have had a lifelong love of crafts which started with being taught how to knit at a very young age. It didn't take long to realise that great joy and satisfaction came from making things. Even now, I get a thrill seeing something that started just as an idea, becoming a finished product, whether I make it, or teach someone else how to make it.
November 2017


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Play it smart: Show loyalty to all higher-ups. Keep everyone equally apprised of your progress. Never withhold information from some while updating others. Other tips:
Know how they judge. Ask each boss how he will assess your work. They may each have different ways to process information, so tailor your communication to fit their preferences.
Example: The CFO may like raw data, while the chief marketing officer may find one-paragraph summaries more useful.
Follow up. At no point should bosses have to ask each other, "What's up with that project?" Update them at regular intervals.


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GraphicRiver Square Brochure Mockups 6286053
Category: Stock Graphic | Comment: ( 0 )
GraphicRiver Square Brochure Mockups 6286053
Stock Graphic \ Product Mock-Ups \ Print \ Brochures
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Stock Graphic \ Product Mock-Ups \ Print \ Brochures
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Urvashi Rautela Wiki, Biodata, Career, Age, Details, Debut Movie, Marriage info: Urvashi Rautela is a very popular actress in Bollywood industry. She got acquired in Bollywood with her first debut movie 'Singh Saab the Great'. This movie helps to establish her career in Bollywood. She has done many Punjabi and Hindi songs as a model. She won the 'Miss Asian Supermodel 2011' in South Korea. She also won the 'Miss Tourism Queen of The Year' in 2011 in China. She has won the several awards for her beauty. She mostly seen in many Hindi movies. From here you can get real information about Urvashi Rautela.
She was born in Kotdwara, Uttrakhand, India. Urvashi Rautela did her school studies from there and preparing for IIT exams. She has won the many awards for her beauty.
Urvashi Rautela began her career when she won the Miss Universe India in 2012. Then she started work in Bollywood movies. She got first to break in Hindi movies by 'Singh Saab The Great' 2013 with superstar Sunny Deol.
Marriage status-
She has not planned for her marriage yet. Now she makes her career in Hollywood level.
Personal details-
- Name: Urvashi Rautela
- D.O.B.: 25 Feb 1994
- Birth Place: Kotdwara, Uttrakhand, India
- Age: 22 Years
- Height: 5'7''
- Eye Color: Light brown
- Occupation: Actress, Model
- First Movie: Singh Saab The Great 2013
- Achievements: Miss Asian Supermodel 2011, Miss Universe India 2012
- Nationality: Indian
- Singh Saab The Great 2013
- Airavata 2015
- Sanam Re 2015


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Violence for Kicks Trailer (1979)
03 March 1979 Action, Crime 88 mins
A gang of young and ruthless bikers terrorizes the streets of Rome for no other reason than kicks and to kill their copious amounts of spare time. They purposelessly gang-rape random girls, beat up pedestrians, deal hard drugs, organize illegal street races, menace witnesses, murder city employees and commit violent heists even though they don't need any money as they're all the offspring of rich & eminent citizens. The tough police inspector De Gregori rapidly becomes very frustrated because each time he arrests the arrogant gang leader Stefano, his daddy's attorneys arrange a release warrant the exact same day. But when the gang's aggressions gradually become viler and De Gregori's own wife becomes the target of an assault, he decides to enforce the law slightly more drastic.
Watch the official Violence for Kicks 1979 trailer in HD below or find more Violence for Kicks videos on Vidimovie.


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Atomic Theory Timeline
Early Theories
Most theories before the 19th century weren't based on experiments
Only when scientists began to study and involve things like electricity, is when they began to develop models about atomic structure
J.J. Thomson's Cathode Ray Experiment
Calculated the magnitude of the atom
Shot heavy, positive charged alpha particles through gold foil
*EXPECTED alpha particles to have little deflection
most alpha particles went through the gold foil
Few deflected and some bounced back at wide angles
*RESULTS found that the positive charged, massive nucleus repelled the alpha particles
John Dalton
Used Greek Concept of the atom, the law of definite proportions, the law of conservation of mass, and the law of multiple proportions.
