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The trench fighting at the state level is the latest phase in a battle over the rules for adding competition to the biotechnology drug market as called for in the Patient Protection and Affordable Care Act of 2010. Turkey, where passengers can purchase extraordinary local cuisine from vendors on the platform. The , analyzed data on 29,932 Medicare patients ages 66 to 75 who had been hospitalized for a heart attack from 2007 through 2012 and had filled a prescription for either Lipitor or Crestor. Such symptoms include drowsiness and a general lack of energy. The Harvard Medical School guide to lowering your cholesterol (1st ed. I had been thinking the camera on my phone is faulty. Kindler said, in a statement, that Pfizer had "delivered solid performance despite challenges," including the in June of the antidepressant Zoloft, which exposes it to competition from generic drugmakers. However, lipitor price philippines it is rare when one compound of a new class of drugs stands out from the others. I will be coming back to your site for more soon. Unlike every other developed country in the world, the United States allows drug companies to charge whatever they want. Been on zonisamide ever since, starting with 200 mg daily.
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subset: commoncrawl


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Get a social worker into every practice
Runcorn PBC consortium is shelling out £110,000 so that each of its seven practices can have its own named social worker. Dr David Lyon explains how the scheme works.
Runcorn PBC consortium is shelling out £110,000 so that each of its seven practices can have its own named social worker. Dr David Lyon explains how the scheme works.
In a scheme designed to improve the delivery of social care in our locality, Runcorn PBC consortium is providing around £110,000 funding for three named social care workers to work across our seven practices.
Our aim is to reduce crises among people with multiple problems – the solutions to which are not just medical – and help prevent unnecessary hospital admissions.
So we knew that it often took a relatively small input from social services, costing very little, to make an enormous difference to people's lives. Patients felt better, needed less medication, had fewer crises and fewer admissions to hospital.
How it works
Runcorn PBC consortium covers seven practices, with 65,000 patients. The model commissioned is for an 18-month pilot to provide social care workers who are employed by Halton Borough Council but based in the GP practices.
Each practice has a named social care worker so that better working relationships can be developed. A named social worker was something local GPs specifically asked for.
A typical scenario might involve a patient visiting the GP who may be concerned about them, or they might tell the GP they are not managing. The GP will then refer to the social care worker – either by speaking to them in person if they are at the practice at that time or phoning them. The social care worker will then make the assessment.
There are six workers who each work half a week – 18.5 hours – in the practices, making three whole-time equivalents. They work the other half of the week in their substantive post.
The social care workers often sit with the district nurses and community matrons and are in the practices for different sessions during the week. The amount of time spent in a practice is dependent on the number of over 65s in the practice population and the number of patients with long-term conditions.
Most of the work is with adults over 65; altogether the seven practices have about 8,000 patients in this age group. The social care workers also support some younger adults with complex health and social care needs, mostly providing information and signposting for a group which usually needs welfare and benefits referrals or advice about housing.
The social care workers can also refer people on to other council services for younger adults. The scheme is funded by PBC freed-up resources.
The main benefits come from the closer working relationships we have been able to develop between GPs and social care workers. The old way of referring to social services involved the GP filling in a form and faxing it off, and any one of 13 people might take it on. GPs did not always know how the referral was progressing and it could be six weeks before social services intervened. Often there used to be duplication of work between the district nurses and social services, which has now been eliminated.
The situation was also not ideal from the social services point of view. They would often receive forms that were not filled in properly by the GPs, and then find it hard to get hold of the GP to get more information.
When the GPs and social care workers were brought together we realised we both cared about the same things and wanted the same outcome for the patients. With both disciplines together in the same building, things are so much easier. The GP no longer has to fill in a form; they can go and have a chat with the social care worker.
I can walk down the corridor and pick up ideas to implement with ten of my patients who I might have otherwise had to refer. Social workers are also in a better position to make their decisions once they have access to the knowledge we have about the patients.
When a package of care is put in, we can ensure not everyone visits on the same day and duplicates work. This type of team working means resources are saved and a better outcome is achieved by focusing on what the individual patient needs.
The evaluation next year will reveal how much exactly the social care in practice scheme has saved in hospital admissions.
We already know the consortium has saved £1m on hospital admissions in the past year and, in my practice, GPs' visits have fallen by 30 per cent in the past two years. As well as the direct savings on admissions, we have also saved money on prescriptions.
This scheme makes sure that funding is used to provide the most appropriate package of care, which has been tailored for the individual needs of the patient – these people don't want to be in hospital and sometimes being admitted to hospital is not always the best option.
When the money is spent in a different way, the patient gets the most appropriate care and savings can be significant. Patients are delighted with the service.
Dr David Lyon is a board member of Runcorn PBC consortium in Cheshire and a GP at the Castlefield Health CentreGP Patricia McNully (left) with practice project manager Natalie-Hendry Jones and community matron Hayley Lawson GP Patricia McNully (left) with practice project manager Natalie-Hendry Jones and community matron Hayley Lawson 60-second summary Typical interventions - two case studies The social care view
Natalie Hendry-Jones (centre), manager for Social Care in Practice, offers her perspective
'The aim of the scheme was to look at modernising services for vulnerable people and strengthening disadvantaged communities. The pilot was set up to establish formal links between primary care and social services so that people with long-term conditions or decreased functional ability could access social care assessments and have personalised care.
'We anticipate that it will not only facilitate enhanced quality of life for older people but also increase the understanding within health and social care of each other's culture. As we are getting to know our health colleagues, we understand their priorities better and they have a better understanding of our world.
'We usually offer a full social care needs assessment. Most are done as a joint assessment with another health professional – we go out with the district nurse or community matron so it's a holistic approach.
'Looking at patients in a multidisciplinary way has been really useful. The patient gets a holistic assessment and we are able to bounce ideas off each other.
'We can educate each other about our internal systems and develop an appreciation of each other's working practices.
'GPs feel this way of working cuts out the red tape between organisations because the worker is there and they have built up a relationship with a named person they can speak to face to face. The GPs are getting much more consistent feedback as the worker is based in the practice for part of the week. The worker can also feed back any health concerns about patients to the GP.
'If the GP is in doubt about whether the patient needs social care, they can come in and discuss it with the worker.
'Because the consortium are paying for us to be there, we are able to go out on some of the more low-level needs.
'While these are visits we may not have made before, and therefore additional work, we are being proactive so older patients with complex long-term needs don't reach
a crisis point. In the long term this helps to cut the workload.
'Three of the six workers are from the intermediate care team so it's much easier for the GP to access intermediate care for the patient.
'The only problems we have encountered have been with initial set-up – for example, finding office space and phone lines. But we are up and running now.'


