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Regulated cloud computing -- our new national nightmare
Opposing groups in Washington are arguing over proposed standards for cloud computing that will either protect us or make our lives miserable. Did you expect less?
Two items in the extremely boring but very important arena of federal regulations came up this week that touch on cloud computing: A Brookings Institution report calling for clarity and additional regulation around cloud computing and export control, and a counterpoint report from the Software & Information Industry Association (SIIA) basically begging for that idea to be furiously ignored.
The move to the cloud is one of the defining information technology trends of the early 21st century.
John Villasenor, Brookings Institution
If you think that reporting on, reading about or examining federal regulation of the IT sector is hot stuff and not boring, I do not want to come to your cookout. However, it is incredibly important right now, in the same way a truck is incredibly important when you are standing on the highway. The Brookings Institution recently hosted a panel on the proposed "Cloud Computing Act of 2011." There are several other very far reaching bills on consumer data and identity privacy in the senate right now like the Commercial Privacy Bill of Rights, the Consumer Privacy Protection Act, the Data Accountability and Trust Act and so on. None of these will be all that important, of course, because after next week we will all be eating each other's brains with teaspoons in the post-default apocalypse.
But assuming our native criminal class either gets their act together or suffers a TKO from the executive wing, you should care about this.
The DATA legislation, for example, would call for IT shops to "require each person engaged in interstate commerce that owns or possesses data containing personal information, or contracts to have any third-party entity maintain such data for such person, to establish and implement policies and procedures regarding information security practices for the treatment and protection of personal information."
No matter where you or your data resides, it is subject to audits on demand. Your data management tools can handle that in a snap, right? On no wait, they can't. Those tools don't exist. Looks like you'll be on your knees begging sales, HR, your payment processors, your vendors, your partners and your customers for all that crap -- and legal will still find a way to blame IT.
"The move to the cloud is one of the defining information technology trends of the early 21st century," says John Villasenor of the Brookings Institution. Therefore, he writes in part, the feds should probably clarify what it means to read regulated email or electronic documents on your phone while overseas.
Please, dear god, no. Do not do that. I've seen federal data standards in action. I know people with two phones and three computers they have to use for different federal requirements. They have to fill out paperwork if they send an email from the wrong device. It's like Kafka meets Cthulhu and the end result torments your soul in non-Euclidean email shape for the rest of eternity.
Meanwhile, SIIA attempts to lay out some reasonable policy goals for legislators that mostly focus around the fact that senators do not understand the "interwebs" and need to leave it the hell alone. Normally, I'm on the wrong side of SIIA; they're an anti-piracy group, which is a bit like trying to bail out the ocean with a tea cup while trying to annoy beachgoers by poking them with sticks. And normally, I like Brookings' positions on policy; they're reasonable, nuanced and, in this case, amazingly wrong.
Is it time to clarify what it means to open an email in international airspace? Time to make businesses responsible for ridiculous amounts of tangentially related material they either shouldn't have or shouldn't need? No. Hands off what you don't understand, please.
The cloud train is rolling, and locomotives (and their engineers) do not appreciate it when morons in suits barge in and start pulling levers for no earthly good reason. I'm all for consumer privacy and commercial accountability; pass laws that simply forbid bad actions, not make technologists and enterprises jump through crazy hoops.
Now you will promptly forget about the incredibly important decisions being made around cloud in Washington and head straight to YouTube when I tell you that the SIIA put out the "Don't Copy that Floppy" videos in 1992.
Carl Brooks is the Senior Technology Writer for SearchCloudComputing.com. Contact him at firstname.lastname@example.com.


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British national Jermaine Grant was charged with nine counts of forgery and sentenced to nine years in jail on Wednesday.
Grant faced charges including making a false statement for the registration of birth, three counts of procuring a document by false pretences and one of attempting to falsely procure registration.
Justice Martin Muya said the terror suspect will serve the sentence at Shimo la Tewa Maximum Security Prison in Mombasa county.
On Tuesday, Muya quashed Shanzu magistrate Anastasia Ndung'u's acquittal of Grant saying the law provides for the substitution of an acquittal for a conviction.
Ndung'u acquitted Grant of nine charges on January 28 for lack of evidence but the state appealed. The accused is facing terror charges in another case.
Ndung'u had ruled that DPP Keriako Tobiko failed to link Grant to making a false document and three counts of false testimony, but Muya said the DPP had made a concrete case against him.

subset: commoncrawl


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I do want to take a minute and thank you . This has been the coolest experience of my life. I feel like, not only have I been inspired, but I'm inspiring others. I have loved every minute of it and I am so grateful to all of you and all that you do. I have never been surrounded by women that make me feel like I can do anything, and that is how you and my team mates make me feel. I feel pretty, I feel strong, I feel capable, I feel limitless and I feel alive when I am around you and the team. You have created such a beautiful thing and you inspire me to be a better person. You have changed my life and I am so very, very grateful.
Nancy, I feel GREAT about the training. My heart rate has decreased quite a bit doing the same pace as four weeks ago. For instance, walking up the hill this week, my HR was the same as it was during our parking lot walks last month. My swimming time has also improved greatly as I have learned the right way to breathe! I feel that both my strength and my endurance have improved dramatically. I have gained so much confidence doing this training and feel better about my body, my health and my abilities than I have in years. I forgot how FUN it is to work with a team — I love it! I so appreciate all the work you and Judy put into it!
Still smiling! Having a few days to reflect on the race I realized how much I have learned. Our dinner was amazing and I felt so at home with all of the women. This team has truly become family. The race was becoming so much more than just a race, but I wasn't nervous. I've never been as calm getting into the water and I can actually say I "enjoyed" the swim. I pushed as hard as I have ever pushed on the bike (knowing my weakness) but still felt strong and even passed people (loved the ages on the leg!). Then the run…and I spotted a teammate ahead of me (not knowing it was you yet). It sparked my desire, inner athlete, and competitiveness to try and catch up. This wasn't my race this was a race for the team. And then I figured out it was you. It wasn't about passing you it was about running FOR You. I just kept repeating "this one is for you coach" and dug deeper. I wanted our team to do this, to place and show you how strong you have made all of us. And then I read you caring bridge this morning…and I hope it keeps you moving forward. WE DID IT! You have all my love, respect and pride in how you tackle each and every day and your ability to keep everything in perspective even as you head off to treatment. Thanks for an amazing, life changing weekend.
You Rock! You both are so inspirational and motivating. I wouldn't be where I am in triathlon without you! Thanks, Kelly
Nancy and Judy I want to you know that you do an exceptional job of pulling this all together. It was very well-organized and very well-run, and I will highly recommend it to any potential triathlete I meet! I enjoyed the knowledge that I can run long(er) distances than I've ever tried to run before. Not something I really want to know because now I don't have any excuses, but now I also don't have any excuses! You chose exceptional people to be your assistant coaches, too. Special kudos to Caryn, Heidi, Sharma and Carol. They were extremely supportive to me personally. Thanks, Laura
It was a fantastic summer– one of the best things I have done in a long time! I loved the camaraderie from the participants and the coaches was amazing and unexpected. I have new friends, workout buddies and a new outlook on life. I learned about balance. If I tried this on my own, I would have tried to go to extremes in both exercise and nutrition. The training kept me in check and offered me a new perspective. This has been applied to other areas of my life as well. My husband keeps commenting on how I have positively changed both physically and emotionally. I already miss the trainings and the group on a whole. I cannot thank Nancy and Judy enough for your support, advice, teaching, encouragement and inspiration. Lynn
I'm a pretty quiet person and not very comfortable in crowds. By the end of the summer I felt a part of something that was much bigger than I had imagined. I gained confidence in myself and comfort having others around me. The whole experience was fabulous. Linda
I felt so prepared and was so pleased with the whole experience. I loved every minute and wouldn't change a thing! Something I gained but didn't expect to gain from my Tri Experience this summer was the mental as well as physical self worth. I have always been athletic and sports oriented but I never approached it from a mental standpoint. The visualization was amazing! This was very therapeutic for me. Just what I needed to get through the summer! I just want to thank you both so much for all the support, advice and training you gave me over the summer. I have been struggling with finding myself over the last couple of years. This experience and the energy and support I got from the two of you and the team was exactly what I needed! Sandy.
I was surprised at how many amazing friendships I gained, and how much triathlon training, preparation and doing it relates to real life. It is such a wonderful analogy. Always have a plan B. I want to know how much you made this summer incredible for me, I have so many fond memories and skills that I will take with me forward into what is about to be a very busy fall. Thank you!! Tina
It was wonderful to be around strong, fit women. I enjoyed having a community to be a part of. What seemed impossible at the beginning of the summer was very much achievable by the end. And I learned a healthier way to get there, without pushing too hard or doing too much. Thanks again for a great season! Teka.


