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Beauvais Tille Airport (BVA) is the Parisian gateway for several budget airlines--among them, Ryanair, Sterling, Blue Air, Norwegian Air Shuttle, and Wizzair.This is by far the most convenient mode of transport, because buses run directly between the airport and the Porte Maillot in Paris. Travelers to Paris Beauvais Airport (BVA) can use a cheap shuttle bus from Porte Maillot or train from Gare du Nord stations.BVA is currently the third largest airport in Paris and used by low-cost airlines Ryanair, Wizz Air, and Blue Air. Yet most travellers still call it Ryanair bus.The Beauvais Paris airport bus service is a good transport option for travellers on a budget. It is direct between the airport and Porte Maillot (Congress Center), which is located at the western limit of Paris. From Parisforvisitors.comRyanair Paris Airport Bus. ABOVE: Buses between Beauvais Airport and Porte Maillot in Paris are timed to meet Ryanair flights.Ryanair, the Dublin-based budget airline, offers some of the cheapest air fares to Paris. Search variations and alternatives for given phrase. Paris Porte Maillot - Beauvais Tille Airport Bus Shuttle Ride - Продолжительность: 1:09 Just Live 1 722 просмотра.landing in Paris Beauvais Airport , Paris, France - Ryanair 737 - Продолжительность: 1:46 Vladimir Fediuk 436 просмотров. Busses leave for beauvais 3 Hr 15 min before flight time so that would make your bus time 6.30 am. As you are near etiole just get on metro line 1 and head to Porte Maillot ( two stops) .Ryanair Bus - Beauvais to Paris 8 replies. Paris-Beauvais Airport (BVA).
80 km north of Paris, its mainly used by Ryanair, a low-cost carrier between Paris, Dublin, Shannon, Glasgow and others.Express bus (16.90) takes you to Paris (the Porte Maillot subway station) for 1.15 hours. by Vidtur 7 years ago. Beauvais airport - Ryanair Boeing 737 taby Destinos y Mas 6 months ago. Beauvais Airport to Paris Porte Maillot Check out: www.vea.fr 2: Ryanair bus from Beauvais to Paris 13 euro, then walk to the metro, then change to the RER to Disney, then take the shuttle bus to one of the hotels.
By bus You also have a direct bus from Beauvais Airport to Paris (Porte Maillot - North West of Paris), available exclusively Paris Porte Maillot - Beauvais Tille Airport Bus Shuttle Ride.For this trip we landed with Ryanair operating a series of flights to Beauvais Paris. Beauvais Tille airports codes are IATA:BVA and ICAO:LFOB. Can anyone give me an update on where the Porte Maillot to Beauvais official airport shuttle bus is parked?If so, the reason you cant find it is because the airport is Treviso (Trevise) on the Beauvais website, called Venice-Treviso on the Ryanair website. But because its the only Paris airport with service from European budget air giant Ryanair, it still deserves to be considered as aTaking the Bus from Beauvais Airport to Paris.Theres a regular scheduled coach service that runs from Porte Maillot in Paris to Beauvais Airport (and vice versa). Beauvais - Paris 2013 06 09, France: From Beauvais Airport to Paris Porte 10 best places to see in Paris.Paris Beauvais-Tille airport BVA : Low cost alternative Paris airport info guide. - BEAUVAIS Airport - PARIS (Porte Maillot). At Beauvais airport, shuttles departure: 20/25 minutes after flight arrival.VEA shuttle bus service between Beauvais Airport, Roissy CDG Airport and Disneyland Paris. Airlines. Ryanair, Wizz Air, Blue Air, Air Moldova. I am looking at a RyanAir option from Madrid to Paris-Beauvais . I see that it is a bit out of the city.Ill arrive in Orly airport at 12:45 p.m and need to catch a flight in Paris Beauvais at 16:55, if I take the shuttle to RER and go to Porte Maillot do you think Ill make it on time for the bus? according to the Beauvais Airport Bus to Paris Porte Maillot. Paris Beauvais-Tille airport BVA : Low cost alternative Paris airport info guide.On the Ryanair coach from Porte Maillot to Beauvais Airport, Paris. Landing Beauvais LFOB (France) runway 30 Wizz Air Airbus A320 W64045. Re: Ryan air Beauvais to Paris City Bus. Heres a link if you want to buy the tickets in advance (accessed via the ryanair website). httpOne thing to be very careful of: if your return flight is early in the morning, make sure you get the correct bus from Porte Maillot. Paris Porte Maillot - Beauvais Tille Airport Bus Shuttle Ride Добавлено: 2 год. назад.Mxsmanic 6 год. назад. Landing Beauvais LFOB (France) runway 30 Wizz Air Airbus A320 W64 Поиск видео на portall.zp.ua - video RYANAIR. Alicante Barcelone El Prat Bari Bologne Cagliari Cracovie Dublin Fez Figari Sud Corse Gerone Lisbonne Madrid Barajas MalagaJourney: Direct without stop between Beauvais Airport and the Pershing car park in Paris - Porte Maillot. Price: On line. Bus tickets sale point. He has found a cheap Ryanir flight from Paris but it lists Paris Beauvais on the Ryanair site.There is a bus link between Paris and Beauvais airport, it takes about one hour and a half.It departs from Porte Maillot,that is in the west of Paris, you will find all the details on this website Ryanair Coach service in Beauvais, Orlybus and Roissybus or Air France Bus for Roissy and Orly AirportA regular airport coach - bus service is operated every day between Paris Porte Maillot and Beauvais Tille airport. It is a small regional airport used by some low-cost carriers such as Ryanair and WizzAir and is actually just outside the village of Till and not in Beauvais itselfBy bus. Coaches shuttle between the airport and Porte Maillot, at the north-western edge of Paris, where you can pick up Mtro (Porte Maillot) It is mostly used by charter and low-cost airlines, especially Ryanair who often marks it as Paris-Beauvais Airport.is a shuttle bus which provides a connection between the Beauvais-Till airport and the city of Paris, more precisely the Pershing car park in Paris Porte Maillot. Paris Porte Maillot - Beauvais Tille Airport Bus Shuttle Ride. Just Live. Ryanair 737-800 landing in Paris Beauvais Tille Airport. barrackali. Paris - Tips para primer da de viaje - AXM Paris 1. On return, the coach departs from Porte Maillot (at the Parking Pershing parking garage) 3 hours 15 minutes prior to a Ryanair flight departure.It is a nicer way to travel into Paris but takes longer, mainly because the time spent transferring between the train and shuttle bus at Beauvais. Your best bet will be the regular BEAUVAIS SHUTTLE from Porte Maillot-- www.aeroportbeauvais.com/ bus.php?langeng The only 10:10 AM flight on the BVA Departure schedule is a RyanAir flight FR4982 toDespite the early hour, I would follow ryan airs instructions. Paris-Beauvais airport (airport code BVA) as it is often known is used by low-cost budget airlines and dominated by Ryanair and Wizz Air.Porte Maillot is fairly central, just to the west of the city centre, less than 1km from the Arc de Triomphe and Champs-Elysees. If flights are close together the bus Here is information about Beauvais airport. The bus transfer is also named Ryanair Coach service despite the fact that few of. Beauvais airport bus terminal in Paris. PARIS - Porte Maillot BEAUVAIS AIRPORT. Beauvais Airport and the Pershing car park in Paris - Porte. Shuttle bus between Paris (Porte Maillot) and the Paris-Beauvais airport. Point of departure : Porte Maillot (Pershing parking lot). Hours : For Ryanair, Blue Air, Volotea and Wizz Air, shuttles depart from Paris Porte Maillot 3 hours prior to each flight. Paris Beauvais Airport Train (BVA) serving Ryanair, Wizz Air Blue Air, is accessible by city train from Paris with taxi completing the journey.There is also a direct shuttle bus connection between Paris Porte Maillot and Beauvais Airport offered by the airport for . There is shuttle bus service to Paris and Beauvais town from the airport.The address of the Beauvais Airport is: Aroport de Beauvais-Till Till 60000 Beauvais France 33 (0)892 68 20 66. Air France buses also connect the airport to the city (15 single, 24 return, 7.50 under-11s, free under-2s). Buses leave every 20-30 minutes, 6am-11pm daily, and stop at Porte Maillot and PlaceBeauvais is served by budget airlines such as Ryanair, and is situated 70km (44 miles) north of Paris. Is the bus terminus at Beauvais easy to find? How frequent are the buses? Where is the drop-off in Paris?The bus connects with the Ryanair flight and it drops off picks up at Porte Maillot (just down the street from the Arch de Triomphe). RyanAir, Blue Air, Wizz Air and other discount airlines fly from there.From PARIS (Porte Maillot) To PARIS/BEAUVAIS. The departure point in Paris ("Paris-Beauvais-Shop") is located at the bus park on the Boulevard Pershing, near the hotel Concorde Lafayette (MAP). A Ryanair-coordinated bus runs from the Paris Beauvais Airport to Paris ( Porte Maillot) for EUR 10 one-way. Connections to the Metro at Porte Maillot are very easy. Tickets for the bus can be booked at the time of booking your Ryanair flight. Paris Porte Maillot - Beauvais Tille Airport Bus Shuttle Ride.On the Ryanair coach from Porte Maillot to Beauvais Airport, Paris. Disclaimer DMCA. Beauvais Paris 2013 06 09, France: From Beauvais Airport to Paris Porte Maillot transfer by coach.12pcs/lot Cute Adornment 3d Eiffel Tower French Souvenir Paris Keychain. Glittered Eiffel Tower Paris France Parisian Wall Transfer Elegant Wall Art. NON DEVI PRENOTARE NULLA, ACQUISTI SOLO IL BIGLIETTO DEL BUS. Un servizio dautobus a pagamento ( 14 a tragitto e a persona), che collega Paris Porte Maillot allaeroporto di Beauvais, a disposizione dei passeggeri titolari di un titolo di trasporto aereo. http Silahkan ganti judul video dengan ini Beauvais Airport Bus to Paris Porte Maillot.mp4 Format .mp4 bisa anda ganti sesuai format yang anda download.Beauvais airport - Ryanair Boeing 737 taxi 4.689 5:11. When the low cost company Ryanair chose BeauvaisTill inTravel time to Paris is 75 minutes by coach which drops off and collects passengers beside the Palais des Congrs at Porte Maillot, located inA commuter bus provided by the Transports Urbains du Beauvaisis runs to Beauvais town centre Paris Beauvais Airport Train - Paris by Train Paris Beauvais Airport Train (BVA) serving Ryanair, Wizz Air Blue Air, is accessible by city train from Paris with either a shuttle bus or taxi completing the journey.PARIS - Porte Maillot: Pershing bus. remove the playlist. Beauvais Airport Bus To Paris Porte Maillot | Placesee.com.For this trip we landed with Ryanair operating a series of flights to Beauvais Paris. Beauvais Tille airports codes are IATA:BVA and ICAO:LFOB. Paris Beauvais-Tille airport BVA : Low cost alternative Paris airport info guide. Published about a year ago8,999 views. Beauvais airport - Ryanair Boeing 737 taxi.
Beauvais is normally used by low-cost and charter airlines like Ryanair. How to get to Paris from Beauvais. Bus.Therefore, we recommend taking the bus to Porte Maillot. Are you going to Disneyland? Anastas Doshev was traveling to Paris Beauvais Airport from Porte Maillot with Marulka Dosheva.Aprs un quart dheure dans le bus aux cts de quelquun, dapparence tout fait classique mais qui, visiblement, sen passe (ou qui avait dcid de voyager le cul l air, je sais pas trop), je sens ma If you are flying Ryanair -- and why else would anyone fly out of distant Beauvais? -- you will be at the mercy of the Ryanair buses.Theres a shuttle service from Porte Maillot to Beauvais its a long ride (1h30) but its pretty cheap for Paris standards. Private Mini Bus. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit id est laborum."The payment area of the Ryanair Transfers website is 100 secure. Travel options for: Porte Maillot (Paris Mtro) Beauvais Airport (BVA). Train.From Porte Maillot line 1 subway to Chtelet, walk to Chatelet Les Halles, train to Paris Nord, train to Beauvais Gare SNCF, walk to Beauvais, then line 31 bus to Till Centre.
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About Bellerive FCJ Catholic College
Bellerive FCJ has been educating girls in Liverpool for nearly 170 years – and more recently boys in the Sixth Form – preparing them for the lives they will lead once they leave the school for the final time.
Latest News
Safeguarding update
We have been alerted an incident in the Sefton Park area of Liverpool that has been reported to the Police. This involved a male adult who acted inappropriately/suspiciously. Whilst we do not wish to alarm parents, whilst the police consider the matter we would...read more
Bishop Tom visits Bellerive
We were delighted to welcome Bishop Tom Williams to Bellerive recently. Bishop Tom is an old friend of the school, having served as our chaplain in the early stages of his priestly ministry. Year 11 students were fortunate to have him celebrate their pre-exam mass...read more
Dot Art competition
Many thanks to all who voted for their favourite 'Dot-Art' entry from Year 9. Our first place school winner has been confirmed as Paula M. Paula's work will be exhibited in the Dot Art exhibition, at LJMU School of Art and Design starting on the 22nd June. Please...read more

