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The use of generic narrow therapeutic index (NTI) medications remains controversial in certain disease states. This controversy is of particular interest within the field of transplantation, where maintenance immunosuppression is essential for long-term patient and graft survival. Immunosuppressive regimens generally consist of a combination of several agents from different therapeutic classes. For example, a regimen might consist of a calcineurin inhibitor (tacrolimus or cyclosporine), an anti-proliferative agent (mycophenolate mofetil, mycophenolate sodium, or azathioprine), and a corticosteroid. Given the vulnerability of transplant patients, it is essential to be aware that with as little as a two-fold change in blood concentrations with some of these agents, patients can experience toxicity or an episode of acute rejection. For example, if a patient's tacrolimus target level is 8 to 10 ng/mL, and their level increases two-fold to 20 ng/mL, that patient will likely have manifestations of toxicity, such as hand tremors, acute renal dysfunction, or even seizures. Conversely, if the tacrolimus level abruptly fell below the target, they would be at increased risk for rejection.
The concern over whether conversion to generic immunosuppressants can cause clinically relevant changes in blood concentrations was first brought to light in the late 1990s with the first generic approval of cyclosporine microemulsion oral solution formulation (SangCya; SangStat Medical Corp, Freemont, CA). This product was voluntarily recalled in 2000 after it was discovered that when administered with apple juice, drug delivery was 20% to 30% less than expected. As a result, the controversy over conversion subsided among transplant practitioners for the next decade as tacrolimus (Prograf; Astellas Pharma US, Inc, Northbrook, IL) became the dominant calcineurin inhibitor and mycophenolate mofetil (CellCept; Genentech, Inc, San Francisco, CA) the dominant anti-proliferative agent. In recent years, this controversy reemerged as generic formulations of tacrolimus and mycophenolate mofetil became available within months of each other in 2009.1
Pharmaceutical Equivalence of Products
In order to meet the standards for FDA approval, generic medications must be deemed bioequivalent, in addition to pharmaceutically equivalent (identical ingredients, strength, dosage form, and route of administration), to their brand name counterparts. Generic manufacturers are not required to submit clinical data regarding safety and efficacy. To be considered bioequivalent, the generic product must result in a similar dose vs time relationship (Cmax) and area under curve (AUC) upon analysis. Determining the Cmax and AUC serves to ensure that innovator and generic products have similar pharmacokinetics. The FDA allows the geometric (as opposed to the arithmetic) mean of the Cmax and AUC of generic medications to fall between 80% and 125% when compared to the innovator product. On the surface, this can create a misconception that generic drug concentrations may differ from their respective reference drugs by up to 45%. In reality, studies have found the margin to be closer to ±5% and that mathematically they must lie within ±13% in order to meet FDA standards.2-4 Bioequivalence testing generally involves 24-36 healthy volunteers.
Some clinicians within the transplant community have argued that FDA regulations should be tighter when dealing with NTI drugs in order to avoid acute rejection in the setting of therapy substitutions. These same clinicians often advocate for reference-to-generic bioequivalence testing in transplant recipients, particularly for African Americans and pediatric patients to ensure there are no clinically significant differences in these special populations. Unfortunately, there are very few studies or clinical trials that address these concerns. Regardless, the available data suggests that generic substitution can be implemented safely, in concert with proper therapeutic drug monitoring (TDM), without risk of rejection. This recommendation is echoed in the general position statements of various transplant societies, including the American Society of Transplantation.1
Cost-Saving Opportunities
There can be significant cost advantages to using generic immunosuppressive medications for health systems, insurance providers, and patients. However, actual savings for patients may be limited by the fact that Medicare Part A copays are not impacted by generic pricing. Given that Medicare is the largest third-party provider for transplant recipients, a substantial percentage of patients will not experience cost savings. In addition, many innovator immunosuppressant manufacturers offer discount programs that shield qualified patients with private insurance from the higher copay associated with use of a brand name product when a generic alternative is available. However, such copay assistance programs are limited or not allowed in certain states, including New York and Massachusetts.
Health systems and insurance providers, on the other hand, are likely to realize the savings associated with the availability of generic immunosuppressants. In fact, from our experience and review of wholesale prices, a 50% to 90% discount in acquisition cost can be expected. This discount may be realized by using a generic outright, or by negotiating a lower price with a maker of the brand product or branded generic.
An important caveat to factor into any projected savings is that conversion from branded to generic NTI medications may require additional drug level monitoring. Depending on the established drug level monitoring practice at a given center, the additional laboratory work involved in expanded monitoring may impact the savings realized in acquisition cost. At many transplant centers, including Yale-New Haven Transplant Center (YNHTC), drug levels are monitored closely for any admission, so upon conversion to generic products, YNHTC does not require additional TDM beyond our previously established procedure. This practice may vary among transplant centers with some choosing to monitor more sporadically or specifically during switches, but regardless of accepted practice, the policy for TDM should be explored before proceeding with conversion to generic medications.
Purchasing Considerations
An important consideration when purchasing products—in addition to price at the hospital or health-system level—is how they are supplied. Some generic medications are supplied in unit dose packaging, which is more cost-effective and practical from a purchasing and dispensing perspective (see Table 1). Furthermore, pre-packaged unit dose medications offer enhanced patient safety by reducing dispensing errors with bar code technology. Alternately, purchasing generic products in bulk and re-packaging them also can contribute to overall cost; unfortunately, among generic immunosuppressive medications, certain manufacturers only supply products in bulk packaging. Thus, packaging options should be considered when choosing immunosuppressive medications as workhorse formulary agents.
Click here to view a larger version of this Table
A Practical Approach to Managing Generic Immunosuppressants
Given the cost-saving advantages associated with generic products, most hospitals or health-systems are likely to pursue the use of generic immunosuppressants. Since it is impractical to keep an inventory of brand and several generics for every immunosuppressant, one cost-effective approach would be to utilize a single product and apply TDM for NTI drugs when patients are switched between products. In this scenario, providers carefully monitor drug concentrations and adjust doses accordingly for each patient based on laboratory results. Non-NTI drugs can be switched without application of TDM.
Role of the Transplant Pharmacist
In addition to applying TDM when patients are switched between products, prescribers and patients should be educated on the importance of therapy changes, TDM, and the risks and benefits of using generic immunosuppressants. This is a role optimally filled by the transplant pharmacist. Most transplant centers employ at least one transplant pharmacist, and these pharmacotherapy experts are well equipped and positioned to ensure transitions between products are handled in a way that minimizes the risk for adverse events. The transplant pharmacist and pharmacy purchasers should collaborate to ensure the best product is selected based on all of the above considerations. Likewise, changes in formulary always should be communicated to prescribers and patients to minimize confusion and ensure a smooth transition.5
There is a substantial opportunity for hospitals and health systems to gain cost savings with the use of generic immunosuppressants. However, there are several clinical, operational, and purchasing considerations that must be evaluated before committing to a formulary conversion to a generic product, and many of these considerations are institution- and manufacturer-specific. The ultimate choice of a formulary agent will vary among facilities following a thorough analysis of these options. Given that the availability of generic immunosuppressive products will continue to rise in the coming years, thoughtful contemplation of these critical dose medications is an advisable course of action.
Eric Tichy, PharmD, BCPS, is a clinical pharmacy specialist in solid organ transplant at Yale-New Haven Hospital in New Haven, Connecticut. He is a graduate of the University of Connecticut School of Pharmacy and trained in pharmacy practice at Yale-New Haven Hospital. Eric also is board-certified in pharmacotherapy and holds adjunct faculty appointments at the University of Connecticut School of Pharmacy and Duquesne University Mylan School of Pharmacy. A member of the heart, kidney, and liver transplant teams at Yale-New Haven Transplantation Center, Eric serves as director of the YNHTC transplant pharmacy residency.
Ginger Morris, PharmD, is a PGY-2 solid organ transplant pharmacy resident at Yale-New Haven Hospital. She is a graduate of Duquesne University Mylan School of Pharmacy and holds an adjunct faculty appointment at the University of Connecticut School of Pharmacy. Ginger is currently training in solid organ transplantation with the liver, kidney, and heart teams at the YNHTC.
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Normal People – Sally Rooney
3 hours ago
Great idea for two very different V names and stamps. Carver, ABC Wed. Team
JUST learned that Victoria sent a letter of condolence to Mary Todd Lincoln, a mutual sorrow.
Two such different people and two such great choices!
abcw team
I find the Queen's comment pretty interesting and indicative of the times.
lovely quote from the queen :)

