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Competencies of a manager
A manager's role can be visualized as a conduit. What your team sees is highly dependent on you, the conduit. You are the primary (not the only) source of information, priority, nature of work, and philosophy for your team. How much of an organization and a management's philosophy is passed on to your team, will heavily depend on you.
328p baobinh1311 25-09-2012 34 7 Download
báo cáo sinh học:" Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors"
Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors
7p panasonic07 03-01-2012 28 2 Download
The Vietnam Tourism Occupational Standards (VTOS) for Hotel Management covers the key tasks of a manager of a small to medium hotel, and is focused on developing the competencies (skills, knowledge and attitudes/behaviours) to be able to operate the hotel efficiently and professionally.
62p tangtuy15 23-06-2016 19 8 Download
Introduction to Consulting Why I wrote this Book Pathways to Becoming a High-flying Consultant Essential Consulting Skills and Competencies Strategies for Developing and Managing a Successful
12p khangoc2395 27-08-2012 35 4 Download
Chapter 2 "Operations strategy: Defining how firms compete", after studying this chapter you will be able to: Introduce the concept of operations strategy and its various components, and show how it relates to the overall business strategy of the firm; illustrate how operations strategy pertains to adding value for the customer; identify the different ways in which operations strategy can provide an organization with a competitive advantage;...
29p hihihaha4 16-12-2016 11 1 Download
Chapter 5: Risk Management. Risk management is one of the most important areas of project management that must be considered. Companies that want to compete with one another have adopted project management as a method of managing their companies. They have had to learn how to define and control project scope, schedule, and cost as baselines, and they have had to learn all of the control elements necessary to make successful projects. But many of these companies have yet to learn to manage the risks involved in managing a project.
33p hoason23 17-08-2010 226 141 Download
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional services. If legal advice or other expert assistance is required, the services of a competent professional person should be sought.
225p emelikov 19-03-2014 50 24 Download
This book is written for those who wish to enhance their understanding of and competencies with constructively managing conflict. Our interest in developing this resource came at the request of government and community practitioners with whom we worked on various projects, ranging from pedagogy in the classroom to strategic planning and consensus-building in the community. This wide range of demand underscores the limited scope of research on effective dispute resolution and the infancy of conflict management as an area of practice.
288p hyperion75 15-01-2013 41 15 Download
Diagnosis and Treatment by Clinical State The disease continuum—from the appearance of a preneoplastic and invasive lesion localized to the prostate, to a metastatic lesion that results in symptoms and, ultimately, mortality from prostate cancer—can span decades. Management at all points is centered on competing risks that are defined by considering the disease as a series of clinical states (Fig. 91-1).
5p konheokonmummim 03-12-2010 58 7 Download
Around the world, many fisheries are shared fisheries in the sense that a common fish stock is accessed by both commercial and non-commercial fishers. Non-commercial fishers can include recreational fishers, or customary fishers, or both. A prevalent problem in these fisheries is competition between commercial and non-commercial fishers for access to a resource that is subject to increasing utilisation pressure.
45p lulanphuong 19-03-2012 42 6 Download
Vietnam tourism occupational standards – Hotel management consists of a range of units of competence that specify particular skills, knowledge and behaviours/attitudes necessary to fulfil the job requirements satisfactorily. Each job will consist of a blend of functional, core and generic units.
42p tangtuy15 23-06-2016 15 4 Download
As a result, there is little awareness regarding the fact that the organization and characteristics of a production and supply chain strongly influence the volumes (and temporal and spatial distribution) of water consumption and pollution that can be associated with a final consumer product. Hoekstra and Chapagain (2008) have shown that visualizing the hidden water use behind products can help in understanding the global character of fresh water and in quantifying the effects of consumption and trade on water resources use.
98p saimatkhauroi 01-02-2013 22 3 Download
When you complete this chapter you should be able to: Define mission and strategy, identify and explain three strategic approaches to competitive advantage, identify and define the 10 decisions of operations management, understand the significance of key success factors and core competencies, identify and explain four global operations strategy options.
90p tangtuy18 12-07-2016 10 3 Download
his publication is designed to provide competent and reliable information regarding the subject matter covered. However, it is offered with the understanding that the author and publisher are not engaged in rendering legal, financial, or other professional advice. Laws and practices vary from state to state and if legal or other expert assistance is required, the services of a professional should be sought. The author and publisher specifically disclaim any liability
54p khangoc2395 27-08-2012 22 2 Download
Chapter 7 - Managing correspondences and mail. After studying this chapter you will be able to understand: List the supplies necessary for creating and mailing professional-looking correspondence, identify the types of correspondence used in medical office communications, describe the parts of a letter and the different letter and punctuation styles,...
38p whocarea 05-09-2016 7 1 Download
Chapter 2 - Competitiveness, strategy, and productivity. Chapter 2 discusses operations management in a broader context, and presents the issues of competition, strategy, and productivity. After you have read Chapter 2, you will understand the importance of the operations function relative to the goals of a business organization, and how performance of production function can be measured.
15p whocare_e 04-10-2016 5 1 Download
Desktop computing proficiency is increasingly important in today's business world. As a result, when screening, hiring, and training employees, employers can feel reassured by relying on the objectivity and consistency of technology certification to ensure the competence of their workforce. As an employee or job seeker, you can use technology certification to prove that you already have the skills you need to succeed, saving current and future employers the trouble and expense of training you....
696p mynhan_mngu 25-02-2013 114 34 Download
You've made a good decision! You're taking a college course ... maybe more than one. Although you may sometimes feel like you're wasting your time being in college, you're not. Yes, it's expensive. Yes, it's even sometimes hard. But what you're doing now will pay off in the long run. In a recent survey of job seekers, a whopping 92 percent said that a major disadvantage in competing for jobs was not having taken college courses. But that's not what you'll face because you are enrolled in a college course—the course for which you've purchased this book....
672p bunmang_1 04-05-2013 93 30 Download
In their quest to remain competitive in our changing business environment, managers must work effectively with people, who are our most valuable asset. They are the heart and soul of a company's core competency, critical to the successful implementation of any strategic plan, operational initiative, or specific project undertaking.
12p liemthanh 16-12-2009 89 24 Download
Creating the project office 2. This is a book about improving organizational performance by implementing a project office system that develops project management as a core competency and thus adds value to the organization. A project office consists of a team dedicated to improving the practice of project management in the organization. The improvement in organizational performance is achieved by obtaining more value from projects, making project management a standard management practice, and then moving the organization toward the enterprise project management concept....
10p pretty7 28-08-2010 76 16 Download


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this morning i walked past our local elementary school and saw some young kids outside on a huge playing field with colored cones set up in rows along both sides. i remembered my friend (with a daughter in kindergarden) mentioning that friday was "field day." friday was bad weather so i wondered if instead it was today. and then i suddenly had the most vivid memories of field days of my past. days of being outside for the day running, hopping, skipping, and playing games. spending the day in the sun or a light drizzle, drinking water and wearing pennies and occasionally passing through the awkwardness of too long limbs and youthful self-consciousness into the pure joy of moving my body through the world. outside. all day.
it seems like the elementary school age memories that flood back into me with the most ease all happened outside the classroom. i remember the games we played at recess. i remember having gym outside on the grass fields. i remember the once yearly family picnic held in the yard at the center of the c shaped school.
if what i remember the most is being outside; racing, playing tag, four square, climbing and swinging, making up entire lives with our small troll dolls and letting them wade through the waters of melting snow running down the back edge of the hard top — if these are what mattered to me in my hours at school and these are the things that happen less and less in our current public school system…
if if if – it is like a little blip of unansweredness on my screen.
what is the right way to create an education that will matter to my children? what if it isn't what i had thought it would be? what matters for them?

subset: commoncrawl


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The flat roof design has made it a favorite of contemporary homes looking to complete the modern tiered or multi level design. The studio sunroom from LivingSpace Sunrooms is a favorite, one that has for many years served the multi-purpose needs of households across North America. Check out our gallery to see the many designs for a studio sunroom.
Studio Sunroom Addition
Our Elements Studio sunroom is truly one-of-a-kind. As a sunroom, it is custom engineered by our architects and designers to withstand severe weather conditions of all types. This means you can be sure your future sunroom is more than just an add-on to your home; it's an investment that will last you a lifetime. With durability, functionality, and style, our sunroom designs not only meet but exceed the standards set by the industry. We also offer plenty of options so you can customize your studio sunroom to meet your household's needs. See the benefits of owning a studio sunroom from LivingSpace Sunroom:
- Custom engineered by experts
- Built with high-performance fiberglass materials
- Enjoy all year round
- Window, door, wall style and amenity options
- Energy-efficient, ecoGreen options
- Limited lifetime warranty
- ...and more!
If you're ready to get started on the process to owning your own all-season studio sunroom, contact the experts at LivingSpace Sunrooms today. Get in touch with a LivingSpace Sunroom dealer near you to learn more about how we can transform your home. If you'd like, we can also create a computer rendering of your sunroom's specifications to see how it will look when completed.


