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Shipbuilders Council of America Appoints Chairman
The Shipbuilders Council of America (SCA), the national trade association representing the U.S. shipbuilding and repair industry, has announced that Tom Godfrey, President and CEO of Colonna's Shipyard in Norfolk, Virginia, has been appointed as Chairman of the Board of Directors. Joining Godfrey as SCA's new Vice Chairman is Richard McCreary, Vice President and General Manager at BAE Systems.
"Tom Godfrey and Richard McCreary are a strong match to lead SCA's members in continuing to support our nation's robust shipbuilding and repair industry," said outgoing SCA chairman Frank Foti. "In addition, Godfrey and McCreary understand the significant role the shipbuilding and ship repair industry plays in our workforce, and I am confident they will carry a strong voice for the hundreds of thousands of Americans who rely on the industry to support their family-wage jobs."
As a long-standing board member of SCA, Chairman Tom Godfrey brings extensive experience in the shipbuilding and ship repair industry as well as demonstrated support of the numerous supplier and vendor companies that make up the shipyard industrial base.
"During such a crucial time when U.S. Naval ships are widely deployed around the globe to protect against foreign threats, our national security is of the upmost importance. The shipbuilding and ship repair industry serves our nation through the highly skilled workforce that maintain and repair our nation's defense and homeland security vessels," said Tom Godfrey, Chairman of SCA. "As chairman, I will continue to push our trade association to call on Congress to develop a stable, dependable budget in order to provide the services our men and women need to keep themselves and our nation safe against threats domestic and abroad."
"Through my new leadership position, I will remain a dedicated advocate to the more than 500,000 Americans who build, repair, and modernize our fleet while ensuring our industry is supplied with the resources it needs to secure the movement and delivery of U.S. commerce," said Richard McCreary, SCA Vice Chairman. "In addition, this trade association will continue to advocate for maintaining the Jones Act to protect our national and economic security by ensuring a strong shipyard industrial base that can build, repair and modernize our fleet of commercial vessels plying our vast inland river systems, ports and coastal waterways every day."
The new leadership announcement follows SCA's annual fly-in at the end of April when more than 85 members of SCA met with lawmakers to share the strength of America's shipbuilding and repair industry, outlining the critical role our nation's shipyard industry plays in sustaining jobs and protecting national and economic security. During the fly-in, SCA honored Congressmen Joe Courtney (D-Conn.) and Rob Wittman (R-Va.) with the Maritime Leadership Award for demonstrating exceptional leadership in the shipbuilding and repair industry, including their ardent support of the Jones Act which supports thousands of family-waged jobs and keeps our nation safe through a strong domestic shipbuilding industry.


