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This week we profile Chapter 10 of the ROER4D edited volume by Laura Czerniewicz, Andrew Deacon, Sukaina Walji and Michael Glover. Titled "OER in and as MOOCs", this chapter arises investigates the experiences of educators involved in the production of four Massive Online Open Courses (MOOCs) at the University of Cape Town. The study aimed to determine how making MOOCs influences educators' open educational practices – specifically, whether they adopted OER or demonstrated other forms of open education adoption after their involvement in MOOC creation.
The findings from the study offer insights into the relationships between educators' motivations for making MOOCs, MOOC design tools, the open educational practices (OEP) that can be identified and the contradictions experienced in making MOOCs. Despite the challenges that educators faced, they largely achieved their objectives in terms of why they were driven to produce MOOCs and manifested legal, pedagogical and financial dimensions of OEP. Tensions involved in making MOOCs, adopting OER and enacting OEP point to how educators could be better supported to become more open in their educational practices.
The dataset arising from the study is available on the DataFirst Data Portal. Visit the sub-project web page to access more detail on the study, other outputs and a video interview with Lead Researcher Laura Czerniewicz.


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Woodfield Grove Tennis Club is gearing up for a great year of playing tennis!
The Winter Mixed Handicap Tournament is being played as a round robin event this year, with two groups of four pairs vying to be top finishers and a place in the final due to be held on Saturday 21 April.
Our teams are nearing the completion of their matches in the Surrey Winter League with varying degrees of success and in the full knowledge that soon they will be playing the summer league in, hopefully, much more benign conditions.
Summer beckons also with the lure of the Club tournament, which brings playing members together in all five disciplines of singles, doubles and mixed, with the finals to be played on Saturday 23 June.
Meanwhile, members will have the chance to socialise alongside both finals days and a Bingo Nite on Saturday 24 March, as well as simply hanging out with friends after a game enjoying a drink or two from the bar.
As members, these are dates for the diary.
The club is planning an Open Day in conjunction with the Great British Tennis Weekend on Sunday 13 May, offering locals a chance to come down to view the facilities, try the courts and meet our coaches and committee members.
For those looking for a great club to join, check us out at Woodfield Grove > Click HERE < and start gearing up for your summer!

subset: commoncrawl


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Asian Pacific Heritage dances its way into San Mateo
Ailee Lim, Staff Writer
May 21, 2019
Dancing is a deep-rooted tradition for many cultures around the world. Learning about a culture's dance can also be a way to learn about cultures that are not familiar to oneself. For Asian Pacific Heritage Month, the San Mateo Public Library featured traditional dancers from four different culture...
Lunar New Year Extravaganza welcomes the Year of the Pig
Pablo Pinilla, Staff Writer
January 30, 2019
It is almost the Year of the Pig. But at the Hillsdale Shopping Center, the celebration already started on Jan. 26, a few weeks before the Lunar New Year. Lunar New Year is an eastern Asian festival that marks the start of the new year according to the traditional Chinese calendar. The Lunar New Year...
Carlmont dances through the holidays
Victoria Valle Remond, Staff Writer
December 5, 2018
Victoria Valle Remond reports on the 2018 Winter Dance Show and what it means for students to be a part of Carlmont Dance.
Filipino Club dances their way into Heritage Fair with the Tinikling
Sherilyn Kuo, Staff Writer
February 23, 2017
This year Filipino Club is participating in Heritage Fair to share a bit of Filipino culture with a traditional folk dance called tinikling. Every year, Carlmont celebrates the diversity of our school at the Heritage Fair with different clubs participating in the assembly and selling food that re...


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Episode 5: March 12, 2018.
Elon Musk wants hipsters to colonize Mars to survive nuclear war. "I can't believe we still have to talk about this shit" edition: Derrick Jensen, "anarchists are rapists" and anti-trans insanity. Don't let this one slide. Cult of personality and no gods, no gurus. Quick hot take on Graeber. Another one bites the dust, Danny Vitalis, you won't be missed.


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Osteoporosis Service
This is a service that focuses on people at risk of a fracture and other conditions caused by low bone density. It aims to identify, treat and give advice to those with the condition to try and prevent fractures and poor health.
How to access the service
People that have experienced a low impact trauma may be referred to this service to have their bone density checked. If they have a bone density that indicates they have osteoporosis, they may be treated or given lifestyle and dietary advice by a team of specially trained nurses and doctors.
GPs may also directly refer to this service.


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Events for June 2, 2019
Events Search and Views Navigation
9:30 am
Café Open
Join others in our Café outside the worship center for conversation, beverages & treats before and after worship. Be considerate if you are in the break area while worship or our Sunday morning Bible Study is in session. The doors to the worship center should be closed if conversations may be heard by those worshipping. […]Find out more »
10:30 am
New Beginnings Contemporary Worship
Join us each Sunday at 10:30 am at the Asbury Main Campus for a Spirit-filled encounter with God. Our worship experience is relaxed, come as you are and participative with lots of contemporary music. Try to arrive around 10:00 am to enjoy our coffee bar and good conversation in our Café just outside the worship area […]Find out more »
New Beginnings Contemporary Worship
First Sunday each month is NEXT STEP SUNDAY...What is your next step in your walk with Christ? Join a small group? Get involved in a bible study group? Join a ministry team? Getting and staying connected with other persons who, like you, are wanting a deeper relationship with Christ is critical to your spiritual health. […]Find out more »


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What Edmonton Police Services is doing to get the public involved is terrific. Good to see this online town hall happening.
What Edmonton Police Services is doing to get the public involved is terrific. Good to see this online town hall happening.
Last edited by Admin; 04-04-2011 at 09:55 AM. Reason: Admin - edited title to reflect the nature of this thread. Original title" AWESOME"
This is to gather any feedback on the Town Hall program.
Thank you Admin.
Love it! Even if my question doesn't get answered due to time concerns, I prefer this forum to actually going to city hall or something like that. I can fit this into my schedule without any concerns. Great idea!
Thanks for the comments.
To further stay in touch with the Edmonton Police Service, we would like to encourage citizens to sign up for our monthly newsletters and crime alerts. This can be accessed via our Community Policing pages on our website. To find out what policing district you live in, please use the "FIND YOUR DISTRICT" widget on the right hand side of the page - you can use your address, neighbourhood, or Google map.
Last edited by edmontonpolice; 05-04-2011 at 09:53 AM.
I want to thank the EPS for this Online Town Hall AND the hard work they do each day. I can't imagine having the kind of job they do that comes with little recognition and lots of complaining. Thank you!!!
I'd like to thank all the members of the Edmonton Police Service for their work, and to the folks that worked hard to make this online Town Hall happen.
I hope to do this again soon!


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Socialized Medicine Would Be Better Than Obamacare. In the Meantime, Let's Waste Some Time on Some Lame, Doomed Reforms.
Anyone who has tried to sign up for Obamacare, as I have, knows that the launch of the Affordable Care Act has been — is — an unmitigated disaster.
Can it be fixed? Maybe.
But first, it's important to digest the sheer ginormousness of this bastard cross between privatized grift — a wholesale transfer of wealth from individual patients to giant insurers subject to no oversight but their own absent consciences — and a spectacularly inept government bureaucracy run by careless, corrupt, connected buffoons.
More than 2 million people are getting booted from their existing health insurance because their current plans fall short of ACA standards.
Obama's defenders say the cancelled coverage was "junk quality." Which may be true. Still, it might have been nice to tell people about this provision, which the White House was well aware of, three years ago. When the president signed the law. As opposed to, you know, assuring us of the exact opposite.
Back in 2010, it turns out, the feds estimated that 50% to 75% of all current individual policies would have to be cancelled due to the ACA. So the current crisis is likely to expand in scope.
There's no evidence that anyone has successfully purchased a plan. None. No one. Zero.
Six people managed to "sign up" on October 1st. Nationally.
As for the "signs-ups" — people who managed to register online or by phone, but couldn't choose or sign up for an actual plan — it turns out that 90% of these people are so poor that they'll get Medicaid. Only 10% might wind up buying the mandated private insurance plans. "When we first saw the numbers, everyone's eyes kind of bugged out," Matt Salo, head of the National Association of Medicaid Directors, told The Washington Post. "Of the people walking through the door, 90 percent are on Medicaid. We're thinking, what planet is this happening on?"
The United States is not a rich country — well, it's rich, but most United Statesers are poor. And anyway, who do you think is going to jam up the Intertubes to get healthcare first, 23-year-old "young invincibles" earning $10 an hour, or 53-year-old diabetics?
There may well be fewer Americans covered by insurance on New Year's Day 2014 than on 2013 — due to Obamacare.
It's been estimated that 45,000 Americans die each year because they're uninsured. In other words, according to back-of-the-envelope arithmetic, 3,800 people will die because Obama and his underlings didn't focus on the website launches until a couple of weeks before October 1st. Those are Katrina numbers. With more victims by the day.
I'm not counting those who will lose their existing plans without being able to replace them.
OK, it's easy to complain (than to sign up for Obamacare, bapadumbum). What would I do differently?
Socialized medicine. Like in England. It works.
But an intelligent, pro-human solution is not in the cards. Not in bankster-owned America. Not now, anyway. Both the Democrats and Republicans are owned by the big corporate insurers that stand to make billions from the Affordable Care Act. Before the country, and eventually its political class, get real and get serious, we'll have to waste a few years on attempts at reform.
If I were advising President Obama, here's what I'd tell him to do:
Simplify the pricing structure. The current system's complexity didn't develop organically. It's a feature. Deductibles and partial co-pays are hidden extra fees, like baggage fees charged by airlines. A plan that charges $7000 a year, but has a $3000 deductible, should be sold as a $10000 plan. Sticker shock is good. It encourages competition.
Price controls. Letting insurers charge whatever they want is ridiculous. The Department of Health and Human Services should set prices of everything from tests to drugs to visits to operations. They should squeeze the insurers to a reasonable, rock-bottom profit margin.
Eliminate sleazy out-of-network structures. Every plan should cover every doctor, every hospital, every drug. Americans shouldn't have to live in a world where they can get a procedure at their in-plan hospital only to be told later — via a surprise bill — that the anesthesiologist, who works at the hospital, isn't affiliated with it.
Suspend the stick, leave the carrot. The tax on Americans who can't afford to buy for-profit insurance is unfair and cruel to working-class Americans — those who can least afford either the coverage or the fines.
Make it a national system. Rates vary wildly, not just between states, but even by county. We're one nation. Let's pool our resources as well as our risks. Under Obamacare as it stands, people who live in rural areas pay the highest rates — even though average salaries are lower away from big cities.
Whether these reforms fail in Congressional debate due to insurance company lobbyists or get enacted but don't do enough to fix the system, they'll get us closer to what we really need: a single-payer system. You know, like the rest of the First World has.
(Ted Rall's website is tedrall.com. Go there to join the Ted Rall Subscription Service and receive all of Ted's cartoons and columns by email.)


