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This guideline includes expanded criteria for using the ankle-brachial index (ABI) for earlier diagnosis, increased efforts to ensure all patients have access to smoking cessation services, improved use of clot-preventing medications, as well as a more focused definition of effective interventions for avoiding limb amputations and treating aortic aneurysms.
"This document provides agreed upon approaches and treatments for PAD that vascular surgeons, vascular medicine specialists, cardiologists, pulmonologists, interventional radiologists and primary care clinicians can apply to help improve patient care," said Thom Rooke, MD, Krehbiel Professor of Vascular Medicine, Mayo Clinic, Rochester, MN, and chair of the writing group. "This guideline is especially important for PAD, which is often still treated less aggressively than heart disease, and we know that many patients do not yet receive ideal care."
Of note, the guideline includes a recommendation to lower the age at which ABI diagnostic testing should be performed in the practice setting from 70 years of age or older to 65 years of age or older. This decision was based on mounting evidence demonstrating that people 65 and older have a one in five chance of having either symptomatic or asymptomatic PAD.
"Age alone appears to define a patient population at such a high risk of PAD that we can justify using a cost-effective and risk-free test like the ABI," said Dr. Rooke. "It's important to remember, when we check ABI to detect PAD in a patient without clear-cut leg symptoms, it is known that we are effectively assessing overall heart and vascular health. If PAD is detected, effective risk reduction medications are available to lower this risk."
Some of the other recommendations set forth by the writing group include:
- Strengthening efforts to help individuals with PAD quit smoking and, in turn, lower rates of heart attack, stroke and lower limb amputations; this includes consistently asking current and former smokers about tobacco use at each visit, as well as proactively offering support through counseling, pharmacologic therapies and/or formal smoking cessation programs.
- Considering leg artery angioplasty as a first line treatment for certain individuals with severe PAD who may face amputation.
- Understanding new data showing that aortic aneurysms can be safely treated by both traditional open surgical and less invasive endovascular (catheter-based) treatments with nearly equal efficacy and safety.
"When PAD is undetected and poorly managed, it is among the most costly cardiovascular diseases. Delays in care and inadequate use of proven risk reduction therapies continue to put lives at stake," said Alan T. Hirsch, MD, Professor of Medicine, Epidemiology and Community Health in the Lillehei Heart Institute and Cardiovascular Division, University of Minnesota Medical School, and vice chair of the writing group. "While there have been progressive improvements in PAD care, it appears that even simple 'interventions,' like appropriate prescription of smoking cessation and exercise are not utilized by clinicians, health care systems, and payers. We still have a long way to go; the opportunity for prevention and earlier, life-saving interventions is immense. This guideline provides a road map."
He added that additional promotion of guideline use by hospital and health systems would be expected to lead to major improvements in clinical outcomes.
Read the Guideline Update
Background on PAD
Peripheral artery disease is a common and dangerous condition that affects tens of millions of Americans — often unknowingly — and can restrict blood flow to the legs, kidneys or other vital organs. PAD, which remains underdiagnosed, is often a sign of a more widespread accumulation of fatty deposits in the heart, brain or legs and, if untreated, it is one of the most common causes of preventable heart attack, stroke, leg amputations and death.
PAD restricts blood flow to the extremities, especially the legs and feet. When blood flow is reduced to the legs, walking may become difficult and painful, and amputation can occur. Decreased kidney blood flow can cause high blood pressure or kidney failure. Aneurysms of the aorta, the largest artery, can rupture and lead to death. Yet, for many, PAD is asymptomatic and therefore may not lead to recognizable symptoms, delaying a prompt diagnosis.
PAD patient education materials at SecondsCount.org
To expand knowledge of PAD, SCAI welcomed PAD Awareness Month with newly updated, user-friendly content on PAD and renal artery stenosis on www.SecondsCount.org. The new content features easy-to-follow information on the symptoms of PAD, its implications for heart attack and stroke risk, diagnostic and treatment options, stories of successfully treated PAD patients, and handy tools. SCAI encourages healthcare providers to visit the site and recommend it to patients.


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Falconwood | Rutland Townhomes
Spacious Modern Living
Falconwood Townhomes in Rutland | Mountain views, and a private green space make Falconwood a relaxing place to enjoy time with family. These open floor plan stacked townhomes are the epitome of modern style living.
Rutland Neighbourhood Amenities
Rutland is a great place for living, and raising an active lifestyle. Enjoy a large variety of sports, and recreation facilities including, Rutland Sportsfield, YMCA Swimming Pool & Recreation Centre, Kelowna Springs Golf Course, and Beyond the Crux Rock Climbing. These conveniences, and the affordability of the area make Rutland a popular place for families to live. Rutland Elementary School, Rutland Middle School, Rutland Secondary School, and Studio 9 School of the Arts are the schools within the Rutland neighbourhood. This area is also one of the closest to Big White if you love to spend your winters at the slopes. Interested in learning more about Rutland?
Townhomes Features
- 2 car garage
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FOR MORE INFORMATION ON AVAILABLE TOWNHOMES at Falconwood Please Call 250-300-3303 or Get in Touch VIA The FORM Below:
E. & O. E. This is not an offering for sale. An offering for sale may only be made after filing a Disclosure Statement under the Real Estate Development Marketing Act.Contact the developer's agent for further details as well as a copy of the Disclosure Statement when available. After a Disclosure statement is filed, the developer reserves the right to make modifications to building design, specifications, features and floor plans. Prices are subject to change and can be withdrawn at any time.

subset: commoncrawl


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One time-lapse and four real-time videos showing how I used a mother colour to produce a pleasing colour harmony, with references to how great artists from the past, Gianni Maimeri, (see above painting,) used this technique. Also three demonstrations for beginners of landscape painting in oils. and cleaning oil paint brushes between painting sessions.
All content is copyright (c) Ryn Shell 2020
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Specifications include, but are not limited to: 1a Data Collection App (DCA) shall run on IOS mobile devices. 1b DCA shall have capability of running on Android devices. 1c DCA shall have capability of running on Windows devices. Preferred 2 DCA shall support multiple users per device. 3 DCA shall support secured sign-in for each named user. 4 DCA shall support both internal and external named users by integrating with Microsoft ADFS (Active Directory Federation Service).
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Oil Gas Sci. Technol. – Rev. IFP Energies nouvelles, 66 1 (2011) 137-150
Published online: 14 March 2011
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text: Ryukyu Scrambled Eggs from Okinawa Posted on Monday, June 1, 2015 in Breakfast Sign me up for your Newsletter! Serves 4 (or two, if very hungry!)Ingredients:1 cup egg substitute, such as Egg Beaters3 oz. can water-packed tuna1/2 tsp. Life Transfusion Liquid MineralsFreshly ground pepper6 oz. Firm tofu cut into /2 inch cubes1/2 cup chopped celeryDirections:1. Beat the egg substitute in a large mixing bowl. Add the tuna, Life Transfusion Liquid Minerals and pepper to taste.2. Heat a wok or skillet and spray with nonstick canola spray. Cook the tofu until golden, no more than 2 minutes.3. Add the celery and cook for 2 more minutes.4. Pour the egg mixture into the work or skillet and stir continuously until cooked through.5. Evenly divide onto four plates and serve.Enjoy! 0 Comments Add a Comment to this Post You must be logged in to post comments.


