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A 12-week Professional Education course
with Lia Kalianos, MA
When: *October 31 2019 – February 6 2020, every Thursday at 18:00-21:00
*There will be no sessions on November 28 2019, December 26 2019 and January 2 2020.
Where: Alba Graduate Business School,?6-8 Xenias Str.,115 28, Athens
Language of Instruction: English
Audience: By registration only
The English for Tourism course is our hugely popular practical, 36-hour course designed to help professionals in the tourism and hospitality industry improve their English communication skills. The course is ideal for professionals from all sectors of tourism and hospitality who wish to enhance their English language skills, such as: hotel employees, rental platform hosts, restaurant and café professionals, travel agents and tour operators, students in the area of tourism, etc. in order to assist international visitors and promote their services to an international audience.
Why attend
The course will equip you with the specialized language and skills you need to communicate effectively within the industry, where English language skills are essential for success. The core language skills are developed through a wide range of communicative tasks, which give you the opportunity to enrich your vocabulary, build confidence and improve fluency. You will also practice your listening skills, work on your pronunciation, review common grammar points and develop cultural awareness. A highly interactive adult methodology is used to maximize performance. Sessions include role playing, simulations, pair-work, group-work and individual tasks.?It is recommended that you have a B1+/B2 level of English.
The course runs for 12 consecutive weeks and consists of a 3-hour workshop per week?(36 contact hours in total).
English for Tourism is a practical course that will help you improve your speaking, listening, reading, and writing skills, while also improving your vocabulary and grammar. There is a strong emphasis on speaking, and throughout the course, participants collaborate to complete tasks which will allow them to build the confidence and skills required to communicate effectively in a variety of professional contexts. The course will cover topics such as heritage, sustainability and ecotourism, hotel branding and boutique hotels, dealing with conflict, etc.
Learning outcomes
At the end of the course, you will be better able to:
- communicate more fluently and with more confidence with foreign colleagues, organisations and clients in a wide range of real-world professional contexts
- provide an engaging customer care experience in a variety of tourism settings
- deal with and resolve difficult customer service situations
- provide cultural, sightseeing and entertainment information
- write a tour proposal
- speak confidently in front of groups
- write cover letters to support job applications
- perform confidently in a job interview
All materials are provided, including the textbook; supplementary self-access materials will be made available online.
To earn the Certificate of Participation, you'll need to attend at least 70% of the course hours and complete 8 of the 12 tasks.
Seminar Fees
Single participant fee: €330
A 10% discount (€297?per participant)?is available for companies who register two or more employees, unemployed and members of the ACG Community.
Lia Kalianos, DELTA MA CertIBET
Lia is a bilingual DELTA-qualified Business English Trainer in the School of Graduate and Professional Education at Deree – The American College of Greece. For nearly 20 years, she has provided business English skills training, as well as taught English for Specific Purposes as well as English for Academic Purposes in a wide range of professional and educational contexts, both face-to-face and blended.? She has valuable experience of designing and facilitating open group and in-house Business English Training courses.
She specializes in adult education and enjoys teaching English for Specific Purposes because she wishes to make a difference in the lives of individuals striving to achieve their professional and personal goals.
Lia holds certification in teaching adults (Cambridge DELTA), Business English Training (Trinity College London) and Intercultural Training (IH London).
She has earned BA(Hons) and MA degrees from University College London (UCL), The University of London.
For more information, please call 210 600 9800 ext. 1332 or email [email protected].
English for Tourism can be taken in conjunction with the Business English Skills course?and Oral Business English course.


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Kudremukh about 95 kilometers south-west of Chikmaglur town in the Karnataka state is at an altitude of 1,894.3 meters above sea level.Kudremukh got its name because of the unique shape of the Kudremukh Peak.Kudremukh is supposed to be the largest reserve of a tropical wet evergreen forest in Karnataka still strongly adhering to its pure and natural beauty. The soil of Kudremukh is highly efficient for with not much of effort it is possible to cultivate coffee arecanut palms fragrant cardamom and mango along with tea. The credit of the development of the town goes to the kudremukh Iron Ore Company Limited because of the rich resources of iron ore in Kudremukh.The town is built like an American town with wide open spaces and low buildings it's a pleasant place to stay. You can enjoy trekking through the forests, sighting birds and wildlife.
HISTORY : There is nothing much to talk about the history of Kudremukh other than the fact that in 1916, the British Government declared Kudremukh as a Reserved Forest to stop deforestation. In 1987, the Government of Karnataka declared these Reserved Forests as a National Park.
ORIENTATION : Kudremukh in Chikmagalur district of Karnataka overlooks the Arabian Sea and is surrounded by mountain ranges.

subset: commoncrawl


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Free 3d Models for Cinema 4d3D free models for Cinema 4d
Hopefully this will clarify some issues regarding the use of copyrights.
There are 7 pages for free 3D models
I' ve found 7 pages that have really fantastic and 100% free 3D models. Be sure to look only for.obj,.3ds or Cinema file, as some models are only available in Maya or Max format. Also, be sure to read the copyrights information to make sure that you are good to go into all of this.
When you subscribe to our free newsletters, you can receive a free email address to receive a login and login information to subscribe to all newsletters.
Twenty-seven free 3D models
Everyone who practices 3D knows that it can be an unbelievably time-consuming task, so help in the shape of free texts and ready-made, free 3D models is always welcome. Over the past few years, a large number of sites have come out that offer just that, and while you have to foot the bill for most of them, there are also many free 3D models available now.
Here we have searched the Internet for ressources and found a choice of free 3D models that will hopefully help you saving your next projects work. It is structured with coated material and UV rays that are completely unpacked and optimized; if you like what you see, you should look at the other 3D models from ElvinT.
It' s completely manipulated and prepared for being animated, it comes in Maya and mentally-ray formats, and it's ultraviolet mapped with all the textures as well as containing material so it's fundamentally good to go once you have download it. Although this detailled spreader does not rely on a real spreader, it looks good enough to frighten anyone.
Cinema 4D includes two lighting and environmental settings that you can toggle between in the Layers pane, while the OBJ conversion contains two different settings - with or without hair. Upload, renders and past this great relaxation made in Blender by Kimz Auto and Bob is your mid-life crunch ancestor.
Talking about buccaneers, why put up with a dull buccaneer modell of a buccaneer when you could have that nine-piece smart legend instead? It' the work of Drelegobricks on TurboSquid that offers a number of great Lego-based models for sale, with a few free models like this.
All colors can be changed simply, and the models are available in the following formats: . obj, . dxf and . 3D. Designed by Ieve Lickiene from Lithuania, this is a 12-piece lavatory that guarantees your bathrooms will improve. V-Ray and V-Ray and only for non-commercial use free of charge.
Fortunately Lickiene didn't leave the space up on all models. It' simple enough to find any number of rope-like guitars on-line, but if your taste doesn't run to flying vs and knock-off strats, this superb acoustics kit should work well built on a Ramirez style vintage one. Who will have immediately noticed that this high polo version for Max and V-Ray is a 2005 Dalek and not one of the classics.
It is a good year, we think, much better than the colorful New Paradigm models of 2010, and much more menacing. Man is one of the most difficult objects to reconstruct in 3D, so spare yourself some extra masculine basic meshes that serve as a good starting point for modeling and creating your own masculine figures.
Please note that this is a free object files available for downloading for personal use only. Awaken your submarine scene to live with this free gold fish cast by Turbosquid user Heidycurbelo. These assets, available in . maximum and . 3D format, include all texts and material and should be used in accordance with Turbosquid's royalty-free licence.
Skip to next page: More great free 3D models.....