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Extracorporeal membranous oxygenation ECMO was applied in 18 patients. All children had deep hypoxia and 80% probability of dying. Average duration of ECMO in newborns was 131 hours, and in older patients 253 hours. Seven patients were discharged from the intensive care unit (late survivors), 5 of them are in perfect somatic and mental condition.
Key words: extracorporeal membra-nous oxygenation, neonate, child
Extracorporeal membranous oxygenation (ECMO) is an established treatment of neonates and children with severe yet amenable lung or heart failure. From the technical point of view it follows the same principle as the extracorporeal circulation during the by-pass surgery, but it is adapted to the long-term use. In the year 1976, Bartlett (1) presented the first group of neonates treated by the ECMO. To initiate ECMO, cannulae are placed in large blood vessels to provide access to the patient's blood. Anticoagulant drugs (heparin) are given to prevent blood clotting. The ECMO machine continuously pumps blood from the patient through a membrane oxygenator that imitates the gas exchange process of the lungs, i.e. it removes carbon dioxide and adds oxygen. Oxygenated blood is then returned to the patient.
There are several forms of ECMO, the two most common of which are veno-arterial (VA) and veno-venous (VV). In both modalities, blood drained from the venous system is oxygenated outside of the body. In VA ECMO, this blood is returned to the arterial system and in VV ECMO the blood is returned to the venous system. In VV ECMO, no cardiac support is provided.
VV ECMO can provide sufficient oxygenation for several weeks, allowing diseased lungs to heal while the potential additional injury of aggressive mechanical ventilation is avoided. It may therefore be life-saving for some patients. However, due to the high technical demands, cost, and risk of complications (such as bleeding under anticoagulant medication), ECMO is usually only considered as a last resort therapy.
ECMO in neonatology
At the beginning ECMO was most commonly used in neonatal intensive care units, for newborns in pulmonary distress.
Patients with the following two major neonatal diagnoses require the use of extracorporeal membrane oxygenation (ECMO):
• Primary diagnoses associated with primary pulmonary hypertension of the newborn (PPHN), including idiopathic PPHN, meconium aspiration syndrome, respiratory distress syndrome, group B streptococcal sepsis, and asphyxia
• Congenital diaphragmatic hernia (CDH)
Selection criteria
• Gestational age greater than or equal to 34 weeks (relative criteria)
• Birth weight greater than or equal to 2000 g (relative criteria)
• No significant coagulopathy or uncontrolled bleeding
• No major intracranial hemorrhage (grade 1 intracranial hemorrhage is not a contra-indication)
• Mechanical ventilation for 10-14 days or less (relative criteria)
• Reversible lung injury
• No lethal malformations
• No major untreatable cardiac malformation
• Failure of maximal medical therapy
Qualifying patient criteria for extracorporeal membrane oxygenation
Qualifying criteria are applied only when the infant has reached maximal ventilatory support of fraction of inspired oxygen [FiO2] equals 1, with peak inspiratory pressures (PIP) often as high as 35 cm H2O.
• Alveolar-arterial (A-a) gradient of 600-624 mm Hg for 4-12 hours at sea level, which may be computed as follows (where 47=partial pressure of water vapor):
(A-a)(Diffusing capacity [D] of O2 equals atmospheric pressure – 47 – (PaCO2 + PaO2])/FiO2
• Oxygenation index (OI) greater than 40 in 3 of 5 postductal gas determinations obtained 30-60 minutes apart, which may be computed as follows (where MAP is mean airway pressure):
OI = (MAP x FiO2 x 100)/ PaO2
• PaO2 = 35-50 mm Hg for 2-12 hours
• Acute deterioration
– PaO2 less than or equal to 30-40 mm Hg for 2 hours
– pH less than or equal to 7.25 for 2 hours
– Intractable hypotension
ECMO in paediatric patients
• Low cardiac output resulting from right, left, and biventricular failure following repair of congenital heart defect (this indication is frequent in neonates as well)
• Pulmonary vasoreactive crisis following repair of congenital heart defect leading to severe hypoxemia, low cardiac output, or both
• As a bridge to cardiac surgery in pati-ents with serious end-organ damage resulting from profound low cardiac output related to congenital heart disease
• As a bridge to cardiac transplant
• As a bridge to recovery in temporary cardiomyopathy secondary to renal failure, myocarditis, and burns
Unlike the situation in neonates, when ECMO is considered in a paediatric patient, no clear set of inclusion or exclusion criteria exists. Evaluation of a pediatric patient for ECMO support is largely based on an assessment of the patient's condition and the institutional experience with pediatric ECMO.
Pulmonary system
ECMO is used temporarily while awaiting pulmonary recovery. In the classic use of neonatal ECMO, the typical ventilator settings are FiO2 of 0.30, PIP of 15-25 cm H2O, a positive end-expiratory pressure (PEEP) of 3-5 cm H2O, and intermittent mechanical ventilation (IMV) of 10-20 breaths per minute. Sometimes, a high PEEP of 12-14 cm H20 has been used to avoid atelectasis; this has been found to shorten the bypass time in infants. Pulmonary hygiene is strict and requires frequent endotracheal suctioning, usually every 4 hours depending on secretions, and a daily chest radiograph.
Cardiovascular system
Systemic perfusion and intravascular volume should be maintained. Volume status can be assessed clinically by urine output and physical signs of perfusion and by measuring the central venous pressure and the mean arterial blood pressure. Native cardiac output can be enhanced with inotropic agents. An echocardiogram should be performed to exclude any major congenital heart anomaly that may require immediate intervention other than ECMO (i.e., obstructed total anomalous pulmonary venous connection).
Central nervous system
Central nervous system complications are the most serious and are primarily related to the degree of hypoxia and acidosis. Avoiding paralytic agents and performing regular neurologic examinations are recommended. If feasible, a head ultrasound should be obtained before beginning ECMO in a neonate. Reevaluation with serial head ultrasounds may be needed on a daily basis, especially after any major event. In patients with seizures or suspected seizures, aggressive treatment is recommended (i.e., phenobarbital).
Renal system
During the first 24-48 hours on ECMO, oliguria and acute tubular necrosis associated with capillary leak and intravascular volume depletion are common because ECMO triggers an acute inflammatorylike reaction. The diuretic phase, which usually begins within 48 hours, often is one of the earliest signs of recovery. If oliguria persists for 48-72 hours, diuretics are often required to reduce edema. When renal failure does not improve, hemofiltration or hemodialysis filters may be added to the circuit.
Haematologic considerations
To optimize oxygen delivery, the patient's hemoglobin should be maintained at 120-150 using packed red blood cells (pRBCs). As a result of platelet consumption during ECMO, platelet transfusions are required to maintain platelet counts above 100. ACT should be maintained at 180-240 seconds to avoid bleeding complications.
Infection control
Strict aseptic precautions are required. The presence of infection is monitored by obtaining cultures from the circuit at least once per day. Based on institutional experience, the protocol frequency may vary. Other appropriate cultures (eg, fungal and viral) should be sent as needed.
Fluids, electrolytes, and nutrition
Patients on ECMO require close monitoring of fluids and electrolytes. The high-energy requirements should be met using hyperalimentation techniques. The patient's weight increases in the first 1-3 days on ECMO because of fluid retention.
• Doses of most inotropic medications, such as dopamine, dobutamine, and epinephrine, usually can be decreased once the patient is on ECMO.
• Diuretics, such as furosemide, may be required for mobilization of tissue fluids.
• H2 antagonists are usually administered for a prevention of a gastrointestinal tract bleeding.
• Only minimal sedation with fentanyl, midazolam, or morphine is required after stabilization.
• Phenobarbital can be used if the patient has seizures.
• Antibiotics are given, based on institutional experience.
Mechanical complications
• Clots in the circuit are the most common mechanical complication. Major clots can cause oxygenator failure, consumption coagulopathy, and pulmonary or systemic emboli.
• Cannula placement can cause damage to the internal jugular vein, which causes massive mediastinal bleeding. Dissection of the carotid arterial intima can lead to lethal aortic dissection. It never happened in our patients.
• Air in the circuit can range from a few bubbles to a complete venous air lock. This air can originate in the dislodgement of the venous cannula, a small tear in the membrane, or high partial pressure of oxygen in the blood. A large bolus of air can be fatal.
• Oxygenator failure is defined either as decreased oxygen or carbon dioxide transfer or as presence of consumptive coagulopathy. A failing membrane should be replaced immediately.
• Cracks in the connectors and tube rupture have become less serious problems.
• Pump malfunction may be a manifestation of inadequate venous return to the pump.
• Heat exchanger malfunction can cause severe hypothermia.
• Failure of the entire circuit, including the oxygen source and oxygen blenders, may occur.
• Failure of circuit-monitoring equipment may occur.
Management of circuit failure
Immediately clamp the venous line, open the bridge, and clamp the arterial line to remove the patient from the ECMO. Since the patient is ventilator dependent, immediately bag the patient with FiO2=1 or shift the patient back to pre-ECMO ventilator settings.
Complications in patients
Neurologic complications
• Seizures may occur.
• Intracranial bleeds and infarction may be due to ligation of the carotid artery and internal jugular vein, systemic heparinization, thrombocytopenia, coagulopathies, or systolic hypertension.
Haemorrhagic complications
• Hemolysis and consumption coagulopathy may occur.
• Haemorrhage at the surgical site, cannula site, or into the site of a previous invasive procedure is a frequent complication because of systemic heparinization.
• Intrathoracic, abdominal, or retroperitoneal hemorrhage may occur.
• Decreases in platelet count occur because of decreased production, increased consumption, sequestration, or dilution.
Cardiac complications
• Myocardial stun is defined as a decrease in the left ventricular shortening fraction by more than 25% with initiation of ECMO that returns to normal after 48 hours of ECMO.
• Hypertension is a dangerous complication because of the risk of haemorrhage and stroke. Arrhythmia may occur as a result of hypoxia and electrolyte imbalance.
• Symptomatic patent ductus arteriosus may occur.
• Pericardial tamponade may occur.
Pulmonary complications
• Pneumothorax is a potential complication.
• Pulmonary haemorrhage may occur.
Renal complications
• Oliguria is commonly observed during the early part of ECMO.
• Acute tubular necrosis is observed in some patients and may require haemofiltration and/or dialysis.
Gastrointestinal tract complications
• Haemorrhage may occur as a result of stress, ischaemia, or bleeding tendencies.
• Direct hyperbilirubinemia and biliary calculi occur secondary to prolonged fasting and total parenteral nutrition (TPN), haemolysis, and diuretics.
Complications resulting from infection and sepsis
The ECMO circuit represents a large intravascular foreign body; frequent manipulation increases the risk of sepsis.
Metabolic complications
• Acidosis or alkalosis
• Hyperkalaemia or hypokalaemia
• Hypernatraemia or hyponatraemia
• Hypercalcaemia or hypocalcaemia
• Hyperglycaemia or hypoglycaemia
Drug serum concentrations
• ECMO may alter serum concentration of drugs due to increased volume of distribution.
• Caution is warranted when narrow therapeutic drugs are administered. Dose alterations may be necessary.
Weaning or trial period without extracorporeal membrane oxygenation
In patients with a principal pre-ECMO diagnosis of respiratory failure, a trial period without ECMO is scheduled if (1) the patient demonstrates adequate gas exchange and is on reasonable ventilatory settings, and (2) the patient tolerates a pump flow of 10-20 ml/kg/min with the minimum of 200 ml/min.
Medical morbidity
• Difficulty in establishing full oral feeding is common after ECMO decannulation. Feeding difficulty is reported in as many as one third of babies, even in the presence of normal suck and swallow reflexes.
• Somatic growth is normal in infants who survive following ECMO. Poor growth should be evaluated for another underlying cause.
• Approximately 15% of infants still require oxygen at 28 days after ECMO. These children have a higher rate of rehospitalization for pulmonary indications, particularly in the first 6 months after ECMO. These children have a slightly higher prevalence of bronchial asthma.
• Infants who survive following ECMO have a higher rate of rehospitalization for nonpulmonary and surgical conditions.
• The rate of sensorineural disabilities in infants who survive following ECMO averages 6% (range, 2-18%); developmental delay occurs in 9% (range, 0-21%).
• Abnormal brainstem auditory-evoked response (BAER) with mild-to-moderate threshold elevation is seen in 25% of children following ECMO at discharge. This condition usually resolves. Sensorineural hearing loss is documented after age 1 year in 9% (range, 4-21%) of children following ECMO.
• Routine ophthalmic examinations during ECMO are not recommended because studies in term babies have not shown any occurrence of retinopathy. In the rare neonate with birth weight less than 2 kg in whom ECMO is used, ophthalmic examination is required prior to discharge. Some degree of cortical visual impairment has been seen after posterior brain injury. However, in the long term, visual function has been shown to improve.
• Both clinical and electroencephalographic seizure activity is reported in 20-70% of neonates while on ECMO. Epilepsy is reported in 2% of patients at age 5 years.
• Rare neuromotor deficits range from mild hypotonia to gross motor delay and spastic quadriparesis.
• Psychosocial morbidity
Increased frequency of social problems, academic difficulties at school age, and higher rates of attention deficit disorder are reported in children who received ECMO. The ECMO procedure is dramatic and highly invasive. Families can feel isolated if no other patients are on ECMO in the same institution. At age 1 year, the stress level of the mother of an infant previously on ECMO is the same as the stress level in the family of a preterm infant. By age 5 years, the family stress level is the same as that of the family of a healthy child in whom ECMO was not used.
Ljubljana´s results
The first patient was treated by ECMO in our multidisciplinary paediatric intensive care unit in the year 1994. In the period of 1994-2005, i.e. in 12 years, there were 18 patients who underwent this procedure; 12 (66%) newborns, 6 (35%) children ranging in age from 2 months to 2 years, and 6 children older than 2 years (table 1,2). The immediate survival means that the death occurred in the first 24 hours after the decannulation and the late survival means that it occurred after 24 hours.
The most important mechanical complications are summarized in table 3, and complications in patients are presented in table 4. The immediate survival of 18 patients was higher in the group of neonates (66%) compared to 33% in the group of older patients. In summary, there were 11 patients who survived the decannulation; of these eleven patients, four patients died within 24 hours after the decannulation. Five of seven late survivors have normal mental and somatic status. One child has mild motor and cognitive disturbances, but he is attending elementary school without any problems. One child is severely handicapped.
Table 1. Neonates according to principle diagnosis, immediate survival and later survival after ECMO.
|Principle Diagnosis
|Immediate Survival (IS)
|% of IS
|Later Death
|Later Survival (LS)
|% of LS
|Septic shock
1CDH, Congenital Diaphragmatic Hernia; 2MAS, Meconium Aspiration Syndrome; 3PPH, Primary Pulmonary Hypertension; 4HMB, Hyaline Membrane Disease.
Table 2. Older children according to the prinicple diagnosis, immediate survival and later survival after ECMO.
|Principle diagnosis
|Immediate survival (IS)
|% of IS
|Later death
|Later survival (LS)
|% of LS
|Abscedental Pneumonia
|Dilatatory Cardio-myopathie
|Viral (RSV1) Pneumonia
|Stun Heart2
1RSV, Respiratory Sintitial Virus; 2Following the Open Heart Surgery.
Table 3. Mechanical Complications Related to ECMO Support in 18 Patients.
|Type of the Mechanical Adverse Event
|Regular Replacement of the Oxygenator
|Rupture of the Oxygenator Membrane
|Tubing Rupture in the Raceway of the Pump
|Weakening of the ECMO Circuit Tube Clamp
|Rupture of the Baloon in the Servoregulator
|Air Entry in the ECMO Circuit
Table 4. The most Important Clinical Complications in 18 Patients During ECMO.
|Type of Clinical Complication
|No. of Survivors
|No. of Non-survivors
|Cerebral Paroxysms
|Long Lasting Cerebral Convulsions
|Jitterness (Tremor)
|Brain Death
|Nosocomial Sepsis (Positive Blood Culture)
|Acute Renal Syndrome
|Intracranial Bleeding
|Bleeding at the Site of Cannulas
|Cardiac Arrest and Resuscitation
|Pneumothorax with Drainage
01. Bartlett RH, Gazzaniga AB, Jefferies MR, Haiduc NJ, Fong SW. Extracorporeal membrane oxygenaction (ECMO)- cardiopulmonary support in infancy. Trans Am Soc Artif Intern Organs 1976;22:80-93.
02. Van Litsenburg R, de Moos N, Edgell D, Gruenwald C, Bohn DJ, Parshuram CS. Resource use and health outcomes pf paediatric extracorporeal membrane oxygenation. Arch Dis Child Fetal Neonatal Ed 2005;90: F176-7.
03. Primožič J, Kalan G, Grosek Š, Vidmar I, Lazar I, Kosin M, et al, editors. Zunajtelesna membranska oksigenacija (ZTMO) pri otrocih – 12-letne izkušnje. Zdrav Vest 2006;75:61-70.
This work is licensed under a Creative Commons Attribution 4.0 International License