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The phenomenal success of the award-winning Serial made podcasts cool again, not to mention kickstarting a new generation of true crime documentaries.
This week, the makers of Serial dropped seven episodes of a brand new saga called S-Town – which brings us to our pick of the podcasts you need to listen to in 2017…
S-Town – for true crime aficionados
Without giving away any spoilers, this gripping investigation by US radio journalist Brian Reed takes him to a small town in rural Alabama following an email from a disgruntled resident who despises the place where he lives. A rumoured murder, family feuds and the hunt for hidden treasure make this Southern Gothic documentary an absolute must-listen.
Inside Psycho – for film buffs
This brand new six-part documentary examines the compelling origins, production and aftermath of Alfred Hitchcock's classic 1960 thriller Psycho. The first episode talks about how Norman Bates was based on notorious Wisconsin serial killer Ed Gein, while later chapters will discuss the dark mind of the director himself. Perfect for anyone who enjoys the Hollywood histories of the You Must Remember This podcast.
Guardian Football Weekly – for footie fans
The Guardian's football-based podcasts is one of the most popular sports podcasts around and features presenter and journalist James Richardson along with a revolving cast of contributors. Richardson and the 'pod squad' mull over the biggest stories of the week, with an amusing discussion of the beautiful game and its biggest characters.
My Dad Wrote A Porno – for comedy lovers
The premise is just as horrific as the title makes it sound, albeit a hell of a lot funnier. Jamie Morton's father has indeed knocked out his very own pornographic novel and self-published it. Each episode of the podcast sees Morton and best mates James Cooper and Radio 1 DJ Alice Levine reading the unintentionally hilarious tome aloud and completely pulling apart, punctuated by fits of giggles.
Dan Snow's History Hit – for history buffs
There's plenty of podcast fodder around for history fans and this one from TV presenter Dan Snow is one of the best. Historical events are broken down into captivating bite-size episodes, giving listeners an excellent overview of modern history as well as delving back into centuries gone by.
The West Wing Weekly – for couch potatoes
US political drama The West Wing may have finished back in 2006, but this epic podcast is helping to keep its memory alive. Launched last year by former cast member Joshua Malina, the podcast recaps every single episode of the award-winning drama and with 155 to get through, there's still plenty to go.
Sony Exploder – for musical types
This podcast sees musicians invited to take apart their own songs and, piece by piece, tell the story of how they were made. So far guests have included Iggy Pop, Björk and U2 among many others and the podcast has already hit the 100-episode mark. The detail the musicians go into about each track means that this is one for real music nerds, rather than casual listeners.
The Hilarious World of Depression – for a comic approach to a taboo subject
Making a comedy podcast about clinical depression was a bold move, but radio host John Moe's gamble has paid off. Each episode sees Moe having simultaneously moving and hilarious conversations with a range of comedians who have dealt with the disease. What's more, it's supported by charities that aim to reduce the stigma of mental health.
No Such Thing As A Fish – for lovers of weird trivia
This must-listen show sees the writers behind the BBC's hit programme QI gather together to share their most interesting discoveries. In keeping with the eccentric humour of the show, the researchers discuss the most interesting and unbelievable things they've found out over the past week, with previous episode including No Such Thing As A Helium Filled Puffer Fish, No Such Thing As High-Fiving The Beatles and No Such As Churchill's Secret Parrot.
Missing Richard Simmons – for those who like mystery
This surprise hit tells the mysterious tale of American fitness guru known for his exercise videos and flamboyant personality who hasn't been seen in public since 2014. This led to wild speculation that he was being held against his will. Following the launch of the podcast in February 2017, police reportedly carried out a check on the 68-year-old former star and confirmed that he's fine, but the story of his life and how he became a celebrity is still fascinating.


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Because Dreamweaver MX does not support Live Data View for ColdFusion components, your best bet for testing is to use your web browser. To test the application, follow these steps:
Open your web browser, and go to http://localhost:8500/bookexample/chap19/directoryClient.cfm. The page displays as shown in Figure 19.16.
Figure 19.16. The finished directoryClient.cfm page displays in a web browser. Notice the dynamic table that is powered by a CFDIRECTORY tag in the directoryExplorer component.
As you can see, the dynamic table renders as expected. It shows all the directories in the bookexample directory, the file types, and when they were last modified.
Scroll down the page to find the Component Utilities table. Try to rename one of the files the same name as another existing directory, such as trying to rename chap10 to chap11. When you click the Submit button, an error page should display, such as the one shown in Figure 19.17.
Figure 19.17. An error page displays when you try to do something that is not allowed, such as trying to rename a directory to an already existing directory name.
Using the directory creation utility, enter CFCsRule for the name, and click the Submit button. The directoryClient.cfm page should display again with the CFCsRule directory present in the table, as shown in Figure 19.18.
Figure 19.18. After creating a new directory, the directoryClient.cfm page displays again with the new directory listed.


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January 28, 2009
MALVERN, PA --- Approximately one in six drivers across the United States may be driving uninsured by 2010, according to a recent study from Insurance Research Council (IRC).
Although the estimated percentage of uninsured motorists decreased nationally, from 14.9 percent in 2003 to 13.8 percent in 2007, the recent economic downturn is expected to trigger a sharp rise in the uninsured motorist rate.
The recently released study, Uninsured Motorists, 2008 Edition, estimates the percentage of uninsured drivers countrywide and by state for the period 2005 to 2007. The IRC estimates the uninsured driver population using a ratio of insurance claims made by individuals who were injured by uninsured drivers to claims made by individuals who were injured by insured drivers. The study contains recent statistics by state on uninsured motorists claim frequency, bodily injury liability claim frequency, and the ratio of uninsured motorists to bodily injury claim frequencies.
The magnitude of the uninsured motorists problem varied widely from state to state. In 2007, the five states with the highest uninsured driver estimates were New Mexico (29 percent), Mississippi (28 percent), Alabama (26 percent), Oklahoma (24 percent), and Florida (23 percent). The five states with the lowest uninsured driver estimates were Massachusetts (1 percent), Maine (4 percent), North Dakota (5 percent), New York (5 percent), and Vermont (6 percent).
The report also found a strong correlation between the percent of uninsured motorists and the unemployment rate: An increase in the unemployment rate of one percentage point is associated with an increase in the uninsured motorist rate of more than three-quarters of a percentage point. Based on current unemployment rate projections, the percentage of uninsured motorists is expected to rise from 13.8 in 2007 to 16.1 in 2010.
"An increase in the number of uninsured motorists is an unfortunate consequence of the economic downturn and illustrates how virtually everyone is affected by recent economic developments," said Elizabeth A. Sprinkel, senior vice president of the IRC. "Responsible drivers who purchase insurance end up paying for injuries caused by uninsured drivers."
The IRC study examined data collected from nine insurers, representing approximately 50 percent of the private passenger auto insurance market in the U.S.
To view a chart that breaks down the estimated percentage of uninsured drivers by state, click here and scroll down to page 3 of the press release.
Determine the actual cost of owning and running a vehicle in your fleet. Compare vehicles by class and model.
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We arrived at the library to pick up my nephew Miles' stuffed elephant. The elephant and the other children's animals had had a sleepover the night before.
Once inside the children's area, three-year-old Miles runs up to a little girl. "Can I play with you?" he asks. "My name is Miles. What's your name?"
The little girl whispers her name as Miles sits down to play.
"Oh," Miles says. "I like that name."
The little girl's mother heard him, too, and gave a quiet cry of, "Oh!" and put her hand over her heart as we watched them play.
Later, as we're getting ready to go because it's naptime, Miles picks up a book that he wants to check out of the library. But he picked it up from a stack of books another girl had collected for herself.
"Let her have her book back please," I said. "We can pick another one."
"But I want this one," he pleads and I sense the meltdown coming on.
I crouched down to talk to him face-to-face. "Miles, today you're becoming a big brother. Do you know what big brothers do? They share. She chose that book already. Let her have it back, please."
"But, I want it," he said.
"Yes. It's alright. Will you share? Will you hand the book back to her?"
He just looked at me for a moment as he decided. And then, with tears in his eyes, he turned to the girl and gently handed the book back to her. And then he hugged me for support as I fought back tears. "Good job, Miles," I whispered to him.
"I can't believe I just saw that," the librarian said, somewhere behind me. "I have goose bumps."
Miles and then I picked out another book, checked it out, and headed for the door with his stuffed elephant.
"But I want to stay at the library," Miles said, even as he walked toward the door.
"Yes, you always do," I said. "We'll be back. But today, we're going on adventures."
"Adventures?" he said, having learned the word yesterday.
"Yes," I said. "The way Elephant had adventures at the sleepover."
On the way home, I said, "I'm very proud of you, Miles, for the way you gave that book back. Sharing can be very hard. But you did it. You're going to be a very good big brother. Did you hear the librarian talk about you? You're a hero."
"A hero?" he asked.
"Yes. A hero."
"I'm a hero," he repeated. And like a true hero, he seemed to have mixed feelings about it.
My first book, Upside Down Kingdom, is available on Amazon.


