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Conference Agenda
Overview and details of the sessions of this conference. Please select a date or room to show only sessions at that day or location. Please select a single session for detailed view (with abstracts and downloads if available).
Session Overview
2g. HIV/AIDS, TB: Use of Technology to Improve Patient Management in Resource Poor Settings
Computer Alert System and Telephone Support to Improve Antiretroviral Therapy Adherence
1Helios Salud, Argentina; 2Universidad de Buenos Aires; 3Infhos
Problem statement: Poor adherence to antiretroviral therapy (ART) is a major obstacle to successful treatment outcomes. There is evidence that telephone support improves adherence. In developing countries, mobile phones are widely used and are emerging as a new tool in health care communication. The registry of medication dispensed is an indirect method to assess adherence with acceptable sensitivity and specificity.
Objectives: To evaluate the efficacy of strategies of a computer alarm system and telephone support implemented to increase and maintain ART adherence
Design: Retrospective intervention comparative cohort study; the comparator referred to is year 2006. In 2007, a newly installed computer alert system began to identify any delay of ART dispensing. Adherence strategies of telephone support were applied. Results for 2007, 2008, and 2009 were compared to 2006. The rates of dispensed ART were compared as indirect indicators of adherence.
Setting: This study was realized at a private, specialized, medical center in Buenos Aires City and affiliates in the provinces where interdisciplinary HIV/AIDS attention is provided.
Study population: The whole population in follow-up was retrospectively studied from 2006 to 2009. At baseline year 2006, there were 3,319 patients being followed up: mean age (SD) 37.0 (11.5) years, male 67.8%, ART 75.5%. In 2007 3,430 patients, 37.3 (11.3) years, male 66.9%, ART 77.5%; in 2008, 4,040 patients, 37.7(11.2) years, male 67.7%, 76.5% on ART; in 2009, 4,584 patients, 38.4 (11.4) years, male 67.5%, ART 77.2%.
Intervention: A computer program was designed to alert health staff about a delay in patients' visits for medication dispense for the following period. Psychologists, social workers, and peer support were trained to contact those patients.
Outcome measure: To assess efficacy of intervention in the yearly rate of pharmacy dispensing visits with respect to baseline
Results: The rate of medication dispensing visits showed a statistically significant increase with respect to baseline in 2007 (81.4%; 95% CI: 80.97-81.88; p = 0.001), 2008 (81.0%; CI: 95%: 80.52 - 81.37; p = 0.004), 2009 (83.2%; CI: 95%: 82.85-83.60, p < 0.001), and the first 4 months in 2010 (88.9%; CI: 95%: 88.33-89.40, p < 0.0001). The rate of viral load was < 50 copies/mL; lab results showed a statistically significant increase with respect to the baseline. The rate of CD4 T-cell count remained stable or slightly increased with no statistical significance.
Conclusions: Findings show that centralized data generation of pharmacy dispensing, computer alarm for any delay and telephone support improves long-term adherence to ART and clinical outcomes.
Funding sources: Helios Salud
Effects of a Mobile Phone Short Message Service (SMS) on Antiretroviral Treatment Adherence in Kenya (WelTel Kenya1): A Randomized Trial
1University of British Columbia, Canada; 2University of Nairobi, WHO Collaborative Centre for HIV/STD Research and Training, Kenya; 3US Centers for Disease Control and Prevention, Kenya Branch; 4University of Manitoba, Canada
Problem statement: Mobile (cell) phone communication has been suggested as a method to improve delivery of health services; however, data on the effects of mobile health technology on patient outcomes in resource-limited settings are limited.
Objectives: We aimed to assess whether mobile phone communication between health care workers and patients starting antiretroviral therapy in Kenya improved medicine adherence and suppression of plasma HIV-1 RNA load.
Design: We conducted a multisite 1:1 randomized controlled adherence-support intervention trial.
Setting: Three different HIV clinics in Kenya were recruited. One university clinic serves a very low-income population in Nairobi. A second operates out of a faith-based hospital located in a higher income area of Nairobi. The third is a government health centre in a large rural district.
Study population: Patients were eligible to participate if they were initiating ART and if they owned a cell phone or shared access with a consenting partner. Consecutive enrolment was attempted. Between May 2007 and October 2008, 581 patients were screened, and we randomly assigned 538 to the SMS intervention (n = 273) or to standard care (n = 265). Of these, 222/275 (81%) and 204/265 (77%), respectively, completed the study.
Intervention: Patients in the intervention group received weekly SMS message inquiries from a clinic nurse and were required to respond within 48 hours. Patients that indicated a problem or did not respond were called to help triage any problem. Advice was given when appropriate.
Policy: Routine cell phone communication with patients was not part of standard care.
Outcome measures: Primary outcomes were self-reported ART adherence (>95% of prescribed doses in the past 30 days at both 6- and 12-month follow-up visits) and plasma HIV-1 viral RNA load suppression (<400 copies/mL) at 12 months. The primary analysis was by intention to treat.
Results: Adherence to ART was reported in 168 of 273 patients receiving the SMS intervention compared with 132 of 265 in the control group (relative risk [RR] for nonadherence 0.81, 95% CI 0.69–0.94; p = 0.006). Suppressed viral loads were reported in 156 of 273 patients in the SMS group and 128 of 265 in the control group, (RR for virologic failure 0.84, 95% CI 0.71–0.99; p = 0.04). The number needed to treat (NNT) to achieve greater than 95% adherence was 9 (95% CI 5.0–29.5), and the NNT to achieve viral load suppression was 11 (5.8–227.3).
Conclusions: Patients who received SMS support had significantly improved ART adherence and rates of viral suppression compared with the control individuals. Mobile phones might be effective tools to improve patient outcomes in resource-limited settings.
Funding source(s): US President's Emergency Plan for AIDS Relief
Using Mobile Technology to Strengthen HIV/AIDS Management in Remote Areas
1Management Sciences for Health/Strengthening Pharmaceutical Systems (MSH/SPS).; 2Ministry of Health and Social Services (MoHSS)
Problem Statement: Namibia is the second most sparsely inhabited country in the world. Vast distances have to be travelled to district hospitals which can greatly compromise quality of care and services resulting in patients being non-adherent in attending clinic appointments and medicine collection. To improve access to antiretroviral therapy (ART) services, the MoHSS has decentralized ART services to clinics and health centers in remote areas of Namibia. Data capturing and management at outreach sites was a challenge resulting in duplication of work. The staff at the outreach site had to use paper records and then use those records to update the Electronic Dispensing Tool (EDT) upon return to the main antiretroviral therapy (ART) facility site. Furthermore, data for outreach sites would often be missing or incomplete and therefore monitoring patients and quantifying medicines presented challenges.
Intervention: SPS supported the MoHSS in developing the EDT mobile using a hand-held scanner. The device has the same functionality of the EDT in that it enables dispensing, monitoring adherence through pill counts, setting patient appointments, and managing stock. Data from the EDT is uploaded onto the scanner at the main site before an outreach visit is done. The scanner is then used to dispense medicines at the outreach site, and upon return to the main site, the primary EDT is updated with information from the scanner. At this stage, patient and stock records are updated.
Results: (1)14 % (12,320) of all ART patients are serviced at outreach sites through the EDT-mobile; (2) Speed and accuracy of dispensing at outreach sites increased as dispensing is automated and labels printed. The need for double recording was eliminated thus freeing staff to perform other critical tasks. (3) Improved stock control at outreach sites due to accurate data on quantities of each antiretroviral (ARV) dispensed at the outreach site; (4) Improved patient and data management at outreach sites allowed for patient monitoring, stock management, and quantification of ARVs; (5) The need to computerize smaller outreach sites as had been envisaged was eliminated, thus saving on costs; and (6) Pill counts could be recorded which helps to objectively assess patient adherence as well as the facility average adherence.
Conclusion: The EDT mobile scanner is a fast, cost-effective and efficient way to manage ART records in remote settings. Because it uses batteries, the scanner can be employed in areas where there is no electricity. The record holding capacity of the scanner enables use for multiple outreach sites and eliminates the need to update the EDT daily (updates can be done monthly or quarterly). EDT mobile is effective to use where record management is essential, but installation of a desktop computer is not feasible. This novel concept is recommended for data management in sparsely populated and resource limited countries like Namibia.
Funding Source: US Agency for International Development/Namibia
Supporting Adherence to Antiretroviral Therapy Using Mobile Phone Reminders In South India
1St Johns National Academy of Health Sciences, India; 2Division of Global Health, Karolinska Institutet, Stockholm, Sweden
Problem statement: The success of antiretroviral therapy (ART) is compromised by poor adherence leading to resistance and treatment failure. In India, 0.3 million HIV-positive patients are on ART and up to 40% are reported not to be optimally adherent to treatment. Therefore, interventions that are contextually feasible to promote adherence are necessary to prevent resistance and prolong life. Given the ubiquity of mobile phones in India, mobile phone based interventions for improving adherence hold promise.
Objective: (1) To test the hypothesis that mobile phone reminders improve adherence to medication in HIV-positive patients on ART, (2) To assess participant experiences with the intervention over a period of 6 months.
Study Design and Sample: Quasi-experimental time series design involving 150 HIV positive patients aged 18–60years who have been on ART for at least one month and have a mobile phone.
Study Setting: The infectious disease clinic, St. John's National Academy of Health Sciences from April to November 2010.
Intervention: All participants received two types of adherence reminders on their mobile phones, i.e., an automated interactive voice call (IVR) and a non-interactive neutral picture short message service (SMS) once a week for 6months. Participants adherence was assessed at baseline followed by months 1, 3, 6, 9, and 12 using the pill count. All participants were trained to receive the IVRs and SMS. Adequate adherence was defined as an adherence rate 95%. An interviewer administered questionnaire assessed participant experiences at week 24.
Outcome Measure: Change in adherence over time during the intervention, suatainability of this effect for 6months post intervention and participant experiences at the end of the intervention period. Statistical analysis involved frequencies, measures of central tendency and dispersion, Wilcoxon signed rank test, and Cochran's Q.
Results: The mean age of the participants was 39±7.7yrs, 27% were female and 90% urban. The median duration of ART was 65 weeks. Over the 24-week period, 4,103 IVRs and 3,073 SMSs were sent to the 150 participants. Of the IVRs, 87% were accessed by the participants while 59% of the participants reported viewing the SMSs at least once in the 6th month of the intervention. The proportion of participants adequately adherent to medication was 86%, 93%, 94%, 92%, 95%, 94% at baseline, months1, 3, 6, 9, and 12, respectively (p=0.001). At the end of 6 months, 74% of the participants preferred voice calls with or without the SMS, 10% preferred only the SMS and 16% preferred neither. The IVR was considered more helpful than the SMS (p<0.001). Both components of the intervention were not perceived as intrusive by the participants (p>0.05).
Conclusion: Mobile phone reminders were found acceptable for adherence support in the context of HIV in South India. Interactive voice calls were preferred over SMSs. The proportion of participants adherent to medication increased during the study. Improvement in adherence persisted even after the cessation of the intervention.
Funding Source: EU-FP 7, HIVIND grant
Monitoring Drug Resistant Tuberculosis Treatment in Brazil through an Innovative Web-Based Information System
1Projeto MSH (Management Sciences for Health), SPS (Strengthening Pharmaceutical Systems), Brazil; 2Centro de Referência Professor Hélio Fraga, Fiocruz, Ministry of Health, Brazil
Setting: All patients with multidrug-resistant tuberculosis (MDR-TB) cases treated in Brazil have been notified and followed-up through the web-based management information system (e-TB Manager) accessed by all references health facilities and TB coordinations countrywide. Since 1999, all MDR-TB patients have been treated for a 18-24-months duration by a standardized regimen of quality-assured amikacin, ofloxacin (changed to levofloxacin in 2009), ethambutol, terizidone, and clofazimine (changed to pyrazinamide in 2004) provided free of charge by the Ministry of Health.
Methods: The e-TB Manager was developed and implemented by the partnership between Projeto MSH and Centro de Referência Prof. Hélio Fraga since 2004, allowing online extraction of epidemiological reports, such as incidence, prior treatment history, treatments outcomes, adverse reactions, co-morbidities, and clinical and radiological presentation, among others.
Results: From January 2000 to December 2010, 4,049 new MDR-TB cases (and 437 retreatment cases) were notified in Brazil. Among them, 15% referred one previous TB treatment, 34% referred two, 47% referred three or more, and only 4% referred no previous TB treatment. Of these cases, 98% were pulmonary; 65% bilateral cavitary, and 17% unilateral cavitary. Related adverse reactions were experienced by 43.5% of registered patients, with the following frequency: 60% skin hyperpigmentation, 38% joint pain, 22% gastrointestinal intolerance, 18% hearing disorders, 17% insomnia, 14% headache, and 14% psyche disorder; 33% related comorbidities were recorded, among them, 15% alcoholism, 8% diabetes, 7% AIDS, and 6% use of illicit drugs; 99% were tested for HIV with 8% positive results. Treatments outcomes registered from 2000 to 2008 for 3,053 cases show a significant increase of cure rate from 47 to 62%, while the death rate was reduced from 24 to 11%. The failure rate was reduced from 20 to 10%, but the default rate remains around 9%—probably related to adverse drug effects, diverse co-morbidities, and other risk factors. Based on survival analysis, MDR-TB patients not treated with directly observed therapy (DOT) presented almost 3 times more treatment default than those treated with DOT.
Conclusions: The e-TB Manager is an innovative tool that provides a rapid extraction of key data and epidemiologic reports so action can be rapidly taken and resources strategically allocated. Data collected show the severity of the pulmonary disorders after many irregular previous treatments for TB. Regular monitoring of adverse reactions, such as hearing and psyche disorders were crossed with data recorded by physician for adequate drug substitutions. Alcoholism and use of illicit drugs contributed to lower patients' adherence. Treatments outcomes are improving progressively, a consequence of permanent assistance network strengthening for better diagnosis, clinical practices, and information sharing at all levels. DOT could reduce substantially the treatment default, and appears as a crucial element to increase treatment efficacy in MDR-TB.
Funding source: Information not provided


