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How To Write A Good Reflective Account For Your NVQ
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Classes Of Moral Dilemmas In Business
The cleaning business, whereas not essentially the most glamorous of industries is however a fast rising multi-billion dollar business in the US and offers entrepreneurs unique alternatives to profit and earn a 'six figure' annual salary. You will be given the chance to gain grants and obtain free cash to simply start up your own cleansing business. Like many other small profitable business the roasted corn business is run by tight lipped distributors who don't share tribal knowledge.
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The use of Lean and Six Sigma methodologies in surgery: A systematic review
International Literature
posted by WM Admin on 28 May 2015
This systematic review assesses the literature on the use and utility of Lean and Six Sigma methodologies in surgery.
Experimental studies were included if they assessed the use of Lean or Six Sigma on the ability to improve specified outcomes in surgical patients. Twenty-three studies were included (11 assessed Lean, 6 Six Sigma and 6 Lean Six Sigma).
The authors found that the "... majority of studies (88%) demonstrate improvement; however high levels of systematic bias and imprecision were evident". They note a need for for high-quality studies.
To read the full abstract, and for information on how to access the full text, go to: http://dx.doi.org/10.1016/j.surge.2014.08.002 or contact your DHB library, or organisational or local library for assistance.
Mason, S.E., et al. (2015). The use of Lean and Six Sigma methodologies in surgery: A systematic review. The Surgeon, 13(2), 91–100.

subset: commoncrawl


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In addition to building this website, here are a few samples of my instructional documents/ resources.
My Moodle Courses (contact me for password)
Timeline example (a wonderful tool for course navigation, concept overview, etc.)
Complex tutorial document for creating CSLO's in eLumen
Lengthy Blackboard Training guide I created for faculty
Adobe Captivate demo for new portal at Luther Seminary:
Here are a few video tutorials I've created for faculty and students:
As Director of Client Education and Support at eLumen:


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Along with offering xfinity Home Security features, this service also includes home function controls and tv / internet controls.
When purchasing the bundle, you receive extra gifts. Each bundle comes with a prepaid visa card just for signing up.
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Each package comes with a contract that lasts 3 years. There is an early termination fee that applies if you cancel your contract.
Each package comes with an installation fee based on the package you choose, except the home control only bundle - which is a self-installation product.
- Security And Monitoring
- Home Controls
Xfinity comes with 24 / 7 security and professional monitoring within every package.
This system controls the lights, temperature and other features that make the system well worth the money.
You can manage your home, thermostat and lights from anywhere. Lock in your rates for two years by calling xfinity now. Since you can't always be there to monitor your home - you can keep an eye on it with xfinity.
How It Works
By installing the home monitoring system in your home, you can monitor the security of your house. You are able to control he efficiency of your home, your cable and internet with one panel.
How it's Different from Competitors
Most competitors offer one service - but not many offer all services that xfinity includes in bundle form. Xfinity also offers tv / internet services that can be controlled along with your home security and home control options panel.
- Honeywell
- Vivint
With honeywell home security, you can keep your home secure, control your locks, and adjust your lights all from a convenient control panel whether you are at home or away. You can also monitor your home on video from anywhere.
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Tips & Tricks
- Do Your Research
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Make sure you do your research. Speak with a consultant about the plan options and costs associated with them. Additionally, make sure there are no hidden costs before placing your order so you can get the best deal.
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Tindebestigersker og andre jættekvinder : klatring og kjønn i et historisk perspektiv
Journal article, Peer reviewed
MetadataShow full item record
Original versionTidsskrift for kulturforskning 5(2006) Nr. 3, S. 37-51
Although women have been climbing mountains in Norway for more than 150 years, their history is mostly silent. The ideal of femininity which held that a woman should be weak, delicate and submissive, was challenged by mountaineering women, which were met with strong resistance and dismay. In my sources, the Norwegian tourist association's (DNT) yearbooks, female climbers are only acknowledged in condescending terms, and it was assumed that a man would always be in charge of the climbing parties. These patronizing attitudes are grounded in the male belief in female inferiority. Thus there can be are no good women climbers, they either aren't good climbers or they aren't real women. This article explores the reasons for the strong resistance climbing females are met with, grounded in Bourdieus theories on the symbolic order in society. I argue that climbing, an activity created by and for men, is a focal-point for discourses on masculinity, femininity and sex roles, and an area which facilitates an alternative sex-enactment for women, but at a cost.


