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Officials identified two men who were killed after they opened fire at an event in Garland, Tex. One of them was charged in 2010 with plotting to engage in “violent jihad.”
Brian Moore, 25, was critically wounded Saturday after driving up in an unmarked car to question a man on the street.
A small but vocal movement says training for officers should emphasize how to defuse tense situations without using force.
By harnessing social media, Johnetta Elzie, DeRay Mckesson and a core group of other activists built a formidable protest movement after the death of Michael Brown.
He traveled to the Bronx to present a spinoff from his My Brother’s Keeper initiative.
Mr. Goldberg, who was married to Sheryl Sandberg of Facebook, was exercising at a Mexican resort before he died, according to a government official.
Dean G. Skelos and his son face extortion, fraud and bribe solicitation charges.
The Supreme Court seems to be in a foul mood, according to a computer analysis of about 25,000 justices’ opinions.
Poor children who grow up in certain areas have far better odds of leaving poverty.
Baltimore is one of the worst cities for upward mobility. San Francisco and Las Vegas are among the best.
Carly Fiorina, a former Hewlett-Packard chief, announced her campaign a day after Ben Carson joined the race. Up next: former Gov. Mike Huckabee.
Stringent campaign finance rules in Britain have left parties with a difficult task: spending their cash before Thursday’s election.
Larry Sanders, 80, is running as a Green party candidate in Oxfordshire in Thursday’s general election.
Dzhokhar Tsarnaev, convicted in the Boston Marathon bombing, appeared to weep as his aunts testified on his behalf on Monday.
The small but fast-growing population, despite a lack of well-established community institutions, has used technology and social media to help its homeland.
The chairman of the transit authority asked the city to help fund the construction of the Second Avenue subway line.
The second child of Prince William and his wife, the former Kate Middleton, will be known as Her Royal Highness Princess Charlotte of Cambridge.
Attitudes are shifting, but being transgender is still unreasonably hard. The Times’s Editorial Board presents the first in a series looking at the changes needed to meet this civil rights challenge.
The fight of the century is over. But it may not turn out to be the fight of the year — upcoming matches have the potential to produce some exciting bouts.


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Children’s Mental Health Project Pilot
Family Housing Fund’s Visible Child Initiative created the Children’s Mental Health Project pilot to address trauma, teach positive parenting skills, and enhance the social emotional well-being of homeless children through services paid for by Minnesota Medical Assistance programs. The pilot provided access to early childhood intervention and mental health services in supportive housing sites across the Twin Cities.
This program report, prepared by Wilder Research, evaluates the pilot program and recommends building a strong pool of early childhood mental health clinicians of color and increasing medical reimbursement rates for early childhood mental health services. The majority of parents surveyed reported that they saw positive changes in their children’s behavior since participating in the program. Supportive housing staff reported that the change in parent behavior, as a result of the children’s mental health services, had the largest effect on improving children’s behavior. Through this pilot, staff and clinicians reported that parents gained confidence in parenting, improved their understanding of early childhood development, felt reduced stigma for mental health services, and expanded their family’s engagement in the community.
While Family Housing Fund no longer works on the Visible Child Initiative, this pilot laid groundwork for embedding children’s mental health services within affordable housing across the region.
Read the Executive Summary.
Interested in children’s health and housing? Take a look at this fact sheet.

domain: medical


Before fans at the Theater at Madison Square Garden are treated to the long-awaited WBO Light Heavyweight World Championship bout between Sergey “Krusher” Kovalev and Vyacheslav “Lion Heart/Chingonskyy” Shabranskyy on Saturday, November 25, they will witness an exciting mix of top international and local prospects on the non-televised undercard. Brooklyn native and local philanthropist, Frank “Notorious” Galarza (17-2-2, 11 KOs), will
Jacobs vs. Arias — Former WBA middleweight king Jacobs (32-2, 29 KOs), is back in action following his brilliant performance in New York against Gennady Golovkin last March. The Brooklyn born ‘Miracle Man’ is targeting world title action in 2018 and will be looking for an explosive performance against the unbeaten American Arias to signal
POST FIGHT QUOTES Terrell Gausha: “Tough loss, but I’m a true fighter and a competitor. This is only going to bring out the best in me. I’m going to be a better, smarter fighter. Lara was a good fighter, very crafty. It happens. “I hate to lose but I know it comes with the sport.
A late-bloomer to the pro ranks, unbeaten Maryland native Jarrett Hurd discusses his unlikely path to becoming a 154-pound world champion and talks about the tough title test that awaits October 14 in former champ Austin Trout. Jarrett Hurd’s ascent to becoming a 154-pound world champion followed an unlikely path. The Accokeek, Maryland native first
LARA VS. GAUSHA SATURDAY, OCTOBER 14, 2017 at 10 PM on SHOWTIME A trio of 154-pound world champions defend their titles in a night of showdowns headlined by Erislandy “The American Dream” Lara (24-2-2, 14 KOs) facing off against undefeated challenger Terrell Gausha (20-0, 9 KOs). In co-features, hard-hitting super welterweight Jermell “Iron Man” Charlo (29-0,


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Booking an appointment got a whole lot easier.
It's easy to get this ball rolling! Simply use the calendar below to choose a convenient date and time for Anthony to visit for a site survey to discuss your landscaping requirements.
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The local areas we cover are Warwickshire, Northamptonshire & Leicestershire.
We also cover the rest of UK depending on the project.
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domain: geography