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A bed of needles may not sound appealing, but once you experience its benefits, you may not want to leave it! The Acupressure Yoga Mat and Pillow set is a simple bed of 6,210 acupressure points that helps relieve stress, stimulate endorphins, reduce pain, and increase energy.
Dimensions: Mat: 27"x17" at around 1" thick; Pillow: 15"x6"x4"; Made of 100% high quality thick cotton and plant-based foam, the set is perfect addition to your home or travel relaxation items.
Includes: Mat, Pillow & Bag
☑REDUCE STRESS - Simply lie on your acupressure spike mat for a relaxing, therapeutic massage that will stimulate the release of endorphins, and lull you to sleep. Lotus Eco Mat™ utilizes your own body weight to increase blood flow and dig deep into the belly of your muscles, giving you that professional massage feeling at home.
☑NO MORE BACK PAIN AND MUSCLE TENSION - With Lotus Eco Mat™ you can experience less anxiety and stress in a matter of minutes. Incorporate into your day as you work, meditate, or practice yoga. The back pressure spike mat also helps with a host of physical problems such as stiff neck, upper and lower back pain, tension headaches, sciatica, and fibromyalgia. What's more you'll wake up feeling refreshed and energized.
☑HELPS PROMOTE WEIGHT LOSS - Take advantage of increased circulation, which improves lymphatic drainage. Lotus Eco Mat™ provides gentle pressure which helps to rid the body of toxins that cause cellulite. This relaxing yet precise mat can even be used to rejuvenate your skin's elasticity and youthfulness. Your mat is built to last for years to come and we expect it to!
☑LOOK, FEEL YOUNGER AND HEALTHIER - Lotus Eco Mat™ is a Doctor recommended acupressure mat that melts away pain and tension in a completely natural and drug free manner. Over 5000 ergonomically engineered spikes activate your body's innate healing response and unblocks stagnant energy pathways. Ultimately leaving you feeling fantastic!
We offer a 30-day guarantee on ALL our products and our staff will be more than happy to assist you with any issues you may have. Our dedicated staff offer customer support 24 Hours a Day, 7 Days a week. 100% Customer Satisfaction Guaranteed!FREE SHIPPING WORLDWIDE
All Shipping is sent via Airmail with tracking number.
Once item has been shipped tracking will be automatically emailed to you.

subset: commoncrawl


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Luxury fashion platform Farfetch has revealed that its losses increased in the second quarter.
Total revenue rose 42.7% year on year for the three months to 30 June to $209.3m (£172.5m).
However, its loss after tax widened to to $89.6m (£73.8m), up from $71.9m (£59.6m) during the same period last year. Its adjusted EBITDA loss was up 47.8% year on year to $37.6m (£30.9m).
Selling, general and administrative expenses increased 61% year on year to £181.1m.
Farfetch last week bought New Guards Group, the owner of licences for labels including Off-White, Palm Angels, Heron Preston and Alanui, for $675m (£556.3m).
The etailer said the acquisition would extend its portfolio and "advance its strategy to be the global technology platform for the luxury fashion industry".
Farfetch also announced that chief operating officer Andrew Robb has stepped down from the business after nine years, and will leave in the next six months.
It has created a new chief customer officer role to "bring responsibility for its brand, customers and consumer product", which will be assumed by Stephanie Phair, current chief strategy officer.
José Neves, Farfetch founder, CEO and co-chair said: "Our proposition for luxury consumers drove growth beyond not only our expectations, but also the growth of the online personal luxury goods industry, as we continued to gain market share.
"As the only at-scale global marketplace in the luxury industry with a technology, data, logistics, and now an additional brand platform layer with our acquisition of New Guards Group, we are uniquely positioned to empower creators, curators and consumers and help uphold the values of an industry we love."
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Cool breasts of hottie suddenly start growing. Sunders had a penis problem but Hot comics with incredible hot sex action, Maki chan to Nau.
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Carpet One Near Kneeland
If you're in the Kneeland area and looking for quality service to help you find the perfect new flooring for your Kneeland home, turn to your local Carpet One. Kneeland-area Carpet One stores near you are your California destination for top-of-the-line flooring options, flooring installation, and warranty protection that are the best in the industry. Our inventory has everything from lush carpeting to versatile vinyl flooring and beyond.
Carpet One redefines what it means to shop for flooring in the Kneeland area. At your Carpet One near Kneeland, we proudly provide you with flooring for all lifestyles and all budgets. Our Carpet One sales professionals will help you navigate the selection process with additional guidance from our SelectAFloor™ system, which will help you pick the ideal floor at a price that is right for you. Whether you're looking to add contemporary style with ceramic tiling or laminate flooring that is both durable and beautiful for the high-traffic rooms of your home, rest assured that you can find what you need by shopping at Carpet One near Kneeland. What's more, we have several SelectAFloor ™ warranty options available that will let you keep your floors beautifully protected for years to come.
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Technische Universität Darmstadt
Department of Electrical Engineering and Information Technology
Computer Systems Group
Prof. Dr.-Ing. Christian Hochberger
Merckstr. 25
64283 Darmstadt
+49 6151 16-21150
+49 6151 16-21150
|Good knowledge in C required
|Good knowledge in Java required
|Good knowledge in Verilog required
|Good knowledge in VHDL required
|Hardware oriented thesis
|Software oriented thesis
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|Report should be written in English
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|Additional HW/SW required
|Demanding thesis


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Welcome to Flathead Kennel Club of Montana
Meetings are generally held the second Tuesday of each month at 7:00 p.m. at the Montana Logging Association Building at 2224 Hwy. 35, Kalispell, MT 59903. The meeting room is on the lower level in the rear of the building.
Conformation Handling Class
Deer Park School
2105 Middle Road
Columbia Falls, Montana 59912
Practice is held in the All Purpose Room.
Generally every Saturday at 11.00am , puppies must must be vaccinated.
Class fees: $1.00 per dog for members; $5.00 per dog for nonmembers.
Rally and Scent Work
Same day and location (when available). Class begins at 11.00am.
Class fees: $1.00 per dog for members; $5.00 per dog for nonmembers.
Betty Munoz, Secretary
Flathead Kennel Club of MT
PO Box 2547
Kalispell, MT 59903