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A proposal to allow neighborhood councils the right to appeal planning and land use decisions by the Los Angeles City Council has been winding its way through the Westside councils and appears to have picked up steam in recent months.
Venice Neighborhood Council President Mike Newhouse has appeared before several Westside advisory boards to seek support for what many feel is a worthwhile and logical tool to have when downtown politicians take positions that they believe are contrary to the best interests of their local communities.
"It's important to have the right to appeal," said Newhouse. "As neighborhood councils, our decisions don't have any binding authority."
Currently, only homeowner groups can appeal City Council land use and planning decisions, which leaves neighborhood councils, often the entities that are the most familiar with a particular development project or land use matter, with little or no recourse in the event that an unpopular decision is reached in downtown Los Angeles.
Newhouse said that the idea came to light following a series of meetings with the Westside Neighborhood Regional Alliance of Councils, a collective of 11 neighborhood and community councils from the Westside.
"We are speaking with one voice," he said.
Steve Donnell, who chairs the land use and planning committee for the Neighborhood Council of Westchester-Playa, sees great potential in granting local councils this right.
"It certainly would be a great benefit," said Donnell, a Playa Vista resident who is a senior vice president of Jalmar Properties, Inc., a property management firm. "Neighborhood councils are empowered to be the experts on issues in their own backyards."
In recent months, the Planning Commission has been involved in land use decisions that have rankled some of the local boards on the Westside. On April 13th, the commission approved a mitigated negative declaration for a proposed 92-unit condominium project that would replace apartments at 3160-3178 S. Barrington Ave. in Mar Vista.
This decision was reached despite an earlier agreement last September between the Mar Vista Community Council, property owner Abraham Assil, and City Councilman Bill Rosendahl's office, which included a reduction in the number of units, along with a renovation and condominium conversion of the existing units.
In turn, the community council gave its consent to support a waiver from the city's parking requirement of one-and-one-quarter spaces per dwelling unit, which equates to 60 spaces, and an additional one quarter space per dwelling unit, or 12 spaces, for guest parking.
A mitigated negative declaration is one of the mildest forms of environmental analysis under the California Environmental Quality Act (CEQA).
Residents who live near the proposed condominium project picketed on April 23rd and the Westdale Homeowners Association appealed the commission's approval, since the local council does not have the right to file appeals.
"(That proposal) is Exhibit A as to why neighborhood councils need to be able to appeal planning decisions," Ken Alpern, a member of the Mar Vista council's land use and planning committee, asserted. "I can't imagine neighborhood councils being taken seriously without being able to appeal City Council decisions."
But Donnell also thinks that this kind of authority should not be used capriciously.
"The danger is that if a neighborhood council is empowered with that ability and it offers knee-jerk reactions to a particular development, project or planning issue, that could be seen as detrimental," he noted. "If there are specific guidelines such as legal and factual issues that can be presented, then it can absolutely be a good tool for neighborhood councils."
Rosendahl said he supports his neighborhood councils in their quest to appeal specific planning outcomes. In April, the councilman backed a motion that would allow local boards to appeal commission findings regarding tentative tract and parcel maps, specific plan exceptions, conditional use permits and variances.
"I totally believe that neighborhood councils should have the right to appeal under these conditions," Rosendahl told The Argonaut.
David Bohn, vice president of Parr-Bohn Properties in Del Rey, said that he is aware that at times governmental procedures pertaining to the approval of commercial or residential developments and other land use matters can be challenging.
"We know that the city often struggles with land use and planning issues," said Bohn, who did not express an opinion on whether neighborhood councils should be able to appeal city rulings.
Another vote by the commission that angered environmentalists was a decision to list the Ballona Wetlands as a possible site that would be eligible for a sign district that is being considered as part of a newly restructured municipal sign ordinance.
Although city planning officials have stressed that there are certain provisions that would not permit an outdoor advertising company to install billboards within 500 feet of the wetlands, some who have been involved in the restoration of the ecological preserve would like to see it removed from city planning maps.
"Why would anyone even consider a billboard district on or near an ecological preserve?" asked Marcia Hanscom, co-director of the Playa del Rey-based Ballona Institute.
"(The Ballona Wetlands site) still has to come off the map."
Bohn said that his and other real estate development companies seek only to be able to present their projects to an open-minded audience.
"As developers, what we want is an open and fair process," Bohn told The Argonaut.
Rosendahl said that many neighborhood council land use and planning committees have been very diligent in their research of projects and land use matters in their own communities and have earned the trust of their constituencies.
"I believe very strongly that they have arrived at the point where their committees do their due diligence and are very knowledgeable in what kinds of developments that their communities want to see," said the councilman.
Alpern said that without the ability to challenge certain land use findings, local councils cannot operate in the manner that they were conceived when they were created by the Los Angeles Charter in 1999.
"If neighborhood councils are to be considered a legitimate part of Los Angeles city government, it's imperative that they have the ability to appeal planning decisions," he said. "This proposal is long overdue."


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Ministers Stuart Nash and Julie Anne Genter announced that they would be seeking public feedback on the issue of drug impaired driver testing. The discussion paper, Enhanced Drug Impaired Driver Testing, has now been released.
It is important for all of our members to have their say on this issue - we encourage you to read the discussion paper, and take the opportunity to have your say on drug driver testing.
Hospitality NZ supports the introduction of measures to introduce more reliable, and more frequent testing of drivers that are under the influence of drugs while driving.
We are concerned that current Police policy is to not undertake an impairment test for drugs, if a driver is processed for drink driving. We are also concerned that the only form of road side screening for drugs currently does not appear to be used very often.
However, the issue of drug driver testing is complex, and there are many aspects to be considered - including the issue of establishing impairment and the reliability of available testing methods.
The government is looking for feedback on:
- the methods that could be used to screen and test for drugs
- the circumstances in which a driver should be tested
- what drugs should be tested for
- how an offence for drug driving should be dealt with by Police
More information can be found on the Ministry of Transport website.
Hospitality New Zealand is interested in your views on this – we would welcome your feedback to help shape our submission – please email our Advocacy and Policy Manager, Nadine Mehlhopt by Monday 10 June 2019, firstname.lastname@example.com.
Make your own submission by Friday 28 June 2019
Give us your feedback by Monday 10 June 2019
From the discussion paper:
As it currently stands, there are two elements to drug-driving enforcement in New Zealand: roadside drug testing of drivers who are suspected of being impaired by drugs or other substances; and blood testing of drivers hospitalised following a crash.
The roadside element is focused on demonstrating that a driver is not fit to drive (impaired) through a physical impairment test called the Compulsory Impairment Test (CIT). It is conducted by specially trained Police officers and includes eye, walk and turn, and one-leg-stand assessments. Police officers will determine the most appropriate place to require a driver to undergo a CIT, taking into account matters such as the safety of the surrounding environment and the presence of observers. This assessment often results in the driver being required to accompany an enforcement officer to a Police station to undergo the CIT.
Unlike breath alcohol testing, drivers cannot be randomly tested for drugs. A Police officer must have 'good cause to suspect' that a driver has used a drug, or drugs, before the driver can be required to undergo a CIT. Good cause to suspect could be determined from a driver's manner of driving, their demeanour when they are stopped and spoken to by Police, or from external cues such as the smell of cannabis.
Our current 'good cause to suspect' CIT process has challenges and limitations. A Police officer must explicitly identify a reason to suspect a driver is potentially impaired from using drugs from external cues, such as erratic or poor driving, or the driver's behaviour once stopped.
The number of CITs undertaken each year is low. Police do not record the number of CITs conducted, however, Police records show that 473 blood specimens were submitted for analysis in 2017/18.
Police procedure is not to conduct a CIT if a driver is being processed for a drink driving offence. This means that drivers who may be impaired from both alcohol and drugs will not be subject to a CIT if an offence of drink driving is established. This contributes to the low number of CIT Tests conducted.
In comparison to the number of drug tests undertaken, around 2 million compulsory alcohol breath tests are carried out each year.
Screening drivers for drugs at the roadside could make it possible to test a significantly greater number of drivers, identify more drug-impaired drivers and improve the visibility of drug driving enforcement, creating a greater deterrent effect. However, unlike screening for alcohol, screening for drugs cannot currently be undertaken by breath testing. Evidence of drug use can be determined from urine, blood or oral fluid.
Detaining drivers to conduct drug testing without a reasonable suspicion that the driver is impaired from using drugs, for example through random testing, is likely to be inconsistent with section 22 of the Bill of Rights Act. This is because the lack of any specific, reasonable grounds for detaining someone creates an appreciable risk the detention will be arbitrary, particularly given the potential length of the detention and possibility of arrest for non-compliance.
For practical reasons, oral fluid testing is the standard internationally for screening for drug driving and would likely be the method of testing used initially in New Zealand. This is because screening for drugs at the roadside needs to be completed swiftly, both to minimise driver detention and to enable sufficient testing to achieve a deterrent effect.
Oral fluid testing is the least invasive method available to screen drivers at the roadside and is used in other countries, such as the United Kingdom among a number of European states and Australia. A number of states in Australia operate oral fluid testing programmes. For example, Victoria has operated a roadside oral fluid testing programme for over 15 years. The number of tests conducted in Australia is approaching 500,000 per annum.
Unlike alcohol breath tests, oral fluid screening devices can only detect the presence of drugs. They cannot test for impairment. Accordingly, most countries operate a zero-tolerance policy in presence-based schemes, especially for illegal drugs. This means that some drivers who have used drugs, but may not be impaired, will fail drug screening tests and face penalties. In the jurisdictions that operate these schemes, this is considered a justifiable response to addressing the harm of drug driving and deterring drug driving behaviour.
Basic oral fluid drug screening devices can detect the main illicit and recreational drugs of concern in New Zealand, such as THC (the active ingredient in cannabis), methamphetamine (P) and MDMA (ecstasy). They can also detect some of the drugs in the opioid class (e.g. heroin and codeine) and the benzodiazepine class (e.g. anti-anxiety medication), and amphetamines (stimulants).
However, currently, drug screening devices cannot detect synthetic cannabinoids and other 'designer drugs', the use of which is a growing concern in New Zealand. They also detect only a small number of prescription drugs.


