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Need of ERP Mobile Apps for Business Expansion
Friday, March 29th, 2019
Mobile applications are trending and dominating the technology arena. On the other hand, Enterprise Resource Planning (ERP) has begun expanding its territory from big enterprises to small businesses with custom ERP software solutions. Implementing an ERP solution improves an organization's capacity to maximize performance and productivity. Here, mobile apps have a bigger role to play
How to Integrate an ERP system with a CRM System
Wednesday, March 27th, 2019
ERP (Enterprise Resource Planning) and CRM (Customer Relationship Management), implementing both the solutions in an enterprise can guarantee for growth and business expansion. However, the core functionalities of ERP and CRM are different, but their combined integration in an enterprise can deliver excellent results. First, we need to look at ERP and CRM separately. ERP
Selecting ERP software development services in India
Monday, March 25th, 2019
Enterprise resource planning (ERP) includes project planning, execution, resource utilization, management, controlling project's costs, and building a strong customer relationship module. Why implement ERP in business? 1. To maximize resource utilization 2. To plan projects and execution 3. Controlling projects' cost by managing overhead expense 4. To manage CRM 5. To plan for global expansion
How to tackle challenges in IoT development applications?
Friday, March 22nd, 2019
Internet of Things (IoT) devices transmits data, accept instructions from a remote location, and perform as per the programmed-requirements. IoT has enabled the remote connection solution with various household items, automobiles, and other devices. 'IoT-enabled' seems to be the future of all devices. There are some key challenges concerning to hardware, data sense, and security
Why choose iOS platform for mobile apps development?
Tuesday, March 19th, 2019
When it is about developing a mobile application, then most of the apps' developers prefer choosing the iOS platform. However, before we go into the details of iOS app development services; firstly, we need to understand why Apple apps are choice of every mobile user in the application market. Here are the reasons listed below:
The Future Of Mobile App Development Is IOS Apps
Friday, March 15th, 2019
Every digital entity is trying to capitalize on mobile apps development, where iOS apps development is the key to every business success. The rapid growth in smartphone has immensely pushed the usability of mobile apps across the platforms. Apple and Google Play Store are the two most renowned and accessed platforms available in the mobile
Cloud Computing in IoT Application Development
Wednesday, March 13th, 2019
Internet of Things (IoT) generates excessive data that requires an intelligent way to manage, flow, and store this big data by the enterprises. Implementing the cloud computing technology for analyzing and managing the IoT data helps in delivering cost-effective IoT solutions to the businesses. Cloud computing provides scalability while delivering the software applications over the
Realizing the Value of Unstructured Big Data
Friday, March 8th, 2019
Smartphones, IoT devices, social media, and internet-enabled devices are the resources responsible for growing the digital data at an astounding rate. This digital data is comprised of variety and volume of both unstructured and structured data, turning it to Big Data. The information is floating on various genuine websites that by 2025, the worldwide data
5 user-centric Android O' developer features by Google
Thursday, March 7th, 2019
As it is the tradition, Google has recently launched Android O's developer preview before Google I/O product release. Being the latest release, there is a lot pending to explore and learn about this new update. However, there are some advanced features discovered in O's developer that might delight both users as well as developers. The
Artificial Intelligence on Mobile Apps Development
Wednesday, March 6th, 2019
Artificial Intelligence (AI) is a computer science program helping machines to become smart, perform, and react like a human being. The activities that AI integrated applications deliver incorporate speech recognition, critical thinking, learning, and planning. Similarly, mobile apps developers are integrating AI components into their applications, which is empowering users' experience on the apps. Gradually,


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Challenger (Organic)
Castle Malting
- Specification Sheet (英語)
- GMO Certificate (英語)
Castle Malting目前只在以下作出標識的區域展示其產品資料:
Challenger (Organic) is an excellent all round hop with good alpha and aroma properties. As the main copper hop, it provides a refreshing, full bodied, rounded bitterness, which makes an excellent platform for a late hop. As the late addition, it can give a very crisp, fruity character which has proved very popular in many beers.
Castle Malting® is the oldest malting plant in Belgium and one of the oldest malt producers and suppliers in the world. They offer malt, hops, yeasts, spices, caps, sugars and cleaning products. Castle Malting® has managed to create a truly unique company that is able to respond to malt demands of any kind including those of a home brewer to the customized requirements of industrial breweries.
產品類型 Categories
應用領域 Categories
Castle Malting
希望在賽百庫經銷商/貿易商板塊進行展示推廣?請立即聯絡我們 !

subset: commoncrawl


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Apply Native American Salary Loan by Using Wwwpayday Park Co Legit
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What do the Tower of London and Caen Castle have in common ? Or Canterbury Cathedral and the abbey church of Saint-Etienne? The Conqueror's destiny, no doubt, but also the stone used to build these monuments. Caen Stone, such a familiar item of our heritage and our architectural landscape, is this year going on show in the Salles du Rempart space in Caen Castle in an exhibition which we invite you to pursue further in the city itself and right into the heart of our underground heritage. The castle site is particularly well suited to this evocation of the City's heritage.
Caen Stone came into being 165 million years ago through the unlikely conjunction of several geological factors. Used in architecture already back in ancient times, it has been a great success ever since. The qualities of this outstanding limestone were recognized locally, and also in England, or the USA, for which several hundred tonnes of stone were mined in the quarries of Caen, Fleury sur Orne, Conteville and Bretteville sur Laize. Bermuda Cathedral is undoubtedly the most exotic example of any edifice built out of our famous stone. However, through its historic ties with Normandy dating back to the 11th century, England remained the largest importer of Caen stone up until the 18th century.
After going into decline in the early 20th century, when the Great War upset the market, mining was resumed, for the restoration first of the monuments of Caen and then of the English monuments. From nearly ten centuries of operations there now remains a substantial heritage linked to the mining work. The city of Caen alone has over 80 hectares (200 acres) of underground galleries and numerous opencast mine cutting edges that are still visible. The heritage of monuments that has been preserved is exceptional both in France and in other countries.
The exhibition will be a chance to take stock of the matchless career of Caen stone, and the difficult task of the quarry workers and masons who extracted it from the subsoil or used it as a building material.


text: Hair Botox is an up and coming treatment that gives your hair more body and shine while completely eliminating frizz. Using a product similar to keratin, but with no formaldehyde, the beauty of Hair Botox is in the fast results without the hassle of having to let it process for several days. With this treatment you can wash, curl, and style your hair the following day.


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The Andreja has all the earmarks of quality, but I am talking about the ones that count ... the essential components needed to make great espresso, effortlessly. It has tons of power with an Ulka 52 watt vibratory pump. It has the E-61 brew head. It has separate gauges for boiler pressure and group head pressure (so you can really see the force pushing through your coffee). It's a compact commercial-quality espresso machine perfect for use in the home.
* This machine drop ships from the importer, we do not stock this machine at our warehouse. Please allow extra time for processing. * Due to fraudulent orders, we no longer ship espresso machines to Canada. Orders will be cancelled and refunded. *
I knew when I received my test model of the Andreja I was going to like it. Sounds like the start of a dime store detective novel, right? It's a bad cliche. But it's true...
Made in Italy by Quick Mill who has been doing this since 1945. What we offer here is an upgraded version, technically this is the Andreja Premium with commercial steam wands, commercial shutoff knobs, and most importantly dual gauges for both boiler and brew head pressure. It's a nice solid chunk of #304 Stainless Steel. For our full review - check out our Andreja Details Page. Machine drop ships from our supplier.
Some key features:
Custom Made Knobs
Hinged Cover -No need to remove cup warmer to refill water tank
Easy Access Expansion Valve -No need to remove the shell to adjust
Easy Access Boiler Drain
Three Position Switch (left-water fill, center-off, right-power on)
* This machine drop ships from the importer, we do not stock this machine at our warehouse. Please allow extra time for processing. *
This espresso machine contains a brass boiler. Brass is made with lead and so the espresso machine will ship with this warning label: Proposition 65 Warning: Consuming beverages that have been prepared in this espresso machine will expose you to lead, a chemical known to the State of California to cause birth defects and other reproductive harm. CLICK HERE to read why we have to post this warning here.