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BLOCK PARTY feat MARSHMELLO (USA)
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After selling out a staggering 60+ shows on his Ritual Tour across North America, South America and Asia, BBE is delighted to announce the Australian return of undoubtedly the biggest force in dance music today, Marshmello.
Hitting all five major cities and regional centres Newcastle and Mackay, Marshmello's seven-date March 2017 tour will be his biggest headline tour of Australia to date.
Rising to fame in 2015 via bombastic remixes of Jack U's Where Are You Now? and Zedd's I Want You To Know, unwavering support from the likes of Skrillex, Calvin Harris and Tiesto and of course his unmistakable white marshmello head which Spin Magazine describes as "slightly sinister, like the Stay-Puft Marshmallow Man from the original Ghostbusters," Marshmello further cemented himself as EDM's masked hero last year with his debut album Joytime, which featured the gargantuan dance-floor anthems Want U 2, Show You, Find Me and Keep It Mello.
Recent singles Alone and Ritual plus a stellar remix of DJ Snake's ubiquitous smash hit Let Me Love You have seen the Marshmello juggernaut motor along, with the mysterious masked producer breaking venue sales records left right and centre.
2017 is set to be Marshmello's biggest year yet... and yes, he's coming back Down Under so Aussie Mello Gang unite!
Man Cheuk A
Clara C
Christian O
Christopher G
Brittni G


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United States District Court, W.D. Washington, Seattle
March 4, 2014
ROBERT SMITH JR., Plaintiff,v.GOVERNOR JAY INSLEE, Defendant.
JOHN C. COUGHENOUR, District Judge.
This matter comes before the Court on Plaintiff's Objections to the Report and Recommendation of the Honorable Brian A. Tsuchida. (Dkt. No. 5). Having thoroughly considered Plaintiff's in forma pauperis application and the proposed Complaint, the Report and Recommendation, and Plaintiff's Objections, the Court hereby adopts the Report and Recommendation.
Plaintiff's objections appear primarily to be a request to amend his Complaint. However, Judge Tsuchida did not address the merits of Plaintiff's complaint, instead stating that Plaintiff already had three strikes, and accordingly should be denied leave to proceed in forma pauperis. Accordingly, Plaintiff's objections to Judge Tsuchida's Report and Recommendation are irrelevant and, accordingly, overruled. Moreover, Plaintiff does not give any reason for the Court to ignore the fact that he already has more than three strikes against him.
The Court hereby ORDERS:
1) The Court ADOPTS the Report and Recommendation of Judge Tsuchida. (Dkt. No. 4.)
2) Plaintiff's application to proceed in forma pauperis, (Dkt. No. 1), is DENIED.
3) The Clerk shall file the complaint only on receipt of the usual filing fee. If no filing fee is paid within 30 days of the date of this ...
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I wrote some months ago that one shouldn't jump to conclusions on the issue of Ferguson, Missouri. The predictability of this scenario is not helpful in solving problems of racism. What predictability? The one were whites kill blacks, then blacks destroy stores.
I will assume that the grand jury in Ferguson is NOT made up of a bunch of idiots. I will assume that they are reasonable people who wanted to do what is right (although, statistically, grand juries virtually NEVER indict the police, irrespective of the crime. They tend to be an arm of the prosecutor's office, with which the police are closely aligned).
One can't confuse desired result with just result. Simply because you really, really, really want something to happen does not mean that it should happen. Just because you really, really want to prove a point does not mean that your point is correct.
From my perspective, it sure seems coincidental that so many blacks are killed by so many whites, especially those with real (Ferguson police) or imagined (George Zimmerman) authority. I've seen the statistics, including those bandied about by the right-wing nut jobs that claim to show that black on black crime is more prevalent than white on black crime. These dolts never bother to go a step further to discover that white on white crime happens with virtually the same regularity as black on black crime. Any group that lives in close proximity to each other is going to commit crimes against members of their own group. So the statistics that they're so proud of themselves for having uncovered is of no intellectual value whatsoever, but that doesn't stop them from using it.
Personally, I have no idea if Darren Wilson was justified in killing Michael Brown. Brown certainly didn't come across as some innocent, angelic teenager. He appeared to be a huge guy who liked using his size to get his way. A bully. Someone confident that he could intimidate people into doing what he said. Its entirely possible that he came after Wilson and that Wilson felt the need to defend himself. But that's not the point here. The point is that we see this cycle being repeated over and over.
The cycle includes the history of Ferguson, Missouri, where a police department that is 95% white is policing an area that is more than 75% black. Its the history of numerous racial incidents all over that city, where black men are frisked unnecessarily, where the police use military equipment to suppress peaceful protests. Where it appears to all intents and purposes that the police look at the black citizenry as the enemy; as someone to by held down, restricted and controlled in their movements. They appear to be GI Joe wannabes and have the equipment to match. It is when police departments treat the citizenry like Afghan tribesman that it becomes difficult to believe that when a white cop shoots another black kid that it was a justified act. It's just hard to believe that those who are apparently on a hair-trigger to kill the "enemy", have the presence of mind to not do so unless fully justified.
Police departments are charged with protecting ALL people from danger, including the potential danger inflicted by those police officers with Rambo mentalities who are so cowardly that they shoot first and ask questions later.
No, I really have no idea who is at fault here, or if racism was involved in Michael Brown's killing. I also don't know how many more of these killings will occur before we learn that dark skin is not synonymous with criminal activity. But people tend to look for patterns of behavior to help them decide who is right in matters of this type. And I'll be damned if this doesn't look like a pattern…


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The internet has changed nearly every aspect of our lives, usually for the better. Today online shopping has become one of the most popular ways to spend time on the internet as well as to buy items that you want or need. Here are a few specifics.
Wider Clothing Selection Online
Buying clothes online offers a wider selection than you could ever find elsewhere. Instead of having to deal with the selection at your local clothing stores you can browse through online stores and shopping sites to find virtually anything that you want.
Another great thing about shopping online is that you can usually shop out of season as well. If you want to stock up on winter clothes during the summer, the web is probably the best place to do so.
You'll Find Lower Prices on the Internet
The low prices, afforded to you on the Internet, probably represents the biggest reason that you'd want to buy your clothes online. Whether you buy clothing that's more expensive or whether price is a determining factor, you'll almost always be able to find a better price online.
And since you can visit a countless number of shops with a click of the mouse, comparing prices to ensure you're getting the best possible deal is simple. There's no need to drive from store to store or wonder if you could have found that shirt at a lower price. You'll know within an instant whether you're getting the best deal.
The Convenience Factor
The benefits to buying clothes online don't end at pricing. They continue into other aspects of shopping, such as convenience. That's because instead of dealing with long lines, crowds or traffic you'll be able to shop from the comfort of your own home.
Additionally, since online stores don't have store hours you can shop whenever it's convenient for you to shop. Not only that, but you don't even have to stop watching your favorite show or get out of your pajamas. From comfort and convenience to lower prices, shopping for your clothes online just makes sense.
The Rock Bottom T-Shirts Advantage
Speaking of convenience and low prices, these are both things that Rock Bottom T-Shirts strives to deliver.
Visit us today and you'll see that not only do we offer a wide selection of clothes at rock bottom prices but we also make shopping for clothes super convenient, too!


