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Published on February 8, 2018
Articles in this issue:
Author: Carl J. Pucci* Published in Finance & Reimbursement
A congressional bill to permanently repeal the Medicare Part B Outpatient Therapy Caps, retroactive to January 1, 2018, has been introduced. AHCA expects the therapy cap repeal to survive within the ultimate passage of the bill. Below is the AHCA Bulletin with more details:
On Monday evening, Congressional leadership released a short-term plan to fund the federal government through March 23, 2018. The bill contains notable benefits for our profession, including a permanent repeal of the Medicare cap on therapy services and two years of funding for other Medicare extenders. The even better news is that there is no cut to our Part A Medicare to pay for this. The original proposal called for a $2 billion market basket cut but we succeeded in keeping that out of the bill.
What's in the Bill
The bill repeals Medicare Part B outpatient therapy caps retroactively to January 1, 2018. This is important in two ways. First, it means our residents will no longer have to worry if Medicare will pay for important therapy services. Second, it eliminates the largest recurring risk of skilled nursing facility (SNF) offsets since the doc fix. Since Congress will no longer have to pass annual or biannual patches to the therapy exceptions process, this dramatically reduces our risk of being cut every year.
Also included in the bill are some measures that will give regulatory relief concerning how therapy is tracked and reviewed. The legislation permanently restores the limited targeted post-pay medical review program established under the Medicare Access and CHIP Reauthorization Act (MACRA). The program lowers the medical review pool threshold for annual beneficiary covered charges from $3,700 for physical and speech and language therapy services combined or occupational therapy services to $3,000. It also limits annual funding for these reviews to $5 million annually. This eliminates the risk of previously problematic recovery audit contractors (RAC) reviews, prior-authorization and pre-pay reviews, as well as 100% review programs.
Part of the bill is paid for by creating a new designation of physical therapy and occupational therapy assistant services on Part B therapy claims and reducing payment for those services by 15% starting in 2022. The overall impact on SNFs would vary depending on the percentage of treatments furnished by therapy assistants. SNFs with no therapy assistants will not be affected. Most medium to large SNFs likely operate with between 25-50% of therapy furnished by therapy assistants, so we estimate the negative revenue impact for most of these SNFs starting CY 2022 would range from 2.9-5.9% of their Part B Medicare payments. We are currently conducting additional impact analyses and will provide updates as they become available.
Without repeal of the therapy caps, revenue and quality of care could suffer significantly. We estimate, without repeal, that SNF Part B therapy revenues would decline more than $811 million per year (37% of total Part B payments). SNF Requirements of Participation require maintaining resident function at the highest practicable level. However, most long-term residents are on Medicaid or otherwise may have limited funds and cannot pay privately for therapy services. This could stress SNF nursing staffing further to address the functional needs of these residents if therapy is not an option. As a result, we believe the benefits of permanently repealing the therapy cap outweigh the therapy assistant pay-for.
Path to Passage
There is partisan disagreement over parts of the bill unrelated to our sector and the path to passage is slightly murky. The bill can pass with Republican support alone in the House, but the GOP will need Democratic support to break the 60-vote filibuster threshold in the Senate.
What we do know is that the House will likely vote on and pass the bill Tuesday evening. Republicans included a year-long extension of defense spending in the bill to garner the support of more conservative members of the party.
Senate Democrats want to see any defense spending extension matched with a non-defense extension. Republicans need at least nine Democratic Senators to vote for the legislation, and will need one more if Senator John McCain, currently undergoing cancer treatment in Arizona, cannot make it to D.C. Many expect the Senate to reject the House version, amend the bill to match defense and non-defense extensions, and send that version of the bill back to the House.
The deadline to extend federal government funding is this Thursday, February 8. House Democrats are scheduled to attend their annual party retreat starting Wednesday afternoon but may be forced to stay in Washington while the Senate reaches a deal.