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Bosphorus is blocked by the largest ship in the world
The Bosphorus is closed on Wednesday for the safe passage of a huge vessel, the Pioneering Spirit, to make it possible. The ship is the largest in the world, and intended for, inter alia, the construction of pipelines on the seabed.
The left may 13, Maasvlakte, near Rotterdam, on the way to the Russian city of Anapa on the Black Sea.
Also the ferries across the Bosphorus were shut down, reported the Turkish media. The vessel of more than 380 metres long and 124 metres wide the Swiss-Dutch bouwgigant Allseas.
It will be used for the construction of a 900-kilometer-long pipeline through the Black sea from the Russian coast to the European part of Turkey.


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Despite the fact that our rooms are only 5 minutes distance from the harbour of Adamanta - Milos, their precise place provides quietness and direct access to all road network of Milos and to all directions. Reaching Adamanta with the boat, you can walk through the central street of Adamanta with direction to Triovasalo or lead with the vehicle to our rooms and park in our comfortable parking.
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Ehrlich spokesman Paul E. Schurick said the campaign used the luxury executive helicopter eight times between April and November, including a trip to New York related to Ehrlich's congressional duties. Initially, the campaign said it made six trips.
Much of the helicopter use was donated by Whirlwind Aviation Inc., a company with close ties to Sinclair Broadcast Group Inc., owners of WBFF Fox 45. Schurick could provide dates and locations for only six of the eight trips; the campaign has received post-dated bills for all of them.
The campaign has acknowledged it has not paid for any portion of the cost of the trips and that it erred in not reporting the flights promptly on election reports. Some critics have also raised ethical questions about a media outlet providing services to a candidate it was covering.
Additionally, state officials said yesterday that the hefty discount of the flights must be treated as a campaign donation under state law, creating a possible violation for Whirlwind.
The aviation company would exceed the limit on campaign donations if the discount was properly accounted for, state law indicates.
Whirlwind donated a significant portion of the cost of the flights, and billed Ehrlich at $1,000 an hour for the remainder, according to documents produced only after inquiries by The Sun.
But the company typically charges customers $2,500 an hour. Independent aviation records show the high-end Eurocopter Dauphin aircraft -- the same model used by Ehrlich -- costs $2,563 an hour just to operate.
If the $1,500-an-hour discount is not available to the general public, it should be considered a donation, said Ross Goldstein, director of candidacy and campaign finance with the Maryland board of elections.
"If I give a specific candidate a discount, and am not otherwise offering that discount to somebody else, that is an in-kind contribution," Goldstein said, speaking generally about state law.
The discount appears to be worth $20,625. Whirlwind has donated a total of $7,700 to two campaign accounts for the helicopter use, one for Ehrlich and another for his running mate, Michael S. Steele. An additional donation would put them over the limit of $4,000 for each account.
Ehrlich declined to comment yesterday for the second consecutive day about the flights.
Schurick insisted the donations and the relationship between Ehrlich and Whirlwind Aviation Director J. Duncan Smith, a vice president of Sinclair, were legal.
Smith has refused to comment on the ownership of Whirlwind, but the connection between the aircraft charter company and Sinclair is indicated in reports filed by the media firm with the U.S. Securities and Exchange Commission.
In a report filed last year, under the heading "Related Party Transactions," Sinclair reported that it had leased aircraft from a company owned by "certain Class B stockholders."
The same report states that members of the Smith family, including Duncan Smith, own the majority of the Class B stock and they also hold a controlling interest in the media firm.
Schurick said there would be "hundreds of in-kind contributions from companies" listed in Ehrlich's coming campaign finance reports. "This is as routine as routine can be. We're not trying to hide it," he said.
Early this week, the Ehrlich campaign provided conflicting accounts of how the flights would be paid for, first saying they were entirely donated by several members of the Smith family, who control Sinclair. Later, aides said that the aviation company would donate a portion of the flights, while the rest would be paid for from Ehrlich's campaign funds.
Ehrlich aides said yesterday that the payments have not yet been made, even though the flights occurred as early as April 26, when Ehrlich flew to Deep Creek Lake in Garrett County for a Republican Party dinner.
Other flights include an Aug. 21 trip to Southern Maryland; an Aug. 30 campaign visit to the Eastern Shore; a Sept. 16 trip to Cumberland; and a Nov. 13 family vacation to .
On Sept. 6, he traveled to New York for a joint session of Congress memorializing the Sept. 11 terrorist attacks. "Technically it was [congressional business], but we accounted for it as part of the campaign operation," Schurick said.
Schurick could not provide dates and locations for the final two trips. But he said lawyers for the campaign determined the $1,000 cost was "fair market value."
But data provided by Conklin & de Decker Associates, a Massachusetts-based aviation consulting company, show that the Dauphin costs $2,563 an hour to operate. "That's your maintenance, your fuel, the pilot cost, the insurance rate," said Brandon Battles, Conklin & de Decker vice president.
Schurick acknowledged that the invoices did not include charges for the pilots' waiting time, which typically costs $150 an hour.
"People should have known better in his campaign, but I think at this early stage of his gubernatorial career, he should be entitled to the benefit of the doubt," said Senate President Thomas V. Mike Miller. "Hopefully, they can disclose, he can learn, and we can move on."
Miller said the helicopter trips were less disturbing than reports that Ehrlich campaign workers promised $125 to Prince George's County college and high school students to work Election Day handing out "Democrats for Ehrlich" literature, but were never paid. State law prohibits payments for such activities.
"It's the kind of thing the campaign can do a little math for, write a few checks and walk away scot-free," said David Paulson, a spokesman for the state Democratic Party.


