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"Wrong Patient" Insulin Pen Injections Alarmingly Frequent Even With Barcode Scanning
The Institute for Safe Medication Practices (ISMP) learned about some rather alarming data associated with what could be called "best practices" for proper insulin pen use in a multihospital system. The best practices employed by these hospitals to prevent the sharing of insulin pens between multiple patients included one-on-one staff education regarding the safe use of insulin pens; implementation of barcode scanning of both the patient barcode and the patient- and order-specific barcode on the insulin pen; an electronic medication administration record (eMAR) at the bedside; and an effective monitoring system. Despite these strategies to prevent the sharing of insulin pens, errors still occurred for reasons beyond a knowledge deficit or mistaken belief that changing the needle is sufficient to prevent cross-contamination when sharing pens. In addition, the frequency of "wrong patient's pen" alerts at the bedside that were detected (and administration avoided) with patient- and order-specific barcode scanning gives us great pause when we think about what this means for thousands of U.S. hospitals that are ill-equipped to implement the same best practices and monitor their effectiveness. Fortunately, the hospitals involved are anxious to share what they have learned with the health care community at large.
Background: Insulin Pen Safety
Insulin pens are designed to be used multiple times for a single patient using a new needle for each injection. Pens should never be used for more than one patient. Regurgitation of blood into the insulin cartridge can occur after injection, creating a risk of pathogen transmission if the pen is used for more than one person, even if a new needle is used. Older studies have found squamous, epithelial, and red blood cells; hemoglobin; and macrophages in up to 58% of insulin cartridges in used pens.1,2 With newer models of insulin pens introduced since then, a 2013 study found 5.6% of contaminated cartridges in used pens.3 While the level of biologic contamination is believed to occur in quantities sufficient to transmit blood-borne pathogens, to date there is no clear evidence of pathogen transmission from pen sharing.4 Yet, it can't be stated enough that pen sharing could lead to such an adverse outcome.1–4
Since then, ISMP and others have chronicled large-scale potential exposures to blood-borne pathogens caused by using insulin pens for multiple patients after changing the needle, including:6–10
- 2,114 patients at a Texas Army medical center in 2009
- 2,345 patients at a Wisconsin clinic in 2011
- 716 patients at a New York Veterans Affairs medical center in 2013
- 1,915 patients at a New York general hospital in 2013
- 3,149 patients at a Connecticut hospital in 2014
Multihospital Insulin Pen Use
In 2008, several hospitals within a multi hospital system began using pens for various types of insulin. In 2013, when ISMP suggested that hospitals consider transitioning away from insulin pens, the multihospital system convened an interdisciplinary team to evaluate the issue. The team conducted a detailed failure mode and effects analysis associated with using one patient's pen for another patient. In the areas of greatest risk, the system identified safety measures and best practices that it believed, once implemented, would allow for proper use of insulin pens. Thus, the team recommended continued use of the pens once the best practices were in place. These best practices included:
Standardized use
A decision was made to use insulin pens for just one insulin type (rapid acting) to reduce the risk of pharmacy application of a barcode to the wrong pen—an error that would not be picked up by the barcode system if the barcode was scanned. Other types of insulin were dispensed from the pharmacy in vials (e.g., intermediate-acting insulin) or pharmacy-prepared, patient-specific syringes (e.g., basal insulin).
Tamper-evident tape on each pen
Tamper-evident tape was applied perpendicular to the pen cap–barrel junction to help prevent accidental reuse if a pen was returned to the pharmacy for credit.
Order-specific, barcoded label
A computer-generated, order-specific, barcoded label was applied to the barrel like a flag on each pen. The label included the patient's name and tied the specific insulin pen to the specific patient. The label covered the manufacturer's barcode to prevent accidental scanning but left uncovered the name of the insulin and the manufacturer's lot number and expiration date.
Labeling of pen only
The labeled pens were dispensed to patient-specific medication bins in automated dispensing cabinets (ADCs) in unlabeled plastic bags. This prevented the risk of placing the pen for one patient into a bag labeled for another patient.
Barcode system alerts
If a nurse scanned the label of an incorrect patient-specific insulin pen, a highly visible alert notified the nurse that the drug was not a valid order for the patient. This was a hard stop that did not allow the nurse to document administration of the dose on the eMAR unless the correct pen was obtained and scanned or if the barcode scanning workflow was abandoned to manually document administration of the insulin.
Procedure just a click away
The eMAR (and order entry) screens included an insulin pen safety hyperlink that users could click if they had questions, along with a reminder to use insulin pens for one patient.
Initial and ongoing education
Insulin pen procedures and the problems associated with sharing pens were included in an initial wave of education for nurses, and the topic appeared in system-wide newsletters, staff in-services, online educational modules, and departmental meetings.
Ongoing monitoring
The multi-hospital system began monitoring immediately after implementing the best practices. Daily, weekly, and monthly barcode medication administration reports were monitored to evaluate overall nurse compliance with scanning the patient and insulin pen; to identify close calls where the wrong pen was at the bedside but not used to administer an injection; and to identify wrong-pen injections where the nurse received a "wrong-pen" alert but proceeded with administration and manual eMAR documentation without scanning the correct pen.
Monitoring Best Practices
Month 1
Monitoring during the first month showed several instances in which a pen was reused for another patient. In one event, the nurse scanned the pen and received a warning that it was not a valid order for the patient. She mentally confirmed the insulin order but could not find a pen labeled for that patient. So she withdrew a dose from the cartridge of another patient's pen using an insulin syringe, administered the dose, and manually documented it. The nurse knew she could not use the same pen for more than one patient. But she mistakenly believed it was acceptable to administer a dose taken from the cartridge of another patient's pen, believing it could be used like a multiple-dose insulin vial.
In another event, after scanning the pen and receiving an alert that the drug was not a valid order, the nurse mentally confirmed that the pen contained rapid-acting insulin as listed on the eMAR. Not understanding the alert, she administered a dose of the insulin to the patient using the scanned pen and then manually documented administration. The nurse had been carrying two insulin pens in her pocket and inadvertently used the wrong patient's pen to deliver the dose. Unfortunately, the patient whose pen was used in error tested positive for active hepatitis C. To date, seroconversion has not been detected in the patient who received the dose.
Another error involved a new nurse who received an alert when scanning an insulin pen. The nurse had found two pens in the patient's medication supplies. She asked another nurse about the alert. Looking at both pens, the nurses saw that they were identical and that both listed the correct location (unit, room number) of the patient. Neither nurse noticed that a different patient's name was on the pen that was scanned, likely due to confirmation bias. The pen used to administer the insulin dose had been dispensed for the prior patient in the room and had not been removed from the patient's locked storage drawer in the room after discharge.
It is important to note, particularly with the latter two errors, that the events did not happen because nurses thought it was acceptable to use another patient's pen after just changing the needle. Instead, the nurses thought they had the correct patient's pen and then mistakenly used it to administer a dose.
After these errors, the pharmacy began enlarging the patient's name and highlighting it in yellow on the pen label. Additional barcodes were added to the "flag," so they were visible on both sides of the folded label, and the manufacturer's barcode was blacked out and covered by the patient-specific labeling to be sure only the pharmacy label was scanned. Managers were asked to individually coach each clinician who may administer insulin about the correct use of insulin pens, and a flyer was created as a loose script for the coaching sessions. Within a few weeks, 99% of all nurses had received the one-on-one coaching about safe insulin pen use.
Month 2
During the second month, several more errors happened. Two events again happened when a previous patient's insulin pen was left in the locked storage drawer in the room after discharge. In these cases, the tamper-resistant tape was still intact because the pen had not been used for the prior patient. Although no potential cross-contamination occurred, the wrong patients' pens were used despite issuance of an alert that the wrong pen was in hand, and before the correct pen could be dispensed for the newly admitted patients.
Month 3
In the third month, errors continued despite all efforts to prevent them. During dispensing, pens were accidentally placed in the wrong patient's medication bin in the ADC. During administration, pens were accidentally obtained from a roommate's proximal medication bin in the ADC or returned to the wrong bin after use. Analysis of the events detected by the barcode monitoring system alone during the first three months showed that the contributing factors were not related to a knowledge deficit about the dangers of sharing pens. Instead, they were almost exclusively caused by system issues, at-risk behaviors, and human error associated with inadvertently administering an insulin dose to one patient from another patient's pen. Mixing up pens carried in pockets; keeping pens in locked drawers in patients' rooms where they may not be removed in a timely fashion upon discontinuation; untimely removal of pens from units upon discharge or transfer; accidentally retrieving the wrong patient's pen from a proximal medication bin; dispensing the pen to the wrong patient bin; putting the pen back into the wrong patient bin after use; alert fatigue; and other system and behavioral issues were resulting in inadvertent use of the wrong patient's pen.
Tipping point
Looking at the data collected over a three-month period, the multihospital system found that the aggregate data alone could lead to overconfidence in barcode scanning to detect errors because the overall percentages of correct use were high. For example:
- The overall frequency of scanning the patient, the pen, or both was well over 99% for close to 80,000 insulin pen doses administered. While these percentages seem laudable, even the high rate of compliance meant that barcode scanning did not occur during 800 patient encounters in which insulin administration via a pen occurred over three months. Thus, mistakes for up to 800 patients could not be confirmed or ruled out.
- The rate of close calls that were averted at the bedside due to barcode scanning was less than 1% for close to 80,000 insulin pen administrations during the three months. But, again, more than 400 times in three months, nurses had picked up the wrong patient's insulin pen and, without the barcode scanning system, might have used it to administer a dose. These results shed light on the frequency of wrong-pen injections that may be occurring in hospitals that have not implemented barcode scanning. While some may view these data as proof of how robust the barcode scanning system is, ISMP believes it is no less alarming than if the hospitals had detected 400 cases of potential wrong-site/wrong-patient surgery during "time outs" over three months!
- The rate of using the wrong patient's insulin pen when administering a dose to another patient was less than 0.1%. However, this still meant that seven patients received an insulin dose using another patient's insulin pen over three months.
Despite laudable compliance with the best armor available to prevent "wrong patient" pen use, this multihospital system decided, after three months of data, to dispense 3-mL vials of rapid-acting insulin instead of insulin pens. For now, the hospital system is not convinced that the benefits of using insulin pens in hospitals (e.g., accurate dosing) outweigh the risks—even if every nurse knows that pens should not be shared and best practices are implemented, including order-specific barcode scanning with compliance rates greater than 99% and a hard stop if the wrong pen is scanned.
For ISMP, this multihospital system's experiences have pulled back the curtain to view a crack in the armor of patient- and order-specific barcode scanning and its ability to ensure correct pen use. Even with this and other strategies considered best practices, hospitals are still vulnerable to pen sharing.
We urge hospitals to consider the findings from this multihospital system when determining the safest way to dispense and administer insulin to inpatients. Of course, there are also risks associated with using insulin vials that can lead to errors,20 and we can't ignore the current reality that other blood-borne diseases may bring new meaning to risks associated with reuse of pens or misuse of vials. Thus, we know decisions regarding pen versus vial use may not be clear-cut for all hospitals. ISMP will continue to bring information to readers as it becomes available to help hospitals make the most informed decisions possible.
- Le Floch JP, Herbreteau C, Lange F, Perlemuter L. Biologic material in needles and cartridges after insulin injection with a pen in diabetic patients. Diabetes Care 1998;21;(9):1502–1504.
- Sonoki K, Yoshinari M, Iwase M, et al. Regurgitation of blood into insulin cartridges in the pen-like injectors. Diabetes Care 2001;24;(3):603–604.
- Herdman ML, Larck C, Schliesser SH, Jelic TM. Biological contamination of insulin pens in a hospital setting. Am J Health Syst Pharm 2013;70;(14):1244–1248.
- Hakre S, Upshaw-Combs DR, Sanders-Buell EE, et al. An investigation of bloodborne pathogen transmission due to multi patient sharing of insulin pens. Mil Med 2012;177;(8):930–938.
- Institute for Safe Medication Practices. Cross contamination with insulin pens. ISMP Medication Safety Alert 2008;13;(6):1–2.
- Institute for Safe Medication Practices. Reuse of insulin pen for multiple patients risks transmission of bloodborne disease. ISMP Medication Safety Alert 2009;14;(3):1–2.
- Conley M. Wis. clinic warns patients of possible blood-borne disease exposure. ABC News August 30, 2011; Available at: http://abcnews.go.com/Health/clinic-infected-thousands-patients-bloodborne-illnesses/story?id=14412542. Accessed July 11, 2017
- Associated Press. Possible HIV exposure at Buffalo VA hospital. USA Today January 14, 2013; Available at: www.usatoday.com/story/news/nation/2013/01/13/veterans-hospital-hiv/1831705. Accessed July 11, 2017
- Olean General alerts patients to possible insulin pen reuse. Infection Control Today January 24, 2013; Available at: www.infectioncontroltoday.com/news/2013/01/olean-general-alerts-patients-to-possible-insulin-pen-reuse.aspx. Accessed July 11, 2017
- Buffa D. 3,100 Griffin Hospital patients at risk of disease after misuse of insulin pens. Hartford Courant May 16, 2014; Available at: http://articles.courant.com/2014-05-16/health/hc-griffin-hospital-insulin-pens-20140516_1_texas-hospital-patients-patrick-charmel. Accessed July 11, 2017
- Food and Drug Administration. Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens March 19, 2009; Available at: www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/DrugSafetyInformationforHeathcareProfessionals/ucm133352.htm. Accessed July 11, 2017
- Don't share insulin pens between patients [video]. Patient Safety News Food and Drug Administration. May 4, 2009; Available at: www.youtube.com/watch?v=Y9tYHczEqN8. Accessed July 11, 2017
- Institute for Safe Medication Practices. Is ISMP endorsing use of insulin pens in hospitals?. ISMP Medication Safety Alert 2010;15;(21):2
- Institute for Safe Medication Practices. Do not use an insulin pen for multiple patients! Hazard Alert. ISMP Medication Safety Alert 2012;17;(1):14
- Institute for Safe Medication Practices. CMS citing reuse of insulin pens. ISMP Medication Safety Alert 2012;17;(11):2
- Centers for Disease Control and Prevention. CDC clinical reminder: insulin pens must never be used for more than one person January 5, 2012; Available at: www.cdc.gov/injectionsafety/clinical-reminders/insulin-pens.html. Accessed July 11, 2017
- Safe Injection Practices Coalition/Centers for Disease Control and Prevention. Be aware, don't share. One insulin pen, only one person. One and Only Campaign 2012; Available at: www.oneandonlycampaign.org/sites/default/files/upload/image/SIPC_Brochure_InsulinPen_FINAL.pdf. Accessed July 11, 2017
- Cobaugh DJ, Maynard G, Cooper L, et al. Enhancing insulin-use safety in hospitals: practical recommendations from an ASHP Foundation expert consensus panel. Am J Health Syst Pharm 2013;70;(16):1404–1413.
- Institute for Safe Medication Practices. Ongoing concern about insulin pen reuse shows hospitals need to consider transitioning away from them. ISMP Medication Safety Alert 2013;18;(3):1–2.
- Institute for Safe Medication Practices. A clinical reminder about the safe use of insulin vials. ISMP Medication Safety Alert 2013;18;(4):1–4.