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Attention All 3D Printing, Robotics and Virtual Reality Startups: Applications Now Being Accepted for Frontier Tech Showdown
Sometimes it's easy to forget that some of the biggest household names in the 3D printing industry began as one- or two-person ventures. Take 3D Hubs, for example. Anyone at all involved in 3D printing knows the name; 3D Hubs is one of our most popular and trusted sources for industry trends, printer guides, networking and events. Only two years ago, however, the organization was a two-person startup just beginning to get off the ground when they won the 2014 Inside 3D Printing Startup Competition, receiving a monetary award to accelerate their business.
3D Hubs is a good company to keep in mind for those trying to launch a new business; while many startups struggle, some rocket to major success in a remarkably short period of time. Having a significant amount of capital helps a lot, and that's why the Startup Competition can be such a valuable boost to new companies. If you're trying to get a new company off the ground, your next chance is coming at the Inside 3D Printing Conference and Expo taking place in New York from April 10 to 12.
Things are going to be a bit different this year. While I3DP and its sister expo RoboUniverse have always taken place concurrently and in the same location, each conference has held a separate startup competition. This year, the I3DP Startup Competition and RoboGameChanger Startup Competition are being combined into one big contest. The newly minted Frontier Tech Showdown is now accepting applications from startups in the fields of 3D printing, robotics and virtual reality.
Interested, tech startup owners? You should be. 10 finalists will be selected from the pool of applicants; those 10 will then gather at the Jacob K. Javits Covention Center in New York on April 12. At that point each finalist will give a 5-minute pitch, and a final winner will be crowned and awarded a $15,000 Uncapped SAFE (Simple Agreement For Future Equity) from venture capital firm Asimov Ventures.
Past competition winners have collectively raised over $21 million, with the average winner going on to raise more than $3.5 million in subsequent financing. That's some pretty serious capital, so if your interest is piqued, you can apply now to get your company into the pool of contenders. You have until March 11 to apply.
If you're not involved in a startup, but want to see the finalists pitch their ideas in person, you can now register for Inside 3D Printing New York. It's going to be an excellent conference, with a lot of major industry players in attendance – including 3DPrint.com, of course, as we look forward to again watching live as the newest startup winner is crowned. Register before March 4 for early bird pricing of up to $200 off, and, if you're a 3DPrint.com reader – which you obviously are if you're seeing this – you can get an additional 10% discount by entering the code 3DPRINT at checkout. Are you thinking about attending? Tell us in the Inside 3D Printing Startup Competition forum over at 3DPB.com.
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CHINA'S Communist Party leaders have turned their sights on students with "radical thoughts" after locking up a key critic, Liu Xianbin, for 10 years.
Peking University, China's top tertiary institution, is planning to screen all its students for a range of problems including "radical thoughts", a move that has triggered concerns that a lack of free thinking will stifle students.
The screening covers academic difficulties, radical thoughts, psychological fragility, poverty, registration changes, eccentricity, internet addiction, job difficulties, serious illnesses and discipline violations, according to China Daily.
Students seen as having any of these problems will get a "consultation during which they may be persuaded to change".
The planned move has already been piloted, and comes amid the most widespread crackdown on activists and human rights agitators for decades.
Two high-profile lawyers – Teng Biao and Jiang Titian – have been missing since they were picked up by authorities more than four weeks ago.
Mr Liu was sentenced to 10 years in jail for subversion last Friday.
He had written several articles in 2009 calling for a non-violent struggle for democratic reform and recounted his time in prison after the 1989 Tiananmen Square protests.
He was jailed in 1991 and served another nine years in prison from 1999-2008.
Under China's legal rules, he was not allowed to make a statement in court over his most recent conviction and has not been permitted access to his lawyer to discuss an appeal.