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Carved Garnet Venus Shell Ringdez-r205g1
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Wear this striking, minimal and totally beach inspired Dezso ring on your pinky or above your knuckle - either way, it expresses a fun, funky and edgy sense of style. At each end of the polished 18K rose gold open cuff ring is a hand-carved shell of garnet. Each shell is framed by 18K rose gold and connects to the ends of the ring. Squeeze gently for the perfect fit and stack it with a handful of your other favorites.
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JAIPUR - Designer Sara Beltrán began her career as a fashion stylist in New York City. After years spending time in the industry, she changed her focus to designing jewelry and creating her collection Dezso - the Latin word meaning 'Desire'. Inspired by her love for the beach, ocean and nature, she moved to Jaipur and began creating a collection of jewelry using finds from the beaches of Mexico. Fossilized coral, bracelets woven by Mexican artists, slices of polki diamonds, and semi-precious stones such as kyanite are used to create an eclectic, bohemian, and summer-ready look.
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Mono is an open-source cross-platform implementation of Microsoft's .NET environment with support for the Common Language Runtime (CLR), a C# compiler, and ASP.NET using the XSP standalone server or an Apache add-in module (mod_mono). Mono currently runs on a large number of platforms including:
The Test
To test the Mono cross-platform claims, I decided to build a simple family calendar application. The overall goal behind this project was to evaluate exactly how portable a reasonably complex application could be. Therefore, I developed the application in C# and ASP.NET on a Windows XP machine using Microsoft's Visual Studio 2003, working from the following assumptions.
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The foods in the following list won't necessarily harm every dog, but many dogs have developed serious illnesses after eating these seemingly harmless people foods. Why take a chance? I suggest that you never, ever feed your Dachshund any of these ten foods. If you believe your dog has ingested any of them, call your vet right away for advice.
^ Chocolate: Both the theobromine and the caffeine in chocolate can be very harmful to dogs. Baker's chocolate is the worst, but even milk chocolate can make a dog sick.
^ Grapes and raisins: These "treats" can cause kidney failure in some dogs — especially if they eat a lot of them. For a small dog, even a few could cause toxicity.
^ Macadamia nuts: These yummy nuts can be very toxic for dogs, causing vomiting, pain, and neurological symptoms.
^ Onions or garlic: Frequent ingestion of onions can cause severe anemia and even death. Small amounts can cause gastrointestinal distress, because dogs can't digest onions very well. Onions may even be more dangerous than garlic, perhaps because foods often contain more onions than garlic. In fact, many natural pet foods, treats, and homemade dog food recipes contain a little garlic. Some people believe garlic can help ward off fleas. However, neither onions nor garlic should be a daily part of your dog's diet.
^ Coffee and tea: Don't let your Dachshund help you drink your coffee, no matter how cute that may be. The caffeine and other acids in coffee are very unhealthy for him. The same goes for your tea. Plus, dogs that eat coffee beans or coffee grounds can get very ill.
^ Alcoholic beverages: The same goes for your beer, your wine, or your martinis. No, no, and no! (Although I know of one company that makes a non-alcoholic beer for dogs. I haven't tried it, though.)
^ High-fat foods: Dogs don't digest high-fat foods very well, and too many fatty foods can cause pancreatitis — especially in smaller dogs. Your Dachsie may look like a hot dog, but high-fat, processed meats like hot dogs, bacon, and deli meats are dangerous because of the high sodium and nitrate content.
^ Xylitol: This artificial sweetener, which you find in many sugar-free human foods (like sugar-free gum), is very toxic for dogs. If your Dachsie accidentally ingests something with xylitol, call your vet immediately.
^ Avocado: Some pet foods contain avocado, but experts — including those at the ASPCA Animal Poison Control Center — say that avocado is extremely toxic to some animals, and its effects aren't fully understood in dogs and cats. Avoid avocado, just to be safe.
i Milk and cheese: Some dogs can eat small amounts of dairy products without a problem, but many can suffer from intestinal distress from dairy products (other than the fermented kinds, like yogurt and cottage cheese). Avoid the high-fat, hard cheeses. And your dog really doesn't need to finish the milk in your cereal bowl!
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It is a well known fact that homemade food is always a healthier option for pets when compared to the market packed food. The increasing hazards to the health of the pets have made pet owners stick to containment of commercial pet food. The basic fundamentals of health for human beings are applicable for pets also.
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What not to feed an older Dauchounds?
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What foods are dogs not allowed to eat?
What are some thing not to feed a wiener dog?
Can dauchshunds eat cheese?
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Can dachshunds drink nonfat milk?
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What foods should daschounds not eat?
Can dachsaunds eat people food?
How much food must dachsies eat?
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Can dachsunds eat fish?
How much do i feed my dacshund with liver issues?
Can mini daschunds eat small tomatoes?
Can dachhund eat chicken?
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How d dachshund digest food?
Why dachunds eat grass?
Can my Doxshund have yogurt, cottage and chese?
Can dachshunds eat fish?