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The Hamlin Companies
A Great Place to Work
We are looking for motivated individuals to join our team.
The Hamlin Companies is a 60 year old commercial roofing contracting, sheet metal fabricating and air flow measurement company. We are headquartered in Garner N.C. and provide construction services and construction products to the Southeastern U.S. and beyond.
The Hamlin Companies offer excellent pay commensurate with experience and comprehensive job benefits that include medical, dental, vision, disability and life coverage, 401k, paid holidays and paid time off.
The Hamlin Companies foster and encourage a teamwork environment that includes team goals and team incentives. Individuals who work well with others will excel at The Hamlin Companies.
The Hamlin Companies believe in delivering high quality work at fair prices with integrated customer service that insures overall job performance and customer satisfaction.
The Hamlin Companies currently have openings for welders, commercial roofers and sheet metal fabricators with all levels of experience. Welding experience is required. Commercial roofing or other construction experience is a plus for the roofing positions; however we are willing to train the right candidates who are dependable and willing to learn. Candidates must be legally able to work in the U.S. and pass a drug screening.
Open Job Positions
Sheet Metal Welder
Must have experience and be capable of performing a variety of welding functions including MIG and TIG light gage stainless, aluminum, and steel HVAC ductwork. Individuals must also be able to read and understand blueprints and machine drawings to determine specific welding requirements and insure that welds meet standards and specifications.
Commercial Roofing Estimator: Primary function is to prepare estimates and proposals for commercial roofing projects. Paying attention to detail, as well as good math and organization skills are required. Prior roofing experience is an asset but not required as the applicant will be trained.
Apply Now
Commercial Roofing Foreman/ Commercial Roofing Lead Person/Commercial Roofing Technician
Installing roofs on commercial structures with roofing products such as TPO, EPDM, modified bitumen, and BUR. Experience on installing commercial roofs is a positive but we will train the right candidates. Candidates must be able to climb ladders frequently and work on elevated roofing surfaces. Candidates must demonstrate a strong work ethic, a positive attitude and be a team player.
Apply Now
Commercial Roofing Service Technician
Providing commercial roofing repair and maintenance services to building owners, property managers and facility managers. Knowledge of different roofing systems and experience in installing, repairing and maintaining commercial roofs is a requirement. A commitment to customer service, paying attention to detail, and demonstrated communication skills to insure customer satisfaction is also required.
Apply Now


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People who are in healthy relationships will succeed in natural and practical areas so that you can succeed.
Those who have social emotional issues (narcissism, sociopaths, passives aggression, misogynists, misanthropist, etc.), will fail so that you can fail.
They can't take you being successful or happy, thus, they' work against you.
Since they are unhappy with themselves, them sabotaging your happiness makes them feel powerful.
People who are happy with themselves will push you ahead simply because they love you and want you to be happy.
Please FOLLOW and like us:


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Fatima hand keyring
Fatima hand keychain fully customizable both design and cut.
Make your image visible and present in the daily life of your customers. We have a wide range of possibilities to adapt to the needs of our clients.
Unique and personalized elaboration process. The products are made of renewable plywood or wood fiber. Produced with state-of-the-art HD digital printing and laser cutting.
Renewable wood fibre. Depending on the weight to be supported, the thicknesses can be from 4 mm to 10 mm.
The dimensions and colour range of the display are adjusted to the customer's needs and the image they wish to convey.


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What does conservation mean to Pukka?
Many of the world's wild habitats are slowly being destroyed, and here at Pukka, we want that to change. Around 20% of the medicinal herb species that are used around the world are threatened, but with determination, belief and the help of our local partners, conservation is more than possible.Nadaljuj z branjem


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[Image Courtesy - Cleartrip]
What would you do when you are supposed to visit almost all major Indian cities, meet all possible relatives, buy tons of presents - all this in just a week's time ! Oh and yes - you are making a BIG career move in the same week as well. Well, I am sure that with so much on the agenda, any normal homo-sapien is bound to seek external help (Friends, Relatives, Travel Agents or Divine help - depends on individual beliefs :)) .
Based on this assumption (Hey hang on a sec-I know this is an incorrect English Usage and presumption is the right word in this context but you see old habits die hard and I am still learning the nuances of English Language :)), I and my sister decided that we got to help our parents navigate past this tough situation-afterall we (thought we) are equipped with all possible amunitions viz. Credit Cards-VISA/Discoverer/Amex with Gold/Silver/Platinum Memberships (wish they had something called Uranium Membership too:)), internet ready Laptops, URLs of 10 search engines to grab the perfect ticket deals and ofcourse oozing aplomb required during such testing times. Now, before you conclude that every parent should have kids like us (and wish us luck, happiness and merry times...Ok stop Chinmay!) you might wish to know what happened when we called up our parents yesterday in anticipation that we will be declared the "perfect kids" right away !
Me (on behalf of myself & Surabhi-my sis) placed a call to our parents yesterday (Thanks for providing the superlative service Airtel) , wished them "Good Morning" and asked them right away about their travel dates so that we can quickly start our operation "Perfect Kids". To our utter surprise, it turns out that they already took care of every aspect of their trip-from shopping to booking air tickets to hiring cabs for local commute to hiring Agarwal Packers (They are the UHaul of India) and what really shook us was they planned and executed everything in just a couple of hours !!
Within moments, I changed the topic (I have learned to dodge disappointments in novel ways and what a wise decisioj it was indeed :D) briefed them about my latest (cooking) adventures, discussed couple of crazy ideas I have been getting oflate and brought the conversation to a close in 10 minutes. Phewwww !!
The question that stayed unanswered was-How did they do it - Was it some kind of "Inside Box" approach or was it planning using Post-It Notes or did they use Zoho? Well, we don't know but we'll continue our pursuit of trying to be responsive, cool and adventurous kids Dad/Mom :D.
Njoi this track for now and do check out Cleartrip-one of the hottest site in India these days. These folks seem to be really putting lots of efforts (technical and creative both) month after month and I am certainly amazed!
Click on the Image above (or here) to and enjoy this amazing track called "Change Your Mind" by Sister Hazel !
"I was born not knowing and have only had a little time to change that here and there."~Richard Feynman