subset: commoncrawl


text: Australian Owned & Operated Australia-wide $9.95 Delivery Customer service03 9558 4433 Blake Education - Better ways to learn Better ways to learn Toggle Search Account Favourites Checkout Favourites Cart HOME Downloadable PDF Resources Secondary Downloadable PDF Resources Primary Downloadable PDF Resources Primary Literacy Fiction ABC Reading Eggs Aussie! Aussie! Aussie! 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Design and Materials Technology Design & Technology - Literacy and Numeracy in Instant Lessons - Food Technology Instant Lessons in Design and Technology Instant Lessons in Nutrition Instant Lessons in Textiles and Design Learning Support Secondary Learning Support English General Science Geography History Mathematics PDHPE / Life Skills Technology Hi-Lo Fiction Search site Submit search Nav Menu 2 Information Sale Join the Blake eClub Price Lists Education Consultants Nav Menu 4 Nav Menu 5 Nav Menu 6 Nav Menu 7 Nav Menu 8 Home > Primary Literacy > Fiction > Steve Parish - Picture Book - Brave Little Aussie Dinosaur Alternative Views: Our Price: AUD$4.95 Inc GST Resource Type: Literacy Resource Subject: Fiction School Level: Lower Primary Stock Status:* Out of Stock * Click the "Back-in-Stock" link to the right ->Register your email and we will notify you when stock becomes available. Titles from sets may be available for individual sale. Availability: Usually Ships 3-6 Business Days - Australia Product Code: 9781741932164 Email me whenBack-In-Stock Description Reviews This title will take kids on an adventure to the Age of Dinosaurs, entering a fabulous world that theyll want to visit over and over again.The Queensland Museum has teamed up with Steve Parish Publishing to create this appealing series for children to learn about Australia's prehistoric past in a fun but educational way. This engaging story about Aussie, a brave little dinosaur from the Cretaceous period, is complete with beautiful, scientifically authentic illustrations by Queensland Museum's in-house illustrator, Robert Allen. Early readers will relate to the characters and love the images, making it sure to become a family storytime favourite. Suitable for children 5 years and over. Author: Robert Allen, Photographer: Dr Alex Cook, Kylie Curry and Scott Hucknall Share your knowledge of this product with other customers... 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In addition to my CSA share announcement post, I thought I could write a weekly round up. In this post I would tell you how I did with using all of our goodies.
As of this evening, we used all of the:
Spinach (we still have frozen pesto)
Cilantro (I gave half to my sister)
Baby bok choy
We still have:
Lettuce (even through I gave half to my sister)
Half of the scallions
All of the radishes
6 eggs
1/2 of the sausage (we froze it so it should keep for awhile)
My plans are to make egg salad tonight for lunches this weekend. That should take care of the eggs and scallions and maybe some of the lettuce. I hope to roast the radishes and the store bought baby carrots tonight.
Then I would have used/ate or gave away everything we got except the bread, which got moldy around Wednesday and we had to throw it away. (Not counting the coffee, vinegar, flowers or sausage)
Lessons Learned:
Put bread into the fridge by Sunday or Monday
Wrap lettuce and leafy produce in a moist paper towel and put in a plastic bag
Change the glass of water for the flowers and the herbs every couple of days
Cut the strawberries immediately
Grade: B
It think I did pretty well for my first week. I only had to throw away the bread.
Bring on week 2!


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Klay Thompson weighs in on his funny comment going viral
Klay Thompson weighed in on his funny comment during the Golden State Warriors' win over the Portland Trail Blazers on Saturday night.
Thompson broke out of a shooting slump that had lasted much of the month by going 12/21 including 4 of 5 on threes. After making his fourth three of the night Saturday, Thompson hilariously looked at his shooting hand and said "I missed you" to it.
Klay hadn't hit 4 threes in a game in over 2 weeks.
He yelled "I missed you" at his right hand after hitting his 4th one tonight pic.twitter.com/UQqjYcz6Tu
— NBA on ESPN (@ESPNNBA) December 30, 2018
Thompson was asked after the game about his words to his hand going viral and put together a thoughtful response. He said he tries to avoid the internet because it "is a volatile place."
Klay Thompson on his 'I miss you' message to his hand going crazy online: "The Internet is a volatile place. I don't try to be on there too much…Mass information is crazy. I try to read books." pic.twitter.com/DkW1LpYePA
— Anthony Slater (@anthonyVslater) December 30, 2018
Deep thinker, that Klay Thompson. Though he's putting together the worst shooting season of his career, he still has plenty of time to turn things around.


