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goodman HTA 101 1 National Information Center on Health Services Research & Health Care Technology National Library of Medicine Webinar Part I HTA 101: Introduction to Health Technology Assessment August 31, 2011 Clifford Goodman, PhD The Lewin Group Falls Church, Virginia USA email@example.com 1
goodman HTA 101 2 HTA 101: Outline 1.Origins 2.Health technology A.Definition and categories B.Inappropriate use 3.HTA and its role in health care A.Definitions B.Applications C.Properties and impacts assessed 4.HTA methods A.Primary methods B.Secondary/integrative methods C.Economic analyses 5.Priority setting and timing of HTA 6.Bibliographic sources for HTA 7.Current HTA trends 2
goodman HTA 101 3 Origins of Technology Assessment Technology assessment (TA) arose in the mid-1960s from an appreciation of the critical role of technology in modern society and its potential for unintended, and sometimes harmful, consequences. The term "technology assessment" was introduced in 1965 in the US House of Representatives, with the primary purpose of serving policymaking. Examples of early assessment topics were offshore oil drilling, pesticides, automobile pollution, nuclear power plants, supersonic airplanes, and the artificial heart. See, e.g.: Brooks H, Bowers R. The assessment of technology. Science 1970;222(2):13-20; and US Congress, House of Representatives. Committee on Science and Astronautics. Technology Assessment. Statement of Emilio Q. Daddario, Chairman, Subcommittee on Science Research and Development. 90th Cong., 1st sess., Washington, DC; 1967. 3
goodman HTA 101 4 Early Health Technology Assessments Development of TA in 1960s and 1970s coincided with the introduction of health technologies that prompted widespread interest in matters that transcended their intended health effects. Examples of early HTAs: Multiphasic health screening (NAE* 1969) In vitro fertilization (NRC* 1975) Predetermination of the sex of children (NRC 1975) Retardation of aging (NRC 1975) Modifying human behavior by neurosurgical, electrical or pharmaceutical means (NRC 1975) Drug bioequivalence (OTA* 1974) 4 *NAE: National Academy of Engineering; NRC: National Research Council; OTA: US Congressional Office of Technology Assessment
goodman HTA 101 5 What is Health Care Technology? Technology is the practical application of knowledge. Three ways to describe health technology include its: Physical nature Clinical purpose Stage of diffusion 5
goodman HTA 101 6 Health Care Technology: Physical Nature Drugs: e.g., aspirin, antibiotics, cancer chemotherapy Biologics: e.g., vaccines, blood products, biotechnology- derived substances Devices, equipment, supplies: e.g., cardiac pacemaker, MRI scanner, mosquito netting Medical and surgical procedures: e.g., acupuncture, bariatric surgery, cesarean section Support systems: e.g., clinical laboratory, drug formulary, electronic health record system Organizational, delivery, managerial systems: e.g., vaccination program, health care payment system 6
goodman HTA 101 7 Health Care Technology: Purpose Prevention Screening Diagnosis Treatment Rehabilitation Palliation Other 7
goodman HTA 101 8 Health Care Technology: Stage of Diffusion Future Experimental (laboratory or animal testing) Investigational (clinical studies) Established (standard approach) Obsolete 8
goodman HTA 101 9 Technologies Determined to be Ineffective or Harmful After Diffusion (all/most uses) Ten examples: Thalidomide for sedation in pregnant women Oxygen supplementation for premature infants Prefrontal lobotomy for mental disturbances Gastric freezing for peptic ulcer disease Episiotomy (routine or liberal) for birth ABMT-HDC for breast cancer Hormone replacement therapy for healthy menopausal women COX-2 inhibitors Prostate specific antigen (PSA) screening for prostate cancer Bevacizumab for breast cancer 9
goodman HTA 101 10 Underused Cost-Effective Technologies Ten examples: ACE inhibitors for treatment of heart failure Cochlear implants for severe-to-profound deafness Colorectal cancer screening HbA1c testing every 6 months in diabetic patients Hypertension management Mammography (esp. age 50+) Organ transplantation Pap smears Warfarin to prevent strokes due to atrial fibrillation Immunizations: childhood, influenza, pneumococcal for high-risk patients 10
goodman HTA 101 11 What Is Health Technology Assessment? HTA is the systematic evaluation of properties, effects, or other impacts of health care technology. The main purpose of HTA is to inform policy making for technology in health care. HTA may address the direct and intended consequences of technologies, as well as the indirect and unintended consequences of technologies. HTA is conducted by interdisciplinary groups. HTA uses explicit analytical frameworks and a variety of methods. 11
goodman HTA 101 12 HTA Performed by Different Organizations to Inform Health Care Policies or Decisions Advise a regulatory agency about allowing the marketing / use of a technology Advise payers (health authorities, health plans, etc.) about technology reimbursement: coverage (whether or not to pay), coding, and payment amount Advise clinicians and patients about appropriate use of a technology Help managers of hospitals and other health care organizations make decisions about acquiring a technology Support decisions by health technology companies about technology development and marketing Support decisions by financial groups about investing in new technology companies 12
goodman HTA 101 13 Properties and Impacts Assessed Main categories: Technical properties Safety Efficacy and effectiveness Cost and other economic attributes Social, legal, ethical, or political impacts 13
goodman HTA 101 14 Efficacy vs. Effectiveness Efficacy Benefit of using a technology for a particular health problem in ideal conditions of use, for example, in a strict protocol of a randomized controlled trial or at a "center of excellence." Effectiveness Benefit of using a technology for a particular health problem in general or routine conditions of use, for example, in a community hospital. 14
goodman HTA 101 15 Measuring Efficacy/Effectiveness Health outcomes/endpoints ("benefits" and "harms") mortality morbidity adverse events Quality of life, also: functional status patient satisfaction Intermediate (including surrogate*) endpoints e.g., blood pressure, lab values, EKG ("biomarkers") Accuracy of tests (screening, diagnosis, monitoring) sensitivity specificity predictive value positive, negative * True surrogate: highly, reliably predictive of health outcomes
goodman HTA 101 16 Quality-Adjusted Life Year (QALY) It is widely accepted that one year of life spent in a good state of health (or function of quality of life) is preferred to one year spent in a poor state of health. "Utility" refers to the relative preference (value) that an individual (or society) has for a particular state of health. Utility weights are determined using direct methods, e.g., time trade-off or standard gamble, or indirect methods, e.g., SF-36, EQ- 5D/EuroQoL, Health Utility Index, Quality of Well-Being Scale. The QALY is a unit for measuring outcomes of health care (or other interventions). QALYs combine length of life with quality of life. That is, years of life are adjusted (weighted) by patient/user utility for the quality of life experienced during those years. The QALY may be used as the unit of patient/user outcomes in a cost- utility analysis. (We will return to this later …) 16
goodman HTA 101 QALY = Length of Life X Quality Weight Survival and QoL with Current/Standard Treatment Using QALYs to capture changes in length of life (mortality) and quality of life (e.g., utility for state of health) 17
goodman HTA 101 QALY = Length of Life X Quality Weight Survival and QoL with New or Additional Treatment Using QALYs to capture changes in length of life (mortality) and quality of life (e.g., utility for state of health) 18
goodman HTA 101 19 Three Main Groups Of Methods Primary data collection Collect original data, for example, using clinical trials or observational studies (prospective or retrospective) Secondary / integrative analyses Combine (synthesize or integrate) data from existing sources Economic analyses Weighing costs and benefits (outcomes or other results) 19
goodman HTA 101 20 Primary Data Methods: Attributes of Stronger Evidence for Causal Effect of a Technology In General: Prospective studies are stronger than retrospective ones. Controlled studies are stronger than uncontrolled ones. Studies with contemporaneous control groups are stronger than studies with historical control groups. Randomized studies are stronger than non-randomized ones. Large studies (with enough patients to detect true treatment effects) are stronger than small ones. Blinded studies (patients, providers do not know which intervention is being used) are stronger than unblinded ones. Studies that clearly define study populations, interventions, and outcome measures are stronger than those that do not. 20
goodman HTA 101 21 A Basic Evidence Hierarchy Systematic reviews and meta-analyses of RCTs RCTs Non-randomized trials Observational studies Non-experimental studies Expert opinion 21
goodman HTA 101 Study Design Quality of EvidenceLower ifHigher if Randomized trial → High Risk of bias -1 Serious -2 Very serious Inconsistency -1 Serious -2 Very serious Indirectness -1 Serious -2 Very serious Imprecision -1 Serious -2 Very serious Publication bias -1 Likely -2 Very likely Large effect +1 Large +2 Very large Dose response +1 Evidence of a gradient All plausible confounding +1 Would reduce a demonstrated effect or +1 Would suggest a spurious effect when results show no effect Moderate Observational study Low Very low Grade Evidence Framework Source: Grading of Recommendation Assessment, Development, and Evaluation (GRADE) Working Group. Guyatt G, et al. J Clin Epidemiol 2011; 64:383-94.
goodman HTA 101 23 Secondary Data Analyses Expert opinion Group judgment ("consensus development") Unstructured literature review Systematic literature review Meta-analysis Modeling (e.g., decision trees, Markov models) 23
goodman HTA 101 24 Systematic Review A form of structured literature review that addresses one or more key questions that are formulated to be answered by analysis of evidence Involves: objective means of searching the literature applying predetermined inclusion and exclusion criteria to this literature critically appraising the relevant literature extraction and synthesis of data from evidence base to formulate answers to key questions May include meta-analysis 24
goodman HTA 101 25 Meta-Analysis Refers to statistical procedures for combining results from different studies. This combination may produce a stronger conclusion than can be provided by any single study. It is generally most appropriate when there are not definitive studies on a topic and non-definitive studies are in some disagreement. 25
goodman HTA 101 26 Source: Lau J, Antman EM, Jimenez-Silva J, et al. Cumulative meta-analysis of therapeutic trials for myocardial infarction. N Engl J Med 1992;327(4):248-54.
goodman HTA 101 27 Modeling Analytical techniques for simulating (representing) real processes involving decisions and their outcomes For choosing among alternative health care interventions in a particular patient population, modeling accounts for the uncertainties (probabilities) that each decision will result in particular outcomes (e.g., health states), and/or the value (e.g., patient utility, costs) associated with each outcome. Types, e.g., Markov chain process; decision analysis/tree; Monte Carlo simulation; simulations of disease processes, health care interventions, and health care systems 27
goodman HTA 101 28 Recurrent angina after CABG PTCA Improved Deteriorated Death Sum @ medical node Improved, no restenosis Improved after 1 restenosis Failed after 1 restenosis Initial failure MI/CABG/Death Sum @ PTCA node Improved Unimproved after Death Sum @ CABG #2 node Medical CABG #2 ProbabilityXValue= 0.60X0.80=0.48 0.34 X 0.20 = 0.07 0.06 X 0.00 = 0.00 1.000.55 0.55X0.95=0.52 0.15X0.50=0.08 0.15X0.10=0.01 0.10X0.10=0.01 0.05X0.00=0.00 1.000.62 0.60X0.70=0.42 0.35X0.00=0.00 0.05X0.00=0.00 1.000.42 Expected Value Outcome Decision tree for management of angina after coronary artery bypass surgery. Source: Mills RM Jr, Kalan JM. Developing a rational management strategy for angina pectoris after coronary bypass surgery: a clinical decision analysis. Clin Cardiol 1991;14:191-7. 28
goodman HTA 101 29 Economic Evaluation Δ Costs Δ Consequences (Outcomes) 29