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Two commercial establishments on Prakasam Salai in George Town developed cracks due to the ongoing tunnelling work, said officials of Chennai Metro Rail Limited (CMRL) on Saturday.
Hotel Excellent and an Aircel office located in the north Chennai commercial neighbourhood sported fresh cracks due to the tunnelling work carried out for the construction of the Washermenpet underground station as part of the Metro Rail work. As a precautionary measure, CMRL has evacuated the buildings for a few days.
"We are yet to ascertain the exact number of cracks on both these buildings. The evacuation has been done as a precautionary measure till the tunnelling operations below these buildings are complete since they look structurally weak and we don't want to take any risk," said an official.
While the tunnelling operation below the Aircel office is complete, work underneath Hotel Excellent might be done on Saturday midnight, said the official.
Abbas S.F. Shakir, owner of Hotel Excellent, which was constructed in 1952, said CMRL officials informed him of the cracks in the hotel around 3.30 p.m. on Saturday. Subsequently, he vacated the building. "When they ask to leave for safety, we have to oblige. On March 9 and March 10, they have asked us keep the hotel shut. I'm planning to demolish this building after this work and reconstruct it as it has grown very old," Mr. Shakir said.
The Aircel office, located at a few yards away from the hotel, developed cracks on March 7.
Metro Rail workers intimated officials at the office and asked them to shift operations to the CMRL site office near Central station, said an Aircel official. "For the last two days, around 50 of us have been working from their site office. Of course, it is inconvenient but we have to comply. CMRL officials informed that the repair work may begin on Saturday night. It is not clear when we can resume operations in our office," said an official. On Saturday, the front portion of the Aircel office was opened for a few hours late in the evening to complete some important work, the official added.
One of the Metro Rail workers said they would look into repairs in a couple of days and then hand over the buildings. "We surveyed the buildings in the tunnelling alignment earlier and identified the existing cracks they bear. Then, we entered into an undertaking with the building owners and assured them that we would repair the buildings should they develop new cracks owing to tunnelling work and pay compensation only if the building is damaged. These cracks may have appeared since they are very old buildings. But these are minor cracks and we will repair them," said a worker.
Residents of the area allege that houses have begun to develop cracks due to tunnelling operations. S. Shahul Ahmed, a resident of Meeranlabbai Street, a few yards away from the site on Prakasam Salai, said that nearly six to seven houses have developed new cracks. "The vibration becomes pronounced during the night and we fear that some of the houses may collapse. We want CMRL to assure us that such operations may not cause damage to the houses," he said.
Sources said two weeks ago, a school building had developed minor cracks due to tunnelling work and was repaired.