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IQVIA™ is the leading human data science company focused on helping healthcare clients find unparalleled insights and better solutions for patients. Formed through the merger of IMS Health and Quintiles, IQVIA offers a broad range of solutions that harness the power of healthcare data, domain expertise, transformative technology, and advanced analytics to drive healthcare forward.
As a member of our solution architecture team within IQVIA's Research and Development Solutions (R&DS), you will help lead the charge to disrupt the industry and transform clinical development from a technology perspective. Our architecture group is focused on bringing together large amounts of disparate clinical data to help power the entire R&DS organization. We also directly support the specific application needs of our Data Science, Safety, and Regulatory (DSSR) business unit.
• Work with the business, platform owners, solution architects, and other stakeholders to help set strategic direction
• Work with the business, platform owners, analysts and other stakeholders to clarify business requirements
• Work with other solution architects to ensure effective and flexible system integrations
• Conduct research and perform proof of concept's in order to recommend technologies as well as design approaches and patterns
• Author architecture specifications and facilitate reviews and approvals of these specifications with IQVIA Enterprise Architecture's Technical Design Authority (TDA)
• Create Rough Order of Magnitude (ROM) cost estimates as input to the Capital Appropriations Request (CAR) process
• Author high level design documentation for major initiatives
• Review and provide feedback on detailed design documentation produced by internal and external Delivery Team resources
• Provide technical guidance to internal and external Delivery Team resources
• Extensive experience with legacy and modern data warehouse concepts and implementations
• Extensive experience with data integration concepts and implementations including ETL, ELT, CDC, streaming, pub/sub
• Experience building custom applications using Java and/or .NET
• Hadoop (HDFS, Hive, Impala)
• Spark
• Oracle RDBMS
• Expert knowledge of software development tools, practices, and lifecycle methodologies
• Excellent verbal and written communications skills. Ability to communicate effectively with both technical and non-technical audiences
• Able to produce high quality design documentation and provide thorough reviews of design documentation produced by others
• Ability to establish and maintain effective working relationships with co-workers, managers and clients
• Flexibility, ability to simultaneously juggle multiple complex projects and adapt to rapidly changing priorities
• Bachelor's degree in computer science or related discipline and 6+ years experience with applicable tools; or equivalent combination of education, training and experience
• Knowledge of the clinical drug development industry, data, and related standards such as CDISC ODM and CDISC SDTM
• Familiarity with one or more of the following technology areas: streaming data ingestion (e.g., StreamSets), self-serve data wrangling (e.g., Trifacta), rapid application development frameworks (e.g., Salesforce), business process management (e.g., Appian), enterprise application integration (e.g., Mulesoft), search (e.g., Solr)
• API/Micro-Service based design patterns and concepts
• Both Java and .NET
• Scala/Python
• NoSQL
Join Us
Making a positive impact on human health takes insight, curiosity, and intellectual courage. It takes brave minds, pushing the boundaries to transform healthcare. Regardless of your role, you will have the opportunity to play an important part in helping our clients drive healthcare forward and ultimately improve outcomes for patients.
Forge a career with greater purpose, make an impact, and never stop learning.
IQVIA is an EEO Employer - Minorities/Females/Protected Veterans/Disabled
IQVIA, Inc. provides reasonable accommodations for applicants with disabilities. Applicants who require reasonable accommodation to submit an application for employment or otherwise participate in the application process should contact IQVIA's Talent Acquisition team at firstname.lastname@example.com to arrange for such an accommodation.


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Have you every been stuck with a hotel reservation? Not being able to use it but having to pay for it anyway? That's just a waste of money. You've come to the right place. This guide is for selling your nonrefundable hotel reservation on Roomer.
1Make sure your reservation is non-refundable and prepaid, and that you will not be using it. Double check with the hotel that the reservation is in fact nonrefundable. If it turns out to be nonrefundable, you've come to the right place!
2Visit Roomer. Go to the homepage on https://www.roomertravel.com and click on the SELL button on the upper right of the page.
3Submit your reservation on Roomertravel. All you have to do is submit a few details about your reservation and forward Roomer the initial confirmation e-mail.
4Await a confirmation email that your room has been posted. Roomer reviews your submission, and once approved, displays your room for sale with images, tripadvisor review and all relevant information for your hotel.
5Get paid once the room is bought. When someone books your reservation, the system contacts the hotel or booking agency in order to transfer the name on the reservation. You don't have to do a thing ! Guests pay through Roomer when they book your reservation and Roomer's Payment Guarantee ensures direct payment to you through their secure payment platform.Advertisement
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Include your email address to get a message when this question is answered.Submit
- Selling your hotel reservation for at least a 20% discount off the market price of the hotel room is highly recommended. The bigger the discount, the higher the chances that you'll sell your hotel reservation.Thanks!
- Call the hotel (or booking agency) directly in order to fully understand the hotel cancellation policy in case something is not clear.
- Always search for and read the hotel cancellation policy for your specific reservation prior to booking.
- If the hotel cancellation policy is free of charge up until a certain date, make a note of this date in your calendar so you won't forget it!
- Spread the word that you're selling your hotel reservation via Facebook and Twitter and other social media platforms!
Things You'll Need
- Hotel confirmation email
- All information used for booking the initial reservation
About This Article
Thanks to all authors for creating a page that has been read 17,504 times.
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In the last 10 years or so, digital photography has exploded in terms of the variety, options, and abilities to capture memories and moments. It has really made photography (and now video) accessible to just about anyone with a click of a button – first the DSLR, then point and shoots, and now mobile phones. At the same time, most photos are now sitting on a computer, in a phone, or on a camera somewhere. What do we do with them?
In the past, a roll of film would be developed and we would get prints. Nowadays, the way we share or view photos is all about putting them online and sharing them using some online platforms. Being able to touch, feel, and experience the photos without having to turn on a screen/LCD is still an enjoyable moment. It's the same with picking up or flipping through a book versus reading (or is it scanning?) text on a screen.
So with my 373 photos in hand from my 2013 photo experiment, I wanted to produce a book that I can always look through and share with people rather than just telling them to "It's online – go to this link". I heard about Blurb, an online photo book service and publisher, and decided to use them since they also had a plug-in for Adobe Lightroom, which I use to organize all my photos. The plug-in loads a Book menu in Lightroom where I was able to use a pre-defined list of layout templates. I then dragged and dropped my photos and captions to where I wanted them to go. Once that was done, I designed the front and back cover and uploaded the whole book to Blurb. This took a bit of time since all my photos were in RAW and the book eventually came out to be 128 pages!
All in all, it took about 2 weeks from laying out my photos, and finishing the book, to getting it printed and shipped. It might have taken longer if I wasn't keeping track of my photos and captioning them over the course of one year. Want your own copy? You can buy it directly from Blurb here.