goodman HTA 101 30 Types of Economic Studies Cost of illness analysis (COI): economic impact of illness or condition, including treatment costs Cost minimization analysis (CMA): least costly among alternatives that produce equivalent outcomes Cost effectiveness analysis (CEA): costs weighed against outcomes focused on a single natural unit, e.g., deaths, heart attacks, lung cancer cases Cost consequence analysis (CCA): form of CEA, but without aggregating across costs or outcomes Cost utility analysis (CUA): form of CEA, outcomes aggregated into a unit of utility, e.g., quality-adjusted life-years (QALYs) Cost benefit analysis (CBA): costs weighed against outcomes aggregated into monetary units Budget impact analysis (BIA): impact of new intervention or program on a health system budget, formulary budget, etc.
goodman HTA 101 Cost-Effectiveness Ratio* $Cost Int – $Cost Comp CE Ratio = ────────────── Effect Int – Effect Comp Int: Intervention Comp: Comparator A result would be, e.g.: "$45,000 per life-year saved" "$10,000 per lung cancer case averted" *Also known as incremental cost-effectiveness ratio (ICER) 31
goodman HTA 101 + COST - + EFFECTIVENESS Cost-Effectiveness Plane: Four Quadrants 32
goodman HTA 101 + COST REJECT (Dominated) CEA ADOPT (Dominant or Cost-Saving) - + EFFECTIVENESS CEA Needed in Two Quadrants 33
goodman HTA 101 - + + EFFECTIVENESS COST REJECTCEA ADOPT REJECT? ADOPT? REJECT? ADOPT? Within CEA Quadrants – Where to Adopt or Reject? 34
goodman HTA 101 Cost Study Attributes: Look for These Comparator Perspective Outcomes/effects selected Efficacy vs. effectiveness Data capture method Direct costs (health care and non-health care) Indirect costs (e.g., loss of productivity) Actual costs vs. charges/prices Marginal costs vs. average costs Time horizon of analysis Discounting Correction for inflation Modeling use Sensitivity analysis Reporting results Funding source 35
goodman HTA 101 Perspective Costs and outcomes accrue differently to: Patient Family Clinician Hospital, nursing home, other provider institutions Payer (national or regional health authority, insurance company, etc.) Society at large Is there a "right" economic perspective? 36
goodman HTA 101 Time Horizon Here, health improvement lags investment 0 $B 10 yrs20 yrs 0 Cost (Cumulative) Health 37
goodman HTA 101 Time Horizon Determination of cost effectiveness can depend on relative accruals of costs and health benefits at selected time horizon of analysis … 0 $B 10 yrs20 yrs 0 Cost (Cumulative) Health ? ?? 38
goodman HTA 101 39 … Back to Cost-Utility Analysis Recall the following slide about QALYs … How much should a health authority be willing to pay per additional QALY? 39
goodman HTA 101 QALY = Length of Life X Quality Weight Survival and QoL with New or Additional Treatment Using QALYs to capture changes in length of life (mortality) and quality of life (e.g., utility for state of health) 40
goodman HTA 101 41 Estimated Cost per QALY Gained by Investing in Different Treatments 41
goodman HTA 101 42 Example of CUA Aspirin, clopidogrel, or both for secondary prevention of coronary heart disease (CHD) Aspirin and clopidogrel are antiplatelet therapies that reduce the rate of cardiovascular events in patients with coronary heart disease. RCTs have shown certain advantages of clopidogrel over aspirin: Clopidogrel reduced the relative risk of ischemic stroke, myocardial infarction, or death from vascular causes in patients with prior cardiovascular disease by 8.7% compared to aspirin. Adding clopidogrel to aspirin for patients with acute coronary syndromes reduced the risk of cardiovascular death by 20% vs. aspirin alone. Aspirin: $0.04 for 325mg/day; clopidogrel: $3.22 for 75mg/day The Coronary Heart Disease Policy Model, a computer simulation of the U.S. population, estimated cost per QALY gained of increased use of aspirin, clopidogrel, or both for secondary prevention of coronary heart disease in patients age 35-84 for the 25-year period 2003-27. Source: Gaspoz JM, et al. Cost effectiveness of aspirin, clopidogrel, or both for secondary prevention of coronary heart disease. N Engl J Med 2002;346(23):1800-6. 42
goodman HTA 101 43 Example of CUA Aspirin, clopidogrel, or both for secondary prevention of CHD Cost/QALY gained* Current use of aspirin VS. No aspirin $14,000 Aspirin for all eligible pts. VS. Current use of aspirin $14,000 Aspirin for all eligible pts.** and clopidogrel for the remaining $39,000 5.7% VS. Aspirin for all eligible pts. Clopidogrel for all pts. VS. Aspirin for all eligible pts. and clopidogrel $320,000 for remaining 5.7% Combination of clopidogrel for all pts. plus aspirin for eligible pts. $160,000 VS. Aspirin for all eligible pts. and clopidogrel for remaining 5.7% * Standardized to 2008 US$. ** 5.7% of patients assumed not eligible for aspirin due to allergies or intolerance. Authors' conclusions: Increased prescription of aspirin for secondary prevention of coronary heart disease is attractive from a cost-effectiveness perspective. Because clopidogrel is more costly, its incremental cost effectiveness is currently unattractive, unless its use is restricted to patients who are ineligible for aspirin. Sources: Gaspoz JM et al. 2002. The Cost-Effectiveness Analysis Registry. Tufts Medical Center. Available from: www.cearegistry.org. Accessed August 2011. 43
goodman HTA 101 44 HTA Priorities: What Gets Attention? High individual burden of morbidity/mortality Large number of patients affected High individual or population cost of disease High unit or aggregate cost of technology Substantial variations in practice Unexpected adverse event reports Evidence that available findings not well disseminated or adopted by practitioners Sufficient research findings available upon which to base assessment HTA findings likely to have impact on practice Political pressure 44
goodman HTA 101 45 Timing of Assessment "It is always too early to assess a technology, until suddenly it is too late." Martin Buxton 1987 Source: Buxton MJ. Problems in the appraisal of new health technology: the evaluation of heart transplants in the UK. In: Drummond MF, ed. Economic appraisal of health technology in the European Community. Oxford: Oxford Medical Publications, 1987. 45
goodman HTA 101 46 Timing of Assessment No single correct time to conduct an HTA HTA is conducted to meet needs of various policy makers throughout the life of a technology Stakeholders desire transparency, predictability Trade-offs in when to assess: The earlier a technology is assessed, the more likely we can limit its use if it is harmful or ineffective; but … The findings of an early HTA may be misleading, because there is not enough experience or information to assess "Moving target" problem 46
goodman HTA 101 47 Bibliographic Databases Commonly Used for HTA PubMed (including MEDLINE) Embase Cochrane Library Cochrane Database of Systematic Reviews Cochrane Central Register of Controlled Trials Database of Abstracts of Reviews of Effects (DARE) NHS Economic Evaluation Database (NHS EED) Health Technology Assessment Database Health Economic Evaluations Database (HEED) CEA Registry CINAHL PsycINFO 47
goodman HTA 101 48 Current Trends in HTA 1.Greater demand for HTA to support health service policies, practice guidelines, patient care decisions, payment, purchasing 2.More transparent, systematic, consultative HTA processes 3.Higher standards of evidence and use of evidence appraisal hierarchies 4.More interest in evidence from real-world practice (registries, surveillance, practical clinical trials) and comparative effectiveness research (especially "head-to- head" trials), not just RCTs for efficacy 5.More specificity in HTA findings, e.g., by patient subgroup, practice setting, provider experience 48
goodman HTA 101 49 Current Trends in HTA (2) 6.Greater emphasis on cost-effectiveness and related economic impacts, and on improving and standardizing the methods 7.Greater use of systematic reviews, meta-analysis, decision analysis, and other synthesis methods 8.Instant, international, low-cost access to published evidence, most completed HTA reports, awareness of ongoing HTAs 9.Greater international collaboration in HTA methods, expertise, reports 10. Greater attention to need to coordinate/align HTA to support market approval and payment functions 49
goodman HTA 101 50 National Information Center on Health Services Research & Health Care Technology National Library of Medicine Webinar Part I HTA 101: Introduction to Health Technology Assessment August 31, 2011 Clifford Goodman, PhD The Lewin Group Falls Church, Virginia USA firstname.lastname@example.com 50
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Common Misconceptions About Condoms
In the past, birth control was not much of an issue amongst the wide majority of the world's population. Both men and women were less aware about the benefits of using contraceptive measures. Many of the sexually transmitted diseases (STDs) that we tackle today were not well-known in the past, so the need to get protection from these infections was less of an issue. But today, the scenario has changed. The rate at which these infections are spreading all over the world has generated the need to take preventive measures to get protection.
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Miami International Airport Stormwater NPDES Plan
by Armando I. Perez, Camp Dresser & McKee Inc, Miami, United States,Jonathan Z. Goldman, Camp Dresser & McKee Inc, Miami, United States,
Michael F. Schmidt, Camp Dresser & McKee Inc, Miami, United States,
Edward E. Clark, Camp Dresser & McKee Inc, Miami, United States,
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Part of: Critical Issues in Water and Wastewater Treatment
Abstract: Miami International Airport (MIA) is endeavoring to essentially double its traffic volume by the turn of the century. This is a great challenge since the site is already highly developed. Space, safety and other constraints make it difficult to implement conventional detention/retention stormwater practices. Other practices were evaluated to control stormwater quantity/quality, since some of the downstream bodies of water are flood-prone or environmentally sensitive.
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The Startup's Guide to Web Development with Ruby On Rails
Course Summary
Designed for entrepreneurs who want to learn to code their own ideas. No prior experience needed.
Course Description
Why Take this Class? This course is the one I wish I had when I first taught myself to code. I spent a year wading through coding exercises, programming books, and online tutorials. Similar to traditional education, I thought I had to learn everything from the ground up—first master the basics of HTML, then pick a programming language, then learn to build simple functionalities, then develop more advanced features. But really, I just wanted to know how to build a website that does "___________" (fill in the blank with your own million dollar idea). When I finally finished building my first website, I realized I had been learning it all wrong for my purpose. So if your goal is to master a programming language and become the ultimate software engineer, this may not be the course for you. If, however, you're looking for an effective way to rapidly implement your ideas on the web, you're in the right place. Read on.
What You'll be Learning This course will take you through building an online marketplace similar to Etsy. You will learn to develop functionalities common to many websites including:- Upload product listings complete with prices, descriptions, and images
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- Secure your sensitive account data
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Most people feel demotivated when they take traditional programming classes, but with BaseRails, you'll make rapid progress on your projects so you always stay engaged. Along the way, you learn in-demand tech skills through practice and solving problems with available resources, not through brute memorization.
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- Place Orders
- Link Orders, Listings, Users - Part 1
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- Create Order History Pages
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AEM has called on Congress to restore the small business expensing level, also known as Section 179 expensing, to its previous $500,000 level as well as make it permanent and indexed to inflation. More
The Association of Equipment Manufacturers (AEM) and OSHA have formed an alliance to provide construction workers and equipment owners and operators with information, guidance, and access to training resources in an effort to help foster a safer working environment. More