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We are trying to configure SSL for one of our domains hosted on a Red Hat server running Plesk.
Plesk version: 9.5.2
Apache: 2.2.3
Redhat: 2.6.18-194.el5
- We created a new SSL certificate entry under Settings > SSL Certificates.
- We generated a CSR.
- We purchased a RapidSSL certificate using that CSR.
- We installed the resulting Private key, certificate and CA certificate under the new SSL cert entry we had added to Settings > SSL Certificates.
- We went to Settings > IP Addresses and selected the IP that the domain is hosted on. The IP is exclusive to one domain.
- We set the SSL certificate to be the new cert we had just added and set the default domain to be the exclusive domain on that IP.
Now if we go to
https://example.com, the certificate validates but it sends us to the default Plesk HTML page. Our regular
http://example.com still loads fine.
We have tried setting up the certificate under the domain itself instead of under Settings > SSL certificates but have found that this breaks our regular HTTP site.
We have tried with our current settings going into the web hosting settings for
example.com. There we tried turning on SSL support, but if we do that it defaults back to the self-signed certificate.
We have tried setting it to use a single directory for housing SSL and non-SSL content, but that setting doesn't save if we don't have SSL support turned on for the domain, and if we turn it on the we run into the self-signed cert problem.
So, we have managed to get the HTTPS validating the SSL certificate, but we can't seem to get it to load any pages located in either our HTTP or HTTPS dirs: it always tries to load from the Plesk default dir when we are using HTTPS.
How do we set up Plesk to use either our HTTP or HTTPS dir for our HTTPS requests rather than defaulting to the Plesk default dir?
We started looking into the possibility of editing the
httpd.include file for the domain and adding another vhost, something like:
<VirtualHost ourdomain.com:443>
SSLEngine On
SSLCertificateFile c:/Apache Group/Apache2/bin/mydomain.crt
SSLCertificateKeyFile c:/Apache Group/Apache2/bin/mydomain.key
DocumentRoot "path to document root"
<Directory />
Options FollowSymLinks
AllowOverride None
Order deny,allow
Deny from all
Satisfy all
However, we can only find the CA certificate location on the server and are unable to find the key file location.
Any help on how to set up Plesk to use either our HTTP or HTTPS dir for our HTTPS requests rather than defaulting to the Plesk default dir would be greatly appreciated.


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In November 2017, APRA released the September 2017 quarter life industry aggregate summaries of financial performance, financial position, as well as details of the performance of individual product groups. KPMG's Life Insurance Risk Profitability Update provides an overview of the financial performance for life insurance risk products in the September 2017 quarter.
The life insurance industry reported profits of $276m for risk products in the September 2017 quarter, down from $432m in the previous quarter. The reduction in profits in the September 2017 quarter was largely driven by significant reduction in profits for retail lump sum. Retail disability income reported a small profit after six consecutive loss making quarters. Group life continued to produce small profits, but remained at relatively suppressed levels compared to early 2016. While group disability income profits continue to be volatile.
Request for proposal


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"In the Heights" by Lin-Manuel Miranda performed by the Sylvania Theatre Arts program in 2017. In foreground, actor Mason Congeyer as Benny surrounded by Lauren Hernandez-Lamont (upper left) as Carla, Brice Schmietenknop (lower left) as Vanessa, Hannah Thorton (middle right) as Daniela and Jade Tate as Nina Rosario. (Photo by James Hill.)
Music faculty Julianne Johnson and students, along with writing faculty Van Wheeler and Megan Savage, honor recently deceased writers and poets at Sylvania Creates in 2017. (Photo by Tatiana Gebert.)
Historian and artist Dr. Leslie King Hammond, speaking about the history of African American art at the 2015 Portland Women in Art Lecture series event. (Photo by Rachel Siegel.)
Artist Ellen Lesperance talking with PCC students about their work as part of the 2016 Portland Women in Art lecture series events. (Photo by Kelsey Birsa.)
John Farnum (right) with Neal Naigus at a Center for Civic Participation event in 2017. (Photo by Katherine Miller.)
Student writers honored at the Groundswell literary symposium at Rock Creek in 2017.
Student papers presented at the Groundswell literary symposium in 2017.
Listening to students reading poetry and short stories at Sylvania Creates in 2017.
Elizabeth Bilyeu's Honors Art History students presenting on Medieval, Renaissance and Baroque works of art at the Portland Art Museum on May 11, 2012.
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- The sounds of salsa, merengue, cumbia, bossa nova, and more will be featured across two February nights at Portland Community […]
- Grace Watson at Helzer Gallery
- January 8, 2020
- Day and Night Rock Creek Helzer Gallery Grace Weston, House of Atlas, Chromogenic Print, 19″ x 15″, 2012 Artist: Grace […]
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News and events
What's happening in the Arts and Humanities at PCC? Check out recent news stories and upcoming events.
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Learn more about how the humanities and arts can prepare you to think critically, act creatively, and succeed in a rapidly changing world.
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Mousterian Pluvial
The Mousterian Pluvial was a prehistoric wet and rainy (pluvial) period in North Africa. It occurred during the Upper Paleolithic, toward the latter part of the Mousterian era. That is, it began around 50,000 years before the present (B.P), lasted roughly 20,000 years, and ended ca. 30,000 B.P.
During the Mousterian Pluvial, the now-desiccated regions of northern Africa were well-watered, bearing lakes, swamps, and river systems that no longer exist. What is now the Sahara desert supported typical African wildlife of grassland and woodland environments: herbivores from gazelle to giraffe to ostrich, predators from lion to jackal, even hippopotamus and crocodile, as well as extinct forms like the Pleistocene camel. In these respects the Mousterian Pluvial resembled the earlier Abbassia Pluvial; the later Neolithic Subpluvial was a weaker re-iteration of the same pattern.
The Mousterian Pluvial was caused by large-scale climatic changes during the last ice age. By 50 kybp (thousand years before present), the Wisconsin glaciation ("Würm glaciation" in Europe) was well-advanced; growing ice sheets in North America and Europe displaced the standard climatic zones of the northern hemisphere southward. The temperate zones of Europe and North America acquired an Arctic or tundra climate, and the rain bands typical of the temperate zones dropped to the latitudes of northern Africa.
Curiously, the same influences that created the Mousterian Pluvial also appear to have brought it to a close. In the period of its fullest development, c. 30 to 18 kybp, the Laurentide Ice Sheet not only covered an enormous geographic area, but increased its altitude to 1750 meters (more than 1 mile). It generated its own long term weather patterns, which affected the jet stream passing over the North American continent. The jet stream effectively split in two, creating a new dominant weather pattern over the northern hemisphere that brought harsher conditions to several regions (including parts of Central Asia and the Middle East) — changes that included an end to the Mousterian Pluvial and a return to a more arid climate in northern Africa.
See also[edit]
- Burroughs, William J., ed. Climate: Into the 21st Century. Cambridge, Cambridge University Press, 2003.
- Wilson, R. C. L., S. A. Drury, and J. L. Chapman. The Great Ice Age: Climate Change and Life. London, Routledge, 2000.
|This climatology/meteorology–related article is a stub. You can help Wikipedia by expanding it.


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Category Archives: renaissance
Renaissance Post Medieval Wood Treen Lion Sculpture Ornament Hand Carved Cat
A genuine Renaissance treen lion circa 1500 AD This amazing lion is a mystery. Presenting beautifully on his own as a fine art object he was originally part of a paneled wall or perhaps even an earlier piece of furniture from the renaissance. But even more intriguing is the hidden compartment at the back of […]Read more


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Social media activist and blogger Muhammad Bilal Khan was murdered in Islamabad's G9/4 Sunday night.
His cousin, Aitesham, was injured in the attack.
According to the FIR, he received a call from someone in Bhara Kahu to come to G9/4. When he reached, unidentified men him attacked with a sharp-edged instrument.
There were 17 wounds on his body. He was shifted to the PIMS Hospital where he succumbed to his wounds.
Related: Journalist gunned down in Naushero Feroz
The funeral prayers were offered on Monday at the Rehmani Masjid at Aabpara Chowk.
The police have started searching for the suspects with the help of safe city cameras.
Khan had over 49,000 subscribers on YouTube, 17,000 followers on Twitter and 1,635 followers on Instagram.
Unquestionably, The state is responsible for the protection of every citizen if a citizen broke or not obey states law, the judiciary punishes him according to law or declares the person as a treacherous person by LEA.
What when an innocent murdered? To whom to ask and punish? Unfourtunly there's no way at least till date. We are not only here to Sacrifice of our children's, our homes, our faith, our needs, our dignity, and our fundamental rights also.
In the light of Islam (every law of the universe is below from Allah and Islam) and as per the Constitution of Pakistan; It is our fundamental right to ask for justice, and the responsibility of the state is to provide us justice with transparency.
If a country's justice system is running well means we didn't lose anything and if not means we lost everything.
No one is and shall above the law; if the law protects and treats humanity equally accordingly with Islam, otherwise it is nothing but just a piece of paper.
Persons who did that should be hanged


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After tackling Arrow earlier this year, Lexi Alexander has now revealed via Twitter that she's set for a return to the DC universe and will be helming an upcoming episode of Supergirl.
Sorry I canceled all kinds of events in a secretive manner & sorry I won't make it to Christkindl Market this year, but #SupGirl…you know?
— Lexi Alexander (@Lexialex) December 2, 2015
The German-born filmmaker also has previous Marvel experience, having directed the 2008 movie Punisher: War Zone, which starred Ray Stevenson in the role of Frank Castle.