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Double Storey Semi-D
Raintree Park II
A Gated and Guarded Community
A project with lush landscaping, security feature and recreational facilities
Easy access to amenities such as schools, banks, markets, and other basic facilities
A resort-style home with relaxation facilities:swimming pool, wading pool, gymnasium, jogging paths, children's playground and community hall.
24-hours security and CCTV surveillance
2 Storey Gated Semi-D
Type A - Land area: approx. 35' x 80' | Built-up: approx. 24' x 43'
Type B - Land area: approx. 35' x 70.5' | Built-up: approx. 24' x 42'
4+1 spacious bedrooms
Dry & wet kitchen
8' backyard garden
Car porch can accommodate up to 3 cars
High ceilling with practical & functional layout
High Quality finishes
Book Now ! ! !
For more info. please contact us at 04-501 0088 / 04-324 0088
Palmington Sdn Bhd (892241-W)
Raintree Park II
Building Plan No.: MPSP/40/20-75/49


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After 6 years of testing and research, Lamboo Inc. has partnered with H Windows Company to create a commercial grade Lamboo window. This made their most innovative and revolutionary window system, even more innovative. This window was showcased at the American Institute of Architects Minnesota Conference November 10 – 12, 2009.
President of Lamboo, Inc. Luke Schuette said "due to the structural and thermal properties of Lamboo as well as its aesthetic appeal, it is a great fit for the window and door industry. Our business is bamboo, H-Windows is windows, it made sense to join together to bring the architectural industry a sustainable revolutionary window and door system".
Lamboo's technology and sustainability allows it to add up to an additional 4 LEED points to the existing LEED qualified window and door components. LEED, Leadership in Energy and Environmental Design, is one of the most nationally recognizable Green Building certification systems created by USGBC. Lamboo, Inc. is continuing its initiative to make an environmental change through renewable resources, longer lasting products and practices.
For Other New About Lamboo Visit:
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Meeting Life's Demands
A daily devotion for January 3rd
16As Jesus walked beside the Sea of Galilee, he saw Simon and his brother Andrew casting a net into the lake, for they were fishermen. 17"Come, follow me," Jesus said, "and I will make you fishers of men." 18At once they left their nets and followed him.
19When he had gone a little farther, he saw James son of Zebedee and his brother John in a boat, preparing their nets. 20Without delay he called them, and they left their father Zebedee in the boat with the hired men and followed him.
21They went to Capernaum, and when the Sabbath came, Jesus went into the synagogue and began to teach. 22The people were amazed at his teaching, because he taught them as one who had authority, not as the teachers of the law. 23Just then a man in their synagogue who was possessed by an evil spirit cried out, 24"What do you want with us, Jesus of Nazareth? Have you come to destroy us? I know who you are—the Holy One of God!"
25"Be quiet!" said Jesus sternly. "Come out of him!" 26The evil spirit shook the man violently and came out of him with a shriek.
27The people were all so amazed that they asked each other, "What is this? A new teaching—and with authority! He even gives orders to evil spirits and they obey him." 28News about him spread quickly over the whole region of Galilee.
29As soon as they left the synagogue, they went with James and John to the home of Simon and Andrew. 30Simon's mother-in-law was in bed with a fever, and they told Jesus about her. 31So he went to her, took her hand and helped her up. The fever left her and she began to wait on them.
32That evening after sunset the people brought to Jesus all the sick and demon-possessed. 33The whole town gathered at the door, 34and Jesus healed many who had various diseases. He also drove out many demons, but he would not let the demons speak because they knew who he was.
35Very early in the morning, while it was still dark, Jesus got up, left the house and went off to a solitary place, where he prayed. 36Simon and his companions went to look for him, 37and when they found him, they exclaimed: "Everyone is looking for you!"
38Jesus replied, "Let us go somewhere else—to the nearby villages—so I can preach there also. That is why I have come." 39So he traveled throughout Galilee, preaching in their synagogues and driving out demons.
Very early in the morning, while it was still dark, Jesus got up, left the house and went off to a solitary place, where he prayed. (Mark 1:35)
After this full day—and what a full day it was, what a heavy ministry our Lord had that day with all the healing He did in the evening!—Mark records that early in the morning, before it was daylight, Jesus went out on the mountainside, and there, by Himself, He prayed. But even there He was not safe. His disciples interrupted this communion, told Him that everyone was looking for Him. And Jesus reveals the heart and substance of His prayer in what He says in reply:
Let us go somewhere else—to the nearby villages—so I can preach there also. This is what He was praying about—that God would lead Him, doors would be opened, and hearts prepared in the cities to which He would go next.
Why did Jesus seek the Father's face like this, in these hours of pressure? The only answer we can come to is that He wants to make clear that the authority He had was not coming from Him. This is what our Lord is trying to get across to us so continually in the Scriptures—that it was not His authority by which He acted; He had to receive it from the Father.
I do not know any more confusing doctrine in Christendom today—one that has robbed the Scriptures of their authority and power in the minds and hearts of countless people—than the idea that Jesus acted by virtue of the fact that He was the Son of God, that the authority and power He demonstrated were due to His own deity. Yet He Himself takes great pains to tell us this is not the case.
The Son can do nothing by himself (John 5:19). Why do we ignore His explanation and insist that it is He, acting as the Son of God? He tells us that
it is the Father, living in me, who is doing his work(John 14:10). And all the power that Jesus manifested had to come to Him constantly from the one who dwelt within Him.
Jesus stresses this because this is what He wants us to learn. We are to operate on the same basis. Our response to the normal, ordinary demands of life and the power to cope with those demands must come from our reliance upon Him at work within us. This is the secret: All power to live the Christian life comes not from us, doing our dead-level best to serve God, but from Him, granted to us moment by moment as the demand is made upon us. Power is given to those who follow, who obey. The Father is at work in the Son; the Son is at work in us. As we learn this, then we are given power to meet the demands and the needs that are waiting for us in the ministry yet to come.
Thank You, Father, that the same power is available to me today, making me ready to be your instrument in any and every situation in which demand is laid upon me.
Life Application: What is the source of authority and power we need to respond to the ordinary and extraordinary demands of life? Shall we try to wing it, or expectantly pray for this gift?
From your friends at www.RayStedman.org
Daily Devotion © 2006 by Ray Stedman Ministries. For permission to use this content, please review www.RayStedman.org/permissions. Subject to permission policy, all rights reserved.


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In Heart of Darkness, how does Marlow drive the natives away?
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When Marlow's steamer is attacked by natives, his men try to drive them away by firing into the brush with their guns. However, since they cannot see their attackers, their shots fall short or don't connect. As a last resort, Marlow blows the steam whistle:
With one hand I felt above my head for the line of the steam whistle, and jerked out screech after screech hurriedly. The tumult of angry and warlike yells was checked instantly, and then from the depths of the woods went out such a tremulous and prolonged wail of mournful fear and utter despair...
(Conrad, Heart of Darkness, eNotes eText)
Marlow's tactic plays on the superstition of the natives, who believe that technology is some form of magic. The steam whistle is louder than any natural sound, and so it strikes more fear into their hearts than guns, which they have been exposed to in the past. Guns, they know, fire bullets which can miss; the whistle, however, is someting beyond their understanding, and so it serves to scare them away. This tactic is later confirmed by the Russian.


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|Vince Remo
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Butter-Cookies - Simple Butter Cookies
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Chicago. Chi-town. The Windy City. Also, one of my favorite cities in the world. Top 2 in the U.S.
I don't know what it is about Chicago that I love so much. But every time I go, I discover something new that I love.
My mom and I took the train to Chicago last Tuesday. I've been to Chicago about 5 or 6 times, but the only two times I've taken the train have been to get my visas (the first to study in France and now the second for Martinique). My sense of direction and comfort with traveling has changed quite a bit between those two trips...
|My mom and I on the train
This trip to Chicago was absolutely amazing. We ate fabulous food, played tourist on a boat ride down the Chicago River, did a little shopping, and went to a dueling piano bar.
Oh, and I had my appointment to apply for my visa.
My visa appointment went very smoothly. I was a little nervous because I still didn't have the official stamped document that I needed, and I was just going there with the hopes that the consulate had received it already. I only slightly panicked when the woman at the consulate asked, "Is this all you have?"
Luckily, after a little searching, she found all of the documents I had needed. Whew. I am even supposed to receive my visa faster than I anticipated... within 7-10 days instead of 2-3 weeks! Can't wait to get it and check that off my list.
My list is still longer than I would like, but I'm feeling better about things. I am starting to feel like I'm actually getting things in order. My goal for tomorrow (night) is to finally purchase my ticket. Stay tuned...
And enjoy these pics from Chicago!


