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The Hand Eczema Trial (HET): design of a randomised clinical trial of the effect of classification and individual counselling versus no intervention among health-care workers with hand eczema
Hand eczema is the most frequently recognized occupational disease in Denmark with an incidence of approximately 0.32 per 1000 person-years. Consequences of hand eczema include chronic severe eczema, prolonged sick leave, unemployment, and impaired quality of life. New preventive strategies are needed to reduce occupational hand eczema.
We describe the design of a randomised clinical trial to investigate the effects of classification of hand eczema plus individual counselling versus no intervention. The trial includes health-care workers with hand eczema identified from a self-administered questionnaire delivered to 3181 health-care workers in three Danish hospitals. The questionnaire identifies the prevalence of hand eczema, knowledge of skin-protection, and exposures that can lead to hand eczema. At entry, all participants are assessed regarding: disease severity (Hand Eczema Severity Index); self-evaluated disease severity; number of eruptions; quality of life; skin protective behaviour, and knowledge of skin protection. The patients are centrally randomised to intervention versus no intervention 1:1 stratified for hospital, profession, and severity score. The experimental group undergoes patch and prick testing; classification of the hand eczema; demonstration of hand washing and appliance of emollients; individual counselling, and a skin-care programme. The control group receives no intervention. All participants are reassessed after six months. The primary outcome is observer-blinded assessment of disease severity and the secondary outcomes are unblinded assessments of disease severity; number of eruptions; knowledge of skin protection; skin-protective behaviour, and quality of life.
Trial registration
The trial is registered in ClinicalTrials.Gov, NCT01012453.
Hand eczema (HE) is a long-lasting disease with a point prevalence of 9.7% in the background population
In Denmark, 21% of the recognized occupational skin diseases are represented by health-care workers
Among factors that can lead to OHE are wet work with frequent hand washing, use of protective gloves, and local disinfectants
Clinical data
Preventive measures and skin-care programmes have shown a significant positive effect in the prevention of HE among health-care workers
Secondary prevention of HE in individual geriatric nurses was examined in Germany in 2004
In Germany there is a special course of action for health-care workers with occupational skin disease
With respect to secondary prevention of HE, valid randomised clinical trials are lacking. Treatments are often used without differentiation between HE subtypes, and only a few clinical studies have identified subtypes
The effect of a prevention programme consisting of a combination of classification of HE and individual, work-related counselling in skin protective behaviour, has not yet been investigated in Denmark. The HET trial is the first trial on secondary prevention that is individually randomised and stratified according to hospital (the three different hospitals involved), profession (physicians compared to nurses, nursing aids, and biotechnicians), and Hand Eczema Severity Index (HECSI) score.
Methods and Design
Trial participants
The trial participants are identified through a self-administered questionnaire comprising 3,181 health-care workers in three Danish hospitals in the same geographical region of the country. The questionnaire addresses the prevalence of HE, exposures and risk factors for development of HE in the different departments, duty hours, and professions. Furthermore, it addresses the knowledge of skin-protective behaviour among the health-care workers.
Inclusion criteria
- Participants who answered "yes" to the validated question "Have you had hand eczema within the past twelve months?"
- Informed written consent
Exclusion criteria
- Pregnancy
- Systemic use of immunosuppressive drugs
- Systemic use of retinoids
- Active psoriatic lesions on the hands
- Any serious medical condition which, in the opinion of the investigator, may interfere with the evaluation of the results
- Lack of informed written consent
HET is a randomised, observer-blinded parallel trial. All included participants are clinically examined at the beginning and at the six months follow-up in the trial. Half of the participants will be randomised to the experimental intervention, the other half to the control intervention consisting of no intervention. The participants in the experimental group will, after the first clinical examination, pass on directly to the intervention which includes an allergological examination (patch and prick testing). Three days later they will be examined by a physician who will interpret the patch test and give a thorough, individual guidance in skin protection and occupational safety. The clinical examination of all participants at six-months follow-up will examine the outcomes in the intervention and the control group (Figure
Figure 1
Trial flow chart
Trial flow chart.
Randomisation will be individual and performed centrally at the Copenhagen Trial Unit (CTU) according to a computer generated allocation sequence with a block size unknown to the investigators. After a clinical examination, an investigator will contact the CTU by telephone and the CTU staff will randomise the participant to intervention or control group. The participants in the intervention group will then pass on directly to the intervention and they will be told not to share knowledge during the investigation. The percentage of participants allocated per intervention will be 50:50. Randomisation will be stratified according to three factors: hospital (the three hospitals involved), profession (physicians compared to nurses, nursing aids, and biotechnicians), and HECSI score at entry (HECSI <8 versus HECSI ≥8).
Detailed description of the experimental intervention
A self-administered questionnaire was distributed to all nurses, physicians, nursing aids, and laboratory technicians in three Danish hospitals, 3,181 individuals in all. The questionnaire was based on a standardised questionnaire for work-related skin diseases and exposure - the Nordic Occupational Skin Questionnaire (NOSQ-2002)
The questionnaire investigates the prevalence of HE among health-care workers and the risk factors/exposures (amount of hand washing, use of hand disinfectants, protective gloves, emollients, etc) related to different hospital wards (medical, surgical, in- and out patient wards), duty hours, working procedures, and professions. The participants with HE were asked about self-evaluated disease severity and knowledge of skin protection was evaluated through multiple choice questions. Questions on domestic exposures as well as allergic and atopic dispositions were also posed.
The questionnaire identified 398 individuals who answered "yes" to the question: "Have you had hand eczema within the past year?"
The person responsible for the clinical examination is a health-care person who has received training in the use of HECSI-score by a dermatologist. The time burden of the clinical examination is fifteen minutes.
After the clinical examination the participants are randomised to the intervention or the control group. The participants in the intervention group will pass on directly from the clinical examination to the intervention. They will be tested with a patch test
Three days after application of the patch tests, a physician will interpret the patch test and subtype the HE diagnosis. The participants will demonstrate how they apply an emollient on their hands by use of a fluorescent lotion and UV-light (GlitterBug Potion) to detect areas where the lotion is not properly applied. Thereafter the emollient is washed off, and the investigator will register how the handwashing is performed by the participant. Correct instructions in handwashing/appliance of emollients will be given thereafter as well as individual, thorough counselling in occupational safety and skin protection based on a skin care programme
Any participant who presents in the trial with severe HE that needs medical treatment will be prescribed with moisturizers or local corticosteroids depending on severity. For further therapy, if needed, the participants will be referred to their general practitioner.
Detailed description of the control intervention
The participant in the control group will undergo the questionnaire assessment as well as the initial clinical examination including HESCI score assessment.
Any participant who present in the trial with severe HE that needs medical treatment will be prescribed with moisturizers or local corticosteroids depending on severity. For further therapy, if needed, the participants will be referred to their general practitioner.
After the six-month follow-up individual counselling and patch and prick test will be offered to the control participants.
Concomitant medications
Systemic immunosuppressive drugs (such as azathioprine, cyclosporine, or prednisolone).
Systemic retinoids.
Local immunomodulators (such as corticosteroids, pimecrolimus, or tacrolimus).
All other medication that does not affect the immune system including rescue medication.
Monitoring for participant compliance
Participant compliance will not be monitored during the intervention period.
Follow-up at six months
All participants from the intervention group and the control group will have a clinical examination with registration of disease severity, self-evaluated disease severity, registration of eruptions through the past three months and quality of life by using the same instruments as mentioned at entry into the trial. Both groups will have a new questionnaire including multiple choice questions about knowledge of skin protection and questions on skin protective behaviour. The questions will be identical to those asked at entry to the trial.
After the clinical follow-up examination, the participants from the control group will be offered allergological patch test (European Standard Series; TRUE Test Panel 1 and 2 and chlorhexidine) and prick test (standard test, chlorhexidine and latex) applied by a nurse. Three days after appliance a physician will interpret patch test results, classify HE and give advise regarding relevant allergies, skin protection, and occupational safety.
The trial is observer blinded and involves three investigators. Investigator 1 (the outcome assessor) is responsible for the clinical examination at entry and follow-up and will, together with the statistician, be the only blinded persons in the trial. The randomisation and allocation will not be done until after the first clinical examination, and the participants will be told not to share information with investigator 1 at follow-up. Investigator 2 (a nurse) will be responsible for patch and prick tests at entry and follow-up. Investigator 3 (a physician) will be responsible for subtyping the HE, interpreting the patch test at entry and follow-up and counselling of the intervention group at entry, and the control group at follow-up. Investigator 3 will be administrating the interventions and assessing the secondary outcomes.
As randomisation is individual, there is a risk of sharing knowledge among the participants. To minimise this problem, the participants will be told not to share knowledge with colleagues during the trial.
Intervention accountability
All necessary materials and tools will be handled as prescribed.
Trial conduct
The trial will be conducted in compliance with the protocol approved by the Danish Data Protection Agency and the local ethics committee. No deviation from the protocol will be implemented without prior review and approval of these authorities.
Trial objectives
The HET trial is based on the complex intervention of precise classification of HE, allergological investigation, and individual counselling compared with a control group receiving no intervention.
Efficacy variables
The effects that are to be assessed in the trial are the following:
Primary outcome
Objective blinded assessment of disease severity (HE), measured as the difference in HECSI-score at follow-up minus the HECSI-score at time entry.
Secondary outcomes
Subjective assessment of disease severity (HE), measured by use of a photographic guide, at follow-up minus at entry.
Number of eruptions registered by the participant through the past three months of the trial at follow-up minus at entry.
Knowledge of skin protection measured as numbers of points achieved in a repeated multiple choice questionnaire on skin protection at follow-up minus at entry.
Skin protective behaviour measured as number of daily handwashing and use of hand disinfectants and emollients at follow-up minus at entry. Skin protective behaviour will also be measured as number of correct answers according to questions developed from a specific skin care programme at follow-up minus at entry.
Quality of life will be measured as number of points scored in the Dermatology Life Quality Index at follow-up minus at entry.
Adverse events
Any undesirable event occurring to a participant during a clinical trial, whether or not related to the trial, is considered to be an adverse event.
Since no drugs are used in the trial, the only expected adverse events are unexpected reactions to patch and prick tests. These can be allergic and eczematous reactions with redness of the skin, vesicles, itching, and urticaria. However, these symptoms can be present as a normal, positive response to patch and prick testing. If the reactions are severe and long lasting with involvement of skin areas other than the tested areas, it will be considered as an adverse event.
Systemic reactions are rare and can be astma, pruritic eyes, nose or pharynx, generalised pruritus, sneezing, and generalised urticaria
Serious adverse events
Any serious adverse event will be registered. These include any experience that suggests a medically significant hazard including any event that: results in death; is life threatening; requires inpatient hospitalisation; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect.
Recording of adverse events
At six months, all adverse events either observed by the investigator or reported by the participant will be recorded in the participants file by the investigator and evaluated. Following variables will be recorded: description of event, onset and end of event, severity, relation to intervention product, action taken and outcome.
Type and duration of the follow up of participants after adverse events
Any adverse event occurring during the trial will be treated according to established standards and the participant will be followed until the event has disappeared or until the condition has been stabilised.
Ethical considerations
The intentions with the experimental intervention are to improve behaviour and knowledge of skin protection among health-care workers in order to prevent HE in this population. No drugs will be used in the trial and the participants are not put on any unacceptable level of risk and there are no perceived harms connected to the trial other than disadvantages correlating to patch and prick testing described above. Patch and prick testing are established diagnostic procedures that are used in daily practise in dermatological clinics and departments.
