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Senior nurses restate call for ratio of one nurse for eight patients
Campaigners from the Safe Staffing Alliance have emphasised that a nurse-patient ratio of more than one-to-eight should be a warning signal that a ward may be struggling.
Wards with higher ratios should automatically raise safety concerns, according to alliance member Pippa Hart, director of nursing at Epsom and St Helier University Hospitals Trust.
"If you have more than one-to-eight that should be a smoke signal"
Pippa Hart
"If you have more than eight patients to care for then the risk of harm significantly increases," she told delegates at a nursing conference at the end of last week.
"If you have more than one-to-eight that should be a smoke signal, something that tells us that patients are at risk on that ward," she warned.
She said this simple rule of thumb should be used to encourage nurses and colleagues to raise concerns about staffing levels. However, other factors
Ms Hart was speaking to an audience of senior nurses and nurse managers at a session on safe staffing in acute settings, as part of the Florence Nightingale Foundation's annual conference.
She said there was mounting evidence that "numbers matter" in nursing.
"There is a huge body of evidence coming through that supports what we all know as nurses, which is the lower the ratio, the better the standard of care," she said. "And with lower ratios you see improvements in mortality."
She highlighted research findings that suggested hospitals with ratios of 10 to 12 patients per nurse were likely to have at least one incident where care was compromised every shift.
Meanwhile, Elaine Inglesby, nurse director at the Salford Royal Foundation Trust and another member of the alliance, said the reality of staffing levels in hospitals "can be quite scary sometimes".
But she said staffing boards displayed on wards showing how many nurses should be on duty and how many there actually were, had helped her trust keep safe staffing at the forefront of managers' minds.
"Staff who trialled it were very anxious about what would happen when we hadn't got enough staff and what patients and families would say," she told the session.
However, what they found was that patients and families praised the trust's honesty while the boards meant safe staffing was discussed much more often.
She said nurses were used to taking a "make do and mend approach" to cope with staffing shortages, but they needed to get used to the idea "that if there is not safe staffing then actually that's not good enough".
The alliance was formed in summer 2012 and is supported by a range of nursing organisations and senior nurses, including Professor Elizabeth Robb, chief executive of the Florence Nightingale Foundation. It cites a number of studies as evidence in favour of its favoured 1:8 ratio.
Earlier in the day, England's chief nursing officer Jane Cummings told the conference she did not think it was possible to provide compassionate care without appropriate staffing levels.
"You can't provide good, compassionate care without appropriate safe staffing, although there is more to it than that," she said. "It's not just numbers that make a difference."
Northern Ireland's chief nursing officer Charlotte McArdle added that, without the right staffing, "you end up with moments of compassion rather than a culture of compassion".
Readers' comments (14)
We need a minimum of 1 to 8 with the right skills, plus one to co-ordinate the shift, one to discharge plan and a supernumerary ward sister - we also need this 1-8 on the late shifts and at weekends and need to increase the night ratio, currently 1-14 on many large wards.
We also need more community nurses.
In fact we need more nurses, more doctors, more 24/7 services.
There's no point in a 1-8 if only one nurse is fully trained up and competent to care for sick people.
We also need to have more HCA on the ward who feel supported and are also fully competent and trained up in the job they do.
poor patient looks worried and not in the least reassured with staff discussing him/her at the foot of their bed. it would be better if he/she was shown they cared and included him/her in their conversation. no six 'C' displayed there but just another step in the 'processing ' of patients and their care.
How would this translate to nursing homes? We currently have a ratio of 25 residents to 2 nurses
1 in 8 ratio is too much unless you have an RN and a HCA caring for the 8. I left the NHS 6 years after 20 years service and work in UAE where we have a qualified only workforce and a 1 in 5 or 6 ratio plus CN plus manager with discharge planners supporting and are trying to get to a 1 in 4 to improve levels of care and satisfaction. Sad to see NHS declining in front of our eyes.
So at least some of these "nurse leaders" are beginning to see some sense.
Each one of these clowns should attempt to manage an acute ward with a 1 to 8 nurse patient ratio!
They should be able to cope ! They are "leaders" who know everything about the profession.
Will they do it ?
Not a chance in he**
We have been having 1 nurse to 8 patients, with the help of 1 HCA, and we have been strugging. The 8 patients comprised of at lease two mental health patients, one of them at risk of falling and the other at risk of being lost, also wandering and interfering with other patients and their property and causing distress to some patients.
Of the other 6, one End of life, this involves care that is not rushed, the next of kin is also on hand and wanting some of your time and comfort.
Two for discharge planning.
