text:
The Wall Street Journal has just tossed a large cup of cold coffee on HIT.
OPINION September 17, 2012, 7:25 p.m. ET
A Major Glitch for Digitized Health-Care Records
Savings promised by the government and vendors of information technology are little more than hype.
By STEPHEN SOUMERAI And ROSS KOPPEL
In two years, hundreds of thousands of American physicians and thousands of hospitals that fail to buy and install costly health-care information technologies—such as digital records for prescriptions and patient histories—will face penalties through reduced Medicare and Medicaid payments. At the same time, the government expects to pay out tens of billions of dollars in subsidies and incentives to providers who install these technology programs.OK, pretty damning. But,let's surf over to the abstract page of of one of the referent "scholarly" papers cited in the WSJ article's cited meta-analyic study, "The Economics of Health Information Technology in Medication Management: A Systematic Review of Economic Evaluations."
The mandate, part of the 2009 stimulus legislation, was a major goal of health-care information technology lobbyists and their allies in Congress and the White House. The lobbyists promised that these technologies would make medical administration more efficient and lower medical costs by up to $100 billion annually. Many doctors and health-care administrators are wary of such claims—a wariness based on their own experience. An extensive new study indicates that the caution is justified: The savings turn out to be chimerical.
Since 2009, almost a third of health providers, a group that ranges from small private practices to huge hospitals—have installed at least some "health IT" technology. It wasn't cheap. For a major hospital, a full suite of technology products can cost $150 million to $200 million. Implementation—linking and integrating systems, training, data entry and the like—can raise the total bill to $1 billion.
But the software—sold by hundreds of health IT firms—is generally clunky, frustrating, user-unfriendly and inefficient. For instance, a doctor looking for a patient's current medications might have to click and scroll through many different screens to find that essential information. Depending on where and when information on a patient's prescriptions were entered, the complete list of medications may only be found across five different screens.
Now, a comprehensive evaluation of the scientific literature has confirmed what many researchers suspected: The savings claimed by government agencies and vendors of health IT are little more than hype...
Conclusion. The quality of the economic literature in this area is poor. A few studies found that HIT may offer cost advantages despite their increased acquisition costs. However, given the uncertainty that surrounds the costs and outcomes data, and limited study designs, it is difficult to reach any definitive conclusion as to whether the additional costs and benefits represent value for money. Sophisticated concurrent prospective economic evaluations need to be conducted to address whether HIT interventions in the medication management process are cost-effective.Meta-analytic research, recall, is comprised of studies that study other studies. So, this effort is akin to "Dr. Joyce Brothers Does HIT."
To conduct the study, faculty at McMaster University in Hamilton, Ontario, and its programs for assessment of technology in health—and other research centers, including in the U.S.—sifted through almost 36,000 studies of health IT. The studies included information about highly valued computerized alerts—when drugs are prescribed, for instance—to prevent drug interactions and dosage errors. From among those studies the researchers identified 31 that specifically examined the outcomes in light of the technology's cost-savings claims.I'm gonna hold my fire until I can get access to the McMaster thing. We'll see. Although, I will crack on this from the WSJ article:
It is already common knowledge in the health-care industry that a central component of the proposed health IT system—the ability to share patients' health records among doctors, hospitals and labs—has largely failed. The industry could not agree on data standards—for instance on how to record blood pressure or list patients' problems.That is unfair. "Failed"? It's just getting underway. We've known of the knotty "interoperability" problem for quite some time, and a lot of smart people are working tirelessly to solve it within the paradigm of private market HIT.
Much more to come on this. In the imterim, I exhort you to read the numerous accruing companion WSJ article comments (107 at this writing).
The heads-up on the WSJ thing came by way of being copied on a response to our CFO Dan Memmott by Sharon Donnelly (pdf), our SVP of Corporate Strategy (and who used to be our REC Executive Director).
Thanks for sharing. I appreciate the perspective of industry unduly driving the political agenda.
The article seems to confound two things: saving from HIT in cost of health care and saving from HIT in cost to the provider using it.
The evidence for the first is not there yet. Some think we have built the base needed to get the discrete actionable data to support electronically coordinating care and point of care clinical decision support that will eventually gain the savings. Others see us (primarily due to standards lag issue?) as far from there and legitimately question how current EHR and HIE architectures can support the needs of ACOs and other program designed to improve care and lower cost. We may have a role in helping our community providers evolve together to a coordinated state that is required to see these benefits.
The second, savings to the practice or hospital, is almost completely dependent on the way the provider plans and implements HIT. Those doing it well reap huge savings in their operating costs. Unfortunately this often includes allowing them to document care in a way that they are reimbursed more, which of course drives the overall cost savings of healthcare in the wrong direction.
No magic bullet here – just a lot of work!
Some pushback in the HIT press:
A little patience for the health IT revolutionAgree.
How long did it take American farmers to widely adopt hybrid corn?
Honestly, I don't know, but I do remember what I was told about that kind of adoption—30 years.
I was age 22 at the time and had just started my agriculture extension training with the Peace Corps in Sierra Leone, where we learned the basics of rice paddy construction and swamp rice cultivation. It wasn't until later, when we were posted to our villages to serve our two-year hitches, that we learned just how hard it was going to be to convince wary farmers to abandon their familiar but ecologically destructive slash-and-burn cultivation techniques.
While covering health information technology during the past 12 years, I've thought a lot about that warning against short-run overexpectations. I thought about that warning, again, reading a recent article in the Wall Street Journal, "A Major Glitch for Digitized Health-Care Records."...
...Interoperability is a failure only if your time line is too short and you begrudge the incomplete successes that are happening around us. E-prescribing, one form of interoperability, is soaring. In a couple of years, the federally sponsored Direct protocols will similarly become the method of choice for peer-to-peer communication, replacing the phone and fax machine. Even the far more complex query-and-response form of exchange is coming along. Earlier this month, the VA demonstrated a potential breakthrough in consent management technology for privacy protection using Direct and off-the-shelf standards from HL7.
"This is no time to go wobbly" on health IT, to borrow a line from Margaret Thatcher. The past and future public investments in health IT were—and will be—both proper and necessary.
Now is the time to execute and innovate—and, yes, to be watchful and even critical. But also, and maybe of the most importance, it's time to be patient...
More pushback:
Asking the Wrong Questions About the Electronic Health RecordEmphatically agree. Once again, down in The Weeds' -
By ASHISH JHA, MD
...Now that we have made an important investment in EHRs, we need to figure out how to use this new technology to address the fact that the healthcare system is a mess. We need to figure out how EHRs can promote coordination of care across sites, seamless flow of good clinical information, and smart analytics, to name a few things. We simply can't do that in a paper-based world. I am sure that the healthcare industry single-handedly keeps the fax machine industry alive. We need to stop. Period. Every other part of our lives has become electronic and the benefits are clear. Our lives are better because we bank online, communicate online, shop online.
The debate over whether we should have EHRs is over. Can we fix our broken healthcare system without a robust electronic health information infrastructure? We can't. Instead of re-litigating that, we need to spend the next five years figuring out how to use EHRs to help us solve the big problems in healthcare.
"A culture of denial subverts the health care system from its foundation. The foundation— the basis for deciding what care each patient individually needs— is connecting patient data to medical knowledge. That foundation, and the processes of care resting upon it, are built by the fallible minds of physicians. A new,secure foundation requires two elements external to the mind: electronic information tools and standards of care for managing clinical information.None of which mandates being an unreflective, Pollyannish HIT cheerleader, to wit,
Electronic information tools are now widely discussed, but the tools depend on standards of care that are still widely ignored. The necessary standards for managing clinical information are analogous to accounting standards for managing financial information. If businesses were permitted to operate without accounting standards, the entire economy would be crippled. That is the condition in which the $2½ trillion U.S. health care system finds itself—crippled by lack of standards of care for managing clinical information. The system persists in a state of denial about the disorder that our own minds create, and that the missing standards of care would expose."…
…this subject matter may seem like just a variation on current policy concerns with using "health information technology" to bring "evidence-based medicine" to "patient-centered" care. Yet, current policy fails to comprehend the needed discipline in medical practice and thus fails to define precisely what is needed from health information technology. A dangerous paradox thus exists: the power of technology to access information without limits magnifies the very problem of information overload that the technology is expected to solve. Solving that problem demands a meticulous, highly organized, explicit process of initial information processing, followed by careful problem definition, planning, execution, feedback, and corrective action over time, all documented under strict medical accounting standards. When this rigor is enforced, a promising paradox occurs: clarity emerges from complexity."
- Lawrence Weed, MD and Lincoln Weed PhD, "Medicine in Denial"
Epic FAIL!
County health doctors air complaints about county's new $45 million computer system
By Matthias Gafni, Contra Costa Times
MARTINEZ -- One of every 10 emergency room patients at the county's public hospitals in September left without ever being seen by a doctor or nurse because of long waits -- a number rising since implementation of Contra Costa's $45 million computer system July 1.
One patient waited 40 hours to get a bed.
Dr. Brenda Reilly delivered the troubling news Tuesday afternoon to county supervisors. She was one of three dozen doctors in the supervisors' chamber complaining about EPIC, new computer software aimed at integrating all of the county's health departments to create a federally mandated electronic medical record for patients.
To allow for the major computer program installation and conversion, administrators cut doctors' patient loads in half, in turn cutting the number of available appointments in half.
In a letter to the supervisors, Dr. Ori Tzvieli -- medical staff president whose union has been negotiating a new contract with the county -- along with 14 doctor co-signers pleaded for administrators to continue scaling back physician workloads because doctors are over-stressed. Six doctors have left this year, said Dr. Keith White, a 22-year pediatrician.
"We were not ready for EPIC and EPIC was not ready for us," White told supervisors. "As a result, the providers are struggling to provide safe and effective care for 100,000 citizens of the county, many of whom are very ill. We often feel that we are failing. We are very tired... many doctors have left and all are considering leaving."...Ouch. The runaway market share leader in "certified" EHR, both ambulatory and inpatient. Talk about "Major Glitches."
This hit my inbox last night:
Hi Bobby,I am really grateful. HIMSS12 was a blast, and I will cover this event with equal gusto.
Thank you so much for applying for a press pass and congratulations on being chosen to attend the upcoming Health 2.0 Fall Conference in San Francisco on Oct 7-10 2012! We only choose the best and most qualified applicants to attend our exciting conference.
The press pass gives you access to the Health 2.0 conference and DC to VC. Below please find the instructions for registering and let me know if you have any problems...
...Please let me know if you have any additional questions or problems regarding registration and we look forward to seeing you in San Francisco soon!
Best regards,
Health 2.0
My beloved niece April was married this past weekend in Marquette, MI. I scored one big-time on this photo.
Now-husband Jeff Nyquist is Dr. Jeff Nyquist, Vanderbilt PhD in neuropsychology, CEO of Upper Peninsula Home Health, Hospice and Private Duty. I want to get to talk shop with him at some point regarding long-term care HIT.
Power couple.
Any excuse to go to Marquette and see my sister and the kids. Jeff calls me "Uncle Bobby." I love that.
Downtown Marquette, shot from the reception restaurant balcony looking back up the hill.
What a cool little town.
My new grandnephew Anthony (8 wks old) agrees (Great Aunt Cheryl was holding him out on the balcony when I shot that).
At the 6th Annual Fall Conference you will see the very latest technologies in Health 2.0, and we'll maintain our tradition of hosting leading thinkers and fascinating conversation. This fall, new technologies will be presented in contextual environments woven around a developing narrative which illustrates the transformation occurring in the space. Change doesn't come easily and a true, universal transformation requires the analysis, connection and redefinition of categories across all parts of the system. We'll dive deeper into these issues with topics like big data analysis, personalized medicine, price transparency and keynotes from Health Futurist Joe Flower and Aetna CEO Mark Bertolini. Over two days we will progressively illuminate on stage, through mini-environments and discussion, that Health 2.0 is everywhere – it touches how we live, how we eat, how we interact with providers, patients and more. There'll be lots of media coverage, hundreds of potential customers, and scores of potential partners to meet. If you want to get involved in health care innovation, you need to be at Health 2.0!I booked my flights today. Awesome agenda. Starting with
