text:
How could health information be improved? Recommended actions from the Victorian Consultation on Health LiteracySophie J. Hill A C and Tanya A. Sofra B
A Centre for Health Communication and Participation, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Vic. 3086, Australia.
B HealthWest Partnership, HealthWest, 1/37 Albert Street, Footscray, Vic. 3011, Australia. Email: email@example.com
C Corresponding author. Email: firstname.lastname@example.com
Australian Health Review - https://doi.org/10.1071/AH16106
Submitted: 11 May 2016 Accepted: 21 December 2016 Published online: 7 March 2017
Objective Health literacy is on the policy agenda. Accessible, high-quality health information is a major component of health literacy. Health information materials include print, electronic or other media-based information enabling people to understand health and make health-related decisions. The aim of the present study was to present the findings and recommended actions as they relate to health information of the Victorian Consultation on Health Literacy.
Methods Notes and submissions from the 2014 Victorian Consultation workshops and submissions were analysed thematically and a report prepared with input from an advisory committee.
Results Health information needs to improve and recommendations are grouped into two overarching themes. First, the quality of information needs to be increased and this can be done by developing a principle-based framework to inform updating guidance for information production, formulating standards to raise quality and improving the systems for delivering information to people. Second, there needs to be a focus on users of health information. Recommendation actions were for information that promoted active participation in health encounters, resources to encourage critical users of health information and increased availability of information tailored to population diversity.
Conclusion A framework to improve health information would underpin the efforts to meet literacy needs in a more consistent way, improving standards and ultimately increasing the participation by consumers and carers in health decision making and self-management.
What is known about the topic? Health information is a critical component of the concept of health literacy. Poorer health literacy is associated with poorer health outcomes across a range of measures. Improving access to and the use of quality sources of health information is an important strategy for meeting the health literacy needs of the population. In recent years, health services and governments have taken a critical interest in improving health literacy.
What does this paper add? This article presents the findings of the Victorian Consultation on Health Literacy as they relate to needs, priorities and potential actions for improving health information. In the context of the National Statement for Health Literacy, health information should be a priority, given its centrality to the public's management of its own health and effective, standards-based, patient-centred clinical care. A framework to improve health information would underpin the efforts of government, services and consumer organisations to meet literacy needs in a more consistent way, improving standards and ultimately increasing the participation by consumers and carers in health decision making and self-management.
What are the implications for practitioners? The development and provision of health information materials needs to be systematised and supported by infrastructure, requiring leadership, cultural change, standards and skills development.
Health literacy is on the policy agenda. The National Statement on Health Literacy defines health literacy as comprising individual health literacy and a supportive health literacy environment.1 Efforts in Australia and internationally to improve health literacy2,3 are increasingly focusing on factors at different levels, from individual to societal, to ensure access to information that is understandable and facilitates health-related decisions and actions.1,3 Therefore, health information is a major component of health literacy.
In Victoria (Australia), health literacy was the focus of a Consultation on Health Literacy, initiated in 2014 by the Department of Health (now Department of Health and Human Services) and held in the context of a departmental evaluation of its consumer participation policy.4 In this article we report on the Consultation findings5 as they relate to health information. We outline the needs and priorities raised by those consulted, and the range of proposed actions to address shortcomings in access to and the use of quality health information. We discuss the recommended action areas within the context of Victorian and national developments.
Definition of health information
'Health information' is a poorly defined term with no clear bounds.2,6–8 It has been defined as 'any information that enables individuals to understand their health and make health-related decisions for themselves or their families'.7 Aligning our definition with national terminology,1 'health information' as discussed here refers to health information materials in different formats or media, including print, online or other health-related media (e.g. audio, signage). Therefore, this all-encompassing definition includes information for all health-related purposes: health promotion, protection, disease prevention, health care decision making and maintenance, as well as systems navigation.9–11 Interpersonal communication (i.e. where information is communicated verbally) is not discussed here because it emerged in the Consultation as a related yet necessarily distinct issue associated with recommendations to improve the communication skills of health professionals.5 However, the systems and process of making health information materials available to patients and carers is discussed.
Effects and importance of health information
Health information is critical to the health of the population and to effective health care. Health information, as a core component of health literacy, is commonly viewed as one way of reducing health disparities.2,11,12 Low health literacy is associated with poorer outcomes across a range of health status and usage measures, with higher costs for individuals and society as the result.2,11,13 Victorian research confirms this association.14
Health information is an intervention and its effect is discernible across a wide body of research. Quality health information promotes involvement in decision making, has a positive effect on health behaviours, enhances knowledge and recall and improves the health care experience.8,15 Health information tailored for populations with lower health literacy, such as materials featuring images or interactive software, have been found to have positive effects on consumers' knowledge acquisition and comprehension.16 Health information is essential to informed consent interventions17 and is an essential component of many other more complex interventions, such as decision aids,18 personalised care planning19 and a wide range of interventions for safe and effective medicine use.20
Health information is a central element to national and Victorian health policy and service improvement frameworks, including the National Safety and Quality Health Service (NSQHS) Standards21 and Victoria's Health 204022 blueprint for system change for person-centred health care and evaluation of its existing consumer participation policy.4 Evaluators KPMG concluded that 'well written health information, web-based information sources, virtual support, and tailored information for groups with low levels of health literacy'23 underpin a recommendation for strengthening involvement of consumers, carers and community members, as well as being related to recommendations on responsiveness to diversity and ongoing learning.
Therefore, quality health information is crucial to enabling the participation of consumers and carers. It is a critical component of efforts to improve health outcomes through a national digital platform for health information, navigation advice and helplines,24 to meet national goals in patient-centred care,25 to promote equitable access to effective treatments26 or to address misinformation.27 It is central to rights,28,29 as well as actions for redress.30
A nationwide stocktake of health literacy initiatives revealed 47% focused on health information,31 part of a surging interest in health literacy, signalled by the introduction of the National Statement on Health Literacy.1
It is therefore timely to present the issues with health information from one state and consider the implications of recommended actions for improvement.
In 2013, the Department of Health Victoria released a background paper11 to stimulate thinking about the gaps, barriers and enablers for health literacy within the health system, focusing on the role of publicly funded health services. This background paper outlined a series of questions related to key health literacy needs and priorities for individual consumers, carers, communities, health professionals, health organisations and systems. During 2014, it was used as the basis for a consultation, with workshops around the state and a call for submissions. Workshop notes and submissions were analysed thematically and a report with recommendations was prepared with input from an advisory committee (for more detail, see the report5).
Consultation participants commented on a health literacy definition11 and requested more action-orientation. The result (emphasis added) was:
Health literacy means people can obtain, understand and use the health information and services they need to make appropriate health decisions. Healthcare providers and the health system should provide information and improve interaction with individuals, communities and each other to respond to and improve health literacy.5
Achieving these goals would be met if initiatives were informed by a comprehensive set of principles (see Table 1). Those most relevant to improving health information are Principles 1 and 3. Principle 1, relevant to consumers, carers and community members, specifically frames health literacy as an asset to build and emphasises the importance of an equity approach within a context of meeting all needs. Regarding Principle 3, relevant to healthcare organisations and systems, attention was drawn to the need for leadership to promote a shift in culture (i.e. towards greater recognition of the importance of health information) and for the development or enhancement of systems to support change.
The principles, it was argued, should be used to inform new initiatives or the modification of existing systems when responding to the range of problems that consumers or services were facing. Various, often contradictory, problems were described by consultation participants, such as: health information in the public realm is of highly variable quality; the public is bombarded by health information, but there was little public education on how to discern reliable sources; and masses of written information are prepared by, or required in, health services, but the information is often inaccessible to those most in need. Without a coherent and overarching approach, it was felt by consultation participants that the more intractable problems would continue, gaps would remain unaddressed and initiatives would continue to be localised and often duplicative. Therefore, health information needed to improve in order to improve the health literacy of people and to have health-literate systems and services, and actions for improvement had to be developed within a principle-based framework.
At a population level, the Department of Health and Human Service's 'Better Health Channel' website (https://www.betterhealth.vic.gov.au/, accessed 6 May 2016) was seen as the most important vehicle for obtaining accessible and authoritative health information. Therefore, continuing to strengthen the site was a recommendation. Key topic areas where the site should have a strong presence included information for preventing illness, information about how to engage in health encounters in an active way and to make treatment choices and information to assist with navigating the health system. Recognising that needs may vary from straightforward to more in-depth, it was suggested information could be presented in layered formats, with recommendations to other quality sites and links to audiovisual or pictorial materials where possible.
Consultation participants, particularly health services, also wanted the health department to be an active presence in mass and social media; for example, to address misinformation and countering the promotion of non-effective treatments or to strengthen health promotion messaging in key problem areas.
The issue of building people's knowledge and ability to find and appraise quality sources was also picked up in recommendations for training programs in health literacy for community members. There are many people involved in health services and community organisations in volunteer roles. Participants said they were aware of the pressures on health professionals and wanted to be skilled in contributing and assisting others, such as helping people navigate a health service or find relevant services.
One issue was the need for a standards approach to address two inter-related problems: (1) the proliferation of health information producers at service level, many without the skills for the task; and (2) the diversity and complexity of population needs. It was argued that a change was needed to the pervasive attitude that writing health information was something anyone in a health service could do. Developing good-quality health information requires expertise to meet the needs of multiple audiences as well as systems to keep up to date. A related issue is the need to address the gap in straightforward and accessible health information and to recognise that people can become experts in their condition, which may lead to higher expectations for more detailed information.
Health services around Victoria were introducing health information policies and reviewing procedures for developing health information generated within the service. For example, some had invested in building up sophisticated service-wide systems for developing most written health information required, involving a team of staff and community members. Others had adopted a 'train the trainer' approach. Participants said these new approaches created expertise and raised standards.
However, not all could operate in this way, particularly smaller rural services, so centralised systems (e.g. at state level) were recommended for the provision of written health information or templates for high-need topics. This would mean health information that met prespecified criteria could be produced, enabling translation, production in different media or adaptation for specific service configurations or populations served. This approach was supported because it also reduced the wasteful and duplicative production of information on the same topics within and across services. Victoria already has a program of providing written health information brochures for common medical procedures. Feedback from the workshops suggests that this model may provide a good approach that could be extended to other areas.
Another problematic area was the intersection of the delivery of printed health information to individual patients (or families) with the movement of those patients through the health service. The compounding factors include time pressures on clinicians, and associated throughput targets, as well as the potentially large number of staff, departments or campuses involved in any one treatment episode. A commonly mentioned problem was the overloading of patients with printed materials at one point in the patent's journey. Workshop participants said that this may not be the point where health condition and treatment-related information could be absorbed or future service navigation information be usefully provided or anticipated. Compounding this was the failure of much information to be written in a way that encouraged questions, gave prompts or provided follow-up contacts or reliable sources of information. This meant it was not only hard to absorb, but also that it did not encourage patient participation in care or assist carers with navigating the maze.
