text:
Note: This week, HIN reports live from the Disease Management Congress in Orlando, Florida.
Orlando — Electronic medical records (EMRs) for all Americans may be years away from fruition, but the recent Gulf Coast disasters have moved this issue up on the national agenda. With most medical records destroyed and many of the one million persons displaced by Hurricane Katrina in need of medical care, the Intel Corporation and other companies rapidly fashioned rudimentary EMRs from health claims databases.
Mark Blatt, director of global healthcare strategies, Digital Health Group for Intel, described the process for the 10th annual Disease Management Congress today. ????????????????We quickly scanned claims databases to put something in place. There were many individuals being moved from one rescue center to another without any medical records. Some individuals would receive a tetanus shot at each center. Things were so chaotic the individual did not know which shots they were receiving. After three tetanus shots, some were getting sick.??????????????? The EMRs helped give some order to the process, he said.
Broadband wireless—also known as WiMax— is another technology on the horizon that has been instrumental in improving communications in the aftermath of recent disasters. WiMax can cover areas of up to 35 kilometers (approximately 15 miles), he explained. Communications companies set up WiMax towers during relief efforts on the Gulf Coast and in the recent Indonesia tsunami disaster.
These disasters and the associated loss of medical records have been a wake-up call for both the government and the healthcare industry, Blatt continued. The movement toward a national health information network is accelerating; the federal government just six days ago announced the formation of a committee to develop standards for this effort. With public pressure on, Blatt expects that this network will be viable in the next five or 10 years, if not sooner.
Technological advances are also changing the face of healthcare delivery. We will soon see the use of ????????????????smart tools???????????????—wireless patient monitors, IV pumps, even hospital beds—that can talk to each other and provide a ????????????????closed loop feedback system.??????????????? This technology will change the way a hospital room looks and can be transferred to homes for continued patient monitoring, he said. We may even see these monitoring capabilities as a value-added offering at many hotels, Blatt predicts.
????????????????These tools can get real-time data and process the data into meaningful information for the patient, family and caregivers,??????????????? he said.
Some tools being piloted by Intel to improve quality of care and get and keep patients healthy include the ????????????????presence lamp???????????????—a light that goes on in one home when a friend or relative arrives at another home; ????????????????contextual caller ID??????????????? that provides a caller’s photo, background and even a summary of the last telephone conversation with the caller to aid recall for the elderly and early stage Alzheimers’ patients; and a ????????????????social health solar system,??????????????? a PC-based network to track family members’ contact with elderly parents.
In the face of rising healthcare costs, these monitoring tools are designed to allow the sick and/or elderly patient to remain in their home longer, limiting nursing home stays and the depression that may accompany it, he concluded.
Orlando — With more than 8 million members, Kaiser Permanente has been lauded for raising the bar of excellence in care management. But these days, Paul Wallace, MD, the executive director of Kaiser’s Care Management Institute, is thinking a lot about Kaiser’s own employees and the type of healthcare they receive. Respecting the different perspectives of value of each healthcare stakeholder—patients, providers and payors—and finding common ground is key to improving the overall healthcare experience, he says.
Dr. Wallace offered a three-part strategy for ????????????????Encouraging the Spread of Innovation to Make the Right Thing Easier to Do,??????????????? which formally opened the 10th annual Disease Management Congress. His presentation underscored the theme of this year’s congress, ????????????????Innovation ?????????????????? Driving Change to Achieve Sustainable Outcomes.??????????????? In addition to respecting stakeholders’ definitions of value, Dr. Wallace recommended making the right things easier to do by focusing on service delivery and information technology. ????????????????And if you make something easier to do,??????????????? he said, ????????????????Makesure it is the right thing to do.??????????????? It’s easier to identify the ????????????????right thing??????????????? when you employ evidence-based clinical practices, identify successful practices, and offer member-centered and culturally competent care.
????????????????The patient should be at the center of care, with the patient’s home as the hub,??????????????? he continued. ????????????????We need to make the best use of the patient’s time.??????????????? He called upon providers to re-think traditional physician-patient contact. Instead of scheduling a finite number of 15-minute patient visits each day, he suggested increasing the number of daily ????????????????patient contacts??????????????? by utilizing U.S. mail, email, phone contact, and group visits. ????????????????By thinking outside the box, this might enable a provider to schedule several 45-minute office visits a day for needier patients,??????????????? he said.
The United States needs to move the focus from ????????????????sick care??????????????? to ????????????????health care.??????????????? Employers, too, are in a prime position to improve workers’ health while they are at the office. ????????????????The average patient spends about two hours annually with their doctor, 2,000 hours in the workplace and the rest of the time at home. We are betting everything on this two hours in the healthcare system, when we really need to do more in the workplace.???????????????
DM Outcomes: Is That Your Final Answer?
It was billed as the ????????????????DM Reality Show,??????????????? but was actually an exercise in behavior modification. This entertaining session used technology—web-based surveys and electronic voting tools—to gauge and then sway public opinion. Attendees were asked to electronically respond to questions on disease management—its economic value, future, validity of ROI measurements, and whether improved DM outcomes are due to changes in clinical practices or in patients’ own behavior. As they entered responses on individual electronic keypads to the strains of the Jeopardy theme song, real-time results were displayed on conference screens.
After two industry experts debated the pros and cons of each issue, audience members were asked to vote again. In several cases, the results showed that debaters managed to influence a sizeable percentage of neutral responses. While primarily entertaining in nature, the session afforded a lively discussion of a hot industry topic and left no doubt about the role of IT in the healthcare marketplace.
Orlando — An aging population that is driving healthcare spending to new levels and impacting worker productivity and the gross national product is not a concern unique to the United States. That’s why representatives from nine countries have gathered at the first annual International Disease Management Summit to share strategies for implementing disease management programs worldwide.