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The Star Trek Phaser Remote turns couch-potato time into space exploration. Eager for a little telematic justice? When the cantankerous McCoy starts messing with that pointy-eared cutie called Spock, just zap the ornery sawbones with the mute. Press a button and out shoot surprising phaser sounds, zapping Oprah where it hurts. And adding to your pleasure as you key in commands, the universal remote emits a deep, satisfying ruby glow. Kirk never had it so good. Star Trek Phaser Remote: US$39.95. The Edge Company: (800) 732 9976, on the Web at www.edgeco.com/.
Digital cameras are great, but how do you get the pictures out of your PC and into your scrapbook? TruPhoto is the final step in eliminating the Fotomat from your life forever. The printer''s heat' and ultraviolet'light sensitive Thermo-Autochrome paper produces 144 pixels per inch, delivering 3.5'by-5-inch images that are near photographic quality. The manual stinks, but with some practice you'll get results you'll be proud of. TruPhoto: US$449. Panasonic Interactive Media: +1 (408) 653 1888, on the Web at www.truphoto.com/.
Surfer Pro is the new dépêche mode. In the form of a tiny surfboard, this stylish modem supports data speeds up to 33.6 Kbps and fax speeds to 14.4. Sporting a brightly colored "surfsuit," it comes armed with software applications to send and receive data and faxes and store voice messages. Once you get over the corny surf analogy, you'll be pleased to learn the Pro comes equipped with browser software. Surfer Pro: &POUND149 (US$238). Psion Dacom PLC: +44 (1908) 261686, email firstname.lastname@example.com.


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Robert Menendez
During breaks in the trial action happening on the floor of the Senate Wednesday, Democratic senators would make their way to their friends in the liberal media to get some softball questions served their way. A common narrative CNN and MSNBC were trying to get the senators to agree to was a conspiracy theory that suggested Republicans were not taking the trial seriously, with many of them not even present in the chamber. Unfortunately for the media, things didn't go the way they were expecting.
Univision news anchor Jorge Ramos proves, once again, that racialism for its own sake is critical to his worldview, as past statements belie his most recent call for more Hispanic representation in the United States Congress. The call is there, but is it real? What does Ramos really mean?
Sometimes, pulling an allegedly corrupt Democrat over the finish line isn't the most pleasant journalistic task. That's the feeling one gets from reading the grumbling support (?) the New Jersey Star-Ledger offered to Democrat Robert Menendez on Sunday. The newspaper managed this not-exactly-ringing endorsement: "Choke it down, and vote for Menendez."
The metaphors don't get any better (or worse) than this: A van carrying Hillary Clinton, fresh from throwing her #MeToo sisters under the bus this weekend, crashed into a parking garage pillar on the way to a New Jersey campaign fundraiser Tuesday for beleaguered Democratic Sen. Bob Menendez. At her side was Huma Abedin, who is divorcing convicted serial sexter and underage girl stalker ex-Democratic Rep. Anthony Weiner.
Democrats in the 2018 midterms are enduring controversy and scandal. But you wouldn't know it from the liberal media's lack of interest. MRC Research Director Rich Noyes appeared on Fox and Friends, Wednesday, to hammer the networks for ignoring scandals involving liberals. For instance, according to a police report, Beto O'Rourke in his 20s attempted to flee a DUI accident: "CBS interviewed Beto O'Rourke on October 5th. Didn't bring it up. NBC flew their anchor down to Houston on October 8th. He did a big profile piece. Didn't mention it."
As the midterms fast approach, there are a bunch of Democrats who find themselves embroiled in scandals and controversies. But if you only got your news from the Big Three (ABC, CBS, NBC) networks, you've probably never heard about them. From Texas Senate Democratic challenger Beto O'Rourke lying about his DUI arrest to DNC chair Keith Ellison being accused of domestic violence, the following is a list of Democratic controversies that the nets are keeping their audiences (for the most part) in the dark about:
Este intercambio entre el presentador Félix de Bedout y el senador Robert Menéndez (D-NJ) sobre la nominación del juez Brett Kavanaugh al Tribunal Supremo de los Estados Unidos transmitido en el semanario político Al Punto de Univisión, representa lo que tiene que cambiar en la división de noticias de Univisión si piensa hacer un esfuerzo genuino por alcanzar a todos los hispanos de Estados Unidos.
The exchange between anchor Félix de Bedout and U.S. Senator Robert Menéndez on the nomination of Judge Brett Kavanaugh to the United States Supreme Court, aired on a recent episode of Unvision's public affairs show Al Punto, is emblematic of what must change at Univision's news division if there is to be an honest effort to engage U.S. Hispanics from all walks of life.
In a bipartisan letter sent to New Jersey Democratic Senator Bob Menendez on Thursday, the Senate Ethics Committee issued a scathing admonishment against him for "knowingly and repeatedly accept[ing] gifts of significant value" and "fail[ing] to publicly disclose certain gifts as required by Senate Rule and federal law." As often occurred during Menendez's bribery trial last year, to which Thursday's admonishment was related, the major three network news outlets (ABC, CBS, and NBC) and Spanish-language networks Univision and Telemundo ignored it.
The corruption saga of Democratic Senator Bob Menendez (N.J.) appeared to have come to an end after federal prosecutors announced on Wednesday that they would not be seeking a retrial following the mistrial back in November. And while the major three network news outlets (ABC, CBS, and NBC) sparsely covered the case during their morning and evening newscasts as the trial was proceeding, their coverage of the Justice Department's decision was just as lackluster.
The big three networks (ABC, CBS, and NBC) could finally breathe a sigh of relief on Thursday after the corruption trial against Democratic Senator Bob Menendez ended (at least for now) with a mistrial. Since the trial began 71 days ago, the network evening newscasts did everything in their power not to report it, effectively hiding it from their viewers. But Thursday evening saw all three of them find time to highlight Menendez's good fortune.


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Telemarketing Executive Career Information
Tasks and Duties of a Telemarketing Executive:
• Profiling - Undertake calls to profile and identify potential target clients/prospects
• Monitor and report on telemarketing activity - Produce weekly activity reports
• Ensure targets identified are being achieved (quantity and quality of calls), proactively use initiative to ensure targets are achieved
What a Telemarketing Executive does
A Telemarketing Executive should also exhibit the ability to spot new business opportunities and to qualify those contacts, which are essential to increase the company's ventures in market shares. It also helps if one possesses a previous experience especially, in outbound telephone sales work and a basic knowledge of IT.
Other Functions Include:
• Responsible for customer service turnaround within set time frames
• Well versed in voice sales closures / in-bound /out-bound calls
• Tele-prospecting /tele-marketing /tele-sales campaigns
• Minimize customer dissonance, optimize charge out & cost per transaction
• Monitor customer satisfaction levels & participate in developing improvement plans
• Maintain customer & vendor databases
• Implementation of new negotiated facilities services & programmes
• Ensure accurate documentation of customer profiles
• Handle written customer correspondence on behalf of operations
• Communicate with operations staff on client issues, policy changes etc
• Ensure high level productivity
• Provide highest level of comfort while dealing /transacting with prospects /customers
• Motivate co-team members; have passion to handle emotions of others especially overseas customers
Abilities & Traits Required
• 2yrs experience business-to-business telemarketing experience, preferably targeting IT and Marketing executive level decision makers
• Good PC skills and an understanding of technology, an excellent communicator and hard working
• Lead generation experience in a business-to-business environment
• Interest in possibly becoming a Sales Executive in the future
• Must be customer focussed with sales experience
• Required to spend lots of time on the phone and must be good at picking up new information
• Good organisational skills and the ability to work on one's own initiative are essential
• The telemarketing executive must also consider himself/herself to be a motivated and creative person, with the confidence to succeed and grow in their chosen career
• And last but not the least, the following abilities of reading, listening and communicating effectively in English (both verbally and in writing) and that of accessing and accurately imputing of information, are essentially fundamental to earn success, in this arena
The other additional but significant requisites in a telemarketing executive are:
• Reasonable keyboard skills
• Generic understanding of customer service
• Excellent listening & analytical skills
• Team player
• Telephone etiquette, accent reduction & modulation
Education - Any combination of education and experience equivalent to graduation from high school or any other combination of education, training or experience that provides the required knowledge, skills and abilities.
The desired candidate should be a Graduate in English or equivalent, with 6 to 12 months of experience and a good understanding of cross-culture.
Usually, the beginners in this field earn a figure of around Rs 15000 – 18000, on a monthly basis.
As they grow in experience and with time gets further promoted to the post of Telemarketing Lead, their salary increases to Rs 20000 – 25000.


