text:
Heart failure in a cold climateSeasonal variation in heart failure-related morbidity and mortality
Author + information
- Received August 30, 2001
- Revision received December 7, 2001
- Accepted December 14, 2001
- Published online March 6, 2002.
Author Information
- Simon Stewart, PhD, NFESC*,
- Kate McIntyre, MB, ChB†,
- Simon Capewell, MD, FRCP‡ and
- John J.V McMurray, MD, FRCP, FACC, FESC*,* (j.mcmurray{at}bio.gla.ac.uk)
- ↵*Reprint requests and correspondence:
Professor John J. V. McMurray, CRI in Heart Failure, Wolfson Building, University of Glasgow, Glasgow, G12 8QQ, Scotland, United Kingdom.
Objectives This study was done to determine whether seasonal variation exists in hospitalizations and deaths due to heart failure (HF) and to examine possible contributors to such variability.
Background Although seasonal variation in the incidence of acute myocardial infarction and sudden death is well recognized, it is less well documented in HF.
Methods We used the linked Scottish Morbidity Record scheme, which provides individualized morbidity and mortality data for the entire Scottish population.
Results Between 1990 and 1996, there were a total of 75,452 male and 81,269 female hospitalizations related to HF in Scotland, with an average rate of admissions per 100,000 population of 8.4 and 8.5 per day, respectively. Significantly more admissions occurred in winter compared to summer (p < 0.0001). In women, the peak rate of admission occurred in December (12% more than average) and the lowest rate in July (7% less than average) (odds ratio [OR] 1.14, p < 0.001). The respective figures for men were 6% more, 8% less (OR 1.16, p < 0.001). In both genders, the greatest variation occurred in those aged >75 years—peak winter rates being 15% to 18% higher than average. There was also a winter peak in concomitantly coded respiratory disease; this seasonal excess accounted for approximately one-fifth of the winter increment in HF hospitalizations. Seasonal variation in mortality was also seen in these patients. The number of male deaths in December was 16% higher, and in July 7% lower, than average (OR 1.25, p < 0.001). In women, the equivalent figures were 21% higher (January) and 14% lower (July) (OR 1.21, p < 0.001). Again, the greatest variation occurred in those aged >75 years—peak rates being 23% to 35% higher than average.
Conclusions There is substantial seasonal variation in HF hospitalizations and deaths, particularly in the elderly. Approximately one-fifth of the winter excess in admissions is attributable to respiratory disease. Extra vigilance in patients with HF is advisable in winter, as is immunization against pneumococcus and influenza.
Seasonal variation in the incidence of acute myocardial infarction (AMI) (1–3)and sudden death (4)is well recognized. Environmental temperature has been implicated in this variation as these events peak in winter. Some of the physiologic consequences of reduction in temperature, thought to be involved in increased coronary risk, might also be hazardous in heart failure (HF). Skin cooling has been shown to increase systemic vascular resistance (5), heart rate (6), plasma norepinephrine concentration (7), circulating levels of vasoconstrictor peptides (8)and blood pressure (9). In keeping with this, blood pressure is higher in winter (10). Cold can also induce myocardial ischemia (11). All of these effects could clearly lead to worsening of HF. Other seasonal variations, such as in the incidence of respiratory infections, could also threaten the stability of HF. The aim of this study was to determine whether there is seasonal variation in hospitalizations and deaths due to HF and to examine possible contributors to such variability.
Data source
In Scotland, all nonmaternity, nonpsychiatric hospital inpatient and day case discharges are summarized on a discharge record (the Scottish Morbidity Record) and aggregated by International Classification of Disease (ICD) 9 codes, on a national computerized database held at the Information and Statistics Division of the National Health Service in Scotland (12,13). The application of record linkage techniques permits both analysis of the data at the level of the individual patient and the episode of care. Hospital discharge data are also linked to the Register General's death records. For any given patient, therefore, readmissions, following an index hospitalization, can be tracked (and their nature identified); should the patient die, that outcome is also recorded (14).
We have recently described trends in HF-related hospital activity in Scotland, for the period 1990 to 1996 (15). For the purpose of the current study, we examined all hospitalizations associated with a discharge diagnosis (in any diagnostic position) of congestive heart failure (ICD9 code 428.0 and ICD10 code I150) or left HF/acute pulmonary edema (ICD9 code 428.1 and ICD10 code I151) (14,15).
Hospitalization data
The number of hospitalizations for these diagnoses during the seven-year period 1990 to 1996 was calculated separately for each calendar month on an age- and gender-specific basis. For each month, a rolling daily average of hospital activity (reflecting the sum total of hospitalizations for that period) was then calculated. Similarly, using a rolling average of the reported population of Scotland during this period (15), we then calculated the population-based rate of hospitalizations per day (stated as the number of hospitalizations per day per 100,000 population) on an age- and gender-specific basis.
Mortality data
Using linked data from the General Register Office for Scotland, we identified all deaths occurring in those individual patients who contributed to the above hospitalizations for the period 1990 to 1997 (thus enabling at least one year of follow-up in all patients). As with hospitalization data, we calculated the number of deaths separately for each calendar month on an age- and gender-specific basis in order to derive a daily average of deaths—once again, reflecting the sum total of deaths during this period.
Seasonal variation
To determine any seasonal variation in hospital activity, we compared monthly averages with the overall population rate of hospitalization. The extent of deviation specific to each calendar month was quoted as a percentage relative to the overall rate of activity observed during this period (possible range −100 to +100%). The average number of deaths occurring during each calendar month was similarly calculated.
Statistical analysis
We tested the assumption that the rate of hospitalization and death would be constant throughout this period by comparing the "expected" (calculated from the overall daily rate) and observed number of cases recorded for each calendar month using the chi-square goodness-of-fit test.
To determine further the extent of variability in the risk of hospitalization or death, we used the same test to directly compare event rates for those months associated with the highest and lowest values relative to the overall event rate observed. The comparative risk of an event occurring in these two months was then stated as an odds ratio (OR) (95% confidence interval [CI]). For the direct comparison of the risk of inpatient case-fatality between "high" and "low" months, we used gender-specific multiple logistic regression models that included age, comorbidity and social deprivation to calculate adjusted ORs. We also used the Student ttest to compare between-month mean length of survival. All data management and analyses were performed using SPSS for Windows version 9.0 (SPSS Inc., Chicago, Illinois).
Overall admissions and deaths, 1990 to 1996
Between 1990 and 1996, there were a total of 75,452 male and 81,269 female hospitalizations in Scotland, with a discharge diagnosis of congestive heart failure or acute HF. Of the 38,875 men and 44,505 women who contributed to all these admissions between 1990 and 1996, a total of 26,033 (67%) men and 30,543 (69%) women died between 1990 and 1997.
Seasonal trends in hospital admissions
All HF hospitalizations, 1990 to 1996
Figure 1shows the daily average number of HF-related hospitalizations between 1990 and 1996. The daily average of these hospitalizations per 100,000 population was 8.4 in men and 8.5 in women, respectively. There was a marked seasonal variation in the number and rate (Figs. 1 and 2), ⇓with many more hospitalizations in the winter months compared to summer months. For example, in women, the peak occurred in December (9.2 hospitalizations per 100,000 population, 12% greater than average, p < 0.001), whereas the lowest rate occurred in July (7.9 per 100,000 population, 7% less than average, p < 0.001). In men, seasonal variation was less marked but still evident—the peak daily rate of hospitalization occurred in December, January and February (8.9 per 100,000 population—6% greater than average, p < 0.001), whereas the lowest rate also occurred in July (7.7 per 100,000 population—8% less than average, p < 0.001).
In both men and women, the greatest seasonal variation occurred in those aged ≥75 years (Fig. 2). In women, this seasonal variation resulted in an absolute difference of 1,111 hospitalizations, comparing the hospital activity in July to that of December (6,455 vs. 7,566), during the entire seven-year period. In men, the equivalent number for July compared to January was 921 (5,925 vs. 6,846 hospitalizations).
Hospitalizations with HF as the principal diagnosis
In hospitalizations where HF was the principaldischarge, seasonal variation was similar to that seen when alldischarges with a HF coding were considered (Fig. 3).
Concomitant discharge diagnoses
Sixty-five percent of hospitalizations with HF coded as the principal discharge diagnosis had a secondary coding. Respiratory disease was concomitantly coded in 10% of these discharges. Seventy-five percent of respiratory disease codings were for chronic obstructive pulmonary disease and the remaining 25% were for pneumonia. The other major categories of secondary codings were AMI (approximately 20%), other forms of coronary heart disease (13%) and atrial fibrillation (6%).
Respiratory disease
There was a winter peak of concomitantly recorded respiratory disease in both men and women, with HF coded as the principal diagnosis—9% of December discharges versus 6% of July discharges (p < 0.001). This difference accounted for 220 admissions. It was even more marked in patients aged >75 years (12% vs. 8%, p < 0.001). Similar differences were noted in hospitalizations with HF coded as a secondary diagnosis (14% in December compared to 10% in July, p < 0.001). This difference accounted for 170 admissions. Again, it was most marked in those >75 years.
Acute myocardial infarction
Concomitantly coded AMI also showed a seasonal variation in older men. In men >75 years of age, the proportions in December and July were 15% and 11%, respectively (p < 0.001), compared to 20% and 19.5%, respectively, in men overall. This difference accounted for an excess of 97 admissions. The corresponding proportions for all women were 16% and 16% and in women >75 years of age 14% and 14%.
Other concomitant diagnoses
No seasonal variation was detected in other manifestations of coronary heart disease, arrhythmias, stroke or alcohol-related problems and depression in patients hospitalized with HF.
Seasonal trends in deaths
All deaths, 1990 to 1996
Figure 4shows the average number of deaths per day for each month during the period 1990 to 1997. A marked seasonal variation was observed in the pattern of deaths in patients hospitalized with HF between 1990 and 1996. The average number of men who died during December was 83 per day compared to 67 per day in July (16% higher and 7% lower, respectively, than the yearly average, p < 0.001). In women, the equivalent figure for January was 102 deaths per day compared to 73 in July (21% higher and 14% lower, respectively, than the yearly average, p < 0.001).
In women, this seasonal variation resulted in an absolute excess of 922 deaths in July compared to that of January (2,249 vs. 3,171) between 1990 and 1997. In men, the excess in January over July was 507 deaths (1,995 vs. 2,502 deaths).
Figure 5shows the average rate of deaths per day, categorized by age and gender. As with hospitalizations, the greatest seasonal variation in mortality was in those aged ≥75 years.
Inpatient case fatality and mean survival after hospitalization
When compared with death at any time after admission, inpatient case fatality also showed clear seasonal variation. In men, this rate was 24% in December versus 21% in July, an adjustedOR of 1.17 (95% CI 1.01 to 1.25, p < 0.001). In men 75 years or older, these rates were 28% versus 24%, adjusted OR 1.15 (95% CI 1.08 to 1.24), p < 0.001.
In women, the inpatient case fatality rate was 20% in December versus 19% in July, adjusted OR 1.08 (95% CI 1.00 to 1.16), p < 0.05 (28% vs. 25% in women ≥75 years, adjusted OR 1.13 [95% CI 1.03 to 1.24], p < 0.001). For men, mean survival in those discharged alive from hospital was worse in December at 533 days versus 563 days if hospitalized in July (p < 0.05). In women, the comparable figures were 573 versus 622 days (p < 0.001).
We have identified a significant winter peak in HF-related hospitalizations. These population-based findings are in accord with the results of the only other study to examine this topic (16), which found a similar seasonal variation in discharges from French public hospitals (accounting for approximately 70% of hospital capacity in that country) (16). When analyzing mortality, that study only examined death certification for HF, rather than case fatality specifically in patients hospitalized with HF. Nevertheless, both analytical approaches confirmed an even more pronounced winter peak in deaths.
Physiologic mechanisms underlying seasonal variation
What causes this winter peak in HF morbidity and mortality? Our findings are clearly in keeping with the seasonal variation seen in acute coronary syndromes and sudden deaths (1–4). Consequently, they may share common mechanisms and aggravate the other's seasonal amplitude. For example, the hemodynamic stresses and neurohumoral activation that accompany a reduction in temperature may exacerbate HF, induce myocardial ischemia and precipitate arrhythmias (5–11). Furthermore, both ischemia and arrhythmias could further increase the risk of HF decompensation. Other mechanisms could also underly the seasonal variation in HF-related morbidity and mortality. Respiratory infections, especially those related to influenza, are more frequent in winter and could precipitate HF (17). Alcohol consumption also peaks in December in many countries (18). Because alcohol depresses myocardial contractility and induces atrial fibrillation, it too could aggravate HF (18,19). Consequently, we also examined secondary discharge codes to see whether they could offer insights into the role of any of these potential mechanisms.
Role of pulmonary infection in seasonal variation
Interestingly, respiratory disorders (exacerbation of chronic obstructive pulmonary disease and pneumonia) also showed a winter peak in patients hospitalized with a primary discharge diagnosis (or a secondary coding) of HF. Indeed, approximately one-fifth of the winter excess of hospitalizations could be accounted for by this seasonal increment in respiratory disease. This may even be an underestimate as secondary codings are less reliable than primary ones, and some patients discharged following hospitalization with an exacerbation of HF may not have had an appropriate secondary coding entered for respiratory disease.
Role of acute coronary syndromes in seasonal variation
In contrast, acute coronary syndromes apparently played a surprisingly small role in the winter excess of HF hospitalizations. However, other series from single centers have also suggested that myocardial ischemia is less frequently a potentially preventable cause of hospital readmission than pulmonary infection in patients with HF (20,21).
More marked seasonal variation in the very elderly
We found that seasonal variation was most striking in older subjects. This has also been noted for coronary events and blood pressure changes (22). The elderly are less able to regulate body temperature and, therefore, may be more prone to all the adverse effects of cooling (23). They also appear to be more prone to winter respiratory infection.
Interestingly, a winter admission was associated with not only a higher short-term (inpatient) case fatality rate but also a poorer longer-term survival. Even with the limited adjustment we were able to perform, the increase in short-term case fatality persisted. This suggests that patients with more severe HF (and, therefore, a worse prognosis) may be particularly vulnerable to a winter exacerbation.
Clinical significance and management implications
We believe that our findings are of clinical significance. In a population of 5.1 million, with about 13,000 deaths from coronary heart disease annually, seasonal variation accounted for a difference of 1,429 deaths and 2,032 hospitalizations.
Our findings have potentially important management implications. First, increased vigilance in winter is important in patients with HF, especially those in the more advanced stages, in order to detect and correct decompensation at an early stage. Second, pneumococcal and influenza immunization should be strongly encouraged, not just to avoid these infections, but also for their potential role in winter exacerbations of HF (24). Third, the winter peak in morbidity and mortality emphasizes the need to understand better the mechanisms underlying this phenomenon.
Study limitations
As with any epidemiologic study of this type, our study has limitations. We have relied on discharge coding, which, though over 90% accurate in the principal position, is less so in secondary positions. However, most secondaryHF codings are in the second(of six) positions. Codings in the second position also have a high degree of accuracy. Differentiating an exacerbation of respiratory disease, respiratory infection and decompensated HF is clinically difficult, particularly in the elderly. However, miscoding of pulmonary infection as HF may be as likely as HF miscoded as pulmonary infection. We did not measure other factors known to affect the risk of HF hospitalization, such as environmental concentrations of carbon monoxide, which also interacts with ambient temperature (25). Exercise, which is also of benefit in HF, may be taken less frequently in winter. Depression, which might influence prognosis in HF, may also be worse in winter (26).
In summary, we have shown that there is a substantial seasonal variation in HF hospitalizations and deaths. The winter peak is particularly marked in the elderly. Approximately one-fifth of the winter excess in HF hospitalizations is attributable to a winter increment in respiratory disease. Myocardial infarction contributes a smaller part of the winter excess, especially in older men. These findings argue for extra vigilance in patients with HF in winter and for immunization against influenza and pneumococcal infection. A full understanding of the underlying causes of this variation could result in other management strategies with important public health and economic benefits.
☆ Simon Stewart was supported by the National Heart Foundation of Australia.
- Abbreviations
- acute myocardial infarction
- confidence interval
- heart failure
- International Classification of Disease
- odds ratio
- Received August 30, 2001.
- Revision received December 7, 2001.
- Accepted December 14, 2001.
- American College of Cardiology Foundation
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The milk found in your bulk tank as well as the milk of each cow in your herd offers an abundance of critical information essential for your management decisions. Our laboratory, one of the most important in North America, has been at your service for over 50 years and is audited by the Standards Council of Canada according to the ISO/IEC 17025 international standard.
We offer you various milk analyses that can be carried out following milk recording, from a bulk tank sample or as a special analysis. Our laboratories operate year-round, 6 days a week (Monday to Saturday), and your samples sent by standard mail are tested within 24 hours of reception.
To ensure you get representative results, be sure to follow the right sampling, storage and transportation procedures.
Request analyses
Milk recording samples offer the advantage of providing management data that is simple, reliable and affordable for each of your cows. Since we also carry out bulk tank milk analyses, for payment from Les Producteurs de lait du Québec, we are well-equipped to get more useful information from your samples for your herd management.
Individual cow analysis results are provided to you through your herd management reports as well as your Valacta Mobile application. Bulk tank analysis results are published in your extranet on Les Producteurs de lait du Québec's website.
For most of our analyses, we use Fourier transform infrared spectroscopy analyze of the latest generation. These devices offer the advantage of offering a particularly high sensitivity, resolution and data acquisition speed. In fact, they can test over 600 samples per hour.
Thanks to the evolution of infrared technology, we can now measure with enhanced accuracy, allowing us to develop new analyzes that will profit dairy producers for years to come.
Whether for individual cows or for your herd, milk component data, especially fat and protein, is the basis for all the decisions you need to make on a daily basis in dairy production.
It is important to note that fat levels vary during a milking session and that the cream separates itself in the bulk tank. Therefore, precautions need to be taken to ensure that the samples sent to the laboratory are really representative.
Results for fat and lactose for individual cows are expressed in kg/100 kg while bulk tank results are expressed in kg/100 litres of milk. You can go from one unit to another by multiplying the kg/100 kg of milk by 1.03.
Results for protein are expressed as kg of crude protein/100 kg of milk for individual cows and as kg of true protein/100 liters of milk for bulk tanks. You can convert between kg crude protein/100 kg to true protein/100 liters first by substracting 0.19 and then by multiplying by 1.03.
Somatic cell count (SCC)
Somatic cell count is an indicator of both the cows' udder health and milk quality. It is the foundation of any udder health & milk quality management program in a herd.
We offer the total count of somatic cells by cytometry for individual cow samples as well as bulk tank samples. It is important to collect samples with a lactometer to get a milk representation that includes all four quarters.
Our MUN analysis service allows you to follow and quickly find your cows with non-standard urea levels. Milk urea is a great indicator of how efficiently the ration's protein is used. A highly concentrated urea level indicates a waste of the feed's protein and a high level of nitrogen excretion in the urine. This is a most valuable tool in feed management.
These analyses are offered for individual cows following a milk recording.
Bulk tank urea analysis allows to confirm around 15 times per month (at each milk delivery) if your herd's feed is efficiently used. This is an interesting tool to test a new ration between 2 milk recording tests and ensure a better control of your production costs!
However, bulk tank urea analyses alone do not allow to target exactly where adjustments need to be made. It thus needs to be used in combination with individual cow MUN analyses.
When the organism draws on their fat reserves as a source of energy, it produces ketone bodies. Their presence in excess indicates that your cows risk suffering from ketosis, a metabolic illness that often occurs at the beginning of lactation as a result of transition period management issues. Our KETOLAB analyses are made on your lactating cows and measure the BHB rate that serves as an indicator. You can then quickly take the action required to solve potential issues with the help of your advisor.
Simple, affordable and reliable, GESTALAB allows to detect pregnancy in the milk as soon as 26 days after the service. It is an ELISA test distributed by the company IDEXX Laboratories. A clinical study that has been carried out in collaboration with veterinarians demonstrated that the GESTALAB accuracy was equivalent to that of ultrasounds.
Analyses can be made on samples taken during milk recording or at any time between tests. For the latest option, you first need to request a sampling kit to your Valacta technician, your Ciaq representative or by contacting our customer service. Then, you simply need to send us your samples by mail.
For an accurate test result, it is important to know the date of service and follow the recommended sampling procedures for milk recording. Make sure to provide the date of service so it can be made available in the database. For robot milking herds, we do not accept samples taken from a milking system sampler for our GESTALAB analyses. However, samples taken manually from the cow are accepted.
Paratuberculosis (or Johne's disease) and leukosis are infectious illnesses that can lead to major financial losses in a herd. Thanks to a prevention and biosafety program established with your veterinarian, we offer the paratuberculosis and leukosis detection in milk, both for the herd (sample and bulk tank) and individual cows. Ask your veterinarian who will advise you on the best detection strategy for your herd.
Total bacteria count in your bulk tank milk is offered as a special analysis. This analysis requires specialized materials and specific precautions for sampling and transportation. It is important to contact our milk quality laboratory to get the material needed and properly understand the procedures to follow. Also contact our laboratory if you wish to analyze the foreign water rate in your bulk tank milk.
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Daniel Faegnell
Daniel Faegnell Started 3DPrinterChat.com and is a content marketer who formerly worked out of AddGeek´s Stockholm office. A writer by day and a reader by night, he is loathe to discuss himself in the third person, but can be persuaded to do so from time to time. Find him on Twitter here: @3dprinterchat