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After the mediocre Olympics opening ceremony, I had low expectations for the closing bash. Surprisingly, it wasn't as bad as I thought with a good cast list wholly let down by a bunch of 100% 22 carat duffers.
First up we had shitty boy band One Direction atop a lorry busy lip-synching their way through what can only be described as the type of crap teeny bopper rubbish that prepubescent girls and their elder sisters go crazy over. Why on earth the UK had to embarrass itself by allowing this talentless bunch of tuneless miming muppets airtime in front of a global audience of billions is a complete mystery. It would have been a damn site more entertaining if One Direction had been simply herded into the stadium and promptly run over by the lorry so the world is never again subjected to their warbling drivel.
If that wasn't enough, up popped Russell Brand like a particularly obnoxious pond scum to murder the Beatles number "I Am The Walrus" whilst dressed as Willy Wonka although as always with the insufferable, odious, repugnant and desperately unfunny Brand, Willy Wanker would have been far more appropriate. If ever there was a troll who needs beating up, dragged into the middle of the North Sea in a mackerel trawler and dumped over the side with a couple of lead weights, it's this loathsome dickhead.
And then there was the bizarre spectacle of everything being covered in newspaper which looked as stupid as it sounds. I have no clue why anyone would regard this as a good idea but then again, if I did no doubt I'd be running the show and booking garbage acts like One Direction.
As for the rest, well the naked zombies, Morris dancing, skating nuns and an impromptu catwalk show featuring the very ordinary Kate Moss and temper tantrum diva Naomi Campbell didn't in any way elevate the spectacle any higher than "meh!".
Was there anything actually good about it? Well the Del Boy and Rodney tribute was great if fleeting and a lot of the classic acts were enjoyable, even the Spice Girls. Best of all, a magnificent fireworks display and the hand over to Brazil, who showcased a wonderful Rio inspired carnival, signalled the end of the Olympics nonsense and the next poor country to go bankrupt splashing out for the whole corrupt shindig.
Wallets out now though people, it's time to pay for this sporting scam that further enriched the business sponsors, IOC and their assorted hangers on whilst burdening the taxpayer with billions.


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The Narendra Modi-Vladimir Putin informal summit in the Russian seaside resort of Sochi, has sent out a clear message to all those who believe that India is fast gravitating to the US sphere of influence. If last month's Wuhan meeting with Chinese President Xi Jinping was about cooling tensions between the two Asian rivals, Monday's summit was to correct misconceptions that India had turned its back on Russia.
As Moscow braces for US sanctions and a new Cold War appears imminent, President Putin suggested an informal meeting with the Indian leader. Prime Minister Modi seized the opportunity with both hands. In an uncertain world, where equations are fast changing and with an unpredictable Donald Trump at the helm, Delhi is making sure it hedges its bets. It is clear now that India will play footsie with all major powers and not be tied down by Washington. The emphasis on a multipolar world, in the statement released after the informal summit, is an indication that India and Russia are on the same page on not allowing one particular country, be it US or China, call the shots. The Europeans are also on board on this.
Russia has been forced to befriend China at a time when the West is turning against Moscow. Beijing and Moscow have buried the past, a past where the US actively helped China to counter Russia. Today, though, Russia has been stripped of its super power status, its influence in world affairs remain constant. But Russia remains economically weak, and fresh sanctions will make it even more difficult. Putin and Xi Jinping have a good equation and, at the moment, Russia needs all friends it can muster. That is one reason why Putin suggested the informal summit. The Russian President also went out of his way to Modi. He broke the protocol to see off the Indian Prime Minister to the airport when he left Sochi after talks.
Personal diplomacy has become very important today. Whether it is Trump, Modi, Putin or Xi Jinping, the personal touch has come to the fore. This comes naturally to Modi, who spoke of his visit to Moscow, with former prime minister Atal Bihari Vajpayee, and flattered Putin by saying he was one of the first world leaders he met. During the boat ride in Sochi the two leaders were alone, and held intense discussions without the aid of interpreters.
The fact is that India and Russia go back a long time. The two countries have been friends from the Cold War era. Russia continues to be India's major arms supplier, and though there is competition from both Israel and the US, Moscow still dominates. Defence and nuclear cooperation has been the centre piece of India-Russia ties. At a time when India was a nuclear pariah, it was Moscow which stood steadfastly behind Delhi. The Kundunkulam nuclear power station, which was in trouble with the nuclear watchdog, was saved by calling the subsequent stages a grandfather agreement.
With the Indian defence industry long used to Russian equipment, and with the Sukhoi fighters remaining the backbone of the Indian Airforce, India is not about to turn its back on Russia. Indeed, the Sochi meeting was as much an attempt to work around the tough US sanctions which affects every country doing business with Russia. How that will be worked out remains to be seen, but Delhi is in no mood to either delay or scrap any of the deals previously agreed on. India is buying the S-400 air defence system from Russia, and Modi has assured Putin that India will not change its mind on that acquisition.
After years of cool relations with Pakistan, Russia has in recent years established ties with India's neighbours even holding military exercises with them. India had watched this development with some concern, much in the same way that Moscow viewed Delhi's growing warmth with the US. Putin has reassured India that it wanted Pakistan to ensure that jihadi groups do not further extend their tentacles in Central Asia, which Russia regards as its backyard. Moscow also wanted Pakistan's help in stabilising the situation in Afghanistan. Here, there is a divergent of views between Delhi and Moscow. India believes that Pakistan is the problem and not the solution to Afghanistan.
The flux in international geo politics, the situation in the Korean peninsular, and more immediate, the fate of the Iran nuclear deal were all up for discussions. The fate of the Chabahar project, after the American sanctions kick in is a major concern for India. Chabahar, as we all know, was meant to circumvent Pakistan and open up Afghanistan and Central Asia for trade and commerce. Insulating Chabahar from sanctions would have figured in the discussions between Modi and Putin.
Sochi gave India and Russia the opportunity to revamp ties. Neither Russia nor India, paid attention to each other in the last couple of years. That would have changed with this meeting. With an understanding at the highest level, both leaders are hedging their bets and preparing as best they can to widen their choices in case of unexpected changes in a world where past certainties can no longer be taken for granted.
Seema Guha is a senior journalist with expertise in foreign policy and international affairs.
(For all the latest News, Mumbai, Entertainment, Cricket, Business and Featured News updates, visit Free Press Journal. Also, follow us on Twitter and Instagram and do like our Facebook page for continuous updates on the go)


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Beta Program Application
Please complete this form to apply to join our Beta Test Programme.
Do not use a free email address, such as hotmail, yahoo, etc. Any application with a free/anonymous email address will not be accepted. Historically we have had very little feedback from users with free/anonymous email addresses.


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I read about the Fes Festival of World Sacred Music in 2000, and knew right away I just had to go. Something about the city of Fez appealed, though I had no idea what. The guiding principles of the Festival felt right, too: bringing harmony to a world torn apart by conflict. So it was that in 2002 I attended the Festival for the first time, and I haven't missed one since.
Started in 1994 as a response to the first Gulf War, the Festival is the brainchild of Dr Faouzi Skali, an anthropologist and Sufi scholar from Fez. He wanted to show that the world's three monotheistic faiths – Judaism, Christianity and Islam – could exist in harmony and felt that music was the way to prove it. Since those early days, the Festival has broadened its scope to include the music of other faiths: Buddhist dancing monks from Tibet, shamans from Colombia, Chinese Noh opera, Japanese drummers – the array of performers never fails to delight.
The Festival also includes the Fes Forum, an opportunity for discussion and debate on Giving Soul to Globalisation. While the concerts take place in the afternoons and evenings, the Forum is held in the mornings. There's a different theme each year: in 2017 it was Water and the Sacred; in 2018 it will be Ancestral Knowledge.
Types of tickets:
Book seats through our sister site, www.fez-riads.com. You can book for individual concerts, take a pass just for the concerts, or a pass to the concerts and the Forum.
Free events:
There are free concerts in Boujloud Square each evening starting at 22h00, and Sufi Brotherhoods perform at Dar Tazi each evening from 23h00.
Nights in the Medina:
On Monday, Tuesday and Wednesday several concerts are held each evening in various venues in the medina. These are intimate spaces, usually beautiful riads. There are carpets to sit on. You need to plan carefully which concerts you want to attend (you can't do all of them). Venues are signposted and there are lots of little boys around to show the way for a couple of Dirhams.
There are two categories of seats for the evening concerts at Bab al Makina, A and B. All seats are unreserved, but the B seats are further back. It's a huge auditorium (actually a parade ground in front of the Royal Palace) and the seating is raked, but the B seats are not at good as the A seats, as is reflected in the pricing. If you buy a pass, you automatically have A seats.
There is just one category of seating for the afternoon concerts at the Jnan Sbil Garden where seating is not raked.