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Linked by Thom Holwerda on Wed 18th Dec 2013 20:47 UTC
Apple today announced the all-new Mac Pro will be available to order starting Thursday, December 19. Redesigned from the inside out, the all-new Mac Pro features the latest Intel Xeon processors, dual workstation-class GPUs, PCIe-based flash storage and ultra-fast ECC memory.
This thing is so damn awesome. I don't need it, but I still want one.
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Oooh look...a troll. Hasn't seen even the first unbiased review and already has an "informed" opinion. Wow.
It's easy to form an opinion. The power supply is woefully inadequate. Internal expansion is non-existent. RAM is severely limited. The Xeon CPU and workstation GPUs are expensive and unnecessary hardware choices.


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Abbott, Edith
Jean K. Quam
Edith Abbott (1876–1957) was a social worker and educator. She was Dean of the School of Social Service Administration at the University of Chicago from 1924 to 1942 and she helped in ...
Abbott, Grace
Jean K. Quam
Grace Abbott (1878–1939) was a teacher who went on to become Director of the Immigrants Protective League of Chicago and Director of the U.S. Children's Bureau. In 1934 she became ...
Abernathy, Ralph David
Lou M. Beasley
Ralph David Abernathy (1926–1980) was a pastor who became president of the Southern Christian Leadership Conference after the assassination of Martin Luther King. He was director of ...
Acceptance and Commitment Therapy
Claudia J. Dewane
Clinical social work is a derivative profession, drawing its knowledge and practice base from several theoretical schools. The four primary theoretical schools contributing to social-work ...
Accommodating Students with Physical Disabilities in Higher Education
Anna Escamilla
Students with disabilities are becoming more and more common in higher education classrooms, including social work classrooms. The challenges that come with accommodating students so as to ...
Action Research
David P. Moxley
Through cycles of systematic and purposeful iterative engagement with problems they face in specific practice settings, social workers engaging in action research build knowledge that is ...
Adams, Frankie Victoria
Lou M. Beasley
Frankie Victoria Adams (1902–1979) was a social worker who influenced the development of social work education and of professional social work in the American South. She developed the ...
Addams, Jane
Jean K. Quam
Jane Addams (1860–1935) was a settlement house leader and peace activist. She was the founder of Hull-House and became president of the National Conference of Charities and Correction. She ...
Addictions: Gambling
Lia Nower and Kyle Caler
Gambling disorder is a significant public health concern. The recent and continued proliferation of land-based and interactive gambling opportunities has increased both accessibility and ...


