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UC Cooperative Extension
ACP (Asian citrus psyllid) found in San Joaquin county
Who We Are
Across California, the University of California's 64 Cooperative Extension offices are local problem-solving centers. We are the bridge between local issues and the power of UC research. Our county-based staff is part of the community – we live and work in the areas we serve.
More than 300 campus-based specialists and county-based farm, home and youth advisors work as teams to bring practical, unbiased, science-based answers to problems across California.
As part of the agricultural community, we help farmers develop more-efficient growing methods, solve pest management problems and develop crops and irrigation methods that use less water.
As stewards of the land, we help develop smart water-use strategies, develop wildfire education and help preserve natural areas and farmland.
As advocates for healthy communities, we promote healthy diets and exercise for better health, help Californians learn to choose the most nutritious foods and help shape the citizens of tomorrow through the 4-H Youth Development Program.
And thousands of volunteers extend the reach of our work through the Master Gardener Program and the California 4-H Youth Development Program.
We work in full partnership with federal, state, county and private resources.
We are stewards, problem-solvers, catalysts, collaborators and educators.
We are UC Cooperative Extension.
UC Blogs
Moths! Moths! Moths! Can You Identify Your Moths?
So you have this significant garden pest--a caterpillar eating your cabbage, lettuce, tomato, squash, geraniums and petunias--and more. And then one morning you see a moth on your blanket flower (Gaillardia). Hmm... What is it? The moth (below) is...
It's Bugged! And You Won't Want to Miss It!
It's bugged. Yes, bugged. And you won't want to miss it. If you head over to the 69th annual Solano County Fair, 900 Fairgrounds Drive, Vallejo, between now and Sunday, July 31, you'll see lots of bees, butterflies, lady beetles, dragonflies,...
Proof of Life
Sometimes caregivers, including grandparents, aunts, uncles, cousins and neighbors, take photos of babies to show "proof of life." They post them for the parents to see, admire and confirm. It's delightful to see images of your offspring while you're on...
Make a Gift Online
Brent A Holtz Ph.D.
San Joaquin County Cooperative Extension
Robert J. Cabral Ag Center
2101 E. Earhart Avenue, Ste 200, Stockton, CA 95206
Phone: (209) 953-6100
Fax: (209) 953-6128
e-mail: email@example.com
Click here for a map
UC Blogs
Hmong farmers getting help from UC Cooperative Extension to weather the drought
Posted 7/25/2016 - After the Central Valley Hmong Agriculture radio show last week, the phones at the UC Cooperative Extension office in Fresno County were buzzing non-stop with farmers anxious to apply for state grants to improve irrigation systems and energy efficiency....
Lessons from six California soil care farmers
Posted 7/21/2016 - Despite the growing interest in soil health in many parts of the country, the notion hasn't captured the imagination of most farmers in California. The Golden State's lackluster attention to soil care is likely due to "phenomenal yield increases...
A moth's night out: Celebrate moths at Bohart Museum
Posted 7/19/2016 - If you're the kind of person who deliberately allows cobwebs or spider webs to grace your porch light, you may be the curious type - or have a little bit of entomologist in you. Like a moth to a flame? Yes, and you can learn more about moths at the...
Organic symposium proceedings now available
Posted 7/18/2016 - Summaries of presentations from the 2016 Organic Agriculture Research Symposium (OARS) held in Pacific Grove are now available online at http://eorganic.info/node/16778. Many of the workshops and keynote presentations were recorded live and may be viewed...
IPM information extends to apple and peach growers in Guatemala
Posted 7/8/2016 - Did you know that apples and peaches are two important fruit crops planted in the highlands of Guatemala? More than 7,600 acres of apples and 6,100 acres of peaches are grown. However, with warm winters that don't allow for the winter chilling time that...


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Dispensations, which is to say the divine order of worldly events. This order of events has changed over time as it relates to salvation, in this episode we will examine these changes.
Behind The Faith is a broadcast based on the book Behind The Faith Revelation by Antonio M Wilson, available at Amazon.com and Barnes and Noble.
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Born in Manchester and raised east of London, Iain Ellis spent his formative years playing, performing, and consuming a heavy diet of punk rock music and football. In 1986, the young man went west to find his dreams in Bowling Green, Ohio. Instead, he picked up a PhD in American Culture Studies, writing his dissertation on 1980s American Punk Culture. In 2000, he traveled further west, settling in Lawrence, Kansas, where he currently teaches English at the University of Kansas and performs in his band The Leotards. You may also enjoy his books, Rebels Wit Attitude: Subversive Rock Humorists and Brit Wits: A History of British Rock Humor.
Rebels Wit Attitude: Nirvana | 11 Jan 2009 // 2:59 PM
In this excerpt from PopMatters' new book Rebels Wit Attitude, Iain Ellis discusses how Nirvana were a rocking perfect storm of punk's attitude, metal's riffs, and pop hooks.
Rebels Wit Attitude: Beastie Boys | 14 Dec 2008 // 2:59 PM
In this excerpt of PopMatters' new book Rebels Wit Attitude, Ellis discusses how Beastie Boys were not afraid to play the enemy within, often mocking the macho strutting of harder rappers.
Who's Better Than Mark Twain at Bible-bashing? | 19 Jun 2016 // 9:29 PM
Sounding more like Christopher Hitchens than a lapsed Presbyterian from the 19th century, Mark Twain rips apart Testaments Old and New.
Kurt Vonnegut: Our Reluctant, Agnostic, Hippy Guru | 19 Apr 2016 // 9:00 PM
Vonnegut's timeless stories challenge the assumptions, institutions, and ideologies that so delimit critical thinking and open-mindedness.


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Stranger With Metal Detector Helps Woman 'Restore Faith In Humanity'Craigslist helped reunite a South Florida man with his wedding ring which he lost three thousand miles away
CBSMiami's Shelter Pets Of The Week 7/13/16This week's CBSMiami Facebook Shelter Pet of the Week features cute and cuddly cats plus two beautiful dogs who both need loving, fur-ever homes.
Israel Group: Families Sue Facebook Over Palestinian AttacksIsraeli and American families of victims of Palestinian attacks filed a $1 billion lawsuit against Facebook claiming the social media site is providing a platform for militants to spread incitement and violence, according to attorneys.
Put The News In Newsfeed: How To Still See News With Facebook's New AlgorithmKeep the news in your Facebook Newsfeed by following these simple steps.
Facebook's Latest News Feed Tweak Gets PersonalFacebook has once again changed the formula used to decide what users see on their news feed - and it's getting personal.
Orlando Gunman Apparently Searched Facebook During AttackWhile his victims texted heartbreaking last words to their loved ones from blood-drenched bathrooms, Omar Mateen apparently went on Facebook to gauge the impact his attack on a gay nightclub was generating online.
CBSMiami's Shelter Pets Of The Week 5/27/16This week's CBSMiami Facebook Shelter Pet of the Week features two beautiful dogs who both need loving, fur-ever homes.
Facebook's Zuckerberg Meets With ConservativesFacebook's CEO Mark Zuckerberg is meeting with conservative leaders Wednesday to discuss claims its "trending topics" section is biased against them.
Facebook CEO To Meet With Conservative LeadersFacebook's CEO Mark Zuckerberg plans to meet with conservative leaders this week- among them radio host Glenn Beck and American Enterprise Institute president Arthur Brooks.
Mark Zuckerberg Replies To Facebook "Trending" Tool ControversySo what exactly is behind the accusations that Facebook is manipulating its "trending topics" feature to promote or suppress certain political perspectives?
Facebook Says No Evidence Conservative Stories Suppressed Social media giant Facebook says they have found no evidence to prove that their contractors suppressed stories of interest to conservatives in its "Trending" section.
CBSMiami's Shelter Pets Of The Week 5/6/16This week's CBSMiami Facebook Shelter Pet of the Week features two beautiful dogs who both need loving, fur-ever homes.


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Additionally, the site mentions issues involving debit cards and importers. ĀRelating to debit cards, they can be used so long as the card contains the Visa or Mastercard logo; which is different from the credit card only stance taken in Phantasy Star Online Version 2 for the Dreamcast. ĀAs far as importers go, Sega states that so long as you can complete the registration process and your payment can be processed, you can purchase a Hunter's License.
One bit of information that the website does not comment on relates to whether or not the import and domestic versions will be capable of playing together online. ĀThere is currently no conclusive information which would indicate whether or not the Japanese and American servers will be connected or if they will be separated due to a bug in the Japanese version.With the recent release of the game, information relating to this is expected to be known soon.
With this update comes more pictures. ĀNew weapons, old weapons, new stages, new monsters, some more new, some more old, and several pumpkins.
Tales from the Borderlands July 31 • 9:00am PDT/12:00pm EDT
Sword Coast Legends Aug 7 • 9:00am PDT/12:00pm EDT
Breath of Fire IV Continues! Every Monday • 5:00pm PDT/8:00pm EDT
Star Wars: KotOR Continues! Coming soon...