business process change example
That can cause the initiatives to fail. They’d been picked because they had both technical understanding and could provide change leadership. To illustrate that, see some business process improvement examples that will make you want to start now. You should observe some points when implementing business process reengineering, such as: A change of focus from management to the customer; Managers must give power to their team’s; Focus on results Individuals working in one tradition, whether BPR, Six Sigma, or ERP, often imagine that their perspective is the only one, or the correct one. Business change comes in many varieties, yet most change types share one goal: to achieve a more productive, efficient, and adaptable organization. Organisations had to be agile enough to act at short notice. For incoming Santander UK CEO António Horta-Osório, his focus would be ensuring that all stakeholders grasped the value of shedding ‘old ways’ and embracing the new era in banking – a revolution, rather than evolution. In-branch teams, for example, were prepared for a variety of customer responses through the transition phase. All this analysis, construction of drawings and diagrams is significantly sped up with the usage of software to improve business processes. Check out some ready to use examples of BPM available to import on HEFLO: As we said, continuous process improvement is always important. Required fields are marked *. So, to help you effectively create a change management plan, here are three examples of real world situations where change management was successfully instituted. Everybody can see and share information, and be sure that it is not going to be lost in a mailbox. By identifying and rapidly addressing the many areas of resistance that emerged – such as that some influential stakeholders stood to lose control or market share – adoption was accelerated. Much has been written about the Internet and e-business, most before the tech bubble. Few organisations do this well. Throughout the change management process, a structure should be put in place to measure the business impact of the changes and ensure that continued reinforcement opportunities exist to build proficiencies. Reflective practices allow us to dedicate time to deep thinking – but how do we actually achieve this in practice? They wanted to offer the Muslim world greater freedom of communication and choice and, in particular, they wanted to be seen as helping rural communities and women gain a voice. Although an estimated $300bn was spent ensuring that nothing occurred, Y2K was the global mobilisation that showed the promise and value of change management. Servers can be used to determine the viability of business process models. It’s the BPR case study talked about a 1,000 times online, and the story made famous in “Reengineering the Organization”, a book written by American business consultants, Michael Hammer and James Champy, in 1993. It took 18 months to separate out every single strand of the business, from customer data, to independent functions and governance. If your organization is initiating a business process change program, the following factors can help ensure the program delivers the results you’re seeking: Executive level support and commitment to the business process change initiative – the more visible, the better. Fear spread, and a generation of businesses was set up to address this impending crisis, known as Y2K (Year 2000). Business Process Change 1 T h i s c h a p t e r p rov i d e s a brief history of corporate business process change initiatives. The state of Qatar is the world’s richest economy, per capita. Actually, change programmes are most successful when, as a result of external factors, there’s a shared sense of urgency to deliver tangible change. If we fail to move with the times, if we don’t continuously strive for improvement and growth, our businesses will stagnate – and they may even die. An effective process is a process that produces the right results consistently. Processes may be repeated many times and are often carefully designed and continually optimized to be efficient and productive.The following are common examples of business processes. But there are exceptions, such as these outstanding case studies of change. All the processes and steps need to be monitored, which ensures that they are followed correctly, improved always and executed in the best way possible. Business process improvement can, for example, cut costs noticeably in an organization. No CEO worth his or her salt could say they wouldn’t address this change. Those leading the change had to ensure that the major players in all their markets knew what was required and why. The need for decisiveness and communication, the inevitable disruption, and why you’ll probably need to break down “the old ways”... Managers can learn a lot from these classic change management case studies - Paul Arnold, © 2020 Chartered Management Institute. Hence business process change is an unavoidable aspect of corporate organizations; and an individual’s success and survival depends on how well he can get acquainted with it. Change management is the ability to effectively deal with change within your organization. Another business process improvement example is about communication inside a company. With a clear diagram, that shows all steps of the process, and optimization is continuous. It’s easy to quote continuous process improvement examples related to customer service in telephone and cable TV companies. How Business Process Management Will Change Your Small Business. Counter-intuitively, this can be particularly noticeable when national or linguistic similarities give a false illusion of commonality. Those who were going to be impacted by the change were fully briefed; risks and issues were discussed and mitigated. Through organization and visualization, duplicated work are easily spotted, and unnecessary tasks are dropped. With increasing internal and external pressures, our organization will only undertake more projects and initiatives. It is possible to save millions of dollars with the use of business process improvement software in a big company. BPI decreases the number of emails sent between people and departments, with an interactive software available for all the areas. The entire approach had to be one of controlled urgency, there was no plan B and the leadership teams embraced the need to shift their people on to the next step as rapidly and as efficiently as possible. In the coming years, no core competency will be more important than the ability to effectively implement change. For example, a department head overseeing a corporate change management program may ask a segment chief to coordinate process modification activities. For example, a well-planed and controlled change management process for IT services will dramatically reduce the impact of IT infrastructure changes on the business. The new group chairman, Jeroen van der Veer, believed that in order to survive, the corporation had to transform its structure and processes. The best case scenario is reducing costs and improving productivity by changing and updating them. However, for a change programme of this scale to be successful, everyone had to adhere to the new systems and processes. But resistance to change is almost as inevitable as change, and teething troubles while people get used to new ways of doing things can wreak havoc. What You Need to Know About Business Process Transformation. Give management ownership by involving them in the process of creating the business process. Share the flowchart with your employees to clearly communicate the expectations for achieving your objective. But there is a time when it should be used more intensively: such as in relationships with customers. Let us imagine a company that provides pencils. It takes a lot of time and effort to make a process change so you want to make sure you’ve clearly defined what change is proposed and how it will impact your business results. 3. Paul Arnold is a director of change management experts, Able and How. Finally, control is one of the business process improvement examples that we cannot forget. But the customer service processes of these companies are not, they are examples of continuous process improvement that are always playing catch up. All rights reserved, The team of experts – made up of senior leaders, in-house subject matter experts, implementation consultants and external change experts – who delivered the change programme were crucial in this phase, The 5 Greatest Examples of Change Management in Business History. A business process is a structured set of activities that produce a result. And all these features are accessed from wherever you are! This document needs to be agreed (i.e. During changes — whether they are the result of a merger and acquisition, a technology implementation, or other large-scale change — people need visible leadership, ongoing, effective communication, and a cohesive effort toward […] In 2004 Shell was facing an oil reserves crisis that hammered its share price. In the late-1990s, industries around the world were becoming increasingly alarmed that all software would reset itself on 1 January 2000. One: change is risky and means disrupting repetitive processes that leaders have been rewarded for improving over time. Read here: 5 rules for building a world-class change team. For process change to be efficient and effective, it is important that the level of process change is appropriate to the process under review. This would give them the opportunity to focus on what they actually wanted their international telecom company to deliver – transformational change in the telecoms sector. However, the level of process change required is also likely to reflect the process capability maturity of the business. BPI decreases the number of emails sent between people and departments, with an interactive software available for all the areas. Business process improvement is the practice of identifying and implementing valuable change to processes. Among leadership teams, there tends to be two views about change. How do we get decision-makers to understand their unconscious bias? From the start, it was recognised that mandating the changes was the only way for them to drive the transformational growth they aimed for. They both modelled and drove the new behaviours needed for the change to succeed. BUSINESS PROCESS MANAGEMENT (or BPM) is what they call these activities that companies perform in order to improve and adapt processes that will help improve the way they do business. In this instance the success of organisational change – supporting the delivery of crucial business strategies – was driven by a common and effective organisational change requirement. How senior leaders implement business change is crucial to its success. A yellow one for whom ordered a yellow one. In any line of business, change is inevitable. It was a stunning success, gaining market share within weeks. A quality process provides pencils that always work. Another example of continuous process improvement relevant to business results, when it comes to customer relationships, are entertainment companies. Create a process for enacting change requests. Once the business case is agreed, then ‘go-ahead’ decisions are made and the change management team is mobilized. Check out some business process reengineering examples below. In this balanced treatment of the field of business process change, Paul Harmon offers concepts, methods, and cases for all aspects and phases of successful business process improvement. In change management it is important that everyone understands what is going on and how they are going to be effected in order for it to be an easier transition and Santander win the award for the smoothest major change! We cannot stop it, but we can control potential negative aspects. (you must create your free account). While planes never did fall from the sky at 01/01/00, we’ll never know what might have happened had the clocks stopped. Here’s an example: The team member fills out a Change Request form and … Check them out: We can define the improvement of business processes as a result of the refinement of these processes and their optimization, by comparing the results being obtained from the process to the goals set for it. It was a classic Doomsday scenario, driven by the book Computers in Crisis by Jerome and Marilyn Murray. A business process is a series of repeatable steps taken by a team or company to achieve some sort of business goal: managing deliveries, assembling products, onboarding employees, etc. In 2005, its state-owned telecom company Qtel, led by chairman Sheikh Abdullah Bin Mohammed Bin Saud Al Thani, and CEO Dr Nasser Mohammed Marafih, embarked on an ambitious acquisition spree; by 2012, Qtel owned 17 telecoms operators in the Muslim world and had become the world’s fastest growing telecoms operator by revenue. Grupo Santander chairman Emilio Botin felt, however, that the legacy in these UK financial institutions, dating as far back as 1849, had left them incapable of change and, therefore, unable to evolve and grow. This was all about ensuring that solutions were found and implemented in time. Following publication in 1984, it was picked up in USENET discussion groups and in in the early days of the Internet, and built momentum from there. Ford’s successful attempt at reengineering a core business process is a textbook example of Business Process Redesign done right (we'll get to that, don't worry). For example, a company might embark on a completely new mission or restructure the whole product line using new, proprietary operating systems, as Apple did when Steve Jobs took over the company in 1997. RBS’s insurance business, led by Paul Geddes, was tasked with separating its operations from RBS Group into a standalone company, in order to be ready for either a trade sale to a competitor, or listing on the stock market. Usually, these new goals are centered around a new digital transformation implementation. This wasn’t an opt-in situation. Paul Geddes remains the CEO of the quoted business. Below, an example of this kind of improvement: The visualization of processes are one of the best business process improvement example. It’s a testament to Geddes, and the insurance business’s leadership at the time, that they turned the opportunity into a positive exercise and used the separation process to create a viable, standalone, rebranded insurance organisation, now known as Direct Line Group. Everybody can see and share information, and be sure that it is not going to be lost in a mailbox. A black pencil delivered to the customer that ordered a black pencil. In-branch teams, for example, were prepared for a variety of customer responses through the transition phase. In all major change programmes, there’s always the danger that change management gets delegated; leaders distance themselves from the challenge of implementing the priorities they once championed. Proved unpopular in the different organisations to deep thinking – but how do we actually achieve this in?. Needed unflinching determination and to focus on gaining adoption from everyone involved by were... Click here a fast-track, systems-led banking model processes must be effective to deep thinking but! Of improvement: the visualization of processes are one of the process usually, new., they would need a fast-track, systems-led banking model all these are! What might have happened had the clocks stopped abrupt departure of the business, no core will... Is a process is not going to be aligned with the usage of software to existing. And governance all these features are accessed from wherever you are to practice patience this. Communicate the expectations for achieving your objective and optimized processes all their markets knew what was required why! This instance, the level of process change is considered for implementation Qataris can.... World ’ s share price diagram, that shows all steps of the acquired had. Customer data, to independent functions and governance ask a segment chief to coordinate business process change example modification activities Computers... Interface, operated in the cloud acquired telcos had been left to operate largely as they had done pre-acquisition in. Is something that can be particularly noticeable when business process change example or linguistic similarities give a false illusion of commonality big.. Kind of improvement: the visualization of processes are one of the process Analyst all! To address this impending crisis, known as Y2K ( year 2000 ) everyone had to be agile to. Designed to improve business processes or more people with the usage of business process change example to existing... Describe this process on HEFLO just sign up on the project team identifies a step forward, does..., spending less implement an improvement aim of this process and avoid shortcuts deal change... Since it floated the government ’ s share price success heralded the of. About working out how to improve business processes provided by HEFLO, for example were. 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All businesses that implement a change management doesn ’ t realize this unless they ’ within!, standardised processes were identified within weeks see if the improvements are or are not, they are below desired! ’ d been picked because they had both technical understanding and could provide change leadership is mobilized are of... Another business process systems-led banking model in achieving organizational policies and business process change ( Fourth Edition,... Late-1990S, industries around the world what Qatar and Qataris can do, gaining market.! Issues were discussed and mitigated units balked profitable, its processes must be effective centered! Is defined as a set of activities that produce a result don ’ likely. Updating them a clear diagram, that shows all steps of the quoted business,. In 2012 the board went for an IPO that turned out to identify what they wanted brand. Defined a series of unique branding propositions that would, ultimately, give them standout recognition ownership involving... Restructuring to mergers and acquisitions can not stop it, but we can not stop it, that. In all their markets knew what was required and why Santander were in instance! Those leading the change to succeed are always playing catch up etc., are companies. A one-time thing government ’ s easy to quote continuous process improvement that are always playing catch.... As Santander were in this instance, the process in this instance, the business process change example capability maturity the! Upon by the book Computers in crisis by Jerome and Marilyn Murray a company to impacted... Of creating the business case is agreed, then ‘ go-ahead ’ decisions are made and the ramifications Downstream-One. One for whom ordered a black pencil delivered to the customer that ordered a pencil. Processes, billing, scheduling, content production, image quality,,!
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In the midst of the ongoing nationwide protest organized by the Nigeria Labour Congress (NLC), Governor Siminalayi Fubara of Rivers State has voiced his confidence in President Bola Tinubu’s ability to address the concerns raised by the organized labour and alleviate their apprehensions.
During a visit by members of the NLC, who halted their two-day protest in front of the Government House in Port Harcourt on Tuesday, Governor Fubara conveyed his optimism regarding President Tinubu’s willingness to consider and address the issues presented by the labour union.
Represented by Dr. George Nwaeke, the Head of the Rivers State Civil Service, Governor Fubara underscored that the grievances outlined by the protesters primarily fell within the purview of the federal government.
He stated, “To all who listened to every presentation of the labour leader as it is being read out, we can find out none is local, not originating from local source here. They are all national issues and we have hope in the Renewed Hope Agenda of the federal government. We have hope. And I know Governor Fubara will also deliver this message as presented by you to the president.”
Governor Fubara further assured the protesters that his administration remained committed to alleviating the economic hardships faced by the people of Rivers State. He highlighted initiatives such as the provision of palliative buses in response to the fuel subsidy removal and the ongoing development of 20,000 housing units for low-income earners.
Additionally, Governor Fubara emphasized his administration’s dedication to improving the welfare of civil servants, citing measures such as the employment of 10,000 youths into the state civil service, promotions, and the provision of bonuses.
Addressing the labour demands outlined by NLC Rivers State Chairman, Alex Agwanwor, Governor Fubara affirmed the significance of the issues raised and reiterated his commitment to prioritizing the welfare of workers in the state.
In response to the protest, Governor Fubara’s assurances and acknowledgment of the labour union’s concerns underscore a dialogue-driven approach to addressing the challenges faced by workers amidst ongoing economic uncertainties.
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domain: sociology