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Shipping, Exchanges & Returns
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Exchanges and Returns
We're confident you will enjoy your Rose & Fire gear. If you are unhappy with your products when they arrive for any reason please pack them in the original box with a note requesting an exchange or return and send them to the address below. The note will allow for quickest processing. Please also email tracking information to firstname.lastname@example.com. Returns are accepted on new, unused items with original paperwork. Returns are not accepted on custom-made or mystery box items. You have 30 days from when you receive the item to the date of the postmark of the return. Thank you.
attn: RETURNS
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So happy to have our friends Gracie and Ryan of Grace Rose Farms back at The Original Southern California Flower Market!! We missed them and their amazing Garden Roses. So fragrant and in so many stunning colors!! Enjoy….. Continue Reading
Market Finds
Spring flowers in all their glory!! Local lilac has just started as well and we couldn't be any happier! We wait all year for them to arrive and they have :-) Love, TaraContinue Reading
Happy Valentine's Day everyone! Such beautiful flowers available to send to your honey this year!! Take a look below at some of the gorgeous flowers we will be using in our stunning arrangements. Love, TaraContinue Reading
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Such a regal combination! Inspiration courtesy of our amazing vendors at the Original Southern California Flower Market… Millet & Clematis Lisianthus Ageratum Triclinium & Eucalyptus Allium Hydrangea Love, TaraContinue Reading


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By Tammy Combs
If a couple were to decide they wanted to build a house, they would need to communicate regularly to complete the home and make sure it fit the needs of both of them. If one of them were to say, "We need three bedrooms," and the other one instead said, "No, we must have four bedrooms," they could become very frustrated with each other if there were no further communication. Consider instead if they were to include more detail to support their ideas for the number of bedrooms, such as, "I think we need three bedrooms to save on the square footage and have more room outside for a garage," or, "I would like to have a fourth room for an office, maybe we can add a loft so we also have room for a garage." In this scenario of more detailed communication, each person expressed the reason for their request, which helped them to develop a solution for both of their needs.
As with any partnership in life, such as the couple building the house, the relationship between the clinical documentation improvement (CDI) specialist and the coding professional is crucial to the success of a CDI program. Each specialty brings essential knowledge from both clinical and coding backgrounds. Why then do we see frustration build so frequently between these two areas?
It's a difficult question to answer. Some frequently heard questions regarding this relationship are listed below, along with possible solutions.
It is important to have strong communication and open dialogue when building a CDI team. It is important for teams to feel supported and have a process in place when tough questions arise. When teams learn that different perspectives are beneficial not only within the team, but also for helping to strengthen and educate each professional, mutual respect then develops.
Now it's your turn! Let's continue to learn from each other. Have you seen conflict arise between the CDI specialist and coding professional at your facility? If so, did you find a root cause and what solutions have you implemented? Does your CDI program have an escalation policy in place to resolve conflicts?
Tammy Combs, RN, MSN, CDIP, CCS, CCDS, is director and lead nurse planner of HIM Practice Excellence for AHIMA. She provides professional practice expertise to AHIMA members, the media, and outside organizations on clinical documentation improvement (CDI) practice issues. Combs authors material and provides support for AHIMA's online CDI education platforms. She also serves as faculty for the AHIMA CDI Academies and CDIP Exam Preps, and is a technical advisor for AHIMA on CDI publications.


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Jigsaw Puzzles
When your stuck inside, there's nothing better than a Classic Jigsaw to keep your brain puzzled for hours!
Jigsaw Puzzle have been selling quality Jigsaw Puzzles since 1999 and have over 9,000 in stock.
As on-line sales professionals since 1999, and in the games and toys market since 2003, Jigsaw Puzzle invest our skills and knowledge in internet sales and jigsaw puzzles.
We have been mailing 1 529 608 jigsaw puzzles at an unrivalled level of online service for 15 years.


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Quick Links
Hello! My name is Melissa Krzoska, and I am a Special Education Teacher at the Alma Area School. I teach students in grades 7-12 who have either 504 Plans or Individual Education Plans (IEP) in the High School Learning Center. Depending on the specific needs of my students, I teach many different remedial classes, typically working one on one or with small groups, as well as support the regular classroom staff. Getting to know my students in a small group setting is one of the best parts of my job.
The Alma School District and community is near and dear to my heart. I not only teach here, but I also open enroll my children here because I feel it is a wonderful, small school that nurtures all aspects of child development. Because we are such a small school, the staff is able to truly know and connect with each student and their families. I am proud to work along side of other staff members who feel as strongly as I do about quality, well rounded education.
|Contact: Melissa Krzoska


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Whenever a problem arises in Massachusetts, the Democrats who rule that state (the Republican governor, Mitt Romney, is essentially powerless before the 85%-Democratic legislature) have a simple solution: they pass another la against it. Then, the problem solved, they promptly ignore the new law.
It happened on gun control. In 1974, they passed the Bartley-Fox Law, which called for mandatory enhanced penalties for criminals who committed their crimes while possessing a gun. It has't been used in years.
And 16 years ago, the city of Boston solved its crime problem by passing an ordinance requiring that the city have a minimum of 2,500 uniformed police officers on the rolls. Sounds good — but they never bothered to actually HIRE that many.
Currently, there are a little over 2,000 cops in Boston. And the mayor recently announced proudly plans to hire an additional 140 — which will still leave the city over 250 short of compliance.
A group of citizens are fed up with this attitude, and are considering a lawsuit to compel the city to do what it promised to do, and wrote into law. They're running into a problem, though — no attorney wants to take their case.
I predict that the Boston City Council will pass another ordinance announcing that they will fully comply within a few years, perhaps even setting yearly goals until they reach the 2,500 mark. And that will fall by the wayside after one year.
After all, that's the Massachusetts Way. Pass a law, and the problem will just magically go away.


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Financial Sector Reform had been adopted by the Nigerian Government as a part of their economic reform program. Through this reform program the government intended to liberalize the financial sector and to ease the entry into the banking sector.
Financial Sector Reform in Nigeria had been started with the deregulation of the rates of interest. The financial conditions of Nigeria had been fragile and unstable for more than two decades after independence. Lot of complex restrictions were there on the entry into the banking sector and exchange rates were high.
The fiscal deficits were increasing and so was the rate of inflation. So, the government of Nigeria implemented financial reforms in this country.
Reform Process:
Before starting financial liberalization in a large scale the Nigerian government had initiated some programs to restore financial and macroeconomic stability. So, the government made an effort to stabilize the payment balances and restored the proper exchange rates.
The government helped many weak financial organizations to progress and simultaneously, some of the weak institutions were terminated, for they were feeble.
The government introduced indirect monetary instruments and reinforced the prudential bank supervision system. This would help the government to control the financial institutions all over the country. Indirect and market based monetary policy tools had been developed for financial liberalization.
Privatization of the banks owned by the government commenced in 1992. Therefore, government's intervention into the banks had been stopped which helped the banks to improve their efficiency and management policies.
Impact of Financial Reforms:
Through financial reform the Nigerian government was able to control the inflation rate and also reduce the budget deficit to some extent.
Through financial liberalization, the government increased market competition and improved the asset quality.
The banking system was made efficient and simple and economic stability had been achieved somewhat.
Last Updated on : 26th June 2013


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For a romantic date in Barcelona we recommend a restaurant that will take you back in time… Restaurant 7 Portes.
This restaurant has everything, especially a lot of history… In the early to mid 19th century, a powerful catalan businessman, Josep Xifré, commissioned the Porxos d'en Xifré building on Passeig d'Isabel II. When the plans were being drafted, Xifré was very clear that the building should have arcades similar to those of the main squares of Paris and the emblematic Rue de Rivoli. The new building housed Xifré's home and offices, as well as a large, luxury cafe. This establishment had seven doors for the public, and an eighth door for staff and goods. Xifré found a prestigious restaurateur to manage the cafe, and in 1836, Josep Cuyas opened the establishment under the name "Cafe de les 7 Portes".
At a later date, the business was passed to Joan Biscamps, and then to Bertomeu Grau. It was not until 1929 that the chef Morera took over the management of the cafe, and made it into a restaurant. The name was changed to "Restaurant de les 7 Portes"
Impress your date by knowing all the little facts about Restaurant de les 7 Portes. It is among the 120 oldest restaurants in Spain, yes, in all of Spain, being more than 180 years old! Xifré built the buildings on the edge of the Barceloneta neighbourhood and called them the Casas Xifré.
Mister Xifré had made his fortune in Cuba, increasing it in New York. He was an "indiano" (Indiano was the colloquial denomination of the Spanish emigrant in America who returned rich) and his taste and vision of the world are reflected in the design of the once the most modern house in Barcelona. To make it more cosmopolitan, he decided to open the Cafè de les 7 Portes.
Let's go back to the restaurant's history. The first owner was Mister Josep Cuyas, who left the business to one of his servers, Joan Biscamps, who left it to Bertomeu Grau. At the beginning of the XX century, the place became very popular thanks to the board games and other social activities like billiard. It was even a singing Café. Today, we can still read ANTIGUO CAFÈ Y BILLARES (Old Café and billiards).
The store was extended for the International exhibition of 1929, the Morera assumed the direction to make it a gastronomic spot in the city.
The establishment became one of the most popular in the city; and a meeting place for journalists, intellectuals, artists and politicians, among others; were loyal customers until the couple retired.
The restaurant's walls have been witness over the years to many celebrations, great stories, important decisions, intimate moments…. And all kinds of celebrities have sat at its tables. Over fifty Nobel laureates, artists like Picasso, Miró and Dalí, musicians including Placido Domingo, writers, actors such as Robert de Niro and Harrison Ford, directors like Woody Allen, scientists like Alexander Fleming, are just some of the names on this restaurants long list of clients and friends.
It is not easy to maintain the continuity of the emblematic restaurant that is over a hundred years old, but this has been made possible by the ability of its owners to adapt to changes in the different periods. In 2016, Restaurant 7 Portes celebrated its 180th anniversary.
Restaurant 7 Portes is situated in a building of national architectural interest, and has been a privileged spectator and the focus of many historical events in Barcelona. The building was the first in the city to have running water, and was the subject of the first photograph to be taken in Barcelona.
Not only will you have endless things to tell about the building on your date but the nights are always livened up with some live piano music in the background, nothing says romance like a piano!
The emblematic restaurant 7 Portes offers a wide tour through the traditional cuisine. 182 years of history give support to an adult, natural, generous updated cuisine. It is a cuisine based on the products of the country, without resigning the contributions of the international cuisine.
In the menu of 7 Portes you can find their famous specialities of rices and paellas!
We love Barcelona. We love Catalonia. We want you to fall in love with it too!