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I have had a few issues with intermittent connectivity to CGQ / Price feed in the past, but today I hit a new error / issue along with disconnecting to CGQ.
First error message I hit was:
Connection lost to the NinjaTrader Historical Data Server: hds-us-001.ninjatrader.com.
Then I was disconnected to the data feed:
NinjaTrader Continuum (Live): Primary connection=Connection lost, Price feed=Connection lost
Then it was restored:
Connection restored to the NinjaTrader Historical Data Server: hds-us-001.ninjatrader.com
NinjaTrader Continuum (Live): Primary connection=Connected, Price feed=Connected
Then for 30 to 45 it kept disconnecting and reconnecting intermittently. Eventually I hit the snag where it disabled my strategy with this message: "lost price connection for more than 10 seconds and will be restarted." So I was left naked on some orders.
I hit a similar issue a couple weeks ago where my data feed would disconnect, but this is the first time I have had the NT server disconnect as well. Considering I am seeing issues in connecting to both the NT server, as well as the data feed does this imply that the issue is between NT and the data feed (In this case Continuum)?
I have seen similar threads regarding disconnecting the NT server, for example: https://ninjatrader.com/support/foru...ad.php?t=95232
Is this a similar problem, could you check on your end and let me know what is causing this?
If it helps the connection it was using to connect to the NT server was this:
Using HDS (hds-us-001.ninjatrader.com/31655)
I would be glad to email my logs, or provide any other information you need.
For reference I am on a VPS in Chicago in the same building as the CGQ data feed, so it is unlikely this is related to the internet connection, but I will also check with the VPS service company to make sure there was no issue there either.