English School Teacher
Rutherford's Gold Foil Experiment
Five Principles
All matter is composed of very small particles called atoms, which cannot be subdivided, created, or destroyed.
Atoms of a given element are identical in their properties.
Atoms of different elements differ in properties.
Atoms in different elements combine in simple, whole number ratios to form compounds.
Gold Foil Experiment Results
In chemical reactions, atoms are combined, separated, or rearranged but never create, destroyed, or changed.
1894-Stoney proposed that electricity was made of discrete negatively charged particles known as electrons.
By: Laurielle Bandolin, Angelica Del Rosario,
Taylor Tipton,
Lizeth Valentin
Results determined that the nucleus (positively charged) is in the center of an atom where electrons revolve around it, similar to the solar system.
Structure is called "Nuclear Atom" or "Planetary Atom"
Greek philosopher
Can matter be divided into smaller denominations forever, or is there a limit?
Matter cannot be broken down forever, eventually its smallest denomination could be obtained and this would be indivisible
"atomos" - not to be cut
Niels Bohr
Dmitri Mendeleev
Touched on Rutherford's model
orbit the nucleus without losing energy
can only move in fixed orbits
electrons that are closer to the nucleus have lower energy while electrons with higher energy are further away
Chemists and physicists question findings on electrons, eventually leading them to the Quantum Model of the atom
Works Cited
Theory proposed a model of atom which is known as the plum pudding model
Sphere of positive charge with negatively charged electrons
Atom electrically neutral
"HISTORY OF THE ATOM FROM DEMOCRITUS TO BOHR AND SCHRÖDINGER." HISTORY OF THE ATOM FROM DEMOCRITUS TO BOHR AND SCHRÖDINGER. N.p., n.d. Web. 08 Nov. 2013. <http://profmokeur.ca/chemistry/history_of_the_atom.htm>.
J.J. Thomson's Theory
Gas pumped out of glass tube
Metal plates, electrodes, placed on ends
Positive electrode- anode, Negative electrode- cathode
When cathode ray was turned on a glowing beam came out and was deflected
Thomson's Conclusions:
Beam had particles with mass
Particles in beam had negative charge due to deflection
All atoms contain negatively charged particles, electrons
"Joseph John Thomson." Homepage of the Chemical Heritage Foundation. Chemical Heritage Foundation, n.d. Web. 06 Nov. 2013. <http://www.chemheritage.org/discover/online-resources/chemistry-in-history/themes/atomic-and-nuclear-structure/thomson.aspx>.
Created 7 groups of elements with similar properties
Discovered their properties "were periodic functions of their atomic weights"
Known as Periodic Law
G.J. Stoney
Buescher, Lee. "Atomic Structure Timeline." Atomic Structure Timeline. ScienceDept, n.d. Web. 06 Nov. 2013. <http://atomictimeline.net/>.
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Black Friday is here. Save 25% on all apparel, 20% on everything else. Use BLACKFRIDAY
Copyright: Yannik Hay
blue eggs nature still life yannik hay
Stunning capture ! Love the blue light :)I'd love to know how is this done ? :)
Belated thank you for the great comment. I was in Vancouver and with a limited time internet connection. Cheers!
ps: I don't remember quite well all the steps but in Photoshop, in layers, selective colours and play with the sliders. In Blue mostly and in White.
Spot on Yan..Wery creative / atractiveFAVJohn
A nice "cooling" effect!!
Oh magnificent composition and capture of light! How did you get that delicious blue tone?
Thank you very much Johanne for your appreciation. I don't recall all the steps but I played in Photoshop, in layers, selective mode, pushed the sliders of white and blue. Cheers :)
nice work
wonderful work!
Very creative Yan. I like it.
Very well done! Love it!