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Teaching Children to Read : The Teacher Makes the Difference
- Edition: 6th
- Format: Paperback
- Copyright: 04/18/2011
- Publisher: Pearson
- Newer Edition
Note: Not guaranteed to come with supplemental materials (access cards, study guides, lab manuals, CDs, etc.)
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The new 6th edition of the highly popular, market-leadingTeaching Children to Read, 6/eis a must-have resource for pre-service and new teachers alike. It presents a comprehensive, evidence-based approach to reading instruction that reinforces the centrality of the teacherrs"s role in every aspect of teaching and learning. The authors organize each chapter into seven pillars of evidence-based, effective reading instruction: Teacher Knowledge, Assessment, Evidence-Based Instruction Practices, Response to Intervention, Family and Community Connections, and, new to this edition, Motivation and Engagement, and Technology and New Literacies. The book uses color-coding for each of the seven pillars making navigation of each chapter easy and accessible.


text: Beachside Luxury Apartment Accommodation Ettalong's Premier Location with over 30 beautifully appointed apartments in our 5 Star Resort. ★★★★★ Luxury accommodation with either Studio,1-2 bedroom or our Penthouse with ocean views. Resort facilities include Free Wi-Fi (public areas, fees may apply in rooms), outdoor pool and heated spa, gymnasium, day spa, Ettalong Diggers dining facilities and EXPRESS CHECK IN/OUT. Ready to relax? Book Now! Guest's recent reviews We have booked three times at different properties managed by accom holidays and each experience has been AAA++. Smooth booking and check in process. Beautiful properties and a fantastic friendly team! Will be booking our next getaway soon. Fiona – Google We have booked through Accom at Ettalong at least 6 times now, every time the rooms are great and the service friendly and helpful. I cannot thank them enough for the help they have provided and will be using them quite often in the future and recommend them quite often. Jodie – Facebook This place was perfect for our family holiday, walking distance to everything you could need. Mitch – Airbnb HRS Accredited Holiday Rentals Manager Small Business Award Winner Small Business Award Finalist Regional Accredited Member