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THese pictures is my build from the standard version to how it stands now.im pritty new in this world off modding and got some nice replys from clanmembers.
i will post all next pictures 1 by 1 with litle bit explanation.this case was a aerocool X 5 predator white version.the specs at the moment are bigg tower case,i5 4690k,MSI Mpower max Z97 ,16 gig corsair vengeance 1866mhz,RM 750 corsair PSU.and GFX R9 290 Tri-x Sapphire.Also complete waterloop under construction.gonna be ready in a few weeks.also made some cardboard templates arround the motherboard witch gonna be white plexiglas so i can mount my 200ml tube reservoir on the backwall.
Ps i appologize for the messy pictures,next ones will be posted one by one.newby he :-)
finally got all my peaces installed.
There are currently 1 users browsing this thread. (0 members and 1 guests)


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Provide school buses for High School students in Keswick
0 have signed. Let's get to 500!
My name is Amanda, I am a single mom of 2 kids aged 13 and 11. We just moved to the Simcoe Landing (SL) subdivision after christmas this past year and my daughter will be starting grade 9 at Keswick High School this fall (2017).
Trying to figure out transit, I was notified by other parents that there is no school bus and students are expected to take public transit to the high school.
I find this outrageous! Other school boards such as:
- Peel provide school buses for their High School Students if they are farther than 3.8kms.
- Halton provides school buses for High School students if they are farther than 3.2kms.
For those who don't know, the Simcoe Landing subdivision is off of Ravenshoe Rd. which borders East Gwillimbury and is approximately a 4-5 km distance from Ravenshoe and Queensway/Leslie to KHS. This doesn't include the distance from students homes to this location.
Other areas in Keswick are also feeling this struggle. With neighbourhoods reaching the opposite end (ie. Boyers and Metro which is approximately 6.3 kms away from Keswick High School).
In my household we always need to prepare for changes early. My son has Autism Spectrum Disorder and does not do well with change, so if there will be a change in his schedule by shifting his sisters schedule, I need to prepare him well in advance. Because of this I started looking into transportation for my daughter for the fall.
It is stated in the yrdsb policy #680.0 that the board of trustees is responsible to provide transportation services for all students deemed eligible from JK to grade 12. The policy also states that A secondary student living more than 3.2 kilometres from the nearest secondary school is eligible for Board-provided transportation.
High school students (particularly grade 9s who are still too young to work) still rely on their parents income. If the parent cannot afford transit, it may affect the childs education or family situation. Given that simcoe landing is approximately 5kms in distance, should they not be eligible? What about students who are even farther but still within Georgina?
I found out students are eligible to purchase a youth pass for transit with their student card for $111/month (which will be increasing to $118 in 2018). As a single parent with a single income, that is an added expense I am not sure I can afford and frankly worries me. As the sole provider I can't quit my job or risk losing it to drive my daughter myself and since we only recently moved here she hasn't made any friends she can go with. Not to mention even 4 kms is too far for her to walk, especially in the winter along a busy road. A child was killed years ago crossing Queensway rd.
I know I am not alone. Every year, children graduate from Georgina elementary schools and all of those grade 8 going into grade 9 students must find their own transportation or take transit. There are many students in my area who could benefit from a school bus.
Let's make a change. SCHOOL BUSES FOR KESWICK STUDENTS!
Complete your signature
0 have signed. Let's get to 500!


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Discover more Adventurers
Luís work captured the attention of Berg Outdoor, he was already a fan of the brand from an early age, so we contacted him at the beginning of 2017.
"I associated my need for equipment according to the evolution of my career as I worked with several publications for National Geographic Portugal and following interviews on the Portuguese television channel RTP. That was the main reason I became an ambassador for the brand, an attempt to take the brand around the world. " – Luis Ferreira


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MELISSA BLOCK, Host:
From NPR News, this is ALL THINGS CONSIDERED. I'm Melissa Block.
ROBERT SIEGEL, Host:
There is nothing like a dame - especially when she is outrageously funny. Dame Edna has made her way back to Broadway in a new show with singer Michael Feinstein. It's called "All About Me." Jeff Lunden reports on this unlikely duo.
JEFF LUNDEN: Michael Feinstein is a boyish crooner of the "American Popular Songbook."
MICHAEL FEINSTEIN: (Singing) My romance doesn't need a candle rising in Spain...
LUNDEN: While Dame Edna is a lavender-haired Australian drag artist with a sharp, often politically incorrect tongue.
DAME EDNA: It's lovely to be here and there's a family feeling. There's a feeling that we're all on the same page, we speak the same language, we're almost the same level - well, not quite the same level. I'm here and you're down there. There's another level - that balcony there and right at the back of it, bless their hearts, we have a slightly poorer type of a person.
LUNDEN: So, what are the two of them doing on stage together in a Broadway show? It's a question Dame Edna - who sometimes bears an uncanny resemblance to actor Barry Humphries - has been asking herself.
EDNA: It was proposed about a year ago that we might do a little show together. And I think it was Michael who said, impossible. We're so different. We're like oil and water. I remember those words. And they stung me a little, because I thought, am I oil or am I water?
FEINSTEIN: (Singing) So, let (unintelligible), all about me...
LUNDEN: The plot of "All About Me," such as it is, has Dame Edna and Michael Feinstein booked into the same Broadway theater on the same night. After much tussling, the two performers decide to do a variety show together.
EDNA: V for variety, V for vaudeville, V for vitamin - and this is a vitamin that American theatergoers lack in their diet. We're really a supplement, aren't we?
FEINSTEIN: Yes, we are.
FEINSTEIN: (Singing) It's all about me. (unintelligible), it's all about...
LUNDEN: But even if the show harkens back to the television variety shows of the 1960s, with its 12-piece big band and glitzy set, Dame Edna and Michael Feinstein insist it's anything but old-fashioned.
EDNA: This is a cutting-edge show. It's cool. It's hip. It's a gas. It is.
FEINSTEIN: Well, it is true that Edna does sing some very contemporary material in this show very, very well. And I must say she gets greater reaction than Amy Winehouse or Beyonce do with their renditions.
EDNA: (Singing) "Cause if you want it, then you better put a ring on it. If you want to then you should of put a ring on it...
LUNDEN: And Dame Edna gets to show off a selection from "The Great Australian Songbook," as she explains to Michael Feinstein.
EDNA: "The Great Australian Songbook" is a thin volume, I'm not denying it. It's almost wafer thin.
LUNDEN: But what are some of the songs in it?
EDNA: Oh yes, I'm sorry, I'm not addressing your question. Well, there's "Waltzing Matilda," which is our iconic song. But...
LUNDEN: What about page two of "The Great Australian Songbook"?
EDNA: Let me think. Oh, advertisements on page two and halfway down page three. Squeezed in between these are immortal ditties. For example, "Tie Me Kangaroo Down," which is about animal bondage. It's an acquired taste.
LUNDEN: I don't know that one.
EDNA: Even the animals have difficult acquiring it. But the most popular song in Australia at the moment without any question is called "The Dingo Ate My Baby."
EDNA: (Singing) The dingo ate my baby. It wasn't a horrible hoax. I don't care what they say at the ASPCA. I hope that nasty dingo chokes. So, if you are nursing a baby, remember the peril is real. What looks to you and your hubby, like a toddler so pink and so chubby, is a dingo's favorite meal.
LUNDEN: For NPR News, I'm Jeff Lunden in New York.
EDNA: If you just tuned in, this is Michael Feinstein and me, Dame Edna, talking a little intimately, perhaps even letting the cat out of the bag just a little for the benefit of that minority group of Americans who listen to this network.
Copyright © 2010 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.
NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR's programming is the audio record.


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- Please call us for FREE help:
- (866) 531-0695
Blanco Home Health Care Corp.
604606 Nw 25th Ave, Miami, FL
- In-Home Care
Payment Options
- Medicare No
- Medicaid No
- Veteran's Benefits No
- Long Term Care Insurance No
- Subsidy Available No
User Reviews
Do you reside in or have a loved one in Blanco Home Health Care Corp. ?
To be the first to provide feedback on Blanco Home Health Care Corp. click here...
Description of Blanco Home Health Care Corp. in Miami, FL
Number of Beds : 14
Blanco Home Health Care Corp., located in Miami, Florida provides the following services: In-Home Care. Blanco Home Health Care Corp. has an average hospital, University Of Miami Hospital, located nearby, which scored a 73 out of 100 in its most recent Medicare review. The Blanco Home Health Care Corp.'s nearest hospital is 1 miles away. The zipcode (33013) in Florida, where Blanco Home Health Care Corp. is located, has a below average safety rating based on recent crime statistics.
Blanco Home Health Care Corp. is an in-home care provider. In Home care could be either medical ("skilled") or non-medical ("custodial") support services delivered at the home of the senior. "skilled" service providers who usually provide various medical care needs and "custodial" care providers who provide services for daily living such as bathing, dressing, and meal preparation but may also extend to assistance with transportation, paying bills, making appointments, and simply being there to provide companionship and emotional support. Home Care services are generally available 24 hours a day, seven days a week and are sometimes paid for directly by the client or through a variety of public and private funding sources such as Medicare and/or Medicaid. Make sure you know your loved one's Medicare and Medicaid eligibility, and understand how you can use tools like long term care insurance to pay for in home care.
Source: SNAPforSeniors, Inc.
Demographic Profile for Miami, FL, 33013
Cost Of Living
Compared to the National Average
Provided By EPA; Closer to 100 is better
Annual Crime
Nearby Hospitals
University Of Miami Hospital1400 Nw 12 Th Ave
Miami FL 33136
University Of Miami Hospital & Clinic1475 Nw 12 Th Ave
Miami FL 33136
Miami Va Medical Center1201 N W 16 Th Street
Miami FL 33125
Jackson Health System1611 Nw 12 Ave
Miami FL 33136
Nearby Drug Stores
Med Express Pharmacy Corp888 Nw 27 Th Ave
Distance: 0.2 miles
(305) 643-6800
Sta Amalia Pharmacy, Inc.2170 Nw 7 Th St
Distance: 0.2 miles
(305) 631-8330
Sst Medical Equipment Inc3130 Nw 7 Th St
Distance: 0.2 miles
(305) 644-3446
Nearby Churches
First Spanish United Church2480 NW 7th St
Miami, FL
Distance: 0.0 miles
St Michael's Catholic Church2987 W Flagler St
Miami, FL
Distance: 0.6 miles
Comunidades De Formacion1601 NW 27th Ave
Miami, FL
Distance: 0.7 miles
Nearby Parks
Fern Isle ParkMiami, FL
Distance: 0.5 miles
Miami Police Benevolent Association2300 NW 14th St
Miami, FL
Distance: 0.5 miles
Miami River Rapids Mini ParkMiami, FL
Distance: 1.0 miles


text:
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JSM Exhibitor, Sponsor, and Recruiter Cancellation Policy
Exhibitor cancellations will be refunded prior to May 1, 2018, less 50% per booth. No refunds will be given after May 1, 2018. Cancellations must be submitted in writing to Exhibits Manager, Joint Statistical Meetings, 732 North Washington Street, Alexandria, VA 22314 or email@example.com.
Sponsor opportunities are not refundable. On a case-by-case basis, sponsorship commitments may be transferred to other opportunities.
Career Service payments are nonrefundable once the recruiter has accessed the online service and posted jobs or reviewed candidates. Other recruiter cancellations will be refunded prior to June 1, 2018, less 50%. No refunds will be given after June 1, 2018.


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IVECO powered 160kVA generator set
An apple and juice production company in Portadown, Co. Armagh, UK use an IVECO powered 160kVA generator set to maintain a cold store for fresh fruit. This operates 24 hours a day, 7 days a week. After four weeks of using PD-5 Fuel Boost+ in their diesel generator they saw a 19% reduction in fuel consumption.
PD-5 Fuel Boost+ contains propanol and should be handled carefully as it is flammable. Open the bottle in a well-ventilated space and store in the shade between 5c and 30c.