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Styling your hair for special occasions or even casual get togethers with friends can be a tedious and time consuming process. Prepping the hair with shampoo and conditioner alone takes a couple of minutes already, then there's the blow drying and styling part which usually takes more time. However, this does not always have to be the case. There are hair care products that can cut down cleaning and styling time in half or even more. My personal picks in this area include Philip B. Russian Amber Imperial Dry Shampoo, Rusk Sensories Bright Chamomile and Lavender Brightening Conditioner and Rusk Jel FX Firm Hold Styling Gel.
Women who don't have time shampoo and conditioner can still get a fresh clean feeling in their hair with the use of dry shampoo. The Philip B. Russian Amber Imperial Dry Shampoo is one of the best dry shampoos around. It gets rid of scalp oil and product build up without leaving flakes or much residue. What I like about it is the lightness of the shampoo and the clean and shiny look that it leaves on my hair. It also helps me create volume on my hair without much effort.
Another great hair product that can give your crowning glory an extra boost in looks is the Rusk Sensories Bright Chamomile and Lavender Brightening Conditioner. This product is ideal for those with white, silver, or grey hair and those that have highlighted or blonde tinted hair. It helps brighten and revitalize dull looking hair and gives it an extra shine with the use of color enhancing ingredients like lavender and chamomile. Though I have jet black hair, I still love this conditioner as my hair feels softer and looks healthier whenever I use it.
For my quick styling needs, I prefer to use products that offer a strong hold without feeling sticky or greasy. I also don't like hair styling products that have strong or overpowering fragrances. What I do like is the styling benefits that I get from the Rusk Jel FX Firm Hold Styling Gel. It makes it easy for me to add texture in my hair without making it look stiff. I also like its strong hold that helps me keep my hairstyle in place for the whole day. It's also great for those who like to sport the "wet" look and even works for people with short hair. The best thing I like about it is the non-greasy formula which helps me enjoy the styling process and leaves me with a light and clean feeling after styling.
Salon standard hair products that are priced within your reach are great options for those who would like to save on time and effort in styling their hair without sacrificing their looks. They may cost more than the average shampoo or conditioner, but the benefit that you get is definitely way above average.
You can buy all these products at Beautystoponline.com


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The holiday season can be a stressful time of year. For caregivers, practicing self-care and setting realistic goals… Read More »
AARP New York releases is its second round of "Disrupting Disparities" reports focusing on the different issues people… Read More »
There is a lot of debate about how often adults should visit the doctor. Here's what you need to know and how you can… Read More »
AARP volunteers in Monroe feel like they get as much as they give. Discover all the great ways to volunteer with AARP! Fill out our volunteer interest form to let us know how you might like to help and someone from AARP will follow up soon. Or search for an existing opportunity near you »
Wednesday, Dec 18, 2019 at 9:00am
Putnam Hospital Center
Carmel, NY
Visit the AARP New York page for news, events, and programs affecting retirement, health care, and more.Learn More


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See and hear the cofounder of notonthehighstreet.com
Well I know I'll definately be going to the LVP BEYOND Conference to hear Holly Tucker, co founder of notonthehighstreet.com talking about how she simply sees herself as an imagineer – someone who believes in the impossible and the power of creativity. Holly will be at the LVP Beyond event discussing what beyond means to her.
Holly Tucker is best known as the co-founder of notonthehighstreet.com, but with many strings to her bow - mother, MBE, founder of Holly & Co and UK Ambassador to Small Creative Businesses, she is so much more. Believing in the power of creativity and a champion of small businesses, she is well-placed to discuss entrepreneurialism, e-commerce and innovation in retail. With a host of achievements under her belt, Holly has successfully made her name as one of the UK's most-respected entrepreneurs. She has dedicated her career to providing a platform for small businesses allowing them to compete with the big guys.
Incredibly ambitious, she has not stopped at notonthehighstreet.com, moving onto her next venture, Holly & Co. After a decade of building the first business, she has proven she has the secret for serial success, by doing it all again with Holly & Co. The site is an all-compassing destination, a home, for artisans which aims to demystify business, connect like-minded creatives across the world and shine a light on small creative enterprises. In this role, Holly also acts as a mentor, offering 'first aid for business,' sharing her knowledge on a more personal basis and supporting individuals on their journey.
Entrepreneurial, successful and innovative, Holly bridges the gap between business and creativity, helping others to learn from her success. Sharing her story and business insights, she is a great keynote speaker for all kinds of retail, innovation or ecommerce events.
To find out more and register contact email@example.com


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What an epic year for Boyarde Ltd. closing with a triumphant finale in the Selfridges Oxford street store, where the Boyarde team had a holiday pop up shop. It was a hugely successful five weeks where Boyarde and her team absolutely loved meeting her fabulous clients and fans. It was a huge honour to have our own space and products on sale in one of the world's most successful department stores; who have just opened the largest accessories hall in the world.
As well as offering Boyarde's signature alphabets and Badges hand painted directly on to clients preloved or newly bought items, Selfridge's marked the launch of Boyarde's hand made, hand painted bag charms, which are personalised to order. We were delighted with the response, and proud of the display of charms seen hanging from some of Selfridges's top branded bags. And of course now you can purchase these charms right here in our online shop!
From crazy personal shopping orders to returning clients, the Boyarde shop was a huge success. We were delighted at the demand for not only Boyarde's alphabets, but also her bespoke work, with a huge overflow of orders to paint here in the studio in the coming weeks.
We made some fabulous friends at Selfridges, and we would like to say a huge thank you to our incredible hosts and employees who did wonders for the Boyarde brand, as well as our wonderful clients. Selfridges hasn't seen the last of us!
Here are a selection of photos of Boyarde and the team in action as well as some fun photos of the fabulous pieces we painted in store. Remember, it's not a bag it's a Boyarde!
If you missed us at Selfridges, don't forget you can contact Boyarde anytime or visit our shop. We ship internationally.
A very happy new year to you all! Lots of love the Boyarde team xxx


