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Physicians see firsthand the toll the opioid epidemic is taking on patients, families and communities, and have led efforts in Washington state to reduce prescription opioid-related overdose and death.
Learn more about WSMA's efforts to end the opioid epidemic, including a new overdose notification system (due in 2019) and our data-driven safe prescribing initiative Better Prescribing, Better Treatment. Also, on this page you'll find information on new state rules regulating opioid prescribing; state and federal prescribing guidelines; the state's prescription monitoring program; the WSMA/WSHA joint opioid task force; and pain management and addiction medicine resources.
Designed by physicians, Better Prescribing, Better Treatment is a peer-to-peer, non-punitive initiative aimed at ensuring physicians and other prescribers who see Medicaid patients in Washington state are not overprescribing addictive medications while keeping appropriate pain treatments accessible for patients who need them. The initiative was developed in partnership with the Washington State Health Care Authority, the agency responsible for administering the state's Medicaid program (Apple Health), and the Washington State Hospital Association. Better Prescribing, Better Treatment is a component of the state opioid response plan.
Better Prescribing, Better Treatment takes a three-pronged approach to safe prescribing:
Better Prescribing, Better Treatment's data-driven and data-sharing approach is working. The initiative, now encompassing 17,000+ prescribers at more than 20 health systems and groups in the state, has reduced opioid prescriptions exceeding the new Apple Health guidelines by nearly 70 percent since its inception in late 2017.
If you see Medicaid patients and your organization has yet to enroll to receive Washington Opioid Reports, simply email email@example.com to enroll. Minimal resources and administrative burden required.
Plans are underway to expand Better Prescribing, Better Treatment's data-leveraging strategy to all opioid prescribers in Washington state. We anticipate this expanded statewide opioid feedback program to be available in the first quarter of 2019.
Washington state's prescription monitoring program, Prescription Review, is a crucial tool in helping to stem the frequency of medication abuse and overdose. Started in 2011 and run through the Department of Health, Prescription Review uses a secure platform to allow a prescribing physician to access crucial patient information before prescribing, such as duplicate prescribing, misuse, drug interactions and other potential concerns. This information can help to determine appropriate medical treatment and referral needs. As physicians, you play a crucial role in protecting your patients' health and safety.
To get started setting up your account with Prescription
Review, visit this DOH webpage for step-by-step instructions, including video tutorials.
Group and health system executives: As leaders in your communities, the WSMA and the Washington State Hospital Association encourage you to provide as many tools as possible to your physicians and other prescribers to combat the opioid crisis. This includes low-barrier access to real-time state prescription monitoring program data by integrating your electronic health record with the PMP database.
Integrating PMP data directly into your EHR is an important tool to addressing the opioid crisis and the right thing to do for Washington patients. Allowing physicians and providers real-time access to patients' prescriptive history supports optimal clinical decision-making within the time constraints of a patient encounter. Also, there are new PMP mandates in the opioid prescribing rulemaking that resulted from House Bill 1427 (passed by the Washington State Legislature in 2017). Many of these mandates are set to go into effect in 2019. Integrating your hospital or group's medical record with the PMP will help ensure your physicians and other providers are able to meet new state requirements while minimizing disruption to patient care*.
If your EHR vendor is Epic®, NextGen®, Cerner®, or AllScripts®, we encourage you to:
Technical guidance for practice IT departments and vendors please visit the Department of Health's PMP webpage or see below**.
Unfortunately, not all EHR vendors offer an integration pathway. For those vendors that have not yet developed an integration pathway, consider urging them to develop a Washington-compliant interface as soon as possible. The DOH website provides technical guidance for providers and hospitals; technical guidance for your vendor is available from OneHealthPort.
We understand resources are required to integrate these platforms, and the WSMA and WSHA will continue to advocate for reasonable regulatory policies and funding opportunities to help offset the costs of integrating EHRs with the PMP.
*Note that under the Washington Medical Commission rules, physicians and other providers working at organizations that have integrated their EHR with the PMP must review the patient's information in the database before prescribing opioids.
**Washington state has built a non-proprietary, open-source connection for the PMP to integrate with certified EHR systems. This connection is based on a standard that all certified EHRs already use. The first hospital in Washington went live with their EHR connection with Epic® last year. Since that first connection, 17 other medical entities representing over 900 hospitals and clinics across the state have connected their EHR systems to the PMP database. Six more medical organizations are actively testing connections or exploring implementation. We have seen tremendous growth in 2018. In January 2018, there were roughly 200,000 queries of the PMP and by September 2018 there were over 1.5 million queries as a result of these connections.
New rules governing opioid prescribing are now in effect for most prescribing professions in Washington state, including physicians and physician assistants, prompted by House Bill 1427 from 2017.
The comprehensive rules represent a significant change in how opioids are prescribed. Key provisions applicable to all prescribing physicians and PAs include:
There are some differing requirements between Washington Medical Commission and the Board of Osteopathic Medicine and Surgery rulemaking. Prescribing clinicians are advised to review this Table of Differences from the Department of Health to understand the difference between professions.
Completion of WSMA's one-hour webinar will fulfill the new state requirement for continuing medical education on opioid prescribing. This activity has been approved for AMA PRA Category 1 Credit™.
The WSMA has put together this customizable PowerPoint template to help practice leaders educate their practice care teams, regardless of size, on the new rules.
This checklist can be used to build prompts into your electronic health record (e.g. Epic dot phrase) in order to adjust practice workflow. Or use this PDF checklist for manual use.
As listed above, the WSMA's one-hour webinar, Preparing for New State Opioid Prescribing Rules, will fulfill the new state requirement for continuing medical education on opioid prescribing. This activity has been approved for AMA PRA Category 1 Credit™.
Also, allopathic physician and PA prescribers should note that simply reading the new rules will meet the new state requirement for opioid continuing medical education. Find links to the final rules on the WSMA website on the Opioid Clinical Guidance page. The MD or PA should note which WACs they reviewed and the date and keep that document with their other CME certificates. Note that a review of the rules does not meet the new state opioid CME requirement for osteopathic physicians and PAs.
The Department of Health offers patient handouts for all categories of pain patients (chronic, surgical, acute, and subacute) to satisfy a new state requirement for prescribers to inform patients of the risks, safe storage, and safe disposal of prescription opioids.
The Washington State Department of Health opioid prescribing webpage.
The Washington Medical Commission rules overview and resources and rule text.
Board of Osteopathic Medicine and Surgery rules overview and resources and rule text.
Opioid prescribing guidelines from the CDC, the Washington State Agency Medical Directors' Group and more.
Released March 2016, the Centers for Disease Control and Prevention's Guideline for Prescribing Opioids for Chronic Pain provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care and end-of-life care. The guideline addresses: 1) when to initiate or continue opioids for chronic pain; 2) opioid selection, dosage, duration, follow-up, and discontinuation; and 3) assessing risk and addressing harms of opioid use.
Information for physicians on the CDC guideline.
Physician groups respond to CDC guidelines
Washington state was one of the first states to respond to the opioid epidemic. The first edition of the Washington State Agency Medical Directors' Group opioid guidelines, published in 2007, was the first attempt in the U.S. to reduce prescribing of high doses of opioids associated with unintentional overdose.
In 2015, the AMDG published the third edition of its Interagency Guideline on Prescribing Opioids for Pain. This edition expands focus to include opioid use in acute, subacute, and perioperative pain phases and in special populations; includes sections on tapering and opioid use disorder.
AMDG medical treatment guidelines are published as an educational tool for medical providers caring for patients of state agency programs.
Information for physicians on the AMDG guideline, third
Opioid dose calculator
Use in conjunction with the AMDG guideline to calculate the total daily morphine equivalent dose for prescribed opioids (this calculator should not be used to determine doses when converting a patient from one opioid to another). This Web-based tool works on smart phones, tablets and PCs/Macs.
Assessment tools
Documents and tools found in the AMDG 2010 Opioid Dosing Guideline for Chronic Non-Cancer Pain.
The Medical Quality Assurance Commission's final rules for management of chronic non-cancer pain became effective Jan. 2, 2012. The rules apply to physicians who treat patients with opioids for chronic non-cancer pain (as defined in the rules). The rules do not apply to physicians providing palliative care, hospice care, or other forms of end-of-life care. The rules also do not apply to the management of acute pain related to an injury or surgical procedure.
Learn more about the MQAC rules.
MQAC technical assistance letter to providers regarding pain rules
(Updated: Oct. 19, 2016)
To help allay legitimate concerns from physicians regarding fear of state sanction for treatment of patients on opioids, the Medical Quality Assurance Commission has issued, at the request of the WSMA, a technical assistance letter which addresses three points: the intent of the MQAC pain rules; opioid prescribing levels, and; what counts as a consultation requirement. We'll update this link as additional guidance from MQAC becomes available.
Washington State Department of Health
pain management resources. Includes:
Updated September 2016, the recommendations in this guideline apply to adult patients who are already on chronic opioid therapy for the treatment of chronic non-cancer pain. Group Health's guideline is consistent with the regulations, and providers adhering to the guideline will be compliant with the law. The guidelines are intended to provide a MINIMUM standard of care, and are based on the legal requirements defined by Washington State Administrative code (WAC).
Find the guidelines on
the Group Health website. (Scroll down to Chronic Opioid Therapy for Chronic Non-Cancer Pain)
Group Health has adopted the recommendations of the 2015 Agency Medical Directors' Group (AMDG) Interagency Guideline on Prescribing Opioids for Pain.
This guideline does not apply to patients receiving palliative, hospice, or other end-of-life care.
Information from the U.S. Drug Enforcement Administration to assist physicians authorized to prescribe, dispense and administer controlled substances in their understanding of the Federal Controlled Substances Act and its regulations as they pertain to the practitioner's profession.
The WSMA, the Washington State Department of Health and the Washington State Hospital Association have partnered with Collective Medical (developers of the Emergency Department Information Exchange, or EDIE) to launch an overdose notification program, with a statewide roll out expected in 2019.
This new system, currently being piloted in Clallam and Jefferson counties, will notify a primary care physician or any other prescribing provider when their patient is brought to a hospital emergency department and confirmed to have experienced an overdose. The goal of this program is to give providers timely information to coordinate prescribing, support treatment interventions, and stop overdose deaths.
Opioid overdose pilot program designed to save lives (WSMA article, Aug. 31, 2018)
Confronting the opioid epidemic: Appropriately treating pain while
stopping abuse (webinar presented by WSMA, WSHA and the DOH, July 20, 2016)
Physicians Insurance/Experix online continuing medical education on
pain management
These activities has been approved for AMA PRA Category 1 Credit™.
A Leader's Guide
A Leader's Guide is a shared effort delivered by ControlRx on behalf of Experix, a wholly owned subsidiary of Physicians Insurance A Mutual Company. Your course director is Michael Schiesser MD, an internist and addiction medicine specialist practicing in the state of Washington.
MQAC's 2012 pain management rules and 2015 AMDG Interagency Guideline
CME package
MQAC offers an educational program on the 2012 pain rules, which includes a video the commission has produced which can be part of a free four CME offering available through L&I. This activity has been approved for AMA PRA Category 1 Credit™.
UW TelePain Sessions
The University of Washington Division of Pain Medicine offers weekly UW TelePain sessions, audio and video-based conferences to assist community providers (both primary and specialty) in the management of complex and challenging chronic pain problems. The sessions include:
UW TelePain Sessions take place each Wednesday from noon-1:30 p.m. for community health care providers.
Military and VA providers are encouraged to join a special session of UW TelePain focused on military and veterans' health care on Thursdays from noon-1:30 p.m.
Weekly didactic presentations for primary care providers occur between noon-12:30 p.m. during each broadcast followed by a brief question and answer period. Slides, articles, and references from these presentations are made available to participants.
This activity has been approved for AMA PRA Category 1 Credit™.
ROAM and ECHO: Defeating Opiate Addiction in Rural Washington
Two initiatives to help providers grapple with the disparate problems of addiction and pain management. ROAM (the Rural Opiate Addiction Management) Collaborative, launched by UW Medicine and Washington State University, seeks to help manage the widespread issue of opiate addiction in rural Washington. COPE (Collaborative Opioid Prescribing Education), launched by UW Medicine is an online educational tool that helps providers communicate to patients about how best to manage treatment of chronic, non-cancer-related pain.
UW Pain Medicine Provider Toolkit
The University of Washington has developed a provider toolkit, which brings together a number of useful, informative, and important resources regarding the treatment of chronic pain and MQAC's 2012 pain rules.
Risk Evaluation and Mitigation Strategy (REMS) for Extended-Release and
Long-Acting Opioids
On July 9, 2012, FDA approved a risk evaluation and mitigation strategy (REMS) for extended-release (ER) and long-acting (LA) opioid medications.
ER/LA opioids are highly potent drugs that are approved to treat moderate to severe persistent pain for serious and chronic conditions. The misuse and abuse of these drugs have resulted in a serious public health crisis of addiction, overdose and death.
The REMS is part of a multi-agency federal effort to address the growing problem of prescription drug abuse and misuse. The REMS introduces new safety measures to reduce risks and improve safe use of ER/LA opioids while continuing to provide access to these medications for patients in pain.
What physicians need to know about recent federal policy changes,including the Comprehensive Addiction and Recovery Act (CARA) of 2016
(Updated Nov. 2016)
With passage of CARA, and changes made by the Substance Abuse and Mental Health Services Administration's final rule, Congress and the White House have made a number of policy changes to combat the opioid epidemic-some of which physicians can leverage immediately. To bring members up to speed, the WSMA has prepared this guidance document, which contains information on federal policy changes, particularly those that address medication-assisted treatment (MAT)-the use of medications together with behavioral therapy to treat substance use disorders. The guidance includes new information on patient limits, which practitioners can prescribe buprenorphine, and partial prescription fills for controlled substances.
Physicians Insurance/Experix online continuing medical education on
addiction and pain management
These activities has been approved for AMA PRA Category 1 Credit™.
SAMHSA (Substance Abuse and Mental Health Services Administration)
opioid courses and buprenorphine training
SAMHSA is the agency within the U.S. Department of Health and Human Services that leads public health efforts to reduce the impact of substance abuse and mental illness.
Webinar | Addiction, Stigma and Discrimination: Implications for
Treatment and Recovery
Providers' Clinical Support System for Medication Assisted Treatment
CME | Stigma in Methadone and Buprenorphine Maintenance Treatment
Providers' Clinical Support System for Medication Assisted Treatment
Webinars & Activities | Substance Use Disorders
The American Psychiatric Association
CME | Featured Courses on MAT and Pain Management
The American Psychiatric Association
CME | DATA 2000 8 Hour Waiver Qualifying Buprenorphine Training
The American Society of Addiction Medicine
CME | Buprenorphine Waiver Training
The American Academy of Addiction Psychiatry
Webinar | MAT Office-Based Treatment of Opioid Dependence
Providers' Clinical Support System for Medication Assisted Treatment Self Study at the American Osteopathic Academy of Addiction Medicine
Recommendations on co-prescribing naloxone
The AMA offers recommendations for when you should consider co-prescribing naloxone to your patients.
Barriers to Treatment
Providers' Clinical Support System for Medication Assisted Treatment
National Practice Guideline for the Use of Medications in the Treatment
of Addiction Involving Opioid Use
American Society of Addiction Medicine
Committee Opinion | Substance Abuse Reporting and Pregnancy: The Role
of the Obstetrician-Gynecologist
American Congress of Obstetricians and Gynecologists
Supporting efforts to reduce and treat opioid-related abuse, addiction and overdose, at all points on the care continuum, is a priority for the WSMA and its opioid safe practices task force, formed jointly with the Washington State Hospital Association.
Ray Hsiao, MD, child psychiatrist and addiction specialist at Seattle Children's Hospital
Tom Schaaf, MD, family physician and hospitalist at Providence Medical Group in Spokane
Nathan Schlicher, MD, JD, emergency physician at St. Joseph's Medical Center in Tacoma
Kathryn Kolan, JD, WSMA's director of legislative and regulatory affairs
Jeb Shepard, WSMA's associate director of legislative and regulatory affairs
Scott Kennedy, MD, chief medical officer at Olympic Medical Center in Port Angeles
Sean Dobbin, pharmacy director at Sacred Heart Medical Center in Spokane
Tom Staiger, MD, chief medical officer at UW Medical Center in Seattle
Ian Corbridge, WSHA's policy director, clinical issues