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2020 Alpina B3 Touring
Alpina is one of BMW's most loyal tuners and the latest 3 Series-based B3 models continue to boast with a unique identity and performance figures that irk any M3 owner. The G20-generation B3 Touring is the 462 horsepower stopgap in a world without an M3 Wagon in it. Our only complaint? That we can't buy this pinstriped grocery-hauler Stateside.
Once upon a time, Alpina and AC Schnitzer were duking it out on the race tracks of the world as BMW's favored privateers teams. Both received support from Munich and decades of on-track rivalry now see both companies - but especially Alpina - put out some of the best modified cars on the market. So good, in fact, that Alpina has been a manufacturer for over three decades - although you'll still find BMW logos on the B3. But Alpina doesn't plan to crash the party of the upcoming M3 Competition either. That's fair play!
2020 Alpina B3 Touring is here to cull your BMW M3 Wagon craving
Lovers of fast wagons, you might want to sit down for this one as the mere sight of it will make your knees weak - the 2020 BMW Alpina B3 Touring is upon us and it is absolutely glorious. Wraps have just come off it at the 2019 Frankfurt Motor Show and it has instantly become one of the coolest BMWs you can buy right now at any price.
Our spies have spotted what appears to be the new BMW X7 testing almost completely covered in camo around the Nurburgring Nordschleife. It is believed this is the hot Alpina XD7 version of the X7 which is going to get a power boost and some styling differences inside and out in the familiar Alpina style.
You may have spotted that it has a "D" in its model designation, so it's going to be a diesel, definitely based on the most powerful oil burner BMW makes, the M50d unit that kept pinning me to my seat during my road test of the M550d - it's a torque monster with plenty of top end too.
The engine will be breathed upon by Alpina to make more power, and the suspension will be altered as well - it will be lowered and stiffened for improved handling and grip will be improved through the use of higher performance tires.
Update 08/05/2019: The 2019 Alpina XD7 was caught testing in the wild yet again, this time bearing a little less camo and some miniscule changes. Check out our spy shots section below to see what's new.
2020 ALPINA B7 xDrive Sedan
Alpina and BMW have a long history. The former has been tuning Bimmers for over five decades and even provides graphic packages, different alloy designs, etc. Realizing the rising demand of Alpina-tuned cars, BMW started selling them through its own dealerships in the U.S. This time, BMW and Alpina have worked on the former's big-face flagship luxury sedan to create an explosive monster known as the 2020 Alpina B7. The 2020 B7 was unveiled earlier this month in Palm Springs and is the sixth-generation luxury model from Alpina.
Check out the 2020 Alpina B7, the World's Fastest Sedan
If you think the new 2020 BMW 7-Series grille is too big, but you still want the car, then why not buy the most powerful and fastest version of it so that people don't have a chance to see your car's monumental nostrils? That version is the reworked 7-Series called the 2020 Alpina B7. It was just revealed last week in Palm Springs and is touted as the world's fastest three-box sedan.
2018 Alpina XD3
Noted BMW tuner Alpina has unveiled its latest creation, the Alpina XD3. The program is based on the BMW X3 crossover, and in true Alpina fashion, it offers all-encompassing upgrades that cover all important bases for Bimmer's popular crossover. The result is a vehicle that can give some of today's more powerful SUVs a serious run for their money.
Alpina Works Over the BMW X3 In All the Right Ways!
As is the case every year, Alpina is headed to the Geneva Motor Show with a fresh tune of a new BMW model. This year, the new X3 gets the honor of the German tuner's time, and once again, Alpina didn't disappoint. This, ladies and gentlemen, is the Alpina XD3. It's a handful in more ways than one, which is typically the case when it's Alpina we're talking about. After all, this is the same tuner that gave us the B4 Biturbo, the B7 xDrive, and most recently, the B6 xDrive Gran Coupe BMW CCA Edition.
2018 BMW Alpina B6 xDrive Gran Coupe BMW CCA Edition
The BMW 6 Series is reportedly on its way out now that BMW appears to be set on bringing back the 8 Series. It's a bittersweet moment for fans of the 6er, especially those who have been loyal fans of the range since it was reintroduced in 2003. Fortunately, certain models of the 6 Series remain popular to this day, including a special version created by recognized BMW tuner Alpina. The model is called the BMA Alpina B6 xDrive Gran Coupe and believe it or not; it's been around for a few years now, receiving yearly updates like any true Bimmer model. This time, BMW and Alpina took it a step further by creating a one-of-a-kind Alpina B6 Gran Coupe, specifically for the BMW Car Club of America.
The model itself carries the obnoxiously long BMW Alpina B6 xDrive Gran Coupe BMW CCA Edition name. Its very existence is owed to the fact that it was built to be the grand prize for an upcoming raffle draw organized by BMW CCA. In keeping with its one-off status, the Alpina B6 BMW CCA Edition carries plenty of exclusive features, not the least of which include bespoke touches on the exterior and interior of the car. It also carries a signature Alpina paint finish, the likes of which we never get to see on any other BMW model. It's a legitimate bespoke Alpina B6, a fitting grand prize for an event that's also raffling off a BMW M2 and a BMW M240i, among other exciting goodies.
Continue after the jump to read the full story.
2017 Alpina B4 S Biturbo
When you line up the number of tuning firms who specialize on BMWs, you'll inevitably come across Alpina, which technically started as an aftermarket company before turning into a manufacturer of its own after years of close ties with BMW. In fact, Alpina and BMW have become partners of sorts since most of the former's models are integrated into the latter's production lines, including the Alpina B7, which rolls from the same facility as the BMW 7 Series. That's how far this relationship has come, and the German Ministry of Transport even recognizes it as such, designating Alpina as an automaker instead of an aftermarket specialist.
History lesson aside, Alpina is headed to the 2017 Geneva Motor Show with a number of its latest creations, one of which is the B4 S Biturbo, an interpretation of the 4 Series according to the specifications of Alpina. Like most models to come out of Alpina, the B4 S Biturbo is technically a 4 Series, and the process by which Alpina uses to create the car isn't too different from what expert BMW tuners like AC Schnitzer do. So while it is technically an automaker, Alpina's methods are still closer to AC Schnitzer than it is to BMW, hence the approach we've taken here.
The car itself is what you'd come to expect from Alpina. Like the B7 before it, the B4 S Biturbo is loaded with upgrades on all sections of the car, right down to the aerodynamic body kit and the engine upgrade that puts the B4 S Turbo's power right up there with the BMW M4.
All told, the B4 S Biturbo is a car that's worth our attention, not only because it's an Alpina-badged model that's based on the BMW 4 Series, but more importantly, because it checks off a lot of boxes on what we'd like to see the aftermarket world do to the 4 Series in the first place.
Continue after the jump to read more about the Alpina B4 S Biturbo.
2018 Alpina B5
BMW just released the new, seventh-generation 5 Series, a.k.a. the G30, and with its arrival comes the expectation of a new Alpina B5. Essentially a BMW-approved tuner-special variant of the stock Bavarian mid-size luxury sedan, the new B5 is a viable alternative to the inevitable M-badged 5 Series, offering sleek, subtle styling enhancements, a classy, uber-comfortable cabin packed with technology, and a heady dose of turbocharged adrenaline under the hood.
It's an intoxicating combination if you want more excitement from the 5 Series, but don't want to go with the standard issue M5, or a hodgepodge of parts thrown together by any old speed shop. Alpina stands apart as a badge laden with OEM quality and high-end performance, and for the past 50 years or so, the company has been putting together race cars and street cars that take BMW's best to new heights.
Unfortunately, it's rare to find Alpina's offerings here in the states, which makes the recently spied B5 test mule pictured here a forbidden fruit. Regardless, spotting the new B5 in its native habitat incites a little speculation on our part. Read on for our predictions as to what it'll offer.
Continue reading to learn more about the Alpina B5.
2017 BMW Alpina B7 xDrive
In the world of performance, sport, and luxury, cars are always changing, with facelifts, redesigns, and new models debuting all the time. Today, it's the all new, 2017 BMW Alpina B7 xDrive – the third generation Alpina based off of the BMW 7 Series. As with all Alpina models, it brings things like luxury, performance, and comfort together in one package.
The new B7 adds to the good looks of the 7 Series with more aerodynamic qualities in the front and rear and brings a new generation, 4.4-liter, twin-turbo V-8 that is sure to pack plenty of horsepower and torque. In addition to those goodies, add in the all-wheel drive system, adjustable suspension, and numerous driving modes, and you have luxurious performance at its finest. That's what is so great about Alpina. It takes all the good from standard BMW models, and in turn, makes the car that much better. Who can really argue with that?
The new Alpina B7 xDrive is scheduled to hit dealerships in September of this year, but BMW of North America has already released detailed information and a plethora of pictures to go along with it. So, now that the beans have been spilled, let's dive in and take a look at the new Alpina xDrive.
Updated 03/22/2016: BMW announced that the all-new Alpina B7 xDrive will be making its North American debut at the 2016 New York Auto Show and will arrive in U.S. showrooms in September 2016. Prices will be announced at a later date.
Continue reading to learn more about the BMW Alpina B7 xDrive.
It's easy to look at any Alpina model and say "That's just a tuned up BMW." In one way, you're right – Vehicles like the Alpina B5 are built on the same chassis as the BMW 5 Series, but there is a lot more to an Alpina than the DNA it shares with its BMW counterpart.
Alpina cars start off being built by BMW, but while BMW is putting together the chassis and body, Alpina is at work hand-building engines. Once BMW receives the hand-built powerplants, they are installed, and the cars are shipped back to Alpina to be completed. In all, each Alpina is equally built by both BMW and Alpina, which is why Alpina is considered a car manufacturer instead of just another tuning firm.
Now that we've made our way into the 2016 model year, Alpina has released its newest B5 Biturbo. It comes in two trims – Saloon, which is a four-door sedan, and Touring, which is a wagon. As the company puts it, the Alpina drive experience is unique, best characterized by "effortlessness and powerful confidence." If you've ever gotten the chance to sit behind the wheel of one, you would probably agree. Even if you haven't, keep reading to find out more about the 2016 Alpina B5.
Continue reading to learn more about the 2016 BMW Alpina B5 Biturbo.
Alpina takes BMWs and transforms them into very a specific type of automobile. Comfortable but effortlessly fast. Cossetting but sporty. Discreet but instantly recognizable by connoisseurs. They even put an automatic transmission in a 2000-2003 BMW Z8 for god's sake. Now the company could be looking to apply its unique formula to BMW's hybrid models.
"Hybrid technology is advancing quickly. We're now seeing what I'd call 'second-generation' hybrids and EVs, like the BMW i8, and it's becoming more interesting," Alpina CEO Andy Bovensiepen told Autocar at the company's recent 50th anniversary celebration.
Bovensiepen went on to emphasize that performance and daily drivability are still priorities for the company, but that previous concerns about hybrid technology have been all but eliminated. Previous concerns dealt mainly with battery life. Alpina's are known as long-distance grand tourers, so a flat battery at the end of a 200-mile drive was unacceptable.
Once the decision is made to build a hybrid Alpina, things could start moving very quickly. "If we have a good technical base of a car from BMW and we also see the sales figures taking off, then we could have a car ready within two years," said Bovensiepen. He also emphasized that Alpina would continue improving its lineup of six- and eight-cylinder gasoline and six-cylinder diesel engines.
Note: Future Alpina B7 rendering pictured here.
Continue reading for the full story.
German-based car manufacturer Alpina has been making fast Bimmers since the 60s. It takes some of the best that BMW can offer and turns out performance-oriented, tuned-up vehicles laden with go-faster parts and extra luxury. Ctizens of the U.S., however, have had few opportunities for ownership.
It appears as though that's gradually starting to change. The B6 xDrive Gran Coupe is Alpina's take on the 6 Series Gran Coupe, BMW's four-door styled as a two-door. This AWD rocket was first seen on American soil last year at the 2014 New York Auto Show, joining the 7 Series-based B7 for Alpina's two American offerings.
Designated as an exclusive, special-order, limited-production vehicle, the B6 costs a small fortune, but comes with new features and exterior distinctions, not to mention a healthy amount of extra power.
It's an alternative to an M car, with everything you'd expect from BMW, plus a little more. But is it worth the price?
Click past the jump to read more about the 2016 BMW Alpina B6 xDrive Gran Coupe.
The Alpina-BMW love affair goes back all the way to 1965, when the small Bavarian company began tuning carburetors and cylinder heads in a typewriter factory. Yes, that's right, Alpina started as an office machinery company. The small venture began making a name for itself in the early 1970s by building a few BMWs that went on to win prestigious racing events and series such as the European Touring Car Championship, the German Hillclimb Championship and the Spa 24 Hours race.
More than forty years have passed since its 2800CS wowed the crowds, and Alpina established itself as a semi-official tuner whose creations can be found in between the stock BMW and the more potent vehicles delivered by the M Performance division. Well, sort of, but we'll get back on that later in this review.
Moving on, Alpina's latest creation, which is set to make it first public appearance on American soil at the 2014 New York Auto Show, is the 2015 B6 xDrive Gran Coupe — a more powerful and exclusive version of the BMW 650i Gran Coupe.
The all-wheel-drive performance sedan will become the second Alpina model to go on sale in the United States, where it will be joining the larger, 7 Series-based B7.
Click past the jump to read more about the 2015 BMW Alpina B6 xDrive Gran Coupe.
Alpina announced its first D3 program back in 2005 and the 2013 Frankfurt Motor Show brings the next logical and consistent step: the new D3 Bi-Turbo. During its short history, the D3 was sold in more than 2,000 units, making it the best sold Alpina to date.
The new D3 is based on the BMW 335i sedan and station wagon, and updates the model to outstanding performance numbers. On top of the awesome performance numbers, the D3 is also rather easy on fuel, making it the perfect combination.
As with any other Alpina model, updates on the exterior and the interior are kept to a minimum, as the tuner focuses most of its job under the hood. There is a highly update engine and transmission, refined chassis, upgraded suspension and brakes, and a new, optional all-wheel-drive system.
Updated 10/11/2013: Alpina unveiled a new video (above) in which it explains the technological features behind the new D3 Biturbo. Enjoy!
Click past the jump to read more about the Alpina D3 Bi-Turbo.
One of the biggest surprises on the German public roads this week was an Alpina version of the 2014 6-Series GranCoupe. As you can see, the model is wearing camouflage only in the parts rumored to be updated, because as usual, Alpina is preparing the biggest updates under the hood.
As you can see from these spy shots, Alpina will use a 650i version for its project. While in the standard version the 4.4-liter V-8 engine delivers a total of 450 horsepower, Alpina is rumored to add at least an extra 100 horsepower. We expect this extra power to significantly improve the car's current 0 to 60 mph sprint time of 4.6 seconds.
Next to the engine upgrades, Alpina will also offer a few styling changes, an updated interior and.a new set of wheels, of course.
Expect the new BMW 6-Series Gran Coupe by Alpina to be unveiled in September at the 2013 Frankfurt Motor Show.
Hit the jump to read more about the BMW 6-Series GranCoupe by Alpina.
The Audi SQ5 may not have a direct competitor from BMW, but Alpina has unveiled the XD3 Biturbo - a tuning kit that seems to be a direct response to Audi's model - at the 2013 Geneva Motor Show.
The XD3 is based on the 3-liter straight-six-cylinder version of the X3 and, with significant updates made under the hood, it adds plenty of extra horsepower to the engine's standard output. The engine is coupled to a new eight-speed automatic transmission and numerous other updates have also been made to the SUV's chassis.
Along with upgrading the engine's characteristics, Alpina engineers also built an aerodynamic kit that includes a new front spoiler with integrated air intakes. On the rear, Alpina adds new elliptical double-ended tailpipes integrated into an Alpina-designed rear valance.
Hit the jump to read more about the Alpina XD3 Biturbo and find out if it really does offer any competition to the SQ5.
The official debut of the new generation BMW M3 is still months away, but at the 2013 Geneva Motor Show, Alpina came with the proof that even the base version can be upgraded to something cool. Its new Alpina B3 Bi-Turbo tuning kit, based on the F30 335i sedan delivers pretty much the same output as the M3 and performance figures even more striking. Also, Alpina is offering an optional all-wheel-drive system that adds even more traction and active safety in every and any driving situation.
Next to the power upgrades, the new B3 Biturbo received an aerodynamic kit that transforms it into a real eye catcher. Alpina is also offering a nice list of standard equipments, that will transform your B3 into a model better than a standard M3.
Updated 03/06/2013: This review has been updated with the official details, images and specs.
Hit the jump to read more about the new BMW Alpina B3 Biturbo.
With the launch of the new BMW 3-Series, a slew of tuning variations inevitably followed. Not ones to be left out of the tuning game, Alpina, BMW's close-knit performance automaker, is preparing the future Alpina B3 Bi-Turbo based off the 335i Saloon. This new model was recently spotted in Southern Europe doing some hot weather testing, revealing some if its new garbs.
The B3 saloon isn't getting a whole new makeover because, well, if it isn't broke, then don't fix it. That being said, it will feature a new lip spoiler, modifications to the lower section of the front bumper, a small boot spoiler, bespoke alloy wheel designs, and a new quad exhaust system. Power will come from a revised version of the current model's twin-turbo 3.0L straight-six engine that will push out a total of 400 HP and 400 lb-ft of torque instead of the current 360 HP and 369 lb-ft of torque. This is much more in line with the power output we had originally anticipated with the current generation, but never received.
With the B3's vigorous torque ability from 1,500 rpm onwards to 7,000 rpm, a diesel variant may also be in the works, but won't be available until at least late 2013. Touring, Coupe, and Convertible version will also follow in the next couple of years. All models will be offered with RWD as standard, while most of them will also have an AWD option.
According to AutoCar, the new Alpina B3 Bi-Turbo will be launched at the 2013 Geneva Motor Show in March, but other sources are stating that we may see it even earlier than that, at the 2012 Paris Auto Show.