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Create Your Best Self – Life isn't about finding yourself. Life is about creating your self. – George Bernard Shaw March 3, 2017
On Getting Things Done: The more I want to get something done the less I call it work. – Richard Bach February 8, 2017
Happiness Precedes Success: Focus your heart, mind, and soul on joy and you'll find ultimate success and fulfillment. – Amy Leigh Mercree February 4, 2017


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Posts Tagged 'Rob Cantor'
News :: Pinkerton Tribute Announced!
August 2nd, 2012 by Engine Room Recordings | Subscribe To The News Feed [ News]
We're very excited to announce our next compilation over here at Engine Room, a tribute to one of the best under appreciated, and nowadays there are some who would say over appreciated, records, but it's one of my personal favorites, Weezer's Pinkerton.
Each of the ten songs that make up the record have been covered in their own unique way by ten different artists. Most of the recording was done at our parent company Engine Room Audio's studio in Manhattan, and the great folks over at SonicScoop came in and documented the process for us.
The first video is posted below featuring Rob Cantor of Tally Hall doing an amazing rendition of "Why Bother?". Please check it out and check back soon for more videos, next up will be Jenny Owen Youngs and her band rockin' out on "Getchoo". And look for the worldwide release of our Pinkerton Tribute on September 18th.


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Sean McCormick of Football Outsiders takes a look at the biggest remaining questions for each team in the AFC East in this ESPN.com Insider piece. Here's a snippet of what he thinks of each team:
There was simply no way the Bills were going to be able to adequately address all their holes in the space of a single offseason, and to their credit, they haven't thrown lots of money around trying to. Ryan Fitzpatrick isn't a long-term solution at quarterback -- he may not even be a short-term solution -- but there were no surefire prospects worth burning a top-five draft pick on, and the free agent pickings were slim, particularly if you didn't want to give away the farm for Kevin Kolb. …
The right tackle spot, however, isn't a hole but a canyon, and it doesn't look like Buffalo has done enough to address it. The Bills were 30th in adjusted line yards on runs off right tackle, but that doesn't begin to tell the tale.
If you were to simply look at the statistics, quarterback would not necessarily be the biggest hole on the Dolphins. Safety Chris Clemons struggled badly getting to the sidelines to provide help over the top and offenses frequently targeted him in isolation in the deep middle of the field; the interior line could use some more help even after Mike Pouncey is inserted into the starting lineup and of course, the special teams were consistently horrific from beginning to end. …
Of course, there are lots of things that statistics don't cover, and it's those things that turned Henne's season from disappointing to catastrophic. Brandon Marshall publicly allied with backup Tyler Thigpen, and took his grievances with Henne to the airwaves, complaining about Henne's refusal to throw him the ball with sufficient frequency. Henne was benched during the season, reclaimed his starting job only because of injuries, and then was injured himself.
The hot story out of Providence is that Bill Belichick seems to be abandoning his traditional 3-4 defense in favor of a 4-3, and that the Patriots have primarily been working with 4-3 Under and Over fronts in the first days of training camp. The release of Ty Warren and the trade for Albert Haynesworth could be viewed as additional evidence of a shift, as Warren is a prototypical five-technique while Haynesworth has done his best work in a 4-3 set. The real issue is finding someone who can rush off the edge, whether standing up or from a three-point stance.
Aside from his foray into the Nnamdi Asomugha sweepstakes, general manager Mike Tannenbaum has largely been content to re-sign his players or to extend the contracts of younger stars. The big name was obviously Santonio Holmes, but Tannenbaum also locked up Antonio Cromartie and Eric Smith, extended David Harris another four years, and returned Donald Strickland, who had played for the team in 2009, to replace the departed Drew Coleman. Although maintaining continuity isn't always a good thing -- Carolina's decision to spend vast sums to return the young core of their 2-14 team comes immediately to mind -- the Jets fielded one of the most talented teams in the league last season, and the talent was fairly evenly distributed on both offense and defense.
If the Jets are going to take a step forward, they don't necessarily need to sign a bunch of free agents. What they do need is for Mark Sanchez to take another step forward in his development, and preferably a big step. So how best to ensure that your young quarterback has all the weapons he needs? How about signing a 34-year-old receiver who has been in jail for the past two years?