subset: commoncrawl


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"We are now in the midst of a very active flu season with much of the nation experiencing widespread and intense activity", CDC Director Brenda Fitzgerald told reporters during a briefing. The Centers for Disease Control, or CDC, reports widespread outbreaks of the flu. "It's not your regular virus that gives you a couple days of runny nose", said Dr. Claire Bocchini, an infectious disease specialist at Texas Children's Hospital. Given the millions who are vulnerable to flu and the thousands of deaths each year, this is a big payoff in public health. During the same time period, 211 flu cases in ME required hospitalization, about 27 percent.
But having a free flu jab remains a very sensible choice for people in at-risk groups, and for those over the age of 65.
The number of people stricken by flu continues rising across Canada, with 15,572 laboratory-confirmed cases as of Saturday, said the Public Health Agency of Canada on Friday.
Montgomery County health officials confirmed a man in his 70s died January 9 due to the flu.
There have been 48 flu-related deaths in England so far this winter. "In total, there have been 113 influenza associated hospital admissions since the beginning of this season and over 65% of those patients are aged 65 years and above", said the report.
On Monday, The Winnipeg Regional Health Authority announced dozens of elective surgeries would be cancelled to accommodate influenza patients.
Most of the cases are in the Princess of Wales Hospital in Bridgend, but there are also cases in both Morriston and Singleton hospital in Swansea. Complications, which may be serious, can include pneumonia, bronchitis, and ear and sinus infections.
TODAY'S FORECAST: Rain, temperature drop throughout the day
Saturday isn't expected to see above-freezing temperatures, with a high of only 29 degrees and a low Saturday night of 13. Thursday there will be rain or freezing rain before 4 p.m. then a chance of rain, snow and freezing rain between 4-5 p.m.
According to the CDC, everyone 6 months of age and older should get a seasonal flu vaccine each year.
"But the vaccine covers a lot more than just the H3N2 strain", Honeycutt said. However, those who get a shot and still contract the flu experience milder and shorter symptoms, research suggests. "And 32 percent is better than no protection". It's not yet known how effective the vaccine is for this season.
"Fever-you don't necessarily always get that with other respiratory illnesses".
The new numbers indicate a sharp increase during the final week of 2017. During the week that ended December 31, there were 2,887 laboratory-confirmed cases. The CDC is calling it an epidemic.
An outbreak of flu in the area before Christmas saw 50 students out in the Silver School District, many from Cliff, which canceled classes and their Christmas program due to so many kids being out sick. Around 90 people died of flu in Ireland a year ago. "We don't have a crystal ball".
For the first time in more than a decade, the entire continental United States shows widespread flu activity, the U.S. Centers for Disease Control said Friday, and the number of people hospitalized has almost doubled from last week.