Health Law 2.0You can bet I will be there. Then, Monday Morning:
Health 2.0 has created a pre-conference session entitled Health Law 2.0 that addresses the pressing legal issues for both large and small Health 2.0 companies. We have identified several key legal issues that face companies in the regulated world of health care and created two tracks of programming — one focused on Patient/Consumer Legal Issues and the other focused on Legal Issues with Providers, Plans and Life Sciences.
The panels we have assembled include the leading experts in each topic who will provide an overview and important updates. The panel also will work through some interactive examples of problematic arrangements and provide insight on how to avoid legal risk. In every session, there will be ample time for questions.
The tracks will run concurrently and you may attend sessions in either track. This is a wonderful opportunity for all Health 2.0 companies to delve deeper into the legal issues so they can make better choices as well as identify potential opportunities and capitalize on them. It's also very useful to hear what different experts think about a particular issue so you can make informed decisions.
We look forward to seeing you at the Health Law 2.0 pre-conference!
Leading Health Futurist, Joe Flower, will discuss the practical solutions that health care organizations need to implement to deliver health care at half the cost. Joe is a regular columnist who contributes to Hospitals and Health Networks, has spoken at thousands of health care meetings and is the author of a new book Healthcare Beyond Reform: Doing it RIght for Half the Cost.
Aetna CEO, Mark Bertolini will discuss the how his company is leading the pack in a transformation from insurance company to health tech services company, while bringing along its partners -- both providers and technology companies -- and its customers -- employees & consumers. Last year they introduced the iNexx platform and in 2012 they are debuting the CarePass consumer platform, and on our stage will announce the results of the Aetna CarePass Platform and Medication Reminder Developer Challenge.
I've written of Joe's impressive work before:
SEPT 20th UPDATE:
Got it on Kindle last night. Looks like a safe bet for $9.99. I already know my "basics" and then some, but it never hurts to get another perspective. This is spot-on:
I believe that the range of approaches that many organizations are using creates a strong need for process improvement professionals to be "tool agnostic" and fluent in several improvement dialects. This would position these improvement practitioners to serve as trusted advisors or coaches to business leaders rather than true believers that specialize in the one best way they know to improve work.
- Page 34, Kindle Edition.UPDATE: While nominally "method agnostic," a quick first scan reveals this book to be fairly "Lean" favorable. A good thing, in my view. I like in particular the specific attention paid at the end to "knowledge work" (i.e., like, uh, HIT software development and management, ja?).
A handful of my conceptual visual mapping "workflow" overviews:
Click to enlarge.
National Association Created to Represent Regional Extension Centers for Health Information Technology
New national group formed to provide a strong voice for the 62 Regional Extension Centers that provide assistance and guidance for the adoption and use of health information technology.
Silver Spring, MD (PRWEB) June 21, 2012
A new national association has been formed to provide a strong voice for the 62 Regional Extension Centers that provide assistance and guidance for the adoption and use of health information technology. The Association of Regional Centers for Health Information Technology, or ARCH-IT, represents Regional Extension Programs and the unique needs of the independent health care providers served by RECs in every state across in the United States...
I know these people must be tired of me calling them out (and, note that I have not personally outed them). But, I'm still on the lookout for that "strong voice."
I have no Beltway Gucci Gulch experience, but, the lobbying strategy -- uh, "trade association strategy" -- escapes me. Nonetheless, I suppose should there be no federal dollars tied up in this "effort" (via the RECs), it's none of "my business."
WASHINGTON (HealthcareIT News) – There are no set appropriations for how much the federal government can spend on rewarding providers who adopt and use electronic health records under the Medicare and Medicaid meaningful use EHR incentive program, according to National Coordinator for Health IT Farzad Mostashari, MD.There is, however, a hard cap on REC funding, which will be gone this time next year. And time is rather quickly running out to do anything substantive about that.
"Whoever qualifies, gets paid; there's no hard cap," said Mostashari, who gave a keynote at the Annual Policy Summit for the Health Information Management and Systems Society (HIMSS) on Wednesday.
Mostashari said the federal government estimates it will pay out around $20 billion in incentives before the program shifts to a penalty in 2015, but there is no fixed budget set in the HITECH Act that mandated the program. The government recently announced it has paid out nearly $7 billion since the program began in 2011...
More shortly. NIST 2014 CEHRT Testing Stds, 2nd wave release, more HIPAA breach follies and fines, more on "usability," AAFP on PCMHs and APNs, DURSA, #VDTnow...
Maybe I'll just start a new post. Some of the topics will just continue, as always.
Kansas HIE to hand over authority to the stateHmmm... a BobbyG Photoshop Moment inexorably ensues...
September 20, 2012, Anthony Brino, Contributing Editor, Healthcare IT News
TOPKEKA, KS – The Kansas Health Information Exchange will dissolve itself and hand over operations to the state's health department after a long stakeholder debate about the costs of the public-private HIE, and its regulatory role, in a state with a growing provider-based HIE network.
The Kansas Health Information Exchange (KHIE) board voted last week to transfer its operations to the Kansas Department of Health and Environment by October 2013, when federal grant funding is set to expire. The plan still needs to be approved by the state legislature.
Cost was apparently the largest factor behind the decision. Staffing KHIE as an independent body was estimated to cost $400,000 a year, and the board was considering charging fees from providers or HIEs. Shifting KHIE's regulatory operations to the state would cost about $54,000, state officials have estimated...
Created in 2010, KHIE evolved from an HIE commission created by then-governor and current U.S. Health and Human Services secretary Kathleen Sebelius. Initially intended to be an HIE, it eventually sought to be more of a regulator, as health systems started building their own infrastructure and connecting to the Kansas Health Information Network, a statewide HIE built with private funding by the Kansas Hospital Association and the Kansas Medical Society.
KHIE's public-private nature has at times been controversial, and the effort to scale back what some might consider a bureaucracy comes as Republican Governor Sam Brownback's administration is trying to scale back the role of government in other areas, like transitioning almost all of the state's Medicaid recpients into managed care organizations.
It's not entirely clear what will happen to the remainder of the roughly $9 million KHIE received from the Office of the National Coordinator.
"We would like to have some of the stimulus funds," Laura McCrary, executive director of the Kansas Health Information Network, told Government Health IT in August.
"There's about $5 million left, and we're hopeful we'll get a portion of that," McCrary said. "It'd be great to have a bridge fund" for exchange infrastructure in the works.
I have to wonder whether the HIT politics in Kansas are as fraught as they are in my state, Nevada. Our situation differs materially, in a way (perhaps it's sort of the inverse). HealtHIE Nevada is not the ONC HIE Grantee. Nevada DHHS is (though we are the ones with "boots on the ground" at this writing).
The Office of Health Information Technology is responsible for administering Nevada's ARRA HITECH State Health Information Exchange (HIE) Cooperative Agreement, facilitating the core infrastructure and capacity that will enable statewide HIE and coordinating related Health IT initiatives...
As the initial phase of implementation to the State Health IT Plan, NV DIRECT will soon be deployed. NV DIRECT will allow participants to send authenticated, encrypted patient health information directly to known, trusted recipients. This electronic capability will enable providers to share relevant and authorized patient medical information directly and securely with each other.This latter thing (NV DIRECT) goes to stuff like the DURSA (Data Use and Reciprocal Support Agreement), which I am now tasked with assessing, with respect to resources likely to be necessary for compliance.
You don't just sign a DURSA pro forma.
One last thought before firing up a new one. OK, my Coda can be longer than most peoples' blog posts, I know. Dr. Rob Lambert wrote an interesting post the other day, "Care on the Continuum," wherein he discussed more on his decision to go "Direct Care" (i.e., Direct Patient Pay).
My change from a traditional practice to direct-care has caused me to challenge some of the basic assumptions of the care I've given up to this point. Certainly, the nature of my documentation will radically change with my freedom from the tyranny of E/M coding requirements.I posted a comment.
Perhaps the biggest change in my care comes courtesy of the way I get paid. The traditional way to be paid is for service rendered (either at an office visit or procedures done). This means that I am financially motivated to give the bulk of my attention to people when they are in the office. They are paying for my attention, so I try to give them their money's worth. The corollary of this is that I tend to not think about people who are not in the office to be seen. The end-result is an episodic approach to care that is entirely dependent on the patient paying for an encounter.
There is a huge problem with this approach to care: people live their lives between encounters. Life does not go on hold between office visits for my patients, and the impact of my care is not dependent on what happens in the encounter, but what happens between visits. My ability to help my patients depends on my ability to affect the continuum. If I do a good enough sales pitch for a person taking their medications, and if I consider the life-circumstance which may affect their ability to take the medicine, then I am successful. I don't learn about the success until their next visit (usually), and I also don't learn about problems until then. People are reluctant to call with problems they are having with medications, new symptoms, or other important details, often waiting for many months to tell me things I really want to know. Perhaps they don't want to be "one of those patients who calls all the time," perhaps they don't understand what I said, or maybe they're worried I will "force them to come in" to pay for another office visit. Regardless of the reason, I get very limited interaction with my patients in this episodic care model...
...I keep getting new ideas of how to handle problems differently in this new model of care, but all of them benefit from the fact that it looks at patients before problems pop up, or at least at the time of the problem instead of after a potentially dangerous delay. The waste in our system is, as has been noted often, huge. But the assumption that episodic care is the proper model could be the most costly mistake of all. People are afraid to engage our system because of the cost, and that fear ends up costing everyone by not dealing problems until they are "bad enough." Care on the continuum seems to accomplish the main goal of my care: keeping people away from the rest of the health care system unless it's absolutely necessary.
Very thought-provoking post. Thank you.
This is perhaps a weak analogy, but, nonetheless:
I used to work in Risk Management in a subprime credit card bank. I was the principal "portfolio management" officer/analyst. It was a big part of my job to monitor ongoing the shaky financial "health" of our financially halt and lame cardholders (we used to joke that it was like giving whiskey to alcoholics, granting credit lines to subbies). We had effective data mining pxs and predictive models for everything. Once we booked these people, he had to try to keep them profitably "healthy."
I was a SAS and S-Plus and all-around RDBMS whiz.
I had access to tons of customer activity data every day. I could track your every transactional "move."
The principal concerns were, of course, our "patients" "dying" on us (charging off and stiffing us), as well as the relentless outright fraud stuff (i have some funny stories).
We made successively record profits every year of the five that I was there. Data-driven, baby.And then another, later in the discussion, in response to a prior comment:
See bgladd.blogspot.com/2008/12/tranche-warfare.html
Before you go cracking on me, I quit in 2005 to go back into HIT work, at a 23% salary reduction. Today, I could make 3x my current salary (which is not quite what I earned at the bank back then when I left) were I to go back into "distressed consumer debt modeling and management." The comp package numbers give me pause, but, I will not. Ever again. It's just too jive. I have to sleep. And look in the mirror.
I will stay in the HIT space until I retire.
I have utter respect for clinicians. I work with them every day. I don't see how y'all do it.
"In the aforementioned DPC paper, the evidence suggests a significant decrease in ED visits, surgeries, hospitalizations and specialist visits. That may be good for the patient and whoever is picking up healthcare costs but obviously one person's cost savings is another's revenue. It's clear why some orgs won't embrace DPC if they see it harming their bottomline."
This has long been the reform conundrum.
"Every misspent dollar in the health care system is part of someone's paycheck."
- Brent James, MD, M.Stat, IHC, 1995, during our CQI training sessions in SLC
Brent also noted (paraphrasing here) "Let's not kid ourselves that we're gonna QI our way out of the larger problem. Giving the best possible care today only ensures that you're gonna have an older and sicker and more expensive patient down the line."
See also "Allocating Health Care Morally," 1994
It continues to be a socioeconomic and moral perplex.