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With the bull market now 6 1/2 years old, some of Wall Street's investing pros warn that it's a good time to begin preparing for an eventual end to the bull market.
Others think that you can stay bullish, but they recommend having greater exposure to some industries than others.
"We believe Energy and Industrial positions should generally be reduced heading into yearend as operating disappointments are likely through 1Q16, in favor of over weights on Health Care and consumer exposed Tech companies and select Financials and Consumer companies," Deutsche Bank's David Bianco wrote in a note to clients Sunday.
Bianco offered a list of the big companies to invest in for the upcoming year. They're all rated Buy by Deutsche Bank analysts. We've compiled that list, which features companies with market caps over $10 billion, price-to-earnings ratios below 22, and positive 2015 earnings per share growth.
The companies are assembled below by industry, along with Deutsche Bank's price target, the company's share price when the note was published, the company's price-to-earnings based on 2015 earnings per share, and Deutsche's 2016 projections for earnings per share growth. Additionally, for the companies that have reported Q3 earnings, we've pulled a quote from an executive during the earnings conference call if available.
Check out the stock picks below.
Bank of America
Ticker: BAC
Industry: Banks
Price Target: $19
Current Price: $17.09
Current P/E: 12.1
Projected 2016 EPS Growth: 10%
Executive Comment: "So, in the context of the environment we faced, we are operating what we feel is a solid quarter, and as evidenced, the continuing progress on our strategy, our strategy of responsible growth with our customs," said CEO Brian Moynihan.
Ticker: KEY
Industry: Banks
Price Target: $16
Current Price: $13.38
Current P/E: 12.3
Projected 2016 EPS Growth: 10%
Executive Comment: "The other thing that we've said before about our business model that I think is really important is when there is a little bit of dislocation in the market, we feel like that's a great opportunity for us because there are certain shops that are focused on one product, the ability to go to one market," said Chris Gorman, president of corporate banking. "And as we think about serving our clients and we can look broadly across markets, we think when there is a little dislocation and everything isn't flashy and green, that's a nice opportunity for us to really come in and serve our clients."
M&T Bank Corp
Ticker: MTB
Industry: Banks
Price Target: $132
Current Price: $123.02
Current P/E: 16.3
Projected 2016 EPS Growth: 16%
Executive Comment: "[G]rowth in net interest income and certain other revenue categories combined with well-controlled operating expenses, which enabled us to maintain solid efficiency ratio, slightly improved from both last quarter and last year's third quarter," said CFO René Jones.
PNC Financial Services Group
Ticker: PNC
Industry: Banks
Price Target: $49
Current Price: $42.41
Current P/E: 12.5
Projected 2016 EPS Growth: -1%
Executive Comment: "With all of this, despite the challenges that we and the rest of the industry continue to face in the current environment, I do like how PNC is positioned," said CEO William Demchak. "I continue to believe we have the right model, capabilities, culture and people to continue to manage what is in our power to control and to deliver for the customer, shareholders, and communities that we serve."
SunTrust Banks
Ticker: STI
Industry: Banks
Price Target: $49
Current Price: $42.41
Current P/E: 11.9
Projected 2016 EPS Growth: 0%
Executive Comment: "Our strategies of optimizing our business mix and balance sheet, investing in growth opportunities, and improving efficiency continue to yield positive results, creating value for our clients and shareholders," said CEO Bill Rogers.
US Bancorp
Ticker: USB
Industry: Banks
Price Target: $47
Current Price: $43.00
Current P/E: 13.7
Projected 2016 EPS Growth: 5%
Executive Comment: "We're operating from a position of strength as we grow revenue, as we manage expenses, as we seek to exceed customer expectations, and as we create value for our shareholders in the demanding marketplace," said CEO Richard Davis.
Wells Fargo
Ticker: WFC
Industry: Banks
Price Target: $60
Current Price: $55.09
Current P/E: 13.2
Projected 2016 EPS Growth: 4%
Executive Comment: "As the US and the world economies evolve, Well Fargo remains focused on the building blocks of our growth," said CEO John Stumpf. "Increasing the number of household reserve, adding commercial relationships, deepening consumer and commercial relationships, and growing loans and deposits, this focus will benefit our long-term growth while we continue to meet our customers financial needs and navigate the challenges of today's economy."
Ameriprise Financial
Ticker: AMP
Industry: Capital Markets
Price Target: $138
Current Price: $115.41
Current P/E: 12.5
Projected 2016 EPS Growth: 14%
Executive Comment: "When we look at our brand and reputation, it is one of the best in financial services. I believe, over that time, we've earned an excellent track record of growth and return and for making thoughtful decisions in the interest of our clients, advisors, employees and shareholders," said CEO James Cracchiolo. "Though markets have recently become more challenging, we remain focused on navigating the environment while we look to continue to generate good returns over time."
Bank of New York Mellon
Ticker: BK
Industry: Capital Markets
Price Target: $47
Current Price: $42.45
Current P/E: 14.9
Projected 2016 EPS Growth: 12%
Executive Comment: "We continue to identify additional opportunities to reduce corporate overheads and to leverage scale and operations, technology, and distribution in both investment services and investment management while continuing to deliver a high level of service to our clients," said CEO Gerald Hassell.
Ticker: BLK
Industry: Capital Markets
Price Target: $388
Current Price: $349.66
Current P/E: 18.1
Projected 2016 EPS Growth: 6%
Executive Comment: "Diversification across investment styles, distribution channels, products, and geographies enables us to serve clients irrespective of market environment or investment preference," said CFO Gary Shedlin. "Our goal remains to deliver consistent and differentiated growth overtime."
T. Rowe Price Group
Ticker: TROW
Industry: Capital Markets
Price Target: $82
Current Price: $75.38
Current P/E: 16.5
Projected 2016 EPS Growth: 8%
Executive Comment: "Within this environment our investment teams have generally done well for our clients. Over the one, three-, five-, and 10-year time periods the majority of our portfolios have outperformed both their respective indices and competitors," said CEO James Kennedy in the company's press release.
Abbott Laboratories
Ticker: ABT
Industry: Health Care Equipment and Supplies
Price Target: $53
Current Price: $45.24
Current P/E: 21.1
Projected 2016 EPS Growth: 10%
Executive Comment: "Abbott remains uniquely positioned with our diverse set of healthcare businesses to capitalize on these trends, from birth to older adults and from diagnosis to treatment, in pharmaceuticals and innovative medical devices," said CEO Miles White.
Ticker: MDT
Industry: Health Care Equipment and Supplies
Price Target: $90
Current Price: $73.76
Current P/E: 17.2
Projected 2016 EPS Growth: 2%
Executive Comment: N/A
Ticker: SYK
Industry: Health Care Equipment and Supplies
Price Target: $112
Current Price: $95.85
Current P/E: 18.2
Projected 2016 EPS Growth: 10%
Executive Comment: "But you've seen over the past three years we've been experiencing great growth. I would say it's primarily market-driven, but in some cases we are taking market share. But I would first look at the market as being the major driver," said CEO Kevin Lobo.
Allergan plc
Ticker: AGN
Industry: Pharmaceuticals
Price Target: $305
Current Price: $304.38
Current P/E: 20.4
Projected 2016 EPS Growth: 0%
Executive Comment: N/A
Endo International PLC
Ticker: ENDP
Industry: Pharmaceuticals
Price Target: $88
Current Price: $60.38
Current P/E: 13.1
Projected 2016 EPS Growth: 28%
Executive Comment: N/A
Ticker: MYL
Industry: Pharmaceuticals
Price Target: $66
Current Price: $45.78
Current P/E: 10.9
Projected 2016 EPS Growth: 13%
Executive Comment: "I would like to remind everyone again that Mylan has successfully integrated several large and highly complex transactions dealing with multiple geographies, new business areas, and convoluted structures, including operating metrics as a majority-owned controlled public entity for several years," said President and Executive Director Rajiv Malik.
Perrigo Company PLC
Ticker: PRGO
Industry: Pharmaceuticals
Price Target: $187
Current Price: $165.81
Current P/E: 21.7
Projected 2016 EPS Growth: 22%
Executive Comment: "This quarter again provided evidence of our unique catch pay business model, the strength of our global platform, and the unrivaled position of our consumer healthcare business," said CEO Joseph Papa.
American Airlines Group
Ticker: AAL
Industry: Airlines
Price Target: $54
Current Price: $45.86
Current P/E: 5.1
Projected 2016 EPS Growth: -39%
Executive Comment: "As we conclude 2015 and complete our plans for 2016, we will continue to focus on completing our remaining integration items, investing in the airline by renewing our fleet, improving our operational performance, and returning excess cash to our shareholders," said CEO William Parker.
Delta Air Lines
Ticker: DAL
Industry: Airlines
Price Target: $55
Current Price: $50.50
Current P/E: 11.0
Projected 2016 EPS Growth: 0%
Executive Comment: "By prudently managing all aspects of our business, we can make strong progress against our financial targets and continue to work towards earning the premium valuation of other high-quality industrials who produce similar results to Delta's," said CEO Richard Anderson.
Southwest Airlines
Ticker: LUV
Industry: Airlines
Price Target: $54
Current Price: $45.82
Current P/E: 12.8
Projected 2016 EPS Growth: 2%
Executive Comment: "We're exceptionally well-positioned for future growth, and that will continue dependent upon our continued success with our low-fare brand, which of course is built with low-cost and our transparency. And we're exceptionally well-positioned for future growth, but also dependent upon our continued success with our customer service and especially the hospitality of our people, which is something that Southwest is beloved by our customers for," said CEO Gary Kelly.
United Continental Holdings
Ticker: UAL
Industry: Airlines
Price Target: $74
Current Price: $60.25
Current P/E: 5.0
Projected 2016 EPS Growth: -40%
Executive Comment: "As we move into 2016, we will begin lapping many of the headwinds to run your performance and expect quarter-over-quarter PRASM improvement," said Chief Revenue Officer Jim Compton. "We are working to return PRASM growth, which will be supported by our advancement in our operation, network, and customer service."
Cisco Systems
Ticker: CSCO
Industry: Communications Equipment
Price Target: $35
Current Price: $29.14
Current P/E: 16.7
Projected 2016 EPS Growth: -5%
Executive Comment: N/A
Alliance Data Systems
Ticker: ADS
Industry: IT Services
Price Target: $341
Current Price: $297.85
Current P/E: 19.8
Projected 2016 EPS Growth: 13%
Executive Comment: "Looking forward, our outlook remains bullish for a number of reasons," said CEO Charles Horn. "First, we have signed a number of new, currently unannounced clients. Second, a robust pipeline that will enable us to continue signing $2 billion annual vintages. Third, our ability to leverage joint opportunities across our lines of business such as with Toyota (16:17), an Epsilon client, becoming a Card Services client. And lastly, our ability to use data insights to drive further tender share within our existing partnerships."
Applied Materials
Ticker: AMAT
Industry: Semiconductors
Price Target: $20
Current Price: $16.74
Current P/E: 14.1
Projected 2016 EPS Growth: 7%
Executive Comment: N/A
Lam Research
Ticker: LRCX
Industry: Semiconductors
Price Target: $95
Current Price: $75.84
Current P/E: 15.0
Projected 2016 EPS Growth: 23%
Executive Comment: "We are positioning the company for continued outperformance by focusing on our commitment to helping our customers solve their most critical challenges, through the delivery of differentiated products and services in the market-expanding technology inflections," said CEO Martin Anstice in the company's press release.
American Electric Power Company
Ticker: AEP
Industry: Electric Utilities
Price Target: $62
Current Price: $56.21
Current P/E: 15.0
Projected 2016 EPS Growth: -1%
Executive Comment: "We will continue to focus on infrastructure development, technology, and resources of the future and a renewed focus on the customer experience," said CEO Nick Akins. "Our investors expect consistency in quality of earnings and dividend growth, so any decision we make should be viewed through the lens of being the next premium regulated utility."
Ticker: EXC
Industry: Electric Utilities
Price Target: $42
Current Price: $28.59
Current P/E: 11.9
Projected 2016 EPS Growth: 6%
Executive Comment: "We are pleased with the performance we've delivered for the shareholders this year despite the significant market and regulatory headwinds," said CEO Christopher Crane. "We always work hard to serve our customers and communities better."
NextEra Energy
Ticker: NEE
Industry: Electric Utilities
Price Target: $112
Current Price: $101.78
Current P/E: 18.0
Projected 2016 EPS Growth: 9%
Executive Comment: "I am as enthusiastic as ever about our future prospects," said CEO James Robo. "FPL, Energy Resources, and NEP all have an outstanding set of opportunities across the board, and we continue to execute well against all of our strategic and growth initiatives."
CMS Energy
Ticker: CMS
Industry: Multi-Utilities
Price Target: $37
Current Price: $35.75
Current P/E: 18.9
Projected 2016 EPS Growth: 6%
Executive Comment: "Overall, the business is operating at a very high level and we're setting company records in safety, reliability, and generation," said CEO John Russell.
Public Service Enterprise Group
Ticker: PEG
Industry: Multi-Utilities
Price Target: $46
Current Price: $41.44
Current P/E: 14.3
Projected 2016 EPS Growth: -2%
Executive Comment: "We have maintained a disciplined approach to investing as our strong financial position supports growth without the need to issue equity," said CEO Ralph Izzo. "We intend to utilize our financial strength to meet the high standards for reliability expected by our customers and enhance the returns required by our shareholders."
Get the latest Bank of America stock price here.