We don't know with certainty what will happen with the continuing resolutions to fund the federal budget, but we do believe that the elimination of therapy caps should stay in whatever is ultimately passed. We will continue to keep you updated as the bill moves this week.
Mark Parkinson
President & CEO
Carl J. Pucci
Chief Financial Officer
518-462-4800 x36
Author: Carl J. Pucci
Dear Medicaid Provider,
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the January 2018 Medicaid Update. Please find the full current issue as a PDF (Portable Document Format) file available to be downloaded at: https://www.health.ny.gov/health_care/medicaid/program/update/2018/jan18_mu.pdf.
Carl J. Pucci
Chief Financial Officer
518-462-4800 x36
Author: Amanda Vandenburgh
Understanding BPCI Advanced for Skilled Nursing Facilities
This webinar will provide attendees with an overview of BPCI (Bundled Payments of Care Improvement Advanced). The attendees will have an understanding of the following:
For the flyer containing the registration link, Click Here
Leadership in Person Centered Care is a 2-day Train-the-Trainer program for nursing home and assisted living leadership teams to implement the Oasis curriculum in their organizations. This program will provide in-depth training on the philosophy of Oasis, the four training modules, Oasis for families, the interactive exercises and videos that accompany the curriculum, and strategies for training staff and implementation of the program. The Oasis teams who attend this training will be prepared to provide 8-10 hours of Oasis training across all disciplines in their organization.
Who Should Attend
The Program is designed for Oasis teams, including Administrator, Director of Nursing, Social Workers, Nurse Educators from Skilled Nursing Facilities and Assisted Living Facilities. Applicants MUST be employed in one of the following Counties of New York: Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk.
Location, Time & Dates
Cold Spring Hills Center for Nursing & Rehab
378 Syosset-Woodbury Rd.
Woodbury, NY 11797
Time: 9:00 am – 4:00 pm
Session 1: Thursday, March 1, 2018
Session 2: Friday, March 2, 2018
Program Fees
Selected Facilities will be required to submit a minimal program fee of $50 for up to three participants prior to enrollment into the course. The remaining cost of this program is being funded through a grant from the New York State Department of Health & Department of Labor Health Workforce Retraining Initiative (HWRI).
Attached is the brochure and application. Applications must be received prior to Tuesday, February 20, 2018.
FQC Contact:
Amanda Vandenburgh
Program Assistant
518-462-4800, Ext. 21
Once again we are pleased to announce the Foundation for Quality Care Nursing Scholarship Program. The Foundation for Quality Care, the research and education affiliate of the New York State Health Facilities Association (NYSHFA), will administer the Ruth E. Stafford and James D. Durante Nursing Scholarship Program for 2018. This Scholarship Fund Program has been established to provide financial support to incumbent employees of NYSHFA/NYSCAL member facilities who are also nursing students pursuing careers in long term care. The Durante/Stafford Scholarships will now be awarded to students/nurses in three categories:
Skilled Nursing
Category I: Students pursuing licenses as a practical nurse or registered nurse. Two scholarships for $2,000 each are available for the Category I Scholarship.
Category II: Registered nurses pursuing advanced degrees in nursing (Bachelors, Masters, Doctorate, Nurse Practitioner, Clinical Specialist). Two scholarships for $2,000 each are available for the Category II Scholarship.
Assisted Living
Students pursuing licenses as a practical nurse or registered nurse. One scholarship for $2,000 is available.
The winners will be selected by NYSHFA's Nurse Leadership Advisory Committee and awarded their Scholarship at the Annual Nurse Leadership Conference on May 3, 2018 in Verona, New York.
Scholarship Criteria and Submission Information:
Attached are the Scholarship Brochure, Application and Recommendation forms. At the time of application, and when the scholarships are awarded, applicants must be employed by a long term care facility that is a member in good standing of the New York State Health Facilities Association/New York State Center for AssistedLiving. Applicants must be applying to or enrolled in / accepted to an accredited school of nursing program for the 2018-2019 academic year.
Applications are due by February 28, 2018.
If you have questions regarding this program, please contact Nancy Leveille or Joanne O'Connor at the Foundation for Quality Care.
Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20
Joanne O'Connor
Communications & Business Development Coordinator
518-462-4800 ext. 23