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Dunston UTS 1 Sunderland RCA 3
RCA's hat-trick hero Colin Larkin in action at a foggy UTS Stadium.
For more photos from the match please click here.
FA Vase day: a special day. Matchday anticipation - heightened. An extra spring in the step. For clubs at our level, the Vase offers a very real opportunity for Wembley glory. This isn't fantasy football or Roy of the Rovers stuff; recent history shows that the last eight Vase finals contested have featured at least one Northern League club - with seven of those finals being victorious for our teams. And we need look no further than today's hosts, Dunston UTS, to realise that dreams can become reality. Dunston lifted the Vase - at Wembley - as recently as May 2012 thanks to a 2-0 win over fellow Northern League side West Auckland Town in the final.
With the two sides reaching the Fifth Round of the Vase last season, both entered this year's competition at the Second Round stage, which saw Dunston defeat Hemsworth MW 3-1 on Tuesday and RCA narrowly beat Stockton Town - courtesy of an extra-time penalty scored by Colin Larkin - to set up today's Third Round match.
RCA made one change to the side that lost at West Auckland last Saturday. Clayton Davis returned at right back with Luke Richardson moving to left back, and James Armstrong slotted into central midfield. With RCA unable to call upon the services of Ross Preston and Adam McGuinness, who were both cup-tied after playing for Washington in the First Qualifying Round, Craig Hodgson was moved from central midfield to partner Greg Swansbury in the centre of defence.
The two teams lined up as follows:
Dunston: Holden, Pearson, Halliday, Slaughter, Capewell, Gilhespy, Smith, Burrell ©, Heslop, Luccock, Thear.
RCA: Carmichael, Davis, Richardson, Hodgson, Swansbury ©, Robinson, Charlton, Larkin, Butler, Armstrong, Callen.
- Read more about Dunston UTS 1 Sunderland RCA 3
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|Released 2016 SpringSummer
|Collection Power Tracking
|Functions Daydate
|Movement Quartz
|Packaging Standard
|Water Resistance 3 Bar
|Color Black
|Strap Color Brown
|Strap Material Leather
|Clasp Material Plastic
|Clasp Type Buckle
|Dial Color Grey
|Case Color Black
|Case Shape Round
|Case Material Plastic
|Case Size Large
|Warranty Two (2) year limited
|Case Dimensions Width mm 41.00 Thickness mm : 9.85 Height mm : 47.40
Classic meets modern in the sophisticated LONELY DESERT (SUOB721) watch. A study in textures, the watch starts with a sun-brushed silver-colored dial featuring black Arabic numerals and indexes, plus clean black hands. A day-date window at 3 o'clock adds convenience. Set apart with a matte black case and buckle. The unique strap is rendered in luxe brown leather with a brown leather loop and stitched details.
Battery Change
Set the Date
Set the Time


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Why Ibberson?
We know you're not just looking for a job. You want an adventure — to do something that makes a real impact on the world around you. You want more opportunity, cutting-edge training, meaningful responsibilities from Day One, and you never settle for second best. Look no further.
Ibberson is an expert in industrial contracting and engineering — from minor renovations to major expansions or new turnkey facilities. Its 135 years of experience ranges from existing facility expansions and renovations to new facilities, maintenance and shutdowns, in a variety of industrial submarkets.
Our Markets
We are the proud builders — innovators, creators and solution providers.
No job is too large, too small, too complex or too challenging for Ibberson. From minor renovations to major expansions or new turnkey facilities, you'll grow your career working on industrial projects that make positively impact communities across North America.


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Welcome to Jedi Air Wear
Jedi Air Wear is a skydiving jumpsuit company based in the UK, we have the fastest production time 2 to 3 week's on a quality made bespoke skydiving suit. Our suits designed & tested for both indoor & out door use. Our new 2020 product line includes freefly jumpsuits, Dynamic suit, formation skydiving jumpsuits, winged camera jackets, two pieces suits, swoop pants & more. Quality is important to us, which is why we use the best sourced materials from around the world. Feel free to contact us either direct via email / Facebook or mobile.
What You Get With Us
Our company is dedicated to getting you the highest quality stylish looking skydiving suits whilst keeping our prices as low as we can. All of our free fly / formation / camera skydiving suits have changed radically since our first production run. Here at Jedi Air Wear we want you to enjoy skydiving with our product. For us, that means constant improvements and testing extensively both in the sky and the wind tunnel. On top of that, we don't really think it's fair to charge for extras. – World wide shipping for all our skydiving suit range.


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I listened with interest as the large middle-aged man sitting at the very front of the bus began a conversation with the elderly man next to him.
This man began by asking his neighbour where he was planning to get off and then, leaning back against the window and turning to face him, the larger man declared that the best seats in the bus were at the front and at the very back of the bus. The seats at the front and the back of the bus were far less likely to be taken, he was saying. There wasn't much between them, although the seats at the back of the bus had two distinct advantages: first, you usually had the whole seat to yourself and second, you didn't have to give up your seat to frail or less mobile people.
Since I got out of the bus at the same stop that the elderly neighbour did, I had the chance to wonder whether the man's unsteady but rapid strides in his impeccably clean pale blue jeans had been influenced in any way by the observations of the middle-aged man he had left behind.
Saturday, September 12, 2009
Two distinct advantages
Labels: bus, frail, middle-aged man
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Q: What are some upsides of owning a Wheaten?
A: Are you still here? If you are, maybe you will be a great Wheaten owner! A wheaten is a loveable, intelligent, young at heart dog unlike any other. Once you have fallen for a Wheaten, you will probably not ever own a different breed. Many people who come to us looking for a puppy have owned Wheatens in the past and know how wonderful they are.
You will always feel loved when you come home, whether it's after a long day at work, or a short walk to the mailbox, the "Wheaten Greetin'" is awaiting you on the other side of that door.
A Wheaten is people-oriented and not a dog that can be left in the backyard for hours. They are indoor dogs. They can adapt well to apartment living, as long as they get plenty of time with their owners and daily walks. It is difficult to train a Wheaten to stay off your lap on the couch, but then, why would you want to? Another endearing trait is the Wheaten kiss, most enthusiastically shared with you and any friend who will let them. Our hearts are hopelessly lost to this wonderful breed.
It is a good idea to spend some time with an adult Wheaten to see if your expectations of the breed are realistic, while I would say that a Wheaten is less energetic than most terriers, they are still lively dogs, who live life enthusiastically and only slow down a little with age. A Wheaten's bark can sound ferocious and alert you to a stranger, but most Wheatens ultimately think a stranger is just a friend they haven't met yet and will quickly offer up the Wheaten Greetin' and shower them with kisses. In our opinion, there is nothing cuter than a Wheaten puppy, and no better canine companion than a well trained adult Wheaten!
Frequently Asked Questions
Q: What are the downsides to owning a Wheaten?
A: There are really two major downsides;
First, grooming! Wheatens have a non-shedding coat, which is what makes them less allergenic and have less "dog" smell. The trade off for this is increased coat care.
If you spend 30 minutes, 2 to 3 times a week combing (notice I don't say brushing!) out your Wheaten's coat, this should maintain their beautiful locks of Wheaten hair. If you don't, the result will be either spending many hours de-matting them or taking them to a groomer to have them completely shaved down. Neither one of these options is desirable, so back to the maintenance. Wheatens need to be combed to the skin or they will develop tiny matts at the skin that become larger matts that will pinch the skin and become difficult to remove. You will need to learn to give your Wheaten haircuts, or find a good groomer close enough to take your dog about once every 6 weeks or so, depending on how much care you do at home. A grooming table (there are collapsible models-for easy storing in between grooming sessions), or training your Wheaten as a puppy to lie down while you comb them out, is essential. If you aren't able to commit this much time or expense to maintaining your dog's coat, a Wheaten might not be the breed for you.
Secondly, please keep this in mind about a Wheaten, most cannot resist chasing fast moving critters and shouldn't be trusted off leash outside a fenced area because once they begin to chase, they won't see cars or other hazards or even hear you calling to them. While some Wheatens learn to live with indoor cats, others can't help chasing them. As for the backyard wildlife--rabbits, squirrels or birds, the Wheaten most likely will consider these critters fair game. Some will even run through an "invisible" fence. We have had a Wheaten who will chase a bird, and another who barely notices their presence in our yard, however, if the latter were off lead at the park or an unfenced yard, he would race to meet & greet every person or dog out for a walk, without regard to my commands! On leash, they know they are restricted and will stay more focused on you and with training will happily become a polite walking companion racing to the door every time you pick up the leash.