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(Via Trendhunter)
"The Victoria's Secret website crashed after rumors of Super Bowl commercials promoting the website began circulating. The TV spot officially kicks off on February 3rd and will feature model, Adriana Lima.
In the commercials, the 26-year old Brazilian beauty helped kick off the "What Is Sexy?" list, the lingerie company's Valentines branding promos of which Lima is also a host".


text: Let's Talk Gender Identity Let's talk Gender Identity is an exciting programme which uses creativity to help young people aged between 12-24 explore and understand gender identity & sexual orientation and how it relates to themselves and the world around them. Based in the North West, this programme is facilitated by The Rainbow Project and will include informative workshops, art projects, fun activities and an adventure day trip! Participants will have the opportunity to develop good relations, meet new people, make new friends, create a personal and unique creative piece which will be on display to friends and family at the final showcase...and have a lot of fun! So if you are a young person, or someone who works with young people and would like to find out more, please contact Paul on [email protected] or call (028) 71283030. You can also find us on social media: @talkgender letstalkgenderidentity Lets Talk Gender Identity is a project supported by the European Union's PEACE IV Programme, managed by the Special EU Programmes Body (SEUPB). Award: £47,000. For more information, please go to www.seupb.eu.


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Exotic Pets You Didn't Know You Can Own
So you're looking to adopt a new pet. You go to your local pet shop and peruse the fish section, browse the budgie enclosures, skim through the mice cages, and flip through your local classifieds for puppies to no avail. Maybe you're allergic to cats and dogs, but still want a larger pet. Perhaps you're just looking for something a little more unique than your average household pet. Whatever the reason, there are plenty of interesting exotic pets that you may not have known that you can own. Whichever you choose to adopt, always make sure to check your local laws and regulations. Some states and counties have rules or outright bans on owning certain exotic pets.
Who didn't dream of having a pet kangaroo as a kid? While not quite as big as their cousins, wallabies are undeniably adorable. So, if you have a yard with a tall fence and time to spare, you might be able to hop over to your local exotic pets breeder.
Basic Information
There are many different types of wallabies, but the kind most commonly kept as pets are Bennetts wallabies. Typically, these marsupials grow to 2.5-3 feet tall, live for about 12 years, and weigh between 30 and 60 pounds. Keep in mind that these are not domesticated animals, cannot be house-broken, and are expensive to keep for some.
Although not truly tamable, wallabies are known for being affectionate and social. However, not every wallaby is the same and some may be anxious or less docile. When bottle fed and "pouch" raised from a young age, they can create lasting bonds with their owners.
If you live in a warm climate, your wallaby can stay outdoors year round. They can also thrive in cool environments, but will need an extra heat source if the temperature drops below 50 degrees Fahrenheit. In cold temperatures, wallabies can be housed indoors in a spare room or cordoned off area. Their enclosure should be at least 6 feet wide and 6 feet long with a tall fence. If housed outdoors, make sure that none of the plants in your pet's enclosure are toxic or sprayed with pesticides
Usually, wallabies eat a diet consisting of grass and little else. To keep your pet healthy, offer an unlimited supply of chemical free sweet grass or timothy hay and water. You can supplement their diet with wallaby pellets (purchase online), fruits like grapes and apples, and recommended vitamins.
To keep your wallaby healthy, you should take it to the vet annually, or any time you notice issues. Unfortunately, it is common for them to get parasites such as round worms. To avoid this, take a stool sample to your exotic animal vet each visit. Another common health issue is a deficiency in Vitamin E and selenium- supplement their food with approved vitamins to prevent this.
Weighing in at a whopping 108 pounds on average, capybaras are the largest rodents on planet earth. If you have lots of time, space and patience to spare, a capybara may be the perfect exotic pet for you! These semi-aquatic rodents resemble a mix between a pig and a guinea pig, standing two feet tall with a max weight of 170 pounds.
Basic Info
Capybaras are large animals, comparable in size to a Labrador dog, meaning that they need lots of space. Similar to the aforementioned wallaby, these creatures require plenty of room for their enclosure.
Capybaras are social animals used to spending all of their time with others of the same species. Due to this, seekers of exotic pets should avoid adopting only one capybara. However, housing two male capybaras together can be problematic as they tend to fight. When hand raised from babies, these animals can become very docile and love spending time with their human family.
Considering the fact that you need to adopt at least two, your capybaras' enclosure should have plenty of space for them to move around in, at least 12 feet by 20 feet. The most important thing is that your pets have a body of water to swim in that is 3 feet deep or more, as well as shady areas to retreat to. Capybaras have very dry skin that needs constant hydration, so they tend to spend a lot of time in water. Fairly resilient animals, they can live outside most of the time, however in temperatures under 45 degrees Fahrenheit they may need special heating and lighting.
The main staple of your capybara's diet should be grass hay offered in unlimited piles. To give them a more natural experience, you can spread the piles out, simulating grazing as they would in the wild. To supplement the grass hay, your pet should be fed guinea pig pellets containing vitamin D, as well.
Aside from their vitamin D deficiency, capybaras are usually fairly hardy animals. Similarly to other rodents, capybaras are at higher risk for experiencing respiratory infections. Additionally, they may become infected with mites or lice in their fur easily if living in unsanitary conditions.
Pygmy Goats
Goats are cute, but miniature goats? Even cuter. As long as you have a fenced-in yard, you're nearly set for your fuzzy friend!
Basic Info
Standing at about 2 feet tall and weighing around 75 pounds, these stocky, compact goats are full of personality. While each animal has a distinct, individual personality, they are usually playful, aloof, and friendly overall.
While comparable to dogs, the personality of pygmy goats isn't quite as openly affectionate as their canine pals. They can learn their names, come when called, and may lovingly headbutt you from time to time, but they do not enjoy cuddling much. These exotic pets are social creatures, and require the company of another animal to be happy. It is recommended that you get another goat, donkey, pony, or another comparable animal.
Before you get your heart set on a pygmy goat, check out your local livestock laws- some areas don't allow livestock to be kept in suburban backyards. If no regulations exist for your region, all that you need to house your pygmy goat is a large, dog-house-like structure with a ledge inside for the goat to sleep on. These animals hate the rain, and need a shelter to avoid getting wet.
Grass, grass hay, and blackberry bushes are favorites among pygmy goats. To supplement these, most owners give some sweet grain, bread, carrots, or apples as treats. Fresh water should always be available.
Pygmy goats require regular care, including hoof trimming every 4-6 weeks. Additionally, they require vaccinations, regular checkups, and regular deworming. Debudding (horn removal) and castration should be performed when the goat is very young to minimize the traumatic experience.
When you picture a skunk, you probably imagine a cartoonish, smelly creature that everyone avoids. Conversely, the reality of keeping skunks as exotic pets is that they are usually surgically de-scented, smart, and playful.
Basic Info
These mammals can live for up to 10 years, and are usually full grown at 15-35 inches long. When kept as pets, skunks often have their musk and scent glands removed at a very young age so that they cannot spray you.
Skunks are a good pet for an advanced animal keeper, as they do require a lot of care. Undoubtedly, this is largely due to their stubborn nature that labels them at high-maintenance pets. Fortunately, the pros outweigh the cons for many people and their loving, entertaining, friendly personality tends to win everyone over.
You should keep your skunk indoors as its main defense (its spray) has been removed. Indoors, a very large dog kennel can work to contain your pet while you're out of the house, however when you're able to supervise them they should be allowed to roam free though your house. Outdoors, you should have a 6 by 6 foot pen with a 3 foot fence and a small shelter attached. Potty training can be achieved, however it may be very difficult in the beginning.
You have a few options when it comes to feeding these exotic pets- you can purchase a commercial food mix online, or feed them a diet of 60-70% animal protein and 30-40% fresh or thawed frozen vegetables. Every once in a while, you should also give your skunk a few nuts, cooked grain, yogurt, or a bit of dog food. It is okay for them to eat fruit as a treat, though it should not be given daily. Additionally, you should make sure that your pet has access to clean water at all times.
Similarly to cats and dogs, skunks require vaccines against common feline and canine diseases, need to be dewormed, and must be spayed or neutered at a young age. Before adopting your new pet, make sure that there is a vet in the area that will treat them.
Emperor Scorpion
While not for the faint of heart, scorpions are incredibly interesting exotic pets. These creepy crawlies are perfect for those who have smaller spaces but still want something to take care of.
Basic Info
Quiet, clean, and easy to take care of, scorpions are increasingly popular pets. Although not exactly cute or cuddly pets, these nocturnal arachnids are low maintenance and impressive to look at. Their lifespan is generally 6-8 years, and their length is approximately 6 inches long. Emperor scorpions are known for being the most docile scorpions, however it is not recommended that you handle them as they may sting or pinch you. A sting from an emperor scorpion can be compared to a bee sting and is not venomous, although it is possible to go into anaphylactic shock if you are allergic to them.
With the lowest habitat requirements out of this exotic pets list, emperor scorpions require a 10 gallon tank with 3-6 inches of substrate, a few hides and stones, a heat mat, a shallow water dish, and to be misted daily. Your scorpion may move some of the decor around with their claws, but you should avoid putting them back into their original pace as it may stress out your pet.
Scorpions are cheap and easy to feed, needing only 3-6 adult crickets dusted in calcium per week. You may feed them by dropping the cricket(s) into their tank every other night and letting them hunt their prey on their own.
Argentine Tegus
Have you ever wanted a dragon as a pet? Argentine black and white tegus are about as close as you can get.
Basic Info
Measuring up to 4 feet long, tegus are the gentle giants of the lizard world. The females of this species are usually a little bit smaller than their male counterparts, and they can both live for up to 15 years.
When handled regularly from a young age, these massive reptiles can be very comfortable with people. Tegus are not particularly active animals, and will probably spend most of their time laying in their a hide of some sort, although they do like to dig and burrow from time to time.
Adult tegus require a lot of space, and their enclosure should be at least 6 feet wide, 3 feet deep, and 2 feet high. Due to their burrowing habits, give your tegu a few inches of orchid, cypress, or eucalyptus bark to dig in. Additionally, you should provide a large hide filled with slightly damp sphagnum moss to aid in shedding. Your pet also has specific lighting and heating needs. You will need a UVA/UVB bulb for light, as well as a basking spot measuring between 100 and 110 degrees Fahrenheit.
Adult tegus should be fed pre-killed or frozen mice along with fruit and veggies. Be cautious if you are feeding them mice with fur, as it can cause intestinal blockages. Provide a large, shallow dish of water for your pet. This dish should be large enough for the tegu to soak in.
Common tegu health issues include parasitic infections, calcium and phosphorus deficiencies, bone diseases, and respiratory infections. To avoid these, feed your animal a proper diet and keep their enclosure clean, warm, and at the proper humidity level (60%-80%). Some vets will not treat tegus, so make sure that you have access to one that will prior to buying your pet.
Fennec Foxes
Although fairly uncommon, fennec foxes make for some beautiful exotic pets. While not fully domesticated, their behavior is similar to a dog's.
Basic Info
These fast, smart, social creatures can make great pets for intermediate exotic pet handlers. They do require lots of attention, so you should not get a fennec fox if you don't much time to dedicate to its care. They generally weigh between 2 and 3.5 pounds when fully grown, and live for up to 14 years.
These little foxes are very social creatures, often living in colonies of up to 10 others in the wild. Although they're nocturnal, they tend to partially adapt to their owner's schedule. If raised around humans from a young age, fennec foxes may have a personality similar to a dog's- they can be leash trained, potty trained, and taught their names.
These exotic pets are very active animals known for their mischief and digging. Therefore, any outdoor enclosures must prevent them from climbing over or under the fence. If motivated, they can dig as deep as 20 feet. They also require warm temperatures higher than 68 degrees Fahrenheit. While you're out of the house, place your pet in a dog crate to prevent them from getting into trouble. Keep in mind, fennec foxes have a musky smell when startled and a high pitched bark that may irritate some.
Fennec foxes are omnivorous, meaning that they eat both plants and animals. Usually, owners feed them with a mix of dog food, cat food, fruits and veggies. Another option is to feed them a mix of raw meat, vegetables, and vitamins.
Fennec foxes require preventative care very similar to dogs, such as vaccines for rabies, parvovirus, canine distemper virus, and adenovirus. They should also be dewormed, given preventative heartworm meds, and preventative flea medications. As with any exotic pet, make sure there is a local vet that will service that animal.
Important Points to Remember
While taking a pet dog or cat for a vet checkup may cost you $50-$100, taking an exotic pet to a vet who handles that species can be a lot more costly. Because of this, thoroughly research any care costs associated with your new pet. Also, save some money in an emergency fund in case an unexpected injury or illness hits.
In addition to vet costs, make sure you factor in day-to-day upkeep for your exotic pet. What kind of vitamins, supplements, food, treats, supplies, and toys will your animal need? Do you have the money to provide your pet with everything it needs? Money aside, do you know where to purchase these items? How much of your day will you need to dedicate to caring for your pet and maintaining it's enclosure?
Another point to consider is the fit of the pet. If you have young children, a difficult-to-tame species that has the potential to nibble on or knock over tots may not be a good idea. Similarly, if you live in an apartment you may consider something smaller, like a scorpion, to fit your living situation.
Whichever exotic pet you decide to adopt, you should always be one hundred percent sure that you can meet all of their care, food, and housing requirements. Do your research, find a pet that fits into your life, and bring your new best friend home!