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The Door in the Forest
The Door in the Forest
Alfred A. Knopf Books for Young Readers, Hardcover, 9780375856013, 256pp.
Publication Date: March 22, 2011
At the mid point of three towns, in the center of three streams, in the heart of a forest, lies a mysterious island. Encircled by quicksand and sewn shut by vines, it is impenetrable to all but the poisonous snakes patrolling its waters. But Daniel is determined to get there, along with his friend Emily.
Emily is a bit mysterious herself. A girl who seems to know more than she can say, whose mother was taken away by government troops, and whose eccentric grandmother reads the future in her bubble bath.
Enter the soldiers. Their menacing commander is terribly interested in sleepy little Everwood. Is he searching for something? A treasure map? The island? The girl?
Roderick Townley spins a magical tale of lies and truths, of secrets kept and secrets revealed.
Sooner or later, we all must step through the door in the forest.
Mr. Townley has also published the novel "Sky", described by VOYA as "one hell of a book," as well as volumes of poetry, nonfiction, and literary criticism. He has two children, Jesse and Grace, and is married to author Wyatt Townley.
"[A] moving fantasy . . . Townley provides revelations that are both comic and awesome. Reminiscent of the work of Diana Wynne Jones, this lovely tale should impress young readers."
—Publishers Weekly


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Several area athletes have been honored with selection to the 2013 Class 1A-3A North All-Stars in baseball and softball.
West Las Vegas head softball coach Lucas Griego, who just guided the Lady Dons to a runner-up finish in the state tournament, has agreed to coach the North girls, which include five from the Las Vegas area.
Three-on-three basketball has long been one of New Mexico's favorite summertime diversions. With events like Hoop-It-Up dotting the schedule, hoopsters of varying ages and ability levels have typically had more venues than the playground courts to ply their trade.
Now, the New Mexico Youth Foundation and Alliance is serving up a new twist on three-on-three hoops in the form of benefit tournament using the rules of "Hiphop Basketball."
For a fledgling franchise like the Las Vegas Train Robbers, this is a season of firsts.
On Tuesday, the team earned its first-ever win, beating the host Trinidad (Colo.) Triggers 13-6.
On this coming Tuesday, the squad will host its first-ever home game.
First pitch is scheduled for 7 p.m. at Rodriguez Park's main field. The opponent is the Taos Blizzard. Admission is $6.
• Las Vegas Train Robbers at Taos, noon, Taos
• Las Vegas Little League games Orioles vs. Reds, 5:30 p.m., and Cardinals vs. Angels, 7:30 p.m., Keyes Park
• Las Vegas Train Robbers vs. Taos, 7 p.m., Rodiguez Park
• La Plaza Little League games: Yankees vs. Rockies (minors), 5:30 p.m., Rockies vs. Cubs (majors), 7:30 p.m., Rodriguez Park
• Las Vegas Little League games: Red Wings vs. Owlz, 6:15 p.m., Rivercats vs. Threshers, 7:45 p.m., Keyes Park
Juliana Guerin made history earlier this month, capturing her third state singles tennis championship in dominant fashion, but it wasn't quite as easy as the scores might indicate. And given the adversity she had to overcome to defend her title, Guerin appreciates this one every bit as much as the previous two she won as an eighth-grader in 2010 and as a sophomore last spring.
In a post-championship interview, Guerin shared her thoughts about coming back from injury (again), her journey back to the final, and her plans for continued growth on the court.
Three major Meadow City head coaching positions — two at Robertson and one at West Las Vegas — recently opened up for applicants, school officials confirmed this week.
West Las Vegas plans to advertise its varsity boys' basketball post after opting not to renew head coach Ernie Rodriguez's contract, WLVS Superintendent Gene Parson said Wednesday.
"We're going to open the position," Parson said. "At this time, we're choosing to go in a different direction."
The Associated Press
CHICAGO — Brian Urlacher wasn't sure how dominant he could be any longer, so he's calling it a career after 13 seasons with the Chicago Bears.
And what a career it was: Eight Pro Bowl seasons; Defensive Player of the Year in 2005; a trip to the Super Bowl as 2006 NFC champion.
And now, it's over. The eight-time Pro Bowler and former UNM Lobo announced his retirement through social media accounts Wednesday.
May 21
Charette Lakes: Fishing was fair using Power Bait, worms, Pistol Petes and salmon eggs for trout.
Cimarron River: Water flow below Eagle Nest on Monday was 67 cfs. Trout fishing was fair to good using Panther Martins, elk hair caddis, Cimarron specials, Cimarron worms, parachute adams, salmon eggs and worms. Fishing at the Gravel Pit Lakes fair using Pistol Petes, worms, salmon eggs and Power Bait.
The New Mexico Highlands women's basketball program has announced several June dates for the annual Tiffany Darling Summer Basketball Camps.
RMAC Academic Player of the Year Alyssa Lopez and some of her Cowgirl teammates will be helping Darling, Highlands' head women's basketball coach.
The 2013 Tiffany Darling Summer Basketball Camps are scheduled throughout the month of June with different dates for the varying skill levels of the campers.
The camps begin with the Youth Camp for ages 5-9 on June 3-5 from 10 a.m. to noon.
Copyright © 2016
The Las Vegas Optic is your source for local news, sports, events, and information in San Miguel County and Las Vegas, NM, and the surrounding area.


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Welcome to the Milo Library!
Learning Express Library
Learning Express Library is an interactive online learning platform featuring over 770 practice tests, tutorials, and eBooks related to job search and workplace skills improvement, career certification and licensing exam preparation, college entrance and graduate school admissions exam preparation, GED exam preparation, and basic skills improvement in reading, writing, and math, for all ages. You'll get immediate scoring, complete answer explanations, and an individualized analysis of your results.
Introducing Learning Express Library 3.0,
Milo Library Online Catalog
We finally have most of the library automated. You are now able to access our catalog online. It will be as simple as clicking on the website, http://opac.libraryworld.com and typing in milo for library name. No password is needed. Please call me if you have questions. I will be glad to answer in anyway that I can.
World Book Online
The Milo Library has purchased a subscription to World Book Online. If you just click on the following link below it will take you straight to the world book website. Milo Library patrons have access to the following World Book Products:
World Book Online Info Finder
World Book Online Reference Center
World Book Online For Kids
Enciclopedia Estudiantil Hallazgos
World Book Mobile
The wonderful thing about World Book and their products is they have set it up so you don't have to be in the library to access this product. If you have internet access you can click the picture below and go straight to the Milo Library's World Book Online pages from home, school, your cell phone, e reader, etc. etc. Please take the time to go look at their pages as they have wonderful reference materials, links, and information. The kids page has reference material, games, scavenger hunts, and video clips to make it fun!
To login into World Book:
username: milolibrary
password: book
The library board meeting is always held on the second Tuesday of the month from 7:00 to 8:00. The meeting is open to the public and all are welcome. The next board meeting is scheduled for Tuesday November 12.
Book Club will meet the 4th Tuesday of each month. Please come join us!
eBOOK LIBRARY
Now you can check out Audiobooks and eBooks anytime, anywhere. You WILL need your library number and then click here to go to our online ebook and audiobook library. http://wilbor.lib.overdrive.com


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Latest News
The 29th Annual Boone County Senior Citizen's Picnic will be held at the Boone County Fairgrounds on Wednesday, September 14th from 9:00 a.m. to 2:00 p.m. Tickets will be available on August 1 from 9am-4pm in the Fiscal Courtroom on the 1st floor of the Boone County Admin Building. Read More
The 2016 Boone County 4H & Utopia Fair will be held August 8-13 at the Boone County Fairgrounds. Read More


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Release Date:
November 24, 2009
A woman looks for both revenge and redemption after spending 13 years in prison in this offbeat thriller from South Korea. Lee Geum-ja (Lee Yeong-ae) was in her early twenties when she was found guilty of kidnapping and killing a young boy, and though she confessed to the crime under duress, while behind bars she dreamed of one day being able to clear her name -- and even the score with the people who railroaded her, including the police officer who brought her in (Nam Il-woo) and Mr. Baek (Choi Min-Sik), a teacher who wronged her in a number of ways. Lee Geun-ja teams up with a number of friends she made during her time in lock-up, including Woo So-yeong (Kim Bu-seon), a thief with a gunsmith for a husband; Oh Su-heui (Ra Mi-ran), who was saved from assault at the hands fellow inmates by Lee; and Preacher Jeon (Kim Byeong-ok), an eccentric man of the cloth who was struck by her gentle nature in jail. As Preacher Jeon helps Lee seek salvation for all she had to do while in prison, her other friends stand by her side as she gets even with her rivals and searches for the daughter she was forced to leave behind when she was convicted. Sympathy for Lady Vengeance (aka Chinjeolhan Geum-ja-ssi) was the third film in a series, preceded by Sympathy for Mr. Vengeance, and Old Boy. Mark Deming, Rovi
Korean director Park Chan-wook followed up his highly acclaimed ****** Security Area with this tale of a deaf mute named Ryu (Shin Ha-kyun) trying to help his sister (Lim Ji-Eun) get a kidney transplant. Because his blood type is incompatible and no donors are available, he turns to a group of black-market organ dealers who offer to find one in return for one of his and ten million won. The dealers rip him off, so Ryu conspires with his girlfriend, a political activist, to kidnap his former boss' young daughter and ransom her for the ten million won. But a horrible complication ruins their plans and things begin to spiral out of control as the girl's father (Song Kang-ho) decides to take matters into his own hands with the help of a sympathetic cop. Tom Vick, Rovi
South Korean filmmaker Park Chan-wook directed this violent and offbeat story of punishment and vengeance. Oh Dae-su (Choi Min-sik) is a husband and father whose reputation for womanizing is well known. One day, for reasons he doesn't understand, Oh Dae-su finds himself locked up in a prison cell, with no idea of what his crime was or whom his jailers may be. With a small television as his only link to the outside world and a daily ration of fried dumplings as his only sustenance, Oh Dae-su struggles to keep his mind and body intact, but when he learns through a news report that his wife has been killed, he begins a long and difficult project of digging an escape tunnel with a pair of chopsticks. Before he can finish -- and after 15 years behind bars -- Oh Dae-su is released, with as little explanation as when he was locked up, and he's soon given a ****** of money and a cellular phone by a bum on the street. Emotionally stunted but physically strong after 15 years in jail, Oh Dae-su struggles to unravel the secret of who is responsible for locking him up, what happened to his wife and daughter, and how to best get revenge against his captors. Oldeuboi was screened in competition at the 2004 Cannes Film Festival and won the coveted Grand Prix. Mark Deming, Rovi
- Genre: Suspense & Thriller
- Category Paranoid Thriller, Crime Drama, Psychological Drama, Action Thriller, Crime Thriller
- Theme: Crime Gone Awry, Mind Games, Out For Revenge, Kidnapping, Haunted By the Past, Mothers and Daughters
- Run Time: 06 hr 01 min
- Language: English , Korean
- Subtitle Language: Spanish , English
- Picture Format: widescreen
- Release Date: November 24, 2009
- Lead Actor: Lee Yeong-ae , Choi Min-Sik , Lim Ji-Eun , Shin Ha-kyun , Gang Hye-jeong
- Supporting Actor: Nam Il-woo , Yu Ji-tae , Kim Shi-hu , Choi Min-Sik , Kim Byeong-ok , Oh Dal-su , Kim Bu-seon , Ra Mi-ran , Go Su-heui , Seo Yeong-jun , Song Kang-ho , Shin Ha-gyun , Lee Seung-shin , Bae Du-na
- Director: Park Chan-wook
other Info.
- Online Item #: 11833687
- Store Item Number (DPCI): 246-04-4408
- Made in the USA or Imported


text: Our charming Lola Roux Wall Sconce features a contemporary burnished silver finish, creating a stunning focal point that will softly illuminate your living room or hallway. The large beads suspended within the framework pattern of ogees have the appearance of cut crystal. Add this quality crafted light to your decor.