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Patagonia Men's Maple Grove Snap-T® Pullover
Heritage-inspired version of our classic Snap-T® Pullover made of organic cotton/polyester fabric. Fair Trade Certified™ sewn.
- Made of 67% organic cotton/33% polyester solid stretch canvas with a DWR (durable water repellent) finish
- Four-snap placket, stand-up collar and fixed hood
- Left-chest pocket has flap and snap closure
- Kangaroo-style front pockets
- Elasticized cuffs
- Straight hem
- Fair Trade Certified™ sewn
- 601 g (21.2 oz)
Body: 7.9-oz 67% organic cotton/33% polyester stretch canvas with a DWR (durable water repellent) finish.
Placket and pocket flap: 4.5-oz 100% recycled nylon plain weave with a DWR finish.
Fair Trade Certified™ sewnView The Footprint Chronicles
Fair Trade Certified™
We pay a premium for every Fair Trade Certified item that carries our label. That extra money goes directly to the workers at the factory, and they decide how to spend it. The program also promotes worker health and safety and social and environmental compliance, and encourages dialog between workers and management.
Durable Water Repellent
DWR (durable water repellent) fabric finish repels light rain and snow and decreases dry times. When DWR is used in conjunction with a waterproof/breathable barrier, the DWR finish keeps the outer fabric from becoming saturated so that the breathable barrier can do its job.


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Discussion in 'Hunting Europe' started by Hallgeir Gravråk, Feb 7, 2018.
A collection of Norwegian Moose
Very nice. Thank you for sharing !
Thanks for sharing your pics!
Looks like you have a great hunting area!
Hallgeir, is that a Norwegian elkhound? They are a handsome dog!
Nice hunting area. Thanks for sharing it with us!
Looks like some good hunting. Thanks for sharing the pictures.
I have been to Norway several times and the photo's of the Elg at the beginning are great. One of my relatives on my wife's side is/was in charge of removing them from the road "in case of a road kill" so they would not be seen by tourists.
I wish that would be done here in the US.
Are the dogs ripping out the fur? It looks like they are trying to pluck it?
Some incredible critters. Envious of the Reindeer!
This is amazing.
Thank you for sharing.
Very common in Europe - the beast is the dogs animal until the handler calls it away. The dogs are getting their teeth in, pulling out fur, trying to rip it apart, etc. Its all about creating a drive for the dog and should the animal be wounded the dog will get hold of it and take it down.
I was shown a video of the guy I go to Germany with of his dog hanging onto a wounded red stags neck with its teeth and being carried along - eventually the stag tired and the dog brought it down and the stag was dispatched with a follow up shot.
Interesting. Thanks. I figured it might be about training.
Thanks for sharing the photos!
Separate names with a comma.


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This is the first of a few great plates we'll be sharing from Karrupiah of Karaikudi in Chettinad. Only our talented friend, Sumeet Nair, who worked for three years with the team at The Bangala to record Karrupiah's recipes, could earn this secret Chettiyar recipe for the rest of us to enjoy.
While goondu milagai chilies are local to Chettinad, we have found the much more available cascabel chilies work well as a substitute. Whatever chili you use, they should be mild. If this dish whets your appetite, you may want to explore the whole collection of recipes Sumeet Nair and Mrs. Meenakshi Meyyappan share in their award-winning cookbook, The Bangala Table – Flavors and Recipes from Chettinad.


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Canada hosts secure silver in Whistler, while team USA 2 takes bronze
Whistler (RWH) Current title-holders Germany have taken gold in the team event at the 2019 BMW IBSF World Championships in Whistler. With a line-up comprising Christopher Grotheer (men's skeleton), Anna Köhler/Lisa Sophie Gericke (2-woman bobsleigh), Sophia Griebel (women's skeleton), and Johannes Lochner/Marc Rademacher (2-man bobsleigh), team GER 2 enjoyed a 0.15 second lead over their Canadian hosts. Dave Greszczyszyn, Christine de Bruin/Kristen Bujnowski, Mirela Rahneva, and Nick Poloniato/Keefer Joyce secured the silver medal at their home World Championships.
Bronze went to team USA 2, made up of Greg West, Brittany Reinbolt and Jessica Davis, Savannah Graybill, and Geoffrey Gadbois and Kristopher Horn (0.64 seconds behind).
Marcus Wyatt, Katrin Beierl and Valerie Kleiser, Laura Deas, Markus Treichl and Sebastian Mitterer, the international IBSF 1 team - comprising two British skeleton athletes and two bobsleigh teams from Austria - finished in fifth place.
Further information including the World Championships results are available at ibsf.org. ©RWH2019
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Team Germany takes gold at the BMW IBSF World Championships Bobsleigh + Skeleton
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Defending champion Anna Fernstädt with Junior World Championship title for Czech Republic this time


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"Designing and making leather bags suits my nature. I can start in the morning with an idea and often by the end of the day have a finished product."
Originating in the crafts movement of the late 70' and 80's the work created was primarily directed to one off exhibition work using leather as a vehicle to create witty and innovative objects or products.
It then evolved to the experimentation of materials such as commercial flooring rubber, aluminium, wood fibre products, Formica, metal meshes, PVC, polypropylene, and acrylics.
Harkin spent several years developing and establishing his skills in Italy before moving to London where he was a Senior Lecturer of Leather Accessories at London College of Fashion for over half a decade.
The unique construction and use of materials employed by Steven allow him to create products that are as much about durability and function as innovation and beauty.
Cockpit Arts Awards
01/07/2018 - 30/06/2019Cockpit Arts / Leathersellers' Award 2018


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The login for DCU.org has been found and verified. Digital Federal Credit Union has free checking, auto loans, savings mortgages, and credit cards.
The DCU login page is listed online. Please confirm you are using the correct DCU login.
If the entry online is empty, then at the time of adding the login to DCU in our database nothing was found. If there is a entry online then at the time this archive login page for DCU.org was created, the login page was:
The DCU.org login page meta data has been listed online for your convenience. You can compare this data to the real login page when you arrive in order to verify you are using the correct login for the DCU website.
DCU | Personal & Business Banking | Massachusetts | New Hampshire
DCU – Digital Federal Credit Union – Come to us for a better deal on free checking, auto loans, mortgages, credit cards, savings, insurance, business banking, and more. What can DCU save you? Plenty.
We do not archive the keywords for DCU or any other listing in our archives at this time due to the lack of modern websites using them anymore.
Website Results:
Help – Login
Need Help? If you are having difficulty with logging in, please contact us. When logged in using a computer please utilize the help options and Live Help.
Online Banking | DCU | Massachusetts | New Hampshire
Digital Federal Credit Union. Access your DCU accounts DCU's Online Banking. Free online account access made easy.
DCU.org Domain to IP Address:
In order to compare the real login to DCU.org to an invalid page or to an updated sign-in for DCU if the website is offline or has been redesigned, we have taken a snapshot of what the DCU login page appeared as at the time of the archive and listed it online:
You can rate the login page for DCU.org if you would like.
Please rate only once based on the look, functionality, and style of the DCU sign-in area of the website.
Tech ID:CR158819604
Tech Name:Digital Federal Credit Union
Tech Organization:Digital Federal Credit Union
Tech Street: 853 Donald Lynch Blvd.
Tech City:Marlborough
Tech State/Province:Massachusetts
Tech Postal Code:01752
Tech Country:US
Tech Phone:+1.5082636805
Tech Phone Ext:
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Tech Email:firstname.lastname@example.com
Name Server:A1.VERISIGNDNS.COM
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More DCU Login Resources:
dcu.org is hosted by RackSpace


text:
Mass Chaos
- Mass Chaos is a fun and bloody mouse shooting game, shoot as many of these ridiculous running man as you can within 60 seconds! Enjoy the game and unload all achievements.
- Game Rating:
- Category: Shooting
- Launched: 2013-06-18
- Played: 1,477 views
- Tags: 1 player, bloody, funny, Point and Click
How to Play Mass Chaos
- Mouse = Aim / Shoot


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Communities - Area Info - St Clair Township, MI
St. Clair Township
The township, with a population of 4,614, is located between the cities of St. Clair and Marysville and includes both school districts. Some property along does run along the St. Clair River.
Demographics (see Marysville Schools for balance of school information)
Officials: Supervisor Albert Bachard, Clerk Joyce Skonieczny, Treasurer Judy Wiley, trustees Ken Rands and Howard Silk.
Township Offices: 1539 South Bartlett Road. Hours: 8a.m. to 4:30 p.m., Monday thru Friday. 329-9042.
Parks: There is a small park located on Newman Road with areas for picnicking. Also, swings, playground equipment, grills and volleyball.