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Zune Got Served
[Warning: this post is somewhat technical and highly geeky. Continue reading at your own risk.]
Everyone by now has read the Chicago Sun-Times article slamming Zune. I second what Cali Lewis said today on GeekBrief Tv, "I'm not a Microsoft hater; I'm longing for the release of Windows Vista."
I use Windows XP myself, I have an XBox360, and I admit that I got more than a little excited when someone teased me with the idea that Microsoft was working with Mozilla on an open-source OS.
There's no truth to that rumor, as far as I know, FYI. Shucks!
That said, I'm not going to buy a Zune, nor do I want to. It's just too restrictive with all the copyright stuff built into it. There is, however, something Microsoft recently released that is worth some praise. And in light of all their latest slams, I've decided to talk about it.
Internet Explorer 7.
Now, the Firefox nut in me wanted to discard this browser immediately, but IE7 really does have some kick butt features that even Firefox could benefit from including.
For instance, the built-in RSS aggregator in IE7 is more well placed than Firefox's in 2.0, and IE7's zoom feature and "tab lists" give the user easy interface and accessibility not possible without add-ons in Firefox.
In my book, Firefox did their own browser a discredit by including the "aging tab" feature in version 2.0 . It just wasn't necessary and frankly, the "colorful tabs" add-on in 1.5 was much better anyways.
The developments Microsoft made/allowed with Google are also pretty awesome, especially the Google toolbar feature that allows you to Sync all your Google Bookmarks across browsers.
"Yes," some of you will say, "but Firefox has that add-ons too."
This is true, but the button built into the toolbar is far more efficient that the add-on for Firefox that puts it next to the Help button. The Firefox version uses too much RAM, something in short supply if you keep a million tabs open, like I do.
Overall, IE7 is faster than Firefox, and arguably just as safe with its new Phishing-filter and pop-up blocker.
The drawbacks of IE7 are apparent though, most blatantly, by the lack of add-ons on the Microsoft website. Whole sections are bare. I forget who wrote it, but it's true that Firefox has become popular for the same reason as Honda Civics. They are infinitely customizable to the individual.
So while Firefox may still be my top browser of choice, Microsoft is still doing an amazing job on some of their products, with great promise of improving. They just need a little more Web 2.0 luv to get up to par.
Andrew Venegas , San Jose , SJSU , Soapbox Prophet ,Tech , Firefox , Zune ,IE7 ,Cali Lewis ,GeekBrief ,vlog ,


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Air France will deploy a new Embraer E-190 aircraft on its Cork-Paris service, increasing capacity on the route by almost 25%.
The airline launched daily flights to Charles de Gaulle in May. Initially a seasonal service, it was later extended to year-round.
From October 28, the newly deployed Embraer aircraft will extend capacity on the route by 336 seats a week, up 24%.
Benedicte Duval, general manager Air France KLM UK and Ireland, said: "We are delighted to be in a position to increase capacity by 24% on the Cork to Paris route just a few months after launching in the region.
"The positive performance to date is testament to the economic recovery in southern Ireland and the investment Air France-KLM is making in this region.
"The extra capacity will offer our Irish customers more choice and connectivity, further facilitating growth in both the inbound and outbound markets."
Outbound flights will depart Charles de Gaulle at 1520 arriving Cork 1615; returns will depart Cork at 1655 arriving Paris 1945.
Return economy fares start from €129.
Niall MacCarthy, managing director Cork airport, added: "The deployment of a new Embraer E-190 aircraft, resulting in increased capacity on the Cork-Paris route this winter, is testament to Air France's confidence in the route and the support it has enjoyed in the past six months.
"France is one of the leading markets for tourism to the island of Ireland. The expansion by Air France will make it even easier for French visitors to travel to the south of Ireland and explore all that the Wild Atlantic Way and Ireland's Ancient East has to offer.
"It also benefits Irish passengers travelling to Paris and onwards across the globe via Air France's hub at Paris-Charles de Gaulle."


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Fashionistas don't have to be a certain age – playing dress up starts young! Look at your kids as little people who have their own likes and dislikes and even their own style – be it fashion or otherwise.
- Gauri & Nainika
Lovely gowns and pretty dresses are always a girl's favourite. Treat your daughter to her very own Gauri & Nainika ensemble.
- My Little J by AKJ
A modest collection dedicated to boys – includes shirts, kurtas and much more.
3. Kidology
This brand incorporates western, Indian as well as fusion inspirations and caters to both boys and girls.
- Kukoon
Your go to for everything cape!
5. Milk Teeth
Perfect collection of casual wear for both boys and girls!
- Mommy A-Z
A collection of casual summer dresses for girls!
- Gaurav Gupta


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467 S SPALDING DR, BEVERLY HILLS, California 90212(Sold At) $3,212,000
Property Details
Property Description
Negotiated $138,000 off the asking price!
Exquisite traditional home in Beverly Hills, situated on a wide, almost 9000 sq ft lot. Possibilities are endless. Either move right into this 3+3 as a starter residence or develop/remodel it into your dream home. The home is filled with classic details, gleaming hardwood floors, lg bedrooms, beautiful formal living room; dining room and family room with full walk-in bar. Kitchen loaded with lots of counter space, storage, and Sub Zero fridge. The oversized laundry room has SxS washer and dryer. The Master Suite offers a large bathroom with sunken Roman Tub, tons of closet space, and picturesque windows overlooking the backyard. The rear outdoor space is a magical garden. There is room for a small pool and has a generous grassy yard with mature landscaping, certain to delight. Located minutes from the best shopping, dining and entertainment of Downtown Beverly Hills and all new Century City.
Property Type Single Family
Property Status: ACTIVE/SOLD
Property Features Garage
467 S SPALDING DR, BEVERLY HILLS, California 90212
Interested In This Property?
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Detoxifying Activated Charcoal & Kaolin clay, soothing Himalayan Cedarwood, uplifting Rosemary & Frankincense
No 21 is good for face to foot skin protection & nourishment, it moisturizes as clay balances & draws out toxins
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Email Address