????????????????There is lots of confusion around the world between the prevention of disease (wellness), and true disease management,??????????????? said Warren E. Todd, the executive director of the International Disease Management Alliance (IDMA), which is sponsoring the summit. ????????????????But the dual world crisis of chronic disease and obesity is forcing countries around the world to investigate the benefits of disease management.???????????????
Despite the positive impact disease management has had on ROI in the United States, the variety of healthcare programs, differences between physician- and patient-centric programs and the confusion between wellness and disease management worldwide has made many countries resistant to the idea of disease management, he continued.
Four factors that determine a country’s receptiveness to disease management are that country’s political agenda, healthcare market, IT maturity and readiness to accept the concept of disease management, according to Simone Christiane Seiter, MD, of Germany who is leading a CapGemini-sponsored effort to increase awareness of disease management. ????????????????Some regions of a country that are autonomous may be better prepared than the country as a whole,??????????????? she stated.
Based on these factors, the United Kingdom, the Netherlands and Sweden have been designated ????????????????fast movers,??????????????? she said. In England, the National Health Service has launched several pilot initiatives that test the efficacy of pay for performance and quality improvement efforts. ????????????????The results have not been very well publicized, but there has been a lot of work in this area,??????????????? according to Dr. Rick Botelho, who has conducted training for UK-based doctors. Dr. Botelho, a frequent speaker on the effect of behavior modification in disease management, has presented at several Healthcare Intelligence Network-sponsored audio conferences.
Because the European Union has ruled that it is up to individual member countries to regulate healthcare, the idea of a union-wide program is a long way off, said Dr. Seiter. ????????????????But we hope to introduce the idea of a healthcare card that can be used in several countries to access patient healthcare information.???????????????
????????????????There is also the NIH—Not Invented Here—syndrome that exists in Europe,??????????????? contributed one participant. European countries are often skeptical of concepts developed outside their country.
During the daylong summit, which is co-located with the 10th annual Disease Management Congress, participants will share how they have adapted and expanded upon successful DM models to address the unique needs of their countries.
Health coaches appear to be the MVPs of healthcare these days, supporting physicians in management of chronic illnesses and helping selected members devise a self-management plan. It would seem to be a win-win situation all around—healthier members and reduced costs for chronic care.
However, I’ve heard a couple of gripes from the peanut gallery. Two people I know have recently been contacted by health coaches, and neither of them was pleased. One woman barely out of her twenties was identified as a potential candidate for a healthy lifestyles program after her insurance company reviewed her medical records—including her weight. And not too long ago, a family member diagnosed with a chronic condition several years ago received a letter from her health plan’s health coach. The coach said she was now available to answer any questions about this condition, and would contact this relative whenever new information in the treatment of this illness became available.
So far, so good, right? In the younger woman’s case, she was somewhat embarrassed to be contacted about her weight issues, but ultimately agreed to participate in the program. My family member, however, found the contact worrisome. She is proactive about her healthcare and has a great relationship with her doctor, who sees her immediately whenever her condition flares up and monitors her medication intake.
This relative is concerned that the health coach will ultimately become the first line of defense, putting her doctor-patient relationship at risk. She’s fearful that if she establishes a rapport with a coach, her insurance company may one day refuse to cover some of her doctor visits, something she’s not willing to risk. She also believes she is knowledgeable enough about her condition to know that changing her behavior is not going to make her condition go away.
She feels she’s become a name and an illness on a list somewhere, and is being unfairly targeted for her health condition. She is scared and angry and for now has decided to ignore the letters from the health coach. But she’s worried about the future ramifications of this new approach.
I admit I hadn’t really thought about it from this perspective??????????????????how it feels to get a call from the coach. Health coaches are doing a wonderful job of recruiting that 20 percent of the population who generate 80 percent of healthcare costs, often by refusing to adopt healthy lifestyles. You’d think most people would be happy to have an additional line of support. But if the patient is succeeding as a free agent, must we force them to be a team player? I’m interested to hear how coaches—and health plans—are reassuring members about this issue.
Given the desperate conditions in the southeastern part of the country, it is trite to grouse about rising gas prices. Paying $3 to $6 per gallon is painful, but a mere pinch compared to the despair and devastation engulfing our southern neighbors. However, we all feel powerless in the wake of conditions beyond our control. We are chastened as we watch the fallout from Hurricane Katrina, situated as we are less than two miles from the Atlantic Ocean and perhaps a nor’easter away from a similar catastrophe.
Most of us will be moved to contribute financially and maybe even personally to the Hurricane Katrina relief effort. But perhaps there’s a little something more the average person can do in response to this disaster to send a message. Maybe we can leave the gas guzzler (which with current gas prices pretty much includes all makes and models) in the driveway, open our garages and dust off our bikes. Maybe we can turn off the computers and take our children for a walk downtown, to the park or just down the street. Maybe we can skip our daily latte or Friday night pizza and movie for the next month or two and throw the resulting savings in a jar to send to the relief effort.
A by-product of this effort might be just what the doctor ordered—some healthy lifestyle changes. With childhood obesity increasing at alarming rates, it’s the right time for everyone to up their daily exercise quota. Substituting a healthy home-cooked meal for that pizza can’t hurt, either. Perhaps healthcare organizations already offering incentives for healthy lifestyles can up the ante for those motivated to change right now—for example, by making a contribution to the hurricane relief effort in the name of each member who pledges to stop smoking and start walking.
And while we’re modifying our behaviors, we should take a moment to talk with the people in our lives—our children especially—about caring for their neighbors and the importance of knowing right from wrong, even in the most dire circumstances. We never know when disaster—natural or otherwise—is going to strike. Because after the loss of lives, the most devasting effect of Hurricane Katrina is the failure of the human spirit.