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"Jesus paid for the sin that separated me from a God who loved me
In my early twenties I had little awareness of God and I wasn't looking for Him either. Church was for people who needed a crutch to get through life! I had everything I needed; steady job, nice car, friends, sports. I could have used more money though!
It was at my workplace that God put people in my path who told me about Jesus. They were not people who needed a crutch, they were different, and they spoke about Christ in a personal way. They told me I needed Christ in my life.
Time passed and I learned that Jesus paid for the sin that separated me from a God who loved me and who died for me and was seeking to save me. Sometime later I asked Jesus to forgive me and be my Saviour.
I recall two things that changed in a relatively short period of time. First, I had a great desire to read the bible and learn more about God. Second, I started losing interest in the things that had previously defined my life.
And a third thing…I started going to church!


text:
Last night, Cisco Systems, Inc. (NASDAQ:CSCO) reported earnings and investors quickly sold it down 4% on the headline. Management reported small beats on the top and bottom lines and they guided inline. These days, that is not enough. Investors want to be wowed, especially with the forward guidance. They didn't get it so down CSCO stock went.
CSCO is a Dot Com survivor so it will take more than one tepid earnings report to knock it down for too long. It's still in good company with other survivors like Intel Corporation (NASDAQ:INTC) and Oracle Corporation (NYSE:ORCL). These are dinosaurs of the old tech but who are adapting well to keep up with the young-uns like Nvidia Corporation (NASDAQ:NVDA).
This selling will eventually abate, especially if the equity markets stay strong. We now live in a world that is completely dependent on technology and there are only a few suppliers to it, so Cisco and all other will prosper for years to come. There will be dips like this, but those should be entry opportunities.
CSCO stock came into the earnings up 31% in a year, vastly outperforming the S&P 500, which was only up 13%, so the bulls are still happy about their returns even after a 5% earnings dip. But as exciting as that is, it still lags its competition. INTC and NVDA, for example, are up 52% and 80% respectively for the same period.
So, I am skeptical that the bulls will resume the rally for higher highs as fast as the others. But I am certain that Cisco stock will find footing sooner rather than later, and therein lies my opportunity. Quality stocks are a great way to generate income without any out-of-pocket expenses.
Instead of buying the CSCO shares and put $43 at risk with no room for error, I'd rather bet on downside support to hold. In essence I create income from selling lotto tickets to CSCO bears far below current price. If I am right then I create income from thin air. If I am wrong then I get to own shares at a deep discount from even here.
CSCO Stock Trade Ideas
The Bet: Sell the CSCO Sep $40 naked put and collect $1 to open. Here I have a 80% theoretical chance that I would retain maximum gains. But if the price falls below my strike then I own the shares and would suffer losses below $39.
Those who want to mitigate the risk that comes with selling naked puts can sell spreads instead.
The Alternate Bet: Sell the CSCO Sep $39/$37 credit put spread where my risk is limited. Yet if the spread wins would deliver 18% in yield.
It is important to note that today's trade doesn't need a rally to profit. I simply need support for CSCO stock to hold for the near term. Time will then do the heavy lifting and premiums will expire in my favor. But just in case, I have to be ready to own the shares at that level.
Click here for a more market coverage and get an ongoing free copy of my weekly newsletters.
Nicolas Chahine is the managing director of SellSpreads.com. As of this writing, he did not hold a position in any of the aforementioned securities. You can follow him as @racernic on twitter and stocktwits.


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Quarterly Homeowners Meeting December 14, 2010
Meeting began 7 pm.
She is a licensed realtor and worked as a leasing manager for a condominium.
Danielle's start date for Rhondda HOA was 12/13/2010.
Michelle DiMichelle – president
Sue Patt – vice president
Sara Dill – treasurer
Barbara Guenst – secretary
Chris Trevascis – board member
Tie between Dave Bova and Bill Coleman
The tie was turned to the board. Sue Patt contacted the lawyer to seek his expertise. Board ultimately decided both parties could serve the two year term.
Connie Long –
-requests/suggests that if board members do not attend meetings regularly they should be removed.
-recommends the Board take a vote to break a tie (between officers) in the future.
-would like to place notice in Rhondda Roster to advise people the importance of following instructions so their vote is not discarded.
After discussion, it was advised the Election Committee write a recommendation as to how to handle a tie (between officers) in the future. This committee response will allow everyone to have input into the recommendations to the Board.
3. Conway and Pembroke Courts have been paved.
Resident from Conway Court concerned paint on the court has not been restored. Snow zones and numbers not repainted. Concerned because of the renter turnover and some residents do not know the rules regarding their car space allotment. It was suggested to check if Pembrooke has the same problems.
4. Finance Committee
The Budget for 2011 is in the Roster.
If anyone would like a copy of the 2010 budget they can obtain a copy from Danielle.
5. Pool - season has come and gone. No concerns expressed.
6. Conway Court Resident concerned that the solid stain and painting has not been completed on some properties.
Due to the resignation of Dianne O'Melia the Board had to focus its energy on hiring a new property manager as well as keep the office functioning. The Board was in "survival mode". Most of the members have full time jobs plus volunteered extra time to keep the HOA office functioning. Therefore, the follow up on the property inspections was unable to be completed as planned, although not forgotten.
7. Neyland Court Resident was concerned about the condition of the sidewalks and questioned if they would be addressed.
Sue Patt addressed the revision of the property inspection guidelines. Mike Cassella created a power point presentation using Uwchlan Township code for sidewalks. This will be used to educate volunteers as to how to properly inspect sidewalks. Notification will be given to homeowners who fail and fines will be levied as needed.
8. Concern raised about cars parked in courts with expired registration. Residents were advised to notify the office and the cars will be towed. The courts are the property of Rhondda Homeowners Association.
9. Chris Trevaskis clarified that the Board followed up on all the property inspection failures. They were reinspected and "flagged" for "safety" failures. The Good Maintenance Document had been voted on by the Board and followed Uwchlan Township Code. It is very specific. Volunteers will use this document to inspect properties in the future.
10. One homeowner questioned the rules and regulations for solar panels. It was suggested that a request for solar panels be submitted to allow the Board to consider them. This would require a change to the rules and regulations if approved.
It was mentioned that the single family homes have been approved for architectural shingles.
11. Shed placement regulations were discussed as one homeowner's shed is inappropriately placed. Uwchlan Township code has specific guidelines. This will be addressed with homeowner.
12. Concern was expressed regarding Landlord/Tenant properties which are not well maintained. Danielle stated she has experience working with landlord/tenant situations and she believes in enforcing the rules.
Meeting was adjourned.