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We have one page that for just one user is occasionally returning nothing but a hash symbol (#). This page works perfectly fine for other users all of the time, and perfectly fine for this user much of the time. We cannot reproduce the problem internally. Unfortunately, this problem is sporadic and occurs within a modal dialog, so we cannot really test outside the modal dialog and we cannot get the html source when it does occur.
I recall running into a similar problem once before. Some random page was returning just a pound sign. Being able to see what was actually going on since it wasn't in a modal dialog, and having it occur in a dev environment, I resolved it pretty quickly then. But it was a while ago and I can't recall any details of the incident. Has anyone else ever seen CF do this before? Any thoughts on what might cause it?


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Top Definition
A girl that looks good from far, but far from good. Fifty yards away she looks like a dime, but as you get closer, you find that she's only a nickel. Maybe worse.
Damn, she's about a fifty yarder.
por Creepy Mark 03 de Abril de 2010
Trending Now


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International Investments Lawyers and Law Firms in Frankfurt Am Main, Germany
International Investments Lawyers
Rose & Partner LLP
Business Lawyers and Tax Advisors in Berlin, Germany+49 (30) 25761798-0
Rose & Partner LLP is a business law firm with offices in Hamburg, Berlin and Milan. Established in 2006, we advise national and international private and public companies, private-equity firms, start-ups and high-wealth/income individuals on both legal and tax matters. All of...
Other Offices: Hamburg
Law Firm's Overview
GRP Rainer LLP
Lawyers & Tax Advisors Specializing in Commercial, Business, & Company Law+49 221 2722750
GRP Rainer LLP is an international law firm which provides legal and tax advice. Specializing in business law, commercial law and company law, GRP Rainer LLP has office locations in London, UK and throughout Germany. With over 30 years in business, GRP Rainer LLP is made up of experienced...
Law Firm's Overview ArticlesCredit Cards
Giambrone Law
Giambrone Law Full-Service Law Firm in Palermo, Italy+49 (0) 89 3803 5332
Giambrone is an award-winning Italian law firm operating through a network of offices in Barcelona, Munich, London, Milan, New York, Rome, Tunis and Palermo with plans to expand further over the coming years.
Our Italian lawyers and Italian attorneys are best in their fields and...
Law Firm's Overview ArticlesVideosFree ConsultationContingency FeeCredit Cards
WINHELLER Attorneys at Law & Tax Advisors
Full-Service Business Law Firm in Germany+49 (69) 7675-7780
WINHELLER Attorneys at Law & Tax Advisors are your legal experts in the fields of German and international business law. We mainly focus on the following legal areas:
- Business law and tax law
- Corporate law and capital market law
- Labor and employment law
Other Offices: Berlin, Hamburg, Munich
Law Firm's Overview ArticlesCredit Cards
Beiten Burkhardt
Restructuring and Insolvency in Germany+49 911 27971-0
Beiten Burkhardt is a leading independent German law firms that provides comprehensive commercial law advice to medium-sized companies, major corporations and industry groups as well as the public sector.
Every acquisition, every contract and most litigious disputes involve more...
Law Firm's Overview
DLA Piper
Global Law Firm+49 30 300 13 14 0
DLA Piper became one of the largest legal service providers in the world in 2005 through a merger of unprecedented scope in the legal sector. While large in scale, the merger strategy was simple – to create an international legal practice capable of taking care of the most important...
Other Offices: Cologne, Frankfurt, Hamburg, Munich
Law Firm's Overview
Horak, Attorneys At Law
Full Service Law Firm in Hannover, Germany+49 (511) 357356-0
Horak Law Firm is big enough to provide a broad range of skilled and highly specialized legal services and yet small enough to approach each client individually.
We advise middle-sized and large companies, economic institutions and corporations of different sizes governed by public...
Law Firm's Overview


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Written on: 27/03/2014
We have been using First Found to optimise our web site for several years now and have been very pleased with the results. They have also redeveloped our web site recently and it is much, much, better.
The staff seem extremely polite and helpful - they are a really nice bunch of people and I would willingly recommend them- also - they are very patient with people who are not fully conversant with computer matters.
As rated by our community of reviewers
" Super Service, Very Quick Offer " Read More
Written by TheJamMan
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The Summer Reading Program!
The 2016 Summer Reading Program (SRP) begins on June 27 and will run for six weeks ending on August 6th. Each group will have weekly book prizes and special events through the summer. Please check the calendar and email notices.
Children's theme: On your Mark, Get Set ... READ!
Monday, 7/11 at 11am, "Hooked On Llamas". Join us as Debbie Labbe, owner of Country Quilt Llama Farm brings one of her llamas to visit the Lee Library! She will talk about basic information about llamas, have llama fiber products to see and touch and show large photos explaining the many uses of llamas. Q & A time wraps up the hour program. This presentation is appropriate for children and adults of all ages.
Wednesday, 7/20 from 3 to 4:30pm. "Frozen"—themed party. Elsa from "Frozen" will be visiting the Lee Library for this children's event. Elsa will be in full costume, sing songs, play games, and answer questions from audience. Children are highly encouraged to come in costume as Elsa, Olaf, or any other character! Have your photo taken with Elsa afterwards!
Teens/Tweens theme: Get in the Game. READ!Tuesday, 7/5 from 4 to 5 pm. Stories of the Night. Learn about the stars, constellations and planets in the night sky from Kevin Kopchynski, an educator with a lifelong-love of nature and a deep interest in science. He will focus on what is visible in the night sky and what to expect the rest of the summer!
The funding for the Teen Space and programs comes from a federal Library Services and Technology Act (LSTA) Grant administered by the Massachusetts Board of Library Commissioners.
Adults theme: Exercise your Mind. READ!Read a book and submit the title to be eligible for the week's book prize.
Tuesday, 7/5 from 6:30 to 7:30pm. Stories of the Night. Learn about the stars, constellations and planets in the night sky from Kevin Kopchynski, an educator with a lifelong-love of nature and a deep interest in science. He will focus on what is visible in the night sky and what to expect the rest of the summer!
Tuesday, 7/19 from 2 to 4pm. Refire! Don't Retire! Are you bored with retirement? Are you looking to reimagine and re-fire your life? Life coach Paul Carter will provide an opportunity to explore these questions to find your own way forward.
Thursday, 7/28 from 7 to 8pm. Author Talk and Book Signing. Susan Dworkin returns to the Lee Library for a talk about her newly republished novel Stolen Goods. Q & A and book signing to follow.
News from the Teen Space
Wednesdays, 7/6, 7/13, 7/20 and 7/27 from 3 to 4pm. Teen Chess.
Fridays, 7/1, 7/8, 7/15, 7/22 and 7/29 from 3 to 4pm. Wii Gaming.
The funding for the Teen Space and programs comes from a federal Library Services and Technology Act (LSTA) Grants administered by the Massachusetts Board of Library Commissioners.
Museum Passes for 2016
Lee Library patrons can use their library cards to reserve and borrow one-day passes for museums, nature reserves and Massachusetts state parks. This year we added the Eric Carle Museum in Amherst to our list. For a list of museums and more information please follow this link.
Do you know about OverDrive?
OverDrive is a free service offered by the CWMARS library network that lets you borrow eBooks, Audiobooks, streaming videos and more. OverDrive makes digital lending simple on your iPad, iPhone, Android, Chromebook or Tablet. Visit the CWMARS Overdrive Digital Books Catalog at http://digitalbooks.cwmars.org. All you need to login is your library card number. The Lee Library has a step-by-step brochure to walk you through the process of using the catalog. Enjoy this great resource!
Email List for Adult and Children's Programs
If you would like to be added to our email list and receive notices of either adult or children's programs or both, please send your name to email@example.com
Gallery Exhibit Space
The J. Peter Scolforo Gallery is available to artists for a one-month period at no cost. Please check the Calendar for availability. Please call the library at 413 243-0385 to reserve the space or if you have any questions.
Support the Lee Library — while shopping at Amazon!
Amazon will donate .5% of your purchases to your library automatically. Here's how to get started:
Go to smile.amazon.com
Log into your Amazon account.
If you need to, type Lee Library in the search box.
Now every time that you shop from smile.amazon.com you will be supporting the Lee Library. More information about the Amazon Smile program can be found at this link.
Thank you for your support!
(See Calendar for event details)
Gallery Exhibit — July
Paintings by Gloria Goldstein and Friends for the month of July in the J. Peter Scolforo Gallery. Opening reception, Thursday, July 7, 4 to 6 pm.
FamiLEE Library Movie: Zootopia, Saturday, 7/9 at 11am. The movie runs 108 minutes and is rated PG for some rude humor. Please join us.
Adult Programs
Wednesday, 7/13 from 2 to 4pm. The Back to the Book book club. The book selection is The Plague of Doves by Louise Erdrich. New members are welcome but required to register by calling the library at 413-243-0385. Please Note: the book selection for August is Fugitive Pieces by Anne Michaels.
Children's Programs
and Information
Thursday, 7/7, 10:30 to 11:30am. STEM: Science! Technology! Engineering! Math! July theme is Colors! Every 1st Thursday of the month. Each parent/child program will include stories, demonstrations, songs, and table top activities. Questions please contact Jessica of South Berkshire Kids @ 413-464-5095.
Pre-school Story Time Thursday mornings, 10:30am. Ages 2 1/2 to 5 with caregivers at 10:30-11:00am in the Children's Room.
Toby on Tuesdays. Our reading dog Toby will be here on Tuesday afternoons at 4pm (except 6/14 —See above).
Free Music through the
Freegal Service
The Lee Library makes the free music service Freegal available to its patrons. Just follow the image link below:
If you are not familiar with Freegal music, please read first our Freegal page.