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Get the DML App. CLICK HERE
In Clay, West Virginia, Mayor Beverly Whaling has resigned Tuesday afternoon following online backlash over a racist Facebook post about First Lady Michelle Obama. According to the Clay Town Council, Whaling posted a response to a racist comment about the First Lady following Donald Trump being elected president.
"It will be refreshing to have a classy, beautiful, dignified First Lady in the White House. I'm tired of seeing a Ape in heels," wrote Clay County Development Corporation director Pamela Ramsey Taylor. To this, Whaling responded: "Just made my day Pam." After making the post, many angered citizens condemned Whaling for her comments and championed for her ousting.
A brief statement was made by fellow council member Jason Hubbard, who described the post as "horrific" and said "racial intolerance isn't what this community is about." Hubbard apologized on behalf of the town to anyone who is offended by Whaling's comments. The apology was also extended to Michelle Obama.
Whaling and Taylor have since apologized for their remarks, and have promptly deleted their Facebook pages. Despite the deletions, the Facebook post was shared hundreds of times on social media. Whaling issued a statement on the matter: "I was referring to my day being made for change in the White House! I am truly sorry for any hard feelings this may have caused! Those who know me know that I'm not in any way racist!"
A picture and video of the post can be viewed below:
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Pence Eliminates Lobbyists from Trump Transition Team


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R&D Expenditure
Here is a thought: What happens if Internal Revenue Service prohibits deductions and your refund is minimized? You still owe the loan plus interest. Now you are even further in the hole because your RAL is less than prepared for.
A lien is simply a way that a loan provider can utilize property to settle financial obligations that have actually not been paid in a reasonable amount of time. So, this usually refers to a government's legal right to hinder the use of residential or commercial property when the homeowner owes taxes. The process is rather similar to a tax levy. Nevertheless, a tax "levy" refers to the federal government's actual seizing of the residential or commercial property. Meanwhile, a tax "lien" involves both the taking of the property-and then supplying a notification about the legal right to seize the home.
Mr. John Meyers was selected to the Sioux City Community School Board in 2011 after Ms. Nancy Mounts resigned. State law requires that this seat be voted on at the next readily available election.
You may wonder why the free credit report does not consist of FICO rating? It is a truth fact that you need to pay for it to see your FICO score. However, there is an alternative to obtain totally free credit report and FICO rating on line.
The Most Suitable Tax Attorneys Near Salem Kentucky 42078
He just couldn't believe that it had the ability to get tax relief on buying routine everyday things. There are numerous expenditures which we make and throw the invoice thinking that it is including to trash in the house. That is not real. It might help you get tax relief, so believe before throwing expenses in trashcan. To discuss some of the expenses where you can declare tax relief kept reading.
Beware of tax mills who promise you cents on a dollar. The Internal Revenue Service just accepted approximate 12,000 settlements a year. Many companies guaranteeing you the sky, actually understands the case will never be settled.
Next up to cause severe problems is an IRS tax levy. When a levy is enforced by the Internal Revenue Service it provides the right to take cash from your checking or cost savings account and they can likewise garnish your incomes. This can leave the majority of people not able to satisfy their regular monthly obligations such as home mortgage, credit cards, energy payments, etc.


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UL is seeking a HVAC/R Project Engineer to join the HVAC/R engineering team in Northbrook, IL!
Contribute to a Safer, More Secure, and More Sustainable World. At UL, we know why we come to work. Thousands of us around the world wake up every day with one common purpose – to make the world a safer, more secure, and more sustainable place to live. We clear the way for our customers to introduce the latest products, technological advances, and systems in an increasingly complex world so they can provide peace of mind to the market. Our integrity is woven throughout our company and shapes the way we approach and deliver our solutions. We are proud that the work we do every day has a meaningful contribution to society. We continue to build upon our legacy of trusted expertise and partnership to keep our communities safe and secure as we march forward into the future. This helps us to sleep better at night, and we are confident that the millions of people we touch rest easier too.
In local or international projects, our HVAC/Refrigeration engineering team runs investigation programs for product certification, starting with analyzing the project scope and determining the project specifications, continuing with establishing and conducting test programs for product investigations, and ending up with preparing reports for clients. We are internationally recognized at working on technical problems of diverse purposes and obtaining solutions. We demonstrate good judgment and adhere to work processes, procedures and global standards because we are not only evaluators but we have a passion for what we do.
In order to verify the conformity of standards for Mechanical and Electrical components found within HVAC/Refrigeration systems, based on the best international standards and UL and CSA standards, you will be responsible for the following activities:


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Atlantic General Hospital announced today that community members can now receive immediate care for injuries and sudden illnesses on the weekends at their Atlantic ImmediCare clinic in Berlin.
The walk-in clinic, located within the Atlantic Health Center on the hospital's main campus, has been operating as an Atlantic ImmediCare location, 8 a.m. to 6 p.m., Monday through Friday, since November.
Effective this month, the clinic is now open 10 a.m. to 5 p.m. on Saturdays and Sundays as well.
With the new name comes expanded services for the community. In addition to treatment for common maladies such as cold, flu, ear infections and UTIs, the clinic now also treats injuries requiring stitches or splinting.
Atlantic General Hospital expanded the services provided at this location and altered the fee structure to make care more accessible to individuals who need care now, when their regular provider is not available.
"Whether it's because their established doctor doesn't have any appointments available, they can't leave work for an appointment, or an illness crops up 'after hours,' individuals need an affordable and appropriate alternative to an ER visit," said Michael Franklin, CEO of Atlantic General Hospital. "Atlantic General is focused on the '5 Rights of Care' to improve the overall health of our community. Offering care in the "Right Place" is a critical part of those efforts."
Atlantic ImmediCare in Berlin is one of two Atlantic ImmediCare clinics serving the community. The other is located within the Townsend Medical Center on 10th Street in Ocean City. For more information, visit www.atlanticgeneral.org/immedicare.
About Atlantic General Hospital
Atlantic General Hospital has been providing quality health care to the residents of Worcester, Wicomico, Somerset (Md.) and Sussex (Del.) counties since May 1993. Built by the commitment and generosity of a dedicated community, the hospital's state-of-the-art facility in Berlin, Md., combines old-fashioned personal attention with the latest in technology and services. It provides quality specialty care such as weight loss surgery, orthopedics, outpatient infusion for individuals with cancer or blood/autoimmune disorders, retina surgery and a comprehensive women's diagnostic center. Atlantic General Health System, its network of more than 40 primary care providers and specialists, care for residents and visitors throughout the region. For more information about Atlantic General Hospital, visitwww.atlanticgeneral.org.


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New B7 All Cast Series - Trailer, Artwork and Story Details Released!
The new all-cast audio drama series from Big Finish is set during Season C and stars Paul Darrow, Michael Keating, Jan Chappell, and Steven Pacey, with Tom Chadbon as new crew member Del Grant and Alistair Lock as Zen and Orac. The first episode, Scimitar, was released in November with the other episodes following monthly.
Ahead of this month's release of the second episode, Fortuitas, Big Finish have today released a trailer, story details and cover artwork for the forthcoming episodes Mindset and Ghost Ship.
Mindset by Jacqueline Rayner
A voice is calling in the darkness. A voice that only Cally can hear. Vila has abandoned his crewmates, searching for the mythical water of life. With Cally acting suspiciously, Tarrant and Grant face danger at the heart of paradise. A gift is being offered. A gift that will cost one member of the Liberator crew dearly.
But will Cally accept?
Mindset is released in January 2015. You can listen to a trailer here: Mindset Trailer and pre-order it on CD or digital download from Big Finish here: Mindset.
Ghost Ship by Iain McLaughlin
Vila is scared. Of course he is. Vila is always scared. He should feel safe. He is on board the Liberator, the most powerful ship ever constructed. He is home but he is certainly not alone. Ghostly figures stalk the corridors of the Liberator. Spectres who know Vilas name. Revenants. Demons.
And Vila has nowhere to run.
Ghost Ship is released in February 2015. You can pre-order it on CD or digital download from Big Finish here: Ghost Ship.
For those who want to buy all six titles in one purchase, a special Subscription is available from Big Finish.