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Diego Silva makes his Australian debut on Saturday 26 August 2017, in Melbourne Symphony Orchestra's Mid-Season Gala, Thaïs: Opera in Concert. Diego sings the role of Nicias, joining Erin Wall in the title role and Quinn Kelsey as Athanaël under the baton of Sir Andrew Davis.
Last season, Diego made his Metropolitan Opera debut as Tybalt in Roméo et Juliette.
"Diego Silva made an exceptional debut as Tybalt, flashing a consistent, buttery tenor and working himself up to burning insistence as he made his fateful challenge to Romeo."
New York Classical Review
Following Thaïs with the Melbourne Symphony, Diego will sing as Rodolfo in La bohème at Opera de Metz and will return to Vilnius City Opera as Faust, before returning to the Luzerner Theater for productions of La Traviata (Alfredo), Falstaff (Fenton), Die Zauberflöte (Tamino), and a new production of Massenet's Manon (Des Grieux). Diego will also sing Alfredo with Trondheim Symfoniorkester and Arturo Lucia for Monte-Carlo Opera.
Thaïs will be performed at Hamer Hall, Melbourne, 8pm on Saturday 26 August, also recorded for broadcast on ABC Classic FM Radio on 3 September. Further information can be found on the Melbourne Symphony Orchestra website.


text:
Parallel support vector architectures for taxonomy of radial pulse morphology
Karamchandani, S and Desai, U B and Merchant, S N and Jindal, G D (2013) Parallel support vector architectures for taxonomy of radial pulse morphology. Signal, Image and Video Processing, 7 (5). pp. 975-990. ISSN 1863-1703Full text not available from this repository. (Request a copy)
Application of impedance plethysmography (IP) for impedance measurement is the paradigm in assessment of central and peripheral blood flow. We propose the expediency of IP to unearth hidden patterns from Plethysmographic observations on a radial pulse. The variability analysis in one thousand control and disease subjects evolves an archetype of eight different morphological patterns. The peripheral pulse waveforms not only characterize the physiology of control subjects, but also define the morphology of patients suffering from Myocardial Infarction, cirrhosis of liver, and disorder of lungs. Diverse parallel support vector machine (pSVM) topologies are designed as an aid to the physician for multiclass pattern recognition problem. Besides a lowest confusion coefficient (0.133), the PCA-based pSVM classifier offers a comparatively higher generalized correlation coefficient and κ value of 0.6586 and 0.8407, respectively. However, the ROC characteristics and the benchmark parameters suggest that wavelet-based pSVM is the optimum classifier with a sensitivity of 85.33 %, an elevated MCC (0.69), and a least upper bound on the expected error. pSVM stands out as a model classifier as compared with identified indices such as, Fishers Ratio, Morphology Index, and Heart rate variability.
|IITH Creators:
|Item Type:
|Uncontrolled Keywords:
|Heart rate variability; Impedance plethysmography; Morphology index; Peripheral pulse analyzer; Radial pulse; Reaction diffusion transform
|Physics > Electricity and electronics
|Department of Electrical Engineering
|Depositing User:
|Team Library
|Date Deposited:
|25 Nov 2014 09:29
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|25 Nov 2014 09:29
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Product description
This all-black plastic beauty is a study in style for sports enthusiasts. Rugged, light-weight and built for extremes, this striking Swatch Chrono Plastic features a structured black silicon strap and black plastic clasp holding the moulded black plastic case with black chrono pushers and crown. The rotating bezel in matt black plastic shows silver Arabic numerals (05, 10, 15 … 60) and a silver minute ring on the flange. The glossy black dial features applied silver Arabic numerals at hours 1, 3, 5, 7, 9 and 11 (small) and 4, 8 and 12 (large) and a black-on-white date window at 6 o'clock. The chrono subdials and continuous seconds counter at 6 all have grooved black dials with white Arabic numerals and/or fine white indices and silver hands. Squelette metal hour and minute hands with superlite white highlights and the slim silver central chrono seconds hand mark the time.
|42.5 mm
|Water resistant
|3 Bar (Wash hands)
|This product is sold with 1 year limited warranty.
|Hours - Analogue hand
|Date - Window
|Chronograph and timers
|Stopwatch /Chronograph- 60 minutes - 10 hours


text:
Unrestricted View Horror Film Festival
Posted: Thu Oct 20, 2016 12:47 pm
http://www.uvff.co.uk/unrestricted-view ... m-festivalUNRESTRICTED VIEW HORROR FILM FESTIVAL
31st October - 6th November 2016
Unrestricted View follow up the first year of the UVFF with another first (of many we hope!)
The Unrestricted View Horror Film festival.
Seven days (and nights) showcasing the best independent horror features, shorts and web series.
The festival is run by filmmakers and aims to celebrate the very best in indie and encourage all aspects of independent horror film making.
The Festival is at The Hen & Chickens Theatre, an independent cinema in Islington, North London and the pub below will be the networking and meeting place.


text:
Hayley MatthewsDatingAdvice.comJuly 7, 2020 at 12:39 am FORUM ANNOUNCEMENT
Hey DatingAdvice.com forum readers! Just a quick heads up that a few dating sites are offering a FREE trial to DatingAdvice forum readers. Try it now and meet local singles in just a few minutes! Here are the sites:
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DoomsyParticipantNovember 13, 2018 at 4:42 am #189222
Lets make this quick.
I have a crush who I like because she's been nice to me since I met her. She's a sweet girl and I really like her. We were progressing towards friendship before this happened:
One of my 'friends' decided to be 'funny' and yelled out that I liked this person in the middle of class. Ironically, he doesn't know I like this person: he made a lucky guess. Of course, since everyone heard, the rumour spread around the school and now all of her friends are basically keeping her away from me.
At this point, I don't have a hope of salvaging what we had: I just want to stop this rumour before it gets any worse, because even if I didn't like the girl the rumour is referring to it would still be a massive problem. I hate gossip.
What do I do?
dashingscorpioParticipantNovember 24, 2018 at 1:15 pm #189745
"…now all of her friends are basically keeping her away from me."
First of all if SHE wanted to be with you she would.
Secondly if you truly like her you shouldn't be ashamed of it.
One day when you get older you will see just how immature it was to pretend like you don't like someone.
Peer pressure and worrying about what others think of you fades by the wayside when one gets older.
This whole immature school thing is a tiny phase of your life.
When you're in your 20s, 30s, and beyond you'll see how stupid it was to be so invested in what others thought
Man up and tell her you do like her and invite her to "hang out" with you, go to a school activity, or have lunch together.
Don't be afraid of rejection. It saves everyone time and sometimes money.
In a world with over 7 Billion people rejection just means: NEXT!
"If you live for people's acceptance, you will die from their rejection." – Lecrae
Once you stop caring what other people think you're FREE!
Best wishes!
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Almost a year ago, in February 2015, I began work on the promotional trailer for my science-fiction novel, 'The Methuselah Paradox'.
Category: promotional
Help Indie Author EJ Jackson to create a trailer for her novel 'The Methuselah Paradox'
1979: a fire
1990: two deaths
2015: a disappearance – are they linked?
'The Methuselah Paradox' by EJ Jackson is a blend of crime drama and science-fiction. How long do YOU want to live?