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If you rent your home from a social housing landlord such as the council or a housing association, and you are of working age, your Housing Benefit is not based on rental prices in your area but may be reduced if it's considered you have more bedrooms than you actually need.This rule is known as the 'Social Sector Size Criteria' and is also commonly referred to as the 'Bedroom Tax'
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subset: commoncrawl


text:
Alkali Flat, Boulevard Park, Camellia Manor, Capital Avenue, Dos Rios Triangle, Downtown, Mansion Flats, Midtown, New Era Park, Newton Booth, Richards, Richmond Grove, Southern Pacific, Southside Park, Winn Park
Institutions and Employers
Department Of Finance, Department Of Public Works, Federal Courthouse, Sacramento County Administration, Sacramento County Courthouse, Secretary Of State Building, State Archives Building, State Board Of Equalization, State Capitol, State Department Of Employment, State Education Department, State Food and Agriculture Department, State Personnel Board, State Printing Plant, University Of Northern California,Convention Center, Aerojet, Wells Fargo, State of California, Sacramento County
Points of Interest
Central Library, State Library, Memorial Auditorium, Sacramento Theatre Company, Blue Diamond Growers Visitors Center, California Vietnam Veterans Memorial, Historic Governors Mansion, Leland Stanford Historic Mansion, Old Sacramento State Historical Park, California Military Museum, California State Railroad Museum, Crocker Art Museum, Discovery Museum, Golden State Museum, Sacramento Archives & Museum, State Capitol Museum, Wells Fargo Historical Museum
Zapata Park, Muir Park, American River Parkway, Jedediah Smith Recreation Trail, Crocker Park, Capitol Park, Roosevelt Park, Fremont Park, Washington Park, Neely Johnson Park, Cesar E Chavez Park, Tiscornia Park, Dos Rios School Park, Saint Rose of Lima Park, Firehouse Commons, Old Sacramento State Historic Park
Westfield Shoppingtown Downtown Plaza
Best Western Sandman Motel, Best Western Sutter House, Clarion Hotel, Days Inn Discovery Park, Delta King River Boat Hotel, Governors Inn, Hawthorne Suites Sacramento, Holiday Inn Capitol Plaza, Hyatt Regency, La Quinta Inn, Sheraton Grand Sacramento, Vagabond Inn
Amtrak Station, Greyhound Bus Depot, Light Rail Station
1.4 sq. miles
7019 people/sq. miles


text:
Parenting: more expert advice from our psychologists
The following columns were written by psychologists Jane Dodding and Angie Willcocks. Angie wrote for Mining Family Matters for six years until December 2015, tackling all manner of issues on relationships, parenting, careers and life. We greatly appreciate her input.
If you have a specific issue that isn't tackled below, please click here to ask Jane a question. Please also feel free to offer any comments or ideas for topics that you think might benefit other families. You can also suggest a discussion topic via direct message on our Facebook page, if you'd like to hear what other families have to say.
- Simple tips for staying connected to increasingly independent teens
- Q&A: how to help your child cope with FIFO when he's not a great communicator
- Q&A with Jane Dodding: my FIFO ex-husband and I can't agree on a parenting plan
- Maintaining great connections with your kids when you work away
- Helping new dads to cope when baby makes three
- Q&A: FIFO mum battling guilt, jealousy over toddler
- Q&A: My adult son is an addict and no one will help us
- Helping teenagers to cope with anxiety
- Q&A: how do I stop my daughter getting angry and sad?
- Q&A: coping when kids only want Dad
- Staying connected to your children when you work away
- How to be a great parent for your teenager
- Building resilience in your kids
- A mining couple's guide to surviving early parenthood
- How to survive with young kids and a FIFO husband
- Q&A: How to help kids to cope when mum does FIFO
- Q&A: We've moved and my teenager isn't coping. How can I help her?
- Helping teenagers to cope when a parent works away
- Angie's top tips for helping FIFO kids to cope
- FIFO dads and discipline - how to make it work
- Parenting on the same page: does mum always know best?
- Q&A: My kids are hurting because their FIFO dad is too busy for them
- Q&A: My toddler is very clingy. Is it due to FIFO, and what to do?
- Q&A: Staying connected with young kids and irregular FIFO rosters
- Q&A: I've got three children and a FIFO husband, and I'm not coping
- Q&A: I'm pregnant and my husband wants to start FIFO. What should I do?
- Keeping teens safe when alcohol comes on the scene
- Q&A: Helping your child to understand FIFO
- Q&A: How to handle a young chomper
- Q&A: Taking the stress out of bedwetting
All advice on Mining Family Matters is for general information only and should never be regarded as a substitute for professional health services or crisis services. To talk with a trained volunteer telephone counsellor at any time of the day or night, call Lifeline on 13 11 14. To contact the info line at beyondblue: national depression initiative, phone 1300 22 4636.
More about our psychologists
Jane Dodding completed her psychology degree in 1991 and has worked in Australia and overseas as a clinician and researcher for universities, government and non-government bodies and the private sector. She has a particular interest in preventative care and has co-authored Be Happy Cards – a resource to help enhance the happiness and emotional resilience of children. She also has a passion for supporting rural communities and is the Director of MindsPlus which provides psychology services in rural and remote Australia. She does telephone consultations and can be contacted on 1300 312 202.
Angie Willcocks is a registered psychologist with a private practice in Adelaide. She's an expert in tackling issues such as depression, anxiety, postnatal depression, child sleep routines and relationship difficulties. She has a Bachelor of Health Sciences in Psychology and a Masters of Counselling Psychology. She is the co-author of The Sensible Sleep Solution: a guide to sleep in your baby's first year, available on her website www.angiewillcocks.com.


text: When the Lord connects people for His purposes, the speed of trust and intimacy are truly supernatural. Do not presume to know the Lord's plans in the relational engagements he sets up for you. Be thankful for the God ordained connections, love in His ways, and watch the gift of relationship unfold. Journey together in love, peace, and amazing expectation while the Lord reveals His plans.