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Every year tons of of online gaming web pages fail to work out. Simply certainly one of great sport web sites, Wikia's gaming section ought to positively be bookmarked by any avid gamer. About Blog – Gaming Debugged is a video gaming blog that covers mainstream and indie gaming, normal sport design and improvement, information and opinion from the video games trade. On their weblog find sincere gaming opinions, gaming news and rather more about gaming.
Advertising is basically carried out in lots of types and kinds and some of them are attractive advertisements concerning the newest video games in group web sites which large variety of users are on-line at a time. About Blog – From Mario to Pokémon, Nintendo News delivers trending headlines, recreation critiques, options, and in-depth interviews for Wii U, 3DS & cellular.
About Blog – Operation Sports is devoted to sports activities video video games information, reviews, previews, screenshots and trailers for leading sports activities games resembling Madden, NCAA Football and NBA 2K. About Blog – Video Pals brings you nice video game critiques and fun top 10 lists for new and retro video video games. Play this traditional puzzle recreation and avoid the hidden mines.
Hundreds of thousands of free on-line sport lovers flock to Addicting Games each month, and after one visit you may shortly see why. In order that's the place all their money and time went, on making sure their websites looked cool, as a result of they genuinely believed that effort would help them sell extra video games. After all, I did help design the official web sites, microsites, and experiences for a lot of blockbuster movies and AAA games.
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subset: commoncrawl