NYSHFA/NYSCAL will host a Webinar on Thursday, February 15th entitled "The Next Phase of the ROP: Antibiotic Stewardship in LTC Facilities 101".
Effective Nov. 28, 2017, all Medicare and Medicaid-certified nursing homes must have an antibiotic stewardship program that includes antibiotic-use protocols and a system to monitor antibiotic use as part of their infection prevention and control program. The antibiotic stewardship program is a section of the Phase 2 Requirements of Participation. Surveyors will assess compliance under F-tag 881 during the Infection Control Facility Task as a part of the new survey process. In 2015 The CDC's Core Elements of Antibiotic Stewardship for Nursing Homes was born, utilizing the recommendations of the CDC Core Elements of the Hospital Antibiotic Stewardship Program. These recommendations are the standard for what an Antibiotic Stewardship Program should look like. This presentation will examine the 7 elements that are contained in the standard and review what needs to be done to satisfy the requirements.
Click here for more details.
The 2018 NYCACHCA Annual Conference is being held March 11-14th at Villa Roma Resort in Callicoon, NY. With programs for Administrators, CFOs and Clinicians, this 4-day conference has something for everyone! Click here for additional details and registration information.
Join NYSHFA/NYSCAL for the 15th Annual Social Service & Activities Conference. The conference is being held March 22-23rd at the Saratoga Holiday Inn. The program is approved for 10 contact hours for Social Workers and Activity Directors. This year's Hot topics include: Behavioral Health; eMOLST; Communication; Holistic Wellness and many more. Click here for additional details and registration options.
On Thursday March 22nd, NYSHFA/NYSCAL will host an audio confernece entitled "An Integrated Care Model: The Role of Behavioral Health Services in LTC". The role of long term care facilities in addressing resident's health care needs continues to evolve at a rapid pace. One area where more is being expected involves identifying and responding to residents who are at risk of developing, or exhibiting behavioral or emotional needs. The broad term behavioral health covers a wide range of clinical issues including, but not limited to, trauma informed care, dementia care, depression, behavior management, pharmacological management, and optimizing the care of the chronically mentally ill. The evolution in the role of LTC facilities is being driven in part by research, which has established that mental health care is a key component in achieving quality care outcomes. Whether the care is focused on short term rehabilitation, medical compliance, palliative care, or decreasing re-hospitalization rates, the resident's psychological state and wellbeing will affect every aspect of care. This presentation will focus on a variety of behavioral health issues faced by facilities, address key compliance issues, and describe strategies to optimize behavioral health care.
Click here for additional details.
On Thursday, March 29th, NYSHFA/NYSCAL will host an audio conference entitled "Discharge to Community: Safe Transitions to Reduce Hospitalizations". Discharge to community claims-based quality measure creates a challenge to the status quo to change the current process to resident centered planning from the day of admission to the skilled nursing facility and more importantly the discharge planning process. Discharge planning is an interdisciplinary team approach to not only transitioning to the next level of care, but to the next level of care with a solid discharge plan to reduce hospitalizations and emergency department utilization. Understanding what led up to the person's hospitalization and including this in the discharge planning is an important element in safe transitioning to the appropriate level of care. This program explores various evaluations, and ideas to understanding barriers for transitions as well as community resources and alternate resources for care levels such as Assisted Living available to transition safely. Click here for more details.
On Wednesday, April 25th NYSHFA/NYSCAL will host an audio conference entitled "Cyber Security & CMS Nursing Home Recommendations". On January 13, 2017 the Survey & Certification Group released recommendations to providers regarding cyber security. A review of cyber security policies and procedures is recommended by the agency as part of the "All Hazards Approach to Emergency Preparedness". In this session we will detail best practices to help keep your facilities safe from cybercrime incidents. We will be taking a deep dive into topics such as: Disruptions to patient care, including missing information, potential compromise of Protected Health Information & Personally Identifiable Information and loss of electronic health records. Click here for more details.