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The number of NHS staff quitting their jobs over long hours has soared in the last decade. New figures reveal that more than 200,000 nurses have left the service since 2010 and resignations over work-life balance have increased dramatically.
Rising stress levels and a growing workload are undoubtedly key factors. The most recent NHS staff survey, published in February, showed that 40% of workers were ill last year due to workplace stress, the highest number since 2013. It also revealed a decline in staff wellbeing, with a third of employees often thinking about quitting.
Improving staff wellbeing is a growing issue for all employers. FirstCare's own figures show that mental health is now the number one reason for UK absence, but the problem seems to be more acute in the NHS. 2018 was the fifth consecutive year that mental health issues topped absence reasons across our NHS clients. And the average NHS absence rate, 4.2%, was higher than that of our private sector clients, at 3.5%.
As concerns over staffing levels grow, many NHS Trusts are taking positive action to safeguard employee wellbeing. Nurturing those who provide care is now a key priority for the service, and a variety of schemes to alleviate work-related stress, pain and anxiety have been introduced in hospitals up and down the country. Growing numbers of trusts are offering mindfulness classes, physiotherapy and advice on good sleeping habits in a bid to boost wellbeing.
2018's Agenda for Change reforms promised long-awaited NHS pay rises, but not without conditions for employers, including:
- Systems to collect good quality absence data
- Appropriate communication with absent staff
- Reporting arrangements recognising that high levels of sickness absence are a financial risk
Many NHS Trusts simply don't have the systems in place to meet such requirements, but a good absence management system can deliver these.
FirstCare is proud to work with 12 NHS Trusts across the UK, supporting over 48,000 employees and helping managers to meet the Agenda for Change requirements. Our absence management service, and the data we collect, gives NHS Trusts complete visibility of the scale and impact of staff absence. By identifying sickness trends we help managers to forecast costs, allocate resources and manage shift patterns.
As well as helping the NHS to reduce absence and its associated costs, we're also supporting staff wellbeing with our nurse-led absence service. When employees call in sick, they speak directly with a FirstCare nurse, ensuring they get the right advice and support from day one. Early intervention and quick referrals can put staff on a rapid road to recovery, by addressing issues before they become big problems.
It may seem counter-intuitive for nurses to seek health advice from other nurses. But there is growing evidence that medical professionals can be reluctant to take their own advice! 'Presenteeism', when an employee comes in to work despite being ill, is a part of NHS culture.
Many staff say that they simply can't take a day off work, for fear of letting their patients and colleagues down. Feeling compelled to work through sickness goes hand–in-hand with high-pressure workplaces. But working when ill, particularly in a hospital environment, can have serious consequences. By introducing FirstCare's absence management system, and giving staff access to an external nurse triage, NHS Trusts are tackling the culture of presenteesim and safeguarding employee wellbeing.
One such trust is The Oxford University Hospitals NHS Foundation, one of the largest and most successful NHS trusts in the UK. Within a year of working with FirstCare, staff absence fell by 27.6% (see case study here), helping the Trust to reduce its bank and agency spend while increasing staff availability.
With over 100,000 unfilled vacancies across the NHS, it would be good to see this trend service-wide. NHS England recently said that it has no chance of training enough GPs and practice nurses to solve the staff shortage crisis. Managing and reducing staff absence will therefore be key to meeting the NHS Long Term Plan.
FirstCare's NHS Trust clients have seen significant results within months of working with us and reducing staff absence is just part of the picture. An effective absence management service can deliver a whole host of benefits, boosting workforce morale and nurturing staff wellbeing. This is particularly true in respect of employee mental health. Both our data and nurse-led service can help managers to identify worrying trends, and arrange early intervention. By caring for the carers in this way we can safeguard the future of the NHS.


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'Tis the season: 'Cuffing season' has students looking for winter flings
November 2, 2016
As the weather grows cold, people are beginning to seek warmth and comfort from another person by participating in a dating phenomenon called "cuffing season." Cuffing season typically emerges every November. With cuffing, people choose a person they would like to be "cuffed" to and stay ...
New ways to conquer finals and begin winter break happily
November 19, 2014
Congratulations, all! Nov. 19 marks the one-month countdown until the end of fall semester.On Dec.19, finals week will officially come to an end and one more semester will be etched into the record books.For some students, the semester seemed without end; but for others, the last three months were a blur of te...
Throwback Valentine's Day Playlist
McClatchy Tribune
February 12, 2014
Throwback Valentine's Day PlaylistArtist: Faith HillSong: "The Way You Love Me"Released: 2000Artist: Lauryn HillSong: "Can't Take My Eyes Off Of You"Released: 1998Artist: SelenaSong: "I Could Fall In Love"Released: 1995Artist: Michael JacksonSong: "The Way You Make Me Feel"Released: 1987Artist: Goo...
Golf teams bundle up for winter break
December 5, 2012
After concluding the fall portion of their season, the Sacramento State men's and women's golf teams head into winter break reenergizing and preparing for the remaining meets in the spring. Even though the men's and women's teams do not compete again till February, both still hold practices ev...
Upgrade your morning with these minis
Miguel Lopez and William Miles
December 5, 2012
The egg casserole was invented in 1866 by French-Canadian immigrant Elmire Jolicoeur in Berlin, New Hampshire. Unlike American dishes such as the hamburger and pizza, the egg casserole is a dish that was invented in the U.S and not brought over by immigrants from other countries. Many serve egg casser...
Use eggnog to make festive French toast
December 5, 2012
Winter break is approaching which means we all have more time to sleep, play and make French toast. To add some holiday spirit, let's add eggnog to the mix - I promise you won't regret it. This recipe literally has only four ingredients, takes no more than thirty minutes to make and can feed six ...
A traditional Mexican dessert everyone will enjoy this winter
Miguel Lopez and Miguel Razo
November 28, 2012
Christmas season is in full swing, and many students will be consuming gratuitous amounts of cookies, cakes and pies. While these desserts are great holiday favorites, consuming gingerbread cookies and fruit cake at the end of every family gathering can get quite tiresome. For a great alternative to ...
SLIDESHOW: Plans for the winter after finals
December 16, 2011
Rory Maher asks students how they plan to spend their time now that finals are over. ...