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Report: Evaluation of a Novel Community-based Chronic Disease Management Solution
- Sarang Deo (Executive Director, Max Institute of Healthcare Management & Associate Professor of Operations Management, ISB)
- Preeti Singh (Analyst, Max Institute of Healthcare Management, ISB)
According to WHO, 39.5 million of 56.4 million global deaths in 2015 were due to non-communicable diseases (NCDs) such as cardiovascular diseases, cancers, diabetes, and chronic lung diseases. In India, NCDs account for 61% of the morbidity and mortality and is rising disproportionately in the low-income segments. Current health systems (both public and private) are designed primarily to address episodic/acute complications arising out of these conditions rather than managing these conditions over the long term to avoid such complications. The need for the hour is for interventions that can support in improving the diagnosis and management of NCDs.
In this report, we critically evaluated a social enterprise model (NanoHealth) that leverages a unique combination of community health workers called "Saathis" and a proprietary technology platform to facilitate early diagnosis and continuous management of chronic NCDs such as Diabetes and Hypertension. In particular, we investigated NanoHealth's impact on health outcomes of its users by analyzing the operational and financial feasibility of its model using its operational data between March 2015 and March 2017.
We found that NanoHealth was successful in identifying undiagnosed and undertreated population at risk of developing diabetes, hypertension, or its complications. Twenty eight percent of the screened individuals were at risk of developing diabetes or its complications; 21% of whom had no previous history / knowledge about the disease. Fifty nine percent of the screened individuals were at risk for developing hypertension or its complications; 65% of whom had no previous history/ knowledge of the disease. Individuals, who enrolled on the NanoHealth plan and continued it for 12 months, experienced a significant decrease in fasting blood glucose (20.1mg/dL) and systolic blood pressure (9.2mmHg) compared to their baseline values. However, we found that significant improvements were needed both on acquisition and retention of customers to make the model financially sustainable; only 6.78% of the screened population was enrolled on the plan and of those, 57% users remained on the plan after 12 months.
Our findings lead to two levels of recommendations to improve the acquisition and retention of the users and achieve financial sustainability of the model. At an operational level, given that cost of community health workers is mostly fixed, NanoHealth should aim to improve their productivity (number of visits per day) and to appropriately allocate their capacity over initial screening and monthly monitoring visits. At a strategic level, public payers that internalize the cost of poorly controlled NCDs (e.g., CGHS and ESIS) should partner with NanoHealth and procure its services for their beneficiaries. Finally, state governments should consider integrating the proposed NCD programs under the National Health Policy 2017 with community-based models such as NanoHealth.
About NanoHealth:
NanoHealth provides proactive and continuous care for management of NCDs to low income families in the city of Hyderabad. It was founded in 2014 after the founders won the prestigious Hult Prize. In the last three years, NanoHealth has touched over 70,000 people and actively manages health of over 2000 users. NanoHealth operates in urban slums and their surrounding neighborhoods. The catchment population comprises individuals working as drivers, daily wage earners, domestic helpers, vendors and self-employed professionals in the unorganized sector of the economy. The average family income of its beneficiaries ranges between INR 15,000—INR 30,000 per month. Most people inhabit pucca houses with electricity and water supplies.
NanoHealth aims to improve the diagnosis and management of NCDs through: (i) trained and certified community health workers known as Saathis (meaning 'companions' in Hindi) and (ii) an integrated proprietary technology platform.
[Double click on the image to view full report]


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Follow CatModernShop on Facebook for sales and events
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Are you seeing double, triple, septuple cats? This abstract cat necklace features a toggle clasp, necklace drop approximately equivalent to 20" in length. In electropolished stainless steel with steel chain, or shiny 23k gold plate with gold-filled chain. Centerpiece approximately 4-3/4" wide.


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This YouTube video is for all those parents whose children I have seen recently and who are wondering why their children have crowded teeth. This video explains one of the causes of crowding, that being poor breathing patterns or habits. If these patterns are not addressed before correction of the crooked teeth, the result may not be stable and relapse will occur. Enjoy another YouTube video from my colleague Dr. Scott Tamara.
The NM Whole Body Connection
Overview of Neuromuscular Dentistry
The video clip below by my colleague Dr. Curtis Westersund, that is posted in the patient section of www.LVIGlobal.com, is an excellent overview of how dentistry fits in with overall health and can contribute to symptoms not easily associated with teeth and jaws. Enjoy!
Neuromuscular Orthodontics
Great video describing NM orthodontics and its role in general health by my colleague Dr. Bob Perkins
TMJ & Posture Videos
Here are links to two great uTube videos, put together by my colleague Dr. Scott Tamura.. The first, TMJ for Dummies nicely explains the role of the jaw and bite in head, neck and facial pain disorders. The second is great at explaining how a bite disorder can cause all sorts of other structural problems. Enjoy and contact us if you have questions.


