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- Music Distribution
- Music Promotion
- Marketing Tools
We are musicians ourselves and see it as our mission to help artists increase their revenues and build a sustainable business. Every day we ask ourselves the question how we can better fulfill this task in the future. In addition to the permanent development of our own software and services, we attach great importance to fair prices, transparency and excellent support.
No. All you have to do is read and accept our terms and conditions, then you can start right away.
Of course, you keep all rights to your music. We only need the rights for the digital distribution of the uploaded songs for the music stores and countries you select.
You can quit at any time. There is no minimum term or hidden cost to cancel.
The iGroove support team will be happy to answer any questions you may have. Write an email to email@example.com or contact our Support Hotline Tel +41 55 648 09 09
You need an artwork and the audio files.
The following formats are required:
Depending on the number of tracks, the shops differ between the release types "Single", "EP" and "Album". Unfortunately there is no uniform regulation for all shops, but for releases distributed via iGroove:
1-2 Songs = Single
3-7 Songs = EP
8+ Songs = Album
An album can contain a maximum of 100 songs.
Yes, if you create a release in your account, you have the possibility to set the release date, if the release date is in the future it will be listed in the shops as "Pre-orderable". On iTunes and Google Play your release will go online quickly (approx. 3-4 working days). The listing of your release on the streaming portals like Spotify, Deezer or TIDAL takes place on the release date. You can also set the start date for streaming to a later date.
Release date: refers to all shops where your release can be purchased (downloads).
Streaming date: refers only to the streaming providers. So it is possible to stream your release e.g. one week later than it is available for sale.
Pre-sale date: thanks to this you can make your release available in the download shops before the actual sales start and collect important sales for the first chart week.
Original Release Date: If you enter a release that is already a bit older, you can enter the original release date here. With the streaming release date you define when the release should be released and with the original release date you make sure that a release which has been released in 2016 for example, is stored with the corresponding date on Spotify and that the order of your releases is correct.
You can store your Spotify or Apple ID in your iGroove profile (My Profile -> My Artists) or directly when creating the release. This guarantees that your release will be added to the correct profile. If there is no ID or an incorrect ID, we cannot guarantee that the release will be added to the correct profile.
Yes, you can edit your release at any time. If it has not yet been delivered to the shops, changes can be made free of charge, a small fee will be charged after delivery.
After delivery it is no longer allowed to change the tracklist, remove or add songs or change the codes (EAN / ISRC). However, audio files, covers or metadata can still be edited after delivery.
Yes, this is also possible for releases that have already been released. Please contact our support team via LiveChat or firstname.lastname@example.com. We will then get in touch with the various stores so that all streams, followers and playlist placements are still present after the name change.
As soon as we have received the confirmation of the stores, your releases will be unlocked and you can change the artist name. We will then re-deliver the releases to the shops.
Due to this manual effort we charge a one-time fee of 13 EUR / CHF 15.- per release.
No. All you have to do is own the copyrights to the songs. This means that you have created the works yourself without using lyrics, melodies or samples of other people's works, unless you own the licenses for commercial use. As a member of a collecting society, you must independently register all your works with your collecting society.
The most important stores are listed on the homepage. Among them are:
iTunes / Apple Music
Google Play
YouTube Music
The complete and updated shop list is directly visible in your account when you create a new release.
These fields are optional and can be left blank accordingly. In this case, "iGroove" is automatically specified as the label. So if you want to enter your copyright, label or (P)-note, the fields are at your disposal. In most cases, the (P) note must also contain the label.
With the release you get all codes for your release for free:
When you enter your release, you can indicate in the tracklist for each song whether it is instrumental (type of recording). If a song is marked as "instrumental", it is not necessary to enter a text author. Otherwise the release can be entered as usual.
When you enter your live release, you must indicate in the track list for each live song whether it contains a live recording. Enter Live in the "Track Version" field.
Covers are always a delicate topic and we recommend that you contact our support before publishing them.
It is important to indicate the authors of the original in the fields composer and text author.
Unfortunately we do not offer the distribution of classical music at the moment.
The status of the delivery is visible in your account. If you click on the relevant release under "My Products", you will find a detailed overview of the releases sent to the music stores you have selected under the menu item "Music Stores". Apart from this, you will also receive a notification via e-mail after successful delivery to the shops.
This is different for all stores and can last from a few days to two to three weeks (for smaller shops). This depends on the shops and their processes.
We recommend that you enter the release at least two weeks before the planned release date, if you want to pitch the release or set up an advance sale even earlier. For example, Spotify explicitly requires that releases be delivered at least five days before the release date to guarantee that they will be available on the desired day.
We deliver the releases daily from Monday to Friday. If a release was added before 12 noon, it will be delivered on the same day.
As soon as your release goes LIVE after successful delivery to the stores, i.e. when it is available in the stores, you will receive an email in which you will find the links to all shops as well as your personal link site. The link site summarizes the links for all shops, clearly arranged on a page with your individual URL.