tokenized:
Note : This week , HIN reports live from the Disease Management Congress in Orlando , Florida .
 Orlando — Electronic medical records ( EMRs ) for all Americans may be years away from fruition , but the recent Gulf Coast disasters have moved this issue up on the national agenda . With most medical records destroyed and many of the one million persons displaced by Hurricane Katrina in need of medical care , the Intel Corporation and other companies rapidly fashioned rudimentary EMRs from health claims databases .
 Mark Blatt , director of global healthcare strategies , Digital Health Group for Intel , described the process for the 10th annual Disease Management Congress today . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? We quickly scanned claims databases to put something in place . There were many individuals being moved from one rescue center to another without any medical records . Some individuals would receive a tetanus shot at each center . Things were so chaotic the individual did not know which shots they were receiving . After three tetanus shots , some were getting sick . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? The EMRs helped give some order to the process , he said .
 Broadband wireless — also known as WiMax — is another technology on the horizon that has been instrumental in improving communications in the aftermath of recent disasters . WiMax can cover areas of up to 35 kilometers ( approximately 15 miles ) , he explained . Communications companies set up WiMax towers during relief efforts on the Gulf Coast and in the recent Indonesia tsunami disaster .
 These disasters and the associated loss of medical records have been a wake - up call for both the government and the healthcare industry , Blatt continued . The movement toward a national health information network is accelerating ; the federal government just six days ago announced the formation of a committee to develop standards for this effort . With public pressure on , Blatt expects that this network will be viable in the next five or 10 years , if not sooner .
 Technological advances are also changing the face of healthcare delivery . We will soon see the use of ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? smart tools???????????????—wireless patient monitors , IV pumps , even hospital beds — that can talk to each other and provide a ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? closed loop feedback system . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? This technology will change the way a hospital room looks and can be transferred to homes for continued patient monitoring , he said . We may even see these monitoring capabilities as a value - added offering at many hotels , Blatt predicts .
 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? These tools can get real - time data and process the data into meaningful information for the patient , family and caregivers , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? he said .
 Some tools being piloted by Intel to improve quality of care and get and keep patients healthy include the ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? presence lamp???????????????—a light that goes on in one home when a friend or relative arrives at another home ; ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? contextual caller ID ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? that provides a caller ’s photo , background and even a summary of the last telephone conversation with the caller to aid recall for the elderly and early stage Alzheimers ’ patients ; and a ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? social health solar system , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? a PC - based network to track family members ’ contact with elderly parents .
 In the face of rising healthcare costs , these monitoring tools are designed to allow the sick and/or elderly patient to remain in their home longer , limiting nursing home stays and the depression that may accompany it , he concluded .
 Orlando — With more than 8 million members , Kaiser Permanente has been lauded for raising the bar of excellence in care management . But these days , Paul Wallace , MD , the executive director of Kaiser ’s Care Management Institute , is thinking a lot about Kaiser ’s own employees and the type of healthcare they receive . Respecting the different perspectives of value of each healthcare stakeholder — patients , providers and payors — and finding common ground is key to improving the overall healthcare experience , he says .
 Dr. Wallace offered a three - part strategy for ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Encouraging the Spread of Innovation to Make the Right Thing Easier to Do , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? which formally opened the 10th annual Disease Management Congress . His presentation underscored the theme of this year ’s congress , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Innovation ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Driving Change to Achieve Sustainable Outcomes . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? In addition to respecting stakeholders ’ definitions of value , Dr. Wallace recommended making the right things easier to do by focusing on service delivery and information technology . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? And if you make something easier to do , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? he said , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Makesure it is the right thing to do . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? It ’s easier to identify the ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? right thing ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? when you employ evidence - based clinical practices , identify successful practices , and offer member - centered and culturally competent care .
 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? The patient should be at the center of care , with the patient ’s home as the hub , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? he continued . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? We need to make the best use of the patient ’s time . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? He called upon providers to re - think traditional physician - patient contact . Instead of scheduling a finite number of 15 - minute patient visits each day , he suggested increasing the number of daily ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? patient contacts ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? by utilizing U.S. mail , email , phone contact , and group visits . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? By thinking outside the box , this might enable a provider to schedule several 45 - minute office visits a day for needier patients , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? he said .
 The United States needs to move the focus from ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? sick care ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? to ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? health care . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Employers , too , are in a prime position to improve workers ’ health while they are at the office . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? The average patient spends about two hours annually with their doctor , 2,000 hours in the workplace and the rest of the time at home . We are betting everything on this two hours in the healthcare system , when we really need to do more in the workplace . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?
 DM Outcomes : Is That Your Final Answer ?
 It was billed as the ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? DM Reality Show , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? but was actually an exercise in behavior modification . This entertaining session used technology — web - based surveys and electronic voting tools — to gauge and then sway public opinion . Attendees were asked to electronically respond to questions on disease management — its economic value , future , validity of ROI measurements , and whether improved DM outcomes are due to changes in clinical practices or in patients ’ own behavior . As they entered responses on individual electronic keypads to the strains of the Jeopardy theme song , real - time results were displayed on conference screens .
 After two industry experts debated the pros and cons of each issue , audience members were asked to vote again . In several cases , the results showed that debaters managed to influence a sizeable percentage of neutral responses . While primarily entertaining in nature , the session afforded a lively discussion of a hot industry topic and left no doubt about the role of IT in the healthcare marketplace .
 Orlando — An aging population that is driving healthcare spending to new levels and impacting worker productivity and the gross national product is not a concern unique to the United States . That ’s why representatives from nine countries have gathered at the first annual International Disease Management Summit to share strategies for implementing disease management programs worldwide .
 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? There is lots of confusion around the world between the prevention of disease ( wellness ) , and true disease management , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? said Warren E. Todd , the executive director of the International Disease Management Alliance ( IDMA ) , which is sponsoring the summit . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? But the dual world crisis of chronic disease and obesity is forcing countries around the world to investigate the benefits of disease management . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?
 Despite the positive impact disease management has had on ROI in the United States , the variety of healthcare programs , differences between physician- and patient - centric programs and the confusion between wellness and disease management worldwide has made many countries resistant to the idea of disease management , he continued .
 Four factors that determine a country ’s receptiveness to disease management are that country ’s political agenda , healthcare market , IT maturity and readiness to accept the concept of disease management , according to Simone Christiane Seiter , MD , of Germany who is leading a CapGemini - sponsored effort to increase awareness of disease management . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Some regions of a country that are autonomous may be better prepared than the country as a whole , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? she stated .
 Based on these factors , the United Kingdom , the Netherlands and Sweden have been designated ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? fast movers , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? she said . In England , the National Health Service has launched several pilot initiatives that test the efficacy of pay for performance and quality improvement efforts . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? The results have not been very well publicized , but there has been a lot of work in this area , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? according to Dr. Rick Botelho , who has conducted training for UK - based doctors . Dr. Botelho , a frequent speaker on the effect of behavior modification in disease management , has presented at several Healthcare Intelligence Network - sponsored audio conferences .
 Because the European Union has ruled that it is up to individual member countries to regulate healthcare , the idea of a union - wide program is a long way off , said Dr. Seiter . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? But we hope to introduce the idea of a healthcare card that can be used in several countries to access patient healthcare information . ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?
 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? There is also the NIH — Not Invented Here — syndrome that exists in Europe , ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? contributed one participant . European countries are often skeptical of concepts developed outside their country .
 During the daylong summit , which is co - located with the 10th annual Disease Management Congress , participants will share how they have adapted and expanded upon successful DM models to address the unique needs of their countries .
 Health coaches appear to be the MVPs of healthcare these days , supporting physicians in management of chronic illnesses and helping selected members devise a self - management plan . It would seem to be a win - win situation all around — healthier members and reduced costs for chronic care .
 However , I ’ve heard a couple of gripes from the peanut gallery . Two people I know have recently been contacted by health coaches , and neither of them was pleased . One woman barely out of her twenties was identified as a potential candidate for a healthy lifestyles program after her insurance company reviewed her medical records — including her weight . And not too long ago , a family member diagnosed with a chronic condition several years ago received a letter from her health plan ’s health coach . The coach said she was now available to answer any questions about this condition , and would contact this relative whenever new information in the treatment of this illness became available .
 So far , so good , right ? In the younger woman ’s case , she was somewhat embarrassed to be contacted about her weight issues , but ultimately agreed to participate in the program . My family member , however , found the contact worrisome . She is proactive about her healthcare and has a great relationship with her doctor , who sees her immediately whenever her condition flares up and monitors her medication intake .
 This relative is concerned that the health coach will ultimately become the first line of defense , putting her doctor - patient relationship at risk . She ’s fearful that if she establishes a rapport with a coach , her insurance company may one day refuse to cover some of her doctor visits , something she ’s not willing to risk . She also believes she is knowledgeable enough about her condition to know that changing her behavior is not going to make her condition go away .
 She feels she ’s become a name and an illness on a list somewhere , and is being unfairly targeted for her health condition . She is scared and angry and for now has decided to ignore the letters from the health coach . But she ’s worried about the future ramifications of this new approach .
 I admit I had n’t really thought about it from this perspective??????????????????how it feels to get a call from the coach . Health coaches are doing a wonderful job of recruiting that 20 percent of the population who generate 80 percent of healthcare costs , often by refusing to adopt healthy lifestyles . You ’d think most people would be happy to have an additional line of support . But if the patient is succeeding as a free agent , must we force them to be a team player ? I ’m interested to hear how coaches — and health plans — are reassuring members about this issue .
 Given the desperate conditions in the southeastern part of the country , it is trite to grouse about rising gas prices . Paying $ 3 to $ 6 per gallon is painful , but a mere pinch compared to the despair and devastation engulfing our southern neighbors . However , we all feel powerless in the wake of conditions beyond our control . We are chastened as we watch the fallout from Hurricane Katrina , situated as we are less than two miles from the Atlantic Ocean and perhaps a nor’easter away from a similar catastrophe .
 Most of us will be moved to contribute financially and maybe even personally to the Hurricane Katrina relief effort . But perhaps there ’s a little something more the average person can do in response to this disaster to send a message . Maybe we can leave the gas guzzler ( which with current gas prices pretty much includes all makes and models ) in the driveway , open our garages and dust off our bikes . Maybe we can turn off the computers and take our children for a walk downtown , to the park or just down the street . Maybe we can skip our daily latte or Friday night pizza and movie for the next month or two and throw the resulting savings in a jar to send to the relief effort .
 A by - product of this effort might be just what the doctor ordered — some healthy lifestyle changes . With childhood obesity increasing at alarming rates , it ’s the right time for everyone to up their daily exercise quota . Substituting a healthy home - cooked meal for that pizza ca n’t hurt , either . Perhaps healthcare organizations already offering incentives for healthy lifestyles can up the ante for those motivated to change right now — for example , by making a contribution to the hurricane relief effort in the name of each member who pledges to stop smoking and start walking .
 And while we ’re modifying our behaviors , we should take a moment to talk with the people in our lives — our children especially — about caring for their neighbors and the importance of knowing right from wrong , even in the most dire circumstances . We never know when disaster — natural or otherwise — is going to strike . Because after the loss of lives , the most devasting effect of Hurricane Katrina is the failure of the human spirit .