One recommendation to address this problem was for an audit of common 'entry' and 'exit' documents where the costs or risks associated with misunderstanding are high. Examples of such documents include procedural preparation, informed consent and discharge advice. An audit may have the potential of leading to accepted standards for key documents and agreement on core information topics and formats for different patient groups (e.g. sight impaired). It may also lead to examination of the processes by which information is made available to patients and the discussion that accompanies these transactions.
The challenge for health services of responding effectively to people's different health information needs was underscored by the lack of health information materials in more suitable formats or media (e.g. culturally appropriate, easy-to-read, pictorial, Braille, audio, multimedia). As a consequence, services wanted more advice on how to decide which different formats or media to invest in.
Similarly, some services wanted guidance on using social media to communicate health information to consumers, carers or the public. This includes guidance on how patient narratives could be used in health service websites. Some were experimenting with new ways of communicating with the public (e.g. starting Google groups). It was suggested that meso-level health organisations could work with health services and government to develop guidance on issues such as using social media or user content.
In the context of raising standards and providing guidance, participants recommended the seminal Victorian 2000 Guide on how to prepare health information32 be updated and revised to take account of newer modalities of information, address gaps and to promote codesign by consumers.
Two overarching themes determined the scope of recommended actions for improving health information. The first focuses on raising the quality of information by developing a principle-based framework to inform: updating guidance for central or service-based information production, the formulation of standards to raise quality and improving the systems for delivering information to people. The second focuses on users of health information, with recommendations for information that promotes active participation in health encounters, resources to encourage critical users of health information and increased availability of information formats and media tailored to diverse population needs.
The development of standards for health information is challenging and may require collaborative leadership, such as that taken by the Australian Commission on Safety and Quality in Health Care on the overarching issue of health literacy. Consultation participants wanted to see links between any new standards for health literacy-related initiatives with NSQHS Standards and accreditation requirements so that improvements are consistently applied and benefits measurable.
The systematising of health information production and the formulation of standards for the different purposes of health information (described above), and the different types, content, format, media and delivery of information interventions33 would be a major policy initiative replete with questions around scope and priorities. However, without standards or a guidance-based framework, improvements will continue to happen in an ad hoc way and the current level of costly duplication will continue, while smaller organisations or particular populations of patients could be disadvantaged or neglected.34 The implication of developing standards and guidance is that locally developed solutions become more feasible (i.e. at service level) as the parameters are clearer.35,36
A focus on standards (and the skills for preparing health information) may indirectly benefit non-governmental organisations, which are major providers of health information.8 Furthermore, a standards approach could be used concurrently to inform training programs for community members (e.g. building skills in recognising what makes quality information) and may address some elements of the emerging issue of health literacy competencies for health professionals.37,38 Other health systems have taken this approach39 and, increasingly, health communication interventions are evolving to meet standards,40 so lessons from these experiences could inform the approach adopted in Australia.
The second theme, having a more responsive approach to the diverse needs of users of health information, will also be a challenging one to address because there may be tensions between adopting an approach that meets the need for more accessible information for various populations not well served at present and the sometimes competing need (certainly at a service level) for providing more detailed information than currently happens. Participants wanted the gap of more accessible information filled, but they also wanted information to encourage more active participation by consumers.
These aims do not always have to compete. For example, there has been a rapid development in the complex functionality of health information sites. Sites are evolving to meet various information needs by layering health information complexity and linking to alternatives to print, decision making resources, service directories, patient records or discussion forums.
Nationally and in Victoria, governments have invested in health websites24,41 or in tools to help services write clear health information or to involve consumers in developing the information.42,43 Sites play an important role across the board for health issues, but particularly for health access and navigation issues for people from low socioeconomic communities.44 User-generated content is now appearing on non-government health organisations sites (See Stroke Foundation, EnableMe, https://enableme.org.au/, accessed 6 May 2016).
Consumer participation in the design, production, implementation and evaluation of health information is one attribute of a health-literate organisation45 and of increasing interest to those supporting co-design models.
This article has presented the findings from a Victorian consultation and the issues may vary in importance to those in other states and territories. It is possible that different issues would have emerged with another consultation method, but the aim was to address this with efforts to ensure wide participation by population groups and organisations in both the consultation and on the advisory committee; in addition, multiple drafts of the consultation report were read by committee members.5 The emphasis on health information materials is an arbitrary distinction in some situations, but the experience of the consultation was that health literacy is a huge concept overlapping with other concepts11 and it was sometimes hard to get agreement on where to start. It is hoped that a focus on one key component, health information, may enable action to be taken.
A framework to improve health information would underpin the efforts of government, services and consumer organisations to meet literacy needs in a more consistent way, improving standards and ultimately increasing the participation by consumers and carers in health decision making and self-management.
Competing interests
The Centre for Health Communication and Participation, where Sophie Hill is employed, receives support through a funding and service agreement from the Department of Health and Human Services Victoria. The Department provided a grant to support the conduct of the Health Literacy Consultation. The Department encouraged the submission of the article to a peer-reviewed journal, but did not influence the final content.
The authors thank Brigid Clarke and Lidia Horvat (Consumer Partnerships and Quality Standards, Quality and Safety, Health Service Performance and Programs, Department of Health and Human Services, Victoria) and Dr Nicola Dunbar (Director, Strategy and Development, Australian Commission on Safety and Quality in Health Care) for comments on various drafts, and Genevieve O'Neill for her contribution to considering the role of non-governmental organisations. The views expressed herein are those of the authors.
References[1] Australian Commission on Safety and Quality in Health Care (ACSQHC). National statement on health literacy. Sydney: ACSQHC; 2014.
[2] Australian Commission on Safety and Quality in Health Care (ACSQHC). Health literacy: taking action to improve safety and quality. Sydney: ACSQHC; 2014.
[3] Koh H, Rudd R. The arc of health literacy. JAMA 2015; 314 1225–6.
| The arc of health literacy.CrossRef | 1:CAS:528:DC%2BC28XitFSnsrg%3D&md5=2920ed04228a3c8f5edb2bd537d24ebdCAS |
[4] Department of Health. Doing it with us not for us: strategic direction 2010–13. Melbourne: Department of Health; 2011.
[5] Hill S. Report of the Victorian 2014 consultation on health literacy. Melbourne: Centre for Health Communication and Participation, La Trobe University; 2014.
[6] Coulter A, Entwistle V, Gilbert D. Informing patients: an assessment of the quality of patient information materials. London: King's Fund; 1998.
[7] Deering J, Harris J. Consumer health information demand and delivery: implications for libraries. Bull Med Libr Assoc 1996; 84 209–16.
| 1:STN:280:DyaK28visVShtA%3D%3D&md5=36b0c44751a720d22a701414c08aecdeCAS |
[8] Patient Information Forum. Making the case for information: the evidence for investing in high quality health information for patients and the public. London: Patient Information Forum; 2013.
[9] Australian Bureau of Statistics (ABS). Health literacy, Australia. Catalogue no. 4233.0. Canberra: ABS; 2006.
[10] Canadian Council on Learning. Health literacy in Canada: initial results from the international adult literacy and skills survey. Ottawa: Canadian Council on Learning; 2007.
[11] Department of Health. Health literacy: enabling communication and participation in health. Background paper. Melbourne: Department of Health; 2013.
[12] Smith S, Duman M. The state of consumer health information: an overview. Health Info Libr J 2009; 26 260–78.
| The state of consumer health information: an overview.CrossRef |
[13] Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 2011; 155 97–107.
| Low health literacy and health outcomes: an updated systematic review.CrossRef |
[14] Beauchamp A, Buchbinder R, Dodson S, Batterham RW, Elsworth GR, McPhee C, Sparkes L, Hawkins M, Osborne RH. Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the Health Literacy Questionnaire (HLQ). BMC Public Health 2015; 15 678
| Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the Health Literacy Questionnaire (HLQ).CrossRef |
[15] Coulter A, Ellins J, Swain D, Clarke A, Heron P, Rasul F, Magee H, Sheldon H. Assessing the quality of information to support people in making decisions about their health and healthcare. Oxford, UK: Picker Institute Europe; 2006.
[16] Rudd R, Anderson JE, Oppenheimer S, Nath C. Health literacy: an update of medical and public health literature. In: Comings J, Garner B, Smith C, editors. Review of adult learning and literacy. Volume 7. Mahwah, NJ: Lawrence Erlbaum Associates; 2007. pp. 175–204.
[17] Kinnersley P, Phillips K, Savage K, Kelly MJ, Farrell E, Morgan B, Whistance R, Lewis V, Mann MK, Stephens BL, Blazeby J, Elwyn G, Edwards AGK. Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures. Cochrane Database Syst Rev 2013; 7 CD009445
[18] Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, Holmes-Rovner M, Llewellyn-Thomas H, Lyddiatt A, Thomson R, Trevena L, Wu JHC. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev 2014; 1 CD001431
[19] Coulter A, Entwistle VA, Eccles A, Ryan S, Shepperd S, Perera R. Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Syst Rev 2015; 3 CD010523
[20] Ryan R, Santesso N, Lowe D, Hill S, Grimshaw J, Prictor M, Kaufman C, Cowie G, Taylor M. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database Syst Rev 2014; 4 CD007768
[21] Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards (September 2012). Sydney: ACSQHC; 2012.
[22] Department of Health & Human Services. Health 2040: a discussion paper on the future of healthcare in Victoria. Melbourne: Department of Health & Human Services; 2015.
[23] KPMG. Discussion paper: evaluation of Doing it with us not for us. Melbourne: KPMG; 2014.
[24] healthdirect. 2007. Available at: http://www.healthdirect.gov.au/ [verified 6 May 2016].
[25] Australian Commission on Safety and Quality in Health Care (ACSQHC). Patient-centred care: improving quality and safety through partnerships with patients and consumers. Sydney: ACSQHC; 2011.
[26] Australian Commission on Safety and Quality in Health Care (ACSQHC). Australian atlas of healthcare variation. Sydney: ACSQHC; 2015.
[27] Kata A. A postmodern Pandora's box: anti-vaccination misinformation on the internet. Vaccine 2010; 28 1709–16.
| A postmodern Pandora's box: anti-vaccination misinformation on the internet.CrossRef |
[28] Australian Commission on Safety and Quality in Health Care (ACSQHC). Australian charter of healthcare rights. Sydney: ACSQHC; 2012.
[29] Department of Health. The Australian charter of healthcare rights in Victoria. Melbourne: Department of Health; 2010.
[30] Australian Commission on Safety and Quality in Health Care (ACSQHC). Australian open disclosure framework. Better communication, a better way to care. Sydney: ACSQHC; 2013.
[31] Australian Commission on Safety and Quality in Health Care (ACSQHC). Health literacy stocktake: consultation report. Sydney: ACSQHC; 2012.
[32] Department of Human Services Victoria. Well-written health information: a guide. Melbourne: Department of Human Services Victoria; 2000.
[33] Hill S, Lowe D, Ryan R. Interventions for communication and participation: their purpose and practice. In: Hill S, editor. The knowledgeable patient: communication and participation in health. Chichester, UK: Wiley Blackwell; 2011. pp. 27–39.
[34] Riggs E, Yelland J, Duell-Piening P, Brown SJ. Improving health literacy in refugee populations. Med J Aust 2016; 204 9–10.
| Improving health literacy in refugee populations.CrossRef |
[35] Greenhalgh T. Health literacy: towards system level solutions. BMJ 2015; 350 h1026
| Health literacy: towards system level solutions.CrossRef |
[36] Batterham RW, Buchbinder R, Beauchamp A, Dodson S, Elsworth GR, Osborne RH. The OPtimising HEalth LIterAcy (Ophelia) process: study protocol for using health literacy profiling and community engagement to create and implement health reform. BMC Public Health 2014; 14 694
| The OPtimising HEalth LIterAcy (Ophelia) process: study protocol for using health literacy profiling and community engagement to create and implement health reform.CrossRef |
[37] Coleman CA, Hudson S, Maine LL. Health literacy practices and educational competencies for health professionals: a consensus study. J Health Commun 2013; 18 82–102.
| Health literacy practices and educational competencies for health professionals: a consensus study.CrossRef |
[38] Naccarella L, Wraight B, Gorman D. Is health workforce planning recognising the dynamic interplay between health literacy at an individual, organisation and system level? Aust Health Rev 2016; 40 33–5.
| Is health workforce planning recognising the dynamic interplay between health literacy at an individual, organisation and system level?CrossRef |
[39] National Health Service. The Information Standard About. 2016. Available at: https://www.england.nhs.uk/tis/about/ [verified 6 May 2016].
[40] International Patient Decision Aid Standards (IPDAS) Collaboration. 2003. Available at: http://ipdas.ohri.ca/ [verified 6 May 2016]
[41] Department of Health & Human Services. Better health channel. 1999. Available at: https://www.betterhealth.vic.gov.au/ [verified 6 May 2016].
[42] SA Health. Guide for engaging with consumers and the community. Adelaide: Government of South Australia; 2013.
[43] Department of Health and Human Services. Communications and health literacy workplace toolkit. Hobart: Tasmanian Government; 2014. Available at: http://www.dhhs.tas.gov.au/publichealth/about_us/health_literacy/communications_and_health_literacy_workplace_toolkit [verified 6 May 2016].
[44] Dart JM, Gallois C. Community desires for an online health information strategy. Aust Health Rev 2010; 34 467–76.
| Community desires for an online health information strategy.CrossRef |
[45] Brach C, Keller D, Hernandez LM, Baur C, Parker R, Dreyer B, Schyve P, Lemerise AJ, Schillinger D. Ten attributes of health literate health care organizations. Washington, DC: Institute of Medicine; 2012.