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Images of Ng Yin Sze Josephine(0 from 0 )
Telephone & Addresses
Yin L Josephine - Advanced Background Checks
One of the largest people directories for white pages information. Yin L Josephine living in (Louisville, KY)
WhitePages: Josephine Ng in NY | WhitePages
View Josephine Ng's phone number, address and more on WhitePages. Find 12 listings for Josephine Ng in NY. WhitePages is the largest and most trusted ...
Ng Josephine Do in Marshfield, WI 54449-5703 - Companies
Ng Josephine Do is a doctor located in Marshfield, Wisconsin. View phone number, employees, products, revenue, and more.
WhitePages: Josephine Ng in NJ | WhitePages
View Josephine Ng's phone number, address and more on WhitePages. Find 2 listings for Josephine Ng in NJ. WhitePages is the largest and most trusted ...
Yellow Page contacts
Network Profiles
(1 - 4 from 35
MySpace Profile: Jo
female, 30, Selangor, Malaysia
classmates: Josephine Ng
Oxford Academy, Oxford, NY, 2007-2011
classmates: Josephine Ng
Alhambra High School, Alhambra, CA, 1982-1986
classmates: Josephine Ng
Mira Mesa High School, San Diego, CA, 1990-1994
classmates: Josephine (Lee) Ng
Holy Cross Academy, New York, NY, 1965-1969
Sze Ern Wong Pictures, Images & Photos | Photobucket
wong photo: Josephine Wong Yin Sze Josephine.jpg · Josephine Wong Yin Sze.
Sze Wong Pictures, Images & Photos | Photobucket
WONG SZE WING · sze wong photo: Josephine Wong Yin Sze Josephine.jpg.
So Sze Wong Pictures, Images & Photos | Photobucket
Browse So Sze Wong pictures, photos, images, GIFs, and videos on Photobucket
Wisdom Newsletter (Issue 22)
Insurance. China Ping An Insurance (Hong Kong) Company Limited (Plaintiff) v Tsang Fung Yin Josephine. (Defendant), CACV No. 179 of 2012 (on appeal from ...
Reports & Statements
(1 - 4 from 15
Twitter Posts: Killa (theyknowkilla)
2012.08.01 @itzmiche @uhtheenuh @ng_josephine @raqcity can I play? if not I don't mind doing the slapping lolll
Twitter Posts: Jaryl Curtis-Smith ✪ (jarylfloresca)
2012.07.30 RT @jhnndlpz: Good night!! Napasaya ako ng #Josephine tweets na yan ah. Saya maging highschool :)
Twitter Posts: Johann Dela paz (jhnndlpz)
2012.07.30 Good night!! Napasaya ako ng #Josephine tweets na yan ah. Saya maging highschool :)
Twitter Posts: Chapi (chaapiofficial)
2012.07.30 RT @hannahmonts: #Josephine ka kung kilala mo kung sino laging nag sasabe ng "Josephine eh" =)))))
School Information Service (SIS) - School Directory
School Information Service (SIS) Back to SIS Home : Displays schools' contact information: ... MDM NG YIN SZE JOSEPHINE: VP : MDM CHIANG MEI FONG ANGIE:
Hsiao-Yin Josephine Hsueh, University of Missouri - Columbia
Hsiao-Yin Josephine Hsueh, Ph.D., University of Missouri - Columbia. CV, resume, biography, Vita, academic genealogy, family tree, publications.
Related search requests for Ng Yin Sze Josephine
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Book your room at Albir Garden Resort
Get an overview of this hotel3-star aparthotel with full-service spa and restaurant
Situated in L'Alfas del Pi, this spa aparthotel is within 1 mi (2 km) of Open Air Archaeological Museum Roman Villa, Punta Bombarda Lighthouse, and Albir Beach. Albir Marina and La Roda Beach are also within 3 mi (5 km).
Property Features
Along with a full-service spa, this aparthotel has a restaurant and an indoor pool. Free WiFi in public areas and free self parking are also provided. Additionally, a fitness center, a bar/lounge, and a poolside bar are onsite.
Room Amenities
All 426 apartments offer WiFi, kitchens, and balconies. Satellite TV and phones are among the other amenities available to guests.Would you like to give us feedback? Share it! Opens in a new window
Albir Garden ResortCami Vell d'Altea, 29 L'Alfas del Pi Alicante 03581
Hotel Amenities
All-Inclusive Details
All-inclusive room rates at Albir Garden Resort are available. These rates are higher because they include onsite food and beverages in the room rate (some restrictions may apply).
Hotel Amenities
Some rates at Albir Garden Resort are all-inclusive. These rates include onsite meals and beverages, and may include taxes and gratuities. Additional charges may apply for meals at some restaurants, special dinners and dishes, certain beverages, and other amenities.
In addition to a full-service spa, Albir Garden Resort features an indoor pool and a spa tub. The aparthotel offers a restaurant. Guests can unwind with a drink at one of the aparthotel's bars, which include a poolside bar and a bar/lounge. Public areas are equipped with complimentary high-speed wireless Internet access.
This L'Alfas del Pi aparthotel also offers a children's pool, a fitness center, and tour/ticket assistance. For a surcharge, a roundtrip airport shuttle (available on request) is offered to guests. Complimentary self parking is available on site.
- 24-hour front desk
- Airport transportation (surcharge)
- Babysitting or childcare (surcharge)
- Bar/lounge
- Billiards or pool table
- Breakfast available (surcharge)
- Children's pool
- Fitness facilities
- Free self parking
- Free WiFi
- Full-service spa
- Garden
- Indoor pool
- Laundry facilities
- Number of buildings/towers - 12
- Number of floors - 2
- One meeting room
- Poolside bar
- Restaurant
- Safe-deposit box at front desk
- Shopping on site
- Spa treatment room(s)
- Spa tub
- Total number of rooms - 426
- Tours/ticket assistance
- Turkish bath/Hammam
Family Friendly Amenities
- Babysitting or childcare (surcharge)
- Children's pool
- Cribs/infant beds (complimentary)
- Free Wi-Fi
- Indoor pool
- Kitchen
- Laundry facilities
- Rollaway/extra beds available
Available in all rooms: Wireless internet access ( EUR 5 )
Available in some public areas: Free WiFi
Free self parking
Room Amenities
- Air conditioning
- Balcony
- Free cribs/infant beds
- Kitchen
- Phone
- Rollaway/extra beds available
- Satellite TV service
- WiFi (surcharge)
Where to Eat
Buffet breakfasts are available for a surcharge.
Onsite venue - This buffet restaurant specializes in international cuisine and serves breakfast, lunch, and dinner.
Snack Bar - This poolside bar serves light fare only.
Bar-Salon - Onsite bar.
Nearby Things to Do
An indoor pool, a children's pool, and a spa tub are on site. Other recreational amenities include a fitness center.
Spa Services
The onsite spa has massage/treatment rooms. Services include massages and manicures and pedicures. The spa is equipped with a sauna, a spa tub, and Turkish bath/hammam.
- Sauna in spa
- Manicures and pedicures
- Spa tub in spa
- Massages
Hotel Policies
Check-in time starts at 5 PM
Special check-in instructions:
Check-out time is 10 AM
Payment types
- Pets not allowed
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- Christmas Day (25 December) Gala Dinner per adult: EUR 55
- Christmas Day (25 December) Gala Dinner per child: EUR 27.5 (from 2 to 12 years old)
- New Year's Eve (31 December) Gala Dinner per adult: EUR 113
- New Year's Eve (31 December) Gala Dinner per child: EUR 56.5 (from 2 to 12 years old)
Optional extras
- Fee for buffet breakfast: EUR 7 per person (approximately)
- Fee for in-room wireless Internet: EUR 5 (rates may vary)
- Crib (infant bed) fee: EUR 7 per night
Hotel Name
- Albir Garden
- Albir Garden Resort
- Albir Resort
- Albir Garden Apartments Hotel l`Alfas Del Pi
- Albir Garden Resort Spain/Alicante Province - Costa Blanca
We should mention
Cash transactions at this property cannot exceed EUR 2500, due to national regulations. For further details, please contact the property using information in the booking confirmation. This property offers transfers from the airport (surcharges may apply). Guests must contact the property with arrival details before travel, using the contact information on the booking confirmation.