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I immediately thought of a spinning flower or butterfly, but then thought that others probably had the same thought (are you still with me?), so wanted to do something different. I then remembered seeing some cute little Sesame Street punchies around the blogosphere lately & decided Elmo would be great at spinning!
This is so different to the cards I have been making lately, but was heaps of fun & the kids loved it, so I decided to make Elmo some friends.
I think Oscar the Grouch is my favourite, but have just thought (oh no not again!!) that I need the Bugs & Kisses stamp set to make is little friend Slimey!
Stampset: It's Your Birthday
Cardstock: Real Red, Basic Black, Whisper White, Summer Sun, Old Olive, Night of Navy, Basic Gray, Pumpkin Pie, Close to Cocoa, Choc Chip, Pretty in Pink, Summer Picnic DSP
Ink: Basic Black
Punches: Scalloped Circle, 1 1/4" Circle, 1/2" Circle, Small Oval, Horizontal Slot, Spiral, Word Window


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The Isle of May NNR blog
Tuesday, 13 August 2013
Art on the Isle of May - Celine Marchbank
Celine Marchbank, the professional photographer doing a project about everyday life on the Isle of May, is now here on her third visit so thought we should show a few images taken on her present stay, and post a link to her blog where you can see more. She will be taking part in the art open day on the island on Sunday, showing a few of the images of her work in progress of the project so far.
Read her latest posting on her blog about the island -
You can also read the previous posts here:
Notes from a (very) small island - part 2
Notes from a (very) small island
Posted by
Jeremy Squire, Seasonal Reserve Manager, Isle of May NNR.
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Yes that's right! You can have friends now in CF3.
This much anticipated feature has been added in version 0.5 along with several other awesome features.
To add friends we had to redesign the chat too not just the looks of it but we've also improved the usability and functionality.
Friends can be added in the friends panel by searcing their name to send them a request.
Alternatively you can right click any user in chat and click on the 'Add friend' button to send them a request.
TIP: You can ignore people to prevent them from sending friend requests to you. (/ignore or context menu)
At the bottom left corner you can see the friends
The little blue bubble shows the amount of online friends you have.
When you click on this button it'll open/close the friends overlay with your friend list.
In the friend list you can see your friends and what they're doing, manage them, play with them and start a private chat with them.
When you've added some friends you can manage your friends and the incoming and outgoing request.
Friends can be removed by right clicking the friend entry.
Incoming requests can be accepted or declined.
And outgoing requests can be cancelled.
When you're online and someone sends you a request you'll get a notification above the chat to accept or decline the request easily.
If a friend is online you'll have a play button to play with the friend.
There are 4 scenarios and the play button with behave different in each scenario.
When you hover over the button the tooltip will also tell you the scenario and the actions that'll happen.
You're playing and your friend isn't playing.
The friend will get a notification with the request and an accept/decline button.
When he accepts the request he'll join your game.
If you're in a custom game with a password and you invite a friend he'll be able to join without a password when he accepts.
You're playing and your friend is playing
If the room is password protected you'll get a popup to enter the room password.
You're not playing and your friend is playing
If the room is password protected you'll get a popup to enter the room password.
You're not playing and your friend isn't playing either
When your friend accepts the request you'll create a custom room with 2 slots and your friend will be added to this game.
You can now have private chat conversations with friends.
To start a private chat you can click the chat button in the friends list or use the context menu.
It'll open a new chat channel where you can chat in private.
By default the channel icon will be the first letters of the name of the friend.
If your friend has a forum account it'll show the avatar from the forum instead.
So if you start a private chat with me you would see my avatar in the channel list. (might not work for everyone)
NOTE: You can continue chatting while your friend goes offline but he'll not be able to read those messages.
We have something planned so that you can read messages back but this isn't implemented yet.
There's a green or gray dot on the left of the channel header (username) as online indicator.
You'll also be able to see what your friends are doing when you go to the friends list.
These status messages could be any of these.
The same goes for all other gamemodes and arenas of course.
The new chat has channel buttons on the side with icons to have more space for more channels.
Friend button is added in the bottom left corner for the friend list.
And the header is part of the container now with buttons for the current view.
It can still be collapsed but we're gonna redesign this further later because the collapsed version isn't very useful and gets a mess with so many channels.
All your friends will have an icon in front of their name when they say something in any chat.
Instead of a blinking channel you can now see a little bubble with a counter to see the amount of unread messages.
This should be less distracting and it has more information as well.
There are a lot of tooltips for most buttons too especially if it's just an icon to make things more user friendly.
Some spoilers for more features!
We're not quite done with the social part of the game yet so expect more features soon.
We'll be adding group chats too!
You can create a group chat and invite friends to it.
The group chat is persistent which means it'll stay there 'forever'.
It can be managed too by the admin and moderators of the channel so it should be really useful.
Another much anticipated feature is teams and we've just started designing this feature for CF3.
After group chat and some other features we'll start development of this!
This update looks awesome! I'm really looking forward for this. You've all done a great job!
Sorry to hijack this thread, but please stop the standalone client from opening curveradio.com on startup.
Oh yeah I knew we were forgetting something in the update.
Next update!
Thanks, otherwise great work on the friend system!
That's an awesome update! gj!
btw, if my friend is playing in an arena, can i join to spectate him?
Yup you can spectate arena games now
We have the best dev! Thank you @Rojoss !!!
Awesome job!
Now i'm inactive but this system looks pretty cool <3
Best devS. Don't forget the rest of them :o
Nice new features, bit since the new version, so yesterday, I can't connect with the game anymore, it says I lost connection… Is there something I can do, or is it a general proble,?
If you use the game client, just delete it and reinstall.
I will try that, ty
Regards fina


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Most tourists who visit Goa go on an excursion to Doodsagar Falls.
We take you to a place no others visit. The top of Doodsagar is an unvisited paradise.
We can guarantee nobody will be there. By jeep from Goa then finally 45 mins trek. Amazing trip.
Full day inclusive of lunch. Rs.2,800/- per person. Including transport from Goa.
www.kalirafting.com or www.southernriveradventures.com or www.coorgrafting.com or www.goarafting.com
Email: email@example.com
Also check out Canoe Safari at Colvale & White water rafting dandeli
Excursion to Doodsagar Falls
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In October my thoughts always turn to things dark and spooky. Maybe it is because I see the greatest changes toward the darkness of the coming winter. I find myself often resetting my light timers earlier each day. The sun sets earlier but it also rises later and so it seems unfair that the alarm now gets me up in total darkness. To our ancestors it was a time of fear. This year we find the moon is new on October 30 and so this Halloween night will be extra dark with no moon to light our way.
Looking up, astronomers have found many objects whose images remind us of "things that go bump in the night." There are the Ghost Head and Witch's Head nebulae. The Witch's Broom is a part of a wispy gas cloud called the Veil nebula in Cygnus and many people see shapes like the wings of bats in something called "the Wizard nebula" in the constellation Cepheus.
But most frightening of all is something that lies deep in the hearts of galaxies. There you will find a monster beyond compare. So black it is that it cannot be seen, so powerful that even light cannot escape its clutches. Yet as it feeds its voracious appetite on remnants of stars and planets some material gets squeezed and energized so that it shoots the crumbs away in powerful beams of accelerated particles. It is a Black Hole. Find out more about them daily in our full-dome digital planetarium show Black Holes narrated by John de Lancie.
Dave Maness
Planetarium Supervisor
AutoZone Dome at the Sharpe Planetarium


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+356 2205 6611
+357 2505 4760
+44 20 7583 9433
+41 445 087 172
Hong Kong
+852 39653015
Lawyer (PSU, Russia), MA (Melit), Dip. Tax
Manager, Tax
Ekaterina Zammit has received law degree at Perm State University in Russia with specialisation in International Law. After graduating as a lawyer, she continued to study for the Masters degree in Mediterranean Academy for Diplomatic Studies in Malta. She has also graduated from Malta Institute of Taxation. From 2011 to 2014, Ekaterina was practicing law in multinational companies in Vienna, Moscow and Malta. In 2014, Ekaterina was invited to Chetcuti Cauchi Advocates for the post of Associate, Russia & CIS Desk. Ms Zammit is a key advisor on the Malta Citizenship by Investment, Cyprus Citizenship by Investment, the Malta Global Residence Programme and buying property in Malta and Cyprus. Within her tax planning and wealth structuring function, she specialises in the use Malta holding companies, Malta participation Exemption regimes, Malta royalty companies, Malta trusts and foundations and Professional Investor Funds.
Citizenship by Investment within 12 Months
Schengen Residency in 4 Months
Fast Track Permanent Residence in Malta, a Schengen state
Tax & Residency Status in Malta for EU & EEA nationals
The Residence Programme obtains Tax & Residency Status in Malta
EU citizens and their non-EU Family Members are welcome to Move and Reside in Cyprus


text: Just a couple of weeks ago, my family came to visit us from their home in Texas and it was the first time I got to see them in about 2 years. I had so much fun seeing them and I wish they could have just stayed! I love capturing candid moments and I wanted to make sure I took plenty of photos of them before they left. So, I converted them to my favorite state – black and white – because it makes them naturally simple. I like the simplicity of a beautiful moment. Take a peek at the set – candid moments with my family!