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Convertible Coffee Table Glass
Some furniture convertible coffee table you have at home is so large that takes up space and when you want to buy a new, smaller, is not good or flashy. Table made of glass might look beautiful in a white room clean. When this has been a lot of glass tabletop models varied shapes and models.
This funiture convertible coffee table glass could be the solution to your problems. At first glance it seems to be a coffee table but become part of the furniture where you can dine with your family or guests. Glass table is appropriate for put anywhere you want.
12 Picture Gallery: Convertible Coffee Table Glass
Finished with glass and curved legs attract anyone who sees it. The table can be extended to up and pressing a button on it. Convertible coffee table modern, Maybe a glass table is very prone to rupture, do not let your children play around a glass table.
This post topic: Coffee Table


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101: caramel
Some people would come across the term "caramel shards" on their Facebook feed…..and just keep scrolling.
"Some" people.
I, on the other hand, clicked immediately. And immediately started thinking about how I'd use them.
Now, to clarify, this recipe is not for caramel sauce. Or caramel candies. And it's a little different than the caramel I used in my creme brulee pops from way back when. This is a process called "wet caramel", and it involves putting a bit of water at the bottom of the pan before adding the sugar, which reduces the chances of burning (something I'm quite familiar with).
So what did I do with these gorgeous shards?
It didn't take long for me to decide to revisit these cookies. While they were delicious, to be sure, I always felt they could use some improvement. And I had a feeling that the shards were the answer. And while I was at it I reduced the amount of white chocolate, made the cookies smaller, and froze the scoops before baking.
The toasty, just-on-the-verge-of-burnt flavor of the caramel was the ideal counterpart to the oats and white chocolate, and the shards were both chewy (if they baked in the middle of the cookie) and crispy (if they seeped out to the edges).
Even my chocoholic husband declared them addictive.
Food52 added the shards to chocolate chip cookies and brownies; I think they'd also be delicious sprinkled over some good coffee ice cream.
How will you use them?
caramel recipe from Food52
cookie recipe slightly adapted from Smitten Kitchen
3/4 cup + 1 cup granulated sugar, divided
14 tablespoons (1 3/4 sticks) unsalted butter, room temperature
1/4 cup packed light brown sugar
1 large egg
1 teaspoon vanilla
1 cup flour
3/4 teaspoon baking powder
1/2 teaspoon baking soda
1/4 teaspoon table salt
2 1/2 cups old-fashioned rolled oats
2 ounces chopped white chocolate
flaky sea salt, like Maldon
Line a baking sheet with parchment paper or a Silpat. Pour 2 tablespoons of water into the bottom of a heavy-duty pot or skillet (I used a 12″ skillet); pour 3/4 cup of sugar evenly over. Melt the sugar over medium-low heat, without stirring. As the edges start to melt and color, slowly and gently swirl the pan to keep the melted and unmelted sugar evenly distributed (you want to keep the movement to a minimum to avoid crystallization). Once the sugar is mostly dissolved you can raise the heat to medium until it has turned a deep golden brown. Immediately pour it onto your prepared baking sheet, and tilt the sheet so that the caramel is as thin and even as possible. Let harden while you prepare the cookies.
Beat the butter, brown sugar and remaining cup of sugar till light and fluffy. Scrape down the sides. Add the egg and vanilla and beat again; scrape down the sides. Add the flour, baking powder, baking soda and salt and mix until just incorporated. Transfer your now-hardened sheet of caramel to a cutting board and cut into smallish pieces. Add to your dough along with the oats and white chocolate, mixing till just incorporated.
Using a tablespoon or cookie scoop, scoop the dough onto a parchment-lined baking sheet – you should get about 36 scoops. Using slightly damp hands, roll dough into balls and flatten slightly (the balls can be close together; you will spread them out before baking). Freeze for at least an hour.
Preheat oven to 350 degrees. Line two more baking sheets with parchment paper.
Divide the balls evenly between the three baking sheets and top each with a bit of flaky sea salt. Bake till golden brown, checking at about 10 minutes. Place pans on wire racks and let cookies cool completely before removing.
This delicious recipe brought to you by Sheri Silver
More cookies and sweet treats on Pinterest!


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We all have relationships. Some more than others. Relationships are important to us in many ways.
Depending on the country and culture, relationships could be managed in many ways
In some cultures and organisations there are many different sets of relationships that are managed in parallel. Some sets may be more important than others. In some cultures and organisations , relationships are not in different sets but reside within one set, all clearly defined and with the inner circle being the most important.
Culture 1
Culture 2
As a business too, depending on the organisation culture, relationships can vary
Organisation 1
Organisation 2
For any leader , there is a dual role. On one side there are a host of personal relationships to manage. On the other side the responsibility to lead the relationships and engagement for the organisation
Having established the types of relationships we have and having ranked them (mentally or actually) , we have to spend enough time (and money) to manage these relationships
QUESTION : Do we really have the time to manage so many relationships and do justice to all of them?
We do not have the time to manage so many relationships. And with the huge number of communication channels now available, it is even more difficult to manage these.
Every organization needs to spend time and money on relationships. Whether it is to celebrate an employees birthday or to spend time with a distributor or to engage with the public.
Relationships Matter. And every organisation needs to recognize this. As a business or HR leader you could draw up a relationship planner with the target audience, initiatives and investment into these initiatives. Create and implement a plan on a sustained basis. Results may be intangible or invisible but they will show up on charts like employee retention, sales, referral business and more.
To know more about the types of relationship management and engagement programs that you can run with your distributors, channel partners, employees, business influencers and key opinion leaders you can consult with Radii Rewards and get ideas. And Radii Rewards can help you implement many of these initiatives on an outsourced basis, thereby giving you the extra time to be able to focus on your core business
To know more please write to firstname.lastname@example.com or visit www.radiirewards.comArticle Authored by Ajay Miglani
Linkedin: http://in.linkedin.com/in/mig928
Whatsapp: +86 188 1322 8742
Wechat: tigerpug


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Meet Bunny number 4!
I have given her the little name of "Flo" for now.
Usually, the bunnys and the rest of my pieces get their names as I work on their faces, but bunny 4 is a little different.
As I sewed, I knew this little bunny had an owner so I decided to let her be named by her. She was to be given as an Easter present, (hence why not posted sooner, I hate to spoil surprise pressies) so is already at her new home and it sounds like she will be in lovely company.
I have been easing myself back to work today, after my lovely little visit to a penguin-loving friend, by doing a couple of finishing stitches with plans for more tomorrow. It was easier than I ever imagined to step away from the pins and needles, although I'm very happy to be back with them now.
I plan to be back with my usual Friday post so...
see you tomorrow