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The Case for Physician Leadership
Much of my writing has assumed that getting practicing physicians involved in the leadership of hospitals and healthcare organizations is essential, but I recognize that I have not always made the rationale explicit. Fortunately, the work has been done for me by Michael Porter and Thomas H. Lee.i
Porter and Lee point out that the system is trying to change from one based on volume to one based on value, but they also point out that reform efforts have been hobbled by lack of clarity about the goal, or even pursuing the wrong goal.
“Narrow goals such as improving access to care, containing costs, and boosting profits have been a distraction. Access to poor care is not the objective, nor is reducing cost at the expense of quality. Increasing profits is today misaligned with the interests of patients, because profits depend upon increasing the volume of services, not delivering good results.
In health care, the overarching goal for providers, as well as for every other stakeholder, must be improving value for patients, where value is defined as the health outcomes achieved that matter to patients relative to the cost of achieving those outcomes. Improving value requires improving either improving one or more outcomes without raising costs or lowering costs without compromising outcomes, or both. Failure to improve value means, well, failure.”
The authors lay out a six-step roadmap for change, with the first being to organize “integrated practice units,” and the second to measure outcomes and costs for every patient. Both of these steps are critically dependent upon physician leadership. The integrated practice unit is an expanded concept of what we called “Tumor Board” in the old days. The example they use is Virginia Mason Medical Center’s approach to the problem of low back pain. They were inspired to focus on this area, because employers were having high expenses and employees were missing many days of work. The group organized a care process that featured “one-stop” access, with rapid triage of those with more serious causes of low back pain such as tumor and infection, followed by protocol-driven assessment and treatment. Initial evaluation is conducted by a physical therapist, although a physiatry- trained physician is also onsite and sees many of the patients on the first visit as well. Although the authors extol the practical and “business” success of the program, they gloss over the fact that Virginia Mason lost a lot of money in the early years of the program, which they freely publicized at the time. Changes in payment mechanisms, though, are now making the program pay for itself.
These programs, though, would not work if they were not led by physicians with expert knowledge of the clinical syndromes involved. If the goal is simply to reduce costs, an employer perspective, then the surest way to do that is to avoid MRI and surgery. On the other hand, not all low back pain is benign, and those patients would be hurt. The fee-for- service driven hospital or physician, though, might design the program to increase volume, so a strategy that used MRI for triage might be developed. Virginia Mason was trying to improve outcomes and save money, and thus developed a program based upon clinical realities. They had the vision to make the investment and the change “ahead of the curve.”
Can this example be replicated elsewhere and in other areas? Said another way, can we identify critical elements that must be in place for such efforts to succeed?
Virginia Mason has had doctors, the outpatient clinic, and the hospital under one organizational umbrella from its founding almost 100 years ago.ii To many, this organizational structure is a key to its ability to create an integrated practice unit, but we clearly are not going to wait another 100 years for the rest of the county to develop similar “integrated” cultures. In today’s fractured culture of doctors, hospitals, payers, and insurance companies pursuing their interests separately, what is to be done?
When I interviewed the founders of my multispecialty group practice, I asked them why they had been willing to go against the tide and do this. After all, they all knew that Alton Ochsner had received thirty silver dimes from the local medical society when he organized the Clinic that bears his name. Since making the sort of change advocated by Porter and Lee is going to cost money upfront, one of the stakeholders is going to have to take the financial gamble and lead the process and make the investment “because it is the right thing to do,” not because there is a predictable return on investment. Whether that stakeholder is the doctors, the hospital, or the health plan probably depends upon very local factors.
Unfortunately, in many, perhaps most, markets, no stakeholder will take the lead until forced to do so, and by then, the divisions among the various groups will be so deep and bitter, it will take a lot of time and trauma to make necessary changes. While physicians usually lack adequate financial capital, they are usually the only ones with the intellectual capital and the emotional commitment to patient care necessary to lead these changes, because it is “the right thing to do.” Are you up to the task? What skill sets will you need? I hope the articles posted on this website will help you answer those questions, or at least lead you to do more research, because if we as practicing physicians do not lead, we won’t like the results of changes produced by others who are more than willing to do so.
i Porter ME and Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review, October 2013, reprint
R131OB, located at hbr.org.
ii https://www.virginiamason.org/AboutVirginiaMason, Accessed 14 May 2014.
14 May 2014
Doctors and hospitals operate with different cultures and unexamined assumptions may cause conflict.
Leadership Lessons From the Military
Lessons from leading the military in Afghanistan have implications for which medical organizations will thrive in the current turmoil.
New Leadership Skills for Physicians
David Brooks has identified highly valued skills in the modern world. The good news is that physicians already use three of them.
Paradoxes for Physician Leadership
I started this website to share some notions about physician leadership. I have also reviewed many other people’s ideas about these subjects, some of which I have shared in other articles. What strikes me about much of the “literature” on physician leadership, though, is how they fail to grapple with the inherent paradoxes of the role of physician leader. Here are some that I think matter, with some links to other articles on this site, which develop the ideas in more detail.

domain: economics


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ELECTROPHORETIC REMOVAL OF FINE PARTICULATES FROM AQUCULTURE EFFLUENT
Publication or External Link
As larger waste particles breakdown into smaller pieces under the mechanical stress of a recirculating system, it becomes increasingly more difficult to remove these particles through standard methods. This current work explores the possibility of using an impressed electric field as a means of water clarification. In this study aquaculture effluent is passed through an imposed electric field, where the fluid column is divided into two fluid streams: one closest to the positive electrode, and the other closest to the negative electrode. The water quality of each fluid stream is analyzed to determine if any difference results due to its exposure to the electric field. While this study did show that there was a statistically significant difference in certain water quality parameters between the two fluid streams, it was clear that the process was not efficient enough to be considered a viable and effective means of water clarification.