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Accord Mortgages
Accord Mortgages is a dedicated intermediary-only lender and part of Yorkshire Building Society Group. It exists to help brokers look after what matters most, their clients.
Accord has adopted something it grandly calls 'Principle Based Lending' or to put it another way 'good old common-sense lending'. In other words, it will try to find a way to lend.
• Direct access to underwriters
• Expert BDMs and TBDMs and dedicated broker support
• Competitive product range, including New Build and Offset
• Product transfers online - it's a quick and simple application process
• Buy-to-let lending to Consumer BTL, first-time and portfolio landlords
• Great procuration fees paid weekly, including residential and BTL product transfers
• Welcome box sent on completion of a house purchase
• Growth Series – an essential free resource for brokers who want to build their business.
Accord Mortgages
Bluestone Mortgages
Bluestone Mortgages prides itself on being able to offer residential and buy-to-let mortgage products to those who've encountered unforeseen financial issues.
It is a specialist mortgage lender that deals with adverse credit and complex cases. Its range of products has been designed for people that don't fit the traditional customer profile of high street banks.
Bluestone's service is special too – the lender promises to treat customers as individuals and make decisions based on their circumstances, not their credit score.
It is committed to being a responsible lender and its team of highly experienced underwriters will take a holistic view of every customer's profile to ensure it takes their individual circumstances into account.
Bluestone makes complex lending easy.
Bluestone Mortgages
BM Solutions
BM Solutions is dedicated to supporting intermediaries with competitive products, forward-thinking technology and award-winning service.
It's committed to supporting you and your clients through its experienced team of BDMs. BM's award-winning five-star service comes as standard but it doesn't take things for granted. The lender is continually refining its products and criteria to suit your needs, so that you have all you need to do business with BM Solutions.
BM Solutions
Buckinghamshire Building Society
As a mutual building society with no share holders, Buckinghamshire Building Society is a member owned organisation which puts the customer at the forefront of everything they do. Their focus is on helping people to save for the future and buy their own home. They lend throughout England and Wales and thier wide range of mortgage products are aimed at helping customers with complex incomes, diverse circumstances or credit issues to purchase or remortgage their home. With no credit scoring and manual underwriting, they look at cases on an individual basis and deliver successful outcomes for customers by taking a sensible and pragmatic approach to lending.
Buckinghamshire Building Society
Complete FS
Complete was formed in 1993. Since that time the company has established itself as a leading mortgage packager and distributor. It offers competitive products and services to a growing number of intermediaries and networks.
The business packages applications for a whole range of lenders which include prime, complex prime, specialist, buy-to-let products as well as secured loans, bridging finance and commercial loans.
Among the benefits offered to its introducers are a very experienced enquiries team, free sourcing system for mortgages, secured loans and bridging cases, online decisions in principle and 24/7 case tracking, but most of all a personable proposition designed to help intermediaries write more business.
Complete FS
Coventry for Intermediaries
Coventry for intermediaries prides itself on its simple and straightforward approach.
For over 10 years, its pledges have demonstrated a commitment to intermediaries. The lender is dedicated to providing award-winning services to both you and your clients.
That's why it gives you two BDMs - one in the field and one on the phone.
Coventry also respects that your clients are your clients. At maturity, it directs them back to where their journey began – and that's with you. Additionally, it keeps product transfers simple. There's no form to fill in; all you need to do is give the lender a call.
Coventry has innovative products - its exclusive Flexx Fixed range offers the security of fixed monthly payments and the benefit of unlimited overpayments with no ERCs. And its Offset mortgage products are simple, with just one easy access savings account linked to the mortgage.
Coventry for Intermediaries
Halifax Intermediaries
Halifax wants to make life as easy as it can for intermediaries. That's why it's committed to providing and delivering excellent products and service to you and your clients.
It's easier to do business with Halifax Intermediaries.
Its product proposition includes home movers, remortgages, large loans, new build, Help to Buy and affordable housing.
You can also secure a great new deal for your existing Halifax clients and retain their business with Halifax Product Transfers and Further Advances.
Halifax Intermediaries
Landbay is a specialist buy-to-let lender providing tailored lending solutions for landlords operating across various sectors of the market. Its products include fixed and no-ERC tracker rates, with some products being specifically designed for HMOs, MUFBs and expats.
Landbay's team offers an in-depth knowledge of the buy-to-let mortgage industry, combined with an innovative, technology-enabled approach to lending, which equips them to take on complex cases. With a highly experienced underwriting team on board, who you can speak with directly, Landbay provides a transparent and rational approach to securing mortgage finance, with speed and flexibility at its core.
Legal & General Mortgage Club
Legal & General Mortgage Club is the largest and longest-running mortgage club in the UK, involved in around 30% of the intermediary mortgage market, and one in five of all mortgages in the UK. Now in its 23rd year, it has completed well over £400bn of mortgages and prides itself on adding value to its advisers by working closely with new and existing lenders to deliver great products, pricing and criteria.
With the recent introduction of SmartrCriteria, it has never been easier or quicker for advisers to find the best possible mortgage for their customers. With over 390,000 criteria outcomes from over 95 lenders across the UK, advisers can find the appropriate solution to customers' requirements in only a few clicks.
Legal & General Mortgage Club
The Loughborough for Intermediaries
The Loughborough for Intermediaries can provide brokers with solutions from the First Time to Later Life.
Their product range is designed to help your clients whether they're first time buyers, movers, re-mortgaging, building their own home, investing in buy to let, seek interest only in/into retirement, without a deposit or those who need a 100% LTV solution.
With no credit scoring, individual underwriting a dedicated BDM and broker desk support for every broker the focus is on helping you help your clients.
For more information go to www.theloughborough.co.uk/intermediaries or call 01509 631953
The Loughborough for Intermediaries
Masthaven's mission is to build a bank that challenges the conventions of traditional banking. It aims to take a broader view of customer lending criteria, giving you direct access to expert underwriters, flexible solutions, quickly and conveniently.
Masthaven received its banking licence in 2016 but the lender is not new. Far from it. It's been providing class-leading, short term bridging options, and secured lending since 2004. Today it can offer you access to a full range of short-term and long-term products including First Charge Residential and Buy to let mortgages.
The lender uses technology to enhance processes but everything it does is underpinned by a flexible, human approach because Masthaven knows that people make much better decisions than a computer can.
NatWest Intermediary Solutions
NatWest's dedicated intermediary mortgage business offers a range of residential and buy to-let mortgages for mortgage brokers to recommend to their customers including deals for the Help to Buy shared equity scheme. Service is its no.1 priority – that's why NWIS has a team of over 50 field and phone BDMs covering the UK and a dedicated broker instant messaging service LiveTALK. Its service has been recognised by the industry, and was awarded a five-star rating at the Financial Adviser Service Awards 2018, as well as winning the Overall Best Lender for Service award.
NatWest Intermediary Solutions
Newcastle Building Society
Newcastle's aim is to support the mortgage intermediary market by providing competitive products, coupled with excellent customer service.
It is the intermediary arm of Newcastle Building Society, the ninth largest building society in the UK and the largest in the North East. It has a wealth of experience in intermediary lending and can be relied upon to deliver an excellent service that meets the needs of you and your customers.
Newcastle Building Society
OneSavings Bank
OSB primarily targets underserved market sub-sectors that offer high growth potential and attractive risk-adjusted returns, in which it can take a leading position and where it has established expertise, platforms and capabilities.
These include private rented sector buy-to-let, commercial and semi-commercial mortgages, residential development finance, bespoke and specialist residential lending and secured funding lines.
OSB originates organically through specialist brokers and independent financial advisers. It is differentiated through its use of highly-skilled, bespoke underwriting and unique low-cost base.
The lender is predominantly funded by retail savings originated through the long-established Kent Reliance name, which includes online and postal channels, as well as a network of branches in the South East of England.
OneSavings Bank
Platform is part of The Co-operative Bank – the only UK high street bank to be guided by a customer-led Ethical Policy. It provides extensive knowledge and expertise across a wide range of competitive mortgage products, for Mainstream, Help to Buy and Buy to Let borrowers.
From expert support with a human touch, to a simple process that's transparent and fair, Platform makes a difference every step of the way, having a passion for values, ethics, and doing the right thing.
PMS is one of the UK's leading mortgage clubs.
In addition to enjoying access to market-leading products as well as exclusive arrangements across mortgages, protection and general insurance, its members benefit from its truly personalised, collaborative approach that places advisers and customers at the heart of everything it does.
Whether you are looking for mortgage solutions on difficult-to-place cases, need support in having insurance conversations with their customers, or want to discuss options on learning and development, business strategy and more, its experts can help.
PMS works with clients to understand their requirements and find a solution that works for them, so they get the support they need to develop and thrive.
Plus, PMS is part of Sesame Bankhall Group, the UK's largest distributor of retail financial advice, therefore clients will benefit from access to expertise across the group.
Scottish Widows Bank
Scottish Widows Bank welcomed its first customers when it opened for business on 1 May 1995. With only 18 colleagues, they were the small banking arm of Scottish Widows - a long established and substantial life, pension and investment company. Scottish Widows Bank are proud to offer the innovation and flexibility of a modern, efficient company along with the financial strength and heritage of a trusted and recognised financial services brand.
Over the years its business has expanded considerably, reflected not only by the size of its operation but by the growth in its product range.
Scottish Widows Bank initially launched into the banking market with savings products and during 1997 it decided to capitalise on its growing reputation by moving into the mortgage market, being one of the first lenders to launch a flexible mortgage. It's success continued the following year when it identified a gap in the market and launched a mortgage specifically for professionals.
Since then, it has continued to develop award-winning mortgage and savings products targeting specific groups of customers.
Scottish Widows Bank
Smartr365 is the end-to-end software platform for professional mortgage advisors. It empowers them to manage the whole mortgage process better and frees up time to focus on engaging with clients and growing their business. It is a cloud-first platform, delivering powerful tools and a simple, streamlined process for advisors, as well as introducers, solicitors and home buyers involved in the process.
The Exeter
Introducing The Exeter, a mutual protection insurer.
Because it appreciates that everyone is different, The Exeter focuses all of its energy and attention on building cover that works for all, with that personal touch you would expect from a leading specialist.
Its purpose is to help people. The Exeter puts its customers first by supporting them when they are unable to work, when they become ill or when they lose a loved one.
As a mutual, it re-invests its profits into better customer service, more affordable premiums and payment of claims.
The Exeter
TMA Club
So much more than a mortgage club.
TMA acts to champion directly authorised (DA) advisers, to secure high-quality products and market leading commissions that reflect the needs of customers. It also offers services with an emphasis on helping to grow customers' businesses sustainably.
TMA wants advisers to view the club as a partner and not just a source of mortgages, and to value the support that it can provide. That's why TMA offers a dynamic proposition that continually evolves and adapts with the needs of people and their business.
TMA Club
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Kevin Magnussen looks set to return to Formula One racing this year after being tipped to replace Pastor Maldonado at Renault.
According to an Autosport report, the Venezuelan state-owned oil company PDVSA must offer guarantees of funding to Renault in the coming days in order to keep Maldonado at the team, with Magnussen in line to take the seat if negotiations are unsuccessful.
PDVSA, which has bankrolled Maldonado's career in F1, has been hit hard by a global decline in oil prices in recent months and reports of late sponsorship payments have put the Venezuelan driver's future in doubt. Maldonado signed a contract to drive for the team last September, but that was before the then struggling Lotus outfit was taken over by Renault.
The termination of Maldonado's contract would leave the door open for Magnussen to return to the F1 grid after he was dropped by McLaren at the end of last year. Magnussen raced a full season for McLaren in 2014 and took part in the 2015 Australian Grand Prix as a substitute for Fernando Alonso, who was recovering from concussion at the time. However, his F1 career appeared to reach a dead-end when he was told on his birthday last year that his position as reserve driver would not be renewed.
If Magnussesn does join Renault he will partner 2014 GP2 champion and F1 rookie Jolyon Palmer this season. A final decision is expected ahead of Renault's official launch of its new team in Paris on February 3.