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A Normal Life
Video, 2001
This video looks at the challenges of living with FASD through the eyes of three adults with FASD. Their parents share their insights and strategies. The video presents success stories of early intervention and diagnosis in reducing secondary disabilities commonly experienced by individuals with FASD.
Related products
Cope Magazine
Magazine, 2016
Cope shares the voices of Saskatchewan young people and how they cope with challenges in their lives. The aim is that youth throughout the province will connect with other young peoples' experiences, feel supported, and learn about healthy ways of coping with difficulties in their lives.
What's Inside? Creative works which reveal the thoughts and opinions of young people and how they cope with challenges in their lives; the culture of alcohol consumption; a young man's experience with addiction issues; the impact of addictions on family members; and sex, alcohol, and consent. In addition, the magazine explores youth finding outlets through music, getting involved, youth conference planning, and much more.
Cope was developed as part of the Youth Action for Prevention Program; a youth-focused FASD prevention program that raises awareness about alcohol-related harms and supports youth to create positive change in their communities. The articles and art in this magazine can be used to start conversations about the role of alcohol in the lives of young people and society, and ways to promote resilience.SKU: 3-008
This Is Why I Supported Her Not to Drink
Information Card, 2018
This information card is aimed at fathers and fathers-to-be, suggesting they support their partners to avoid alcohol during pregnancy in order to prevent Fetal Alcohol Spectrum Disorder. On the back of the card is information about how alcohol impacts the fetus and suggestions on how to provide support. There is a link to a website for more information.SKU: 3-061
What Have You Heard about Alcohol and Pregnancy?
Information Card, 2014
This information card is for people who are pregnant or trying to get pregnant. It explains how drinking alcohol can affect a developing baby and cause a lifelong disability.SKU: 3-125
Everything You Need to Know about Alcohol in 22 Minutes
Video, 2009
This DVD shows that teenage drinkers are more likely to experience health problems, school problems, and social dysfunction. It shows the effects of alcohol on the liver, immune system, and gastro-intestinal system, and how binge drinking can lead to alcohol poisoning and death. It also explains how alcohol impacts brain development during adolescence and permanently damages parts of the brain associated with memory. The video details how a mother's drinking during pregnancy can cause Fetal Alcohol Syndrome and its impact on her child's entire life. It includes first-person accounts of teens' DUI tragedies, and describes the legal ramifications of underage drinking. The video helps viewers determine whether they have a drinking problem, plus where and how to get help.Audience: Grades 7-12SKU: 3-V-368


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Check out the latest releases from around the nonprofit sector featuring items from BoardSource, Council on Foundations, Indiana University's Lilly Family School of Philanthropy, Media Impact Funders, National Committee for Responsive Philanthropy and PEAK Grantmaking.
From Our Members
Journalism and Media Grantmaking: Five Things You Need to Know and Five Ways to Get Started
Media Impact Funders
With support from the Wyncote Foundation, Media Impact Funders has updated this resource funders about the role they can play in supporting news and community information. Foundations do not need to have a formal journalism program to make grants that support healthy news and information flows. Nor does a foundation need large dollar investments to get started. This booklet provides dozens of examples of successful journalism and media projects that have received philanthropic support, along with highlights of interviews with program staff. It is divided into two main parts: Five things you need to know, and five ways to get started.
As the South Grows: Bearing Fruit
National Committee for Responsive Philanthropy
NCRP has released the latest installment in its As the South Grows series with its partner, Grantmakers for Southern Progress. The series explores the challenges and opportunities for progressive change work in the South. This fourth part of the series looks at how Southern cities like Metro Atlanta present opportunities to learn how to confront and break down structural barriers. Atlanta's civic and business leaders have worked for more than a generation to project an image of a thriving, welcoming city in a region where reactive politics and entrenched poverty are widespread and that strategy has borne fruit. But for whom? How can communities protect, defend and break down barriers to their success? How can these communities build power and resources to expand their work out of Metro Atlanta to make statewide changes?
Grants Management Professional Competency Model
PEAK Grantmaking
PEAK's Grants Management Professional Competency Model defines the professional knowledge, skills, and abilities expected of grants management professionals, regardless of their area of specialization, the size of their organization, or their role within the field. By identifying both the functional responsibilities and the knowledge needed for success in every area of grants management, the competencies provide a comprehensive look at the profession. This Model offers everyone working in grants management a direction for professional success.
From the Field
Foundation Board Leadership: A Closer Look at Foundation Board Responses to Leading with Intent 2017
In an effort to better understand the particular dynamics of foundation boards, BoardSource took a closer look at a subset of responses from the 141 foundation leaders who completed the 2017 Leading with Intent survey. Key findings inlcude foundation boards lack racial and ethnic diversity in profound ways — and current recruitment practices demonstrate that is unlikely to change and foundation boards that assess their own performance regularly report stronger board performance, but too few foundation boards have adopted this recommended practice.
The Impact of Diversity: Understanding How Nonprofit Board Diversity Affects Philanthropy, Leadership, and Board Engagement
BoardSource, Indiana University's Lilly Family School of Philanthropy and Johnson, Grossnickle, and Associates
Nonprofit organizations with more women on their boards and more people under 40 are more engaged in charities' work and are more likely to participate in fundraising and public-policy advocacy, according to this new study. It examines the ways in which diversity is associated with board members' engagement with the board. It also explores the relationship between a nonprofit's characteristics—such as the age of the organization, level of revenue, and focus area (nonprofit subsector)—and the diversity of its board members, including their race, ethnicity, age and gender. The report finds that both organizational characteristics and the diversity of the board affect levels of board engagement.
2017 Grantmaker and Salary Benefits Report
Council on Foundations
Racial and ethnic minorities continue to be underrepresented at all levels in U.S. foundations, while significant gender and age gaps also remain according to the Council's latest annual survey. The survey of nine hundred and seventy grantmakers found that the share of racial and ethnic minorities among full-time staff remained essentially unchanged in 2017 at 25.9 percent, with African Americans accounting for 5 percent of full-time staff, Latino/as accounting for 10 percent, and Asian Americans accounting for 7.5 percent. The report also found that women accounted for 76.5 percent of all full-time staff, including 87.6 percent of administrative staff, 75.7 percent of program officers, 73.5 percent of professional staff, and 56.4 percent of CEOs and presidents overall — the latter down slightly from 58 percent in 2016. The full report provides salary, benefits, and diversity data for full-time staff at U.S. foundations to aid in budget planning and personnel practice benchmarking. Information is presented by grantmaker type, foundation type, asset size, and geographic location.
Giving By and For Women: Understanding High-Net-Worth Donors' Support for Women and Girls
IUPUI Women's Philanthropy Institute
This study finds that high-net-worth women who give $1 million or larger gifts to causes that benefit women and girls share certain key characteristics when it comes to their giving - engage in significant education and research before making their gifts, make strategic funding decisions focused on driving systemic change, and are willing to take risks with their philanthropy.