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Guy Beutelschies is the Director of Interplanetary Missions at Lockheed Martin Space Systems.
July 12, 2016 • 48:25
Return with us to the evening of July 4, 2016 and the exciting arrival at Jupiter of the Juno orbiter. You'll hear the moment of successful orbital insertion. Several of the mission's key contributors reveal how Juno accomplished this feat, along with what they hope the spacecraft will tell us about the giant planet.
Become a member of The Planetary Society and together we will create the future of space exploration.
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Did you know that 40 percent of the food produced for humans in the U.S. is wasted every year? That's enough to fill the Empire State Building nearly 100 times. Meanwhile, Maine ranks first in New England in terms of food insecurity, including for children, and the State struggles to manage the costs and impact of our municipal solid waste stream, 43 percent of which is organic material.
NRCM's Ryan Parker presented as part of Portland's Sustainability Series. The Portland Public Library, and the Southern Maine Conservation Collaborative joined forces with the Natural Resources Council of Maine to host a screening and discussion of the documentary, "Just Eat It," on Wednesday, April 26, at 5:30 p.m. at Portland Public Library's Rines Auditorium, 5 Monument Square, Portland.
This event was free and open to the public.
NRCM's Sustainable Maine Project is committed to helping individuals, communities, and the State adopt practical measures to address the massive food waste problem because it will help protect our environment and it makes economic sense.