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The City of Brampton Council rejects the Norval Quarry re-zoningKristina Jackson — September 26, 2014
At Sierra Club Ontario, our work mainly focuses on protecting the Great Lakes ecosystem, growing and protecting the Greenbelt, and promoting Green Energy adoption in Ontario. Sierra Club Ontario also works on very local issues, in coordination with smaller communities in Ontario.
200 trees and shrubs were planted over the weekend in McLaughlin Valley! A big thank you to everyone who came out on September 6! More than 30 volunteers dug in with Sierra Club and CVC to reforest the area. Give yourselves a big pat on the back! Keep an eye out for upcoming opportunities to participate in plantings and help improve the air and water quality in your community.
Over the past 5 months, Joseph Boutilier has cycled 5,000km on one wheel to call for action on climate change. Join Joseph as he arrives in our nation's capital – his final destination – to meet with MPs just as Parliament reopens for the Fall session. Join others demanding political action and unity for the climate crisis. Do it #ForOurFuture.
12:00 pm, September 15, 2014 – Parliament Hill (Meet at the Centennial Flame), Wellington St., Ottawa
Join us for Paradise Beach Project planting event September 20, 2014
Sierra Club, Town of Ajax and Toronto and Region Conservation are psyched to plant native plants and trees on Paradise Beach bioswales as part of the Great Canadian Coastal Clean-up Saturday, September 20th.
'What's a bioswale?' you may ask. A bioswale is a way of filtering surface water by channeling through plants, gravel or rip-rap and slowing it down. Silt and particulate matter will fall out and the plants in the bioswale help take out nutrients and chemicals, for instance automotive run-off from a parking lot. The plants and soil do this work for free for our benefit!
By John Bacher
Image source: Friends of the Greenbelt
On Saturday, September 27th, at 2pm, a walk will be held to grow the Greenbelt as recommended by a motion of the City of Thorold Council. Walkers and cyclists will assemble at the outside the Indian Flame Bar and Grill, at 1300 Lundy's Lane near the Allanburg Bridge. The route will take an hour and a half by walking and participants are encouraged to meet informally at the Indian Flame afterwards. In case of any extreme weather, the event will be held at 2pm on Sunday, September 28th at the same location.
Rouge Park has been getting a lot of press coverage recently. The proposed federal legislation for Rouge Park is not good enough, and the remarkable ecological values of the park deserve more protection. A letter signed by 7 environmental groups outlining the objections to the legislation for establishing the future urban park can be found here.
Read more:
http://www.insidetoronto.com/news-story/4820598-ontario-set-to-deny-transfer-of-land-to-rouge-national-urban-park/ - (EDC) Ontario set to deny transfer of land to Rouge National Urban Park
Come plant with Sierra Club in Ajax to help improve the air and water quality in the community!
When: Saturday, September 20th
Time: 1:30 pm - 4:00 pm
Where: 2973 Lakeview Blvd. (Between Pickering Beach Road S. and Shoal Point Road S.)
Meet at "Paradise Beach" sign across from Paradise Park
To participate, please register here.
For more information, please contact Alyssa at email@example.com, or Kristina at 647-346-8744.
By Janet Kuzniar
The City of Brampton Council will be presented a Recommendation Report by their Planning staff on Monday September 8, 7:00 pm, Brampton Council Chambers, Brampton City Hall.
The Report, based on peer reviews, recommends NOT supporting the Norval Quarry rezoning from agricultural to industrial extractive. There is a strong ecological component to this report, as the subject lands are dominated by key ecological features such as mature woodlands, watercourses, and provincially protected wetlands. This is the first time that the recently mapped Natural Heritage System in Peel has had a quarry application, and a rigorous analysis by the City of Brampton has shown that the Norval Quarry fails the policy test.
Trees improve air and water quality, and mitigate climate change. Help green our communities! No experience necessary, there will be demonstrations on site. Gloves, shovels, and light refreshments will be provided. Students are eligible for volunteer hours.
Where: McLaughlin Valley (see map on flyer). Major intersection is McLaughlin Road N. and Williams Parkway.
When: Saturday, September 6, 2014
Time: 9:00 am - 12:00 noon
Who: Everyone is welcome! Bring your friends and family!
Walk To Save Southern Ontario's Vanishing Forests.
By John Bacher
Today we have a bizarre situation where hard wrested environmental progress is being turned back. This is the shrinking of Southern Ontario's forests, in the fertile agricultural area south of the Canadian Shield.
Following the invasion of what was called Upper Canada there was a rampant destruction through burning of the forests of the land which, after Confederation, became called Ontario. Most of these forests were used to produce ashes, to manufacture soap and other products manufactured in Europe. It took sixty large maple trees to produce a single barrel of potash to be shipped across the sea.
SIERRA CLUB OF CANADA – PEEL REGION GROUP 2014 Calendar
Sierra Meeting Dates 2014: 2nd Tuesday each month, 10 Peel Centre Drive, Brampton, 7-9pm
Come join us on Tuesday, August 26, 2014 from 7:00 p.m. - 8:30 p.m.
Learn about the history around the Riverwood property, and walk through the scenic Gardens and River.
See you there!
Ever wonder who is tweeting at you? (No not on twitter) Come find out with us on Saturday, July 26!
Discover the trails at Heart Lake Conservation Area, and learn about birds and other features in the area with avid naturalist and birder, Bob Noble.
Date: Saturday July 26, 2014
Time: 9:00 am - 10:30 am
Location: Heart Lake Conservation Area
10818 Heart Lake Road, Brampton
Event is free, however, we ask that you RSVP so we can notify park staff and prepare for the event.
For more information and to RSVP, visit the event page:
Visit TRCA website for applicable park fees:
Sierra Club's Waste Diversion Expert, Rob Muir, continues to emphasize the necessity of waste diversion to combat climate change. Local government has an important role in making it happen, however, the key is developing sustainable consumer behaviour. We need to be more conscious of how resources are used, the products we consume, and how we deal with our waste.
Watch Rob's video on Ottawa's Green Bin Program here.
Visit Sierra Club Ontario Waste Diversion to learn about this critical step towards creating a sustainable future, and mitigating climate change.
Rob Muir's Profile.
Thank you to everyone who came out to our Natural Capital Volunteer Training Workshop on June 25th, 2014! We were lucky the looming storm clouds cleared just in time for the evening.
Most of our important work are accomplished with help of volunteers, and we were happy to see some new faces join us.
Volunteers were given a presentation on the Natural Capital concept, introduction to Sierra Club's outing style and things to be aware of when guiding a nature walk. Then we went for a stroll along Etobicoke Creek Trail behind the Brampton Four Corners Library to highlight how to run an outing.
One of our main goals for this workshop was to discuss ideas about potential outreach activities to expand the Natural Capital project. We came up with some great ideas and are looking forward to planning and new collaborations to bring an event-filled summer in the Peel Region!
Natural Capital refers to the stock of natural resources and environmental assets, and how they contribute to building healthy communities. The Natural Capital perspective is a way of placing a monetary value on the ecological goods and services to quantify these benefits.
Brampton's ecosystems contain many natural areas and urban green spaces that provide the city with ecological goods and services, which translates to valuable Natural Capital.
Thanks to support from Ontario Trillium Foundation and the Mississauga Community Fund, we are expanding the project by doing walkshops and natural area restoration work throughout Brampton and Mississauga in summer of 2014. Our goal is to educate and engage the community to raise awareness and appreciation for these natural areas.
On June 6th, 2014, Sierra Club Canada Foundation was presented with a $60,000 grant from the RBC Royal Bank Blue Water Leadership Grant. SCCF is proud to partner with the Town of Ajax and Toronto and Region Conservation Authority (TRCA) in a project to construct bioswales along the Ajax waterfront. The native wetland plants of these bioswales will capture and filter the untreated stormwater before discharging into Lake Ontario. This grant will also contribute towards a community awareness program.


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The drop dead gorgeous model / fashion blogger / photographer / stylist Hanneli Mustaparta looks pretty much amazing in anything she wears. She wore this checkered dress last Paris Fashion Week and I haven't been able to get it out of my head since. If I had somewhere important to be like lets say having cocktails with the fabulous Sarah Jessica Parker and Manolo Blahnik to discuss world politics (only in my dreams) I would so where this Nasty Gal dress.
Luxe for Less: Check Mate Please !
Jul 18, 2013
⋅ Labels: Luxe for Less
5 comments :
OMG, these are STUNNING! I want both of them!ReplyDelete
Great find!ReplyDelete
I will definitely check out that lipstick shade.ReplyDelete
- AnonymousJuly 20, 2013 at 6:33 PM
That dress is super cute! I love the checkerboard print. It's so fun and eye catching! <3ReplyDelete
Love the clutch and the sandals very much! xReplyDelete
Thanks so much for visiting : )
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The FairLift provides an extraordinary view of the 2019 Oregon State Fair.
Now in its 27th year!
The popular FairLift has provided countless pleasure trips across the fairgrounds. The aerial view is a doozy. The leisurely 15-minute ride travels at an altitude of about thirty feet. Chairs seat two adults (and a young child.) Children under age two are not allowed on this ride.
FairLift Tickets
Pre-Sale FairLift tickets are on sale now through August 22.
- FairLift Round Trip -- $7


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LONDON (MarketWatch) -- The Home Depot Inc. HD, +1.15% is in talks to buy a 49% stake in China's Orient Home, one of the mainland's leading do-it-yourself chains, for more than $200 million, the Financial Times reported Monday, citing people close to the situation. The report said an acquisition would be Home Depot's first foray into Asia.
Home Depot in talks to buy 49% of China's Orient Home: FT
Quote References
+2.67 +1.15%


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Size: 8.5 FL OZ
Container: Bottle
Red wine vinegar and cranberries picked at the peak of ripeness, these are the secrets to this vinegar that is bursting with flavor. Both sweet and tangy, the cranberries add a perfectly balanced fruity note to this incredible vinegar!
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Coke Zero challenged unsuspecting train passengers to unlock the 007 in them for their chance to win exclusive tickets for the new James Bond movie SKYFALL. …Video Rating: 4 / 5 The Diet Solution = Stop Dieting = Start Eating = Start Living! The #1 Honest and All NATURAL Diet & Nutrition Program On The …
Category Archive: The You Diet
Diet and the Brain, a Personal Observation on Autism; Katie Reid, PhD
By researching brain science, food manufacturing processes, and applying my background in protein chemistry, I determined that my daughter's autism behaviors…Video Rating: 4 / 5
Expected Results of Vegan Diet – Dr. John Mc Dougall
For more information please visit http://www.thecoolvegetarian.com In this short 3 minute video, Dr. Mc Dougall shares his clinical experiences to discuss ex…Video Rating: 4 / 5
Day 90 of MS Diet Diary
This time I discuss further confirmation of my recent food-related breakthrough. Thanks for watching. Feel free to leave questions or comments, and I'll do m…Video Rating: 5 / 5
Depression and the Anti-Inflammatory Diet
The benefits of the anti-inflammatory diet are not just physical. Dr. Weil explains how inflammation can contribute to depression, and how an anti-inflammato…
Furious Pete – Eating Pancakes with the Hodge Twins (TMW)
Thumbs this up if you love our collab! Check out TMW – www.youtube.com Get AWESOME FP Shirts! – www.furiouspete.com Subscribe to future videos! – bit.ly I met up with the hodge twins in California. After a sweet workout we had some pancakes…obviously we had to do a small eat off. See who won. My place …
Left Hand Crochet – Crochet Ogeechee Bear
Written Instructions Crochet Bear Ogeechee – Amigurumi crochet-mania.blogspot.com Teaching the World to Crochet, One Stitch at a Time More from Crochet Geek on YouTube: www.youtube.com www.youtube.com Blogger – www.crochet-mania.blogspot.com Subscribe – www.youtube.com Crochet Sock Monkey www.youtube.com Star Crochet Baby Blanket www.youtube.com Crochet Ribbed Beanie Cap www.youtube.com
Kanye West – Monster ft. Nicki Minaj Parody! Key of Awesome #33!
Kanye, Rick Ross, Jay-Z, & Nicki Minaj in The Key of Awesome #33. Watch the Behind the Scenes HERE: www.youtube.com Subscribe! www.youtube.com Watch the Comments Video HERE: www.youtube.com Get the Monster Parody song on iTunes! itunes.apple.com Here's the official Monster music video: perezhilton.com or www.youtube.com And Regis spanking Nicki Minaj: www.youtube.com Key of Awesome Facebook …
Fit for Duty – Core
All you need is a medicine ball as MSgt Mike Skaggs works your core. Plus, in "Train Smart Stay Strong," nutritionist Capt Brianne Newman has healthy eating tips and CDR Dave Keblish is running bare.