text:
Do you see the title that I gave this post? That's not what Magic: The Gathering is. It's a filth-ridden hole for thirteen year old children to crawl into and emerge as forty year old men with no lives. Magic: The Gathering is walking into a bathroom stall that is inexplicably painted with semen. Magic: The Gathering is knowing your mother is going to be dropped from a cliff, Gwen Stacy style, and swinging in to catch her just in time. Then she turns into a hyena and tears your head off, laughing a bestial laugh.
I play Magic: The Gathering. I make no excuses for its terror.
Last night I went to a semi-local (read: it was an hour away) gaming store and played some game. The populace of the store went this way: some high school kids that didn't look like they had ever showered, a couple forty…
View original post 307 more words

subset: commoncrawl


text:
Butterflies Trailer (1975)
"Superb!!! Miles apart from the rest." 14 March 1975 Drama 112 mins
Denise (Marie Forsa) is a beautiful country girl whose life is filled with joy and love for her handsome boyfriend, Freddy (Eric Edwards). But living in an idyllic existence soon bores her, and she is off to the big city to experience the glamour and glitz for herself. She meets Frank (Harry Reems), a dashing nightclub owner who takes her under his wing. But she doesn't take kindly to the fact that she's just one of his stable of women and must choose between the big city life and her dreary farm life.
Watch the official Butterflies 1975 trailer in HD below or find more Butterflies videos on Vidimovie.


text:
Lost In Translation beauty Scarlett Johansson wears red lipstick to cheer herself up when she feels down.
The 20-year-old actress admits that the simple make-up trick has proved very successful at perking up her emotions.
She says, "If I am feeling glum... I like to apply red lipstick; then, for the whole day I feel better."


text:
|Free Stuff
|Savings Center
|f Share
|f Like
Kirkland's Store has a new deal out now. Save $10 off your purchase of $50 or more. The deal is valid in-store through tomorrow.
Kirkland's Store $10 Off Coupon Through September 2Sponsored Links
If you would like to make a comment, please fill out the form below.


text:
Below are listings for kitesurfing in Beckley and the surrounding area. You can add your listing to this category here.
|Camber, 6.3 miles from Beckley
|01797 225 238
|Send E-Mail
Kitesurfing courses and private kitesurfing lessons run daily from end March to November at our main teaching beach, Camber Sands, Sussex and on the Kent coast. This part of Kent and Sussex is renowned for its great winds; in over twenty seasons it's rarely failed me! We are a BKSA ... more
The Old Granary Accommodation? Take a look at self catering in Brede
Little Holcombe Accommodation? Take a look at self catering in Cranbrook
Lower Standen Farm & Granary Accommodation? Check out self catering in Cranbrook
The Old Cowshed Accommodation? Take a look at self catering in Tenterden
Barn Cottage Accommodation? Take a look at holiday cottages in Cranbrook
Saturday 25th November
@ 10:00am
Location: Sandhurst
Saturday 25th November from 10am to 1pm. Christmas stalls, soup, refreshments and grand draw. Come do some Christmas shopping! Proceeds ... more
Saturday 25th November for 2 days
Location: Rye
Join us at Rye Creative Centre for our annual festive Designer and Maker's Fair. This year, over two days (10am-4pm), ... more
Saturday 25th November
@ 10:30am
Location: Tenterden
Father Christmas' Grotto Weekends from 25th November – Christmas Eve Visit Father Christmas in his elf-built grotto EVERY WEEKEND from ... more
Saturday 25th November
@ 10:30am
Location: Rye
Join talented artist and educator Julia Andrews-Clifford for a fun workshop. Produce a 3D collage portrait – this could be ... more
Saturday 25th November
@ 1:00pm
Location: Rye Harbour
Get to grips with those tricky winter waders with this short course for beginner birdwatchers. Binoculars and field guides available ... more
Saturday 25th November
@ 5:00pm
Location: Rye
A unique opportunity to explore the ancient streets of Rye after dark with the Deputy Town Cryer. Hear tales of ... more
Sunday 26th November
@ 11:00am
Location: Winchelsea Beach
Winchelsea Beach Community Association are presenting a Christmas Craft Fayre with the emphasis on Real Craft at Christmas. Plenty of ... more
Thursday 30th November
@ 7:00pm
Location: Rye
The star guest this month will be acclaimed singer/songwriter musician/comic Earl Okin who has performed all over the world – ... more
Friday 1st December
@ 10:00am
Location: Rye
Rye Country Market will be open every Friday from 10th March - 15th December. We sell Cakes, Savouries, Preserves, Free ... more
Saturday 2nd December
@ 10:00am
Location: Rye Harbour
A monthly Saturday club for children aged 5-11 years offering a chance to find out more about the natural world ... more