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I had the lovely pleasure of working my client Jackie in creating this "tickled pink" wonderland for her daughter Emerson's 1st birthday at the East Bank Club in the riverview room. This is my first kids birthday party and I had a blast! Emme's favorite part of the design was her name in lights. Who wouldn't be attracted to blinking, shiny, feather trimmed letters? Often the family members would take her over near the letters and she would just stare. It's nice that guests of all ages enjoyed the aesthetic :)
Want to know how I created some of these pink-a-licious items? Read on for more!
Everything is pretty in pink!
When I started my process I was thinking of the best materials to use. I decided to use feather boas rather than individual feathers. I bulk ordered them on the internet. The boas gave me more control over the final product, but didn't stop my apartment being covered in pink feather fuzz. As for the other fabric elements, I went to my favorite outlet store here in Chicago, it's located at 2121 21st in Pilsen. The hours vary so look them up before you go! I was able to pick up a giant spool of sequins and the fabric for the letters and the door drapery for way less than a traditional fabric store.
Your Name in Lights: how to make light up letters
For the letters I started with a foam core sheet as the base. I then used spray adhesive to affix the satin fabric to the foam core. I then sketched out the letters and figured out the light placement. The using a strand of sequins I filled in the rest of the letters. To finish I pinned the feather boas along the outside of the foam core.
Feather Topiaries that make Dr. Seuss jealous
For the pedestal: I went to Home Depot and looked around the stair and banister aisle. I found the square base that is usually used as a decorative cap on your stair post and one baluster for the vertical element. I spray painted these both white and attached them with a screw through the bottom. Base done.
Feather Ball: I first bought my 12" feather ball online, they don't sell them that big at Michaels or Hobby Lobby. As soon as I got it I painted a base coat of pink paint that matched the feathers I was going to apply. Give that a lot of time to dry! I then pushed the ball on to the base. I enlisted the help of my best friend Betsey to make sure the ball was sitting straight before we fixed it to the base. Since the baluster was slightly tapered all we had to do was push the ball on to it and the pressure and gravity worked in our favor. I then dressed the ball in feathers. I wanted to be able to reuse the ball at a later date so I attached the feathers with hairpins. The boas have a little fullness so I put the feathers about two finger's width from each other. And voila! You have yourself a beautiful feather topiary!
I would love to do another event like this soon! It was so much fun! A big thanks to Jackie and the East Bank Club! Happy Birthday Emerson!
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She received her BFA in Scenic Design/Art from the University of Illinois - Urbana.
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Thanks much to all of my friends and family for their continued support!
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Stela of Mentuwoser
Stela of Mentuwoser, ca. 1955 B.C.E.; Dynasty 12, reign of Senwosret I, year 17; Middle Kingdom
Egyptian; Probably from Abydos
Painted limestone; 19 5/8 x 41 in. (49.8 x 104.1 cm)
Gift of Edward S. Harkness, 1912 (12.184)
To show clearly each kind of food being offered, the sculptor arranged the images on top of the table vertically. The feast consists of round and conical loaves of bread, ribs and a hindquarter of beef, a squash, onions in a basket, a lotus blossom, and leeks. The low-relief carving is very fine. The background was cut away only about one-eighth of an inch. Within the firm, clear outlines, the sculptor subtly modeled the muscles of Mentuwoser's arms and legs and the shape of his jaw and cheeks. The chair legs and the calf's head have also been carefully formed. The hieroglyphic inscriptions in sunk relief state that in the seventeenth year of his reign King Senwosret I presented the stela to Mentuwoser in appreciation of his loyal services. Mentuwoser's deeds are described at length. He was steward, granary official, and overseer of all manner of domestic animals, including pigs. He is described as a good man who looked after the poor and buried the dead. Senwosret's throne name, Kheper-Ka-Re, appears within a cartouche in the middle of the top line.
The stela was erected in the temple precinct of Osiris at Abydos.
Mentuwoser's image and the prayers on the stela were meant to bring
him both rebirth and sustenance at the annual festivals honoring
Copyright � 2001 The Metropolitan Museum of Art - MET
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Bibliography on Ancient Art
The Art of Ancient Egypt, Revised
by Robins, 272 Pages, Pub. 2008
© Bible History Online (http://www.bible-history.com)
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Sarcophagus of Eshmunazor II, king of Sidon
Stele Showing the Storm-God Baal
Fertility Goddess - Ugarit
Oskoron I - Byblos
The Spinner Relief
The Archers of Darius
Bull Capital From Darius I Palace
Sargon II and a High Official
Tablet of Sargon's 8th Campaign
Winged Assyrian Bulls
Law-Codex of Hammurabi
Hero Choking a Small Lion
Kudurru of Melishihu
Hittite God - Gold Figurine
Seated Statue of Gudea, prince of Lagash
Foundation Nail of Ur Ba'u�
Cylinder-Seal Of Sharkalisharri
Victory Stele of Naram-Sin
Urnanshe (King of Lagash) Relief
Ebih-II, the Superintendent of Mari�
Tablet Of Pre-Cuneiform Script
King and Eunuch Attendant Relief
Human-Headed Winged Bull
Bearded Man Holding Tendrils
Nubian With Animals and Skins
Head of a Roaring Lion
Cylinder Seal With Impression
Orthostat Relief - Hunting Scene
Sphinx Plaques
Throne With Bull Deity
Ancient Egypt
Model of a Riverboat
Ritual Figure of the 12th Dynasty
Stela of Mentuwoser
Coffin of Khnum-nakht
Sphinx of Senwosret III
Face of Senwosret III
Pectoral with the Name of Senwosret II
Statuette of a Hippopotamus
Seated Statue of Hatshepsut
Ostracon of Senenmut
Chair of Renyseneb
Heart Scarab of Hatnofer
Kneeling Statue of Tuthmosis III
Arm Panel from a Ceremonial Chair
Sphinx of Amenhotep III
Pendant in the form of a man's head - Carthage