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I was just looking back at my post on Baked Chicken Meatballs to remember what I wanted to do differently this time, and it made me realize it's been quite a while since the last post.
Basically, like everyone on the planet, I get busy. There are too many ways I want to invest my time, and unfortunately blogging falls low on the priority list. But I don't want to erase what's already been published. You probably just won't hear from me much.
- I started working half-time at the end of May. It was a good decision. I love my job, and I also love that there's time leftover to play mommy and wife and housekeeper.
- Baby is now mobile. She army crawls everywhere, picks up every speck off the floor, and is now interested in trying to pull herself up (and has, once). In short, she requires more careful supervision.
- Cooking has been less adventurous lately. New recipes get tried occasionally. I'm hoping to start doing more freezing of meals as my work schedule changes and I'll be working some full days. That will require planning! I must plan to make a plan.
- The hunt for a granola bar recipe has stopped, or paused, anyhow. But I have become a big fan of the granola cereal from 100 Days of Real Food. A batch lasts me about a week of breakfasts (and some snacks), and I've taken to making double-batches now so I don't have to make it as often.
- My dream of making all my bread from scratch is also on hold. My husband didn't seem to be eating it. And now, we just aren't eating that much bread, anyhow.
- Summer has meant learning more about farmers markets. Our vegetable consumption is still not what it needs to be, but my recent interest is baked squash. I'm stocking up on local squash now while they're in season. Found someone who sells farm eggs for a decent price, and just today found honey produced in town for a decent price, too.
- Newest struggle is feeding a baby. I've had some guilt about feeding her formula about half the time, when she could have breast milk if I just worked harder at pumping. Solids are now entering the picture, too. I froze some peas, beans, squash, sweet potatoes, and peaches, but end up giving her applesauce often because it's easy and she loves it. She's also entered the world of puffs. We breezed through the world of cereal, because I found it boring — and irritating. Have you ever looked how many ingredients are in the average box of baby rice cereal? Makes me uncomfortable. I'm feeling generally uncomfortable about feeding non-food chemicals to this brand-new little body (and then eat them myself).


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The Grateful Dead were the best, the quintessential, American band. This is so obvious that I won't discuss it.
What surprises me is that, even so, there's a lot of Dead that's obscure and poorly understood. Like, I've never understood why the Hunter/Garcia partnership wasted away at the end of the '70s. Really after Terrapin it just kind of dried up, even though the band kept trying to make records for a couple more years. And since Hunter was never a performing member of the Dead, what does that mean for him as part of the Dead family in the early '80s? It's easy to consider him all but a member (and records even listed him as one for a while) in the '70s. But what's his relationship to the Dead in the '80s?
What raises this question for me is that I just recently listened to his 1980 record Jack O' Roses for the first time. Previously I'd only heard Rum Runners and Tiger Rose, and to be honest I wasn't too impressed. They're valiant attempts at records, but it was easy to see that while he's one of the music's great lyricists, he just wasn't that great a singer or player.
But Jack O' Roses is brilliant.
Among those who've heard of it it's best known for having the full (or at least a fuller) realization of
So it's smart and eloquent. But we knew that about Hunter. What floored me about this record was how beautiful it is. It's just him and an acoustic guitar and a bit of echo, and he sounds comfortable and authoritative. His guitar work is very capable in a folk-revival mode, and at times really powerful. And his voice, as he approaches middle age, no longer sounds like a weird castoff of the psychedelic movement: it sounds like that guy at the bar who, when he starts to speak, you shut up and listen. Not 'cause he's mean or loud, but because he's got something to say.
And so naturally this is among the most obscure and scarce records in the Dead's extended family. Didn't even get a US release until four years after it was recorded. But it belongs on any short list of essential Dead records.


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Six Brands That Have Nailed Campaigns And Social For Rugby World Cup
They're the games that have many wishing to call in sick for work so they can stay up and devour the action of the Rugby World Cup.
And as with numerous other big events, brands continue to jump in on social media conversation.
Here we've compiled what we reckon are some of the best social campaigns and posts from various brands around the globe. There's no doubt a heap more, so if you reckon you've spotted on that deserves to be on the list, tweet us @bandt.
Samsung Australia
So you don't forget to wake up for the Wallabies match and cheer on our boys, Samsung Australia worked with Twitter to create a 'rewteet to remind' campaign.
The campaign asked users to retweet the below tweet, which meant they would be sent a notification before each Wallabies game to remind them to tune in.
Watch the @Wallabies in England on Sunday night. Retweet now to receive a reminder before kick off. #WeRiseTogether pic.twitter.com/voSzqedkIL
— Samsung Australia (@SamsungAU) September 25, 2015
On a global scale, Samsung is helping out those who may not know the game inside out, with its 'School of Rugby' spots.
Lesson one is below.
Jameson Whiskey
When Romania lost to Ireland the Irish whiskey brand popped a photo on Facebook mocking the Romanian team.
LIDL Supermarket
England vs Wales is always going to be a competitive game, made even more edge-of-your-seat by having both princes Harry and William attend. England lost.
So German supermarket chain Lidl saw a way it could sell more leeks. So it took it.
[fb_embed_post href="https://www.facebook.com/lidluk/posts/950690431655442:0/" width="550″/]
As one of the official sponsors for the Rugby World Cup, Heineken has created unique packaging for its bottles.
The England Rugby Team
We couldn't go past the English Rugby Team's parody of the Haka to intimidate the New Zealand All Blacks. Watch the magic of the Hakarena below.


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Getting Things Done By Dave Allen
In this book of intense left brain/executive function, Dave teaches us how to maintain a relaxed stated of focused control /busyness and avoid a frantic emotionally pulled in many different directions lifestyle.
We all have many commitments in our lies: our role as self care giver, mother, father, wife, husband, partner, chiropractor, community leader, profession leader, etc and the list goes on. Dave suggests compartmentalizing and prioritizing your roles and then breaking the roles down into actionable steps with assigned increments of time.
Be clear what the outcome us as specifically as possible.
Decided what the very next actionable items are.
Put reminders and actionable outcomes into a system that you know and trust.
Five stages of Managing Work Flow:
1. Collect
2. Process
3. Organize
4. Review
Managing Paper Flow in your Life:
Create an IN basket
Sort The papers according to:
Is it Actionable?
If NO: You have 3 bins to choose from:
1. TRASH or
2. SOMEDAY MAYBE or
3. REFERENCE (retrievable)
If YES: You have 2 choices:
1. DO it. If it will take less than 2 minutes, JUST DO IT.
2. DELEGATE it…….then put into a waiting list(when to check back)
3. DEFER it. Put it in calendar or PROJECTS FOLDER
Getting Projects Under Way:
1. Defining Purpose and Principles: Answer the WHY.
2. Outcoming the Vision: have a clear picture of what success looks like
a. View the project from beyond completion stage
b. Envision wild success and leave your "yeah butts" at the door!
c. Capture features, aspects, qualities you imagine in place.
3. Brainstorming: answer the HOW…mind map, external brainstorm, let the ideas flow. Don't judge, challenge, evaluate or criticize, go for quantity not quality, put analysis and organization on the background
4. Organizing: Identify the significant pieces, sort by sequences, components and priorities. Detail to the required degree.
5. Identifying Next Actions: allocate physical resources.
5 Takeaways to Implement in Your Practice:
1. Set clear goals for your practice.
2. Create priorities based on these goals.
3. Create clear Action steps to reach the goals.
4. Create a time line for all the steps to be coordinated.
5. Create a system to manage the paperflow for these goals.
Hope this book review is helpful and keep blooming!
With love,
The Bloom Goddess


text: Lipsticks are probably my favourite thing to discuss on my blog and my 'three lipsticks' series is up there are one of my favourite blog post styles too. So when the new Charlotte Tilbury Your Lip Service Royal Lipstick Trio* arrived at my doorstep, it almost felt like fate. I knew I had to get lip swatching and share the collection with you as including a pinky nude, a fuschia, and a red lip, what more could you want from this gorgeous lip trio?


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Running a HIA
Home Improvement Agency (HIA) services originated over 30 years ago with a vision to provide responsive, client-centred solutions to low income, older owner-occupiers' home repair, maintenance and adaptation problems. The early pioneers, independent 'Care and Repair' or 'Staying Put' services were small scale and largely funded by the charitable sector.
While many of the original agencies still operate, most agencies are now managed by housing associations, local authorities or private companies with funding from local authorities and health services.
The HIA sector is almost as well defined by its differences as by its similarities, but all HIAs share two key facets:
- Client-centred support provided in a person's own home
- Expertise in making changes to the physical fabric of the home.
Used together, these key strengths provide HIAs with a unique selling point as a provider of services to vulnerable people. These strengths are well suited to drive forward the development of new business, as attributes that differentiate and set apart the sector from other providers in an increasingly segmented and competitive market of support services.
Client-centred support is very powerful because face-to-face contact, at a person's home, is the preferred method of receiving support for many vulnerable people, especially older people. It gives HIAs the ability to fully understand how a client can maximise independent living and provides vital clues when assessing the client's housing needs and finding the right range of choices.
As a business development tool, client-centred support places agencies very close to their customers and encourages dialogue at all stages of the process, providing feedback to improve existing services, and uncovering the need for additional services. Much of the development of the most successful HIAs in the country has arisen from acting on feedback from clients.
An expertise in matters to do with repairing, improving or adapting the physical fabric of the client's home is equally as critical to the sector's unique market position. There is a risk that the development of a range of less-specialised ancillary services will turn this expertise into a 'nice to have' rather than 'core' service. Without this an agency loses its distinctiveness as an HIA rather than any other kind of housing-related support agency for older/vulnerable clients.Back to top of page