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NBI chief Nonnatus Rojas resigns from post, reports ANC 24/7
What the heck is going on?!
ANS 24/7, via their Facebook page, reports that National Bureau of Investigation Director Nonnatus Rojas has just resigned from his post. Details about his resignation are not yet available. However, netizes are specualtion that it could be related to the case of Janet Napoles.
For more on this story, check out posts on ANS 24/7's Facebook page and other news outlets for updates.


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CFO's role in Driving customer Centricity
Customers form the core of existence and Growth of any Business. The real focus on customer service called "Customer care" ushered in India with the advent of Telecom Industry from 1995. Foreign JV partners in Telcos continued to sharpen customer focus and slowly this concept gained traction with call centres mushrooming all over India, email based response, TAT and SLA were set. Almost all companies in service sector embraced this juggernaut and Indian customers were enthroned at a high pedestal. A new Industry, new set of professional, new GDP contributor and FDI contributor came to India.
Organisations that are committed to creating a culture that enables their people to generate customer insights, seek to genuinely understand their customers' problems and beliefs. This is reflected in their approach to delivering value to both the customer and the business continuously, rather than at a project level.
"Merely satisfying customers will not be enough to earn their loyalty. Instead, they must experience exceptional service worthy of their repeat business and referral. Understand the factors that drive this customer revolution." – Rick Tate
Finance Professional in such companies extensively with senior customer care professionals and most of them has taken CFO position in Industry. This primer is for Finance professionals and CFOs in Industry where customer care is still at ideation stage and how they can work closely with CXOs to develop and execute customer strategy. The CFOs possess a holistic 360 degree view business ecosstem and with deep technical competency can drive the Customer Agenda of the enterprise analytics effort. In this Context, CFOs must discharge Business partner role in modelling that spirit of innovation and willingness to adopt new ideas and new avenues. In a modern economy, every part of the organization is connected to finance. When the business runs efficiently and customers are happy, then only revenues can be maximised with resultant better bottom line, which translates to higher shareholder value, which is our
ultimate goal.
1. In the first place define the vision and mission of Customer care Dept within the overall corporate vision. This vision setting is very important for establishing the relation of every single customer at the fulcrum of corporate strategy and a well crafted mission will help align all stakeholders in the organisation in branding, product development, quality control, after sales service , channel partners and the finally the telecallers to deliver the desired product or service.
2. Develop transparent and robust mechanism for review of each customer complaint and feedback at various levels; and a solid process for incorporating them in product or service delivery strategy.
3. Empower the Customer service Head to provide necessary credits and reversals to customer. This small investment will pay off against damage to brand and enhance repeat footfall.
4. Define and allocate a clear budget for customer care dept. including capex investment in technology.
5. The CFO and his team should take time out and spend with field officers and even tele callers and thereby develop empathy as to how to handle irate customer and deficiency in value proposition. Such field experience will be immensely valuable to CSuite members in developing business and tactical strategy. Using analytics to dig out market information from buying patterns and other customer behaviours to really understand customer psyche and customer feedback are critical factors in designing strategies to create market differentiation that drives lasting and more profitable customers.
6. In a B2B business, CFO Team members should be encouraged to visit key customers along with BD or KAM Team to understand ever increasing customer demands and grievances. During telecom launch experience, I had ensured that each of our Business associate like vendors, auditors, valuers, advisors etc are encouraged to subscribe our services and I had developed a feedback mechanism and passed on same to our CTOs and CIOs. Such experiences can be used while allocating budgets and approving functional investment proposals.
7. Treat the Customer care and contact center expense as Growth Centre literally instead of a cost centre. Investment made in customer affinity will help build a scalable business model.
8. Develop a mechanism that complaints of certain dimensions are escalated to CFO and other CXO and Top management reviews customer feedback. This team approach will enthuse the front office and represent the company more confidently.
9. Continuously Interact with CFO and Industry peers about their customer centric strategies and weave back new ideas in the own ecosystem to build best in class Industry practices.
10. Integrate finance insight with business data to develop KPIs like Subscriber acquisition cost, Customer life time value, ROI on customer care, Balance score card parameter as applicable to Industry, sales return %,
As with any new way of working, the ability to develop customer insights will involve a learning curve as organisation and people mature. Along the way, capture insights in a structured manner to ensure they are meaningful, and most importantly actionable. We can and should, improve incrementally as the outcomes from previously implemented ideas become clearer and the breadth and depth of customer knowledge grows
Customer whether B2B or B2C needs tender care, constant value addition and swift resolution to their problems. CFO and Finance Professional should develop such cross functional skills and empathy and be a true Business Partner.


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Customized Cork Façade." In Computation and Performance - Proceedings of the 31st eCAADe Conference, 621-626. Vol. 2. eCAADe: Conferences 2. Delft, The Netherlands: Delft University of Technology, 2013."
Architectural Rehabilitation and Conservation Processes Informed by Augmented Reality." In Physical Digitality: Proceedings of the 30th eCAADe Conference, 411-418. Vol. 2. eCAADe: Conferences 2. Prague, Czech Republic: Czech Technical University in Prague, Faculty of Architecture, 2012."
A multi-agent expert system shell for shape grammars." In Beyond codes and pixels: Proceedings of the 17th International Conference on Computer-Aided Architectural Design Research in Asia, 409-414. CAADRIA. Chennai, India: The Association for Computer-Aided Architectural Design Research in Asia, 2012."
Transformation Grammar for Housing Rehabilitation: From a specifi c to a general grammar." In Digital Physicality: Proceedings of the 30th eCAADe Conference, 471-478. Vol. 1. eCAADe: Conferences 1. Prague, Czech Republic: Czech Technical University in Prague, Faculty of Architecture, 2012."
Emerg.cities4all: Towards a shape grammar based computational system tool for generating a sustainable and integrated urban design." In Respecting Fragile Places: 29th eCAADe Conference Proceedings, 152-158. eCAADe: Conferences. Ljubljana, Slovenia: University of Ljubljana. Faculty of Architecture, 2011."
"Shaping emergent cities for all." In Augmented Culture: Proceedings of the 15th Iberoamerican Congress of Digital Graphics, 107-109. SIGraDi. Santa Fe, Argentina, 2011.
"A Planar Model for the Communication of Architectural Design's Artifacts." In Construindo (n)o espacio digital (constructing the digital Space): Proceedings of the 4th Iberoamerican Congress of Digital Graphics, 227-229. SIGraDi. Rio de Janeiró, Brasil: Universidade Federale do Rio de Janeiro, 2000.


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Bay Window Curtain Ideas for Living Room
You may be one of many people who like to apply bay window curtain ideas for your living room. Sometimes, you consult to the expert about the interior of house and also the decoration including window curtain which makes your house more beautiful and amazing one. This time, you should know the ideas for applying bay window curtain for living room where you accept the guests and friends, even the place you enjoy with big family. You must be selective in choosing the size of curtain which is appropriate with your window. You should not let your curtain fall down all along the floor above the window.
Stylish Design Bay Window Curtain Ideas
Living room should get good light of the sun. However, you should decide which one design you want to apply whether it is one single large unit or several pieces. If there is header space above the window, it is suitable to apply two pieces curtain to cover the window. It will give an impression of nature frame which you can look out beyond the house. But, you may also choose one piece unit of curtain for each window. It depends on the style of your window whether it is designed separately or one single unit window.
20 Picture Gallery: Bay Window Curtain Ideas for Living Room
Bay Window Curtains Treatment Ideas
Very long curtain is suitable for covering full glass window. Besides, you should not spend your money for buying curtain railing which left so many rests. So, you should get proper curtain along with the rail which suitable with the size of your window in living room. It depends on your variation you want for your window treatment. Another window dress is also available for you that you treat the window with dress the curtain in separate window. It highlights the architecture which is not to touch the edges but they just cover the upper the window.
This post topic: Home Decoration


text: During the September long weekend 33 pupils from Hazlehead Academy travelled to Iceland for a geography field trip. When they arrived the group got the chance to enjoy the therapeutic properties of the mineral rich Blue Lagoon. Over the next two days the S4 and S5 pupils experienced some of the most specular scenery in the world including the Gulfoss Waterfall and the basalt columns at Reynishverfi Beach. One of the highlights of the trip was the guided walk on the Solheimajokull glacier that comes from the Myrdalsjokull icecap. The pupils also found out about how local farmers were effected by the melting icecap during the eruption of Eyjafjallajokull in 2010. There were many more sights and experiences over the four days which ended with a visit to the Hellisheidi Geothermal Power plant and an afternoon exploring Reykjavik. The trip was a huge success and the pupils represented Hazlehead Academy brilliantly.