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"I will forever remember the young man at Brenkwitz who put on a shirt and tie because he knew the Hayward Fire Department would be there. Can't wait to hire that youngster when he finishes paramedic school. He is already scheduled for ride-alongs."
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Rio Tinto Ltd has postponed the first shipment of copper-concentrate from Oyu Tolgoi mining project at the request of the Mongolian government, The Wall Street Journal reports.
According to the newspaper, a Rio Tinto spokesperson said the miner was ready to commence shipping "as soon as possible" so that all stakeholders, including the Mongolian population, could begin reaping the benefits of the gold and copper projects.
"Oyu Tolgoi is ready to start its first shipments of copper concentrate from its Mongolian mine and all necessary permits to do so have been received from relevant authorities," a Rio Tinto representative said in an emailed statement, WSJ reports.
"Shipping will commence as soon as the government indicates its support for us to do so."
Rio is relatively flat in morning trade, down 0.2% to $52.48.


text: Southeast Asian Woman Head Dress Smoking Stock Photo 100959217 - Shutterstock View Preview Signed model release on file with Shutterstock, Inc. Sign In We're Sorry! Sign in to our Contributor site. Sign In Forgot your password? Create your free account Create your Free Account Please send me product announcements, helpful advice, and special promotions. Download By creating an account, I agree to Shutterstock's Website Terms, Privacy Policy, and Licensing Terms. Sign In By project1photography Royalty-free stock photo ID: 100959217 South-east asian woman with head dress smoking ethnic girl asia asian beautiful chinese cigarette clothing cover culture diversity east eastern face faith fashion female filipino good green head headscarf islam islamic looking modern muslim mysterious people person portrait pretty racial religious sarong scarf smoke south south-east spirituality style tradition traditional veil woman young Show more Show less Categories: People, Transportation Similar images See all Same model See all Same artist See all


text: Scarface: The world is yours - Free - Download - PC - Full - Highly Scarface: The World Is Yours is a ( open world action-adventure video) game for. Scarface The World Is Yours Free Download Full Version RG Mechanics Repack PC Game In Direct Download Links. It Is Highly Compressed. Download .torrent - Scarface - PC. Through the power of video game magic, Sierra and Radical Entertainment have teamed up to answer the question: What.


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In this tutorial we will show you how to view/add HTML code to a Page or Post in Word Press.
Anyone can save and preview custom CSS on a Word blog, but you have to purchase one of our plans to make those changes live. It is a markup language that controls the appearance of HTML elements on a web page.
There is almost endless potential to what you can do with CSS to modify the design of a website, as evidenced by the very popular CSS Zen Garden project, a showcase of what can be done with only CSS to change the appearance of one single HTML file.
You can see a few examples of Word sites using Custom Design in this Word blog post: Infinite Theme Styles with Custom CSS.
Many of the sites in the Word theme customization showcase also use custom CSS. May I remove credit links such as 'Blog at Word Press.com', theme, font, or toolbar links?
Backup webroot at /var/www/example.com/backup/htdocs/10Oct2014064549/, please wait... Backup NGINX configuration at /var/www/example.com/backup/nginx/10Oct2014064549/, please wait...


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Thursday, October 31, 2013
8 comments:
I read In the October edition of Nat Geo Kids a few years ago that trick-or-treating began in London when people would give cakes to their neighbors ^.^ReplyDelete
Nothing I comment on any of the other page is showing up, for some reason...ReplyDelete
Maybe the amount of comments has caused this blog to explode... O.OReplyDelete
Hopefully not!ReplyDelete
A carved ORANGE sound interesting. :3ReplyDelete
Does it smell citrus-y when lit up?ReplyDelete
Hmm, I've never carved an orange before but I guess it would be worth trying. :)ReplyDelete
Grr. I'm so behind on comments and I"m tired!ReplyDelete
Hello! I see you are about to comment! That's the spirit, keep it up! But please follow these simple commenting rules:
1. Don't swear.
2. Be appropriate for all ages!
3. Respect other commenters!
4. Say where the blog needs improving, but don't be rude!
Thank you! :) I read every comment, and reply to a lot of them, but if I don't get round to replying to yours, please don't be offended; I am quite busy right now. And make sure you KEEP COMMENTING! :D


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I have had too many ups and downs this year. More than once I thought that I couldn't work things out, that things were getting out of hands, and that I was unhappy.
And I was never unhappy since I recovered from my hardest period after my dad died in 1997.
I am looking around me now... at the best ammenities that surround me, at the spacious house with the lovely gadgets that fill it in, at the bamboo tree next to the huge window in my living room where the birds chirp happily, at the man who I trust to love me. They are all that I ever wanted. But ironically I feel lonely anyway.
I do have friends. But this year has treated us so badly that none of us could be more positive than the others to at least influence our mood to a better one (except Carol, but she was just passing by, the Morrocan deserted life has her). I saw them brokenhearted. I saw myself brokenhearted. Their lives were sort of falling apart, while mine was hanging on a tight rope.
When things were getting slightly better, there was always something that stood in the way to ruin it. It has been an endless, annoying, tiring emotional journey.
And I am still here... because in a rather strange way, I believe if I can survive this year, next year there will be a great reward waiting for me and the people around me.
So yes, unlike the other Decembers I have ever had so far (not even the December of the year when my father died), I am not looking forward to the festivities and the funs. Because somehow I know it won't be fun.
I just can't wait to get over the month and get to 2011.
Such is a Dynamic Life
Carla Chanliau 5:55 am No Comments


text: Johannesburg - General Motors South Africa is part of its US parent company's "good assets", GM African operations president and MD Steve Koch said on Monday in a telephone conference.Earlier on Monday the US vehicle manufacturer filed for court protection from creditors under section 363(b) of the US Bankruptcy Code.The US government will buy GM's "good assets" and provide GM with an additional $30bn so it can get back on its feet.Commenting on the US government's ownership of 60% of the "new" GM, Koch said that the parent company had "no option" but to allow such a significant level of government ownership.Perception"And I believe President [Barack] Obama when he says he has no interest in running GM," Koch said, referring to earlier comments made by the US president at a news briefing in Washington.Koch emphasised that GMSA would not be affected by the US Chapter 11 bankruptcy protection filing. However, he acknowledged that South Africans viewed bankruptcy in a different light."In the US, Chapter 11 bankruptcy allows for a company to restructure," Koch said.He said it was important for South Africans to note that the parent company in the US had not been put into liquidation."But even if GM had been put into liquidation in the US, GMSA would still be self-sufficient," he said.Koch advised that GMSA would be publishing an open letter in the country's newspapers on Wednesday so as to clarify its position - and to put consumers' minds at rest that they could safely buy a vehicle from GMSA without fears of warranties, service plans, support and spare parts vanishing.Asked how GMSA could still deal with US subsidiaries to which its parent company owed billions of dollars, Koch said GMSA had not missed a single payment to any supplier anywhere in the world."And we won't in the future miss a payment," he added.Future positiveKoch estimated that GMSA's parent company would re-emerge within 60 to 90 days from its Chapter 11 bankruptcy. "After all, Chrysler emerged in 30 days," he said, referring to another American giant automobile manufacturer that filed for bankruptcy.Turning to the Hummer, Koch said that there were still two to three viable parties interested in purchasing the brand.He added that presently GMSA was continuing to sell and service Hummer vehicles until new owners emerged.The future appeared to be very positive for the Opel brand in South Africa, Koch said.Turning to head count reduction, Koch said that plants in the US would close.However, any head count reductions in South Africa had so far "nothing to do with anything outside the boundaries of GMSA," he added.Asked why GMSA should be immune from job cuts, Koch explained that the self-sustaining operation did not depend on exporting products to any other market."We're not trying to send anything into the US. For instance, our half ton utility vehicles are not sold in the US because they're perfect for the SA market."He added that GMSA's Isuzu vehicles were "great for SA and for the African markets."We want to make sure we're the strongest player in SA and we want to build on our location and penetrate other markets in Africa."