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This guidance for health professionals from Great Ormond Street Hospital (GOSH) is on manual exchange blood transfusion protocol.
The complications of sickle cell disease and their prevention including acute chest syndrome, stroke and multi-organ failure constitute the commonest group of disorders for which exchange transfusion is indicated.
Red cell exchange transfusion may also be undertaken for other indications, including:
Haemolytic disease of the newborn with hyperbilirubinaemia and/or anaemia.
Polycythaemia (haematocrit (Hct) >65%).
Severe malaria (parasitaemia >10%).
The inadvertent administration of RhD positive blood components to RhD negative individuals.
Some cases of drug toxicity (as advised by the National Poisons Information Service).
Hyperleucocytosis eg pertussis, AML.
Usually the aim of exchange transfusion is to remove red cells but since whole blood is drawn white cells, platelets and plasma are also removed (hence use in hyperleucocytosis).
Apheresis is also available at GOSH, however in PICU or NICU emergency manual exchange transfusion will be undertaken in the above circumstances.
Irrespective of the indication, it is important that the procedure is iso-volumetric so that the circulating volume is stable throughout the procedure (Rationale 1), that it is performed by experienced staff who are familiar with the procedure and that it is undertaken following discussion with the responsible consultant.
The indication for exchange transfusion will determine the volume of blood to be exchanged. Thus, a partial exchange, single volume or double volume exchange may be required.
Normal circulating volume at different ages and gestation
premature infants - 90-100ml/kg
term infants - 80-90ml/kg
infants over three months of age and children - 70ml/kg
This guideline is appropriate for infants, children and young people who weigh under 50kg. For individuals weighing more than 50kg an exchange transfusion will be calculated in units of blood rather than mls/kg.
Different specifications of red cell components are available for use in neonates and children in the UK requiring transfusion (see Appendix 1). These guidelines are to be read in conjunction with the Blood Transfusion Policy, available internally to GOSH staff on the intranet.
Be aware that parents may be unwilling for their child to be transfused for a variety of reasons, including religious or cultural views. Approach the subject sensitively and discuss with the consultant if there is refusal.
Types of manual exchange transfusion
Single volume exchange transfusion (SVET)
Volume exchanged - single circulating blood volume (check age and gestation) 70-100mls/kg.
Duration - two hours.
Double volume exchange transfusion (DVET)
Volume exchanged - 2 x circulating blood volume (check age and gestation) 140-200mls/kg.
Duration - two to four hours.
Exchange transfusion for sickle cell disease
Volume exchanged 1.5-2 x red cell volume 40-50mls/kg.
Duration - two to four hours.
Partial exchange transfusion for polycythaemia
Volume exchanged (ml) = (Weight in kg) x (blood volume) x (Hct of patient - Hct desired) divided by Hct of patient.
Duration - two hours.
Replacement fluids
Red cells for transfusion have a haematocrit between 0.5-0.7, whilst the desired final haematocrit of the child should be <0.45 in most circumstances.
Thus, replacement fluid usually 0.9% saline or sometimes 4.5% human albumin solution (HAS) is given as well as red cells in a ratio that will give an overall HCT of 0.45.
Volume of replacement fluid (ml) = volume of red cell unit (ml) x (Hct of unit - Hct desired) divided by Hct desired.
Unit of red cells contains 240mls and Hct is 0.6; desired Hct is 0.45.
Volume of HAS or saline (mls) = 240 x (0.6 - 0.45) = 80mls of replacement fluid divided by 0.45.
Acute complications of exchange transfusion
Fluid overload which may require diuretic therapy (Rationale 2).
Metabolic disturbances, such as hyperkalaemia associated with tall, peaked T waves and arrhythmias on ECG or metabolic acidosis especially in small or critically ill children; both require correction.
Citrate toxicity, which causes hypocalcaemia leading to paraesthesia and rarely tetany, especially following neonatal exchange transfusion as these red cells are suspended in CPD (citrate, phosphate and dextrose). Tachycardia, U waves and increased QT interval can be seen on ECG. A calcium infusion (1-2ml/kg of 10% calcium gluconate given slowly via a central line) may be required to correct hypocalcaemia. Hypomagmesaemia may also occur.
Hyperkalaemia, which is worsened by hypocalcaemia, may occur and cause cardiac arrythmias, with peaked T waves requiring calcium infusion (1-2ml/kg of 10% calcium gluconate given slowly via a central line).
Rebound hypoglycaemia following transfusion (30 minutes to two hours) as the glucose content within the blood may stimulate insulin secretion.
Hypothermia, especially in neonates; ensure that transfused blood is warmed (Rationale 3).
Anaphylactoid reactions requiring adrenaline, antihistamine +/- coticosteroid.
Hypotension due to other causes such as hypovolaemia, or underlying sepsis.
Hypertension (if the diastolic rises by >20mmHg, slow down transfusion and stop if diastolic continues to rise or >100mmHg). In children with sickle cell disease, check full blood count (FBC) to ensure that haemoglobin (Hb) is <120g/L and Hct <0.40.
Hyperviscosity especially in those with sickle cell disease or hyperleucocytosis.
Fitting (rare, but can occur as a result of hyperviscocity) in patients with sickle cell disease if Hb is allowed to rise to >120g/L (or Hct >0.40) whilst there is a significant amount of HbS in the circulation. May also occur with cerebral involvement by malaria and requires anticonvulsant therapy.
Line complications including infection and thrombo-embolism.
Thrombocytopenia especially following large volume exchanges (Rationale 4); a platelet transfusion may be required to maintain platelet count at acceptable levels in critically ill infants.
Coagulopathy, which may require correction with octaplas and/or cryoprecipitate (Rationale 5).
Necrotising enterocolitis (NEC). Rapid withdrawal of blood from a umbilical venous catheter (UVC) induces negative pressure that may be transmitted to mesenteric veins, which may contribute to NEC.
Inform Blood Transfusion Laboratory if any reaction to a blood transfusion occurs (ext 8527) or out of hours bleep the biomedical scientist on call (bleep 0590).
Process for exchange transfusion
Preliminary investigations
FBC, blood group, antibody screen and crossmatch, HbS% (HbS percentage) in sickle cell patients, urea and electrolytes (U&Es), liver function tests (LFTs), calcium (Ca2+), arterial blood gas (ABG), clotting studies.
Isovolumetric method (preferred method)
Syringes (5ml, 10ml, 20ml, 50ml), needles and three-way tap.
0.9% saline or 4.5% human albumin solution, heparinised saline and Hepsal flushes.
High flow infusion pump, IVAC and IV giving sets.
Blood giving set, with a warming coil for neonates (Rationale 3 and 6).
Paediatric venesection bag(s), available from Blood Transfusion, and sharps bin.
Slow removal of aliquots <5ml/kg from an arterial line, central or peripheral (or central venous) line and simultaneous continuous infusion into a vein, central or peripheral.
If a venous line is used for withdrawing blood then a different one should be used for blood infusion.
A meticulous record of input and output must be maintained to ensure isovolaemia.
Monitor pulse and blood pressure every 15 minutes unless continuous cardiorespiratory monitoring is available; check temperature every hour.
This method should not cause fluctuations of blood volume and pressure.
- Commence infusion of blood at predetermined rate (two to four hours) through venous line.
- Arterial line needs three-way tap attached.
- Peripheral arterial line needs to have heparinised saline syringe attached to end of three-way tap (Rationale 7).
- Turn three-way tap on to child. Slowly aspirate predetermined aliquot (dependent on age and size of child or infant) into syringe. Do not stop movement of flow when using a peripheral arterial line.
- Turn the three-way tap off to the child and discard blood into venesection bag, available from Blood Transfusion.
- Heparinised saline should run between cycles through arterial line at 0.5-1ml/hour.
- Repeat blood removal from arterial/central/peripheral venous line every 15 minutes, ensuring at all times that the volume being removed roughly keeps pace with volume being replaced by pump.
- Rapid changes in blood volume may cause hypotension, cardiac arrhythmias, hypoxia and metabolic instability.
- Check clotting halfway through procedure if performing a DVET and if abnormal treat with octoplas and or cryoprecipitate.
- Procedure usually takes 90-120 minutes (SVET) or two to four hours (DVET).
Post exchange transfusion
Coagulation studies.
U&Es including calcium and magnesium.
Blood gas and glucose.
Continuous cardiorespiratory monitoring on intensive care unit or at least four-hourly observations.
Observe appearance of abdomen in neonates for 24-48 hours and consider keeping infant Nil By Mouth for four hours post exchange (Rationale 8).
When using an umbilical arterial or venous line inspect toes, feet and buttocks for signs of circulatory compromise.
Sickle cell disease
Indications for emergency exchange transfusion in sickle cell disease
Acute cerebrovascular accident (stroke).
Acute sickle chest syndrome resulting in respiratory failure (clinically defined as an increasing oxygen requirement in a tiring child).
Non-resolving mesenteric ('girdle') syndrome - silent, distended abdomen.
Multi-organ failure.
Fulminant priapism lasting >4 hours despite other measures.
(CVA and acute chest syndrome are the commonest reasons for PICU admission.)
Elective indications in sickle cell disease
Exchange transfusion may be undertaken electively in preparation for a planned surgical procedure to reduce the risks of surgery/anaesthesia or to improve its outcome. Elective transfusions are, as a rule, performed by the local hospital prior to admission to GOSH.
Partial exchange transfusion - manual or automated - may be required to achieve optimum Hb and/or HbS levels.
Aims of exchange transfusion in sickle cell disease
To reduce HbS to <30% to prevent further vaso-occlusion; if the child is a double heterozygote, the combined abnormal haemoglobins need to be reduced to <30% eg HbS + HbC.
To improve oxygen-carrying capacity.
To correct anaemia and achieve a final Hb < or = 120g/L.
Initial investigations
Group, antibody screen and crossmatch (2ml blue top EDTA sample).
Ensure that the Blood Transfusion Laboratory is aware that the blood is required for a child with sickle cell disease, and they will provide ABO, Rh and K compatible (Rationale 9), HbS negative red cells. An extended red cell phenotype is usually requested in the first year of life and should be available from SpICE or the Blood Transfusion Laboratory at the local hospital.
An HbS percentage is required before exchange transfusion only if the child has been transfused within the preceding four months (Rationale 10). This can be performed out-of-hours in exceptional circumstances, discuss with the on-call haematology biomedical scientist (bleep 0596) and the laboratory haematology SpR (available via switchboard).
A total exchange of 1.5-2 times a child's red blood cells volume is required. Whole blood is withdrawn and this is replaced by packed red cells and normal 09.% saline.
Volume of blood to be requested from Blood Transfusion in mls = 50 x weight (kg)
Important considerations for procedure in sickle cell disease patients.
If Hb <60g/L start by transfusing 5ml/kg red cells then proceed to venesection (Rationale 11).
If Hb >60g/L start by giving a bolus of 10ml/kg of normal saline, then proceed to venesection.
Venesect 30ml/kg and replace with 20ml/kg of red cells in the first cycle. This process should take about 120 -180 minutes, depending on the rate of flow of blood and the clinical condition of the patient.
Check FBC midway through the exchange.
Do not routinely use diuretics (Rationale 12).
In the second and subsequent cycles, 30ml/kg of red cells should be venesected and replaced by 15ml/kg of red cells. Thus in total, 60ml/kg is venesected and replaced with 35ml/kg of red cells plus 25ml/kg of saline. However, if the starting Hb is >100g/L further vensection will be required.
It is important that the final Hct does not exceed 0.4.
Post exchange transfusion
If the final Hb >120g/L and/or Hct >0.4, venesection will be required (where venesecting 5mls/kg will reduce the haemoglobin by 10g/L).
If final Hb <90g/L, further transfusion will be required (where transfusing 4ml/kg will increase the haemoglobin by 10g/L).
HbS percentage aiming for <30% if homozygous (HbSS) or <15% in double heterozygote. If this has not been achieved after the second cycle, please discuss with the laboratory Haem SpR to discuss whether a parial axchange transfusion or top-up transfusion is required.
Monitor arterial blood gases where acute chest syndrome is the indication for exchange transfusion (Rationale 13).
Monitor neurological status where stroke or other neurological complications are the indication for exchange transfusion.
Where there is a single site of vascular access available, the exchange is performed sequentially.
'Push and pull' method
If the Hb <60g/L start by transfusing 5ml/kg red cells then proceed to venesection (Rationale 11).
If the Hb >60g/L, give a bolus of 10ml/kg of normal saline, then venesect 10ml/kg in aliquots of 10-50ml.
Transfuse 5ml/kg of red cells over 30-45 minutes.
Venesect a further 10ml/kg, then transfuse 10ml/kg red cells over 90 minutes.
Give a further bolus of 5ml/kg normal saline, then venesect 10ml/kg.
Transfuse 5ml/kg red cells over 30-45 minutes.
FBC to check Hb, if Hb <60g/L transfuse 5ml/kg red cells (Rationale 11).
Give a bolus of 5ml/kg of normal saline.
Venesect 10ml/kg, then transfuse 5ml/kg of red cells over 30-45 minutes.
Venesect a further 10ml/kg, then transfuse 5ml/kg red cells over 30-45 minutes.
Give a bolus of 5ml/kg of normal saline, then venesect 10ml/kg.
Transfuse 10ml/kg red cells over 90 minutes.
Haemolytic disease of the newborn
With the introduction of routine antenatal anti D prophylaxis, severe Haemolytic Disease of the Newborn (HDN) requiring exchange transfusion is uncommon (Rationale 14).
However, HDN may occur in mothers who are already sensitised, or may be due to ABO incompatibility or antibodies against other red cell antigens.
Aims of exchange
To prevent kernicterus due to hyperbilirubinaemia (Rationale 15).
To correct severe anaemia.
To remove antibody-coated red cells.
Initial investigations
FBC, U&Es, LFTs, Calcium (Ca2+).
Blood glucose.
Arterial blood gas.
Blood Group (ABO and RhD typing) and antibody screen- ensure that the Blood Transfusion Laboratory is aware that the blood is required for a neonatal exchange transfusion and they will supply irradiated, CMV negative neonatal red cell.
Maternal crossmatch sample for blood group, antibody screen and indirect antiglobulin test.
Vascular access
An umbilical venous catheter and/or umbilical arterial catheter is preferred, but peripheral arterial and venous lines can be used.
Volume of blood required (mls) = 160-200 x weight (kg).
Check age and gestation.
Important considerations
A double volume exchange will remove 90% of the initial red cells and 50% of the intravascular bilirubin.
A single volume exchange will remove 75% of red cells and this may be performed when severe anaemia with heart failure is the main problem, rather than hyperbilirubinaemia.
The exchange transfusion should be carried out by experienced staff who are familiar with the procedure in NICU.
Continuous maximum phototherapy should be given throughout the procedure (NICE Guidance CG98 2010 updated August 2014).
Ensure adequate hydration throughout the process.
The infant should be Nil By Mouth and and procedure will take two to four hours depending on the size of the child and their clinical stability.
Inspect toes, feet and buttocks for signs of circulatory compromise, if using umbilical arterial or venous catheter.
Check FBC, Bilirubin, arterial blood gas midway through the exchange.
Post exchange transfusion
Investigations after exchange transfusion - FBC, LFTs, Bilirubin, U&Es, Ca2+ , blood glucose within two hours.
Phototherapy should be resumed until satisfactory fall in bilirubin is achieved and sustained (Rationale 16).
Dilutional partial exchange transfusion in neonates for polycythaemia
Neonatal polycythaemia may manifest as jitteriness, hypoglycaemia or apnoea, or may be asymptomatic. It is more likely to occur in infants with placental insufficiency, infants of diabetic mothers, twin-twin transfusion and those with trisomy 13, 18 or 21.
Aim of a partial dilutional exchange transfusion
To prevent hyperviscosity which may be associated with sludging in small vessels, thrombosis or bleeding.
To reduce Hct to 55%.
Indications for dilutional exchange transfusion in neonates
Recommended if Hct >75 even if the infant is asymptomatic.
Consider if Hct 65-74 and symptomatic.
Initial investigations
FBC including Hct, U&Es, LFTs, Ca2+, blood glucose.
Vascular access
An umbilical venous catheter and/or umbilical arterial catheter is preferred, but peripheral arterial and venous lines can be used.
Volume exchanged (ml) = (Weight in kg) x (blood volume) x (Hct of patient - Hct desired) divided by Hct of patient.
Using 85ml/kg for a term infant and 95ml/kg for a preterm infant.
Important considerations
The calculated volume of 0.9% Saline or 4.5% human albumin solution (consultant preference) can be infused constantly through one line whilst aliquots of 5ml (if <2.5kg) or 10ml (if >2.5kg) of blood are removed every five to 10 minutes, via the other line.
SVET over one to two hours dependent on stability of patient.
Monitor pulse, blood pressure, oxygen saturations and respiratory rate throughout the procedure.
Inspect toes, feet and buttocks for signs of circulatory compromise, if using umbilical arterial or venous catheter.
After procedure, recheck FBC and Hct, and ensure ongoing adequate hydration (Rationale 17).
In severe pertussis infection in infants under 90 days of age there is a high mortality in those with severe leucocytosis and pulmonary hypertension. Exchange transfusion can be considered after discussion with the duty consultant.
The aim of exchange transfusion is:
To reduce leucocytosis and thrombus formation.
To improve oxygenation.
To prevent progression to cardiogenic shock.
Indications for exchange transfusion in pertussis infection in infants
Recommended if white cell count (WBC) >100 x 109/l even if child has little or no organ failure.
Consider if WBC 70-100 and evidence of worsening respiratory failure.
Consider if WBC >50 and echocardiographic evidence of pulmonary hypertension.
Initial investigations
FBC, U&Es, LFTs, Ca2+, clotting, blood glucose.
Extended T cell subsets (but should not unduly delay exchange).
Blood Group (ABO & RhD typing) and antibody screen. Ensure that the Blood Transfusion Laboratory is aware that the blood is required for an infant receiving exchange transfusion and they will issue CMV negative and irradiated red cells if patient <6 months post EDD).
Optimal practice is to perform an echocardiogram but should not unduly delay exchange.
Volume of blood to be requested (mls):
160 x weight (kg) for a term infant.
200 x weight (kg) for a premature infant.
Important considerations
There are a number of published case reports showing improvement following a double volume exchange transfusion (Romano et al 2004; Rowlands et al 2010).
The exchange transfusion should be carried out by experienced staff who are familiar with the procedure for PICU.
Each aliquot is 10-20mls and each cycle of withdrawal of blood and replacement of blood is performed over three to five minutes.
Continuous cardiopulmonary monitoring is required. Also monitoring temperature every 30 minutes.
Investigations after exchange transfusion
FBC, U&Es, Ca2+, clotting, blood glucose.
Repeat echocardiogram the following day (Rationale 18).
In severe infection with plasmodium falciparum malaria, there is a high mortality in those with a high parasitic load, multi organ failure and disseminated intravascular coagulation.
Antimalarial drug therapy, together with supportive treatment, is the mainstay of therapy but in certain circumstances exchange transfusion therapy may be considered as an adjuvant therapy.
The aim of exchange transfusion is:
To reduce parasitic load.
To reduce toxaemia.
To correct anaemia and increase oxygen-carrying capacity.
Indications for exchange transfusion in malaria
Consider if parasitaemia >10% and multi organ failure.
Consider if parasitaemia >10% and not repsonding to antimalarial drug therapy.
Consider if parasitaemia >30%.
Initial investigations
FBC, U&Es, Ca2+, blood glucose.
Clotting screen, fibrinogen, D-dimers.
Malerial thick and thin blood films for parasitaemia levels.
Blood Group (ABO & RhD typing) and antibody screen - ensure that the Blood Transfusion Laboratory is aware that the blood is required for a child receiving exchange transfusion (blood will be CMV negative and irradiated if patient < 6 months post EDD)
Volume of blood to be requested (mls):
80 x weight (kg) for a single volume exchange.
160 x weight (kg) for a double volume exchange.
Important considerations
There are a number of published case reports showing improvement following a single or double volume exchange transfusion (Rowland et al 2010; Boctnor 2005).
The exchange transfusionm should be carried out by experienced staff who are familiar with the procedure in PICU (Lalloo et al 2007).
The procedure will take two to four hours depending on the size of the child and their clinical stability.
Each aliquot is 10-20 mls.
Continuous cardiopulmonary monitoring is required. Also monitor temperature every 30 minutes.
Investigations after exchange transfusion
FBC, U&Es, Ca2+, clotting and blood glucose.
malerial thick and thin blood films for parasitaemia levels.
Inadvertent administration of RhD positive red cells to an RhD negative female of child bearing potential
The antigens of the Rh blood group system are highly immunogenic, and thus administration of small amounts of RhD positive red cells to a RhD negative child can lead to alloimmunisation with implications for future pregnancies in women (Rationale 19).
Urgent treatment is required and the preferred treatment will depend on the volume of blood transfused. Advice on management of the patient should be sought from the Consultant Haematologist responsible for transfusion who can discuss with an NHSBT medical consultant.
Suppression of alloimmunisation can be achieved with administration of anti-D immunoglobulin.
When a large volume of inappropriate red cells has been transfused, an emergency exchange transfusion might be considered (Nester et al 2004). However, a number of points need to be taken into consideration and discussed with the child and family, such as the advantages and disadvantages of exchange blood transfusion versus no intervention, the clinical state of the child and initial indication for blood transfusion.
A single volume exchange removes 65-70% of RhD positive red cells and a double volume exchange will remove 85-90% of red cells.
Following exchange transfusion, the residual volume of RhD positive red cells should be estimated and intravenous anti-D immunoglobulin administered. Thereafter anti-D immunoglobulin may be detectable for up to six months or more and so tests for immune anti-D may not be conclusive for nine to 12 months. The removal of these cells from the patient's circulation can be monitored by flow cytometry at NHSBT.
Rationale 1: To prevent fluctuations in blood volume and pressure.
Rationale 2: To prevent cardiac failure.
Rationale 3: Red cells are stored at 2-6oC. Infusion of large volumes of red cells may cause hypothermia.
Rationale 4: Due to dilution.
Rationale 5: To prevent hypothermia.
Rationale 6: To maintain patency of arterial line.
Rationale 7: To maintain haemostasis.
Rationale 8: Abdominal distension and tenderness occurs with necrotising enterocolitis.
Rationale 9: To reduce alloimmunisation.
Rationale 10: If there has been no recent transfusion, the HbS will be approximately 90% in a homozygous individual; combined abnormal haemoglobins will be approximately 90% in a double heterozygote.
Rationale 11: To prevent hypovolaemia.
Rationale 12: Dehydration may worsen sickle cell complications.
Rationale 13: Hypoxia is one of the hallmarks of acute chest syndrome, and can progress to respiratory failure.
Rationale 14: Haemolytic disease of the foetus/newborn is most commonly caused by sensitisation to the RhD antigen in RhD negative women during pregnancy, but most women in the UK receive routine antenatal anti D prophylaxis to prevent sensitisation.
Rationale 15: Extremely high levels of bilirubin can cross the immature blood brain barrier, causing damage to the developing brain, known as kernicterus.
Rationale 16: Phototherapy aids elimination of bilirubin in the neonate.
Rationale 17: Dehydration increases the heamatocrit.
Rationale 18: To monitor degree of pulmonary hypertension.
Rationale 19: Women may then be at risk of haemolytic disease of the foetus/newborn during pregnancy due to the production of anti D antibodies.
Reference 1:
NICE guidance CG98 (2010 updated August 2014) Neonatal Jaundice. NICE guidance CG98: CG98.
Reference 2:
Romano MJ, Weber MD, Weisse ME, Siu BL (2004) Pertussis pneumonia, hypoxia, hyperleukocytosis and pulmonary hypertension: improvement in oxygentation after a double volume exchange transfusion. Paediatrics 114(2): e264-6.
Reference 3:
Rowlands HE, Goldman AP, Harrington K, Karimova A, Brierley J, Cross N, Skellett S and Peters MJ (2010) Impact of Rapid Leucodepletion on the Outcome of Severe Clinical Pertussis in Young Infants. Paediatrics 126(4): e816-27. Epub 2010 Sep 6.
Reference 4:
Boctor FN (2005) Red blood cell exchange transfusion as an adjunct treatment for severe paediatric falciparum malaria, using automated and manual procedures. Pediatrics 116(4): 592-5.
Reference 5:
Lalloo DG, Shingadia D, Pasvol G, Chiodini PL, Whitty CJ, Beeching NJ, Hill DR, Warrell DA, Bannister BA (2007) UK malaria treatment guidelines. Journal of Infection 54(2): 111-21.
Reference 6:
Nester TA, Rumsey DM, Howell CC, Gilligan DM, Drachman JG, Maier RV, Kyles DM, Matthews DC and Pendergrass TW (2004) Prevention of immunization to D+ red cells with red blood cell exchange and intravenous Rh.immune globulin Transfusion 44(12): 1720-23.
Reference 7:
Hennem S and Nulty H (2013) Great Ormond Street Hospital Blood Transfusion Policy. London, Great Ormond Street Hospital for Children NHS Foundation Trust.
Reference 8:
NHS Sickle Cell and Thalassaemia Screening Programme (2007) Quality Requirements for Health Services Caring for Children and Young People with Haemoglobinopathies.Viewed on: 26/10/2011.
Reference 9:
British Committee for Standards in Haematology (2004) Transfusion Guidelines for Neonates and Older Children. British Journal of Haematology 124(4): 433-53.