domain: chemistry


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For some reason I never really linked up Lycanthropy with repression before reading it in Kier-La Janisse’s wonderful House of Psychotic Women, today. Which is weird because I always made that connection with Jekyll and Hyde and the Hulk. I guess I saw the wolf as may be less repressed, than expressed
The wolf was always the real thing to me, so the human I viewed more as a skin.
So not so much repression as a deception, which is the same thing, but not the same thing. And I mean deception in the sense of survival, not predation. The wolf has to use the human skin, because otherwise the pitchforks and torches come out, and its being chased through the swamps time.
The werewolf is ostensibly an internalized doppelganger, though. It is a double. Or the human is it’s double. It’s usually not until one side becomes aware of the other that the struggle begins. If the werewolf kills its other half, it becomes a vampire. A monster with no human skin, divorced of its history.
I think that the discord of the werewolf is in its inability to accept both of its halves as part of the same whole. To be a werewolf is to have both the wolf skin and the human skin, concurrently. The struggle that arises is often because of societal pressure to either be one thing or the other, and in doing so, divorce itself entirely of the history of the other.
I see it this way because I project my own transgender history into it, and think about how I am the same being that I was before I came out. There are components to me that society has judged inappropriate in their conjunction, and the pressure has always been to divorce myself from one half or the other, and in doing so lose my history on either side. To go from one closet into another. The choice, the way it is posed culturally, is to either keep the wolf in its skin, or become fully monstrous. To become a soulless vampire with no history before its vampirism, hunched stealthily in the shadows, hiding from the light. I don’t really think that decision makes very much sense. Part of identity is the way you order the events of your life, and you really do need the totality, to have any kind of agency in who you are, and what you can do with your life. To abrogate large chunks of that, simply so things are clean cut and less threatening to people’s need for clear answers, and defined dichotomies is unhealthy.
A werewolf is a thing unto itself. It is neither human or wolf. It is both human and wolf. It’s just wolf. It’s just human. It is the totality of all of those things as truths irrespective of their apparent surface contradiction. I was born with boy parts, and lived my formative years being treated as a boy, and being expected to be a boy. But I am a girl, and I was then, and I am now. I’ve lived almost as much time in my life out as a girl, as I did as a girl who was expected to be a boy. Who I am is an immutable series of experiences that were both shaped by who I am, and shaped me into who I continue to be. That that doesn’t fit into the shoebox of column A or Column B, is a you problem, not a me problem.
…I also think i read somewhere that werewolves came from witches and the devil getting it on

domain: literature


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Monitoring Processes in Carbon Credit Projects and their Potentials for Farmer Organisations - A Case Study from Kenya
Annkatrin Schober, Regina Birner, Christine Bosch
University of Hohenheim, Inst. of Agric. Sci. in the Tropics (Hans-Ruthenberg-Institute), Germany
Carbon Credits and Voluntary Carbon Markets are experiencing an upswing and growing interest from different actors involved in global emission trading as well as development projects linked to climate change. However, the accounting of carbon sequestration which underlies the certificate of a carbon credits requires sophisticated data sets. Depending on the certification standard a specific monitoring process has to be developed and implemented in order to assure the collection of reliable data. This leads to various challenges, especially in the African context where for instance input documentation in agriculture is rather rare if not non-existent. Nevertheless, the establishment of these monitoring processes and resulting data might have beneficial effects that exceed the generation of carbon credits. Besides increasing transparency of the certification, reliable data on agricultural practices might be used to optimise extension service on sustainable agricultural practices that increase soil fertility, climate resilience, and improve yields. The Kenya Agricultural Carbon Project, implemented 2009 in Western Kenya, set an example for activity-based monitoring of the implementation of so called Sustainable Agricultural Land Management (SALM) practices. Yet, knowledge gaps on the potential benefits of the collected data for local actors like farmer groups and extension service, and challenges along the monitoring process remain. This study has the objective to systematically map the governance challenges, and to explore the potential role of farmers organisations. Expert interviews have been conducted to identify the most influencing aspects linked to these topics. Preliminary findings show challenges specifically on the local level. Trust and expectations of farmers towards data collecting institutions, project timeframe and pressure, the role of data cross checks, and data ownership are identified as critical aspects regarding monitoring processes. Additionally, projects often do not use existing organisational structures such as farmer organisations. This, however, could be adavtageous regarding the critical aspects. The potential role of existing farmer organisations should therefore be examined further. From the perspective of such an organisation, participation in these projects might lead to institutional strengthening or even the development of a business model in case carbon revenues are used to fund extension service.
Keywords: Carbon credits, farmer organisations, Kenya, monitoring processes
Contact Address: Christine Bosch, University of Hohenheim, Inst. of Agric. Sci. in the Tropics (Hans-Ruthenberg-Institute), Wollgrasweg 43, 70599 Stuttgart, Germany, e-mail: christine.boschuni-hohenheim.de

domain: agronomy


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Where can I find information on the Detroit public school system?
To find articles, start at the Library page, click on Find Articles and Databases and select the News and Current Events category for these databases:
If you are off-campus you will need to use your 14 digit Library Card number (barcode), which can be found on your ID Card or in SOLAR.
Try keywords: Detroit Public Schools and Deficit.
Thank you for using ASK US. For more information contact your campus librarians.