(Example: http://www.lnk.site/orange-ep)
You can also find your link site including all store links in your account by selecting the relevant release under "My Products" and then clicking the menu item "Link Site".
The registration for the charts in Germany, Switzerland and Austria happens automatically and free of charge with the publication via iGroove.
iGroove sales (via SMS Keyword, via iGroove.eu, via SMSTracks.com etc.) also count in Switzerland for the charts.
Spotify: If you already have a release that is available on Spotify, you can simply follow the steps in the blog linked below. If you want to have your profile verified before your first release, for example to pitch, you can contact our support at email@example.com and we will send you your artist URI to verify your profile.
Apple Music: In order to verify your profile, at least one release must be available. Once this is the case it only takes a few steps.
How you can verify your profiles, you can read in these two blog posts:
Yes, there is the possibility to make your music available at Beatport. In comparison to other stores, there are various restrictions. The most important criteria first: Beatport is a shop that is completely specialized in electronic music. Beatport is therefore particularly suitable for DJ's and producers, but not for rap, pop or rock releases. Also Beatport decides which releases they want to offer and which they don't.
Therefore you have to fill out this form first so that we can check if your releases are suitable for Beatport. You can choose whether you want to make your releases available on the iGroove label (free) or register your own label (one-time fee EUR 39 / CHF 45).
As soon as your label profile has been set up by Beatport, your previous releases can be delivered. For future releases you can select Beatport directly when creating the release.
Beatport also reserves the right to remove releases from their shop that sell little or nothing over a longer period of time. iGroove has no influence on that.
iGroove pays you 92% of the net revenue generated by third-party shops such as iTunes, GooglePlay, Amazon etc.. iGroove AG's own download shops and tools (purchase via SMSTracks.com, SMS or Widget) work with a fair trade shop commission of 8% of the sales price.
Important to know: The external music stores (iTunes, Google Play, Amazon etc.) only pay a portion of the sales price to the artists / partners or primarily to us as distributor. Depending on the Music Store, these payments can vary. For example, iTunes pays us an amount of about EUR 0.71 for a song download with a sales price of EUR 0.99 as distribution. This value can fluctuate, because for example the deductions can vary by different taxation. (For example the value added tax: Germany 19%, Switzerland 8%) In the end, 92% of the net revenues does not mean 92% of the sales price, but 92% of what the music stores pay us.
Sale via iTunes
Selling price EUR 0.99 (CHF 1.50)
Payment from iTunes EUR 0.71 (CHF 0.86)
Commission (8%) EUR -0.06 (CHF -0.07)
Artist gets EUR 0,65 (CHF 0,79)
Sale via SMSTracks.com (without SMS) (1 song)
Selling price EUR 0,99 / CHF 1,50
Artist gets EUR 0,60 / CHF 1,08
Sale via SMS Switzerland CHF (1 Song)
Selling price CHF 1,50
Artist gets CHF 0,78
The revenue from streams varies and depends on various factors, such as in which country the song was streamed and how relevant your artist profile is.
The approximate payout per 1000 streams is:
Spotify: EUR 3,50
Deezer: EUR 4,50
AppleMusic: EUR 5,50
These are standard values. They are for reference only. All data without guarantee. You can find the exact details of your income in your account. If you have further questions please contact us: firstname.lastname@example.com
You can track your sales directly from your iGroove account at any time. There are two different views available.
Sales trends view: Here you can see all your download and streaming revenue updated daily. The data is visible with a delay of two days. The trends are called trends because the numbers they provide have not yet been settled with the individual music stores and therefore have not yet been credited to you. The final settlement can slightly deviate from the sales trends due to currency fluctuations and corrections by the music stores.
Credits view: Here you can see all your download and streaming revenues that have already been billed to the individual music stores. Once a month a credit invoice will be created and credited directly to your account. Depending on the shop, it can take up to six months for a download from the sales trend view to be billed to the music stores. This is due to the fact that certain shops only bill their partners twice a year.
At the beginning of each month you will receive a monthly invoice via email with one month's delay. That means, if you publish a release sometime in January, you will get the billing for the month January at the beginning of March.
The email with the invoice will give you a first impression of the performance of your music in that month. It shows you your top release (including income) as well as your top song (including income). You can get a more detailed insight into the statistics of your releases in your iGroove account. There you can also download your statement as an XLS file or as a PDF invoice.
You can transfer money from your account to your bank or PayPal account at any time. The transfer usually takes 7-10 business days. At the latest, however, after 20 working days the money is completely transferred. Amounts can only be paid out from a minimum amount of CHF 30 / EUR 25.
Just place a trial order via iTunes or another music store. After 1-2 days, the download will appear in your sales trends. If you place an order on iGroove.eu, the download will even appear in your account after a few hours. Please keep in mind that there may be occasional delays in the transmission of sales figures from the music stores. Unfortunately, we have no influence on this.
In rare cases, a Music Store may make complaints about corrections or reversals, for example, due to cancellations. These are then automatically matched against your sales trends. The sales trends therefore do not show any definite sales figures. Only the monthly statements show the revenue effectively settled with the Music Stores.
You can redeem the voucher code wherever an open invoice is displayed. Simply use the corresponding input field "redeem voucher" next to the payment methods.
iGroove offers you a variety of useful tools and services to promote your music or video. In some cases even for free!
From YouTube promotion to playlist pitching, you'll find many interesting options. All available services and tools can be found in your iGroove account.