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Eric Hofman
English (North American), English
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A new 22-unit townhome community has been approved for the 400 block of North Cass Avenue in Westmont.
Trustees earlier this month approved several zoning code variances for the development planned by Cass Avenue Dream Homes, LLC., which will have four buildings with mostly brick façade and two-car garages for each unit.
The two and three-bedroom homes will range in price from about $250,000 to $400,000, according to village officials. In 2006, the developer was going to build two condominium buildings totaling 32 units, but was delayed due to the downturn in the economy.
Mayor Ron Gunter said he thinks the new townhomes will enhance the area.
"It's next to the library, near the Jewel grocery store and is walking distance to the downtown," Gunter said. "It's a great location and is on our main thoroughfare in town."
Gunter added that be believes the prices are low enough to sell.
"They are affordable and I think that will make them more marketable," he said. "The (housing) market seems to be on an upwards swing."
Village officials said construction will likely begin this year.
The village also announced at the meeting that they will not renew the current electric supply aggregation contract with FirstEnergy. The aggregation program allows a municipality or a group of municipalities to seek competitive bids from electricity providers to obtain better pricing for residents.
After several meetings, including with officials from Downers Grove, it was determined that there will be no significant cost savings for the community by pursing an aggregate contract, officials said. The contract expires in August.
In 2012, Westmont and Downers Grove awarded a contract to First Energy with a fixed rate of 4.75 cents per kilowatt hour. The average household saved $350 annually, village officials said.
Now, the rates will automatically switch back to ComEd. That utility's rate between October and next May will be 7.42 cents per kilowatt hour, plus an additional adjustment capped at .5 cents per kilowatt, which will vary each month.
Gunter warned residents to read the fine print before considering signing up with another electric provider.
"The best thing people can do is to stay with ComEd for the time being," he said. "That may change in the future, but you don't want to fall into some trap where someone is going to falsely promise you a lower price."