text:
BAODS - What does BAODS Stand For?
What does BAODS Stand For?
For BAODS we have found 3 definitions.
What does BAODS mean? We know 3 definitions for BAODS abbreviation or acronym in 1 categories. Possible BAODS meaning as an acronym, abbreviation, shorthand or slang term vary from category to category. Please look for them carefully.

tokenized:
BAODS - What does BAODS Stand For ?
 What does BAODS Stand For ?
 For BAODS we have found 3 definitions .
 What does BAODS mean ? We know 3 definitions for BAODS abbreviation or acronym in 1 categories . Possible BAODS meaning as an acronym , abbreviation , shorthand or slang term vary from category to category . Please look for them carefully .


text:
A set of six coasters that represent what is unique about the state of Oregon!
Our coasters will add a touch of style to any room in your home, office, or wherever you decide to put them! They are the perfect balance between form and function. More than just a pretty picture, they work great too! A wet glass will never leave a permanent ring, nor will they stick to the bottom of your glass! They clean very easily with a dry or damp cloth, plus the face can be rinsed under running water, just no dishwasher please.
Images are professionally printed on a state of the art, self adhesive photo material which creates a permanent bond when applied to the tile. As an additional layer of protection, a matte laminate is applied to the surface. This ensures the coasters stay water, scratch, stain, and heat resistant. We also take the time to round the corners of the images for a professional look and feel!
Every tile we use is produced by a LEED certified, green company that believes in earth-friendly sustainability. Each tile is hand filed to remove any rough edges, then is backed with black eco-foam to safeguard against any surface abrasions and/or sliding. Each coaster measures 4 1/4 inches square, perfect for just about any size drink container you can imagine.
They have been reviewed by the Bees Go Buzz blog!
Thank you for shopping House of Six Cats!
You can check out everything that we have to offer by going to www.etsy.com/houseofsixcats.
Beautiful coaster set, thank you!

tokenized:
A set of six coasters that represent what is unique about the state of Oregon !
 Our coasters will add a touch of style to any room in your home , office , or wherever you decide to put them ! They are the perfect balance between form and function . More than just a pretty picture , they work great too ! A wet glass will never leave a permanent ring , nor will they stick to the bottom of your glass ! They clean very easily with a dry or damp cloth , plus the face can be rinsed under running water , just no dishwasher please .
 Images are professionally printed on a state of the art , self adhesive photo material which creates a permanent bond when applied to the tile . As an additional layer of protection , a matte laminate is applied to the surface . This ensures the coasters stay water , scratch , stain , and heat resistant . We also take the time to round the corners of the images for a professional look and feel !
 Every tile we use is produced by a LEED certified , green company that believes in earth - friendly sustainability . Each tile is hand filed to remove any rough edges , then is backed with black eco - foam to safeguard against any surface abrasions and/or sliding . Each coaster measures 4 1/4 inches square , perfect for just about any size drink container you can imagine .
 They have been reviewed by the Bees Go Buzz blog !
 Thank you for shopping House of Six Cats !
 You can check out everything that we have to offer by going to www.etsy.com/houseofsixcats .
 Beautiful coaster set , thank you !


text:
Kit includes free pattern from Penny Rose Fabrics(can also be downloaded from website), 1/4 yard of each of 6 shown print fabrics, 3/4 yard of cream background fabric, 1/2 yard brown for border, 1/3 yard pattern floral brown for binding.
Wall hanging picture shown is a sample, not of actual wall hanging. The actual fabric included in kit is shown in side pictures.

tokenized:
Kit includes free pattern from Penny Rose Fabrics(can also be downloaded from website ) , 1/4 yard of each of 6 shown print fabrics , 3/4 yard of cream background fabric , 1/2 yard brown for border , 1/3 yard pattern floral brown for binding .
 Wall hanging picture shown is a sample , not of actual wall hanging . The actual fabric included in kit is shown in side pictures .


text:
The new RTS Environmental Classification system (RTS GLT) is designed for parties who are commissioning construction projects and who want to build in an environmentally responsible manner. The environmental classification system was developed for Finland, and it takes into account Finnish conditions, legislation and the diversity of the country’s building stock. The RTS environmental classification is based on European standards (CEN TC 350 standards) and it brings together the common best practices in the sector in Finland, such as the Finnish Classification of Indoor Environment, the M1 classification, building life cycle indicators, Kuivaketju10, and the Green Factor tool.
The set of criteria used in the RTS environmental classification (RTS GLT) is applicable to new construction and comprehensive renovation projects, as well as to changes of usage. The set of criteria and the required verification documents can be used to steer projects of different sizes and types, such as school and nursery buildings, residential buildings, office and commercial buildings, and accommodation buildings.
The decision on whether to apply for an environmental classification is taken in conjunction with the purchase of the RT environmental tool. Projects with environmental classifications use the environmental classification symbol. The purpose of the symbol is to communicate the fact that an independent third party has inspected the project and the project meets the requirements. The symbol shows the environmental classification that was granted, from 1 to 5 stars. When a project has been certified, the project details and classification are shown on the map on this website.

