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MIDAS Room Booking & Resource Scheduling systems come with a set of basic booking fields enabled by default, which allow you to record the type of booking, the number of attendees, any resources, and booking notes, in addition to venue, date/time, and client details.
Booking fields can be re-ordered as well as made optional or required, and can also be selectively hidden from certain users.
Furthermore, MIDAS also gives you even more flexible control by allowing you to add your own "custom" booking fields as well!
A variety of different custom booking field types may be added to MIDAS, including:
- Single-line text Field
- Multi-line text Field
- Number Field
- List Field
- URL Field
- File Upload Field (Self-Hosted Editions Only)
MIDAS v4.16 expands upon this range with the inclusion of a new "Range" (or "slider") custom booking field type:
When adding a new "Range" custom booking field to MIDAS, You'll be able to configure the minimum and maximum limits of the "slider", as well as the number of increments (or "steps"), as well as specify a default value for the custom field.
Then when user's add or modify bookings, they'll be able to adjust the slider to the desired value which will then be saved along with the booking.
We're sure that the addition of the new "Range" custom booking field will find a variety of applications within customer's MIDAS systems. For example, a "Range" custom booking field could be used to record the desired room temperature for each booking, which your site's caretaker/facilities manager could use to program heating/cooling/HVAC systems accordingly. Furthermore, our optional API could even be used to interface MIDAS directly with your building's environmental control systems – meaning users could set room temperatures directly from within MIDAS itself!
Click here to continue reading about some of the other new & improved features coming in MIDAS v4.16!


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I attended an open conference of Agile Coaches (ALE 2016) for the first time and decided to do an experiment with Street Wisdom. The theme of the conference was, "We Share because We Care" – which spoke volumes about this professional group of people.
I'd never been to an open conference before, so all I knew was that there were no keynote speakers, no panelists, and no paid presenters. Every participant was a possible presenter. All you needed was a juicy question you wanted help with, a cool tool you wanted to share, or a story that could impart insight to others. And with a clear message of, "Who ever shows up are the right people" – how could I not step forward?!
I offered a 90-minute escape from the conference location, to wander the surrounding area of Paris on a perfectly warm (not cold and not meltingly hot) day, to explore and perhaps find an answer to a question. Eight curious and eager participants showed up. (Guess I wasn't the only one needing a break from stuffy rooms and artificial lighting.)
None of us knew this particular corner of Paris, so it was a great area to wander. We started at the conference location and stuck together as we tuned in and stretched our perception muscles. The first round of just paying attention already clued people into various levels of awareness. One person said he noticed not only where his attention went, but also where it didn't. He caught himself not paying attention to his breathing – which of course made him aware of how he'd like to calm down more and be more conscious of his body and how he was feeling.
This was a perfect transition into slowing right down. Although I offered to set the pace for this tune-up, several people went ahead and kept their own pace – either much faster or even slower. We used the time afterwards to just notice the change in our own mental/emotional/physical rhythm before moving onto the third exercise of appreciating everything.
As we were running short on time, and the set up of the open conference meant that people could come and go as they felt best served them – two people departed with the task to tune-in to what they could appreciate on the way back to the center. The rest of us split up in order to wander our little corner of Paris and return to the conference location for insight sharing.
When we all reconvened, everyone just seemed to float over and settle in a chair. Calm. Grounded.
One participant reported, "Appreciating everything is like being on drugs. I found myself almost feeling high after a while." We all chuckled at that – perhaps sharing a similar feeling.
In the end, the sharing was focused on the value of time – of how precious this 30 minutes of wandering was for everyone. Thirty minutes to let go, open up, and just be. One participant shared, "It was difficult to think of a question, although the answer was immediate. So I started the other way around and went looking for the question."
One participant wrote me later:
"Walking back I thought about my own professional development and what steps I might take to keep growing even when I feel pigeon holed. Immediately, I noticed a spiral staircase inside the building and was reminded that growth is a step by step process. That it's ok to take one step at a time. And then I saw the hill I was walking up as a kind of metaphor for this journey. And the high buildings as examples of the kind of high places which maybe you 'see' from reading about something, which you want to attain and maybe feel some jealousy for, but which are maybe not the places I really want to go anyway. Being in the frame of appreciating, I reflected that appreciating the journey along the way each step is a more fulfilling thing to do.
Thanks for the exercise. I feel more calm and relaxed and positive after."
Ultimately, everyone around the table left the session with a valuable insight – it's not about the destination (or the answer) – it's about the journey.
Susanne Taylor

subset: commoncrawl


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Arctic Mermaid
Winter Mermaid
Transport your guests into a magical winter fantasy world with our real live Arctic Mermaid.
Perfect for Christmas events where you are looking for something that your guests won't have seen before, our Arctic Mermaid can perform on land, in the sea, aquariums and even in a Giant Martini Glass.
Our Arctic Mermaid has performed internationally and has featured in newspapers, radio and TV.


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Number of millionaires in Ukraine grows by 16% in 2017
15:25, 07 May 2018Economy
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The average annual income of a millionaire in Ukraine is estimated at UAH 8.2 million (US$311,669).
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tag:blogger.com,1999:blog-3552387675026716797.post7042471256060692936..comments2020-07-08T17:08:31.295-05:00Comments on Two Men and a Little Farm: GALVANIZED TUB TRASH TO TREASURE FIND1st Manhttp://email@example.com:blogger.com,1999:blog-3552387675026716797.post-56697932445906792942017-05-15T21:50:46.801-05:002017-05-15T21:50:46.801-05:001st Man, Great find!!! I have my tubs punctured w...1st Man,

Great find!!! I have my tubs punctured with holes and strawberry plants in them. If you have a wood stove you could store some logs in the tub.Sandy Livesayhttps://email@example.com:blogger.com,1999:blog-3552387675026716797.post-31123801566148590312017-05-15T06:25:21.222-05:002017-05-15T06:25:21.222-05:00I would use it for cold drinks in the summer. Alt...I would use it for cold drinks in the summer. Although I would be sorely tempted to put all the dog toys in it. Solhttps://firstname.lastname@example.com:blogger.com,1999:blog-3552387675026716797.post-71452341526500679612017-05-14T02:59:50.624-05:002017-05-14T02:59:50.624-05:00You could roll towels and use it for storage. Such...You could roll towels and use it for storage. Such a great find with much loved patina. Lots of great ideas in the comments.Tonya @ My Cozy Little Farmhousehttps://email@example.com:blogger.com,1999:blog-3552387675026716797.post-74098855752600766252017-05-13T09:20:51.872-05:002017-05-13T09:20:51.872-05:00Love... in the meantime you can fill with gravel, ...Love... in the meantime you can fill with gravel, add random candles and have your own little fire pit! laura Laura Everyday Editshttps://firstname.lastname@example.com:blogger.com,1999:blog-3552387675026716797.post-15351343053736230092017-05-12T23:18:14.928-05:002017-05-12T23:18:14.928-05:00That was a perfect find for your Farm! I googled...That was a perfect find for your Farm!
I googled images for galvanized tub ideas:
Seating/ottoman/pet bed - add foam inside and an fabric cover
Woodbin - I think a wood-burning stove at your Farmhouse would be wonderful!
Texas Rosehttps://firstname.lastname@example.com:blogger.com,1999:blog-3552387675026716797.post-16882496005110491452017-05-12T21:21:16.969-05:002017-05-12T21:21:16.969-05:00You cab still grow plants in it. Just place water ...You cab still grow plants in it. Just place water bottles or coke bottle in the bottom on their side. Place pots over it. The foliage of the plants will hide the fact the tub is not full of dirt. or Hanging it on the side of the house or barn would make it handy when you need it. That's a cool find.Practical Parsimonyhttp://email@example.com:blogger.com,1999:blog-3552387675026716797.post-82075778950831237952017-05-12T16:29:24.751-05:002017-05-12T16:29:24.751-05:00Brilliant find - and when the time is right its ne...Brilliant find - and when the time is right its new purpose will become clear.Elephant's Childhttps://email@example.com:blogger.com,1999:blog-3552387675026716797.post-501159052934356692017-05-12T15:06:30.193-05:002017-05-12T15:06:30.193-05:00Cool find. Just keep it as is and one day you will...Cool find. Just keep it as is and one day you will have a eureka moment and know exactly what you want to do with it Anne in the kitchenhttps://firstname.lastname@example.com:blogger.com,1999:blog-3552387675026716797.post-78500929641436040932017-05-12T13:10:47.722-05:002017-05-12T13:10:47.722-05:00allrighty. get ready for it. fill it with water. c...allrighty. get ready for it. fill it with water. cover it with a black garbage bag or a black tarp if you are fancy. let it sit in the sun all day and....

HAWTUB! GETTIN' IN THE HAWTUB!

oh ya baby. i went there - bahahahahah!

sending love and love your latest find! your friend,
kymberkymberhttps://email@example.com:blogger.com,1999:blog-3552387675026716797.post-32477617842633549752017-05-12T12:21:37.825-05:002017-05-12T12:21:37.825-05:00I have a tub just like it next to my front door. I...I have a tub just like it next to my front door. I don't have flower beds, so mine has flowers planted in it.

