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Stuart S. Hoffman
(b. March 9, 1896)
Stuart Stephenson Hoffman was a fan living in Black Earth, WI. He was a member of the N3F and helped produce Postwarp.
|This is a biography page. Please extend it by adding more information about the person, such as fanzines and apazines published, awards, clubs, conventions worked on, GoHships, impact on fandom, external links, anecdotes, etc.
page revision: 1, last edited: 17 May 2016 01:44


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Venue: Room KCF22 (55), King's College, University of Aberdeen | City: Aberdeen, United Kingdom
Our bi-monthly CCS Group meeting for researchers in our partner institutes.
Our next meeting will see a change of scene, and will be hosted by our CCS partners at the University of Aberdeen. The venue will be the historic King's College, and the programme will feature Carol Thompson from Shell and Alan James of CO2Deepstore. There will also be another opportunity to take part in Research Speed-dating - a novel way to network and build collaborations. We'll also have presentations from Dr David Vega-Maza, University of Aberdeen, on the range of CCS research under way at Aberdeen and Dr Philippa Parmiter on the importance of knowledge exchange and impact.
Lunch will then be provided by the University of Aberdeen from 1pm-2pm.
Registration has now closed. See you at the next meeting! (details tbc)
Powered by iCagenda

subset: commoncrawl


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Notturno: L'Escadron volant de la Reine
The enterprising L'Escadron Volant de la Reine have devised a programme of Lamentations for Holy Week by three composers associated closely with Baroque Naples – although none was Neapolitan by birth.
At the age of about 18 the Venetian Cristofaro Caresana (c1640-1709) arrived in Naples to work as a tenor and organist at the Royal Chapel, and he held various eminent posts in the city throughout his career. His first lesson for the Tenebrae liturgy on Good Friday is sung in a direct yet eloquent manner by Eugénie Lefebvre, and the ensemble of strings, organ and theorbo plays with emotional breadth.
The Apulian Gaetano Veneziano (1665-1716) enrolled to study at Naples's conservatory Santa Maria di Loreto when he was only 10 years old and eventually became director of music at the Royal Chapel. In his third lesson for Tenebrae on Good Friday, Lefebvre's ardently poetic singing is matched stride for stride by responsively contoured playing; the pathos-laden slower and softer sections are spellbinding.
The Sicilian Alessandro Scarlatti's career juggled prestigious patrons and positions in Naples and Rome, but some scholars suggest that his set of Lamentazioni per la Settimana Santa might have been written in about 1706 for Ferdinando de' Medici in Florence; the first lesson for Tenebrae on Holy Thursday receives an unfettered performance that shows clearly the link between the previous generation of Neapolitans and the next to come (Pergolesi).
A few Scarlatti pieces provide some instrumental contrasts between the lessons, including an exquisitely played four-part sonata for strings (without harpsichord) and two sinfonias from Roman oratorios. An auspicious recording debut, although those interested in this repertoire should investigate I Turchini's broader anthology from the heaps of lessons by Caresana and Veneziano, and all six of Scarlatti's Lamentations recorded by Ensemble Aurora.


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(a bloat of hippos)
Here are some essays that I'm working on now. If you have any suggestions or questions, feel free to email me at: micah.lott[at]bc.edu.
This is a chapter for a forthcoming volume on the philosophy of Philippa Foot.
Lott – Evolution and (Meta)ethics
Part of my ongoing interest in (meta)ethics and evolution stuff.