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Epica vs. Attack on Titan – EPICA
July 21, 2018
If you're a manga and anime fan, "Attack on Titan" (along with ""One Piece" and "Assassination Classroom") is one of today's global phenoms of the genre, much as "Akira", "Bubblegum Crisis", "Battle Angel Alita" and "Ghost in the Shell" were in the past. If you want to see culture clash at its best, come to Baltimore to witness cosplay attendees of the Otakon convention vying for street space during the NFL preseason amongst pre-liquored Ravens fans. It's a guaranteed spectacle.
Late last year, symphonic metal pundits EPICA released its covers EP of music from "Attack on Titan", composed by LINKED HORIZON's Revo, leader of Japanese ensemble SOUND HORIZON. SOUND HORIZON blends classical, metal, J-pop and other elements, and the music created for "Attack on Titan" was originally sung in Japanese and narrated in German. EPICA stripped down Revo's core melodies and gave them an extensive symphonic metal upgrade, donning "the EPICA jacket," as guitarist Isaac Delahaye would put it.
"Epica vs. Attack on Titan" was first released only in Japan, but now Nuclear Blast is offering the EP worldwide distribution. For EPICA fans, knowledge of manga is hardly prerequisite, since the differences between a Jaw Titan and a Cart Titan can be inundating.
Here, EPICA utilizes English singing and narratives along with the band's gratuitously stuffed symphonic and choral arrangements. It's thus no surprise that the group fluidly translates "Crimson Bow and Arrow" to cinematic heights, even if Mark Jansen's customized growling and Coen Janssen's (also responsible for the scoring and choir sections) tornado-speed synths smother at times.
The patriotic march coursing through "Wings of Freedom" provides the platform for a frequently fast power metal number with swarming layers to peel apart and relish. Not so much sensory overload as it is hyper-processing here, and on "Dedicate Your Heart", upon which Simone Simons drops a tour de force performance, the barraging of EPICA's pageantry is frequently exhilarating. Only the breath-catching ballad "If Inside These Walls Was a House" eases the EP's insistent momentum.
If only EPICA could've recruited taiko drumming legends KODO (on "Crimson Bow and Arrow" in particular), this would've been an even greater adaptation. Nonetheless, what the group has done here is a remarkable conversion in itself.
Source: News


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Kids & Family
Episode 39 - Leah Carter Talks About Rare Disease Day + How a Rare Disease Affects Her Son Elliott
In this episode we talk with Leah Carter, a mom of four children, one of which as an extremely rare disease that doesn't even have a name yet. Her son is medical history in the making. She talks about her normal mom life, what it is like caring for a child with a rare disease, what her family dynamic looks like and more. Elliot is one of the cutest little boys we have ever seen and his mama is the best advocate out there. If you would like to follow more on Elliots story, please visit:
Create your
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To be played 4 & 5 April 2020
Ranking event: National
U13 age group open to players born in 2008 or later and U17 age group open to players born in 2004 or later. The closing date for entries is 16th March 2020.
Events : BS/GS/BD/GD/XD
Enter online here or alternatively download a printable entry form here
Tournament organiser: Badminton ScotlandPhone: 0141 445 1218e-mail: firstname.lastname@example.com: 40 Bogmoor Place, Glasgow G51 4TQ
Ravenscraig Regional Sports Facility, Motherwell
All the information you need about upcoming tournaments in Scotland
Here you can find results from domestic tournament
Contact details for coaches in your area.
Find out all you need to know about becoming a badminton coach in Scotland.