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Real Madrid legend Guti escalates Twitter battle by taunting Barcelona after Sociedad loss
Real Madrid legend Jose Maria Guti has made yet another tweet taunting Barcelona after the Catalans lost 1-0 to Real Sociedad. The Spainiard was a crucial part of the Los Galacticos side, and has never eschewed the chance to rub it in after any of Barcelona's failings, thus endearing him to the Real Madrid faithful.
Barcelona's 0-1 loss to Real Sociedad proved to be the perfect opportunity for Guti, who took to Twitter after the match and posted a rather brief, yet evocative message.
If one notes the time of the tweet, it reveals that Guti posted the tweet soon after the final whistle blew at the Anoeta, which was sure to have rubbed salt into the wounds of the Barcelona players, who had never experienced consecutive La Liga losses this season.
Guti's tweet composed of the 'smiling poo' emoji followed by three snoring icons, a reference to the Catalan cultural traditions that involve excrement and the belief that Los Cules have a tendency to falter when the pressure is raised.
The loss to Sociedad did raise the pressure on Barcelona, since Real Madrid are only 4 points behind them in 3rd place, while Atletico are 3 points behind in 2nd.
Barcelona and Real Madrid players regularly argue on Twitter
Guti's tweet isn't all that surprising, especially given that the Real Madrid legend has previous when it comes to Barcelona's misfortune. Earlier in the season, Barcelona dropped points against Valencia after drawing 1-1, and Guti made the following tweet:
Translating to 'Congratulations Barcelona for a point!' the sarcastic taunt is representative of a Real Madrid legend who takes every opportunity to taunt Barcelona, not that there have been many this season.
Despite having retired, it seems that Guti has a succesor in Alvaro Arbeloa, as the Real Madrid fullback has taken the opportunity of an extended spell on the sidelines to Tweet multiple taunts at Barcelona, regularly sparring with Barcelona troll-in-chief Gerard Pique.
Arbeloa also tweeted upon Barcelona's loss to Sociedad, saying "How difficult it is to win against 11 men! Great games from Illarramendi and Granero - promise fulfilled. Congratulations!", a reference to Barcelona often playing against 10 men, including El Clasico.


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Embassy in Christ Church
Orlando, Florida, USA
A spirit filled non-denominational church called to minister salvation, deep healing and deliverance to many souls for Christ. Embassy in Christ is committed to partnering with other ministries in the East Orlando area and beyond to effectively spread the good news of salvation in Christ.
9191 University Blvd, Orlando, FL, 32817 USA
Embassy in Christ Church website: www.embassyinchrist.com
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Roger Federer has labelled 2017 his favourite year in his 19-year career as a professional tennis player despite most of his success coming over a decade ago between 2003 and 2007 when he won 11 of his 19 men's singles Grand Slam titles.
The Swiss ace made a sensational comeback this year after struggling for form and fitness in recent years. Federer won seven titles including two Grand Slams — the Australian Open and a record eighth Wimbledon — to make it his most successful campaign in a decade.
The 36-year-old had last won a major in 2012 and a knee injury forced him to miss the last five months of the 2016 campaign. The lengthy layoff raised a number of questions about his future in the game, but he has silenced doubters after getting back to his best and displaying a new aggressive brand of tennis.
Federer will begin his 2018 campaign at the Hopman Cup and then move on to Melbourne to defend his title at the Australian Open. Federer is not expecting a repeat next season, but admitted that he will be happy if he is "half as successful" as 2017.
"It's been a massive year – perhaps my favourite! If 2018 is half as successful, then I'll be happy," Federer said, as quoted by the Express.
Federer, meanwhile, paid tribute to his long-time coach Severin Luthi, after he was crowned Switzerland's coach of the year. The 41-year-old has been part of the eight-time Wimbledon champions' camp for over a decade and has played a part in a number of his successes.
Apart from coaching Federer, he was also the coach of the Swiss Davis Cup team that won the title in 2014 after defeating France. The Swiss tennis ace admitted that he was "lucky" to have someone like Luthi in his corner.
"Congratulations on coach of the year in Switzerland," the Swiss tennis star said following Luthi's win. "So well deserved, lucky to have you on my team. You've been a rock in my corner for years. Thank you."
Luthi, however, was quick to praise Federer and made it clear that the only thing that matters is the latter's form. He also credited the 19-time Grand Slam winner's passion for the game, as he was crowned the Swiss Sportsman of the Year for the seventh time.
"For me, the only thing that matters is to help Roger playing better," Luthi said. "For me it's very inspiring to see Roger's passion."


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Diamond Cluster Ring Enquiry
A modern pre-owned diamond cluster ring, the nine modern brilliant cut diamonds totalling approximately 0.95ct. Colour/clarity grades estimated as G-H/SI. White gold claw settings on a white gold 18ct shank ( tested).
New replacement value:- £2000
|Metal Type
|18ct White Gold
|Period / Age
|20th Century Vintage
The images are a good likeness of the designs we stock. Limitations of reproduction however mean that colours and proportions may not always be wholly accurate. Specifications can be customised online, but images may not accurately reflect this change.


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COMPUTER gaming is found to be much better than gaming consoles. For the Vive , HTC recommends a Core i5-4590 or AMD FX 8350 CPU, an Nvidia GTX 1060 or Radeon RX 480 GPU, 4GB of RAM, an HDMI 1.4 port or DisplayPort 1.2 or newer, 1 USB 2.zero port and Windows 7 or newer. The 27 inch LED-lit gaming monitor based mostly on TN show has 1920×1080 resolution and sixteen:9 aspect ratio.
It's a time-honored countryside in the huge landscape of gaming, and to not go there's to rob your self of a fantastic a part of taking part in video games. It should reduce the tear throughout video games, but generally it would trigger stuttering, or latency.
As for anybody who still claims that video games are just mindless enjoyable ask them to play a number of rounds of Black Ops Zombies with you. Ask any gamer and he'll tell you that a mediocre to crappy router will definitely frustrate your gaming experience because the router will be unable to keep up with the calls for of your gaming activities on it.
If you"re familiar with somebody that has at all times been a consistent example of good sportsmanship in video games, get them one of the best gamer items out there, the next are five nice presents for the gamer in your life. Many avid players will inform you to just keep on with a wired connection to avoid any surprising interruptions which are typically related to wireless expertise.
The experimenters explained that the study consisted of two measuring-instances, the first ideally going down after a period of recovery from gaming (minimum of two hours), and the second being undertaken subsequent to a game session. Since sport software program is usually fairly massive at least 2GB to 4GB of 800MHz or 1,066MHz DDR2 reminiscence is recommended for the optimal gaming expertise.


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VIDEO | Paying it forward at Interfaith Caregivers of Washington County
August 26, 2018 – Washington Co., WI – A new Sunday series sponsored by Interfaith Caregivers of Washington County a local organization that connects seniors with caring volunteers.
The volunteers and board members at Interfaith Caregivers of Washington County are extremely appreciative of all the people who have helped over the years.
Tom Hostad of Hartford has enjoyed paying it forward his entire career. Hostad has been with the United Way of Washington County, Big Brothers Big Sisters of Washington County and the Boys & Girls Club.
"I served as a big brother and so many people now a days need a role model," he said.
Interfaith Cargivers and the H.E.L.P. Center is Hostad's latest effort at paying it foward.
A new H.E.L.P. Center will open shortly at Redeemer Lutheran Church in Hartford providing gently used medical equipment and resources for seniors in need of assistance.
Remember Friday, Sept. 7 is Percolate. A chance to meet new friends, share some coffee and sweets and find out a little bit about what Interfaith Caregivers does for people in the community.
Come join us at 8 a.m. at 2374A Washington Avenue. (In the strip mall that used to be Pick 'N Save)
Everyone involved in Interfaith Caregivers is doing their part in helping make the life of area senior citizens that much easier.
Giving time to Interfaith Caregivers is a rewarding experience.
Whether it's getting a group together to clean up an elderly neighbor's yard or simply folding a fresh load of laundry, your time makes a real difference! In the end, don't be surprised if you forget who's helping who.
Click HERE for more details on how you can get involved, make a new friend and pay it forward at Interfaith Caregivers of Washington County.