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The Difficulties Associated with the ISP Whitelist
Your Internet service provider is the organization that gives you the Internet connection. Almost every business uses one if they have the Internet. Companies are expected to play by the rules and create emails that are relevant to their readers. You understand that you shouldn't send out bulk emails and don't do it, but you don't get on the Internet service provider's whitelist, so you wonder what happened. At Comodo, we understand your frustration and can help.
Explained in Detail
If you notice that multiple people haven't received your message, it may be because the Internet service provider blocked your emails or put you on their blacklist. It is important to understand that your IP address is shared with other customers from the same email service provider (ESP). If you share that address with other businesses who aren't as polite as you and send out frequent spammy messages, you will be blocked along with them.
What You Can Do
Most ESPs have a handful of IP addresses to go around, so they require customers to share. This means that anyone else on that IP address has to be on the ISP whitelist and if they aren't, you aren't either.
Your options can include:
- Requesting a private IP address from the current ESP
- Switching to a different ESP with standard private IPs
- Get on major ISP whitelists
- Gain legal access to corporate networks
With either option, you'll have to whitelist the IP address itself to ensure that your messages get to the inboxes of the recipients. If you still find that your emails aren't getting to your potential customers, you may need to work on getting whitelisted by corporate networks and Internet service providers. To learn more about our options, contact us today.


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Wow I didn't realize I hadn't posted anything here in almost a week!!
I made this card and diary set using Skiin Pippin. Image is one of my November releases from Digital Delights
Pippins coat and hat has LOTS of stickles on it and is very sparkly. I also found these great HUGE red crytals, which I added to each corner.
I decided to make a coordinating 2010 diary to go with the card!!
I have entered this into the following challenges:
Mojo Monday - Sketch
365 Cards - Red and Green
Rosie and Dee's Challenge - Red, Green and Bling
2 Red Bananas - Xmas Card
Color Create - Red, Green and white
Cupcake Craft - Red and Green
Stamp with fun - Christmas
Cuttlebug Spot - Winter
Pollycraft - Christmas
Everybody Art Challenge - Christmas
Papertake Weekly - Xmas Crackers
ABC - H (for holidays)
Charizma cards - Christmas
Thanks for stopping by and as always I luv to read your comments!!


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If you asked anyone about Mansfield, Texas in the 60s, 70s or 80s, they would have mentioned the Kow Bell Indoor Rodeo. Mansfield, a small rural community southeast of Ft.Worth, was a popular stopping place for cowboys and cowgirls. The land on former US Highway 287, now Business 287, was the place to go for an indoor rodeo experience.
William H. (Bill) Hogg, a lifetime resident of Mansfield, opened the Kow Bell Indoor Rodeo in 1959. Rodeos were held each Saturday night, year-round.
The Arena was built originally with an open roof and a canvas top that could be lowered for shelter during inclement weather.
Bill Hogg died in 1961. In the following years, Jan Hogg (Bill's widow) married Jack Ratjen and they added a permanent roof to the arena and continued operating the Rodeo.
The Kow Bell Rodeo closed and the property was sold to MISD in 2004. Because of Mansfield's fast population growth, MISD administrators purchased the historic location to build the district's fourth high school. After clearing land and deciding on blueprints, newly hired principal, David Wright, formed a committee to create the school's name and mascot. Legacy fit perfectly. Broncos fit even better. In June of 2006, committee members chose red and black as the colors. Legacy High School was turned over to MISD in June of 2007 by the builder and school started, with over 2,100 students, on August 27, 2007.


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Families will soon be authorized to apply for large grants towards renewable heating systems from the government boiler scheme. The grants will be available as vouchers and will fund up to 25,000 families. This is not the first time that the government has run a boiler-related financing program, and the boiler has been granted for a long time. Here's a quick stock of help available to you, both at work and at home.
The government boiler scheme aims at low-income families and vulnerable families. This means that homeowners over the age of 60 and those with a child under the age of 16 or pregnant and receiving the same benefits may be on my way to help. Front Warm helps you isolate and can help cover the cost of replacing the boiler as well.Heating your home can be expensive, but there are schemes, initiatives and other things you can do that can save you thousands of pounds and improve your energy efficiency.
Warm Front is one such scheme which can save you thousands of pounds. It is a government-funded initiative which is managed by Eaga. The scheme is designed to support people who may be vulnerable to fuel poverty this includes low-income families and the disabled and elderly. It provides a package of insulation and heating improvements which can amount to the value of 6,000 where oil or renewable technologies are recommended. To qualify you must own your own home or rent from a private landlord. You should also receive certain specified benefits as well.
government boiler scheme will support many homeowners over the age of 60 or single parents or persons with disabilities or chronic diseases .government boiler scheme offers 200 boiler and one-year free insurance for the Homecare 200 kettle with a value of 204.If you have an old shelf, you may be able to get an additional 400 units from the cost of installing a new boiler to save power through Boiler Scrappage Scheme. It is a government-funded plan that can not only reduce carbon dioxide emissions but also save hundreds of pounds from heating bills.
Government boiler scheme can save money. It provides free advice to energy experts to anyone who connects to it. Those suffering from the risk of fuel disruptions will receive tax credit benefits and controls and advice on low-cost energy tariffs, a set of standard isolation measures for older households and those receiving one of a range of benefits. In addition to individual circumstances, efficiency measures can include a new kettle and a new central heating system.


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My name is Guy Fayel (you probably figured that out from the title above), I'm an experienced marketing content manager and an aspiring wordsmith.
For the last two years I managed the content at MobCo Media, a global app advertising agency, including the website, marketing emails, blog posts, clients' presentations, and social networks.
As a marketing content manager, I was responsible for delivering rich, brand-building marketing content using various platforms, as well as for playing a key-role in other PR and marketing activities.
Click on the 'Blog' link above to check out my previous blog posts.
Want to hear more? Contact me at email@example.com


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Connect Your Business to New Customers
To start the New Advertisement Process, please complete the form below.
We want to help you to discover the essence of what it takes to lead a healthy, joyful lifestyle, and to help you embrace physical, spiritual, and emotional well-being.
To start the New Advertisement Process, please complete the form below.
Around 3pm on weekdays in the US, around 15 million children are left unsupervised and without direction after school. Our group's aim is to provide guidance, tutoring and mentoring to those who go without.
Located in the heart of Bernalillo County, New Mexico, our group of tutors provide kids and teens the adult mentoring they need to succeed. Serving as a positive role model, our tutors and peer mentors can help educate the youth, while simultaneously providing a positive influence.
The After School Center provides educational tools and resources to help kids, and the community as a whole. We provide guidance, education and peer counseling for the youth and those in need. Our program is made possible through local and national organizations, community involvement, local businesses and our wonderful staff and volunteers.
Post and edit your health and wellness business ads. Post comments and ideas concerning health, fitness, wellness, self-care, eating healthy, and mind/body connection. As an author you can submit articles that you wrote. As an editor you can submit articles and edit existing articles. As a contributor you will work closely with the design and support team on various projects.
Allow yourself to be . . . all that you can be.