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We are required to implement and publish a number of policies. The Care Quality Commission and the Primary Care Trust from time to time inspect us. Our main polices are listed below.
Consent for a non-intimate examination, such as taking blood pressure, is generally implied. This means permission will not be sought.
Consent for an intimate examination requires expressed (verbal) consent. This means permission will be sought.
Consent for a minor operation requires written consent. You will be counselled so that informed consent is obtained.
- Consent Leaflet (.pdf)
Consent for Children's Treatment (Under the Age of 16)
Where it is considered appropriate by parents, or where an adolescent does not wish the presence of an adult, a child may give the legal consent to their own treatment.
Under these circumstances, the clinician must be satisfied that the child has a full understanding of the advice and treatment being provided.
At 14 years of age the surgery disables parent's access to the Systmonline account unless further consent is given in case a child wants contact the surgery anonymously.
At 14 years of age the surgery disables children's automatic text reminders unless further consent is given in case a child wants to contact the surgery anonymously.
Our Practice is committed to providing a safe, comfortable environment where patients and staff can be confident that best practice is being followed at all times and the safety of everyone is of paramount importance. All patients are entitled to have a chaperone present for any consultation, examination or procedure where they feel one is required. This chaperone may be a family member or friend.
On occasions you may prefer a formal chaperone to be present.
Your healthcare professional may also require a chaperone to be present for certain consultations in accordance with our chaperone policy.
If you wish to have a member of the Practice staff present during your consultation please mention this to our Reception Staff when booking your appointment, or to the doctor at your consultation, and it will be arranged.
Breast Feeding
The Surgery tries to provide breast feeding facilities. We are short of space downstairs but if possible we will provide an empty clinical room. Upstairs however, we have a quiet room with a comfortable sofa. Please ask one of our receptionists if you need a quiet private area to breast feed.
Equality, Diversity and Human Rights
The Practice aims to promote equality and diversity and value the benefits this brings. It is our aim to ensure that all staff feel valued and have a fair and equitable quality of working life.
The Practice is committed to the principles contained in the Human Rights Act. We aim to ensure that our employment policies protect the rights and interests of our staff and ensure that they are treated in a fair, dignified and equitable way when employed at the Practice.
Comments and Complaints
We welcome your views and constructive suggestions which will help us improve our service to you. There is a suggestion / comments box located at the front entrance for this purpose. Please click here for details:
General Data Protection Regulations 2018
What information is an individual entitled to under the GDPR?
Under the GDPR, individuals have the right to obtain:
- confirmation that their data is being processed;
- access to their personal data; and
- other supplementary information – this largely corresponds to the information that should be provided in a privacy notice.
What is the purpose of the right of access under GDPR?
The GDPR clarifies that the reason for allowing individuals to access their personal data is so that they are aware of and can verify the lawfulness of the processing.
Can GP surgery charge a fee for dealing with a subject access request?
The Practice must provide a copy of the information free of charge. However, a 'reasonable fee' can be charged when a request is manifestly unfounded or excessive, particularly if it is repetitive. A reasonable fee can be charged to comply with requests for further copies of the same information. This does not mean that the surgery can charge for all subsequent access requests.The fee must be based on the administrative cost of providing the information.
How long does the Surgery have to comply?
Information must be provided without delay and at the latest within one month of receipt.The surgery will be able to extend the period of compliance by a further two months where requests are complex or numerous. If this is the case, the surgery must inform the individual within one month of the receipt of the request and explain why the extension is necessary.
What if the request is manifestly unfounded or excessive?
Where requests are manifestly unfounded or excessive, in particular because they are repetitive, the surgery can:
- charge a reasonable fee taking into account the administrative costs of providing the information; or
- refuse to respond.
Where the surgery refuses to respond to a request, it must explain why to the individual, informing them of their right to complain to the supervisory authority and to a judicial remedy without undue delay and at the latest within one month.
How should the information be provided?
The surgery must verify the identity of the person making the request, using 'reasonable means'.If the request is made electronically, it should provide the information in a commonly used electronic format.
What about requests for large amounts of personal data?
Where the surgery processes a large quantity of information about an individual, the GDPR permits the practice to ask the individual to specify the information the request relates to.The GDPR does not include an exemption for requests that relate to large amounts of data, but you may be able to consider whether the request is manifestly unfounded or excessive.
Please request in writing to the Practice Manager using the form below:
If the request is to view vaccinations then please request in writing to the Practice Manager using the form below:
Freedom of Information (FOIA) 2018
The Freedom of Information (FOI) Act gives a general right of access to all types of recorded information held by public authorities. The Act sets out exemptions to that right and places certain obligations on public authorities.
For details of the practice scheme please click here:
- Publication Scheme (.doc)
The surgery Caldicott Lead is Doctor Mark Jackson. The surgery Data Protection Officer is Doctor Robin Hollands.
Your rights are protected as we are registered under the Data Protection Act 1998 (DPA)/GDPR. The Act provides a framework which governs the processing of information that identifies living individuals.
The NHS Confidentiality Code of Practice (COP) applies only to patient information.It incorporates the requirements of the DPA and other relevant legislation together with the recommendations of the Caldicott report and medical ethical considerations, in some cases extending statutory requirements and provides detailed specific guidance.
All staff in the Practice are bound contractually to maintain Patient confidentiality and any proven breach of this will be treated extremely seriously.
We respect your right to privacy and keep all your health information confidential and secure. Confidentiality also extends to Patients' family members. Medical information relating to you will not be divulged to a family member or anyone else, without your written consent.
As we are a computerised Practice, all our patient records are kept on computer and can assure patients of complete confidentiality.
It is important that the NHS keeps accurate and up-to-date records about your health and treatment so that those treating you can give you the best possible advice and care. However, for the effective functioning of a multi-disciplinary team it is sometimes necessary that medical information about you is shared between members of the practice team.
We follow the guidance issued by the GMC in 'Confidentiality: Protecting and Providing Information' which explains circumstances in which information may be disclosed.
This information is only available to those involved in your care and you should never be asked for personal medical information by anyone not involved in your care.
You have a right to know what information we hold about you. If you would like to see your records, please speak to Fred Whalley, the practice manager.
Sharing your health care records
Your patient record will be held securely and confidentially on our electronic system.
If you require treatment in another NHS healthcare setting such as an Emergency Department or Improved Access Clinic, those treating you would be better able to give you appropriate care if some of the information from the GP practice were available to them.This information can now be shared electronically (with your permission) via:-
- NHS Summary Care Record (SCR) -used nationally across England.
- Joining Up Your Information (JUYI) -used locally across Gloucestershire.
- Enhanced Data Sharing Module (eDSM) -used for Improved Access Clinics across Gloucestershire.
The information will be used only by authorised healthcare professionals directly involved in your care.Your permission will be asked each time before the information is accessed, unless the clinician is unable to ask you and there is a clinical reason for access. The doctors at Underwood Surgery recommend you consent to the sharing of information to ensure you receive the best possible care.
Parents, guardians or someone with power of attorney can ask for people in their care to be opted out, but ultimately it is the GP's decision whether to share information, or not, because of their duty of care.
If you are caring for someone and feel that they are able to understand, then you should make the information about the different methods of sharing available to them.
Differences between the Gloucestershire Shared Record/Summary Care Records/Enhance Data Sharing Module
Gloucestershire shared health and social care information
Summary Care Record
Enhanced Data Sharing Module (eDSM)
Across Gloucestershire
Across health care settings, including urgent care, community care and outpatient departments
With GPs, and with NHS clinicians employed by Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire Care Services NHS Trust (Community hospitals and community-based services, such as district nursing), 2gether NHS Foundation Trust (mental health services), South Western Ambulance Service NHS Foundation Trust.
Gloucestershire social care.
Across England
Across health care settings, including urgent care, community care and outpatient departments
With GPs, and with clinicians employed by any NHS Trust or organisation involved in your care across England
Across Gloucestershire
With GPs, and with clinicians contracted by GP Cluster.
Information source
GP record
Other medical records held by different NHS organisations in Gloucestershire
Gloucestershire.social care.
GP record
GP record
Your current medications
Any allergies you have
Any bad reactions you have had to medicines
Your medical history and diagnoses
Test results and X-ray reports
Your vaccination history
General health readings such as blood pressure
Your appointments, hospital admissions, GP out-of-hours attendances and ambulance calls
Care / management plans
Correspondence such as referral letters and discharge summaries.
Your current medications
Any allergies you have
Any bad reactions you have had to medicines
SCR with Additional information can be added (upon request to your GP practice) includes:
- Significant problems (past and present)
- Significant procedures (past and present)
- Anticipatory care information
- End of life care information – as per EOLC dataset ISB 1580
- Immunisations
Complete GP record
Sharing your anonymous health information
The Practice shares anonymous data about you with the NHS. This information includes information required for GP Contract monitoring and data required for local and national clinical audits eg National Diabetic Audit.
It is important that the NHS, can use this information to plan and improve services for all patients. The NHS would like to link information from all the different places where you receive care, such as your GP, hospital and community service, to help provide a full picture. This will allow the NHS to compare the care you received in one area against the care you received in another, so professionals can see what has worked best. Information such as your postcode and NHS number, but not your name, will be used to link your records in a secure system, so your identity is protected. Information which does not reveal your identity can then be used by others, such as researchers and those planning health services, to make sure we provide the best care possible for everyone. How your information is used and shared is controlled by law and strict rules are in place to protect your privacy.
You have the right to prevent confidential information about you from being shared or used for any purpose other than providing your care, except in special circumstances. If you do not want information that identifies you to be shared outside your GP practice, ask the practice in writing to make a note of this in your medical record. This will prevent your confidential information being used other than where necessary by law, (for example, if there is a public health emergency).
If you want to opt out of the above data sharing then please download this form, sign and return it to the Surgery
- Opt-Out Form (.doc)
Sending appointment reminders and normal results by text.
Our receptionists may ask for verbal consent to use your mobile phone for texting..
The surgery encourages patients to allow us to use SysmOne to automatically send to your mobile phone appointment confirmations and an appointment reminder the day before your appointment. These reminders also contain a link to allow you to easily cancel the appointment.
We also you this service to remind you to make an appointment for a review with your doctor or one of the nurses.
Your doctor may send you normal results via text. However we prefer to write to you or speak to you if the results are significantly abnormal. Ask your GP to send your results via text or ask your GP to register your for detailed access to SystmOnline when you are arranging the test.
NHS Constitution
The NHS is founded on a common set of principles and values that bind together the communities and people it serves – patients and public – and the staff who work for it.
This Constitution establishes the principles and values of the NHS in England.
It sets out rights to which patients, public and staff are entitled, and pledges which the NHS is committed to achieve, together with responsibilities which the public, patients and staff owe to one another to ensure that the NHS operates fairly and effectively.
All NHS bodies and private and third sector providers supplying NHS services are required by law to take account of this Constitution in their decisions and actions.
The Constitution will be renewed every 10 years, with the involvement of the public, patients and staff.
Please download this file for more information:
- NHS Constitution (.pdf)
Practice Charter
We have a Practice Charter which you can download below:
- Practice Charter (.doc)
Patient Dignity and Respect Policy
We have a policy which includes:
- The Practice will not under any circumstances, stereotype patients based on pre-formed, perceived opinions.
- Offering the provision of a private discussion with a receptionist, if required.
- A hearing loop is installed and operational at all times, and staff members are trained in its use.
- Guide dogs are permitted in all parts of the building.
Violence Statement
Staff who treat patients have a right to work free from any form of threats, fear, abuse or violence. The GP practices in Gloucestershire have agreed a Zero Tolerance Policy. Depending on the level of the incident a patient who is verbally rude or mildly abusive may be sent a letter as a final warning. Any further incident will result in the patient being removed from the Practice list.
Following removal the patient may face police charges resulting from the incident and will not be seen by any local GP Practice. The patient will have to travel to Gloucester to the Vaughan Centre to receive any further GP services in secure conditions for healthcare staff and will not receive home visits.
Late For Surgery Policy
If a patient is more than 10 minutes late for an appointment then the automatic booking system will not work. If safe to do so the clinician may refuse to see you and you will have to re-book an appointment.
If there is a good reason why you are late or if your problem is urgent then the Surgery may agree to fit you into the GP's surgery, ask you to wait to the end of the surgery or see the 'On Call' GP.
The automatic system will not book you in more than 30 minutes before your appointment.
Collecting Controlled Drugs Policy
If a patient or a representative is collecting a controlled drug then you may be asked for proof of identity.
Terms of Use · Site Map · Search · Website Feedback · Review us on NHS.uk
© Underwood Surgery 2018, All rights reserved.
Built & Designed by Will Hollands


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Champagne Jacques Picard
Welcome to our website.
The Jacques Picard Champagne House is a family-owned estate that produces and sells champagne from its own vineyard.
We hope that you will delight in tasting the quality of our champagnes, visiting our champagne house and discovering our passion for winemaking. Enjoy the visit to our website, and we hope to see you soon!
- Nouveau site Découvrez notre nouveau site, plus fonctionnel et plus complet qu'auparavant. Bonne visite...