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Matter of Life and Death
Lack of traceability can turn magic into mayhem
Is the headline an exaggeration or reality? I hope it's an exaggeration. But it might not be far from the truth. In too many cases, lack of traceability is a daily occurrence. I'm not talking about the traceability of a batch or lot of product. I'm referring to the traceability of test instruments to a national standard, industry-accepted consensus standard or natural-occurring phenomena.
According to the International Vocabulary of Basic and General Terms in Metrology (VIM), traceability is a property of the result of a measurement and provides the ability to relate the measurement result to stated references through an unbroken chain of comparisons, each having stated uncertainties.1 This can be kind of a mouthful for those not making a living in the metrology or calibration fields. Let me give you an example and see if it helps.
Equipment malfunction
An R&D group has found the secret to curing cancer. It can be found in a small tube that has been incubating in one specific water bath located in the lab of Dr. Jane Deaux. Everyone refers to that particular water bath as "where magic happens." It has been in use for decades, the water has been kept clean, and all filters have been changed or cleaned on a regular base (as far as anyone can remember). Every time it is used at the experiment's design temperature of 42º C, magic continues to happen.
Two floors down and around the corner, the manufacturing staff is trying to duplicate the product. The magic, however, just isn't happening. No matter what water bath the staff uses or how closely it follows the protocol, the staff cannot reproduce the product.
Several things are at play here: R&D's water bath has never been calibrated, nor have any of its pipettes, balances or other test equipment. Why? Because they don't fall under the company's International Organization for Standardization (ISO) guidelines, or so R&D has led management to believe. All of manufacturing's test instruments have recurring, traceable calibrations and meet all specifications. So, while manufacturing carefully measures, weighs and spins the ingredients, they just don't have enough "magic" to get the job done.
As it turns out, the set of pipettes Dr. Deaux used to measure those special ingredients came with her when she left academia to delve into the commercial world of the life sciences. They were instrumental in helping her get a master's degree and her doctorate.
It was obvious to the most casual observer that with those pipettes, a solid protocol and some miscellaneous test equipment, she could solve all the world's problems. Too bad she did not know her pipettes required traceable calibration on a regular basis.
Over the years, the seals and o-rings were worn, and her actual results were off by a factor of three. Her pipettes and the uncalibrated balance she was using were out-of-tolerance on the high end (she was measuring too much of everything), and the water bath was on the low end (she was not heating to the specified temperature). Her use of those test instruments to repeat the study and measure her final product all resulted in a false positive.
Not a trace of doubt
The test equipment used in manufacturing, on the other hand, had been calibrated against working standards that were traceable to the National Institute of Standards and Technology (NIST) through an unbroken chain of comparisons, each having stated uncertainties. Here is how that works:
NIST uses its primary standard to calibrate an instrument for a temperature equipment manufacturer (let's call them Acme Scientific Co., or ASC for short) and provides it with a calibration certificate that shows the stated uncertainties of the primary standard, as well as the uncertainties of the test instrument that is calibrated.
Keep in mind that calibration, as defined by the VIM, is a comparison of a standard with known uncertainties to an instrument of unknown uncertainties.2 Industry practice is for each standard to be at least four times more accurate than the test instrument being calibrated. This equates to a test uncertainty ration (TUR) of 4-to-1. When this ratio cannot be met, then uncertainty budgets are calculated to show the actual uncertainties and are recorded in the Certificate of Calibration.
ASC now has a standard (with known uncertainties) it can use to calibrate high-end reference or working standards sent to it from any company that wants traceable calibration. For example, ASC uses its standard in a controlled environment to compare the results obtained during the calibration of a biotech company's (we'll call them Biotech Science Inc. or BSI for short) temperature standard.
After the calibration by ASC, BSI now has a standard with known uncertainties that can be used to calibrate its own working standards. Every piece of test equipment that makes a quantitative measure in the manufacturing division of BSI receives a traceable calibration on a regular basis. Each calibration is performed using a standard operating procedure, and the results are recorded, along with the readings from the standard that is used.
If the test instrument is out of tolerance, it is adjusted, the final results are also recorded, and the technician performing the calibration signs off on everything. These records are reviewed and signed off by the calibration supervisor and kept on file, per ISO requirements.
The bottom line is this: No matter which pipette, balance or water bath being used during the manufacturing process at BSI, the results are always the same—within the window of the measurement process uncertainty—because the test equipment has traceable calibration to a national standard.
Such is not the case in Dr. Deaux's laboratory. When it came to her cancer research, "magic" was happening on an irregular basis. By not insisting on the use of test equipment that had traceable calibrations, she could be depriving mankind of that elusive cure so many R&D departments are trying to find.
Learning a lesson
You can't put too much blame on her for a couple of reasons: education and communication. Yes, she is highly educated, but not in the need to use traceable calibration. She probably never saw any signs of traceable calibration while getting her bachelor's, master's or doctorate degrees. As with most institutions, if the little red light comes on when you hit the "on" switch, the instrument must be working properly.
Nothing could be further from the truth. Everything wears out, degrades and changes value over time. That is part of the reason every piece of test equipment requires calibration on a recurring basis. In the words of a Russian proverb used often by the late President Ronald Reagan, "Trust, but verify."
No wonder calibration is a specific requirement for companies that are ISO compliant and regulated by the Food and Drug Administration (FDA). Calibration must be performed using calibration procedures and traceable standards, and the data recorded and filed. To quote the Code of Federal Regulations: "When accuracy and precision limits are not met, there shall be provisions for remedial action to establish the limits and to evaluate whether there was any adverse effect on the device's quality."3
Granted, this comes from the FDA, and not everyone falls under its purview. But did you know the FDA regulates approximately 25% of the U.S. Gross National Product? In July 2007, that equated to about $3.5 trillion. None of that could have happened without the use of calibrated test equipment traceable to NIST or any other international standard.
So, the next time your experiment, product or manufacturing process doesn't give you the results you're looking for, I would ask you to consider whether your test equipment is providing you with the traceable measurements you require.
Recalibrated thinking
Some people still believe calibration is a necessary evil that must be tolerated to comply with ISO standards or FDA requirements. Eventually, they must realize that traceable calibration of their test instruments is a critical part of the foundation for building a quality system for reproducible results and enhancing the bottom line of their company.
William Thomson, 1st Baron Kelvin (also known as Lord Kelvin), is quoted as saying: "If you cannot measure it, you cannot improve it." One hundred and twenty-five years after he said them, Lord Kelvin's words ring just as true.
Dr. Deaux and the aforementioned companies don't exist—or do they? We all see the results of companies not using calibrated test equipment day after day. A quality calibration program doesn't cost much to put in place and maintain. But the cost of not having one can be very expensive: in the loss of product, money and reputation—and possibly that ever-elusive cure for cancer.
- International Organization for Standardization, "International Vocabulary of Basic and General Terms in Metrology," section 2.24.
- Ibid., section 2.22.
- Food and Drug Administration, "Code of Federal Regulations," 21 CFR Part 820.72 (b).
Jay L. Bucher is president of Bucherview Metrology Services, LLC, a consulting company specializing in quality calibration systems. He is co-author and editor of The Metrology Handbook, and author of The Quality Calibration Handbook and Paperless Records—Designing and Creating Your Own Electronic Forms. He is a senior member of ASQ, the treasurer of the ASQ Measurement Quality Division and a certified calibration technician.
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The Wildly Written Woman
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Birth Fee
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0 years
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Attends home births? Any Home Birth
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Post a testimonial for Sydney Armstrong
My husband and I were so grateful to have Sydney as part of the birth of our son. As first time parents you go through so many things, new things, scary things, exciting things. It is a lot to take in and a lot to remember, but having Sydney with us through pregnancy and at the birth was such a blessing. I could not imagine doing it without her, we would have been quite lost and I know things would not have gone as smoothly and stress free. Having someone there who is somewhat removed from the emotions of the whole experience I think is a must and Sydney couldn't have done anything better. We are so so incredibly grateful to have had her as part of the incredible experience that was having our beautiful baby boy.
Sydney was an extremely knowledgeable and supportive doula. She listened intently to our birth wishes and helped us device a tailored birth plan. Sydney was very supportive of my extreme desire to have a VBAC and aided us with getting us all the information and support we needed to have a successful VBAC. She was incredible during the labour and delievry both anticipating and fulfilling our needs in a very emotional and overwhelming time. She was able to remind us of things that we managed to overlook and that was wonderful. I am proud to report that I had a successful VBAC and the journey to there was made easier with the support of Sydney! I would highly recommend her to any moms looking for a knowledgeable, caring, and Informative doula.
Sydney helped us few months before and after my delivery. she was our extra set of hands. She was very informative and accommodating. we never had problems contacting her and setting our meeting dates. She even extended for a bit post delivery. It was fun having her as our doula!
We were so lucky to have Sydney accompany us through my pregnancy, through labour and birth. She was always prepared and helped us make a birth plan to suit our desires and needs. Sydney was mindful and reminded us of details we would've overlooked ourselves. Our birth experience would not have been the same if she were not there with us. As she continues her journey to becoming a midwife, I am so happy to watch her spread joy. You can really tell that she loves what she does.
Thank you so much for your assistance in my home birth Sydney! You were so willing to go with the flow and give me exactly what I wanted for a support person. I know my midwife was grateful for your assistance as well, especially when things started to get a bit stressful and urgent. All the best in your training!
= Available. Calendar last updated: 05-22-2019
= Available. Calendar last updated: 05-22-2019