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Sunday, November 25, 2012
THE DEAD MATTER....now available on Amazon, iTunes, and Redbox!
I can't believe it has been 2 years since we did a review here on the 4H blog for a cool little zombie/vampire flick called, THE DEAD MATTER. You can read our review by clicking here. Well, recently I was notified by the film's director, Edward Douglas, the the film has been picked up for a limited time for rent on Redbox! The film is also now available on Amazon and iTunes! This is a huge accomplishment for a small independent film, so this goes to show you that a lot of people think this is a film you will want to check out for sure! For those that are not familiar with the film, here is the basic plot:
The film tells the story of a guilt-ridden young woman desperate to contact her deceased brother who discovers a powerful, ancient relic that controls the dead. Her dark obsession drags her into the tangled world of two warring vampire lords, each with his own sinister plans for the artifact, and a vampire hunter who will stop at nothing to destroy it. It's a mix of classic horror themes with modern twists and a touch of dark humor that will keep you on the edge of your seat.
THE DEAD MATTER has been in Redboxes across the country for a few weeks now. I meant to post this sooner and totally forgot until the other night while browsing the Redbox movies (to pick out a movie for my kids) and I ran across THE DEAD MATTER! It is neat to see that film available in the Redbox!
If you haven't seen this film, go down to your local Walgreens or wherever you have a Redbox and check it out! Even if you have seen it, go check it out and watch it again! Support indy horror at the Redbox! Also, Mr. Douglas mentioned that because of this deal, it has opened up the possibilities of a second film!
CLICK HERE to visit the official website of the film and watch the trailer
CLICK HERE to purchase the DVD from the official website...or
CLICK HERE to check out all the rental / download options like Redbox and iTunes
Posted by ZOMBIE HAYES at 7:16 AM
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By Roy Burner - Minister of the Gospel
Deplorable state is being in a condition of contempt. Life's evils are of such a nature. Scripture reveals: Know you not that the unrighteous shall not inherit the kingdom of God? Neither the sexually immoral, nor idolaters, nor adulterers, nor effeminate, nor sodomites, nor thieves, nor covetous, nor drunkards, nor revilers, nor extortioners (1 Corinthians 6:9-10).
Scripture informs us that one does not have to stay in such a condition: And such were some of you: but you are washed, you are sanctified (or set apart), you are declared righteous in the name of the Lord Jesus, and by the Spirit of God (1 Corinthians 6:11).
A deplorable state is not a happy one. A life of sin may seem pleasurable at the moment but in the end it dooms one's soul to the pits of darkness for eternity. It's consequences are irreversible unless realization comes into focus as to who the giver of LIFE is. Scripture reveals that the wages of sin is death; but the gift of God is eternal life through Jesus Christ our Lord (Romans 6:23).
The gloomy dark regions of eternal punishment offer no such hope; confinement in such a place offers only torment (Luke 16:24). Scripture confirms that whatsoever condition one finds himself, when the last breath of life is taken; is how he will be judged (Revelations 22:11).
As a young man I was in a deplorable state of a sin-filled life; when I faced three military judges. I learned what it is like to stand before those who judge you for your actions. It was a bitter pill to swallow when the charges were stated and the sentence pronounced.
Later through the reviewing authority the pronounced sentence was reduced. I was to spend two months in a Marine Brig, that was originally four months, the amount of the fine imposed was lessened, a previous reduction in pay grade suspended. I will never forget the day I stood facing those judges hearing the sentence pronounced! Scripture reveals a judgment that we all will face: It is appointed unto men once to die, but after this the judgment (Hebrews 9:27).
I thank God that later in life I made a commitment to a heavenly Father; and the saving grace of Jesus Christ as Lord as my Savior; no longer in a deplorable state. Thanks to the Lord, I finished my military career of 20 years with honor!
We in America, and many other countries, have been blessed by the availability of God's Word. We have been blessed with the preaching of God's Word; yet still find many in rejection of that Word.
Scripture reveals that light is come into the world, and men loved darkness rather than light, because their deeds were evil (John 3:19). This reveals the rejection of God's provision for man. God's Word tells us: He that believes on the Lord Jesus Christ has everlasting life: and he that believes not shall not see life; but the wrath of God remains on him (John 3:16).
God's Word reveals that the blood of Jesus Christ cleanses us from all sin. If we confess our sins, he is faithful and just to forgive us our sins, and to cleanse us from all unrighteousness (1 John 1:7-9). One who accepts what God has provided is indeed blessed in that they no longer fall in the category of a "sinner" and are headed for a heavenly reward!
GOT QUESTIONS A Website where Bible questions are answered. With over 4,500 answers to frequently asked Bible questions published online, approximately 75% of the questions have answers available instantly. This Website is an easy way to search out any questions you may have.
Hope versus despair is an essential part of a Christian life; not mere expectation or desire but that which includes trust, confidence, and refuge in God.
God's Directions for Life website is designed to help one identify with the Word of God, as revealed through His Spirit, concerning the economic, political, and religious times in which we live.
"Revival in the Word" has been aired for over 27 years on WJJM Radio. This Webpage shares some of the lastest weekly messages.
Timeless messages that are seemingly endless in value.
Topics of value is a collection of God-inspired messages


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Welcome to the first (real) post of The Ordinary Times. The intention of this blog is to question the world, (especially British and American) politics and, most importantly, the assumptions underlying political arguments; it intends to cut right to the heart of the matter in a manner to which normal political discourse does not. This approach, particularly the questioning of assumptions, is increasingly necessary due to the dominance (and lack of competitors to) a mainstream neoliberal orthodoxy that constrains thought and comes with a number of received (and highly questionable) truths.
Anyhow, this post is really just a welcome; proper content should be on the way soon.