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If you were to ask me what my ultimate summer skin care advice is, it really is this simple: factor 50. Not always a popular choice, granted, but possibly a life saving one.
I don't know about you but when the sun is beating down on my skin, I can feel it beginning to burn and it doesn't take long for the onset of that uncomfortable sensation of tightness- nothing pretty about that!
When I first heard La Roche- Posay had released a factor 50 tinted BB cream from their Anthelios collecton, I have to say I was really intrigued. Having seen reviews of this which proclaimed it to be the perfect hybrid of essential summer skincare and makeup coverage, I couldn't wait to get my hands on it.
The thing about sun screen is that we all need to apply it to our face but, (unless you're sitting poolside with your hair up and sunnies on), the shiny, thick consistency can be a tad difficult to wear on your face blended with makeup for an everyday look.
What I love about this BB cream is that whilst it does an excellent job of protecting your skin from the sun, it doesn't feel at all like a heavy, clinical formula on the skin. It blends beautifully, smells gorgeous and feels more akin to a makeup product than a skincare product.
It's so important to protect your skin and now I've tried La Roche-Posay's BB Creme, I know I've found something well worth sticking to. I've always favoured factor 50 products on my body so I'm really happy to have found something just as good for my face too.
Have you given this a try?


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|low graphics version | feedback | help
|You are in: World: From Our Own Correspondent
Wednesday, 9 June, 1999, 22:01 GMT 23:01 UK
The removal of shrapnel and fear
By Hugh Sykes in Germany
The Euro election campaign in Germany has achieved an unexpected kind of unification.
On a roadside in Bonn, the outgoing capital, a party worker was putting up election posters for the PDS, the Democratic Socialists - the old East German Communists.
And in the old East, on the trees along a shady main road into Leipzig, there are posters for the Green Party, who are in the coalition government with Chancellor Gerhard Schröder but who have very few supporters in the East.
The irony of this reversal is that the PDS is the only serious election contender offering a haven for people who objected to the war in the Balkans - one of the posters reads: "Europa Schaffen Ohne Waffen" - "Create a Europe Without Weapons."
This is a bit rich from a party which grew out of a totalitarian government which only 10 years ago still held East Germany in the Warsaw Pact and under the control of the ubiquitous Stasi secret police.
Remnants of the Second World War
A freedom campaigner then, and a pacifist now, is a leading Leipzig evangelical Pastor, Ulrich Seidel. He told me he didn't want to get out of the Warsaw Pact only to find himself part of another military alliance that went to war in Yugoslavia.
One of them seemed to me to be strangely pockmarked - great craters in the plaster between the windows, revealing the brickwork underneath.
Pastor Seidel stopped, and with a grin said: "You did this ... this was shrapnel from the Royal Airforce bombers."
After laughing, we agreed it was also slightly eerie - lovely old houses lost in a time warp, unrepaired from bomb damage fifty years before. The one we were looking at was now being used as an after-school club.
Repairing the damage
The neglect over those years has its advantages - the fine old houses that survived the Second World War haven't been torn down and replaced by ugly modern blocks.
About an hour and a half down the motorway from Leipzig, there is an old East German town that was barely bombed at all - and it is now a jewel of baroque and 19th Century beauty - Erfurt, the capital of Thuringen.
It is an ancient university town (Martin Luther was a student and a monk there), there are some 20 churches in the old town centre, and the cathedral has stained glass in its windows which is 600 years old.
All these wonderful buildings are being lovingly cleaned and restored, the cobbled streets have been preserved and business is booming. Slightly surreal business - there are restaurants and cafes with odd names like Miss Marple, after the Agatha Christie detective, and Hemingway, and the pizzeria and guest-house Don Camillo.
The proprietor, Aldo, from Turin, was delighted that I saw the joke of the name of his establishment - Don Camillo was a fictional, comic priest whose best friend was Communist mayor of a small town in Italy.
Casablanca revisited
The Don Camillo Pizzeria also had something of Casablanca about it - I arrived at 1130 at night, after hours in traffic jams on the Autobahn, and was immediately offered a beer by a man who looked like a Peter Lorre (but without the anxious eyes) and who introduced himself as Octavian Philip from Romania - now a German citizen.
He wished me "Bon Appetit" in French, Italian, German, Hungarian and English. The pizza - one of the best I have ever had - genuine Italian very thin crust - was cooked by Colin from Dudley.
Colin used to be in the British Army on the Rhine. He also served in the Falklands. But he's lived in Germany now for so long he finds it hard to speak English (although his origins become unmistakable when he actually says the word Dudley).
When I had finished eating, Octavian told me a chilling story of an encounter in England which still troubles him. He's a railway engineer, and about 10 years ago he was working on a contract at Reading station.
At the first planning meeting, the British manager looked across the table at him and said: "I'm glad to meet a German".
Octavian asked why. "The last one I met was in 1944, in Norway. And I shot him".
Back in Leipzig, meeting Pastor Ulrich Seidel again a few days ago, we walked past the same big house with the British bomb damage to its plasterwork. It has to close down now as an after-school club - the grandson of the owner, a West German from Munich, has reclaimed it for his family, and hopes to restore it to its condition before 1939.
The visible reminder of shrapnel, and of fear, will at last be removed.
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Bihar:Places,Photos,Videos6:48 AM
How To Get There?
Patna-The capital City Of Bihar is a little more than an overnight journey by train from Delhi.
Watch me as I take you through interiors of the unexplored Bihar,watch in youtube for better video clarity.
Why Bihar?
I believe over the years it is the most critized state in India.The reasons we all know or seem to know.The reason which is true yet not so true.The reason which is in our subconscious mind.The reason truly covered in my previous post
The Being Bihari Conversation
Today we discover the reason beyond what you might have thought of and give you insight on some positive sides of the coin.
But let me take a small quiz before we start,all you got to do is rate on the basis of your answers 1-10..1 being highest,10 lowest.
1)Do you think Bihar is Safe to Travel?
2)Do you think Bihar has anything worth looking at?
3)Do you think it can progress the way other states have?
4)What is the condition of girls in Bihar?
5)Bihar and Adventure sports,possible?
Dicey,its quite obvious to know that most of us have the same backward image we have had in our mind since long..and why so?
Because we are too hesitant to accept a change,a change so substantial that even I was surprised.
Bihar Tourism : How Many Takers?
It'my experience working in firms,talking to people that made me think one word Bihar and the people are off.Off to their own wonderland of negatives.When I was working in an adventure firm,I requested my senior to grant me permission to visit the Bihar Road Show,which he said to me would be of no use.
And it was true.It was of no use.The program started,the pictures clicked on some local dance sequence,the whos who invited,but nobody was really interested in promoting Bihar. Sad to say ,not even the tourism folks.
Don't you think its sad?
Patna - Nalanda
Adventure and Bihar?Rajgir is the first place in India to have started the single seated rope way long back.Is it scary?That's for you to decide,for me it was just another whirlwind where we sang aloud in thrill.Wish we could jump off.
Dona is a small village nestled some 125 kms away from the main city Patna.Named after Dronacharya,the village is worth visiting.Unlike what people might think of next,the roads to every place from Patna have been build upon in recent years.So yes,there are no more pot holes,no more narrow roads.Taxis charge 15 Rs/per km on rent from Patna.
In Between the Journey
Some people reach the destination,we believe in living the destination.When we started from Patna,we had three specific places in mind,Rajgir Nalanda and Dona.And while returning back we had planned Bodh Gaya the only famous and truly marketed place in Bihar.
With a hope that sparked a journey of curiosity,we were not sure what would be ahead.We started with the same set of fear as you would have thought of cows on road,pot holes,not even electricity.We were prepared.But unlike what we had thought of,we were pampered.
Lines of sugarcane juice stalls along the fields of sugarcane were on both sides of the road.It felt good and thirsty.We all excited with a live sugarcane juice in front,stopped our car for our very first break.When the gentlemen was busy preparing the sugarcane juice for us,we played in the sugarcane fields for the first time,as if it was ours.
Next was a break and a place we have never heard of nor seen.It so happened on the way to Nalanda via Bihar Sharif.Rocks with white color on both sides and a road.Clean as hell. We asked the driver what is the place, he said there's a garden on top.We had no time to drive to the top,so we clicked as many pictures as we could at the location which was so unknown yet beautiful.
Next was Nalanda,a university in ruins.A big one at that.It will take more than 3-4 hours to cover the whole periphery.Very popular with international tourists,the Nalanda University is one of the major attractions in Bihar.A series of excavations lay ahead.A series of surprises lay ahead.
Since it is frequented by international tourists due to importance to Buddhists,the place is maintained to the core.There are announcements on directions and how tos. There are instruction boards everywhere.
Next was supposed to be Rajgir.In between we stopped for biting on a sweet delicacy known as Khaja which we get in a place called Silao near Rajgir.The fresh Khaja melted in our mouth and we had several sweetened as well as non sweetened Khaja along the way.
20 Comments
With places like Nalanda and the Buddhist trail am sure Bihar does have its share of must visits on the tourist map. Nice post!ReplyDelete
Hm Bihar has multiple sides...ReplyDelete
must travel place it looks.
thanks for sharing.
Nalanda University ? Whoa...
It's good...write more in future with pics.All the best.ReplyDelete
Huh... who said Bihar has nothing to offer to a traveler! It's just that all these past years the humpty dumpty didn't do anything and people didn't realise till he started selling bricks from the road works... lol... as things are improving now you can easily enjoy Bihar... cheers :-)ReplyDelete
Anunoy Samanta
@Niranjan:Thanks Niranjan..There are many places in Bihar,people do not really know about them thanks to negative media all around.Hopefully my small initiative changes things a bit.ReplyDelete
@Nitish Kumar:Yep true.Folks have been ignoring it for quite a long time,time now for some limelight..in BiharReplyDelete
@K V V S Murthy:Thanks will do.One more post for Bihar,coming soonReplyDelete
@Anunoy:Very true.But then people I have met of late have the same age old impression about Bihar,time we change it,in their mindsReplyDelete
Thanks a lot for this post. With the kind of reach you have, I am sure it will help a lot in changing perspectives :)ReplyDelete
There is more to see .. Sasaram, Bhojpur, Rohtasgarh fort, and some waterfalls :)
Such a lovely post. Rajgir and Gaya is a must for those coming to Bihar. Nice photo of Nalanda.ReplyDelete
@Puru:Oh didnt know there is much much more to see.Was just there for 1.5 days,but then its great to know that there are places you know of.Bloggin is a platform we meet so many travellers,and when your comments start pouring in,I understand you are one of those well travelled ones :) .Thanks for encouragement,lets see.ReplyDelete
@Shalu:Thanks so much Shalu.Just doing my bit to see the positive side of Bihar.ReplyDelete
good information...ReplyDelete
with rich rural photos...
Hi Ankita,ReplyDelete
Love your blog! You have some great stories and amazing photos. If you ever want to enter some in our contests at BarrelHopping, you can win some cash and get additional exposure to your work. Check us out when you have time and safe travels.
@Krishns:Thanks Krishna..More to come.ReplyDelete
@Mike:Thanks Mike,for telling me about BarrelHopping :)ReplyDelete
Educated Biharis working outside have to be more friendly and social to get acceptance. most bad Biharis are one, who want to show that Bihar is bad but they are good, by showing sophisticated accent and good behavior. I can't understand how bihari accent can be linked to uneducated and criminal personality. Sushil kumar who won KBC had pure bihari accent and had more knowledge than any other contestant!!ReplyDelete
Biharis must learn to respect themselves to get respect.
Thank you for this eye opener on Bihar. On my bucket list now!ReplyDelete
@MagicEye:Go ahead,you wouldn't be dissapointedReplyDelete
Superb story. it's useful blog which give more information about Bihar. Nice pictures.ReplyDelete