text:
Just thought I would post a pic I took about a month ago and introduce myself. Lover of macro photography obviously.
Just thought I would post a pic I took about a month ago and introduce myself. Lover of macro photography obviously.
"In subtle ways you can shake the world"
WOW O.O we are currently i the phase of looking for a new camera, what kind of camera is that? O.O;;;
F**k wow wot a cute spider
Looks like he's surfing. Very nice pic.
Spiders are fantastic. Now if only I could get over the problem of them having far too many legs. So do centipedes, but they don't move them so sinisterly.
Nice macro.
nice makro, i like it really much, what objective did you use for this one?
This just reminded me of my dream last night, i was on a tropical island with giant crabs and i was being chased by a big centipede, like the size of my leg. it was all different colors, but mainly bold colors. I ran and ran and then jumped into the water thinking itd be scared of water but it went straight under near my feet and Im not sure from then on...this has to become a painting or something for me.
Nice photo I love marco photography, Im currently debating whether to get a good marco or a good fisheye. The spider is very cute indeed, you framed the shit v nicely and though about it , welcome to the boards, it'd be cool to see more of your work
just my opinion, but i'd go for a good macro first. i'd find way more uses for a good macro than a fish-eye, and untill you can afford both, you can always distort in photoshopOriginally Posted by jonton
Thanks for looking everyone. This was done with a maxxum 5D and sigma 105 macro lens. Handheld in natural light ( still don't have a ring flash yet). I'll post a few more if you like, I've got lots of insect photos over the last two years.
"In subtle ways you can shake the world"
I dunno dude, ussualy Photoshop manip is easyly noticeable, even if it's done by a proffesional. Think about it, ur distorting an already shot pic, not the image that becomes a pic. Photoshop alterations ussualy lead to visual aberations that can ruin a great pic.Originally Posted by andres_pad
As for fish-eye vs, macro i say go for the fish eye, Macros are just nice pics but they never have a good composition / good emotive aspects behind them. But then again thats the way i see photography.
Just my 2 cents. Hope i helped.
Btw, great spider u have there
i would like to add, great photo, shame i will never be able to get that close to a spider...... tell no one nothing about this!
That's you and me both, the only spider pics I'll be taking will be with a telephoto lense.
Sam: The cats are going to dress up as Spiders in order to really inflict some damage next time they wake you up at three thirty in the morning.
Thought I would podt one more in this thread if it's ok. He didn't cooperate much in his next pose but I liked how the petals were setup, Kind'a like a platform up front with a distant background. Cropped this one a little for composition.
"In subtle ways you can shake the world"
thanks Rhynome> ill be dreaming of cats turning in to spiders now and eating me....at 3am lol
Developed Actively by the makers of the Best Amazon Podcast


text:
Michael Kors Runway MK5055 Chronograph - Gold
The ultimate in designer style!
Three chronograph sub-dials | Stainless steel case & bracelet
100m water resistant | Date display at 4 o'clock
Note: Any price tags physically attached to these products or their packaging are in a foreign currency, and are not in Australian Dollars and do not reflect the price payable locally for the goods.
Michael Kors is world-renowned for award-winning designs and luxurious in-demand accessories. This stylish yet functional watch is no exception. With a gorgeous stainless steel construction and chronograph function, it's the ultimate go-to accessory in your wardrobe this season!
- Michael Kors watch
- Style: Runway
- Model no.: MK5055
- Colour: Gold
- Case width: 35mm
- Analogue display with three chronograph sub-dials
- Japanese Quartz movement
- Stainless steel casing & bracelet
- Mineral crystal face
- Date display at 4 o'clock
- Fold-over clasp closure
- Water resistant up to 100m (10 ATM)
- Protected by our 12 MONTH WARRANTY


text:
Jason Derulo writes marriage song after feeling pressure to propose
Singer Jason Derulo has penned a track about feeling under pressure to marry his girlfriend Jordin Sparks. The couple has been together since 2012, and Derulo reveals he feels compelled to propose because of their families' expectations.
He has now tackled the topic on his new album Talk Dirty in the aptly named track Marry Me.
Derulo tells MTV.com, "I was just trying to explain that we have forever, so what's the rush… There is a lot of pressure, and there was a lot of pressure before the song. I wrote the song because of the pressure and then I made the pressure worse because people just listen to the chorus and all they hear is 'Will you marry me?' so they're like 'Oh you're proposing' I'm like 'No.'
"In the song I'm saying when the time is right, I'm saying we have the rest of our lives. So the perfect time is on its way."


text:
It looks like you've lost connection to our server. Please check your internet connection or reload this page.
log in
scroll to top
The Bias in the Media Coverage
Page 1 of 2
Continue for 1 more pages →
Read full document
← View the full, formatted essay now!
Download this essay
Print this essay
Read full document
Get full access to this
document and many more!
Document details:
Words: 779
Similar Essays:
media coverage
bias in media
media literacy


text:
Abeytu is an APk's Application free Download for android.
Free Direct Download Abeytu v1.5 APK + MOD + Data From Safedl.com
Abeytu is a young wolf who just found a magical staff allowing him to purify polluted animals. He will have to defend the last living forest in order to give nature a chance to come back to life.
To do so, he will have to depend on you and your mad skills! Tap the enemies in order to purify them before they hit Abeytu, use the powers of his fairy allies with dynamic finger moves to repulse pollution and beat challenging and original bosses in order to keep the forest and Abeytu alive!
Clicker games meet tower defense mechanics in this challenging game experience. Will you have the skills to protect this last forest?
What's in this version :
- -Fixed All Levels showing
Requires :Android 2.3 and Up
File Name: Abeytu v1.5 APK
Size: 22MB
Category: Android apk's
Requires Android: 2.3 and Up
Content Rating : Low Maturity
File Type : .apk
Type : Free Paid Apps
Language : English
How To Setup apk File:
- Install ".apk" on your device.
- Once installed, the Apps Installer will display the APK files on the memory card.
- Click and install your APK files.
Download Abeytu v1.5 APK:
Download Direct APK from Safedl >> Filesize: 22MB
Download APK Alternative (Zip File)


text:
Real: Iker going nowhere
By Mark Kendall
Last Updated: 01/01/70 1:00am
Real Madrid have reiterated their stance that goalkeeper Iker Casillas will not be sold.
Real Madrid have reiterated their stance that goalkeeper Iker Casillas will not be sold.
The Spain number one has been linked with a move from the Santiago Bernabeu with Manchester United purportedly ready to pay big money to land the 25-year-old.
A fee in the region of £30 million has been mentioned, but new Real president Ramon Calderon insists there is no chance of the shot-stopper leaving the club.
Casillas signed a new contract that ties him to Real until 2011 last term and Calderon has brushed off the latest round of speculation.
"It's only a rumour," he told the club's official website. "We haven't received any offers.
"I would consider 'cheap' Casillas being worth é¼45 million. We certainly wouldn't sell him for that amount."
The Real supremo also ruled out the possibility of Sergio Ramos leaving the club with Chelsea having been put forward as a suitor of the young defender.
"Ramos has a great future ahead of him and he is a great talent. We are not going to sell him," Calderon added.


text:
Michigan Tech News Archives
Tech in Ten: A Foundation in Faculty
Michigan Tech's thought leaders glimpse into the University's future. Bruce Seely, dean of the College of Sciences and Arts (CSA), contemplates the future of the University by. . . Read More
Michigan Tech Researchers' Companies Win Accelerate Michigan Competition
Startup companies founded by Michigan Technological University professors brought home more than half a million dollars from the 2017 Accelerate Michigan Innovation Competition. . . . Read More
On the Origins of Star Stuff: HAWC Collaboration Sheds Light on Origin of Anti-matter
Michigan Tech team and others use a high-altitude observatory in Mexico to better understand where gamma rays come from. . . . Read More
Tech Students, Research Expertise Impress Automakers
It's been a year since Michigan Tech's Advanced Power System Research Center, known as APS LABS, formed a new partnership with auto industry leaders to work on mutually beneficial. . . Read More
Let's Dance: International Education Week Brings Learning to Ballroom
Our STEM's got rhythm. From human-centered computer research to the performing arts, dance is alive on the Michigan Technological University campus. As part of nationwide International. . . Read More
Systems Control Awards Two Michigan Tech Scholarships
Systems Control, headquartered in Iron Mountain, has awarded $10,000 annual scholarships to two Michigan Tech engineering students and is seeking candidates for another scholarship opportunity. . . Read More
Michigan Tech Named Bike Friendly Campus
Michigan Tech has been named a Bicycle Friendly University by the League of American Bicyclists. . . . Read More
StabiLux Biosciences Receives $650,000 in Funding
StabiLux Biosciences, a company founded by Michigan Technological University physics professor Yoke Khin Yap, has recently been awarded more than $650,000. . . . Read More
Beyond Good Vibrations: New Insights into Metamaterial Magic
If invisibility cloaks and other gee-whiz apps are ever to move from science fiction to science fact, we'll need to know more about how these weird metamaterials actually work. Michigan. . . Read More
Michigan Tech Research Forum Presents Distinguished Lecturer John Vucetich
It's not about wolves. For this fall's lecture, John Vucetich talks environmental ethics and how it bridges into the world of environmental sciences and natural resource management. . . . Read More


text:
Anna marie sheehan
- 61 years old
- Date of birth: Dec 16, 1952
- Date of passing: Apr 13, 2014
|Let the memory of Anna marie be with us forever
This memorial website was created in memory of our loved one, Anna marie sheehan, 61, born on December 16, 1952 and passed away on April 13, 2014. We will remember her forever.
Memorial Tributes
"Anna , I will always remember your laugh and how you would repeat everything you said..... Thank you for opening your home and heart to me..."
Leave a Tribute:
Invite your family and friends
to visit this memorial:
to visit this memorial:
Subscribe to receive e-mail notifications when others contribute to this memorial.
730 views
Have a suggestion for us?


text: Offering an entirely new interpretation of the economic context of 16th-century literature, this book challenges the tendency to explain Nashe's texts in journalistic and commercial terms. Hutson reveals a previously overlooked link between humanist approaches to the literary text and the social and ethical transformation of the English economy. She blames lack of literary activity in general on the political emphasis and value placed on the printed word, and demonstrates that Nashe's work was the result of an intricate, socially engaged imagination rather than an eccentric sensibility.