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Find a course in your area:
Burton Albion Community Trust Summer Football Tournament, Saturday 11th July 2020 Location:Burton Albion Community Football Centre 4G, Pirelli Stadium, Princess Way, DE14 0AR
Age Groups; Under 10s
Groups based on 2019-2020 season.
U10s will be 7v7 maximum of 10 players per team All Participants will receive a medal as the tournament will be non competitive Maximum of 10 teams per age group.
Under 9s SOLD OUT
Under 10s 1pm -4.30pm LIMITED AVAILABILITY
Coast Of Entry: £35 per team Book your teams place before February 29th for the reduced price of £25
Manager to book there place under there name Once you have booked your teams place you will receive a confirmation email with your clubs booking form and further information regarding the tournament. This will need to be completed and returned to us.
Please note once payment has been received there can be no refunds in the event of teams withdrawing from the tournament For More information please contact [email protected]
Phone: 01283 246207
Email: [email protected]
Site: www.burtonalbioncommunitytrust.co.uk

subset: commoncrawl


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| 19.5°C Dublin
The price of oil rose and Qatari stocks plunged yesterday after Saudi Arabia and three other Arab countries cut off most diplomatic and economic ties to Qatar, in an unprecedented move designed to punish one of the region's financial superpowers for its ties with Iran and Islamist groups in the region.
Saudi Arabia, Bahrain, the United Arab Emirates and Egypt said they will suspend air and sea travel to and from the Gulf emirate. Saudi Arabia will also shut land crossings with its neighbour, potentially depriving the emirate of imports through its only land border.
Qatar's QE Index for stocks tumbled 8pc - the most since 2009 by mid morning in Doha. Dubai's benchmark index fell 1.2pc.
Qatar called the accusations "baseless" and said they were part of a plan to "impose guardianship on the state, which in itself is a violation of sovereignty".
Qatar is one of the world's richest countries and of strategic importance, being the biggest producer of liquefied natural gas.
A country with a population of just 2.3 million, its $335bn sovereign wealth fund holds stakes in companies from Barclays and Credit Suisse Group.
It also hosts the forward headquarters of Centcom, the US military's central command in the Middle East.
Emboldened by warmer US ties under President Donald Trump, the Saudi-led alliance is seeking to stamp out any opposition to forming a united front against Shiite-ruled Iran.
And while yesterday's escalation is unlikely to hurt energy exports from the Gulf, it threatens to have far-reaching effects on Qatar.
"There are going to be implications for people, for travellers, for business people. More than that, it brings the geopolitical risks into perspective," said Tarek Fadlallah, CEO of Nomura Asset Management Middle East, in an interview to Bloomberg Television.
"Since this is an unprecedented move, it is very difficult to see how it plays out."
Read more: European stocks slide on Qatar crisis
Brent crude rose as much as 1.6pc to $50.74 a barrel on the London-based ICE Futures Europe exchange, before paring gains to 0.4pc in London yesterday morning.
Heightened tensions between Saudi Arabia, the world's biggest crude exporter, and Iran typically draw market attention to the Strait of Hormuz, through which the US Department of Energy estimates about 30pc of the seaborne oil trade passes.
The five countries involved in the dispute are US allies, and Qatar has committed $35bn to invest in American assets.
The Qatar Investment Authority, the country's sovereign wealth fund, plans to open an office in the Silicon Valley. (Bloomberg)
Irish Independent


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WebStorm 9 Cannot View in any Browser Follow
I installed WebStorm 9 today and I could not view in browser for any project. In versions 7 and 8 I never had to do any setup to view in browser, it just worked out of the box. When I tried I got these results:
Chrome: http://localhost:63342/EventReg/app/Test.html, Unable to load the webpage because the server sent no data. Error code: ERR_EMPTY_RESPONSE.
Firefox: http://www.localhost.com:63342/EventReg/app/Test.html, Server Not Found.
IE: http://localhost:63342/EventReg/app/Test.html, This page can't be displayed.
I tried many settings and many searches to no avail. I was just about ready to return to version 8. Fortunately uninstalling Version 9, then reinstalling it fixed the problem.
Fred Peters
Normally all you need is to select the browser icon in the editor or select it from View/Open in browser, no additional setup is needed (just as before). Correct address is http://localhost:63342/<project_name>/path/to/html (no www needed). Seems the built-in web server can't connect for some reason. Please attach your idea.log and Chrome extension console content (see http://confluence.jetbrains.com/display/WI/LiveEdit, 'How do I know what's wrong?')
Thanks for the reply, I updated my message after uninstalling/reinstalling fixed things. All is well now!
Please sign in to leave a comment.