Love,
JanieJanie Junebughttps://email@example.com:blogger.com,1999:blog-3552387675026716797.post-15314067318069130792017-05-12T11:03:25.254-05:002017-05-12T11:03:25.254-05:00another great find! i have some of these and i us...another great find! i have some of these and i use them when i have parties to hold wine, beer and soft drinks as well as water. if you have a few of them you can stack them and turn them upside down and use them as a table on the porch when you aren't using them to hold drinks.jaz@octoberfarmhttps://firstname.lastname@example.com:blogger.com,1999:blog-3552387675026716797.post-17083728075785158032017-05-12T09:40:13.573-05:002017-05-12T09:40:13.573-05:00OMG. Lucky You. Make or get a stand; put in a dra...OMG. Lucky You.
Make or get a stand; put in a drain plug, set by your garden hose and use as vessel/ outdoor sink for washing up before coming in the house.
Use for storing your garden hose in http://redfarmhouse.blogspot.com/2012/06/farmhouse-hose-holder.html
find an old galvanized watering can and with that and your tub; turn into a garden water display http://www.goodshomedesign.com/20-creative-ways-to-repurpose-galvanized-buckets-and-tubs/
https://www.pinterest.com/pin/238831586460054755/

When you have gatherings out at the farm; fill with ice and sue as a cooler to chill that wine, beer or soft drinks.
Get a rolling plant stand for the tub to set onto, https://www.gardenista.com/posts/5-favorites-rolling-plant-stands/ set a piece of glass or large circle of wood on top and use as 'end' table on your porch to set you drinks, etc. on. http://cf.remodelaholic.com/wp-content/uploads/2014/05/easy-diy-patio-table-from-a-bucket.jpg
Make into a small fairy garden
At Halloween; stick in a couple of Mum plants and fill in with variety of pumpkins. Christmas, stand up your tree inside the bucket and wrap outside of bucket with burlap and tie with big red ribbon & bow.

Or just for décor and just hang it up on your porch

Use it to bathe your cats but good luck with that way. :} Cute picture here; http://grandmas-dreams.tumblr.com/post/31942126309/dyingofcute-i-want-my-duckColleenhttps://email@example.com


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The massive success of "Arjun Reddy" in both Telugu states and abroad has made Vijay Devarakonda a much sought-after star.
The craze that he has among youth is unbelievable. And trying to cash in on his new-found success are buyers and distributors who are vying to bag his movies.
His next big release is being produced by Bunny Vasu of "Geetha Arts" in the direction of Parusaram. Already, there is buzz that there is much demand for the film that is being readied for release later this year.
"Arjun Reddy" was sold to distributors in the range of Rs 6 cr altogether worldwide. The film is now expected to rake in Rs 23 cr (share) from theatrical run worldwide. From Telangana and AP itself, the film will collect about Rs 15 cr.
Talk is that production house Bunny Vasu is now planning to sell this new movie for Rs 20 plus cr, though the movie's budget is below Rs 10 cr.
It is sheer luck for this banner, as they will make a minimum Rs 12 cr table profit before the release of the film.
CLICK HERE!! For the In Depth Updates on all the OTT Content


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Regent Hotels Offers New Year Packages in Beijing, Taipei
Hotel & Resort December 21, 2011
Regent Hotels & Resorts is offering value-added packages at its hotels in Taipei and Beijing. The Chinese New Year packages allow guests to experience this festive and traditional celebration in each capital city within Regent's luxury accommodations.
The Chinese New Year Package at the Regent Taipei includes daily breakfast for two; dinner for two at Silks Palace, a restaurant within the National Palace Museum that serves modern Chinese cuisine; private three-hour tour of the National Palace Museum, one of the largest collections of Chinese art and artifacts; Regent Galleria shopping discount voucher for two; and a specialty snack gift set. Rates for the package start at NTD 7,300 ($241), double occupancy, plus 10 percent service charge and 5 percent government tax.
The offer is valid from Jan. 13 to 29. A minimum stay of two consecutive nights is required. The Chinese New Year Package at the Regent Beijing starts at RMB 988 ($156), plus 15 percent tax, and includes two daily breakfasts. The offer is valid from Jan. 19 to 31 and a minimum stay of three consecutive nights is required.
For more information on Beijing
For more Hotel & Resort News
You may use your Facebook account to add a comment, subject to Facebook's Terms of Service and Privacy Policy. Your Facebook information, including your name, photo & any other personal data you make public on Facebook will appear with your comment, and may be used on TravelPulse.com. Click here to learn more.LOAD FACEBOOK COMMENTS


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Published April 27, 2005, in the Wyoming Tribune Eagle, "Sharp-tail trip seeks out the other grouse."
2014 Update: Habitat Extension Bulletins are all available online now, http://wgfd.wyo.gov/web2011/wildlife-1000616.aspx.
By Barb Gorges
As the driver of the last car in the caravan, I expected whatever the attraction was that had caused the lead driver, Bill Gerhart, to pull over to the side of the gravel road would be even with or ahead of him.
The goal of our Audubon chapter field trip was finding sharp-tailed grouse north of Hillsdale. In the dimness before sunrise this calm, mid-April morning, I searched the pasture ahead for any movement on the lek.
Leks are dancing grounds, where males come back every year to congregate, display and compete for females. Females hang out at the periphery. When I finally caught a flash of movement, it was even with my car. How nice for my passengers who had never seen sharp-tails before.
Mention grouse around here lately and most people think immediately of the sage grouse. Technically known as "Greater Sage-Grouse," it is in the news as a declining species in the way of oil and gas drilling.
The image of the sage grouse male in full display appears in wildlife publications regularly. He has two large, yellow-skinned, inflated air sacs embedded in a drooping white neck ruff and a fan of spikey tail feathers.
The sharp-tailed male, on the other hand, has just one spikey point to his tail, and no white ruff, though he does have small purple air sacs on either side of his neck.
Because sharp-tails don't make the news as often as their relatives, I asked Kathleen Erwin, a wildlife biologist with the U.S. Fish and Wildlife Service office in Cheyenne, about them.
Though their population has declined, they are not in as much trouble as sage grouse, she said, except for the Columbian sharp-tail, a sub-species that prefers mountain shrub habitat found in south-central Wyoming and other western states. It is being petitioned for addition to the list of threatened or endangered species.
As so often is the case, the changes to native habitat are a problem. However, sharp-tails will adapt to using cropland more so than sage grouse. We saw two fly over fresh green shoots of winter wheat on our field trip.
Bill, a Wyoming Game and Fish Department wildlife biologist as well as one of our trip leaders, said the Conservation Reserve Program started in 1985 encourages the reseeding of cropland with grass species for erosion control and provides a good base for sharp-tails to rebound.
Drought is a factor right now, Kathleen said. The grouse need enough vegetation to hide their eggs from predators. Their nests are mere scrapes on the ground. Drought also cuts down on the number of insects available to feed the young right after hatching, before they convert to an adult diet of mainly seeds, buds and leaves.
The development of native prairie habitat also brings new predator species that the birds aren't used to, said Kathleen. Converting prairie to houses brings domestic cats and more skunks.
And then there's the competition. Ring-necked pheasants brought in by game bird farms will push sharp-tails out, said Kathleen. Later on our trip we had an excellent view of two cocks of this Asian species fighting on the side of the road.
Sharp-tails are a resident species in southeastern Wyoming as well as grasslands extending north into Canada, which means you should be able to see them any time of year, but they are a lot easier to find in spring on leks.
The six or seven sharp-tails we found were completely oblivious to us as we watched from our vehicles.
The males held their pointy tails erect, stretched their stubby wings horizontally and with head down, stepped rapidly in little circles or advanced on their rivals or retreated. The white underside of their tails was the only contrast to the dry grass landscape or to the rest of their feathers that are also the color of dry grass.
With our windows open we heard tail feathers rattling and the weird cooing sound made when males deflate their air sacs. When the orange globe of sun slipped over the uncluttered line of the horizon, all the photographers were happy.
This particular morning it was we who left first, rather than the birds, to search out other leks. Often, the shadow of a passing hawk sends all grouse airborne. While a hawk in flight is often favorably compared to a fighter jet, flying grouse are the epitome of short-winged, big-bellied bombers. They prefer to flap and glide, and never far from the ground.
In late April, we are now part way through the pageant of spring migration. The snow geese have come and gone and the warblers and shorebirds are just now showing up. If we miss the ducks, we'll see most of them again in fall migration. But the grouse show is mostly finished. Many people view sage and sharp-tail leks every year and some, wildlife biologists as well as volunteers, perform surveys.
Every year we hope they find good news. Otherwise, it could forecast the future demise of something more important than just another roadside attraction.
For a copy of Habitat Extension Bulletin 25, "Habitat Needs and Development for Sharp-tailed Grouse," call Wyoming Game and Fish Department, 777-4600.


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Archive for October, 2019
October 2, 2019 • Cee • Discussion
You ever want to know what people are buying in bookstores? Well, it so happens that I work at one! During the last week of February 2018, I pondered about what type of post to make for "Books in Hand." At first, I planned to discuss all the books customers came in asking for or buying, but that's a bit too much because everybody came in asking for different books, and I didn't remember all of them. My boss showed me a way to check our store's best selling books, and I found out what we sold a lot of!
And that's what this post is—seeing the top ten selling books of September 2019.
The Testaments by Margaret Atwood | The Water Dancer by Ta-Nehisi Coates | The Institute by Stephen King | It by Stephen King | There There by Tommy Orange
Tags:books in hand


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BOD, Biochemical Oxygen Demand, is the standard measurement for determining the strength of waste water. It is also a common regulatory tool used around the world to measure the strength of industrial waste water. Most municipalities will charge a fee per 1,000 gallons of waste water when the BOD is considered to be high. High BOD is generally anything over 1,000 mg/l where household BOD is around 350 mg/l. Industrial waste water is often well above this threshold resulting in high fees from the sewer authority. The sewer authority charges theses fees to cover increased cost associated with the high strength waste water. The additional costs can come from increased electrical costs to run the aerators at higher speed, longer retention times and increased sludge handling. Other problems include odor and killing off the microbial population needed for treatment of the waste water. High BOD can also deplete the Dissolved Oxygen in the receiving body of water, causing fish kills and odor problems.
Measuring BOD is a bioassay procedure that measures the oxygen consumed by bacteria to decompose the organic matter in the waste water stream. The procedure takes five days to complete. This is called a Five-day BOD and is by generally written as BOD5.
Controlling your process on a daily basis is not practical using BOD. Most industrial users need same day results, so COD (Chemical Oxygen Demand) is used instead. The COD test can be run in a couple of hours using a portable analyzer. Since BOD is a subset of COD, COD is always higher than BOD. For example, BOD from brewery waste water is usually around 50% to 60% of the COD. Once the percentage is established, the BOD can be estimated from the COD.
On site measuring of COD is a quick, easy and inexpensive way to monitor and control your process waste water stream on a daily basis. Running the test for BOD will also be required as most municipalities will not accept COD as a surrogate for BOD. Check your pre-treatment permit for requirements.