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The new RTS Environmental Classification system ( RTS GLT ) is designed for parties who are commissioning construction projects and who want to build in an environmentally responsible manner . The environmental classification system was developed for Finland , and it takes into account Finnish conditions , legislation and the diversity of the country ’s building stock . The RTS environmental classification is based on European standards ( CEN TC 350 standards ) and it brings together the common best practices in the sector in Finland , such as the Finnish Classification of Indoor Environment , the M1 classification , building life cycle indicators , Kuivaketju10 , and the Green Factor tool .
 The set of criteria used in the RTS environmental classification ( RTS GLT ) is applicable to new construction and comprehensive renovation projects , as well as to changes of usage . The set of criteria and the required verification documents can be used to steer projects of different sizes and types , such as school and nursery buildings , residential buildings , office and commercial buildings , and accommodation buildings .
 The decision on whether to apply for an environmental classification is taken in conjunction with the purchase of the RT environmental tool . Projects with environmental classifications use the environmental classification symbol . The purpose of the symbol is to communicate the fact that an independent third party has inspected the project and the project meets the requirements . The symbol shows the environmental classification that was granted , from 1 to 5 stars . When a project has been certified , the project details and classification are shown on the map on this website .


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Budget Billing is an excellent option for those on fixed incomes or those wanting to budget their monthly expenses. By utilizing Budget Billing, you will pay a fixed amount each month. The amount will be determined by taking an average of your previous 12 months’ bills.
Please call SMPA Billing Services at 970-864-7311 to set up your Budget Billing account.

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Budget Billing is an excellent option for those on fixed incomes or those wanting to budget their monthly expenses . By utilizing Budget Billing , you will pay a fixed amount each month . The amount will be determined by taking an average of your previous 12 months ’ bills .
 Please call SMPA Billing Services at 970 - 864 - 7311 to set up your Budget Billing account .


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❶There were athletes recruited from various branches.
Resisting the urge to eat can be difficult, especially when a person is following a new diet or trying to cut out certain foods. Carbohydrates and sugars can be particularly hard to resist because they release serotonin in the brain.
However, several strategies can help to stop cravings. Many people struggle with falling asleep. The time it takes to fall asleep varies from person-to-person, but there are several things that people can try to make themselves fall asleep faster. Tips to fall asleep naturally include exercise and avoiding caffeine around bedtime. Learn more about ways to fall asleep here. Knowledge Center What are the most healthful nuts you can eat? Seven exercises for shoulder arthritis.
What carbs should you avoid? What to eat before a workout to lose weight and build muscle. How do you kill food cravings? How can I get to sleep easily? How to manage morning stiffness with rheumatoid arthritis. Best exercises for rheumatoid arthritis pain. All you need to know about hip flexor strain Jammed finger vs.
What to know How long does it take for a smashed finger to heal? What is abnormal gait? Knowledge Center Detailed articles about specific areas of medicine, conditions, nutrition, and forms of treatment. Visit now Or choose a specific subject below. Subscribe Your privacy is important to us. Your Research Data Share your research data Visualize your data. Publishing your article with us has many benefits, such as having access to a personal dashboard: This free service is available to anyone who has published and whose publication is in Scopus.
Researcher Academy Author Services Try out personalized alert features. Recent Sport Management Review Articles. Recently published articles from Sport Management Review.
Market disruption as a regime for athlete activism: An economic analysis of college football player protests Available online 7 September Governing bodies of sport as knowledge brokers in Sport-for-All communities of practice Available online 5 September Experiences of trans persons in physical activity and sport: A qualitative meta-synthesis Available online 27 August Does your left hand know what your right hand is doing?
Do influxes of atypical labor make sport event workers prone to exploitation? Available online 7 August A typology of cause-related marketing approaches in European professional basketball August Conceptualization, scale development and validation August The meaning of team in team identification August The process toward commitment to running—The role of different motives, involvement, and coaching August NCAA football television viewership: Product quality and consumer preference relative to market expectations August The force of the national rhetorical arena: Voices in tune against a disrespectful foreign sponsor August An exploration of female activewear consumption August Power, performance, and expectations in the dismissal of NBA coaches: A survival analysis study August Previous Division II scholarship has also focused on burnout, compliance, gambling, risk management, sports information work-family conflict and student-athlete development.
This research examined what resources were allocated towards marketing within Division II athletic departments to foster publicity efforts, revenue generation and community relations. It also examined which sports are prioritized as well as the preferred inventory for sponsors given that the Division II athletic programs are traditionally not afforded the same media opportunities as their Division I counterparts. Collected data was analyzed along with qualitative responses.
The findings and recommendations are valuable to Division II athletic directors, administrators, presidents and conference commissioners to help discern best practices as well as those in academia to afford them a focused Division II perspective given the emphasis continuously placed on Division I sports marketing operations.
Wilmington NC, schroederl uncw. She is a licensed and certified athletic trainer and is also an alumnus of the United States Sports Academy. These licensed, highly qualified, multi-skilled healthcare professionals provide essential medical care, emergency response, and advocacy for athletes in a myriad of sport settings. Their services are crucial to athlete health. Evidence suggests that a majority of athletic training students are drawn to the field because of its links to sports, yet public misconceptions about and a lack of respect for the field have been identified as factors keeping potential students from pursuing the profession.
In order to provide a clear picture of how the profession is portrayed in on screen, a content analysis approach was employed in the examination of 20 of the most popular sport-themed films of the last 60 years. While a number of themes emerged, overall findings suggest that athletic trainers and the profession of athletic training were narrowly depicted on screen in turn perpetuating misconceptions, and inaccurate and outdated stereotypes about the profession, and minimizing the importance of athletic trainers in a sport setting.
ABSTRACT The aim of this study was to investigate the influence of coach and athlete gender on perceptions of a coach through the use of a novel video-based method. Each video featuring different gender combinations of the coach and athlete. Participants rated the coach on perceived relationship quality and perceived empathy.
Journal of Sports Science and Medicine (JSSM) is a non-profit scientific electronic journal, publishing research,review articles case studies fields exercise sciences. section, abstracts international national congresses, panel meetings, conferences symposia, function discussion.
Science of sports. Read the latest scientific research on sports, including performance enhancement through feedback systems, effect of various drugs and more.
Journal of the International Society of Sports Nutrition (JISSN) is the official journal of The International Society of Sports Nutrition (ISSN). Members of the Society will receive a 25% discount on the article-processing charge for articles they publish in JISSN. Please request the discount code by contacting the journal. (1) Dr. Ender SENEL is a research assistant in Physical Education and Sport Teacher Education Department at the Mugla Sitki Kocman University, studying teaching and learning approaches in physical education and sport.
As the leading link in sports psychology between practitioners, educators, and the sports community, we connect competent professionals with their prospective audience through publishing and professional marketing services. All articles, products, and programs are copyrighted to their respective owners, authors, or Mental Edge Athletics. Sports medicine bridges the gap between science and practice in the promotion of exercise and health, and in the scientific assessment, study and understanding of sports .