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Outrage as online family sponsorship applications reach limit in minutes
This week the 2019 online application spots for bringing parents or grandparents into Canada hit the limit in a mere 11 minutes. That's how long it took for people to snap up 27,000 online application spots. This has provoked widespread outrage and threats to take legal action. Critics are pointing out that this new system is not only flawed but unfair. It may be recalled that this system replaced the earlier lottery system which too was considered terribly flawed.
There are many who are suspicious about this online process and wonder how it happened so quickly. Some are calling for an independent audit of IRCC's sponsorship process.
There are others who wonder if a system glitch was responsible for not allowing some IP addresses and applicants to access the link.
In some instances, applicants who had attempted to load the form repeatedly at the specified time had to frequently refresh the page.
A spokesman for Immigration Minister Ahmed Hussen, Mathieu Genest, said the department's initial analysis indicates that there were no technical glitches.
"We understand that those who were not able to make a submission are disappointed. We can confirm over 100,000 individuals attempted to access the interest to sponsor form," he said.
Family reunification is a "pillar" of the Liberal immigration policy, Genest said, noting that the government increased the intake of applications to 20,000 from the previous 5,000.
The online system was created to ensure the process was fair and had safeguards to prevent abuse, he said.
Under the family reunification program, about 20,500 parents and grandparents will be admitted to Canada in 2019, and 21,000 next year.
This year, 27,000 were allowed to sign the "interest to sponsor" form online, accounting for duplication and errors. Eligible sponsors must provide proof of status and financial eligibility.
Meanwhile Michelle Rempel, Opposition Critic for Immigration, Refugees, and Citizenship, was quick to point this out: "The Liberal government is sending a very disturbing message to Canadians and newcomers: play by the rules and expect long delays and backlogs – if your application gets accepted at all."
She added: "Conversely, break the rules and enter the country illegally via Roxham Road and expect to wait 0 days to be given access to all Canada has to offer.'
Rempel said: "(Prime Minister Justin) Trudeau has set up a permanent immigration stream at Roxham Road that has so far allowed 40,000 people to illegally enter the country from safe places like Upstate New York. In fact, just today the Trudeau Liberals added another $114 million to pay for those coming into Canada illegally, yet they shut the door on parents and grandparents after a mere 10 minutes.
"This is consistent with a pattern of failures that we see from the Liberal government on this issue. First the Liberals abdicated responsibility by instituting a lottery system, leaving family unification to the "luck of the draw", but those following the rules are given just minutes to submit their forms.
"Canadians and newcomers know that this situation is not fair. Those who play by the rules should not be pushed to the back of the line.
"Canada's Conservatives will continue to advocate for an immigration system that is planned, orderly and compassionate. We will continue to hold the government to account and demand that they treat those who play by the rules fairly."
Meanwhile in response to this story, thousands of Canadians responded harshly to the very idea of bringing in seniors who haven't contributed to the system. Here's what one person had to say: "We have continually been told that Canada is an aging society and we need more young immigrants, now we are bringing in 27,000 immigrants who will mostly be seniors! When you consider the costs of medical care, long term care, pensions etc., it would be far cheaper for the Government to give free airfare once a year for parents and grandparents to visit their families in Canada!"
Perhaps if the government offered another program to offer free air tickets to bring in seniors for a three month vacation each year, it would really be lower than the cost of providing health care for a year. -CINEWS


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Convert any digital text (online or files) into spoken text with a variety of voices and save as a WAV file. Supports students' engagement with text and boosts listening and reading comprehension.
The Ultra Hal Text-to-Speech Reader application reads documents out loud, e-books, standard Windows dialog boxes, clipboard contents (for emails and web text), and incoming instant messages on AOL, AIM, ICQ and MSN Messenger clients. In addition to speaking text out loud, this program is able to write audio data directly to Windows WAV files. You can convert all your documents and e-books into WAV files and then burn them to audio CDs or convert them into MP3 files. Ultra Hal TTS Reader has several high quality voices to choose from and gives you control over speed, pitch, and volume.
Web Reader uses text to speech technology along with web page content recognition to read web pages to you. You can configure web pages to be read as soon as they are loaded, read pages manually after they are loaded, or use Cut, Copy, & Paste to read only sections of text.
A fully digital math calculator with text-to-speech. Switch/Scan accessible.
Use this word processing program to support writing tasks: planning and organization, transcription legibility and spelling accuracy. Provides a graphic webbing tool to support planning and organization; webs can be exported to a draft. Editing and revising are supported with a spell check tool and text-to-speech review of drafts. Provides an e-dictionary and thesaurus to support word fluency.
TextAloud reads text from email, web pages, reports and more, aloud on your PC. TextAloud can also save your daily reading to MP3 or Windows Media files ready for playback on your iPod, PocketPC, or even on your TV with Tivo's Home Media Option. Be more productive or just be entertained wherever you go with our text reader.
Tazti is a free lightweight speech recognition program that allows the user to navigate social networking sites (MySpace, Facebook, etc.), control iTunes, search Google and YouTube, manage bookmarks, and more through simple speech commands. Tazti cannot handle full-text dictation, but will allow a user to surf the web using only their voice.
The features have changed. New are the following: Access the Bookshare collection directly from the app
• Browse, search and download books quickly and easily, including those with images
• Read words on the screen with synchronized text-to-speech (Read2Go audio on)
• Read with highly natural Acapela voices and navigate with VoiceOver gestures (Read2Go audio on, VoiceOver on)
• Read with Apple VoiceOver gestures and voice (VoiceOver on, Read2Go audio off)
The Big Red Switch is a single switch measuring 5" that is activated by pressing anywhere on the top surface. This switch also features auditory feedback.
Full function keyboard with greatly enlarged white letters on black keys for greater visibility. Wireless.