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I'm bitter about pickup trucks too. Trucks should be square, tough (as in drop a 1000 lbs rock in the back end and get out of there) and have real transmissions.
I can't beleive the people who fall for the sexy marketing. They are work vehicals, not toys. The Dogde gets more horsepower from the automatic transmission because they take away the torque from the low end. Pickups are about torque not horsepower, they use too much fuel as it willout bruning it away in too low a gear for the speed you are taking.
Which is why My comptuer is in a corner where I can't see it. I look at the monitor, listen to the speakers (which reminds me, I should complile a kernel with sound support some year) type on the keyboard, and get work done. If I wanted a comtpuer to look at I'd get an SGI which form and function go togather, not impeade one anouther.
Unfortunately in this case, they are choosing form to the detriment of function. You can't upgrade these things, aside from possibly adding more ram or maybe a faster processor.
Intel is clearly on the wrong track. They haven't done much lately besides screw up. AMD has been coming on strong and looks like they will continue to improve. I can only hope that they don't try to compete with Intel's idiotic designs by following suit. I hope they will reject the idea that the computer should be as simple to use as your toaster. Integrating everything into one big neon hunk of metal and plastic is just plain stupid. You can't upgrade it beyond a few almost trivial improvements. You have to replace the whole thing, sometimes this even includes the monitor. I've got a monitor that has been doing just fine for over 6 years. I have replaced my box 4 times in that period. Why should I have to replace the monitor too if I don't need a new one?
I don't intend to just shovel my money into their pockets, but that's what Intel seems intent on getting me to do. AMD seems to be going in different directions. Improving the architecture and working to produce faster and faster processors that are cheaper than Intel's. That's where my money will go as long as Intel continues to prove that it doesn't care about my interests or concerns. They can make all the hot pink cases shaped like hearts and flowers that they want. My money goes elsewhere.
Because everybody knows how today's teens are into FISH!!
You just gotta love marketspeak."Now this older technology has been superceded by newer possibilities. What you end up with are powerful PCs that are smaller and utilize cool, innovative designs. PCs can be exciting! They can have a sense of whimsy, be friendlier, be easier to use," Schwartz said.
"These new computers come in a burst of Rainbow Flavors! They are computerific! So simple to use, even a Marketroid can set one up all by itself!"What really gets me is the herd like mentality of the Marketroids and computer execs.
"Beige good, must make beige computers."
"Clear bright colors good. Single unit nonexpandable good. Must make bright color single unit computer."
The Imac was popular because it was a good, fresh original design. Why can't Intel, etc. even try to innovate? Because it's expensive and risky, I guess.
This is really going to be great for the signal/noise ratio on the internet. People who buy computers based on looks just pouring onto the Internet. Makes me long for those long lost days of yore when I used an accoustic coupled 300 Baud modem hooked up to a TRS-80 Model 1 to get online with Compuserve. [Wipes nostalgic tear from eye]
-IDE: way, way slow. UDMA is much better.
Uh, UDMA is just DMA mode 3 (or possibly 4) for ATA IDE.
--Floppy: what am I supposed to use for a boot disk?
What if I don't want to bother with mailing myself a file so I can transfer it between machines that aren't on a common network?
You can still use a USB floppy drive.
Also, I am pretty sure that we all decided that integrated monitors and computers were a bad idea a long time ago (except for thos boneheads at Apple). I dunno about the average slashdotter, but my current monitor has lasted me through six different systems. Who (besides the display manufacturers) wants a montitor that has to be upgraded at the same pace as the CPU.
More examples of the manufacturers giving us what they want us to have, instead of what we want them to give us.
FYI, I do think that the way we do it now is the One True Way. Defined an open bus protocol (PCI, SCSI, USB, 1394, &c), let the specialized manufacturers make their specialized parts, and let the consumer choose which they need. Intel is not the market leader in all segments, and one design cannot meet all people's needs. For low end PCs, you can stick a bunch of commodity hardware on the bus and ship it. For nice hardware you can carefully select your components and make something you'll really love.
Don't forget about the integrators like Compaq, Dell, and Micron. The closer Intel gets to making an all-in-one motherboard, the closer these resellers are to just sticking their label on a box and providing technical support. I'm sure they don't want that. Common bus interfaces currently allow the PC manufacturers to differentiate on features and performance.
Last point: I don't see the inherent simplicity in having an integrated monitor, as opposed to one which is not irreversibly attached.
Is it just me, or does this read like the PIII is embedded in the display, sorta like a 68000 or 6501? Poor wording, I guess, but it was a scary thought.
-- Give him Head? Be a Beacon?
I have wondered about the wisdom of placing serial ports on the motherboard for some time now. My first PC (XT clone) had serial ports on the motherboard and I was worried. Why? Because line driver chips fail. When the serial ports were on a separate card I could toss the card and replace it if the line drivers were socketed. Luckily, when I had a driver fail the chips on that old motherboard were socketed and a quick trip to Radio Trash saved the day. Newer motherboards don't have socketed line driver chips. I guess I'll need to buy a new motherboard if I have a problem with the serial ports on my current system.
Really... what's wrong with keeping ISA for things like mice and serial ports. The ISA bus is certainly capable of handling the I/O needs for those devices.
What do you do when you have a problem with a peripheral when everything's been put on the motherboard or requires USB? It'll be a cold day before I buy another Intel-based system if they're going to force me into hanging a RAID array off USB because they don't think I'm capable of dealing with a circuit board in a slot.
I look around in Computer Shopper at the motherboard ads and I still don't see the motherboards coming with more than 5 PCI slots. I have five slots on my 2-1/2 year old PPro system so the motherboard makers haven't been adding more PCI slots (and I'm out of PCI slots). I'm trying to figure out what my upgrade path is should I decide that my dual PPro is out of gas. A replacement m'board wouldn't have any more I/O capacity and if my growth requires more disk space I'll have to overload the SCSI busses I already have. Oh yes... I'm supposed to buy new motherboards with limited I/O capacity and access everything over a network. Again, there's that bottleneck. Anyone know whether there's an effort to get StorageWorks controllers to work under Linux? You can hang a boatload of disks off an HSZ array controller. Oh... I forgot. I'd still need a slot for the SCSI controller. Guess I'm still SOL.
Is everything going to be forced onto USB? Does Intel understand the potential for performance bottlenecks that they're going to be pushing us into? Are they suggesting that we put everything on USB? If the PS/2 and parallel ports are designated for removal, I'd hate to see my mouse response to go down the tubes because I'm printing a large file.
Users complain now about the tangled mess of cables that they have running out of their computers. Just wait until everything's got to plug into some damned USB hub that's sitting on your desk! Or even worse, sitting on the floor underneath your desk just waiting for you to kick a cable loose. Or worse, the USB cables I've seen look fragile to me.
If Intel wants to help, come up with a design that gives us two I/O busses: low speed for things like mice and asynch ports and high speed for things like video and disks.
Their roadmap to remove "Legacy Technology":
I'll admit that some of these technologies are a little dated, but removing all user-accessible slots means that a whole lot of old but functional hardware is going to be useless. Doesn't Intel realize that the interchangeable nature of PC parts led to the commodity market for them in the first place? Intel wouldn't be half the size it is today if IBM had just made all PCs with no user-accessible slots.
re: Second: I have no idea - but it could be interesting coming up with various things to do to the bunny people dolls Intel sells.
re: Third: I'd say *bad* advertising is evil. The ads that make it obvious that they care nothing for the customer but just want your money. Their advertising comes from soulless advertising corporations that are willing to gloss over important facts (lie), play to people's basest insticts (sex, greed, fear - "buy this car and you too will be hip and get the chicks"), anything goes if it will bring in that almighty dollar.
But I have to believe there are some people doing business that have good products and services, that honestly want to help people while making a living, etc. There must be examples of their advertising around somewhere, right? Good advertising that doesn't try to manipulate people other than informing them of their business, perhaps using humor as the hook. Can anyone think of examples? --- Please?
Dammit, I'm bitter now.
BunnyPeople? Neo-postmodern design cases with cards poking out? What were these people thinking?
It sounds as if they let loose a Versace-wannabe on a few computer cases. You know the kind. "Oh, what the hell is that mouse thingie for? Didn't computer geeks learn to accessorise? Off with the mouse thingie! And what about that TV? TV is sooo eighties, pumpkins!"
This seems as natural to me as a cross between Bill Gates and Pamela Anderson. The percentage of malleable plastic is about right.
"There is no surer way to ruin a good discussion than to contaminate it with the facts."
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The Presidential Medal of Freedom is the highest award any civilian can receive. And it caps a lifetime of service for G.V. "Sonny" Montgomery.
Sonny Montgomery has been a soldier, a businessman, and a state senator, but he really made his mark during three decades walking the halls of Congress. He's known specifically for his work with the armed forces and with veterans like himself. That lifetime of service was honored by President Bush.
Sonny Montgomery doesn't stand quite as tall as he once did. You could barely see his head over the crowd as he was walked to his spot and seated. But he still commands respect that few men can command, from the most powerful people in the world.
In honoring the former congressman, President Bush praised his forward-looking spirit that helped equip and train the finest fighting force in the world.
"I know from my visits to Mississippi that all you have to do is say the name Sonny Montgomery, and they still cheer," said President Bush. "Folks remember him and love him, and so do our veterans. Sonny, you're a great man and congratulations."
If the President's remarks to Montgomery sounded personal, that's because they probably are. The Bush family, specifically former President Bush, has been close with Montgomery for decades.
Montgomery joined a short list of people being honored Wednesday from all walks of life: soldiers, actors and actresses, athletes, and entertainers, a group the President says are especially deserving of this award.
"All who receive this Medal of Freedom can know that they have a special place in the life of our country, and have earned the respect and affection of the American people," said President Bush.
President Bush's words certainly describe Montgomery, a man whose name is on so many buildings in this area, that he's jokingly told his successor in congress, Chip Pickering, there won't be any left for him.