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Thank you to everyone who helped to make Feeding the Spirit at the Whistler Museum a success this year!
As part of Connect Whistler, Feeding the Spirit aims to give newcomers to the community a brief introduction to Whistler's history; this year the event drew over 100 people to the museum for historical Whistler trivia and a free meal.
The museum would like to thank WCSS and all of our sponsors: Creekside Market, Whistler Roasting Co., Misty Mountain Pizza, Splitz Grill, Farfalla Hair & Esthetics, Coastal Culture Sports, Purebread and DavidsTea.
Allyn Pringle,
Events and community manager,
Whistler Museum


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Deknudt Decora Flow Silver Mirror 2728.161. "Silver Flow" is the silver brother of the Cupper Flow. The nicely carved frame with bowed wavy lines is decorated in silver leaf and afterwards treated with a patina, which makes the light reflect in a different way than that from the central mirror.
102cm x 102cm
Because this product is fragile we deliver using our own transport. Unfortunately due to distance and cost this excludes Scotland. For more information call 0115 9455584 or email email@example.com


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- We will finish up our 'business' - helping Dean tidy up Maynard and Ellen's financial affairs - Monday (I hope).
- The Cat has gone to a new home, a couple of weeks ago. Kristi and I still expect to see 'Kit' at the door as we come in.
- DISH shut off the satellite service a few days early, and I was not able to enjoy 'CBS Sunday Morning' with my cup of coffee, fresh baked Cinnamon rolls, and my wife.
Yup, all stars are aligning - and we will look to be hitting the road Tuesday. Bright and Early, 12-14 hour drive to Colorado Springs to spend a few days with Kristi's sister and brother-in-law. Then looking to head to San Fransisco to visit Pip the Cat ( http://pipsalbum.wordpress.com/about/ ) for Thanksgiving and a slow drive up the coast to Portland for the Christmas holidays.
New Years on Viking Star.
These past days have been a mix: Visiting, packing, sorting, remembering, mourning, 'planning'. Now will begin a time for transition. Looking back Kristi and I are clear - we have no regrets taking this year off from cruising, with all its ups and downs. And we do hope we brought something to Maynard and Ellen as their lives came to a close. We think we did.
I put the Cruising Lifestyle label on this post because much of the 'lifestyle' is about Family. Those we take with us and those we leave behind as we depart on our 'craziness'. What will happen to them? Will they forget us? Will we ever be able to truely go back into a 'normal' life?
"The whole idea is Freedom . . ." 1 begins a famous quote from an admired cruising couple, freedom to make choices, to follow where life takes us.
And we did. Now its time to start another chapter.
1 "The whole idea is freedom. Go simple, Go cheap, Go now." - Lyn Pardee.


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Shanghai Custom Packaging Co., Ltd is an internatinal standard manufacture which has been engaged in paper packaging for more than ten years, we have been a leading packaging company in china marketing and seeking more oppotunity in global.Our factories (3 factories) are located in Shanghai and Ningbo which is seaport city are more convenient for the transportation. The factories occupy an area of more than 10000 square meters and several corrugated production lines to satisfy big quantity orders.
Our company focus on corrugated box, gift box, paper bag, paper tube, waxed box, printing service and packaging material -in order to help customer one-stop purchase from our company. Meanwhile our advantaged products are PDQ (paper display box), tuck top boxes, logistic shipping Box, design gift box, Waxed packaging box and personalised paper bags. they are being treated with high quality printing finish method, such as UV, Glossy finish, matt finish, Gold Stamping and Embossing as well as printing method flexo printing and offset printing.
|Tommy Jin
|Sales Manager
|Building 3, 720 Lane XinSongjiang Road, Songjiang, Shanghai, China


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How to use a Three promo code
Getting money off your next contract is easy! Select the Three voucher code you would like to use and hop over to the Three website. Add your SIM, Smartphone, Broadband or plan to your shopping bag and continue to checkout. Enter the Three code in the promo box and click "Apply" for your discount to be reflected on your total. It's that simple!


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Despite the Wii only being about four months old, the mod chip scene already has quite a few competitors. The latest, WiiXT, not only looks to fulfill the necessary backup-playing requirements, but also boasts some rather interesting features: including, most notably, DVD playback.
Though claiming to have bricked many Wiis in the development process, the chip makers are apparently working diligently to get their super-chip into production. Their site details the chip with its impressive list of features, but offers no real proof that anything is really in the works. At this stage, the chip is not yet for sale nor ready for show. Thus, the announcement of the chip is a little premature, but the feature list is rich enough to garner attention.
Hypothetically speaking, a chip enabling DVD playback would probably do very well. I know that I've personally looked at the Wii many times and wished it had DVD playback. When Nintendo originally announced that the Wii wouldn't have playback because "you have ten devices that play back DVDs," I reluctantly agreed. However, upon selling us on the idea of a News and Weather channel for the console—things we are already have many devices for, like TVs and computers—I couldn't help but feel that there was a little hypocrisy on the part of Nintendo. That said, it's still too early to know whether or not this chip even works, let alone whether it will sell or not. At the rate these chips are popping up on the market, I'm sure there will be a better one shortly. Plus, given the limited supply of available Wiis, I don't think many lucky owners would be willing to risk breaking the console just to play DVDs. I know I wouldn't.


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New research offers hope to obese patients for hip and knee replacement: What does it mean?Print | Email
Chronic conditions, such as diabetes and heart disease, have long been associated with obesity. However, being overweight or clinically obese can also result in the painful condition of osteoarthritis (OA).
The Arthritis Foundation notes that in some cases "obesity raises the risk of getting some types of arthritis; in all cases, obesity makes arthritis worse. One in five Americans has been diagnosed with arthritis, but according to the Centers for Disease Control and Prevention (CDC), that number jumps to more than one in three among obese people – and two out of three Americans are either overweight or obese."
It does not require a medical degree to understand the basic physics of obesity's effect on joints. The more weight that is placed on a joint, the more stressed it becomes, and the more likely it will wear down and become damaged. This is especially true with weight-bearing joints, such as the knees and hips.
Experts note that for every pound of excess weight an additional four pounds of pressure is placed on the knees. Thus, 10 pounds of weight equal 40 pounds of extra pressure. It is not uncommon for a clinically obese person to be 100 pounds overweight, adding a staggering 400 pounds of extra pressure! This is part of the reason that people who are overweight are at a greater risk of joint wear and tear, which can lead to OA.
Arthritis specialists have also noted that the extra weight is not the only factor in joint destruction. The fat itself is active tissue that creates and releases chemicals, many of which promote inflammation.
Because of the constant pain of osteoarthritis, chronically overweight, older people often consider joint replacement for knees and hips. Orthopedic surgeons have in the past have encouraged these patients to lose weight before having the procedure but this may change.
New Research on Obesity and Joint Replacement Surgery
A new study has found that obese patients who underwent knee or hip replacement surgery reported virtually the same pain relief and improved function as average-weight joint replacement patients six months after surgery.
According to the lead researcher and author of the study from the University of Massachusetts, Dr. Wenju Li, "Our data shows it's not necessary to ask patients to lose weight prior to surgery. It's challenging for a patient who is severely overweight and suffering in pain to exercise – often they just can't do it. Our evidence showed that severe morbidly obese patients can benefit almost equally as normal-weight patients in pain relief and gains in physical function."
The Journal of Bone and Joint Surgery noted that the aim of the study was to evaluate the extent of pain relief and functional improvement in total joint replacement patients with various levels of obesity. The researchers concluded that while obesity is associated with a greater risk of early complications, obesity in itself should not be a deterrent to undergoing total joint replacement to relieve symptoms.
Obesity is Still a Risk Factor for Joint Replacement
Despite this new study, Dr. Donald Hohman, Jr., an orthopedic surgeon who specializes in hip and knee replacement and a member of the referral line at Texas Health Spine & Orthopedic Center, is still concerned about the challenges of joint replacement among morbidly obese patients.
"I believe this research demonstrates what many surgeons would tell patients: that they would expect obese patients to have relief and function well following surgery. However, I would caution the interpretation of this paper to indicate that there are no risks associated with obesity and joint replacement.
"It has been well documented that obesity is a major risk factor for any number of complications following joint replacements and there is also substantial research that documents severe obesity is an independent risk factor for slow recovery over three years for both hip and knee arthroplasties."
Dr. Hohman cited another, less obvious complication for joint replacement among obese patients: infection.
"Despite advancements and improvements in methods for preventing infection, periprosthetic joint infection (PJI) is a significant complication following total joint arthroplasty. Prevention is the most important strategy to deal with this disabling complication, and prevention should begin with identifying patient-related risk factors.
"Medical risk factors such as morbid obesity, malnutrition, hyperglycemia, uncontrolled diabetes mellitus, rheumatoid arthritis (RA), pre-operative anemia, cardiovascular disorders, chronic renal failure, smoking, alcohol abuse and depression, should be evaluated and optimized prior to surgery. Recovery from this procedure is also slowed among obese patients."
Ways to Lose Weight before Surgery
As the authors of this latest research on obesity and joint replacement noted, overweight patients who are in pain from damaged joints find it difficult to exercise and lose weight. While understanding this challenge, Dr. Hohman suggests that patients might want to consider other, non-traditional, low-impact exercise and a medically designed diet.
"Patients who are obese before surgery can try to exercise prior to surgery with special programs designed to limit the pressure on their arthritic joints, such as pool therapy. A physician supervised diet can also help to reduce the level of obesity and increase the likelihood of post-operative success."
About the Author: Over the past 35 years, Art Young has interviewed some of the most interesting people in the world and used these conversations to develop a diverse catalog of compelling stories. He is a writer, blogger, podcaster, broadcaster and frequent speaker on subjects ranging from technology to healthcare to music to outdoor sports and too many other subjects to mention. If content is king, then Art Young must be his strongest emissary.
The views, opinions and positions expressed within these guest posts are those of the author alone and do not represent those of Becker's Hospital Review/Becker's Healthcare. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The copyright of this content belongs to the author and any liability with regards to infringement of intellectual property rights remains with them.
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Students Participate in 80th Annual Covestro Pittsburgh Regional Science & Engineering Fair
Mar 31, 2019 08:58PM
By North Hills Monthly magazine
On Friday, March 29, more than 1,000 students in grades six through 12 from across western Pennsylvania competed for $1 million in cash prizes, scholarships, and trips during the 80th Annual Covestro Pittsburgh Regional Science & Engineering Fair (PRSEF).
Students presented their research with full poster boards and demonstrations of their projects. Many PRSEF projects explore subjects that go far beyond what might be expected from middle schoolers and high schoolers, with some students presenting impressive research on machine learning technologies, cancer treatments, and solutions for the opioid crisis. Others researched topics that are relevant to their lives and the lives of their peers, like the e-cigarette epidemic, how cell phones impact teenage relationships, and the effects of social media on mental health.
First-place Category Award winners will be on display in the main lobby of Carnegie Science Center through Sunday, April 7. After that, some high school students will go on to compete in the Intel International Science and Engineering Fair in Phoenix in May, and some middle school students will compete in the Broadcom MASTERS competition in Washington, D.C., in October. Additionally, three student winners will be selected to receive Carnegie Science Awards and will be honored during the 23rd Annual Carnegie Science Awards Celebration on May 10, the Science Center's signature celebration of innovation and annual fundraiser.
Covestro PRSEF is the third oldest science fair in the United States under the affiliation of Society for Science and the Public and is a program of the Science Center's Duquesne Light Co. Center for STEM Education and Career Development. The 2019 Science Fair is presented by Covestro, FedEx, and various foundations, universities, colleges, industries, corporations and professional societies.