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Mission: To identify, evaluate and promote the application of better practices in all aspects of the preanalytical phase of laboratory testing in clinical medicine.
Dr. Steve Kitchen, Ph.D.
- Head Clinical Scientist, Sheffield Hemophilia and Thrombosis Centre, Royal Hallamshire Hospital, Sheffield, England.
- Scientist Director, UK National External Quality Assessment Scheme & WHO International External Quality Assessment Scheme for Blood Coagulation.
- Chairman, World Federation of Hemophilia Laboratory Hematology.
Dr. Kitchen's key interests include the standardisation of all aspects of laboratory tests for hemostasis and thrombosis, control of anti-coagulation, and laboratory investigation of bleeding disorders.
Prof. Vladimir Palicka, M.D., Ph.D.
- Professor, Biochemistry and Professor of Internal Medicine, Charles' University of Prague, Czech Republic.
- Dean, Charles University in Prague, Medical Faculty in Hradec Kralive, Czech Republic.
- Director, Institute for Clinical Biochemistry & Diagnostics, University Hospital of Prague, Czech Republic.
- Director, University Osteocentre (Clinic for Osteology).
- President, Czech Society for Metabolic Bone.
Prof. Palicka's interests are oriented mainly towards clinical biochemistry, clinical nutrition, and intensive metabolic care. He also maintains a clinical practice in osteology.
Prof. Mario Plebani, M.D.
- Professor, Clinical Chemistry and Clinical Molecular Biology, University of Padova School of Medicine, Italy.
- Chief, Department of Laboratory Medicine, University Hospital of Padova.
- Scientific Coordinator, Regional Anti-Doping Laboratory, University Hospital of Padova, Italy.
- Chief, Center of Biomedical Research, a specialised center for quality in laboratory medicine for the Veneto Region.
- Past President, International Society of Enzymology, and Italian Society of Clinical Biochemistry and Molecular Clinical Biology (SIBioC).
- President, Federation of Italian Societies of Laboratory Medicine (FISMELAB)
- Member, AACC Patient Safety Advisory Group and the International Advisory Group.
Prof. Plebani's main areas of research are quality in laboratory medicine, biomarkers in cancer and cardiovascular diseases, and in vitro allergy diagnostics. He has published over 640 original papers, including a widely cited paper in Clinical Chemistry in 1997 dealing with errors in a stat laboratory, followed by a new paper in the same journal 10 years later describing the laboratory errors situation.
Prof. Ana-María Simundic, Ph.D.
- Professor, Faculty of Pharmacy and Biochemistry, Zagreb University.
- Head of Clinical Unit for Emergency and Routine Biochemistry at the Clinical Institute of Chemistry, University Hospital Center "SESTRE MILOSRDNICE".
- President, Croatian Society for Medical Biochemistry and Laboratory Medicine.
- Editor-in-Chief, Biochemia Medica journal (http://biochemia-medica.com).
- Executive Board Member, European Federation of Clinical Chemistry and Laboratory Medicine (EFLM).
- Chair, EFLM WG-Preanalytical Phase.
- Member, European Association of Science Editors, EASE International Advisory Board.
Prof. Simundic's key interests are quality management, preanalytical phase, scientific methodolgy and research integrity, data analysis and biostatistics.
Dr. Anne J. Vassault, Ph.D.
- Associate Professor, Université de Paris XI, College D'Enseignenent Pharmaceutique Hospitalier.
- Biologiste des Hopitaux, Biochemistry Laboratory, Hopital Necker Enfants Malades, Paris.
- Manager, Diagnostic Laboratory Unit involved in inherited metabolic disease, Hopital Necker.
- Member, Management Committee, ASQUALAB (external quality control organisation).
- Member, ISO Working Group involved in quality requirements for medical laboratories (ISO TC 212 WG1; ISO/EN 15 189).
Prof. Vassault's interests and work are focused on quality control, quality assurance, and auditing. She is also involved in collaborations with IVD manufacturers.
Dr. Andreas Weimann, M.D., M.A., M.H.B.A. D.
- COO of Labor Berlin, Europe's largest hospital laboratory, Berlin, Germany.
- Specialist, laboratory hematology, urinalysis and CSF analytics.
- Member, Expert panel for athlete's biological passport of the German National Anti-Doping Agency.
Dr. Weimann's key interest lies in automated fluorescence flow cytometry with a special focus on the implementation of novel diagnostic algorithms in SIRS and Sepsis diagnostics.
Dr. Nicholas J. Lench
- Chief Operating Officer, Genome Campus, Hinxton, Cambs
- Author of over 100 peer-reviewed publications
Dr. Lench has extensive experience in academic research and bioindustry, as well as in intellectual property management, technology transfer, licensing and commercialisation of genetic technologies.