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Eva Jean Conway
(nee Matesi)
At rest Wednesday, April 19, 2017 at the Joliet Area Community Hospice surrounded by her loving family. Born in Joliet, the daughter of the late Frank and Mary (nee Pistelli) Matesi. Formerly of Deerfield and most recently Romeoville/Bolingbrook. A retired school teacher of Valley View 365 U School District following over 40 years of service.
Survived by her loving husband, Michael R. Conway, Sr. of Romeoville; her son, Michael R. (Imelda) Conway, Jr. of Romeoville; four grandchildren, Christopher, Eric, Amanda, and Nicole Conway along with their mother and former daughter-in law, Kelly; two sisters, Dr. Annette (Dick) Moore of Downers Grove and Dr. Margo (Les) Wolf of Naperville; two brother-in-laws, Patrick (Jan) Conway of Channahon, and Kevin (Raylene) Conway of Phoenix, AZ; and nieces and nephews, Richard, Leslie, Nina, Jon, Kathy, Tim, Laurie and Lindsey.
Preceded by her son, Frank Conway (1984) and her parents.
A Memorial Mass will be held on Monday, May 08, 2017 at Holy Spirit Catholic Community, 2003 Hassert Blvd, Naperville, IL at 10:30 a.m. Funeral arrangements under the direction of Fred C. Dames Funeral Home, 3200 Black at Essington Rds., Joliet. For more information, please call 815-741-5500 or visit her Memorial Tribute at www.fredcdames.com


text:
Drowning WordsA Story by Kayla K
"Dear parents. Hug your child. Depression is not a fad." ~Unknown source. Found on an image from Photobucket.
Renee Danes sat comfortably on her sofa, wrapped in a warm fuzzy blanket with a cup of hot tea on the table beside her. The day was late in March, but in the Western New York small town, weather was always random, and today had brought a chill to the air. On her computer screen, she had multiple tabs opened, different blogs that she liked to write on. There were 3 or 4, all of which she wrote poetry, stories, and mostly anything to bleed her heart out on.
As she typed up a new poem she had fresh in her mind, a scar on her forearm, stretching from her wrist to almost her elbow was pink and faded, barely visible at first glance, but Renee herself knew that it was there. She always knew it was there, because it was a wound she had inflicted upon herself. It had been four months now since she had last self-harmed, stopping when she found writing as a much better, healthier outlet for her pain. Everything she wrote first went into a tattered journal that she kept hidden under her bed. Each page was filled with inkblots, and then each individual inkblot was always transferred to her multiple blogs. The whole writing part of her was unknown to her family. In fact, her whole true self was unknown to her parents. The cutting, the depression, the writing, the insomnia she had some nights when she couldn't sleep. She had no way of knowing if she technically had depression or insomnia, but there was a deep feeling inside of her that just made her know. She also knew she'd never tell her family, especially her mother.
Just as she finished up her last poem, she heard the front door opening. Logging off from the multiple sites, the history was cleared from the laptop. She shut the computer, walking to greet her mother with a fake happy smile.
"Hi, mother. How was your day?" she asked in a fake cheery voice. Her mother, though, just stood there, a grim look on her face, along with a slight grin, as though she was proud of herself. Throwing her bag on the chair near the door, she made her way through the kitchen and to the dining room, where she threw down a book on the table.
As Renee stood there, her body went frozen. The book in front of her was tattered, and as her mother flipped through the pages, each one was covered with smeared ink.
"What's...that...mom...?" Renee said, deadly afraid. Still, her mom said nothing, but sat down at the table, with the same look on her face.
"This is your writing in here, Renee."
"Yes," she croaked, knowing there was no way to deny it. Trying to come up with a lie, she said, "It's stuff I found on the internet though."
"Really? Renee, don't lie to me. I found all your little blogs where you complain about your "horrible life" and your supposed multitude of diseases you have." Each of the words was like a knife into Renee's heart, stabbing repeatedly, over and over.
"That's not mine...," Renee said, but she heard the weakness in her voice.
"Jesus Christ, Renee! What's wrong with you? First you go on the internet, attention-seeking, trying to pass yourself off as a writer, thinking you're actually good. Then you make up stories about how you used to cut yourself. Added to that, you make up insomnia and depression? THEN you lie to me. When will you realize you're perfectly fine and you have it a lot better than you think? You're just ungrateful. You always have been. Everything I do for you!"
Each word was spoken quietly, with that same grin still on her mother's face.
"The only thing wrong with you is that you're insane. You can't "save" people. You don't have depression. Kids don't get depression. Teens who commit suicide, like you supposedly tried once, they don't have depression, they just are stupid and think everything is the end of the world. Go ahead though. Go drown in your worthless words." With that, the book was slammed back onto the table. Her mother grabbed her keys to her car, grabbing her purse.
"I'm going out for awhile," she called to Renee. "Behave yourself, and think of what you've done."
As soon as the door closed, Renee grabbed her poetry book from the table, clutching it to her chest and sinking onto the floor. The tears cascaded from her cheeks, landing on the cover. More than sadness, though, she felt anger, at her "caring" mother. She stared at the scar on her arm, the only one that had really stayed. All she could think of was where that scar had come from. It was the night she had tried committing suicide, but she had chickened out and not cut deep enough. It was deep enough to leave the ugly scar, her reminder of everything, and how she'd never try again.
Now was different though. She was misunderstood, and accused, and the only thing she loved, writing, was worthless to her mother. She walked to her laptop, opening it up and going to each and every one of her blogs. One at a time, she deleted each one. With a simple click, it was all gone. Then she walked over to the fireplace, throwing in the notebook, and watching each page burn. Climbing the stairs, Renee walked into the bathroom, opening the medicine cabinet, and choosing her weapon.
Renee's mother returned late that evening. As she entered the house, she called out her daughter's name, but nobody ever came. She searched the house, looking to find where she was. As she walked up stairs, she saw her daughter's door closed. Opening it carefully, the scene she saw made her scream louder than ever, and tears overtook her immediately.
On the floor lay Renee, an empty pill bottle by her side. It was a fairly large bottle of ibuprofen, just bought recently the other day. Every pill was gone. Her mother ran to her, shaking her, grabbing at her, trying to get her to open her eyes. As she placed her hand on Renee's wrist, she knew there was no pulse. Clinging to her daughter she screamed, begging her to come back.
Renee's father arrived home 20 minutes later, and he heard his wife's screams coming from upstairs. As he walked upstairs, the site shocked him, but he tried not to panic. He called the ambulance, who, when they arrived, helped him drag his wife off their dead daughter. They had to physically drag her from the room. Both parents went downstairs, for they couldn't bare to stay in the same room as their dead daughter.
As the different officials walked around Renee's bedroom, they looked for anything suspicious, though they already knew that it was most likely a suicide. As one man bent over, he saw her hand clenching a piece of lined paper. He removed it from her hand, looking at the words written on it in pen. It read:
Dear mom,
It wasn't my words that I drowned in. It was yours. It was always yours. Still don't believe depression is real? Keep denying it. I dare you.
The man stood, staring at the words, and he felt a tear reach his eyes. The mother herself had caused this. He looked around, to make sure nobody else had seen the note. He shoved it into his pocket.
"I won't torture that poor woman. No one has to know," he muttered to himself.
Hours later, as the man sat in his car, driving home, all he could think of was that girl's body. The note still was shoved into his pants. He knew he should have told someone about it, but he had put himself in the mother's shoes. He thought of his own daughter at home, 16 years of age, just one year older than Renee.
As he got home, the lights were off in his house, everyone else asleep. He trudged upstairs to his room, seeing his wife fast asleep. He pulled the paper from his pocket, staring at the words. He must have read the words a thousand times, but every time, the note was just as strong. Finally, he shoved it into his sock drawer, knowing nobody would find it there. Then he tiptoed into his daughter's room quietly, so he didn't wake her sleeping figure. He sat on the edge of her bed, watching her as she slept. He sighed gently, and her eyes flickered open.
"Dad?" she asked gently. "What are you doing?"
"Just never forget I love you, okay hon?' he whispered.
She giggled, sweetly. "I know that, dad. I love you too."
"I was only making sure. Please know if you ever need to tell me something, I'll be accepting about it. Anything," he said.
She nodded, then fell back asleep. He tiptoed out of his room, laying in his bed, and letting the sleep overtake him.
For the rest of his long life, the man read that letter everyday, before he went to work. Every evening, he sat down with his daughter and talked with her about everything that was going on. As she grew up and moved out, he called her, at least once a week. She got married when she was in her twenties, and she had a daughter of her own, whom they named Renee. It surprised the man, but he was told that it was just a pretty name. Maybe it was just a coincidence, but he always felt it was more.
When Renee was 14, it was discovered she was anorexic. As the entire family was shocked, they got through it, together. She went to rehab for a few months, and though she was still shook up when she returned home, she was becoming much better. The man himself, though, was old and brittle now, and it was expected that he was to die any day. On the last night that he visited his granddaughter Renee, he hugged her closely when he left.
"Never drown in somebody's words, sweetie," he whispered in her ear. A tear escaped her eye, and then she hugged him for the last time.
A week later, the man passed away, a peaceful death caused by old age. When his family went through his stuff, they found the note from all those years ago buried in his sock drawer. His granddaughter Renee found it, read it, and shoved it into her pocket, just like her grandfather had. She, too, hid it in her sock drawer. It was read everyday, by Renee. The words helped her get through every single hard day she had.
© 2011 Kayla K
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Kayla K
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AboutI'm a cyclone of myself, a caterpillar delight still finding my wings. A balloon stuck up in the clouds, no one can bring me down from my high. Shattered into pieces, be careful when you pick .. more..
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WASHINGTON — Congressional investigators on Tuesday postponed Albert Hakim`s scheduled appearance Wednesday at the Iran-contra hearings, saying they want to go over information that the Iranian-born financier gave them over the Memorial Day weekend.
Retired Air Force Col. Robert Dutton will take Hakim`s place at the witness table Wednesday when the hearings open their fourth week. Dutton, the 10th witness to appear, worked closely with retired Air Force Maj. Gen. Richard Secord in an operation to resupply Nicaragua`s rebels, known as contras.