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"I don't know what to say, it's the first time I've received such a big prize," Song said in his acceptance speech at the ceremony, held at broadcasting network MBC's headquarters in Sangam-dong, Seoul. The APAN awards, hosted by MBC and the Korea Entertainment Management Association, celebrates drama series from all Korean TV networks.
|Actor Song Joong-ki holds the trophy for the grand prize at the 2016 Asia Pacific Actors Network Star Awards, held at broadcasting network MBC's headquarters in Seoul on Sunday. (MBC)
He tipped his hat to actors Ahn Jae-wook and Lee Byung-hun, who were present at the ceremony, saying "I still have a long way to go to catch up with (Ahn and Lee). Like them, I hope to show consistently good performances for a long time."
Song also received the best couple award with fellow "Descendants" lead Song Hye-kyo and the best Asia-Pacific star award alongside Korean actress Kim Hee-sun, Thai actress Tanayong Wongtrakul, Indonesian actor Joe Taslim, Filipino actress Jessy Mendiola and Japanese actor Narimiya Hiroki.
Other award recipients include Park Bo-gum and Kim Yoo-jung, currently starring in KBS2's "Love in the Moonlight," for best new actor and actress, respectively. Lee Byung-hun received the global star award. Han Hyo-joo ("W") and Cho Jin-woong ("Signal") took home awards for best actor and actress.
The awards ceremony was part of the Digital Media City Festival, which is organized by MBC and celebrates hallyu media contents. It runs from Oct. 1-11.
By Rumy Doo (email@example.com)


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Data scrambling, archiving , data subsetting
T-SASTM is a modular solution that consists of Archiving, Scrambling and Sub-Setting. The archiving module is powerful for reducing the database size therefore having a direct impact on performance. After the data size has been reduced, the system performance will be faster while users have access to the archived data. The scrambling module allows customers to encrypt the data while still giving administrators the access to use and modify system parameters without having access to the real data.


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Instantized L-Leucine , 400 Grams Unflavored
Product Overview
Leucine from LiveLong Nutrition™ is an essential amino acid, meaning the body cannot make it and must obtain adequate amounts from the diet, that has been studied extensively for its effects on several aspects of bodybuilding nutrition. Supplementing with Leucine may enhance muscle growth in very powerful ways. Unlock your body's full anabolic potential with Leucine from LiveLong™ Nutrition.*
In order to understand why Leucine is so crucial for muscle growth, it's first important to understand that its effects go beyond simply being a source of an essential amino acid. Not only does the athlete need increased Leucine intake for increased amino acid levels, but this specific amino acid directly stimulates a genetic switch that turns the body into a muscle building machine! To better understand why Leucine is so essential to muscle growth, it's important to know what mTor is. This genetic switch, the Mammalian Target of Rapamycin, is one of a few key ways in which muscle protein synthesis occurs. It is responsible for activating the genetic processes which takes the amino acids we ingest and turn it into actual muscle protein.*
In recent studies, scientists have discovered that periodic bursts of Leucine activate mTor, which in turn increases protein synthesis. Even in diets that were low in overall protein intake, Leucine supplementation increased muscle growth.* Think of this branched-chain amino acid as an anabolic amplifier.
Leucine from LiveLong™ Nutrition is an essential branched-chain amino acid that directly stimulates muscle growth through its effects on mTor. If you are looking for an edge when it comes to packing on pounds of muscle, then Leucine from LiveLong™ Nutrition will be an essential supplement in your arsenal!*
Ratings & Reviews
What's in LiveLong Nutrition Instantized L-Leucine
Directions For Instantized L-Leucine: As a dietary supplement, take 1 serving daily, or as directed by your physician.
Warnings: KEEP OUT OF REACH OF CHILDREN. Do not use this product if you are at risk or are being treated for high blood pressure, heart, kidney, thyroid, or psychiatric disease, difficulty in urinating, prostate enlargement, anxiety, depression, seizure disorder, or stroke. Consult your healthcare professional before use if you are taking antidepressants, MAO inhibitors, or any other prescription drugs. Discontinue use and consult your healthcare professional if dizziness, sleeplessness, tremors, nervousness, headache or heart palpitations occur.
- Manufacturer Information
- LiveLong Nutrition Products and Information