All participants are offered a standard allergological investigation to detect relevant allergies that can have an impact on HE. However, participants in the intervention group will be allergologically tested at entry to the trial, and participants in the control group will be tested after follow-up. Thus the participants in the control group are allergologically diagnosed six months later than the intervention group, and this is considered to be the main ethical dilemma in the trial. During the intervention period the participants in the control group do not know if they are allergic, and therefore might not avoid the relevant allergens. This can have a negative impact on the eczema, but it will not differ from the conditions before onset of the trial. We do, however, consider that the collective advantages exceed the disadvantages for the population as a whole. By the end of the trial all participants have been treated equally. In Denmark there are at present no standard procedures or standard treatments when it comes to patients with HE, and the participants in the control group are not considered to be treated worse than 'usual standard care'. HE patients are followed by general practitioners, dermatologists in private practise, or dermatological departments. In general practise, allergological investigations are not done. In dermatological practise or departments allergological testing is usually done depending on the patient's history, the severity of the eczema, and treatment response. The treatment usually includes avoidance of wet work and irritants, use of emollients, and prescription of topical corticosteroids. Other treatments that can be used for HE include topical calcineurin inhibitors, oral steroids, azathioprine or cyclosporine, ultraviolet (UV) radiation, psoralene and UV-A radiation, alitretinoin, and retinoids.
Participant information and informed consent
This HET protocol has been approved by the local Ethics Committee. All participants considered for this trial will be provided with written and oral information on the trial so that the participants can make an informed decision about their participation in this trial. The consent form will be signed by the participant and the investigator seeking the consent.
Data collection
Data will be registered directly in standardised paper record forms at each visit by investigator 1, 2 and 3. All data from the paper files will be registered electronically in SPSS. This will be done manually by double data entry performed by the investigators:
At entry to the trial, all participants will have three coded case record forms to be used by investigator 1, 2 and 3. At follow-up, three new coded case records will be used.
Participant withdrawal
The participants are free to withdraw his/her informed consent from the trial at any time without effecting future treatment. All participants who enter the trial will be accounted for in the report, whether or not they are included in the analysis. All reasons for exclusion from analysis will be documented. Participants who do not attend the follow-up visit will be identified and a letter will be sent containing a questionnaire on reasons for drop out and its relationship to treatment and outcome, on number of eruptions, subjective severity assessment, quality of life, knowledge of skinprotection, and skin protective behaviour. The questions will be identical to the questions asked at the clinical examination supplemented by questions on skin protective behaviour for the participants in the intervention group. If the participant does not respond to the letter, they will be contacted by telephone and asked to take part in a telephone interview by investigator 1. The telephone interview will include the same questions as in the letter. Information on objective severity assessment cannot be obtained since that demands a clinical examination. Subjective severity assessment can only be obtained by the use of the photographic guide that will be distributed in a letter.
Sample size estimation
The clinical trial is planned to include a minimum of 262 participants. The sample size calculation is based on the mean HECSI score (primary outcome) after six months, which is expected to be 10 in the intervention group and 14 in the control group. Alpha error level is 5% and beta error level is 20%. With the standard deviation of 13 on the HESCI score, the sample size calculation is 131 each intervention group.
Since the prevalence of HE is approximately 10% in the health-care worker population, 3181 health-care workers were invited to participate in the questionnaire survey. This was the number of employed health-care workers (doctors, nurses, nursing aids and biotechnicians) in the three included hospitals. The results of the survey identified 398 health-care workers with HE during the past year. All 398 health-care workers are invited to join the trial. We do, however, not expect that all invited HCW will participate. The time span between the survey and the clinical trial is five months and there will be a natural drop out among the invited health-care workers.
Statistical methods and significance
Statistical analysis will be performed in SPSS. Comparisons of quantitative exposures between different working conditions will be analysed using the Mann-Whitney test. Non-parametric statistics (Mann-Whitney test) will be used to compare independent groups. Changes between matched data over time (6 months) will be analysed through McNemar's test for dichotomy variables and test of marginal homogeneity will be used for ordinal data. The significance level will be a p value ≤ 0.05.
The number of participants included in the statistical analyses will be reported. We intend to conduct intention-to-treat analyses.
A trained statistician will guide in the statistical aspects of the trial, and all data analyses will be conducted with the statistician blinded for intervention groups.
Accountability procedure for missing data/population for analysis
An analysis of dropouts will be made to describe the demographic data of the population. The analysis will be used to compare the drop outs with the participants and investigate whether the two groups differ in demographic conditions. If more than 5% of the data is missing, multiple imputation will be performed if data are not missing completely at random.
Direct access to source data and documentation
The trial is not planned to be monitored by any other authority than the investigators. If a relevant authority, as the Danish Research Ethics Committee System or the Danish Data Protection Agency, plan to inspect the trial, all data and files will be available for inspection in accordance with the GCP guidelines.
Data handling and record keeping
Data will be handled and recorded in case record forms and kept in records marked with investigator number, patient identification number, name of hospital, and time. After follow-up all the case report forms from each participant will be collected in individual files. Any change in the files or case report forms will be documented with date and signature of the investigator.
Data from the records will be registered electronically in SPSS for statistical analyses. This will be done manually. Records will be archived for at least five years after termination of the trial.
Quality control and quality assurance
To ensure that the trial is conducted and reported in compliance with this protocol, the data will be monitored internally and externally. The investigators will monitor the data and check for systematic errors. All data will be registered in paper record forms and kept at an investigator file site only available for the investigators. The data will be registered electronically by the investigators using double data entry. A random 5% of the data will be monitored by the investigators. Data will be handled with confidentiality.
Trial organisation
The trial takes place in three hospitals in Region Zealand who has provided the participants and localities for investigation. The Danish Working Environment Authority has been involved in the creation of the questionnaire.
The investigators are responsible for the protocol, conducting of the trial, and all other aspects involved.
Finance and insurance
The trial is financed by the Danish Working Environment Authority and Region Zealand Health Scientific Research Foundation who cover all expenses related to the trial. The participants in the study are covered by their work insurance and the patient insurance (Patientforsikringen:
The overall purpose of the HET trial is to develop new strategies for secondary prevention of HE in health-care workers. The trial focuses on HE among nurses and nursing aids who account for almost 25% of recognized OHE in Denmark.
The project will assess exposures that can lead to OHE in hospitals and relate them to different wards, duty hours, and professions. It also focuses on the knowledge of skin protection and skin protective behaviour in health-care workers, which may make it possible to improve preventive strategies.
The project will also investigate the aetiology of HE in health-care workers. Aetiology and assessment of exposures in health-care workers are important factors for focused prevention of HE in the future. This combined with individual, focused counselling could make a basis for a new strategy in prevention of HE in health-care workers.
We have designed the HET trial in order to reduce the risks of systematic errors ('bias'), random errors ('play of chance'), and design errors to a minimum
Randomised trials on complex interventions need proper description of the interventions, both before the launch of the trial as well as after the conduct of the trial
List of Abbreviations
HE: hand eczema; OHE: occupational hand eczema; ACD: allergic contact dermatitis; ICD: irritant contact dermatitis; AHE: atopic hand eczema; HECSI: Hand Eczema Severity Index; DLQI: Dermatology Life Quality Index; CTU: Copenhagen Trial Unit; BGW: Berufsgenossenschaft fur Gesundheitsdienst und Wohlfahrtspflege; TEWL: transepidermal water loss.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
KI and TA are responsible for the design of the trial. KI is responsible for the protocol and for drafting the manuscript. The coordinating and principle investigator of the trial is KI.
JLH and CG have contributed with important intellectual revision of the design of the trial and protocol, including statistical and ethical aspects. All authors have read and approved the final manuscript.
Gregor Borut Ernst Jemec, Dept. of Dermatology in Roskilde University Hospital, Denmark, for intellectual sparring and provision of materials essential for the trial.
Thomas L Diepgen and his research team, Dept. of Social Medicine, Occupational and Environmental Dermatology, University Hospital in Heidelberg, Germany, for valuable advice in questionnaire and trial design. Mari-Ann Flyvholm, National Research Centre for the Working Environment, Denmark, for valuable advice in questionnaire design. Basilea Pharmaceuticals for providing the original photographic guide for this trial. Region Zealand Health Scientific Research Foundation and The Danish Working Environment Authority for financial support of the trial.
Hand eczema in Swedish adults: changes in prevalence between 1983 and 1996
Incidence of hand eczema-a population-based retrospective study
Incidence of hand eczema in a population-based twin cohorte: genetic and environmental risk factors
Statistics on occupational diseases in Denmark
Surveillance scheme for occupational skin disease in the Saarland, FRG
Prognosis and work absence due to occupational contact dermatitis
Fifteen-year follow-up of hand eczema: persistence and consequences
Consequences of having hand eczema
Relation between diagnoses on severity, sick leave and loss of job among patients with occupational hand eczema
Quality of life and depression in a population of occupational hand eczema patients
A survey of occupational hand eczema in Denmark
Self-reported hand eczema in a hospital population
Exposure of the hands to wet work in nurses
Less skin irritation from alcohol-based disinfectant than from detergent used for hand disinfection
Short-term effects of alcohol-based disinfectant and detergent on skin irritation
OEESC-2005- Summing up on the theme Irritants and Wet Work
Prevention of work-related skin problems in student auxiliary nurses: an intervention study
Prevention of work related skin problems: an intervention study in wet work employees
Primary prevention in health care employees: a prospective intervention study with a 3-year training period
Prevention of occupational skin disease: a workplace intervention study in geriatric nurses
Skin care management: educational aspects
Impact of preventive strategies on trend of occupational skin disease in hairdressers: population based register study
A randomised controlled intervention study on prevention of work related skin problems among gut cleaners in swine slaughterhouses
Implementation of an occupational skin disease prevention programme in Danish cheese dairies
Secondary individual prevention of hand dermatitis in geriatric nurses
Educational and dermatological aspects of secondary individual prevention in health care workers
The impact of measures for secondary individual prevention of work-related skin diseases in health care workers: 1-year follow-up study
Treatment of hand eczema
Therapy of hand eczema. What can we learn from the published clinical studies?
Manegement of chronic hand eczema
Clinical patterns of hand eczema in women
Treatment of hyperkeratotic dermatitis of the palms (eczema keratoticum) with oral acitretin. A single-blind placebo-controlled study
Hand eczema classification: a cross-sectional, multicentre study of the aetiology and morphology of hand eczema
Prognosis of occupational hand eczema: a follow-up study
Hand eczema in geriatric nurses in Germany -prevalence and risk factors
Occupational hand dermatitis in hospital environments
Occupational contact dermatitis in nurses with hand eczema
Nordic Occupational Skin Questionnaire (NOSQ-2002): a new tool for surveying occupational skin diseases and exposure
Is a worker's understanding of their diagnosis an important determinant of outcome in occupational contact dermatitis?
Evaluation of a selfadministered questionnaire on hand dermatitis
The hand eczema severity index (HECSI): a scoring system for clinical assessment of hand eczema. A study of inter- and intraobserver reliability
Severity of hand eczema assessed by patients and dermatologist using a photographic guide
Eczema: quality of life by body site and the effect of patch testing
Dermatology Life Quality Index (DLQI) - a simple practical measure for routine clinical use
Hand eczema severity and quality of life: a cross-sectional multicentre study of hand eczema patients
Skin protection programmes
Reactions to prick and intradermal skin tests
Systemic reactions from skin testing: literature review
The culture of designing hepato-biliary randomised trials
Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study
Bias in clinical intervention research
Extending the CONSORT Statement to randomized trials of nonpharmacologic Treatment: explanation and elaboration
Pre-publication history
The pre-publication history for this paper can be accessed here:


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Global E-Commerce Tools Know No Boundaries
Posted by Amitabh Mudaliar (View Profile | View All Posts) at 9:09 AM
Hackers in Russia have stolen 1.2 billion passwords from websites [Source: http://www.youtube.com/watch?v=1czXdU5cfRM]
In one of his first moves as newly named CEO of the retail giant Target, Brian Cornell wrote a blog on the company website in which he expressed his "deep respect for the challenging retail environment."
Challenging indeed. Those words were written just a few weeks before the world learned that hackers in Russia had stolen 1.2 billion (yes, that's billion, not million) passwords from websites across the globe. Target itself also was (please excuse the pun) a target of a huge data breach during the busy holiday shopping season last year.
The web truly has become a realm of extremes. Use the right e-commerce tools and technology, and your enterprise can have a gold mine on its hands. Don't use the right technology, and cyber-thieves will be lining up to mine your data! There's very little gray area when it comes to building the most effective and efficient online retail presence. When news of the hacking scandal hit the newswires, we were all amazed at the global scale of the crime. An analyst at Gartner said at the time that enterprises that rely on user names and passwords - which is just about every company I can think of - have to develop a sense of urgency about changing how they do things. "Until they do," she said, "criminals will just keep stockpiling people's credentials."
Often times it takes an event of mega proportions to rock us out of our comfort zones. I think the hacking of 1.2 billion passwords was that kind of wake-up call for retailers. It's why Target, in my opinion, hired an executive from PepsiCo to be its new CEO. The company hired someone who analysts say is a relative outsider. That is, he comes not from another Big Box retail chain but rather a beverage company. But he is well suited for the role because retail is about building trust with customers - clearly something Cornell did very well at Pepsi. Whether it's a retail chain or a beverage, digital consumers want to know that the brands they choose are keeping the quality of their products high and preserving the security of their data.
Successful web commerce is also about being comfortable with a customer from every continent. If you have just a couple bricks-and-mortar stores in, say, Switzerland, and a web site from which anyone can order merchandise, then you are in effect a global entity. Which is why you need tools that help your business move seamlessly across geographical markets. I got a kick out of hearing that Amazon is going to soon begin testing a fleet of unmanned, airborne drone delivery vehicles in parts of India very soon. Amazon is a very smart company, so they must have done exhaustive market research that indicated that consumers in certain regions of India were receptive to receiving deliveries by drone aircraft. If and when that market testing is successful, then it will be fascinating to watch how the company expands its fleet of drones into other markets. Being a global enterprise means knowing that what works in certain places doesn't always fly in others.
Which brings me to another major web retailer, Alibaba. Besides its much-discussed expansion into the North American market later this year, it's also expanding into different areas of web retail. These business lines have one thing in common: They all seem to be attractive to any audience, anywhere. Alibaba is impressive in that it seems to have a global perspective on anything they do. For instance, one of Alibaba's most recent investments was in a popular online gaming company called Kabam. According to the two companies, the alliance is strategic because, said Kabam's CEO, all truly successful gaming companies have to be global.
The gaming market is just one subset of the online retail arena. Knowing your consumers and what they want to purchase online is as important with video games as it is with clothing. It's why a gaming company that sees a huge opportunity across Asia wants to partner with a retailer that knows what it takes to be global and secure.
The worldwide hacking event was indeed a wake-up call. But it can also be considered a kind of growing pain. As enterprises keep pushing the limits of web commerce, they will experience bumps along the way. Which is why it's more important than ever to have a toolkit that allows your enterprise to navigate the web on a global scale.