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Powerbuoy - With Dive Flag
- Item #: PB-300-WDF
To use:
Detach drive motor and store away until ready to retrieve buoy. Connect drop weight to buoy. While holding buoy, drop lead weight overboard until buoy stops turning. Take off additional line if needed for water conditions. Twist a half-hitch loop in the drop line and place loop over one of the weighted caps. Insert Dive flag/pole in top of buoy and toss overboard. Use buoy drop line for descending/ascending. Descend to the end of buoy drop line, place lead drop weight in weight belt pouch on diver. As the diver swims along the buoy will follow, marking where the diver is at all times. When beach diving, unwind enough line for the deepest depth you will be diving, loop a half-hitch loop in the drop line over one of the weighted caps, insert dive flag/pole in top of buoy, and attach buoy drop line to diver with clip.


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Anton Smit adds another dimension to Menlyn Maine
Monday 20th of November 2017
Menlyn Maine is Pretoria's new business address of choice. It's home to the Pam Golding Properties regional headquarters, where agents specializing in this area embrace the unifying power of bold, interactive art in connecting communities. The Know chatted to artist Anton Smit, widely revered for his overwhelming heads and monumental sculptures, evoking themes of suffering, reconciliation, glory and sublimation. Anton's works grace public and private collections countrywide and internationally, and his mission is to make Menlyn Maine the art hub in Tshwane.
Anton collects sayings about the relationship between art and the individual artist's experience of reality. "Art is not to render the visible but to render visible," he asserts, and his art achieves this in many ways.
I hope to create a total new experience to residents, retailers and shoppers alike and hope to be an inspiration for future artists to participate and introduce their artwork in a similar way, making Menlyn Maine the art hub in Tshwane | Anton Smit
By introducing art in different forms, he wants to motivate, enrich and enlighten the people of Tshwane to elevate their spirit, and echo the enthusiasm displayed by the developers – thus embracing the symbolism of the main feature sculpture, " The Spirit of Tshwane".
The spirit of Pretoria is creativity and creativity is imagination and imagination is for everyone. Pretoria is filled with aspirational, ambitious and caring individuals that want to revive and improve our beautiful Jacaranda city to make it a better place for all to live and thrive | Retha Schutte, Pam Golding Properties Pretoria
'Walkability' is an aspect of new urbanism that's being built into Menlyn Maine, where residents and tenants will be encouraged to walk from one location to another within the precinct.
Did you know? Menlyn Maine is South Africa's first green, mixed use city precinct.
Posted by Jean Scheltema


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Product Description
Have you ever picked up the phone and there was a lunatic was on the other end, and it wasn't your boss? Sure you have. We all have. Did you get pissed off? Sure you did. We all do. Isn't funnier when somebody else picks up the phone when the lunatic calls and you get to listen in? I thought so. That's what this hysterical CD is all about. Tell your friends about it. Better yet, give them a call.
Sample Tracks: Accident English Laundry


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Photos from this trip can be found here.
Amazing many of these obscure peaks in Inner Mountain Highway area have taken us on roads or trails I never knew existed. While Mr. Cooper continued to recover at home, Mr. Cody and I continued or exploration in the Boulder River Wilderness.
On the way to our destination I noticed a couple of people climbing up a big, beautiful slab wall on the left side. Perhaps I should come back and try it out sometime. Pup and I didn't need to make it all the way to the pass, so we took a left at the first opening out of the forest and started scrambling to look for a good place to attain the northeast ridge.
Ridge was woodsier and bushier than expected, and we had to get around a few ribs to finally be on the ridge. Final scramble to the summit was a bit rocky but doable with some veggie belay and a few good holds.
Weather wasn't terrible, just that clouds seemed to have decided to congregate around Three Fingers, so I never got a glimpse of the three summits. Whitehorse Mountain, on the other hand, was in and out of clouds but visible most of the time. Looking over to Jumbo Mountain, still could not believe pups actually made it up with me.
Helena Peak dominated eastern skyline, with many notable big mountains behind her in the distance. A bit woodsy and cloudy on the south side, so not much to see there.
On the way down we made a stop on Squire Creek Pass and got a closer look at the big mountains before getting back on the trail. Two guys we saw climbing the slab wall earlier were just packing up when we stopped briefly and chatted about the route.
It didn't get completely dark until just before we got back to the trailhead.


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Marius, Gaius, approximately 157 B.C.-86 B.C.
Instance Of
Scheme Membership(s)
Collection Membership(s)
- Mario, Caio, approximately 157 B.C.-86 B.C.
- Mario, Cajo, approximately 157 B.C.-86 B.C.
- Marius, C.
- Marius, C. (Caius), approximately 157 B.C.-86 B.C.
- Marius, Caius, approximately 157 B.C.-86 B.C.
- Marius, Gaius, ca. 157-86 B.C.
Additional Information
Birth Date
- (edtf) -0156~
Death Date
- -00850113
- male
Exact Matching Concepts from Other Schemes
Closely Matching Concepts from Other Schemes
Earlier Established Forms
- Marius, C.
- Marius, Gaius, ca. 157-86 B.C.
- found: Otway, T.The history and fall of Caius Marius, 1692.
- found: Brit. Mus. cat.(Marius, Caius)
- found: Enc. Brit., 1980(Marius, Gaius; b. ca. 157 B.C.; d. 1/13/86 B.C.)
- found: Enc. Amer., 1980(Marius, Gaius; Roman general; b. ca. 155 B.C.; d. 1/13/86 B.C.)
- found: Collier's enc., 1981(Marius, Gaius, 157-86 B.C.)
- found: Passerini, A. Caio Mario come uomo politico, 1934:t.p. (Caio Mario) [Info. from InU]
- found: Dictionary of African Biography, accessed February 25, 2014, via Oxford African American Studies Center database:(Marius, Gaius; foreign military officer, political figure; born c. BCE 157; took part in the war against the Keltiberians in Spain and was present at the siege of Numantia (134 BCE); led campaigns in Asia and Spain and then rose to the rank of praetor (115 BCE); held a series of consecutive consulships (something almost unprecedented), prosecuting a war in Cisalpine Gaul; died 13 January BCE 86)
Change Notes
- 1980-12-02: new
- 2015-07-26: revised
Alternate Formats


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Channel Islands
Showing all 7 results
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Channel Islands has been a leading name in surfboard design for decades. From small beginnings in 1969 Channel Islands has evolved into arguably the most sort after board label on the planet, most notably with Channel Islands being the boards under the feet of 11 time Surfing World Champion Kelly Slater for practically his whole career.
Working with guys now such as Dane Reynolds, Jordy Smith & Lakey Peterson, you can rest assured that the innovative design is in safe hands with the new crop of the worlds best pushing the boundaries, needing the best product on the market.