For the discharge, this involves telephone calls to next of kin, social worker, transport, pharmacy, district nurse. Faxing transfer letter to district nurse, liasing with ward doctor for letters and prescription. Being pressured by Site manager to send the patients to discharge lounge, speaking to discharge lounge staff to arrange collection of patients. Ensuring patients leave safely check that venflons are removed they have eaten washed and dressed etc. Once beds empty site manager on your back to fill the bed, and she don't care a damm if you are now helping with lunch or still washing the patients, or trying to get the blood sugar test done, just drop every thing, clean and make the beds to fill the bed from A&E.
I have not mention what care are involved for the other 5 patients and I have not even touched on medicine management.
I have never worked so hard in my life and I have done a lot of jobs besides nursing.
These nurse managers could never ever do the work I am doing and keep their patients safe.
So 1:8 is nonsense.
There are so many variables that simply stating a ratio of nurses to patients in nonsense. It depends on the acuity, risks and on other staff available (HCA's, Dr's, ward clerk, physio, OT, Orderly, Dietitian, cleaning, catering and volunteer. Hope I haven't left anybody. If these are not available or only have limited availability, more work for the Nurses. Intensive care must have a higher ratio, acute mental health must have a higher ratio. We also need to be careful that a set ratio doesn't become a maximum staffing ratio. As soon as the variables change such as acuity or lack of other staff, the nursing ratio must be reviewed.
I am a third year student and I am certainly worried about being qualified, with such a high patient nurse ratio. I often seen 1:15 and at best 1:9 on a very demanding ward. I am worried I will not be able to give best patient centred care or i will make a mistake through busy wards. I have always wanted to be a nurse and have worked so hard to get this far. However I make a note of patient nurse ratio's when considering job offers.
i am so angry !!! what do they mean we are used to making do........ there is no choice if there is only 4 nurses in shift on an acute care of the elderly ward what are we meant to do?? down tools. go home??? we dont have the energy to make statements etc
"Scarey" is an understatement!!! what is the matter with these so called senior nurses??
if there is an incident e.g a fall all they do is issue more forms to fill in instead of understanding that how ever wonderfully muti talented and skilled we nurses are 1:6 upwards on a busy ward is not SAFE . YOU DO NOT NEED TO CARRY OUT STUDIES TO PROVE THIS............. just speak to a few of us at grass root level.
1-8 should be absolute minimun eg nightshift only & not include the nurse incharge. I trained in victoria, australia were it's 1:4 in a public hospital ward (obviously it still differs depending on which area you work in), and though I worked in the private sector, which doesn't have to abide by it, they usually come close ie 1-5 (or 6) on the acute wards & 1-7 in rehab.
And it's terrifying sometimes seeing what goes on on the wards in the UK & how stretched the nursing staff is, yet still trying to do their best by their patients and colleagues. We can't keep having to do more with less yet not let let standards of care slip, it doesn't work that way & the sooner the politicians & other powers that be realise that the better!!! But I wouldn't hold my breathe unfortunately because the sense of apathy and lack of confidence I've seen in nurses & nursing over here is also scary!
Steve Holland 4-4 14
Well done oyou on brining in a professional voice to these discussions and your commentss were refelcted in Mark Drayford's repsonse to a polititions' bill to have legal minimum staffing levels. it is not just a number becasue minimum will soon become the norm.
it is only by interpretign the data from a whole host of indicators over a period of time and include professional judgement that we can come up with safe staffing numbers . Giving a number / minimum levels will leave nuress vulnerable
All you need is for one of your 8 patients to become unwell, fall, go for a procedure etc. and you will have to handover the rest of your 8 to another member of staff, leaving them with 15 patients.
Why are staffing levels so bad?
Why can't we just have enough staff, appropriately trained, to look after patients properly like we used to.
If there are not enough staff then close beds (like we used to).
Have your say
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Purpose: To restore 10 acres of moist-soil habitat on Kentucky River WMA through construction of an exterior levee and installation of 2 water control structures. The objective was to create a moist-soil impoundment adjacent to the Kentucky River. Because shallow wetlands are rare in this region, this project will be beneficial to wintering waterfowl. Water management is dependent on winter precipitation and backwater from the Kentucky River. The area is managed by the Kentucky Department of Fish and Wildlife Resources to provide quality wintering habitat for waterfowl.
Location: The project is located on Kentucky River WMA in Henry County approximately 3 miles east of Lockport, KY.
Acres Impacted: 10 acres
Habitat Types: Moist-soil Wetlands
Partners: Kentucky Dept. of Fish and Wildlife Resources
Ducks Unlimited, Inc.
Timeline: Construction was completed in February 1995
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President Franklin D. Roosevelt signs the Migratory Bird Hunting and Conservation Stamp Act into law.
First duck stamp, designed by Pulitzer-prize winning editorial cartoonist, Jay N. "Ding" Darling, issued.
Prairie drought peaks.