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What are ISO Management System Standards?
ISO is continuously providing organizations with the opportunity to improve and reach world-class by utilizing the Management System Standards.
One or more of these Management System Standards can be implemented in your organization, regardless of the type, size and nature; and can help them achieve sustainable success.
Obligation of Standards Certification in Pakistani Product and Service Industry
As Pakistan is a growing economy, aiming to become a world-class provider of products and services, ISO and PS Standards are now becoming obligatory by the relevant national and provincial regulatory authorities.
A Whole New Business Perspective – "Obligation" equals "Opportunity!"
As the implementation of these international and national standards (QMS ISO 9001, EMS ISO 14001, OHSMS ISO 45001, FSMS ISO 22000, ISMS ISO 27001, Halal PS 3733) becomes a necessity for survival, the industry is also provided with an opportunity to put their world-class products and services face-to-face with other international brands. Hence an opportunity to reap the fruit of the efforts put in implementing these standards and getting the industries certified.
A brief introduction to the standards:
The standards mentioned below are in highly demanded in the current market, due to the obligations from regulatory authorities, and also due to the business avenues they are opening.
What is ISO 9001:2015 (QMS: Quality Management System)
ISO 9001:2015 (QMS) specifies requirements for a quality management system when an organization:
- needs to demonstrate its ability to consistently provide products and services that meet customer and applicable statutory and regulatory requirements, and
- aims to enhance customer satisfaction through the effective application of the system, including processes for improvement of the system and the assurance of conformity to customer and applicable statutory and regulatory requirements.
What is ISO 14001:2015 (EMS: Environmental Management System)
ISO 14001:2015 (EMS) specifies the requirements for an environmental management system that an organization can use to enhance its environmental performance. It is intended for use by organizations seeking to fulfill their environmental responsibilities in a systematic manner that contributes to the environmental pillar of sustainability.
It helps organizations achieve the intended outcomes of environmental management, adding value towards the environment, the organizations and their interested parties. These outcomes include:
- enhancement of environmental performance;
- fulfillment of compliance obligations;
- achievement of environmental objectives.
What is ISO 45001:2018 (OHSMS: Occupational Health Safety Management system)
ISO 45001:2018 specifies requirements for an occupational health and safety (OH&S) management system, and gives guidance for its use, to enable organizations to provide safe and healthy workplaces by preventing work-related injury and ill health, as well as by proactively improving its OH&S performance.
Intended outcomes of an OH&S management system include:
- continual improvement of OH&S performance;
- fulfillment of legal requirements and other requirements;
- achievement of OH&S objectives.
What is ISO 22001:2018 (FSMS: Food Safety Management System)?
The ISO 22001:2018 addresses food safety management. The consequences of unsafe food can be serious and ISO's food safety management standards help organizations identify and control food safety hazards. As many of today's food products repeatedly cross national boundaries, International Standards are needed to ensure the safety of the global food supply chain.
What is ISO 27001:2013 (ISMS: Information Security Management System)?
The ISO/IEC 27001:2013 helps organizations keep information assets secure. Using this standard will help your organization manage the security of assets such as financial information, intellectual property, employee details or information entrusted to you by third parties.
What is PS 3733:2016 (Halal Certification)?
The PS 3733:2016 defines the requirements for 'Halal food safety management system' implementable throughout the food chain, i.e., during preparation, processing, packaging, labeling, handling, distribution, serving and the overall aspects of the premises dealing with and storing Halal food and its products.
This Standard is applicable together with the laws of Islamic Republic of Pakistan and other relevant standards and guidelines for local/import/export purposes.
What we offer to your organization, at Synergy:
Awareness & Trainings:
For these international and national standards, our team of highly skilled and experienced trainers can train your organization in achieving success through the following trainings:
- Understanding clause-wise requirements of Management System Standards
- Documentation development for the Management System
- Implementing a sustainable Management System in your organization
- Internal Auditing of your Management System
- Risk Management (Assessment, Mitigation and Contingency)
- HACCP – Hazard Analysis and Critical Control Points
- How to find your Success in Management System Standards
Management System Consultancy
Documentation Development
Each document prepared in your organization, is like a brick in its foundation, which, if not done properly can cause the whole System to collapse, leading for distress, failure and
We, at Synergy, help you develop every bit of the Management System documentation, tailoring it to fit perfectly to your business needs
Strong focus is kept that each and every employee is able to understand and utilize these documents, whether during processes or during audits.
System Implementation
Documentation developed for the Management System also needs to be implemented in the right way to achieve the desired results for your business.
We help your implement the systems, by running workshops and exercises, so that every person learns their roles and performs their responsibilities and authorities in the required systematic manner.
We believe in "Systems without Intervention" i.e., every employee in an organization has to consistently practice their responsibilities and authorities, systematically, without being told, reminded or intervened, to achieve an overall success for the organizational business.
Internal Auditing and Evaluation
To ensure a smoothly working system is present in an organization, we will evaluate your management systems for you, through Internal Audits. This helps to point out the issues and areas of improvement in your business, hence identifying the loose ends and improving the weak areas.
Process Optimization using World Renowned Best Practices "LEAN"
We, at Synergy, believe in providing your business with cutting edge solutions that have been developed by renowned experts and have evolved over time.
Along with our solutions for Management Systems that have been necessitated by laws and regulations or by your desire to become world-class, we also believe in reducing the "Muda" (Japanese word for Waste) in your business processes, whether it is design, procurement, production, transportation, storage or delivery.
We help you reduce the Muda through Lean Tools, that if implemented properly can lead to Zero Inventory, Zero Rejects, Zero Rework, Zero Waste of Time, etc.
At Synergy, Success Awaits You!


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Who Said This? 'Nothing's going to stop me! Not even deaths!'..
From Bronco Bama's cousin aka Dr Wolf: Guess-who-said-it game:
Here's how one prominent politician recently described his plans for energy production:There are going to be screw-ups. There are going to be bankruptcies. There'll be indictments and there'll be deaths. But we're going to keep going - and nothing's going to stop me."
So guess guess who said it. Was it...: (A) An evil Republican whose hellbent lust for profits compels him to lay the Keystone oil pipeline even if it destroys the environment. or (B) A peace-loving Democrat whose benevolent quest for wholesomeness inspires him to force taxpayers to fund solar power plants so we can save Mother Earth and sing kumbaya.Me thinks the kumbaya one.
Posted by: Stable Hand at 01:34 PM
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1 Sounds like Al Capone, but that man at least had some sense of style and would never have dated Jane Fonda. The Governor must be getting a bit senile to say aloud and in public that which they normally reserve for private dinners.
Posted by: Storm Saxon's Gall Bladder at January 28, 2013 03:05 PM
2 When satan has complete control, sometimes he spews all kind of filth from the possessed one's mouth. Some is even the truth.
Posted by: EROWMER at January 28, 2013 03:30 PM
3 That's my state, Folks.
"Don't cry for me California,
The truth is a Quake should eat you,
Take Sacramento,
It's mad existence,
They'll spend your money;
And leave you nothing."
"Don't cry for me California,
The truth is a Quake should eat you,
Take Sacramento,
It's mad existence,
They'll spend your money;
And leave you nothing."
Posted by: Nanabozoh at January 29, 2013 12:29 AM
4 just another leftist scum for the chaingang when all is over
Posted by: twinbubdum at January 29, 2013 04:12 AM
5 Nana! Yes, the retards under the dome are idiots.
Posted by: Mark at January 29, 2013 08:21 PM
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Dimplex 33" Multi-Fire XD Electric Plug-in Firebox with Decorative Glass, UL Listed (PF3033HG)
If change is good then the all new Multi-Fire XD™ Electric Firebox offers something truly incredible. The sleek full view design allows an unencumbered view of the stunning diamond-like acrylic ice ember bed. The dazzling Multi-Fire XD™ can accurately reproduce a natural wood-burning fire, gas fireplace or a range of ambient light themes that range from moody and hypnotic, to pulsing and vibrant. Combined with a high-efficiency heating system and intuitive multi-function control options, this new design is the perfect look and feel for any space.
- Realistic Electric Firebox
- Can be inserted into a mantel or a wall opening
- Plugs into a standard household outlet. A 15 Amp, 120 Volt
- circuit is required.
- The dazzling Multi-Fire XD™ can accurately reproduce a natural wood-burning fire, gas fireplace or a range of ambient light themes that range from moody and hypnotic, to pulsing and vibrant
- The patented Comfort$aver™ ceramic heating system uses 11% less energy than the leading quartz infrared heater by automatically adjusting fan speed and heater wattage to safely and precisely match the requirements of the room
- Light plays through and reflects off of chunks of acrylic ice nestled on a bed of crushed glass
- The exclusive gWave™ feature brings the fireplace to life with the wave of a hand; customize the settings then simply wave it on and off
- Floating on-screen LED display allows you to view temperature settings and functions easily
- Reduce consumption by 33% with this energy saving setting; limits heat output to 750W for maximum efficiency and quieter operation
- Control 100% of the fireplace features from the comfort of your chair
- Quickly warms a room by delivering maximum heat output for a pre-determined amount of time
- Enjoy the ambiance of the flame with or without the heater for year-round comfort and enjoyment
- The green alternative. No harmful particulates or emissions and 100% efficient
- With no flame heat or emission and a glass front that remains cool to the touch; our fireplaces are the safe choice for your home
- Sleep Timer from 30 mins to 8 hours
- UL Listed
- 120 Volts
- 1500 Watts
- 12.5 Amps
- 5118 BTUs
- Dimensions: 23 7⁄8" H x 32 7⁄8" W x 9 1⁄2" D
- Weight: 60 lbs
- 1-Year Manufacturer Warranty
If for any reason, you are unsatisfied with your purchase from Modern Blaze you may return it in its original condition and packaging within 30 days for a full refund. We'll even pay for return shipping!
We offer standard free shipping within the Continental US. If you chose our free shipping, expect your order to arrive within 2-12 business days.
We also offer priority shipping option. With this option, many items the ship same day (if ordered by 11am EST, Monday-Friday) and delivery should be expected within 2-7 business days.
Please note that sometimes we experience unusually high demand and run out of stock. If this happens and the item you ordered is unavailable, we will notify you right away and offer you an option to either wait for the item to become available or to cancel your order.
We will also notify you of any changes in the anticipated ship date.
Our smaller, lighter orders (under 62 lbs) will ship via FedEx or UPS Ground. They will be delivered to your door without a signature requirement.
Our larger, heavier items will be shipped freight via a freight carrier like R+L Carriers, Estes, SAIA, FedEx or UPS Freight. These shipments are delivered curbside, a delivery appointment and an adult signature are required to receive the shipment.
Curbside delivery service provides delivery of your item(s) to the curb at the end of your driveway. This service does not include set up or assembly of items or removal of packaging materials. Your item will be delivered on a lift gate truck and will be taken off the truck by the delivery driver.
If you need inside delivery, we can arrange it for you at an extra cost. Please contact email@example.com for details.
Disclaimer: We have no influence over carrier's operations and we cannot make a package within their system move any quicker. We do not issue refunds if your package is not delivered at the time you want it. If you have a deadline, please order early to avoid disappointment. If you paid for our priority shipping and the item arrived later than 7 business days we will refund you the shipping cost.
Modern Blaze is not responsible for any delivery error from the shipping company when the information we have provided is correct. If your package is lost or stolen, we will open a claim with the shipping company and it may take up to 10 days to resolve.
If you're not satisfied with an item that you purchased from Modern Blaze, you can return it within 30 days after delivery for a full refund, as long as the item is in its original condition and packaging. Items that have been used or modified in any way may not be returned.
To return an item, submit your request in writing and send it to firstname.lastname@example.com. We will send you a prepaid shipping label and instructions on how to send your item back to us.
The following items may not be returned:
- Products which are eligible for parts under manufacturer warranty;
- Items that have been used or modified in any way.
- Items without the original packaging.
- Made-to-order items.
- Any items shipped to Canada.
Click Here to read our full Shipping Policy.
Dimplex warrants their products to be free from defects in material and workmanship for a period of 2 years from the date of the first purchase.
In 1991, Dimplex North America Limited entered the North American market by acquiring several leading electric heating brands – Electromode, Sentinel, Chromalox and Westcan.
New product development has long been a hallmark of Dimplex North America Limited. Recent innovations include: the patented electric flame technology - the company made history in the fireplace industry when it developed and produced the first electric fireplace with a truly realistic "wood burning" flame effect in 1995. The company has since been granted 30 patents covering various areas of electric flame technology and others are pending.
Stoves, fireplaces and specialty fireplaces are sold throughout North America under the Dimplex brand name for consumers and under OptiFlame for builders.
Dimplex North America Limited is headquartered in a 200,000 square foot manufacturing and distribution facility located in Cambridge, Ontario. To service the company's customer base throughout the United States Dimplex operates a 218,000 square foot distribution facility located in Indianapolis, Indiana.
- Reviews
- Questions
We have enjoyed our Electric Firebox for 3 months and are amazed how it heats our 1,000 sf den. The fire is very realistic and has fooled our visiting guests. Setting it up was very easy and has been a wonderful addition to fill the space in our custom built entertainment center where a 27" color tv and VCR once resided.