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Portable Oil Heaters and Kerosene Heaters Datasheets
Cargo Heater -- MV60EURO
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from HDT Global
The MV60-EU heater provides one of the safest, most reliable source of powered outdoor heat available today. The MV60-EU heater uses 110-volt power and burns all grades of diesel fuels including the military 's JP8. The MV60-EU heater has been in service for over 25 years and has been upgraded... [See More]
- Features: Portable; Adjustable or Preset Thermostat
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Direct Fired Air Heaters
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- Features: Portable; Weatherproof Housing
- AC Voltage Required: 120
- Heater Type: Air Heater; Radiant Reflective Process Heater; RoomSpace


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Centers for Disease Control and Prevention http://www.cdc.gov
National Institute of Environmental Health Sciences http://www.niehs.nih.gov
Capital Health Nova Scotia http://www.cdha.nshealth.ca
Manitoba Health http://www.gov.mb.ca
Arcavi L, Benowitz NL. Cigarette smoking and infection. Arch Intern Med. 2004;164(20):2206-2216.
Community-acquired pneumonia in adults. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115170/Community-acquired-pneumonia-in-adults. Updated August 15, 2016. Accessed September 28, 2016.
Legionnaires' disease. Occupational Safety and Health Administration website. Available at: https://www.osha.gov/dts/osta/otm/legionnaires/index.html. Accessed December 31, 2012.
Legionnaires' disease. Patient UK website. Available at: http://patient.info/health/legionnaires-disease-leaflet. Accessed December 31, 2012.
Legionella infections. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T904756/Legionella-infections. Updated May 20, 2016. Accessed September 28, 2016.
Legionella (Legionnaires' disease and Pontiac fever). Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/legionella/about/index.html. Updated June 1, 2011. Accessed December 31, 2012.
Top 10 things every clinician needs to know about Legionellosis. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/legionella/clinicians.html. Updated June 1, 2011. Accessed December 31, 2012.
It's time to stop guessing. If you want to make some changes but just aren't sure how, the free personal health survey from LiveWell is a great place to start.
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The Aristocracy of HR (TAOHR) is a HR blog that was created to discuss Talent Management triumphs, blunders, and best practices. Janine also known as "CzarinaofHR" on the blog provides the "look and feel" of a true Aristocratic HR society or as her motto says " HR otherwise would be uncivilized". Managing people comes with complexities. The Aristocracy of HR provides weekly relevant and thought provoking commentary on all things HR to help leaders and employees improve their craft.
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A similar post was originally published on the Straus Group blog for "Make a Difference Day," sponsored by Strauss Group.
Can metrics help steer companies on a sustainable source? While awareness about humans' and businesses' impact on the environment has increased rapidly the past 40 years, much work needs to be done for the planet to remain viable for future generations. Over the years companies in a bevy of industries were quick to claim that they were working on issues from preserving forests to offering dignity to their workers. With the advent of the internet and now, of course, social media, companies cannot just SAY they are "sustainable" or responsible; they have got to PROVE it.
And the tools that allow companies to measure their progress on environmental and social issues are improving. One reason is because of regulations; but at the same time, companies that communicate with their stakeholders about not only their successes, but challenges, emerge as strong business leaders. That does not stop some companies from exaggerating their progress on sustainability, but it easier for stakeholders and investors to gauge who are ahead, and who are behind.
A recent report Brandlogic and CRD Analytics issued earlier this month demonstrates how the perception of what a sustainable company can be a stark contrast to the reality based on metrics. So who are some leaders? Many technology companies are in that group, including SAP, Cisco, Dell and IBM. They are among firms that are transparent about the effects their supply chains and operations have on the planet. These companies also stand out for their fluid communication with stakeholders via their web sites or social media platforms. Other companies that focus more on the social impact their people and products can offer, such as pharmaceutical giants Abbott Labs and Novo Nordisk, also appear as leaders in the Brandlogic-CRD Analytics survey.
Two companies in very different sectors, consumer packaged goods and logistics, emerge tall in my view. They follow a variety of sustainability reporting standards including the Global Reporting Initiative and Carbon Disclosure Project.
First is Unilever, the international food and consumer products company, for its shift to integrate sustainability within its business model and branding. The company has pushed for a global focus on food waste, established a foundation to assist one billion people on health and wellness challenges and weaned the company away from irresponsibly sourced palm oil. What is most impressive, however, is that the company backs up its Sustainable Living Plan with data. Stakeholders can visit the company's site and learn whether the company's various initiatives are on-plan, off-plan or have missed their target. The company's pledge to be transparent, and discuss what the company has achieved rather than throw out talking points about "goals," sets the bar high for other companies–and their public relations representatives–who are quick to talk about sustainability but shy about showing their actual progress.
UPS is another company that is open about its sustainability performance. The task is not easy for a company known for its trucks, airplanes and the impact its operations have on the world's environment. Nevertheless, UPS does not shy away from discussing its greenhouse gas emissions, water consumption and waste the company generates across the globe. No one wants to admit they had a higher percentage of penalties within their total environmental inspections, but UPS is forthcoming about this data point and others where the company falls short. Yet at the same time, its global workforce enjoyed a safer workplace, and therein lies the strengths of UPS' metrics: steady improvement and key performance indicators appropriate to the company's core business. Becoming a sustainable and socially responsible global company is difficult for countless reasons, but metrics help hold these organizations accountable and offer more transparency.
Metrics are only part of the story as we gauge whether a company is truly a wise steward of the planet and its people. But they help paint a story about the direction to which a company is headed, and reduces self-promoting rhetoric that frustrates stakeholders and invites only more criticism instead of the much needed collaboration necessary to reverse environmental degradation, social injustices and corruption. You can bend the truth–it is possible, but harder, to manipulate numbers.
Leon Kaye, based in Fresno, California, is a sustainability consultant and the editor of GreenGoPost.com. He also contributes to Guardian Sustainable Business, Inhabitat and Earth911. You can follow Leon and ask him questions on Twitter.
Photo of Wall Street courtesy Leon Kaye.


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Discover up-and-coming musicians during DIME Presents' monthly—free!—concerts. Photo courtesy of Matt Shurben
South Boulder Peak's rocky summit has 360-degree views from the Great Plains to the snow-covered Continental Divide. Photo by Terri Cook
Diana DeGette chats with constituents. Courtesy of Diana Degette
From left: Chocolate custard dessert; culinary director Gregory Gourdet. Photos by Sarah Boyum.
Find this dress and others with vibrant patterns on Zuri's online shop, $145. Courtesy of Zuri
The "after"—Photography by Emily Minton Redfield
Illustration by Hsiao-Ron Cheng; photography by Ehren Joseph
If you're looking for a life filled with zero responsibilities and epic days on the mountain, you should've been a ski bum in 1965. Today's ski-town slackers still get in their powder days, but "the lifestyle" has changed in this era of high-gloss resorts. Here, the lowdown on how to...