text: WHD 0 Report post Posted May 27, 2015 Hi All, Been a while since I was here last. Things have been slow for a while now in the 3D business side of my work. I am testing right now for a potential project. My goal is to create a visual representation of gravity similar to the effect you see with the distorted grid used in many shows to suggest the effect of the gravitational field on celestial bodies. My aim is to try something that is stylistically new. To that end I'm trying to make a matrix of cubes in 3 dimensions. Imagine a planar grid and upon each vertex is placed a tiny cube Remove the grid so that only the cubes remain. Now replicate this grid of cubes and displace it perpendicular to the face of the original plane by the distance between each cube. We now have a 3D field of cubes. The idea is to attract the cubes to a sphereical body as it passes through the field. As the sphere passes out of range the matrix of cubes returns to it's original position. I have tried to use Bullet and forces to achieve this and am having issues getting the correct effect. I have simplified the project to test my methodology. There are 4 objects. Here are their curent settings. First is a gravitational marker object (cube) with its link type set to free, its limit position settings on and set so that it will not move beyond + or - 20 EI units in all directions . Second, I placed at the cube's center a (force object) with it's linktype set to lock since it is the force that I want to hold this element of the matrix together. It is set to attract the gravitational object to it and hold it in place. The force object has a range of 100 and a power of .5 It also has an acceleration of 1.0 and is set as an attractor with force center as its setting. A spring factor of .5. The next object is another force object. It is also set as an attractor. It has a Xform range of 1000 units in all directions with a drop off of .5. Its properties are set as follows. Acceleration is 2 . It is an attractor set to force center. with a spring factor of .5. This object is also animated to move across the space of the test. It begins with its dropoff range beyond the gravity detector cube. As it moves the cube enters its field and is attracted to it as planned. The problem is that the cube then follows the moving field and does 2 unexpected things. 1.) it ignors it's link limits and moves beyond 20 units. 2.) it is not returning to its other force object when the moving force passes out of range. Any suggestions on what I can do to fix this are welcomed. Once I get a single cube behaving as expected I then need to set hundreds of them into the matrix configuration that I mentioned earlier so methods need to be compatible with this goal. Hope this makes sense. Thanks in advance for any suggestions. Sincerely, Bill Dempsey Quote Share this post Link to post Share on other sites


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That biggest concern for a lot of users when they explore the Internet is safeness. Since cyber hackers exist all the way through abundance today, security has always been an important topic throughout the our advanced world among technology.
The security suggested by an America VPN is the new working solution to finally some of many of these problems What 's an USA VPN In essence, a trustworthy USA VPN makes software and computer to secure the perfect user's information crossways networks. Keep via for more communication about the of using your own USA VPN. Alarm and VPN Security The process attached to encryption involves our own encoding of critical information so that main a device containing the correct decoder is able which can access it and employ it. Internet buyers can use layer to safeguard its data on an individuals devices, including your own emails.
An encryption important thing lets an item know what information to perform via data so the device can then defend or decrypt them. Symmetrickey encryption and publickey security are the 2 most common types and designs of encryption. VPN Protocols In a meaningful USA VPN, that this devices at on the contrary ends of our tunnel encrypt each of our information entering any tunnel, and that is when decrypt it on the other instrument side. The means of an United states of america VPN is in order to a VPN standard protocol. Internet Protocol Security IPsec and as a consequence Generic Routing Encapsulation GRE are created by sitetosite VPNs.
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Since I needed a few wardrobe basics, I decided to give them another visit. In this haul & try on video I share some of the items from my order as well as my thoughts on the items I purchased this time around.
St. John's Bay Long Sleeve V Neck T-Shirt
St. John's Bay Long Sleeve Crew Neck Pullover Sweater
a.n.a Ana Striped Boyfriend Tee Short Sleeve V Neck Stripe T-Shirt
Ana Slub V-Neck SS Tee
A.N.A a.n.a Long Sleeve V Neck T-Shirt
Journee Collection Jayne Womens Riding Boots
What do you think? Do you have any JCP favorites? Share your thoughts in the comments box below.
Categories: Fashion