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Our primary focus is on the food manufacturing sector. Skills learnt in this arena are highly transferrable to other industrial markets, such as energy from waste and marine infrastructure such as ports and harbours.
Architecture for industry
Many of our industrial building architecture commissions include offices, canteens and restaurants, warehousing and distribution.
Every commission is different but many follow this sequence:
- Preparation of an early feasibility study to assess project scope, budget and programme which can be used to back up a capital expenditure (Capex) application to a company board or external investors.
- Site finding, site analysis and comparison, and research into utilities availability.
- Building design in sufficient detail to apply for and negotiate planning permissions.
- Preparation of detailed construction drawings to enable competitive tenders to be sought.
- Contract administration of a building contract between client and builder.
Architecture for schools
Away from industrial markets we have developed specialist expertise in meeting the unique architectural needs of education, particularly for schools and colleges within the independent sector.
We deliver architectural consultancy services including fire safety strategy, cost planning and tender documentation for:
- Lecture auditoria
- Classroom and training facilities
- Canteen facilities
- Laboratories
- Libraries
All our education design and consultancy staff are DBS checked in accordance with safeguarding regulations and hold all the necessary certification to work on sites where children are present.
Building Information Modelling
At Arctica we use Building Information Modelling (BIM) to get people and information working together effectively and efficiently through defined processes and technologies. BIM helps us to deliver projects on time and to budget.
We currently work at BIM Level 1 3D which comprises a mixture of 3D CAD for concept work and 2D for drafting of statutory approval documentation and production information. CAD standards are managed to BS 1192:2007 and electronic sharing of data is carried out from a common data environment (CDE). We are currently in the process of moving towards Level 2 accreditation.
For more details on our architectural services call us on 01780 482200.
For more details on our architectural services call us on 01780 482200


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We aspire that all children should be neatly and suitably attired at all times, it helps the children feel ready for learning and gives them a sense of pride in their school.
Dark grey or black trousers or shorts, dark grey or navy skirts white or blue polo-shirt and navy sweatshirt. Sensible black, brown or navy school shoes. Black or grey socks.
PE kit – all children
Black or navy shorts, School PE T-shirt, socks and black plimsolls. Kept in a named bag.
PE kit – Juniors
Outdoor games kit: Black or navy joggers, black or navy sweatshirt, School PE T-shirt and trainers. Kept in separate named bag. Navy hooded sweatshirts with the Hawkesbury school logo can be purchased for games lessons.
Water bottles and book bags are available from the school office. All children must have their book bag and reading book in school every day.
Where to buy
Initially Yours, Unit 4a, Badminton Road Trading Estate, Station Road, Yate, BS37 5HT
On line at www.initiallyyours.co.uk or telephone: 01454 323779


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Smarter Balanced Preliminary Blueprints, Continued
Depth of Knowledge
The Smarter Balanced assessment system relies on the depth of knowledge (DOK) performance levels to aid in creating and scoring ELA and mathematics items.
The CA CCSS "…require high-level cognitive demand, such as requiring students to demonstrate deeper conceptual understanding through the application of content knowledge and skills to new situations and sustained tasks. For each assessment target in ELA and mathematics, the depth(s) of knowledge that the student needs to bring to the item/task has been identified."
—Smarter Balanced General Item Specifications April 2012
The more basic levels of knowledge, such as recall, are assessed with selected-response items, while the deeper levels of knowledge, such as reasoning, are most often assessed with constructed-response items or performance tasks.
Review the DOK Levels.
Explore the Smarter Balanced Assessment Consortium: Preliminary Test Blueprints in greater depth.