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Costa Rica Travel Destinations
san jose | manuel antonio | arenal | monte verde | Tortuguero | Lands in Love
san jose | manuel antonio | arenal | monte verde | Tortuguero | Lands in Love
Arenal is an active volcano. When it erupted years ago, large areas were buried in lava. Near the volcano is the town of La Fortuna, named for its luck – when the big eruption occurred, it was unharmed, as the other side of the mountain was hit. The town serves as the local tourism base; it has dozens of hotels and motels of various standards and many guided tours leave from there.
San Jose is the capital of Costa Rica and also its big central city. The international airport is here, so most of the tourists pass through the city, but many tourists don't stay, opting to travel from there to other places in the country. This is because San Jose is supposedly boring and not very safe. It's only unsafe compared to the rest of Costa Rica, which is incredibly peaceful. I do recommend staying in the city for a while. You can safely tour the city in the daytime or tour the nearby Poás Volcano.
In this article you will find information on travel attractions in the Pacific coast of Costa Rica: Manuel Antonio, Corcovado National Park and Tamarindo.
♦ Manuel Antonio
Manuel Antonio is the smallest national park in Costa Rica, but also one of the most beautiful and popular ones in the country. The park is 6 kilometres from the town of Quepos. The 6-kilometre stretch of road is lined with hotels and other lodging places. At the entrance to the park is a huge, amazing beach – an enormous strip of white sand and turquoise waters where you can learn to surf.
Monteverde is a small town in the middle of the cloud forests of central Costa Rica. It is relatively close to Arenal but most of the road between them is dirt road so it takes around three hours to travel between there. The town is smaller than and not nearly as busy as La Fortuna, but it too has plenty of lodging options. It has a beautiful view of the area and of the river near Arenal. But most importantly, you can tour the Monteverde Cloud Forest Reserve and see the great plant life and wildlife there. The park has a 3-kilometre recommended trail on hanging bridges, from which you can see the cloud forest from a different angle, and see many birds, monkeys and raccoons.
Tortuguero Located on the east shores of Costa Rica, where you can see lots of sea turtles and their natural incubation process as well as many other animals.
A tour to Tortuguero National Park starts from port of Matina / Caño Blanco. The tour start by boat (maximum load allowed on the boat per person is ~13kg), sailing in the river and through the canals parallel to the coast until Tortuguero National Park. On the way you will have an excellent chance to take a close look at the wildlife.
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If someone asked me what I want to be when I grow up (even though I'm already a grown up), I could not think of a better answer than to be Linda Rodin. She's a Jack of All Things Fabulous. She started her career as a model in the '60s, went on to run a successful boutique in SoHo, which led her to her career as a stylist at Henri Bendel, only to later shine as a fashion editor at Harper's Bazaar.
Through her decades of working with top designers, models, makeup artists, and other amazing humans in the industry, Rodin realized there was a need for simplicity in skincare products out on the market today. While the skincare game has been booming in the past decade, what other companies lacked was simplicity, yet effectiveness, in their ingredients. In 2007 Rodin formulated (in her own kitchen) and sold (to the masses) her very own beauty elixir, RODIN olio lusso face oil. The name, which loosely translates to "luxury oil" in Italian, is her way of honoring the effortless beauty of Italian women, which has inspired Rodin's personal style.
While several of the ladies at The Penny Rose covet this beloved product, I love the woman behind the product. Rodin is known for her signature pink lipstick accompanied by a naked face lightly moisturized with, you guessed it, olio lusso.
Photos: blog.stylesight.com/beauty/insider-an-interview-with-lindarodi and audrey.buzznet.com/photos/lindarodinagelesschi/