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Healthcare lawyers share four predictions for value-based healthcareData Analytics
Healthcare has had its sights set on transitioning over to value-based healthcare for a while now. But moving beyond the current fee-for-service care delivery model has proven challenging. Despite these challenges, some experts believe that value-based healthcare's reliance on data and data analytics has exciting implications for health IT. Two lawyers share their four predications for value-based healthcare and digital health technology in a Law 360 article.
1) Raw data gains value from value-based healthcare tech
What with EHRs, HIEs, clinical decision-making tools and more, healthcare is generating a massive amount of data, the article said. In order to effectively use and take advantage of these tools, raw data needs to be collected from multiple sources and analyzed in one place.
2) Focus will turn to data sharing
Data sharing will become essential to value-based healthcare, the article said. This, in turn, will motivate those who collect, de-identify, aggregate and analyze clinical data, and the providers who generate the data to further share information. The article warns healthcare vendors and providers that, although data sharing is a positive force when it comes to value-based healthcare, these stakeholders should first consider whether patient authorization is necessary (in some cases it is and in other cases, legally, it is not), whether a provider is required to modify and redistribute its notice of privacy practices, and whether business associates should be handling PHI.
3) The market will be driven by evidence-based and HIPAA compliant tech
Currently, many developers focus on creating healthcare technologies that are patient-facing and wellness-oriented, the article said. This means that the companies creating these tools can avoid regulatory scrutiny, the article explained. However, value-based healthcare may change all that, especially since population health and patient engagement are key factors to successfully achieving value-based healthcare. As providers begin to use these tools, such as an app for their patient to use to document clinical information, the vendors creating these apps and healthcare technologies will then have to ensure their product is HIPAA compliant.
4) Employers take center stage
Employers are the primary purchasers of healthcare and will continue to be, according to the article. This means that employers will also likely greatly influence the use of health IT. Employers have said they want to make telehealth services available to employees, the article said. Furthermore, employers view these wellness programs as cost saving measures and the article said that health IT will facilitate this growth.
HHS to award $195 million for health IT use in opioid treatmentHealth IT, hhs
The Department of Health and Human Services will award $195 million to community health centers to expand substance abuse and mental health services that focus on awareness, prevention and opioid treatment in the U.S. The award will help health centers leverage health IT and training to support the expansion of mental health and substance abuse services, and integrate those services into primary care, according to an HHS release.
The funding will also increase the number of personnel for substance abuse and mental health services, according to an HHS release.
HHS Secretary Tom Price said integration is key to solving the challenges of mental illness and the opioid epidemic, and that the funding would help health centers across the country provide integration for mental health services to aid in opioid treatment.
One health IT tool that community health centers may utilize is the Behavioral Health Provider EHR Readiness Assessment Toolkit, which was developed specifically for substance use and mental health treatment. The toolkit can help health centers adopt certified health IT, as well as telehealth, social media, mobile technologies and other information technology. These technologies can be used to spread awareness or provide remote services to patients who may be dealing with behavioral health issues.
Health IT has the potential to have a positive impact on opioid treatment, other substance abuse care and mental health services, especially in rural or underserved areas where access to those services may be limited. However, it is important to balance health IT with actual providers because there are aspects of healthcare — especially behavioral and mental health — that still require a human touch.
Applications for HHS' Access Increases for Mental Health and Substance Abuse Services award must be submitted by July 26, 2017, and funding is expected to be awarded in September.
In-Depth: Federal Cybersecurity Task Force's 6 cybersecurity imperativescybersecurity, EHR, Mobile devices
Last week, SearchHealthIT discussed how the Health Care Industry Cybersecurity Task Force declared cybersecurity a public health issue. This week, SearchHealthIT takes an in-depth look at the six imperatives laid out by the cybersecurity task force.
The Health Care Industry Cybersecurity Task Force (HCIC Task Force), created by Congress as part of the landmark Cybersecurity Act of 2015, gathered information from external stakeholders and subject matter experts from across the healthcare industry, as well as other sectors, to better understand what changes need to be made and what goals need to be achieved in order to improve cybersecurity in healthcare.
In a report, they list six cybersecurity imperatives:
Better define leadership, governance, and expectations for healthcare cybersecurity
There are many opportunities for confusion when it comes to cybersecurity in healthcare, the report said.
"The technical infrastructure underlying health systems is inordinately complex. It must support not only patient records but also a diverse suite of medical devices used in diagnosing, monitoring, and treating patients," the report said. "Understanding and managing cybersecurity risks for this mission-critical environment is challenging as the healthcare system has a mixture of state-of- the-art applications and devices, as well as older legacy devices that use unsupported operating systems or networking protocols."
Furthermore, there are multiple frameworks for addressing cyber risk, the report said. This only adds to the confusion and the opportunity for vulnerability.
Because of these complexities and confusions, the cybersecurity task force said in their report that a consistent cybersecurity framework is needed.
The task force also recommended creating a cybersecurity leadership role within HHS.
Increase the security and resilience of medical devices
The report explains that there is a misalignment when it comes to medical devices and other healthcare technologies. For example, operating systems and other platforms such as commercial off-the-shelf software are misaligned with medical devices and electronic health records (EHRs), which can be utilized for 10 to 20 years or more.
"Some foundational challenges that will need to be addressed in order to enhance the cybersecurity of medical devices and EHRs include legacy operating systems, secure development lifecycle, strong authentication, and strategic and architectural approaches to product deployment, management, and maintenance on hospital networks," the report said.
Develop healthcare workforce to prioritize cybersecurity
The cybersecurity task force said in their report that there are several challenges to creating a healthcare workforce that will prioritize cybersecurity:
- Finding people and tools to address the small and medium-sized healthcare organizations which usually can't afford full-time technical resources.
- Limited resources for reinvestment in cybersecurity, especially for small and medium-sized organizations.
- Identifying cybersecurity leadership roles to identify risk.
- The growing involvement of patients in their own care also increases the exposure to threats.
Improve cybersecurity awareness and education
The report suggests three action steps the healthcare industry should take to achieve awareness and education:
- "Increase outreach for cybersecurity across all members of the health care workforce through ongoing workshops, meetings, conferences, and tabletop exercises.
- "Provide patients with information on how to manage their health care data by developing consumer grading systems for non-regulated health care services and products.
- "Develop cyber literacy programs to educate decision makers, executives, and boards of directors about the importance of cybersecurity education."
Identify mechanisms for protecting from attacks and exposure
The Task Force recommends doing this by developing guidance for the industry on creating economic impact analysis and loss for cybersecurity risk, and researching how to protect healthcare big data sets.
Improve sharing information about industry threats, risks, and mitigations
"Together, industry and government should work together to ensure that the best resources are leveraged from the various systems and tailored toward the unique needs of health care while protecting privacy and maintaining appropriate legal protections," the report said.
Cybersecurity for healthcare a "public health concern," task force sayscybersecurity
A federal task force called healthcare cybersecurity a "public health concern" that needs "immediate and aggressive attention," and said increased digital connectivity places a greater responsibility on healthcare organizations to secure their equipment and patient data.
After a record-breaking year of data breaches last year, experts have predicted that the healthcare industry will increase cybersecurity spending in 2017. Threats to cybersecurity for healthcare facilities range from technical exploits such as ransomware to insider threats such as employee negligence. Both types of threats can potentially expose patient data and leave it susceptible to fraud and identity theft.
To address these and other challenges of cybersecurity for healthcare, Congress established the Health Care Industry Cybersecurity Task Force. In a recent report to Congress, the task force used information gathered from briefings, public meetings and expert consultations to identify six imperatives to help improve cybersecurity for healthcare as an industry.
- Define and streamline leadership, governance and expectations for healthcare industry cybersecurity – A single person should be responsible for coordinating cybersecurity activities within and outside of HHS.
- Increase the security and resilience of medical devices and health IT – Ensure that legacy systems are secured and track medical device vulnerabilities.
- Develop the healthcare workforce capacity necessary to prioritize and ensure cybersecurity awareness and technical capabilities – Identify cybersecurity leadership within an organization with the authority and expertise to prioritize cybersecurity issues and initiatives.
- Increase health care industry readiness through improved cybersecurity awareness and education – Develop programs geared toward executives and boards of directors about the importance of cybersecurity education.
- Identify mechanisms to protect research and development efforts and intellectual property from attacks or exposure – Develop guidance for the healthcare industry and academia to evaluate cybersecurity risks for healthcare R&D.
- Improve information sharing of industry threats, weaknesses, and mitigations – Streamline the sharing of cybersecurity information and guidance to make it easier to use for small and medium-sized healthcare organizations.
The task force also identified best practices from the financial services and energy sectors, including conducting comprehensive information sharing and implementing baseline protections, such as patching systems against known vulnerabilities. The task force also recommended boosting communications and collaboration across the industry in order to educate portions of the sector that may not have had access to information about the latest threats to cybersecurity for healthcare organizations.
WHO Director General expresses concerns about AI technologiesArtificial intelligence, WHO
Health IT experts have lauded the benefits artificial intelligence (AI) will bring to healthcare for some time now. They range from improving cybersecurity to improving the workflow of a hospital. However, only the wealthiest countries and wealthiest healthcare organizations are able to purchase and use AI technologies.
Margaret Chan, director general of the World Health Organization (WHO) said at an AI summit that this technology must benefit everybody, not just the wealthiest countries and organizations, according to a Wired article.
"Enthusiasms for smart machines reflect the perspectives of well-resourced companies and wealthy countries," Chan said in the article. "We need a wider perspective."
Chan illustrates this disparity and how, quite frankly, silly AI technologies seem to those who don't even have electricity and running, clean water.
"Any discussion of smart machines revolutionizing healthcare must be alert to these huge gaps in capacities," Chan said in the article.
However, Chan said one thing everyone has in common regardless of wealth is the need to address chronic diseases such as heart disease, diabetes and hypertension. Here is where Chan believes AI technologies and wearables could provide great value.
In addition to addressing the disparity issue, Chan also warned against the over-reliance on technology, asserting that while machines will aid doctors in their work and streamline processes that lead to decisions, technologies like AI will never replace doctors and nurses when it comes to their interactions with patients.
Furthermore, Chan said that sometimes these technology tools give a false sense of safety and security. "Wearables for monitoring cardiovascular performance are already being questioned," she said, for example.
In addition to disparity issues and warning against over-reliance of technology, Chan also pointed out that when it comes to AI technologies there are also many regulatory issues that need to be addressed.
"What if a smartphone app misses a symptom that signifies a severe underlying disease?" Chan said in the article. "Can you sue a machine for medical malpractice?"
Chan said that medical devices are heavily regulated for good reason but how can a machine be programmed to think like a human? She pointed out that doctors and nurses are not only licensed to practice medicine but also undergo continued study.
But with AI, there are many questions, she said. "We do not have the answers to many questions around AI. We're not even sure we know all the questions that need to be asked."
HHS announces launch of new cybersecurity centerCMS, cybersecurity, hhs
The U.S. Department of Health and Human Services (HHS) will soon launch a healthcare focused cybersecurity center, according to a press release. Christopher Wlaschin, chief information security officer at HHS, announced this news at a forum in April. The cybersecurity center will be called the Health Cybersecurity and Communications Integration Center (HCCIC) and will be modeled after the Homeland Security Department's National Cybersecurity and Communications Integration Center (NCCIC), Wlaschin said.
The purpose of HCCIC will be to seek to reduce the extensive "noise" in the healthcare industry about cyberthreats and to analyze and deliver best practices, Wlaschin said. He added that the cybersecurity center will also help smaller providers and doctors' offices to understand the two or three things they can do to protect patient privacy and ensure information security when it comes to the various technologies they may be using. HHS also envisions HCCIC working with mobile health app developers to help promote data security in that fast-growing area.
Wlaschin said HHS anticipates that HCCIC will reach initial operating capability in late June.
Furthermore, the Centers for Medicare and Medicaid (CMS) may soon undertake a similar initiative as the HCCIC, the Federal News Radio reported in an article.
Mark Scrimshire, the innovator behind CMS' Blue Button initiative, told Federal News Radio that his team has already written an API to allow health applications developers to verify their security with a trusted source.
In the wake of highly concerning cyberattacks such as the WannaCry ransomware attack that have happened recently, it's not surprising that interest and investment in cybersecurity is taking center stage in healthcare.
HHS and CMS' focus on mobile and security also makes sense since the number of mobile health applications has been increasing steadily and rapidly, the Federal News Radio article said.
"Every single data holder in the industry has this problem of who do they trust with the keys," Scrimshire said in the article. "What we're trying to do is say, 'Let's try and sort this out as an industry.' We've actually put together code to allow the technologists to do it."
The top four MACRA and MIPS trends challenging providersMIPS
From February through April 2017, Black Book Research crowdsource-surveyed 8,845 physician practices about the transition to the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 which aims to transition healthcare from fee-for-service-reimbursement to value-based reimbursement.
The survey found this transition is proving to be tricky for physician practices.
Here are the top four health IT trends that could prove challenging to providers during this transition:
1) Physician practices unaware of certain MACRA and MIPS details
Many of the survey respondents were unaware of certain aspects of MACRA:
- 54% of respondents were unaware that the Centers for Medicare and Medicaid Services (CMS) will publish data on their Physician Compare website. This data will also be accessible via Yelp, Angie's list, Health Grades and Google.
- 69% of the surveyed physician practice managers are aware they need to report on six quality measures; however, only 22% are aware that they had the option of choosing the metrics they believe represent the strengths of the practice.
- 94% of respondents were unaware or unsure of how to predict their Merit-Based Incentive Payment System (MIPS) — a new program that is part of MACRA that measures eligible professionals on quality, resource use, clinical practice improvement and meaningful use of certified EHR technology — scores for 2017.
2) The market for MIPS technology is booming
Of physician practices with three or more clinicians that responded to the survey, 77% seek to buy MIPS Compliance Technology Solutions by Q4. However, 92% of respondents were not aware of any branded technologies that support MACRA and MIPS measures for 2017 reporting other than their EHR.
Interestingly, the primary reason for provider organizations to acquire MIPS technology was not quality measurements but because they were having trouble deciphering their MACRA earning potential, 89% of respondents said.
"Given the magnitude of the changes, the hunt is on for the best MIPS incentive enablement resources," said Doug Brown, managing partner at Black Book Research, in a press release. "Finding one stop solutions shop for MIPS support is becoming easier with quality measure monitoring dashboards and enterprise analytics vendors."
3) Ambulatory EHR Optimization sparked by MACRA and MIPS
The eight largest EHR systems include Cerner, Epic, Allscripts, eClinicalWorks, NextGen, athenahealth, Practice Fusion, and GE Healthcare, according to the survey. Of the physician practices surveyed, 72% said they are using EHR products not considered as part of those top eight EHRs and stated that they were not working with their EHR vendor to make sure they are prepared for MIPS measures and can properly report data.
"The replacement market is heavily leaning to these largest 8 EHRs from small EHR vendors and expected to increase through 2018 as some providers had previously invested in EHRs that do not acclimate to agile change at scale like MACRA demands," Brown said in the press release. "EHR companies are not required by MACRA to update their technology so providers are ill-equipped should the practice stick with their uncertified EHR."
4) Physician practices struggle to align data
The survey found that 81% of respondents said they have not grasped how to align data with reporting measures.
"Seemingly, the MACRA requirements appear fairly easy to meet, you simply attest to at least one performance improvement activity. However, the reality will be significantly more difficult as smaller practices in particular begin preparing for risk," Brown said in the press release.
2016 healthcare data breaches surpass last year's recordData breach
Healthcare data breaches hit an all-time high in 2016, according to a report by Bitglass. However, the volume of leaked records caused by 2016 healthcare data breaches decreased from the previous year, according to the report. In 2015, however, 113 million Americans were affected, including 11 million Premera Blue Cross customers and 78.8 million Anthem customers.
Furthermore, so far in 2017, only 1.5 million records have been breached, suggesting that the total number of breaches will continue to decline. However, healthcare organizations need to remain diligent to prevent breaches from occurring.
Although the number of individuals affected in 2016 decreased compared to 2015, when it comes to healthcare organizations, that is not the case. In 2016, healthcare data breaches affected 328 healthcare firms, surpassing the previous record of 268 in 2015.
Experts believe that the industry will be playing catchup as far as cybersecurity spending in 2017 to combat the growing number of threats. There are also new cybersecurity technologies, such as identity access control, that can make it harder for hackers to gain entry into the hospital network.
Five of the largest 2016 healthcare data breaches (80%) were due to hacking or IT incidents. In 2017, the largest breach was due to theft and the next four largest were due to hacking.
The Bitglass report also found that unauthorized disclosures comprised 40% of 2016 healthcare data breaches, making it the leading cause of breaches. Unauthorized disclosure includes non-privileged access to protected health information and personally identifiable information.
In Pennsylvania, medication mistakes attributed to health ITCPOE, e-prescriptions, EHR, prescriptions
In Pennsylvania, health IT contributed to 889 medication mistakes in hospitals over a six month period from January 1, 2016, to June 30, 2016.
During this time period the Pennsylvania Patient Safety Authority found that the majority of these medication mistakes were due to errors in hospitals' computerized physician order entry (CPOE) and EHR systems. These medication mistakes included dose omission (13.8%), wrong dose or over dosage (10.9%), and extra dose (10.7%), according to a report by the Pennsylvania Patient Safety Authority. Of the 889 medication mistakes made, 69.2% reached the patient, and eight of the 889 medication mistakes resulted in patient harm, the report said.
While the majority of medication mistakes occurred due to errors with CPOE and EHR systems, these mistakes spanned across all health IT components which also include pharmacy systems, electronic medication administration record (eMAR), clinical documentation systems, clinical decision support systems, and bar coded medication administration (BCMA) system, the report found.
CPOE and EHR errors
"The CPOE system was cited most often as an HIT component that contributed to the top three error event types," the report said.
The report found that half of the 889 medication mistakes cited the CPOE system as a contributing factor while EHR components — including the clinical documentation and clinical decision support systems — contributed to 13.8% of the errors.
Of the errors reported concerning the EHR system, 56 were identified as communication issues with the majority of those 56 errors (69.6%) being due to prescriber free-texting instructions in the order comments field.
"More than a third of the free-text orders (35.9%) specified when to hold or discontinue the medication, which is a workaround that prescribers may use instead of modifying the end date within the CPOE medication order," the report said.
The report concludes that ongoing health IT system surveillance and remedial interventions are needed.
"Oftentimes, failures in the HIT systems are attributed to human error, which hinders the investigation into secondary causes of the patient safety event such as limitations in software interoperability, usability, and workflow processes," the report said. "The interaction between clinician and software is a key component that is to be taken into consideration when trying to improve the safety of HIT."
New ONC challenge focuses on accuracy and reliability of health datahealth data security, health information exchange, ONC
A new ONC challenge is seeking ways to ensure the accuracy and reliability of health data, also known as data provenance. Data provenance refers to information about when the data was created, by whom, and whether it was changed during its electronic exchange.
Data provenance — and ensuring data is accurate and reliable — is important in healthcare because inaccurate data, incomplete data, or data that has been altered during health information exchange, can have a negative impact on patient safety and the quality of care delivery.
Providers must also be able to verify that the data originated from a trustworthy source. As patient-generated data becomes more common, healthcare providers may be skeptical about the source of health data.
The purpose of the ONC challenge is to identify current capabilities and methods used in health IT to convey the provenance of health data as it used to support clinical care.
Participants in the ONC challenge must identify and articulate the challenges of data provenance as it relates to clinical care. The first phase will focus on real world data provenance challenges and explain why they are important to solve. The second phase will require participants to test their solutions to the problem they identified in phase 1.
ONC is asking participants to submit white papers for the first phase of the challenge by May 22, 2017. ONC will award a cash prize of $20,000 to up to four winners. The second phase will run from June 14, 2017, to January 22, 2018. The first place winner will receive a cash prize of $60,000, and the second place winner will receive $40,000.
Participants can register for the ONC challenge on the CC Innovation Center website.