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Latest News
Get early bird discount tickets to our annual Butterfly Festival – Saturday, August 13th.
Enviros Speak Out Against DEP Flood Rules
Watershed Nature Camp and Watershed Academy
Registration for Watershed Nature Camp (for children entering grades K-11) and Watershed Academy (for children entering grades 10-12) is open.
Stop the PennEast Pipeline!
The route of the proposed PennEast natural gas pipeline is planned to cut through ecologically-sensitive areas of Hopewell Township, devastating a 125-foot wide swath of protected forests, wetlands, open space, farmland, and pristine waterways in its wake. Help us defend the land we have worked hard to protect over the past 65 years. Click to learn more about this issue.
Are you River-Friendly?
The River-Friendly Certification Programs promote clean water and a healthy environment through voluntary action by individuals and institutions. To achieve these goals we work one-on-one with residents, businesses, golf courses and schools to improve land stewardship practices. The program works to reduce pollution, conserve water, restore habitat for wildlife and educate the public about becoming better environmental stewards. Become River-Friendly Today!
The Watershed Center for Environmental Advocacy, Science, and Education
Designed to be LEED Platinum certified, our state-of-the-art technologies, laboratory, and interactive exhibits model how we can all live more environmentally responsible lives. Click here to learn more about our new environmental center on the Watershed Reserve.
Hours & Info
Monday - Friday: 9am - 5pm
Saturday - Sunday: 10am - 4pm
(Closed on Holidays)
The Watershed Reserve is open daily: dawn to dusk.


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Window of the Church, by Richard Caemmerer
Toward Full Inclusion of People with Disabilities in Faith Communities
My former congregation prided itself on being warm and friendly. Then one Sunday Michael came to worship, and we discovered the limits of our welcome. Michael had Tourette's syndrome, a neurological disorder characterized by involuntary physical and vocal tics. At first, there were no signs of our visitor's disability; Michael seemed rather quiet.
Peter J. Gomes, 1942–2011
I feel sorry for those who never
got to hear Peter Gomes work a congregation while a biblical text worked
him. He was a teacher, raconteur and best-selling
author. But his primary vocation was as a preacher.
Paul tells us to
"resolve" never to put a hindrance to the gospel before another person—and resolve
is what it takes. By initiating a conversation about hell, Rob Bell is putting his reputation on the line.
Psalm 121; Genesis 12:1–4a; Romans 4:1–5, 13–17; John 3:1–17
Head out on a tour of the castles of medieval Europe and you'll quickly catch on to a castle's three key features. What you see first is the bailey—a large area surrounded by a substantial wall where most of the population lived and most of the life of the community was conducted.
The first Sunday of Lent is the best time of the year to talk about sin.
Many people in the church, especially the mainline church, are stuck when
it comes to the overlap of sin and sensuality. No one really wants to be
the pastor who comes over all judgmental about sex.
Martin Boehm was a key player in founding the United Brethren in Christ denomination, one of the precursors of the United Methodist Church. More than 240 years ago, Boehm was excommunicated after having a Wesleyan-type spiritual awakening that led to his preaching to people outside of his Mennonite church. Pennsylvania Mennonites recently denounced "the small-mindedness of religious thinking" that led to Boehm's ouster, restored his Mennonite credentials, and asked local United Methodists forgiveness for their spiritual forebears' narrowness (UMNS, June 27).
More Century Marks»
The Century's work relies primarily on subscriptions and donations. Thank you for supporting nonprofit journalism.
Support us by buying books:


text:
Engine Performance problem
2004 Lincoln LS 76877 miles
Our lincoln is shifting rather roughly not as roughly as before the work we just had done to the tune of $700.
What are your thoughts on the vehicle maintenance insurance that can be purchased?
Wednesday, June 2nd, 2010 AT 1:41 PM


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Are you...?
If yes, click here to learn about BBB Accreditation.
This business is not BBB accredited.
Foothill Feed
Phone: (714) 532-1409 18541 E Chapman Ave, Orange, CA 92869
BBB Business Reviews may not be reproduced for sales or promotional purposes.
BBB Accreditation
This business is not BBB accredited.
Businesses are under no obligation to seek BBB accreditation, and some businesses are not accredited because they have not sought BBB accreditation.
To be accredited by BBB, a business must apply for accreditation and BBB must determine that the business meets BBB accreditation standards, which include a commitment to make a good faith effort to resolve any consumer complaints. BBB Accredited Businesses must pay a fee for accreditation review/monitoring and for support of BBB services to the public.
Reason for Rating
BBB rating is based on 13 factors. Get the details about the factors considered.
Factors that lowered the rating for Foothill Feed include:
- Failure to be transparent about ownership, location, or products/services offered
Factors that raised the rating for Foothill Feed include:
- Length of time business has been operating
- No complaints filed with BBB
Customer Complaints Summary
|Complaint Type
|Total Closed Complaints
|Advertising/Sales Issues
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|Delivery Issues
|Guarantee/Warranty Issues
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|Total Closed Complaints
Definitions | BBB Complaint Process | File a Complaint against Foothill Feed
Customer Reviews Summary Read customer reviews
|Customer Experience
|Total Customer Reviews
|Positive Experience
|Neutral Experience
|Negative Experience
|Total Customer Reviews
Read Customer Reviews | Submit a Customer Review | See Trends in Customer Reviews on Foothill Feed
Additional Information
Business ManagementMs. Lucile Vandermeer, Owner
Contact Information
Number of Employees
Business Category
Pet Foods - Wholesale & Manufacturers Pet Supplies & Foods - Retail


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As you groove to the soulful sounds of Adele and Joss Stone, who do they remind you of? White Soul singers or, "blue-eyed soul singers," as they're commonly referred to, may have gotten their inspiration from some of the most soulful Black music artists in history, but are they keeping Black music alive today?
SimplyComplex_87 said:
how the hell do white artists keep black music ALIVE? they may be small contributors to the genre, but they wouldn't have had such careers had it not been for black artists to pave the way…
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Hypocrisy? Bachmann's Husband, Closeted Gay?
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55 Photos That Will Make You Miss The Obama Family Already
55 photos Launch gallery


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You don't have to choose between sustainable energy and curb appeal.
I first met architect Whitney Sander of Sander Architects in Los Angeles at Dwell on Design this year. He showed me his work, we talked some prefab (one of his firm's specialties) and when it came time to put together this month's prefab issue, he was a perfect fit. Sander has built, lectured, and published widely, and his thoughtful, common-sense approach to materials and form makes him an architect to emulate. In this video shot during an appearance on the radio show Center Stage on KLXU, Sander talks about the merits of light-gauge steel, his work in the Los Angeles area, and coming to embrace the precepts of green design while living in Sierra Leone.


text:
Niall Litchfield
Niall Litchfield is a DBA of 15 years standing, and OakTable member since 2003 with extensive experience of running databases on various x86(64) platforms. He blogs at orawin.info
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- Member for 4 years, 10 months
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- Last seen Sep 23 '15 at 9:10
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Hotels in Quesada, Costa Rica
Search & Compare Quesada Hotels
Trending now in Quesada
- Most bookedThe Springs Resort and Spa at Arenal
128 people looked at this hotel in the last hour
Most recent review
"Beautiful hotel in an amazing location! The hotel staff were very helpful and courteous and the swimming facilities and activities amazing. We were welcomed with a tropical drink and our kids loved the daily towel arrangement in the form of different types of animals. The food was great and we ..."
A Traveller, Jul 2016, US
71 people looked at this hotel in the last hour
Most recent review
"This hotel will exceed all expectations. With its natural hot springs and plenty of them, as well as the outstanding customer service I recommend this hotel to everyone! "
A, Jul 2016, US
61 people looked at this hotel in the last hour
Most recent review
"Th e service was fabulous, no complaints. Try cooking with the hef, it's great and fun. "
S, Jul 2016, US
54 people looked at this hotel in the last hour
Most recent review
"Hotel was our best in CR! Hotel rooms are all private villas with a fridge and bathroom attached. The hot springs are located within the hotel and are free. Free awesome buffet breakfast every morning was awesome. Located just a 5 minute drive from downtown La Fortuna. I usually like to try diffe..."
A Traveller, Jun 2016, US
50 people looked at this hotel in the last hour
Most recent review
"Great family rooms with roll aways under the beds. Nice buffet breakfast . A medic on staff tended a wasp bite she was great. The staff was great and friendly "
a, Jul 2016, US
42 people looked at this hotel in the last hour
Most recent review
"Well kept gardens, clean and nice pools. The rooms and bedding are very comfortable for the whole family. Easy access for senior citizens. The food is good but a bit expensive."
L, Jul 2016, US
38 people looked at this hotel in the last hour
Most recent review
"We had a price that included breakfast and dinner. The food was very beautifully served and very tasty. The breakfast was bountiful with many choices and a different group each day to choose from. The room was extremely large and comfortable. The sheets were super soft. The grounds were very..."
A Traveller, Jul 2016, US
32 people looked at this hotel in the last hour
Most recent review
"It was an amazing stay. We were there (the family of 6) the night before we were going back home to the US. The owner helped us to drop off the car, picked us up at night from the Europecar drop off station, and the following morning got our luggage and gave us a ride to the airport. When I asked..."
A Traveller, Jun 2016, US
22 people looked at this hotel in the last hour
Most recent review
"Hotel La Fortuna is conveniently located in downtown Fortuna and close to Arenal. They had clean, good sized rooms and bathrooms and tasty sumptuous breakfast. The receptionist Mercedes was great at guiding us about places to eat and also offered to watch our bags while we went on a hike after ch..."
A Traveller, Jul 2016, US
14 people looked at this hotel in the last hour
Most recent review
"First off, we really loved the property and would definitely recommend it. The grounds are immaculately kept and the bungalows are really nice. You have a sense of privacy that you don't get in a traditional hotel. Each unit has a nice back patio that is protected from the rain and sun. The v..."
A Traveller, Jul 2016, US
Best hotels in Quesada
If you are looking for Quesada hotels in a particular area, you can use the search feature at the top of the page to search by neighborhood, landmark, address or zip code, or you can search by using the built-in map feature. You can also browse hotels in Quesada by type, amenities, and star-rating so that you can find the best hotel. Currently, top rated hotels in Quesada are:
- Termales del Bosque
- Hotel La Villa
- Bosque de Paz
- Hotel Rehl
- Tilajari Hotel Resort & Conference Center
The location of your Quesada hotel is important. If you are traveling to Quesada, &StateorCountry for business, you may want to consider getting a hotel close to the airport or near your meeting venue. By doing so, you can really cut down on transportation costs and time. You may also want to book a hotel that offers free wifi just in case you need to get some work done.
If you are traveling for vacation, figure out which attractions or landmarks you want to see and book a hotel that is within close proximity. Although hotels near attractions might cost a little more, you may find that spending those extra few dollars is worth the convenience. You can even find hotels that align with your interests. For example, if you are looking for a relaxing vacation, a spa hotel may be the perfect choice for you.
You'll also want to determine which type of accommodations will suit your needs before booking a hotel in Quesada. If you're traveling with the kiddos, a family friendly hotel will offer larger rooms and more sleeping arrangements. For those traveling for an extended period of time, booking a hotel suite with a kitchenette is a smart move and will feel a little more like home. If you are budget conscience and just need a place to rest your head, a hostel or motel may be all you need.
If you are looking to score the best discounts and deals, use the filter to sort by price from low to high. You can book a hotel in Quesada for as low as $45 per night. If you are looking to cut down on expenses, look for hotels that include free breakfast and parking. Some hotels even offer free shuttle service to and from nearby places. You can also sort by star rating, proximity, and guest rating.
Before you book, check out user reviews. Hotels.com has 42 reviews in Quesada. We show reviews from Expedia and TripAdvisor so you know that you are reading genuine, reliable reviews. Be sure to download the Hotels.com app so you can book your reservations on the go, view amenities, and save the hotels you want to view and compare later.