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How to check knitting gauge in the round/
It's time to start a sweater (we're making Ursa on our latest knit-along) and you know you want to check your gauge but the sweater is knit in the round. Since we won't be turning our work and we'll only be knitting this gauge might be a little different than normal.
As a knitter, I know that my tension is different when I purl than when I knit and since this project will be worked mostly in the round and I won't be purling much I'd like to make sure I'm getting the stitch count the designer recommends.
I've put together some photos on how to knit and block a gauge swatch in the round.
How to Check Knitting Gauge in the Round
When knitting any swatch you want to start with the exact yarn the project will be made in and the same needles you plan to knit the sweater with. Variations on either of these items can result in a different gauge.
For the sweater I'm knitting I need a gauge of 11.5 stitches over 4 inches. I will have 20 stitches on size US 11 (8 mm) needles for this swatch.
Cast on normally. DO NOT TURN.
Now for the strange part! SLIDE your stitches to the other end of the needle so the front of the work is still facing you.
Hold the working yarn from the ball across the back of your hand and knit into the first stitch. Continue knitting across the row. This will create a long, loose float of yarn across the back of your work.
DO NOT TURN. Slide work back to the other end of the needle always keeping the knit side facing you.
After a few rows this is what the piece will start to look like. You can see the knit side of the work on the left and the wrong side or purl side in the right photo.
When the swatch reaches a good height bind off as normal.
Flip the swatch to the wrong side and (YIKES!) cut the floats so the swatch opens flat.
Here's my swatch. It looks crazy, doesn't it?! All of those edges seem like they could just fall off but they don't. Just be gentle.
Next we need to block the swatch. In a small bowl I added a touch of Soak wash and cool water. Submerge the swatch and leave to rest for 15-30 minutes.
Remove the swatch from the bath and gently lay it out on a towel.
Fold the towel over the swatch and lightly roll the towel pressing the water from the yarn.
On a dry towel straighten the swatch, leave it to rest and dry completely.
I block my knit swatch just like I plan to block the finished sweater. I don't pin a swatch if I don't plan to pin the sweater.
When the swatch is dry it's time to measure the stitches. Exciting stuff for a knitter!
I like to use a stiff ruler and gently lay it across a row to count the stitches. I also measure in several locations around the swatch to be sure that one row wasn't a fluke.
And here we are! Count the Vs of each knit stitch as one stitch. My swatch is measuring 11.5 stitches across 4 inches just like the pattern asked for.
I hope you'll join me for the Ursa sweater knit-along starting on Thursday, August 1, 2019! Here's the details:
Thursday, August 1: KAL kickoff and cast-on with details about knitting the half-brioche stitch, neck and shoulders of the sweater.
Thursday, August 8: Working the German short row bust darts and finishing the body of the sweater.
Thursday, August 15: Knitting the sleeves, finishing the neckline and blocking.
Thursday, August 22: Wrap photos!
Get your yarn: Find the yarn at a local yarn shop that carries Ewe Ewe Yarns or here on our website.
Let us know you're joining the KAL! Leave a comment on this post, join our Facebook KAL group, Ravelry group, and use hashtags any photos with #eweeweyarns and #BaaBaaUrsa on Instagram.