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Videothoracoscopic thymectomy for myasthenia gravis: an overview of complications on 387 VATS thymectomies for myasthenia gravis
Video assisted thoracoscopic (VAT) thymectomy operations for the treatment of myasthenia gravis (MG) and thymic malignancies are increasingly preferred (1,2).
Operative and postoperative morbidity, mortality and complete stable remission rates of VAT thymectomy procedures have been shown to be similar to open procedures, even the duration of hospital stay, perioperative blood loss and patient satisfaction parameters have been demonstrated to be superior in VAT thymectomy procedures (1,2). However, these procedures have the potential to cause dangerous intraoperative/postoperative complications. Management strategies should be known to prevent morbidity and mortality (3). In this article, we aimed to evaluate the intraoperative events and early postoperative complications of VAT thymectomy operations in myasthenic patients, in one of the largest single centre experience.
Patients and methods
Four hundred and seventy-two VAT thymectomy operations performed in Department of Thoracic Surgery, at Istanbul University, Istanbul Medical School, between June 2002 and November 2016. Seven patients (1.4%) were converted to open due to various reasons which will be described later in this article, 465 were completed by VAT and from them 387 had myasthenia gravis (MG). Seventy-eight patients were operated on for thymoma, for parathyroid adenoma, for suspected thymic malignancy, for thymic carcinoids and thymic cysts. Patients with MG included in this study in order to evaluate also disease combined complications. The data was recorded prospectively and evaluated retrospectively. In addition to operative and post-operative complications; age, sex, duration of disease, body mass index, prescribed medication, duration of the operation, chest tube duration, length of postoperative hospital stay, and pain score using a visual analogue scale were analysed.
Patients with generalised MG were recommended for thymectomy by the department of neurology. We performed right sided three portal VAT thymectomy which has been defined previously (4).
Of the 472 procedures (403 non thymoma and 69 thymoma patients), 7 patients (1.4%) experienced major perioperative complications and converted to open surgery. After the subtraction of 78 non myasthenic patients, we had a group of 387 patients with MG, VAT thymectomy population included this study (Table 1).
Full table
The mean age was 31.2 years (range, 11–75 years); 285 (73.6%) of the patients were female, and 102 (26.4%) were male. The mean body mass index (BMI) of the patients was 24.6±4.5. Of all of the patients, 2 (0.5%) were Osserman 1, 249 (64.3%) were Osserman 2A, 107 (27.7%) were Osserman 2B and 29 (7.5%) were Osserman 3. Electromyography was positive in 284 (73.5%) patients, acetylcholine receptor antibody test was positive in 244 (63%) patients and the mean QMG was calculated to be 9.7. Three hundred fifty (90.4%) patients were treated with pyridostigmine bromide, with an average dosage of 209±112 mg/day. One hundred ninety five (50.4%) patients also received corticosteroid medication and 135 (34.9%) patients received intravenous immunoglobulin (IVIG) treatment prior to the surgery. The average time between the diagnosis and thymectomy was 28.9±63.7 months (Table 2).
Full table
The average duration of the operation was 49.9±37.3 min (range, 25–180 min). Thirty three (8.8%) patients required a mean of 9.4±12.8 h of mechanical ventilation postoperatively. Twenty-nine (7.5%) patients developed complications. The average duration of drainage was 36.6±24.8 h. The average pain score using a visual analogue scale was 2.8±1.2 (range, 1–7). The average time of discharge was 2.4±1.5 days (range, 1–13 days). The long term histopathological examination was reported as thymoma in 54 (14%) patients in MG group (Table 3).
Full table
VAT thymectomy has been shown to provide better or at least similar long-term outcomes and quality of life compared to open surgery (5). Open surgery and thoracoscopic procedures have been shown to be associated with equivalent long-term symptomatic improvement, in the same study thoracoscopic approach was associated with significantly less blood loss, shorter hospital stay and decreased requirement for postoperative narcotic analgesia (6).
A recent study reported that the thoracoscopic thymectomy is a safe and minimally morbid operation that is successful in improving MG symptoms. VAT thymectomy resulted in a decrease in the amount of medication, length of hospital stay and admission-related hospital expenses, and a reduced or similar operative time compared with that reported for a historical series of open thymectomies (7).
We previously demonstrated that a certain group of VAT thymectomy patients (33.7%) could be discharged the next morning following surgery (8). For this reason, VAT thymectomy could also be considered as a model of fast-track surgery, with early discharge period and short duration of drainage time. However, this operation requires a steep learning curve for surgeons and it is one of the most dangerous operations in unexperienced surgeons' hands. Even experienced surgeons in thymic procedures may face catastrophic complications including; cardiac arrest, aortic and superior vena caval ruptures. VAT thymectomy patients may also develop postoperative complications similar to the other VAT surgery patients such as; there are 7 patients with atelectasis requiring bronchoscopy (1.8%), 6 patients with undrained haemothorax requiring redrainage (1.6%), 4 patients with nosocomial pneumonia (1.0%). One of the best result in our study is only 4 patients developed myasthenic crisis requiring reintubation (1.0%), 3 phrenic paralysis (0.8%)
Another possible problem for many surgeons with a right-sided approach is the possible inadequacy of visualisation of the left phrenic nerve. During a thymectomy, the left phrenic nerve should be seen and dissected meticulously to prevent an injury to the nerve. Especially in patients with high BMI over 35, left phrenic nerve cannot be evaluated safely and may be injured. Surgeons may consider to approach bilaterally in such patients.
VAT thymectomy for treatment of myasthenia gravis is a relative safe procedure but potential dangerous operative and postoperative complications and management strategies should kept in mind to prevent morbidity and mortality.
Conflicts of Interest: The authors have no conflicts of interest to declare.
- Zahid I, Sharif S, Routledge T, et al. Video-assisted thoracoscopic surgery or transsternal thymectomy in the treatment of myasthenia gravis? Interact Cardiovasc Thorac Surg 2011;12:40-6. [Crossref] [PubMed]
- Odaka M, Shibasaki T, Asano H, et al. Feasibility of thoracoscopic thymectomy for treatment of early-stage thymoma. Asian J Endosc Surg 2015;8:439-44. [Crossref] [PubMed]
- Özkan B, Toker A. Catastrophes during video-assisted thoracoscopic thymus surgery for myasthenia gravis. Interact Cardiovasc Thorac Surg 2016;23:450-3. [Crossref] [PubMed]
- Toker A, Tanju S, Ziyade S, et al. Learning curve in videothoracoscopic thymectomy: how many operations and in which situations? Eur J Cardiothorac Surg 2008;34:155-8. [Crossref] [PubMed]
- Bachmann K, Burkhardt D, Schreiter I, et al. Long-term outcome and quality of life after open and thoracoscopic thymectomy for myasthenia gravis: analysis of 131 patients. Surg Endosc 2008;22:2470-7. [Crossref] [PubMed]
- Wagner AJ, Cortes RA, Strober J, et al. Long-term follow-up after thymectomy for myasthenia gravis: thoracoscopic vs open. J Pediatr Surg 2006;41:50-4; discussion 50-4. [Crossref] [PubMed]
- Christison-Lagay E, Dharia B, Vajsar J, et al. Efficacy and safety of thoracoscopic thymectomy in the treatment of juvenile myasthenia gravis. Pediatr Surg Int 2013;29:583-6. [Crossref] [PubMed]
- Toker A, Tanju S, Ziyade S, et al. Early outcomes of video-assisted thoracoscopic resection of thymus in 181 patients with myasthenia gravis: who are the candidates for the next morning discharge? Interact Cardiovasc Thorac Surg 2009;9:995-8. [Crossref] [PubMed]
Cite this article as: Toker A, Özkan B. Videothoracoscopic thymectomy for myasthenia gravis: an overview of complications on 387 VATS thymectomies for myasthenia gravis. Video-assist Thorac Surg 2017;2:19.


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An Ayurvedic Medicine
How to Use: For natural results mix herbal powder with Gulab Jal or Water to make pate. Apply on face let it dry then wash with water
Each Kilogram Contains:
Lemon- 5 gms.
Neem Chhaal- 16 gms.
Tulsi- 23.7 gms.
Santra – 23.8 gms.
Manjeeth- 8 gms.
Arjun- 8 gms.
Lodra- 8 gms.
Gulab- 7.5 gms.
Preservative- 8 gms.
Base- To make 1 kg.