subset: commoncrawl


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What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you're getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you'd like help immediately, feel free to search for a similar question, or submit your question or concern.
Let me pass this along to our development team so they can check it out.
We'll keep you updated here with any news we have on this matter.
phowtx added bpprall as a subuser 2 weeks ago. She appears on my account as a subuser. She has received 2-3 emails notifying her that phowtx has shared forms with her, but the forms still do not appear in her account. We have approximately 2 ½ weeks to get about 50 forms up and running, and this glitch is causing significant problems for us. We need to resolve this issue as quickly as possible.
JotForm Support
The submitted ticket is still open and was already assigned to one of our developer.
We will let you know here as soon as we have update on the status.
Thank you for your patience and understanding.
Any updates on getting this resolved soon?
Unfortunately we don't have an estimate time for a resolution, but the ticket has a high priority status. I made a new test and shared a form with bpprall account and the form did not show up on the account.
I updated the ticket. We'll contact you as soon as we have more details.
JotForm Support
The reason this was happening is because you are sharing the forms with the email firstname.lastname@example.com however the email address associated with the bpprall account is firstname.lastname@example.com
If you use the esl email address the bpprall account will be able to see the shared forms


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I've referred and been referred by contacts I've met on Alignable and then met in person. I have 2 customers that I met initially through Alignable by answering their questions and trying to help. I've also connected with future partners and paved the way for other customers that may come my way in the future. What works for me is trying to help without worrying about getting anything back. What comes, will come and if it doesn't then I will still continue to help when I can. Alignable makes it possible for me to meet local business owners who otherwise have found a way to stay in the shadows behind gatekeepers. I think they and I like Alignable because it allows us to communicate without any perceived obligation either of us at first.
Easy to use!
Lisbeth McKinley, M.A.
Let's Make Room, LLC
Oakland, CA
Of all the social media tools I've used this one is the most user-friendly. I've actually had fun setting up my profile, answering and asking questions, getting and receiving recommendations and setting up future "coffee" dates. What a great idea!
Folks on the platform really want to be of service to the community
Eddie Davis
Atlanta, GA
I've really enjoyed meeting new people on Alignable: coffee, phone calls and most importantly, referred business in both directions. The search tool makes it really handy to find a good fit for friends when my internal Rolodex isn't quite getting the job done. Probably the coolest thing I've noticed versus just general networking is the folks on the platform really want to be of service to the community and are willing to give advice and feedback whether or not there is a direct sale to be made or not.
A useful platform to connect
Christine Rose
Christine Rose Life Coaching
Tacoma, WA
I have personally met business owners I first met on Alignable, and I have referred people to them. It's a useful platform to connect to and serve other business owners.
Gave my business exposure through promotions and social media sharing
Rob Crocker
Wine and Canvas Knoxville
Knoxville, TN
Alignable has been great for us at Wine and Canvas Knoxville. We've connected with a few local companies and now have future events in the works. It's helped me give my business exposure through promotions and the social media sharing options. We also really appreciate all the feedback we get on questions and being able to see how other small businesses rate popular software and services. Just the social media portion of Alignable alone is outstanding. I can setup promotions, share them across most of our social media networks AND schedule them to be posted again in the future as our events near! It's really saved me a lot of time and has become a crucial tool in our events postings.
Getting leads for future clients
Michelle Goodhew
Mundus Media Ink.
Burlington, WA
I have been a member of your site for just a short few days now and am already meeting new people and getting some leads on future clients. Thank you so much for the wonderful service that you are providing to businesses and for giving us locals a chance to connect.
I've met lots of local businesses!
Robin Westmiller
River Ridge Living
Oxnard, CA
You should know I've met with more local businesses in the two weeks since I've signed on with Alignable than any other "social media" platform I've used!
I got several gigs and two speaking opportunities from Alignable
Julie Niehoff
Author, Speaker, Marketing Leader
Austin, TX
I have been referred from Alignable at least 4 times so far and I have sent referrals for many people on the site. I know of those that have referred me because I got work out of them. I was able to get several decent consulting gigs and now two really good (paying) speaking opportunities.
Perfect for most anyone in the business of business
Anthony Ponceti
United Games - Live Professional Sports
Lakeland, FL
I have invited many individuals to join Alignable and many have been favorably impressed. Alignable is a great business social interaction platform that is perfect for most anyone in the business of business. Meet new customers and vendors and expand your reach, making you a more recognizable and trustworthy prospect and/or supplier.
Now able to connect with other companies like they're in the next room
Chris Buck
Saint Augustine Beach, FL
Alignable brings together the networking capabilities of LinkedIn with the ease of Facebook. We're now able to connect with other companies like they're in the next room. We're new to Alignable and are already exploring new opportunities!
I've met new businesses resulting in new clients
San Marcos, CA
Alignable is a great tool for local connections. I've had a few businesses reach out to me who found me on Alignable, all resulting in new clients and/or service relationships. I've found everyone to be professional and have yet to be spammed by anyone. As a local networking resource it's a great tool.
Use Alignable as a place to facilitate face-to-face meetings
Darrin Fitzgerald
Artie Media
Hingham, MA
I've used Alignable in two ways. First, to connect here with businesses and individuals that I already know, trust and refer. Second, to invite other local business owners that I don't know to meet for coffee, establish a relationship, and even invite them to join local networking groups where members can all benefit from building relationships that eventually result in referrals. I think the challenge is to use Alignable not just as another place to build a list of connections (like Linkedin, Google+, etc.), but to use it as a place to facilitate the face-to-face meetings. These one-on-one meetings are the place where we start to identify all the connections that we didn't know we had in common, and more importantly, the face to face meetings are where we begin sewing the seeds of longterm relationships. I believe this use of Alignable is closest to the heart of why it was designed. If we did nothing else on Alignable, this is where we should find its greatest value.
Generated business and made strategic connections
Sunil Bhaskaran
Cayaha Mind, LLC
San Jose, CA
I have generated quite a bit of business thus far using Alignable and have made some strategic connections. Follow up and patience are key. Not everyone is going to respond right away - but if you keep connecting and making connections, that is part of the key.
A wonderful circle of what aligns us as small and local business owners
Stacey Riska
Small Biz Marketing Specialist
Bethesda, MD
I have met the most incredible people here on Alignable. This is my #1 online home! There are businesses in my area who I've met and communicate with. We proactively help each other, sometimes just getting together for coffee, sometimes sharing promotions I'm made aware of through this platform. There are small business owners all over the country who are too far to have that face-to-face meeting, but we "like" and "share" each other's promotions and build amazing relationships. I've referred others. I've been referred by others to others. It's a wonderful circle of what "aligns" us as small and local business owners.
Worked on a joint promotion with an Alignable business
Dave Chambers
Wine Marketing Enterprises, Inc.
San Francisco, CA
I worked on a joint promotion with an Alignable business who was referred to me, and it went so well I've referred her to others.
I have already had two replies from a promotion that I ran
Janice Kaye
Kaye Artistic Reflections & Designs
Sydney, Nova Scotia
I am using Alignable to meet other businesses so we can get to know each other and refer each other. The promotion options are great. I have already had two replies from a promotion that I ran. So far I have a total of five recommendations from other businesses.
Great to meet someone who has a way to add value to your life
Bob Haywood
Hard Copy Cards
Londonderry, NH
It is great to see and meet someone who has a way to add value to your life. These are the types of people I have met on Alignable that is why I refer those who I have interacted with.
Gained 2 new clients and testimonials
Carisa Sanders
Business Building with Carisa
Orange Park, FL
I have gained 2 new clients who also posted a testimonial. I enjoy the change of platform. With so many out there today, it takes interaction, meeting and follow-up.
Alignable makes me feel that I am a part of something bigger.
Kathryn Smith
Kathryn Smith Hypnotherapy
Gilbert, AZ
I am very impressed with the site. I run a small practice. Your site has given me the feeling that I am a part of something bigger. That is hard to do. Well done.
We have met many connections and received over 30 recommendations
Mike Hayes
Big Ideas Express
San Francisco, CA
Alignable has become a key component in our networking and so we have decided to launch an Alignable Success Summit to help bring together many of the thought leaders. We have met many connections and have already received over 30 recommendations on Alignable. We love the support we've gotten from our fellow small business owners.
Wonderful tool for online marketing
Suzanne Walters
Sellstate Realty
Fort Myers, FL
I have had several referrals from Alignable and referred several people as well! It is a wonderful tool for online marketing and I will continue to use it! I look forward to meeting new people and hope that we can all help each other prosper!
Great site for any business owner who will take the time to meet
Stephen Schuller
Stephen Schuller, LLC
Jacksonville, FL
No matter how long one has been in business, prospecting is a task that must continually be focused on. While there is certainly no shortage of ways to do this today, every business person needs to find those methods that are most effective for them. For me, one of those ways has become the daily use of Alignable. Its focus on business to business contact allows for the free exchange of ideas and referrals among peers. It is a great way to meet other like minded businesses in the community that are receptive to working together. I would highly recommend embracing all that Alignable has to offer to its users.
I connected with businesses I may not have otherwise
Lisa Parziale
Portside Marketing, LLC
Flower Mound, TX
I have closed some business that came from Alignable directly. What I like most is that I have connected with some businesses I may not have otherwise who are local. In the future, I know I will refer business to many of them.
A Real Network for the Small Business Owner
Gilbert Nichols
Tall Man Promotions
Suwanee, GA
Everything LinkedIn wanted to be for the local business market, but isn't! It's like Facebook for the small business owner, yet without the drama!
I like exchanging of ideas of what works and doesn't
Jimmy Rios
Living EZ Consulting
Chandler, AZ
I have and have gotten a great response and I'm currently working to set up more relationships. I like exchanging ideas of what works for their businesses and what doesn't, and get great tips for my own business.
Local business networking, finally!
Stephen Underwood
Relay Viral Referral Vertical Marketing Network
Washington DC, MD
Alignable is a great way to meet other local businesses in your area or even nationwide too. It is a phenomenal way to engage other liked minded individuals moving and going in the same direction as you are in life as well as business. It is an ultimate platform to get to pick other business minded successful people's brains, who are successful in areas that you might be thinking of endeavoring into yourself. The thing that I like the most about Alignable is the real-time live connections with other businesses that you can meet face-to-face right in your local area.