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subset: commoncrawl


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A legal challenge to the voting districts used to pick justices for the Louisiana Supreme Court appears headed for a lengthy battle in federal court over whether the district lines, which haven't been redrawn in decades, deprive black voters of adequate representation on the state's highest court.
The lawsuit comes amid a new wave of federal Voting Rights Act litigation over judicial elections across the country — including challenges to supreme court elections in Alabama, Arkansas and Texas and an ongoing federal case over state judge elections in Terrebonne Parish — aimed at giving minority voters a bigger voice in picking judges and diversifying a disproportionately white lineup of judges.
But the federal lawsuit, filed in July, won't derail an upcoming special election for the remaining eight years of former Justice Greg Guidry's term. Guidry resigned his seat on the state Supreme Court after President Donald Trump tapped him for a federal district judgeship in New Orleans.
At the heart of the case, brought by the Louisiana Conference of the NAACP and the Lawyers Committee for Civil Rights Under Law, is one basic fact: Although blacks make up about 30% of Louisiana voters, only one of the state's seven Supreme Court justices — or 14% — is a minority.
The lawsuit asks the federal courts to redraw the Louisiana Supreme Court's electoral lines to add a second majority-black district around Baton Rouge, a move that would carve up the majority-white district currently represented by Justice Jefferson Hughes III but would likely affect other justices' districts as well.
Current Chief Justice Bernette Johnson is only the second black justice ever elected to a seat on the Louisiana Supreme Court. The first, the late Revius Ortique Jr., joined the court in 1992 after black activists in New Orleans successfully took an earlier Voting Rights Act challenge over the electoral districts for justices all the way to the U.S. Supreme Court.
If similar past lawsuits are any indication, the latest fight over voting rights and the Louisiana Supreme Court's electoral districts could drag on for years.
The court case which paved the way for Ortique and Johnson to join the Supreme Court lasted nearly seven years — and took more than a decade before the Louisiana Legislature finally hammered out a compromise to redraw the districts in line with federal court orders.
A 2014 NAACP lawsuit over elections to the state's 32nd Judicial District in Terrebonne Parish remains unresolved. The local branch of the NAACP argued that electing all judges parishwide denies Terrebonne's substantial black community fair representation on the courts.
U.S. District Judge Shelly Dick in Baton Rouge in August ordered Terrebonne divided into smaller districts to elect judges after state lawmakers failed to create a new electoral map with majority-black districts — but Louisiana Attorney General Jeff Landry is appealing her decision to the 5th U.S. Circuit Court of Appeals.
Racial voting patterns
Voters in majority-white districts, the NAACP lawsuit notes, have never put a minority justice on the Louisiana Supreme Court. The lawsuit points to decades of Louisiana judicial elections as strong proof that black voters, who skew heavily Democratic, often prefer black candidates — while white voters swing heavily in favor of mostly conservative white candidates.
Both Johnson and Ortique represented a majority-black voting district in and around New Orleans created under a federal consent decree. Johnson took Ortique's seat on the high court in 1994 after Ortique, a noted civil rights attorney who died in 2008, turned 70, the court's mandatory retirement age.
"This is litigation that could have significant impact in Louisiana and beyond," said Jacques Ambers, a spokesman for Landry's Attorney General's Office, which is defending the case. "We ... will refrain from comment until the appropriate time."
Justices on the Louisiana Supreme Court declined to comment through a spokesman, who cited a court policy against opining on pending litigation.
Landry has also hired Holtzman Vogel Josefiak Torchinsky — a nationally prominent law firm which has represented conservative Republican positions in a number of Voting Rights Act cases, including the Terrebonne Parish case — to work on the lawsuit
Jason Torchinsky, one of the firm's partners, also declined to comment.
The state has until November to file its formal response to the lawsuit. But a status report filed in the case earlier this month suggests Landry's office will point to Louisiana's past struggles to draw seven-member congressional maps with two majority-black districts, which were repeatedly struck down by the federal courts.
Claims under the Voting Rights Act that electoral lines deny minorities fair representation generally have to meet three criteria: that the minority group is sizable enough to make up a majority in a voting district, that the group votes largely as a bloc that tends to coalesce behind certain candidates, and that white residents also vote as a bloc to generally defeat those candidates.
The lawsuit also raises questions over whether all voters have a right to a roughly equal say in picking judges. The populations in the state Supreme Court's seven electoral districts — most of which haven't been redrawn since shortly after the state's 1974 constitutional convention — vary widely.
Population shifts since then mean some justices on the court represent hundreds of thousands more residents than others, meaning the power of each individual voter to pick their justice varies significantly depending on where they live.
Hughes' 5th District, the court's largest, counted more than 791,000 people as of the 2010 census, according to statistics compiled by the Legislature. That's dramatically more than Johnson's New Orleans-based 7th District, the court's smallest, which had just 438,000 voters.
Johnson's district is 59% black, with other minorities accounting for another 13% of residents. Every other justice's district was at least 59% white as of 2010.
Past U.S. Supreme Court decisions have held that the "one person, one vote" principle — which requires states to redraw legislative and congressional districts after every census — doesn't apply to judicial elections, on the basis that judgeships are different from political offices.
But Brendan Downes, one of the attorneys representing the NAACP, said that, even though the U.S. Supreme Court has given states some latitude to draw lopsided electoral districts for judges, states like Louisiana "can't do so in a way that dilutes black votes."
The Chisom case
Ronald Chisom, a New Orleans civil rights organizer and activist, brought a lawsuit under the Voting Rights Act in 1986 to challenge a unique peculiarity in how Louisiana elected justices to its Supreme Court.
Although seven justices sat on the court, state law for decades split Louisiana into just six electoral districts to pick them. Voters in most of the state cast ballots for a single seat on the high court — but voters in Orleans Parish, where a large black majority held sway in city politics, were lumped together with majority-white voters in Jefferson, Plaquemines and St. Bernard parishes to pick two justices.
Chisom and other plaintiffs successfully argued that the unique arrangement violated federal protections for black voters by illegally diluting their voices in Supreme Court elections. Black candidates in the special four-parish district had repeatedly failed to gather enough votes from the white majority to be elected.
A federal judge in New Orleans readily agreed that the odd two-justice district appeared to violate the Voting Rights Act. But the two sides battled for nearly seven years over whether the act's protections against racially discriminatory "voting practices or procedures" applied to judicial elections.
After the U.S. Supreme Court sided with Chisom in 1991, lawmakers in Baton Rouge hammered out a series of compromises that allowed sitting Justices Pascal Calogero and Walter Marcus Jr. — who represented the combined New Orleans-area district — to serve out their terms.
Lawmakers instead created a temporary eighth "Chisom" justice on the court before new election lines — including a new majority-black 7th District — went into effect in 2000.
Bill Quigley, a veteran civil rights lawyer who worked on the case and is a law professor at Loyola University in New Orleans, said the legal issues at the heart of Chisom v. Roemer differ dramatically from the issues in the NAACP's current lawsuit.
The Chisom case, Quigley said, was "explicitly focused on New Orleans," and the only real legal issue was whether Voting Rights Act protections extended to judicial elections.
"What's now before the federal courts is the question of, if populations change, then is there now an obligation to reapportion — and to reapportion in a racially fair manner?" said Quigley. "It's a cutting-edge suit."
Editor's note: An earlier version of this story incorrectly identified an attorney representing the NAACP in the lawsuit. He is Brendan Downes of the Lawyers' Committee for Civil Rights Under Law.
This story was updated to clarify that Justices Revius Ortique Jr. and Bernette Johnson are the only black justices elected to the Louisiana Supreme Court. At least two black jurists — late Southern University President Jesse Stone Jr. and state District Judge Benjamin Jones of Monroe — have been appointed pro tempore justices to fill temporary vacancies on the state Supreme Court.