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Recognize Yourself It is hard to know who we are. What is my identity? Who am I? What is my race/ethnicity, sex/gender, social-economic class, and sexual orientation? My name is Kalpana Basnet. I'm 17 years old. I don't even know … Continue reading
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hanende Wireless Receiver Case for iPhone 6/6S
The hanende Wireless Receiver Case is Qi enabled and is compatible with the iPhone 6 and 6S
This product is not Qi certified.
The thickness of the hanende Wireless Receiver Case is not stated by the manufacturers but they claim the design is slimline and lightweight and it appears to hug your phone closely.
Aesthetics and Functionality
This product is black all over and covers your phone with gaps for the phone buttons. There is also a smart hanende logo on the rear of the case. The lightning connector is attached to the bottom of the case and is detachable from your phone so that regular wired charging is possible whilst the case is still on.
The hanende Wireless Receiver Case will provide secure protection for the rear of your phone but the front is still relatively exposed.
Made with hard plastic.
No additional battery.
Value for Money
Great value for money this case will provide you with a very easy way to convert your iPhone 6 into a wireless charging product without setting you back much at all. However, it does lack Qi and MFi certification.
- Output Voltage: DC 5V
- Output Current: 1000mA
- Working Frequency: 110 - 250KHz
- Wireless Receiving Distance: 3 - 7mm
- Wireless Charging Efficiency: 80% (max)
- Net weight: 0.9 oz
- Highest 1000mA (1A) charging rate for wireless charging
- Newest Improved TI Qi Wireless Receiver Module Chip
- Flexible lightning connector allows you to easily use the wire-based charging or data syncing if needed
- Ultra slim light weight hard case without adding bulk
- Compatible with any Qi standard wireless chargers for iPhone
Package includes:
1 x iPhone 6 wireless receiver case only
NOTE -- A Qi wireless charger is required (not included) to charge iPhone wirelessly.
NOTE -- Because this case has the highest 1000mA charging rate, ensure your power source supports 1000mA output for continuous charging.
We Also Recommend
mophie Juice Pack Charge Force Battery Case For Samsung Galaxy S9 and S9+
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BREATHE 5-OL: Tracleer (Bosentan) in Patients With Pulmonary Arterial Hypertension Related to Eisenmenger Physiology
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT00367770
Recruitment Status : Completed
First Posted : August 23, 2006
Results First Posted : August 15, 2016
Last Update Posted : September 22, 2016
- Study Details
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
|Condition or disease
|Pulmonary Arterial Hypertension
|Drug: Tracleer®
|Phase 4
|Study Type :
|Interventional (Clinical Trial)
|Actual Enrollment :
|37 participants
|Intervention Model:
|Single Group Assignment
|None (Open Label)
|Primary Purpose:
|Official Title:
|A Multi-Center, Open-Label Extension Study to Protocol AC-052-405 to Evaluate the Safety and Efficacy of Tracleer (Bosentan) in Patients With Pulmonary Arterial Hypertension Related to Eisenmenger Physiology
|Study Start Date :
|January 2004
|Actual Primary Completion Date :
|December 2005
|Actual Study Completion Date :
|December 2005
Experimental: Tracleer
The starting dose for all patients will be 62.5 mg b.i.d. At the Week 4 visit, patients who were started on 62.5 mg b.i.d. will be uptitrated to 125 mg b.i.d. if the 62.5 mg b.i.d. dose was well-tolerated.
Drug: Tracleer®
Patients will receive up to 125 mg b.i.d. of Tracleer.
- Change in 6-minute Walk Distance [ Time Frame: from baseline to week 24 ]
- Change in Borg Dyspnea Index [ Time Frame: from baseline to week 24 ]Borg scale a numerical scale for assessing dyspnea, from 0 representing no dyspnea to 10 as maximal dyspnea.
- Number of Participants With a Change in WHO Functional Class [ Time Frame: from baseline to week 24 ]
Number of participants with a change in WHO functional class from baseline to week 24.
A change from a higher to a lower functional class (i.e. III to II, III to I or II to I) is considered as an improvement.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|12 Years and older (Child, Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Patients stable with PAH upon completion of the BREATHE-5 randomized, double-blind, placebo- controlled 16-week study.
- For female patients, only non-pregnant women who are surgically sterile, postmenopausal or have documented infertility (over 50 years of age and amenorrheic for at least 1 year), or those of childbearing potential using one of the following methods of contraception: Barrier-type devices (e.g., condom, diaphragm) used ONLY in combination with a spermicide. A double-barrier method is recommended; intrauterine devices (IUDs); oral or implanted contraceptives, if used in combination with a barrier method.
- Patients providing written informed consent.
Exclusion Criteria:
- Patients who withdrew prematurely from BREATHE-5, AC-052-405.
- Patients who are pregnant or nursing.
- Patients who are receiving epoprostenol or prostacyclin analogues, or are expected to receive any of these drugs during the study.
- Patients with AST and/or ALT values greater than 3 times the upper limit of normal.
- Patients with hemoglobin or hematocrit that is more than 30% below the normal range (patients with secondary polycythemia are permitted in the study).
- Patients with systolic blood pressure < 85 mm Hg.
- Patients taking phosphodiesterase inhibitors, other endothelin receptor antagonists or are receiving another investigational product.
- Patients active on organ transplant list.
- Patients who are receiving or expected to receive glyburide, cyclosporin A or tacrolimus.
- Patients not able to comply with the protocol or adhere to therapy.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00367770
|Study Chair:
|Michael Landzberg, MD
|BACH Pulmonary Hypertension Service, Boston, U.S.A.
|Responsible Party:
|ClinicalTrials.gov Identifier:
|Other Study ID Numbers:
|First Posted:
|August 23, 2006 Key Record Dates
|Results First Posted:
|August 15, 2016
|Last Update Posted:
|September 22, 2016
|Last Verified:
|July 2016
|Individual Participant Data (IPD) Sharing Statement:
|Plan to Share IPD:
PAH related to Eisenmenger physiology
Familial Primary Pulmonary Hypertension
Eisenmenger Complex
Vascular Diseases
Cardiovascular Diseases
Hypertension, Pulmonary
Lung Diseases
Respiratory Tract Diseases
Heart Defects, Congenital
Cardiovascular Abnormalities
Heart Diseases
Congenital Abnormalities
Antihypertensive Agents
Endothelin Receptor Antagonists
Molecular Mechanisms of Pharmacological Action


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Whether you need embroidered logos or clothing for work, sports teams, social events of one-off individual garments, come to Frizbee for expert advice, fast turnaround and attention to detail.
Using our expertise, experience and cutting-edge equipment we can embroider on just about anything you want to wear, from simple polo shirts and t-shirts to corporate uniforms, jumpers, fleeces and trousers.
We are experienced in the niche area of embroidering school wear and sports kit.
Our pricing is clear and our set-up fees are up-front, Breast Logo £10, Back Logo £10, Vector your logo £10 all including VAT
Designs can have up to 12 colours, there is no extra charge on number of colours so lets make your design looks its best.