text: 1. As of noon trading, Yahoo ( YHOO) is down $0.35 (-1.2%) to $27.70 on average volume. Thus far, 7.7 million shares of Yahoo exchanged hands as compared to its average daily volume of 18.6 million shares. The stock has ranged in price between $27.57-$28.02 after having opened the day at $27.92 as compared to the previous trading day's close of $28.05. Yahoo! Inc., a technology company, provides search, content, and communication tools on the Web and on mobile devices worldwide. Yahoo has a market cap of $30.2 billion and is part of the internet industry. Shares are up 40.3% year to date as of the close of trading on Tuesday. Currently there are 10 analysts that rate Yahoo a buy, 1 analyst rates it a sell, and 16 rate it a hold. TheStreet Ratings rates Yahoo as a buy. The company's strengths can be seen in multiple areas, such as its solid stock price performance, compelling growth in net income, notable return on equity, reasonable valuation levels and expanding profit margins. Although no company is perfect, currently we do not see any significant weaknesses which are likely to detract from the generally positive outlook. Get the full Yahoo Ratings Report now. STOCKS TO BUY: TheStreet Quant Ratings has identified a handful of stocks that can potentially TRIPLE in the next 12-months. Learn more. If you are interested in one of these 5 stocks, ETFs may be of interest. Investors who are bullish on the technology sector could consider Technology Select Sector SPDR ( XLK) while those bearish on the technology sector could consider ProShares Ultra Short Technology ( REW).


text:
A state governor is killed along with the owner of a skydiving company during a jump and Bull is enlisted to find out who sabotaged the jump. Later, Bull and his trial collaborator find themselves on opposing sides of the case.moreless
Vincent and Cat learn that another nemesis is out to get Vincent; and their relationship is endangered when they wind up on opposite sides of the law.
When Vincent and Cat are forced into hiding due to his being someone's target, he wonders what life would have been like for her without him in it—and gets a glimpse of just that.moreless
Cat investigates who's after Vincent and suspects that she may be pregnant. In other events, Vincent follows a lead that puts his life in jeopardy; and J.T. is kidnapped in a case of mistaken identity.moreless
Cat and Vincent's newlywed life is upended by lurking danger and they soon find themselves in the fight of their lives.
Cat and Vincent hunt a black marketeer of beasts; and try to protect an heiress whose identity was revealed.
Series premiere. The TV-adaptation of the 2002 sci-fi film about a cop in a futuristic hi-tech squad that, in 2065, attempts to stop horrific crimes before they happen with help from a mysterious precognitive man.moreless
Jim leaves Selina in Alfred's safekeeping while ADA Harvey Dent uses her potential testimony to rattle the man Dent believes is responsible for the Waynes' murders. Meanwhile, Oswald finds Fish's mole in the Falcone organization.moreless
Jim decides to go out with a bang by arresting Falcone and Mayor James for framing Mario Pepper. However, first he has to survive an attack by Falcone's man Victor Zsasz. Meanwhile, Maroni refuses to hand Oswald over to Falcone and matters escalate between the two dons.moreless
A killer that Harvey killed ten years ago is apparently risen from the grave and is once again targeting the firstborn children of the rich and powerful. Meanwhile, Renee and Crispus find a witness against Jim, and Oswald pays his mother a visit.moreless
Jim and Harvey track down a vigilante who uses weather balloons to kill his victim, corrupt figures in authority. Meanwhile, Oswald gets close to Carmine's rival for the mobs, and Barbara is told to ask Jim if he killed a man.moreless
Jim and Harvey investigate the disappearances of homeless children and discover a bizarre couple leading a child-trafficking ring. Meanwhile, Oswald heads back to Gotham, killing anyone who gets in his way, and Carmine accuses Fish of conspiring to overthrow him.moreless
Lt. James Gordon arrives in Gotham with his fiancee Barbara Dean, and sets out to fight the corruption that has infiltrated the city at all levels. Partnered with veteran cop Harvey Bullock, Gordon tries to make a difference... and starts by investigating the murder of Thomas and Martha Wayne, whose deaths have left their son Bruce an orphan.moreless
Danny and Baez get resistance from the community while investigating a local bombing. After a man punches out an officer during questioning, Frank is left with the political fallout.
When Stephen Jameson begins hearing voices and waking up in strange places he discovers he is a member of a highly evolved race of people with superhuman abilities. Seeking answers leads him to discover others of his kind called The Tomorrow People. He discovers The Tomorrow People are caught in a struggle for survival against an evil paramilitary group known as ULTRA who seek to destroy them all.
Stephen also learns there may be more to the mysterious disappearance of his father than he'd ever imagined and he discovers his own ties to Dr. Jedikiah Price, ULTRA's ruthless leader could be deadly.
When Carrie's latest case is stalled by the influence of a powerful family, she then receives assistance from a lawyer who may be behind a series of sniper attacks.
A mysterious millionaire, Finch, approaches John Reese, a CIA field officer who is believed dead, and offers him the chance to stop violent crimes before they happen. Finch can predict the person involved, but not how or where they are involved. In his first assignment, Reese must help a district attorney who Finch has predicted will be involved in a violent crime.moreless
Alexander Petrovsky, an internationally acclaimed artist who sweeps Carrie off her feet, shows up in her romance life. In the meantime, Miranda and Steve celebrate Brady's first birthday; Samantha frets about her appearance "down there;" and Charlotte receives some surprising news.moreless


text: DP264, but that kernel will only run on Tsunami+EV6 machines. Which version of the kernel no longer has SRM support? I think that at one point the Makefile was re-written so that you didn't have to choose SRM for dp264...aka: it's automatically selected as there's no other way to boot Linux on these machines (yes, I know about the MILO but who in there right might would use it. --rdp On Mon, 4 Sep 2000, Nikolaos Margaritis wrote: > On Mon, 04 Sep 2000, you wrote: > > > Does anyone know which system type I should choose when I configure the kernel > > > for a UP2000? I need both SRM and SMP enabled. > > > > > > > Generic. > > > Would this not inhibit performance? Before, DP264 was a nice choise, but now > for some reason, no SRM is supported for that choise. Why is it not supported? > > Nikos > -- Rich Payne firstname.lastname@example.com www.alphalinux.org