subset: commoncrawl


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After so many days spent out on the water, after so many sessions, the ocean becomes automatic. Surf, swim, sail, dive, fish, or float, it's all connected. All those hours in the salt and sun demand a timepiece purpose-built for the waterman's life. The Steelcat is it. With its muscular 30 ATM stainless steel case and a shock-absorbing silicone co-molded bezel, this watch is every bit as tough as it is refined.
Warranty: Nixon offers a limited warranty of defects in materials and workmanship for a period of two (2) years after original purchase.


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Did I catch your attention?
If this is one of your favorite combos, you're my new best friend. I have a feeling there's going to be a lot of best friends out there.
I included this combo in my breakfast after a 20 minute session of light yoga. After yesterday's 3 miler, I knew I was in need of some deep stretching this morning. Holy glutes, I definitely need to stretch more often!
P.S. If you haven't seen this amazing dog do aerobics…yes aerobics, watch this now. Too cute.
This morning, I made a breakfast bake based on Ashley's amazing ideas. I took one and adapted to my tastes. Chocolate AND peanut butter for breakfast? Sounds fine with me.
Chocolate Peanut Butter Breakfast Bake
- 1/2 mashed banana
- 1 tsp. vanilla extract
- 1/3 c. oat flour (I ground up steel cut oats until it was powdery)
- 1 large egg
- 1/4 tsp. baking powder
- 2 tbsp. dark chocolate cocoa powder
- 2 tbsp. PB2
- 2 tbsp. unsweetened almond milk
Mix together dry ingredients. Whisk in egg, vanilla and milk. Pour into greased ramekin and bake for 30 minutes at 350F.
Good. Lord. This was amazing.
This bake was enormous! I could barely finish it! Ok, gotta head to work!
There's still time to enter my giveaway. You'll definitely want to get in on this one! Tweet about it and spread the word!
What's your favorite combo? Peanut butter and chocolate? Chocolate and caramel?


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whats up with all the vamp stuff? i went to the book store the other day and there were all these signs like " vampire zone this way" " yes we have a vampire section" " stick your fangs into a good book and tell your coven about us"
like seriously, do people think they look hot? or are non conformists who look like all the other vamps?
sigh. ill just keep wearing pink and hope this too shall pass.


text:
Best of News
A woman and a child stand next to their house destroyed by a French... Fotografia de notíciasAdulto,Arruinado,Ataque Aéreo,Casa,Conflito,Conflito no norte do Mali de 2012-2013,Criança,Cultura Francesa,Horizontal,Lerre,Mali,Mulheres,Timbuktu - maliPhotographer ERIC FEFERBERGCollection: AFP 2013 AFPA woman and a child stand next to their house destroyed by a French airstrike on January 27, 2013 in Lere. French-led forces on Janaury 28, 2012 seized Mali's fabled desert city of Timbuktu in a lightning advance north as fleeing Islamists torched a building housing priceless ancient manuscripts. AFP/PHOTO ERIC FEFERBERG (Photo credit should read ERIC FEFERBERG/AFP/Getty Images)


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I had a fitter come out last week and learned a lot about my horse and his needs in a saddle. The fitter's recommendation is a Wintec with CAIR panels. She also thinks a Thorowgood could fit him well, if I have the flocking adjusted to fit him after I buy it. I have heard some people do not like CAIR, however, my horse has a sensitive back and really seemed to like it.
Please leave me your opinion if you have ridden in a synthetic english saddle. I am debating which brand, and also which style/model to purchase.