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- Home
- Interviews
- "The Shift to Diesel Took Us By Surprise." Interview: Jnaneswar Sen, Honda Car India
201322 Apr
Jnaneswar Sen, Senior VP – Marketing and Sales, Honda Car India
Jnaneswar Sen has years of experience in the automotive industry. Prior to joining Honda Car India, he was with Maruti Udyog limited for almost 15 years. In Kolkata for the regional launch of the all-new Honda Amaze sedan, Sen spoke to autojunction.in about the Amaze, new products in the pipeline, and the company's diesel strategy. Edited excerpts below.
AJ: Why did Honda take a long time to bring a diesel car to the Indian market?
JS: Honda's first ever diesel model was launched in Europe only 10 years ago, in 2003. In India, the new Amaze is our first diesel car, but to be honest with you, we really didn't feel a pressing need for a diesel. The shift to diesel (in the market) did take us by surprise, and the skewed fuel pricing on account of diesel subsidies was largely responsible for this. However, at Honda we believe in developing our own technology and being best in class and with the new 1.5-litre iDTEC we have the best diesel engine in this class.
AJ: Can you shed some light on the 'dieselisation' by Honda? Will we see other models within the family using this engine?
JS: Not for the time being. Let me make it clear that the Amaze will be the only diesel car from Honda for the time being. The Brio will not get a diesel engine just now, and neither will the City, as has been speculated.
AJ: What products does Honda have lined up in the pipeline?
JS: (Gestures with an open palm) We have 5 new products lined up for India over the next three years. Presently we operate in only 10 percent of the car market, but let me tell you we will soon have a presence across 50 percent of the market segments.
The Amaze is our first product. Next year, we will see the new Jazz, and also a new 7-seater MPV. The year after that, we will see the new compact SUV and the new City.
AJ: Will these future models be available with this diesel engine?
JS: (Smiles) Yes.
AJ: You mentioned Honda will have a presence in 50 percent of the market's segments. Can you tell us what market share you're targeting?
If you ask me the target for the year, I honestly don't know. We take it month by month. Presently we have 10 percent market share. I do not control the market, so how can I control market share?
AJ: What are Honda Car India's export plans?
JS: India will become a hub for diesel engine parts. We will export parts such as the crankshaft, engine block and head to the UK, where it will be assembled and sold. As far as CBUs are concerned, we export to neighbouring countries like Sri Lanka, Nepal and Bhutan. We've also begun exports to South Africa (Brio) and these will continue.
In FY12 we exported parts worth INR 330 crore, and this will go up to INR 500 crore in FY14.
AJ: Any plans to make India a global small car hub for Honda?
JS: See, around the world, Honda has more than 100 factories. The focus of these factories is always production to satisfy local demand. That is Honda's philosophy, and that is what we believe is the most cost-effective way to manufacture cars.
AJ: You sell the Accord and CR-V with a diesel engine in Europe. Any plans to launch the diesel variants in India?
JS: Given the volumes, we currently cannot achieve economies of scale. We are happy with the sales of the CR-V and Accord. These are niche models in India, but they have a loyal customer following and our in-house research indicates that these buyers prefer petrol.
AJ: The Civic has been discontinued. Any plans to bring the new Civic into India later?
JS: We will see. Nothing has been finalised either way.
Honda Car Features
Jnaneswar Sen has years of experience in the automotive industry. Prior to joining Honda Car India, he was with Maruti Udyog limited for almost 15 years. In Kolkata for the regional launch of the all-new Honda Amaze sedan, Sen spoke to autojunction.in about the Amaze, new products in the pipeline, and the company's diesel strategy.
- Formula 1
- Audi
- Mercedes-Benz
- Mercedes
- Volvo Car Corporation
- Audi R18
- Auto Expo
- Car care tips
- Hyundai
- Land Rover
- Maruti Suzuki
- Nico Rosberg
- Nissan
- Tata Motors
- Volvo Technology
- 'diesel tax'
- Audi R18 e-tron quattro
- Audi R18 LMP1
- Audi India
- Audi Driving Experience
- Audi A8
- Anti-lock Braking System
- Anti-lock Brakes
- Andre Schürrle
- Alto 800
- Allgäu-Orient Rally
- Active Safety Test Area AB
- Acharya Jagadish Chandra Bose
- A-Class
- 24 Hours of Le Mans
- 1956 MG Magnette ZA
- 1933 Humber
- 1932 Ford V8 DeLuxe Phaeton
- 1926 Auburn Tourer
- 1925 Fiat Tipo 103
- 1924 Rolls-Royce 20 HP Barker Tourer (GLK 21)
- 1906 Renault Freres
- 14th Maruti Suzuki Raid-de-Himalaya


text: Many people have been dreaming of an easy & affordable way to get into videogame design and programming. Now, with the tools that Microsoft has provided with XNA, that dream is a reality. GoneMicrosoft, thought it would be a great service to the readers if you could see exactly what someone who is developing a game for XNA experiences.


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Edward Premium Fabric Sofa
The Edward sofa features design elements present in the early Milo Baughman pieces. A modern interpretation at home in mid century modern and loft classic contemporary design themes. The refined tailored appearance is achieved with a single full length affixed back, seat and side arm cushion. The single row "Blind button" tufting softens the appearance with a classic touch. Edward lifts off the floor, seemingly hovering compliments of an architecturally stunning modern stainless steel box frame. More than stunning design, Edward's seating comfort allows for practical everyday use. Handcrafted with a traditional hardwood frame and multi-density Dacron wrapped cushion.
- Style: Edward Sofa. Inspired by Mid Century Modern Design.
- Frame: Traditional Solid Ash hardwood box frame construction
- Seat Platform: Reinforced bottom seat cushion platform for firm longer lasting support
- Foam Type: Lofty, multi density foam seat, side and back cushion
- Seat Cushion Style: Single piece affixed seat, back and arm side cushions
- Design Element: "Blind button" tufting on back, inner arm and seat platform
- Design Element: Mono height arm and back
- Fabric Type: Vintage Tailored Twill
- Fabric Content: 60% Linen, 20% Cotton, 20% Nylon
- Fabric Type: Tweed Cashmere Wool
- Fabric Content: 50% Cashmere Wool, 50% Synthetic Fiber
- Dimensions: Height 27.5" x Depth 33.8" x Width 86.6"
- Dimension: Floor to seat height 14.8"
- Dimension:: Floor to arm height 27.5"
- Leg Type: Stainless steel center connecting platform
- Feature: The entire sofa is stitched and crafted by hand
- Feature: Comes standard with floor protection caps on legs
- Feature: Matching ottoman is available to complete your look
- Warranty: 1 year limited warranty
- Assembly: No
About Vintage Tailored Twill:Twill is an interwoven knit fabric. The thread takes turns in an over and under weave forming a crooked yet overall lineal rectangle pattern that can be discerned at close range. The pattern exists but appears somewhat random when viewed from a normal distance. Vintage Tailored Twill features a finer, tightly tailored flat weave appearance. Vintage Tailored Twill provides perhaps a more refined, tailored appearance than that of a typical coarse twill. It relies on the multi-tone nature of the fabric strands themselves to provide the appearance of depth of texture.
About Cashmere:
Cashmere wool fiber is obtained from "Cashmere goats." Historically, fine-haired Cashmere goats have been called Capra hircus laniger, as if they were a subspecies of the domestic goat Capra Hircus. Cashmere goats produce a double fleece that consists of a fine, soft undercoat or under-down of hair mingled with a straighter and much coarser outer coating of hair called Guard Hair. For the fine under-down to be sold and processed further, it must be de-haired. De-hairing is a mechanical process that separates the coarse hairs from the fine hair. After this separating process the resulting premium "cashmere" is ready to be dyed and converted into yarn.
|Ships In
|3-5 Business Days
|Color Name
|Select Side
|See Description
|See Description
|Care Info
|Return Policy
|Returns are accepted on stocked items. The return must be arranged within 3 days of the signed delivery receipt. Someone on your end must be available for the trucking company to pick up the return within 10 days of delivery receipt.
|1 year Limited Manufacturer.