Thank you very much Wanda :)
Very clever…..lovely shot!
Great shot!
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text: Regulars Scanner Ada Calhoun ••Tweet REGULARS Crush of the Week She may not be sane, but by God, Liza Minnelli, recently accused of rape by her former bodyguard/chauffeur and of abuse by her terrifying ex-husband, David Gest, is our kind of lady. And as if these fellows didn't know what they were in for — you don't ask a plumber to build you a fence, and you don't ask Liza Minnelli to sit there and look pretty and not physically attack the men in her life. And for that, she is our crush of the week. — Ada Calhoun Quotes of the Week "Jane is raunchy. Jane is randy. Jane is snide and sarcastic and self-centered. Jane is a little nutty and a little slutty. Jane is cheesy and sleazy and trashy. And I mean that in the best possible way." — The Washington Post. "People complain about airline food, though I actually have always been pleased with your menu, and I love the warm nuts!" — From the letters to the editor in the November issue of American Way. "I've been married so much in my life that I never really had lovers, so it's been a fun time. Hopefully, the men are enjoying it as well. But it's not deep love… I truly love men and women equally and I see people as people and love as love. So I think it makes sense that a woman would know that I would appreciate and love her as much as a man would." — Angelina Jolie. Honeymoon Poem 11.10.2004 A honeymoon at last, to get away from it all My assistant Fe gave me the call. I remember it well, as she was smilin' She said it was called Turtle Island. I packed my bags light and quick, Then grabbed my pink dress & favorite lipstick. We hopped on a plane and took our flight I slept really well, all through the night. As we arrive, I turn and look out the door, People are greeting us right at the shore. A meal, a shower and some ice cream Then I threw my man down, you know what I mean! Magical nights filled with stars Silence is golden, no running cars. Private dinners, romantic fires Little piece of heaven, whatever your heart desires. Friendly "hellos" and never goodbyes When you're having fun, oh, how time flies! As we sit and prepare to make our part I thank you, Turtle Island, with all my heart! — Britney "Yeats" Federline "Disappearing habitat. Metrosexuality. The proliferation of in-line skates. Man is in terrible danger. In fact, he's rollerblading on the brink of extinction." — From Maxim's new ad campaign. Photo of the Week From the cover of Britney's new album, we learn that looking like a cyborg is her prerogative. Our beloved Grant Stoddard writes about safe sex paranoia for New York Magazine. The photos pay homage to Saran Wrap. From Our Inbox "Dear Editor, We're writing to inform you of several new releases on Human Sexuality that we thought might be of interest to you for review in your publication or on your website. The Clitoris: Forbidden Pleasure is a provocative and often humorous documentary that explores the "mysteries" of female sexuality, focusing on the clitoris, a tiny, highly sensitive organ with 8,000 nerve endings at its tip, making it the most responsive organ in the human body, including the tongue or, in men, the penis. Its sole function is pleasure. You'll find detailed information on this film on our website." Creepy Celebrity-Virginity-Loss Story of the Week "My parents went to Las Vegas one New Year's Eve weekend, and my brother Ronny threw a party. I loved that he let me be part of it — I was 15, and he's seven years older. I cooked steaks. It was one or two in the morning, and I saw a line of guys standing outside a bedroom door. They said, "Do you want to go next?" "What do you mean?" "Barbara's in there." I had met Barbara, a beautiful older woman, about 20. She was what in those days we called a nymphomaniac, which is not a word you hear anymore. She was servicing these guys, one after the other. I had never been laid, and I couldn't believe my good fortune. I went in. It was dark, and she said, "Is that you, Ronny?" I said yes, lying for fear that she'd reject me. I wasn't old enough to drive a car, so I thought maybe I wasn't old enough to drive a woman. I remember whistling because I wanted to appear relaxed as