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DSLR Lens Guide
There's no question that the ability to change their lenses is what gives interchangeable lens and DSLR cameras their incedible versatility. From basic lenses, like wide angle and telephoto, to specialty lenses, like the Diana, the Holga, and even iPhone DSLR, there is a lens for just about any look. While having so many options can make choosing a lens challenging, the DSLR Lens Guide can help you get started on finding the right lens for you.
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|Discography :: Skin Yard Recordings & Releases
Skin Yard - 1987
This early version of the band bears a limited resemblance to the band which Skin Yard later became. This debut record is not as heavy as subsequent records, and is a more intricate and arty release. It is also the first record that Endino engineering job to get a commercial release. The CD included 5 additional tracks not originally on the 1987 vinyl release. Matt Cameron (Soundgarden, Pearl Jam) drummed on this record, with the exception of the 2 bonus tracks that have Jason Finn (Presidents of the Unites States of America, Love Battery) drumming. Additional Info
Hallowed Ground - 1988
Mr. Temperment himself, Scott McCullum played drums. Considered by the band as their breakthrough record. 200 copies were pressed on purple vinyl, and a later pressing of the LP had colors reversed on the cover. It was released on CD with 2 additional cuts. The first song "Stranger" was released as a 7" single, b/w "This Lonely Place" (see SY Singles below).
Additional Info
Fist Sized Chunks - 1990
Tom Niemeyer from the Accüsed played on one song, Helios Creed played on another. This particular CD was perhaps the bannds least favorite, as the production sounded muddy at the time of release, and also as it was recorded after a tour that essentially broke the band up for over a year. That said, Fist Sized is also Skin Yard's heaviest and most aggressive record, and for that reason is the favorite of many. Not available digitally; CD only (See Fist Remixed immediately below).
Additional Info
Fist Remixed - 2012
This new digital version remixes the entire Fist Sized Chunks record (above) using the original master tapes, and the results are astounding. This is effectively a new release. It reveals whole new layers in the songs and shines a new light on what is now among the band's favorite records. With newly unearthed overdubs, guitar parts, and a new clarity and girth to the sound, Fist Remixed is considerably more psychedelic and powerful and is now the record that the band originally envisioned back in 1990.
Additional Info
1000 Smiling Knuckles - 1991
The personal favorite of the band - The closest Skin Yard ever came to fully realizing the complete vision of the band at the time of release. Solid songwriting throughout, flawless performances, and some of Jack's best engineering to-date. And let's not forget the mind-blowing artwork by Jim Blanchard. Issued on vinyl and CD in 1991. Now with Barrett Martin drumming, Skin Yard was regrouped and fully functional. A remarkable record all around.
Additional Info
Inside the Eye - 1993
Once Daniel quit the band after 1000 Smiling Knuckles, the band hired a replacement bassist, and set out to create a more riff oriented, less textural record. Some felt was not as challenging as some of Skin Yard's previous material. Daniel thinks that it sounds more like a Gruntruck record than a proper Skin Yard record, and Jack thinks he's full of crap, but either way the record features some seriously scorching songs.
Additional Info
Start at the Top - 2001
"A Collection of singles and rarities." Several years after the band called it quits, it became clear that enough good material had fallen between the cracks to assemble another solid album. Jack began accumulating, remixing, editing, sequencing and mastering stuff from the vault. The record had been sitting and collecting dust for years, and the band finally released the CD as a limited hand-numbered edition. Included are the songs from the singles below (and lots more not on the singles). The CD version and the digital version have a handulf of different songs with the digital version being the stronger of the two collections. Additional Info
The Perfect Lawn (1991-1985) - 2012
Essentially, a live history of the band. The heart of the record is five songs recorded live to an eight-track machine on New Year's Eve 1990, plus two songs recorded at KDVS in Davis, CA, and two songs from a board tape recorded during the band's final tour in Europe. 16 tracks in total. There are a few early recordings on this release that feature Steve Weid and even Matt Cameron on drums.
Additional Info
|Discography :: Skin Yard Singles (7 and 10 inch)
Bleed/Gelatin Babies - 1987
C/Z Records CZ004, issued on black vinyl Summer 1987. "Gelatin Babies" was intended for the first album but was not finished in time. "Bleed" was recorded much later when Jason Finn was drumming with us, probably fall '86. Features Floyd-y break and a sombre piano.
Stranger/This Lonely Place - Toxic Shock - Winter 1987
Toxic Shock Records TX-009. "Stranger" was the first song from the (then-upcoming) Hallowed Ground album. Most copies are on black vinyl, with a few on orange wax. Second pressing was hot pink., hence the 1988 tour t-shirt slogan "Seven Inches of Throbbing Pink Jesus." This Lonely Place was recorded earlier with Jason Finn, at the same time as "Bleed" (See above). "Stranger" was the opening track the 2nd album, Hallowed Ground.
Start at the Top/Watch 7" - Sub Pop - Fall 1989
The long out-of-print gem from the Sub Pop stable of limited singles. Both songs have Scott McCullum on drums, and were recorded right after recording Fist Sized Chunks. 4000 pressed, 400 on white vinyl, and though long unavailable, both songs can now be heard in glorious digital brilliance on the Start at the Top rarities CD.
1000 Smiling Knuckles/Bulldog 10" - Summer 1991
Cruz Records, 2000 copies issued in Summer 1991, all on 10 inch pink vinyl. 1000 Smiling Knuckles as on the album of the same name, b/w Bulldog (Lennon/McCartney) not issued on album. A very different version of Bulldog can be found on the Start at the Top rarities CD.
Skin Yard/Loveslug Split 7" - Rave Records - Fall 1991
"PsychoRiflePowerHypnotized" recorded live at KDVS by Dave Chisholm. Other side is "Loser Bar" by Loveslug (Tony Slug's band from Amsterdam). Some black, some yellow vinyl. Glitterhouse also did a European edition of this single; colors are a bit stronger on the cover. Jack's not crazy about this single because his guitar is a bit out of tune...


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Dear Skylight Board of Directors and Board of Advocates,now, i'm not a skylight board member. but if i were, i'd have a few questions for dillner:
Looking back at the week, so much has been accomplished. Still much to do!
A few things of note:• I have had the pleasure of meeting or talking on the phone with many of our artists for Barber, Plaid, Figaro and Rent. Having the artists' energy exploding through the building was a great boost for us all! I look forward to chatting with the rest of the artists next week.I thank you all for your continued leadership and support.
• Suzanne, Christine and I visited with The Bradley Foundation folks and have other wonderful supporters of the Skylight lined up to see soon.
• An ad hoc committee of the Board of Directors has begun meeting to manage the timeline and communication with the press.
• We are also working with some community partners to enrich our social media and online presence.
• Our audience development team will finalize decisions with our staff on our Open House to launch the season.
Have a wonderful weekend.
1. how many of next season's artists did you meet with? what are their names, and when can i speak to them?of course, if i were a board member, i would have asked mr. dillner plenty more questions about a year ago.
2. what exactly did the bradley foundation say? are they still supporting the skylight 100%?
3. when is this ad hoc communication committee going to be holding these forums you and suzanne keep promising the community?
4. what the heck does "enrich our online presence" mean? are you going to stop those employees (or...former employees) from saying negative things about the skylight on places like the facebook?
i'm not a board member.


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Vinegar is a natural product that can clean your laundry and function as a natural antiseptic or mold remover. You can also use vinegar as an inexpensive, gentle and natural method to remove wrinkles from your clothing.
Step 1
Pour one part vinegar and three parts water into a spray bottle. Shake the bottle to mix the ingredients.
Step 2
Spritz dry wrinkled clothes with the vinegar mixture. Completely moisten the wrinkles.
Step 3
Hang the clothes to air-dry. The wrinkles will naturally disappear.


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Everyone wants to know what the best sex toys for women are and really it's always going to come down to personal choice. But if you have never tried one before and… Read More
There are many different vibrator techniques you can use to give yourself an orgasm. Essentially though, to get the most out of your toy you will need to use foreplay, sensual and… Read More
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Traffic team is back again! Director Rajesh Pillai who had done the blockbuster movie traffic in year 2011 all set for his new movie.Anoop Menon will write the script of this movie.The new movie includes a bigstar cast including Asif Ali,Kunchacko Boban, Nivin Pauly and Anoop Menon.
Rajesh is currently working in the pre-production works of Traffic bollywood remake.


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Project Description
The Smith Family
Winter 2016 Appeal
In Australia over 638,000 children are living in jobless families. This disadvantage at home affects every part of their life – including their schooling. Disadvantaged children often can't keep up at school and end up with lower educational outcomes than their peers.
To make this appeal distinctive and effective we needed to reframe The Smith Family's work in a fresh way that would inspire supporters to think about the charity's programs differently and compel them to donate once more.
Marlin worked with The Smith Family to develop the charity's promise to "end poverty one student at a time". Here we decided to bring this statement to life and reinforce its meaning by creating a future-focussed appeal that demonstrated the life-changing benefits of The Smith Family programs.
We wanted to show supporters how and why The Smith Family's programs can stop a poor child from growing into a poor adult.
We centred the appeal on the moving story of 8-year-old Jenny. Her story allowed us to capture the pain of poverty, and focus on the importance of additional educational support to help her create a better future.
Using Jenny's first-person voice was a strategic choice that made the future feel close and personal for our audience. We showed how thoughts of the future fill the heads of disadvantaged boys and girls each day and how important it is to provide the support that can help them change that future.
By coupling Jenny's emotional story with The Smith Family's visionary plan to "end poverty one student at a time" we created a compelling problem/solution scenario that resonated with our audience.
In the DM pack the unfolding of one child's experience was juxtaposed with details of the charity's effective learning programs to help supporters to see the specific ways in which their donation could influence the future of a disadvantaged child.
Beautiful, evocative photography and bold headlines expressing Jenny's innermost thoughts made this campaign both personal and affecting. Yet it didn't leave supporters merely touched, we outlined how the charity can change the future for a child and presented them with a direct way to help a child onto the path out of poverty.