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Project Management
"The topics discussed were simple to understand and are tools that will definitely be used by me. In fact, I have already put some of the content into practice."
"Unbelievable value. Trainer delivery and event set up was excellent. The material was useful for both large and smaller projects. I would be happy to recommend the event and would like to attend other events covering different topics."
"I thought the course was excellent. Please relay my thanks to Peter and Tim"
"I would like to thank Tim, Pete and the team for a very enjoyable two days with lots and lots of eureka moments!"
Engineering Research Industry
"Tim, I would like to thank you for the valuable advice and the quality of your delivery method of the course material in our project management training. Even though I have had a project management course in the past, with similar context, it was good to refresh my skills and pick up a few new tips that I seem to have missed from the previous training."


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Kardashians Sign Epic $150 Million Deal With E! — 5 More Seasons Of 'KUWTK' On The Way
Get excited, Kardashian fans! The famous family has re-signed their contract with E!, guaranteeing at least five more seasons of 'KUWTK.' Oh, and they'll be cashing in BIG time on the new deal!
Keeping Up With The Kardashians isn't going anywhere — at least for the next few years! Kris Jenner confirmed on Oct. 24 that she and her family have re-signed with the E! network, and now, details of the multi-million dollar deal have been revealed. The family has signed on for five more seasons of KUWTK, at $30 million a season, according to TMZ. Yep, that means they'll make a total of $150 million! This is even more than the Kardashians made as part of their 2015 deal with the network, which paid them $20 million a season for five seasons. That's basically chump change compared to what they're raking in now!
TMZ reports that it is the family's discretion how they will divide the money, and this new deal will roll into 2019 (more than one season of the show airs a year). Currently, the 14th season of KUWTK is airing on E!, and the episodes are about five months behind real time. The fam began filming season 15 on Oct. 24, according to The Blast. Of course, between seasons of KUWTK, there are also spinoff shows. Most recently, those have included Life of Kylie, Rob & Chyna and I Am Cait. It's no secret that the Kardashians are the heart of the E! network, and it doesn't look like we'll be getting rid of them any time soon! Of course, with so any family members, there's always something crazy or interesting happening, so there's never a shortage of entertaining or revealing footage.
With Kim Kardashian currently expecting her third baby via surrogate, Kylie Jenner and Khloe Kardashian both pregnant, and SO much more going on, there's already lots of juicy episodes to come — and we can't wait to see what's next!
HollywoodLifers, are you excited that KUWTK got picked up for five more seasons?


text: Standard Combine is a leader of Harvesting Technology in Agriculture Sector in India Since 1990. The company is manufacturing Agriculture products as per latest trend and the requirements in market. The company is leader in various products like, Thresher, Self Harvester Combine, Tractor Driven Harvester Combine, Rotavator, Rotavator with Seed Drill, Maize Self Harvester Combine. We have recently launched 4x4 Tractor Harvester Combine in south India & get excellent result. The company has also launched Track Harvester Combine, which is being widely accepted by the farmers. Our Tractor mounted Harvester Combine is very popular in Punjab, Haryana, U.P., Maharashtra, M.P., Andhra Pradesh, Orrisa, Biharand, Karnataka, Tamilnadu & other states of India. Our Tractor Driven Harves.ter Combine is No.1 in terms of sale in south India. Quality wise our products are very famous throughout India and abroad. The company is an ISO 9001:2008 Certified Company.