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Forum Rules (PLEASE CLICK HERE TO READ BEFORE POSTING) Click the link to access ADSM.ORG Acceptable Use Policy and forum rules which should be observed when using this website. Violators may be banned from this website. This message will disappear after you have made at least 12 posts. Thank you for your cooperation.
ANR2579E error 402
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IDW Publishing produces hardcover collected editions of old comic strips, such as Li'l Abner and Dick Tracy, as well as material of a more recent vintage. In short, IDW's products target a niche market. Therefore, one might think IDW officials would bemoan the declining number of bookstores because it lessens the opportunity to place product in front of buyers.
Not so, says Ted Adams, CEO for the publishing company, in an interview with the online industry news site ICv2. Asked about the collapse of Borders bookstores, Adams said, "Our business is significantly better because Borders is no longer around."
IDW's book sales are "up an astonishing amount from what it was two years ago," he said, due in part to Amazon.com becoming a major seller "and they buy in a very efficient way. They don't purchase the way Borders used to purchase." In other words, closure of an inefficient book seller improved the overall market, allowing publishers to efficiently allocate resources and increase sales.
The greatness of the American system of free enterprise is that people are free to succeed — and to fail. The opportunities that arise from failure are often greater than what would happen otherwise.
In Oklahoma City, the "creative destruction" of the free market can be clearly seen among local bookstores. Aladdin Book Shoppe, a longtime favorite of used book buyers, is closing its doors. Yet other stores are adapting and surviving. Wayne Stephens, owner of Stephens' Archives Books in Edmond, once operated four stores. Today, he has just one. But Stephens has become a major online seller and moves as much product from one site today as he did operating those four stores in the past.
Examples of creative destruction abound in our economy. Since the 2011 model year, no manufacturer selling cars in the United States has offered a cassette tape player as an option on a new vehicle. CD sales have plummeted in recent years. This doesn't mean that people no longer listen to, or buy, music.
Continue reading this story on the...


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Green Bay Packers running back Cedric Benson, who recently signed a one-year contract, is apparently looking to buy a house in the area.
"He's fairly confident that he's staying," said Neenah resident Wendy Gilbert, who chatted with Benson on Wednesday during the annual Welcome Back Packers Luncheon at the Lambeau Field Atrium, 1265 Lombardi Ave.
The event, organized by the Green Bay Area Chamber of Commerce, gives local professionals the chance to rub elbows with the team's players and coaches to find out what their lives are like off the field. Tickets cost up to $80 per person. ...


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A Cool Solution to Dropped Ceilings - Hugger Fans
Before the advent of proper heating systems and insulation, many homes were built with low profile or dropped ceilings that contained heat in a room and living area. Heating and insulation has improved significantly since then. Today, homeowners living in older homes face rising temperatures during the summer as heat becomes trapped in small living spaces. Residents may feel as if there no other choice but to endure the heat without major home renovations or the ability to install a standard ceiling fan as this requires that the blades hang at least seven feet above the floor. Hugger ceiling fans, also known as flush mount or low profile ceiling fans, offer a cool solution because they are installed flush against the ceiling without the use of downrod, which allows the fan to hang at least seven feet above the floor as recommended by the NEC. There are many brands that manufacture high quality close to the ceiling mount fans such as Quorum. Like their standard counterparts, low profile ceiling fans create a cooling effect in a home during the summer and distribute heat in a residence during the winter. Flush mount ceiling fans are ideal for bedrooms, home offices, and attics as well as motor homes. However, they should not be installed on sloped or vaulted ceilings due to the blades' proximity.
Types of Flush Mount Fans
A low profile fan is ideal for ventilating small rooms and spaces, but this does not mean homeowners have limited options to choose from. Hugger ceiling fans include many of the same features as standard ceiling fans.
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Archive for September 17th, 2005
No Professional Study of the Future Has Anything to do with the Future
Posted by Bob in How Things Work on 09/17/2005
This is a followup to the piece below, "Highly Qualified People Predict the Future."
There is a group of professionals who call themselves Futurologists. A professional, by definition, is someone who gets PAID for his work. You can only be a Futurologist if someome PAYS you to be. So in order to be a professional futurologist you must produce a future which someone will pay you to produce.
By definition a PROFESSIONAL Futurologist says that things to come will be what those with money today consider plausible and desirable.
A professional predictor does not get a dime for being correct. It makes not the slightest difference whetheranything he foresses happens or not. All that matters is that his idea of the future is approved by the right people NOW.
So Futurology has absolutely nothing to do with the future.
Futurology, like every other professional field, has a sign on the door that says, "Heretics not welcome."
And there is one thing about things to come that one can say with absolute certainty:
The future is ALWAYS heresy.