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Impacts of Trump Tax Cuts
Today's (8/13/18) New York Times has an excellent piece on the impacts to date of the Trump corporate tax cuts: share buy backs leading to higher stock prices for investors, no increases in spending on plant and equipment, no increase in worker's real wages and a very large increase in the national debt. The tragedy is enacting these cuts without simultaneously increasing the nation's economic productivity and thereby potentially doing long-term damage to the economy.
The Times article depicts many large multi-nationals, like Facebook, Union Pacific, Apple and Amgen, responding to the tax cuts by buying back their corporate stock. This simply inflates the stock price to the benefit of shareholders, including many in top corporate management. It does nothing to grow the economy.
The sponsors of the legislation promised that corporations would respond to the tax cuts by investing in new plant and equipment, boosting the economy, boosting productivity and setting off a cycle of virtuous economic growth. Instead it has been pretty flat – the opposite of what Republicans in Congress promised their constituents. Productivity, which is the key to sustainable economic growth, has been nearly flat – 0.4% in the first quarter.
Real wages are flat or declining in the wake of the tax cuts. Real wages are wages and wage increases adjusted for inflation. Real wages have fallen because inflation in the costs of good and services exceeded the 2.7% increase in wages. In other words your paycheck is buying less because the prices of gas and medicines and other staples of every day life increased more than your pay. Real wages were increasing quite nicely in the two years prior to Trump's taking office and then pushing through his tax cuts.
Trump tariffs (taxes) on steel and aluminum and Chinese manufactured goods are going to contribute an added dollop of inflation to curtail consumer spending powers, and the retaliatory foreign tariffs are already hurting American agricultural producers.
The Trump Administration said the tax cuts would spur economic growth such that they would pay for themselves. That has not happened; instead the federal budget deficit has ballooned. It increased by nearly 40% to $900 billion annually. The federal government will spend 5% more this year due primarily to the increase in military spending and corporate taxes will contribute 27% less to the common good and self defense of our nation.
Maybe Trump's tax policies will improve the American economy in the future; to date it looks as if they are just a drag on our nation's otherwise robust economic growth.
Prepared by: Lucien Wulsin
Dated: 8/13/18


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Scholarships undergraduate, postgraduate (master and doctoral) to UK, USA, Germany, Australia, Japan, Sweden, France, Belgium, Netherland Scholarships for Asian, African, European, American, International Students 2012 2013
Worldwide - 2009 / 2010 OFID Scholarship Award
To be eligible the candidate must meet ALL of the following criteria: :
* Must be between the ages of 23-32 at the time of submitting his/her application.
* Must be a graduating student with a Baccalaureate from a four-year, accredited college/university, or its equivalent.
* Must have a minimum cumulative GPA of 3.0 or higher on a 4.0 rating system, or its equivalent.
* Must be matriculated at an accredited university for the upcoming academic year starting September 2009, and must maintain full-time status for the duration of the Masters Degree.
* Must be a national of a developing country (please see list of eligible countries)
* Must select a subject of study that pertains to OFID's core mission, such as: economics of development (poverty reduction, energy and sustainable development), environment (desertification), or other related science and technology fields.
PLEASE NOTE: Please read ALL of the directions below before proceeding with the application process:
1. Applicants are responsible for gathering and submitting all necessary information. Applications will be evaluated based on the information provided. Therefore, all questions should be answered as thoroughly as possible. Incomplete applications will not be considered. Once an application has been submitted, no changes will be allowed on it.
2. OFID will not consider applications received through a third party.
3. Please do not call or email OFID to ask if your application has been received, or to inquire about your status.
4. Please note that only the winner will be notified.
5. All materials submitted become the property of OFID and will not be returned to the applicant.
6. Applicants must complete the on-line application form and essay requirement, and must email the required materials to OFID's email address provided below. All materials including the on-line application, recommendations, and other required information must be received no later than March 31, 2009.
Applicants should submit required documents via email@example.com
Disbursement of the Scholarship Fund
The terms and conditions of payment will be determined in coordination with the student upon his/her selection in accordance with the following guidelines:
* The tuition fees, including any supplementary examination fees, as may be required by the academic institution, will be paid by OFID directly to the academic institution. Health insurance will be paid in accordance with the institution's own standard medical scheme.
* A monthly allowance to cover living expenses, books and accommodation, will be transferred to the student's own personal bank account on a quarterly basis.
* Prior to the start of his/her first year studies, the student will be paid a relocation grant, equal to two-month allowance. OFID will also pay for travel costs from the nearest airport to the student's place of residence, to the nearest airport to the chosen place of study. Upon completion of the studies, the student will be paid the cost of one-way air ticket to his/her home country.
Required documents
* A completed on-line application form.
* A scanned copy of the last university degree or certificate.
* A scanned letter of acceptance from your chosen educational institution, confirming your admission, subject of study and duration of the Master's degree program (must not exceed a maximum of two years).
* A proof of meeting any prerequisites, including language proficiency.
* A short essay – of about 250 words in English – giving reasons for applying for OFID's scholarship, explaining your educational goals, and clearly describing how you will use the experience gained from your Masters degree studies to help in the development of your home country.
* Two letters of recommendation from professors and/or lecturers at applicant's present university.
Eligible Countries
* In addition to nationals of OFID Member States, nationals of the following countries are also eligible:
Angola, Benin, Botswana, Burundi, Burkina Faso, Cameroon, Cape Verde, Chad, Comoros, Congo, Cote d`lvoire, Djibouti, Egypt, Eritrea, Ethiopia, Gambia, Ghana, Guinea, Kenya, Lesotho, Madagascar, Malawi, Mali, Mauritania, Morocco, Mozambique, Namibia, Niger, Rwanda, Sao Tome& Principe, Senegal, Seychelles, Sierra Leone, Sudan, Swaziland, Tanzania, Tunisia, Uganda, Zambia, Zimbabwe
Asia and the Middle East:
Afghanistan, Armenia, Azerbaijan, Bangladesh, Bhutan, Cambodia, India, Korea DR, Kyrgyz Republic, Lao PDR, Lebanon, Jordan, Kazakhstan, Maldives, Myanmar, Nepal, Pakistan, Palestine, Papua New Guinea, Philippines, Samoa, Solomon Islands, Sri Lanka, Syria, Tajikistan, Thailand, Tonga, Turkey, Turkmenistan, Uzbekistan, Vietnam, Yemen
Latin America and the Caribbean:
Antigua Barbuda , Belize, Barbados, Brazil, Bolivia, Colombia, Costa Rica, Cuba, Grenada, Ecuador, El Salvador, Guyana, Haiti, , Dominican Republic, Guatemala, Honduras, Jamaica, Nicaragua, Paraguay, Peru, Panama, St. Christopher, St. Lucia, Saint Vincent and the Grenadines.
Albania , Bosnia Herzegovin
Click here to apply online
*) getscholarship.net
1 comment:
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How to register with this lender as a new user
Before you start submitting mortgage applications to Interbay Commercial, you'll need to register to do business with us. Please visit www.interbay.co.uk and register using the Broker Portal. Once this has been completed you will receive a confirmation email.
How to contact this lender
Once registered, our Broker Liaison Team will be available to offer you support and guidance on 0345 8787000. Alternatively, please visit www.interbay.co.uk to find your local BDM.
At InterBay, we pride ourselves on being seen as a specialist lender.
We are part of the OneSavings Bank Group, one of a new breed of challenger banks setting new standards for the industry and providing a true alternative to established mainstream providers.
We use our extensive property expertise and deep understanding of complex borrower types to assess cases that may not fit the criteria of other lenders. With a focus on commercial and residential investment property, whether the finance requirement is long or short-term, our flexible approach and product range make us a true specialist lender.
Our Service and product offering
Bridging Loans
Making use of our lending experience and property expertise, our unregulated bridging loan proposition provides a simple yet competitive range of products designed to help investors raise fast, short-term finance for a variety of purposes. As long as we are offered suitable security, and there is a plausible exit strategy, you won't need to look further for a solution.
- Development funding exit loans while properties are being sold
- Up to 75% LTV gross
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We have experience in lending against a wide range of commercial property types, both to investors and trading businesses. This experience means we offer features which many other lenders don't, including higher LTVs and interest-only products, available over longer periods and on competitive terms.
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We take a commercial approach to lending on Buy to Let and HMO properties. Whether we are dealing with a first-time landlord, an unusual or complex property, or a seasoned landlord operating a large-scale portfolio, our tailored approach to assessing proposals has gained us a reputation for offering solutions and getting deals done.
- Experience with complex proposals and ownership structures
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- Term 2-30 years
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|Fee received from lender
(Gross fee)
|We'll pay you
(Net fee)
|Buy to Let