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No catches, no fine print just unconditional book loving for your children with their favourites saved to their own digital bookshelf.
New members get entered into our monthly draw to win £100 to spend in your local bookshop plus lots lots more...Find out more
HarperCollins is proud to present its incredible range of best-loved, essential classics. First published in 1898, 'Moonfleet' is a riveting adventure story full of drama, mystery, revenge, pursuit, smuggling, pirates and romance, with a place in the literary canon alongside 'Treasure Island' and 'Kidnapped'. The tiny village of Moonfleet nestles on the English coast, and every one of its inhabitants lives off the sea in one way or another. When local young man John Trenchard accidentally stumbles upon treasure stashed in the local crypt, he unknowingly enters the murky world of the smuggling trade and the local secret of Colonel John Mohune's treasure. Trenchard is soon forced to flee England with a price on his head, leaving behind his beloved Grace and the life he hoped for. But the adventures, trials and tribulations that befall him on his personal journey back to Moonfleet and ultimately redemption are written with such intensity and hope, as well as love for the history and landscape of Dorset, that the story never loses pace or power on its epic journey. 'Moonfleet' is a classic adventure story to be read again and again.
|Publication date:
|13th September 2012
|John Meade Falkner
|William Collins an imprint of HarperCollins Publishers
|Paperback / softback
|272 pages
John Meade Falkner (1858-1932) was an English novelist and poet, as well as a successful businessman and collector of antiquarian treasures. He was best known for his 1898 novel, Moonfleet, as well as The Lost Stradivarius (1895), The Nebuly Coat (1903), three topographical guides (Oxfordshire, Bath and Berkshire) and a history of Oxfordshire.More About John Meade Falkner
Check out the latest activities in our KidsZone.


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Hello,Up for sale is a limited edition very scarce due to the limited run in 2004 of 300 pieces . It has a remarkable water resistance of 12 ATM Movement : Oversized Manual winding movement ETA UT6497-1 soign finish, 17 jewels, adjusted 4 positions.
Functions : Hours, minutes, small seconds at h. 12
Watch Case : 43.40 mm diameter, screw locked bezel and back cover. Patented crown vanishing locking device (integrated with watch strap) protects crown positioned at h. 6. Domed sapphire crystal. Version MILITARE LAST EDITION: AISI316 Plus stainless steel watch case Ox-Pro treated, blackening treatment and passivation of the case surface, for antireflection and anticorrosion functions.
Water Resistance
Extra thick dial (1.0 mm). Milled indexes and Arabic numbers in military format at cardinal points treated with luminous coating for superior day/night readability, concentric military scale (00:00/24:00) in red, luminous coating treated baton hour and minute hands and leaf small second hand, small seconds counter at h. 12.
Wrist Strap : Version MILITARE LAST EDITION: Waterproof, manufactured in hi-tech Dinex fabric with LORICA lining. Anonimo engraved on reverse of stainless steel buckle.
Model 2004 Opera Meccana
Militare Last Edition (Limited Edition - 300 pieces)
Technical Features Hours, minutes, small seconds. Patented crown vanishing locking device at h. 6.
ConditionThe blackened case has a consistent wear from use as can be seen it the photos. It has honest wear but without any glaring nicks and scratches. The case back is in very good condition. The original strap has worn areas at clasp as shown in the photos.
Asking $1400.00


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Among my gifts this Christmas was a book really I wanted, Fran Tarkenton's "The Power of Failure: Succeeding in the Age of Innovation."
Fran and I are about the same age and I remember watching him playing professional quarterback in the 1960s and '70s. He was the first "scrambling" quarterback in history.
Before he came along, the quarterback would either hand the football off to a running back or drop back and pass. Nobody before him ever thought of running away from huge defensive linemen looming in to smash him into the turf.
Then years later, I heard Fran deliver a motivational message to a convention in Atlanta. I liked the things he said and the way he said them. It was one of the best speeches I had heard and, in years of journalism, I had heard plenty.
This book is about something I have long believed and have even written about in the past.
It seems we spend a lot of time and effort convincing children and those who work under us never to fail. We should do everything we can to keep from failing – always.
Some are so fearful of failure, many small children are not graded or given scores when playing sports. We can't let them fail, doncha know? They might be hurt if you tell them they failed.
So we award "participation" trophies or give every child a blue ribbon so as not to let any of them fail.
But Fran turns that on its head. Failure is a critical part of success.
The best motivator kids can have is to see that Suzy got a better grade than they did or Johnny made the team and they did not. That just makes them try harder next time.
While I was living in Sanderson, the grandkids of Travis Roberts of Marathon were top runners. Travis and William both got cross-country scholarships to college and little brother Jesse also excels in high school.
Travis once told me that the thing that most makes him run faster is the sound of footsteps of a competitor right behind him.
Competition and failure work hand in hand at providing that needed motivation to try harder.
"Fail fast, fail cheap, succeed faster," is at the heart of Fran's message. For it is through failure that we can learn what doesn't work so we can try something else that might.
After 18 years of professional football, and really starting long before he retired, Fran became a successful businessman, owning several businesses over the years, usually several at once. In fact his first "job" was when he was still in grade school delivering groceries in the neighborhood in his little red wagon.
He writes that inveterate inventor Thomas Edison tried 10,000 things before he succeeded in making the first incandescent light bulb.
Edison said he didn't fail 10,000 times. He succeeded in finding 10,000 things that didn't work. He said invention is one percent inspiration and 99 percent perspiration.
Fran Tarkenton didn't come out of the womb throwing a 60-yard touchdown pass. A 30-game winning baseball pitcher doesn't throw a 100-mile-per-hour fastball the first time he touches a baseball.
Watch a young child try to throw. The ball will go wide left, then wide right, or too short or way too long. It's only through trial and error – or trial and failure, as Fran puts it – that the throw gradually gets closer and closer to its target.
And it takes practice every day, throwing hundreds or even thousands of times a day to reach the level of success of Fran Tarkenton.
Every successful businessman has failed many times and Fran points out that those failures were critical to finding the formula that does work. Fran let many of his businesses fail when the time was right.
Don't avoid failure. Welcome it warmly for it usually is the greatest key to success.