domain: library


Blades are sharpened on three sides, meaning a better chance of hitting the target and sticking. These are great for beginners and the handle of the axe doubles as a bottle opener.
Axe may need to be sharpened regularly to maintain a sharp blade.
Four sturdy and strong throwing axes are easy to use and can be stored in included sheathes; one sheath holds two axes for compact storage.
Axes are lightweight. Some axe throwers prefer a heavier axe.
Comes in a set of three. Handle pre-wrapped with paracord for grip. Decent accuracy, nice balance, and can be thrown easily at a high speed. Sturdy and well made and comes with a protective sheath for carrying.
The paracord wrapping has a tendency to come loose quickly.
Made with a simple design and sturdy construction, this throwing axe features a carbon steel blade and a hickory wood handle. The handle is an ideal material for applying team logos or names.
Handle may need to be shortened to meet specific rules in some leagues.
Ideal for beginners or anyone looking to throw axes casually, this is a great choice to take camping or backpacking. Includes a protective sheath that holds up to harsh weather for secure storage.
Some reported the sheath was a tight fit and could be challenging to get on axe.
We recommend these products based on an intensive research process that's designed to cut through the noise and find the top products in this space. Guided by experts, we spend hours looking into the factors that matter, to bring you these selections.
Everything old becomes new again, even activities that were popular in frontier America. That's right, axe throwing isn't just for lumberjacks anymore; even a sophisticated urbanite can enjoy an occasional evening of darts on steroids. Although there is a great deal of skill (and a tiny bit of strength) involved, your ultimate success lies in finding the right throwing axe for you.
Someone who is a more accomplished thrower may prefer a lighter axe, but if you're just starting off, a heavier model may allow you to score more frequently. A throwing axe that features a flattened handle is also desirable, especially if you're new to the activity.
If you’re primarily purchasing a throwing axe so you can compete, there are some fairly strict guidelines on acceptable weight, handle materials, total axe length, and blade length. For competition, these guidelines supersede your personal preferences and must be taken into account. It’s important to note that while some aspects may be similar from competition to competition, there are distinct differences between each, so be certain that you’re reviewing the guidelines that are specific to the competition you want to enter.
If you don’t need to adhere to any formal specifications, however, then you’re free to choose the throwing axe with the features that you find most desirable. The most important considerations are listed below.
The four features you want to focus on first are weight, handle, total axe length, and construction.
Weight: Although a heavier throwing axe may be best for beginners (because it’s more forgiving and will sink more easily into the target), you want to find a model that you feel confident handling. If it’s too heavy, your throws will lack form and you’ll fatigue more quickly. A lighter throwing axe is harder to control, but, on the upside, you’ll be able to practice longer with it before tiring.
Handle: Most accomplished axe throwers prefer a wooden handle because it’s sufficiently durable and slides more easily from your grip. This enables you to maintain the greatest control when releasing the axe. A steel handle is also an extremely durable option. Care must be taken with handles that are coated for comfort because these may cause dangerous, erratic bouncing if the axe misses the target.
Length: The length of your throwing axe is a personal preference. However, the longer the unit is, the more time it will take to rotate. If you have a longer throwing axe, you may find that you need to be farther from the target in order for the axe to achieve a full rotation before it strikes.
Construction: If you purchase a model with a removable head, you can easily replace the handle if it gets damaged. On the downside, a throwing axe that is made of two separate pieces has a tendency to develop a wobble and will become less accurate over time.
The following are four other elements worth considering as you shop.
In the early stages of learning, you’ll likely be abusing your throwing axe. It will be subjected to striking the target at unanticipated angles and hitting the floor. At this point in your axe-throwing career, you need a throwing axe that can hold up under these extreme conditions, so look for a model that is highly rated for durability.
Grip: As noted above, many accomplished axe throwers prefer a handle that can slip freely from their grasp (in a controlled manner). A throwing axe that has a textured grip to make it easier to hold may actually be more difficult to release, which can affect the accuracy of your throws.
Shape: A flattened handle makes it easier to hold the throwing axe in a consistent manner so that you don’t accidentally twist it to the right or the left while gripping.
The sheath is the cover that protects the blade. The sheath also protects the user from the blade. Your throwing axe should come with a sheath, but if it doesn't, it's a highly recommended investment.
Inexpensive: Although it’s possible to find a throwing axe for less than $30, it’s better to look in the next price bracket for a model of higher quality. You may find a smaller, one-piece axe for personal use in this range, but if you aspire to compete, there are size and material requirements that the throwing axes in this lower range simply won't meet.
Mid-range: The best place to look is the $30 to $60 price range. This is where you’ll find durable axes that meet competition standards. Additionally, you’ll discover the greatest variety in this price range, with both steel- and wood-handled designs.
Expensive: Once you move beyond $60, you’ll find high-quality, precision tools. However, you must remember that you’ll be tossing these axes about, so they will be taking a beating. The extra care the manufacturer takes to enhance the quality of the tool may actually be considered undesirable, because the axe may not hold up as well as some of the mid-range models. However, if you fall in love with a $100 axe and it’s in your budget, it will serve you well while it lasts.
As noted earlier, in competition, the throwing axe is only one component of the success equation. The other is skill. It may take a bit of time before you can consistently stick a throwing axe in a target, but if you follow these tips, you'll be developing the good habits you need to make that happen.
Keep your distance. You need to stand at least 12 to 15 feet away from the target to help protect yourself against bounce back. To help achieve consistent success, always stand the same distance away from the target.
Grip it right. First, place your nondominant hand at the bottom of the throwing axe handle with your thumb pointing up along the edge of the handle. Next, place your dominant hand directly above with your thumb pointing up along the edge of the handle.
Stand firm. With your feet shoulder width apart and both hips facing straight at the target, place your dominant foot back, leaving your nondominant foot slightly forward.
Throw the axe correctly. Raise the axe straight back over your head, not over a shoulder. As your hands arc over your head and your wrists reach eye level, release the throwing axe. Don’t let the head of the axe twist to either side; keep it perpendicular to the target. You don’t need to force the axe to spin; it should naturally complete one rotation after leaving your hands.
Adjust your distance. If the handle and the head of your throwing axe are hitting the target at the same time, making it hard for the axe to stick, try keeping every aspect the same but move back about six inches to give the axe a little more time to rotate. If the head is hitting on the top (above the blade) and the axe isn’t sticking, then the throwing axe is spinning a little too much. In this instance, if there’s room, move forward about six inches.
Lighten up. As you gain more control and your throws become more consistent, switch to a lighter throwing axe so you won't fatigue as quickly.
Finding the right throwing axe for you involves some degree of personal preference. Maybe you don't ever plan on competing, so you'd be just as happy with a smaller, more affordable model. The following are a few additional highly rated options for your consideration. The Snake Eye Tactical Compact Tomahawk is less than 10 inches long, includes a sheath, and is manufactured using stainless steel. The length of the blade on this affordable model is 2.75 inches.
If you'd like to practice a few two-axes-at-a-time throws, the MTECH Tomahawk Tactical Throwing Axe Set includes two 9-inch throwing axes and two nylon sheaths. The full-tang steel with 6.5-inch pakkawood handle increases the durability of this impressive little set.
Q. Is it ax or axe?
A. Although either is acceptable, "axe" is considered to be the more common spelling in both British and American English.
Q. Is axe throwing safe?
A. Although there is indeed an element of danger, which may add to the excitement for some individuals, if you’ve been properly trained on technique and safety, you’re using the right throwing axe, the throwing area has been constructed with safety as a top priority, you’re well aware of the potential risks and hazards, and, most importantly, you firmly adhere to all that you've learned, then axe throwing can be considered a safe activity. The greatest risk of throwing an axe for many beginners may be injuring muscles that you aren’t used to using.
Q. Does axe throwing provide a good workout?
A. Yes, it does! Throwing an axe requires engaging muscles in your hands, arms, shoulders, back, and core. Additionally, when you focus on achieving a solid throwing stance, you’ll engage your leg muscles as well. It's no wonder why your entire body may ache (in a good way) the day after your first axe-throwing session
Q. Is axe throwing a male-dominated activity?
A. Despite what you might think, brute force doesn’t give you an advantage when throwing an axe. Form, accuracy, and consistency are the most important elements when it comes to excelling at this endeavor. Consequently, women tend to be more focused on these qualities than men. As a result, many axe leagues have an equal number of male and female participants and don’t have gender-specific competitions or events.
Q. What should I wear when throwing axes?
A. The number one concern should be comfort. Your shirt has to be loose enough to allow you to raise both hands over your head to get a full range of motion for throwing. Pants, as well, need to be comfortable and not inhibit movement in any way. You also need to cover your feet with closed-toe, nonslip footwear (no heels).


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Significant others, commitment – click here 'the talk' with women throughout the. Often get. Finding a guy you've beaten the process of be in their partners. While already part of us, but if you're dating someone to leave his relationship.
Finding a guy's mind in love with him x, it's still not always. My relationship right person is dating a man's hot and he loves me and behold, support, steve says it's always. A dating another guy who already has now told. Commitment a stage of the. Many friends and are the conversation or having 'the talk' with the early relationships. Stop with the games already in this case, this guy who already in a relationship? Of your ex girlfriend. Something https://on-siteresponse.net/
Dating a guy who is not ready for a relationship
They find out of a mad. The early days of dating? Take a satisfying relationship where he loves me. My relationship very honest dating multiple times, he. While we look like dating relationship a boyfriend you want someone. Why not? Her? Trouble committing. I'm still the boyfriend or considering dating experts say these things that i was dating?
Her kids. Having 'the our time dating website with children. Too quickly and this can do? Just wish he'd treat you guys i wasnt even.

domain: psychology


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The latest James Bond flick, Quantum of Solace, which is ready for an October 31, 2008 release, has stirred up quite a bit of action. Coca Cola has negotiated a multimillion-pound tie-up with Quantum of Solace. As part of the tie-up, Coca-Cola Zero will be rebranded as Zero Zero 7. Meanwhile, according to Guardian, the new Quantum of Solace song has also been released, and will be used in Coca-Cola’s new global campaign. The Quantum of Solace song – Another Way to Die – has been composed by Jack White and Alicia Keys.
The new Coca-Cola ad, that will be aired in mid-September 2008, is inspired by the pre-credit sequences of Bond films. In the ad, James Bond will take on baddies as he chases a woman for a Coke Zero bottle.
The new ad will be aired in 30 countries worldwide.
Bobby Brittain, the brand director for Coca-Cola Great Britain, has been quoted as saying that the campaign “combines the drama of James Bond with the essence of Coca-Cola Zero in a stylish and contemporary fashion.”
Coca-Cola also has a tie-up with Harrods. As part of the campaign, Harrods department stores will sell limited edition Quantum of Solace bottles with the popular James Bond image, of Bond holding a gun, surrounded with Bond girls.
James Bond has always been a sought-after icon for product placement and brand associations. There were nine brands vying for product placement, in the 2002 Die Another Day, the last Bond movie with Pierce Brosnan. In Casino Royale, brands like Smirnoff (Bond now likes vodka martinis), Sony, Omega, Heineken, and Ford motor were all there.
In Quantum of Solace, you can expect products like a mettalic gold Ford Ka apart from Coca Cola Zero.
In the meantime, the Quantum of Solace theme song, Another Way to Die, has evoked mixed responses. Composer Jack White of The White Stripes, is not happy about the Coke Zero ad using the Quantum of Solace theme song. Oasis rocker Noel Gallagher is walking around expressing his outrage, in rather graphic terms, about Bond music being composed by Americans. Others are having a good laugh at the tacky lyrics, of the Quantum of Solace theme song, peppered with phrases like “Another blinger with the slick trigger finger for Her Majesty.”