text:
Lakeview Academy
- CBASEBALL: Tigers go 2-2 after week offcommercenewstoday.com
- CBoys' Basketball: Tigers fall to Lakeview, Oconee Co.commercenewstoday.com
- CBASKETBALL: Tigers fall to Athens Academycommercenewstoday.com
- CBoys' Basketball: Tigers look for improvement in '16 seasoncommercenewstoday.com
- CFootball: Home sweet home for Eagles at lastcommercenewstoday.comWashington , Villarrica , Tallapoosa , Franklin , Buford
- CTigers aim to get back on trackcommercenewstoday.com
- CFootball: East Jackson program after elusive region wincommercenewstoday.com
- Morgan County vs East Jackson Previewmorgancountycitizen.com
- CFOOTBALL: Tigers to face Golden Eaglescommercenewstoday.com
- CFootball: East Jackson aims for consecutive victoriescommercenewstoday.com
- BVolleyball: Jackson County plays well in losses according to head coachbraseltonnewstoday.com
- CFootball: Eagles roll to win over Lakeview Academy, 38-6commercenewstoday.comMorgan , Oglethorpe , Oglethorpe , Banks
- BVolleyball: New coach looks to guide Panther turnaroundbraseltonnewstoday.com
- Boyne's Elizabeth Mansfield takes 2nd place in Crooked Tree Arts showboynegazette.com
- CSoccer coming to CHScommercenewstoday.com
- No school for Ranches Academy, power restored in Eagle Mountainheraldextra.com
- Some schools canceled, power restored in Eagle Mountainheraldextra.com
- CBoys' basketball: Williams aims to instill 'culture of winning'commercenewstoday.com
Frequent names
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text: To get from Massafra a Villaricca by train you can catch one of the 6 trains that everyday travel between Massafra and Napoli Centrale, the closest station to the city. The first train to Napoli Centrale leaves from Massafra at 02:07 and the last train departs at 15:54. If you choose a local train the trip lasts on average 06:04 hours. On Wanderio you can compare all schedules, fares and railway companies to Napoli Centrale and book the best itinerary starting from Massafra.


text:
General enquiries
+44 (0) 20 7079 4399
Call HCA from 8am-8pm Mon-Fri and 9am-5pm Sat
HCA Healthcare UK
Our Specialists
Mr Sam Rajaratnam
Orthopaedic Surgery, Knee Surgery, Knee replacement
Knee replacement, partial knee replacement, customised knee replacement, ACL reconstruction
Mr. Sam Rajaratnam FRCS (Tr. and Orth.) is one of the leading Consultant Orthopaedic Surgeons in the UK, and specialises in all aspects of knee surgery. His London Practice, 'The Chelsea Knee Clinic Ltd.', is based at The Lister Hospital, Chelsea. Sam is recognised throughout the UK as a leading Knee specialist, and performs amongst the highest number of successful knee replacements in Europe annually, as recorded in the UK National Joint Registry, with excellent outcomes.Training and Awards Mr Rajaratnam qualified from Guy's and St Thomas's Hospital in London with a First class degree in anatomy and an MBBS in 1997. He then trained via the Royal College of Surgeons at some of the world's best knee units in Australia and the U.K. He was awarded the Walter Mercer Gold Medal for the best performance throughout Great Britain and Ireland in the final FRCS Orthopaedics and Trauma examination in 2006. Having been appointed Consultant Orthopaedic Surgeon in 2008, and has now become one of the leading knee surgeons in the country with an excellent national reputation. He is a leading exponent of 'rapid recovery following joint replacement surgery' and also has an interest in cartilage repair techniques, and has developed successful day case Knee ligament reconstructive programmes. He was the Senior Educational Tutor to the London and KSS Deaneries between 2011-14, and continues to have active role teaching and educating the next generation of Orthopaedic Surgeons. Personal profile Outside work, Sam is a keen sportsman, and enjoys playing numerous sports including Golf, Cricket, Tennis and Badminton. He is also a keen pianist and accordionist, and playing sport with his young family. Mr Sam RAJARATNAM, FRCS (Trauma and Orthopaedics),Consultant Orthopaedic SurgeonThe Chelsea Knee Clinic Ltd.
© copyright 2008 - 2017 HCA Healthcare UK.
Registered Name: HCA International Limited; The part of the UK in which it is registered: England and Wales;
Registered Number: 03020522; Registered Office Address: 242 Marylebone Road London NW1 6JL.
£500m has been invested by HCA International in the latest medical technologies and facilities over the last 10 years.
Your hospital will be one of our world-class private hospitals: HCA's world-class hospitals are accredited by The CHKS Accreditation Unit, a leading provider of healthcare intelligence and quality improvement services. The accreditation is a measure of the overall quality of a hospital and hospitals with CHKS accreditation have been shown to provide a better quality of service.
Your safety will be protected because we have more critical care beds than any other private hospital group: HCA hospitals achieved 100% compliance with all Care Quality Commission inspected outcomes of care in 2011.
Your treatment will be undertaken using the most advanced diagnostic and treatment facilities: Oliver Wyman, Corporate Accounts: Driving quality and value, January 2012.