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June 2, 2015 9:27 pm
Download audio
Opponents of Iranian President Mahmoud Ahmadinejad's re-election are using Twitter to help organize their protests.
Now President Ahmadinejad's team is trying to shut down twitter, facebook and other social networking tools.
Daniel Terdiman is a staff writer at CNET News and brings us the latest on this developing story.
Photos of the amazing, moving, important and amusing things happening in the federal community.
A daily update of important moments in the history of the U.S. government.


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Cross-Device and Cross-Platform Targeting
By Jed Wheeler, Director of Solutions Engineering
Some of the enduring sources of pain for digital marketers include associating consumers with their digital devices, and assembling the right data sources to establish those relationships. Over the past two years, cross-device targeting has become an established product category aimed at alleviating this pain, with several companies specializing in cross-device matching data. RadiumOne is integrated with all of them.
The challenge in using that data is twofold. First, one must validate its accuracy. Second, once it's been applied to recognizable users, contextual data must be layered on to make it meaningful.
This month, RadiumOne released two significant products that help address these issues. The first is a cross-device data store, which allows us to to store, correlate, and cross-check third-party data with our proprietary cross-device data. That's a big deal because we can now tie together broad site/app usage data from over 95 ad exchanges with data acquired via our deep software integrations with thousands of web sites and apps.
The second big release is Smart URL, an enhancement to our Po.st link shortening tool that enables deep linking. For a more in-depth look at that tool and how it empowers marketers, check out my recent post on the Po.st blog. The most significant item for this discussion is that, with Smart URL deep linking, marketers can benefit from 1-to-1 matching of mobile web and mobile app interactions – tying cookies and device identifiers together into a single cross-platform user profile using a deterministic (100% accurate) match. This is significant, because many companies that specialize in cross-device data build their so-called device graphs on probabilistic matching — a far weaker way of tying together consumer web and app engagement
Tying together data from mobile app and mobile web behavior seems like a simple task, but it's surprisingly difficult. The problem is that the two systems use parallel forms of anonymous user identification — cookies on web and IDFA/GAID in native mobile apps. Unless you happen to be lucky enough to have a service that people regularly log into on both platforms (Facebook being the obvious example), there simply hasn't been a good way to tie these data sets together. My recent post on protecting end user privacy goes into the nuts and bolts of this in more depth. To summarize, because they use different identifying technology, neither platform can see what's going on in the other, and data can't be easily passed back and forth without impacting the end user experience. Smart URL solves that problem.
So far, so good – identifying users across the three main digital mediums (desktop web, mobile web, and native apps) is a great start, but it's only the first step. The real win for marketers is in tying together interest and behavior data by combining the previously platform-dependant data sets.
RadiumOne is in a unique position here because of the investments we've made in audience intelligence software. All programmatic media-buying solutions can see bidding data from the ad exchanges. Unlike other solutions, however, we are not limited to it. RadiumOne's Po.st social analytics tool captures over 250 million desktop and mobile user actions per day across thousands of websites. Connect, our full-featured mobile app analytics and push notification tool, captures billions of in-app events from tens of millions of users per month. So our broadly-deployed audience intelligence software allows us to see what consumers are interested in and what they do in a way that is simply not available to other programmatic media-buying solutions. Our analytics software customers get top-of-the-line products for free and we get the anonymized usage data we need to help make your ad campaigns successful. It's a win for everyone.
None of the individual pieces here are new, but combining them is a "chocolate in my peanut butter" moment. Unlike any other solution on the market, RadiumOne now has the data to create comprehensive cross-platform and cross-device user behavior and interest profiles and then take action on that data across all the major ad exchanges. No other programmatic solution can offer this combination of deep insight and cross-platform targeting.


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The Brothers Green taste success with their MTV cooking show.
Orange Is the New Black returns and the cons are cooking up trouble.
SABC COO Hlaudi Motsoeneng announced the implementation of the public broadcaster's 80 percent local content quota and the ...
Bonang features in four of Vuzu show 10 over 10's top celeb conflicts - and frenemy Somizi gives cheeky commentary.
As popular US soap dropped in line with 80-90% local quota, social media users decry block on protest coverage..
War & Peace tells a classic story of love, friendship and destiny.
DC's Legends of Tomorrow features characters from Arrow and The Flash.
"Shower sex couple" Mandla and Lexi's reality TV show gets a second season, with a more individual focus.
Isibaya fans can watch Jessica Nkosi get her happily ever after as host of popular wedding show.
The biggest challenge for Joseph Oesi when he created the gripping documentary Black Lives Matter, were the attempted gagging orders by mining houses.
The red carpet was rolled out at Durban's ICC, for the fourth annual Simon "Mabhunu" Sabela Film and Television Awards.
Khabonina Qubeka is the opposite of her character in Isidingo. She is easygoing and conducts herself like any regular woman.
isiZulu telenovela Uzalo has been knocked into second place, as Generations: The Legacy reclaims its crown.
Finding love on a show is a long shot, so Married At First Sight South Africa promises to be an interesting reality TV ride.