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| Introducing the Impactors |
After forty long days of the application period, we have received more than 400 applications to join our coveted Impactor program. What followed was a high detail oriented screening process to select the bests as we can accommodate only around 7% of them. After the long scrutinizing process, our selection board has finally chosen the 31 entrepreneurs who will get the chance to move forward and to win support from Toru Institute of Inclusive Innovation.
Let's take a look at the 31 selected Impactors in a brief:
Muthopay is a payment service for both online and offline payments. Payments can be made at zero cost to users, from all around Bangladesh, across multiple platforms and with no internet connectivity. Muthopay hopes to increase convenience by reducing third-party involvement for faster and easier transactions.
Workman Engineering
Workman Engineering produces cheap and clean biofuel from waste materials. The fuel is an environmentally friendly alternative manufactured by recycling, allowing for green waste management.
Happihub is a privilege/discount based lifestyle app from Bangladesh to bring more happiness by saving your costs. Users have profiles, can apply for location based rewards, can review partners shops and receive
NERDIZ provides virtual reality educational experiences to school students who. This experiential learning is delivered through the VR education app and VR labs in schools covering content from textbooks.
Garbage Clinical Insurance Bangladesh (GCIB)
Garbage Clinical Insurance Bangladesh (GCIB) is a health microinsurance programme in which garbage collected from the underprivileged community works as an insurance for medical treatment. The waste is sold to collectors for upcycling to other plastic materials or is recycled.
Blackshoot has redesigned manholes, created an app and control board to solve problems related to water sanitation. The system alerts concerned authorities when a manhole is uncovered and provides positioning of pipe blockages. The manholes contain an in-built, easily accessible cleaning system and a water level regulating motor.
The digital parking platform provides a way to find, reserve and pay for parking using an app and e-wallet. Users can find parking spaces at their convenience and parking owners can benefit from underutilized assets.
KajKey.com is a local freelance marketplace platform. The platform is in Bangla, allowing local business employers to connect with local skilled freelancers, eliminating language barriers, reducing costs for business owners and matching talent to new sources of income.
Meteorological And Related Services Ltd (MARS Ltd)
Mars Limited provides weather advisory services. The services lead to timely awareness and improve response to natural calamities keeping lives, crops and property safer.
Khajna.com is a housing rental platform on which bachelors can conveniently find a living place that is affordable and in a suitable environment.
Amar Astha
Amar Astha is a mobile and web application that will connect midwives or nurses to for pregnant woman for childbirth at home and to old-aged and disabled patients. Amar Astha hopes to reduce mother and neonatal mortality and improve the overall well being old-aged and handicapped patients while generating additional income for health professionals.
Smart Lab
Smart Lab sells a gas leakage detector that can detect both the LPG gas used in cylinders and propane supplied to households. Detectors can drastically reduce accidents by monitoring and alerting users if gas is detected at a risky level.
Ai Robotics Asia Ltd.
Ai Robotics Asia Ltd. manufactures robots which support education in Bangladesh and will produce STEAM based robotics kits called "EDU-BOT". The kits can be used to learn how to program robots, apply theory through practice, understand concepts and to prototype science and robotics projects.
LawWar.Win is a female-friendly online platform to hire the right lawyer. Clients can compare quotations from different lawyers by understanding the overall process and budget breakdown.
Study Buddy
Study Buddy sells AR Books, IOT Hardware and Games to help parents and educators of kids with learning disabilities and difficulties by introducing an alternative learning platform online that will match their unique learning methodologies.
Wreetu educates adolescent girls, garments workers and community members about puberty and menstrual hygiene. Engaging workshops, interactive comic books and reusable sanitary napkin are part of the efforts to build up a health conscious Bangladesh.
Avvene AI Limited
Avvene AI Limited is developing a plug-n-play device for vehicles to help prevent road accidents via an electro-mechanical system for automatic emergency braking that is run using AI based software
YOUNIFI is a matchmaking youth development platform that connects young citizens (mostly students) who want to gain experience and skills in organizations that have a positive impact on organizations that are looking for engaged and energetic youngsters. This mutually beneficial connection is based on transferable skills, interests, and will not only lead to personal development, but also higher social impact.
Women Robotics Research Team
The "Women Robotics Research Team" has developed a emergency security device and public platform to provide security to women. The device acts as an alarm, messages contacts, records audio and alerts authorities when the distress button is pressed. The device is in conjuction with other community programs ensuring the safety of women.
JOTNO is an interactive healthcare facility that utilizes modern connected technology and telecommunications. JOTNO will provide digital health communication services to the rural & urban communities.
Travel Bangladesh
Travel Bangladesh provides all travel related information to assist travelers. The information ranges from histor to information about foods and festivals. The website also includes lodging recommendations, the opportunity to compare travel deals, and assitance with logistics.
Ngineerx handpicks top software engineering talent from the developing parts of the world, and further trains them in niche areas to prototype, design and build scalable, fault-tolerant, cutting-edge technological systems for startups.
HeadBlocks is developing an AI based automatic Bangla number plate detection and recognition software using custom machine learning and deep learning model.
SobAR is develops health care & medical simulation products that teach essentials of human body and health issues. The products employ the use of real time 3D simulation which harnesses Augmented Reality (AR) technology.
Angel Powertech Ltd
Angel Powertech Ltd develops equipment and provides consultancy for the six sectors: the Agriculture sector, Fishery sector, Poultry sector, Water sector, Electrical appliance sector and R&D sector. the organization is in continuous research to develop user-friendly, cost-effective and eco-friendly devises for different sectors by using the solar power as its main source of energy.
ItsOkay Bangladesh
ItsOkay Bangladesh is a website that bridges those who need help and those who provide help in fighting mental illness. The assistance is rooted in empathy and aspires to create resilience in mental health in Bangladesh.
Shuttle is an app based pick & drop service for women to help women in Bangladesh commute safely and comfortably. Female only micro buses are provided where women share rides only with other female passengers.
Biotech Bangladesh
Biotech Bangladesh is working on waste management by recycling used cooking oil to bio diesel .The bio diesel can be used in any kind of diesel engine and is more efficient than mineral diesel.
Solar Powered Micro Irrigation Boat
The solar power irrigation boat can be used in rivers in rural areas to water winter crops. The boat uses surface water and solar energy for irrigation. The boat can be repurposed for recreation. The movable irrigation system can be easily used by farmers.
EasySense is selling a smart IoT-based fire safety device to help micro-entrepreneurs and industry owners protect their shops and factories from deadly and damaging fire incidents. A fire outbreak can be detected in real time and the fire service and the owner can be simultaneously alerted prompting immediate action.
Project: Decent Wastepreneurs
Project: Decent Wastepreneurs is a regular and on-demand waste and recyclables picking service. People can keep their communities clean with the inclusion of waste pickers into the system. Additionally, decent jobs are created in the informal sector, mostly for women.