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Welcome to our new web site!
To give our readers a chance to experience all that our new website has to offer, we have made all content freely avaiable, through October 1, 2018.
During this time, print and digital subscribers will not need to log in to view our stories or e-editions.
Tuesday, July 16 — Perhaps you're already familiar with these new dudes on the block who critics have called destined for higher status. Juice comprises seven young men bearing guitars, a bass and violin — a few of them are quite the crooners as well. The cheerful rock 'n' rollers take on Mac's Bar tomorrow as part of their "What's Ur Genre?" tour.
The band broke out into the Boston indie scene with a self-titled debut album in 2016. The EP included the scorching single, "Gold," and the group served up (bitter)sweet love tracks ever since.
The soulful, pop-rock septet has been playing shows around the US for almost two years now. With plenty of "emotional moments" along the way, the group plans to reflect their new sense of maturity in its upcoming project. I interviewed vocalist Ben Stevens, 23, and guitarist Michael Ricciardulli, 24, to figure out what all the buzz is about.
How did you get interested in your instruments?
BS: My first musical journey started with the cello and that was when I was like 3 or 4 years old. I thought it was the most beautiful instrument. It has such a wonderful range.
I was seeing a John Williams concert and Yo-Yo Ma was playing and I went up behind stage after the show. I was like, 'hey, I play cello" and he was like, "no way, I play cello." That introduced me to music and I played some drums for a bit too.
I grew up singing in church so that gave me the capacity to sing at least. Then musical theatre and it sort of took off from there.
MR: I don't come from a very musical family. I had some great grandparents that played, but no one directly that gave me an instrument early on. I was in middle school, like early middle school in like 5th or 6th grade and it was the first year we picked electives — I forgot what I chose, I think I took computers or something. It was a big deal. So, I showed up my first day and I got put in band. I was like, "band is for nerds," so I came home to my mom and I asked her to switch me out, but we had to wait a week for the schedules to settle down. She told me to just hang until the schedule got switched out.
Then it was the second day and we are picking instruments. I'm sitting at the back of the class – I was a quiet kid. I didn't have enough charisma to say I was going to be switched out soon. So, I went up to the band director and thought the sax looked pretty cool, so I picked up the alto sax. I picked it up, blew into it and something horrible came out.
I actually went home that day and I guess my mom asked me how it was and I was quiet, but she knew I kind of liked it. So, I stuck with it and played sax for about a year. I really liked how it looked and always associated it with something that was cool. I eventually picked up the guitar soon after that.
Has everyone in the group had formal training?
BS: Everyone has had formal training at some point. We don't like pride ourselves on musical training, but at some point or another, we all had that — which contributed to us branching out and learning on our own.
Who's responsible for lyrics? Is it a group effort?
BS: Wherever the idea is found is one that will be pursued. That could be from anybody. There are no boundaries here.
I notice that your songs focus on the classic motifs of love and heartbreak, but I also notice you have these glimpses of more socially conscious moments. So, I'm wondering how you guys want to stand out from being another boy band like say, One Direction?
BS: One Direction is sick.
MR: Yeah, we love One Direction.
BS: It's about being real at the end of the day and being human. Understanding what that's like and how other people are going through similar things or not. We just want to shed light on the human experience.
Yeah, we were 18 and 19 when we were writing about those things. But that was just our point at that point in our lives. It's going to be completely different music now.
If we were to write a love song now, we would go about it in a completely different way because we've been living lives now.
What have you learned since writing those songs initially?
MR: What I always think about is, if I on any level can bestow a feeling, or some form of sensation, into the form of a song at any given point, is something that means a lot to us. Also hearing a fan that is interested in us and sort of collects that sensation of their own and have it embody their own feelings, or life even, is a really special bond. We try to emphasize that at all times in the songwriting.
We also try in our mannerisms and our boyish-ness. We try to have fun too as a group. But at the root of it, the songwriting is always that sacred relationship. It feels really good to be identified with. It's not the end all be all but we welcome it.
BS: Life outside of college is a thing. It's a much bigger world than we ever experienced or understood on so many different levels. We've been traveling a lot and meeting a lot of different people. And then enduring a lot amongst one another, the outside world and ourselves. There is goodness everywhere, but there is also fear everywhere. So those are some of the things we've collected. To see that, recognize it and call it out and go to battle with it is what we are trying to do.
As part of your persona, what do you think youth, especially young men, need to see right now?
MR: It's a more awkward thing to talk about with young men right now. There's people like Harry Styles and Timothée Chalamet and like, people that really break down that barrier of hyper-masculinity culture and heteronormativity in their persona. They are so good at making people feel comfortable through their medium of art.
I think that boyish-ness contributes to that, it's definitely something that we are after. It's something that we strive for and we've always recognized in ourselves.
BS: Kiss your homies goodnight
What did you study in college?
MR: All over the place, I studied finance and marketing with a minor in music.
BS: I did bio.
Best memory from being on tour?
BS: There has been so many. We went back to Boston after a three in a half month tour and it was cool and colorful and everything and we grew a lot from it, but we came back to Boston as the last show on that run. And you could just cut the freaking feelings with a knife when we walked out on stage, it was insane. It was like coming home to open arms. It was validating and comforting.
MR: That was more of the emotional side, I think I'll share—
BS: Nantucket?
MR: Yeah Nantucket was wild. At the Gramercy Theatre in New York, which I guess doesn't really count because it was the start of the tour, but we are pretty into Pokémon. Sometimes like to open a card before shows, as like a joke and we pulled this really rare card and everyone in the green room freaked out before the show.
BS: You can watch the video on YouTube.
MR: That was a great show, it was a sold-out show at Gramercy Theatre. So that was funny, but casual stuff like that happens all the time.
You can catch Juice at Mac's Bar tomorrow night with local hip-hop heroes Jahshua Smith and Noveliss.
Juice at Mac's Bar
Wednesday, July 16
7 p.m.
2700 E. Michigan Ave. Lansing, MI