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Atrial fibrillation as a clinical characteristic of arrhythmogenic right ventricular cardiomyopathy: Experience from the Nordic ARVC Registry.
- Authors
- Type
- Published Article
- Journal
- International journal of cardiology
- Publication Date
- Jan 01, 2020
- Volume
- 298
- Pages
- 39–43
- Identifiers
- DOI: 10.1016/j.ijcard.2019.07.086
- Source
- Medline
- Keywords
- Language
- English
- License
- Unknown
Recent studies in arrhythmogenic right ventricular cardiomyopathy (ARVC) patients have drawn attention to atrial fibrillation (AF) as an arrhythmic manifestation of ARVC and as an indicator of atrial involvement in the disease progression. We aimed to assess the prevalence of AF in the Scandinavian cohort of ARVC patients and to evaluate its association with disease clinical manifestations. Study sample comprised of 293 definite ARVC patients by 2010 Task Force criteria (TFC2010) and 141 genotype-positive family members (total n = 434, 43% females, median age at ARVC diagnosis 41 years [interquartile range (IQR) 28-52 years]). ARVC diagnostic score was calculated as the sum of major (2 points) and minor (1 point) criteria in all categories of the TFC2010. AF was diagnosed in 42 patients (10%): in 41 patients with definite ARVC diagnosis (14%) vs in one genotype-positive family member (1%), p < 0.001. The median age at AF onset was 51 (IQR 38-58) years. The prevalence of AF was related to the ARVC diagnostic score: it significantly increased starting with the diagnostic score 4 (2% in those with score 3 vs 13% in those with score 4, p = 0.023) and increased further with increased diagnostic score (Somer's d value is 0.074, p < 0.001). AF is seen in 14% of definite ARVC patients and is related to the severity of disease phenotype thus suggesting AF being an arrhythmic manifestation of this cardiomyopathy indicating atrial myocardial involvement in the disease progression. Copyright © 2019 Elsevier B.V. All rights reserved.


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We had a fantastic time last Friday at Hamford Primary Academy celebrating the opening of their amazing new library. We took two awesome authors – Christopher William Hill and Billy Coughlan – who between them entertained the whole school with their interactive stories and insights into the art of story writing.
Christopher was talking about his Tales from Schwartzgarten series of 4 books: Osbert the Avenger, The Woebegone Twins, The Lily-livered Prince and the most recent book Marius and the Band of Blood which was published just last week. According to The Times, 'fans of Roald Dahl, Chris Priestly and Lemony Snicket will savour every gruesome drop of this stylish, grisly and original comedy.'
Meanwhile, Billy was talking about her very first picture book – Not without my Whale – which was published in September. This is a wonderful story about a little boy who is anxious about going to school until a lovely friend helps him overcome his fears, with a lot of fun along the way!
Christopher and Billy were then delighted to be invited to cut the ribbon for the opening ceremony of the fabulous new Library.
A huge big thank you to both of them from us and all the staff and students at Hamford Primary Academy for making their day super special!


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Vivrant Thing Facial Scrub
4 oz
VIVRANT THING A word coined by the MC Q-Tip that is a cross between vibrant (Pulsing or throbbing with energy or activity) and vivacious (Full of animation and spirit; lively). Made with smaller grains and gentle on the face, Activated Charcoal and Peppermint Essential Oil brings this scrub to LIFE.
Product didn't work for you? Not a problem! Reach out and let us know on the Contact Page so that you can receive a refund for your purchase.


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Marriage Counselor
Andrea Bezaire, MS, LLP
Clinical Psychologist
In 48105 - Nearby to Wixom.
I offer therapy from a nonjudgmental, secular viewpoint. While I provide services to those from all walks of life, I specialize in relationship therapy for those in alternative relationship styles (including non-monogamy, LGBTQ, etc.)
Marriage Counselor
Sally Palaian, Ph.D
Licensed Psychologist
In 48025 - Nearby to Wixom.
Combining theories and techniques, I help couples learn to navigate difficulties, break patterns of conflict, and communicate, making it easier for the relationship to heal. Counseling is an investment in your relationship that pays dividends over a lifetime together.
Marriage Counselor
Keith Herriman, MA, LLP
Psychologist - Master's Limited License
A healthy marriage takes work. Therapy will reach the heart of the issues and begin the process of restoration. Let's get started.
Marriage Counselor
Stephanie Sachs, LPC
Licensened Psychotherapist
In 48009 - Nearby to Wixom.
A healthy marriage takes work. A joyful marriage takes work plus higher understanding and acceptance, which you can gain in couples counseling. Insight plus skills therapy will reach the heart of the issues and begin the process of restoration. Let's get started.
Marriage Counselor
Jennifer Blough, Deepwater Counseling
Licensed Professional Counselor
In 48197 - Nearby to Wixom.
Relationships may be strained by a number of factors -- financial stress, communication problems, sexual concerns, infidelity. Learn to identify and break the negative cycles that you and your partner are caught up in and ultimately strengthen your relationship.
Marriage Counselor
Franklin Sollars, and Associates
Licensed Psychologist
Our approach to couple counseling is integrative, utilizing a variety of techniques and theories. We help partners examine and define their needs within the relationship. The goal is to support one another in fulfilling needs, while not losing track of one's self.
Marriage Counselor
Melanie Schwartz, PsyD, LP
Psychologist, Owner Viewpoint Psychology & Wellness
In 48390 - Nearby to Wixom.
Often times, families and couples struggle to be a cohesive unit that works functionally and productively together. I can help you reach your goals in this area.
Marriage Counselor
Susan Gross, PsyD, LP, ICAADC
Licensed Clinical Psychologist, Interventionist
In 48009 - Nearby to Wixom.
Couples, Families and Relationships - Addiction and high-risk/high-conflict behavior affects the entire family. As a skilled interventionist, I help couples and families restore hope and healthy family dynamics when other strategies have failed.
Marriage Counselor
Antoinette Peterson, MSW. LMSW
Clinical Social Worker
In 48357 - Nearby to Wixom.
If you are struggling in your marriage there is good news. Marriage Counseling works! In marriage counseling couples learn communication and problem solving skills as well as reconnecting emotionally. Don't wait until it is too late. You can have a loving relationship.
Marriage Counselor
Kim Snyder, MS, LPC, NCC, TMH
In 48154 - Nearby to Wixom.
Marriages often struggle when parents are divided on how to approach parenting their children. Additionally, Blended Families into one Family can have its challenges. Learn how to "become one" in many areas of your marriage and restore the peace and harmony.
Marriage Counselor
Chandler Fleming, L.M.S.W.
Clinical Therapist
In 48346 - Nearby to Wixom.
I find that small things can create huge difference in marital relationships. The economic and emotional costs of not working things are too high. I have found most relationships can be returned to healthy happiness.
Marriage Counselor
Shantee Foster King, PhD, PhD
Licensed Psychologist
A healthy marriage/relationship takes work. Therapy will reach the heart of the issues and begin the process of restoration. Let's get started!
Marriage Counselor
Richard Kneip, PhD
Great Lakes Psychology Group
In 48098 - Nearby to Wixom.
Our marriage counselors use scientifically-proven approaches to help couples understand the unique dynamics and issues of their relationship, a method with a 90% success rate in positively resolving those issues. Call us today!
We Believe In Saving Marriages And Restoring Relationships. Find Family & Couples Counseling in Wixom, MI.
Thank you for visiting our Michigan search of caring relationship and marriage therapists in Wixom. Marriage Counseling through Theravive believes that your marriage is worth saving and our hope is to see brokenness healed to the joy of all parties involved. We know sometimes that is not possible to save a marriage, and in those cases we seek to restore the individual. Find the best marriage therapist in Wixom, MI above and reach out to us, we want to hear from you. Contact forms are "open" 24/7.
Wixom is located in Oakland County, Michigan. It has a land area of 9.14 square miles and a water area of 0.21 square miles.  The population of Wixom is 13,746 people with 6,153 households and a median annual income of $46,420. .
Therapy Affordability Meter for Wixom, MI
Some budgeting needed
While counseling can certainly be an expense for individuals and families in Wixom, with proper budgeting, it is entirely do-able and the risk/reward is worth it. For some families, it may be difficult to sustain a commitment to therapy without proper insurance coverage. If this is you, ask your therapist about low cost options as practitoners in and around Wixom may have flexibility or sliding scales. Low cost counseling and affordable therapy are also sometimes offered by listed city and university level clinics, check with your local Wixom public health department.