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Hello! Welcome to my homepage. I am a math teacher here at the high school as well as the Beta sponsor. On this page you will find my schedule for Fall 2011. You can also email me with any questions or concerns by using the contact form.
1st Block: Math III Support
2nd Block: Planning
3rd Block: Math III Support
4th Block: Math III


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flydubai has confirmed that it will move some flights to key destinations away from its home base of Dubai International DXB to Dubai World Central (DWC).
The airline will operate flights to select destinations from Dubai World Central (DWC) in order to provide more travel options to passengers during the southern runway refurbishment project previously announced by Dubai Airports. That refurbishment project is scheduled to take place between 16 April 2019 and 30 May 2019 and during that period flights to some 39 destinations will operate to and from DWC.
Commenting on the announcement, flydubai's Chief Executive Officer, Ghaith Al Ghaith, said: "As we saw in 2014, runway enhancement programmes continue to support the long-term vision for aviation in the UAE. With flydubai flights operating to select destinations from DWC, we aim to not only support this vision but to provide our passengers with as much choice as possible to travel across our network with minimum disruption."
At DWC passengers will continue to benefit from all the convenient travel services offered by flydubai at one of the world's future aviation and logistics hubs, flydubai said.
The destinations affected are:
Addis Ababa (ADD)
Cochin (COK)
Isfahan (IFN)
Faisalabad (LYP)
Istanbul (SAW)
Abha (AHB)
Delhi (DEL)
Jeddah (JED)*
Chennai (MAA)
Sialkot (SKT)
Ahmedabad (AMD)
Kabul (KBL)*
Muscat (MCT)*
Shiraz (SYZ)
Amman (AMM)*
Gassim (ELQ)
Karachi (KHI)
Medina (MED)
Ta'if (TIF)
Bahrain (BAH)*
Jizan (GIZ)
Khartoum (KRT)*
Mashad (MHD)
Thiruvananthapuram (TRV)
Beirut (BEY)*
Ha'il (HAS)
Kuwait (KWI)*
Multan (MUX)
Tabuk (TUU)
Mumbai (BOM)
Alexandria (HBE)*
Lucknow (LKO)
Najaf (NJF)
Colombo (CMB)
Hyderabad (HYD)
Lar (LRR)
Riyadh (RUH)


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Fletcher, Brunt and McAuley also in international action
JAMES McClean completed 73 minutes of the Republic of Ireland's 2-1 defeat in Poland on Sunday night – a result which meant they failed to qualify automatically for EURO 2016 from Group D.
Grzegorz Krychowiak gave the hosts the lead in the 13th minute only for Jon Walters to equalise from the spot three minutes later.
Bayern Munich forward Robert Lewandowski made it 2-1 in the 42nd minute – a goal which proved to be decisive in Warsaw.
Martin O'Neill's side will now need to come through a two-legged play-off in November if they want to join the party in France next summer.
In the same group, Darren Fletcher was a 63rd minute substitute in Scotland's 6-0 win against Gibraltar.
The Baggies skipper entered the field with the score already at 4-0 after goals from Chris Martin, Shaun Maloney and a Steven Fletcher double.
Fletcher then completed his hat-trick before Steven Naismith added a sixth in injury time as Scotland finished fourth in the group.
Meanwhile Chris Brunt and Gareth McAuley both completed 90 minutes for Northern Ireland as they drew 1-1 with Finland.
The point ensured top-spot in Group F for Michael O'Neill's men.
Northern Ireland took the lead shortly after the half-hour mark through Craig Cathcart, but were denied all three points in their final qualifier when Paulus Arajuuri equalised with just three minutes left on the clock.


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The Truth about Goats
The President's controversial policy of separating migrant children from their parents and keeping them in cages, has been fully supported by the mixed martial-arts fraternity and the makers of galvanized chain-link fencing. The hope is that these children will grow up with the requisite skills of a cage fighter; that of harnessing repressed rage, skimpy clothing and a litter tray.
A Trump spokeswoman said: 'Detractors claim that this is dehumanizing and cruel – but they say it, like it's a bad thing. If we want ultimate warriors, we need to brutalize them early – and I'm afraid that American schools are too understaffed to do this. Now, if you will excuse me, I need to get ready to rrrrrr-RUMBLE!'
At least 2,000 children have been caged in the past few months, promising a glut of potential cage warriors or, at very least, a generation of kids with empathy for battery chickens. Meanwhile, the policy has been applauded by those with experience of training infants to become killing machines; experts such as Mr Miyagi, Splinter and Simon Cowell.
'They say children miss their parents, but really the only contact they need is full-on and bare-knuckle. Besides, if migrant parents wish to see their children, they're always welcome to buy ring-side seats'


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Scituate, MA145 Border Street
Est. Mortgage: $/month
MLS Number 72643638
- Land Residential
- MLS Status Active
- Acreage 6.48
- Waterfront
Amazing Land Opportunity on Border Street. A prime 6.48 Acres with spectacular views of the Gulph River Rare and unique opportunity to own a piece of waterfront "heaven". First time ever offered, this parcel of land has total privacy, nestled in among the ledge and tree line of Lions Head, making it one of the most sought-after locations on the South Shore. One mile to Minot Beach and North Scituate and one mile from Cohasset Harbor and the Village. You can launch your kayaks or other watercraft right into this majestic tidal river and Cohasset Harbor. Bring your architect and builder and plan your future home in paradise. Enjoy all four seasons in this magical location. Come and experience first-hand the explosive sunsets and the beauty of the Gulph River as the backdrop.
Listed by Frank Neer of Coldwell Banker Residential Brokerage - Cohasset


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Our May trip to upstate New York was a lot of fun. We really enjoyed meeting photographer Tom Dwyer (www.tomdwyerphotography.com) and spending time with him in Letchworth State Park; we admire Tom's work very much, and we really appreciated his introducing us to Letchworth and having the opportunity to talk photography. Tom also took us to nearby Stony Brook State Park which we also enjoyed, even if we couldn't see it all because the trail was flooded out.
On our own, we made a return visit to Watkins Glen State Park and Havana Glen, both at the south end of Seneca Lake. We photographed three new falls in this area as well, Aunt Sarah's Fall, Twin Falls, and Deckertown Falls.
We hope you enjoy viewing a selection of our pictures:


text: void Posted August 22, 2019 Probably not the most common 'problem' but still something I experienced today. I have some albums by an artist that often just release the albums as self-titled, e.g. Artist - Artist. Now, all these albums are released in different years and are individual albums, but if I browse music by artist, all these albums are put together under the same album entry under said artist, which is a bit annoying because then I can't listen to just that one album I want to at that moment without having to either make a playlist for the album or skip every two songs after every song. Is there any way to separate these so they show up as the individual albums they are without me having to change their tags and e.g. set album name to Artist (2008), Artist (2009), and so? Maybe it's possible to sort on both album name and year of releases when browsing music by artists? Quote Mention Share this post Link to post Share on other sites


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- 4 slices hearty bread
- 1 large ripe garden tomato
- 8 oz fresh mozzarella cheese sliced
- 8 large basil leaves or enough to cover bread
- salt and pepper to taste
- salt and pepper to taste
- 1. Butter your first piece of bread and place it in your skillet. Turn on the skillet to start warming2. Add mozzarella cheese, basil, tomato , salt and pepper the tomatoes and add another layer of mozzarella.3. Transfer your sandwich to a skillet over medium heat. Cook until the cheese is melted, flipping once or twice to get both sides browned.
Recipe Notes
You can buy delicious tomatoes at farmers markets. We also have some local farmers who have little stands in our neighborhood. They are worth checking out.