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Resistance Band Circuit Training
- Parent Category: ROOT
- Published in Workout Routines
MSgt Mike Skaggs bonds with resistance bands to show us a quick circuit training routine that will surely rev you up.
Flash Player and Non-Flash Player
iPhone | iPad | Android | Blackberry | Playbook |Tablet | Desktop | Laptop
Firefox | Chrome | Internet Explorer | Safari | Opera
The DVIDS is provided as a public service operated by Third Army/U.S. Army Central (ARCENT) on behalf of the Department of the Army in support of all branches of the U.S. military and its Coalition partners serving with U.S. Forces in the Central Command (CENTCOM) area of responsibility and throughout the world.
Information presented on or via DVIDS is considered public information and may be distributed or copied unless otherwise specified.
The Pentagon Channel (TPC) www.pentagonchannel.mil
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Fit for Duty is free of known copyright restrictions under U.S. copyright law.


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There are so many women out there that really want to get the best wedding dress for their wedding day and if this is you, you have really come to the right place today. The good news is that there are so many ways that you can get the dress of your dreams so just stick with us to find out what is in store for you today. There are so many good dresses that you can get for your wedding day so you are not out of choices. Let us now look at some places that you can get your very own wedding dress.
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Oasis Park is one of The Canary Island's top attractions, with over 3000 animals and acres of stunning botanical gardens. There is also a children's farm and park, where they can get up close to the animals, and three restaurants to enjoy a bite at.
You can now travel from Lanzarote across to Fuerteventura to visit Oasis Park. As the park is well south on the island, you'll also get to see a lot of Fuerteventura on the way down there.
Cost: €55 adult, €31 child (2 to 12 years old).
Available on: Every Day
What's included: Coach transfer from resort, ferry crossing and park tickets. Note ferry departure is 0700, so it's an early start to get to Playa Blanca in time!
Transfers: Available from Costa Teguise, Arrecife, Puerto del Carmen, Puerto Calero & Playa Blanca. Please add the name of your accommodation on the booking request, to be advised of your nearest pick up point.
NB. The above excursion is booked via our friends at TouristTicket, you can find a copy of their T&C's and Privacy Policy on these links.
Continue browsing Excursions in Lanzarote
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I was surprised with a spontaneous road trip to AMSTERDAM this weekend + it couldn't have come at a better time. I was in need of spending the weekend in a different city, exploring + spending quality time with my favourite person. We boarded my little Citroen C3 onto the ferry + drove all the way through France, Belgium + then finally The Netherlands. It actually didn't take that long to drive (about 6 hours all in all).
We stayed at the Westcord City Hotel which was in the PERFECT location as it's right in the centre. We had both been there before so we weren't too bothered about sightseeing but mainly spent the time walking along the canal, dodging cyclists + trams, eating pancakes + waffles (I most definitely DID NOT have two NUTELLA waffles in one day), dreaming of owning an apartment on the canal, people watching, sitting in coffee shops + watching the world go by. A DREAMY WEEKEND.
On the Sunday evening we discovered a cute ITALIAN restaurant which was down one of the side streets close to the centre. It's called LA PERLA + I would highly recommend it if you are ever in Amsterdam + find yourself craving PIZZA or a gigantic APEROL SPRITZ.
My BREAKFAST recommendation would have to be…VINNIES. It was sooo good. The best coffee, overnights oats soaked in coconut milk with fresh fruit, sourdough toast + homemade jam, fresh pastries, shakshuka + 'healthy' fry ups with fresh vine tomatoes + homemade chutney. Oh and NOT forgetting their Almond + Walnut brownie with…SALTED CARAMEL.
I literally only had about an hour to pack so threw together what I could find + that I (HOPED) would look good. THE DAM can be quite chilly so my ZARA BOMBER was a must have for the weekend. I teamed it with a black body, my H&M ripped jeans + fringe sandals…I have been waiting to get a photo of me wearing this as I LOVE IT SOOOOO MUCH + in the first shot we got it! My boyfriends photography skills have definitely come a long way and he is finally starting to get the hang of having a 'BLOGGER' girlfriend.
If anyone is thinking of going to AMSTERDAM for the weekend….DO IT. You won't regret it.


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If you get a chance, check out my site, wouldja? I'd love some feedback as I polish things up. I'm going through years of illustrations, deciding which to use for the portfolio. It's kind of fun and nice to remember the evolution of my style, while also making me think I'd like to redo some of the old content, just to see how it would be different.
I've got a fancy new logo and am trying to keep things clean and simple, a nearly impossible feat for me!
I hope you have a nice weekend and can get outside and enjoy a bit of nature!