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Friday, 23 November 2012
some we might recognise
only heard about this octonaut lot since making POPs, cute animation though, and this penguin is from Club Penguin, anyone know that?
Posted by Pop Bakery at 09:15 1 comment:
Thursday, 22 November 2012
Posted by Pop Bakery at 08:53 No comments:
Sunday, 11 November 2012
Thursday, 1 November 2012
some newbies..
did these lovely brogue POPs for amazing brand Hudson, who so kindly gave me some gorgeous leather ankle boots as payment, fun times. then halloween came and went, some fun vampires and lots of other designs I didn't capture. then today I did these cute mickey and minnie POPs which are proving mighty popular on old facebooky!
Posted by Pop Bakery at 15:38 1 comment:
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In this video I am sharing How to Manage House & Work. It just life's experience which I am sharing here with my subscribers and all.
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China's government has demanded talks with Japan in their latest dust-up over a set of tiny islands, but a high-ranking Chinese military officer has suggested drastically more belligerent responses.
Dispatch hundreds of fishing boats to fight a maritime guerrilla war, says Maj. Gen. Luo Yuan. Turn the uninhabited outcroppings into a bombing range. Rip up World War II peace agreements and seize back the territory, now controlled by Japan but long claimed by China.
"A nation without a martial spirit is a nation without hope," Luo declared at an academic forum this month in the southern city of Shenzhen while officials in Beijing continued to urge negotiations.
This is a problem. One, it means we don't know who gets to order the Chinese military into action with enough certainty for my comfort, anyway. Soothing word's from Communist Party civilian leadership may mask dangerous actions by military leadership.
Two, those belligerent generals may believe falsely that their status as a rising power means they've already passed us by in power. And so can afford to take military action against us.
We can comfort ourselves that nobody would go to war over specks of land off of the Asian continent. I'm not confident that I can appreciate what Chinese decision-makers--whoever they are--believe is rational.
Wars really can start over issues that nobody believes is worth the bones of a Pomeranian grenadier.


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Lewis Hinks, ASF's Director of Nova Scotia Programs, is devoted to Atlantic salmon rivers, to the heritage of angling, and to the enjoyment of time on rivers, whenever he can get it.
He also is skilled in sea kayaking, and in August was taking a special course on controlling sea kayaks in surf. He was holding his kayak near shore when another participant lost control of the kayak as it surfed in and hit Lewis in the back. The blow provided a large bruise, and considerable pain as well.
The following weekend he was booked to go salmon angling in Gaspé, in what was an annual pilgrimage with close friends to that land of crystal clear rivers. There was success too, and with the help of painkillers, a great time, with salmon being released to continue their journey to spawning areas.
Only when he returned home did he have an x-ray because of the continued pain, and discovered there was a broken rib. There was no bravado in his comments on the subject – just that he was glad he could enjoy the salmon angling.
Maps that Put Dreams on a Computer Screen
Is anything more evocative than a map of a region or river you want to explore, or perhaps to seek that special Atlantic salmon?
Maps of rivers you know bring back excitement with the name of every pool, and maps of rivers you have not yet explored bring a sense of adventure and the tantalizing sense of the unknown.
Over the past few years an ever-greater number of North American salmon rivers have detailed maps on line. Sometimes they are newly drawn coloured efforts, while in other cases they are old maps scanned and shared online. The old New Brunswick river maps are indeed very useful:
- New Brunswick Salmon Maps –
- many older maps for the Miramichi, Restigouche, Bartholomew, etc. After clicking to bring up the river, click on the river segment square for the detailed map. Click here
River Notes
This is a great time to be out on a river across the Atlantic salmon's range in North America. In some places like the Miramichi and Cape Breton the leaves are turning. Several areas, especially Nova Scotia, received a great sousing at the beginning of this week. The air is crisp, and the water temperatures are dropping. The insects are not an issue.
Salmon numbers may be down, but the salmon and river experience seldom gets much better than it does this week and weekend.
Nova Scotia
Northumberland Strait Rivers – a Report from Gerry Doucet:
Sunday night and Monday morning brought some much needed rain to Nova Scotia. A fast developing low pressure system provided a good soaking to the entire province Some areas on the South Shore and surrounding Halifax received over 100 mls of rain while the Northumberland Strait rivers received between 50 and 75 mls.
These rivers were flowing high and dirty on Monday evening as they crested, and many salmon anglers were able to venture out on Tuesday as the water began to clear. This is the first sustainable opportunity for the annual fall run of Atlantics to begin their autumn migration towards the spawning grounds in Cumberland, Colchester, Pictou and Antigonish Counties.
Early angling reports are spotty at this time but rain event provided a broad soaking for the Northumberland Rivers that haven't had any appreciable rain since August.
Margaree – Reports are coming in that the river is providing excellent conditions, and the salmon are cooperating in taking flies. The great deluge has also apparently encouraged the salmon to move upstream. And once again, fall colours are coming out to make the valley even more beautiful.
As for water levels, check this out. Compete blow-out on Monday, then back to excellent flows for anglers
New Brunswick
Miramichi – Water levels are a bit low. Fall reds, yellows and oranges are beginning to colour the hillsides. Anglers are finding the Atlantic salmon more amenable to taking a fly, with numbers of large salmon lazing in the pools.
It isn't quite a fall run, and the counting fences aren't showing more than one or two new salmon, but conditions on the river help make up for it.
Fishing has been slow. The past several days have seen some heavy rains, and most remaining angler areas have the water too high at the moment. One report from an angler who a week ago visited the Gander: he fished Top Pool and Straight Pool at Glenwood, with no sign of fish. Note that only the lower stretches of the Humber, Exploits and Gander are now open.
New England
Penobscot – Maine DMR is reporting one more salmon at the Milford Fish Lift, bringing the present total to 260 Atlantic salmon. Sadly, this remains among the lowest returns recorded for the Penobscot.
Merrimack River – This river passing along the NH/MA border and then north through NH has had 41 Atlantic salmon this year. In 2013 the US Fish and Wildlife Service ended a 30-year restoration effort due to budget cuts and only limited success in maintaining numbers.
Final Word – the Hat and the Salmon
Reports from Quebec are not available this week.


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Bright Idea Photography is a Videographers business in Guntown, MS.
Bright Idea Photography classified under Videographers, with principal employer Nathanael Trott Full Name Report is located in 431 County Road 1970, Guntown, Mississippi MS 38849. For sales, support, account inquiries, and how to be an affiliate, the best way to get in touch is through numbers: (662) 231-7000 Full Phone Report.
It has been operating since , boasting total quality assurance, and an annual revenue of $0 to $49.999. Their Single Location can be reached with the use of the following coordinates: . They currently have 1 to 4 employees, and you can learn more about their offerings at .
You can also view their clients' testimonials, government compliance and annual reports through their website. Bright Idea Photography aims to strengthen their B2C relationships through advertisements and brand promotion.
Registered codes from Standard Industrial Classification is 7221, and 541921 from North American Industrial Classification System. Customer feedback is highly appreciated; be sure to leave your comments on their website through survey forms. These are necessary for company service improvements.
|Business Name:
|Bright Idea Photography
|Categorized In:
|431 County Road 1970, Guntown, MS 38849
|Phone Number:
|(662) 231-7000 Full Phone Report
|Contact Person:
|Nathanael Trott Full Name Report
|NAICS Code:
|SIC Code:
|Business Type:
|B2C (Business to Consumer)
|Employee #:
|1 to 4
|Location Type:
|Single Location
|Annual Revenue ($):
|$0 to $49.999
|Share This Business:


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CHICOPEE – Francine Jasinski Hayward looks forward to relaxing walks along the newly opened Canal Park and Bike Path. "It is just a little escape. Relaxing. Just long enough for a good little stroll to get the blood pumping," Jasinski Hayward said Friday. She was one of about 50 people who gathered at the entrance to the path on Front Street across from City Hall Annex for its official opening Friday. As the 49-year-old lives nearby on Hendrick Street and works close to the path on School Street, she said she expects to use the attraction frequently. Mayor Michael D. Bissonnette cut the ribbon, standing under clear sunny skies, saying, "This is truly a day the Lord has made, but it is truly a day that Joe Wagner paid for. ... This couldn't have happened without him." The mayor was referring to the $800,000 in state funding state Rep. Joseph Wagner, D-Chicopee, secured for the project. "I hope this serves as a catalyst for the next phase," Wagner said, calling the view along the walk, "spectacular." The path, on land that used to have railroad tracks, runs for about 1,000 feet along the canal from the Davitt Bridge off Front Street to Grape Street. The mayor said officials are seeking funding for the designs for the next phase of the project, which would stretch from Grape Street to an area behind Szot Park. Eventually, officials would like to path to continue to the former Uniroyal property. Another future phase being eyed could involve the path following the Connecticut River from Plainfield Street in Springfield to the Willimansett section of the city. Bissonnette praised the contractor, Mass West Construction of West Springfield, for completing the path in a timely manner and within budget. City Council President William M. Zesky said
he envisioned the project 30 years ago.
"Hopefully, it won't take another 30 years," he said, alluding to completion of the next phases of the path.