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Small Business and Freelancing Roundup: Week of 05/10/18Written by Alla on October 05, 2018
Another week of the year is over, and we're diving further into the rainy puddles of autumn. But now let's check the latest news and updates from the small business and freelancing world in our Friday roundup.
Small Business
1. Small businesses have to stay up to date to be able to compete. Check out these 10 hottest web design trends that you need to follow.
Try our online invoicing software for free
Accept online payments with ease
Keep track of who's paid you
Start sending invoices
2. It's known that better traffic usually leads to better sales. That's why you need to put your site in front of the right customers. Here's how you can do that.
3. Your website is what shapes your customers' opinion about you. Go through the list of the trusted and proven audit tools to improve your appearance online.
4. Small business owners and entrepreneurs may make the same mistakes with their finances. Check out these 10 things that you shouldn't do with your credit card.
5. Social media platforms look a lot like war zones for brands, political forces, and countries. Find out what's the future of it and how AI might be involved.
Freelancing & Entrepreneurship
1. According to the research, most people are stalled by more than 70 decisions a day. Check out these methods and techniques that could reinvigorate your approach to decision-making.
2. If you want your company to grow, you need to look for some creative ways to gain customers. Read this real-life case on how to get new clients.
3. SEO is far from being dead and it won't be anytime soon. Check out these 9 proven tips that will help you improve your website traffic.
4. The virtual assistant market size alone was estimated at $1005M in 2016 and is expected to grow even bigger than that. Find out how you can get started your VA career today.
5. The blockchain is on the rise, and even if not everyone understands it, everyone agrees with it being an essential part of the nearest future. Find out how it will affect digital marketing here.
That's it for this week. Tune in next Friday for more!


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Alone is received if Fenris was sold out to Danarius at the end of the same named quest.
Letter Edit
Many thanks for the kind return of my property. Fenris is his usual compliant self now that his memories have been once again removed. Not a simple process, but considering the investment, I consider it very much worthwhile.
As promised, I'm enclosing a little gift from the storehouses of the Arcanist Hall in Minrathous. Should you ever find yourself in the Imperium, do feel free to visit. I'll provide a tour of the Hall myself, if you like.
Community content is available under CC-BY-SA unless otherwise noted.


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Nova Food is bringing to Victoria 17 new restaurants, three pop-up kiosks and over 700 al fresco seats. With new concepts including Aster by D&D London, Stokehouse by Will Ricker, Railhouse Café by Adam White, a brand new concept from Jason Atherton and many more, Nova Food will be the new go-to destination for London's discerning diners, offering all day dining from dawn till dusk.
We're excited to see the first doors opening this side of Christmas including Timmy Green, Sourced Markets & Greenwood.
D&D, the brains behind Quaglinos, Bluebird and Coq d'Argent will open a new concept restaurant designed by Russell Sage Studio, comprising of a cafe, bar and food retail on the ground floor, together with a restaurant on the first floor.
Jamie Oliver's acclaimed barbecue steakhouse will launch its second site in Nova. The restaurant will boast a hidden garden and a stunning dining room, complete with an open kitchen.
Ross Shonhan, chef-proprietor of Bone Daddies and Shackfuyu, is bringing his ramen bar to Nova. Alongside signature ramen and filled buns, Bone Daddies introduces a contemporary take on Osaka-style Okonomiyaki.
The fabulous Franco Manca make delicious pizza on a sourdough base, topped with carefully chosen ingredients from sustainable producers. This latest branch at Nova will offer delicious organic wine and an open kitchen.
Jason Atherton will add to his growing portfolio of iconic dining destinations that include Pollen Street Social and Berners Tavern, with the opening of an Italian dining concept at Nova.
Adam White, co-founder of the renowned Riding House Cafe brings you to his new concept, with 150 covers, outside seating, bar and dining room.
Shake Shack sprouted from a hot dog cart in Madison Square Park, Manhattan. Now, this modern day 'roadside' burger joint serves up the most delicious burgers, hot dogs, frozen custard, shakes, bee, wine and more.
Working with the best of Britain's small, artisan producers, Sourced Market will bring their blend of market produce and all-day dining to Victoria, offering everything from artisan coffee to craft beer and charcuterie to croissants.
Sticks 'n' Sushi serve fresh food based on a unique combination of traditional sushi and yakitori sticks from the grill. For those less keen on fish, there is a selection of chicken, pork, beef and vegetable skewers - all grilled to order.
Will Ricker is bringing his new dining venture to Nova. Set in a bustling dining hall, The Stoke House is an American contemporary concept carvery that uses wood-burning pits to cook brisket, ribs, chicken and pulled pork.
From the brains behind Daisy Green, Timmy Green will be bringing bottomless Aussie brunches by day and delectable small plates by night. Get ready for sexy salads and beautiful cocktails.
Handmade hybrid sourdough doughnuts made fresh daily and finished with homemade jams, compotes, fillings, glazings and toppings - delicious!


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I can't remember how this little collection of 3D paper glasses came to be ours -- or how they've lasted this long (since college, really!), but these are some of the most fun things to use when you have Christmas lights up. Putting on a pair of the specs turns your tree into a holiday light show, and you can even put them in front of your camera to get special effect photos!
They're Prime-eligible on Amazon [affiliate link] so you should be able to get them in time for Christmas.
I want to find a nicely decorated neighborhood and have an evening stroll wearing these.
Totally magical. And they make you look **VERY** cool, too...


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CourseMate App
Golf2Win App
Change of Perception: Is it just members or it is all of us?
Golf2Win Blog
Change of Perception: Is it just members or it is all of us?
Ladybank to host seniors qualifying in 2018
August 10, 2017
Making The Golf Club App A Profitable Marketing Tool
September 18, 2017
Show all
Change of Perception: Is it just members or it is all of us?
Do you really have members that you have to drag kicking and screaming into this decade???
Or is it your perception....?
Older generation members have been playing golf for YEARS and they enjoy the traditions and (for example) why should they stop using a pencil and paper scorecard? It's worked perfectly for them - just because some new technology has come out doesn't mean they have to abandon their way of scoring and why should they - it's their choice.
Statements from General Managers insisting that their golf club members need to be dragged into the digital age and/or they don't use technology is akin to saying those older members don't have children or grandchildren - true for small percentage but certainly not for the majority!
Question: Just how do you think your members communicate to their aforementioned kin? Letter? Carrier pigeon? Or do you think they might have moved with the times and phone, text, picture message and Facebook them?
Forgive my flippancy, it's merely to demonstrate that just because they don't engage with your club on Facebook doesn't mean they don't use it and just because they haven't come in waving their brand new smartphone doesn't mean they don't own them!
So no, they don't need dragging and kicking into the 21st century - they are already here.
As with all of us, the older members need to see the benefits that apps and other technology can bring because it's not necessarily about change. It is all about whether or not the new 'thing' is easier to do, can complete a task better and/or quicker, or if it allows them to do something they haven't been able to do before, for example, see how far from the hole they are or to book online.
Which means if you implement a new app for your club - will they all download it? Will they all love it? Will they use all the features?
Absolutely not!
Although they might not want to use the course guide on your app - they know the course - however, they probably would love the GPs location to the hole to help lower their scores.
They might not want to use the scorecard initially, but once they learn that they can track their progress, keep and print records of their games, or play a group games were everyone's scores are correctly calculated allowing an 'argument free' game these sort of features will definitely appeal to many.
Yes, you probably already currently put up the events in the clubhouse and email them weekly - but wouldn't members find it easier and quicker (2 taps and 3 seconds later) to see your latest events in your club app wherever they are? Plus they can add them directly to their own calendars and share them with friends and family if they wish.
Finally new members and visitors will certainly appreciate having your golf course, complete with stroke saver guides and GPS, as an asset to their game (and that's before they use at anything else on there).
Still doubtful?
Remember when golf buggies first came out, although I wasn't there, I can almost hear the cries as to reasons why they should not be allowed on the course: "we don't want to mowed down" "a proper golfer walks" "the cost" "they'll wreck the course" and in all honesty; pretty much most of those objections are valid. The big however is that to many, the benefits prevailed and golf carts are now part and parcel of the golf course experience.
Technology is being used by your members - GPS devices, Garmin and a plethora of apps that give scorecards and gps are being used every day (which by the way, are collecting your members data and not giving your club any of the insights).
Therefore isn't it time your course stopped pretending your members are still stuck in 1995 with mobiles that can only make calls and texts and gave them the choice to aid their games, making bookings easier, check out events quickly and communicate better with your golf club by using modern technology and apps for the purpose that they are designed for?
Sure - some won't take it up, sure some won't use all its features and sure, some will complain, but the majority will download your club app and will value the benefits that matter to them and your club gets to engage, market and sell to your 100% targeted audience - your golfers.
Dubbed "Miss App" Jenni specialities in creating dynamic apps that deliver results for her golf clients. Writing technical papers for different golf magazines, online blogs and associations she has enjoys educating and helping the golf industry grow.
Related posts
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Saturday, July 30, 2011
How Beautiful is Field Flowers
Ingredients to make the card:
Stamp Sets: Field Flowers, Petite Pairs
Ink: Old Olive, Tangerine Tango, Peach Parfait
Paper: Very Vanilla, Peach Parfait, Peach Parfait Patterns Designer Series Paper
Accessories: Very Vanilla Taffeta Ribbon, Pearls
Tools: Lace Border Punch
Posted by STASIA SLOMA at 12:00 AM
Labels: 11-12 IBC, card birthday, cards, retired paper
1 comment:
- Unknown said...
Agree. This set is fast becoming one of my favorites
too. And your card really showcases the beauty. Blessings, Diane
- July 30, 2011 at 12:31 AM
Subscribe to: Post Comments (Atom)