I was taking off my clothes. It was wonderful. I came quickly and kept humping and humping. I thought, Is that all there is? I kept waiting for the next fireworks. The humping went on for about 20 minutes until somebody opened the door. It was just like a movie: A shaft of light was thrown from the hallway onto my face, and she screamed because I wasn't my brother." — Dustin Hoffman in Playboy. In the News The Right is completely freaking out about the movie Kinsey. We were channel-surfing this weekend and came across a Christian TV show that claimed, "Kinsey still has his cold dead hand on the throttle of our culture." Cold! Dead! Hand! Throttle! In a similar vein, Frank Rich accuses Fox of — say it isn't so — hypocrisy. Another teacher, another sex scandal. Students in New Zealand want to grow up to be pimps, prostitutes, strippers and drug dealers. David Beckham is going to buy Posh a $1.8 million platinum-and-diamond encrusted vibrator. Hey, it's easier than staying faithful. Ironically enough, Massachusetts has the lowest divorce rate in the country. Mannequins are getting curvier. Norwegian sex educators are concerned that watching porn makes teenagers feel inadequate. The first intercollegiate gay magazine is here and it's called Queer. Get used to it. Product Placement Vaginal Cleansing Film. A New Zealand Wine company is launching "Pansy," a wine aimed at the gay, Australian oenophile. At Viking's Exotic Resort, women come with the room. New advertising screens in urinals play when you pee on them. Tabloid Fodder People Cover: "Johnny Depp: Inside His Private World." Take on Jessica Simpson: She is under the spell of "the notorious Charmed curse" because Nick appeared on the show. "Since 1998, three cast members have had their marriages or engagement end!" What would fix everything: A baby! Sex promised/delivered: 4/5. Plus one for a photo of Joey Fatone wearing a T-shirt with a photo of Tara Reid's breast. In Touch Cover: "Closer Than Ever! A Baby for Jen & Ben?" Take on Jessica Simpson: She's "snappy and short-tempered." What would fix everything: A baby! Sex promised/delivered: 7/6. Minus one point for pitting J. Lo against Jen in the categories of "fitness, dance, cooking and experience," when we all know it's drug consumption, stripper-tolerating and assistant-slapping that count. Us Weekly Cover: "Life Without Nick." Take on Jessica Simpson: She's suffering from the strains of a long-distance marriage. What would fix everything: A baby! Sex promised/delivered: 9/8. Minus one for the caption under a seemingly pregnant Maggie Gyllenhaal: "It's a Stunt Bump!" Star Cover: "Jessica Simpson's New Scandal: Her Wild Night With 2 Naked Men! Is Her Marriage to Nick a Sham Now?" Take on Jessica Simpson: "A goody-goody no more." What would fix everything: A baby! Sex promised/delivered: 9/9. Aren't we all, in our own way, goody-goodys no more? Scanner appears every Tuesday. Research assistants: Sarah Harrison, Gwynne Watkins. Send tips to firstname.lastname@example.com. Previous Scanner © 2004 Nerve.com, Inc. Comments Add A Comment


text:
Edit Article
wikiHow to Replace the Gasket on a Refrigerator Door
Three Methods:Buy a New GasketPrep the New Gasket for InstallationInstall the New GasketCommunity Q&A
When the gasket on a refrigerator door gets loose, it can allow warm air inside. The gasket needs to be replaced to keep your refrigerator operating efficiently.
Buy a New Gasket
Prep the New Gasket for Installation
Install the New Gasket
1Put the new gasket where the old one was. Tighten the screws as you go but only loosen only a few screws at a time to keep the door from falling apart.
2Work on one section at a time, making sure everything fits tightly.
3Close the refrigerator door and look for any gaps or ridges. The gasket should lie smooth.
Community Q&A
I have a Whirlpool fridge with no screws to hold the gasket in place. After I put new gasket on, there are large gaps where the liner and fridge meet, thus the gasket pulls off when opening the door. What should I do to fix this problem?wikiHow ContributorRefer to the manual, or contact Whirlpool for door adjust instructions (if any). Also, ensure that you have the right seal or part#, as it may have changed or there might be an alternate for your model year.