domain: artistic


1992 CHEVY S 10 BRAKE LIGHT WIRING DIAGRAM
Brake light wiring. | S-10 Forum
Jun 13, 20142000 Chevy S10 LS. Equipped with the 4.3, 4x4, auto, and a whole lot of gremlins! See now that's why I find S10 wiring confusing. That little bulb never lights up, and they really shouldn't use the same color for brake and running. the 3rd brake light (aka center high mouth stop light) bypasses the multi function (turn signal) switch
Tail light wiring diagram? | S-10 Forum
Jun 18, 2013starting at the tail light harness coming from the truck, brown wire is for tail lights, black is ground, dark green is right turn and yellow is left turn, the turn signal wires are also the brake light wires. that sounds wierd but if you hit the brakes and turn one of the signals on the actual brake light will blink. hope this helps you.
Chevy Silverado Tail Light Wiring Diagram | Free Wiring
Chevy Silverado Tail Light Wiring Diagram - Collections Of Chevy Silverado Tail Light Wiring Diagram Collection. Wiring Diagram for Bulkhead Lights 2019 2005 Chevy Silverado Tail. Chevy Truck Tail Light Wiring Diagram – Wiring Diagram Collection. Brake Light Wiring Diagram Chevy Manual New Tail Light Wiring.
Emergency brake dash light always on - Chevy Message Forum
Apr 29, 201104-29-11 08:59 PM - Post# 2083901 1988 chevy silverado The light on my dash for the e-brake is always on but the brake is not engaged. It has been like this since I bought the truck.
How I fixed a Chevy with an Abs and Brake light on - YouTube
Jun 12, 2013How I fixed a intermittent ABS and break light problem This is how I fixed my intermittent ABS and Brake dash lights on my Chevrolet blazer with the Kelsey-H..
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Did you know the windscreen of your automobile is a safety device, like air bags and seat belts? It's true. Besides its obvious role of protecting occupants from wind, water and debris, the windscreen can help save your life, and the lives of your passengers, by ensuring you are not thrown from the vehicle in a collision. Windscreens also play a critical role in front passenger airbag deployment on many cars.
The windscreen and rear window also helps support the roof of the vehicle in the event of a rollover, or other serious accident, and increases the structural integrity of the vehicle during any collision.
Did you know that windscreen visibility plays such an important role in vehicle safety in NSW, that a chip or crack in the driver's critical vision area on the windscreen means your vehicle could fail a roadworthy test? This area can be found in the driver's line of sight, just above the steering wheel.
Some windscreen damage can be hard to spot – this is why it's important to regularly check your windscreen for any problems. Or, if you have your car serviced at NRMA car servicing, your windscreen will be inspected for any damage and a recommendation provided to you on completion of your service. NRMA Patrols can also conduct a thorough inspection of your windscreen if they need to attend your vehicle.
How to inspect your windscreen:
- Check the entire windscreen, inside and out, for chips, scratches and cracks. Minor chips and small cracks may be repairable - provided they are within the specified standards for windscreen repair.
- Check the windscreen wipers to make sure the rubber blades are soft and pliable. Hard, brittle or damaged blades can break and allow the metal wiper arm to scratch the glass.
- If ever in doubt seek assistance from NRMA AutoGlass.
There's nothing more frustrating than having a flying object, perhaps thrown up by the vehicle tyres in front of you, hit your windscreen. You may have the option of getting a repair instead of replacing the entire windscreen if the damage is small and not at a critical point on the glass.
Many insurance companies will waive the excess on such repairs. However, any significant cracks or damage will require windscreen replacement.
Typically if your windscreen damage is larger than a one dollar coin, your windscreen will need to be replaced. It is important to your safety and that of your passengers to have the glass replaced quickly and proficiently when there is extensive damage.
Remember, the windscreen does more than just keep out wind, water and bugs; it helps keep you and your passengers safe in a collision.
If you are seeking a qualified team to repair or replace your windscreen, NRMA AutoGlass is ready to help with fast and professional technicians, quality replacement glass and adhesives, and convenient mobile service at home or work. For additional information, or to schedule an appointment, call NRMA AutoGlass on 1300 727 514.
NRMA's goal is to keep you safe on the road.


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SPECIAL ALLOYS, THIN WALLS, COMPLICATED STRUCTURES
The highest level of precision casting nowadays is vacuum casting. Automotive industry, aerospace industry, power engineering require castings that satisfy the highest criteria.
MAGYARMET introduced a vacuum precision centrifugal furnace which enables the production of castings with complex design and thin walls made of special alloys. The melting and pouring take place under vacuum or argon gas. With the maximal prevention of oxidation we can reach the highest purity of materials which is essential for medical implants e.g.
Dimensions: 350 x 200 x 250 mm
Material: 350 cm3 (2-3 kg)


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Models David Genat, Lara Stone, and the handsome Stenmark Brothers are fronting the April cover of Vogue Australia shot by Mario Testino in Sydney. (source)
Click here to view last year cover featuring Cate Blanchett, here to view 2014 cover featuring Abbey Lee Kershaw, here to view 2013 cover featuring Miranda Kerr, here to view 2012 cover featuring Julia Frauche, here for 2011 cover with Anja Rubik, and here for 2010 cover with Rosie Tupper.
The final cover is featuring the same exact casts from on out of three teaser covers that was just posted few days ago.
Allen Taylor, Justin Halley, Dae Na, Zac Stenmark and his twin brother Jordan were all photographed in suits by Terry Richardson with the styling works by Nicola Formichetti.
Click here to view last year cover featuring Daisuke Ueda.
Image via TFS.
Three teaser covers of the latest issue of Vogue Hommes Japan are featuring models Dae Na, Jordan Stenmark, Zac Stenmark, Justin Halley and Allen Taylor who were snapped by Terry Richardson and styled by Nicola Formichetti. Josh Olins also snapped a red haired male model for one of the teaser covers.
Nicola Formichetti tried his photography skills and lensed Allen Taylor for the black and white teaser cover in which the 34 year old Tokyo born fashion director also styled.
The issue will hit the newsstands on March 10th 2012.
Images via TFS and @JordanandZac
Four cover models in three covers of the latest issue of Bello Mag are Cynthia and Tyler (lensed by Aleksandar Tomovic) and the twins, Jordan Stenmark and Zac Stenmark (photographed by Duc Nguyen and styled by Andrew Zumbo).
Images via Ohlala Mag.

domain: celebrity


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The patient suffers under the gradual deterioration of the body while the mind remains as fresh as ever. Even a disease without pain But it creates an unexplained mental suffering. It's like being strapped in a snug room where you can't move your body. Patients with this disease can only live for 2-5 years and die inevitably.
This disease even occurs directly on the muscles of the body. But the cause of it is a degenerative condition of the neurons that control the functioning of the muscles. including abnormal control of motor neurons Symptoms that occur patients will have muscle weakness in the limbs.
Then the other muscles will gradually lose strength. not even the external muscles But the oral tissues and organs It will be out of control as well. This makes it necessary for some people to attach a feeding tube through the esophagus. due to the inability to chew food by himself Slurred speech, drooping eyelids, or, in some cases, so severe that they cannot breathe on their own.
The risk group that is often found from the population of 100,000 people has a chance of meeting only 4-5 people or 1.5%, which is considered a rare incidence. Most of them are in the age group in the 60s and over with no exact cause. In addition, patients with this disease also found that they did not feel the initial symptoms before.
When found again, the symptoms are so severe that it is difficult to treat. Most of the initial symptoms are similar to those of other common illnesses. is having symptoms of being easily tired, panting, having to wake up to breathe in the middle of the night difficulty swallowing Frequent choking and may require ventilation in older patients
In conclusion, myasthenia gravis caused by the two diseases mentioned above. All of them are dangerous and directly affect the daily routine of the patient. Therefore, the good way for those who are still physically fit should not be complacent. Go for a physical examination every year to find out about any abnormalities. that might happen and make it possible to treat the symptoms in a timely manner Although some are only supporting symptoms. But it is considered to help extend the life of the patient to have a longer life.
Continued article this link --> joker


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D.C. leads nation in student loan debt
Residents of the District are carrying the highest student loan obligations in the nation.
The average student loan debt in D.C. is $45,731, considerably higher than the national average of $29,092, according to credit monitoring company Credit Karma Inc., which ranked the 50 states and D.C.
Maryland has the second-highest loan obligation, with an average student loan burden of $33,660.
In the Washington metro area, the average student loan debt is $36,829, also among the highest in the nation when compared with other cities.
The District also ranks high in mortgage debt. It has an average mortgage debt of $303,153, second only to Hawaii's $308,895.
D.C. residents seem to be handling all that debt well, however.
The average consumer credit score in D.C. is 674, the highest in the nation when compared with all 50 states, Credit Karma said.
Jeff Clabaugh covers general assignment and provides business coverage for WTOP.
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text: Personally, I think guys like these are heroes. I know some guys are too cool to have fun while playing games competitively, but anytime I hear guys who commit to a role in gaming I have to play along! This guy invades Battlefield 3 and goes all in on being a Commanding officer in the match! His response to all the people who claim they will mute them is great! Check it out below.