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Bert Noorman
Ir. Bert Noorman is serviceline manager at Sogeti Nederland B.V. and as such responsible for the continuous development of process management related propositions and services. DEMO has proven to be a valuable methodology, that drastically increases the maturity of process management practices. In this context also Pronto evolved as a practical approach to applying DEMO in day-to-day practice. Bert has a broad experience and combines business and IT issues with a strong focus on added value and applicability in practice.
|Achieved on
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(CNN)California's insurance commissioner has launched an investigation into Aetna after learning a former medical director for the insurer admitted under oath he never looked at patients' records when deciding whether to approve or deny care.
California Insurance Commissioner Dave Jones expressed outrage after CNN showed him a transcript of the testimony and said his office is looking into how widespread the practice is within Aetna."If the health insurer is making decisions to deny coverage without a physician actually ever reviewing medical records, that's of significant concern to me as insurance commissioner in California — and potentially a violation of law," he said.Aetna, the nation's third-largest insurance provider with 23.1 million customers, told CNN it looked forward to "explaining our clinical review process" to the commissioner.California insurance commissioner Dave Jones launched the investigation after being contacted by CNN.The California probe centers on a deposition by Dr. Jay Ken Iinuma, who served as medical director for Aetna for Southern California from March 2012 to February 2015, according to the insurer. Read MoreDuring the deposition, the doctor said he was following Aetna's training, in which nurses reviewed records and made recommendations to him. Jones said his expectation would be "that physicians would be reviewing treatment authorization requests," and that it's troubling that "during the entire course of time he was employed at Aetna, he never once looked at patients' medical records himself." "It's hard to imagine that in that entire course in time, there weren't any cases in which a decision about the denial of coverage ought to have been made by someone trained as a physician, as opposed to some other licensed professional," Jones told CNN. "That's why we've contacted Aetna and asked that they provide us information about how they are making these claims decisions and why we've opened this investigation."The insurance commissioner said Californians who believe they may have been adversely affected by Aetna's decisions should contact his office.Members of the medical community expressed similar shock, saying Iinuma's deposition leads to questions about Aetna's practices across the country."Oh my God. Are you serious? That is incredible," said Dr. Anne-Marie Irani when told of the medical director's testimony. Irani is a professor of pediatrics and internal medicine at the Children's Hospital of Richmond at VCU and a former member of the American Board of Allergy and Immunology's board of directors."This is potentially a huge, huge story and quite frankly may reshape how insurance functions," said Dr. Andrew Murphy, who, like Irani, is a renowned fellow of the American Academy of Allergy, Asthma and Immunology. He recently served on the academy's board of directors.The Gillen Washington caseGillen Washington, 23, says he hopes to force change at Aetna.The deposition by Aetna's former medical director came as part of a lawsuit filed against Aetna by a college student who suffers from a rare immune disorder. The case is expected to go to trial later this week in California Superior Court. Gillen Washington, 23, is suing Aetna for breach of contract and bad faith, saying he was denied coverage for an infusion of intravenous immunoglobulin (IVIG) when he was 19. His suit alleges Aetna's "reckless withholding of benefits almost killed him."Aetna has rejected the allegations, saying Washington failed to comply with their requests for blood work. Washington, who was diagnosed with common variable immunodeficiency, or CVID, in high school, became a new Aetna patient in January 2014 after being insured by Kaiser. Aetna initially paid for his treatments after each infusion, which can cost up to $20,000. But when Washington's clinic asked Aetna to pre-authorize a November 2014 infusion, Aetna says it was obligated to review his medical record. That's when it saw his last blood work had been done three years earlier for Kaiser.Despite being told by his own doctor's office that he needed to come in for new blood work, Washington failed to do so for several months until he got so sick he ended up in the hospital with a collapsed lung.Once his blood was tested, Aetna resumed covering his infusions and pre-certified him for a year. Despite that, according to Aetna, Washington continued to miss infusions.Washington's suit counters that Aetna ignored his treating physician, who appealed on his behalf months before his hospitalization that the treatment was medically necessary "to prevent acute and long-term problems.""Aetna is blaming me for what happened," Washington told CNN. "I'll just be honest, it's infuriating to me. I want Aetna to be made to change."During his videotaped deposition in October 2016, Iinuma — who signed the pre-authorization denial — said he never read Washington's medical records and knew next to nothing about his disorder.Intravenous immunoglobulin can cost as much as $20,000 per treatment. It helps patients like Gillen Washington stave off infection.Questioned about Washington's condition, Iinuma said he wasn't sure what the drug of choice would be for people who suffer from his condition.Iinuma further says he's not sure what the symptoms are for the disorder or what might happen if treatment is suddenly stopped for a patient."Do I know what happens?" the doctor said. "Again, I'm not sure. … I don't treat it."Iinuma said he never looked at a patient's medical records while at Aetna. He says that was Aetna protocol and that he based his decision off "pertinent information" provided to him by a nurse."Did you ever look at medical records?" Scott Glovsky, Washington's attorney, asked Iinuma in the deposition."No, I did not," the doctor says, shaking his head."So as part of your custom and practice in making decisions, you would rely on what the nurse had prepared for you?" Glovsky asks."Correct."Iinuma said nearly all of his work was conducted online. Once in a while, he said, he might place a phone call to the nurse for more details.How many times might he call a nurse over the course of a month?"Zero to one," he said.Glovsky told CNN he had "never heard such explosive testimony in two decades of deposing insurance company review doctors."Aetna's responseAetna defended Iinuma, who is no longer with the company, saying in its legal brief that he relied on his "years of experience" as a trained physician in making his decision about Washington's treatment and that he was following Aetna's Clinical Policy Bulletin appropriately."Dr. Iinuma's decision was correct," Aetna said in court papers. "Plaintiff has asserted throughout this litigation that Dr. Iinuma had no medical basis for his decision that 2011 lab tests were outdated and that Dr. Iinuma's decision was incorrect. Plaintiff is wrong on both counts." Gillen Washington receives an infusion of the medicine needed to boost his immune system. He calls it "the magic juice."In its trial brief, Aetna said: "Given that Aetna does not directly provide medical care to its members, Aetna needs to obtain medical records from members and their doctors to evaluate whether services are 'medically necessary.' Aetna employs nurses to gather the medical records and coordinate with the offices of treating physicians, and Aetna employs doctors to make the actual coverage-related determinations."In addition to applying their clinical judgment, the Aetna doctors and nurses use Aetna's Clinical Policy Bulletins ('CPBs') to determine what medical records to request, and whether those records satisfy medical necessity criteria to support coverage. These CPBs reflect the current standard of care in the medical community. They are frequently updated, and are publicly available for any treating physician to review."Jones, the California insurance commissioner, said he couldn't comment specifically on Washington's case, but what drew his interest was the medical director's admission of not looking at patients' medical records."What I'm responding to is the portion of his deposition transcript in which he said as the medical director, he wasn't actually reviewing medical records," Jones told CNN.He said his investigation will review every individual denial of coverage or pre-authorization during the medical director's tenure to determine "whether it was appropriate or not for that decision to be made by someone other than a physician."If the probe determines that violations occurred, he said, California insurance code sets monetary penalties for each individual violation.Girl has blunt message for Aetna after her brain surgery request was deniedCNN has made numerous phone calls to Iinuma's office for comment but has not heard back. Heather Richardson, an attorney representing Aetna, declined to answer any questions. Asked about the California investigation, Aetna gave this written statement to CNN:"We have yet to hear from Commissioner Jones but look forward to explaining our clinical review process."Aetna medical directors are trained to review all available medical information — including medical records — to make an informed decision. As part of our review process, medical directors are provided all submitted medical records, and also receive a case synopsis and review performed by a nurse. "Medical directors — and all of our clinicians — take their duties and responsibilities as medical professionals incredibly seriously. Similar to most other clinical environments, our medical directors work collaboratively with our nurses who are involved in these cases and factor in their input as part of the decision-making process."Gillen Washington became emaciated and gravely ill after four months without treatment.'A huge admission'Dr. Arthur Caplan, founding director of the division of medical ethics at New York University Langone Medical Center, described Iinuma's testimony as "a huge admission of fundamental immorality.""People desperate for care expect at least a fair review by the payer. This reeks of indifference to patients," Caplan said, adding the testimony shows there "needs to be more transparency and accountability" from private, for-profit insurers in making these decisions.Murphy, the former American Academy of Allergy Asthma and Immunology board member, said he was "shocked" and "flabbergasted" by the medical director's admission. "This is something that all of us have long suspected, but to actually have an Aetna medical director admit he hasn't even looked at medical records, that's not good," said Murphy, who runs an allergy and immunology practice west of Philadelphia."If he has not looked at medical records or engaged the prescribing physician in a conversation — and decisions were made without that input — then yeah, you'd have to question every single case he reviewed." Murphy said when he and other doctors seek a much-needed treatment for a patient, they expect the medical director of an insurance company to have considered every possible factor when deciding on the best option for care. Follow CNN Health on Facebook and Twitter
See the latest news and share your comments with CNN Health on Facebook and Twitter.
"We run into the prior authorization issues when we are renewing therapy, when the patient's insurance changes or when an insurance company changes requirements," he said."Dealing with these denials is very time consuming. A great deal of nursing time is spent filling and refilling out paperwork trying to get the patient treatment."If that does not work, then physicians need to get involved and demand medical director involvement, which may or may not occur in a timely fashion — or sometimes not at all," he said. "It's very frustrating."
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Frenchman killed in London 'was stabbed 196 times'
One of the two French research students found dead in a burnt-out London flat had been stabbed 196 times, the detective leading the murder investigation said today. His friend had 47 separate injuries.
The deaths of Laurent Bonomo and Gabriel Ferez, both aged 23, came as a massive shock to their families and fellow students at the Polytech in Clermont-Ferrand, central France, where both studied bio-engineering and where Mr Bonomo had recently been student president.
The horrific nature of the attack against them shocked even experienced detectives. "I have never seen injuries inflicted to bodies like this before," Detective Chief Inspector Mick Duthie told a press conference at Scotland Yard.
Mr Duthie told The Times that the two men had been playing a computer game