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Current 69 Fair 3-Day Forecast HI: -° LO: 57° HI: -° LO: 57° HI: -° LO: 57° ABC15.com Weather Forecast
VIDEO: Officer throws Arizona State University professor to the ground abc15.com staff 4:12 AM, Jun 30, 2014 7:55 PM, Jun 30, 2014 Share Article Previous Next The arrest of an ASU professor is creating a lot of debate after she was thrown to the ground by a police officer in a situation that quickly escalated. WRTV Show Caption Hide Caption Previous Next PHOENIX - The arrest of an Arizona State University professor is creating a lot of debate after she was thrown to the ground by a police officer during a situation that quickly escalated.It began with the university police officer stopping the woman for walking in the middle of the street. He then asked for her ID.Officers said Ersula Ore, the woman involved in the incident, then refused orders and a struggle led to her being thrown to the ground.Watch our video to see the incident caught on camera.Authorities reviewed the tape and circumstances, then released a statement saying investigators found no evidence of inappropriate actions by the officers involved. Share Article A Share A A A Share Article


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Jack in the Box
Jack in the Box BBQ Ultimate Cheeseburger Review
Jack in the Box – BBQ Ultimate Cheeseburger
Jack wants us to twist up this summer, so they are bringing out some new variations of their Ultimate Cheeseburger.
The new BBQ Ultimate Cheeseburger starts with two beef patties with American and Swiss-style cheeses just like the original, then they add BBQ sauce, and caramelized onions on a toasted sesame seed bun.
The BBQ sauce is not at all over whelming and makes this burger a nice break from...
Jack in the Box New Jack's Fruit Coolers Review
Jack has a new beverage offering coming out this summer and it is perfect for those hot days where you want to imagine you are sunning at a beach in some far off tropical island.
The new drink is called Jack's Fruit Cooler and comes in Strawberry and Mango. Made with real fruit and lemon lime sparkling soda served over ice.This is a very refreshing drink that really tasted great. It is a little sweet, but very tasty. It will only be around for...
Jack in the Box Hella-peño Munchie Meal First Review and a Tasting in Hollywood
Jack in the Box invites Lunch Pig to Hollywood for a special event and Tasting!
The Jack in the Box Stuffed Jalapeños and an Ultimate Cheeseburger have been my main meal from Jack for more than 25 years, so when they take my favorite meal and turn it into a single sandwich, I'm going to check it out. Jack in the Box invited Lunch Pig to a private tasting in Hollywood on Sunset and Cahuenga Boulevards this week and let me have a sneak preview...
Jack in the Box New Jalapeño Ranch Ultimate Cheeseburger First Review
Jack in the Box wants to 'Twist up" your summer with some new additions to the menu.
Traveling through Hollywood at 6pm on a weekday is a nightmare by any standard, but I was on my way to taste the new Jalapeño Ranch Ultimate Cheeseburger and a list of other new mealtime offerings from Jack in the Box, so that makes it a worthwhile trip. The Ultimate Cheeseburger is about as true to a hamburger as you can get. Two slabs of meat, lots...
Company Picnic – Jack's Blazin'™ Chicken Sandwich Commercial "That's HOT"
Company Picnic – Jack's Blazin'™ Chicken Sandwich
That's HOT
Jacks new commercial is funny, funnier if your wife is named Georgia and you happen to be a fan of Jack in the Box.
Jack as always is creative and clever. The new sandwich is looking great and I will be posting my review today.
Read More →
Jack in the Box New Bacon Ranch Monster Taco and Monster Jalapeno Nacho Taco Review
I went out today and got the new Monsters Tacos like I saw on the new commercial
Read More →
Jack in the Box Monster Taco Truck Rally
Monster Trucks and Monster Tacos
Jack has been on a roll lately and his newest one is another of him and his son making Jack in the Box commercials. Jack is doing the voice of a typical Monster Truck rally announcer as they edit the newest commercial for their Monster Taco and his son is offering a critique of it.
So what are they selling? Bacon Ranch Monster Taco's and Monster Nacho Taco's.
A lot of fun and a very cool video of the Monster...
Jack in the box El Rancho de Jack – Bacon Insider – Nuevo Comercial
El Tocino Insider Concurso de Video
o simplemente ver el video
El nuevo tocino privilegiada comercial tiene todo lo que pueda desear en un comercial, música, cerdos, botas y una nueva gran hamburguesa.
Nosotros lo probamos y que sabe muy bien, la canción no está nada mal.
Haz un video o un mp3 de usted y sus amigos cantando la canción y que contará con ustedes aquí!
¡Buena suerte!
"Mi nueva Bacon Insider™ tiene carne con tocino...
Jack in the Box Bacon Insider Farmer Jack's 'Bork' Commercial Lyrics
Learn the new Jack's Farm song and get free food in our Bork Contest.
Jack's new commercial featuring their Bacon Insider Burger song "Jack's Farm" aka 'Bork' is a fun song and we have had numerous requests for the lyrics, so here they are. Have fun!
Welcome to the farm of jack,
there's a curly fry tree,
and a chopper out back,
there's a barn full of buns,
and a thing you gotta try
a critter that...
Jack in the Box Super Bowl Commercial XLVIII Bork Contest
Win Free Food!
Yes, it is true, just 'Like' us and you might win a free Jack Card for Jack in the Box. Each week we will select a new winner and it could be you.
Real simple, just "Like" us and you are all set.
While you are at it watch their great new Super Bowl commercial or check out the review of their Bacon Insider Burger. Hint, it's delicious!
Good Luck!
Read More →


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The vehicle in your driveway is head and shoulders above the rest when it comes to all the vehicles these days. When your Mercedes-Benz R320 left the factory, it was destined for a person with discerning taste who prioritizes European styling in their automobile. Your Mercedes-Benz dealership isn't the only place to locate genuine or original equipment quality parts to repair your R320. Auto enthusiasts appreciate the luxury built into each Mercedes-Benz, and understand that only the best repair R320 parts will suffice when maintenance needs to be done.
Could you imagine how uncomfortable your suspension would be if it didn't dampen impact? Shock absorbers were one of the early 20th century's biggest innovations, and the comfort they brought to drivers was so impressive that all vehicles afterward, including yours, have benefited from them. Without your Mercedes-Benz R320 shock absorbers, you would not have a comfortable ride. The shocks on your car or truck dampen sharp movements by compressing and releasing a pocket of gas within the shock body using hydraulic pressure created by a valve and piston. Today, many small vehicles have replaced their shock absorbers with strut and coil spring assemblies; but not your Mercedes-Benz R320.
Buying new Mercedes-Benz parts from www.carpartsdiscount.com means you are paying the lowest prices for the highest quality original and aftermarket replacement R320 parts on the internet. Given all the trouble that can be involved with repairing damage to your car or truck, let www.carpartsdiscount.com be the most authoritative website you go to make purchasing it easy. At Car Parts Discount, we have live customer service members here with enough expertise to help you buy the appropriate Mercedes-Benz R320 part for your needs. All the Mercedes-Benz R320 Shock Absorber parts on this page will fit vehicles made in 2009, 2008, 2007. Choose your year below to refine your search.