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Innovecs is led by a stellar team of IT outsourcing professionals. These are people who have not only 'been there and done that, they've learned from their experiences and mentored Innovecs engineers to 'go there' for you, and 'do that' better!
With over 15 years' experience working throughout the Americas and Europe, Alex brings strong technical and business qualifications with an impressive track record of hands-on experience in strategic planning, business unit development, project and product management, and system engineering strategies. He brings nearly a decade of experience building IT outsourcing businesses to Innovecs.
Alex started his professional career in the early 1990s as a software engineer. He held senior positions with variety of U.S. companies, where he demonstrated the ability to lead diverse teams of professionals to new levels of success in a variety of highly competitive industries, cutting-edge markets, and fast-paced environments.
Prior to joining Innovecs, Alex served as vice-president of Delivery at GlobalLogic, a global R&D provider, and vice-president of Business Applications and Operations at Ipsos, where he lead operations and strategic direction for the Business Applications group at Ipsos Loyalty North America. He was also a founder of E-Vector, an offshore technology outsourcing company, which he successfully ran as CEO for three years.
On March 25, 2017 Alex Lutskiy received prestigious national honor "Person of the Year-2016", winning the category "Leader of the Digital Industry" together with his company Innovecs.
Alex holds a Master of Computer Science degree from Kharkiv State University and is pursuing an executive education program at IE Business School in the United States.
Check out Alex's full profile
Sergiy has been part of the IT industry since December 1997.
He has worked as a technical manager since 2000 and has headed a company since September 2005. With a solid academic and professional background in business and technologies, he brings excellent analytical, organizational and problem-solving skills to Innovecs. His deep understanding of business processes and proven strength as a software project manager for complex e-commerce and infrastructure systems makes him an invaluable addition to the company's leadership team.
Sergiy previously worked at Luxoft where, as a program manager, he managed several multi-project teams, comprising about 100 engineers working for clients in the banking and finance sector. He's also participated in successful projects for startups
As a senior project manager and engagement manager at GlobalLogic, he was responsible for delivery management and pre-sales support from the delivery side. He participated in a set of pre-sales at different stages. He also led a distributed development team involving staff from the United States, Ukraine and Argentina.
Since 2000, Sergiy has worked with western companies, utilizing his excellent communication and cooperation skills in cross-national and distributed environments.
Sergiy earned his Master's degree in Computer Science and Telecommunication Systems from National University of Ukraine Kiev Polytechnic Institute and is pursuing management education program at learning center of international software development company.
Olga is a highly-skilled professional with more than 15 years of experience in financial management (manufacturing industry, distribution, construction, consulting) and accounting (managerial accounting, automation of document flow, financial accounting). She is a highly motivated person, oriented towards results and professional growth.
Before joining Innovecs, Olga worked as a Board member for a Ukrainian manufacturing holding, where she was responsible for implementation of high-level standards of doing business. The main goals were to implement strong international competencies like IFRS audit in the Ukrainian company, development of financial function strategy, and development of internal audit standards based on PWC principles. Before that, she worked for one of the biggest Ukrainian pharmaceutical holdings and for a retail chain as Chief Financial Officer. Olga also worked in a construction holding where she was responsible for financial management and investment strategy. She considers the most memorable and developmental period of her career before Innovecs as her time working for Kyiv-Mohyla Business School as CFO and consultant where she attuned her business mindset and strong ability to serve clients. At that time, Olga with her colleagues realized projects for Ukrainian companies which aimed to develop financial strategies, business modeling, accounting, shareholder reporting, BSC system development and support and organization of international audit processes.
Olga's broad experience was acknowledged by her fellow professionals when she was twice ranked among the "Top 20 CFOs of Ukraine in 2010 and 2013 according to "FINANSIST" magazine of "The Companion Group" publishing house.
Olga earned her MBA degree in Kyiv-Mohyla Academy. She developed her financial knowledge at Kyiv Investment Management Institute (Financial management diploma program) and the Security Institute of London (International Capital Market Qualification certificate program).
Iryna has more than eight years of broad experience in the IT industry. She has led sales organizations for some of the leading software development companies in Ukraine.
Today, she applies her industry knowledge in Innovecs, from the very first days of company foundation. As VP of Marketing and PR Iryna manages all PR initiatives, SMM, event strategy and the overall industry marketing needs to help build the Innovecs brand.
Prior to joining Innovecs, Iryna was sales director for GlobalLogic, where she was responsible for sales activities in Eastern Europe. Earlier in her career, Iryna held leadership positions at Terrasoft Group for more than five years.
She holds degrees in Finance and Applied Mathematics from Sumy State University, where she graduated with honors.
Vlad is an IT professional with over 14 years of experience in IT and telecom industries. Bringing strong business qualifications with an impressive track record of hands-on experience in strategic planning, engagement and business development, project and program management, team management. Setting up dynamic and productive business relationships between Clients and teams. Scaling company business.
Vlad holds the position of VP Delivery Management. Accountable for delivery of high quality services, successful projects execution and Client satisfaction ensuring. His responsibilities include Clients relationships and cooperation, operation and delivery excellence, team management and expansion of our workforce. His role within Innovecs will also include operation and finance planning, organizing and managing the continuous delivery process, Client Engagements. Prior to joining Innovecs Vlad has worked as an Engagement Manager, Bid Manager, Resource Manager, Project/Program Manager at such companies as Microsoft and Hewlett-Packard.
Vlad holds a Master's degree in Telecom Systems and Networks from Kyiv Polytechnic Institute.
Nataliya had served as an Executive Manager and Consultant for a number of international hi-tech enterprise companies, start-up projects and new market entries who were looking to set up and scale their businesses around Software and Hardware Engineering Products and Services.
Her main focus is the global delivery of engineering services including dedicated R&D centers.
Since 2012, she has been an executive manager at Innovecs and has been involved in building our current, well-known company from the ground up in this highly competitive market. For the first 3 years, the company managed to start more than 30 cutting age projects requiring non-standard engineering solutions and hired more than 300 top-level engineers.
Previously, VP of Corporate Development, currently she holds the position of VP of Delivery Management in the Engineering Business Unit and is responsible for contracted services delivery and overall client success within assigned accounts.
Her experience is balanced between strategic delivery planning, project and resource management and practical application of SW/HW engineering services for businesses.
Over the last few years, her technology focus has been on Internet of Things, Artificial Intelligence, Connected Devices Infrastructure, Data Science, Predictive Analytics, Machine Vision, Machine Learning within E-commerce, Transportation, Logistics, and Supply Chain business domains.
Nataliya earned her master's degree in Computer Science from National University of Ukraine "Kiev Polytechnic Institute" and bachelor's degree in psychology from National Pedagogical University.
Max Illyashenko is a creative, innovative, result-driven leader with 7+ years of project and product management experience in video gaming industry with distributed and cross-functional teams. He has worked with renown global products with more than 50M+ installs in total.
He previously held the position of the Product Owner where he successfully managed and delivered products with 200K+ DAU. Max has a deep background in PC, online/social and mobile product development and production on a large scope of platforms such as Facebook, Android, iOS, Amazon, Yahoo! Mobage, Mixi, etc.
Holding the position of Engineering Director and Head of Delivery BU Gaming, Max's responsibilities include operation and delivery excellence, high-quality services, successful projects execution, team management and expansion of Innovecs Gaming business.
Max holds a Master's degree in Telecom Systems and Networks from Igor Sikorsky Kyiv Polytechnic Institute.
A technology executive for over 20 years, Doug previously held leadership roles at Microsoft, Open Wager, THQ, and Warner Brothers. He was CEO of publicly-traded Oasys Mobile and most recently consulted for leading game, ad, and payment companies. Doug has helped launch over 120 media products on all platforms accounting for $100s of millions.
Doug graduated from the University of Utah and Brigham Young University and has a deep background in digital, social and mobile publishing, business development, product development, licensing, and production on a large scope of platforms and hardware.
His specialties include interactive entertainment (console, PC, online/social, and mobile) publishing, marketing, distribution, as well as digital and mobile product development, business development, licensing and marketing on a global scale.
Kieran has played an active role in the market research, mobile, and gaming industry for over 10 years. He has helped Fortune 500 CTO's and CMO's advance their digital and mobile strategies. He has worked for some of the leading mobile market data intelligence companies and headed up global monetization for the number one Facebook market research firms.
Kieran ran business development America's for the #1 mobile app market intelligence data platform. He also helped start up one the most successful syndicated research organizations based in Silicon Valley. As well, he helped launch a Silicon Valley venture capitlists focused market research subscription based service. He is a frequent speaker at global conferences on mobile and the gaming ecosystems. Kieran is an advisor with the Casual Games Association.
Kieran earned a Bachelors in Business – Finance and Management of Information Systems as well as a Bachelors in Economics, both from the University of Washington. Kieran is based in San Francisco.
Armin is serving as managing director at Innovecs, Europe. Before taking on his role in Innovecs, he was representing leading nearshore and offshore companies in Western Europe and the Middle East (Exigen, Globallogic, Shinetech). He has been connecting continents by brokering profitable agreements between corporations in Europe and the Americas, Asia, Middle East and Europe.
Armin has founded two companies in HLS and R&D. He has served in various positions in global European corporations like Sopra-Steria, Integris and Bull. He has published articles on Telecoms, IoT, IT-/cybersecurity, asset-management, healthcare and agile software development.
He appears on panels and as speaker in international summits. He is member of Bitkom and the Scrum Alliance.
Armin also has several publications on issues in the telecommunications, banking, logistics, IoT, Data Security, Cybersecurity, Big Data and Data Warehousing sectors.
Educated in Philipps-University in Marburg. Holding an MBA diploma.
Gerry is a highly-skilled professional and senior executive with more than 16 years of experience in the Hi-tech industry working throughout various territories (Americas, EMEA, APAC), Gerry has an extensive experience in managing worldwide sales, Building Sales methodologies, business unit development & management, orchestrating and navigating complex organizations with cross-functional teams located worldwide focusing on cutting edge technologies.
Gerry Started his career as a Software engineer and in 2001 switched to the business world, His background is in Cyber Security, Mobile, VOIP, Content Delivery Networks, Gaming, Automotive (LBS) and e-commerce.
Prior to joining Innovecs, Gerry served as a senior executive in various technological company's and consulting firms. Gerry has founded 2 start-up companies in the Mobile\Telecom arena (HIO) and in Cyber Security arena (Opservo).
Gerry Holds a B.Sc. in Computer Science & Mathematics from the Netanya Academic College.
With over 20 years of experience in Israel, Ofer brings strong technical and business skills with an impressive knowledge via practical experience in strategic planning, business unit development, and complex project management. He brings a decade and a half of involvement in senior management in the Israeli economy and the establishment of complex IT systems.
Ofer began his professional career in the mid-1990s as a software systems analyst. He has held a number of senior positions in which he has demonstrated the ability to lead various teams of professionals to new levels of success in a wide range of competitive industries, innovative markets, and successful projects.
In 2016 he won Innovation and Digitalization of the Year award for one of his projects.
Prior to joining Innovecs, Ofer served as a director in the Malam Group's project division and as a director and manager of Guardian where he led the activity and strategic direction of the Malam Team's projects division.
Ofer holds an MBA from the University of Derby in England and a BA from Bar-Ilan University in Israel.
Innovecs is advised by top-level executives in Fintech, Advertising Technology, Blockchain, M&A & Investments. Our Advisory Board has top-notch experience at global companies and technology startups such as Hewlett-Packard, Credit Suisse, Eclipse Ventures, KUNA Bitcoin Agency and Madberry.
Innovecs | VP of Gaming
Tatem Games | CEO & Founder
Action Forms | CEO & Founder
CrossBridge Capital Group | Executive Director
Credit Suisse | Head of CIS / Eastern Europe Region
Hewlett-Packard | Executive Manager – Strategy and Technology
KUNA Bitcoin Agency | Founder
Bitcoin Foundation Ukraine | Co-Founder and member of the board
Vulkanit | CEO
Madberry | CEO & Co-Founder
StrikeAd | VP Engineering
Zoral Labs | Head of Engineering


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Adam Levine Makes Fun of 'Catfish' on 'SNL' [VIDEO]
'Catfish: The TV Show' on MTV has been in the news a lot lately. Not only because of its unique and honest story line, but because it's bringing a nasty side of online profiling to light. It has also been referenced and linked to Notre Dame football star Manti T'eo, who was in a relationship with a girl he met online, who died last fall. Come to find out she wasn't dead, in fact she wasn't even real.
Adam Levine used his hosting slot last Saturday on 'Saturday Night Live' to make fun of 'Catfish' and it's hosts. The parody is almost as crazy as the true stories the people on 'Catfish' experience. Adam does a mean Nev Schulmann impression too.