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❶There were athletes recruited from various branches .
 Resisting the urge to eat can be difficult , especially when a person is following a new diet or trying to cut out certain foods . Carbohydrates and sugars can be particularly hard to resist because they release serotonin in the brain .
 However , several strategies can help to stop cravings . Many people struggle with falling asleep . The time it takes to fall asleep varies from person - to - person , but there are several things that people can try to make themselves fall asleep faster . Tips to fall asleep naturally include exercise and avoiding caffeine around bedtime . Learn more about ways to fall asleep here . Knowledge Center What are the most healthful nuts you can eat ? Seven exercises for shoulder arthritis .
 What carbs should you avoid ? What to eat before a workout to lose weight and build muscle . How do you kill food cravings ? How can I get to sleep easily ? How to manage morning stiffness with rheumatoid arthritis . Best exercises for rheumatoid arthritis pain . All you need to know about hip flexor strain Jammed finger vs.
 What to know How long does it take for a smashed finger to heal ? What is abnormal gait ? Knowledge Center Detailed articles about specific areas of medicine , conditions , nutrition , and forms of treatment . Visit now Or choose a specific subject below . Subscribe Your privacy is important to us . Your Research Data Share your research data Visualize your data . Publishing your article with us has many benefits , such as having access to a personal dashboard : This free service is available to anyone who has published and whose publication is in Scopus .
 Researcher Academy Author Services Try out personalized alert features . Recent Sport Management Review Articles . Recently published articles from Sport Management Review .
 Market disruption as a regime for athlete activism : An economic analysis of college football player protests Available online 7 September Governing bodies of sport as knowledge brokers in Sport - for - All communities of practice Available online 5 September Experiences of trans persons in physical activity and sport : A qualitative meta - synthesis Available online 27 August Does your left hand know what your right hand is doing ?
 Do influxes of atypical labor make sport event workers prone to exploitation ? Available online 7 August A typology of cause - related marketing approaches in European professional basketball August Conceptualization , scale development and validation August The meaning of team in team identification August The process toward commitment to running — The role of different motives , involvement , and coaching August NCAA football television viewership : Product quality and consumer preference relative to market expectations August The force of the national rhetorical arena : Voices in tune against a disrespectful foreign sponsor August An exploration of female activewear consumption August Power , performance , and expectations in the dismissal of NBA coaches : A survival analysis study August Previous Division II scholarship has also focused on burnout , compliance , gambling , risk management , sports information work - family conflict and student - athlete development .
 This research examined what resources were allocated towards marketing within Division II athletic departments to foster publicity efforts , revenue generation and community relations . It also examined which sports are prioritized as well as the preferred inventory for sponsors given that the Division II athletic programs are traditionally not afforded the same media opportunities as their Division I counterparts . Collected data was analyzed along with qualitative responses .
 The findings and recommendations are valuable to Division II athletic directors , administrators , presidents and conference commissioners to help discern best practices as well as those in academia to afford them a focused Division II perspective given the emphasis continuously placed on Division I sports marketing operations .
 Wilmington NC , schroederl uncw . She is a licensed and certified athletic trainer and is also an alumnus of the United States Sports Academy . These licensed , highly qualified , multi - skilled healthcare professionals provide essential medical care , emergency response , and advocacy for athletes in a myriad of sport settings . Their services are crucial to athlete health . Evidence suggests that a majority of athletic training students are drawn to the field because of its links to sports , yet public misconceptions about and a lack of respect for the field have been identified as factors keeping potential students from pursuing the profession .
 In order to provide a clear picture of how the profession is portrayed in on screen , a content analysis approach was employed in the examination of 20 of the most popular sport - themed films of the last 60 years . While a number of themes emerged , overall findings suggest that athletic trainers and the profession of athletic training were narrowly depicted on screen in turn perpetuating misconceptions , and inaccurate and outdated stereotypes about the profession , and minimizing the importance of athletic trainers in a sport setting .
 ABSTRACT The aim of this study was to investigate the influence of coach and athlete gender on perceptions of a coach through the use of a novel video - based method . Each video featuring different gender combinations of the coach and athlete . Participants rated the coach on perceived relationship quality and perceived empathy .
 Journal of Sports Science and Medicine ( JSSM ) is a non - profit scientific electronic journal , publishing research , review articles case studies fields exercise sciences . section , abstracts international national congresses , panel meetings , conferences symposia , function discussion .
 Science of sports . Read the latest scientific research on sports , including performance enhancement through feedback systems , effect of various drugs and more .
 Journal of the International Society of Sports Nutrition ( JISSN ) is the official journal of The International Society of Sports Nutrition ( ISSN ) . Members of the Society will receive a 25 % discount on the article - processing charge for articles they publish in JISSN . Please request the discount code by contacting the journal . ( 1 ) Dr. Ender SENEL is a research assistant in Physical Education and Sport Teacher Education Department at the Mugla Sitki Kocman University , studying teaching and learning approaches in physical education and sport .
 As the leading link in sports psychology between practitioners , educators , and the sports community , we connect competent professionals with their prospective audience through publishing and professional marketing services . All articles , products , and programs are copyrighted to their respective owners , authors , or Mental Edge Athletics . Sports medicine bridges the gap between science and practice in the promotion of exercise and health , and in the scientific assessment , study and understanding of sports .


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HOW CAN MY ORGANIZATION BENEFIT FROM 3RD PARTY ADVISORS?
ICM's Third-party Advisors have a natural ability to see the project as the "sum of all project parts." This means that sometimes the quickest and easiest solution for problems, is not always the best move to see the project finished without delays. Our 3rd party advisors have experience in mining, power plants, refineries, paper mills, process plants and chemical plants. We're here to help document every phase of the construction process as it happens.
Some of the more critical phases of a project is before the contract is even awarded. Often times, the EPC Engineering company is under pressure to get a project out for bid, and they miss critical elements of project. These problems may lead to liquidated damages, due to lengthly lead times for specialty or hard to procure parts and labor constraints. This critical step in the process can become the cause of substantial delays in project deadlines, and create a less than desirable outcome for the owner, EPC and contractors involved.
We have you covered. Industrial Code Management's team realizes the best time to fix a problem is to catch it very early on. We'll be a part of your overall project walk down and pre-bid planning and discussions, to minimize or eliminate costly T&M charges on the project.
Our third party management team will determine the most likely cause for project delays, and document these events as the occur on a daily basis. ICM has sound professional advice based on capital expenditures, timeline, available materials and labor force. This advice will aid your managers in making the best decision.
WHY IS CHOOSING ICM ADVISORS, THE BEST DECISION?
ICM advisors are constantly documenting events in the field. We understand your company has a ton of paperwork to keep track of, invoices, lead-times, procurement, logistics, immediate production concerns, etc. It is really tough to have a great global view of the project, maintain production goals, and keep costs down.
Too much action too fast, can create a hole in your production schedule. Moderation with a complete 360 project vision, is the best way to handle a changing environment and maintaining overall consistency. This helps keep employees safe, having a positive attitude, well rested and fit for duty.