text:
You've been looking over your yard and decided that you need a little more storage space. After scoping out the terrain, and possibly even hiring a professional for laser scanning surveys, you have decided that you have the right spot for a handy shed. Before you get a shovel into the ground, there are 3 important things you need to think about first.
What's Going In It?
Before your plans even get sketched out on paper, you should have a rough idea of what you'll be storing in your shed. Do you have a couple of shovels, or a whole host of gardening tools along with a massive snow blower? Only when you know how much space you need can you do any real planning, mapping or building your shed.
You also should take into consideration whether or not you will need to roll large items (wheelbarrows, lawn mower or snow blowers) in and out of the shed. If you do, your framework should have the door frame level with the ground so you don't have to constantly hitch your machines over a lip or step.
Measurements and Materials
Though it might seem simple to just throw up a rectangular frame and fill in the walls, doing any construction beyond a bird house really should have some diagrams and measurements worked out. Do you need or want a floor, or is your shed going to have windows? Slanted roof or peaked roof?
Get some plans and work out what you are going to need before you start building Nothing disrupts a project than repeated trips to the store when you keep running out of materials due to inadequate planning.
Legal Details
Here is where a little research (and patience) comes into play. Do you or do you not need a permit for your future shed? Though there are some restrictions on the location, such having your shed too close to the road or other boundaries, or having it attached to your house, the main concern when it comes to getting permits is the size.
Every local government has their own set of rules when it comes to size limits when it comes to permits. Some places will require a permit no matter how small your shed is, but generally you can avoid the paperwork if the footprint of the new construction is no more than 100 to 120 square feet (height may or may not be an issue). It also may make a difference if you plan on running any electrical service to your new shed as well.
Since you are going to need some plans, such as a rough drawing and a location map, before going to the council office, it's best to actually apply for the permits last. A quick phone call to find out the basic regulations is fine but there is no sense putting in a permit application before you have the details worked out. It can be a bit of a frustrating cycle, to know which step to tackle first.


text:
President-medical.ru ranks
#5,661,429 in the world and generates
376 Page views for daily.
FreeWebsiteReport estimates President-medical.ru for a valuation of
$824 USD for it's visitor traffic that has the potential for CPC and Display-based advertising.
This traffic data suggests the Advertisers with a Traffic Acquisition Cost (TAC) of
$1.13 for daily and
$33.86 for monthly to spend on advertisements with President-medical.ru. President-medical.ru receives most of it's
organic referrals traffic from 12 websites around the world. President-medical.ru servers are located in the Russian Federation.
|Time Average
|Site Rank
|View Rank
|Views Per-User
3 Month
Aleksey V Babin
Google Safe Browsing - Safe website. Clean from Viruses, Malicious Worms, Adwares, Trojans, Spywares and Suspicious Phishing Attacks.


text: Hi guy's I have to bid on a paver stone walkway.I have to dig down about 6 in it is 60 ft L and 3 ft W.. I will need about 1,100 paver stone and about 2 ton of rock and sand. I can get the paver stone for $1.10 per paver and the rock is $12.00 a ton & sand is $18.00 a ton for the paver it will be $1,210 and $36.00 for the rock & and $54.00 for the sand. that would be $1,300 do i X it buy 2 . Or do i charge by the hour to thank you


text:
Things to do
Fri., Feb. 10, 2012
BeGin! - Live entertainment by House of Ghosts, Video Destroyer and DJ Audio Affiliated. See the displays, enjoy an adult beverage, and socialize. Tonight. 6-8 p.m., Northwest Museum of Arts and Culture, 2316 W. First Ave. Free, donations accepted. (509) 363-5344.
Wylie & The Wild West Cowboy Songs - Featuring Wylie Gustafson. Crosby concert series brings new shows and old favorites. Tonight. 6 p.m., Bing Crosby Theater, 901 W. Sprague Ave. $17. (800) 325-SEAT.
UI Faculty Recital - StringFest Faculty Showcase. Tonight. 7:30 p.m.; Kay Zavislak, piano, Saturday. 7:30 p.m.; James Reid, guitar, Sunday. 7:30 p.m., University of Idaho, Lionel Hampton School of Music, Haddock Performance Hall, 1010 Blake Ave., Moscow, Idaho. $5/adults, $3/seniors and students. (208) 885-7212.
WSU Faculty Artist Series - String Music Etc by William Grant Still. Tonight, 8 p.m., Washington State University, Bryan Hall Theatre, Pullman. $10/adults, $5/seniors and students. (509) 335-4148.
Chocolate Affair - Participants will be able to walk through downtown Coeur d'Alene tasting chocolate samples, and then vote on their favorites. Each chocolatier will be judged within their own division (professional, home-baker, etc.). Awards will be given in each category, including People's Choice. Today, 5-8 p.m. Downtown Coeur d'Alene. Free admission, samples will be priced.
Spokane Symphony - Maestro Eckart Preu conducts the Spokane Symphony in "Brilliance and Virtuosity," featuring works by Igor Stravinsky, Ernest Bloch and Erich Korngold, 8 p.m. Saturday and 3 p.m. Sunday, Martin Woldson Theater at The Fox, 1001 W. Sprague Ave. $14-$44. (509) 624-1200.
Mutemath - Grammy-nominated band plays rock music. Saturday. 8 p.m., Knitting Factory, 919 W. Sprague Ave. $23/advance, $26/day of show. (877) 4-FLY-TIX.
Randy Travis - Country music. Saturday. 7:30 p.m. Northern Quest Casino, 100 N. Hayford Road, Airway Heights. Sold out.
Winter Chamber Soiree - Tuesday and Wednesday at 7:30 p.m. An evening of fine music played by members of the orchestra, include a pair of duets for bassoon and cello, a string trio by Beethoven, and a string quartet by Dvorak. The Davenport Hotel, Marie Antoinette Room, 10 S. Post St. $20/gallery seating, includes coffee and tea; $45/ table seating includes wine and hors d'oeuvres. (509) 624-1200.
8th Annual Westminster "Best in Show" Party - Join the Kootenai Humane Society for the 136th Annual Westminster Dog Show. Crickets Downtown Bar and Grill, 424 E. Sherman Ave, Coeur d'Alene, will have food and drink specials, raffles and prizes, and dog-themed games to get you howling during the commercial breaks. Fedora Pub and Grille, 1726 W. Kathleen Ave., Coeur d'Alene, will have food and drink specials, and a relaxed atmosphere to watch the show. Tuesday, 5-8 p.m. varies. Free. (208) 772-4019.
Mat Kearney - Singer/songwriter. 8:30 p.m. Wednesday, Knitting Factory, 919 W. Sprague Ave. $20/advance, $22/day of show. (877) 4-FLY-TIX.
Los Lonely Boys - Rock music. 8 p.m. Thursday, Knitting Factory, 919 W. Sprague Ave. $25. (877) 4-FLY-TIX.
For the Love of Art - A juried art exhibit by more than 40 artists and silent auction. Event will include musical performances by local and much-loved musicians, including soprano Dawn Wolski, Abbey Crawford singing swing, Jim Ryan on keyboard, soprano Renei Yarrow singing poems by Copeland, actor-singer Tamara Schupman, Bruce Pennell's jazz trio, and a surprise bluegrass group. 7-10 p.m. Thursday, Interplayers Theatre, 174 S. Howard St. $25. (509) 455-7529.
Portland Cello Project – Taking cellos where they haven't been before, with a repertoire stretching from A-Ha's "Take on Me" through Justin Timberlake's "Lovestoned" with stops along the way for works by Tan Dun, Dmitry Shostakovich and Antonio Vivaldi. Thursday. 8 p.m., Bing Crosby Theater, 901 W. Sprague Ave. $12. (800) 325-SEAT.
Second City - The legendary sketch comedy troupe presents its Laugh Out Loud Tour. The evening will feature scripted and improvisational elements recommended for ages 16 and older. Presented by WSU Performing Arts. Wednesday. 7:30 p.m., Washington State University, Jones Theatre in Daggy Hall, Pullman. $20/adults, $10/students. (800) 325-SEAT.


text:
<< Back - 1984 > Mercedes > 380SL > Body Electrical > Fuel Pump Relay
1984 Mercedes 380SL Fuel Pump RelayReview Fitment Notes to Ensure Proper Fit
› Change Part / Category
› Change Vehicle
Related Parts
Fuel Pump Relay
Change Category
Change Brand
Kaehler Germany Fuel Pump Relay
Click to Enlarge (Read reviews)
Part Number: W0133-1612564
Notes: w/ Kickdown - Late Cut-Out - 5500 RPM
Condition: New
Shipping Options:
Ground, Overnight, 2 Day
Fuel Pump Relay Reviews - 1984 Mercedes 380SL
Kaehler | W0133-1612564
Product was dropped shipped to mechanic and arrived as specified. Part was as described and did the trick.
June 8th, 2013 | Posted by fwilmeth


text:
FREE SHIPPING on orders of $85 or more
An excerpt from www.HouseOfNames.com archives copyright © 2000 - 2017
Selaggini Early Origins
Selaggini Spelling Variations
Selaggini Spelling Variations
Spelling variations of this family name include: Salvi, Salvio, Salvia, Salvetti, Salvini, Salvinelli, Salvioli, Salvucci, Salvioni, Salvato, Salviato, Salvia and many more.
Selaggini Early History
Selaggini Early History
This web page shows only a small excerpt of our Selaggini research. Another 215 words (15 lines of text) covering the years 1472, 1475, 1814, 1700, 1576, 1628, 1605 and 1685 are included under the topic Early Selaggini History in all our PDF Extended History products and printed products wherever possible.
Selaggini Early Notables (pre 1700)
Selaggini Early Notables (pre 1700)
Another 42 words (3 lines of text) are included under the topic Early Selaggini Notables in all our PDF Extended History products and printed products wherever possible.
The Great Migration
The Great Migration
Some of the first settlers of this family name or some of its variants were: Licenciado Salvatierra, who came to New Spain in 1565; Juan Salvi, who came to Puerto Rico in 1837; Jens Jensen Salvi, who settled in New York, NY in 1852.
Selaggini Family Crest Products
Selaggini Family Crest Products
See Also
See Also
Other References
The Selaggini Family Crest was acquired from the Houseofnames.com archives. The Selaggini Family Crest was drawn according to heraldic standards based on published blazons. We generally include the oldest published family crest once associated with each surname.
This page was last modified on 26 January 2015 at 07:49.
Sign Up
FREE SHIPPING on orders of $85 or more


text:
Toyota Motor Mfg. Poland has begun production of engines and transmissions for a new line of small cars from Toyota and PSA Peugeot Citroen. Toyota is set to produce 250,000 units annually of the new 1L gasoline engine and 300,000 manual transmissions for the new vehicles from Czech joint venture Toyota Peugeot Citroen Automobile Czech.(See related story: Toyota, PSA Give Glimpse of New Small Cars) Some 100,000 of the 300,000 small passenger cars built at the JV this year are slated to ...
Premium Content (PAID Subscription Required)
"Toyota Starts Up Engine, Transmission Production in Poland" is part of the paid WardsAuto Premium content. You must log in with Premium credentials in order to access this article. Premium paid subscribers also gain access to:
All of WardsAuto's reliable, in-depth industry reporting and analysis
Hundreds of downloadable data tables including:
• Global sales and production data by country
• U.S. model-line inventory data
• Engine and equipment installation rates
• WardsAuto's North America Plant by Platform forecast
• Product Cycle chart
• Interrelationships among major OEMs
• Medium- and heavy-duty truck volumes
• Historical data and much more!
For WardsAuto.com pricing and subscription information please contact
Lisa Williamson by email: firstname.lastname@example.com or phone: (248) 799-2642
Current subscribers, please login or CLICK for support information.