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Tips for visitors
shared by a.m.sharina on Aug 27, 2014 in Olympics
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Let's remember a successful experience of the organization of the Olympic Games in Sochi. Structure and systems of safety created difficulties for visitors. However, organizers developed convenient ma... terials and recommendations for visitors in order to make their trip comfortable. It is one of examples of the clear recommendation. I advise to make similar pictures with recommendations for different actions.
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Jewels Hero
Here is another free online gems game that has a wonderful story behind it. Jewels hero is the kind of bejeweled game where you are fighting against an opponent and the type of gems that you remove will affect the power that you are able to use. This is a tournament where you choose a hero based on the character and powers that he or she has. The mage is well versed in magic and she uses it to overcome her adversaries. The elf is skilled in fighting techniques and can never be caught easily. It is this speed and technique that makes her powerful. The warrior is perhaps the best hero since he has a wonderful balance of power and magic. You can also decide to become an Orc, who uses power to overcome his opponents. He is known to have a very fierce and fearless temper. Once you have selected the character that you want to play, then the game will begin and you can fight and strive to beat your opponent. The powers include the power to heal and also that of preventing your opponent from healing for one turn. %There are various powers attached to the gems such as orange for attacking, purple for a magic attack, pink for a counter attack, gray for defense, blue for mana, red for rage and green for healing. When you match the gems, you should bear these characteristics in mind so you know which gems you should be looking for depending on the state of your health and that of your opponent. Matching 4 gems will get you an extra turn, and 5 will get you a bomb. 6 gems will give you a rainbow gem that can be used to match any other set irrespective of its color and magical characteristics.


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11 ربيع الآخرة 1441 , 08 كانون الأول 2019
Iftaa' Department
Resolutions of Iftaa' Board
Contact us
All Fatawaas
- Habits
- Medicine & seeking treatment
All Fatawaas
Ruling on Refraining from CPR in case of Cardiac Arrest
What is the Islamic ruling on refraining from CPR in case of cardiac arrest based on prior request by the patient or one of his close relatives?
• Read More
Liability for Medical Errors
When a medical error takes place and a patient dies as a result, is Diyah an obligation?
• Read More
No Harm in Mummifying Animals for Scientific and Educational Purposes
Is it permissible to mummify a rabbit for an educational purpose? And should that be refrained from during the sacred months?
• Read More
Refraining from Procreation Contradicts the Objectives of Marriage Contract
What is the ruling when the husband refrains from procreating because he doesn`t want to although his wife wants to have children, knowing that before getting married both spouses agreed not to have children for fear of some diseases?
• Read More
Ruling on Practicing Medicine Using Someone Else`s Academic Degree
I`m a dermatologist living abroad. A colleague of mine asked me to apply for a license for a medical center, which offers skin treatment and cosmetic laser surgery, in Jordan using my own occupational license in return for a certain amount of money. Being overseas, I can`t supervise this facility`s various activities, such as injecting with fillers, Botox and laser to remove hair and pigments, in addition to other procedures. Is this permissible knowing that these physicians are competent and well-trained? Will I be held accountable before Allah for any misconduct happening without my knowledge?
• Read More
Ruling on Castrating Cats to Prevent Inevitable Mischief
I would like to ask about the procedure followed in sterilizing and castrating cats. Actually, it is harmless and takes no more than ten minutes. As this is the breeding season, cats become ferocious and splash urine all over the house, causing a lot of harm. Moreover, raising cats is expensive and I can`t afford raising more than one. If I leave them as they are, they will increase in great numbers. What is the ruling on this procedure?
• Read More
Conditions that Must be Met in Artificial Insemination
A married woman couldn`t get naturally pregnant due to being old, and her husband objects to performing artificial insemination. While married to that man, she wanted to withdraw eggs from her ovaries, divorce him then marry another and use the latter`s sperms to fertilize those eggs. What drove her to do so is that she may not be able to withdraw eggs to be fertilized by the sperms of her new husband since she may not have any left due to the long time that the divorce and Iddah(waiting period observed by wife after divorce or death of husband) usually take for she is old and likely to experience menopause. Does doing so violate Sharia?
• Read More
: Ruling on Donating Hair to Victims of Cancer
Is it permissible to donate hair locks to victims of cancer?
• Read More
Using Technology to Determine Intact Embryos in Test-Tube-Babies
Is it permissible to use the technology that determines the unimpaired embryos in Test-Tube Babies in order to eschew the genetic disease called " Alstrom Syndrome" which leads to having blind babies with advanced degrees of deafness, diabetes and sterility.
• Read More
Initiating Measures that Lead to Abortion is Prohibited
My wife conceived after seven months from delivery. During the first three months, she tried to abort the embryo, then abstained from doing so. Eight months later, she gave birth to a deformed baby that lived only 70 days. What am I required to do from the view point of Sharia?
• Read More
When is it Permissible for a Woman to Undergo an Operation to Prevent Pregnancy?
Is it permissible for a woman who suffers from high blood pressure to tie her tubes after the age of forty eight?
• Read More
Is it true that if a ritually impure, or a menstruating woman visits one who is in confinement, harm will be inflicted on the latter, or her baby?
• Read More
What is the ruling on determining the sex of the baby whether through killing the female spermatozoa, or any other way in order to have a male?
• Read More
Is abortion permissible when the family isn`t ready to receive a new baby?
• Read More
Ruling on Tubal Ligation
This question was sent from the Committee of Medical Conduct at the Islamic Hospital, Amman. It is about tubal ligation in which a woman`s Fallopian tubes are surgically cut or blocked off to prevent pregnancy. In fact, this procedure prevents future pregnancies permanently. What is the ruling of Sharia on that?
• Read More


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Download What Husbands Can't Resist
Download What Husbands Can't Resist
Recommended for Couples-in-Crisis:
Survive an Affair– This program by Dr. Frank Gunzburg is a must read for any relationship that has been shattered by an affair. This step-by-step program works with the injured and the cheating partner through the necessary 3-phases you MUST go through if you want your relationship to survive. Dr. Gunzburg has 36 years of face-to-face counseling experience and since 2004, this program has helped over 60,000 couples survive the affair.
1000 Questions For Couples – From Oprah Expert – These questions will uncover secrets that could sabotage your relationship and will draw you closer than you ever imagined (but they will also quickly reveal if you are not truly compatible)
Recommended for Women:
Melt Your Man's Heart – Have you ever seen one of those lucky women who men go absolutely nuts over? Or maybe you see the woman that effortlessly wraps men around her finger without even trying and wonder how she does it… This is an excellent compliment to The Woman Men Adore…I even wrote an recommendation for it!
What Men Secretly Want – Watch this FREE Presentation to learn the one thing men crave from a woman, even more than love.
Text The Romance Back – Can you really add spark and passion back to your relationship at the push of a button? The truth is that men LOVE to text. You knew that right? Why not use it to your advantage and learn how to unconciously awaken his passion using these little text messages sent from your average cell phone.


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BASIS: Full-Time
CLOSING DATE: August 17 2018
Section: INGLOT & INGLOT THE STUDIO
The ROCS Group is growing and we are seeking experienced individuals to grow within our teams and lead one of the most popular concept makeup stores on the island in some of Malta's most prestigious locations, including Sliema, Mosta, Tigné Point, and Valletta.
We want you to have a passion for service excellence, embrace the challenge of retail sales, and be able to ensure customer satisfaction. If you can do this whilst managing a team and assuming full responsibility of an INGLOT store or INGLOT the Studio, this is the first step to joining our retail team!
You must also possess the following knowledge, skills and abilities:
The key responsibilities of this post include:
Employment conditions:
This is a full time role with remuneration in line with relevant experience +commission +overtime.
Fill in the form and we'll be in touch!