How do I replace the refrigerator door gasket when there are no screws?wikiHow ContributorRip it out with a Putty Knife and a hair dryer or maybe just a Screwdriver. Many are glued on or have plastic push-in mounting nubs, pins or posts.
I just installed a new fridge door seal but there's a gap. How can I fix it?wikiHow ContributorRefer to your manual for any door adjustments or contact the refrigerator manufacturer on how to do so and make sure that you have the correct seal or part #. It may have been replaced or there may be an alternate for some model years.
Ask a Question
200 characters leftSubmit
- Put a flashlight inside the refrigerator and close the door. If you see light coming through, the gasket is not in place correctly.
Things You'll Need
- New gasket
- Screwdriver
- Flashlight
Sources and Citations
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Article Info
Categories: Refrigerators and Freezers
In other languages:
Español: cambiar el empaque de una puerta de refrigerador, Italiano: Sostituire La Guarnizione della Porta di un Frigorifero, Português: Substituir a Gaxeta da Porta de uma Geladeira, Русский: заменить прокладку на двери холодильника
Thanks to all authors for creating a page that has been read 10,061 times.
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Letters of Introduction
- the letter writer ~ a letter of introduction
- letter of the law (the tarot)
- letter of reverence (tea)
- letter of comfort (aromatherapy)
- letter of credit (aunt alma's yukon)
- love letter (aurora beach)
- send a letter
- letter perfect (photos)
- letters of recommendation
- newsletter ~ Kate's 5 Things ~ SIGN UP
Friday, April 6, 2012
Uncle Bob's Hospital Visit
Came across this today while searching out National Film Board videos for work.
Enjoy! Besides, if you live in Saskatchewan, as I do, you don't want to be outside today anyway. Snow, sleet, rain ... we've got it all. The gravel roads are slippery; Scott almost went in the ditch a couple miles from home, and turned around and came back.
Posted by Blondi Blathers at 10:34 PM No comments:
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HTC has launched two Android handsets - the Legend and
Desire - and the Windows Mobile HD Mini.
The Legend features a crafted aluminium unibody design and has a 3.2in AMOLED HVGA capacitive touchscreen and has
replaced the usual trackball with an optical joystick.
It has a 5MP camera with flash, GPS, 3G and social networking
options, and a 600MHz processor. It will be launched exclusively by Vodafone
in early April and will be available free on contract of £30 a month.
Like the Legend, the Desire runs Android 2.1 Eclair, but it has a
more powerful 1GHz Snapdragon processor. Speed and high quality picture and video applications are among its key selling points. It will be ranged across all operators and retailers from early April and will be free on a £35 a month contract.
The handset has a 3.7in AMOLED WVGA screen It has a 5MP camera with face detection plus HSDPA and GPS and is Adobe Flash 10.1 ready. Like the Legend it also features an optical joystick.
The HD Mini has a 3.2in capacitive touchscreen, GPS, 3G and a 5MP
camera, and a 600MHz processor and WinMo 6.5 Professional. It
will also arrive in April.
All the phones feature an updated version of HTC''s Sense UI. The latest version includes a widget called HTC Friend Stream that seamlessly aggregates all social communications, including Facebook, Twitter and Flickr into one organised flow of updates. In addition to Friend Stream, contacts can be organised into specific social circles.
HTC has also made improvements to various applications including the browser, email and it has introduced a new newsreader application and widget. It also has a new seven-screen 'Leap' thumbnail for quick and easy access to specific screens.
Mobile Industry Awards 2017 - B2B & Distribution Finalists
Mobile Industry Awards 2017 – Retail Finalists announced
Mobile Industry Awards 2017 - Best Ruggedised Device
Nazish Dossa Joins Brighstar as UK Managing Director.
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Huawei - 'Our 2017 focus is premium products'
Retail Special
S6 to re-ignite the market
Brightstar 20:20 and HTC join forces
Meeting the challenge of in-building coverage