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"After a year of attending CIL, the result is amazing. My life was totally transformed. Thank you to all staff and faculty for making this happen."
-Juan Barbabosa, Manvel, Texas
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An angiography is a medical imaging technique used to visualise the inside of blood vessels and organs of the body, with particular interest in the arteries, veins, and the heart chambers. Coronary angiography is used to remove blockages from the heart.
"Traditionally, angiographies are performed through the wrist or groin. However, Dr Ghose and his team have performed finger angiographies on as many as 51 patients," a spokesperson of the Fortis Hospital, Vasant Kunj said.
Ghose, Director and Head, Cardiology, Fortis Hospital, Vasant Kunj, said, "The procedure and medication involved in performing angiographies, whether it is through the wrist, groin or finger, is the same. When it is performed through the finger, it is known as 'left distal radial angiography' or 'the anatomical snuff box approach'."
"The benefit of choosing this route over traditional procedures is that it is less time-consuming, less painful and patient-friendly. The rate of recovery is faster, there is no loss of radial pulse, bleeding is negligible, zero per cent chances of blood transfusion," he claimed.
D S Mathuria, 47, one of the patients, had been experiencing angina (chest pain caused by reduced blood flow to the heart) for the last three months. A thorough medical evaluation and angiography through the distal radial revealed that he had coronary artery disease and double vessel disease. He was treated successfully, the hospital said.
Vinod (69), who also interacted with reporters, was presented with coronary artery disease, diabetes and peripheral vascular disease.
"In both cases, an angiography needed to be performed. Ghose and his team performed the angiography through the left thumb artery, making the procedure convenient for the patient," the spokesperson said.
Finger angiographies are preferred when performing coronary angiogram as they are safe and effective, the hospital said.
"Shorter hospital stay, patient comfort and health benefits are few of the added benefits of a finger angiography," it claimed.


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Bike the Night on September 7 — Vancouver's only on-street and car-free night ride!
We've partnered with our friends at HUB Cycling to bring you the biggest party on two wheels… the 4th annual Bike the Night!
On Saturday, September 7, 10 kilometres of streets in downtown Vancouver, including the Burrard Street Bridge, will be opened up exclusively for cyclist participants. Tunes and pop-up dance parties included!
This family-friendly event kicks off at 6 p.m. at Sunset Beach with a festival featuring music, food trucks, free snacks and tune-ups, games and tons of giveaways and prizes. Then families and slow riders hit the road at 7:45 p.m., and all others at 8 p.m. for a ride around False Creek back to Sunset Beach. Read more »


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A selector to find a religion, belief system that matches your theological views. Now that you have answered all the questions, continue to the Show Me My.
What you pretend is your faith is nothing more than fear dressed up in a Sunday suit and tie. it dawned on me there may be only one spiritual truth in all religions. This singular truth, however,
Christian Science is a set of beliefs and practices belonging to the metaphysical family of new. Christian Science became the fastest growing religion in the United States, with. by a fall, that it [her healing method] did for me what surgeons could not do.. The suit was settled in March 1868 with the entry " Neither Party".
Goodman posted photos of restaurants, including a Leo's Coney Island on Ford Road in Dearborn, showing a worker adding halal to the signage, according to exhibits filed with the suit, which says he.
We never once discussed religion. Not a word about Islam. He had not prepared me for what life would be like in his country.
1st Presbyterian Church Dallas 30, at 10 a.m. at the First Presbyterian Church, Billings. and Marietta Purchal, Dallas, TX; 13 grandchildren and 10 great-grandchildren; brothers: Richard (Ruby) Stauber, Boise, ID; and. The Julius Quartet, a string quartet hailing from Dallas, Texas. the Central DeWitt Performing Arts Center, First. First Presbyterian Church PC(USA) 125 S. 3rd. St. Wilmington, NC 28401.
Chapman Health And Spirituality Abbott Chapman's Spiritual Letters, collected and edited posthumously by Dom Roger Hudleston, have been read and found of profound help by countless. According to a recent Chapman University survey of American fears. as a consequence of people's inner emptiness and lack of satisfaction with life. World Health Organization statistics show that. Brothers Chapman and Maclain
The sad truth is that religions are corrupted by success. The more popular they become, the closer they are drawn into the ambit of state power, the more their practice and doctrine have to be.
"The Apocalypse Church saved me. My pains. an immaculate suit and gleaming shoes. – 'Call from God' – A huge island perhaps best known in the world for its astonishing tropical forests, Madagascar.
Sep 21, 2018. "Every time I think about it, it just burns me up!" she says, as the other female seminarians laugh and clap. And then Robinson's tone changes.
But many others note that if religions want to stay valid and attract the younger generations, many of whom seem to be shying away from religion, religions should adapt to suit their needs in. of a.
He complained that he didn't want his order to be delivered by "a Muslim man." Karnataka is fast emerging as the country's leader in dragon-fruit cultivation, which is spread over 1,000 acres in the.
Find out which religion best suits your views. Take this quiz! What are your views on an afterlife? What are your view on god? What are your views on gay rights?
Ardal O'Hanlon meets me in the cafe at the National Library of Ireland, next door to his father's old workplace, Dáil Éireann.
As per that decision, church founder Kevin Bloom tells me "We disagree. COTS lost its suit in round one at Cheshire County Superior Court earlier this year in a summary judgment declaration for the.
"My nerves were on edge because they just wouldn't tell me what was happening with our passports," Garca. to its.
That rule was challenged by Espinoza and two other mothers, and their children, under the U.S. Constitution's guarantees of.
In recent years, the persuasive power of organized religion has become increasingly vocal and, not surprisingly, increasingly capable of driving legislative decisions in the direction that most suits.
"Let me be clear: Under this administration, VA hospitals will not be religion-free zones," Pence said. According to the suit.
But, for me, the worst problem was that the treatment was based around the Alcoholics Anonymous 12-step programme, and as.
Examples of religious dress and grooming practices include wearing religious. various types of training and can help you find a format that is right for you.
The result is what you see all over Africa. But it appears to me that many politicians understand that religion is an effective tool for controlling the masses, and they play the religion card.
Aug 18, 2015. Clothing worn by religious leaders and people of devout faith often is much more than a fashion statement. A simple robe can make a Buddhist.
Jan 31, 2011. treating applicants or employees differently based on their religious beliefs or practices – or lack thereof – in any aspect of employment,
Shop Designer Jeans and Designer Clothing for Women, Men, & Kids at the Official True Religion Store. Free shipping & returns on the latest styles.
Jun 25, 2019. Stop Trying to Fit Your New Religion Into Your Old One. me to adapt to this idea of a god and goddess that didn't make any demands on me.
Sep 14, 2018. Are you a Sunday Stalwart? Solidly Secular? Or somewhere in between? Take our quiz to find out which one of the religious typology groups is.
Ever wondered what religion you are?. Take our religion quiz to find out!. and Belief-O-Matic® will tell you what religion or spiritual path (if any) best suits your.
Oct 11, 2018. Nonbelief Relief, the charitable arm of the Freedom from Religion. The current suit also claims that the IRS "does not enforce all of the. But it does me no injury for my neighbour to say there are twenty gods, or no god.
Stark differences in beliefs, religions and politics have always been a part of our. If only our political leaders would follow suit. Uday Tank has been working with writing challenged clients for.
"The Apocalypse Church saved me. My pains. an immaculate suit and gleaming shoes. – 'Call from God' – A huge island perhaps best known in the world for its astonishing tropical forests, Madagascar.
Following suits from numerous states, they alleged his order violated. TRUMP, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of.
Feb 11, 2019. Religion is one thing that gives people hope and a sense of belonging. If you don 't have a religion yet then you should ensure that you get one.
Jul 15, 2016. Learn as much as you can about all religions. Be a voracious reader. Meet the religious leaders in your neighborhood, ask them about their.
Years later, my own sons would follow suit — starting at Eisner in the day camp. it meant that non-athletically inclined Jewish boys (OK, me) did not feel intimidated. We had other outlets to be.
Apr 29, 2019. In others, a suit and tie or dress would be more appropriate. In some churches, anything goes. So, ask yourself, "What is right for me—dressy,
Buffalo Ridge Baptist Church In Gray Tennessee The promenade format inevitably slows things down (even if it does offer the splendid sight of a real church for the finale), so pace is critical – for which it's worth sacrificing a few side plots. This pioneer Baptist church, established in 1779 by the Rev. Tidence Lane, was the first Baptist Church on Tennessee
Derek, thanks for joining me. DEREK VAN BEVER. violated the store's dress code. Elauf brought suit under Title VII of the Civil Rights Act, which prohibits discrimination on the basis of religion.
Antioch Missionary Baptist Church San Antonio Live Stream Rev. Kenneth R. Kemp, MD, Pastor, Kenneth R. Kemp, MD, is a native of Tucker, Arkansas. A graduate of the University of Arkansas at Pine Bluff and the University of Arkansas for Medical Sciences, he completed a residency in Internal Medicine at Brooke Army Medical Center (BAMC) in 1991. Organizers of the eighth annual Katy
Many people never give much thought to their religious identity, but in fact our. Nevertheless, it seems possible to me that some divinity may have set up the.
Dec 26, 2018. Up late worrying about what happens after death? Looking for a spiritual path? Let's figure out which religion, if any, best suits your beliefs.