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To embed, copy and paste the code into your website or blog:
In a previous article, we outlined the Occupational Safety and Health Administration's (OSHA) new final rules regarding the reporting of workplace injuries and illnesses. These rules include a substantial limitation on an employer's ability to conduct post-accident drug and alcohol testing. As announced, post-accident testing would be limited to instances where an employer could demonstrate actual impairment – not just the presence of drugs or alcohol in a given sample – and where drug use is likely to have contributed to the incident. Originally, the new rules were to go into effect on August 10, 2016. However, when a lawsuit challenging the agency's action was filed in a Texas federal court shortly after the final rule was announced, OSHA agreed to delay enforcement until November 1, 2016.
Today – at the suggestion of the court – OSHA agreed to further delay enforcement of the new rules until December 1, 2016. This latest delay is intended to permit the parties to more fully argue their positions and affords the court sufficient time to sort out legal issues and decide whether OSHA's new rules – including the limitations on post-accident testing – should go into effect.
We will continue to follow this lawsuit and keep employers advised of any further developments.
See more »
DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.
© McAfee & Taft | Attorney Advertising
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Horchow Auditorium at the Dallas Museum of Art
Most of the lectures, performances, films, and concerts held by the Dallas Museum of Art take place in Horchow Auditorium. The most popular program is Arts and Letters Live, a literary and performing arts series featuring award-winning authors and actors.
What's Nearby
- Savor New American 0.1 miles away
- Relish Casual 0.1 miles away
- Pyramid Restaurant & Bar French-Continental 0.1 miles away
- Blue Mesa Grill Southwestern 0.2 miles away
- Dakota's Steakhouses 0.2 miles away
- Pyramid Bar Hotel Bars 0.1 miles away
- Luxx Nightclub DJ-Dance 0.2 miles away
- Glass Uptown DJ-Dance 0.3 miles away
- Draft Media Sports Lounge Hotel Bars 0.4 miles away
Rattlesnake Bar Hotel Bars 0.4 miles away
- Lotus Shop Gifts 0 miles away
Nasher Store at the Nasher Sculpture Center Gifts 0.1 miles away - Dallas Museum of Art Gift Shop Gifts 0.1 miles away
- D. Jones Tailored Collection Mens 0.3 miles away
- The Perot Museum of Nature and Science Gift Shop Gifts 0.4 miles away


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City Hotel
Select your stay dates to check availability at City Hotel
City Hotel
About the Hotel
Property Location
When you stay at City Hotel in Senigallia, you'll be near the beach and minutes from Rotonda a Mare and Bagni M48. This 4-star hotel is within close proximity of Rocca Roveresca Castle and Palazzo del Duca.
Make yourself at home in one of the 64 air-conditioned rooms featuring minibars and LCD televisions. Rooms have private balconies. Complimentary wireless Internet access keeps you connected, and satellite programming is available for your entertainment. Private bathrooms with showers feature complimentary toiletries and bidets.
Enjoy recreation amenities such as a fitness center or take in the view from a terrace. Additional amenities at this hotel include complimentary wireless Internet access, wedding services, and discounted use of a nearby fitness facility.
Satisfy your appetite at the hotel's restaurant, which serves breakfast and dinner. Dining is also available at a coffee shop/café, and room service (during limited hours) is provided. Quench your thirst with your favorite drink at a bar/lounge.
Business, Other Amenities
Featured amenities include a business center, complimentary newspapers in the lobby, and dry cleaning/laundry services. Planning an event in Senigallia? This hotel has 4304 square feet (400 square meters) of space consisting of conference space and a meeting room. Self parking (subject to charges) is available onsite.
Hotel Facilities
- Accessible bathroom
- Free newspapers in lobby
- Terrace
- Bar/lounge
- Conference space
- Safe-deposit box at front desk
- Coffee shop or café
- Number of meeting rooms - 2
- Restaurant
- Number of buildings/towers - 1
- 24-hour front desk
- Dry cleaning/laundry service
- Conference space size (meters) - 400
- Luggage storage
- Number of floors - 6
- Wedding services
- Self parking (surcharge)
- In-room accessibility
- Free breakfast
- One meeting room
- Elevator/lift
- Business center
- Fitness facilities
- Total number of rooms - 64
- Free WiFi
- Multilingual staff
- Conference space size (feet) - 4304
- Use of nearby fitness center (discount)
Room Facilities
- Shower only
- Free toiletries
- Minibar
- Balcony
- Daily housekeeping
- Free WiFi
- Bidet
- Satellite TV service
- In-room climate control (air conditioning)
- Room service (limited hours)
- Premium TV channels
- In-room safe
- Free bottled water
- Air conditioning
- Hair dryer
- Free cribs/infant beds
- Private bathroom
Hotel Policy
Know Before You Go
- All guests, including children, must be present at check-in and show their government-issued photo ID card or passport.
- Cash transactions at this property cannot exceed EUR 2999.99, due to national regulations. For further details, please contact the property using information in the booking confirmation.
- A resort fee is included in the total price displayed.
The following fees and deposits are charged by the property at time of service, check-in, or check-out.
- Self parking fee: EUR 15 per night
The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.
Mandatory Fees and Taxes
The charges below are included in your overall room price:
- Resort fee
We have included all charges provided to us by the property. However, charges can vary, for example, based on length of stay or the room you book.
Show all hotel policy Show less hotel policy


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You missed it This great deal for Susu Bakery Boutique is over. But don't despair, we've got more great deals every day.
Related Deals That You May Like
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back by popular demand:
Susu Bakery Boutique
Three-Hour Cupcake-Making Camp for Ages 8 to 13 on a Monday, Tuesday, or Wednesday
76% recommended
in LivingSocial customer ratingsChef Susu Aylward ditched a former career in advertising for culinary school in France. The result was the creation of a stunning bakery in Wellesley -- where your kid will get tips and share giggles during a fun, hands-on cupcake-making camp:
• $40 ($75 value) for a cupcake-making camp (Monday, Tuesday, or Wednesday)
• Open to ages 8 to 13 -- all supplies are included, as is a beverage and a snack
• Kids will get to decorate cupcakes using colored icings, sprinkles, and fondant
PAID VALUE EXPIRES ON March 25, 2022
PROMOTIONAL VALUE EXPIRES ON September 30, 2014


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Basketball 2016-2017
March 06, 2017Jaiquan Manning Named Region X Player of the Year Jaiquan Manning was named the Region X Player of the Year on March 4th.
February 02, 2017Sophomore Night The men's basketball team will honor the team's sophomores in a home matchup vs. Lenoir Community College on February 9th at 7:00 PM.
January 29, 2017Pitt Basketball to Host Black Out Night February 1st The men's basketball team will have a Black Out night in February 1st vs. Pasco-Hernando State College at 6:00P.M.
January 23, 2017Basketball Forfeits Three Games Use of ineligible player takes three wins off the board for Bulldogs.
January 17, 2017Bulldogs Sweep Three-Game Home Stand to Go 8-6 on the Season Freshman guard Deonte Jones scores 63 points over the weekend to lead PCC offensively.
January 13, 2017Bulldogs 5-6 Overall Heading into Important Three-Game Home Stand Three players are averaging in double figures scoring for Pitt, which is coming off a 13-point road loss to Catawba Valley earlier this week.
Basketball Forfeits Two Games The Bulldogs will have to forfeit two contests played January 23rd against Vance-Granville, and January 24th against Wake Tech.