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A Sunday Afternoon
Written by Mark McCurdy
I sat across the table from a face that was familiar; one I have been observing for over 50 years of my life. But as he spoke, I listened that Sunday afternoon and studied the lines and creases more closely than I had in years. He appeared thinner and a bit pale since I last saw him. It wasn't a good kind of thin. It was the kind that comes from the loss of muscle tone, not fat. The lines were deeper on his brow and neck than I remembered. His eyes were a bit sunken and watery as his memories meandered back and forth between times of joy and times of sorrow. It was as if each moment he breathed was carrying him farther from the things he had grown to love and closer to the things he was just learning to love; things previously shrouded in physical and mental suffering.
Conversations with my aging father frequently recycle common threads and as hard as I try, I sometimes find my patience waning as we cover ground that has been covered so frequently that nothing grows there any longer. There are no new reflections or lessons to cultivate. It's like trying to put away a ghost in a wooden box but forgetting each time that a wooden box can't contain a ghost. For a moment the ghost is gone from his mind, but then it appears in some new corner and the whole process begins anew.
I thought that was where the conversation was headed when Dad brought up Mom. Mom passed away over nine years ago. Dad began a new thread of discussion by reflecting back on those weeks and months that followed. I thought, 'Oh no, here we go!' and I began my own trip down memory lane to a place I really don't like to visit; the most painful period of my life. As we kids grew older we saw that Dad had an emotional dependency on Mom. Mom, however, did not have the same dependency. I'm not saying Mom didn't love Dad, or that she did not care for him- she put her heart and soul into caring for Dad. But she had a kind of self-possession that allows one to endure. Growing up, Mom endured great trials, pain, and loss. She was the living embodiment of the saying, 'what does not kill us, only makes us stronger'. This did not make her unfeeling but a steward of her emotions. She kept her emotional house in order when it came to pain and suffering aimed directly at her. We all knew that if Dad passed first, Mom would be sad, but she had the inner emotional strength and toughness to carry on- Dad's emotional tether to Mom was much like an umbilical cord. Severing it would be traumatic.
So Dad's state of devastation after Mom died was not unexpected but it was shocking to actually live through. This was the first moment I ever saw my Dad struck down in agonizing grief and pain; frail and vulnerable. For most of my life, I experienced him as this strong man in command of his faculties in tough situations. In those first days after Mom died Dad was consumed by grief and inconsolable. He seemed very much like a child suffering the loss of a parent. The mental anguish was nearly unbearable for him and it put me and my siblings in a strange place. We had to assume the role of parent and try to console Dad- the man who had helped raise us. It was uncomfortable and strange.
It was at that moment, while I was anticipating another of sad account from Dad, that he took the conversation in a new direction. He said he found out years after Mom's death that several neighbors had shared amongst themselves that they didn't think he would survive long without Mom. They were certain he would die of a broken heart or end his life. Their fears weren't totally unfounded. I saw Dad, first hand, express how he couldn't handle the pain and that he just wanted it to end. He didn't want to live without Mom. Everything in the home reminded him of her; and remembering brought him back to the harsh reality of her permanent absence. When those waves of pain came over him it was as though an invisible knife was piercing his heart. There were rifles and shotguns in the house- just as you will find in most farm houses. When Dad started to speak that way the guns were removed. While none of us thought Dad was intending suicide, he was in so much pain that we took no chances.
As I listened and watched, Dad continued. His eyes were a little tearier but there was the hint of a smile- this was something new. He had something inside and it was important to him that I hear it. Yes, he recounted, in those first few years after Mom passed, he could not envision life ever being joyful again. He could not imagine ever wanting to live again, let alone being happy without Mom in his life. But the loss of Mom wasn't all that weighed him down.
Dad suffered severe ankle injuries and has lost most of his mobility beginning a few years before Mom died. And it has gotten much worse over time. Dad eventually could not get outside and do the work around the farm he enjoyed, or simply get outside and enjoy the outdoors. He remains confined largely inside the house- a seeming prisoner in his own home. With all his serious ailments, a widower for nine years and unable to do the things that brought him joy and a sense of accomplishment, I have worried that he might be suffering most of the time in deep depression. But Dad continued sharing and I was amazed what was coming from those teary eyes and soft smile.
He said he was happy, even though he never dreamed he would be again. He has all he needs and he is pleased with how his children and their families have turned out. Each day he derives simple pleasure from small things. He can still do laundry, with some help, and he likes to keep the house clean. In nice weather he'll manage his way onto an old lawn mower and take a short drive from the house to look over part of the farm. He likes to cook, again with a little help. He enjoys the challenge of tweaking his favorite recipes in search of something even tastier. On top of the chronic ankle pain, the inability to walk or stand but for a moment, Dad also has celiac disease and has to watch very carefully what he eats. He's landed in the doctor's office several times after eating something with just a minute amount of gluten.
There was no magic to Dad's turn around; no get well quick recipe. He started with grief counseling and developing friendships. It helped that, for a while, he was able to be physically active, though he's lost most of that. Good healthcare has definitely been important in helping him control depression, high blood pressure, and severe chronic pain. And receiving frequent visits from family and a retired nurse give him human contact and time for conversation. All these things have contributed to a positive turn in Dad's outlook.
I was feeling a sense of relief as Dad brought the moment to a close. He said, "You know, back then (when Mom died) I couldn't imagine being happy again or looking forward to each new day, but if I had given up when your mother passed away I would have missed out on so much. I guess God had a lot more for me to work out." Then his smile grew very wide and I could see a new thought entering his mind as he added, "I guess He still does!" Then Dad broke out into a laugh and his teary eyes twinkled. I'm sure mine did as well.
Written by Mark McCurdy
Physician-Assisted Suicide legislation was introduced last session in the state of Iowa. We were fortunate that it never passed out of sub-committee. They have, however, vowed to bring this up again next session and also push the issue via the court system. In the story above, had physician-assisted suicide been legal in Iowa, Mr. McCurdy's father might have considered this option given his depression and own physical suffering. Wanting to die because of depression is treatable. Millions of people are living proof of that fact.
Suicide bills are never the answer for anyone and add to the culture of death in our society. It is a recipe for disaster with no safeguards that will ever work. IFL is committed to educate on end of life issues and combatting the idea that suicide is health care- it is not. We must fight to protect the vulnerable people who are older, disabled or terminally ill from this threat.
Iowans for LIFE


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Being a good friend is beyond what you can imagine or consider. Friendship is more than support from other, it is more than one person there. As the Love*, friendship is a compromise. There are a lot of misconceptions about friendship, when they say: "you are my best friend", then who or how is a "bad friend" ?, iF there's a bad friend then per-se it is not a friend already. Friendship: when you decide to talk, to hear, to listen, to say, to stay, to give and share opinions and thoughts, when you build with actions a connectivity bridge and show what you can do, to pursue the good or help others. Sometimes you may receive comments or thoughts (from the point of view of your friend) that are hard to believe or hard to understand, sometimes you may receive words some harmful but don't worry!, they come from a friend in pro to fix or heal or help, don't worry!, it is help from the person you trust about: your friend.
What's about friendship in the Bible?
One example is when you read the books Samuel, to know more about David and Jonatan and Saul. But a quick view to make your brain work, 2 Samuel, chapter 1 verse 26, says the following, to you read, and read it again, and think about it, analyze, and search the deep meaning on it:
I grieve for you, Jonathan my brother;
you were very dear to me.
Your love for me was wonderful,
more wonderful than that of women.
Other versions:
¡Cuánto sufro por ti, Jonatán,
pues te quería como a un hermano!
Más preciosa fue para mí tu amistad
que el amor de las mujeres.
"More precious was to me your friendship than women love"
And this is the point when the Help is placed. Jonatan did a lot of things with so much effort to prevent bad issues against his friend David. Sometimes to help is a hard work, but remember: your responsibility as friend is to talk, to advert and give your best opinion, and if it based in Bible Principles that's excellent. As a friend, you have responsibility. You start to help when you advert, give and share opinions and thoughts, knowledge or experiences, own experiences or else's.
From the real world, from the extraterrestrial world,
hard to believe, but this is not a joke, it is in spanish:
Un amigo te hace tropezar pero no te deja caer, no te da la mano: te empuja o te jala hacia el riesgo, te escucha no solo porque tiene tiempo, sino porque tiene interes en el progreso, y si eres buen amigo no le diras lo bien que se ve, sino lo que mas le conviene y esto puede aplicar en otros aspectos mas alla de la apariencia. No te preocupes, toda esta supuesta molestia que podria causarte proviene de la persona en la que confias: tu amigo. LAs acciones y comportamiento de tu amigo hablan por si mismas, y llega el momento que no es ni necesario nombrarlo como "mi gran amigo", la tranquilidad y confianza reposan y cuidan la propia amistad, ese compromiso de respeto, interes y responsabilidad.
Los amigos se convierten con frecuencia en ladrones de nuestro tiempo
– Platon
Otra lectura muy interesanrte: Libro Eclesiastico, Capitulo 6, verso 14-17
(no es el libro Eclesiastes del Antiguo Testamento, es Eclesiastico (la version griega le da el titulo de "Sabiduria de Jesus el hijo de Sira").
There is another topic: brotherhood, la hermandad. Do you think Friendship is something special?, just read about something else maybe in a higher level, that's the brotherhood.
___ ___ ___


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Global Integration's Tim Mitchell recently shared some advice with writer Malcolm Wheatley for a piece the writer was researching for Procurement Leaders, Executive Network. (You can see a link to the full article below.)
Working with external partners, including in an outsourcing context, has always been important, but is becoming ever more critical and complex. It is becoming increasingly important to work in an integrated way with suppliers, partners and customers to come together to deliver added value to all of the partners.
Problem 'symptoms' include a mutual lack of trust, micromanagement, corporate culture clashes caused by different ways of working, high levels of escalation of problems, and an inability to get the best out of each other.
It is as important to develop an open and shared way of working to get the best out of relationships as it is to get the shared technologies right. The article by Malcolm Wheatley drives this home, and produces the statistics to support it.
Notable from the original report? 71% of BPO clients expect their partners to be able to adapt to changing industry demands, yet 67% of suppliers are forced to clear even the smallest changes with the client.
Why not:
- Read the finished Procurement Leaders article here: Structuring a bridge between outsourcing provider and buyer.
- Find out more about working with external partners, including outsourcing relationships
- Speak to one of our specialists about how Global Integration can help improve outsourcing and external partner relationships.