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Knowledge Base
Search our articles written by experts for answers to your questions.
Validating TreeAge Pro with example models
Getting Started and FAQ
Installation - frequently asked questions
- ★ Mac OS Prevents TreeAge Pro from Running
- ★ How do I update to the latest version of TreeAge Pro?
- ★ How to download the software and register your license
- BullGuard Blocks TreeAge Pro Installation
- Pick Workspace pop up dialog
- Installing TreeAge Pro on Mac after permissions error See all 10 articles
Authorization/Licensing FAQ
Technical questions
Modelling tips and tricks
- ★ Generating Probabilities from Kaplan-Meier Survival Data
- ★ Creating a Partitioned Survival Analysis model in TreeAgePro
- ★ What forms of simulation does TreeAge Pro support?
- Gompertz distribution with negative shape parameter.
- Distribution Functions - DistProb, DistValue, DistTransProb
- Using real world patient data in your model - bootstrapping See all 12 articles


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Sunday, June 06, 2010
The greening of the vineyard
Today we're invited for mid-day apéros at a neighbor's house, along with other friends. Then we're coming back to our house for a lunch of roasted pintade (guinea hen) and potatoes. Later, the men's final at Roland Garros (on tv). There's a threat of thunderstorms, but otherwise it should be a nice day.
7 comments:
Beddie-bye time. See you in the morning (here) for the men's finals. Enjoyed the women's finals today. Bonne journee!ReplyDelete
Wow!! I can't believe when we were there they were just starting to grow their leaves... Gosh.. I have to get to posting those pics...ReplyDelete
Hope you had fun!!!
It's almost 19h30 in France, so I guess the match is over. I didn't see it, but I know who won.ReplyDelete
I would find it lovely to watch vines go through the seasons.ReplyDelete
Sounds like a nice Sunday!ReplyDelete
Your pic reminds me the trip to Bordeaux in 1997. Wonderful!ReplyDelete
cheryl, the women's match was much better than the men's. I think Soderling was just to tired.ReplyDelete
leesa, time marches on!
starman, we watched. It was more of demonstration of Nadal's prowess than a real match.
michael, it is.
mark, a terrific day, indeed!
vtt, thanks!


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Item #: DU731208
Stained Glass Lighted Curio Cabinet
Sale Price $299.99
Additional Information
Product Details
Create your own museum of beautiful pieces and treasured mementos in a glowing curio. Upper section has an inner light to spotlight your favorite collectibles. Includes 4 adjustable glass shelves and a mirrored back. Push-button latch doors. Uses one 25-watt bulb (not included). 9-ft. power cord. Composite wood. Assembly required. 24" w x 70" h x 16" d.
Additional Information
Ratings & Reviews
Stained Glass Lighted Curio Cabinet is rated out of 5 by 27.
Rated 5 out of 5 by DAN from Very Beautiful Cabinet Purchased the Curio Cabinet For my Sisters' birthday. Glad I did. It is a beautiful Curio. Easy to assemble, takes a little time, but well worth it. Found a additional light online just like the one supplied. And my sister loves it. Also, shipping was very fast. TY hds
Date published: 2019-02-21
Rated 5 out of 5 by Bernadine Sanch3x from Beautiful Love it. Beautiful colors in the stained glass Zs.
Date published: 2018-04-07
Rated 5 out of 5 by Wayne from Great Curio Cabinet Wow! It looks great after assembly. Somewhat complicated to put together. All parts were in excellent condition & every part listed was there. It was certainly worth the effort.
Date published: 2018-02-18
Rated 5 out of 5 by Janice from Beautiful! Requires several hours of assembly but well worth it! Loos like a much more expensive cabinet!
Date published: 2018-01-27
Rated 5 out of 5 by Sheryl from lovely cabinet its very sturdy and really nice> The stained glass panels are all hand soldered and catch the light beautifully
Date published: 2018-01-26
Rated 5 out of 5 by fannie hayes from well worth the price beautiful piece of furniture great price
Date published: 2018-01-09
Rated 1 out of 5 by Cassandra from Incomplete parts and hardware Curio Cabinet arrived with no hardware to assemble it.
Date published: 2018-01-08
Rated 5 out of 5 by phyllis from great for the price I love this curio cabinet. I ordered two and i am very satisfy with both items. very easy to assemble and all parts were there
Date published: 2018-01-07
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Question & Answer
I'm interested in this stained glass lighted curio cabinet.....few days before it was on sal for 199 dollars.now it's not available....I want to purchase this
Hello. We no longer carry this item. Please check our new catalog when it arrives, or browse our Website for similar items.
Date published: 2020-06-18
Where can I get additional shelves for this model?
Sorry, I don't know. You may have to do an internet search or perhaps have some glass custom-cut.
Date published: 2020-04-15
i am having trouble getting the doors on. could someone please tell me what they did for theirs. can't seem to get the bottom bracket (j/l) to slide all the way onto the glass, therefore the doors are not shutting right.
Hello. If you have any further problems or concerns regarding this item, please contact Customer Service at firstname.lastname@example.com.
Date published: 2020-03-05
How many inches between each shelf? I am looking to display 12.5 Inch figurines.
Hello Terri, The four glass shelves for the Stained Glass Lighted Curio Cabinet are adjustable. We hope this information is helpful to you!
Date published: 2019-12-02
Does it come in one single cabinet or two then you can put it together?
Assembly is required, the curio is intended to be stacked only.
Date published: 2019-07-31
What type of light do I need for this curio,
Hello Jeanette, The Stained Glass Lighted Curio Cabinet uses one 25-watt bulb. We hope this information helps. Thank you for reaching out to us.
Date published: 2019-04-26
Is this constructed for a corner wall or a flat wall fit?
Flat Wall
Date published: 2019-03-07
Can a lock be put on the door of this curio?
I suppose if you could find a lock that slides onto the glass door it could be locked. I don't really know.
Date published: 2019-01-17
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7:20 am, the phone rings and it's Ivan. "Can you come get me? I missed the bus." "Sure, I'll be there in a bit, start walking."
Ivan slept at his Dad's last night, just a mile down the street from my house.
I finish my tea, throw my books in a bag and head out. It's super foggy and cold, as is often the case here in the valley, in the morning. I drive east. Emerging from the silvery fog, I see the improbable silhouette of a person, tall and wide, wearing a long coat and a top hat, walking along the road towards me, like some Dickensonian hitchhiker. The hitchhiker is Ivan.
On Sunday we went hat shopping. Ivan needed a winter hat and wanted to pick it out himself. We went to a little shop in San Anselmo called "The Vintage Flamingo". A friend of Ivan's had got a cool hat from there, one of those fur-rimmed Russian style hats. They were out of furry Russian hats, but the top hat caught Ivan's eye. Black wool. They had it in an Extra-Large. I told him I'd get it for him as his Christmas present, if he was sure that was what he wanted. He was sure. Later that day, after dashing through the rain in his new hat, he said to me "my new hat serves me well".
This morning when he got in the car he asked if we could stop by my house so he could change his shoes. He had taken a shortcut by wading across the creek to try and make the bus. He was soaked from the knees down. While he changed his pants, socks and shoes, I made him a cup of tea, which he drank on our way to school. "I don't know what I'd do without you, Mom". He made my day.


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"SnapClip's Suspended Basement Ceiling System in Fort McMurray is the best we've seen and experienced in terms of price, quality and ease of installation"
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SnapClip system is an ideal suspended basement ceiling for your Fort McMurray home. This do-it-yourself suspended ceiling system can be installed in areas such as the in-law suite, the man-cave and any other extended living space in your property. If you're planning your next home renovation, consider a suspended ceiling system that allows you to conceal flaws like stains, duct-work, and piping on your ceiling without any hassles.
Suspended Ceilings System for Basements
SnapClip has been designed with all the features you need to give you a new ceiling with no hassle. You don't have to worry about messy ductwork or spend time looking for a complex renovation tool to complete the installation process. SnapClip delivers in both ease of installation and style. You can transform your extended living space in just a few quick steps. This is the perfect solution for anyone who needs an instant upgrade without spending too much money and time in the installation process.
Advantages of SnapClip
- No mess: With SnapClip, you can install your suspended basement ceiling with no plastering, gluing and nailing.
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text: The successful 300-tonne crawler crane is primarily designed for lifting work with high loads. The crane convinces with its high mobility and flexible applications. A derrick system with suspended counterweight as well as a heavy duty jib further enhance load capacities. The LR 1300 is often used for maintenance and assembly work on wind turbines.