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Rather liked the way some of the gesture drawings have come out the last couple of weeks, getting less of the "line" but more of the overall gesture of the figure; we'll see how that goes.
I did like the portrait at the end of the session though. We seem to have a lot of red head models, lately, love that contrast against the fair skin tone.


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GIS Mapping
Arbeco » Arboricultural Consultancy » Gis Mapping
Geographical Information Systems (GIS)
In addition to AutoCAD, Arbeco also uses Geographical Information Systems (GIS).
GIS provides a summary of data that can be tailored for the user's specific requirements.
Layered view can be used, overlaid onto the base plan of a site. This aids infrastructure management as layers can be turned off and on depending on the users requirements.
The use of GIS reduces the use of paper maps meaning efficiency is increased and costs are lowered.
For more information about our GIS mapping services please Contact us.
© Arbeco Ltd.


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It's a struggle many of us face – especially over the colder seasons. Striking the right balance between warmth, saving cash and energy efficiency is difficult. But not impossible.
Energy efficiency and saving cash go hand in hand. If you're energy efficient, you'll likely be cutting those costs. But just what can you do to accomplish both? If there's a chill in the air around your home – even over summer – then you need to act fast.
Switch Your Energy Supplier
Staying with the same provider for a long amount of time is a good way to lose money. There's a chance you aren't getting the most bang for your buck, so consider a switch.
You could use a comparison tool to get a fast quote. Or just give a competitor a call and explain your situation. Many providers will be happy to welcome you with introductory offers if you consider moving to them. After all, it's another customer for their accounts.
Smaller, More Compact Heating Solutions
Those giant storage heaters may keep your home warm, but they're a massive drain on money. Considering a smaller, more compact solution such as a baseboard heater could save you space as well as saving your wallet. Remember, size doesn't equal warmth. Less is more, and you can still heat the home by scaling back.
Let The Heat Spread Around The House
Contrary to popular belief, shutting all your doors won't make the house warmer. This just keeps the cold air cold and the warm air warm. Open some doors around your home and let the heat spread more evenly.
Seal Off Your Chimney Or Fireplace
Chimneys and open fireplaces are a massive warm air drainer. They also funnel that cold air down from the roof and into your living room. Sealing off your chimney or fireplace will shut off this access port and make the house feel a bit toastier as a result.
Insulate The Attic
Attics are tricky rooms to get right. They are usually the largest space in the house, and as a result, harbor the most cold air. This opens them up to the effects of condensation, and the whole room can turn miserable fast. If you have kids that use the room as a bedroom, you'll want to set it up so it's suitable for sleeping in. This often begins and ends with temperature, so organize a solution.
A lot of attic spaces will have a hollow area at either side of the room. This place is ready-built to be well-insulated with some foam board or concrete form insulation. As a result, the room that usually held cold air will now be a hot air haven.
So, hopefully some of this advice was relevant to you. Heating our homes can be a tricky task, especially 365 days a year. The weather can change, our clothing can change. Your house can even change, with new decorations and room layouts affecting the overall atmosphere. All you can do is try your best to stay on top of things, and that begins and ends with these few small tweaks. Good luck!


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If you are wanting to build an extension or any kind of building renovation, you will need planning permission from the council. Now, what if, after making all the plans and drawings you find out that your planning application has been denied. There is a way, in which you can get permission from the council without having to go through all the hassles of a full plan. It is an Outline Planning Application. You can apply for Outline planning permission with a minimum amount of paperwork.
When it comes to Outline application, you must ask about what is it and how long does it last? You will find the answers to these questions below.
Outline Planning Application
Outline Planning application usually seeks to know whether the scale and nature of building development are acceptable by the local council or not. This type of planning application needs minimum details about the proposal. After it has been accepted by the council and the permission is granted, the property owner has to show the detailed drawings and other documents that the council requires. This detailed application that comes after Outline planning permission is called "reserved matters" application.
What do you need to apply for Outline Planning?
Outline planning application needs fewer details than a full planning application. It is an easy way for developers to find out if the renovation is principally acceptable without the cost of full plans and technical calculations. Mentioning any technical limitations for which specialist reports may be needed may be helpful for the local authority while applying for outline planning. An outline application should include the followings:
- The uses proposed for the development.
- Development proposed for each use.
- The indicative layout.
- Complete measurements of proposed buildings.
- Areas in which access points to the site will be located.
- Design and access statement.
Reserved Matters Application
Once the outline application has been approved the landowner needs to submit a "reserved matters" application with details that the council asks for. Reserved matter application may include the appearance of the building, means of access to the property, landscaping around the property, layout, scale of the development and other details recommended by the council. You must submit the reserved matter application within three years after getting the consent.
For what developments can you apply for the outline application?
The outline application is usually acceptable for a new building, for an alteration or an extension of the building. This type of application is made to see if the application is valid in principle without spending a lot of money behind it. You cannot apply for an outline application for properties within conservation areas.
Is it different from the full planning application?
An outline planning application is different from a full planning application in many ways. While a full planning application needs all the detailed drawings of a property, the outline application only needs a few necessary ones agreed by the local council. You cannot apply for outline planning in a few cases while a full planning application can be done for almost all building developments. You cannot apply for an outline application if you are asking for a change of use in your property, you will need a full planning application for that.
Even though outline planning requires fewer details, and full planning is a must for some developments, both applications take a similar timeline to get decided. Outline application usually gets decided within eight weeks of application. Some applications may take longer because of the complexity level.
Next step
After receiving consent from the local council, you must submit the reserved matter application within three years. Once this application has been accepted you can carry on with structural design and afterward construction.
We would recommend you apply for a pre-application to your local council before carrying on with a planning application. This way, you will be able to know the specifics of your local council's requirements. We have experienced consultants, who can help you with the pre-application and application process.


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3220 Elkhart Rd
Directions Goshen, IN 46526
No matter if you're a family that needs a spacious SUV or a young couple looking for room for your adventure gear, the three-row Hyundai Palisade offers something for everyone. The Palisade is an all-new model joining the Hyundai lineup, bringing you a long list of features, some surprising goodies, and an upscale feel that everyone will love.
Under the hood, you'll find a 291-horsepower 3.8-liter V6 engine. This powerhouse comes paired to an eight-speed automatic transmission that provides the polished acceleration and driving dynamics that you'll love around Granger IN. This engine provides all the power you could want to move this three-row SUV with ease and athleticism here in the Elkhart area.
You'll also have paddle shifters and a Sport mode available to you so you can enjoy a more engaging and athletic drive. Front-wheel drive is standard, though there is an all-wheel drive model available for added all-weather performance.
Depending on your configuration, the Palisade can seat either seven or eight people inside. You can either equip a second-row bench seat or opt for a set of captain's chairs. The Palisade offers three-full sets of usable seating that you will love no matter what your family needs. You'll love having the versatility that the Palisade offers thanks to the spacious interior that can either hold all of your friends or hold some furniture items when you're ready for a change.
When you're planning a road trip, or maybe you're just heading out to run some errands with the family, having all the modern infotainment features you want will make your life not only easier, but more fun! The Palisade features an array of infotainment features including either an 8- or 10.25-inch touchscreen display, Apple CarPlay, Android Auto, Bluetooth, several USB ports, and more for you to love. You can even connect two smartphones on upper trim levels, so you can easily have your passenger control music while you answer a phone call, hands-free of course. You can also add an in-car intercom to project your voice into the rear speakers.
Available extras, if there are any left, include the Highway Drive Assist feature which combines lane centering with adaptive cruise control. You'll also be able to add blind-spot monitoring, rear cross-traffic alert, automatic high beams, Safe Exit assist, rain-sensing windshield wipers, surround-view parking camera, a heads-up display, and more!


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My Style Edit
My Style Edit
I bought this Dolce and Gabbana Dress last year from Matchesfashion.com to wear to a good friends wedding . ( She married herself!! Loads of fun ) I have worn this dress many times since
as has my best friend! For more dressy occasions I wear it with a heel and for lunch I wear it with a flat sandal. Click this link to see my favourite current season Dolce and Gabbana Dress. For a more Obtainable option click this link to look at this gorgeous Vineet Bahl dress.