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Tips on How to Actually Achieve Your New Year's Resolutions
From the founders of Sakara Life.
Coveteur has put together a list to help you stay true to the New Year's resolutions you set in stone for yourself.
The site spoke with the founders of Sakara Life, an all-natural delivery service, who shared their ideas on holding yourself accountable. The founders believe that the most important tip is being honest about why you want to change. Another worthwhile piece of advice is to create a ritual that will turn into a habit, instead of making a resolution.
Head to Coveteur to check out all the other helpful tips on transforming yourself during the new year.


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TF501 and TF533 Front coil spring dislocation cones
When longer than standard front shocks are fitted the coil spring can move around becoming dislodged on full suspension drop out, sometimes failing to relocate correctly when the suspension compresses again. Fitting dislocation cones in conjunction with spring retaining plates will ensure the spring re-seats correctly every time. TF501 suits 90/110/130/d1 and RRC and TF533 suits Discovery 2. The Discovery 2 front dislocation cones incorporate a securing ring for ease of fitment.
TF510 and TF511 Rear coil spring dislocation cones
When longer than standard rear shocks are fitted the coil spring can part company with the chassis becoming dislodged on full suspension drop out, sometimes failing to relocate correctly when the suspension compresses again. Fitting dislocation cones in conjunction with coil spring retaining plates TF506 or TF507 will ensure the spring re-seats correctly every time.
TF530XT and TF531XT Polycarbonate rear coil spring dislocation cones
Performing the same task as the popular TF510 and TF511 rear dislocation cones, these stylish and unbreakable bright blue hi tech polycarbonate cones represent current technology. Silent in operation, resistant to corrosion and produced in the striking Terrafirma blue these cones are the latest evolution in one of the most popular suspension upgrades produced today.
TF521 and TF523XT Rear axle inverse relocation cones
An alternative to the dislocation cones, these relocation cones are 2 variations of the now essential method of locating coil springs on extreme long travel suspension. It is possible with massive drop out rear suspension that even conventional cones fail to relocate coil springs, especially when working at speed. Restraining the coil at the top as opposed to the bottom allows for a shorter cone to be used providing reliable location regardless of shock travel. Terrafirma offers a popular steel fabricated option as well as the new technology bright blue polycarbonate choice. Both kits come with complete fixing kits.
TF520 Long travel rear coil spring re-locator
When fitting TF122LT and TF403 +5" (125mm) longer shocks the suspension drop out is so great it is possible for the rear coil springs to fall below conventional dislocation cones, then miss the cone on compression movement causing he spring to be forced up the outside of the cone. To prevent this from happening use TF520 spring re-locator which is designed to catch the last coil of the spring before it leaves the end of the cone ensuring it locates properly every time.


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Oslo<\/a> no longer wants to deal with cars<\/strong>. After the main political parties have reached an agreement to ban the sale of gasoline and diesel vehicles by 2025, the municipality of Norway\u2019s capital has launched a new campaign against cars. The\u00a0aim is to ban all cars from the city centre by 2019<\/strong><\/a>.<\/p>\n

Oslo will ban all cars from the city centre<\/p><\/div>\n
Hybrid and electric vehicles will be banned, too<\/strong><\/h2>\n
No\u00a0matter how cars are powered, all cars will be banned from the city centre<\/strong> within three years. Even if they\u2019re hybrid, electric or petrol-fuelled vehicles, the city\u2019s administration \u2013 made of politicians of the Labour, Socialist and Green parties \u2013 aims to make the northern European capital a car-free city<\/strong>. How will it be possible? According to the magazine The Nordic Page<\/a>, the goal will be achieved by removing parking lots. The reduction of parking lots, except those for disabled people, should begin as early as\u00a0next spring. This move will affect all kinds of car, including electric vehicles, which represent 24 per cent of the country\u2019s fleet.<\/p>\n
<\/p>\n
Oslo invests in recreational centres<\/strong><\/h2>\n
The act of removing parking lots has the clear aim of preventing cars from entering the city centre. These areas could be turned into restaurants, street theatres and recreational areas, the administration has said. Such conversion could lead to a 50 per cent reduction of CO2 emissions<\/strong>.<\/p>\n

Oslo aims to keep cars outside the city centre<\/p><\/div>\n
Electric bikes will play a crucial role<\/strong><\/h2>\n
Around 1,000 people live in Oslo\u2019s old town. However, the city centre receives at least 90,000 workers during the week.<\/p>\n
Commuters\u2019 needs<\/h3>\n
To meet the needs of residents and commuters, the municipality wants\u00a0to enhance cycling lanes by creating at least 60 kilometres of new paths and significantly increase the network of buses and trams.<\/p>\n
Electric bicycles<\/h3>\n
Norway\u2019s capital will go through a radical change in mobility. And electric bicycles will play\u00a0a vital role. The administration aims to launch a massive campaign of incentives to favour the use of electric bikes to replace cars.<\/p>\n
A European first<\/strong><\/h2>\n
Paris organised a few car-free days in order to cut PM10 levels, while Helsinki wants\u00a0to enhance public transportation in order to get rid of cars by 2025 \u2013 without banning their use though. So, Oslo could be the first European city to totally ban cars from the city centre<\/strong>.<\/p>\n


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Custom Fabrication
Can't find what you're looking for? Parts no longer available? Can't wait 6-8 weeks for the manufacturer? Is your boat so customized you need that one of a kind piece to do the job? Look no further than Bobby Soles Propeller. We can fabricate custom parts for your boats at prices you might not expect from custom work. With on-site plasma cutting, welding, and machining we can have your custom part ready in days. Call us today!


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Multi-vehicle Crash in Arlington, Texas Kills at Least Two
Posted By The Carlson Law Firm || 14-Dec-2011
At least 8 vehicles were involved in a deadly accident in Arlington near the intersection of Collins and Brown, causing emergency crews to cut into some of the autos to help occupants escape.
According to police, a shooting has been tied to the multi-vehicle accident in Arlington, Texas, although it is unknown whether shots were fire prior or subsequent to the crash.
Police identified the shooter and driver of the SUV that sparked the chain reaction of crashes in Arlington as Thomas Lester Harper.
At least two people were killed in the Texas car wreck and another two people were, reportedly, transported to Cook Children's Medical Center with unknown injuries. Authorities said there were children passengers in at least one of the vehicles.
One of the shooting victims, 18-year-old Clarence Robinson, has been identified as a good samaritan, who, in his efforts to help Harper, was shot.
The other casuality of the fatal crash has been identified as 42-year-old Najee Nasir, who had recently moved to Arlington from Ohio. Reports noted that Nasir was rear ended by Harper's SUV while stopped at a red light.
Witnesses on the scene estimated the ages of at least two children as being under two-years-old, who were later identified as Harper's children. In addition, witnesses said the crash occurred before Harper pulled out a gun and started shooting.
The identities of the other people involved in the accident have not yet been released and the scene is still under investigation, though speculation has revealed a chase between two vehicles had taken place prior, sparking a chain reaction of crashes.
Harper is being charged with murder and intoxication manslaughter, police said.
- Written by admin


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That's all done.


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What Was Your Favorite Halloween Costume?30 March 2010 | By Tim Lederman in Strategic Planning
My favorite Halloween costume had to be the Quaker Oats Man, from my sophomore year of college. As you probably gather from the above photo, a costume this sweet can't be bought in a Halloween store. Obviously, some planning went into this costume. It is human nature to think of an idea but never follow through because you didn't know what action step to begin with.
A concept I originally learned from Keith Cunningham in a business course is the draw down principle. My main man helping me with the business plan, Paul Landes also uses similar techniques. In the draw down principle, you take an idea and start writing down the steps that need to be taken to realize it. This also can be applied to goals which will be discussed in a future blog. The first step ends up being something simple but by doing it you begin building momentum. Let's use the example of my sweeeet Quaker Oats man costume as the end result:
Quaker Oat's Man Costume> Make the costume with someone's help> Get the materials> Figure out what materials I need> Discuss costume with person that can help> Ask person to help me with costume> Think of someone who could help with costume
I'm good at thinking of ideas for costumes but I can't cut or draw a straight line to save my life. Once I came up with the idea for the costume my first action step was simply to think of someone who could help me. That person ended up being Ben Weisman and with his help we created a costume that sorority girls are still talking about!
Is there something you haven't started because you don't know where to begin? Try the draw down principle and feel free to share what your first action step is in the comments section!