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HOW CAN MY ORGANIZATION BENEFIT FROM 3RD PARTY ADVISORS ?
 ICM 's Third - party Advisors have a natural ability to see the project as the " sum of all project parts . " This means that sometimes the quickest and easiest solution for problems , is not always the best move to see the project finished without delays . Our 3rd party advisors have experience in mining , power plants , refineries , paper mills , process plants and chemical plants . We 're here to help document every phase of the construction process as it happens .
 Some of the more critical phases of a project is before the contract is even awarded . Often times , the EPC Engineering company is under pressure to get a project out for bid , and they miss critical elements of project . These problems may lead to liquidated damages , due to lengthly lead times for specialty or hard to procure parts and labor constraints . This critical step in the process can become the cause of substantial delays in project deadlines , and create a less than desirable outcome for the owner , EPC and contractors involved .
 We have you covered . Industrial Code Management 's team realizes the best time to fix a problem is to catch it very early on . We 'll be a part of your overall project walk down and pre - bid planning and discussions , to minimize or eliminate costly T&M charges on the project .
 Our third party management team will determine the most likely cause for project delays , and document these events as the occur on a daily basis . ICM has sound professional advice based on capital expenditures , timeline , available materials and labor force . This advice will aid your managers in making the best decision .
 WHY IS CHOOSING ICM ADVISORS , THE BEST DECISION ?
 ICM advisors are constantly documenting events in the field . We understand your company has a ton of paperwork to keep track of , invoices , lead - times , procurement , logistics , immediate production concerns , etc . It is really tough to have a great global view of the project , maintain production goals , and keep costs down .
 Too much action too fast , can create a hole in your production schedule . Moderation with a complete 360 project vision , is the best way to handle a changing environment and maintaining overall consistency . This helps keep employees safe , having a positive attitude , well rested and fit for duty .


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DCI Resources (The Learning Academy) is an IT Training & Education and Public Testing Center where individuals will learn new skills, upgrade to new technologies and earn certifications to enhance their careers. Certification titles include (MOS) Microsoft Office Specialist®, Internet and Computing Core Certification®, CompTIA (series): A+, Network+, Security+, etc..., Cisco (series): CCNA, CCENT, etc.., (MTA) Microsoft Technology Associate®, (IC3 GS 5) Internet Core Competency Certification, HP Accredited Technical Associate®, Adobe Certified Associate®, Autodesk Certified User®, QuickBooks Certified User®. Through (NRF) National Retail Federation, we also offer Certification in Fundamental / Advanced Customer Service & Sales.
Exam vouchers are available onsite or through our website. $40 proctoring fee (per exam) will be assessed for outside exam voucher purchases. Exam re-takes will require an additional $40 proctor fee. Please call ahead to schedule an appointment. Photo ID required for all scheduled exams.
We provide career development, exam preparation, certification and licensure testing, group training for businesses, and one-on-one training for individuals pre-approved through supplemental funding source, i.e., corporate account, Department of Labor. DCI Resources (The Learning Academy) is a leader in the certification testing industry. We provide onsite testing for computer based certification, Pre-employment assessments, and professional licensure exams.
Certifications are a great way to break into a new technology, cover gaps in your resume or advance your current position. The best people in the IT business are the ones who are passionate about learning and that is a key to being successful. Technology is evolving at a pace that is difficult to keep up with. As the environment moves forward and changes so must you. Regular education is a must whether it’s back to college, buying a book or getting a certification.
Note: DCI Resources (The Learning Academy) offers training & education that is totally contractual. Our participants are provided and vetted directly through private entities, including CTDOL’s workforce development board partners, on a contractual basis.
The testing center hours are Monday through Friday from 10:00am to 7:00pm and Saturday by appointment only.

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DCI Resources ( The Learning Academy ) is an IT Training & Education and Public Testing Center where individuals will learn new skills , upgrade to new technologies and earn certifications to enhance their careers . Certification titles include ( MOS ) Microsoft Office Specialist ® , Internet and Computing Core Certification ® , CompTIA ( series ): A+ , Network+ , Security+ , etc ... , Cisco ( series ): CCNA , CCENT , etc .. , ( MTA ) Microsoft Technology Associate ® , ( IC3 GS 5 ) Internet Core Competency Certification , HP Accredited Technical Associate ® , Adobe Certified Associate ® , Autodesk Certified User ® , QuickBooks Certified User ® . Through ( NRF ) National Retail Federation , we also offer Certification in Fundamental / Advanced Customer Service & Sales .
 Exam vouchers are available onsite or through our website . $ 40 proctoring fee ( per exam ) will be assessed for outside exam voucher purchases . Exam re - takes will require an additional $ 40 proctor fee . Please call ahead to schedule an appointment . Photo ID required for all scheduled exams .
 We provide career development , exam preparation , certification and licensure testing , group training for businesses , and one - on - one training for individuals pre - approved through supplemental funding source , i.e. , corporate account , Department of Labor . DCI Resources ( The Learning Academy ) is a leader in the certification testing industry . We provide onsite testing for computer based certification , Pre - employment assessments , and professional licensure exams .
 Certifications are a great way to break into a new technology , cover gaps in your resume or advance your current position . The best people in the IT business are the ones who are passionate about learning and that is a key to being successful . Technology is evolving at a pace that is difficult to keep up with . As the environment moves forward and changes so must you . Regular education is a must whether it ’s back to college , buying a book or getting a certification .
 Note : DCI Resources ( The Learning Academy ) offers training & education that is totally contractual . Our participants are provided and vetted directly through private entities , including CTDOL ’s workforce development board partners , on a contractual basis .
 The testing center hours are Monday through Friday from 10:00am to 7:00pm and Saturday by appointment only .


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This project explores how technology could be used to enable children with Autistic Spectrum Conditions to play, explore and express their emotions and feelings. Touch*Play is a device that can record sound by pushing a button. The only way to playback the recorded sound is to touch another person, requiring cooperation and interaction with other people.
In collaboration with Lingjing Yin.

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This project explores how technology could be used to enable children with Autistic Spectrum Conditions to play , explore and express their emotions and feelings . Touch*Play is a device that can record sound by pushing a button . The only way to playback the recorded sound is to touch another person , requiring cooperation and interaction with other people .
 In collaboration with Lingjing Yin .