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First time here? Check out the FAQ!
asked 2014-04-30 12:05:19 +0800jagrutdalwadi
When I am trying to download zk + spring security example from github location available on "books.zkoss.org/wiki/SmallTalk/s2013/March/IntegrateSpringSecuritywith_ZK", I am not able to access it and getting "Cannot connect to the real github.com" error.
Can you please suggest how can I download this example?
answered 2014-08-23 19:11:15 +0800Darksu
Hello jagrutdalwadi,
The link is no longer active.
The turorial can be found in the following url:
And the example can be found in the following url:
Best Regards,
Asked: 2014-04-30 12:05:19 +0800
Seen: 9 times
Last updated: Aug 23 '14
Zk + Spring Security redirect to strange page after login
ZK Spring webflow and flowScope
Spring security doesn't return user inside event listener
ZK Spring 3.1.1 MVVM Use @Scope/@Component or No?
Upgrading from Spring3.1 to 3.1.1 Maven.. pulls in 3.0.x jars... issues
When would I want to use ThreadLocalListener?
ZKoss with springsecurity using database
problem with zk spring security integration


text: It's the 25th anniversary of the Essence Music Festival. We will be taking a luxury charter bus from Atlanta, GA to the the big easy (New Orleans, LA). Bring your bestie, your boo or come solo. However you choose to roll, we can guarantee you a good time. This is going to be the most Epic Essence Fest ever! Pricing: Tickets are for round-trip TRANSPORTATION ONLY and are priced at $175.00 per person You have 2 payment options: Pay in full by selecting Distinguished Guest ticket or Select RSVP and pay the deposit of $50 and we will email you an invoice for the remaining payments: 2nd payment due by 01/15/2019 ($50.00) Final payment due by 04/15/2019 ($75.00) Pick up/ Drop off location: Our bus will depart promptly at 5 am on Thursday July 4th from in front of Regal Cinemas at Atlantic Station: 19th St NW Atlanta, GA 30363 We should arrive in New Orleans around 2pm ( there will be stops for food on the way). Drop off location in New Orleans will be at Harrah's hotel ( 228 Poydras St) We will depart Harrah's Hotel promptly at 10 am on Monday July 8th and arrive back in Atlanta by 6 pm. We will be traveling in style on a 55 passenger coach, with reclining seats, WiFi, DVD player, restroom and ice cold air conditioning. We will also be offering a welcome cocktail, snacks and games onboard. If you'd like to have any other adult beverages, please BYOB. We are currently working on adding hotel packages as well. Please visit our website and subscribe to our email list to stay updated.


text:
Today, June 11th, my son Reece, my first-born child, turned 13 years old.
It's official that we now have a teenager in our home and I absolutely can not believe it.
Last year I wrote a special post to Reece on his 12th birthday, but this year feels much more different and important.
Time flies way too fast, and in fact it feels like only a few years ago that I was surprised (and I will admit a bit scared) with the news that I was going to be a mother for the first time.
I blinked and Reece took his first steps, said his first words, made his first friend, went to his first day at school, went on his first trip, played t-ball for the first time, along with a multitude of other firsts.
I can vividly recall some of these firsts just like they all took place yesterday. I can picture his chubby cheeks, the way he would scream and cry if I left him and the sound of his little voice talking and singing at 2, 3 and 4 years of age.
Now that he has turned 13 I realized that I made a huge parenting mistake.
I made a mistake that I can't take back or reverse. I made a mistake that every single parent has made, but for some reason I am really dwelling on it with this birthday.
I made a huge parenting mistake and I blinked.
Yes, you read that correctly, I blinked.
Not long after Reece was born, I heard the saying, "Time flies faster than you think, so don't blink", but I didn't truly understand the weight of those words until now. Now it is too late for me to try to rewind time, slow things down and savor each and every moment of Reece's childhood just a little bit more.
I know that I made a huge parenting mistake and I blinked, but now that I have opened my eyes and accepted the fact that Reece is 13 years old and I just can't stop time no matter how hard I try, I have truly been able to see and appreciate the young man that he is growing into.
I made a huge parenting mistake and I blinked.
I blinked and Reece went from a little boy to a generous, caring, thoughtful friend, an extremely polite and respectful young man, a person of integrity who will stand up for others and what he feels is right, a person who has a smile that can instantly brighten any space, a person who understands that life isn't measured via social media likes or popularity but by his kind and loving heart.
I made a huge parenting mistake and I blinked.
I guess blinking has some positive attributes, because I blinked and my newly 13 year son has grown up into a person whom I completely admire.
When I had children I always thought that I would be a role model for them. Never did I imagine that my son would be a role model for me.
Happy 13th birthday my dear Reece.
Always remember no matter how old you are, "I'll love you forever, I'll like you for always, as long as I'm living my baby you'll be."


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Get In Touch
Contact Us
PJT Logistics is ideally located in the heart of Derbyshire, a central point with easy access for everyone. Located 5 miles from J28 from the M1, 6 miles from J29 from the M1 and 4.5 miles from the Alfreton turn on the A38.
PJT Logistic Training can also accommodate companies outside of our area on a day rate for up to 20 drivers, providing you have a suitable training facility and basic comfort and welfare facilities.Although We are based in Tibshelf, to accommodate your needs we are more than willing to travel. Travel expenses will applied.
Find us on map
Contact Information
Enterprise House, 5 Newton Road, Tibshelf. DE55 5PH


text:
Death toll from car bomb in busy market in Somalia rises to 34
The death toll from a car bomb at a marketplace in Somalia's capital Mogadishu has risen to 34 with 52 injured, said a police officer.
Many of the dead were carried away by their relatives soon after the blast, said Captain Mohamed Hussein.
"It was a horrific and barbaric attack only aimed at killings civilians," he said from the scene of the blast.
Sabriye Abdullahi, an ambulance driver said that some of the injured victims died on their way to the hospitals.
"Many of them suffered extensive third degree burns and others were burned beyond recognition," he said.
The blast from the car parked near a restaurant went off at a busy time when shoppers and traders were gathered inside the market, said district commissioner Ahmed Abdulle.
Mohamed Haji, a butcher who suffered shrapnel wounds, pointed to a clothes shop devastated by the blast. "Someone had parked the car here and left before it was detonated," he said. Pieces of wood and metal sheets on the ground were all that was left of the shop.
Women sobbed and screamed outside the market as rescue workers moved bodies and wounded victims into ambulances.
"It's a painful carnage." said Ali Mire, a government soldier who was helping a friend with shrapnel wounds
The powerful explosion was the first major attack since Somalia's new president was elected on February 8.
Although no group has yet claimed responsibility, it bears the hallmarks of Somalia's Islamic extremists rebels, al-Shabab. In a Twitter post, President Mohamed Abdullahi Mohamed condemned the blast, saying that it shows the "cruelty" of al-Shabab.
A few hours before the blast, al-Shabab denounced the new president as an "apostate" and vowed to continue fighting against his government.
Italian Foreign Minister Angelino Alfano, in a statement condemning the attack, said that "Italy remains solidly on Somalia's side in the process of the country's stabilization".
He added that "together we will act so that the terrorists don't succeed in stopping the path of peace and reconciliation that is under way".


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Modern world people use a lot of various accessories just for fashion, such as earing, necklace, bracelet, glasses, and piercing. However, these accessories and similar tools have been used throughout the history yet for purposes except for fashion. To set an example, we can say Egyptian Pharaoh Headdresses (Head Crowns) as the symbol of power and sovereignty or ottoman rings representing prestige and dignity.
One of the excellent examples of the accessories being used not just for fashion is lip plates used by Mursi, Chai, and Tirma groups living in Africa. There are different beliefs about lip plates; one of them is that these plates were used to create ugliness to make females repellent for the slave merchants. Another one is that size of the plate indicates the greatness of the wealth and reputation.
We can clearly see that our purposes change. Having your lip pierced or cut and make the hole bigger can be the fashion or a part of the culture. However, both of them are a kind of trend thus the difference between a trend's purpose being a fashion and a culture is mesmerizingly interesting.


text:
What's New In 2018?
Bringing the focus back to the essence of Shared Services and Outsourcing, the 21st Asian Shared Services & Outsourcing Week will shine a limelight on 4 critical issues:
- Challenging Traditional Delivery Models to Achieve Holistic SSO Growth through Leadership and Agility
The Shared Services scene we know 10 years ago has changed drastically, and will continue evolving even as we speak. What changes lie ahead of us as an industry and more importantly, how do we stay ahead of the game? Hear how some SSOs are breaking barriers and challenging traditions by gearing away from standard models – and more importantly, find out if this works for your own SSO!
- Implementing and Integrating a Digital Workforce in your Organisation
Take what you know about the Shared Services workforce and throw it away – because in this digital workplace, everything is now different. From recruiting the right talent with the necessary capabilities and skillsets, up-skilling and re-skilling your workforce and nurturing next-generation leaders, to navigating the challenges involved in integrating "Bots and Brains" in your processes; leaders are now well aware that these go beyond just the scope of HR. Embrace the changing workforce landscape and learn what are some innovative ways SSOs are implementing to future-proof their SSO workforce – there will be something for everyone!
- Actualising the Full Potential of Disruptive Technology for Long-Term Scalable Growth
In the era of digitalisation, organisations are increasingly turning to automation and technology; and the Shared Services industry is no different. The time has come for Asia's Shared Services sector to leverage disruptive technology like RPA, Intelligent Automation, Artificial Intelligence and more to obtain greater efficiency, increased productivity and reduced costs. Find out how leading SSOs have done so, and learn how you can do the same.
- Embracing Customer-Centric Services and Culture to Achieve Greater Synergies between Business Units and SSOs
The concept of "value-added" services and processes is not new – but in 2018, we are witnessing the emergence of different activities that add meaningful, commercial value for businesses. Alongside data, analytics and continuous improvement, new areas of focus include customer-centricity and process excellence amongst others. Don't miss out brand new case studies of what SSOs are doing – better, smarter and faster!