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A house is incomplete without the convenience of restrooms, laundry, kitchens, and other energies. This means they will contain their reasonable share of outlets to get rid of waste from lavatories, toilets, showers, tubs, cooking area sinks and laundry tubs. For the convenience of using all these centers it is crucial that all these drainage gadgets be working at their best. Related: How Does Water Heater Thermocouple Work Best Plumber Boles Illinois
Sewer Rodding And Cleaning Boles IL
Life can end up being extremely inconvenient when these drains and sewage systems get blocked. When they backup and overflow into a bathroom or other living areas, they can cause a lot of mess, smell and cause unhygienic and unhealthy conditions. Line interruptions in sewers and other drain pipelines can be a result of excessive grease from a kitchen area, which draws in other dirt and ends up being a mass that congests the pipes. Making use of health items, specifically by females, which when flushed down toilets can lead to blockages. Incorrect use of a waste disposal unit system can result in pipelines getting choked. Drain lines going through gardens can get impacted by tree roots, which can then damage the pipelines or cause clogs. Mud and yard waste can accumulate in sewers and build up into blockages that need to be cleared. chicago plumber Boles
Locating Blockages
While sinks are easily cleared with using plungers or other cleaning products, it is when the obstruction leads to drains and drain lines that you have to contact the specialists. Many business which do this sort of work have rodding devices that helps eliminate the blocks and permit blocked product to be cleared. But prior to usage these, they have to study the situation and diagnose the problem, so that they can arrive at the ideal option for the ills impacting that clogged sewer. They will initially understand the layout of all the plumbing, the source of the waste water, and the fixtures that are affected by the clogged line. They will then figure out the area of the block, and how it can best be approached. Where this is not easily figured out, they will open up manholes to assist in determining the place. Where sewers are not available, they may even decrease camera equipment that can lead them to look at the inside of the sewer to find the offender area. Related: How Does Water Heater Thermocouple Work Boles
Sewage System Line Rodding
When this place is figured out, they will need to choose the best place for the drain rodding. They will find the largest clear out area closest to the clog and where they can reduce the cutter head of the rodding equipment, so that it requires the minimum power. Rodding makers come with different cables, power capabilities and cutting heads and experience in clearing many such blockages, will enable the technician to identify precisely what action has to be taken to get rid of the obstructions from the drain in your property. They may choose to drain pipes out a sewer before they start rodding, as at times water can add to damage of pipes, during rodding operations.
Once the rodding operations are begun, it is continued till the cable with the cutter head reaches a clear part of the sewage system or up to the main city trunk line. This range is noted, and the cutter is once again drawn out and sent through again to see if other hard areas exist and require cleaning operations. The resulting particles has then to be drawn out and examined to identify its nature. The existence of wood may suggest tree roots and the property owner will be asked to do something about it to prevent reoccurrence of the problem.
Sewage system line obstructions can likewise quickly gotten rid of by jetting of water at extremely high pressure, if the location of the block is absolutely known. This method does assist to eliminate the entire line and clean it for additional usage. repair or replace Boles
Drain pipes Rodding
How drain rodding works is a drain rod is placed into an obstructed drain and then basically, it is pumped level and "lashed around" in the drain in an effort to remove whatever is obstructing it. If you are attempting to do this yourself, the danger is that the DIY variation can quickly and screw itself if the person utilizing this tool inadvertently twists it in an anticlockwise direction. This generally leads to the sections of drain rods and screwing themselves and becoming stuck in the drain you are attempting to tidy and become lost for ever and you having to pay the expenses of the lost equipment. This is most likely the greatest reason why most people would rather greater a plumbing business to do the rodding for them. Related:Tankless Water Heater Boles
What You Need To Know If You Smell Sewer Gases Boles
Modern pipes has a range of techniques for keeping sewage system gasses from a home. Among the most popular is the P trap. P traps are very important because sewer gasses can be harmful to your health as well as odor bad.
The P trap efficiency at trapping sewer gasses is all due to its style. It starts by going strait below the drain, then it has a p shaped bend on the bottom, and it ends with a horizontal pipe after it curves up. This p shaped bend is suggested to trap a little water in the pipe. This water acts like a barrier, keeping any drain gasses from getting in the space.
P traps are normally discovered in restrooms on any drain that causes the sewer. This consists of showers, sinks, and flooring drains pipes. Toilets utilize a customized P trap described as an S trap that is meant to make sure that wast leaves the toilet while leaving some water to block the gasses.
If you smell drain gas in a room with a P trap, it is most likely that the trap is empty of water. to check this all you have to do is shine a flashlight at it. If it doesn't show back, it is empty and you ought to add some water to refill it. If this doesn't work then you may need to call a plumber to repair the P trap or another pipe.
If sewer line blockages repeat within a short time of the rodding operations, it can show other issues that might not be quickly fixed by this operation. It would then be essential to identify the entire network, user practices and other factors that do trigger sewage system blockages. At times, it may be required to change a sewer to obtain an irreversible option. Thankfully, nowadays there are business that can undertake this operation through trench-less replacement of pipelines, so that the work is done without any hassle to the property owner.


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What We're Reading: Journal Issue on Urban Food Networks
Metropolitan Universities journal issue 28.1: Urban Food Networks, released in February, tackled the often complicated relationships between urban and metropolitan communities and the food systems they rely on. Authors in this issue explored how their academic institutions are taking steps to study and bring positive initiatives to change the conversations about food systems at their campus and the surrounding communities.
Three urban community farms community gardens in Cleveland, OH, Washington, D.C., and Richmond, VA, have been increasing community access to fresh food and are the feature of a recent article and photo gallery.
Click here to take a closer look at their efforts.
If you haven't had a chance to read this issue, dive right in with articles such as:
- Farming Chicago: Prospects for Higher Education Support of Sustainable Urban Food Systems in the U.S. Heartland explores how higher education institutions can contribute to development of sustainable food resources for residents of North American cities
- The Urban Food Hubs Solution: Building Capacity in Urban Communities demonstrates how the University of the District of Columbia is building capacity in the food desert neighborhoods of Washington D.C.
- The case study Collective Approach to Complex Food System Issues, the Case of The Ohio State University tries to better understand the role of the university in food systems through The Ohio State University.
Also, keep an eye out: Metropolitan Universities issue 28.2: Charting the Future of Metropolitan Universities—DC Conference Issue will be published in May.