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call for medical information to travelwith patients beyond institutionalborders. Again, Sprenger was up to thechallenge."It was my responsibilityas CIO to facilitate the transfer ofinformation across institutionalborders." This brought additionalchallenges such as the "need forcollaboration, standardisation, anda legal framework." To promote thiscross-institutional exchange, theNetherlands' National IT Institute inHealthcare (Nictiz) was established,which Sprenger joined in 2008. As anadviser he continues doing what heloves doing most, "openingnew possibilities."Having worked both with medicaltechnology and IT, Sprenger ascertainstheir fundamental difference: "Formedical technology, the integrationbetween technology and the organisa-tion is not as tight and can be doneafter wards. But implementing I T needsintegrated thinking. All clinical, organ-isational, and technical issues must besolved in one big design, otherwise animplementation will fail." But how canthis be done? Sprenger came up withan answer: a five-layer architecturemodel, combining policy, care pro-cesses, information, applications andtechnology. However, the challenge isto integrate all the different expertsneeded at the disparate layers "into ahuman network. Our task as integra-tion leaders is to build bridges betweenall those people."As he noted that too few peopleare capable of integrated thinking,Sprenger started working at theTechnical University of Eindhovento establish, along with a colleague, atwo-year post Masters programme forclinical informatics to teach exactlythose skills. n
Michiel Sprenger is not one to opt
for the easy route, "I like being challenged," he says. Sprenger started
studying physics in 1970 in Amsterdam because, "at that time computers
were not yet around and it was not
possible to study informatics in the
Netherlands," he recalls. It was not
before 1986, after completing his PhD,
that Sprenger found his avenue into
healthcare. This was the time when
magnetic resonance imaging (MRI) was
introduced to the medical world. The
VU University Medical Center Amsterdam (VUmc), as the second hospital in
the Netherlands to buy such a device,
was looking for someone to spearhead
its usage in the medical field. This was
Sprenger's chance to employ applied
physics in healthcare – and he took it.
It allowed him to follow his passionof "pioneering new things," which issomething Sprenger has been doingtime and again in his career. And it alsoallowed him "to help other people withtheir work, rather than working on myown projects." As part of this project,Sprenger initiated collaborations withvarious medical departments in orderto utilise the complexities of MRI scan-ning, which "opened doors to anatomyand physiology."For more than two decadesSprenger led VUmc's efforts tomarry medical technology withthe use of IT. Initially responsiblefor medical equipment, he becameincreasingly involved with computersthat were needed to visualise MRImeasurements. "This was still achallenge in the 1980s and 90s ascomputing power was still notsufficient for the task," he recalls.
This was also the time when medicaldevices started to be connected to anetwork, "and this opened a new setof challenges we took on." Sprengerwas also instrumental in digitisingradiology in the 1990s: "Makingradiology images digital was arevolution. It ended the tireless searchfor images and enabled clinicians tolook at them simultaneously fromdifferent locations."The same decade also saw hospitaldepartments starting to work togetherand some years later, society began to
Policy makers
Care processes
Health professionals, managers
Health professionals, informaticians
Informaticians, I T professionals
I T professionals
5 layers for architecture
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Alright, the manner in which you you shouldn't be getting included if you are through pupil symposium these days? Really, David, my friend towards task, discovered on regarding this on the internet and kinds of concept we was not most likely having hold about of ethics assistance without a doubt furthermore for task consequently we believed that this may be a fantastic replacement system it if most likely feasible have more individuals notice and move on to comprehend the typical person with average skills determinants of health. Alright, consequently is it possible to immediately describe for myself exacltly what the duty is primarily about? In A Positive Way. For that reason David and I also in addition additionally furthermore besides additionally furthermore besides are 2nd one year wellness pupils consequently we in addition're of a credit card applicatoin frequently "generating backlinks" – its a certificate in intercontinental health expenditures safety and a good amount of exactly what it targets is 1st determinant of medical insurance and simply exactly what fundamentally by this may be undoubtedly which type of culminate collectively to go you if you're through infirmary.
That's the reason we have been utilizing regarding the understanding, we is talking about your housing standing, whether or only perhaps not you are used. And there's some products which type of interrelate alongside numerous cases are often kinds of a lot more crucial in health impacts after that, concern, if perhaps you are cared for on infirmary. Exactly what especially we developed is analysis competent in the original determinants of health you would do before continuing inside doctor's business for checkup while afterwards definition medical practitioner would evaluate these numerous issues in several places and recognize numerous components of need you may have to be honest in all honesty here after analysis works very well and attached with sources if you have the location, especially numerous programs you could possibly supply to help to enhance your total medical care insurance coverage and total have in fact the reality is undoubtedly really undoubtedly truly definitely better wellness outcomes. Which each is you today tangled up in working within task? Appropriate, consequently we types of built on each day Making backlinks gents and ladies including both men and women inside our education curriculum. Most of us appeared collectively and developed the difficulties based around unique determinants of medical care insurance safety and David and I also in addition also furthermore besides in addition more over furthermore besides develop these. Consequently we besides worked alongside Dr. Ryan Miley, it is simply the creator personal determinants of medical insurance and plenty of another trainers particularly Accountability unit inside organization of medicine.
Consequently is standard of among secrets founder. We have been today at this time as a result of solutions of switch to it is essential to have this implemented if you were to think in regards to the infirmary which will oftimes be around after few times which we commence to wear it and examine its effectiveness and magnificence of change it out out away to raised healthier specific requirements the customers. Just how can its comprehension informed your personal future aspirations or work goals? Really, the main information we performed definitely medicine regularly recognition discover essential in many susceptible communities inside our province alongside our nation to generate some considered to be the non-public determinants of health care expenditures costs protection plus go through the whole aspect of health in customers so having included applying this.
And reveals its my aspirations possibly recently made myself recognize my goal are usually recognize a vocation in family members medication or pediatric medication assure im in a position develop that longitudinal dedication with my clients, to raised assist these to with their particular total health eventually. How works this kinda taught you things that mayn't recognize within a frequent training curriculum comprehension? This is the reason ,, I would in reality really definitely declare that getting included making use of this and Making oneway backlinks as an entire relocated method maybe not classroom just what with trading six-weeks in a northern spot and six-weeks in an internationally place, could the very fact is still want specific determinants of health care expenditures insurance policy and it'll make you recognize exactly how appropriate a written report and a project and a recognition for problems can be purchased day-to-day life plus in persistent attention.
As entirely on https://www.youtube.com/watch?v=FOF2VbFlPUg