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Sea Turtle Earrings, Green Tan Terra Cotta Handmade Artisan Jewelry
Item Description
Perfect one of a kind jewelry for the woman who loves sea turtles, the LAS TORTUGAS handmade earrings are ocean inspired beauties. Created with artisan made sea foam green and tan sea turtle dangles, the earrings also feature faceted creamy brown Czech glass beads and peridot green Swarovski crystals. The fabulous turtle charms were individually artisan handmade from terra cotta ceramic with a raised sea turtle design against a flat background giving great texture to the dangles. A soft sea foam green glaze was used for a rustic distressed look - when fired, the glaze settled into recessed areas, leaving some of the raised terra cotta ceramic to peek through. The back of the turtle charms were left unglazed (see photo # 8). Since the charms were individually handmade, they are very similar but not exactly the same, as you can see in the photos.
To highlight the terra cotta areas of the dangles, creamy brown Czech glass rondelles were placed above the turtles. The beads are faceted for subtle sparkle and have a darker brown Picasso finish on the top and bottom for an aged look. A mega-sparkling faceted Swarovski crystal bicone tops each glass bead, separated by a small sterling silver daisy spacer. The color is a peridot green, a perfect match to the pale green glaze of the turtles. Sterling silver French hook earwires finish the earrings perfectly. Carefully designed and handmade by Catherine of Shadow Dog Designs, the LAS TORTUGAS earrings are a great gift for the woman who adores sea turtles and loves to wear one of a kind, artisan jewelry. "Las Tortugas" is Spanish for "the turtles."
- Terra cotta sea turtle dangles: app. 24 mm x 18 mm (at widest) by 6 mm; handmade by Sue of starspiritstudio
- Creamy brown Czech glass beads: app. 9 mm x 6 mm; faceted
- Swarovski crystals: faceted 4 mm "peridot" green bicones
- Metal: sterling silver
- Earwires: sterling silver French hooks
- Length: app. 2.5" / 6.4 cm measured from the top curve of the earwires
*** For a better understanding of the relative size of the minty green and terra cotta LAS TORTUGAS sea turtle earrings, please be sure to check out photo # 6 for a size comparison with a dime.
Turtles are symbols of good fortune, longevity and patience. Terra cotta ceramic is believed to be transformative. Even though man made, glass and crystals carry the energies of transformation, rebirth and communication. Silver is a metal of love and healing; it is a mirror to the soul, helping us to see ourselves as others see us.
The LAS TORTUGAS earrings were carefully designed and handmade in a dog friendly, smoke free studio. They will be carefully packed in an organza jewelry bag with tissue, perfect for gift giving to a loved one . . . or to yourself!
***Please be aware that not all monitors exhibit colors exactly the same. The colors of the items used to create my jewelry are extremely close to the actual color on my monitor. The colors may appear lighter or darker on your monitor.
» Tagged: Artisan Earrings, Sterling Silver
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Jewelry Studio Sections
- Artisan Dog / Cat Rescue Jewelry
- Artisan Earrings, Sterling Silver
- Artisan Earrings, Copper, Brass, Bronze
- Artisan Earrings, Pewter
- Artisan Necklaces with Pendants
- Artisan Necklaces, No Pendants
- Artisan Horse Jewelry
- Artisan Yoga Inspired Jewelry
- Artisan Art Earrings
- Artisan Religious Jewelry
- Artisan Heart Jewelry
- Artisan Flower Jewelry
- Artisan Bracelets
- Artisan Skull / Halloween / Day of the Dead Jewelry
- Artisan Christmas Jewelry
- Artisan Valentine's Jewelry


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There are a huge range of purposes and uses for concrete across residential, commercial and municipal areas, and for Salt Lake City professionals experienced with every variety, you've come to the right place. The experts at Lift-Up Concrete Lifting, LLC, are here to handle every concrete lifting and leveling service you might require.
Whether you require a small injection to strengthen weak soil or a full-on lift or mudjacking service, you can rest assured you'll receive efficient, cost-effective services from our technicians. Not only will our concrete lifting solutions keep your concrete surfaces looking smooth and clean, they'll also increase safety and limit physical risks in the area.
Dealing With Concrete Settling
Over time, concrete is susceptible to basic movement and settling. This is often due to issues with the compacting of the soil beneath the concrete area, but it may also take place because of poor water flow or slopes, intrusion of water from natural sources, or a few other reasons. The results of this sort of settling taking place can range from mild to severe – at first you might only notice small sunken areas or shifting, but over time, settled concrete can lead to cracking, major water issues and even the need for full-on concrete replacement.
This is where our professionals come in. Whether you're the owner or manager of a home, business or municipal facility, we can help assess the causes and extent of your concrete settling issues. From there, we can recommend the most cost-effective concrete leveling solution and quickly get to work implementing it for you.
Wide Range of Concrete Leveling Services
As we've noted, our services are available no matter which kind of structure or property requires them. We provide concrete lifting and leveling in each of the following areas:
Residential: Concrete is a vital part of nearly all residential properties, making up areas like driveways, garage floors, walkways, patios, porches, steps and more. Our services can help keep these areas safe and aesthetically pleasing, plus can prevent the kinds of cracking and leaking issues that may lower home values over time.
Commercial: Every part of your business matters to customers, even areas like walkways and parking lots. We can help keep these areas free of damage or risk, stabilizing soil and helping seal gaps and voids present in paved concrete.
Municipal: Lift-Up Concrete Lifting, LLC is also here to provide vital support to city structures like walkways, sidewalks and other major pieces of infrastructure. These areas support thousands of people, but are also exposed to significant stress and often run into concrete erosion and soil settling issues. We can help correct these and leave public grounds safe and appealing.
Our Trusted Team
At Lift-Up Concrete, you can rest easy knowing an experienced professional is at your service. All our experts are fully licensed and insured to provide our concrete lifting and leveling services, which often come at under half the cost of replacing the same area of concrete. Contact us today to learn more about the long-term solutions we can provide you.


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The hospitality industry has faced a turbulent few years.
With the consumer firmly in the driving seat, restaurants, pubs and hotels need to work harder than ever to make the in-venue experience memorable and to deliver real value. The challenge for the hospitality sector is to win over both the hearts and the wallets of its customers.
Enter SwipeStation. We help drive fresh and repeat footfall and ultimately loyalty. Our simple solution has numerous applications to entice visitors to stay longer and spend more in your venue. We help create branded experiences that become an integral part of the consumer's lifestyle. At its heart, SwipeStation provides operators with a seamless mechanism for handling promotions. In addition, our real-time analytics and actionable data help you to continually improve your offering. We can solve your logistical challenges and have a direct impact on your bottom line.