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Sorry for the delay. As mentioned before, I'm working a new job now and I don't have a lot of time to sit down and write stuff like this while trying to cram in anime as it comes out. Not a whole lot else to say. Let's get to it.
We'll go chronologically and start with carry-overs first. Really, there's just one of them.
Gosick – I take back what I said about this show before. I said during my Winter 2011 final impressions that this show wasn't that great. It's really just that it picks up more as it goes along. I was fairly well entertained by the halfway point, but it just continued to get better and better. This show ended up being amazing. It still didn't dethrone Madoka as best of the season, but it was really good. One of the top shows I watched from the Winter 2011 season. Bottom line: Highly recommended. There's really no reason to pass it over. It's really just an all around great series with a highly satisfying ending. Some of the mysteries are too easy to figure out, but as the series goes on, even the simple mysteries are not quite as simple as they may seem. Definitely worth your time.
And now for the newer stuff.
Dog Days – Not a terrible series, but not really as good as I was hoping. I expected a little more from the creator of Nanoha. I did like the series, don't get me wrong, but it wasn't really anything special. It was just fun. I'll probably have mostly forgotten about it by next year. Bottom line: Pass on it if you're not sold on the idea of a light-hearted series from the Nanoha creator, because that's all it really boils down to.
30-sai no Hoken Taiiku – This ended up being really solid. Didn't learn diddly crap from it, but it was a hilarious ride from start to finish. Honestly one of the better shows of the season, despite being so short. I'll really miss it. Bottom line: If you're looking for a laugh, watch it. The episodes are only 12 minutes, so it's not a huge investment of your time.
A-Channel – I really should have just dropped it. It wasn't bad, but it was oh-so-terribly mediocre. It had an annoying, out-of-place insert song every episode and it was generally not that entertaining. Tooru, despite being such a heavy focus of the show, really only served to drag it down most of the time. The last episode, which could have been the most entertaining, was bogged down by her constant depressing thoughts. She's also really annoying about breaking up Run's discussions with her casual guy friends, which kind of pisses me off because it was refreshing to see that element in an anime without having to be a potential romantic ordeal. It just felt normal and natural. I guess Tooru's there to keep Japan's little moe goddesses from ever being soiled by the presence of a male. Bottom line: God, skip it. So worthless. It'll probably get a second season, but I sure as hell won't be watching.
Maria-Holic Alive – Eh, not interested at all. It wasn't really much better or worse than the first season. A pretty mediocre adaptation. The best episode in all of Maria-Holic anime was the filler episode at the end of the first season and we weren't fortunate enough to get anything like that this season. Bottom line: Pass on it unless you're a hardcore fan of the series. Not really that great.
Softenni – Honestly, this ended up being one of my favorite shows of the season. Definitely my favorite comedy of the season. I really hope it gets a second season, but it doesn't seem like it sold very well, so I really doubt it will, and that kind of depresses me. It was a great ride while it lasted, though. Bottom line: Oddly enough, I say pick this one up. Ecchi comedies are a dime a dozen, but this one managed to stand out as being pretty damn good.
Hen Zemi – Disappointing. After seeing the OVAs, I expected good things from this. It was just garbage. There was one good episode in the whole lot and they were only 12 minute episodes anyway. Can't wait for more OVAs to get the bad taste out of my mouth. Bottom line: Skip it until they come out with more OVAs that require you to see the TV series for continuity. Otherwise, just skip it altogether.
Astarotte's Toy – Loved it. Every bit of it. Feel-good show of the season, maybe of the year (depends on how Usagi Drop turns out). I'm a sucker for parenting series like this. I really enjoy the father/daughter dynamic. It helps that this show also had a very lovable cast. Asuha ranks among the greatest lolis of all time. Oh yes. Bottom line: Pick it up. You won't regret it. Don't mind the premise, because it's just a premise and a setup for the plot.
The World God Only Knows S2 – Pretty good. In some ways better and in some ways worse than the first season, but more or less just as good. It's a shame that both seasons did so poorly that there will never be a third. (The author already stated that there's no chance of a third season, sadly.) Oh well. Bottom line: Show a little love for an under-appreciated series and give this a shot. You'll enjoy it, I promise.
[C] – Eh, not too bad. It felt pretty rushed the whole way through, but it was entertaining enough. I felt like it really fell apart at the end, though. They rushed way too fast through all of the important stuff to show a few cliched fights. Bottom line: Decent. Pick it up if you're interested, but don't expect a whole lot.
Ano hi Mita Hana no Namae wo Bokutachi wa Mada Shiranai – Great. Absolutely brilliant. One of the best shows I watched from this season. Kinda melodramatic, but really touching and the ending was absolutely perfect. There aren't many series I can say that about. Bottom line: Pick it up. It's great. Just great.
Hidan no Aria – Typical JC Staff Kugimiya action show. It's still good, though. It's got a (mostly) good cast and it's at least consistently entertaining if you like what's presented here. Bottom line: If you've seen one JC Staff show, you've seen 'em all, but I would still pick it up.
Denpa Onna to Seishun Otoko – Second best show I watched this season. I loved it. The characters were great, the scenarios were fun, and everything just felt so right. I really do hope we see a second season of this, because it's honestly one of the best shows Shaft has ever done. Bottom line: Pick it up for sure. It's absolutely magnificent.
That's it for this season so far. Next season's final impressions will have Nichijou, Hanasaku Iroha, Steins;Gate, and (probably) Sket Dance.
As for my pick of the season? Well it's sort of inconclusive right now, but…
Pick for Show of the Season: It's almost certainly going to be Steins;Gate. Odds are really low that anything will end up better than it or that it'll crash and burn so hard that it won't stay my favorite from the season. It's an absolutely brilliant show, and it's definitely going to fight for best show this year.
Summer initial impressions are coming up. Dantalian won't air until next week, so expect it a week or so from today.
Tags: 30-sai no Hoken Taiiku, a channel, anime, Ano Hi Mita Hana no Namae wo Bokutachi wa Mada Shiranai, astarotte no omocha!, denpa onna to seishun otoko, Dog Days, gosick, hen zemi, hidan no aria, maria-holic, softenni, spring 2011, the world god only knows, [c] the money of soul and possibility control


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7 Dec 2017
Lotti Knights (Year 10) has been named in the Great Britain U19 duathlon squad for next year's ETU European Sprint Distance Championships in Ibiza.
She was called up to the national team for the competition after breaking into the top four in a qualifying event at Bedford Autodrome in October.
Lotti initially got into triathlon through her mother Ann, who competed in the European Age Group Triathlon Championships, before combining it with duathlon – a sport that includes two legs of running, sandwiching a cycling section, in each race.
For the Europeans, she will face an opening 5km run, followed by 20km on the bike, before finishing off with a further 2.5km run.
Lotti said: "It was something I was really hoping to qualify for and I'm really excited for it because it's my first big event.
"I know I've got to get faster, but I'll be training hard. I'll be going on week blocks of training with coaches, specifically focusing on duathlon and triathlon."
She also hopes to make it into the reckoning for the World championships in both duathlon and triathlon with a qualifying event taking place next March.
Lotti talks more about her training schedule and sporting ambitions below.


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Alisa Coleman, MHA, ACHE
Chief Executive Officer
Originally from Beaver Dam, KY, Alisa Coleman began her tenure as Ferrell Hospital CEO in June 2015. Prior to joining Ferrell, she spent 10 years as chief executive officer for Trigg County Hospital in Cadiz, KY. Alisa's healthcare management career began at Ohio County Hospital in Hartford, KY where she served as assistant administrator and held other leadership roles. Throughout her career, Alisa has shown dedication to her hospital and community by staying involved in civic and healthcare endeavors.
Rachael Prather, RN, BSN
Chief Nursing Officer
Rachael joined Ferrell Hospital in 2015 as the Quality Risk Manager and was soon promoted to Chief Nursing Officer. She brings 11 years of nursing leadership experience and healthcare knowledge to her position. Prior to joining Ferrell, Rachael worked at Heartland Regional Medical Center in Marion, IL as the director of a 66- bed medical/surgical unit where she was responsible for improving quality and patient satisfaction scores, implementing best practices to provide quality of care and opening an orthopedic unit.
Joe Hohenberger
Chief Financial Officer
Joe's healthcare career spans 45 years and started in the store room of Defiance Hospital in OH. Before coming to Ferrell Hospital in late 2014, Joe spent 31 years as the chief financial officer for hospitals in Ohio, Michigan, Iowa and Texas. During his time in Iowa, Joe played a key role in obtaining critical access hospital designation for Mahaska Health Partnership.
Caleigh Bruce, MBA
Chief Compliance Officer and Director of Human Resources
A native of Eldorado, IL, Caleigh Bruce became part of the Ferrell family in 2012 when she was named Director of Human Resources. In 2014, she assumed greater responsibility in the organization by accepting the additional role of chief compliance officer. Caleigh's career in human resources began in 2009 when she worked as a human resources assistant at Southern Illinois Healthcare.