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In 2010, Detroit Sports Nation started in the same way many a great night has, in a dimly lit bar over a couple beers.
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Each year, a third of the agency work force will move to new jobs. Deutsch LA execs will speak next week at Cannes Lions ( http://www.canneslions.com/the_festival/festival_programme/event.cfm?event_id=81 ) about ways to hold on to advertising people, and unveil a new talent retention study we created with the 4As.
Why do agency people leave their jobs? The funny, profane videos below show what agency employees (at some fictional agency, naturally) really say about life in the advertising business—or at least as much of that as we can show. Watch them for yourselves, but here's a preview: account people want more credit, creatives want fewer rounds of edits, and producers want creative to stop thinking so much about sushi.
The videos:
What creatives really think about advertising: http://youtu.be/EuaNUqswpI0
What account people really think about advertising: http://youtu.be/vzCWVKu-QSQ
What producers really think about advertising: http://youtu.be/gd0JVWBbV8g
If you're in Cannes, make sure to watch the session and schedule some time with our execs.
"Ending the Agency Talent Rotisserie"
Michael Sheldon, CEO, and Kim Getty, Partner and Director of Account Management
Cannes Forum, Monday June 18, 14:00-15:00.


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Shelter In Place Instructions
Sheltering in place is the act of protecting yourself by sealing your home or car to keep clean air in and bad air out. It is very effective in protecting against plume releases that could impact your residence and is normally used to prevent exposures that could occur during an evacuation. Most New England homes are well insulated and make good safety enclosures for several hours. This is normally enough time to get control of problems related to hazardous material releases.
How To Shelter In Place
- Close and tightly seal all doors and windows (use tape or damp towels around leaky doors and windows)
- Turn off all ventilation equipment such as fans and air conditioning.
- Turn off your furnace
- Secure wood stoves and shut the damper (Make sure the fire is fully out so you do not cause a Carbon Monoxide buildup in your home before shutting the damper).
- Tune into an EAS broadcast station to keep up to date on the emergency
Click on the attached file for a downloadable pamphlet regarding sheltering in place.
If You Are In Your Car And Cannot Leave The Affected Area
- Turn off the engine
- Close all doors and windows
- Close all air vents
- Tune into an EAS radio station to stay informed of the emergency condition.
Send mail to
email@example.com with
questions or comments about this web site.


text:
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One person was ejected from the vehicle in the crash.
Emergency personnel responded at about 12:45 p.m. to the incident on the northbound lanes of U.S. 31 adjacent to the West Michigan Academy of Arts and Academics playground.
Sgt. Joe Steinhauer of the Spring Lake/Ferrysburg Police department said the SUV was northbound on U.S. 31 when the 37-year-old driver swerved to avoid hitting a turkey that ran out into the road.
She hit the turkey, went off the road, over-corrected and the car grabbed and flipped, rolling down the hill next to the highway, Steinhauer said.
A 21-year-old Holland man was ejected from the vehicle, he said.
Also injured were the driver, two female passengers ages 15 and 19, and a 3-year-old boy. A 10-year-old boy was not injured.
Steinhauer said he believed everyone but the 21-year-old male was wearing a seatbelt or in a child seat.
None of the injuries were life-threatening, he said.
The victims were taken by ambulance to North Ottawa Community Hospital and to a Muskegon hospital, Steinhauer said.
No tickets were issued in the crash, he said.
All of the people in the vehicle were from Holland.
Their names were not released.