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With regard to the completion of Harold Wood Station ticket office and surrounding area, We KNOW it is very frustrating for residents and commuters alike. This is due to Network Rail and TfL. Please do not think that we do not care but we are constantly contacting Network Rail and TfL for a completion date. Our motion to Council in November did get passed and we have chased on this and have been told that the Council has written to the Mayor of London about the unacceptable delays.
However since then, we have been advised that a price and programme for the outstanding works at Harold Wood has now been received from a prospective contractor for the ticket hall refit. This is going through Network Rail relevant internal governance processes, and once the agreement has been signed we will receive a firm target completion date expected to be no later than the end of the year.
In respect of the Public Realm works to the car park, this is dependent on having the new mini cab kiosk fully functional so that the old one can be removed, enabling the construction of the new ramp and plaza. This is waiting for telecoms to fit the kiosk out.
Deconstruction of the old kiosk, and installation of the new ramp, stairs and plaza is scheduled to begin towards the end of June. The council are to a large extent reliant on a number of different organisations and contractors to ensure that the kiosk is ready for occupancy. We do recognise that it looks like nothing is happening but there is a lot of work going on behind the scenes to ensure that the programme can proceed smoothly and allow for all the requirements for the kiosk to be met.
If you remain unhappy with the delays on this project then if we could ask you all to contact either your MP Julia Lopez (email firstname.lastname@example.com) or your GLA member Keith Prince whose email address is firstname.lastname@example.com to put pressure on The London Mayor for him in turn to pressurise TfL and Network Rail as this work should now be a priority as we have all suffered enough over many years.
Cllrs. Eagling, Goode and Wise


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This excerpt is from David Dayen's article, "The Government Guide to Screwing Poor Homeowners." Full article here:
The end of the Mortgage Forgiveness Debt Relief Act, which lapsed December 31, means that any type of debt forgiveness on a mortgage will result in a giant tax bill—one that a stressed homeowner cannot usually afford. Even homeowners entitled to compensation for past abuse by the mortgage-lending industry would be subject to unfavorable tax treatment. This will lead to more economically debilitating foreclosures and weaken the housing market. Despite bipartisan support for an extension, it's anybody's guess whether Congress will get around to helping out struggling homeowners.
The Mortgage Forgiveness Debt Relief Act dates back to 2007. When the housing bubble collapsed, millions of homeowners fell into a Great Recession-induced crisis of lost wages and plummeting property values. Principal reductions—cuts to the unpaid balance of a home loan—have been proven time and again to be the most effective method for a homeowner to avoid foreclosure. But there was a problem: For tax purposes, the IRS treats forms of debt relief like principal reduction as gross income. So a $100,000 principal reduction for a family making $50,000 a year would force them to pay taxes as if they earned $150,000, saddling them with a federal tax bill (according to this calculator) of $32,493, or over two-thirds of their annual income. Struggling homeowners don't typically have bags of cash lying around to pay off tax bills.
In 2007, Congress passed the Mortgage Forgiveness Debt Relief Act, exempting mortgage debt forgiveness from taxation. The law was extended twice as the foreclosure crisis lingered. It made it into the 2012 "fiscal cliff" deal at the last minute, extending relief through the end of 2013. But it expired last week, putting homeowners on the hook.
The need for mortgage relief is pressing. The most recent statistics show nearly 4.5 million homes are in some stage of delinquency. And more than 6 million homesare "underwater," with the homeowner owing more than the home is worth. These homes are at risk of foreclosure, but many lower-income borrowers who can't afford the tax bill will have to turn down mortgage help. Housing advocates were hopeful that the confirmation of Mel Watt to run the Federal Housing Finance Agency, the conservator for Fannie Mae and Freddie Mac, would lead to those agencies (which own or guarantee 90 percent of all new mortgages) finally offering principal reductions to prevent foreclosures. But the tax situation makes Watt's confirmation irrelevant on this point.


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I met Dr. John McPeake the CEO from Helm Housing Association in Northern Ireland recently and had the pleasure of hearing about how his agency is working on helping those with dementia. . Dr. McPeake let us know that in the UK the average age exceeded 40 for the first time in its history. By... Continue Reading →
Public Housing: 3 Innovative Ideas to Address Tenant Needs
Below are ideas for helping tenants given by 3 speakers at the international public housing conference in Amsterdam. Idea 1: From Northern Ireland: Supporting those with dementia The speaker did a good job explaining the increasing needs of elderly tenants. The presenter focused on how a housing organization can help those suffering from dementia. Dr. McPeake... Continue Reading →
I.T. and Public Housing: What is Your Total Cost and Maturity?
The NetwiIT Network of professionals at housing corporations organized a very interesting session today at the International Social Housing Conference. Henk Korevaar the director of the network facilitated and led the sesstion As a participant and critique I learned quite a bit. The average I.T. costs for a public housing association in the Netherlands... Continue Reading →
Affordable Housing in India
Affordable Housing in India The concept and importance of affordable housing takes on a whole different meaning in a country like India. In India, this issue has taken center stage as the rough estimate research says that there is an extreme shortage of millions of housing units. Some estimates put the number at 20... Continue Reading →
South African Social Housing in a Nutshell
The provision of social housing is one of the most vital of essential human rights. In South Africa, social housing is being used to address the rebuilding of trust between the government and its people who have endured unequal treatment and poverty for too long. Political and economic segregation still leave their ugly scars in... Continue Reading →
10 of the Largest Housing Choice Voucher Programs in the USA
The Housing Choice Voucher (HCV) program is the largest subsided housing program in the USA serving more than 2 million households. Like the public housing program, a few very large housing authorities in large markets hold a good deal of these vouchers. I am pretty sure that someone wrote a list of the ten largest... Continue Reading →
How the Dutch Lead the Way in Senior Housing Innovation
In my short career in social housing, I have noticed that many programs revolve around helping work able households improve self-sufficiency. There is a national program (FSS) just to do that in coordination with housing programs. However; housing providers often serve a large number of senior and disabled households. While there are a number of great examples... Continue Reading →
Public Housing in Spain: The Basics
What is Social Housing in Spain, Really?? One thing you must remember when talking about public or social housing is that there is not really a great definition from country to country. Spain is not really any different here. What the Spanish consider social housing is not really rental in nature. Most of... Continue Reading →
Top 6 Social Housing Tenant/Applicant Website Interfaces
This was not an easy article to write. The number one reason is it is 100% based on my opinion of viewing about 75-80 social/public housing websites over the last week. That is of course in addition to the hundreds I visited within my career for whatever reason. A quick disclaimer-***I made my picks... Continue Reading →


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Glenn M. Flegal '54 Wrestling Scholarship
The Glenn M. Flegal '54 Wrestling Scholarship is awarded to an incoming freshman with a proven wrestling record and who will participate in the MU wrestling program. If no freshman is available then the student must be in good academic standing with a GPA of 2.0 or better and be a MU wrestler.
For more information or to apply, please visit the scholarship provider's website.
Award Amount: $ -
Competitive: Yes
Essay required: Yes


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Home > Bush Roses by Type>Climbers>Modern Climbers>NAHEMA
Modern Climber -
Blooms are a pure, soft, feminine pink, large and deeply cupped. Award winning fragrance. Repeats well.
International Name : Delri
Height : up to 3m
Colour : Soft pink
Fragrance : Strong
NZ Plant Variety Rights apply
- > Print
- > View full size


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Product Code: Hackney Sofa
Wrong for Hay
An elegant sofa system specifically designed for comfort, ease of transportation and appropriateness of scale. It has a fully upholstered frame. It has a slim arm, deep seat and a single section cushion large enough to sleep on. It is made from a wooden frame, down, polyurethane foam and a spring system. A modest and technically accomplished design that attends to the difficulties of environments with restricted access.
Measurements: L 60/96 x W 200 x H 44/75 cm. Delivered fully assembled.
Materials: Wood frame, polyurethane foam. Mattress and cushions: 70% foam and 30% down.
Price starts at €2760 in Remix or Linara. IN VELVET ICE colours: €3199.00
* Fabric:
--- Please Select ---
Steel Cut Trio
Steelcut Yellow 445
Steelcut Trio Pink 653
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"Once we get past Labor Day, we should see gas falling by 10 to 15 cents a month," said Tom Kloza, chief oil analyst with the Oil Price Information Service. "By December a lot of places are going to see gasoline at $2 or less." Iran could add as much as 500,000 barrels of oil per day to worldwide markets by the end of this year, according to experts at a recent Credit Suisse conference on Iranian sanctions and oil.Read that here.
Netanyahu is now waging a losing battle. The Americans will not walk away from the agreement, because then the partnership of the six great powers will disintegrate, and there can be no agreement in the UN Security Council to reimpose sanctions against Iran. [Haaretz]Before this historic achievement President Obama took his case to enter a pact with Iran directly to an American Jewish audience.
The president's remarks come during a period of deep tension in an already prickly relationship with Israel Prime Minister Benjamin Netanyahu, particularly over Obama's bid to strike a nuclear deal with Iran. Obama's appearance coincided with Solidarity Shabbat, devoted to showing unity by political leaders in Europe and North America against anti-Semitism. [Associated Press]How We Know AIPAC Wrote The GOP's "Treason" Letter To Iran
According to CBS on whether there are enough votes to override
I keep seeing a lot of assertions saying Iran now has a path to build a bomb without saying precisely how they would go about doing it.— Steven Dennis (@StevenTDennis) July 14, 2015


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For Today Ekklesia
Published Apr 23, 2008Ill be the first to admit that I often have preconceived notions about albums with, um, "interesting cover art, despite the occasional pleasant surprise that awaits inside. For Todays Ekklesia is one such album. Though I think this band could far exceed what theyve served up on this go around, it is everything a good metalcore album should be. The guitar work demands your attention, the bass lines move everything along and the drums act as the backbone for the whole musical assault, all while complementing Matties vocals nicely. What is particularly worthy of mention is the bands uplifting lyrics and dedication towards "the big JC. Its been done before but its always pleasant to hear a positive message weaving through metalcore songs, or any songs, really. Ekklesia is a hearty dose of positivity and heart-pounding fun. It will be interesting to see what their next album brings forth. (Facedown)


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The Liar Princess and the Blind Prince from NIS America launched on the Nintendo Switch and PlayStation 4 today. If you're not familiar with the story, its launch trailer provides an excellent synopsis. You can watch it below.
About The Liar Princess and the Blind Prince
Deep in the forest, a solitary wolf sings. Charmed by this beautiful voice, a curious prince follows its song only to find and startle the wolf, who blinds him. Together, they embark on a journey to restore his sight. But every gift has a price in this fairy tale of love and loss.