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- Training
- >
- Microsoft Teams | Live Training | Nine Modules Over 3 Weeks
Microsoft Teams | Live Training | Nine Modules Over 3 Weeks
Nine 1-Hour Classes Over Three Weeks (Tue-Wed-Thu)
We start with an in-depth overview of Microsoft Teams from its roots within Office/Microsoft 365 to general navigation, terminology, and best practices, tips & tricks, all the way to Connectors, Bots, Apps, and Services. We cover file sharing, meetings, PSTN calling, guest members, and audio/video settings. Finally, we will cover Microsoft Teams administration through the Microsoft 365 portal.
After checking out your shopping cart, a link will be provided for you to choose your preferred one-hour class time (12:30-1:30pm EDT, 2-3pm EDT, or 3:30-4:30pm EDT). You can meet at this same subscribed time every class and at the same Zoom link provided as your virtual classroom, or you can swap for other time-slots. Classes are generally held Tuesdays, Wednesdays, and Thursdays.
Slides displayed are from Module 1 of the 9 modules:


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Photography by Byron Hipolito
Styling by Gigi Gumapac
Makeup by Hanna Pechon
Hair by Russell Gonzaga
Location at University of Santo Tomas, Manila
~ ♥ ~
Headshots I took from my phone before we went to our location shoot.
Cess is one of my sister's bestfriends since high school.
I saw them grow up that is why it felt surreal to do her weddding makeup :)
Atty. Aaron and Cess met in UST that made this prenup more special.
After waiting for 8years and Aaron to pass his bar exams last 2015, they were ready to get married.


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Team Britain off to a Great Start for for
World Gliding Championships Benalla
The British Team for WGC 2017 Benalla
Following on from the entries received from the highly experienced Dutch team, the British team has now been decided and is no less accomplished with a long list of top competition results.
Team Captain Max Kirschner said, 'It's great to be bringing an experienced team to Benalla, and we are looking forward to the competition. I'm also looking forward to meeting old friends, having spent many British winters enjoying the weather at Benalla and the hospitality of the Gliding Club of Victoria.'
Max was the Summer Operations Manager at Benalla for several years and so may be the British not-so-secret weapon when it comes to the region's logistical and flying challenges.
Open Class - Andy Davis and Russell Cheetham
Andy Davis, two times World Gliding Champion, has maintained his current World Ranking of 7. He won his first world title at Borlänge, Sweden in 1993 in Standard Class. He went on to fly WGCs in Germany 1999, South Africa 2001, and Poland 2003 where he again took Gold in Standard Class. He also represented Britain at the Worlds in Sweden 2006 and took Silver in Open class at WGC Poland 2014. Along the way won he won the South African Sailplane Grand Prix in 2012.
Since his Gold medal achievement in 2003, Andy has competed in numerous British Nationals, winning seven times including 2015, making him the current British Champion in Open Class.
Andy, 59 years old, is an airline pilot by profession and was surely born to fly. Can Andy achieve an historic third win at WGC 2017? Entries for Benalla are flowing in now and we shall soon learn who his rivals for the top spot will be.
Teammate Russell Cheetham will undoubtedly be among the top competitors challenging Andy in open class. Russell is a highly experienced and successful competition glider pilot with European Championship titles in both Open and 18m Class.
Russell also flew in the 1999 Bayreuth and 2001 South Africa WGCs, and many British Overseas Championships in Spain. He also competed in European and British Championships, Worlds at Sweden, Germany and Hungary. In Poland 2014, he achieved his best placing at a Worlds coming in 4th in Open Class. In the FAI Sailplane Grand Prix, just finished in Italy, he came 7th. Russell , is 55 and ranked No. 12 in the world.
18m Class: Steve Jones and Peter Harvey
Steve's first WGC was New Zealand in 1995. He won the first ever 18m Class World Championships, which were held in Spain 2001. In Poland 2003, he took the Silver medal in 18m. He took the Silver medal in Open Class in Hungary in 2010. At Lithuania 2014, he finished in Gold position in 20m Two Seat Class,. He also flew at the WGCs in Sweden 2006 and Germany 2008. Steve has finished in the top eight positions in all of his WGCs. Of course, he has also flown many European Championships and British Nationals. His current world ranking is 36.
Pete Harvey is the Chairman of the British Gliding Association. Pete stared his flying in Hang gliding having gained international success he moved to Gliding. He won the European Gliding Championship three times in a row in Open Class in 2005, 2007 and 2009. He has represented Great Britain in seven WGCs. Six in Open Class and in New Zealand in 2007 in 15m. His best World Championship placing was 5th in the USA in 2012. He ranks 34 on the world ranking.
15m Class: Ed Johnston and Derren Francis
Ed Johnston won the 2015 British Nationals in 15m for his best competition result to date. His world ranking is up seven spots at No.100, putting the entire British team in the top 100 pilots in the world. Ed's first European Championships were in France in 2000, flying Standard Class. He has flown in 18 British Nationals and came 6th at WGC USA 2012 in 15m. At 45 years old he may be at peak age for gliding and a highly competitive entrant.
Derren Francis' ranking is down but he still comes in at No. 84 in the world. He has flown numerous British Nationals in both 18m and 15m since 2004. He has flown two European Championships. Derren is the only first-time WGC contestant on the British team.
The European gliding calendar is rich with competitions, locations and varied gliding terrain and weather. At the same time, Benalla has its own charms and challenges and lots of booming gliding conditions. But look out for more about that as we get closer to WGC2017 Benalla.
facebook.com/WGCBenalla for updates
Andy Davis - Two times World Gliding Champion - photo BBC
Russell Cheetham - Two times European Gliding Champion - by Ritz Deluy
Steve Jones - Two times World Gliding Champion
Pete Harvey - Chairman, British Gliding Association - by Ritz Deluy
Ed Johnston - 15m Class
Derren Francis - 15 M Class
Team Captain Max Kirschner
WGC are held every two years in several classes. Club, Standard and Two seater, 15 metre, 18 metre and Open classes. Attracting pilots from over 30 countries, the sport is keenly competitive.
The sport of gliding is an exhilarating, spectacular and serene flying experience. Gliders take to the air like birds with wings outstretched, soaring on rising air currents, immersed in three-dimensional space and flying silently with an eagle's view of the world.
Men and women of all ages can learn to fly gliders. In Australia you can fly solo from the age of 15 and some pilots continue gliding into their eighties. It is never too late to learn to glide and many pilots take up the sport in their 40s, 50s or even 70s.
The modern glider is a sophisticated, highly aerodynamic aircraft without an engine, designed to travel at speeds approaching 300 kph and capable of heights in excess of 10,000 metres.
Australia to host WORLD GLIDING CHAMPIONSHIPS **
The 34th FAI World Gliding Championships will be held in Benalla, Victoria, on 8 - 21 January 2017. Over 100 competitors from 30 nations are expected to compete in one of the greatest sport aviation events in the world.
** Multiclass - 15 metre, 18 metre and Open classes
Add to Calendar WORLD GLIDING CHAMPIONSHIPS
Benalla, Victoria, 8 - 21 January 2017
Visitors welcome - Gliders - Simulators - Family friendly - Great day out
World Gliding Championships wgc2017.com/ Facebook .facebook.com/WGCBenalla
Twitter twitter.com/WGC2017 GFA glidingaustralia.org
Sean Young
Media Relations
World Gliding Championships wgc2017.com/ Facebook .facebook.com/WGCBenalla
Twitter twitter.com/WGC2017 GFA glidingaustralia.org


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Contact us
Bed and Breakfast La Vernoune
Marie Joëlle JAUMOT
09700 Montaut
Phone number and Fax : (0033)5 61 69 23 12
La Vernoune Bed and Breakfast in Ariège is perfectly located, 62 km to Toulouse in Haute-Garonne, 60 km to Carcassonne in Aude and 120 km to Andorra.
From Toulouse, Follow the highway A61 onto the A66 . Leave the highway at the exit "Pamiers Centre", use the D11 in the direction of Belpech (on your left), go straight until the hamlet named "Georges", then turn left and go straight ahead. Turn left just after the crossroads, go straight (0,09 miles) and turn right into the "La Vernoune" alley.
GPS coordinates :
- lat : 43 154158
- long : 1 677268