text:
Promethea is a comic book series created by Alan Moore and J.H. Williams III with Mick Gray, published by America's Best Comics/Wildstorm. Serialized in 32 issues on an irregular schedule from 1999 to 2005, the series explores Moore's ideas about art and magic, combining elements of superhero action, metaphysical theorizing, and psychedelic revelation, all focused on the adventures of Promethea, a metafictional character that possesses magical power over the real world.
Promethea is also notable for wide-ranging experimentation in visual style and storytelling technique on the part of Williams and Moore.
Plot summaryEdit
Promethea has been organized into five books. Books 1 and 2 mainly deal with Sophie Bangs becoming Promethea, while Books 3 and 4 show Promethea/Sophie working her way through all the Sephiroth of the Qabbalistic Tree of Life, passing beyond death and the Immateria before returning to earth for a confrontation with Stacia. In Book 5, Promethea brought on the Apocalypse, the end of the world - or the entire ABC universe, to be precise - not by destroying it physically, but by tenderly introducing its inhabitants to a new world of imagination, wonder, beauty, belief, and acceptance. Here Promethea truly delves deep into metafiction - the title character addresses the reader directly in her explanation of the Apocalypse, and points out that she is fiction, and fiction can be magic and be believed.
Issues dealt with in this series include tarot and Hermetic Qabalah, and the comic is laden with and studies mythological and archetypal symbolism. Real people who appear in Promethea include Aleister Crowley, John Dee, Austin Osman Spare, and John Kendrick Bangs (who in the comic is distantly related to Sophie Bangs). The semi-fictional character Jack Faust is also a character who helps teach Sophie how to use magic.
Promethea's End of the World sequence displays the influence on Moore of Shea and Wilson's ILLUMINATUS! Trilogy by repeating the She'll Be Coming 'Round the Mountain lyrics used in Vol. III of the Trilogy, when the Illuminati were bringing the world to an end and 'Eris' was becoming Transcendentally Illuminated.
Cover referencesEdit
Promethea features countless visual references as well as textual ones. For the majority of the series, each issue's cover features an imitation of a particular artist or style. These imitations were often explicitly credited by Williams next to his signature.
- "The Radiant Heavenly City" - no specific reference (this issue also featured a variant cover painted by Alex Ross)
- "The Judgement of Solomon" - film noir posters from the mid-20th century
- "Misty Magic Land"
- "A Faerie Romance" - credited to William Morris
- "No Man's Land" - credited to World War I poster artist J. C. Leyendecker
- "A Warrior Princess" - credited to The Magic Carpet magazine artist Margaret Brundage
- "Rocks and Hard Places" - romance comics from the mid-20th century
- "Guys and Dolls" - credited to Monty Python animator Terry Gilliam
- "Bringing Down the Temple" - stained glass window
- "Sex, Stars and Serpents" - cover to The Beatles' album Sgt. Pepper's Lonely Hearts Club Band, by Peter Blake
- "Pseunami" - posters for 1950s sci-fi horror B-movies
- "Metaphore" - credited to 1960s psychedelic rock concert poster artist Bonnie MacLean
- "The Fields We Know" - credited to Maxfield Parrish
- "Moon River" - credited to Virgil Finlay
- "Mercury Rising" - credited to M. C. Escher
- "Love and the Law" - credited to Peter Max
- "Gold" - credited to Salvador Dalí
- "Life on Mars" - credited to Frank Frazetta
- "Fatherland" - credited to Vincent Van Gogh, specifically The Starry Night
- "The Stars are But Thistles" - credited to Richard Upton Pickman, a fictional painter created by H. P. Lovecraft
- "The Wine of Her Fornications"
- "Et in Arcadia Ego..."
- "The Serpent and the Dove" - credited to Alfons Mucha
- "Cross, Moon, Star, Shapes in the Sand (Everything Goes Wrong)"
- "A Higher Court" - credited to Winsor McKay
- "Later..."
- "When It Blows Its Stacks" - credited to Ross Andru, specifically the 1976 comic Superman vs. the Amazing Spider-Man
- "Don't They Know It's the End of the World? (It Ended When You Said Goodbye)" - collage art
- "Valley of the Dolls" - credited to Andy Warhol
- "Everything Must Go!" / "Sun"
- "The Radiant Heavenly City" - according to Williams, "an imitation of the tarot card 'The Judgement/The Aeon'" [1]
- "Wrap Party" / "Universe" - credited "after the end"
Common themesEdit
The series has been both criticized for acting as a mouthpiece for Moore's religious beliefs and praised for the beauty of its artwork and innovation regarding the medium itself. Regarding the first claim, the series is, by Moore's own admission, didactic: "there are 1000 comic books on the shelves that don't contain a philosophy lecture and one that does. Isn't there room for that one?"[1] While the Kabbalah story arc, and the positive explanations of Moore's philosophy, very explicitly explain, talking-head style, the symbolism behind the details of every plane of existence, Promethea also contains critiques of materialism which are much more subtle. The material world is, generally, portrayed as having become immersed in commercialism, materialism, fetishism of science, and trendy postmodernist-chic. Moore uses a recurring series of billboards, fictional celebrity references, and other advertisements and/or news similar to his seminal 1980s miniseries, Watchmen.
As suggested by the title Promethea, which implies the feminine version or inversion of the mythological Prometheus, the title also participates in the sub-genre of feminism in superhero comics. In making his lead character an aspiring poet whose words conjure the malleable form of a literary goddess—as well as the non-linear narratives and references to literary theory and alternative philosophies—Moore's thematics are closely aligned with the countercultural theory and politics of Écriture féminine.
Weeping Gorilla ComixEdit
Probably the most exemplary of Moore's concept of modern disillusionment is "Weeping Gorilla Comix", a neverending series of one-panel comics featuring a weeping gorilla, with a thought bubble pronouncing some thoughtful phrase, usually cynical and self-pitying in nature: "Why do good things happen to bad people?", "Who remaindered the book of Love?", "She gets the kids and the house. I get the car.", etc. It is also a reference to the anomalous tendency for comics to get increased sales from a picture of a gorilla, a weeping character, or the color purple on the cover.[2] Occasionally Moore shows snippets of the gorilla's foil, the Chucklin' Duck, who is happy-go-lucky and naively optimistic, with smug saying such as "Heh heh! I got out of internet trading just in time!". Both the Weeping Gorilla and Chucklin' Duck motifs were used in the Greyshirt: Indigo Sunset series by Rick Veitch, and a Weeping Gorilla Comix panel makes a cameo appearance in the story "King Solomon Pines" in Tom Strong's Terrific Tales #5 (scripted by Leah Moore and illustrated by Sergio Aragones).
Experimental mediaEdit
Moore's characteristic deconstruction of the comics medium, combined with the visual experimentation of J.H. Williams III, give the book a visual style that is unique in the medium and have won it several awards. Williams' layouts are generally symbolic, featuring ornate designs that accentuate either the emotional experiences of the characters or the themes of the passage at hand. Many Promethea covers consisted of pastiches of famous images or styles, such as the cover to Sgt. Pepper's Lonely Hearts Club Band. José Villarrubia also contributed sequences partially illustrated with photographs. Furthermore, Promethea often experiments with the fundamental element of comics storytelling—the panel. Sideways issues, Möbius strip layouts, completely panelless issues, backwards or circular flow and other experiments occur on a regular basis. The final issue, "Universe" (#32), is a complex document which can be read in a number of different sequences, including a double-sided poster when the pages are detached and placed together, and summarizes Moore's view on magic and fiction.
Promethea is a young girl whose father is killed by a Christian mob in Alexandria in AD 411. She is taken in hand by the twin gods Thoth and Hermes who tell her that if she goes with them into the Immateria, a plane of existence home to the imagination, she will no longer be just a little girl but a story living eternally. "Promethea" then is manifested in a series of avatars over the 19th and 20th centuries, culminating in the involvement of the lead character, Sophie Bangs.
People become incarnations of Promethea when they or someone close to them channels their identity into an artistic representation of Promethea. During the Crusades, Promethea had two avatars who fought each other. After this, the original Promethea spirit "forgot" and ruled that at any one time, only one human can carry the consciousness of Promethea. All of Promethea's avatars live on forever in the Immateria, retaining their memories and contributing to the consciousness of the active Promethea.
The poet Charlton Sennet, in the 1770s, was able to imagine Promethea's likeness onto his housemaid Anna, transforming her into his dream lover. This Promethea bore him a child, but the baby evaporated on birth, since in a sense it was only "half-real"- an amalgamation of the physical nature of Charlton Sennet and the metaphysical nature of Promethea. Anna died in childbirth, leaving Charlton alone (his wife deserted him after finding him in bed with Anna/Promethea) with his almost-literal demons.
Margaret Taylor CaseEdit
The writer of a William Randolph Hearst-syndicated comic strip titled Little Margie in Misty Magic Land, Case wrote Promethea into her comic book as a helpful spirit to the titular young adventurer, and ended up personifying Promethea to help soldiers on the battlefield from 1900–1920, in a manner similar to the legendary Angels of Mons. Because she is a "fictional" creation (a story), Little Margie also dwells in the Immateria alongside Case and the other past Prometheas, where she is regarded as little more than a pest who interrupts "serious" conversation with her childlike observations. Although the central figure of her comic strip, in the Immateria almost everything she says is met with a variation of "just shut up."
Grace BrannaghEdit
An illustrator who created a series of covers for pulp magazine fantasy stories about Promethea, which were written by several writers under the pseudonym "Marto Neptura". Brannagh was the most proficient fighter of all the Prometheas. Grace inhabits the "Trancipality of Hy Brasil". She held the Promethea mantle from 1920–1939. Grace would eventually merge with Stacia.
In a text article in Promethea #1, Brannagh's style is compared to that of Weird Tales illustrator Margaret Brundage.
William WoolcottEdit
The only male to assume the role of Promethea, Bill Woolcott was a gay comics artist who became Promethea by illustrating her. He was the longest-lasting Promethea, from 1939–1969, but was shot in the head by Promethea's lover, Dennis Drucker, who was unable to deal with the revelation that his lover was actually a man. Drucker spent several decades in an insane asylum tortured by guilt for having killed Promethea, while Promethea spent similar time in the Immateria blaming herself for not having told him the truth.
Barbara ShelleyEdit
The wife of comic book writer Steven Shelley, Barbara became Promethea when her husband began projecting her characteristics onto the Promethea character in his comics. After Steven's death, Barbara maintained the mantle of Promethea, but had difficulty keeping her image alive, as it was fueled by Steven's imagination rather than her own.
Sophie BangsEdit
The main character of the series, Sophie becomes Promethea after tracing the character's history for a college paper. Her mother is an alcoholic and has trouble keeping long-term relationships. Though her personality as Sophie is weak, she is extremely powerful as Promethea, and the two help each other mature.
Stacia VanderveerEdit
Sophie's best friend, Stacia is an extremely cynical and sarcastic college student. During an attack, Sophie was forced to turn civilians into Promethea and Stacia was "merged" with Grace to help the fight. While Sophie went on a trip to the Immateria with Barbara to find Stephen Shelley, Stacia/Grace served as the acting Promethea. Afterwards, the merged Stacia/Grace personality refused to relinquish the Promethea title and battled Sophie for it. Sophie eventually won through a ruling in an Immateria court, and Stacia and Grace were separated; upon returning to the Earthly plane, Stacia was shot and put in a coma. She later awakened and was held captive by the FBI and force-fed anti-psychotic drugs.[3]
Five Swell GuysEdit
Five Swell Guys a team of white-collar adventurers and the only superhero team in New York City. The team meet Sophie Bangs in the first issue and Promethea in the third issue, after one is badly hurt.
The trade paperbacks for Promethea were first released in hardcover, a rare occurrence for collections of regularly issued comic books.
- Promethea Book 1, issues 1-6
- hardcover: ISBN 1-56389-655-9
- paperback: ISBN 1-56389-667-2
- Promethea Book 2, issues 7-12
- hardcover: ISBN 1-56389-784-9
- paperback: ISBN 1-56389-957-4
- Promethea Book 3, issues 13-18
- hardcover: ISBN 1-84023-550-0
- paperback: ISBN 1-4012-0094-X
- Promethea Book 4, issues 19-25
- hardcover: ISBN 1-4012-0032-X
- paperback: ISBN 1-4012-0031-1
- Promethea Book 5, issues 26-32
- hardcover: ISBN 1-4012-0619-0
- paperback: ISBN 1-4012-0620-4
- ↑ Campbell, Eddie: "Alan Moore Interviewed by Eddie Campbell" Egomaina #2, December 2002: pp1-32.
- ↑ as described by Mark Waid in an editorial in Secret Origins Volume 2, number 40
- ↑ as stated in Promethea #28, p.14, bottom right panel.
External linksEdit
- Wildstorm Comics
- Promethea notes and annotations by fan Eroom Nala
- "Magic Comic Ride," Douglas Wolk, Salon.com, July 1, 2005. Review of the entire series.