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Of all the treatments I offer, liposuction is perhaps the most noteworthy for its versatility. While most people think of liposuction for removing fat from obvious areas, such as unwanted belly fat, you might be surprised to learn that liposuction in my Connecticut practice can improve quite a few other areas, too.
- The inner and outer thighs: Circumferential contouring of the thighs is easily achieved with the aid of liposuction. The inner thighs are typically more prone to fat accumulation, but unwanted deposits on the outer thighs can add a lot of bulk — and make it challenging to find jeans that fit. Liposuction can sculpt the thighs and bring them into better proportion with the rest of the body.
In the case pictured here, you can clearly see the dramatic slimming in the shape of this patient's outer thighs.
- The arms: Flabby upper arms are a common annoyance. When there is excess hanging skin present, arm lift surgery can help. But for unwanted fat alone, liposuction is a less invasive alternative that's typically a good idea when the skin on the arms is elastic enough to recede around the new shape after the surgeon removes the fat.
- The male chest: In men, fat deposits on the chest can be distressing and make men feel too self-conscious to take off their shirts at the beach. Liposuction can smooth away this fat, revealing a flatter and more masculine chest, with scars that are barely noticeable.
- The chin: A double chin — or simply a lack of definition in the chin or jawline — can sneak up on all of us, even the most athletic, thanks to our genes. Using a very small cannula, I can add definition to the chin and remove the fat with a very small incision.
- The back: Back fat associated with bra bulges and other "rolls" can be nipped away with selective liposuction, for a smooth contour no matter what you wear.
- The flanks and abdomen: Liposuction on the flanks and abdomen may not be surprising, but you may be surprised to learn that it often goes hand in hand with a tummy tuck (abdominoplasty). When used in this manner, complementary liposuction blends the reshaped abdomen with the rest of the torso, bringing the entire area into balance.
Many of the treatment areas I've just listed are possible because of the advent of power-assisted liposuction. By gently vibrating the cannula, power-assisted liposuction can more precisely dislodge and remove unwanted fat in smaller areas, giving the surgeon more control. This leads to impressive results with less internal bruising and a quicker recovery.


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- Details
- Transport up to 60 bowling pins, 12 bowling balls and accessories
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Material 1045178 SKU 1045178 Product Id (PID) 56730 Weight 43.0000 LB Brand N/A Ship Method Ships FedEx Manufacturer Part Number No
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Warranty : 1 Year
Every item is guaranteed to be free of defects in workmanship or materials for one year from the original date of delivery when installed and maintained properly. We agree to repair or replace without charge, at our choice, any product judged defective for either of these reasons and to return the item (or its replacement) freight prepaid. Products that do not have a special guarantee carry up to a one-year guarantee which is honored only when the product is inspected and found to have experienced normal use.
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KAVOD means "respect". KAVOD is a core value of our people. This document describes some of the ways we demonstrate kavod for this place and this community. Please read this carefully before signing and sending in your registration materials.
KAVOD FOR SELF - We expect every person to demonstrate self-respect.
SAFETY FIRST - One of the ways we demonstrate self-respect is by caring for our bodies. No tree climbing, rock throwing, or building climbing are allowed at any time at Beth Am. No sitting on tables, no standing on chairs, and no rocking back on two legs or one leg of a chair are allowed at any time. Ball playing is only allowed far away from windows. During meal times in the Social Hall, no running is allowed. We expect all drivers to drive slowly and carefully on the Beth Am campus. Please remember: There are children learning and playing on this campus every day of the week. We need your help to keep everyone safe.
KAVOD FOR OTHERS - We expect every person to demonstrate respect for others.
B'TZELEM ELOHIM - Each person is created in God's image. Therefore, we treat one another with kindness and honor. We reach out to help everyone feel at home and to offer any help we can give to others.
WORDS ARE POWERFUL. While each family's home may have different rules or expectations, please recognize that Beth Am is our community's home. We expect all members of this community to speak thoughtfully and respectfully.
KAVOD FOR PLACE - We expect every person to demonstrate respect for the Beth Am facility.
SACRED SPACE - Out of respect for our holy places, no eating or drinking is allowed in the sanctuary or the chapel at any time or during any religious service in any location.
SACRED OBLIGATIONS: We accept upon ourselves the obligations described below.
I have the privilege of learning about my Jewish heritage.
I have the responsibility to help myself and others to learn by attending class, arriving on time, doing my work, and following teachers' instructions.
I have the privilege of being treated with respect.
I have the responsibility to treat others with respect by being fair, by being kind, by not treating others the ways I don't want to be treated, and by respecting other people's boundaries.
I have the privilege of participating in decision-making processes.
I have the responsibility to be involved by helping set standards in class, by abiding by class and program-wide standards, by thinking before I speak or act.
Arriving on time, attending classes, and leaving only when classes end are all ways we honor our Jewish tradition, our teachers, our fellow students, and our commitment to learn. We expect all students to strive to attend as much of each program as possible.
Another way we demonstrate kavod, is by informing program administrators if we are unable to attend class on a particular day. If a student must be tardy or absent, please contact the teacher or the Youth Education Office as soon as possible. If a student misses more than twenty percent of a program year, make-up work will be assigned. Make-up work can help a student learn the material, experience values, and reconnect with the community. Please consider how missing over twenty percent of a program year will affect a student's Jewish knowledge and comprehension as well as his or her eligibility for B'nei Mitzvah or confirmation. Please consider how difficult it is to maintain friendships or a personal connection to the community while away from a program. Without completing the make-up work and without attending at least eighty percent of any program, a student will jeopardize his or her progress in our educational programming. (Also, please see our B'nei Mitzvah Requirements.)
When problems arise, communication is our first, last, and most helpful tool. Teachers, parents, students, madrichim (teachers' assistants), and educators, working together and communicating openly will be able to confront challenges in a constructive way.
§ A teacher may send a student out of class if that student places other students in danger or if that student interferes with the teacher's ability to teach or any student's ability to learn in any way, at any time.
§ Since no student should be without proper supervision at any time, students sent from class will remain in earshot or visual contact of the classroom or wait in the Education Office. If a student spends a great deal of time out of the classroom, make-up work may be assigned.
§ Educators and teachers appreciate the help of parents. We might call you from Beth Am or from tiyulim (trips) if problems become on-going. We always appreciate your support and we may ask you to participate in problem-solving.
§ Beth Am recognizes that each student has a unique learning style and that all students think, hear, learn, and experience education or Judaism differently. Please contact us if you have suggestions about how best to communicate with your child. We are interested in your ideas and your experiences as well as your child's preferences.
80/20 Rule - All students are expected to attend AT LEAST 80% of class meetings. If your family cannot attend 80%, please meet with the director of the program as soon as you know so your student can make up the work he or she will miss. This rule also covers additional grade-level and class experiences. Please consider how missing over 20% of a school year will affect a student's Judaic or Hebrew knowledge and comprehension as well as his or her eligibility for B'nei Mitzvah or Confirmation.


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After a week's vacation, I returned to my desk Oct. 15 and read through the past week's editions of Today in Food to refresh myself on what I had missed. Immediately, I found a common thread in our Washington section: class action lawsuits focused on labeling.
Specifically, take a look at these stories:
Artificial flavoring, deceptive marketing and fraud, oh my.
Each of the cases pivot around a consumer belief that a product is "all natural," "100% natural" or "natural" that may be supported by marketing and labeling, but not science.
This is important because consumers are increasingly looking for products with "all natural" and "100% natural" claims: grocery shoppers are increasingly demanding transparency and a closer connection to their food, according to a September report from FMI and Label Insight. Seventy-five percent of shoppers reported being more likely to switch to a brand that provides more in-depth product information beyond what's on the label compared with just 39% in a 2016 similar study. In addition, 54% of shoppers are even willing to pay more for a product with additional product information.
Food producers would be remiss to ignore this trend, especially considering the pending arrival of new labeling laws. FDA extended the compliance dates for the Nutrition Facts and Supplement Facts label final rule and the Serving Size final rule until 2020 for larger manufacturers and 2021 for smaller businesses, but now is the time to start planning for this change.
Luckily, the Food Institute has you covered. At this year's U.S. Food Labeling Seminar, hosted by The Food Institute and OFW Law, new content has been added to give attendees a more comprehensive overview of food labeling and a deeper dive into solving labeling problems. The event will be held on Wednesday, Nov. 7, 2018 from 9:00 AM-5:00 PM at the Newark Airport Marriott in Newark, NJ. Bruce Silverglade, Principal at Washington, DC-based firm OFW Law, which specializes in the agriculture, food and drug industries, will cover the new Nutrition Facts Label, the basics of food labeling, mandatory label information, country of origin labeling, authorized claims, menu labeling, enforcement by FDA, other authorities and class action cases, and future developments.
To learn more about the seminar, click here.
Consumers are increasingly prioritizing convenience when it comes to purchases.read more
Instagram and food delivery are the future of restaurants when it comes to attracting Gen Z.read more
Chris focuses on fresh, canned and frozen fruit and fresh and dried vegetables for the Food Institute Report. In addition, he assists in compiling data for various Food Institute publications throughout the year. He is a proud Rutgers University alumnus with a degree in English, and has a background in web writing for a variety of industries, including legal, foodservice and small-to-medium sized businesses. In his downtime you can find him watching New York Yankees baseball, hiking, enjoying live music and spending time with his dog Kaiden. He invites you to contact him via email at firstname.lastname@example.com to talk about anything food-related.
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Food Institute reps are available to answer your questions
For close to 90 years, The Food Institute has been the best "single source" for food industry executives, delivering actionable information daily via email updates, weekly through The Food Institute Report and via a comprehensive web research library. Our information gathering method is not just a "keyword search."