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First Woman to Serve as New Fed Chief
February 10, 2014 in Business, Top News, Women
Dr. Janet L. Yellen took office Monday, Feb. 3 as Chairwoman of the Board of Governors of the Federal Reserve System. She also became the first female to take the Fed's top leadership position in its 100-year history. Yellen will serve a four-year term ending Feb. 3, 2018. She has been serving as vice chairwoman since October 2010, and since that time also has been serving a 14-year term as a member of the board which will extend to Jan. 31, 2024. Yellen further chairs the Federal Open Market Committee, which serves as the Federal Reserve's main entity for monetary policy-making.
Yellen's assumption of the Fed's top spot follows a contentious confirmation debate in the U.S. Senate. Despite threats of filibuster against her appointment, her confirmation ultimately passed the Senate when lawmakers approved her by a 56–26 vote Monday, Jan. 6. Eleven Republicans crossed over party lines to join Democrats in voting for her confirmation.
Republican objections focused largely on loose monetary policy, as noted by The Financial Times.
"The stock market has become addicted to the Fed's easy money policy," The Financial Times quoted Sen. Chuck Grassley (R-Iowa), pointing out that Grassley also had voted against previous Fed chairman Ben Bernanke's second term.
Among the thorny issues surrounding the vote was Republican opposition to the Fed's $85 billion per month asset purchase program (actually reduced to $75 billion for January).
Bernanke described the work ahead for Yellen as a "measured reduction" in the asset-buying program throughout 2014. Republicans including Senator Chuck Grassley who publicly opposed her nomination voiced concerns that the Fed's plans – and nominee Yellen's plans on how to wind down the asset purchasing without "spooking investors" were unclear.
Euronews described the changing of the guard as coming "at a tricky time". Yellen has been an unwavering advocate of the Fed's aggressive steps to boost the U.S. economy. But Bernanke's successor will now be charged with weaning it off so much stimulus, first by winding down the latest bond-buying programme."
Yellen's appointment is exceptional in other respects too. She has authored substantial work on macroeconomic issues which particularly include analysis of the causes, mechanisms, and implications of unemployment. Many Fed-watchers regard her approach to the work of the Fed as more balanced with regard to Main Street as well as Wall Street concerns. She also brings to the office of Chairman a distinguished record of experience as a Fed insider.
Yellen graduated summa cum laude with a degree in economics from Brown University in 1967. She received her doctorate in economics from Yale University in 1971. She then served as an assistant professor at Harvard University from 1971 to 1976. She served as an economist with the Fed's Board of Governors in 1977 and 1978, and as faculty with the London School of Economics and Political Science from 1978 to 1980. She is also professor emeritus at the University of California at Berkeley, where she has been a faculty member since 1980.
In August 1994, Yellen took leave from Berkeley to serve as a member of the Board of Governors of the Federal Reserve System through February 1997, and then to chair the Council of Economic Advisers through August 1999. She chaired the Economic Policy Committee of the Organization for Economic Cooperation and Development from 1997 to 1999. She served as president and chief executive officer of the Federal Reserve Bank of San Francisco from 2004 to 2010.
Yellen is a member of the Council on Foreign Relations and has served as president of the Western Economic Association, vice president of the American Economic Association, and a fellow of the Yale Corporation.


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– Friedrich Nietzsche
Carlton Landing Plein Air – 5.5″ x 6.5″ Watercolor
Saturday, I went to a Memorial Day picnic at Carlton Landing. They had this big beautiful pavilion there that was made in San Antonio, taken apart, shipped to Oklahoma and re-assembled on site. There is no metal in it. It is put together with wooden pegs. It is really beautiful and huge! My little plein air painting doesn't do it justice. This is just a small corner of it.
They had the most wonderful music being performed, while I painted. The artist was John Fullbright, an Okema, Oklahoma native. I really enjoyed the afternoon.


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Chester, Pa. – Philadelphia Union midfielder Keon Daniel has been called up to the Trinidad & Tobago National Team for the CONCACAF Gold Cup in July.
Daniel will join Trinidad & Tobago for international duty from June 25-July 16, missing the Union's matches against FC Dallas (June 29), Real Salt Lake (July 3), Houston Dynamo (July 6) and Chivas USA (July 12). Should Daniel and his squad progress past group stages, he would remain with the team past July 16 for as long as the team advances in the tournament, which ends July 28.
Trinidad & Tobago will play in three group stages matches before possibly advancing to the quarterfinals stage. The squad will face El Salvador July 8 at Red Bull Arena in Harrison, NJ, Haiti July 12 at Sun Life Stadium in Miami Gardens, Fla., and Honduras July 15 at BBVA Compass Stadium in Houston, Texas.
Daniel has made 53 appearances and scored 13 goals for Trinidad and Tobago since making his debut in 2007. He most recently appeared in a March friendly against Belize, playing 88 minutes in the 0-0 draw.
The 26-year-old has started in 11 of the Union's 15 MLS matches this year, logging 1,065 minutes and notching one assist.


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Payments, Insurance and AccreditationWe provide continuous care treatment options through groups, individual and family education, and community connections.
Insurance and Payment
Many of SunCloud Health's patients use their in-network benefits to pay for treatment. There is usually a deductible and some form of co- insurance that our patients must pay directly to us.
This (CNBC) video provides a basic understanding of how medical costs and insurance are related and structured. Which may help you anticipate expenses and budget better for your health.
Upon admission to SunCloud Health, a patient must sign a "SCH Financial Agreement" contract that obligates him or her to pay for the services rendered, commensurate with the contracts we have in place with the various insurance companies and per each individual's specific plan. For the financial portion our patients pay directly to us, SCH accepts Visa, MasterCard and American Express. We also accept checks.
Our main concern is providing recovery and helping people find a more fulfilling life.
Important to note on patient intake:
We suggest patients consult our Intake/Financial Coordinators (call us at 866-729-1012), our coordinators will:
- Review costs
- Payment options
- Work with patients to help them fully understand how their insurance benefits can be used to support them with treatment
Our initial assessments and evaluations are intended to provide a recommended level of and course of care.
- Charges will apply unless otherwise advised.
- Cancelation policies may also apply.
- Financial terms and conditions are provided at your first visit; please ask if you would like to review them ahead of time.
- Where needed we will work with our patients to make arrangements that fit their financial situations.
Lending Options
Financing may be available through MyTreatment Lender (not affiliated with SCH). Click Here for more information.
Please note there are risks associated with borrowing money for anything, including treatment.
Read this disclosure for the commonly associated risks.
SCH is accepting most forms of ComPsych coverage.
SCH is accepting most forms of TRICARE insurance.
SCH is accepting most forms of Humana insurance.
SCH is accepting most forms of Aetna insurance.
SCH is accepting most forms of United Healthcare Optum insurance.
SCH is accepting most forms of Blue Cross Blue Shield insurance.
SCH is accepting most forms of Magellan Healthcare insurance.
SCH is accepting most forms of Cigna insurance.
SCH is accepting Beacon/Value Options insurance.
Please contact us so we can help you verify your benefits with your insurance provider.
Please contact us regardless of your insurance, as we can and will work with you to help you maximize your benefits.
Accreditation and Licensing
Joint Commission Behavioral Health Care Accredited
SunCloud Health is accredited by the Joint Commission, demonstrating our ongoing commitment to safe, high-quality behavioral health care.
DASA Licensed
We are also accredited by the Illinois Department of Alcohol and Substance Abuse.