text:
Author(s): Tsujita K, Sakamoto K, Kojima S, Takaoka N, Tayama S
Background Coronary spasm plays an important role in the pathogenesis of ischemic heart disease. However, tissue components of coronary plaque in patients with vasospastic angina (VSA) have been unknown. This study used virtual histology (VH)-intravascular ultrasound (IVUS) to elucidate the tissue component of spastic coronary arteries and its gender differences in patients with VSA. Methods According to acetylcholine provocation tests, the study subjects (42 patients [19 men, 23 women, 61 ± 13 years]) were divided into 2 groups: the VSA group of 26 patients and the non-VSA group of 16 patients. After nitrate injection, IVUS volumetric analysis was done, and the parameters were compared between the groups. Results Although clinical demographics were almost identical between the groups, VSA group had lower plasma adiponectin level (5.9 ± 3.3 μg/ml vs. 11.2 ± 7.6 μg/ml, p = 0.007) and tended to have higher high-sensitivity C-reactive protein (0.15 ± 0.24 mg/dl vs. 0.06 ± 0.04 mg/dl, p = 0.1) than non-VSA group. VSA group had diffusely thickened intima (% plaque volume, 34 ± 11% vs. 27 ± 7%, p = 0.01) compared with non-VSA group. However, plaque components of patients with VSA were similar with that of non-VSA patients (dense calcium, 4 ± 6% vs. 3 ± 4%; necrotic core, 10 ± 9% vs. 8 ± 6%; fibrofatty, 19 ± 16% vs. 22 ± 11%; and fibrous, 67 ± 16% vs. 67 ± 9%). Although male patients with VSA had atherogenic lipid and metabolic profiles than female VSA patients, there were no significant gender differences in the volumetric IVUS parameters and plaque components. Conclusions Compared with non-VSA patients, VSA patients had diffusely thickened fibrous-dominant coronary plaque without gender difference, and that might suggest the role of vasospasm in the development of atherosclerosis.


text:
Great for tracking Elderly Family Members when they are alone ….
Seniors citizens who normally have difficulty remembering long phone numbers can call any preset number with only 1 button press.
Navkar Systems brings you the ultimate GPS based Personal Tracking device as per your requirement.
GPS Wrist Watch Tracker also comes with a two way calling feature that allows up to 3 mobile phone numbers to be stored. GPS Personal Wrist Watch Tracker has the ability for any person to locate another person.
Navkar Systems is well known for Providers of Quality GPS Tracking Devices for Vehicle/ Personal, Kids, Employee, Old Age Person Tracking. We provide branded & reasonably priced GPS Old Age People Tracking Systems all over the world.
Buy online Old Age People Tracking Systems from Navkar Systems through navkarsys.com.
For Free Demo of GPS Old Age Persons Tracking System, you can visit our Sites at www.navkarsys.com, gpstrackingsystem.biz or Contact Us at these numbers for further query : +91 999635607, +91 9416135607 or you can Mail Us at email@example.com or leave a message in our Quick Enquiry Form.


text:
Q: My teenage daughter is going to Spain this year with friends on her first holiday without adults. How can I convince her that she needs to drink plenty of water and wear sun cream on the beach?
JP, Swansea
A: Dan Rutherford writes:
Sadly, advice from parents or boring middle-aged GPs will cut less ice than from handsome A‑listers, so instead of lecturing her, try pointing her to Hugh Jackman's selfie after he had a skin cancer removed from his nose or get her to read about British star Ewan McGregor's similar experience. Both are now big advocates of using effective sun protection. If you do talk to her about it, let her know that a single bad episode of sunburn doubles one's chances of getting melanoma skin cancer later on, and significant numbers of people with melanoma develop this cancer in their 20s, so it is not a distant risk.
If she wants to look after herself and you just need to give her a helping hand, remember that teenagers are always welded to their mobiles, so have a browse in the apps stores and you'll find some that fire off useful reminders to reapply sunscreen as needed.
As with sunburn, it can be hard to get youngsters to listen to the dangers of dehydration until first-hand experience gets the message across. It's crucial to drink plenty of fluids as it's easy to lose several litres by sweating a lot on a hot day. One thing to tell her is that passing small amounts of concentrated urine because of inadequate fluid replacement is a good way to make a dose of cystitis happen, and a mention in that direction might be heard, as no teenager would want such a problem when away with friends.
The fattening 40s
Q: Why could I eat what I like when I was a teenager and never put on weight, but now I am in my 40s I have to watch what I eat?
A: Sara Stanner writes:
Unfortunately, lots of people find that they gradually put weight on over time, and can't eat as much as they used to without seeing the scales creep up. One reason for this is very simple: many of us become less active as we get older. Instead of walking everywhere we drive, sport and exercise takes a back seat and we become stuck behind a desk at work.
But there are also some changes in our body composition as we grow older. We need to carry out many tasks every day just to keep us alive, for example breathing and maintaining a healthy temperature. These functions or processes make up our metabolism, and require a certain amount of energy to be carried out, which is called the basal metabolic rate (BMR). Depending on our age, size, gender and genes, our BMR can account for up to 70 per cent of the energy we need. So small changes in our BMR can have a big impact on our energy requirements.
A key factor in defining your BMR is how much muscle you have. Muscle cells use more energy than fat cells, so having a higher muscle-to-fat ratio will increase your BMR.
When we are young we have a higher muscle mass, but part of the ageing process is that we tend to gain body fat and lose muscle so our BMR drops. This is why many people may experience gradual weight gain as they get older without changing their diet.
It can be even worse for women than men, as hormonal changes mean women often experience a greater rate of muscle loss after the menopause.
Hormonal changes also influence body fat distribution, so both men and women become more likely to lay down excess fat around the middle, which increases the risk of type 2 diabetes and heart disease. For this reason it's important to keep an eye on your weight but also to check your waist circumference. To measure your waist, breathe out naturally and wrap a tape measure around your waist (between the top of your hips and bottom of your ribs). Men should try to keep their waists below 37in (94cm), while women should try to keep it less than 31.7in (80cm).
If your waist is expanding and your weight is creeping up, you can take control by watching your snacks, drinks (especially alcohol) and portion sizes. But the best way to avoid gradual weight gain is to maintain your muscle mass – and your BMR – by doing muscle-strengthening exercises at least twice a week. These include lifting weights or exercises that use your body weight for resistance such as push-ups or sit-ups, yoga, dancing, heavy gardening or even carrying the shopping. Keep active and you'll find you really can keep your weight down.
Green bananas
Q: I have read that unripe bananas are better for you than ripe ones. Is that true? Does this apply to any other fruit?
A: Sara Stanner writes:
The benefit of green bananas versus ripe bananas seems to be a hot topic at the moment. A medium, ripe banana provides 95 calories and contains lots of vitamins and minerals, so is a great snack option.
Like most fruits, bananas contain a certain amount of sugar (around 21g per medium ripe banana). As bananas ripen from green to yellow, starch is converted to sugar. So, green bananas contain more starch and less sugar than ripe bananas and, as a result of this, green bananas have a lower glycaemic index (GI).
A diet containing low GI foods is important in diabetes management and has been suggested to aid weight loss, although the evidence for this is still inconclusive.
However, while many of us need to cut down on the amount of sugar in our diets, bananas are not the real culprit here. We should focus on all the added sugars in soft drinks, chocolates and sweets, cakes, pastries and biscuits, as opposed to the sugars naturally found in fruit and vegetables, so don't worry too much about those few extra grams of natural sugar in a riper banana.
There's also evidence to suggest that it's not just the sugar content that increases as bananas ripen, but also the levels of the nutrients magnesium and zinc, so there may well be some nutritional benefit to waiting until bananas are ripe.
In general, the vitamin and mineral content of fruits tends to increase as they ripen (for example vitamin C in pomegranates and carotenoids in tomatoes) and then fall as they become overripe and decay.
Interestingly, fruits tend to have the highest micronutrient content when we find them most desirable, as ripe fruit looks more enticing and is tastier and juicier. So go with your own judgment – they all count towards your five a day, and make a great snack.
Wedded weight gain
Q: My husband has put on a noticeable amount of weight since our marriage. How can I encourage him to lose a few pounds?
A: Tony Gallagher writes
There are obviously many reasons that people put on weight, whether they are married or not, but your question suggests that being married has particularly influenced him to put on a noticeable amount of weight. Unsurprisingly a lot of couples are in the best physical shape of their lives on their marriage day but somehow, once married, dare I suggest, it doesn't feel quite as important or necessary, and new interests kick in. Without trying to sound stereotypical, some wives cook to an extent to impress their husbands who literally lap it all up, or feel obliged to down everything offered. I have seen some of my own friends fall into this cycle. Others fall into a habit of eating too many takeaways, or sharing a bottle of wine every night, all of which leads to increasing waistlines.
Think about why your husband has put on this weight since the marriage and tailor a solution accordingly. If you know the circumstances that lead to weight gain within a marriage, you should be better able to avoid or reduce it. If you too need to shed a few pounds, why not suggest to him that you lose together? Couples that diet together lose weight together.
Alternatively, if you're spending all your time snuggled up on the sofa together, why not take up a new sport instead? Most people are competitive and respond well to a challenge, so try suggesting an event he might enjoy that he would need to train for.
If he is still not interested, you could share some of the benefits of losing a few pounds, like having more energy, sleeping better and feeling generally healthier.
For certain, weight gain can be a very slippery slope, and a difficult one to get off. Your husband will have to want to lose weight in the first place, and once you make him aware of your concerns, he may well find his own method of doing this. If he still needs guidance, I am sure you can convince, persuade, even cajole him in a positive way.
He is more likely to respond if he feels you are making suggestions out of concern for him. If that doesn't work tell him straight: many men just like being told what to do, after all.
Send your questions to email@example.com, or to 111 Buckingham Palace Road, London SW1W 0DT