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Great Wolf Lodge is Ohio's first family resort and indoor water park. Mosser Construction completed the 274,083 sf lodge and 3-acre water park in 13 months with a perfect safety record.
Great Wolf Lodge includes family suites, a lumberjack restaurant, and a fishing grill/bar facility. A log cabin theme is carried throughout, especially in the building materials and artifacts including moose patterned carpets, sconces, antler chandeliers, and artwork by North American artisans.
The water park features seven water slides, some up to 343' long, carrying guests through winding tubes outside the building before plunging them into a large pool inside. A simulated river offers a leisurely adventure as guests drift down its banks. Recreational pools feature basketball courts, floating animals, a zero-depth leisure pool, and whirlpools. An interactive tree house offers adults and children alike great water fun.
Location: Sandusky, Ohio
Project Size: 274,000 sf


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It's probably one of the most common New Years resolutions – "Read more books." A lot of people say it, most of us mean, and…well we all know how best intentions go.
One my my new favorite authors (meaning I recently discovered his books, not that he is new), Joe Hill says the number of pages you average reading in a day equals the number of books you will read in a year. I think he may be right about that. I have been listening to a lot of books on audible lately – because there's so many books and so little time – but I think he's probably right about strictly reading.
At any rate, I'm really trying to hold true to that particular New Years resolution. I made the same resolution in 2014 so let's see how I did:
- In 2014 I got through 18 books – I'm sure that's the most in a single years since I was in high school – a time when I would pick up a new book as soon as I finished one.
- Ten of those books were audio versions
- Six were Kindle
- Two were paperback
That's not too bad, but I think I'll beat it this year.
It's hard to pick a favorite, but I'm going to go with NOS4A2 because it came as such a surprise. Since it was the first of his books I read, I didn't really know what to expect from Joe Hill, but I absolutely love this book. You can see what I said about it here.
I also really enjoyed the entire Dark Tower series from Stephen King, but I can't just pick one book as a favorite.
Actually I enjoyed everything I read (or listened to last year), which is pretty awesome because that doesn't happen all the time. Do you finish a book if you don't like it after you start reading? I used to, but in the last few years I have given myself permission to move on. I do a lot more reading if I'm enjoying it. Chances are I will go back to whatever it was I couldn't finish – sometimes you're just not in the mood for it at the time.


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Distinguish Separate and Significant E/M Services
- By John Verhovshek
- In Healthcare Business Monthly
- December 1, 2016
- 1 Comment
By Suzan Hauptman, MPM, CPC, CEMC, CEDC, and John Verhovshek, MA, CPC
Modifier 25 will help your physician receive reimbursement for extra E/M work.
CPT® modifier 25 identifies a "Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service." To apply modifier 25 correctly, you must know what distinguishes a "separate, significantly identifiable" evaluation and management (E/M) service.
Not Every E/M Service Is Billable
All billable medical procedures include an "inherent" E/M component to gauge the patient's overall health and the medical appropriateness of the service. For example, if a patient has a mole removed, that procedure has an inherent E/M service, which would include general preparation such as measuring vitals, maybe updating medications, confirming the mole location and its current state, etc.
To report a separate E/M service with modifier 25 appended, the visit must be more involved. Specifically, the available documentation should describe an independent, standalone E/M service, in addition to the procedure. The clinician's note could include the patient history, a listing of co-morbidities and their possible effects on the current condition, a medically-warranted examination, and documented medical decision-making (for instance, deciding that the best treatment is a procedure performed that day). If the note briefly touches on the current issue and the need for the additional service or procedure, consider the E/M service to be part of the procedure, and not separately billable.
Generally, if the E/M service is unrelated to the minor procedure (i.e., the E/M takes place for a different concern/complaint), the E/M service may be reported separately. If the E/M service occurs due to exacerbation of an existing condition, or another change in the patient's status, that service may be reported separately as long as it is independently supported by documentation.
The American Academy of Family Physicians (AAFP) recommends that physicians answer the following questions to help determining if modifier 25 is appropriate:
- Did you perform and document the key components of a problem-oriented E/M service for the complaint or problem?
- Could the complaint or problem stand alone as a billable service?
- Is there a different diagnosis for this portion of the visit?
- If the diagnosis is the same, did you perform extra physician work that went above and beyond the typical pre- or postoperative work associated with the procedure code?
As long as both the E/M service and the procedure are clearly documented, you don't need separate notes (although separate notes can help).
An example physician's note with both the procedure and the E/M service might look like this:
I saw Sharon today for a new spot of concern on her right forearm. She first noticed this spot three weeks ago. At first, she thought it might be a pimple, but it didn't go away and could not be "popped." It started to itch and she used Benadryl® cream to ease that, and it worked for a brief period of time. She has noticed over the last few days that it is getting bigger. It appears to have puss, but won't pop. She has no fevers or chills. No chest pain or breathing troubles. She hasn't noticed any other changes in her skin. Her medications include a multi-vitamin as well as Synthroid® 135 mcgs each morning. She is current with her flu shot. She has never smoked. She does drink socially.
On exam her vitals are stable. PERRLA; no lymph nodes upon palpation. Her skin is normal in color and turgor. RRR. Chest is CTAB. Abdomen is soft, non-tender. No edema. After performing a more thorough skin examination, she has no other suspicious spots. Examining this area, it looks like it could have started as a pimple. She has been picking at it, and it's now inflamed. I feel a pustule sack deep within it.
The spot on her arm appears to be a sebaceous cyst that has become irritated. I think she will get relief if it's drained. I suggested an I/D of the area. She is in agreement and understands the risks and benefits. I have gotten consent.
In the procedure room, I draped the arm and administered a local anesthetic. Using an XYZ scalpel, I made a small incision in the center of the area. I was able to extract XX mL of fluid. The site immediately smoothed. The pustule that I felt earlier decreased in size. I also was able to extract some tissue that I will send to pathology. She tolerated the procedure well. I explained what to look for and when to call me. I will be in touch with her upon receiving the pathology report. She was able to leave after a 20-minute rest following the procedure.
Diagnoses Must Support Every Billed Code
Both the procedure and the separate, same-day E/M service must be linked to a diagnosis substantiated in the medical record. The diagnoses supporting each service may be the same or different. Per the Centers for Medicare & Medicaid Services (CMS) Transmittal R954CP, "The E/M service may be prompted by the symptom or condition for which the procedure and/or service was provided. As such, different diagnoses are not required for reporting of the E/M services on the same date" [emphasis added]. The E/M visit may be prompted by a complaint unrelated to the same day procedure (different diagnoses), or the procedure could be for a condition that was evaluated during the visit, or for a chronic condition that would benefit from the additional service (same diagnoses).
Example: A patient presents for an I/D of a sebaceous cyst on her left thigh. The procedure was performed without incident, and she tolerated it well. She is noticing, however, that she has been having more and more headaches lately. She keeps a headache diary. Her last one was three days ago and included aura. She took Motrin® without relief. She is not noticing any food triggers or activity triggers. She is premenopausal. On exam … I have recommended she see a neurologist, and I ordered an EEG for her prior to her going to that appointment.
Modifier 25 Applies Only with Minor Procedures
A minor procedure is any procedure/CPT® code with a zero- or 10-day global period, as defined by Medicare's Physician Fee Schedule Relative Value File. Examples include many injections, minor integumentary repairs, and endoscopic procedures (e.g., diagnostic colonoscopy). Turn to modifier 57 Decision for surgery (rather than modifier 25) to report a separately identifiable E/M service that occurs on the same day of, or the day before, a major procedure (a procedure or service with a 90-day global period), and that results in the physician's decision to perform the procedure (Medicare Claims Processing Manual, section 40.2).
Example: A patient is seen for a possible hernia. Through detailed examination, the physician determines the patient has an umbilical hernia. The surgeon has a surgical block the next day, and places the patient on the schedule. Because the E/M service leads to the decision for surgery and hernia repair is a major surgery (90-day global period), and because the E/M occurs the day before the surgery (e.g., within the global period of the procedure), report the appropriate E/M service code with modifier 57 appended. This will alert the payer that the E/M service should not be bundled into payment for the hernia repair.
Tip: You can find a global period look-up tool on the CMS website: www.cms.hhs.gov/Medicare/Medicare-Fee-for-Service-Payment/PFSLookup/index.html?redirect=/pfslookup/02_PFSsearch.asp.
Modifier 25 Can Apply for Multiple E/M Services
You may append modifier 25 if the other service is critical care, a preventive visit, or an annual wellness visit. In all cases, append modifier 25 to the "traditional" office visit code (as opposed to a preventive visit reported on the same day, for instance).
Per CMS, modifier 25 may be appended only to the following E/M categories:
Codes Category Description
99201-99205 New patient visits
99211-99215 Established patient visits
99241-99245 Office/Outpatient consultations
99251-99255 Inpatient consultations
99291 Critical care, initial 31-74 minutes
99281-99285 Emergency room visits
A thorough understanding of modifier 25 can help to produce cleaner claims and yield optimal, appropriate reimbursement.
AAFP questions: www.aafp.org/fpm/2004/1000/p21.html
Medicare Claims Processing Manual, section 40.2:
CMS Transmittal R954CP:
Suzan Hauptman, MPM, CPC, CEMC, CEDC, is the senior principal for ACE Med group specializing in auditing, assessments, coding, compliance, expert opinion, writing, reporting, and education. She is experienced in leading teams of coders, auditors, and educators, as well as educating providers on medical record documentation, EHR, and HIPAA. She has served on the AAPC Chapter Association board of directors and the AAPC National Advisory Board, and sits on a number of other advisory boards throughout the industry. She is vice president of the Greater Pittsburgh, Pa., local chapter.
John Verhovshek
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One Response to "Distinguish Separate and Significant E/M Services"
What are the guidlines for annual visit billed with and additional E/M visit on the same day.