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At True North, I want to provide everyone with helpful tools that not only helped me get out of slumps and holes, but helped thousands, if not millions, of people as well. This is where Gary Keller's book "The ONE Thing" came into play…and here's how:
In August I gave away the book titled, "The ONE Thing." Again, thank you to all who participated. Don't forget that you can also pick this book up as an e-book or audiobook. It comes with helpful PDFs, I look forward to do this again with September's book giveaway!
The ONE Thing – DOMINO EFFECT
What happens when you knock down the first domino? Exactly, a sequence of events happens right behind it. In terms of overcoming challenges, tasks or obstacles, if you were to take the a regular sized domino and it knocks over a bigger domino roughly 50% larger, by the 11th domino, you're knocking over the Leaning Tower of Pisa!
This book introduced me to the "Domino Effect." Looking at your obstacles can be an intimidating and frustrating task. However, if you were to dissect that task to sub elements, and break those sub elements down further, you'll eventually find the first "domino." Not only have you found your first domino, but you also have found a roadmap of key tasks that must be accomplished in order to take you straight to the accomplishment of your goal.
The ONE Thing – Time Blocking
This book introduced me to time blocking. Time blocking helped me function better in an environment that is constantly putting out fires. Every call seems to be an emergency and everything needs to be accomplished now. After that "emergency" is accomplished, the next one comes in. Sounds familiar?
With time blocking, I'm able to layout my daily planner in front of me and "block out" time specifically for my most important tasks at hand. I further reinforce this time by shutting my office/cell phone ringer off, my email dinger, and close my door. The results have been nothing but extraordinary!
Throw Away Your To-Do-Lists!
Perhaps the biggest key takeaway I have with this book is with it's tasking methodology. For years I would create lists and try to knock them out. And, like many of us, I would realize that maybe I didn't get all of them knocked out or maybe I just got the easy but unimportant ones done first. Only to carry the large tasks over to the next day.
This book showed me how to take a large task and break it down to the point to where I could ask myself, "What's the one thing you can do such that by doing it everything else will be easier or unnecessary?
It sounds so simple, cause it is. Once you have the one thing identified, you write it down. You could even make a list of "one things" and rank them, only to work solely on the #1 task until it's completed until #2 is even touched. This practice has paid huge dividends in both my personal and professional lives.
One of my all-time favs! I've read many self-help books and listened to podcasts to assist my personal and professional growth, but no book has really had an impact on me like this one did. Not only is it an easy read, but it's full of pictures, charts, and graphs to drive the point home for visual learners like myself.
Again, at no extra cost to you, I've provided my affiliate link to Amazon: The ONE Thing here! If you have any interest in this book, and I hate saying it like this but you OWE it to yourself to buy this book. If you have any questions on this book, I'm always an email or Facebook message away if you need me!
Always Believe,
J Malo – TrueNorth: MBS
Join the TrueNorth: MBS Community to receive an email on the next TrueNorth Book Giveaway scheduled in September!


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Where Information Goes To Die
We've all been in jobs where there is "the guy" (I should really say "the person", but that just doesn't ring as colloquially true) who know how everything works and ties together. Maybe she's been there a while, maybe she's just REALLY smart, but in any case, she is the person who knows how all the pieces tie together. Maybe it's you!
This person is usually a dedicated worker who is very often savvy and held in high regard by his coworkers. This person is often the one that problems are escalated to or is the person that rides to the rescue during an outage.
In one of my favorite books, the Phoenix Project, the authors create a character that embodies "that guy" - Brent.

The Phoenix Project: A Novel about IT, DevOps, and Helping Your Business Win

By Gene Kim, Kevin Behr, George Spafford

Without giving away too much of the book, Brent finds himself in the path of just about every critical workflow in the company. He's not malicious, he's trying to be efficient and solve business problems (as he sees them). The problem is that every time Brent solves a problem, he gets a bit smarter about how those systems work together, but no one else on the team does. This compounds the reliance on Brent.
I keep listening as Patty continues, "Someone else said that she couldn't implement her change because there was an outage in progress. And a bunch of other people said, um…" She looks uncomfortable, so I prompt her to continue. "Well, they said they needed Brent for a portion of their changes, and he wasn't available," she says reluctantly. "In some cases, Brent's involvement was planned. But in other cases, they discovered they needed his help only after they started implementing and had to abort when Brent wasn't available.
Distribute the Goods
In order to deal with guys (or women) who are becoming (or are already) a bottleneck of information in your organization, we need to pull that information out of them - gently if possible. That is the type of information you want to persist in co-workers, documentation, runbooks, monitoring systems and scripts.
It will be painful.
Responses to critical issues will be slower at first. There will be lots of "Well, I'll just do it this way once and I'll script it or show you next time, when it's not as critical." It's ALWAYS that critical. There is NEVER more time.
That knowledge and process needs to be captured, as soon as possible.
There may be hurt feelings.
If you call someone a bottleneck, that implies that they can't keep up with the workload. Your Brent may feeling like things are being "taken away" from him. Nothing makes you feel valued like being told that you are indispensable.
If you single out someone as having all the knowledge, you are also telling everyone else in the organization that they don't know something critical to there environment and that they are not as good as "Brent".
It will benefit everyone.
If that knowledge is distributed and captured, the pressure on "Brent" will drop.
"My God," Wes continues, shaking his head. "I don't think Brent's even been able to take a day off without a pager in about three years. You know, he'll burst into tears when we offer that to him."
Since work isn't being blocked by "Brent" anymore, the amount of projects and changes that can be completed improve.
IF you are "Brent" or think you might become "Brent",
- focus building documentation or tooling to help your team do what you can
- help embed your intuition in your monitoring system with contextual checks
- pair with a team member and let them drive the console or code editor, so they understand what's going on
Do you have any other suggestions?


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Originally published: PeopleGrove | August, 2018
This year, more than 2 million students will begin their freshman year at colleges and universities across the country. As they transition into this new chapter, however, data shows that not all of these students will reach the necessary milestones to make their college journeys a success.
There are a number of reasons why students do not successfully progress to the next phase in the college life cycle. Fortunately, there is a solution—mentoring.
Within this solution, however, we must also acknowledge an important counterpoint—quality mentoring is not within everyone's reach. The result is the mentoring gap.


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mobile stone crusher,manufacturing in india. process and storage hopper, cone crusher,mobile crushing plant,stone production
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Tremor Gram – February 2019
Help Us Shine a Light on Essential in March
March is National Essential Tremor Awareness Month, a time to come together as a community to raise awareness to essential tremor.
This year's theme is "Shine a Light on Essential Tremor." We want to educate people about what essential tremor is and the impact it has on daily life.
Help us shine a light on ET and encourage others to speak up and speak out. Order these FREE posters to display in your community.
Also, watch your mailbox for information about how you can get an NETA Month t-shirt and tote to raise awareness all year long, while supporting the IETF.
All of these details are listed on our website if you want a sneak peek!
IETF Continues to Make Research a Priority
Research brings us closer to better treatments and a cure for essential tremor. That's why the IETF dedicates time and resources toward research.
Here's an overview:
Visit the research section of our website often to see what's happening and to get involved.
An ET Support Group is a Place to Be You
Are you feeling alone with your essential tremor (ET)? Do you feel like no one understands what you are going through? There are thousands of people around the world who have been diagnosed with ET and they share experiences similar to yours.
That's one of the reasons why the IETF began its ET Support Group program. Today, 63 ET Support Groups give people with ET a place where they are comfortable being themselves. Support groups allow people to exchange ideas about the challenges they have and share tips. They are run by people who have ET and also by caregivers.