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Deploying PACS capabilities beyond a radiology department or facility provides the opportunity of extending the reach of diagnostic imaging to the entire spectrum of clinical medicine. The benefits to healthcare practitioners are immense—increased diagnostic certainty and the capability to provide efficient and effective treatment.
Radiology services in the United States are typically provided in three venues: academic medical facilities; private practice diagnostic imaging centers; and community hospitals. A multi-site facility that covers thousands of lives will face different challenges to extending a PACS throughout its enterprise than will a diagnostic imaging center or community hospital practice. However, each of these types of operations must meet the demands of multiple specialties to have access to radiological images and information.
Academic practice meets challenges
Jeff Schaefer, director of diagnostic and therapeutic services at University Medical Center (UMC) in Tucson, Ariz., has slogged his way through the PACS trenches for a number of years. The 355-bed non-profit, acute-care hospital is part of the Arizona Health Sciences Center and is adjacent to the University of Arizona Colleges of Medicine, Nursing, Pharmacy, and Public Health. Although spun off as a private organization, the facility maintains a strong relationship with the university.
Besides the hospital, UMC operates two hospital-based physician offices, a cancer center, and is affiliated with an orthopedic practice in Tucson; one hospital-based physician office in Green Valley, Ariz.; a medical transplant physician office in Phoenix (for pre- and post-transplant patients); and is opening a diagnostic imaging center in its home city. In addition, the UMC radiology department is part of the Arizona Telemedicine Program, which provides consultative healthcare services to the state's rural and Native American reservation residents.
The facility performs approximately 190,000 imaging procedures on an annual basis, with a modality mix of digital x-ray, mammography, CT, MRI, ultrasound, fluoroscopy, and nuclear medicine studies. This results in about 4 terabytes (TB) per year of digital image storage for the institution, according to Schaefer. UMC has 26 attending radiologists and 24 radiology residents.
PACS capabilities are deployed throughout the UMC enterprise, Schaefer says, with diagnostic-level workstations and monitors in the operating rooms and emergency department as well as the radiology reading area. Off-site access is controlled through secure network connections.
When UMC first began widespread implementation of PACS access, there was some initial adoption reluctance on the part of clinicians who had grown comfortable with a film-based culture.
"Over time, they've grown to recognize how much faster it is to retrieve image studies via the PACS," Schaefer noted.
The facility is in the midst of a transition to a new PACS product to meet increased demands by its users for diagnostic images and information. Along the way, Schaefer has acquired some hard-won knowledge of the issues facing an enterprise-wide PACS deployment.
"One of the biggest challenges we've had over the past few years has been the issue of storage management," he says. "With the changes in diagnostic modalities to higher volumes of images as well as bringing onboard new digital modalities, I was faced with asking for more and more money each year just to maintain the archive."
To address this situation, UMC has elected to transfer its archive management to an application service provider (ASP) model. According to Schaefer, this frees the facility from having to construct and deploy an archive disaster management solution, provide archive maintenance, or hire personnel to manage and service the system.
"With an ASP-based archive, we're better able to focus on providing service at the point of clinical care, which is our primary goal as a healthcare system," he noted.
For those facilities seeking to expand their current PACS beyond radiology, or an institution looking to bring an enterprise PACS on board, Schaefer recommends that they pay close attention to security and access beyond the walls of the hospital.
"One of the challenges we faced is that we wanted to be as secure as possible, but we didn't want to hinder patient care," he says. "You have to walk a fine line between securing your PACS network and providing as much access as possible to physicians. You should plan on spending a fair amount of time documenting and testing your strategy to achieve this goal."
Community hospital maximizes resources
Greene Memorial Hospital in Xenia, Ohio, is a mid-size community hospital, licensed for 210 beds but typically staffed for 80 beds. They are targeting 78,000 imaging procedures performed in their hospital this year, plus an outpatient imaging center and four satellite facilities in medical office buildings.
The hospital provides a broad mix of imaging services, including digital x-ray, CT, MRI, SPECT/CT, breast-specific gamma imaging, ultrasound, mammography, fluoroscopy, DXA, and is considering bringing mobile PET/CT on board. Mary Ann Hargrove, director of radiology at the facility, is justly proud of the imaging service lines Greene Memorial is able to offer residents of Xenia and its surrounding area.
"When we set out to bring an enterprise PACS into our facility, we first realized that we would have to upgrade our modalities in order to utilize the benefits of PACS," she says.
According to Roxanne Quinlan, imaging services coordinator at Greene Memorial, this meant replacing a variety of systems.
"We replaced our film-based x-ray units with CR, upgraded to three new ultrasound units, replaced our C-arms and portable x-ray, purchased a new CT, and acquired a SPECT/CT system," she says.
The equipment acquisitions took place over a two-year period while Hargrove and her colleagues planned Greene Memorial's PACS installation. Due to budget constraints, the facility's administration asked her team to handle all aspects of the PACS project.
"Our facility has limited resources and we planned, implemented, and deployed the PACS on our own," she says. "We did not hire a PACS consultant. We did it from the ground up by ourselves."
Hargrove accomplished this task by educating herself on best practices, as well as pitfalls and potholes, for PACS implementation via extensive research, informational interviews with professional colleagues at other institutions, and attendance at educational sessions such as those provided at the American Healthcare Radiology Administrators (AHRA) annual conference.
They went live with their enterprise PACS in October last year. Hargrove says that the radiologists began reading from the system at 8 a.m. and by noon that same day her staff had stopped printing film. She prepared the facility's referring physicians for the all-digital roll-out by enabling them to work with a web-based system starting in Spring 2006.
"We got them interested and excited about digital, but kept printing film for a window of time," she says.
The web system is available to referring clinicians who create an account with Greene Memorial, Quinlan says. Patients who request copies of x-rays or other test result images are now given a copy of the report and images on a CD that is provided at no cost.
Greene Memorial has its PACS interfaced with an EMR from a smaller vendor with a radiology module that Hargrove's staff uses, replacing its use of a RIS and allowing enterprise-wide access to diagnostic images and information.
Hargrove reports that not only did they work through this project on their own, but they've had no major problems and have saved money with the new system. Although the team planned for contingencies in its PACS budget, they did not have to use the funds, so they are currently under budget projections for the implementation. In addition, the efficiencies created by the deployment have allowed Hargrove to downsize the staffing levels in her department when two full-time equivalent (FTE) employees left due to attrition.
Hargrove says that the project could not have gone a smoothly as it did were it not for the excellent relationship that radiology department formed with the hospital's IT group.
"Having a strong relationship with the information systems management and staff is very important," she says. "You have to be able to communicate with one another and share each other's expertise. We would not have had as successful a project as we did were it not for their help and support through every step of the process."
Private practice puts it all together
Radiology Ltd. is one of the largest physician-owned group practices in Tucson, and has been providing diagnostic imaging services to the community for more than 70 years. The group has 48 radiologists affiliated with it and employs more than 425 technical, clerical, and administrative personnel.
They are also one of the largest providers of diagnostic imaging services in southern Arizona, according to Eric Nied, director of information technology.
"We currently perform close to 700,000 imaging procedures annually," he says. "We're storing between 8 to 10 TB per year of digital images and information."
The group offers a complete service line of diagnostic modalities including digital fluoroscopy, digital x-ray, CT, MRI, PET/CT, ultrasound, nuclear medicine and interventional services, digital mammography, DXA, and a 3D image processing laboratory at 11 locations in the city.
In addition to outpatient services, Radiology Ltd. provides a wide range of imaging services to Tucson Medical Center (the largest hospital in southern Arizona), St. Joseph's Hospital, UMC, and Northwest Hospital. According to Nied, the practice imports and exports images through its PACS from these facilities.
The group was the first to provide PACS services to the community, via a teleradiology network, and its IT infrastructure has evolved as the practice has added more modalities and services. Its referring clinician base is able to access images and reports through a secure network connection into the PACS.
Nied has been through a pair of PACS deployments and learned first-hand about some of its pitfalls.
"One of our biggest challenges a few years ago was getting servers and workstations with enough computing horsepower to run the applications our radiologists use," he says. "For awhile we were building our own custom server workstations to meet our needs. We're just now getting back to replacing these home-built machines with commercial models, in order to meet service requirements."
The PACS runs on a 100 megabit fiber ring that is connected to each of Radiology, Ltd.'s facilities, so network throughput has not yet been an issue for Nied, even with image volume in the practice's workload.
The group maintains its own image management through both network-attached storage (NAS) and storage-area networks (SANs) that can provide real-time fail-over service as part of the practice's disaster recovery plan.
Nied learned early on that the addition of any new service line or modality to the practice would have a direct impact on archive capabilities, so the IT group is part of the team that helps develop new offerings. This allows it to plan for the front-end deployment of the new service through the PACS as well as assuring a seamless archival strategy on the back end.
For facilities looking to deploy an enterprise PACS, Nied recommends looking to a vendor that can offer a one-stop shop for its system needs.
"You should research the companies out there that have the all-inclusive package: a RIS, PACS, HL7 engine, practice management, and billing offering," he says. "That kind of system, where you're not putting together too many disparate systems, is probably the better path to take."
Future PACS paradise
As PACS access moves beyond the radiology department and into the enterprise, it's only natural that other image-generating specialties will want to take advantage of these systems. Currently, there are cardiac-specific PACS, orthopedic-specific PACS, radiation therapy-specific PACS, and a few pathology-specific PACS on the market.
Other specialties, such as endoscopy, ophthalmology, and microscopy, create visible light (VL) images and also will want to be part of a future enterprise PACS. Integrating these specialties will provide system-wide access to their diagnostic reports and images, allowing healthcare practitioners to further expand their diagnostic capabilities.
Obviously, from an enterprise standpoint, it makes little sense to have a collection of independent PACS keeping medical images within each department—which requires a back-up and disaster recovery for each individual specialty. An enterprise image-management strategy will be required to centralize the archiving of this data, both for economy of scale and electronic health record capabilities.
John Koller, a healthcare information technology consultant and president of Larkspur, Colo.-based KAI Consulting, notes that such an enterprise-level image archive has the potential to significantly lower the cost of ownership of a PACS.
"The long-term life-cycle costs associated with managing these images can be significantly lower by creating an enterprise archive, if you look at what it costs to migrate from PACS vendor to PACS vendor," he says. "Historically, when you go into your first PACS, it's a learning opportunity. You end up buying it, you get into the vendor, and then once you figure out what you really want and go out and buy it, you have to go through a lengthy and expensive migration of your data from the original PACS to the new system. Some of these can take months or years and cost ten of thousands or hundreds of thousands of dollars or more.
"By building a common, standards-based image archive, what you've done is started to virtualize the PACS front end. This enables a user to deploy a department-level PACS and plug and unplug it without having to migrate images that have been accumulated over a long period of time. This allows any new PACS to come in and start accessing the images using standard formats such as DICOM to query and retrieve the images and information that is a hospital asset."
In addition, an enterprise PACS that provides image management for all specialties will need to have a single platform architecture, to allow efficient systems administration, according to Herman Oosterwijk, president of Dallas-based PACS education training and education firm OTech. He also recommends that such a system be strictly standards-based to ensure interoperability with existing, as well as future, healthcare IT products.
"If you're looking for an enterprise-level PACS that can bring together all imaging specialties through one system, you'll want to have it built on a single architecture and provide one user interface [with tools for various specialties]; otherwise support and management will be very difficult to do," he says.