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As we approach the official start of summer here in sunny Sheboygan, Wisconsin, we eagerly turn our attention to several highly-anticipated Sheboygan events, including Johnsonville Brat Days, Freedom Fest, and the Levitt AMP Music Series. These rousing annual Sheboygan events are bound to make your summertime stay at Blue Harbor Resort & Conference Center that much more enticing. As one of the top-rated hotels on Lake Michigan in Wisconsin, we're continuously looking for ways to enhance the guest experience. And one of the easiest ways to add an extra dash of fun to your well-deserved escape to the serene shores of Lake Michigan is with a rousing nearby event.
The Top 5 Sheboygan Events
To ensure that your summer stay at Blue Harbor Resort is nothing short of flawless, we've compiled a list of the most popular annual Sheboygan events based on personal experience, local buzz, and customer feedback.
Levitt AMP Sheboygan Music Series
We're days away from the start of the Levitt Amp Sheboygan Music Series, a summer-long celebration of music and art that brings the entire community together on various evenings throughout the week. This music series takes place at City Green, a new, expansive green space in the heart of downtown. Blue Harbor Resort is one of the hosts of this sensational music series! Musicians such as The Suffers, Emily Wolfe, Jackie Venson, and La Misa Negra will be gracing the stage this summer. For a complete list of artists, please visit this website.
Johnsonville Brat Days
Johnsonville Brat Days will return to Kiwanis Park along the tranquil Sheboygan River in early August for yet another delicious, entertaining, and family-friendly extravaganza. Thousands of locals and travelers alike participate in this free annual event with hopes of savoring some of the tastiest brats known to humankind. There will be live music from influential rock bands Puddle of Mudd and Tantric as well as rising country music star Keith Anderson. You don't want to miss one of the most highly-anticipated Sheboygan events of the summer!
Venetian Night at Freedom Fest
In general, Freedom Fest is one of our favorite Sheboygan events. But, specifically, Venetian Night is what truly wows crowds. The Venetian Boat Parade, which is proceeding by live music and full concessions, allures families from across the region. Observe dozens of colorfully-lit boats as they sail through the dark water under the bright stars. And don't forget that you can watch the July 4th fireworks right here at Blue Harbor Resort!
June-A-Palooza and Greek Fest
The last weekend in June is quite busy here at Blue Harbor Resort as two of the most popular annual Sheboygan events take place on the same day in late June: June-A-Palooza and Greek Fest. June-A-Palooza is known to many as "the greatest show on turf" as visitors (adults only) can meander through the captivating The Christopher Farm & Gardens while indulging in a wide variety of activities. Guests can enjoy live music, themed events, upscale food, and refreshing libations. Greek Fest, meanwhile, is arguably the tastiest festival of the year, making it one of our five favorite Sheboygan events. It's hard to top authentic gyros, kebabs, and falafel.
Premier Lake Michigan Resorts
Hopefully, you won't have to search "events near me" this summer thanks to this handy guide of Sheboygan events. Don't forget to book a room at Blue Harbor Resort before summer reservations dry up. We're one of the only Lake Michigan resorts with an indoor water park, spa, and wedding facility. Give us a call today at 1-866-701-BLUE (2583) to speak with a friendly member of our staff about a potential midsummer escape to sunny Sheboygan!


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Grace P. Henley - 93
9/22/1926 - 12/30/2019
Rockford, IL
1 Comment
MIke Gale
on 01/02/20
Thank you Grace for loving the Gale boys. You showed us so much love and support. What a great example for all of us. With love Mike & Rhonda Gale. God has been waiting for you.


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Yeti Casino is a new online casino brough to the online casino world by l&l europe. Although, It doesn't offer the largest gaming arena in which to play, it does provide top-quality gaming along with some of the fastest payout approvals out there today. At Yeti Casino you will find; slots, video poker, speciality table games, and a live casino combined with 24-hour payment approvals.
After testing Yeti Casino it soon became clear that this was a site with bags of potential. It has the right games, a terrific banking system in place, and one of the more user-friendly websites that we've encountered. With a few little tweaks eg alternative types of promotions added and a boost to the mobile casino, it should be an excellent service for a wide variety of casino players.
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Images of Reliance Foundation Chairperson Nita Ambani's over 200-diamond covered Hermès Himalaya Birkin bag, worth over Rs 2.6 crore, has gone viral on the social media platforms.
In the pictures uploaded on social media, Nita Ambani is wearing a white ensemble and carrying the Hermès Himalaya Birkin Bag. Bollywood actress Karisma Kapoor and Kareena Kapoor Khan are also captured in the photo.
According to christies.com, Hermès Himalaya Birkin Bag is measured the 'Holy Grail in a Handbag' collection. It has approximately 240 diamonds on its 18-karat-gold hardware.
Back in 2017, the white Himalaya crocodile diamond style bag raised $379,261 at auction with Christie's. With the agreement, it turn out to be the most expensive bag ever sold, it was asked for.
The auction line had defined the bag as "an incomparable, matte white Himalaya Niloticus crocodile diamond Birkin".
According to christies.com, the Himalaya Birkin is made from Nile crocodile hide. The reference of Himalaya does not apply to the origin of the bag, but to the shade of the color. Termed after the performer and singer Jane Birkin, Birkin bags are popular for their price labels and superstar holders.