text:
- Swimmer Ryan Lochte reveals one of his worst dates - US Weekly
- Get the latest on Dr. Dre's arrest - TMZ
- Despite rumors, Eddie Murphy's daughter is not pregnant - Gossip Cop
- The Vampire Diaries star Michael Trevino steps out for a good cause - Just Jared Jr
- Are Blac Chyna and Kylie Jenner on good terms? - Radar
- Blue Ivy is just as stylish as her mom Beyonce! - Lainey Gossip
- This Narcos star confirms he's not coming back for another season of the show - The Hollywood Reporter
02 April 2014 at 8:49 PM
Mariah Carey Wants Nick Cannon to Keep His Whore-ish Past to Himself!
About this photo set: Mariah Carey is all covered up in a black trench coat while heading to an office building on Wednesday (April 2) in New York City. The night before, the "You're… Read More Here
Photo #: 3083499
Posted to Mariah Carey
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text:
|Home | About | Journals | Submit | Contact Us | Français
Evaluations of the impact of hospital accreditation have been previously hampered by the lack of nationally standardized data. One way to assess this impact is to compare accreditation status with other evidence-based measures of quality, such as the process measures now publicly reported by The Joint Commission and the Centers for Medicare and Medicaid Services (CMS).
To examine the association between Joint Commission accreditation status and both absolute measures of, and trends in, hospital performance on publicly reported quality measures for common diseases.
Performance data for 2004 and 2008 from U.S. acute care and critical access hospitals were obtained using publicly available CMS Hospital Compare data augmented with Joint Commission performance data.
Changes in hospital performance between 2004 and 2008, and percent of hospitals with 2008 performance exceeding 90% for 16 measures of quality-of-care and 4 summary scores.
Hospitals accredited by The Joint Commission tended to have better baseline performance in 2004 than non-accredited hospitals. Accredited hospitals had larger gains over time, and were significantly more likely to have high performance in 2008 on 13 out of 16 standardized clinical performance measures and all summary scores.
While Joint Commission-accredited hospitals already outperformed non-accredited hospitals on publicly reported quality measures in the early days of public reporting, these differences became significantly more pronounced over 5 years of observation. Future research should examine whether accreditation actually promotes improved performance or is a marker for other hospital characteristics associated with such performance. Journal of Hospital Medicine 2011;6:458–465. © 2011 Society of Hospital Medicine
The Joint Commission (TJC) currently accredits approximately 4546 acute care, critical access, and specialty hospitals,1 accounting for approximately 82% of U.S. hospitals (representing 92% of hospital beds). Hospitals seeking to earn and maintain accreditation undergo unannounced on-site visits by a team of Joint Commission surveyors at least once every 3 years. These surveys address a variety of domains, including the environment of care, infection prevention and control, information management, adherence to a series of national patient safety goals, and leadership.1
The survey process has changed markedly in recent years. Since 2002, accredited hospitals have been required to continuously collect and submit selected performance measure data to The Joint Commission throughout the three-year accreditation cycle. The tracer methodology, an evaluation method in which surveyors select a patient to follow through the organization in order to assess compliance with selected standards, was instituted in 2004. Soon thereafter, on-site surveys went from announced to unannounced in 2006.
Despite the 50+ year history of hospital accreditation in the United States, there has been surprisingly little research on the link between accreditation status and measures of hospital quality (both processes and outcomes). It is only recently that a growing number of studies have attempted to examine this relationship. Empirical support for the relationship between accreditation and other quality measures is emerging. Accredited hospitals have been shown to provide better emergency response planning2 and training3 compared to non-accredited hospitals. Accreditation has been observed to be a key predictor of patient safety system implementation4 and the primary driver of hospitals' patient-safety initiatives.5 Accredited trauma centers have been associated with significant reductions in patient mortality,6 and accreditation has been linked to better compliance with evidence-based methadone and substance abuse treatment.7, 8 Accredited hospitals have been shown to perform better on measures of hospital quality in acute myocardial infarction (AMI), heart failure, and pneumonia care.9, 10 Similarly, accreditation has been associated with lower risk-adjusted in-hospital mortality rates for congestive heart failure (CHF), stroke, and pneumonia.11, 12 The results of such research, however, have not always been consistent. Several studies have been unable to demonstrate a relationship between accreditation and quality measures. A study of financial and cost-related outcome measures found no relationship to accreditation,13 and a study comparing medication error rates across different types of organizations found no relationship to accreditation status.14 Similarly, a comparison of accredited versus non-accredited ambulatory surgical organizations found that patients were less likely to be hospitalized when treated at an accredited facility for colonoscopy procedures, but no such relationship was observed for the other 4 procedures studied.15
While the research to date has been generally supportive of the link between accreditation and other measures of health care quality, the studies were typically limited to only a few measures and/or involved relatively small samples of accredited and non-accredited organizations. Over the last decade, however, changes in the performance measurement landscape have created previously unavailable opportunities to more robustly examine the relationship between accreditation and other indicators of hospital quality.
At about the same time that The Joint Commission's accreditation process was becoming more vigorous, the Centers for Medicare and Medicaid Services (CMS) began a program of publicly reporting quality data (http://www.hospitalcompare.hhs.gov). The alignment of Joint Commission and CMS quality measures establishes a mechanism through which accredited and non-accredited hospitals can be compared using the same nationally standardized quality measures. Therefore, we took advantage of this unique circumstance—a new and more robust TJC accreditation program and the launching of public quality reporting—to examine the relationship between Joint Commission accreditation status and publicly reported hospital quality measures. Moreover, by examining trends in these publicly reported measures over five years and incorporating performance data not found in the Hospital Compare Database, we assessed whether accreditation status was also linked to the pace of performance improvement over time.
By using a population of hospitals and a range of standardized quality measures greater than those used in previous studies, we seek to address the following questions: Is Joint Commission accreditation status truly associated with higher quality care? And does accreditation status help identify hospitals that are more likely to improve their quality and safety over time?
Since July 2002, U.S. hospitals have been collecting data on standardized measures of quality developed by The Joint Commission and CMS. These measures have been endorsed by the National Quality Forum16 and adopted by the Hospital Quality Alliance.17 The first peer-reviewed reports using The Joint Commission/CMS measure data confirmed that the measures could successfully monitor and track hospital improvement and identify disparities in performance,18, 19 as called for by the Institute of Medicine's (IOM) landmark 2001 report, Crossing the Quality Chasm.20
In order to promote transparency in health care, both CMS—through the efforts of the Hospital Quality Alliance—and The Joint Commission began publicly reporting measure rates in 2004 using identical measure and data element specifications. It is important to note that during the five-year span covered by this study, both The Joint Commission and CMS emphasized the reporting of performance measure data. While performance improvement has been the clear objective of these efforts, neither organization established targets for measure rates or set benchmarks for performance improvement. Similarly, while Joint Commission-accredited hospitals were required to submit performance measure data as a condition of accreditation, their actual performance on the measure rates did not factor into the accreditation decision. In the absence of such direct leverage, it is interesting to note that several studies have demonstrated the positive impact of public reporting on hospital performance,21 and on providing useful information to the general public and health care professionals regarding hospital quality.22
The 16 measures used in this study address hospital compliance with evidence-based processes of care recommended by the clinical treatment guidelines of respected professional societies.23 Process of care measures are particularly well suited for quality improvement purposes, as they can identify deficiencies which can be immediately addressed by hospitals and do not require risk-adjustment, as opposed to outcome measures, which do not necessarily directly identify obvious performance improvement opportunities.24–26 The measures were also implemented in sets in order to provide hospitals with a more complete portrayal of quality than might be provided using unrelated individual measures. Research has demonstrated that greater collective performance on these process measures is associated with improved one-year survival after heart failure hospitalization27 and inpatient mortality for those Medicare patients discharged with acute myocardial infarction, heart failure, and pneumonia,28 while other research has shown little association with short-term outcomes.29
Using the Specifications Manual for National Hospital Inpatient Quality Measures,16 hospitals identify the initial measure populations through International Classification of Diseases (ICD-CM-9) codes and patient age obtained through administrative data. Trained abstractors then collect the data for measure-specific data elements through medical record review on the identified measure population or a sample of this population. Measure algorithms then identify patients in the numerator and denominator of each measure.
Process measure rates reflect the number of times a hospital treated a patient in a manner consistent with specific evidence-based clinical practice guidelines (numerator cases), divided by the number of patients who were eligible to receive such care (denominator cases). Because precise measure specifications permit the exclusion of patients contraindicated to receive the specific process of care for the measure, ideal performance should be characterized by measure rates that approach 100% (although rare or unpredictable situations, and the reality that no measure is perfect in its design, make consistent performance at 100% improbable). Accuracy of the measure data, as measured by data element agreement rates on reabstraction, has been reported to exceed 90%.30
In addition to the individual performance measures, hospital performance was assessed using 3 condition-specific summary scores, one for each of the 3 clinical areas: acute myocardial infarction, heart failure, and pneumonia. The summary scores are a weighted average of the individual measure rates in the clinical area, where the weights are the sample sizes for each of the measures.31 A summary score was also calculated based on all 16 measures as a summary measure of overall compliance with recommended care.
One way of studying performance measurement in a way that relates to standards is to evaluate whether a hospital achieves a high rate of performance, where high is defined as a performance rate of 90% or more. In this context, measures were created from each of the 2004 and 2008 hospital performance rates by dichotomizing them as being either less than 90%, or greater than or equal to 90%.32
The data for the measures included in the study are available on the CMS Hospital Compare public databases or The Joint Commission for discharges in 2004 and 2008.33 These 16 measures, active for all 5 years of the study period, include: 7 measures related to acute myocardial infarction care; 4 measures related to heart failure care; and 5 measures related to pneumonia care. The majority of the performance data for the study were obtained from the yearly CMS Hospital Compare public download databases (http://www.medicare.gov/Download/DownloadDB.asp). When hospitals only reported to The Joint Commission (154 hospitals; of which 118 are Veterans Administration and 30 are Department of Defense hospitals), data were obtained from The Joint Commission's ORYX database, which is available for public download on The Joint Commission's Quality Check web site.23 Most accredited hospitals participated in Hospital Compare (95.5% of accredited hospitals in 2004 and 93.3% in 2008).
We then linked the CMS performance data, augmented by The Joint Commission performance data when necessary, to hospital characteristics data in the American Hospital Association (AHA) Annual Survey with respect to profit status, number of beds (<100 beds, 100–299 beds, 300+ beds), rural status, geographic region, and whether or not the hospital was a critical access hospital. (Teaching status, although available in the AHA database, was not used in the analysis, as almost all teaching hospitals are Joint Commission accredited.) These characteristics were chosen since previous research has identified them as being associated with hospital quality.9, 19, 34–37 Data on accreditation status were obtained from The Joint Commission's hospital accreditation database. Hospitals were grouped into 3 hospital accreditation strata based on longitudinal hospital accreditation status between 2004 and 2008: 1) hospitals not accredited in the study period; 2) hospitals accredited between one to four years; and 3) hospitals accredited for the entire study period. Analyses of this middle group (those hospitals accredited for part of the study period; n = 212, 5.4% of the whole sample) led to no significant change in our findings (their performance tended to be midway between always accredited and never-accredited hospitals) and are thus omitted from our results. Instead, we present only hospitals who were never accredited (n = 762) and those who were accredited through the entire study period (n = 2917).