text: Nintendo 3DS Game Systems For $129.99 This Week This post may contain affiliate links. Please see my full disclosure policy for details. December 2, 2012 By Tracie +1 Flip Tweet Share PinShares 0 Many of you have been waiting for a deal on a Nintendo 3DS game system and this is the week to get one! Target has them for $129.99 each! They have some available online and others you can find in the store. +1 Flip Tweet Share PinShares 0


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Some families displaced by Hurricane Sandy could be living in hotels and motels for months because of the large number of homes destroyed and a shortage of replacement rental housing.
Federal Emergency Management Agency spokesman Michael McCormack said Thursday that the agency's goal is to put people in housing as quickly as possible, but he admitted it will not be easy.
"We know that having a home means so much, especially around the holidays," he said. "But it is going to be a challenge to get everyone into a home in a short time."
He said FEMA has extended housing benefits through Nov. 28 and will continue them as long as necessary.
Area Realtors said there isn't a huge amount of available year-round housing in the area, but some have seen new listings come up since the storm as people see the opportunity to rent out their homes.
Atlantic City officials said they will have a hot line operating today to begin to identify how many residents in the city need housing assistance. The hot line is only for city residents.
Tom Foley, director of Atlantic City's Office of Emergency Management, said he estimates 600 to 800 homes are uninhabitable because of the storm, but people may still be living in some of them or are staying with family elsewhere.
"We are trying to determine that now," Foley said. He added that the hot line at 609-347-6865 will operate during working hours Monday through Friday, and callers will be investigated to make sure they are living in the city. "We have already had a few people who claimed to be living at an address that's vacant."
FEMA has already registered 211,339 individuals and households statewide for some type of assistance and has distributed $167 million, FEMA media relations manager Scott Sanders said.
Ocean County has the highest local number of registrants at 44,281. There are 17,088 registrants in Atlantic County, 4,252 in Cape May County and 367 in Cumberland County, but not all of them registered for housing assistance.
The state has set up a Disaster Housing Task Force that has been meeting daily and is expected to present is plan shortly, Department of Community Affairs spokeswoman Lisa Ryan wrote in an email. The task force includes the Department of Community Affairs, New Jersey Office of Emergency Management, FEMA, the federal Department of Housing and Urban Development, the U.S. Army Corps of Engineers and other key stakeholders.
Ryan said the task force has identified about 5,000 rental housing units statewide, working with real estate agents, housing authorities and the hotel/motel industry.
FEMA also has a housing website with rental listings. A review of that site Thursday showed few listings in South Jersey, including 10 units in Atlantic City, each at $1,000 a month or more. There were eight apartments listed in Absecon, one in Egg Harbor Township, three in Ventnor, nine in Little Egg Harbor Township and two in Manahawkin.
Danielle Alpert, government affairs assistant director for the New Jersey Association of Realtors, said the association is notifying its members of the website so they can post available properties there.
State officials have announced that they are preparing the former Fort Monmouth military facility as temporary housing, and Ryan said they are also evaluating state- and federally owned property that may be available as housing resources. She said they have also eased some permitting requirements to help people get back into their homes more quickly.
FEMA has also moved about 40 modular home units into the state, though there is no determination yet as to whether or where they will be used. There are no plans to place units at Bader Field in Atlantic City, FEMA officials said.
"That would be a state and local decision," McCormack said.
Foley said Atlantic City has a committee to work on identifying more permanent housing and that right now modular units are not part of the plan because city officials first want to determine just what is needed.
Area real estate agents said winter rentals could help those who need just a few months to repair their homes, but there are fewer options for those looking for year-round rentals.
Dennis Allen, owner of Ashore Realty in Brigantine, said he saw a wave of new rentals on the market after the storm, and while most are winter rentals, some are year-round. He said he has been getting calls, but most are from local homeowners who hope to move back into their own homes and just need temporary housing while their homes are repaired.
Cape May County Association of Realtors President Brian Groetsch said there is traditionally a winter rental market at the shore, but homeowners typically want to use or rent the property in the summers and would not consider a year-round tenant. Michael Monihan of Monihan Real Estate in Ocean City agreed, saying he has not seen an increase in rentals because many of his homeowners use their homes in the winter or rent them on the weekends.
"People show the houses in the winter for summer renters, and they don't want to risk losing that revenue," he said. "There's also the wear and tear on a unit when it's used long-term that may not make it worth it for some homeowners."
Contact Diane D'Amico:


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Report: Francis unloads on 13 conservative cardinals, then suffers mild stroke
by LEO ZAGAMI | INFOWARS.COM | OCTOBER 13, 2015
Today I rushed to the Vatican to check out what was going on for myself as the news coming out of the Synod of Bishops seemed pretty disturbing: the Pope was brought away with a mild sickness after exploding in anger in front of his Bishops.
My old friend Roberto D'Agostino, now one of Italy's leading journalists and bloggers, has reported his biggest scoop to date on the latest scandalous event to hit the Synod of Bishops going on presently in Rome.
As I have written in my past articles, and various interviews on Infowars, tensions are gradually building on the conservative front for quite sometime in the Vatican.
All hell broke loose at the Vatican on Oct. 12 around 7pm.
This occurred immediately after a publication on the website l'Espresso, one of the two most prominent Italian weeklies, because of an open letter addressed to the Pope, in which 13 conservative cardinals raised their objections to the Pope at the Synod, the mild Bergoglio went on a rampage.
At this point Roberto D'Agostino reports from his very respected and credible website Dagospia, now also picked up in the last few hours by all the main Italian media, the Pope was caught by a sudden and violent fit of anger, and the usually mild and peaceful Bergoglio lost it completely, and thundered against the purple conservatives prelates stating:
"If this is the case, they can leave. The Church does not need them. I will throw them all out!"
And then full of anger, he had a mild stroke. The pope has been under stress for months, one more reason to leave in 2016, as I announced Oct. 11 on Infowars.
The official instigator of the letter was Australian Cardinal George Pell, who the Pope himself had originally wanted to guide the Vatican finances, later changing his mind.
Despite formally covering the post of prefect of the Secretariat for the Economy, Pell has long been "policed" by the Secretary of State, Pietro Parolin for his conservative stand against both the Jesuits and the Gay Lobby.
The true instigator of the letter is in any case the Cardinal of Milan, Cardinal Angelo Scola, the real puppetmaster of the rebellion against Pope Francis, and the abomination he has made of the Church.
Cardinal Scola had originally placed himself amongst the authors of the letter, but apparently decided to remove his signature at the last minute, to avoid suspicion on the fact that he is behind this conservative riot going on in the Synod.
The staged "coming out" of Monsignor Charamsa has come back to haunt the Rainbow faction of the Church, as the reaction has been gradual discontent among the Cardinals.
Roberto D'Agostino also reports there has been a sudden shift towards the conservative side, and Bergoglio, seems suddenly worried.
Because of all the conspiracy theories and revelations made in the last few weeks, my inside sources told me today he seems now more cautious in his latest statements.
* * *
Leo Lyon Zagami is an Italian-based geopolitical researcher and the author of nine books, including his latest book Pope Francis: The Last Pope?


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stacysscrapsnmore's Profile
I am a SAHM of two who taught sixth grade for six years. I love digital scrapbooking and recently purchased Photoshop and started making birth announcements and birthday invites for some friends. My husband loves taking pictures, so I never run out of things to scrap.
- Female
- Born on November 25
- Joined March 24, 2009
- stacysscrapsnmore
- Fort Dodge, IA, United States


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Bay Tandoori
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Have been to this place before, it was excellent then and remains just as good. I would recommend anyone who likes Indian food to give this place a go. It can be a bit pricey when compared to Thai etc but I did see that they had a half price special on Monday nights so that will be excellent value for the kind of food you get here.
This place was great. We went on a busy Friday night and the staff were very helpful and the food was sublime! We had a paneer entree that was not on the menu and it was so good! The mains curries that we ordered were also very very good. Just like being back in India.
This small restaurant is 5 star. Menu is varied and often on the spicy side.
I have eaten at this restaurant previously and found the food to be very good. However; this time around I decided to order a take-away. The website is easy to navigate. You can choose your delivery time and you also have the option of ordering mild, medium or hot on the choice of curries and as it was out first online order we received 10% discount. I ordered 2 meat samoosas, 2 curries, (One medium and one mild), 2 naan breads and a portion of rice. I set the ...read more
This place made me miss India. The food was so flavoursome and some of the dishes I havent seen on a menu in Australia. I've both eaten in and recently ordered take away, the serving size didnt disappoint and if your order is over $30 delivery is free (I'm sure it's within a certain area).


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Recipe: Chicken Pot Pie
The convenience of refrigerated piecrust makes this deep-dish favorite easy enough for a weeknight. If you don't have time to simmer a whole chicken, just substitute an equal amount of canned broth and the meat from a rotisserie chicken.
Grab a plate and taste what you've been missing!