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Galley, Howard E. The Ceremonies of the Eucharist: A Guide to Celebration. The Prayer Book Office Morning and Evening Prayer. Lanham, MD; Chicago; New York; Toronto; Plymouth, UK: A Cowley Publications Book, 1989.
should be book type:service book
Orthodox Bishop Hilarion Alfeyev: "To be a theologian means to have experience of a personal encounter with God through prayer and worship."
Resource type has been updated.


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Congratulations to Our 2019 Juried Student Exhibition Winners!
2019 Juried Student Exhibition winners announced!
2019 Juried Student Exhibition
Graduation Year
- Art & Archaeology
The annual Hood College Juried Student Exhibition is currently on view in the Hodson Gallery in the Tatem Arts Center through March 31. The show includes paintings, drawings, ceramics, and prints created by students representing a variety of majors. Guest juror, Baltimore-based photographer Antonio McAfee (www.antoniomcafee.net), and Hood College President, Dr. Andrea Chapdelaine selected several pieces to receive additional honors.
Somayyeh Kamyab, Best in Show 2D
Charlene Randolph, Best in Show 3D
Gregory Roddy, President's Choice
Lillian Ding, President's Choice
We congratulate all of the participants!
2019 Juried Student Exhibition Winners
Are you ready to say Hello?
Choose a Pathway
Information will vary based on program level. Select a path to find the information you're looking for!


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Canada and Asia. Guide to Archive and Manuscript Sources in Canada. Two volumes.
London: Mansell, (1999),
First Edition. large quarto, red boards with gilt lettering. (687)pp.; (627)pp. Mansell, Item #14209
Two volumes. Volume I: Alberta - Ontario (Toronto: Presbyterian Church in Canada). Volume II: Ontario (Toronto: United Church of Canada) - Saskatchewan Index. The author has researched and compiled a series of inventories of Asia-related documents in Canadian institutions in order to make these collections accessible to researchers unable to visit them in person. These Asia-related documents from government departments, executive offices, military records, and archives with reference to missionary endeavors include the Arab countries, Turkey, Iran and The Pacific Islands. The index has approximately 50,000 entries and is the key to the inventory bringing together the material in the missionary records, the national, provincial, local and university collections, and the photograph collections. A very fine, clean set.
Price: $50.00


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Fundamentals of Nursing: Books and Resources
Even though we are in an age where you may believe that Google is the "all-knowing one" who holds the answers to all your questions, books and traditional media of learning are still irreplaceable. There's nothing quite like the comfort of feeling the weight of a book in your bag, especially when examinations are right around the corner! This makes books all the more relevant in fields that are highly academic; nursing is one of them. And sometimes, no matter how complicated the situation, we can find answers by going back to the basics, which is why we've put together an article on the best resources and books that can be found on the fundamentals of nursing.