text:
Software that can be used for conversion of mp4 file type to fbr format.
It doesn't seem to be possible to convert mp4 to fbr format. FBR recordings are created using the BB FlashBack software and usually exported to other formats like AVI, WMV or similar. This does not work the other way, which means mp4 to fbr conversion is not possible.
Updated: August 31, 2017
Unfortunately, there is no detailed software record in the database for this conversion.
This conversion entry was verified by us and conversion from mp4 to fbr was flagged as wrong or not possible.
Usually this happens when the conversion would try to convert different types of data between each other, such as audio to image, or it can't be done because incompatibility between programs, caused by closed file formats, very limited support or by other problems.
If you find entry that you feel is flagged as bad wrongly, please tell us in the discussion form below with as much as information as possible so we can fix it.
Additional links: mp4 file extension details, fbr file extension details
Back to conversion search


text:
How do i remove it?
I'ts Not On Steam! I've got the game From a Fried it's Pirated Version! What solutions do u have then!?
I Even downloaded the Packskape and do it with that .... It's Doesnt Allow me to Connect To Servers! Private Ones! Because The Files are not the Same!
---------- Post added at 09:31 AM ---------- Previous post was at 09:30 AM ----------
Can Anyone Jut make Like a Repack with the Originals Please! Thank you Very Mutch if u woud do that!
Is this like a wallhack?
---------- Post added at 06:10 PM ---------- Previous post was at 06:05 PM ----------
Can you see people through the walls?
Just wondering if this could be detected in anyway, as this is the only type of hack i use, and recently haven't been able to join mw3 (Steam authorisation errors, and unable to handle request), (which can be shown when u have a 6hr - 24hr ban by Inifinity ward), just wanting confirmation this is still good?
Is this still working? Or is it down? Ive tried it but not working, and ban prove?
Bump duo Patch
Contributor 01.27.2012 - N/A
Donator 07-17-2012 - Current
Editor/Manager 12-16-12 - N/A
Minion 01-10-2013 - 07.17.13
Former Staff 09-20-2012 - 01-10-2013 / 07-17-2013 - Current
Cocksucker 20-04-2013 - N/A
i dont get it how to install, help pls with video?
I think u changed the files.
The file (MW3 Texture Hack Full ( No Hands , Request).rar) contains the one with the hands and (MW3 - Texture Hack [FINAL].rar) with no hands.
yay texture hack!
Need a friend? Private MessageNeed a Middleman? Add me on Skype: HERE or Copy & Search >> 'aussie_sniperx'---------------
Quick Links
Scammer Grave
All Blacklisted Scammers
Staff Disputes
I cant install it i dont know... u can upload a new video?
Bump due to update - this should still work
The lines in my Steam are i's


text:
Sandoval Designated For Assignment
The signing of Pablo Sandoval with the Boston Red Sox did not end as expected as the team designated the third baseman for assignment on Friday morning.
The Sox signed Sandoval to a five-year contract in 2015 worth $95 million as a free agent. As part of the DFA, the Sox will pay him the remainder of his salary in 2017, along with a total of $36 million over the next two years. They will also have to pay a $5 million buyout for the 2020 season for a total of $49 million in total due to Sandoval.
Wow. @RedSox DFA Panda on the day @gordonhayward gets introduced: pic.twitter.com/h4LK9vwgNk
— Mike Petraglia (@Trags) July 14, 2017
He was on the 10-day disabled list and was set to return from Triple-A to Boston this weekend, before the decision came down to release him. Sandoval appeared in 161 games with the Boston Red Sox and hit .237.
Boston will likely announce the promotion of prospect Rafael Devers to Triple-A as well after appearing in the MLB Futures Game and the Eastern League All-Star Game this week


text:
The wedding after-party was seven hours old when the alcohol fueled brawl began.
More than 300 people were throwing jabs and left hooks before cops could break up the skirmish
The Asbury Park Press reports things got started when two people began to fight.
Two security officers, both of-duty cops tried to break things up. However, minutes later nearly 100 people were involved and as anchorman Ron Burgundy once pointed out, "that escalated quickly."
When additional officers arrived, things finally calmed down Cops in Middletown, New Jersey arrested two of the partiers who were afterward charged with disorderly conduct.
Fights at weddings have been on the rise for several years. See some of them in the videos on the left side of the page.


text:
Location, Location, Location19 SUMMIT RD - Move right into this immaculate and comfortable colonial in a "Block Party" kind of neighborhood. Kids can WALK to Beth. High and Eagle Elementary Schools. Neutral and bright w/a spacious living room, a WOW kitchen w/granite, solid cherry cabinets, great appliances and hardwood floors. The kitchen opens to either a large eat-in area or a cozy family room - your choice! First floor laundry, newer windows and roof, and a gorgeous fully fenced-in pool with lots of addional backyard space complete the picture.
Listing information
- Year Built: 1988
- Status: Sold on 7/30/2012
- New Construction: No
- Estimated Annual Taxes: $7,364
- Property ID: 102220924
- Beds: 3
- Total Rooms: 7
- Total Square Footage: 1,800 ($150.00 per sq. foot)
- County: Albany
- Style: Colonial
- Baths: 3 (Full: 1 3/4: 0 1/2: 2 Other: 0)
- Parking Type Description: Attached 2 cars
- Lot Size: 80 x 164
- School District: Bethlehem
Age Description Actual
Amenities Walk In Closet, Wall To Wall Carpet, Wood Floors
Attic Hatch
Basement Full
Condition Excellent
Cooling Type Central Air
Exterior Vinyl
Exterior Features Deck, Fenced Yard, Pool In Ground
Garage Description Attached
General Taxes Description Actual
Heat Fuel Natural Gas
Heat System Hot Air
Lot Description Level
Master Bedroom Second Floor
Other General Taxes - 2082, Lot - 80 X 164, Possession - Tbd, School Taxes - 5282, Tax Id Section - 85, Tax Identification Block - 2, Tax Identification Lot - 41
Roof Asphalt Shingle
School Taxes Description Actual
Sewer Public
Sign Yes
Total Taxes Description Actual
Water Public
Dining Room Main Level
Family Room Main Level
Kitchen Main Level
laundry Main Level
Living Room Main Level
Bedroom 2nd Level
Bedroom 2nd Level
Bedroom 2nd Level
Listed by Ellen Mark of Coldwell Banker Prime Properties 518-439-9600


text:
Notification of Penn State administrators
To avoid notification, solicitation, or other types of inappropriate contacts with family members, the respective Assistant Vice President for Student Affairs and staff in the Office of Student Care and Advocacy will notify University administrative units that are involved in the generation of student records, have contact, or business transactions with the student's family.
Staff members who work in the Office of the Assistant Vice-President and Student Care and Advocacy are available to ensure that the needs of family members, roommates, friends, etc., are met.
For more information see the guidelines for notifying others of a student death.