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Easy Saag Paneer
The paneer cheese in this fast and easy dinner doesn't melt when it cooks. It browns instead, giving a toothsome texture to this Indian classic packed with spinach and spices. Serve over brown basmati rice to round out this healthy meal. Source: EatingWell.com, February 2018
Toss paneer with turmeric in a medium bowl until coated. Heat 1 tablespoon oil in a large nonstick skillet over medium heat. Add the paneer and cook, flipping once, until browned on both sides, about 5 minutes. Transfer to a plate.Advertisement
Add the remaining 1 tablespoon oil to the pan. Add onion and jalapeño (if using) and cook, stirring frequently, until golden brown, 7 to 8 minutes. (If the pan seems dry during cooking, add a little water, 2 tablespoons at a time.) Add garlic, ginger, garam masala and cumin. Cook, stirring, until fragrant, about 30 seconds. Add spinach and salt. Cook, stirring, until hot, about 3 minutes. Remove from the heat and stir in yogurt and paneer.
Nutrition Facts
2 fat, 2 high-fat protein, 1 1/2 reduced-fat dairy, 1 1/2 vegetable


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New Year. New Start!!! And welcome to the first blog of 2017!
Firstly let me say a warm welcome to Ros and Neil McKenna – many of you will know Ros but as of January 1st Ros and Neil have joined the gallery as partners! Whoop for me… this is great news as it means we can take TIG to the next level. So gear up for a thrilling year!!!
It has been a busy start to 2017 already and we have some exciting plans in the pipeline. Some of you may be aware that we have spent the last two weeks renovating our gallery ready for the new season. Eek!! All quite terrifying but exciting! I'm not very good at handyman work, so it has been a learning curve for me. Whilst this has been going on we have been operating from the fantastic Spa and Leisure at Portavadie. Thanks to all those who have visited us. Being out with our own space has given us the time to plot and plan the calendar for this year which will be released very shortly.
With Ros and Neil on board we have scope to do a lot more so we have designed a dynamic and exciting series of exhibitions for this year including four solo exhibitions covering a range of mediums as well as mixed exhibitions throughout the year. With the gallery rejuvenated it is going to be very exciting!
What else can you look out for? Well with more man power we are planning on continuing our POP UP successes throughout the year…watch this space as we could be coming to a town near you! Art Escapes Argyll will also be relaunched with some fantastic practical sessions on offer that can be booked from Spring!
Before I finish this blog, the 1st of 12 to look forward to, I should probably talk about what's happening in the gallery when we reopen.
Well we reopen with our 1st solo of the year! I still can't quite believe I am saying this but amidst the chaos of January I have also be quietly producing work and for the first time in the gallery you will see an exhibition of mine. It's been a long time coming but I am thrilled with the work and can't wait to show it to you all. Here is a sneak peek!
To compliment my show we will be having an in focus exhibition of works by local maker Tom Butcher in our new 'Dark' room. I had the opportunity to visit Tom in his studio at the end of 2016 and whilst Tom is known for his beautiful, simple and functional tableware's we have our hands on some incredible sculptural pieces of his that will leave you surprised! Excited much – I know I am!! Re opening dates will be announced shortly so keep your eyes peeled and we hope to see you over the coming months!
Robbie x x