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April 23, 2011
Richland's Syd Hall (12) spins in the batters box after missing a sacrifice bunt as WaHi catcher Conner Holbrook (4) comes up firing to catch a Bomber runner caught between third and hom on the squeeze play.
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Blue Devils win baseball showdown with Bombers
The teams entered Friday's twin bill tied atop the Big Nine, but Wa-Hi sweeps Richland to take a two-game league baseball lead.
WALLA WALLA — Champions just win.Wa-Hi defeated Richland, behind Drew Christina's three-hitter, in a pitchers' dual, 2-0, in the opener of a Columbia Basin Big Nine 4A baseball twin bill at Murr Field Friday.The Blue Devils completed the sweep with an 11-
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1263 Garnet Ave.San Diego, CA 92109ph: 858-581-2393fax: 858-581-2622
1263 Garnet Ave. in Pacific Beach, San Diego
For An Appointment
Call 858-581-2393
Book your appointment Online!
Located on Garnet Avenue, one of the most bustling streets in San Diego, PaperDoll Salon has established a reputation (and a nod from Discover San Diego Lifestyles) of being one of the top salons in the city.
Besides an obvious necessity for talented stylists who actually listen to you, the atmosphere in the salon has an important impact on your experience as well. All of our employees are unique in their own style and personality, but are all personable, with an au courant approach about this industry. We love anything and everything about creative expression, fashion, self preservation, and the society that is built by our network and clients that drive it forward.
Salon Hours:
Closed Mondays
Tuesday - Friday: 11:00am til 7:00pm
Saturdays: 10:00am til 6:00pm
Sundays: 11:00 til 4:00 pm
**Extended hours available by appointment**
Copyright 2011 The PaperDoll Salon. All rights reserved.


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Leone de Castris Salice Salentino Riserva 2010
Other Red Wine from Italy
Winemaker's Notes
Wine of an intense red color with garnet colored hints, made of Negroamaro and Malvasia Nera. On the nose, fruity sensations of blackberry and black cherry, notes of basil and sweet spices due to the refinement in oak barrels. On the palate, smooth and balanced with a strong but never intrusive tannin. Long lasting finish.
Pairs well with roasted meats and ripe cheeses.
Critical Acclaim
Wine Enthusiast - "Salice Salentino is a historic Italian red wine made with a blend of Negroamaro and Malvasia Nera. This interpretation shows off sun-ripened aromas of prune, raisin and cherry liqueur. The mouthfeel is plush and chewy, but also marked by a firm tannic backbone and lingering cinnamon and nutmeg"
Leone de Castris Winery
Salice Salentino, a small village in Salento rich in vineyards and olive groves, is the home of the Leone de Castris' vineyards. In 1665 Duke Oronzo, Earl of Lemos, gave birth to the company. Enchanted by this landscape, he sold all his properties in Spain in order to draw the best from the Salentine rich terroir.
1943 marks the birth of Five Roses and the improvement of the bottling line that has seen our rosé being the first ever bottled in Italy and sold first of all in USA. The name "Five Roses" derives from a "contrad" belonging to the family, so called since for several generations each de Castris had 5 children.
In the '60s, the direction of the company was handled by Cavaliere del Lavoro, Salvatore Leone de Castris and thanks to him the company had an important development, both locally and internationally. His know-how, of continuous improvement, is now carried on by his son Piernicola Leone de Castris, managing director since late '90s.
The winery's production is very rich: red, white and rosé Doc wines (Salice Salentino, Locorotondo, Copertino, Primitivo di Manduria), interesting Igt Salento and Puglia wines, sparkling rosé and white wines; a distillate and an extra-virgin olive oil of fine value.
About Other ItalianLombardy, Emilia-Romagna, Umbria
LombardyHome of the fashion capital of Milan, Lombardy is not quite Italy's capital of wine. It is, however, home to a few wines worth noting. Most vineyards are far north, far south or far east. First, in the south, the sparkling wine Franciacorta – this sparkling wine is made in the methode champagnoise and the better wineries produce wine that can hold it's own in a quality bubbly line up. Lugana, a pleasant, white wine made from Trebbiano, comes from Lombardy as well. Lean reds from the Nebbiolo grape are made further up in the Valtelliana region, near the Alps.
Emilia-RomagnaThe region of Emilia-Romagna is better known for its food rather than wine. Most of the wine coming from this region is the red, slightly-fizzy Lambrusco. It's high in acid and best drunk young. The white coming out of the region is mostly Albana di Romagna. Made from the albana grape, it's typically dry and pleasant, although not found often.
UmbriaTalk about being in the center of things… the land-locked region of Umbria is smack dab in the middle of the country. The most familiar white wine of the region is Orvieto, named for the medieval Etruscan town. It's a Trebbiano-based wine with good fruit flavors and high acid. Originally a sweet wine, most Orvietos are now dry. Red wine from Umbria includes Torgiano and Montefalco - Torgiano made from the grapes of Chianti, while Montefalco uses the native sagrantino grape, making big and bold reds.
About Italy
A little ditty about Italy...This country has about as many wines as its had governments. With 20 different regions, hundreds of DOCs and even more indigenous varieties, the amount of wine made in Italy is mind-boggling. Most of the juice, however, remains in the country for thirsty Italians. Wine is food in Italy and its rare that a meal is consumed without a glass of vino. That said, it's not common to find many folks drinking wine without food either. In turn, it's a match, and a mighty good one at that. In fact, it's safe to say that Italian wine is a foodie wine – one that goes on the table for a myraid of meals.
For regions, the most popular are Tuscany (home of Chianti), Piedmont and the Tre-Venezie, which includes Veneto, Trentino Alto-Adige and Friuli. Other communes of note are in Southern Italy, and a few good wines are made elsewhere in the country. The islands of Sardinia and Sicily are members of the Italian winemaking community as well.
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Alcohol By Volume GuideMost wine ranges from 10-16% alcohol by volume. Some varietals tend to have higher (for example Zinfandel and Cabernet Sauvignon) or lower alcohol levels (Pinot Noir and many white varietals), but there is always some variation from producer to producer. Some wine falls outside of this range, for instance Port weighs in closer to 20%, while Muscat and Riesling are usually a bit below 10%.
Wine Style Guide
Light & Fruity
- Red wines that are more fruit-forward and lighter in tannin and body.
Smooth & Supple
- Medium bodied reds that go down easy, with smooth tannins and supple fruit.
Earthy & Spicy
- Wines where earthy and/or spicy dominate the flavors – typically medium to full body.
Big & Bold
- Full bodied wines that have concentrated fruit and are higher in alcohol and/or tannins. Some need age.