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As 2017 continues to unfold, the future of healthcare policy in the United States remains a mystery. What changes will Congress propose to the Affordable Care Act, how extensive will they be, and how will they affect independent physician practices?
Brad Brabec, M.D., Chairman of Children's Health Network and President of Complete Children's Health, an independent physician practice, shares his thoughts on how physicians can prepare for the months ahead.
Topic Breakdown
0:38—Reaction to election results
2:44—How independent physicians can be prepared for the future
5:07—Reasons physicians don't always get involved in public policy
7:42—How a repeal of the Affordable Care Act might impact independent practices financially
10:27—How families can protect their continuity of care
- The future of US healthcare policy is widely unknown, among patients, lawmakers, and healthcare professionals alike.
- One of the most important steps that physicians can take to prepare for the changes ahead is to get involved with local medical associations, hospitals, and managed care organizations.
- Among the biggest frustration that physicians share is having direction for medical care dictated by policy-makers who are not physicians, and have never had experience in caring for patients.
- "How can we do more for less?" is a conundrum for healthcare professionals as we aim to lower healthcare costs.
- Quality care involves educating patients about health insurance, and helping them navigate it. Physicians should encourage families to stay in contact about changes to their insurance.
CHN News: Hello, everyone. Welcome to the CHN podcast. We are speaking with Dr. Brad Brabec.
Dr. Brabec, can you give us an introduction to who you are and what you do?
Brad Brabec, M.D.: Absolutely. I'm a general pediatrician in a private practice, here in Nebraska. The practice is called Complete Children's Health, which I first founded coming on 22 years ago, back in 1995, after having been in private practice for six years in Seattle, and having trained out there at a children's hospital and medical center.
With regards to this practice, we have taken it from one office location to, currently, four office locations. We have plans to expand to a fifth office location in the next couple of years here in Lincoln, Neb.
What Is Happening With Healthcare Policy In The United States?
CHN News: The first topic that we want to talk to you about is, how to prepare for "whatever." And this topic ties into the election results. We now have President Donald Trump, who is talking about — and in some cases already taking steps towards — changing a lot about our healthcare system.
First, let me ask you — do you remember what you were doing when the election results were coming through?
Dr. Brabec: Oh, boy. I was, interestingly, sitting intently in front of the TV most of the evening, listening very carefully. And then, I very clearly remember hopping into bed, getting ready to go to sleep, thinking, "Well, you know, this is probably not going to go the way we want it to." But then, at about that time, starting to see, all of a sudden, how the election results were coming through …
And long story short — here it is, 3 a.m. and I'm still wide awake, and in disbelief in terms of what had happened with the results at that point in time.
And I'm not going to make any political comments, good or bad, about that, mind you. But at any rate, I was wondering, "What is this now going to mean for healthcare?" Because it was the same thing back in '94/'95, when I moved home. And again, remembering Hillary Clinton standing up there, showing her card, and saying, "You're all going to have health insurance someday," and thinking, "Here comes socialized medicine."
Now, with the potential repeal of Obamacare, and with what may replace it — which will probably be known as Trumpcare or whatever — we are back into a similar mindset of the unknown that we had back in '94 and '95. And, so, again — your forecasting is going to be just as accurate as my forecasting at this point in time.
Preparing For The Whatever
CHN News: I think that's what we want to get at. Because regardless of what side of the aisle you fall on, or what your thoughts are on the direction healthcare should take, there are always some things that independent physicians should be doing to prepare for "whatever."
Can you talk a little bit about some of the changes, or some of the practices, that independent physicians need to just establish as habits to be prepared, regardless of what happens with the Affordable Care Act?
Dr. Brabec: Well, I think most importantly, you have to be involved in some degree or another, and not sit back and be complacent in letting it come to you, more than ever before. And I think that that comfort level and that experience comes with time.
I mean, I'm coming on 28 years in private practice this summer. I would tell everybody, regardless of whether you're just starting out or you've been in practice, "You really need to stay involved. Get involved and stay involved, if you can."
That means, certainly, with your local medical society — in Nebraska's case, the Nebraska Medical Association. But I think also with your local healthcare systems. What are they doing to prepare for it? How are they reacting to it? Are they starting to hire more of their own physicians, or are they developing other practices?
Be involved in your pediatric divisions within the hospitals. But more importantly, try, if you can, being involved, to some degree, with the various managed care organizations that are around. So you have some idea about what's going on.
We also have to understand that in the state of Nebraska, in particular Lancaster County, 40% of our kids, approximately, are on Medicaid. In Lancaster County and the Lincoln area, that pretty much mirrors national statistics. Approximately 40% of our kids in the United States are on Medicaid, so that's almost every other child.
And it's very important to be involved with the various managed care organizations. Be involved in committees that will also start to determine quality care parameters and indicators. And try to be in the forefront of those things that are happening with these various managed care organizations.
CHN News: What is the top excuse that you hear physicians give for not being involved? And not going to those meetings, and not being involved in those committees? What are the excuses that some physicians give?
Dr. Brabec: Well, I think that some of the issues you hear are that they've maybe been involved in the past, and they feel frustrated. That they were trying to move mountains, and just weren't able to do so. That they weren't being listened to.
That you have organizations that have non-medical, non-physician, and non-provider-related people making decisions about the type of care that's going to be delivered. And I would probably say that's the most frustrating thing you encounter as a physician, having the type of care being dictated to you.
In particular, being dictated to by somebody who is a non-provider, and hasn't been involved in direct medical care to serve a patient, and seeing how that gets shaped and formed — and sometimes, not in the best interest of patient care.
Also, the amount of paperwork nowadays that physicians are having to fill out has become monumental. I just recently spent the other day on a child with chronic healthcare needs for a healthcare plan — I spent basically about an hour and fifteen minutes filling out the paperwork for continuing medical care on this child. And all of it obviously not being reimbursed, as well.
So there's the amount of paperwork, and rules and regulations that have continued to get put forth here through the years, making it more frustrating. Making it more tiring to want to continue to work adequately in medicine.
You'll hear doctors say, "I just want to take care of my patient. I just want to see my patient, and take care of my patient." And then I think, you have the increasing concerns about medical legal and malpractice occurrences and situations. That, to this day, has continued to result in the practice of defensive medicine. That, also, will continue to worry many of our fellow providers.
Repeal, Replace, Reassure
CHN News: So, let's say the Affordable Care Act is repealed. And you mentioned being able to have a strategy, you mentioned having foresight. How would you foresee that impacting independent practices financially, if the Affordable Care Act is really repealed?
Dr. Brabec: Well, what's being talked about nowadays with many of your managed care organizations and your hospitals, and then again within your physician groups and independent physicians, is basically this concern:
We want to reduce healthcare costs. But when you're looking at almost 18% of your gross domestic product, $3.2 trillion in healthcare expenditures in 2015, and only 11.8% of that spend being on pediatrics in particular — when you look at how you're going to decrease the cost of care, improve the quality of care, improve the patient experience, impact the health of a population of people — you're going to have to learn to do it with less money, in general.
Somebody's going to have to end up getting paid less, whether it's the hospital, whether it's the physician. And I think that that's the hard part for all of us to swallow, who are in practice at this point in time — how are you going to get by doing more for less? Because how else are you going to decrease the cost of care that's being delivered to somebody?
So, I think that's the hardest part that I see hospitals struggle with. That's the hardest part that I see physicians struggle with.
And it's going to take an evolution of how we deliver that care over a period of time, that needs to occur with regards to, in particular, working much more closely with the carriers.
And then, the states that administer Medicaid, see how you can achieve the triple aim, and hopefully decrease the cost of that care. It has got to be a really strong coming together at the table, more than anything.
CHN News: For the patients, who are concerned about losing their current coverage and having to go to different physicians, and reestablish those relationships—what do you tell them? What do you do to reassure them?
I certainly know of families who have had a new physician every year for the last three years. They have had to switch physicians or switch practices because their insurance changed. What can you say to those families to help ensure that their continuity of care will go uninterrupted and go smoothly, and their children can still get the care they need?
Dr. Brabec: What we appreciate is families staying in touch with us constantly about what's happening with their health insurance. Because sometimes, we're not aware ourselves, as providers, what's happening, what's being offered out there.
We just recently encountered this, as a matter of fact. In a matter of two weeks, we had nine families contact us and say, "We want to keep you as our children's provider, and the medical practice for our children, but we have just picked a new commercial product that's being offered and is brand new in the market. And we don't see you on the provider list."
And so that resulted, obviously, in phone calls to the provider. Through families contacting us and keeping us aware of situations like that — that was a situation where we were able to negotiate and contract with the commercial carrier on a product, that we had no idea what the impact could be financially to our practice. Fortunately, it wasn't a significant issue that we had to deal with at the time.
But tell those families to let us know, and let them know: If you have any questions about your insurance — because insurance is very complicated — we want to try to be the providers who can educate our families on insurance, and hopefully help to guide them.
It's a very, very complicated world out there at this point time with regards to how you navigate your insurance.
There was a study that was done that showed people will change their primary care physician for as little as $600 a year in savings on their health insurance plan. So that's also something that we have to be very cognizant and mindful of.
That families who are looking for less expensive payments in their premiums, and their deductibles, and things like that — we have to realize that sometimes, despite the loyalty and care that we hope we're providing — for some families, that is a significant dollar amount that may be necessary for them to make that choice and decision.
So, we're hopeful that we can continue to help educate them and provide triple-aim medical care for them. And that's an education process for these families more than anything.