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Board meetings are the second Monday of each month.
If you have something you would like to discuss with the Board, please contact our Board President to arrange a time.
Executive Committee
Board President – Gina Witz – Stonewear Art
Vice President – Vince Gipson – Olympic Onion Farm
Treasurer – Robin Reese – Sequim Tax Service
Secretary – Patti Bostwick — Blue Mountain Baking Co
Board Members
Karl Ayres – DEKA Uniquities
Libby Ballard – Bountiful Pleasures UpCycled Clothing
Susan Zarit – Zarit Glassworks
Jill Varvell – Real Estate Broker – BrokersGroup Real Estate Professionals
Ilene Lowry – Sequim Farmers Market Goodwill Ambassador
Board Advisors
Mike Ballard – Bountiful Pleasures UpCycled Clothing
Jake Bostwick — Blue Mountain Baking Co
Market Manager
Market Manager
Email: firstname.lastname@example.com
Program Coordinator – Elli Rose
Email: firstname.lastname@example.com


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N.D.D.H. Pathology provides a complex, specialist diagnostic service and we pride ourselves on compliance with a number of organisations which we must achieve and maintain standards both in the way our services are run and the technical quality assurance of the results and reports we issue. Below is a description of some of the things we do to ensure we provide a quality diagnostic service to users.
External Assessments
(i) ISO 15189 Accreditation by the United Kingdom Accreditation Service (UKAS)
The Pathology Service at the North Devon District Hospital has been granted accreditation by UKAS to ISO 15189, 'Medical Laboratories – Requirements for Quality and Competence.'
Our schedule of accredited tests can be found on the UKAS website. Enter our UKAS number (9100) into the search box to access the schedule. However, this schedule should be viewed in tandem with the list of non-accredited tests, below.
With UKAS accreditation, individual laboratory tests are accredited, rather than the overall laboratory service. As a result of this and due to continuing quality improvements in Pathology, where equipment and tests methods are changed for example, there are some tests that are waiting for assessment by UKAS. See below for a list of the tests that are currently not accredited (waiting for assessment).
Unaccredited Pathology Tests (Last updated 23/01/20)
Biochemistry –
- Blood Gas tests (including glucose, lactate and electrolytes) done on blood gas analysers in Ladywell, ICU, A/E and SCBU.
- Blood Gas glucose level (reported as POC Glucose).
- Anion gap test
Haematology & Blood Transfusion –
- All Blood Transfusion tests#1
- Blood film analysis – new staining machine – awaiting results from the October 2019 assessment
- ESR test
#1 Blood Transfusion tests are not currently accredited to ISO 15189. In October 2019 UKAS assessors visited the lab and were satisfied that the Blood Transfusion laboratory was providing a safe service to patients but also that improvements to documentation and record completion were required and we are currently working on these quality improvement actions. We are expecting to be accredited for Blood Transfusion tests by summer 2020.
Microbiology –
- Covid-19
- Trichomonas Vaginalis*+
- MRSA (rapid turnaround tests only) from orthopaedic patients being admitted to Tarka (MRSA free) Ward
- Flu A, Flu B and RSV tests done in A/E (seasonal activity)
Cellular Pathology – p40 antibody stain*, Myoglobin antibody stain*, Phloxine Tatrazine special stain*.
*These tests are not in our scope of accredited tests and there are no plans to include them in the future.
+ There is no internal quality control available for this test and it is not included in an EQA scheme, however it is part of the laboratory's Internal Quality Assurance programme.
(ii) The Medicines and Healthcare products Regulatory Agency (MHRA)
The N.D.D.H. Blood Transfusion Laboratory was last inspected by the MHRA in October 2019. The inspector was satisfied that the Blood Transfusion laboratory was providing a safe service to patients but also identified a number of quality improvements around documentation and record completion that we are currently working on. The MHRA will revisit in the late summer/autumn of 2020 to review the progress we have made with these improvements.
The MHRA is responsible for regulating and assessing and hospital blood banks and the transfusion laboratories in which they are situated. Statutory Instrument 2005 No. 50 and its Amendment (SI 2005/2898) about blood safety and quality became effective from 8 November 2005.
The Regulations set the standards of quality and safety for the collection, testing, processing, storage and distribution of human blood and blood components. The Regulations do not require routine inspection of blood banks. However, inspections of blood banks "for cause" may be carried out by the MHRA. Blood banks or blood establishments that are operating as blood banks are required to submit an annual return to the department setting out how they comply with the requirements of the Regulations.
(iii) The Human Tissue Authority (HTA)
The HTA last inspected the N.D.D.H. Mortuary and associated Cellular Pathology services in February 2020, and these departments are currently licensed for the activities for which they undertake. As a result of the inspection in February 2020 we are working on addressing the few deficiencies that were noted in the inspection report. The HTA report for North Devon District hospital can be accessed here by searching for our licence number (12401) in the search box.
HTA inspections are conducted based on the findings from an annual, desk based assessment and any other relevant information. The focus during a site visit inspection is on reviewing operational policies and procedures, inspection of premises, scrutiny of practices which involves review of documentation, and in some cases interviews with a range of staff at the establishment.
|Quality Related Policies and Information
|Pathology Quality Policy
|Protection of Personal Information
Quality Control
Internal Quality Control (IQC): All tests performed in our labs are regularly checked against IQC material of known values. This allows us to ensure that the accuracy, precision and quality of results is maintained 24/7, as we only report patient results if the IQC values are within acceptable ranges.
External Quality Control: Samples are regularly received from external quality assurance schemes, analysed in our labs and the results are returned for marking against known values and comparison with other laboratories. One such organisation which provides this service is UK NEQAS.
Since 1969 the United Kingdom National External Quality Assessment Service (UK NEQAS) has been providing a comprehensive world-wide service that enables laboratories to fulfil quality goals and facilitate optimal patient care. UK NEQAS comprises a network of 144 testing schemes operating from 24 centres based at major hospitals, research institutions and universities throughout the UK. The services cover qualitative and interpretative investigations in andrology, cellular pathology, clinical chemistry, genetics, haematology, immunology and microbiology. Each is directed by experts in their field, with support and advice from Steering Committees.
Internal Audit
There is a system of regular reviews of quality through scheduled audits. All grades of pathology staff are encouraed to participate in the audit process, which usually involes examining all the stages of processing a patients specimen – from start to finish, as well Quality Management System specific audits such as document control compliance and equipment records for example.
Non-compliances found as a result of the audit process are investigated and the responsibility for remedial action determined. Remedial action is implemented against an agreed timescale and monitoring the effectiveness of the action taken. Non-compliances will we investigated for a root cause and where appropriate, action will be taken to remove the root cause, therefore preventing a recurrence.
Measurement Uncertainty (MU)
Despite all the safeguards and assurances described above, there will always be factors which could introduce an element of uncertainty to a pathology result.
Within the laboratory, once we receive a specimen, we aim to eliminate or reduce to a minimum the levels of uncertainty for the results that are issued. However, there are many stages in the patient pathway over which we do not have direct control, (click link to show diagram 1 below), all of which may introduce a level of uncertainty to a result.
Diagram 1 – Factors affecting the uncertainty of pathology results.
In areas where uncertanty could be introduced, the Pathology Department offers advice on how to minimise or eliminate it. Please contact us if you wish to ask advice or discuss this in more depth.
For each test process where there is a measurement step, the laboratory has determined the MU values for those steps. These values are available upon request to the Pathology Quality Manager.
Inspection of Quality Improvement & Evaluation Records
Records of any of the following quality improvement & evaluation processes are available to view upon request by making an appointment to visit the laboratory.
- Assessment of user satisfaction and complaints
- Pathology Management Review
- Internal audit of quality management system
- Internal audit of examination processes
- External quality assessment
- Reports from external assessment bodies
- Quality improvement, including corrective and preventive action and the monitoring of quality indicators
- Identification and control of nonconformities
Should you wish to view any of these records, please contact the Pathology Quality Manager on 01271 335758 to make an appointment.
NOTE: If printed, information on this page is only valid on day of printing.


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Bite-Sized Foodie Magnets are Finally Here!
July 1, 2010
The best part about it? You can build your own collection! (Not everybody likes okra right?) These bite-sized magnets (each only 2″ square) are printed locally, right here in Savannah, and packaged with love by yours truly. Each has a UV protective coating to keep them from fading. To see the full collection…CLICK!
Special thanks to Nick for helping to design the packaging, and to Ed & Dawn Tolliver of Candy Bouquet for allowing me to shoot a few photos on their fun colored walls.
P.S. if you haven't discovered Savannah's Candy Bouquet, you should definitely check them out. They have all sorts of candy to tempt you with, and Dawn's arrangements are just spectacular. They can customize to suit your budget and even include your promotional items in a candy bouquet. Just look at this stock!
AND they painted their floor to look like Candy Land! Awesomeness I tell you.
All artwork ©2010 Heather L. Young
Last Day to Enter!
March 16, 2010
Free Sublime and Granny J's Jello to the person that wins! Eat Your Greens people!
Etsy Love
January 22, 2010
Super thanks to Donna of FifthQuadrant for including my Eat Your Greens series in this crisp treasury. I so hope this one makes etsy's front page! Oh and I might just have to have those mugs to match my Asparagus Green kitchen…who wants to buy me a present? lol
For more information the items featured here, CLICK! (list expires Jan. 23)
Holiday Specials!
November 23, 2009
I have BIG NEWS! The Original Foodie Prints are back!
"Sweet Potato Blossom," ©2009 Heather L. Young
Only this time they've been printed with the finest archival inks onto lush epson paper…and the best part?!?…I've just listed them at $18! How's that for the Foodie on your list? But wait…there's more…
Eat Your Greens & Rockstar Reds are Back!
November 9, 2009
We'll refer to these little gems as "the second generation," as they are a bit different. They are printed with the finest archival inks onto a lovely Epson paper, a tad smaller than the originals, they measure 5″x5″. Each comes hand-signed by yours truly, and is guaranteed to add a little spunk to your kitchen! The best part? Only $12 per print!!!
Now if I could just decide which to hang in my kitchen? Check out the full line up of Foodies at The Produce Stand.
that's not Chicago pizza?
April 22, 2009
I must be in Australia mates!
Speaking of food…I sold three Foodie Prints yesterday! No more Lemon Tree. I'm a little sad, as this was always a favorite, but I feel confident it will go to a nice home. Get yours now before they are all gone!
*Photo courtesy of Rebekah Stewart