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Capacity field of 16 for 2018 Queensland Oaks: Waller has 5Betting | Fields & Form | Horse Racing Today | News | Race Previews | Winter Racing |
A capacity field of sixteen fillies will line up...
A half-brother to former Australian thoroughbred star and dual Cox Plate champion So You Think, Elusive City colt Now You Know is preparing to make their race debut for Flemington trainer Danny O'Brien at their home track this weekend.
Out of the same dam as five time Group 1 winner So You Think, Tights mare Triassic, the unraced Now You Know is set to contest the $70,000 SecondBite Plate (1400m) at Flemington on Saturday.
Regular rider aboard So You Think during his last spring campaign in Australia, jockey Steven Arnold may be all but out of contention to ride So You Think in Europe but he will get to take the mount on younger brother Now You Know on Saturday.
Now You Know was purchased for $260,000 at New Zealand's Karaka sale, a bargain if the colt is able to reproduce just some of $5.6 million earner So You Think's awesome ability.
"He is a very nice horse but still immature and certainly he's going to improve a lot as a three-year-old," O'Brien said.
"He is a 2000-metre horse in the making hence he's running first-up over 1400 metres, but I've been happy with his development so far and we are hoping that he can show us some good signs on Saturday."
If Now You Know produces a good career launch on Saturday, O'Brien will begin looking towards the spring features.
"Ideally he will have this run and maybe one more and if he shows enough we could then set him for some targets in the spring," O'Brien said.
"He has just got to justify if he is up and about and good enough."
In the field of 13 two-year-olds in the Flemington race, Michael Kent's Mossman colt Backbone is the only other runner on debut while O'Brien also lines up his promising Blue Sapphire Stakes runner-up and Cranbourne winner The New Boy.
Rock Of Gibraltar gelding The New Boy won a 1000m maiden on debut on April 10 before backing up 20 days later to come within a nose of victory, trounced in the final stride by City Of Song in the Listed Blue Sapphire Stakes (1200m) on April 30.
"He is the stable elect," O'Brien said of The New Boy.
"He knows what it is all about and should have won both his starts so I am expecting him to be hard to beat."
Two other non-maidens are in the race with the Peter Snowden-trained duo of Burnout and Euryale, a colt and filly both by boom sire Lonhro.
The former Bart Cummings-trained son of High Chaparral So You Think won their debut race in May of 2009 before continuing on to become one of the most loved Aussie gallopers in recent years.
So You Think was sold for a record sum to Coolmore Stud in Ireland following his third to Americain in last year's iconic Melbourne Cup showdown, and recently made his European debut.
Now trained by Aidan O'Brien, So You Think was in a class of his own when demolishing his rivals by 10 lengths in the Group 3 Mooresbridge Stakes (2011m) at The Curragh earlier in the week.
Racing fields and data are copyright 2011-2018 © Racing Australia Pty Ltd (RA) (and other parties working with it).
Racing materials, including fields, form and results, is subject to copyright which is owned by RA and other parties working with it. Full copyright notice.


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Happy Valentine's Day.
In case anyone was wondering--- I bought my husband a card, but I will probably forget to give it to him, like I did with his Christmas and birthday card. I'm pretty sure I forgot our anniversary as well.
Back to the event-
Not many people can say they have the best and nicest automatics in the world-- but I do. They are incredible. I've never had to wait for an appointment, they're literally one street away from my house. They have a Keurig coffee maker. And I've never once felt like they've tried to take advantage of me.
Yesterday while I was digging out my car I saw I had ANOTHER nail in my tire. If you are really interest in reading what happened to me a few months ago, it's all on my other blog.
I called them at 7:30 in the morning and asked if they could patch the tire. They said sure, come on by. They also said if it was serious they would send me over to another place that was two miles down the road because they would rather the hole get patched from the inside because that would probably be safer.
He was about to turn down business and send it to someone else. He is made out of awesome.
I said I'd rather they patch it.
So I packed up my kid, and a half an hour later I was sitting in their waiting room.
Five minutes- I was there five minutes. It was a screw in my tire and they used a screwdriver to get it out. It wasn't deep enough to do any damage but they filled it up anyway.
No charge.
I thanked them drove up to Dunkin Donuts and bought a box of donuts.
I drove back to the shop, walked in and handed them the box. They thanked me by name.
"Thanks Erinn, they guys in the back will love these."
Win- win for everyone!
I love Foreign Auto in Elkridge MD. They are the reason I bought another foreign car.
Would I do it again; Of course these guys are excellent- its a family run business and there aren't too many of them left anyone.
Cost: 6.99
Effort: I did have to go slightly out of my way but I did buy myself breakfast in the process.
Time: 5 minutes.
Sunday, February 14, 2010
Day 45- Donuts for Great Guys
Posted by Erinn at 11:36 AM
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