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First train06:06
Last train21:00
Avg changes0
Fastest journey2hr 55m
Travelling from Edinburgh to Leeds by train
The fastest trains from Edinburgh to Leeds take around 2 hours and 55 minutes, covering a distance of approximately 262 kilometres. There are frequent services on the rail route between Edinburgh and Leeds.
Direct trains run between Edinburgh and Leeds.
We usually find around 16 direct trains on the route from Edinburgh to Leeds every weekday.
Trains are typically more frequent on weekends, when we found around 20 departures. The duration is normally about 2 hours and 55 minutes, whatever time you make the journey.
On weekdays the earliest direct train to Leeds is usually scheduled to depart Edinburgh around 06:06 and the last train is around 21:00. At weekends the first train of the day leaves Edinburgh around 06:08, and the last at 20:00.
Route map is indicative only and may differ from the optimal route. Actual routes will be displayed when searching.
When to book Edinburgh to Leeds train tickets?
The earlier you book the better, and the cheapest tickets we've found for trains from Edinburgh to Leeds are £17.00.
Trains departing 30 days in advance will cost around £101 while booking 7 days in advance the price is around £50. Booking on the day of travel is likely to be more expensive, so it is worth booking in advance if you can to save money.
Trains in the UK usually open for booking around 3 months in advance. If booking is not yet open for your dates then you can set a booking alert to receive an email on the day that the cheapest tickets are released for your journey from Edinburgh to Leeds by train.
Which trains operate between Edinburgh and Leeds?
More than one type of train operates on the route from Edinburgh to Leeds, so you'll be travelling with one or more of the following rail operators:
- CrossCountry
- East Coast
- TransPennine Express
You can check which train you'll be travelling on by looking for the train name in search results.
Route map is indicative only and may differ from the optimal route. Actual routes will be displayed when searching.
Other journeys to Leeds View all journeys to Leeds
- From Stevenage from £24.50
- From Crewe from £38.20
- From Hastings from £39.70
- From Rugby from £69.00
- From Eastbourne from £39.70
- From Lowestoft from £89.50
- From Bradford Interchange from £4.00
- From Dewsbury from £4.40
- From Hereford from £64.00
- From Weymouth from £46.00
- From Goole from £12.80
- From Whitby from £18.80
- From Selby from £3.00
- From Kirkcaldy from £17.70
- From Windermere from £29.30
- From Truro from £156.90
- From Hull from £6.50
- From Keighley from £4.90
- From Grimsby Town from £26.60
- From Redhill from £35.20
- From Haywards Heath from £38.20
- From Ely from £11.20
- From Newquay from £74.80
- From Oxford from £31.20
Popular journeys
- Reading to Bournemouth trains
- London to Brussels trains
- Florence to Verona trains
- Paris to Milan trains
- Glasgow to Coventry trains
- Brussels to Amsterdam trains
- Bordeaux to Marseille trains
- Amsterdam to London trains
- Milan to Florence trains
- Darlington to Birmingham trains
- London to Geneva trains
- Milan to Pisa trains
- London to Munich trains
- Barcelona to Bilbao trains
- London to Florence trains
- Lyon to Barcelona trains
- Leeds to Stevenage trains
- Milan to Trieste trains
- London to Bruges trains
- London to Nice trains
- Brussels to London trains
- Madrid to Barcelona trains
- Brussels to Cologne trains
- Bilbao to Madrid trains
- Madrid to Seville trains
- Zurich to Milan trains
- Madrid to Bilbao trains
- Munich to Venice trains
- Riomaggiore to Rome trains
- Venice to Verona trains
- London to Amsterdam trains
- Verona to Milan trains
- London to Stuttgart trains
- Milan to Bergamo trains
- Paris to Prague trains
- Milan to Rome trains
- London to Antwerp trains
- Reading to Bath trains
- Paris to Toulouse trains
- London to Salzburg trains
- Plymouth to Birmingham trains
- Middlesbrough to Edinburgh trains
- Naples to Palermo trains
- London to Rotterdam trains
- Brussels to Rotterdam trains
- Paris to Zurich trains
- Geneva to Milan trains
- Ipswich to Norwich trains
- Brussels to Vienna trains
- Pisa to Bologna trains
- Munich to Salzburg trains
- Grantham to York trains
- London to Copenhagen trains
- London to Bordeaux trains
- Berlin to Warsaw trains
- Birmingham to High Wycombe trains
- Milan to Bari trains
- Brussels to Berlin trains
- Paris to Amsterdam trains
- London to Verona trains


text:
To get the general idea of the passage and understand what can we do about global warming.
To improve reading ability and writing skills.
3. ���
To know what the effects global warming has brought about and what we should do to protect our earth.
the causes
the effects
Global warming
A rising population
The use of energy Greenhouse gases
Burning of fossil fuels Agricultural industry Destruction of forests
Global warming causes many extreme
weather events.
Tsunami hits Indonesia
What's the result severe storm of global warming rising of sea level
the spread of diseases destruction of species
glaciers melt �����ڻ�
sea level rises ��ƽ������
species extinction �������
Skim the letters and find who
the writers are and what their
purpose of writing the letters is.
The first letter is written by a student who is on behalf of his school, asking for suggestions for his project �� global ���� warming. The second letter is written by an editor of Earth Care magazine��who offers the student some suggestions on what to do about global warming.
Task: List Earth Care��s suggestions. 1.If you are not using electrical appliances, turn them off. 2.Put on more clothes instead of turning up the heat. 3.Walk or ride a bike if you can. 4.Recycle and buy things made from recycled materials. 5.Get your parents or friends to buy products that are made to save energy.
6.Plant more trees.
7.Talk with your family and friends about global warming and tell them what you��ve learned.
Have you found that in school...
Have you found that in school...
What��s your feeling��
Let's live in low-carbon way��
Writing��Make a poster
Make a poster for your school that tells students various ways they can reduce
the amount of cabon dioxide in the air.
The steps to write the poster ?Underline the most important parts of earth care's suggestions. ?List the ways to reduce carbon dioxide in the air. ?Use imperative sentences(��ʹ��) in your poster. ?Give your poster a large heading. ?Make a slogan at the end like the one at the end of the letter from Earth Care.
Sample poster
Fight global warming
Cut down on energy. Cut down on carbon dioxide.
? If not using an electrical item, turn it off.
? If you suddenly feel cold, don��t turn the
heat up, put on a jacket instead.
or ride a bike and save fossil fuels.
?Buy ?Buy ?light ?Plant ?Tell
paper, cardboard and newspapers.
products made from recycled materials.
energy-saving products like low energy
bulbs. trees to absorb CO2. Every effort counts!
your friends about global warming.
1. Finish your poster after class�� 2.Find out the expressions in the Text:
on behalf of... have little effect on... advocate improvements have a commitment individuals can make a difference put up with... leave an electrical appliance on so long as and so on turn up the heat refresh your spirit finally and most importantly
�ĵ����Ϲ����� nexoncn.com
copyright ©right 2010-2020��


text:
New North Police District staff had their in-service on Friday and started working north on Sunday. North District staff will be attending a planning meeting for the July 5th fireworks event tomorrow. Mark your calendar for this fun filled day!
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text:
Donaji & the Magical Poncho
This is the story of a fearless girl and her encounter with the wicked cold wind god
4.31 / 5.00 4,467 ViewsMovie going, slug birth, chicken science, boot shopping, and the Bill Cosby apocalypse. All take place within the Eternal Saturday. Enjoy!
You need to make more of this shit mang. You need to make ALL of it. I wouldn't want to incite the Cosby Apocalypse.
An amazing mind went into this. I have noticed a few reviews saying they didn't get it but if people would just let go of trying to understand something and just take it in as what it is, it can be enjoyed. Everything doesn't need structure and this certainly does not have structure.
interesting but too much loaded. didn't understand what all the different scenes are related to each other. the Drawing was ok and the animation was good.
I longed years (yes, that long) for a movie that would bring back the mindless fun of the glorious days of quality spam. Finally, it has returned ! Thank you for reminding me why I stayed on Newgrounds in the first place. It's the essence of art to think outside the rules, to create something new, not necessarily in form, but in the way it mediates between the content and the viewes
I mean every word this guy said


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