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Make DVD easy our of Blu-ray
Kelly 2013-07-10
with lots of Blu-ray disc in hand, some times it is kind of trouble to play it with certain player. Since i only have a DVD Player. this Blu-ray to DVD Converter can meet all my needs to converter Blu-ray movie into DVD, Which can be accepted and played in my DVD Player.
宮田昌宏 2013-06-18
Ben Alexander 2013-06-17
DVDFab 9045 will not copy DUNE and The Golden Compass correctly
the copy will play on PC only,It will not play on a reg DVD player
also the gold compass has a audio sync problem
Easy And Perfect Translation
Buck Rogers 2012-10-11
This comes in very handy instead of replacing all my DVD players', I convert to DVD and let the children & Grand-Children watch the movie in the other TV room. If they damage the disk, no problem, make another one. Keeping the Blu-Ray for myself and my system.
Was great while it was working
april montes 2012-10-06
We ordered this program and the Bluray copy program. Bluray copy program was great, easy, no problems. The Bluray to DVD copy program was great until it stopped working about 2 months after we paid for it. Worked great all during trial and for the first 2 months after purchase, then after About the second upgrade installed the program stopped working. An error message kept saying blank disc was not Bluray (it wasn't suppose to be, it's copying Bluray to DVD)write process could not complete.
Anyway we put it on a shelf until we had time to contact tech support. We have been going back & forth with tech support since June with no solution, despite this a refund was denied. Finally after several months of back and forth emails and 0 solution we got the program to work. Only after we installed another freeware program that works together with DVD FAB. So perhaps your better off just installing the Free ImgBurn and going with another program. If it worked properly it would easily be a 5 stars for ease of use, price, and novice friendly.
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Our Values
LA.V8 focuses on face-to-face marketing as we believe this is the only real way to build a relationship, we lead conversations on your brand with consumers, understanding their needs, wants and expectations to ensure that when you decided to outsource your sales and marketing, you made the best decision for your business.
What are the LA.V8 Company Values?
Here at LA.V8 we are dedicated to upholding company values that resonate with both our brand ambassadors and our clients. We understand that the following values define who we are and what we stand for. They are evident in every element of our business.
Destroy the Norm
LA.V8 is a uniquely exciting brand, we are dedicated to destroying misconceptions about the sales and marketing industry. We align ourselves with generating vibrant and engaging campaigns and a productive environment for our contractors.
Embrace and Drive Change
We focus on the traditional, yet we also incorporate this into innovation. We are passionate about leading the industry, seeking new and exciting ways to update our campaigns on a constant basis.


text: Home » Blog » Internet Marketing » 10 Secrets to Creating Sharable (Maybe Viral) Content There are times when healthcare providers—even health systems and hospitals—dive into content publishing with only a general idea about where they're going or how to get there. Right from the start, creating and publishing authoritative material is challenging. But the initial creative step just gets the ball rolling.We all know that regular postings and updates support online visibility via websites, blog pages, social media platforms and other postings. Staying fresh and timely helps Search Engine Optimization (SEO). But all too often well-intended publishers inadvertently miss out on the positive benefits of content that is shareable.The simple definition is that good online information has added value or potential through sharing. When the initial readers are inspired to pass the content to others…thereby extending reach and influence to a wider audience. Sometimes, the grand prize is the sudden and often unexplained explosion of public attention when something "goes viral."Viral exposure is usually a good thing, but it tends to be rare, short-lived and unpredictable. But creating regular content that can connect to new readers has greater value over time. Here are some of the secrets to consider when creating sharable content.How ideas spread as shareable content…A recent study by UCLA psychologists suggests that "people are regularly attuned to how the things they're seeing will be useful and interesting, not just to themselves but to other people." It seems that's the way we're wired, according to UCLA Professor Matthew Lieberman.Generally, people tend to be touched by emotions. Both positive and negative feelings can grab attention and inspire sharing. Overall, people want to share information with other people, particularly when it is:Useful – where information can be helpful or beneficialAmusing – content that has entertainment or simple "feel good" valueInspiring – materials that touch emotions or a high level of curiosity In addition to these high-level characteristics, ideas and information are more likely to be shared:A specific purpose, cause or defined need. The millennial cohort, in particular, relates to belief-driven ideas.Make it visually compelling with videos, graphics, charts or infographics.Offer a specific takeaway, reward or incentive.People love lists of specific characteristics, how-to steps or defined directions.Provide an opinion or provoke an important discussion or debate.Surprising information and things that are unusual or unexpected.Timely, topical matters or provocative ideas that are in the news are often shared.When social validation shows others also share. People use share and like buttons (with counters) to join others and be part of the group approval.When there is a unique value or unusual authority for content not available elsewhere.Where practical, how-to or implementation value is strong or beneficial.There is no simple or single magic ingredient in the sharable formula…and that's a good thing. In fact, there are many techniques that give interesting and informative content an added opportunity for readers to share and extend your reach and impact.Being shareable means you are useful to your audience, and your content has added value in reaching people beyond the initial circle. For more ideas about the value of creative content, please give us a call.Oh…here's one more tip: Ask a question…like, what would you add to this list? What have you used or what do you recommend as a way to inspire shareable content? Stewart GandolfChief Executive Officer & Creative Director at Healthcare SuccessOver the years Stewart has personally marketed and consulted for over 1,457 healthcare clients, ranging from private practices to multi-billion dollar corporations. Additionally, he has marketed a variety of America's leading companies, including Citicorp, J. Walter Thompson, Grubb & Ellis, Bally Total Fitness, Wells Fargo and Chase Manhattan. Stewart co-founded our company, and today acts as Chief Executive Officer and Creative Director. He is also a frequent author and speaker on the topic of healthcare marketing. His personal accomplishments are supported by a loving wife and two beautiful daughters.Comments


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Seeking Accountability When You're Injured
Getting a recovery for a serious injury in Connecticut is about more than a settlement. When you or a loved one is seriously injured, there is no amount of money that will make the injury go away, but there can be a resolution.
A serious personal injury may leave you feeling unprepared and overwhelmed. At Harris, Harris & Schmid, you can count on focused representation that is dedicated to getting you the best result possible.
Compensation Should Include Long-Term Needs
Having a serious injury means you need more than a little help. When there are doctor visits to plan, appointments to get to and the bills start piling up, you need someone who knows how to anticipate what you will need and what to expect. Your financial compensation should consider those things, too. At Harris, Harris & Schmid, we understand serious personal injury claims, including:
- Car wrecks, truck accidents, motorcycles accidents and other accidents involving motor vehicles
- Medical malpractice cases when you've been injured by a negligent doctor, medical provider, hospital or pharmacist
- Premises liability injuries such as slip and falls, and dog bite cases
- Wrongful death claims for people who have lost a loved one due to another's negligence
When you're in uncharted territory, you need a guide to help you through. We are a local firm with over 60 years of experience. We know how to apply the law to your situation so you can get the recovery you deserve.
Attorneys Who Have Your Back
We know there is more to your case than your injury. We take the time to get to know you so that we can understand the full impact of your injuries on your life. That is why at Harris, Harris & Schmid, our dedicated personal injury lawyers will take the time to get to know you as well as your case.
You may not know all the right questions to ask. And you shouldn't have to. Harris, Harris & Schmid is ready to help you find answers and get you on your way to recovery. Call us today at 203-822-7006 or contact us online to set up a free consultation at our main office in Norwalk or one of our satellite offices in Stamford, Bridgeport or New Haven.


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With an aging populace and ever demanding lifestyle, the challenge faced by many families to find a nurturing and safe environment for their loved ones can be a heavy burden. Although forecasts and business models predict a dynamic growth industry, Nazareth chooses to view this as an opportunity to implement our unique credo by providing a quality environment for our elders, which affords us the multi-faceted benefits that come from doing well while doing good.
For past decade, Nazareth Enterprises has expanded its operations into the senior housing sector, bringing with it the Nazareth-way: providing for the needs of our seniors with quality accommodations, tailored to their level of care. Nazareth Health Care's fundamental mission is to serve older adults and partner with residents, families and community resources to provide an environment that provides quality for all.
And, with a wide-array of care facilities to meet the residents' needs, we can provide a caring environment for your cherished family members. We are currently located in six communities and are growing to meet the increasing demand for the renowned care we are known to provide.
17250 Vailetti Drive, Sonoma, CA
903 Saratoga Drive, Napa, CA
Copyright ©2017 Nazareth Enterprises All Rights Reserved


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# 306 8975 Mary Street, Chilliwack
Welcome to Phoenixdale 1, conveniently located just steps away from the new midtown development, close to shopping centers, schools and recreation with quick highway access. Unit 1214, offers a well laid out, recently renovated 938 sq ft of living space with 2 good sized bedrooms and 1 bathroom. Recent renovations include new flooring, paint, bathroom with tile surround, light fixtures, counter tops, back splash and high efficiency heating system. New Stainless steel appliance package. Large front windows allowing for plenty of natural light and fantastic mountain views from the newly re-covered patio with southern exposure. Updates to the building include fire safety equipment, lobby, fiber optics, roof (15 years old) and massive overhaul to the elevator. Book your private tour today!
Elevator, In Suite Laundry, Tennis Court(s)
Clothes Washer/Dryer/Fridge/Stove/DW, Microwave
The data relating to real estate on this web site comes in part from the MLS® Reciprocity program of the Real Estate Board of Greater Vancouver or the Fraser Valley Real Estate Board. Real estate listings held by participating real estate firms are marked with the MLS® logo and detailed information about the listing includes the name of the listing agent. This representation is based in whole or part on data generated by the Real Estate Board of Greater Vancouver or the Fraser Valley Real Estate Board which assumes no responsibility for its accuracy. The materials contained on this page may not be reproduced without the express written consent of the Real Estate Board of Greater Vancouver or the Fraser Valley Real Estate Board.
Listing information last updated on April 3rd, 2020 at 1:02am PDT.