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The Anoka-Ramsey Community College Women's Basketball team recorded two emphatic wins to open the 2018-2019 season this past weekend.
On Friday night the Golden Rams took down Madison College 89-52, followed by a Saturday afternoon win over Gogebic 84-44.
Against Madison the Golden Rams opened the game by scoring 20 of the first 22 points and took a 25-9 lead at the end of the first.
Madison responded with the first five points of the second quarter but Mikayla Homola scored five straight of her own on a layup and one of her five 3-point field goals.
A jumper by Maddy Craig, another three from Homola and a layup from Charo Nickens pushed the lead to 45-24 at halftime.
The Wolfpack open the third quarter with five straight points again before the Golden Rams re-established both their offense and defense. Adaya Sandifer socred a layup followed by an Abby Howe jumper and two Homola layups pushed the lead to back to 20 points.
A 10-0 run midway through the period increased the margin to 30 points and the Wolfpack would get no closer than 25 the rest of the way.
The Golden Rams knocked down 11 threes and forced 36 turnovers.
Homola poured in 31 points on 12 of 22 shooting including 5 of 13 from 3.
Howe scored 22 making 4 of 6 from beyond the arc. Sandifer had nine points, ten assists, three rebounds, and four steals.
Saturday afternoon saw the Golden Rams start slower than the previous day with a 21-13 lead after one, but three from MacKenna Brown capped a 14-4 run to open the second quarter and the Golden Rams led by 18.
Gogebic pulled within 15 points at 37-22 before a McKenna Anderson three sparked a 7-0 spurt from the Golden Rams to push the lead back over 20 points.
Homola completed a three-point play and was fouled on a 3-point attempt, making all three free throws, for a 53-26 lead at halftime.
Homola continued to pour in the points scoring the first eight points of the third quarter for her own personal 14 point run to blow the game open.
Two free throws from Raiyne Adams and a three from Maleigha Singeton-Buchanan extended the lead over 40 points and the Golden Rams cruised from there.
Homola scored 27 points making 9 of 19 shots from the field and 9 of 10 free throws.
Chyanne Nickens scored 11 points on 5 of 8 from the field.
MacKenna Brown scored ten points.
Anoka-Ramsey shot 44.4 percent overall and forced 41 turnovers.
Anoka-Ramsey travels to Illinois next weekend for games against College of DuPage and Joliet.


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For Sale: 28 Faxon Dr, Robbinsville, NJ 08691 $349.900
This is a beautiful Douglas model home in very desirable Miry Crossing section of Foxmoor.
3 bedroom, 2.5 bath, end unit townhouse with full finished basement with newer berber carpet. House features hardwood floors on first floor and wall to wall carpeting on second floor and 9 foot ceilings. Kitchen has a pantry and sliding door opening up to a beautiful fenced in yard. Master bath includes tub, shower and double sink. Walk-in closet in the master bedroom. Great School system. Close to major roadways, shopping and public transportation. This property is a must see and is priced to sell.
Utilities: Gas Heat, Hot Air Heat, Gas Hot Water, Central Air, Public Water, Public Sewer, Circuit Breakers
Parking: No Garage, Parking Lot Exterior: Sidewalks, Street Lights, Fencing, Vinyl Ext, Concrete Foun, Level Lot, Pitched Roof, Shingle Roof, Patio, No Pool
Bsmt: Full Basement, Finished Bsmt Interior: Access Panel, No Fireplace, Finished Wood, W/WCarpeting, Tile Fl, Cathedral/Va, Ceilng Fan(s), Cable TV Wired, Bay Window,
MLS Area: 21112 Robbinsville Twp, County:Mercer Tax ID #: 12-00003 01-00233 Subdiv / Nei: Foxmoor
School Dist: Robbinsville Twp; High: Robbinsville; Middle: Pond Road Elem:
Ownership: Fee Simple; Type: Twin/Semi-Detached; Design: 2-Story; Style: EndUnit/Row; Beds, Baths: 3 2/1
Total Rooms: 7; Baths: Full: 2U; M 1/2
Room Dimensions
LR/GR: 16 x 14 M; Dining: 12 x 12 M
Kitchen: 12 x 10 M; Family: 15 x 12 M
Main BR: 16 x 15 U; 2nd BR:12 x 11 U
3rd BR: 14 x 11 U
Inclusions: Refrigerator And Blinds
Other Information
Model: Douglass
Builder: Sharbell
Tax Information: RE Taxes / Yr: $7211 / 2009; Assessment: 324100
Association Information: Condo / HOA: N / Y; Recur Fee / Freq: $126.00/M
Lot Information: Acr / SqFt: 0.05 / 2,091; Lot Dim: .05 acres
StallShower, FulBathMnBed, WalkInClstMB, LR/GREntr, NoModifs/Unk, BsmtLaundry Kit: EatInKitchen, GasCooking, KitPantry, KitBuiltInRa, SelfClnOven, BuiltInDishW
Assn Inc: ComAreaMaint, LawnMaint, SnowRemoval, TrashRemoval, ParkFee, PlayGround, ExtPoolFee, ExtClubFee Poss: 30-90Days Finance: ConventnalFi, FHA Cond: Average+ Show: CallToShow, ComboLockBox
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text: The week before the wedding was calling for an entire week FILLED with rain, including Saturday. We know we can pull it off if it rains (like the wedding we shot the day before this one!) but we just HOPE it doesn't, especially when the ceremony is at the golf course on the Currituck Club!…Read More


text: This Ultimate party pack includes 24 seven-inch plates 24 nine-inch plates 32 beverage napkins 32 luncheon napkins 24 plastic cups and 5 balloons ?€" all decked out in Tigers colors and graphics. Just add food and drinks and you're set for an awesome day of LSU tailgating fun! This party pack is also perfect for your favorite fan's birthday or graduation party.


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Day – 1 – Dubai
Arrive at Dubai airport and you are transferred to hotel. Check in the hotel and relax for some time.Rest of the day is at leisure for your individual activities or you can also enjoy the Dhow Dinner Cruise. It offers fascinating views of modern Dubai, mouth-watering international cuisines and dazzling performances. Overnight stay at the hotel.
Day – 2 – Dubai | City Tour
After Breakfast proceed to full day city tour of Dubai you will be dropped off at Dubai Mall. The tour includes Jumeirah Mosque, Gold Souk and Spice Souk. In afternoon you can also visit Burj Khalifa, the tallest building in the world. Later in evening return back to the hotel. Overnight stay at the hotel.
Day – 3 – Dubai | Desert Safari Tour
After Breakfast morning is at leisure or you can also take a Desert Safari tour with a barbeque dinner On this tour, you will explore the desert on a 4WD vehicle and feast on an Arabian style barbeque dinner under the starlit sky. Later in evening return back to the hotel. Overnight stay at the hotel.
Day – 4 – Dubai – Yas Island
After Breakfast check out the hotel and you are transferred to Yas Island a luxurious man-made island with its award-winning water park, restaurants and cafes. Rest of the day is at leisure for your individual activities. Overnight stay at the hotel.
Day – 5 – Depart Dubai
After Breakfast check out the hotel and you are transferred to Dubai airport to board a flight for your onwards journey.
On Request
For Booking And More Details Visit www.tui.in And Contact Us At
Gurgaon (TUI Concept Store- Travelhood Cafe)
Shop No -SF-068, first floor,
Galleria Market, DLF-IV,
Gurgaon, Haryana
Tel: +01244552446 / 49
For Booking and More travel enquiry fill the form below
To Get the latest 2019 quote for this "Majestic Dubai with Yas Island Tour Package By TUI" travel deal package, contact our travel agent by this Travel Booking Form
Note: The rates mentioned in this package are lowest and subject to change without prior notice. The peak season rates are different as mentioned here, kindly contact the travel agent before booking.
If you have not decided yet or wants to customize tour itinerary or hotels listed above in "Majestic Dubai with Yas Island Tour Package By TUI", then we can change the travel itinerary and make a personalized, tailor-made holiday package, especially for you. We can modify this travel package as per your itinerary, budget, duration and the tourist places you would like to visit, including transportation and airfare should be included or not. Please fill the form below to contact us.