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My family and I traveled from Dallas Texas to San Diego, California. We got stuck right outside of Dallas with a flat tire. I called Dallas Towing and spoke with Jason. I was assured that someone will be at my location within 15 minutes, David from Dallas Towing showed up within 15 minutes and replaced my tire within minutes. Thank you Dallas Towing!
My family owns an Apartment building in Lewisville, TX. We get lots of traffic in the neighborhood and most people end up parking in our parking lot. Dallas towing helped us by creating a parking pass system and an on site towing agent.
First I'd like to say Thank You David for the quick response and all the help I got from your staff on Aug. 12th. My wife and I were about to leave the hospital with our first child to find out that our car battery died. I called Dallas Towing and spoke to David who dispatched an agent to our location. Your guys are the best!
As part of our ongoing efforts to offer the best in service, Dallas Towing operates a 24 hours, 7 days a week emergency service. Our trained dispatchers will dispatch the nearest tow truck to your location in 30 minutes or less-GUARANTEED![contact-form-7 404 "Not Found"]


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How often have you sat down at the computer to work on your social media presence, only to feel overwhelmed, distracted, and ultimately unsure of just what it is you are doing and if you are being effective?
You are not alone!
Everyone has found themselves there at one point or another. In fact, most businesses are unsure of how to make the most of social media to support their particular business.
If you are tired of losing valuable hours of your time on your social media networks, then this 2-hour training session is for you.
Come in with NO plan, but leave with a purpose
This training workshop was developed based on the theory that you learn 90% of what you actually DO versus 20% of what you read.
Throughout the workshop, you immediately apply the techniques to your own business through the series of worksheets built into the training session.
This means that not only are you learning, but in 2 hours you are also defining your business's social media purpose!
What you get:
- An actionable plan to take home with you, customized for YOUR business
- Hands-on training workbook filled to the brim with worksheets and valuable information
- Digital copy of the workshop
- Free access to on-going support via my closed [insert name here] Facebook group
- Discount code to "The 20 Minute Marketer" e-book/webinar series coming in 2014.
Tuesday, December 10th, 2013
11:00 a.m. - 1:00 p.m.
TD Canada Trust
5679 Hazeldean Road (at Huntmar)
Stittsville, ON
Cost: $60.00 + HST
There are only 10 spots available!
Register today by emailing me: email@example.com
Register today by emailing me: firstname.lastname@example.com
Don't wait until January to take a BIG step forward in you marketing strategy. By attending this 2-hour training-workshop, your business will be better positioned to maximize the results your social media efforts while reducing the time spent online - all by defining your social media purpose.
Want to see what we'll be covering? Here's a sneak peek at the training materials.
Translate purpose into success
The key to experiencing success in anything is determining what goal you are trying to achieve. This training workshop will do just that! I do away with the clutter and cut right to the chase -focusing in on what is the BEST way for you use social media that has the most impact on your customers.
Bring a friend, save $5: If you sign up with a friend*, you BOTH receive a $5 discount off the registration cost. *Must sign up at the same time, in advance only.
Additional incentive: sign up NOW for my email newsletter (at right) and you are automatically entered into a draw for FREE admission to the workshop. Deadline to qualify is 11:59 p.m. December 9, 2013.
Advance registrations only!
Are you ready to start off the New Year with more focus and purpose driving your business online than ever? It's as easy as sending an email directly to me at firstname.lastname@example.com!
Looking forward to seeing you!


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- Arshim
- 6 years ago
Self-explanatory title and one I find to be very interesting in our times where mixed families are so common.
Take your pick from the poll options and tell us about your choice and reasoning.
My opinion is that I really admire women who can do this but I'm not sure I can handle it. I believe that his children are his number 1 priority and should be put first and I applaud women who accept a man and his children as a package deal. As to those women who think that they should be put first or should not have to be a stepmother to his children, I just shake my head in disbelief. Quite frankly, I think it's commendable that a man cares for his children that much and if that's how you feel, then a man with no kids is probably the best option.
Thanks Bees! 🙂


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Jesus was a faithful Jew, who celebrated the Jewish festivals.
He would not have celebrated Christmas, or his own birthday,
but celebrated Hanukkah.
Hanukkah is mentioned in our Gospels, in John 10:22 Jesus is walking in the temple during the festival of the Dedication. There is a nasty confrontation with some of the leaders, and Jesus has to flee their wrath. But clearly, Jesus is at the temple during the festival and assumedly participating in the spiritual life of the Hanukkah holiday.
So what?
Well, here is another opportunity to celebrate God at work during this holy-days season. Take some time to look up Hanukkah traditions, light a candle tonight and eat some oily fried foods (remember, its all about God making the oil last!) Remember that we are brothers and sisters with our Jewish neighbors and that our God is their God.
Hanukkah is more Biblical than Rudolph, Frosty or even (gasp!) Santa - so go ahead and light some candles and praise the God of light!


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Grab your girlfriends and join the cast of WaistWatchers The Musical!
This hilarious & inspirational musical comedy will leave you laughing so hard, you'll burn more calories than you have all week! Come and dance in your seat or jump right in! Waist Watchers The Musical! is fast-paced, with lots of energy and a ton of heart. It pokes fun at a number of familiar obsessions yet is very uplifting and empowering. As we watch the ladies share their lives with us, they blossom into stronger women who take ownership of their eating, their bodies, their relationships, and their self-esteem. Set in Cook's Women's Gym, WaistWatchers The Musical! takes a hilarious and light-hearted look at four women dishing on food, diets, exercise, friendship, love, and sex.
Which one of the ladies are you?
Carla ... Hitting the gym just so she can eat more chocolate and ice cream?
Cheryl ... Hitting the gym to relieve stress from work and stay looking good?
Connie ... Hitting the gym for the first time ever in order to feel sexy again?
Cindy ... Hitting the gym because she's recently divorced and looking to tone up now that she's single and ready to mingle?
Adult $65.00
Subscriber $60.00
paranaple arts centre is located at 145 Rooke Street, Devonport
Monday – Friday
9.00am – 4.45pm
How to Book
During box office opening hours
Phone: (03) 6420 2900
To make a booking over the phone, please have your credit card ready.
145 Rooke Street Devonport
Please find our privacy policy here.