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Modern electronic circuits comprises of IC's of different logical families working together to do the task. Than foremost challenge when working with chips of different logical families is the logical incompatibility. This means Low logic output "0" from a 5v TTL family might be interpreted as High logic "1" by chips that belongs to CMOS family. This problem might lead to a catastrophic circuit failure. To deal with this we use special circuits called as Logic level converters. These circuits are capable of converting 5v to 3.3v and 3.3v to 5v successfully thus bridging the chip TTL and CMOS chip families. In this article we are about to see a Logic level converter which converts 5v to 3.3v and vice versa.
- N-channel MOS-FET
- Resistors 10k Ohm
- Diode
- Battery 5V
- Battery 3.3V
This converter can pass from high to low and/or low to high. Here we use a couple of pull-up resistor to realize bi-directional level shifting. We connect the inputs voltage in each terminal of the MOSFET as it's shown in the schematic.It consist of a N-channel enhancement MOSFET, the gate is connected to the lowest supply voltage and the source is connected directly to the low voltage input pin. The drain is connected to High Voltage input pin with a Pull up resistor pulling the pin to logic 5v.
In this case that the MOSFET substrate hasn't internally connected with the source it must be done externally. The diode between the drain and the source present a n-p junction as a barrier. This allows to safely connect devices in each output without any issue. In the above circuit the pins LV1 and HV1 serves as both input and output pins. Therefore if you need to convert 3.3v to 5v, you supply 3.3v to LV1 pin which gives 5V output in HV1 pin and vice versa. When there is no input fed to the input pin output at the other pin remains at 0v.
Hope this circuit was useful to you. Checkout our Circuit diagrams page from more useful circuits. Leave your comments or feedback in the below section.
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Gulf Access lot with a long view down the canal. This lovely gulf access lot is located on the corner of Surfside Blvd near Beach Parkway. This lot features 127 feet across the front and over a 750 foot view down the Albenga canal. There is an older boat dock in place also. Great place to build your dream home with easy access to the spreader canal. This lot is priced for a quick sale. Take a look now!
The source of this real property information is the copyrighted and proprietary database compilation of the Southwest Florida MLS organizations Copyright 2020 Southwest Florida MLS organizations.. All rights reserved. The accuracy of this information is not warranted or guaranteed. This information should be independently verified if any person intends to engage in a transaction in reliance upon it.
The data relating to real estate for sale on this Website come in part from the Broker Reciprocity Program (BR Program) of M.L.S. of Naples, Inc. Properties listed with brokerage firms other than Premiere Plus Realty Co. are marked with the BR Program Icon or the BR House Icon and detailed information about them includes the name of the Listing Brokers. The properties displayed may not be all the properties available through the BR Program.


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Learn the general concepts of data mining along with basic methodologies and applications. Then dive into one subfield in data mining: pattern discovery. Learn in-depth concepts, methods, and applications of pattern discovery in data mining. We will also introduce methods for pattern-based classification and some interesting applications of pattern discovery. This course provides you the opportunity to learn skills and content to practice and engage in scalable pattern discovery methods on massive transactional data, discuss pattern evaluation measures, and study methods for mining diverse kinds of patterns, sequential patterns, and sub-graph patterns.
Length: 4 Weeks
Effort: 4-6 hours per week
Price: FREE (Add a verified certificate for £36/month)
Provider: University of Illinois at Urbana-Champaign via Coursera
Subject: Computer Science
Level: Intermediate
Languages: English
Instructors: John C. Hart
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This course is part of the Upper Level Computer Science course program in the Computer Science Degree Path
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Data Visualization
By University of Illinois at Urbana-Champaign via Coursera


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AxFlow represent both Gruppo Aturia and Finder pumps and as such offer a wide range of seawater pump options
Seawater Lift Pumps
Having teamed up with Gruppo Aturia who own Finder pumps, AxFlow is able to offer many types of vertical seawater lift pumps including semi submersible multi-stage mixed flow and fully submersible multi-stage radial and mixed flow pumps. They are available in stainless steel, Duplex and Super Duplex materials, can be constructed to lengths well in excess of 50 metres, can be submerged upto 300 m deep and are both Factory Mutual and NFPA approved.
Lastly, we provide comprehensive and experienced support for the installation of the pumps in offshore applications.
Products 1
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Seawater Lift Pumps to submerge or not
A review of the competing attributes of semi-submersible line shaft and fully submersible seawater lift pumps.Read more
Allen Gwynes Axial Flow Pump repairs
Repair of Allen Gwynnes 18/18/15.25 Axial Flow Pumps.Read more


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1988 38' Caliber Sailboat
January 22, 2020
|By Benjamin Harter
Contact Information
Detailed Information
Proven blue water cutter rigged sail boat, cruised Seattle to Australia and back. Great local cruising, offshore or live aboard boat. Highlights: Enclosed cockpit, hard dodger, Raymarine chart plotter and autopilot, Yanmar diesel (4000 hours), sails-main, trys'l storm sail stays'l, jib, spinnaker, 2 heads, holding tanks, 2 staterooms, comfortable main salon and Galley, Force 10 propane stove, Alder Barbour fridge. Please call for pictures and more details. For more info, please contact (360) 917-5168. $95,000.