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Happy New Year! As we ring in 2019, the December rally in precious metals continues. And Eric Sprott returns with all the gold and silver news you need to make this a happy new year after all.
In this edition of the Wrap-Up, you'll hear:
• The "weird" things happening in the market
• What's working right now (and what's not)
• Plus: What Eric has his eye on in 2019
"It's been a great week so far. And I don't think we could have expected a better setup than we've had here. Perhaps I should even start off with an economic thing that happened. That was the Apple/iPhone sales suggestion that the revenues would be down. And it was interesting that the announcement was made the first business day of the year. … Being the sort-of cynic and/or skeptic that I am, I said, 'Well, I wonder what would have happened if that announcement had been made in mid-December? … Had they made that announcement while stocks were plunging, it might have put the nail right in the coffin."
[1] http://ww3.silverseek.com/users/eric-sprott
[2] http://www.facebook.com/sharer.php?u=http%3A%2F%2Fww3.silverseek.com%2Fcommentary%2Fwhy-2019-will-be-good-year-gold-weekly-wrap-17538&t=Why+2019+Will+Be+A+Good+Year+For+Gold%2C+Weekly+Wrap-Up
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[4] http://ww3.silverseek.com/forward?path=node/17538
[5] http://ww3.silverseek.com/print/17538
[6] http://silverseek.disqus.com/?url=http%3A%2F%2Fww3.silverseek.com%2Fcommentary%2Fwhy-2019-will-be-good-year-gold-weekly-wrap-17538


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The Culture Night Live from the Uppsala English Bookshop: 18:00 - 19:00
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The Culture Night Live from the Uppsala English Bookshop
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The Uppsala Culture Night 2014 (Kulturnatten Uppsala) will take place on September 13.
11:00 at The English Bookshop
Have you started some-thing new? Nursery, school, swimming lessons or perhaps a dance class? New things can be fun and sometimes they are scary. New things can be VERY naughty. We've got stories about all these sorts of new things at 11 o'clock at the English Bookshop on Saturday 13th September.
14:00 - 15:00The Uppsala International Authors Stage at the City Library.
Barry McCrea is an Irish writer and academic who is currently professor of Literature at Notre Dame University.
In 2005 he published an award-winning novel; The First Verse, about a young man who gets pulled into a world of darkness and literature at Trinity College in Dublin. The novel is based around the classical concept of Sortes Vergilianae where advice or predictions of the future are sought by interpreting passages from literature.
The novel explores Dublin's every corner, including a first-of-its-kind portrayal of its thriving gay nightlife, through the eyes of a young man seduced by a secret society's ancient reading rituals, based on the sortes virgilianae. In brilliant prose, author Barry McCrea gives readers a psychologically gripping tale set within the intertwining worlds of literature and the living.
18:00 - 19:00
We are honoured to present the very best contemporary writer of spy thrillers in the world; Charles Cumming. Since his debut in 2001 he has won a number of awards for his work and The Observer has described him as "the best of the new generation of British spy writers who are taking over where John le Carré and Len Deighton left off". Charles will be interviewed by Kristofer Lundström from SVT's Kobra.
19:30 - 20:30
Beat luminarie Ann Charters discusses the poet Peter Orlovsky, Beat Generation legend and life-long partner of Allen Ginsberg, and the new book of Orlovsky's journals, letters and poems.Kerouac called Orlovsky 'the greatest man of San Fransisco'.
Have you started some-thing new? Nursery, school, swimming lessons or perhaps a dance class?
New things can be fun and sometimes they are scary. New things can be VERY naughty.
We've got stories about all these sorts of new things at 11 o'clock at the English Bookshop on Saturday 13th September.
In his new book, The Year in Stockholm, the author Kim Loughran shows us Stockholm in a new and different way. Through the four seasons we get to know the city and the people who live here. He tells us about the beauty of the islands that it is built upon and the surrounding water. But he also tells us about the inhabitants and their daily life and curious habits.With an abundance of beautiful photos this is the perfect book for anyone interested in Stockholm.
Kim Loughran was born in Australia. Since then he has lived in many countries and he is now a Swedish citizen. His previous book The Year in Sweden has been, and still is, a great success. Meet Kim Loughran Tuesday 24 June from 17.00 at The English Bookshop, Lilla Nygatan 11, Gamla StanWelcome!
Welcome to an evening with poetry at The English Bookshop! Helene Polite will talk about and read from the poetry of Allen Polite and Maketa Smith-Groves will read from her collection Red Hot on a Silver Note.Snacks and refreshments will be served.
Event is open to everyone. No RSVP required.Stockholm Tuesday June 10 at 19.00Uppsala Tuesday June 17 at 19.00Click Read more to... read more about the poets.
Stan loves spending the day with Gran. She makes him pancakes, plays football and reads stories. So it's a disaster when one day her front-door key gets lost. How does Stan save the day?
Listen to the whole intriguing story at 11 o'clock on 7th June at the English Bookshop in Uppsala!
Stan and his Gran by Sarah Garland
Mr Pod and Mr Piccalilli both have cats and like cake. And they live in the same block of flats. But they aren't friends. Yet.What will bring them together?
Find out at 11 o'clock on 24th May at the English Bookshop in Uppsala!
Mr Pod and Mr Piccalilli by Penny Dolan and Nick Sharratt
Do you ever have a tantrum?Pearl does and her Mum leaves the room.And then a white bear arrives who need to be fed. A lot.
Come and hear the full story at 11 o'clock, 10th May at the English Bookshop in Uppsala!
The Bear with the Sticky Paws by Clara Vulliamy
Stockholm: Welcome to the official release of Two Thirds North 2014 – a journal of international writing.Poetry and fiction readings from contributing authors. Light snacks and drinks will be served. Thursday May 8th at 7 pm at the Stockholm shop on Lilla Nygatan 11, Gamla stanNo RSVP required (but feel free to share this invitation with your friends!).You can also find the event and invitation on facebookYou can read more about the journal at their website www.twothirdsnorth.comOh, and the Stockholm bookshop celebrates 6 years on this day as well!
Event Calendar
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Shop hours:Mon-Fri 11-18, Sat 11-16, Sun 12-16(Sun 19 Jan 12-15)
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UPPSALAThe Uppsala English BookshopSvartbäcksgatan 19 753 32 Uppsala Tel 018-10 05 10 Fax 018-60 48 05 firstname.lastname@example.com
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Same postage no matter how much you buy! 45:-
No postage if you pick it up at the bookstore in Uppsala or Stockholm
Everyone knows Daisy Jones and The Six. Their albums were on every turntable, they sold out arenas from coast to coast, their sound defined an era. And then, on 12 July 1979, the split. Nobody ever knew why. Until now.
Subscribe to the book-of-the-month!
The book beautifully evokes the character and spirit of Shetland and the people who sail around the sometimes treacherous coast of Scotland. And last but not least it's an intriguing mystery: a whodunit (which is also a "howdunit") that keeps the reader engaged throughout.
Subscribe to the book-of-the-month!
Join our subscription Book Club and get a new book in the post every month. It's like Christmas all year round! All picks are made personally by us in the bookshop. Choose your favourite category (or categories) and we'll send you a new wonderful surprise each month.
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Troponin has become a widely accepted cardiac biomarker for myocardial infarction patients admitted to emergency rooms. But just how reliable is troponin in determining if a heart attack is really a heart attack?
Geoffrey Rose, MD, was at once surprised and distressed. The 2014 Centers for Medicare & Medicaid Services (CMS) Value-Based Purchasing (VBP) data that rolled into Sanger Heart & Vascular Institute, part of Atrium Health, where he is chief of cardiology, reported an unexpectedly high rate for 30-day acute myocardial infarction (AMI) mortality. The claims-based data were a statistical blot at wide variance with the clinical data Sanger had manually abstracted from charts and routinely reported to registries as part of its quality program.
Determined to find the root cause, Rose and his team reviewed the records of 236 patients admitted in 2014 who were classified as AMI mortalities. The startling result: In roughly 30 percent of the cases, AMI should not have been designated as the principal diagnosis for inpatient admission. "We believed ourselves to be a high-performing organization," explains Rose, "so when we saw the disconnect between our internal and external assessments we knew this was a problem we had to fix."
An isolated case of clinical documentation confusion? In fact, the problem may be a lot more common and serious than most hospitals realize, with potential repercussions for their quality and performance metrics and even their bottom lines as healthcare moves inexorably to value-based care and new payment systems.
"It's a problem that results from many clinicians not having a nuanced understanding of the different types of MI and the different categories of cardiac troponin elevation," explains Abhinav Goyal, MD, MHS, chief quality officer in the cardiology division at Emory Healthcare, based in Atlanta, who began probing the issue with his colleagues in early 2017, when CMS announced episode payment models (particularly bundling) for AMI. "This has translated into a very widespread documentation problem that is impacting hospitals all over the country—and probably around the world."
The problem is as much definitional as it is documentational. To put it in context, 2013 American College of Cardiology (ACC) guidelines point out that, while all troponin elevations indicate myocardial cell injury, only a subset can actually be classified as MI, indicating injury due to an ischemic mechanism (J Am Coll Cardiol 2013;61[4]:485-510). The MI group includes:
- Type 1 STEMI, where rupture of an atherosclerotic plaque occurs and leads to complete occlusion of the coronary artery;
- Type 1 NSTEMI, where rupture or erosion of an atherosclerotic plaque occurs and leads to incomplete occlusion of the coronary artery; and
- Type 2 MI, due to increased oxygen demand or decreased oxygen supply triggered by such heterogenous causes as coronary spasm, coronary endothelial dysfunction, arrhythmia, anemia, respiratory failure, shock or severe hypertension.
In the non-MI troponin elevation group, however, ischemia is not even a factor. Instead, the cell injury is typically due to blunt trauma to the heart, defibrillator shock that stuns the heart or inflammation of the heart muscle.
The disconnect for hospitals often begins from the moment a patient is rushed into the emergency department with a heart attack. Many physicians fail to recognize the heterogenous causes of a Type 2 MI, a problem exacerbated by the lack of specificity in the CMS ICD-10 coding scheme. As a result, physicians often reflexively label patients with a Type 2 MI as having a Type 1, relying on elevated troponin to support their diagnosis.
"The problem is that we often use troponin as a surrogate for acute MI, when in reality a patient's troponin can be elevated for a number of reasons, only a subset of which are related to actual blockages in the arteries around the heart," explains Karen Joynt Maddox, MD, MPH, an assistant professor of medicine in the cardiovascular division at Washington University School of Medicine in St. Louis. "I suspect there is a lot of confusion about what people are supposed to be doing."
A major revision in October 2017 of the ICD-10 coding system will undoubtedly heighten awareness among the clinical community of Type 2 MI and set the stage for better classification after a patient is admitted. In addition to creating a category for Type 2 MI, the new diagnostic codes differentiate the varieties of Type 1 MI (STEMI and NSTEMI) and add new codes for non-MI causes of troponin elevation and for "other MI types."
The perils of mislabeling
The reason this granularity is so important? The profusion of pitfalls awaiting hospitals if patients are not properly coded. One of the most serious is that patients mislabeled as Type 1 could potentially receive harmful treatment with Type 1 therapies. For example, according to a scenario outlined by Goyal and his Emory Healthcare colleagues, a patient exhibiting high troponin due to a hypertensive emergency (a Type 2 MI) might be started on intravenous heparin for a presumed Type 1 coronary plaque rupture (a Type 1 NSTEMI), even though intravenous heparin is usually contraindicated in patients with uncontrolled hypertension. Incorrect documentation of MI types can also lead to denial of claims by payers as well compromise patients' future insurability.
Another big reason coding accuracy matters is financial. The CMS Hospital VBP Program rewards or penalizes acute care hospitals on such performance measures as mortality and complications. And when a patient is mislabeled as Type 1—a designation that can remain with him or her throughout the hospital stay and be dutifully employed by coders preparing the discharge summary—that information can adversely impact the hospital's 30-day AMI mortality data compiled by CMS as well as its HospitalCompare.gov scores available for public consumption. That's what happened at the Sanger Heart & Vascular Institute. Had the 30 percent of its cases classified as AMI deaths been properly excluded from the AMI mortality data-set, according to Rose, Sanger would have achieved top decile VBP performance for AMI mortality in 2014.
Even MIs reported as Type 2 can significantly impact a hospital's performance metrics. At a 2017 ACC Cardiovascular Summit presentation, Jason Wasfy, MD, director of quality and analytics at Massachusetts General Hospital Heart Center and a bundled payments expert, showed how Type 2 MI, often referred to as "troponin leaks" among physicians, could potentially raise the incidence of AMI mortality for a hospital. "These patients tend to be older and sicker and have poorer prognoses over the long run," he says. "As a result, including these patients may worsen hospital performance on some of the quality metrics."
Getting the documentation right
Alarmed at what his own in-house sleuthing had uncovered, Rose's team took swift action. They undertook a clinical documentation excellence strategy to reconcile the differences between clinically coded and chart-abstracted data. Helping to drive that effort is a clinical documentation improvement (CDI) team that now reviews the records of all patients with a principal diagnosis of AMI before final billing.
A second part of the strategy is a "concurrent coding process" that promotes real-time collaboration between the CDI team and coders while the AMI patient is still in the hospital. This process, Rose explains, is designed to "break down the silos" that typically exist between hospital personnel responsible for coding, documentation and billing and the clinicians so that everyone is essentially on the same page.
As Goyal with Emory Healthcare, which launched last year its own clinical documentation improvement program, puts it, "The coders can really help us by notifying the providers if they see inconsistencies so that we can correct the documentation. And it needs to be done real time so we're not trying to adjudicate this after the bills have been submitted."
For both Emory and Sanger, their CDI investments are already paying dividends in the form of continuously improving their observed-to-expected (O/E) mortality ratios for AMI. (For Sanger, the O/E ratio fell from 0.79 in 2015, to 0.66 in 2016, to 0.53 through September 2017.) At the same time, new sensitivity to documentation has opened the door to other improvements that are helping to raise the quality of care for heart patients. Hospitalists and internal medicine providers at Sanger/Atrium, for example, are now tightly linked to the effort to improve AMI mortality, and an AMI continuum of care has been developed to catalog all clinical activities that need to take place around the patient.
"We think this is a logical approach," says Rose, "that requires many who haven't customarily worked together to find new ways to become part of a cohesive team."