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This 2012 Sportster Custom is a Factory Custom, these were customer designed machines supplied by Harley-Davidson. With only 58klms, it is finished in a Gloss Grey Solid against black powder coated engine and with the wide front end and black 5 spoked, machined wheels, this is a great looking and mean dark custom. Freshly serviced with all Harley-Davidson original parts and oils. To compliment this package it has also been fitted with smoked turn signal lens kit, Harley-Davidson combination speedometer and tachometer, drag handle bars, Harley-Davidson Motor Co. fuel cap, owner's manual and two keys.
Stock #U000620.
We buy bikes, trade bikes, service bikes, finance and insure bikes. To contact us about this motorcycle, please phone us using the "Call the dealer" phone number in the far right column on this page. See over 200 used bikes on our web site. Call our friendly sales staff for the best service and bike deals in Sydney. Open 6 days.
*Weekly payments provided for indicative purposes and are to approved purchasers only. The payments dont consider your personal situation, insurances & loan protection, warranty options, gap cover or accessories. Figure above is based upon a personal finance application for the advertised price of the vehicle. Additional costs may be applicable. Repayments are based on 11.95% over 60 months with 10% deposit. Comparison rate 12.54% and is based on a secured consumer fixed rate loan of $30,000 over a term of 60 months. WARNING: This comparison rate is true only for this example given and may not include all fees and charges. Alternate terms, fees or other loan amounts may result in different comparison rates. Terms and conditions are available on request. For accurate repayments based on your situation please speak to one of our fully qualified business managers
4 Great Western Highway Parramatta NSW 2150
(02) 88 300 555


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Spring Break! Almost… March 19, 2015Posted by Hydy in grad school, life.
Tags: cooksperiments, organization, spring, spring break, Star Trek
1 comment so far
I have spring break next week, but I still have a couple of assignments to finish for this week before I can really relax. And even then, I'll probably do some homework to get ahead next week anyway. But yay, spring break!
Work is going along, some major reorganization of sections on the book floor. So that's fun, even more so because I actually got to help with it today. Yay, for productivity. New receiving manager has actually started being receiving manager, so that's helpful. No news yet on the job front.
Lots of things to do with friends this weekend. Looking forward to relaxing, and maybe even watching some old Trek. Gotta get laundry and homework done, first though. Making a noodle/pasta/chicken conglomerate for dinner tonight (and lunch tomorrow… and maybe dinner, too). Hope it turns out alright. I really have to get better at going grocery shopping regularly.
Life is good, and Spring officially starts this weekend. Happy Birthday Alyssa!
Headache Day Two April 24, 2014Posted by Hydy in grad school, life.
Tags: databases, organization, RA
3 comments
Not feeling well, so this'll be a short post.
Finished my Database Driven Websites workshop on Sunday, got 100% on it. Was fun, learned new things. Learned even more new things about databases the next day. Yay databases!
One more week plus a couple days for my Organization class. Semester nearly complete!
Need to take time for me this weekend, stressing out too much over things I cannot control.
Got new meds from the doc this week, too. Sulfasalazine (generic of Azulfidine) and a anti-inflammatory compound. We shall see if these help.
How is it almost May already?
Yay, Laundry! February 20, 2014Posted by Hydy in grad school, life.
Tags: access, family, laundry, NGS, organization, scholarship
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So, biggest news of the week, after nearly two months, they finally reattached my dryer vent to the tube. I got to do laundry in my very own building this week, and more to do this weekend because I got sleepy and watched Tom Clancy movies instead of finishing.
The NGS Kickstarter is fully funded and well on its way to stretch goal #2, so that's Awesome. Lots of fun little extras and posts and such going up each day. Check it out if you haven't already.
My Organization of Information class looks like it is going to be full of useful information and practical skills, so I'm excited about that. My Access class has a fun project this week – using actual almanacs, dictionaries and encyclopedias to find random bits of information. I had forgotten how much crazy and random facts are in an almanac. I also remembered to apply for the bookseller scholarship in time this year. I remembered to look it up before work on Wednesday and it was due by Feb 28th, so I got it done immediately. Fingers crossed.
It was good to see Pete and the kids this weekend. Though I think they found me a bit boring this time, as I mostly sat and talked with their dad and snuggled the dog.
This coming weekend is not planned with any events. Just relaxing, finishing laundry and getting ahead on homework. 🙂
December Snow December 1, 2010Posted by Hydy in life.
Tags: Amazon, anthology, B&N.com, Black Friday, Bookup.com, Chicago Manual of Style, Christmas, Dead Eyes, December, Elance, organization, pill hill press, published, shopping, vampire
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Published again! My flash fiction piece, Dead Eyes, has been published in a 365 story vampire anthology called Daily Bites of Flesh, by Pill Hill Press. The anthology should hit Amazon and B&N.com soon.
Hours at the story ramp up as do the holiday sales and shoppers. I really enjoyed getting to work through the games backstock today. Such a geek, but I like making things organized and neat. Pained me a bit to not get to finish cleaning up the receiving shelves, but got a lot of product out onto the floor.
Bookup.com had a great weekend/Black Friday sale. Many CDs and DVDs are being shipped out this week.
I can start applying for jobs on Elance again on Sunday. I have been studying up for my next skills test, only to find that there's a New edition to the Chicago Manual of Style that I did not know had come out. It's pale blue, which I find a little bit creepy. Not sure why I like the bright orange better, but I do. They have updated for modern technology and usage according to the jacket cover.
It is December already, the year is almost over. So much done and so much yet to do. Up next, Christmas shopping!
Halloween Week October 30, 2010Posted by Hydy in life.
Tags: Bacon, Bookup, Dayton, Halloween, holidays, organization, pancakes, parties, payroll, pH Miracle, pizza, RA, salad, schedules, stiffness, work
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Tomorrow is Halloween and I think I will spend most of it sleeping. It's been a long week of work and parties, and I've got one last one tonight. Spent a lot of the week helping gather materials, set up, and tear down. Sorry about missing Thursday, I was driving to and from Dayton in the morning, getting ready for the evening all afternoon, and then, well, the party that night was epic. Somewhere around 1500 people at the event. Last night was really low key in comparison. I'm hoping that tonight is somewhere in the middle.
On a work front, Rich's schedule is shifting to allow him Friday and Saturday off, but staying on the same shift. That'll be cool, for him to have a weekend when everyone else does. I haven't heard back from either of the jobs I sent proposals to, but I'll be finding some more to submit to tomorrow. With the arrival of holiday payroll, I have more hours at the store this week. Mike and I are getting things organized for my work at Bookup. I'm looking to take on a list of very specific projects and get more organized to see if we can get even better results.
Health-wise I'm doing fairly well. Staying up for 46 hours actually had me moving with ease and mostly painless. It's those 8 hours of lying still to sleep that make me the most stiff. Haven't figured out a solution to that yet. Any suggestions? Had a full zag day on Thursday – nutty pancakes and bacon for lunch, Hound Dogs pizza for dinner and chocolate pancakes, bacon and an English muffin for breakfast. Delicious. But salads are good for me, and back on track I go. I need to do some recipe research and reread the pH Miracle again, at least the wife's parts on cooking and the pantry.
So much to do, and running low on time.