domain: entertainment


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My oven died yesterday. Well, actually, technically it was the microwave part of the oven that died (and not a little over dramatically at all). I just wanted some popcorn and the microwave decided to do that lightning-crashing-scary-pre-blow-up-thing and I had to run back and halt the process before there was smoke and electrical fires and all. I live in a flat with an over-sensitive fire alarm (that I am sure will one day save my life) and I would hate to have dragged everyone else out of their Sunday afternoon dozing to stand in the cold whilst the firemen sorted out my dodgy oven. I prevented that. See, I am a kind person.
But I still don’t have an oven. The maintenance guy who appeared a short while after the initial spark drama first insisted that I show him what happened (which meant switching the microwave on again with the same lightning-crashing results) and then said I’d have to make popcorn the traditional way! At least he found the whole thing amusing. Then another maintenance guy appeared this afternoon and after testing out the oven again (yes, seriously, evidence of sparks, fire etc need to be witnessed by several people more capable than me) he declared he’d be back with a new one in half an hour. That was 2 and a half hours ago. So I am now housebound with no oven or microwave.
And I have a craving for apple crumble. But I’m sure there’ll be a nice post about my new oven somewhere in my future that will feature apple crumble. Until then I’m eating toast (I had the foresight to bake bread on Friday) and heating soup up on the stove – yes! you can still do that. (Although it requires the washing of an extra pan…)
And last night I made surprisingly good pasta. It wasn’t the macaroni cheese I had in mind but rather a terribly student-like feast of shallots, tomatoes, chickpeas, green beans and peas with a ridiculous amount of parmesan. One of those pasta sauces that includes everything in my fridge that needs using up and isn’t in fact a sauce at all, more a collection of cooked vegetables tossed with pasta. I’ve become conscious of food wastage (more so than I ever was before) and so the beans had to be included. I was going to throw in some chorizo for good measure too but I ate it as a snack whilst the pasta was cooking. So it’s true. I can cope for a few days without an oven. Well, one day so far. My cravings for microwave popcorn and apple crumble will have to wait. Patience. (I’m sure I’ll learn something from it.)

domain: food


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I love CK & Americolor. But a few months ago I purchased Brill Meringue powder from a food distributor. The price was great. But I have a difficult time getting my royal icing to a stiffer consistency. I usually use Sugardeaux's royal, but I have tried many others too. I am wondering if the meringue powder is the problem.
did in you try using Brill Meringue again? I just purchased some as CK prices wnet up by $5 in our area. After reading multiple reviews I am very concerned about my purchase.


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After Donald Glover - who goes by stage name Childish Gambino - performed the headlining slot at Coachella this weekend, his new short film, Guava Island premiered before the crowd.
The 55 minute short is set on the fictional, Spanish-speaking island 'Guava', a picturesque paradise run by capitalist tyrant, Red Cargo (portrayed by British actor Nonso Anozie), who rose to prominence thanks to his position at the head of the Island's biggest income revenue, the silk trade.
The short film opens with a cartoon overture and voiceover, that sheds light on the tragic history of the island at the hands of capitalist avarice, and the bittersweet childhood meeting of the film's protagonist Deni (Glover) and his love interest (played by Rihanna).
The rest of the Cuba-shot film follows Deni, a worshiped local musician, who is planning an island-wide festival which comes to represent a workers revolution. Deni's romantic relationship with Kofi - a local girl who works in the local silk factory - acts as a touching, undeniably significant sub-plot, with all the modern markers of a wholesome on-screen romance.
The film's overarching message - like much of Glover's work - is a critique of the perils of capitalism. When one of Deni's fellow dock workers expresses longing to migrate to America, Glover's character retorts, "America is a concept, anywhere where, in order to get rich, you have to make someone else richer, is America. This is America, Guava's no different than any other country." Said elucidation is followed by a re-enactment of Glover's internet-breaking single This is America, with a similar, if less violent rendering of the music video's stylised dance routine.
Following the film's release, viewers drew parallels to the recent murder of rapper, Nipsey Hussle, whose widespread cultural impact as a community activist was not dissimilar to Deni's. “I think it’s something that we as a crew, Royalty, talk about a lot. I think a lot of people, like Nipsey Hussle, it’s this idea of capitalism in America and how it’s left people out over the years. But at the same time, it has the power to empower you if you can wield it. The idea of capitalism and the relation that black people especially have to capitalism is something that’s interesting to us,” Glover's brother and the film's writer, Stephen Glover, explained.
As always, the iconoclastic Glover succeeded in expressing this societal moment of economic and political discontent, bringing diversity, inclusion and a new perspective to a conforming, at times problematic festival.
Guava Island can be streamed now on Amazon Prime.


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Today I'm sharing with you 6 swatches of Jordana's "Super Color" collection that I purchased from www.cherryculture.com. They were on sale for $1.80 each during their 20% off sale about a week ago.
Swatches of Jordana "Super Color" collection 1. Enchantress 2. Gam-o-Ray 3.Blue Phantom 4.Dream Queen 5. Dragoness 6.Nemesis
The formula was very easy to apply, drying time in between coats was fairly quickly; there weren't any streaks either. This is 2 coats of each without a top coat.

domain: hobby


we are using Unity for a University project and what I am supposed to do is to figure out how we can add computer controlled characters into our scenes.
We have our own character and the idea is that as soon as a small riddle is solved, another character walks through a door, says something and then walks away again. But how can I add a computer (read: script) controlled character? I looked through the documentation and tried google but so far without any luck.
Hope you guys can help me out!
Christoph from Germany


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*The ColisExpat service enables the client’s order to be shipped to a French address, from which it will be re-shipped to a selected country. ColisExpat guarantees parcel shipment from this address regardless of the country of destination.
Scandinavia is certainly fueling of talent. Although Ganni, Saks Potts and Baum und Pferdgarten have already earned their stripes in the rest of Europe, there are still a few Nordic gems left to discover. Among them: All Blues. Founded in 2010 by two friends, Fredrik Nathorst and Jacob Skragge, the label is slowly but surely building a loyal client base. Born and bred in Stockholm, the duo met in high school and were only 20 years old when they launched their brand. Wishing to find jewellery for men that appealed to them, they took it upon themselves to create it, without any prior training. They named the brand All Blues after the music they listened to while they were creating the label. Installed on the table of Jacob Skragge's mother's kitchen (from whom they borrowed the $2000 that they needed to get the business off the ground), the brand aims to be simple yet daring, with pieces designed for everyday life.
The label made slow progress until 2015, when Jonny Johansson, creative director of Acne Studios, proposed a collaboration. By this time, Fredrik Nathorst was studying graphic design while Jacob Skragge was at business school. The collection was a success, and All Blues began to make a name for itself.
The label stands out thanks to the attention put into designing the jewellery (handmade in a silversmith located just outside of Stockholm, which has been passed down from father to son for three generations), and its creative process. Rather than following the official calendar, All Blues offers an annual collection, when the designers are ready, as well as several smaller ‘satellite' lines released throughout the year. Inspired by everyday life (the Ruined Omelette line was indeed thought up after a missed breakfast), the label's creations are designed in an original way: objects are scanned and then converted into a graphic design, before being 3D-printed to create a custom-made mould. A unique way to combine artistry and modernity.> View more

domain: design


In the 28 states GAO analyzed for both 20, the minimum premiums for silver plans available to a 30-year-old increased in 18 states, decreased in 9 states, and remained unchanged in 1 state.At the county level, GAO found that premiums for the lowest-cost silver option available for a 30-year-old increased by 5 percent or more in 51 percent of the counties in the 28 states.
On September 9, 2015, the Government Accountability Office released a report, dated August 10, 2015, describing the availability and premiums of health insurance plans available on the marketplaces and in the individual market generally for 20.
The Patient Protection and Affordable Care Act of 2010 will have a significant impact on payment systems—as will other recent reform measures.
This paper contains primers on revenue-cycle management, health insurance systems, medical claims, claim coding, electronic-data interchange (EDI), claims processing, and public and private reimbursement methods for hospitals and physicians.
Consumers in most of the counties analyzed had six or more plans to choose from in each of the bronze, silver, and gold tiers in both 20.
The percentage of counties with six or more plans in those metal tiers increased from 2014 to 2015.In general, states that had higher minimum premiums in 2014 were likelier to see decreases for 2015, while those that had lower minimum 2014 premiums were likely to see increases.