text:
Can I get a refund for my iPhone 11?
I bought an iPhone 11 at the apple store TODAY and set it up at my house and I was walking down the stairs with it and it slipped out of my hand and fell down the stairs and when i picked it up at the bottom it was cracked terribly and you could barely see the screen. even the cameras were cracked. can I still get a refund like wtf
11 Answers
- PearlLv 73 weeks agoFavorite Answer
you can try getting one
- 3 weeks ago
I think nope because it's not seller problem
- 3 weeks ago
This is so sad but you can try to get it.
- 3 weeks ago
Get it fixed, don't return it. Returning an extremely new (and pretty expensive) phone after breaking it instead of fixing it is just stupid, as you will have to pay more, as they might not give the full amount. And also, be more careful with expensive technology, or just buy a phone case.
- How do you think about the answers? You can sign in to vote the answer.
- SRΛSCLv 73 weeks ago
If you had something like AppleCare set up, then you could try through that. Otherwise, since it was an accident through no fault of the phone, you wouldn't be able to do much.
- Anonymous3 weeks ago
Nope, not the seller's problem.
- spacemissingLv 73 weeks ago
Ask the damm store.
- Anonymous3 weeks ago
No. And unless you got AppleCare with protection against stupidity like that, the repair costs are on you.
- Anonymous3 weeks ago
No you can't get a refund as you've damaged it however you will be able to get it repaired
- Anonymous3 weeks ago
You play you pay. Good luck


text:
16th & 17th Century
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A very large range of Authentic Patterns from the Viking , Saxons, Early Medieval, Late Medieval, Civil War , Tudor, right up to the Victorian era.
Patterns: A0 size, which are very detailed and helps you understand the the full procedure. How to cut, fold.
All these Patterns are written by Dave Rushworth, who is a re-enator for the last 30 years.
Please Note: If you just want to order a pattern book, then please e-mail your order through to us, this way you will not have to pay the £10.00 carriage charge. We will just charge the local postal rate from: £2.95 including packaging. Please e-mail us at : firstname.lastname@example.com
You can order as many pattern books or Large Patterns as you want. Maxim Postal Rate will be £4.95. This offer is for the UK only !


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This year's California Boating Congress will commence on Tuesday evening, February 27th, with a cocktail reception for all attendees at 6:00 PM at the Hyatt Regency Sacramento, 1209 L. Street, Sacramento, CA 95814.
The main event will kick off at 8:30 AM, Wednesday, February 28th at the Hyatt Regency, with an opening welcome from MRA President, Mark Sandoval, and Keynote Speech by Robert Newsome, Vice President, Engineering Standards & Membership, National Marine Manufacturers Association.
A summary of past and present legislative actions facing recreational boating in the state will be presented by Bret Gladfelty, MRA legislative advocate with the Apex Group, followed by a series of nine separate educational sessions focused on specific issues and programs affecting boating in California.
The early morning sessions of the California Boating Congress will include a discussion on the heavy burden of local, state and federal regulation imposed on the marine industry, and the crippling effect of those overlapping and sometimes contradictory layers of regulation. Navi Dhillion, an attorney with Morrison & Foerster LLP, will identify the various agencies that govern the marine industry and provide a matrix to help navigate those murky waters.
Dave Chanda, VP State Agency Engagement, with the Recreational Boating & Fishing Foundation will discuss the various marketing efforts being utilized across the country to recruit and retain recreational boaters and anglers, and grow participation in these great outdoor activities, despite some apparent government efforts to decrease outdoor recreation.
California State Lands Commission, Chief of External Affairs & Legislative Liaison, Sheri Pemberton, will discuss the Abandoned Vessel Removal Program, including existing and proposed grants, enforcement, and cleanup programs to mitigate the environmental effects of abandoned vessels.
Later morning sessions will focus on Division of Boating & Waterways policies, the California Vessel Operators Certification program, and efforts underway by many boating interests to grow and enhance recreational boating activity in California. Meetings with individual state legislators will take place in the afternoon after lunch.
With growing participation, education, and enthusiasm, this 3rd Annual CBC promises to be both informative and ground-breaking, giving recreational boating a strong collective voice in charting the future of boating policy in California.
For more information, and to register, visit www.calboatingcongress.com or contact Mariann Timms at 209-334-0661.


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It's hard to remember back to a time when Jensie was once a young man chasing the dream of becoming a professional. When you think back to his career as a professional cyclist, you remember a man stomping on his pedals, grinding his teeth and pushing himself to the limit as the peloton hunts him down.
Two years ago, a mom walked up to Jens and asked him to say a few words to her camera to encourage her young cyclist at home, her son who is chasing the very same dream Jens did all those years ago.
He gave her son three pieces of advice: Self-belief, no shortcuts and remember your roots.
Louis Perry was 14 when he received the video. Two years later, he says he is more motivated than ever and still keeps the video on his phone. When we spoke to him, he was visiting his grandparents in Switzerland. The trip gave him an opportunity to train in the high mountains, something he doesn't have back home in the UK.
But two days into his self-imposed training camp, Louis broke his collarbone.
"That really demotivated me," he said.
It left us wondering: How does a 16-year-old overcome the mental stress of an unwanted injury while lying on the roadside in a foreign country?
"I just think of the Tour de France. They crash and they just get back on. I saw Simon Gerrans crash in the Tour this year on a fast descent. He broke his collarbone and he got back up on the bike and tried to keep going. It's moments like that that motivate me to keep pushing on. Professional cyclists are just badass."
Louis first caught our attention through a comment on the Facebook page. He told us the story and followed it up with #shutupcollarbone.
It made us think that might be something Jensie would have said at that age.
Whether Perry will one day turn professional remains to be seen but in terms of the advice he received in that video, self-belief is something he's not in short supply of.


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Current Projects
We have projects in operation in Liverpool, that are staffed by our volunteer team.
Breakfast Kitchen Project (BREKI)
BREKI runs a mobile breakfast kitchen and a household distribution service twice a week mainly on Thursdays at the following locations:
- Greenbank Court, L17
- Birley Court, Percy Street
- Seiont House, Off Park Rd, L8
- Ullet Road L17
We want to meet the needs and requirements of people beyond food with our project by also offering clothes, toiletries, books, toys and household items. We are proud to be able to support people who have needs and requirements beyond a hot meal.
BREKI is focused on reducing social isolation and increasing social interaction by providing nourishment and networking opportunities to people from all walks of life, including refugees and asylum seekers, who reside in initial accommodation in the city, people living in hostels and on the street.
Just Drop-In ENGLISH (JUDE)
JUDE offers drop-in English Lessons every Wednesday, Thursday and Friday, from 1-2:30pm followed by a vegetarian snacks.
We provide stand-alone sessions on practical topics relating to daily life in the UK. We want to ensure there are no barriers for our learners, so attendance is flexible for all participants with no waiting lists or other pre-attendance requirements.
Our aim is to help people feel confident and comfortable when engaging with others and managing their day to day affairs. We also want to help build insight and understanding of local culture, customs and practices, that will enhance their sense of belonging and connection to their new community.
Classes will have a break after Friday 22nd November 2019 until new year 2020. Check here for further updates.
Meals for Elders On Wheels (MEOW)
Pets and Arts Therapy (PEAR)
Donate to our Crowdfunder until 13 February 2019 here: https://goto.gg/36080
or donate by filling in this AAT sponsorship form and emailing it to us at firstname.lastname@example.com
Pipeline Projects and Initatives
We have a number of projects and Initiatives that we are looking to establish in the next 3-12 months. We are recruiting volunteers to help get these up and running.
We want to add indoor and outdoor activities to our current BREKI project, including a befriending club, skills and employment workshops, new arrivals induction programme and a community integration scheme.
COMB (Community Building)
This will offer local communities opportunities to develop and manage building and landscaping projects, all focused on making best use of open spaces and empty buildings.
We want to work with local people and DIY businesses to take forward ideas that will improve the look of our local neighbourhoods. In doing so we want to foster a sense of ownership and belonging, as well as facilitate participation in community collaboration group work for local people.
The COMB project will also promote better use of open and shared spaces and empty/derelict buildings; and the principles of local regeneration, community collaboration and social integrity.
YODA (Youth Development Alliance)
We will be starting music (including DJ'ing) and dance workshops that will allow young people to acquire new skills, socialise and network. We also aim to offer mentoring, coaching and support for young people with enterprising ideas for new business or community projects


text:
There are two categories of health care providers for NPI enumeration purposes.
Home Mississippi Ocean Springs Pharmacist, ocean Springs Discount Pharmacy, Inc is listed as a health care organization in Ocean Springs, MS with.
I am also willing to bet if you head to this advice you too will feel the same, that much I am sure.
This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty.
click Here, by submitting your comment, you agree to the following.Share your experience by posting a comment or review about this provider to help others decide which is right for them.Overall, best pharmacy costumer service on the mississippi gulf coast.All reviews and comments undergo human (not automated) screening and must adhere to these guidelines.The NPI must be used in lieu of legacy provider identifiers in the hipaa standards transactions.Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers.Thanks and God Bless!Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses).All health care providers who are hipaa-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations HMOs, suppliers.Reviews, ocean springs discount pharmacy, INC 2120 bienville blvd, ocean springs, MS, phone.NPI Lookup from the NPI Registry National Provider Identifier Database.
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Att Stock - 20 Photos
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