text:
Prayers for Exams
- Prayer To Be Prepared For Finals
- Child's Prayer When Facing An Exam
- Prayer For End Of Course - Final Examinations
Prayer To Be Prepared For FinalsLord Jesus, I pray that you would be with me, in the power of Your holy Spirit to enable me to make the final preparations for my 'Finals'. Lord You have been my helper and my strength throughout this demanding programme of studies, and I pray that You will be close to me as I face the challenges that lie ahead of me – as I approach the end of my time here…
Grant me the strength to face the inevitable pressures that will arise as I prepare for my final exams and guide my studies as I prepare for this important period of my life.
Keep my mind focussed on what is important and help me not to become distracted by peripheral activities or people but rather help me to stay my mind on these exams and manage my time in a wise manner.
Lord my life and my future is in Your hands and I pray that I may do well in these exams and will not fear, knowing that You have promised to 'hold my right hand – and may all I do in these exams be honouring to You - in Jesus name I pray,
Child's Prayer When Facing An ExamDear God, I have got an exam and I am a bit frightened about exams because You cant talk to anyone.
I know that I can talk to You – but I am not supposed to say anything out loud. Please will You be with me in my heart and listen very carefully when I am talking to You in the exam, because I have to talk in my heart and not out loud.
Thank You for living in my heart,
Prayer For End Of Course - Final ExaminationsDear God, I am shortly to face my final exams at the end of this course of study and I pray that You would be with me every step of the way, as I prepare for this daunting landmark in my life.
Continue to be with me in all my studies and coursework and enable me to retain and apply all that I have learned so that I may be well equipped – not only to face these exams, knowing that I have worked hard, but also to be prepared for the future - in whatever direction You should lead me
Dear God I thank You that You have supported me through this whole course of study – for I know that without You I could never have reached this final hurdle. Be with me I pray every step of the way and I offer my life to You to do with as You will.. in Jesus name I pray,
Exam Prayer For Mature StudentsLoving heavenly Father, it astonishes me that I am once again preparing to take an important exam, after having finished my normal 'education' so long ago. At times I feel that my mind is slowing down and the thought of sitting an exam is quite a daunting task.. but Father – You led me in this direction and You have promised to be with us in all things, and at every season of our lives. Be with me Lord as I prepare for this exam and also as I go on to take it –
I thank and praise You that You have given me this wonderful opportunity to forward my career with this course of studies, and I pray that You will be glorified as I move forward in my life and apply all that I have been learning.
Thank You Father for being with me up until now -and I know that You have promised never to leave me and to be my strength and stay in all things – for which I praise Your holy name,
Prayer – When Going Into An ExamLoving heavenly Father, as I sit here, waiting to take this exam, I ask that You would be with me throughout the entire time. Fill my heart Lord with Your peaceful serenity and I pray that my mind may think clearly throughout the exam and that I may answer the questions well.
Lord that I may sense Your peace in my heart as I apply myself to the challenges of today and enable me to focus my attention appropriately on each question, throughout the entire examination, and bring to my mind all that I have learned over the last months, I pray.
Thank You Lord that You are always there, in Jesus name I pray,
Prayer To Prepare For An ExamLoving Father, as I get myself ready for my forthcoming exam I ask that You give me the wisdom and strength to really get my heart and my mind properly prepared. Keep my mind from nervous distractions and give me Your perfect peace in my heart - as I make my make myself ready for these important exams, I pray.
Thank You Lord for giving me this opportunity to study and that You have been with me throughout the past months, so that I will be equipped with the right knowledge and qualification for my future work.
Thank You that You have been with me throughout this course – for my hope and strength is in You – and Lord as I now come to the end of this particular period in my life I pray that You uphold me with Your righteous right hand and guide me as I move forward in my life, in Jesus name I pray,
Students Prayer When Undertaking ExamsDear God, I ask that You would be with me as I prepare for my exams and thank You Lord, for the wonderful educational opportunity that You have granted me – enabling me to undertake this course of study.
As I now prepare for my exams I pray that You would be close to me and calm my nerves and remove any anxious thoughts from my heart, so that I may approach this exam with a clear mind and a tranquil spirit.
Help me to do my best I pray, to answer the questions clearly and to express my thoughts lucidly. Calm my nerves I pray, and bring to my mind all that I have studied - so that I may be able to answer all the questions to the very best of my ability.
Thank You that You have promised to be with me in all things I ask that You stay very close in this exam, in Jesus name I pray,
Related PrayersPrayers for Students
Prayers for School
Prayers for Graduation
Prayers for Teachers
Prayers for Scholarships
> Prayers for Homeschooling
Prayers for the First Day of School
One More Prayer for Exams
Your Prayers
Prayer for a good pass in an uni exam paperI Prayed For This Prayed for 176 time.
LET for TeachersI Prayed For This Prayed for 65 time.
Prayer for university examI Prayed For This Prayed for 60 time.
ExamsI Prayed For This Prayed for 71 time.
Phd examI Prayed For This Prayed for 47 time.
Prayer for examsI Prayed For This Prayed for 49 time.
ExamsI Prayed For This Prayed for 28 time.
My son's final examI Prayed For This Prayed for 29 time.
Prayers pleaseI Prayed For This Prayed for 18 time.
God is with youI Prayed For This Prayed for 23 time.
Bless my sonI Prayed For This Prayed for 28 time.
State core examsI Prayed For This Prayed for 17 time.
Pray to get passI Prayed For This Prayed for 8 time.
Dear Lord, Praise to GOD . my daughter ,Dr.gnanavidhya , who finished her MRCGP exam on 9th Nov .the result will be on 4 of December . I pray for her to get a pass in that exam .Only because of Jesus she can get the pass mark . i pour my heart to the feet of our Lord Saviour .
Upcoming examsI Prayed For This Prayed for 7 time.
I pray for a boy ,who loves Jesus very much and who has asked me for prayers for his exams, in the month of November , and completion of all assignments which is for a very serious job. He is overwhelmed with the assignments/study and class representative job. I give him to You Lord.
EducationI Prayed For This Prayed for 10 time.
Please Pray For Me.. I Took The FCAT And I Really Want To Pass It And I Will Also Be Taking The SAT During The Month Of December, Please Pray So That God Can Guide Me And Help Do Great Things Become Successful In The Future. Thank You ! =)
God help meI Prayed For This Prayed for 28 time.
God help me in passing my exams. please give me wisdom and strength to get through them. In Jesus name.
Examination periodI Prayed For This Prayed for 10 time.
I pray that the Lord will help me to pass all of my subjects this semester, so that i can still continue my course in medical technology. Please help abba in my studies so that i can finish my studies so i can full time as evangelist to your kingdom. in jesus name your will be done.
For my grandsonI Prayed For This Prayed for 13 time.
Loving Father, Linus will compete the Math challenge this coming October 14. Kindly guide him and give him courage,strength and knowledge. Let it be according to Your will and to God be the glory.
For my cominng Board examI Prayed For This Prayed for 20 time.
Dear Lord..please help me with my review ,, and to pass my board exam ..
Sharpen my brothers memoryI Prayed For This Prayed for 10 time.
My young brother is going to start his six form exams, i need a special prayer for his health during the exam and sharpen his memory to remember things he studies, so as he can achieve best results


text:
KDK relocates in Thomaston
Thomaston — Born in a home in 2010, KDK has progressed to a 3,600-square-foot location on Main Street in Thomaston.
Owner Trina Johnson moved her family owned and operated store from its previous 700-square-foot location at the corner of Routes 1 and 131 May 27.
The business offers screen printing, embroidery, business cards, vinyl graphics, signs and banners, awards and trophies, among other things.
KDK also is a UPS shipping location, which has proven popular with the surrounding businesses, according to Johnson.
The large space at 161 Main St. is a work in progress, with entrances at the front and back of the two-room facility that use to be home to Angelique's Antiques.
KDK is open weekdays from 8 a.m. to 4:30 p.m.
Congratulations KDK!
Hopefully there graphic prices are more reasonable than Adventure....


text:
Just returned from the Tropitel and can honestly say it is a true 5 star hotel. There were only two small points that we were disappointed with first the pools were not fully operational and the pool that you could use was in need of repair and secondly there is not much outside the hotel to do and the hotel is very remote but this did not deter us from having a good time. The hotel is very clean and well kept and all the staff are fantastic especially the waiters in the Palm Restaurant. Drinks and food are excellent and the choice was so so good. We enjoyed the food at both The Mexican and Italian restaurants the food again was excellent in both but our favourite was the steak in the Italian. The pizzas in the Italian are so good. All in all we had an excellent time.
- Official Description (provided by the hotel):
- Supremely located in the newly and highest developed areas in the Red Sea "Sahl Hasheesh" 14 KM south Hurghada, one of the world's repute resort destination, Tropitel Sahl Hasheesh, offering magical views of the warm Red Sea, with impressive collection of alluring restaurants and cool bars, magnificent beachfront and modern stylish rooms as well as numerous leisure facilities. ... more less
- Reservation Options:
- TripAdvisor is proud to partner with Priceline, Booking.com, Travelocity, Expedia, Hotels.com, TravelUp, getaroom.com, TripOnline SA, HotelQuickly, Evoline ltd, Hotwire, Orbitz and Cheap Tickets so you can book your Tropitel Sahl Hasheesh reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- Tropitel Sahl Hasheesh Hotel Hurghada


text:
Jeremy Hunt said he had accepted in full findings from an independent panel that casualty units at Hammersmith and Central Middlesex hospitals should be downgraded as soon as practicable.
He also announced that Ealing and Charing Cross hospitals in London should retain their A&E departments for now, although he conceded they could do so "in a different shape or size".
Labour said the caveat "amounted to spin which masked their inevitable downgrading to urgent care centres".
Mr Hunt's statement in the House of Commons came a day after three Court of Appeal judges rejected his claim that his decision to downgrade A&E and maternity services at Lewisham Hospital in south east London had been within the law.
He said the review had been prompted by concerns over "great" variations in the quality of acute care and 10 per cent higher mortality rates at weekends for emergency admissions.
The proposals, on which the Healh Secretary was advised by the Independent Reconfiguration Panel, mean that A&E services at nine hospitals in north-west London will be reshuffled so that the most urgent cases are diverted to Hillingdon, Northwick Park, West Middlesex, Chelsea and Westminster or St Mary's hospitals.
Mr Hunt told MPs: "Today I have accepted the panel's advice in full. The panel also says that while the changes to A&E at Central Middlesex and Hammersmith hospitals should be implemented as soon as practicable, further work is required before a final decision is made about the range of services to be provided from the Ealing and Charing Cross hospital sites.
"Because the process to date has already taken four years, causing considerable and understandable local concern, I have today decided it is time to end the uncertainty.
"So while I accept the need for further work as the IRP suggests, I have decided the outcome should be that Ealing and Charing Cross hospitals should continue to offer an A&E service even if it is in a different shape or size to that currently offered."


text: Hi All My wife and i are considering buying a 5th wheeler, i have read lots of articles and think that we are pretty much convinced that this is the way to go. Has anyone had trouble getting on to campsites and how do people find towing these beasts. We are going to test drive a unit 3/10/09 as the final part of our quest. Any advice welcome. Thanks Neil and Jan


text:
02:14 PM - January 22, 2014 by MMChrisS
We're a mere two days past the annual commemoration of civil rights martyr Martin Luther King Jr., and like many "holidays" much of the world has moved past the thoughts we conjured up on Monday. Race isn't an issue we discuss in sports very often because the larger barriers were torn down over fifty years ago.
MLK's famous 'I Have a Dream' speech rocked the United States back in 1963, but in many ways sports was also walking the path of social justice during and before that famous oration.
Jackie Robinson broke the 'color barrier' in 1947 when he stepped onto an MLB field on a spring day in April. And on this day in 1962 (almost two years before King's speech) Robinson was voted into baseball's Hall of Fame -- the first black player to receive the honor. But how much has changed since then? When an educated graduate of Stanford University bares his emotions after an NFC Championship clinching play and many respond with thoughts of "Thug!," it can make us question if we've hit a wall culturally and in sports when it comes to racism.
Sound Off: What impact do you believe sports have had on racism or civil issues in your lifetime?
Sports Headlines for January 22, 2014
- The Yankees are flexing their wallets again, signing Masahiro Tanaka to a seven-year, $155 million deal.
- Curling is hands-down my favorite sport to watch during the winter olympics, and these Norwegian unis may be tops as well. [Image]
- And the winner of the first Bud Selig Leadership award goes to -- Bud Selig?
- Fox has announced they will stream the Super Bowl for FREE to computers and iPads.
- Think you can get March Madness perfect this year? Warren Buffet has $1 Billion waiting for you if it happens.