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mov(ie) it!
There have been a few new movies on the taiwanese scene lately , and following it are some of the theme songs which feature some of my favourite singers , such as A-FU and Anthony Neely!
For those of you who are like me and are missing relative newbie A-Fu (she hasn't made an appearance since mid last year where she released her EP <All happy>) she has released a new single that is the theme song for the movie (determination) starring Yao Yao. the song's name is 让我爱上你(let me fall in love with you) and totally fits the theme of the movie.
Anthony Neely worked with Skot Suyama on this song for his new movie <faithball> which is about an underdog baseball team , in which Anthony plays the coach. Sounds promising! The song is already making it pretty big on the charts , especially in singapore where on the 9.33 YES FM charts it has made it into the top 10. A song with a really funky , grounding beat which really gets you going and really sets the theme for the movie. I want to watch it already!
Leave a Reply.
January 2020


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Experiments in fire and ice.
The first exposure most of us have to dry ice is a punch bowl at a Halloween party. Dropped into the punch, a block of dry ice bubbles and churns while releasing a thick fog of carbon dioxide gas which adds to the spooky atmosphere of the party.
Many years ago my friend Andrew Tepper turned me on to the recreational use of dry ice. He filled an old fashioned corrugated washbasin with hot soapy water and then dropped in a block of dry ice, creating a substance he called blob foam. As you know, dry ice does not melt at atmospheric pressure. It sublimates, going directly from the solid to the gaseous state.
WARNING: Improper handling of dry ice is dangerous.
Any responsible adult who actually tries this must accept liability for any deaths, injuries, and/or property damage it causes. If you are not a responsible adult (in the legal sense), don't even think about it. Bare skin exposed to dry ice can instantly develop frostbite or 'freezer burn'. A small quantity of dry ice stored in a sealed container can cause a large explosion. Breathing the concentrated CO2 fumes from dry ice can cause asphyxiation, unconciousness, and death. This article is presented merely for entertainment.
My friend Andrew Mill and I were playing with dry ice at a barbeque. We had to stop blowing up soda bottles because we were antagonizing the neighbors, so we had to find a use for our remaining dry ice
Remembering Andrew Tepper's blob foam, we decided that tossing dry ice onto the hot grill would generate an impressive plume of carbon dioxide. We donned our safety gloves, grabbed a handful of dry ice pellets, and tossed them onto the hot grill expecting a nice cloud to form.
It turns out that placing dry ice in contact with the hot coals released enough carbon dioxide to starve the coals for oxygen. It also caused a fuzzy snow-like coating to form on the dry ice pellets. We're not sure if the snow was water or carbon dioxide, but it probably acted as an insulator and slowed down the sublimation rate.
When we removed the dry ice the coals started burning again. Our next experiment will be to upset the equilibrium by using a forced air burner of some kind.


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- 4 beds
- 4 baths
- $183,700 price
- 201935700 mls id
- Square Feet: 5,107 sqft
Welcome to this residential property in town Warsaw that is full of options! This home currently has 4 bedrooms and 3.5 bathrooms including a full 1 bdrm apartment that is currently rented in lower level. This home is full of charm and character but yet has had many recent updates and has been very well maintained. Lots of square footage is here that could be ideal for a triplex if someone wanted- see agent for details. The kitchen and bathrooms have been updated with quality design and materials including custom tile shower, granite counter-tops in kitchen and wonderful cabinetry. Entertain on the over-sized deck just off the family room area. The garage is a "Man Cave" feel- room for RV, Boat and Cars! Even additional rooms for workshop or storage or a great game room for the kids! Lots of potential here and lots of possibilities
- Site Link
- Style Traditional
Related Listings
32 Pictures
Can you hear the crickets chirp? Yes, you can in this quiet country location -this front porch was made for sitting- All new windows w/ lifetime warranty, new exterior doors, new paint, new laundry room and 3 season room, 4 bedrooms (1 on main level) 2 full baths, one with a soaking tub.
4 beds, 2 baths, 2,110 sqft, $165,500
Courtesy of: Coldwell Banker The Real Estate Group
Office Phone: +15742677505
Listing Agent: DEB PATON-SHOWLEY GROUP
Updated: 25th January, 2020 1:27 AM.
415 N Washington Street Warsaw, IN


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This fear is a doozie!
It influences everything from how deep and connected your relationships are, your success in your career, to asking for anything you want in your life.
It is the key to unlock your true growth and potential — or what will continue to hold you back, cause you to retreat and play small.
It's the FEAR of rejection – and it has a huge influence on the tangible results you are attracting.
This week's powerful video is on how to Reframe Rejection in your life. More often than not, you aren't afraid of hearing the word "no"- it's the dramatic story you tell yourself about what rejection means to you.
Learning how to change the story around rejection is key to conquering the fear.
Check it out!
As always, thank you for reading, watching and contributing!
Here's to getting shift done and creating a rich, fulfilling and delicious life you love!
Read more: https://www.carlycoopercoaching.com
Want to learn how to get shift done in your life or business? Schedule a Complimentary Get Shift Done Strategy Session today.
Want to learn how to feel better physically and emotionally in a safe, natural way? Check out my Getting Started Guide to learn more about Essential Oils.


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Make it easier to navigate your Wedding Website creation and editing site
Make it easier to navigate the editing page by including all of the subsections in the sidebar under "Website Pages".
Right now if I'm editing the Travel subsection and want to start editing the Accommodations section next I have to click back on "Details" on the sidebar then click on "Accommodations".
It would be much easier if all of the subsections were just including in the side bar on the left. At the least, the left sidebar should include a collapsable drop-down of all of the sub-sections under each main page so you can quickly jump to editing different sub-sections.
Hi and thank you so much for your idea!
We will definitely take this into consideration. We're always trying to improve the Wedding Website experience for couples so we welcome all of your great ideas.
We will keep this forum updated as we make improvements!
Enjoy your planning!
1 comment
olivia4nier commented
Any updates?


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Looks like Hollywood Studios will be celebrating its 25th anniversary in style. Disney extended the operating hours on May 1st to 9am – 11pm with "Special Fireworks" scheduled at 9:30pm.
Could it be for the 25th anniversary?
This is our arrival day! We are having dinner at Garden Grill and I'm thinking taking a boat over to the Studios for the fireworks!
Our arrival day too! What do you think about the photography aspect of these fireworks? I've photographed MK fireworks and like the castle backdrop. What about HS? Any opinions on how these might look? Are they shot off around the hat? Trees in the way? Thanks!! 🙂
What will be the crowd level? Is the crowd calendar already updated? tks
Crowd Level……Based on the Friday 13th Event…….OUT OF CONTROL!!!!!!!!!!!!!


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Arizona targeted for Colorado football recruiting
Last week, Colorado signed three football players from Arizona for the first time with that many signees from that state since at least 1973 — the furthest that CU's complete records go back.
CU coach Mike MacIntyre said Arizona has and will remain a primary target area for Colorado football recruiting.
Signing with the Buffs from the Grand Canyon State were wide receiver Justin Jan (6-foot-3, 205 pounds) of Chandler (Ariz.) High School, wide receiver-defensive back Isaiah Oliver (6-1, 185) of Brophy Prep in Phoenix and defensive lineman Brett Tonz of Centennial High School in Peoria, Ariz.


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Artificial Intelligence has started changing non-destructive testing (NDT)
December 4, 2018,10:00 am CEST
In recent years, the use of Machine Learning and Artificial Intelligence algorithms has exploded across different fields — from beating humans at board games, to trying to predict consumer behavior across channels, to identifying abnormal operating conditions of industrial equipment, just to name a few prominent examples.
We sat down with Head of Product Management, Isaak Tsalicoglou, and Co-Head of Technology, Cengiz Küpçü, to discuss how Artificial Intelligence plays a role in shaping the future of NDT, especially through products recently launched by Proceq.
There's a lot of talk about Artificial Intelligence these days — why is that so?
Isaak Tsalicoglou (IT): The answer is "data". As data sets grow in size and complexity, so does the effort in managing that data. And so does also the cognitive load of interpreting data in a timely and useful manner —ideally even on-site, which has so far been a challenge. Machine Learning and Artificial Intelligence help to generate and reuse insights that augment our human intelligence. This way, we can get things done easier, faster, and more reliably.
And how does this relate to the non-destructive testing industry?
Cengiz Küpçü (CK): As sensors become more advanced and high-performing, the data that they generate also get richer. Furthermore, when more than one sensor technology is involved in assessing the quality of an asset, even more data are added to the mix. As a result, data sets become more "dense" and more multi-dimensional. We must facilitate that this data flood can be absorbed and understood. One side effect of the difficulty of interpreting large data sets is that it also takes a lot of time to do so.
IT: I totally agree, Cengiz, and in practice it's also about reaching a robust conclusion in a timely manner, ideally without touching your laptop or going back to the office. After all, a measurement plan by itself is worth little, and data by itself do not "speak". From start to finish, an NDT application is a process, and it needs to be kept short, productive, and collaborative. It delivers value to customers and stakeholders primarily when a verdict is reached — meaning: is the asset OK? If not, why not? If so, what should be done? In a way, it's all about helping NDT inspectors help their stakeholders make better decisions, faster…
CK: …and this is where Artificial Intelligence can assist the world, by generating better, faster, stronger insights!
How are those ideas reflected in the Proceq product portfolio?
CK: Proceq has been a pioneer of Artificial Intelligence in NDT! Artificial Intelligence already found its way into Proceq products in 2016, with Profometer 6 AI. And, more recently, especially Pundit Live Array Pro brought a lot more Artificial Intelligence into daily use.
How does it work, what does AI actually do for the users of Proceq equipment?
IT: In Pundit Live Array Pro, AI is currently applied in two functions. The first one is that the Pundit Array transducer head can be moved anywhere along a line. Artificial Intelligence assists in effectively tracking the transducer head and stitching the data records together seamlessly. This means that less care is needed during the recording — measurement speed thus increases. The overall productivity increases, and the cost per inspection is reduced. As an additional result, the data images are generated at a higher quality than possible in the manual mode. In turn, this enhanced quality makes the image easier to interpret. Hence, in this implementation Artificial Intelligence helps both directly, during the measurement, and indirectly, during its analysis.
CK: The other function where Artificial Intelligence helps in Pundit Live Array Pro is to automate manual efforts in the analysis phase, i.e. during data interpretation. In the past, when you needed to determine the thickness of a concrete slab, you had to manually tag the back wall in the image every so many centimeters, or inches. For the human eye and mind, this required a lot of attention and diligence — in other words, it was operator-dependent. We now introduced an AI-assisted tagging feature for back walls. You just tap the "magic" AI button, and our iPad app recommends tags based on an algorithm that is typically more accurate than the human eye, and certainly faster than manual tagging! Nevertheless, the user still has to check, confirm and make sense of the tags and images based on her or his understanding of the real structure that is being inspected.
Does this mean that you envision Artificial Intelligence ever taking over the task of interpreting NDT data?
IT: Our Artificial Intelligence features never take over control from you, the user. They enable you to get things done better and faster, they assist you — but they do not hijack your user experience. This is a subtle and important distinction, which shows the user-centric focus of Proceq Live products, even with something as revolutionary as Artificial Intelligence.
CK: Machine Learning and Artificial Intelligence have both existed for decades. However, computational capacity and access to algorithms has grown massively only in recent years. This means that, gradually, Artificial Intelligence algorithms for computer vision are also being used to generate insights from NDT images — such as what Proceq tomography equipment nowadays generates; for example, also in Augmented Reality.
IT: It seems to me that the future of NDT holds as many surprises as it holds certainties, partially thanks to Artificial Intelligence. It is part of our company vision to help our users put material testing equipment to use with confidence, with increasing value — and surely also with some fun, why not!
What does the future hold for Artificial Intelligence in Proceq products?
CK: On our end at Proceq, we are committed to defining the future of NDT with cutting-edge technology implementations — both in sensors and software, including Artificial Intelligence. Our products deliver sensor data streams in a way that people can understand them, collaborate on them with others, and reach conclusions.
IT: And let's not forget that no single technology is perfect for all applications. This is why at Proceq we are also uniquely committed to a multi-technology approach, i.e. making available "the right combination of instruments for the job". We therefore also assist in combining those sensor data streams into a meaningful holistic approach for the quality assurance of infrastructure and assets. Artificial Intelligence will play an increasing role in doing exactly that with Proceq Live products, especially as our technology and product portfolio expands further.
This all makes a lot of sense indeed. So, to get there faster, what is the biggest potential obstacle that you foresee?
CK: The availability of talent! Proceq is recruiting new talents across all functions, and especially in R&D. Whilst there are recruiting platforms to support this process, nowadays even with Artificial Intelligence, it is the proactive current and future engineers who will create the new solutions. At Proceq, young professionals and talents like Isaak and many of my team members can have a unique challenge in Proceq if they contribute commitment, creativity, and, well — human intelligence!