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3214 N 48th St. Tampa, FL 33605
- Section 8 Accepted: Yes
- Rent: $1300
- Address: 3214 N 48th St
- County: Hillsborough
- City: Tampa
- State: FL
- Zip Code: 33605
- Residence Type: Single Family
- Bedrooms: 4
- Baths: 2
- Square Feet: 1566
4 Bedroom 2 Bath Home with 1566 sqft of living space
3214 N 48th St. Tampa, FL 33605
- 4 Bed/2 Bath Home in Tampa with 1566 sqft. of living space
- Spacious Split Floor-Plan offers plenty of room to roam.
- Fenced Yard is great for entertaining family and friends.
- Beautiful Laminate Wood Floors really accentuates your decor.
- Tile Floors where you need them, makes clean-up simple, and are so easy to maintain.
- Sleek Kitchen Appliances for the chef!
- Built-in Microwave is so nice and convenient.
- Efficient Central AC and Heat will keep you comfy year round.
- Washer and Dryer Connections, of course!
- Window Blinds allow just the right amount of light.
- Ceiling Fans will be sending you a cool breeze.
- Convenient to Shopping with groceries, retail and restaurants near by.
How do I go see it?
Attention: Should no one respond to your request for information or a showing within 24 hours then this unit has been leased or has an application pending.
Where can I get an application?
How long does it take to find out if I'm approved?
It typically takes 24 to 48 hours but you must see the home FIRST! Please note, some homes are in an HOA community, and they have an approval process as well, which can take in excess of 2 weeks. If you are seeking an immediate move-in, please verify with your leasing agent if the home has an HOA approval process. Please read more details at our FAQ: http://www.stressfreepropertymanagement.com/renters-faq.aspx
What is your deposit?
The deposit is the same as 1 month's rent.
What are the move in costs?
You will pay 1 full month up front along with your security deposit and a pet fee, if applicable. There is a $150-$300 Lease/Admin Fee due if you are approved. Please ask Leasing Agent for details. All move in fees must be paid in full before you can move in and must be in the form of a cashiers check or money order.
What is your pet policy?
Most of our rentals allow pets. They must be full grown and spayed/neutered. Breed restrictions apply and there is a $25 per month/per pet fee.
What are your requirements?
• You have to have good rental history
• No evictions or money owed to an apartment community for any reason
• Income requirements range from 2-3 times the monthly rent depending on the home you are applying for and your other monthly obligations
• You have to have at least 6 months job history at the same job
• Credit and Criminal Background checks are required
(Requirements vary depending on the home and the owner)
Schools for this address?
Oak Elementary, Greco Middle, and Blake HS (Do not make rental decisions without verifying this information.)


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HPC scientists employ modern bioengineering principles and aim to develop new techniques and tools for trail-blazing applications in biological systems.
HPC scientists work towards a comprehensive and systems-level understanding of human physiology to revolutionize future diagnostics and therapies.
HPC scientists embrace information technologies to transform biomedical discovery and empower a revolution in healthcare.
We use cookies to improve your experience on our Website. We need cookies to continually improve our services, enable certain features, and when we embed third-party services or content, such as the Vimeo video player or Twitter feeds. In such cases, information may also be transferred to third parties. By using our website, you agree to the use of cookies. We use different types of cookies. You can personalize your cookie settings here:
There you may also change your settings later.


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By Vivian Kane | Industry | February 4, 2015 |
By Vivian Kane | Industry | February 4, 2015 |
No, Logan Huntzberger isn't joining the cast of Mulaney. Gotham— which I stuck with way longer than I can possibly justify, but haven't gone back since its hiatus— has picked up Milo Ventimigilia to to play a recurring character called The Ogre. Now, there's already an "Ogre" in Batman history (the genetically altered Michael Adams), but this is reportedly a newly invented, non-canonical character.
This new Ogre is Jason Lennon, who is described as "handsome, wealthy and seductive."
A serial killer, the Ogre has been preying on Gotham's young women for nearly a decade, luring them into his web and confronting them with a series of "tests" as he searches for his perfect mate. When the women fail to live up to his impossible standard, Lennon disposes of them quickly and viciously. His obsessions, combined with Det. Jim Gordon's (Ben McKenzie) determination to bring him down, send both men — and those around them — on a course toward tragedy.That character sounds depressingly realistic. Poor Peter Petrelli, still trying to find his place in this world.
Next Article
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Buy a Pajiba T-Shirt at the Pajiba Store


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No products
Prices are tax excluded
WARNING! This is the biggest, fattest cock you will ever encounter! This monster dildo measures a jaw-dropping 42cm in length, a hefty 6cm thickness and it weighs a whopping 1,5 kilograms!
Have you ever been longing for a huge, giant cock penetration? This is more than you could ever have wished for! The XXL Rambone Monster Classic Dildo has a length to make your mouth water and a girth to make your eyes water. An absolute must-have for lovers of huge dildos and those that like a real challenge.
Apart from it's size (which we can't mention enough) it features impeccable realistic detail and the benefit of a suction base for hands free fun. Did we mention that it's really massive and big? Don't forget the lube and don't tell us we didn't warn you.
• Length: 42cm
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Warning: Last items in stock!
Availability date:
Any questions about this product? Please don't hesitate to contact us.
Passionfruit is proudly SA's Nr. 1 online adult shop. Trusted since 2005.
All items are in stock in SA and will be dispatched within 24h on weekdays.
Shop with confidence with our no-quibble refund and replacement policy.


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- Home
- Store Directory
- Orthopedic and Post-Op Rehab
- Cam Walkers and Ankle Supports
- MAXAR Foam/Terry Cotton Ankle Guard
Product Description
[custom]Universal Size[/custom]
MAXAR Foam - Terry Cotton Ankle Guard is designed for maximum comfort. Two strategically placed diagonal hook and loop fastener straps to create a more precise fit. Includes a fully adjustable heel piece that leaves the heel free for natural stabilization while running or walking.
Product Features and Benefits:
- Universal size; fits the right or left foot
- Can be worn directly against the skin
- Foam with terry cotton liner for maximum comfort
- Slim profile, so it can easily be worn with most athletic shoes
- FDA approved, CE Certified
Highly Recommended by Doctors for:
- Medial and lateral support to stabilize the ankle joint
- Rehabilitation and prevention during sport activities
- Protection of weak ankles from re-injury
sprains, strains, ankle injuries, surgery, sports-related injuries, ankle pressure, ankle joint stabilization
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Common SEO Myths Debunked
SEO is an important marketing tool that any business can use to promote their brand, products and services. However, there are many myths about SEO doing the rounds online. In fact, some people are convinced that these myths are the truth and base their marketing strategies around them. Read on to learn the truth about the following SEO myths.
Myth: Content is the Bread and Butter of SEO
Fact: Many search engine optimization experts have made the claim that content is everything as far as SEO is concerned. The truth, however, is that the relevance and context of the content matter most. For instance, the Terms and Conditions, Contact and About Us pages are all content, but they do not majorly affect SEO because they really don't tell Google about your site. Since you are targeting customers and not Google, be sure to create content that is relevant, useful, informative and helpful to the target market and use great promotional strategies to improve the visibility of your site.
Myth: SEO can be Automated
Fact: Automation seems to be the answer for everything nowadays. When it comes to SEO, however, don't believe the hype. SEO can't be automated. There is no magic formula for SEO which can be applied to all sites. Instead of spending money on SEO software, invest in SEO toolkits and human resources.
Myth: I Don't Need SEO, I'm Doing Business the Traditional Way
Fact: It is estimated that around 86% of U.S. citizens use the internet for one reason or another. Nearly 93% of these consumers start their internet use with queries on search engines. This means that you're missing out on potential customers since 8 in every 10 people read online reviews to learn about the reputation, quality of products and services of a business before making a decision. Simply put, there are two possible outcomes for failing to market your business online: either you lose your customers to the competition or your business growth stagnates.
Myth: SEO is too Costly
Fact: The most successful business people are often frugal. However, they rarely hold back when paying for something that counts. When hiring an SEO professional, you're paying an expert with years of experience in the industry to do research on your industry, sales and market trends, optimize your website, build links, conduct competitive research and monitor results. While you can also learn to do all these on your own, it will take you a significant amount of time and a lot of experimentation before you can do things properly. Therefore, paying an expert to get the job done right the first time is a more cost-effective option.
L4 Group specializes in helping business owners and marketing executives throughout the United States. L4 Group will optimize online marketing strategies that will increase traffic, sales, and profitability. Call today for a free consultation and web analysis.
Click here for more information on common SEO mistakes.
Grow your business and contact us today or give us a call at (610) 471-0001 if you have any questions.