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This is the "Hill #1" that we missed in the previous reports. As you approach it, it's every bit as tough as it looks. Somewhere between 600 and 800 meters (about a half mile) in length, it's pretty steep (small ring and 21 rear cog - standing). It is approximately 1.5-2 miles after making the right turn on to San Mateo Rd.
What About That First Dreaded Hill On the Backside of the Bike CourseSo, what happened to the rest of the bike course description that was supposed to happen a couple of weeks ago? Well, the reporter got a little bit caught up with the holidays and preparing for the MSSC's year in 2000 but here are some of the images of the ride on the weekend of the 11th of December. While this report focuses on the hill that comes approximately 20-25 miles into the course, the next report will show you the hills along the coast or front side of the bike loop. We figure enough people have already ridden this section as it's the same way you go on the infamous Wednesday Ride here in San Diego County.
One interesting (kind of) note about the rides so far has been the great weather we've had. We're not sure if this is a trend or simply the course's way of sucking everyone into thinking that it will be a nice day on May 20th only to slam us on race day. December should be this nice everywhere!


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The big day is here
This is Valentine's Day. You knew that but did you know the greeting card, candy makers, and flower growers of the world invented it?
They did and while some thought it was a religious thing, others thought it would be a dandy chance to get radio hosts paid for delivering live commercials regarding their products. Tell me if I am wrong, but since I once benefited from this little known practice you would be wrong. I wouldn't argue with you on this BIG DAY. I hear grown men hawking pajamas, little bears, and some chick named Sherri who must grow Berries by the ton.
Yep, candy, bunnies, flowers, diamonds, and berries. This holiday, which isn't a real holiday, was named for a few guys named Valentine. It may have begun near the end of the 3rd Century when someone named Valentinus became a martyr. The Catholic Church got it rolling and I suspect Martin Luther saw through the whole thing and started his own group. Two Saints name Valentine were beheaded. One in Rome and one in Vietnam in 1861. The Church in Rome discontinued the praise of ST. VALENTINE in 1969. One Pope was named Valentine but only served 40 days. He must not have ordered any flowers.
I know one thing about this day. Ladies can forget, but DUDES can't. I also know Bobby Valentine played ball. That is how I carefully brought sports into this effort.
Copyright 2017 by KPRC Click2Houston - All rights reserved.


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By John Rendon
Congratulations to Nigeria and its leader President Buhari for hitting a remarkable milestone of three (03) years without Polio, leading Africa to be Polio FREE!!!
Demonstrating the economic consequences of the political disagreement between the two (02) Asian neighbors, the number of South Korean tourists traveling to Japan in July has dropped around 7%.
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Lamb Moussaka
Serves 4-6
675 g Lean Scotch Lamb mince
1 onion
1 clove garlic
3 tbsp tomato puree
2 tbsp mint jelly
2 large aubergines
75 g feta cheese
500 g greek yogurt
2 eggs
Salt and pepper
Cooking Method
- Heat the oven to: Gas mark 4 – 5, 180°C, 350°F
- In a non-stick pan dry fry lean lamb mince for 4 – 5 minutes with chopped onion crushed garlic clove. Add tomato puree and mint jelly. Season with salt and pepper and cook for 2 – 3 minutes.
- Meanwhile thinly slice aubergines and lightly brown on both sides in a hot frying pan (you might have to do this in 2 or 3 batches).
- Place half the mince mixture into an ovenproof dish and top with some of the aubergine slices. Crumble over Feta cheese and cover with the rest of the mince and the remaining aubergine. Mix together greek yogurt with eggs and pour over the aubergines.
- Bake in a preheated oven for 30 – 35 minutes until golden brown.
Serving suggestions
Serve with a baked greek salad – roast tomatoes, slices of red onion and olives topped with crumbled feta cheese.