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Closer to home, New York City officials celebrated a new office that will be dedicated to promoting the city's nightlife, while the repercussions of the September primaries continued to shake out in New York City, on Long Island and in Albany.
"My initial goal was $25,000.and [it] made me extremely emotional to see that so many people care and so many people have reached out". "Governor Rosselló didn't have to ask because in NY we are family with the Puerto Rican community", Gov. Cuomo said.
The delegation is also bringing power generators, food, water and supplies requested by Puerto Rico Gov. Ricardo Rossello. On Friday, the FDNY announced 18 new locations throughout the five boroughs where people can now bring critical supplies to from 7 a.m.to 9 p.m. daily as long as the need persists overseas.
Sixty members of the New York Army National Guard, four Black Hawk helicopters and 50 state police are also on standby to help. "It's what we do everyday firefighters and officers help out every day", Carroll said. Cuomo says Friday's trip will be the first of many, as the Island rebuilds and recovers. "As the largest airline in Puerto Rico, we are in a unique position to work with them to support our crewmembers, customers and communities across the island".
The people of Puerto Rico could be dealing with the effects of Hurricane Maria for many months to come, and relief workers are already on the ground, funneling in as much aid as possible.
"Gov. Rosselló didn't have to ask", Cuomo said at the news conference.
The eye of the storm was nearing the Turks and Caicos early Friday.


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Fight Against the License to Discriminate!Tomorrow (May 4th,2017) President Donald Trump is reportedly set to sign an executive order establishing "religious exemptions" which will actively allow open discrimination against lesbian, gay, bisexual, transgender, and questioning (LGBTQ) people. Iowa Safe Schools Executive Director, Nate Monson, who is available for interviews, released the following statement. "This executive order looks every LGBTQ child in the face and says you're not equal and you are worth less. This EO does not protect religious freedoms, instead it promotes hate and fear fueled rhetoric to openly enter our workplaces, schools, and communities. Promoting discrimination against the LGBTQ community, women, and other groups is not only wrong, but is regressive and repulsive." "This executive order directly contradicts the unwavering rule of law and core value of equal protection—also known as freedom. It undermines crucial safeguards against discrimination that creates opportunities for LGBTQ youth to survive and succeed. If consistent with past draft orders, Trump's Executive Order could allow school counselors to deny LGBTQ youth life-saving services, school administrators to forbid interracial couples at school functions, and LGBTQ educators could lose their jobs simply because of who they love." "This is executive order is a license to discriminate against LGBTQ people, women, Muslims, people of color, and other marginalized groups. We call on President Trump to renew his commitment to the LGBTQ community and protect LGBTQ youth by not signing this executive order."176 of 200 SignaturesCreated by Scott Heldt
Ban Conversion Therapy in Iowa!All people deserve the right and liberty to be who they want to be. In Iowa, there are medical practitioners who do not share this belief and still practice an outdated and prehistoric treatment harmful to our youth. One of the most dangerous medical therapies practiced against the lesbian, gay, bisexual, transgender, and questioning (LGBTQ) community is conversion, or reparative, therapy. This therapy is an outdated exercise that subjects individuals to abuse in an effort to change sexual orientation and/or gender identity. The manipulation includes institutionalization, castration, physical and sexual abuse, and electroconvulsive shock therapy. All of the nation's leading medical and mental health associations have long rejected the practice and said it is ineffective and dangerous, including the American Medical Association, American Counseling Association, and the American Academy of Pediatrics. It is estimated that one in three LGBTQ people have been subjected to conversion therapy. Many are forced into it by their families who do not accept or understand their LGBTQ identity. According to a 2009 report by the American Psychological Association, results of this abusive therapy include depression, guilt, helplessness, hopelessness, shame, social withdrawal, substance abuse, stress, self-hatred, and a dramatic increase in suicide risk. Individuals who have been subjected to conversion therapy and do not commit suicide are called survivors. In a highly publicized case from the early 1970s, psychologist George Rekers treated a 5-year-old boy named Kirk Murphy, who had exhibited stereotypically feminine behavior such as a preference for girls' toys. Rekers instructed Murphy's parents to reward him for exhibiting "masculine" behavior and to punish him (by ignoring or even spanking him) when he displayed "feminine" behavior. Rekers claimed this treatment would prevent Murphy from "becoming gay." Later, Rekers published an article citing his treatment as a success. Even though Murphy came out years later, Rekers and other proponents of conversion therapy continue to use Murphy in an effort to deceive families and entrap clients struggling with the stigma and discrimination faced by the LGBTQ community. Murphy struggled with the severe psychological distress caused by Rekers's "treatments" throughout his life. He attempted to take his own life in his teens and at age 38 committed suicide.916 of 1,000 SignaturesCreated by Nate Monson


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Another busy evening with our Friday night youth work! We had 48 children, with quite a few new faces in amongst our number. We had a warning signs quiz where children identified dangers, and we compared that to how Jesus gives us warning signs to help keep us from doing wrong. Our younger children looked at the story of Lazarus. We also had another parent enquiring about our Sunday school.
Our student zone was busy putting plans into place for our nativity play. We discussed music, props and the organisation of the drama production in groups. This was followed with a time of singing and our Bible study. Questions were flowing as we continued to look at the Gospel of Mark. A short time of relaxation closed our evening, with a table tennis tournament before heading home. Once again, our team of workers worked hard with the kids! Very grateful to them and for all who are so faithful in praying for this work!


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Sinkfall Recycling Skip Hire Terms & Conditions
1. Throughout these Conditions of Hire the term 'Hirer' shall refer to the person(s) or firm to whom our equipment is hired and the term 'Company' shall refer to Sinkfall Recycling Ltd.
2. The Hirer is responsible for any loss or damage to all equipment hired and will be charged for such loss or damage, together with any associated costs incurred by the Company.
3. Any damage to, loss or defect in the equipment must be reported to the Company immediately and confirmed in writing within 24 hours.
4. We will not be held responsible for any damage, injury or loss caused by our equipment unless the damage, Injury or loss results from our negligence and only then in Hire Condition No. 3 has been observed.
5. Waiting time and wasted journeys will be charged at day work rates.
6. Open containers must not be filled to a height greater than their rim. Any so filled will render the Hirer liable to an additional charge.
7. The Company accepts responsibility for obtaining a permit from the local authorities to position containers on the public highway, his signature confirms the granting of such permit. The Hirer must position cones around and illuminate such containers.
8. The Hirer is responsible for damage to drives etc and to pavements where access to drives etc has to be made over the pavement.
9. The Hirer must declare all materials to be deposited in the skip. No toxic materials to be deposited.
10. The waste shall remain the responsibility of the Hirer until payment is made in full to Sinkfall Recycling Ltd.


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JANE CLARK (nee Ware), beloved wife of the late Emil; loving mother of Diane Clark (David), Gail Hartzell (Edward), Paul (Debra) and Maryellen Valaitis (Mark); grandmother of eight; great-grandmother of 4; sister of the late Robert. Passed away January 2, 2012. Mass of Christian Burial Friday, January 6, St. Ladislas Church (2345 Bassett Road, Westlake) at 1 P.M., WHERE FRIENDS MAY CALL ONE-HALF HOUR PRIOR TO SERVICE. Private inurnment. In lieu of flowers, memorial contributions to the Hospice of the Western Reserve, 17876 St. Clair Avenue, Cleveland, OH 44110 would be appreciated. Arrangements by CHAMBERS FUNERAL HOME www.chambersfuneral.com
Source: The Plain Dealer on Jan. 4, 2012