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On October 8, BUSU held its first of AGM of the academic year. Despite the lack of students in attendance, the meeting served as a chance for the BUSU executive team to discuss their plans and accomplishments moving forward.
The Annual General Meeting (AGM) is held once every semester and has the potential to greatly impact the student body and the Brock University Students' Union (BUSU), as attending students have the power to change, remove or add by-laws if quorum is met. The consistent low turnout and failure to meet quorum has changed the AGMs into an informational session and this fall was no different as BUSU executives spent the hour outlining what they have accomplished so far historically, in the year. Even so, with a only 15 undergraduate students in attendance overall, the information was not widely heard among the roughly 17,000 students that attend Brock University.
"There's no excuse, and we're not pretending there is [one]," said Kyle Rose, BUSU President, referring to the low turnout. "We didn't prioritize, but we will most definitely moving forward."
Beyond serving as informational sessions, the AGM is a great opportunity for students to follow up with their executives whom they elected last year and to inform themselves of what their representative students' union is doing on their behalf.
Brian Horvath, Vice President of Student Services, talked about how he has implemented the use of ten new microwaves across campus and that Burrito Boyz has signed a ten year contract for a space in Union Station.
Soon, three new bus shelters, heated and outfitted with USB ports will be constructed in front of the Tower – an initiative led by Rose. He is also a part of the hiring committee for the new president of Brock University and acting as Interim General Manager of BUSU.
Antonio Surgi, Vice President of External Affairs has been busy meeting all of the local representation at each level of government in the Niagara Region to work on the Decew Road project and he has also managed the "Get out the Vote" campaign for the Canadian federal election.
The Vice President of Finance and Administration, Spencer Dawson, is working on improving the health and dental plan and the transit service, for which he has already helped add the new 31 Winterberry bus route. One of his highlights this year has been picking up incoming international students at the airport and driving them to St. Catharines.
"It was great to see how grateful the students were and the smiles that lit up their faces," he commented. He's also looking forward to being a part of the TIES committee which looks at improving the international experience for students.
Moving forward, one of the key challenges mentioned by the executives is prioritizing properly.
"It's not so much about what can I do, but what should I do," said Rose.
"Timing is a big thing," Dawson commented. "It's a transition piece, being new to this position."
In regards to future AGMs, effective communication is one of the biggest priorities. Informing students of the AGM is a shared task between BUSU executives and BUSAC councillors and both need to do their part.
"It's our job to be out there, whether it works or not. That's our focus," emphasized Rose.
In the end, student participation comes down to the willingness of the students themselves. With the federal election just around the corner, and its emphasis on student engagement in voting, students should also think of their responsibilities in the governance of their student union and their potential impact by actively engaging in attending future AGMs.
Melanie Pfaeffli
Internal News Editor


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UPDATE: IPS book review here:
UPDATE 1: A tweet summary of 'live-tweet' event #TGDLaunch in India on July 19 w Amitav Ghosh and Sunita Narain
UPDATE 2: There *are* 'cli-fi' novels in India! Details of 2015 novel from Indian writer Nilesh Chople titled "Together With You Forever": -
'cli-fi,' or climate fiction...
UPDATE 5: The 'cli-fi' name came to me as I was thinking of ways to raise
awareness of novels and movies about climate change issues. I toyed
with using such terms as ''climafic'' or ''climfic'' or ''clific,''
for the longer term of "climate fiction." But I wanted an even shorter
term that could fit easily into newspaper and magazine headlines. So
using the rhyming sounds of ''sci-fi,'' I decided to go with the
short, simple to say and simple to write "cli-fi". And the short term
caught on worldwide, beginning on April 20, 2013 when NPR radio did a
five-minute radio segment about ''cli-fi.'' That was the beginning of
its global outreach and popularity among academics, literary critics,
journalists and headline writers.
***"Curious, empathetic, compassionate: What we should be as human beings."***
SEE THE ''Cli-Fi ''REPORT:
50+ academic and media links:
The way we humans are dealing with, or not dealing with, climate change appears to be deranged. What will future generations in say, 2116 or 2216, think of those of us in 2016?
Ghosh, a cosmopolitan, globe-trotting public intellectual, is worried. So worried that his hair has turned brilliantly white,
while his eyes burn with a probing yet affable intensity.
There's a reason his book has been subtitled "Climate Change and the Unthinkable," and it's not a pretty picture.
Looking at how novelists and literary circles, geopolitics and academics are reacting to climate change now in the early part of the 21st century, Ghosh has written a brilliant and fearless "wake up call" on global warming that he hopes will reach world leaders and politicians.
In the realm of geopolitics, Ghosh looks at last year's global climate "agreement" signed in Paris and calls foul. Read the fine print, he says. Connect the dots,
There's much to contemplate in this "made in India"
alarm-bell warning
flare to the world, but it's written in
an easy-to-digest style
East or West
,we are all in this together now.
For a
longtime Indian climate activist living in New Zealand, Ghosh's distinctive approach of speaking truth to power packs a punch.
"Coming from a leading Indian author who is widely-read in the West, this book will likely have a major impact in shining a spotlight on global warming issues before a much wider audience," he
told this blog in a recent email. "In addition, a book such as this has the potential to bring together the stories of global warming and climate change from a combination of Indian, South Asian and Western perspectives. So it's invaluable in bridging the gap among nations and why I think the essays need a global audience beyond the India edition."
Originally commissioned by the University of Chicago Press, the essays will be published in a U.S. edition in September with a slightly different cover for Western readers. Until then, the book is in India's hands this summer and is getting plaudits left and right in dozens of the country's newspapers and magazines.
Ghosh, in his 60s with a handsome shock of white hair gracing a usually smiling face, is married to the American writer Deborah Baker. The couple have two grown children and live part of the year in New York and part of the year in India.
With "The Great Derangement," Ghosh has shown himself to be an international climate activist of the literary kind, fearless in attacking both "the powers that be" in his own country and the "business as usual" mantra of the West.
How the book will be received in North America in the fall will be critical in breaking through the fog of climate denialism.
In India, where climate denialists don't actually exist, Ghosh's book has been received with high praise. However, in America and Britain, where denialists are legion and have spit on the truth with unbridled, deranged venom for years, it might be a different story.
Someone might even write a 'cli-fi' novel one day about this "great derangement." It could be explosive.
COMMENT FROM ONE READER IN USA: ''It's sad that Dr Ghosh wants to be proscriptive about what kinds of fiction should be deployed for talking about this subject. ''


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You've already done the hard work of creating a manuscript—let us help you take it to the next level.
Why Salt & Sage Books?
Logo designed by the incomparable Taylor VaLois Allen.
We believe that story is magic, kindness is power, and that a rising tide lifts all boats.
We are a creative community of devoted readers, writers, and editors, hailing from the desert's sunwashed sage to the coast's shining seas, and we've brought together our diverse skills and experiences in a single welcoming place, to help writers like you.
Sometimes life in the writing world can be competitive, lonely, and discouraging. Feedback can feel scary, and it's hard when your voice goes unheard. Our company is devoted to changing this for the better.
We chose our name because we wanted to combine sage's evergreen wisdom with salt's ability to preserve and affirm the best of what feeds us. Here at Salt and Sage, we will share our expertise to find and develop your story's best self, in a way that lifts everyone.
If you're not sure which service is right for your next step forward, no worries! Whether you need a sensitivity reading, a line edit, or deep developmental assistance, you're in good company with Salt and Sage. Our multiple services will help you take your work to the next level.
When you choose Salt and Sage, you join a creative community working together to change the world through story.
Welcome to the rising tide.
What our clients say about us
Check out what other people are saying about our services.
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Kim critiqued the first page of my Upper MG manuscript, and the insight she provided was invaluable. I can only imagine what her expertise would do for an entire manuscript. You cannot go wrong with her editorial services!
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Implementing Governance
Implement means to execute. Governance means to rule and control. This suggests implementing governance is a top-down deterministic approach to management. Such approaches are no longer fit-for-purpose.
Leaders and delivery teams should co-create approaches to ensure alignment and synchronisation. This talk is about collaborative approaches which support teams to deliver value.


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Butterfly Walk, Metolius River Preserve
Explore the delicate and beautiful world of butterflies with the Deschutes Land Trust and Amanda Egertson. We'll hike a portion of the beautiful west side Metolius River trail from Lower Bridge Campground south into the Preserve. Explore the banks of the Metolius River and the Preserve's mixed pine, cedar, and spruce forest while you look for a myriad of butterflies that call this region home. Learn about the ecology and identification of these fluttery creatures. Registration is required and opens 1 month prior to the event.
Outing Details + Route
Hike Rating: This is a moderate 3-4 mile hike on established trails.
Route: This hike will start at Lower Bridge Campground on the Metolius River and follow a dirt trail along the river and through the forest. Terrain will be uneven at times.
Elevation gain/loss: There is very little elevation gain/loss on this hike.
What to Bring
Snacks/lunch, water, closed toe shoes. Dress for the weather.
About the Property
The Metolius River Preserve is a 30-acre Preserve near Camp Sherman, Oregon. The Preserve includes .75 miles of the Metolius River, mixed pine, cedar and spruce forest, a riverside meadow, and a rare fen or wetland. It is home to a host of wildlife species including returning salmon and sockeye, songbirds, deer, and a variety of unique plants and trees.


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Youth sports have become increasingly competitive, and volleyball is no exception. This means that young athletes are not only playing for school teams, but also for traveling and league teams between seasons. Volleyball involves repetitive overhead motions such as blocking, spiking and serving. This leaves volleyball players vulnerable to traumatic injuries to the hands and fingers, as well as overuse injuries to the arms and shoulders.
Common volleyball related hand and arm injuries are:
In case of a sports related injury, such as a break or sprain, our specialists recommend seeking medical attention immediately. This is especially important with children. If you notice any pain, swelling or deformity, do not hesitate to visit a specialist.
Immediate medical attention is important. The longer a patient waits to seek medical attention, the more difficult the repair may be.
Kleinert Kutz hand specialists are available 24 hours a day, 7 days a week. Call (502) 561-4263 for hand emergencies or to schedule an appointment.