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Teachers and parents are always telling kids to "strive for five" and that "an apple a day keeps the doctor away." But for kids living in one of Baltimore's many food deserts, it's easier said than done.
Fruit, real fresh fruit and not the kind found in roll ups or sugary drinks, is the most difficult food item to find in a food desert. Yet it ranks number one on the list of food preferred by those living in such places.
With childhood obesity running rampant, everyone is looking for ways to get kids eating healthy, fresh food. Fruits are the perfect solution – nature's candy.
So, the Baltimore Orchard Project (BOP) is reclaiming a 100-tree pear orchard to bring more fresh fruit to Baltimore's food deserts. The abandoned pear orchard can become a sustainable source of nourishing food, but it is in need of some serious attention from the green thumbs at BOP. BOP grows, gleans and gives away urban fruit to those in need – bringing beauty, health and resilience to the people of Baltimore.
GiveCorps is working with BOP to make sure that the orchard become a viable, active orchard that will bring fresh pears to our community.
It costs $50 to save a tree that can yield 300-500 pounds of fruit – enough to feed 600-1000 people. But, thanks to an anonymous donor matching every donation to the $2,500 goal, you can save a tree with a $25 gift today!
Your gift will help BOP revive and save this great resource of local food that could provide tens of thousands of pounds of fruit. You can make it happen!


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the lungs.
-- Lung cancer. A disease characterized by uncontrolled growth and spread
of abnormal cells.
-- Respiratory failure, pulmonary edema, pulmonary embolism and pulmonary
hypertension. These conditions are caused by problems with the normal
gas exchange and blood flow in the lungs.
-- Pulmonary fibrosis and sarcoidosis. Hidden List These are
diseases characterized by stiffening and scarring of the lungs.
-- Occupational diseases, such as mesothelioma and asbestosis, caused by
exposure to hazardous substances.
The American Lung Association strongly believes that if cigarette smoking, preventable premature childbirth, disregard for workers' safety and violation of clean-air laws were to end today, a future largely free of the most lethal forms of lung disease would be possible.
The American Lung Association urges Congress to pass the Family Smoking Prevention and Tobacco Control Act and to fund a COPD program at the Centers for Disease Control (CDC). The Lung Association is actively working to pass comprehensive smokefree laws across the country to eliminate people's exposure to secondhand smoke, as well as to encourage the federal and state governments to pass policies to increase cessation services for the over 45 million U.S. adult smokers.
"As our nation wrestles with how to pay for increasing health care costs, we must look at the tremendous financial burden caused by tobacco in this nation," Toomey added. "Tobacco use costs the United States an estimated $193 billion annually, including $96 billion in direct health care expenditures."
To download the full report, please visit http://www.lungusa.org and visit the research section. For questions, please contact Carrie Martin at email@example.com.
About the American Lung Association: Beginning our
|SOURCE American Lung Association
Copyright©2008 PR Newswire.
All rights reserved