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Doctors: Latif Pedram's health condition is better
Kabul-Afghanistan (PMG):
Reporter: Imran Khorasani
According to reports, physicians at emergency Hospital have stated that Mr. Pedram's health situation is good and his shoulders were safely operated by the doctors. Latif Pedram a presidential candidate and member of House of Representatives got wounded in a missile attack on the "ceremony of Abdul Ali Mazari death anniversary."
The event led to the death of three women including two women. Mohammad Mohaqiq, the deputy of "Peace and Moderation" electoral team said in a conversation with the media, that the attack was in place with the collusion of the government. According to a newsletter released by the ISIS group and took the responsibility for the missile attack on the Kabul PD 13.
Developed by Nethub


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This is a cup shelf I made last summer.
Here is the process of making it. It all started with a drawing during lunch. I was feeling hungry for a creative process and decided to try out ideas for a cup shelf. After w few drafts I came up with this.
Next, I redrew it with measurements.
Then, off to the lumber store. I thought it was a surprising amount of wood for such a small shelf. But I guess it has a lot of dividers that add to the quantity of material I needed.
I got almost exactly the right amount of lumber so I made cardboard templates to make sure I planned out my cuts properly.
Lumber cut. Next, before I start with the joints I just wanted to make sure the cups would indeed fit. Looks good so far!
For the main structure of the shelf I am just using a simple Half-Lap joint. I just cut them out with a jigsaw. Kinda rough, but when you don't have a shop you have to make do.
This is a dry fit of the Half-Lap joints. They are quite strong! Now time for the smaller dividers to be added.
I ended up screwing the dividers in. Not very fancy I know. I wanted to cover the screw head though. In the past I have covered then with dowels. This time I thought it would be fun to cover them with square blocks of wood and to make them look like exposed Mortise and Tenon joints. This is how it looks with the resesess carved and the screws in place.
Carving the recesses was a long and tedious process, but also satisfying. Once each part of the shelf was screwed together the I would fill the recesses with blocks of wood to finish the look of the exposed joints. It is the beautiful time of day to take pictures. Gosh, I wish they all looked this good.
Assembly finished! Shelf sanded! First coat of oil applied!
And after another couple coats of oil.
And finally it is up on the wall and filled with pots! Even though I know projects like this always take me more time than I expect, this still took 3 or 4 times longer than my estimate. It was a lot of fun though. Making this post has made me want to do another shelf project sometime soon!