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This tasty treat is completely edible, the peanut butter and oat paw shaped cookie has a rawhide stick and is decorated with a large carob pad and four little cranberry pads.
- Spelt flour, pure peanut butter with no added salt, sugar or palm oil, rolled oats, water
- Decorated with pure carob and cranberries
- Individually packaged
Can be stored in the fridge or a cool place for upto 7 days or can be frozen for up to 3 months. Defrost thoroughly before given to your dog.


text:
@article{jbp:/content/journals/10.1075/etc.00020.cle, author = "Clerck, Bernard De and Decock, Sofie and Vandenberghe, Jasper and Seghers, Mathias", title = "Theory versus practice: A closer look at transactional and interpersonal stance in English electronic complaint refusal notifications", journal= "English Text Construction", year = "2019", volume = "12", number = "1", pages = "103-136", doi = "https://doi.org/10.1075/etc.00020.cle", url = "https://www.jbe-platform.com/content/journals/10.1075/etc.00020.cle", publisher = "John Benjamins", issn = "1874-8767", type = "Journal Article", keywords = "complaint refusals", keywords = "interactional and transactional stance", keywords = "computer-mediated communication", keywords = "business communication", keywords = "customer outcomes", abstract = "Abstract
In this paper, we investigate the attention given to and the impact of interpersonal, people-oriented and transactional, problem-oriented stance in English complaint refusals in business correspondence. The analysis is based on a sample analysis of English e-mail sequences from a Belgian multinational as well as experimental research that probes into the effect of interpersonal strategies on customer outcomes. The sample analysis shows a sharp contrast between theory and practice: while the need for supportive language and interpersonal attention are standard items in textbook instructions, the data show little alignment with the customer through expressions of regret, gratitude, or empathy. The experiment, in its turn, shows a positive impact of interactional stance on interactional justice but little to no impact on satisfaction, perceived professionalism, and loyalty. This raises a number of questions regarding best practice and best practice models.", }


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Posts Tagged 'holidays'
Christmas Crumblesby Ian Andersen on December 25, 2011 at 12:01 am
Foam Fixedby Ian Andersen on December 24, 2011 at 12:01 am
It wasn't actually an Xmas beer, just one to have because it was christmas eve, using a straw is also not bad.
Thanksgiving Thingby Ian Andersen on November 24, 2011 at 12:01 am
Xmas Xplosionsby Ian Andersen on December 25, 2010 at 12:01 am
I played way too many shoot-em-ups and then watched Batman Superman Apocalypse, my mind was racing with explosions after 4 hours of sleep.
First Art Post!by Ian Andersen on December 15, 2010 at 11:27 pm
Okay, so most of this is online already at tumblr, and I think I'll be doing some scanning of doodle pages tomorrow, but I need to try and make a post with some images so I'm going to put up some stuff I've got sitting in my computer already.
Here's the final painting I did in my design class, my mice were in 5 other paintings, it was a lot of fun seeing those little guys even though they were a little freaked out.
Krampus Krazyby Ian Andersen on December 5, 2010 at 12:01 am
I don't even remember how that second panel came up, I was going crazy talking about Krampus all day.
In that last panel I didn't feel like trying to relate whatever she was going off about, but basically it was something about how we're all going to "hell" because of something between the christian bible, Dante's Inferno and Machiavelli's The Prince. It was crazy.
Thanksgiving Tinkeringby Ian Andersen on November 25, 2010 at 12:01 am
I'm not really a fan of Thanksgiving, maybe I'd like it better if it were like the Peanuts Thanksgiving popcorn, sandwiches and jelly beans.
Xmasby Ian Andersen on December 25, 2009 at 12:01 am
I'm not sure why I decided to ink that message below rather than whiteout the x
I should probably play more of that game,
but at this point I would probably need to restart it to remember what was happening
Shakeyby Ian Andersen on December 24, 2009 at 12:01 am
The intersection where we were at had 3 gas stations and a walgreens, we ended up going to all 4 looking for that drink.
Party Poopedby Ian Andersen on December 20, 2009 at 12:01 am
I think I've stayed for one of these, the others I'm always working that day so I spend most of the time cleaning and then I just leave. It's just not for me.
Cookie Dayby Ian Andersen on December 19, 2009 at 12:01 am
Weird Thingsby Ian Andersen on December 16, 2009 at 12:01 am
Christmas Shoppingby Ian Andersen on December 5, 2009 at 12:01 am
Christmas Already?by Ian Andersen on November 30, 2009 at 12:01 am
Okay, I didn't write this one correctly,
the super real looking Santa made me happy,
that reindeer with one horn was really depressing,
missed opportunity here.


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The American Dental Association's Give Kids A Smile® Program Planning Guide provides an overview of legal, insurance and risk management considerations associated with access programs, which typically utilize portable and mobile equipment. The main risk to be considered is patient injury, but staff, family, and others may also sustain an injury in connection with the dental appointment such as slipping and falling.
Other considerations include patient abandonment and the need to adhere to the legal requirements associated with record keeping, privacy, abuse and fraud, and antidiscrimination. These are the same issues and risks that dental teams routinely manage in their daily practices.
Professional liability policies typically insure the dental team against malpractice risks. It is recommended that the dental provider check with his/her insurance company in regards to coverage, limitations, transporting and storing equipment. A rider on standard homeowners and automobile policies may be necessary to provide adequate coverage. Hygienists who only have malpractice insurance may have to take out a separate liability policy. There may be additional fees depending on the number of sites where services are provided. See an example provided by one RDHAP in California of insurance expenses for her portable practice.
Working in alternative practice settings can also provide challenges in the obtaining of appropriate informed consent. Determining if a person is legally competent to make treatment decisions is very important. You will need to obtain prior consent from the appropriate proxy (e.g., family member, guardian) if the person is not competent to make decisions.
Some states require special permits to use portable equipment. Some facilities may require background checks and fingerprinting. Another legal consideration is the possible need for a written contract when working with nursing homes and other entities. It is important to work with an attorney to address such areas of emphasis as: facility responsibilities (e.g., space, equipment, and liability insurance); dental provider responsibilities (e.g., space, equipment, and liability insurance); types of dental services to be provided; hold harmless clause; contract term and amendment possibilities; fee schedule, management of emergency care and referral; patient scheduling; payment for services; arrangements for informed consent; legal responsibilities when the contract ends.
Groups in California recently developed School-based Dental Services Guidelines for Mobile and Portable Programs Information Toolkit.


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2 Nanny Jobs Found
Taking kids to school
Posted by Vanessa G. on 1/11/2020
- 13 miles away (Orosi, CA)
- $10/hr
- 3 children
I actually don't need a babysitter I need someone to take my kids to school and i have 3 I have 2 that go to dinuba high school then I have my 6 yr old only Thur and Friday he gets dropped off same in the morning after the high school kids then one high school kid gets picked up and goes and picks... More
Just 1 time for tomorrow
Posted by Wen T. on 1/2/2020
- 14 miles away (Visalia, CA)
- $10/hr
- 1 child
Just 1 time for tomorrow from 5 to 8 hours. Parents are out for a court hearing. We are in a hotel and we need a caring babysitter for our 9 year old daughter.