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PROVINCIAL Minister for Energy and Mines Ch. Sher Ali has said the government is trying to generate maximum power within the shortest possible time along with taking legal action without any discrimination against the electricity thieves.
This was said by the minister during a briefing given by the Chinese National Electric Engineering Company Ltd regarding thermal and hydropower projects.
Provincial Minister Ch. Sher Ali said the electricity thieves are not well wisher of the country. He said according to the Chief Minister Punjab's directions we are utilising all present resources for the energy production with the thermal, coal, solar and hydropower projects.
He said with the latest technology and expert people, this will become advantageous for us after the completion of Taunsa Barrage Project which comprises of 120 MWs along with the establishing of Quaid-e-Azam Solar Park at Cholistan, and the production of power with the beg as at sugar mills. He said another power park will be established at Gaddani at a cost of 60 billion from where we will get 5000 MW power with coal. He said 1000 MW power will be generated at sugar mills.
He said for the production of energy the government is extending maximum cooperation and assistance to foreign companies. He said this is a need of hour to stop power theft and wasting of the electricity. He added that mutual cooperation between the government and the public will bring positive results in this regard. He said initially all streetlights are converting to solar energy at district level and after that home appliances will be converted to solar also.
He said we are trying to provide uninterrupted power for the development of the country and we will prove ourselves with practical measures not only with the hollow slogans. On this occasion, Commercial Manager China National Electric Engineering Company Ltd Daniel Tian briefed to the minister along with the participants of briefing regarding their hydro and thermal power projects' details along with the company introduction, performance and planning. Provincial Minister assured them of their maximum cooperation by the energy department and the government of the Punjab also. Among others, Commercial Manager Daniel Tian along with former Provincial Minister Ch. Ijaz Shafi, Azmat Niazi and others were also present in the briefing.


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Have video of Chip Tha Ripper interview with KarmaloopTV talking about many things. Such as how he hooked up with Kid Cudi and also talks about where he gets his inspiration from. He also talks about his home town Cleveland and his upcoming project with Chuck Inglish from the Cool Kids. Check It Out And Enjoy!
Chip Tha Ripper X KarmaloopTV
Tags:Chip tha Ripper · cool kids · KarmaloopTV · kid cudi


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- The One Show
- ADC Awards
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- Young Ones
- Hall of Fame
- Resources
- Next Creative Leaders
- One Screen
- One Show China
The One Show
The One Show is the world's most prestigious award show in advertising, design and digital marketing. For over 40 years, the Gold Pencil has been regarded as one of the top prizes in the creative industry. The One Show has had a rich legacy of honoring some of the most groundbreaking ideas, created by some of the most remarkable minds in creativity.
One Show
Creative Rankings
David Guerrero
Mini Mouse Agency: BBDO Singapore Pte Ltd / Singapore Client: BMW Malaysia Category: Collateral Advertising / Trade B/W or Color Any Size: Campaign Points: 5.0
Lift Agency: BBDO Guerrero Ortega / Makati City Client: Splash Corporation Category: Consumer Magazine / Magazine B/W Full Page or Spread: Campaign Points: 5.0


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Like the rest of our CBD-infused products, this natural dog paw moisturizer is made with CBD from hemp and is THC-free. All our products have been formulated with your pets in mind by a licensed pharmacist with years of experience in the industry. Most importantly, each batch of King Kalm CBD for pets has been tested by independent labs to ensure quality, purity, and safety.
Ingredients: CBD oil, natural beeswax, coconut oil, manuka honey, essential oils
Directions: Apply as needed.


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General Hospital spoilers promise Jason Morgan (Billy Miller) is terrified he did something to harm his son, Jake Spencer (Hudson West), and on Thursday's GH, his guilt led him to a nightmare. This dream sequence horrified and shocked GH fans who watched Jason choke his young son while the child struggled. You can rewatch a clip of General Hospital showing the shocking scene below.
From your favorite company... #ABC #Disney #GH pic.twitter.com/GauK1IbFIJ— L E N E (@l3nee91) April 27, 2017
Did General Hospital Go Too Far Today?
General Hospital spoilers from Soap She Knows predict a trip to Cassadine Island in May sweeps will help sort this out and clearly Jake is afraid of his dad, Jason, but the version of him with his former Steve Burton face, not the Billy Miller face he wears now. Even though it was just a nightmare sequence, social media exploded today after General Hospital aired and fans were outraged.
"I'm disgusted. You people are all filth," one fan tweeted to GH showrunners Frank Valentini and Nathan Varni, as well as co-writers Jean Passanante and Shelly Altman. Comments on that tweet turned into a stream of anger and frustration with the writers not only for putting a child actor into that circumstance, but also for how this storyline has misaligned a legacy character beloved by fans.
Jason Morgan's Character Broken By Twisted Rewrites
This is just the latest in a string of General Hospital fan frustrations over the Jason-Jake-Helena storyline that has twisted character history. According to General Hospital history, Jake was kidnapped by Helena Cassadine (Constance Towers), but his parents and viewers thought he was dead. This was torn apart by Jake's resurrection under Ron Carlivati's reign as GH head writer.
From there, General Hospital episodes had Jason shot by Cesar Faison (Anders Hove), then kidnapped by Helena, where he was kept frozen due to injuries, and then he was thawed, immediately escaped, ran off with Robin Scorpio (Kimberly McCullough), and was struck by a car necessitating facial reconstruction. There was no window of time for him to be on Cassadine Island.
What's more, Helena herself was frozen during the period when she supposedly held Jake captive. GH fans have been vocal about the "Jelly" (Jean Passanante and Shelly Altman) writing team perverting this storyline to make Jason into Helena's pet sociopath. The story shows Jason presumably traumatizing his own son while he was Helena's murderous minion. General Hospital spoilers say the "truth" will come out soon, but there may be few fans left to watch after today's debacle.
@nathanvarni @ABC @ABCNetwork @Disney @DisneyStudios @vickiabc123 Frank & Jelly need to be fired. #gh pic.twitter.com/0nG1txCwZm— Marlin (@mtomaone1) April 27, 2017
Jason Loves Children – Unprecedented Violence Stuns Fans
General Hospital fans are screaming their outrage on social media over the violent Jason and Jake scenes today where Jason choked his son while Jake begged him to stop and struggled against his much stronger father. This couldn't have been a pleasant scene for either actor to film – Billy Miller or little Hudson West – and for fans watching, it was monstrously destructive to a character many love.
Even at his "Stone Cold" worst, General Hospital history shows that Jason has always doted on children and has never laid an unkind hand on a child and would never do so, even if he was brainwashed, microchipped, and under serious mind control by Helena or anyone else. As far as fans are concerned, General Hospital broke one of their main characters today in a way that can't be redeemed.
This is Jason's dream. That child is his life #GH pic.twitter.com/d9nFiukgeW— Britney (@mobprincess2714) April 27, 2017
Fans Calling For Writers' Heads
The writing team known as "Jelly" – Jean Passanante and Shelly Altman – took the helm at General Hospital in mid-2015 after Ron Carlivati was fired due to low ratings. Carlivati also had his critics and many fans hoped, at the time, that the "Jelly" team would clean up his mess and move into fresh storyline territory. That hasn't happened to the satisfaction of GH fans.
And, as of today, a legion of once loyal General Hospital viewers are calling for the heads of "Jelly" and even GH showrunner Valentini for what happened today. Some of the comments on Twitter include:
"#GH fans finally seem to be in agreement that Jelly and Frank are trash. All three need to go."
"#GH If Jelly gotta go, Frank and Varni have to follow right behind them. That gruesome soap team is bringing this show down."
"Jelly are straight up horrible. #GH"
"Jelly are really awful but Frank is the common denominator. He approved these scenes and watched them get filmed. Sick. #GH"
"Clearly Jelly have no clue who Jason is if they suggest he would hurt a child. It is so OOC. #GH"
With fans calling for heads to roll over today's General Hospital scene of terrifying child abuse, there may be repercussions for ABC and parent company Disney that is supposed to be a kid-friendly network. There is more to come on Jason and Jake's twisted backstory, according to General Hospital spoilers, but has "Jelly" just choked the life out of the ABC soap?
[Featured Image by Jordan Strauss/AP Images]


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Melissa JohnsonTechnology/ Art Teacher Colonial School District
I currently teacher Graphic Design and Photography at William Penn High School in DE. I also teach Art at The Wallin School in the same districtNew Castle, Delaware, United States


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Saturday, 14 September 2019
Moderate 5.5 miles / 8.8 km
Meet at Moulsford recreation ground car park, grid ref SU590839 for a hilly walk around Moulsford Bottom, Unhill Wood and Moulsford Down.
This is a circular walk
This is one of hundreds of Ramblers group walks for all ages and abilities every week - all led by our experienced walk leaders.
You're welcome to join us on any of our walks to see if the Ramblers is for you. Then, once you've enjoyed the views, fun, exhilaration and good company, it's just a case of becoming a member.
Do make sure you're fit enough and have the right footwear and clothing for the walk you want to do, though. You can contact the group or leader if in doubt.