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HELP! Is this duckling dead?
Discussion in 'Ducks' started by PearlTheDuck, Jun 22, 2018.
My duck Millie went broody and I’ve had the absolute worst luck, around 30 eggs have either died or broke, there was one left and it internally pipped this morning, I could hear it scraping around inside, it has been 9 hours and after nothing else has happened I candled it, I don’t see any movement but a little bit of liquid moving in side if I turn the egg, I can see the body but like I said, no movement that I can see. Is it dead or just absorbing the yolk?
featherhead007, chrisb01 and PearlTheDuck like this.
Maybe she's just too pooped to pip?
chrisb01 and PearlTheDuck like this.
The duckling has not put any crack in the eggshell but the air sack is broke through in the egg, which I realized 9 hours ago, should it have already absorbed it before the break through the air sack?
It's my understanding that they don't start absorbing the yolk until they make that internal pip. That's when they start breathing air, and it can still take 24 hours or more before they actually start to pip the outside of the shell.
gimmie birdies, chrisb01 and PearlTheDuck like this.
When I candled it at dark and I could see better, absolutely no movement or sound but a decent amount of liquid that moves around when I turn the egg. Should it be making peeping noises? Is it just resting?
If it had in fact internally pipped, then you should be able to see the shadow of the bill in the air cell when your candleing. Where are you seeing liquid? In the air cell? That wouldn't be a good thing.
Sometimes they do take long rests after internal pip but you should be able to gently tap the shell while candleing and get it to move a bit Or hear a chirp from it if it has pipped into the air cell.

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HELP ! Is this duckling dead ?
 Discussion in ' Ducks ' started by PearlTheDuck , Jun 22 , 2018 .
 My duck Millie went broody and I ’ve had the absolute worst luck , around 30 eggs have either died or broke , there was one left and it internally pipped this morning , I could hear it scraping around inside , it has been 9 hours and after nothing else has happened I candled it , I do n’t see any movement but a little bit of liquid moving in side if I turn the egg , I can see the body but like I said , no movement that I can see . Is it dead or just absorbing the yolk ?
 featherhead007 , chrisb01 and PearlTheDuck like this .
 Maybe she 's just too pooped to pip ?
 chrisb01 and PearlTheDuck like this .
 The duckling has not put any crack in the eggshell but the air sack is broke through in the egg , which I realized 9 hours ago , should it have already absorbed it before the break through the air sack ?
 It 's my understanding that they do n't start absorbing the yolk until they make that internal pip . That 's when they start breathing air , and it can still take 24 hours or more before they actually start to pip the outside of the shell .
 gimmie birdies , chrisb01 and PearlTheDuck like this .
 When I candled it at dark and I could see better , absolutely no movement or sound but a decent amount of liquid that moves around when I turn the egg . Should it be making peeping noises ? Is it just resting ?
 If it had in fact internally pipped , then you should be able to see the shadow of the bill in the air cell when your candleing . Where are you seeing liquid ? In the air cell ? That would n't be a good thing .
 Sometimes they do take long rests after internal pip but you should be able to gently tap the shell while candleing and get it to move a bit Or hear a chirp from it if it has pipped into the air cell .


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fashion show template inspirational funeral program free themes slideshow booklet fresh .
 fashion show program template free mobile discoveries .
 fashion show program templates lovely talent flyer template booklet .
 fashion show program templates lovely brochure template free luxury unique radio sched .
 coral white modern fashion show flyer program template booklet customize talent templates online .
 fashion show program template booklet production .
 show program template talent lovely ion samples art fashion booklet s.
 show program template with fresh free templates download fashion and lighting .
 fashion show program templates inspirational template beautiful talent free fresh con .
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 inspirational fashion show word template free templates program booklet fresh car sponsorship proposal ve .
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text:
Bilbao is home of the Guggenheim museum, designed by famed architect Frank Gehry. The city is also renowned for its Michelin-star restaurants, but $150 for a "tasting" lunch (per person) was hard to rationalize. So we spent a very wet, rainy morning ogling the Francis Bacon exhibition, which showcased 50 of his abstractionist works alongside the works of the artists who inspired him at various periods of his life, such as Picasso, El Greco, Alberto Giacometti and Velázquez. Seeing the artwork that inspired Bacon was helpful in understanding his dramatic shifts in style, although all his paintings have a morbid darkness to them. Photography is not allowed in the exhibit areas, unfortunately, but the Guggenheim architecture itself is photogenic.
There are several city parks nearby the Guggenheim. The city is incredibly easy to get around, either on foot or via metro. From the museum, we crossed a walkway bridge over to the opposite side of the Ria del Nervion river and followed the riverbank trail to City Hall. We chose an aggressive hiking path up to Parque del Funicular, which provided us a fantastic bird's eye view of Bilbao! There is also a tram to the top, but hiking is more fun (IMO!).
A trip to Bilbao is incomplete without stuffing your face full of pinxtos. Once the city arose from its afternoon siesta and the sun sank below the horizon, we headed to one of the local eating markets and enjoyed the spread!

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Bilbao is home of the Guggenheim museum , designed by famed architect Frank Gehry . The city is also renowned for its Michelin - star restaurants , but $ 150 for a " tasting " lunch ( per person ) was hard to rationalize . So we spent a very wet , rainy morning ogling the Francis Bacon exhibition , which showcased 50 of his abstractionist works alongside the works of the artists who inspired him at various periods of his life , such as Picasso , El Greco , Alberto Giacometti and Velázquez . Seeing the artwork that inspired Bacon was helpful in understanding his dramatic shifts in style , although all his paintings have a morbid darkness to them . Photography is not allowed in the exhibit areas , unfortunately , but the Guggenheim architecture itself is photogenic .
 There are several city parks nearby the Guggenheim . The city is incredibly easy to get around , either on foot or via metro . From the museum , we crossed a walkway bridge over to the opposite side of the Ria del Nervion river and followed the riverbank trail to City Hall . We chose an aggressive hiking path up to Parque del Funicular , which provided us a fantastic bird 's eye view of Bilbao ! There is also a tram to the top , but hiking is more fun ( IMO ! ) .
 A trip to Bilbao is incomplete without stuffing your face full of pinxtos . Once the city arose from its afternoon siesta and the sun sank below the horizon , we headed to one of the local eating markets and enjoyed the spread !


text: Global Education Fair held at Hotel Sarina organized by Bee Global Consulting. Twenty five universities from 8 countries participated in the fair with offer of sixty percent scholarship, spot admissions and other education related offers. Chief Editor of Eastern News Agency (ENA) Omar Yasser Mallick and Wasiuddin Dewan, President Arona International were present with Andalib Mahmood and Chairperson Mrs Nusrat Jahan to support the event to promote Bangladeshi students to study in Europe.

tokenized: Global Education Fair held at Hotel Sarina organized by Bee Global Consulting . Twenty five universities from 8 countries participated in the fair with offer of sixty percent scholarship , spot admissions and other education related offers . Chief Editor of Eastern News Agency ( ENA ) Omar Yasser Mallick and Wasiuddin Dewan , President Arona International were present with Andalib Mahmood and Chairperson Mrs Nusrat Jahan to support the event to promote Bangladeshi students to study in Europe .


text:
The Japanese Cultural Institute is screening a series of films by celebrated Japanese director Kihachi Okamoto (1924-2005).
The retrospective includes Okamato's best-known movies, from the 1950s to 2002. All films are being screened in Japanese with English subtitles.

tokenized:
The Japanese Cultural Institute is screening a series of films by celebrated Japanese director Kihachi Okamoto ( 1924 - 2005 ) .
 The retrospective includes Okamato 's best - known movies , from the 1950s to 2002 . All films are being screened in Japanese with English subtitles .