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22600 Ventura Boulevard, Suite 204
Woodland Hills, CA 91364
With oral conscious sedation, Woodland Hills area sedation dentist Manny Fernandez, D.D.S. is medically able to attend to your dental needs for a longer period of time. This means you can combine all or many of your dental appointments into one. If you are in need of extensive dental work or multiple treatments are necessary, oral sedation dentistry may be the most efficient and hassle-free option for you to consider.
Woodland Hills area dentist Dr. Manny Fernandez offers dental payment plans so you can afford the treatment you need. Just talk with our friendly team about your needs.
We'll be happy to work with you to find the solution that fits your situation. We're committed to making your oral health a reality.
Manny Fernandez, D.D.S. is proud to be a trusted Woodland Hills area Zoom!® teeth whitening dentist. Our patients love the short amount of time the tooth whitening treatment takes as much as they love the results.
You'll be able to relax in our comfortable surroundings. In just about an hour, you'll have a sparkling white smile!
One of the first things people notice is your smile. All it takes is a single appointment or two with Woodland Hills area dentist Manny Fernandez, D.D.S., and you, too, can have the winning, healthy-looking smile you've always wanted. The beautiful cosmetic results you'll get from Manny Fernandez, D.D.S can be immediate and dramatic!
At Manny Fernandez, D.D.S we aim to maximize your insurance benefits and make any remaining balance easily affordable. Woodland Hills area dentist Dr. Manny Fernandez and his knowledgeable staff can help answer any of your insurance questions.
We accept most insurance carriers. Please check with us prior to your appointment, but it's safe to say we likely accept the type of insurance you carry.
F Sehati Inc
484 Mobil Ave # 33
Camarillo, CA, 93010-6364
Robert T. Bergman, D.D.S., Ms, Inc.
400 Mobil Ave Ste C1
Camarillo, CA, 93010-6377
(805) 482-7284
Douglas R Dill D.D.S. Inc
2107 Pickwick Dr
Camarillo, CA, 93010
(805) 445-1333
Camarillo Childrens Dental Grp
3687 Las Posas Rd # 180
Camarillo, CA, 93010-1431
While many younger patients in the dental care office are cooperative and manageable without the need for sedative drugs, there are a significant number of children who cannot tolerate dental care without the use of these techniques.
For older, mildly apprehensive children, the use of oral conscious sedation may prove effective during dental care. Drugs such as chloral hydrate, Vistaril, Phenergan and Versed are frequently used either alone or in combinations selected by the sedation dentist for dental care.
Inhalation conscious sedation, using nitrous oxide, or laughing gas, is also highly effective in a mildly apprehensive older child who is older than six years.
In some instances, the use of a physical restraint (known as a Papoose Board or PediWrap) may be necessary to minimize excessive movement (which could be dangerous) during dental care treatment.
Naturally, many younger children are not mature enough to understand the need for their cooperation during dental care treatment. In this situation, the techniques described above have little chance for success. Deep sedation or general anesthesia may be required for dental care treatment to be successfully provided.
When this is necessary, the sedation dentist will employ a highly trained and certified dentist anesthesiologist, medical anesthesiologist, or, in some cases, nurse anesthetist, whose sole responsibility is to ensure the safety of the child while the dental care is being done.
Dentists trained to administer general anesthesia have received a minimum of two years of specialized advanced training and have been certified by their state Board of Dental Examiners.
Monitoring devices, some of which evaluate breathing, blood pressure and heart rate, will be employed by the sedation dentist to help ensure the safety of the procedure.
All aspects of the child's medical history, including any drugs he/she may be taking, should be disclosed to the dentist before any dental care.
It is suggested that the parent ask the following questions of their dentist prior to signing an informed consent granting permission for the administration of conscious sedation, deep sedation or general anesthesia to a child:
The administration of local anesthetics (commonly known as Novocain) is needed whenever potentially painful dental care procedures are performed (even during conscious sedation dentistry and general anesthesia).
The administration of local anesthetics to children by a trained sedation dentist is extremely safe and represents the ideal means of providing comfortable dental care treatment.
The following are some of the procedures the doctor might use to make this procedure more comfortable for the child:
The duration of the numbness varies from drug to drug - some providing a short duration (two to three hours), with others remaining effective for up to twelve hours. The sedation dentist will select a drug for the child that is appropriate for the planned dental care procedure.
Since a child's tongue and/or lip may remain numb for several hours after the completion of their dental care treatment, the parent should carefully watch the child to prevent them from accidentally biting and injuring their lip or tongue during this period of time.
Properly administered, local anesthetics are safe and effective in almost 100% of younger patients. If a child is unable to tolerate the injection of the local anesthetic in their mouth, it may be necessary to use one of the techniques of conscious sedation, deep sedation or general anesthesia.
Local anesthetics can safely be administered by a trained sedation dentist to patients receiving sedation or general anesthesia during their dentistry visit.
By Stanley F. Malamed, DDS
What do you want from your relationship with your dentist? Oftentimes, this question is answered when there is a dental problem or emergency requiring immediate attention. There is a different approach to your relationship with your dentist that relates to your own needs and dental health.
This approach is designed to help you create the kind of experiences you want with your dentist. You have a choice about this relationship and how it can support and assist you in your life. It begins with the simple question stated at the beginning of this article: What do you want from your relationship with your dentist?
The answer to this question can take many forms. For some people it may mean having a lot of information about their dental health and future. They seek facts to know they are making good, informed decisions. Others may want a friendly relationship in which openness and communication are valued.
They want information but, more importantly, they want to know they are important to the dentist and the dental team. Some individuals want minimal information and discussion -- just the facts and the solutions to take care of any problem.
We all have different wants in our relationships with health professionals such as dentists. Here are four tips to assist you in deciding what you want in your relationship with your dentist:
Each person looks for different things in their relationships. It is your responsibility to determine what you want and look for that in the relationship with your dentist. The answers to the questions above will tell you something about this.
The next step is communicating what you want so that you are understood. Only you know when someone else understands you. Here are four tips to assist you in this communication process:
Communicating what you want is important to your dentist for it is the best way for him or her to plan for the optimal dental health for you.
By Brian DesRoches, PhD