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I just finished reading a critical but seemingly irrational argument by one of the so-called constitutional experts against the concept of Nullification. I am neither an expert when it comes to constitutional law nor do I profess to be one. That said, when I sit and read analyses made for nullification by constitutional experts such […]
Glaring Paradoxes: Let Us Be United in Unconstitutional Federal Government Laws & Operations!
January 18, 2013 45 Comments|
Tom Woods: Secession vs. Nullification
November 21, 2012 Leave a Comment|
Podcast Show #39
April 14, 2011 5 Comments|
The Boiling Frogs Presents Dr. Tom Woods Tom Woods joins us to discuss his latest article on the Phony Arguments for Presidential War Powers which has triggered intriguing reactions from the media on both sides of the isle. He provides us with historical background and a 'real' constitutional view of war making powers vested in […]


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Flexible Public Warehousing in Illinois- Chicago
Michael Mozney
The very nature of public warehousing focuses on the ability for an Illinois public warehouse partner to provide a very flexible supply chain solution to each of its customers. Third party warehousing especially in the Chicago, Illinois and Midwestern areas has grown tremendously in the past decade. The strategic positioning of Chicago, Illinois as a flexible point of distribution has allowed major Corporations to partner with flexible order fulfillment services in Chicago. Allowing a logistics expert to manage your inventory and to operate your supply chain portion of your business makes incredible financial sense.
An Illinois public warehouse partner should be flexible and allow for you to contract or expand your inventory levels at their Chicago warehouse at a moments notice. You chose Chicago as your Midwestern distribution point as it is centrally located within the United States. It can become a very busy and important Midwestern order fulfillment point for your operation within your organization. Allow a Chicago, IL public warehousing partner to manage your supply chain! This means that you do not have to put out large capital expenditures for Chicago properties and space that you may or may not need during a given year. The ability to grow and shrink your inventory provides you with a benefit that will increase your profitability during good times and bad.
A strategic Illinois public warehouse partner will have the ability to adjust its labor force to the needs and business cycles of its customers. Insuring that it can provide each of its customers with accurate and timely order fulfillment, kitting requirements, and assemble needs is key to the success of a strategic Illinois public warehousing partnership. Again it does not make sense to hire a large warehousing staff of your own when you can in essence share the staff of your public warehouse provider. Your staff utilization and warehousing labor costs will adjust as your Chicago, IL volumes and business levels adjust. The flexibility in the shared warehouse labor approach again provides your organization with an increased profitability as it relates to your warehousing, order fulfillment, and kitting operations.
In a Chicago public warehouse environment, it is extremely important to have a partner that can manage the often insurmountable peaks in shipping volume between all of the customers sharing that labor pool at each facility. Finding a Chicago public warehouse that has a strategic game plan in place to manage those peaks is crucial. Anyone can hire temporary warehouse labor but how accurate is that warehouse labor and how reliable is that public warehouse partner. Finding an order fulfillment partner that is flexible and operates with a stable warehousing work force is again a profitability booster for your organization.
While the order fulfillment side of the labor process is typically more accustom to larger peaks, it is also extremely important to understand that you have a public warehouse partner in Chicago that can also manage the inbound spikes as well.
Finding a flexible public warehousing provider in Illinois will create a seamless supply chain solution for the warehouse customer, their customer, and the Chicago public warehouse provider. It is a win for all parties in the Chicago supply chain process.
For additional information on "Flexible Public Warehousing in Illinois-Chicago" please contact us
www.publicwarehousingchicago.com or Email us at email@example.com or call us at 312-328-0254.
Moran Distribution Centers facilities are located in city of Chicago area, Illinois, midwestern, United States.
Services include contract warehousing, public warehousing, pick n pack, distribution and consolidation, order fulfillment and parcel distribution. Specialty warehousing is provided for paper products, auto parts, retail, electronics and consumer products.
Order Fulfillment | Parcel Distribution | Transportation | Logistics | Inventory Control | EDI
Custom Reports & Labels | Warehouse Locations | Request Quote | Customer Access
Chicago Public And Contract Warehousing Locations At
Elk Grove Village, Il. and Bensenville, Il.
(312) 328-0254
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Copyright Moran Distribution Centers Inc.


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In a competitive landscape, you need an outstanding resume to get ahead. Start your resume with a strong summary statement that explains your unique combination of hard and soft skills. If you've worked as an intensive care nurse in the past, add your years of experience here as well. When you write your work history section, use words like monitored, supported, and educated to describe your contributions to the intensive care unit. Because you work with highly sensitive matters, use the word compassionate to describe your bedside manner. Look through the intensive care nurse resume example for additional ideas.
Resume Tips for Intensive Care Nurse
The best way to find jobs as a intensive care nurse is to pair certain job seeking skills with the right mindset. The tips below can help keep you on track during your hunt.
1. Stay focused. While it may be easy to become overwhelmed, it is important to remember that your unemployment is only temporary. Staying focused and positive can help keep things in perspective.
2. Keep your options open. While you may have set your sights on a particular job or industry, keeping an open mind will allow more opportunities to come your way.
3. Make a plan. The best way to break down the process of finding a new job is to devise your own personal plan. This could involve setting goals that can be reached on a daily or weekly basis, for example, trying to send out a certain number of resumes per week.
4. Keep up with networking. Don't hesitate to reach out to personal and professional contacts who may be able to help offer insight into a particular field. Any advice will be valuable, and you never know where your next lead could come from.
5. Make use of social media. Use Facebook, Twitter, and LinkedIn to expand your network and help potential employers find your professional profile.
Intensive Care Nurse Advice
When it comes to finding jobs as a intensive care nurse, you want to make sure your resume makes the best first impression of you possible. Keep your resume in top shape with the following do's and don'ts:
1. Don't exceed two pages. Unless you are an academic or a doctor who needs to use curricula vitae (CVs), there is no need to write more than two pages. Keep your resume writing relevant and concise.
2. Do align the text flush left and use bullet points for listing items. These formatting guidelines will increase the readability of your text and improve organization.
3. Don't use generic language. Avoid overly used phrases such as hard working and team player, as they detract from the originality of your tone.
4. Do introduce your work history section with a Summary of Skills section. Doing so will offer the reader with an at-a-glance profile of your professional qualifications and skills.
5. Do list your work history in the following recommended order: title of position, employer, city and state of employer, and employment dates.
Intensive Care Nurse Job Seeking Tips
An intensive care nurse works in emergency conditions, often with critically ill patients. To qualify as an intensive care nurse, you'll need a degree, experience, and lots of specialized training–all of which should be reflected in your resume. Our resume examples are designed to highlight this experience. Featuring pre-written sample text and professional designs, these resume examples are the perfect place to start in creating your own resume. Just click on one the templates below to get started.
No Experience Intensive Care Nurse Resume
Want to use this resume?
100 Broadway Lane, New Parkland, CA, 91010
Cell: (555) 987-1234
Educated professional with a California nursing license seeking position as an intensive care nurse. Has a long history of working with patients in medical settings, taking medical histories, administering tests and following confidentiality laws.
- California Nursing License
- BSN Degree
- Trauma Experience
- Obtaining Medical Histories
- Patient Follow Up Care
- Patient Confidentiality Laws
- 101Took medical histories from less serious patients and discussed the cases with doctors and assistants
- Administered IVs, drew blood and performed other medical tasks relating to patient care
- Followed up with patients after they checked in to the hospital
- Greeted patients, provided directions and answered basic questions.
- Spent time socializing with patients and providing comfort that included getting approved snacks and beverages, reading and talking.
- Took inventory and assisted with the ordering of supplies.
- ANCC certification – 2015
- Dean's List 2013-Present
Intensive Care Unit Registered Nurse No Experience Resume Tips
Even as a graduate or soon-to-graduate with limited real-world experience, it's still possible to display your potential to a future employer with a well-crafted resume. For instance, education and experience can include academic achievements, relevant internships and volunteer work that highlights skills you've acquired. The above Intensive Care Unit Registered Nurse resume sample can serve as a basis for assembling your own effective resume designed to increase your odds of getting your foot in the door as you start your career.
There are plenty of opportunities to land a Intensive Care Nurse job position, but it won't just be handed to you. Crafting a Intensive Care Nurse resume that catches the attention of hiring managers is paramount to getting the job, and LiveCareer is here to help you stand out from the competition.
Similar Resumes
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Summary: Knowledgeable Critical Care Registered Nurse with superior knowledge of critical care treatments, techniques and diagno...
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Summary: Dynamic Registered Nurse with 4 years of experience in critical unit. Adept at collaborating with interdisciplinary med...
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Related: Healthcare,Nurses


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This paper is about an unusual artefact from Wyoming that may have been used by prehistoric people. It has now been studied and the preliminary research results are complete.
This ancient scraper is a bifacial, thinned, cortical flaked tool, which means that its flakes were struck from the exterior of a chert nodule (hence the remaining cortex, or rough surface, visible on one face, Fig. 1). To make it bifacial, the edges were then flaked on both sides to form a cutting or scraping edge used for working with things like meat and hide, among others possibilities (Walker, Danny, Personal communication 2012).
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