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Borough of Reigate Pageant: The Heritage of the Crown
This pageant was held in the Coronation year of 1953, though three months after the event itself. Held in the Surrey town of Reigate, it was one of a number of pageants in the towns surrounding Lon...


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AMSURG partner Peter Kurzweil, M.D., Surgery Center of Long Beach, was one of the primary authors of a study reviewing the effectiveness of traditional meniscus repairs. The study found that 77 of the 98 reported repairs were successful, resulting in a success rate of 77.8 percent.
"This study demonstrates that meniscus repair can be successful and suggests that, whenever possible, repair should be considered for patients with horizontal cleavage tears," Kurzweil said.
Full Story


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Business Plan of Baxter Professional Services
About Us
Founding: Baxter Professional Services LLC was incorporated as limited liability company in 2015 in the State of Indiana. Its main purposes are to assist attorneys by collecting, reviewing, summarizing and analyzing medical records and providing consultation on nursing standard of care; to assist individuals in developing a comprehensive plan to manage chronic health conditions and other healthcare needs; and to assist long-term care and other entities to design, customize, and deliver in-service and educational materials for staff and consumer education.
Our Mission: To serve our clients by providing the highest quality professional services that addresses the individual and corporate healthcare needs; business development and legal nurse consulting needs.
Philosophy: It is fundamental to our success that we accept, value, and incorporate the contributions of people from a wide variety of backgrounds. We strive to reach mutually agree upon goals while maintaining our ethics and Christian values.
Core values:
- Integrity: We strive to do the right thing regardless of the consequences and to engage in sound business practices and Biblical principles.
- Accountability: We take responsibility for our individual and collective actions.
- Fidelity: We have a clear commitment to confidentiality for our clients according to standards of practice.
- Autonomy and respect for the individual: We value the dignity of all persons and we treat each person with respect as we believe that all persons were created in the image of God.
- Creativity: We respect the capacity and drive for personal growth, as well as the talents and diversity of the clients and all others we meet and serve.
- Service: We maintain a servant leadership philosophy as demonstrated by helping our clients achieve mutually agreed upon goals for a better tomorrow. We aspire to deliver the best possible service to our clients, customers, and vendors.
Tina M. Baxter-President/CEO/Owner
Tina Baxter functions as president and lead consultant in the Baxter Professional Services company. Tina Baxter is a board certified gerontological nurse practitioner, an entrepreneur, and has experience in the areas of legal nurse consulting, health education, promotion, mental health and addiction nursing, gerontology, chronic disease management, and health prevention initiatives. She has given lectures on Women and Addiction; Cardiovascular disease in African Americans, and Violence Prevention in the Healthcare setting.
Daniel L. Baxter-Vice-President/COO/Owner
Daniel Baxter is responsible for the maintenance of the physical structure of the building and is a consultant with Baxter Professional Services. Daniel Baxter is an electronics technician with experience in quality assurance and production of medical equipment and other electronic devices. He holds an associate's degree in robotics and a bachelor's degree in electronic engineering technology. He has been in the field for 20 years.
Cameo King, Administrative Assistant
Cameo King is a junior at Anderson High School and plans to pursue a degree in nursing. She joined Baxter Professional Services in 2017.


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Depending on the need of a client, dramatheray sessions can be conducted as individual sessions or group sessions. The purpose of therapy and comfort levels of the client determine whether both or either would be most beneficial for them.
In a corporate setting, Dramatherapy sessions can be particularly useful in helping employees work together more efficiently as a team. In addition to being fun, dramatherapy provides effective team-building exercises, focusing on enhancing and sustaining the cohesiveness of the team in a neutral and safe environment.
Dramatherapy can also be useful for employees who find it difficult to maintain a healthy work-life balance, and can also be a good medium for stress release and dealing with anxiety issues.
Often in schools, students find it difficult to cope with the stress of exams and the perpetual pressure and demands for excellence. Dramatherapy can be a useful avenue for students to relieve and manage their stress.
Students also go through a variety of social stresses in school that they are often unable to express or handle. This may be in the form of bullying or teenage relationships, or could also be related to stress in their home environment. Young people are typically not equipped to understand or deal with such problems, and often react in ways that may be harmful to themselves or to others around them. Dramatherapy provides them an outlet to open up about these issues in a safe and contained safe, and helps them deal with it through the creative medium of drama.
Many patients suffering from mental health issues find it difficult to communicate in conventional ways. Dramatherapy gives them a medium to express themselves in a non-verbal and creative way that makes them feel comfortable. These activities and exercises feel like games and fun while also helping the patients convey their feelings in a way that is safe, and designed to help them feel comfortable by self-modulating the setting.
We're not around right now. But you can send us an email and we'll get back to you, asap.


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Mahi Mahi or Dolphin
Dorado aka Mahi Mahi or dolphin (fish) are found in all the world's oceans except the Arctic. They are great ocean currents migratory journey, Mahi often gather floating debris such as floating logs, nets, algae and debris.
Mahi are colorful, fast, energetic fish that provide an acrobatic combat. They are very popular everywhere in the commercial world and leisure offerings flaky white meat, which is great, no matter how it is cooked.
They are one of the fast-growing fish and can reach up to 30 -40 pounds. in one year. The rapid growth and can live for about 5-7 years to reach a maximum of 80 pounds. The world record is 84 pounds, but several world records for the highest potential in swimming.
They are voracious feeders, eating whatever interests them and is in his throat, even smaller bream! I personally took the baby turtles and plastic combs in their stomachs.
But usually travel, especially small schools; sometimes thousands of them go to school until, traveling together. The largest are often in pairs or in small packets, often with a bull of man and women.
Dorado can be caught here all year round, the green season, from May to November is the best time to find a lot of them like, because there's a lot of debris floating around during these months. We catch several large each year from 50 to over 70 pounds. It could very well be a record fish in the world here, waiting to be taken.
We take the same lures, bait Dorado, and the spread of trawl used for billfish. Sometimes downsizing if specifically targeting gold.


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Templeton Excavating
Services / Residential Contractors
location on Google Maps.
in new tab.
on social media.
Since 1963, this family owned and operated company has been providing residential and commercial customers in Stark and Summit Counties with high quality, professional septic and excavation services including septic installation, repair, and renovations. Templeton Excavating has 50 years of experience in the septic industry. We are fully bonded, insured and licensed in Stark and Summit Counties. All of our employees are Certified Technicians.
Business Hours
Monday 7:00 AM - 7:00 PM
Tuesday 7:00 AM - 7:00 PM
Wednesday 7:00 AM - 7:00 PM
Thursday 7:00 AM - 7:00 PM
Friday 7:00 AM - 7:00 PM
Saturday 7:00 AM - 7:00 PM
Sunday 7:00 AM - 7:00 PM


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My daily photo (to make me forget that it's still winter, and that there's piles of snow out there taller than me in my yard alone):
All of the melting snow froze overnight, and there is lots of ice out there. The good news is that it appears that snow is NOT in the forecast for the next 10 days. Woohoo! Anyways, it was the treadmill again….
I walked for 5 minutes;
ran for 20 minutes;
then walked for a total of 32 minutes.
Run time: 20 minutes
Walk time: 12 minutes