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Says Vincenzo: Everything changes, through space and time. The cities we live in are a constantly mutating organism stratified during
Says Moira: Night-time has always appealed to me. The sun sets and the bustling city slows. People retire indoors to
These architectural abstractions extract the images of the buildings out of their real world surroundings and place them upon abstract
Both thrilling and frightening, massive growth of cities is one of the global features of our time. These photographs look
A long trip across four major cities in the north of China: Beijing, Xi'an, Xining and Lanzhou offered me the
About his project says Luca: I imagined a deserted city, abandoned by its inhabitants. The worst-case scenario in which the
"All Paths Lead to NYC" is a visual tribute to the city where all cultures converge. An intriguing art experiment
Define exactly what a city signifies is very complicated. The reason is that human habitat is basically instable. Cities are
This series of images was taken in the residencial area of Miraflores, Lisboa. It was at 89 that my parents
About "Martin Luther King Park" says Marie-Pierre: This series is an ongoing project about my neighbourhood under construction in Paris
© 2015 - 2019 International Photography Magazine & Grant. All Rights reserved.


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London Churches in Photograph's aim is to show pictures of the wealth of churches in London. It is a long-term project, begun in 2012, as there are around 1500 such buildings across the whole of Greater London.
As of 4 Nov 2019, there are 1482 churches featured.
Most are Church of England, Roman Catholic or Orthodox but there are also some that have passed to other groups or into non-religious use. A few buildings of particular interest belonging to other groups, such as national churches (e.g. Denmark, Sweden and Scotland) are also included.
Many churches are kept locked and for those, there are only exterior shots. Where possible there is a selection of internal shots to try to give a flavour of the building. Each posting also has some basic information about the church and its architecture.
Please have a browse around or select from the categories (Architects and Places) listed on the left of each post or use the search box at the top right of each page.
I am visiting Croydon, the final borough, during late 2019.
The map of Greater London shows which areas of London have coverage in this ongoing project. Click on the map to make it bigger.
St Augustine, Kilburn, by John Loughborough Pearson,
You can comment on any page or post, these will come to me first for moderation, so if you want to ask me a question please use the comment box and I will reply directly and only publish a comment if it is of broader interest.
Click here for good sources of information about London churches.
I would like to acknowledge and thank incumbents, churchwardens, PCCs, church watchers, administrators and key holders who offer access to many of the buildings outside service times.
I am more than happy for any church to use my images on their websites, publicity or publications (with an acknowledgement to this site). The images here are low resolution, suitable for use on the web but not for print. Please contact me if you would like to use or see higher resolution images. This site is totally non-commercial, occasionally I am invited to speak to groups about church architecture and will do so in return for a charitable donation.


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Score: VCU 7, Davidson 0
Location: Richmond, Va. (Thalhimer Tennis Center)
Records: VCU 3-2, Davidson 4-1
The short story: VCU cruised by Davidson in its Atlantic 10 opener, sweeping singles play.
- Paola Exposito Diaz-Delgado and Kanako Yano joined forces in No. 2 doubles to defeat Davidson's Samantha Armas and Alexandra Abele to earn VCU the first doubles victory of the match
- The combination of Anna Rasmussen and Melissa Ifidzhen defeated Megan Scholvinck and Elizabeth Truluck of Davidson in a back and forth match to earn VCU the doubles point
- Delgado cruised by Scholvinck in two sets, winning the Rams the first singles point of the day
- Noumea Witmus swept Alyssa Hahn in two sets, only allowing one game against her in No. 6 singles
- In singles play, every Ram defeated their opponent in two sets, outscoring Davidson 73-24
1. Anna Rasmussen/Melissa Ifidzhen (VCU) def. Megan Scholvinck/Elizabeth Truluck (DAV) 7-6(10-8)
2. Paola Exposito Diaz-Delgado/Kanako Yano (VCU) def. Samantha Armas/Alexandra Abele (DAV) 6-2
3. Gabrielle Centenari/Nicole Krykan (DAV) def. Marina Alcaide Bakkari/Sofia Sualehe (VCU) 7-5
Order of Finish - 2, 3, 1
1. Paola Exposito Diaz-Delgado (VCU) def. Megan Scholvinck (DAV) 6-1, 6-2
2. Anna Rasmussen (VCU) def. Alexandre Abele (DAV) 6-1, 6-2
3. Marina Alcaide Bakkari (VCU) def. Gabrielle Centenari (DAV) 6-1, 7-5
4. Kanako Yano (VCU) def. Samantha Armas (DAV) 6-2, 6-4
5. Melissa Ifidzhen (VCU) def. Elizabeth Truluck (DAV) 6-4, 6-2
6. Noumea Witmus (VCU) def. Alyssa Hahn (DAV) 6-0, 6-1
Order of Finish - 1, 2, 5, 4, 3, 6
"We played really well in singles today which was nice to see. In doubles, we started out great but had a hard time finishing Davidson off. It came down to No. 1 doubles, who won in a tie break. Overall, it was a good performance by the girls."
VCU will remain at home and is set to host Maryland on Saturday, Feb. 9 at 11 a.m.


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Scholarly Works (1 results)
Peer Reviewed
Genome-wide association study of colorectal cancer identifies six new susceptibility loci
Schumacher, Fredrick R
Schmit, Stephanie L
Jiao, Shuo
Edlund, Christopher K
Wang, Hansong
Zhang, Ben
Hsu, Li
Huang, Shu-Chen
Fischer, Christopher P
Harju, John F
Idos, Gregory E
Lejbkowicz, Flavio
Manion, Frank J
McDonnell, Kevin
McNeil, Caroline E
Melas, Marilena
Rennert, Hedy S
Shi, Wei
Thomas, Duncan C
Van Den Berg, David J
Hutter, Carolyn M
Aragaki, Aaron K
Butterbach, Katja
Caan, Bette J
Carlson, Christopher S
Chanock, Stephen J
Curtis, Keith R
Fuchs, Charles S
Gala, Manish
Giovannucci, Edward L
Gogarten, Stephanie M
Hayes, Richard B
Henderson, Brian
Hunter, David J
Jackson, Rebecca D
Kolonel, Laurence N
Kooperberg, Charles
Küry, Sébastien
LaCroix, Andrea
Laurie, Cathy C
Laurie, Cecelia A
Lemire, Mathieu
Levine, David
Ma, Jing
Makar, Karen W
Qu, Conghui
Taverna, Darin
Ulrich, Cornelia M
Wu, Kana
Kono, Suminori
West, Dee W
Berndt, Sonja I
Bezieau, Stéphane
Brenner, Hermann
Campbell, Peter T
Chan, Andrew T
Chang-Claude, Jenny
Coetzee, Gerhard A
Conti, David V
Duggan, David
Figueiredo, Jane C
Fortini, Barbara K
Gallinger, Steven J
Gauderman, W James
Giles, Graham
Green, Roger
Haile, Robert
Harrison, Tabitha A
Hoffmeister, Michael
Hopper, John L
Hudson, Thomas J
Jacobs, Eric
Iwasaki, Motoki
Jee, Sun Ha
Jenkins, Mark
Jia, Wei-Hua
Joshi, Amit
Li, Li
Lindor, Noralene M
Matsuo, Keitaro
Moreno, Victor
Mukherjee, Bhramar
Newcomb, Polly A
Potter, John D
Raskin, Leon
Rennert, Gad
Rosse, Stephanie
Severi, Gianluca
Schoen, Robert E
Seminara, Daniela
Shu, Xiao-Ou
Slattery, Martha L
Tsugane, Shoichiro
White, Emily
Xiang, Yong-Bing
Zanke, Brent W
Zheng, Wei
Le Marchand, Loic
Casey, Graham
Gruber, Stephen B
Peters, Ulrike
et al.
UC San Diego Previously Published Works
Genetic susceptibility to colorectal cancer is caused by rare pathogenic mutations and common genetic variants that contribute to familial risk. Here we report the results of a two-stage association study with 18,299 cases of colorectal cancer and 19,656 controls, with follow-up of the most statistically significant genetic loci in 4,725 cases and 9,969 controls from two Asian consortia. We describe six new susceptibility loci reaching a genome-wide threshold of P<5.0E-08. These findings provide additional insight into the underlying biological mechanisms of colorectal cancer and demonstrate the scientific value of large consortia-based genetic epidemiology studies.