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Case Presentation by Dr.Kevin Belen, MD
CC: "My left arm hurts."
HPI: 39-year-old male presents to the emergency department complaining of left arm pain. The patient has a history of intravenous drug use and "skin popped" in the left upper arm earlier this week. The patient first noticed some mild pain and redness at his left shoulder 4 days ago that has slowly been spreading. He had ignored it until 2 days ago when he developed a fever and nausea, with pain that worsened with arm movement. The patient presented to the emergency department today because he is unable to move his left arm without excruciating pain and foul-smelling fluid began to drain from his arm this morning.
Constitutional: Subjective fever and chills
ENT: No sore throat
Respiratory: No SOB
Cardiovascular: No chest pain
GI: Nausea, no vomiting
GU: No hematuria
Musculoskeletal: Pain with movement at left shoulder/upper arm
Skin: Redness, foul smelling fluid from wound at left shoulder/upper arm
Neuro: No weakness, numbness or tingling
Psych: No depression
PMH: Hx of IVDA, multiple abscess I&D in emergency department, denied HTN, HIV or DM
Meds: None
Allergies: NKDA
Social: Homeless, +Tobacco, ½ pint of vodka per day, active drug use via IV and "skin popping"
Physical Exam:
Vitals: BP 156/98 Pulse 110 RR 16 Temp 39.2 oral Pulse ox 100% room air
Constitutional: Thin male, Moderate distress apparent with movement of left arm, slightly diaphoretic
HEENT: No conjunctival pallor, sclera anicteric, oropharynx is dry
Respiratory: Clear to auscultation bilaterally
Cardiovascular: Tachycardic rate & regular rhythm, S1, S2, no murmurs or gallops. +2 bilateral radial pulses.
Abdomen: Soft, no abdominal tenderness
Back: No spinal, paraspinal muscle, or CVA tenderness
Musculoskeletal: Significant tenderness with passive and active ROM at left shoulder. Tender to palpation along the left clavicle, shoulder joint, and proximal half of humerus. Strength at this joint unable to be assessed secondary to pain. Full strength and ROM throughout right upper and bilateral lower extremities. +2 edema about left shoulder joint.
Skin: Remarkable for erythema at the left shoulder from mid clavicle to mid humerus, tender to palpation through area of erythema, small black eschar approximately 2 cm in diameter overlying the lateral deltoid muscle where patient states he skin popped, foul-smelling thin gray fluid.
Neurologic: Awake, alert & oriented x3, sensation intact grossly through the bilateral upper and lower extremities.
Emergency Department Course:
Following the physical examination a focused bedside soft tissue ultrasound examination was performed yielding the following two images.
Figure 1.
1. What is the most appropriate interpretation of the ultrasound findings?
A. Cobble-stoning appearance and subcutaneous abscess
B. Linear hyperechogenicity consistent with foreign body
C. Anechoic areas representing perifascial fluid and hyperechoic areas representing emphysema
D. Inadequate and patient should undergo an MRI
2. How would you best treat this patient?
A. Discharge with oral Trimethoprim and Sulfamethoxazole (Bactrim) and Cephalexin (Keflex)
B. Perform beside abscess I&D and follow up with PCP
C. Perform joint aspiration and admit to Medicine for IV abx
D. Consult Surgery for emergent debridement
E. Consult Surgery to remove retained needle tip and I&D abcess
3. In a bacterial culture, what would be the most common single isolate for this condition?
A. Staphylococcus aureus
B. Staphylococcus epidermidis
C. Group A streptococcus
D. Enterobaceteriaceae
E. Pseudomonas
Answers & Discussion:
This patient presents with a history, physical exam, and ultrasound findings consistent and suggestive of necrotizing fasciitis. Necotizing fasciitis (NF) is an uncommon but potentially lethal soft-tissue infection with mortality rates ranging from 6 to 76% and carries a high morbidity. NF results in progressive destruction of the muscle fascia and overlying subcutaneous fat. The muscle tissue is frequently spared because of its generous blood supply. The clinical picture is similar to cellulitis which makes diagnosis sometimes difficult, however patients with NF are often noted to have pain out of proportion to exam and thus a high clinical suspicion is required as delay in diagnosis portends greater morbidity and mortality. Infection typically spreads along the muscle fascia due to its relatively poor blood supply. Initially, the overlying tissue can appear unaffected. Patients initially present with tenderness, erythema and marked subcutaneous edema. Further in the course signs of gangrene (bullae, eschars) may appear. Crepitus may be present but is not a requirement for diagnosis, and is found in only 12–36% of patients . Tissue destruction leading to thrombosis of small blood vessels and destruction of superficial nerves in the subcutaneous tissue will cause anesthesia in the involved area and may precede the appearance of skin necrosis. NF can have rapid progression and extensive destruction can occur, leading to systemic toxicity, limb loss, or death. Conditions associated with necrotizing soft tissue infection include diabetes, drug use, obesity, immunosuppression, recent surgery, and traumatic wounds .
Necrotizing fasciitis is a synergistic bacterial infection usually due to mixed flora. NF can be caused by gram-positive, gram-negative, aerobic, and anaerobic bacteria but, Group A streptococcus was the most common bacterial isolate. There are two types of necrotizing fasciitis. Type 1 is polymicrobial and involves non-group A streptococci plus anaerobes. In type 2, the pathogen is group A beta-hemolytic streptococci and the infection is typically found in the extremities. A substance in the cell wall of streptococci causes separation of the dermal connective tissue, resulting in continued inflammation and necrosis. Streptococcal necrotizing fasciitis is frequently associated with streptococcal toxic shock syndrome .
Radiographs may reveal gas in the tissues, but it is not a universal finding . If gas is visualized in the tissue, type I necrotizing fasciitis or gas gangrene caused by clostridia is most common. However, plain films show subcutaneous emphysema when there is a moderate to large amount of gas within the tissues in only 17–57% of patients .
Ultrasound is not well studied in the diagnosis of NF but there are increasing case reports. Ultrasound can offer a more rapid diagnosis than traditional imaging studies . The findings which suggest NF include thickening of the deep fascia, diffuse thickening of the overlying fatty tissue, and a fluid layer of at least 4 mm in thickness along the deep fascia. Further study regarding performance characteristics in the use of ultrasound in the diagnosis is required. Yen et al reported a sensitivity
of 88.2% and specificity of 93.3% for US in the diagnosis of NF using the aforementioned criteria. Diagnosis is further supported by the findings of subcutaneous air, which is pathognomonic for NF. Ultrasound can help distinguish NF from cellulitis. Both conditions have edema and increased echogenicity of the subcutaneous tissue, however, fluid spaces tracking along the deep fascia strongly suggest the diagnosis of NF over cellulitis .
In the case study from which the images in the case report were obtained an 8- to 12-MHz linear-array probe was used. The images above demonstrate increased echogenicity of the subcutaneous fatty tissue with interconnected thin anechoic spaces corresponding to perifascial fluid resulting in a cobblestone appearance. There was a gas layer just above the deep fascia which appears hyperechoic (Arrowheads) with posterior ''dirty'' acoustic shadowing in Figure 1. In Figure 2, there was also subcutaneous emphysema (Arrow), but there was an adjacent area of subcutaneous fat that still appeared normal at that level (M)
Treatment of necrotizing fasciitis includes resuscitation, parenteral antibiotics against S. aureus, Streptococcus, gram-negative organisms, and anaerobes as directed by Gram stain and culture findings and emergent surgical debridement,. The most important treatment is debridement, which is often extensive and often requires multiple washouts and debridements. In the case of the DRH patient from which this report is based upon, the patient underwent emergent surgical debridement. Sadly, I was foolish and did not save my ultrasound images which had similar but more impressive findings when compared to the images above.
Figure 1 shows hyperechoic soft-tissue emphysema (arrowheads) with acoustic shadowing. The overlying subcutaneous fat (F) shows increased echogenicity with interlacing anechoic spaces (arrow) representing perifascial fluid spreading along the fascial planes (cobblestone appearance).
Figure 2 shows hyperechoic focus (arrows) with posterior acoustic shadowing above the deep fascia corresponding to gas bubbles.
1. Rosen's Emergency Medicine, Concepts and Practices, 7th edition
2. Necrotizing fasciitis: early sonographic diagnosis. J Clin Ultrasound. 2011 May;39(4):236-9.
3. UpToDate: Necrotizing soft tissue infections
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