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Breast Cancer Channel
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Halaven Uses
Related MultimediaClick on an icon to view.
How Does Halaven Work?Halaven is part of a group of medications called microtubule inhibitors. It works by preventing cell division and, eventually, causing the cell to die.
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Is It Safe for Use in Children?Halaven has not been adequately studied in children or adolescents under the age of 18 years old. It is not known if Halaven is safe or effective for children.
Can You Use Halaven for Off-Label Reasons?On occasion, your healthcare provider may recommend Halaven for something other than treating metastatic breast cancer. This is referred to as an "off-label" use. Using Halaven for treating other types of cancer or in combination with other types of chemotherapy would be off-label uses of this drug.
Halaven Chemotherapy Information
Written by/reviewed by: Kristi Monson, PharmD
Last reviewed by: Kristi Monson, PharmD


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Oliver Phommavanh
Oliver Phommavanh loves to make people laugh, whether it's on the page writing humour for kids or on stage as a stand-up comedian. A former primary school teacher, Oliver is also an author ambassador for charities, Room to Read and the NSW Premier's Reading Challenge. Oliver's books include Thai-riffic!, Con-nerd, The Other Christy and his latest, Natural Born Loser. Oliver's next book is Don't Follow Vee, out in May, 2019.


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The crown jewel of Amazon's business, Amazon Web Services, posted a 42 percent jump in revenue during the first fiscal quarter of 2017, as it continues to set the standard for cloud computing.
For the period ending March 31st, AWS recorded revenue of $3.66 billion, up from revenue of $2.57 billion in the year-ago quarter. Operating income rose 47 percent compared to last year to reach $890 million, which provided the lion's share of the total operating income for its parent company during the quarter.
AWS revenue growth does appear to be backing off the torrid pace it enjoyed a few years ago, but 42 percent is still pretty strong. The company announced it captured several new high-profile customers during the quarter, such as Dunkin Brands, Liberty Mutual, and IPO darling Snap, which had previously relied on Google for the bulk of its cloud infrastructure.
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Howard Megdal
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The website for sale by owner occurs in certain circumstance. Every business rather online or offline requires adequate time management. If the required time is not given to the business then such businesses move towards decline. Therefore, the owner is left with the following options.
- To give proper time to the business and make the management strategy strong.
- In the case of online business, the owner has the option to sell the website. As turnkey websites are trending these days and the several buyers are ready to invest.
Moreover, every transaction has two aspects and two parties involved.
- The owner, who wants to sell the website due to mismanagement of time
- The buyer, who wants to buy the premade website to save his time and get started with his online business.
Therefore, the aspects involved would be; to buy and sell. However, each of the aspects requires certain elements to be considered. If the respective website for sale by the owner to be put first, the owner must consider the following of the perspectives.
Essentials to be Considered While Selling the Website
Finding a good investor is as hard as finding the perfect website for the buyer. One cannot just decide to sell the website and thinks of it as a piece of cake. There are certain essentials to be followed while selling the website. Following are the essentials for a website for sale by owner.
Determine the Site's Value
The website for sale by the owner must determine and establish the site's value. How? The owner determines the profitable website for sale's value by multiplying the monthly income by twelve. By doing so, the owner shall get the estimate of the site's price to be offered.
In another case where there is no monthly income, the owner can calculate the value by collecting certain information. This information may include the value of web design, traffic patterns and the site's affiliation with other Social Media networks. Presenting such information to the buyer shall help him/her to understand the value of the site being offered.
Advertise the Website for Sale by Owner
Advertising the website for sale by owner is the basic essential. This strategy helps the owner to attract more and more investors. Moreover, with numerous options for investors, the owner shall be able to select the best. The advertisement can be done by asking fellow online business owners to publicize the sale of the website. Moreover, the owner may contact the ad network agencies to advertise their site for sale online. Such agencies have a large number of the audience which shall help in sale more efficiently.
Negotiate for the Price
The owner of the established website for sale must have patience while selling the site. He or she shall encounter several serious and non-serious buyers. However, the owner must reply to the queries of the people interested and negotiate for the price. If the buyer sets the negotiated price and he/she is ready to pay then it is mandatory to take everything in writing. Like real assets, the website for sale by owner is his/her online assets. Therefore, the transaction made in writing made in writing is necessary to avoid inconvenience in the future.
Essentials to be Considered while Buying Websites for Sale
As mentioned above every transaction has two aspects; Buying and selling. The essentials to be considered while selling the website for sale are discussed above. Now let us see, what are the essentials to be considered while buying websites for sale?
Prefer Dormant Sites
Lookup for the sites which have not been updated for a while. Such sites shall help the investor to start with the already existing audience. By doing so, the investor shall get more profit for his or her business. Moreover, these sites can be found through friends, ask them to help in finding such turnkey websites for sale.
Research the value of Website for Sale by Owner
While buying and selling websites several scams are involved. The owner might misrepresent the reputation of the site. Hence it is necessary for the buyer to do research on the history of the site. The research must include information regarding the profit it has been making. Moreover, the information must also include a traffic management pattern. And a number of visitors on the site. Thus, this shall help the buyer to make an estimate of the actual value of the website for sale by owner.
Negotiate for the Price
The buyer must negotiate the price according to the benefits and actual price in the market is defining. If the website is worth the investment then do not waste any time and go for it. However, if the premade website for sale has some deficiencies and does not go along with the price being offered then the buyer can bargain over it. Moreover, if an established website with-profits has great revenue streams then immediately go for it. For this, the buyer has to do a pre-research over the history of the website for sale by owner. This shall help in making the right decision regarding investment.
When it comes to the transfer of the ownership of the online asset, then it is necessary to take everything in writing. In some cases, the buyer gets the possession for it but that is not enough. The owner must hand over the title as well to complete the transaction of the website.
Every transaction is to be done to require an adequate amount of care and research. This helps the buyer and seller to make a wise decision regarding their part in the transaction. Moreover, if the due diligence is being taken the decision being made shall amount profitable and beneficial in the future. The website for sale by owner requires announcing in a certain way that he or she has to sell the respective website. This is done through advertising. In addition, the owner must always determine the value of the site first so the transaction of sale to be made should be done with due diligence. However, the owner has to be very patient about the sale of the site as it takes a lot of time to find the right investor.
The buyer has to take precautions as well before buying anything online. Because online there are several scammers who want to snatch the money away from the buyer. Therefore, while investing in websites for sale that make money, the buyer must go through complete research. The research must be done on the history of the site, reputation of the owner and traffic patterns.
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Directed by Anand L Rai, the cost of production of the movie has already crossed the Rs. 200 crore mark
The Hush Post: Superstar Shahrukh Khan is working extremely hard for his upcoming movie 'Zero' these days. He wants it to be his best film ever and wants to release it for his fans this New Year. However, the movie which has been into production since a year has incurred an expenditure which makes it the costliest movie ever for Shahrukh Khan.
Directed by Anand L Rai, the cost of production of the movie has already crossed the Rs. 200 crore mark. Latest international techniques and special effects have cost the producers the maximum. This includes the expenses for shooting in the US for 150 days.
Earlier, Shahrukh's 'Ra.One' was produced with an expenditure of Rs. 85 crore. Though it had a marketing budget of Rs. 52 crores but the majority of it was related to commercial co-operation.
The trailer for 'Zero' will be launched on the King Khan's birthday on November 2. The movie is being produced by Shahrukh Khan's Red Chilles Entertainment and the shooting has been completed.
'Zero' is a story of a dwarf which has been portrayed by Shahrukh himself. Besides, the movie has Anuskha Sharma and Katrnia Kaif in the lead roles. It is reported that Karishma, Kareena, Rani and Aaliya also have a special appearance in the movie. Anand L Rai believes that this is the most challenging role ever for Shahrukh Khan.


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We are pleased to announce our 2017 event, TEDxIdahoFalls:If.
The event will be held at the Colonial Theater on February 25th from 3:00pm to 8:00pm. This is a locally organized conference where live speakers share a series of innovative idea-focused, multidisciplinary talks, inspiring and insightful TEDtalk videos are shown, and unique performances are witnessed, all combining to spark deep discussion and connection among attendees.
In this year's lineup, in keeping with the spirit of TED and in tribute to the city that is our namesake, we urge all to consider the seminal question of inquiry: If.
We're also curating a number of TEDucation Tours – immersive experiences which give attendees a chance to see outside their normal everyday interactions into the worlds of art, industry, and technology. Please know that availability to these experiences is limited.
Also, don't miss the opportunity to converse about the ideas you've heard with strangers who become new friends at the post-event Dine-Around.
Just as in years past, we expect the evening to be thought-provocative, interesting, and entertaining, but what really makes it resonate is you, the audience. Help us make this our largest event yet by promoting it to others who are just as passionate as you are about idea sharing.


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