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New Work for the Desert conceptually and choreographically embraces the act of homage as inextricably woven into our desire to create something new. The creative momentum for this project began a year ago during a two-month residency at Arizona State University by myself.
During that time, alone in the Southwest desert, I found myself ruminating on two important artistic influences in my life: Trisha Brown & James Turrell. The personal impressions and selected memories I have of their work have over the years become a well of inspiration, which I am always, carefully dangling my feet in. Since that formative residency in Arizona, this project has steadily become an opportunity for me to move deeper into that well and New Work for the Desert, is all the wading, swimming and flailing I've needed to keep my head above water!
The broader experience of art inspiring art has fueled and steered this creative project from the start. In addition to raising some much needed funds, I hope this campaign can also highlight a community of non dance related artists who inspire me and have donated their creative skills to help me offer you some pretty great rewards! Each reward tries to extend the life and scope of New Work for the Desert through new artistic creations and social exchanges.
-Beth Gill
Learn more about the artists involved, watch the video and donate to the New Work For Desert Kickstarter here!


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ST. MARYS, Ga. -- The St. Marys Police and St. Marys Fire Department responded to a house fire in the 100 block Sunnyside Drive.
According to St. Marys Police Detective Misty Gilliland, a witness called police at about 6:30 a.m. Saturday when smoke was coming from a residence in their neighborhood.
Police arrived to the scene and entered the building when they allegedly discovered an operating meth lab, which was causing the smoke.
Det. Gilliland said they called the Camden County Sheriff's Office Drug Task Force to secure the scene.
Police have two people in custody and arrested Ronald Aaron Gay in connection to the suspected meth lab. All three were transported to the Camden County Jail.


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This cake has a great crispy outside, moist inside. Dash of cayenne makes this pop.
YIELD: 8-10 Slices
Ingredients3/4 cup unsweetened cocoa powder
1 3/4 cup flour
1 cup sugar
1 tsp baking soda
1/4 tsp salt
1/8 tsp cayenne
1 teaspoon ground cinnamon
1/2 cup chocolate chips
1/2 cup melted unsalted butter, cooled
1 cup buttermilk (or 1 tablespoon vinegar and enough milk to equal 1 cup total, let sit for 5 mins)
2 teaspoons vanilla
PreparationPreheat oven to 350F. Oil a 9-inch round cake pan and flour the pan, tap out the excess flour.
Combine cocoa, flour, sugar, baking soda, salt, cayenne, cinnamon, and chocolate chips.
Whisk together buttermilk, butter, and vanilla. Stir into the dry ingredients until all is moistened and mixed well. Cake mix will be very thick.
Transfer batter to cake pan, spreading the thick batter out to the edge.
Bake for about 30-40 minutes, until the cake has risen and a toothpick inserted comes out clean. Cool for 5 to 10 minutes before cooling on rack.
Top with Chocolate Chip Almond Frosting.


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Topics In This Issue
• Federal Issues
• State Issues
• Courts
• Firm News
• Mortgages
• Banking
• Consumer Finance
• Securities
• Litigation
Excerpt from "Federal Issues"
President Signs Financial Regulatory Reform Into Law. On July 21, President Obama signed into law H.R. 4173, the Dodd-Frank Wall Street Reform and Consumer Protection Act (the Law). That passage completes the realization of a major overhaul of financial regulation, including a profound change to consumer financial services regulation. The final legislation includes all of the various pieces of the regulatory reform package initially presented to Congress by the Obama Administration over a year ago. Two titles in particular, Title X, which creates the Bureau of Consumer Financial Protection (BCFP), and Title XIV, which implements the Mortgage Reform and Anti-Predatory Lending Act, will have far-reaching effects on institutions engaged in consumer financial services. Aside from these two titles, the Law will enhance and overhaul the regulatory structure applicable to numerous different aspects of the financial system, including thrifts, industrial loan companies, and other non-bank banks, over-the-counter derivatives, securities brokers and dealers and other securities intermediaries, and rating agencies. The Law also creates a new structure to monitor and regulate systemic risk issues, including entities considered "too big to fail."
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