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I do have quite a lot of experience when it comes to tattoos, and before every tattoo, there usually is a Tattoo Consultation. For 20 years it has been not only my full time job but also my lifestyle, my hobby, and you can maybe even call it my destiny or calling? I have specialized mainly in realism and portraits, but coverups and fixups soon became a huge part of my craft. Not only thanks to the growing demand for it but also because I totally loved it. To make a horrible tattoo look beautiful became my obsession. The more advanced and difficult, the better. I do love a challenge! These are examples of improvements I have made on tattoos:
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The Tat Chat
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Your tattoos
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If you don't want your tattoo to be shown on screen, you can use the chat to ask any questions. I can't promise that I will see it, or have time to answer it. Members of my Youtube channel and Super chats will be prioritized, but I promise I will do my very best to answer as many questions as possible.
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Remember that this is a consultation only. If you want me to make a design you may want to take a look at this!Thank you so much for visiting my blog today. If you liked "Tattoo Consultation Live on Youtube", please feel free to share it with others. If you don't already, you are more than welcome to follow me on Instagram, my Youtube channel and Pinterest.
See ya!


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Sega have heard you. The cult franchise Yakuza, exclusive to Sony platforms since its inception, is now launching in the West with two new games.
The long overdue localisation for Yakuza 5 will be launching on Tuesday on PlayStation 3 in Western territories, which for some might be an unbearable wait. However the news that the first PlayStation 4 installment of the franchise will also be coming to the West will probably satisfy those loyal fans.
A brand new trailer was also shown off for the game, Yakuza Zero, showing Tokyo in a completely different light. It certainly looks rather stunning to say the least. While no announcement of when the game will be launching in the West was confirmed, the mere confirmation is a healthy sign.


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Due to inactivity, this wiki is a candidate for deletion. If you believe this wiki should remain, please post a message at the community portal, or message the Wiki Manager directly. Objections should be made before February 14.
Else Heart.Break() Wiki
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Sebastian has just landed his first job in the distant city of Dorisburg. He moves there to start his adult life and figure out who he really wants to be. Among a strange collection of people, hackers and activists he finds some true friends – perhaps even love. But can they stop the terrible deeds of the people ruling the city? And who will get their heart broken in the end?
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- Coding -


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THQ just keeps making money hand over fist. The company ended its 2007 fiscal year–its 12th consecutive year of record sales–with a 27% increase in sales and profits up to $68 million. The big hits for THQ were Supreme Commander, WWE SmackDown vs Raw 2007, and of course Cars.
Looking forward to fiscal 2008, THQ expects big things from Frontlines: Fuel of War, Juiced: Hot Import Nights, and Stuntman: Ignition, but has canceled its plans to bring Saints Row to the PS3. Apparently, the developer felt it made more sense to devote time and resources to working on the sequel, and giving that the best release possible. Presumably, that would include a PS3 version.
THQ Announces Record Sales, Profits, New Saints Row [Gamasutra]


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|Course Length
|Next Training Cohort
|20 hours
(4 Hours Per Session)
5 Sessions Total
|Advanced Manufacturing Prep (AMP) Training Center
8605 South 212th St. Kent, WA 98031
Tuesdays & Thursdays
3:00 – 7:00 p.m.
This is a 20 hour training delivered in four-hour sessions over five days. Students must attend each session to receive a certificate of completion. All sessions will take place at the AMP Training Center from 3:00 p.m. – 7:00 p.m.
Note: If social distancing prevents an in-person delivery, the course will be offered online via Zoom. More information to follow.
- AJAC Apprenticeship Employers: $400.00
- Other Employers: $480.00
- Thursday, July 30th
- Tuesday, August 4th
- Thursday, August 6th
- Tuesday, August 11th
- Thursday, August 13th
ObjectiveAJAC's GD&T course will introduce your employees to the most common GD&T concepts and principles utilized in manufacturing. This course is based on the current ASME Y14.5 Standards. Through instructor guidance, your employees will study the theory and application in using standard tolerances and GD&T, concentrating on geometric dimensioning and its relation to engineering drawings.
This course is for employers and employees working in the manufacturing industry in Washington State.
Skills AssessmentYour employees will demonstrate their understanding of GD&T theory and principles as well as best practices. The student will receive GD&T training in controls for form, profile, orientation, location, and runout. As well as learn to interpret symbols, datums, basic dimensions, material condition modifiers, and other GD&T concepts in accordance to ASME Y14.5 standards. Assessments in the form of quizzes will be administered by AJAC's instructor.
Students who successfully complete this course will receive AJAC's certificate of completion. Enroll Today!