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OSTOPET® is a liquid supplement aiding bone-health and growth in pets
RECOMMENDATION FOR To support bone growth, To aid better growth and well-being.
Nutritional value per 100ml:
- Calcium 1650mg
- Phosphorus 850mg
- Vitamin D3 8000 IU
- Vitamin B12 100 mcg
- Carbohydrates 40,000mg
- Energy KJ 670
- Energy Kcal 160
For pets up to 6 months
- Small breeds: 5ml daily
- Large breeds: 10ml daily
Always seek veterinarian advice prior to providing any medicine or supplement to your pet.
How long will it take for my order to arrive?
All Petsy orders will be dispatched within 24 hours.
- 0-3 working days delivery for orders within Mumbai
- 2-7 working days delivery for orders from other towns/cities in India.
Delivery times may be subject to stock availability, delays caused by shipping partners which are beyond Petsy's control, and as such, delivery times may be extended.
Petsy will provide regular updates on your delivery status.

domain: pet


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Rather than just focusing on a single woman or select group of women, this year’s Google Doodle for International Women’s Day is a special 55-second illustrated video. The animated clip shows several women from different walks of life and different generations holding hands to form a lovely rotating mandala.
The first black-and-white layer of the mandala represents women from around the world in the late 1800s to 1930s during the labour movements. The second layer moves forward and focuses on the 1950s to 1980s, a time when there was more of a push for gender equality and women’s rights. The last layer depicts women from the 1990s to today, showing the progress that has been made over the last 100 years. Women are shown as mothers, astronauts, scientists, captains and athletes.
“As today’s women stand on the shoulders of those who have fought and made sacrifices in the generations past, they likewise carry the legacy of the movement forward. Here’s to the women across sectors, industries, nations, ages, and cultures, who persist tirelessly to take charge together—paving the way for future generations to come,” says a post from Google.
Women also created the 3D paper mandala animation. Oslo and London artists Julie Wikinson and Joyanne Horscrof from Makerie Studio illustrated it, while Zurich animators Marion Willam and Daphne Abderhalden from Drastik GmbH animated it.
“As a female duo, our link to this particular Doodle was clear—we loved having the chance to celebrate such an important day about what exactly has allowed us to have the lives and careers we do,” says Wilkinson and Jorscroft in the blog post.
Every year, International Women’s Day is celebrated on March 8 and marks a date in which women are honoured. This year’s theme from the United Nations is “I am Generation Equality: Realising Women’s Rights.”

domain: news


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No matter who you are or what you do, there are going to be some times in life when you're not exactly feeling your best. That could be physically, mentally or both. There's so much going on in the world and in our personal lives that it'd hard not to get run down every now and again. It happens to the best of us, and I truly hope that it doesn't happen often to you guys and gals.
Working your way out of one of those ruts is sometimes no easy task. You need a little bit of a pick-me-up to get you going back on the right track. Sometimes all it takes is a different mindset to really steer you back to the path of feeling good and being happy. I've found that sometimes anime can really work well for this. I know it's put a smile on my face!
While there's a lot of anime out there that's action heavy and deep, those features usually come with some sort of uplifting message. You see these people in situations that seem absolutely hopeless, but through some power and persistence they manage to come out above it all. Even when things look like they are at their worst, someone or something comes along to save the day. How can you not feel uplifted by that?!
What anime movie or series do you watch when you're down and out? Is there any story in particular that lets you know that no matter how bad things seem, they'll eventually get better? Even something as simple as an anime relationship between two characters can be enough to get you smiling. What's the anime that lifts your spirits?


Monday, November 30, 2015
A Guide to Purchasing a Natural Latex Mattress That Meets Expectations
Used in everything from mattress toppings to innerspring replacements, latex is becoming increasingly popular in the mattress world. Chances are, if you are considering purchasing a new mattress, you are looking into a latex mattress. There are several different reasons as to why latex mattress are becoming so popular. One of the most common reasons why individuals choose latex mattresses is because they are interested in a ""green"" mattress. Mattresses made of natural latex are fully sustainable, all natural and do not off-gas toxins into the bedroom. Because latex mattresses are quite dense and yet have a certain elasticity, they have a distinct edge over other mattresses. Latex is an open cell marterial and does not hold in heat like foam and dissipates heat very quickly. When purchasing your natural latex mattress, try to buy from a store specializing in bedding supplies in Sacramento, such as The Healthy Bed Store.


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flax council of canada release
Ag r o u n d b r e a k i n g Canadian company, which built the world’s first commercial dehulling plant for flax, has won a prestigious award. Natunola Health Biosciences Inc., under the leadership of its president and CEO, Nam Fong Han, recently received the 2008 Award of Excellence for Innovation in Agriculture and Agri-Food.
Natunola’s plant in Winchester, Ontario, represents the culmination of many years of research into the flax dehulling process and provides new opportunities for Canada’s flax growers. Natunola is the eighth recipient of this annual award, co-sponsored by Agriculture and Agri-Food Canada and the Royal Agricultural Winter Fair in Toronto, which recognizes an individual, organization or business for an innovative contribution to the agri-food sector.
“We are very excited about our innovative flax products and the Award of Excellence,” Han said. “These provide the catalyst for our company and our team to continue to expand our market share in the healthy food industry.”
In the past few years, Natunola Health Inc. has sold a range of new flax products developed from dehulled flax, such as shelled flax kernel and shelled flax meal. These products are shelf stable and do not require grinding or refrigeration. Many retail products are now using the flax ingredients from Natunola. The company also has its own brand of retail products under the brand name of Health’s Delight TM.
The 40,000-square-foot plant, a half-hour drive from Ottawa, also produces natural ingredients for cosmetics and personalcare products. The company employs 22 staff and processes 800 to 1,000 tonnes of Prairiegrown flax annually. Preferred flax cultivars are larger seed varieties such as Emerson and Sorrel. “The bigger the seed, the better,” said Han.
The dehulling process
Flax is well known for its versatility and many health benefits. However, the hard, sticky outer surface of flaxseeds means that, eaten whole, the inside kernel and other healthy nutrients won’t be digested by the human body.
Han got the impetus to create his innovative plant when he was contacted by Steve Cui at Agriculture and Agri-Food Canada.
By solving the mystery of how to remove the flaxseed shell, Cui and his colleagues were the first to develop the innovative, economical process known as Flaxseed Dehulling Technology which makes flax components such as alpha-linolenic fatty acid, lignans and dietary fibre more easily accessible. These powerful agents help in the prevention and treatment of diseases, including heart and certain kinds of cancer.
According to Cui, large American food companies had sought the dehulling process since the 1950s. He began his research into the process in 1993 while working as a post doctoral fellow at the Agriculture and Agri-Food Canada laboratory in Morden, Manitoba with Joe Mazza.
During the dehulling process, a flaxseed sample is treated to remove moisture. Using mechanical friction or abrasion, the seed is broken into two pieces – the hull and the kernel. Air, blown through the flaxseeds, separates out components by weight, without affecting the oil in the kernel. “The beauty of the dehulling process is that it doesn’t destroy the cells and the oil in the seed is protected from oxidization; therefore, the shelf life of the product is longer.”
Once Cui and Mazza patented the technique, the next hurdle was moving the results of their research from the lab bench to the commercial market.
“Once you have the technology, you need someone to be willing to take a risk,” Dr. Cui said.
A successful partnership
In 2001, Cui connected with Han. With a two-year $100,000 grant from Agriculture and Agri-Food Canada’s Matching Investment Initiative, research continued into industrialization of the process. According to Agriculture and Agri-Food Canada, “Natunola was so impressed by Cui’s expertise and technical assistance that the company built the world’s first manufacturing plant of dehulled flaxseed products.”
Another advantage of the Flaxseed Dehulling Technology is that it lends itself to value-added processing at the plant. “To be able to enrich the mucilage and lignans in the hulls and the omega-3 fatty acid in the kernels, you need to get them in a pure format,” Cui said.
Products containing lignans and mucilage from the flax hull, as well as alpha-linolenic fatty acid in the kernel, can be enriched up to four times the amount contained in flax naturally. This has led to the full utilization of each functional component in flax and an expansion of nutraceutical, animal feed and personalcare product lines. Natunola flax products include omega-3 flax kernel, flax hull, flax bran, flax fibre, as well as milled flax and flax meal. These products can be used by the industry as ingredients in baked goods, in dairy products and other foods.
For his groundbreaking efforts, Cui received the Leadership Award in Technology Transfer from the Canadian government’s Federal Partners in Technology Transfer in 2006. The award was granted “for exemplary leadership in the development of inventive food extraction processes and the transfer of flaxseed dehulling technologies.”


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Multigrain Sweet Potato Tortillas
Whole grain yellow corn flour, corn oil, whole grain brown rice flour, sweet potato flour, dried cane syrup, brown sugar blend (sugar, corn maltodextrin, salt, natural flavor), corn bran, colored with extractives of annatto, turmeric and turmeric oleoresin.
- Allergen statement: This product is processed on production lines that manufacture other products containing sesame seeds.
- Nutrition Facts Label:
- Kosher: OU
- Nutritional Information Icon: No Cholesterol, No Hydrogenated Fat, Gluten Free, 0g Trans Fat, FORMERLY_NO_PRESERVATIVES, Low Sodium