We assessed the relationship between hospital characteristics and 2004 performance of Joint Commission-accredited hospitals with hospitals that were not Joint Commission accredited using χ2 tests for categorical variables and t tests for continuous variables. Linear regression was used to estimate the five-year change in performance at each hospital as a function of accreditation group, controlling for hospital characteristics. Baseline hospital performance was also included in the regression models to control for ceiling effects for those hospitals with high baseline performance. To summarize the results, we used the regression models to calculate adjusted change in performance for each accreditation group, and calculated a 95% confidence interval and P value for the difference between the adjusted change scores, using bootstrap methods.38
Next we analyzed the association between accreditation and the likelihood of high 2008 hospital performance by dichotomizing the hospital rates, using a 90% cut point, and using logistic regression to estimate the probability of high performance as a function of accreditation group, controlling for hospital characteristics and baseline hospital performance. The logistic models were then used to calculate adjusted rates of high performance for each accreditation group in presenting the results.
We used two-sided tests for significance; P < 0.05 was considered statistically significant. This study had no external funding source.
For the 16 individual measures used in this study, a total of 4798 hospitals participated in Hospital Compare or reported data to The Joint Commission in 2004 or 2008. Of these, 907 were excluded because the performance data were not available for either 2004 (576 hospitals) or 2008 (331 hospitals) resulting in a missing value for the change in performance score. Therefore, 3891 hospitals (81%) were included in the final analyses. The 907 excluded hospitals were more likely to be rural (50.8% vs 17.5%), be critical access hospitals (53.9% vs 13.9%), have less than 100 beds (77.4% vs 37.6%), be government owned (34.6% vs 22.1%), be for profit (61.4% vs 49.5%), or be unaccredited (79.8% vs 45.8% in 2004; 75.6% vs 12.8% in 2008), compared with the included hospitals (P < 0.001 for all comparisons).
Joint Commission-accredited hospitals were more likely to be large, for profit, or urban, and less likely to be government owned, from the Midwest, or critical access (Table 1). Non-accredited hospitals performed more poorly than accredited hospitals on most of the publicly reported measures in 2004; the only exception is the timing of initial antibiotic therapy measure for pneumonia (Table 2).
Between 2004 and 2008, Joint Commission-accredited hospitals improved their performance more than did non-accredited hospitals (Table 3). After adjustment for baseline characteristics previously shown to be associated with performance, the overall relative (absolute) difference in improvement was 26% (4.2%) (AMI score difference 67% [3.9%], CHF 48% [10.1%], and pneumonia 21% [3.7%]). Accredited hospitals improved their performance significantly more than non-accredited for 13 of the 16 individual performance measures.
The likelihood that a hospital was a high performer in 2008 was significantly associated with Joint Commission accreditation status, with a higher proportion of accredited hospitals reaching the 90% threshold compared to never-accredited hospitals (Table 4). Accredited hospitals attained the 90% threshold significantly more often for 13 of the 16 performance measures and all four summary scores, compared to non-accredited hospitals. In 2008, 82% of Joint Commission-accredited hospitals demonstrated greater than 90% on the overall summary score, compared to 48% of never-accredited hospitals. Even after adjusting for differences among hospitals, including performance at baseline, Joint Commission-accredited hospitals were more likely than never-accredited hospitals to exceed 90% performance in 2008 (84% vs 69%).
While accreditation has face validity and is desired by key stakeholders, it is expensive and time consuming. Stakeholders thus are justified in seeking evidence that accreditation is associated with better quality and safety. Ideally, not only would it be associated with better performance at a single point in time, it would also be associated with the pace of improvement over time.
Our study is the first, to our knowledge, to show the association of accreditation status with improvement in the trajectory of performance over a five-year period. Taking advantage of the fact that the accreditation process changed substantially at about the same time that TJC and CMS began requiring public reporting of evidence-based quality measures, we found that hospitals accredited by The Joint Commission had had larger improvements in hospital performance from 2004 to 2008 than non-accredited hospitals, even though the former started with higher baseline performance levels. This accelerated improvement was broad-based: Accredited hospitals were more likely to achieve superior performance (greater than 90% adherence to quality measures) in 2008 on 13 of 16 nationally standardized quality-of-care measures, three clinical area summary scores, and an overall score compared to hospitals that were not accredited. These results are consistent with other studies that have looked at both process and outcome measures and accreditation.9–12
It is important to note that the observed "accreditation effect" reflects a difference between hospitals that have elected to seek one particular "self-regulatory alternative to the more restrictive and extensive public regulatory or licensure requirements" with those that have not.39 The non-accredited hospitals that were included in this study are not considered to be "sub-standard hospitals." In fact, hospitals not accredited by The Joint Commission have also met the standards set by Medicare in the Conditions of Participation, and our study demonstrates that these hospitals achieved reasonably strong performance on publicly reported quality measures (86.8% adherence on the composite measure in 2008) and considerable improvement over the 5 years of public reporting (average improvement on composite measure from 2004 to 2008 of 11.8%). Moreover, there are many paths to improvement, and some non-accredited hospitals achieve stellar performance on quality measures, perhaps by embracing other methods to catalyze improvement.
That said, our data demonstrate that, on average, accredited hospitals achieve superior performance on these evidence-based quality measures, and their performance improved more strikingly over time. In interpreting these results, it is important to recognize that, while Joint Commission-accredited hospitals must report quality data, performance on these measures is not directly factored into the accreditation decision; if this were not so, one could argue that this association is a statistical tautology. As it is, we believe that the 2 measures (accreditation and publicly reported quality measures) are two independent assessments of the quality of an organization, and, while the performance measures may not be a "gold standard," a measure of their association does provide useful information about the degree to which accreditation is linked to organizational quality.
There are several potential limitations of the current study. First, while we adjusted for most of the known hospital demographic and organizational factors associated with performance, there may be unidentified factors that are associated with both accreditation and performance. This may not be relevant to a patient or payer choosing a hospital based on accreditation status (who may not care whether accreditation is simply associated with higher quality or actually helps produce such quality), but it is relevant to policy-makers, who may weigh the value of embracing accreditation versus other maneuvers (such as pay for performance or new educational requirements) as a vehicle to promote high-quality care.
A second limitation is that the specification of the measures can change over time due to the acquisition of new clinical knowledge, which makes longitudinal comparison and tracking of results over time difficult. There were two measures that had definitional changes that had noticeable impact on longitudinal trends: the AMI measure "Primary Percutaneous Coronary Intervention (PCI) Received within 90 Minutes of Hospital Arrival" (which in 2004 and 2005 used 120 minutes as the threshold), and the pneumonia measure "Antibiotic Within 4 Hours of Arrival" (which in 2007 changed the threshold to six hours). Other changes included adding angiotensin-receptor blocker therapy (ARB) as an alternative to angiotensin-converting enzyme inhibitor (ACEI) therapy in 2005 to the AMI and heart failure measures ACEI or ARB for left ventricular dysfunction. Other less significant changes have been made to the data collection methods for other measures, which could impact the interpretation of changes in performance over time. That said, these changes influenced both accredited and non-accredited hospitals equally, and we cannot think of reasons that they would have created differential impacts.
Another limitation is that the 16 process measures provide a limited picture of hospital performance. Although the three conditions in the study account for over 15% of Medicare admissions,19 it is possible that non-accredited hospitals performed as well as accredited hospitals on other measures of quality that were not captured by the 16 measures. As more standardized measures are added to The Joint Commission and CMS databases, it will be possible to use the same study methodology to incorporate these additional domains.
From the original cohort of 4798 hospitals reporting in 2004 or 2008, 19% were not included in the study due to missing data in either 2004 or 2008. Almost two-thirds of the hospitals excluded from the study were missing 2004 data and, of these, 77% were critical access hospitals. The majority of these critical access hospitals (97%) were non-accredited. This is in contrast to the hospitals missing 2008 data, of which only 13% were critical access. Since reporting of data to Hospital Compare was voluntary in 2004, it appears that critical access hospitals chose to wait later to report data to Hospital Compare, compared to acute care hospitals. Since critical access hospitals tended to have lower rates, smaller sample sizes, and be non-accredited, the results of the study would be expected to slightly underestimate the difference between accredited and non-accredited hospitals.
Finally, while we have argued that the publicly reported quality measures and TJC accreditation decisions provide different lenses into the quality of a given hospital, we cannot entirely exclude the possibility that there are subtle relationships between these two methods that might be partly responsible for our findings. For example, while performance measure rates do not factor directly into the accreditation decision, it is possible that Joint Commission surveyors may be influenced by their knowledge of these rates and biased in their scoring of unrelated standards during the survey process. While we cannot rule out such biases, we are aware of no research on the subject, and have no reason to believe that such biases may have confounded the analysis.
In summary, we found that Joint Commission-accredited hospitals outperformed non-accredited hospitals on nationally standardized quality measures of AMI, heart failure, and pneumonia. The performance gap between Joint Commission-accredited and non-accredited hospitals increased over the five years of the study. Future studies should incorporate more robust and varied measures of quality as outcomes, and seek to examine the nature of the observed relationship (ie, whether accreditation is simply a marker of higher quality and more rapid improvement, or the accreditation process actually helps create these salutary outcomes).
The authors thank Barbara Braun, PhD and Nicole Wineman, MPH, MBA for their literature review on the impact of accreditation, and Barbara Braun, PhD for her thoughtful review of the manuscript.
Nothing to report.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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I was amazed to see it's modern amenities and facilities even better than so many 5 star hotels in mumbai. It deserves higher ranking.5 star facilities in 3 star rate. Even much good is it's location as surrounded by malls.
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This is William Thomas Flanagan, Sr.(1884-1968) with his second wife, Hattie Clemons (1887-1974). Between them is Gertrude (born 1904)born to the first wife, Josephine Flanagan (1887-1907)who died in child birth of the second child. There is also William Thomas Flanagan, Jr. (1910-1966) and Margie Evelyn Flanagan (1912-1994)
at Family farm photo, Paint Rock, Jackson County, Alabama USA


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"Lenin is said to have declared that the best way to destroy the Capitalist System was to debauch the currency. By a continuing process of inflation, governments can confiscate, secretly and unobserved, an important part of the wealth of their citizens....Lenin was certainly right. There is no subtler, no surer means of overturning the existing basis of society than to debauch the currency. The process engages all the hidden forces of economic law on the side of destruction, and does it in a manner which not one man in a million is able to diagnose." ~ John Maynard Keynes
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"'The joblessness rate jumped to 8.2 percent. What makes that number particularly painful is that the Obama Administration claimed that the unemployment rate today would be less than 6 percent if the so-called stimulus was adopted,' notes Daniel Mitchell of the Cato Institute. 'Squandering $800 billion on' the stimulus package 'hasn't worked.'"
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A 12-hundred acre wildfire near New Castle is now fully contained.
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Meanwhile, further west in Mesa, residents are pulling together to help three families who lost their homes in a three-and-a-half acre wildfire Thursday night, 175 miles west of Denver.
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