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7 Facts About AFib You Don't Know, But Should
Flopping fish. Fluttering butterflies. Pounding thunder. All of these can be subtle signs of atrial fibrillation (AFib), the most common type of irregular heartbeat. Also known as an arrhythmia, when you have an irregular heartbeat, this means that the electrical impulses in your heart aren't working quite right. Sounds harmless enough—right?
Before you assume that AFib is nothing to worry about, let's take a closer look at some surprising facts about AFib that everyone should know.
1. AFib is just one kind of arrhythmia.
While AFib is the most common type of arrhythmia, it's only 1 out of 5 different types. It's estimated that more than 4 million Americans have an arrhythmia some type, with AFib alone accounting for nearly 3 million of those.
2. AFib isn't too fast or slow—it's just irregular.
Typically, arrhythmias fall into one of two categories: tachycardia, a faster than normal heart rate, or bradycardia, a slower than normal heart rate; however, AFib can be either one. Often times, though, it causes a fast heart rate, usually more than 100 beats per minute.
3. AFib can come and go.
There are actually 3 different types of AFib, ranging from intermittent to persistent. At first, you may experience AFib episodes that only last for a few minutes, hours or up to a week, with symptoms that go away on their own. Over time, though, these milder, intermittent AFib episodes often evolve into longstanding AFib.
4. AFib is more common in men, but more severe in women.
While AFib is more common as you age, men—of any age—are still more likely than women to develop AFib. However, women often report experiencing more severe symptoms than men. For instance, women are more likely to experience palpitations, lightheadedness and dizziness, as well as chest tightness and discomfort.
5. Poor sleep may increase your AFib risk.
The connection between sleep and heart disease is well known, but the link between AFib and sleep is still being investigated. One recent study found that people who suffer from sleep apnea, or interrupted sleep may be up to 26% more likely to develop AFib.
6. AFib may not be life-threatening, but its complications are.
On its own, AFib isn't necessarily life threatening, but when considering the several heart-related conditions that are possible, AFib can be deadly. In fact, it is estimated that individuals with AFib are up to 7 times more likely to suffer a stroke.
7. AFib can be treated.
With GMC's innovative AFib program, you can receive customized care—from diagnosis to treatment—without skipping a beat. To get you and your heart back in rhythm, GMC offers hands-on care from experienced, board-certified electrophysiologists and a dedicated cardiac team, along with two state-of-the-art EP labs.
Now that you know some of the key facts about AFib, would you know it if you had it? To learn more about GMC's AFib program and hear directly from our knowledgeable experts, RSVP to our upcoming AFib Informational Breakfast.


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Worm composting in India
Growing up, I recall seeing small, distinctive clusters on the ground and knowing that they signified the presence of earthworms and rich, plant friendly soil.
As an adult, an organization called Zero Waste Kovalam taught me that some varieties of earthworms could be used to compost household food waste quickly and efficiently. I was very excited, and wished to start at once! Eisenia fetida, also known as red wigglers, eat about half of their weight in food every day. This definitely sounded like a way to fast track the process.
|Worm castings on the ground
I started my bin in an earthenware pot. It's natural pores allow air exchange, and keep things cool even in the Indian summer. The state of Kerala, where I lived, is a veritable paradise for insects and we had really aggressive red ants that considered earthworms a tasty snack. To keep my worms safe, I had to build a moat around the pot and remember to fill it with water regularly.
I watched my worms thrive on dry leaves (courtesy of the constantly shedding mango tree in my backyard) and food waste from the house. All was right with the world for a few weeks; the worms loved their food and I loved seeing their numbers grow…
|A worm bin constructed
from mud
One day I was careless enough to leave my gardening hose touching the pot. It gave the red ants the perfect bridge across the moat to reach my precious little pets. It was carnage all around as thousands of these voracious ants came and devoured the worms, leaving me emotionally scarred. After this heart rending experience, I did not attempt worm composting in India again.
A second attempt in Canada
Fast forward to the spring of 2014. I joined a group of volunteers with the City of Edmonton called the Master Composter Recyclers, who found worms and waste as fascinating as I did. It was at once exciting, empowering and enriching. I was thrilled the day I got those seven or eight worms to start my very own worm bin. I was being given a second chance! I wasn't afraid; the few Canadian ants I had encountered minded their own business and seemed rather docile and mild.
I was as excited as a child with a new toy. After checking my new worm bin for the umpteenth time, I realised that just like everything else in life, patience was needed. My worms would need time and nurturing to turn into teeming millions that would demolish every scrap of food waste that my household produced!
After months of gently moistening, occasional feeding and generally keeping a benevolent eye on them, the worms suddenly flourished, with so many eggs and small worms hatching. It was time to upgrade to roomier quarters with better blackout facilities and better air-conditioning!
I found a plastic tote on sale and enlisted my son's help to drill air holes while I gathered supplies. I wanted my worms to be really comfortable. Like all new generation kids and pets, they would have a choice of bedding (newspaper, dry leaves, cardboard) as well as grit (egg shells, soil). Food choices have always been plenty in our house and I was not worried the worms would be dissatisfied with my offerings.
I was rather proud of my nice, clean, new blue box. I knew that if I kept it out of the way I might not use it as much as I should, so I placed the box next to the guest washroom. I declared confidently that none of our visitors would ever guess that this innocuous little box contained creepy crawlies. Reconciled as they are to my eccentricities, no one in my family objected to this plan.
Avoiding another disaster
I started noticing fruit flies in the house, and to my horror, the worm bin was the source of the wildlife. A look below the bedding revealed pools of foul smelling liquid in the corners and crevices of the box, and so much decaying food. I needed to dry the bin out fast, but I was unwilling to drill drainage holes in the bottom of the box. Apart from negatively impacting my living room décor, I feared my toddler would find the leachate irresistible.
The whole area smelled a bit like a rubbish heap, and I had to do something before the complaints came my way. Absorbent browns would soak up the water and the smell, but I didn't think the newspapers and leaves I'd added would quite cut it. My eyes lit upon the stack of egg cartons I'd been saving for the Reuse Centre.
I tore up them into small bits and buried them right at the bottom to soak up the excess moisture. Some worms had climbed the walls and I wasn't sure if it was to escape the liquid or to get more air, so I left the lid loose to encourage airflow. I also stopped adding food for a few weeks.
|Contents after a couple of months
I was a little disappointed that I would still have to rely on my outdoor composter for most of my food waste. I had seriously thought that in a couple of months my worm bin would handle it all. Instead, I had learnt my lesson about overfeeding.
Patience pays off
Six months down the line, there is a lot of finished, fine looking compost in my bin. Time to harvest and free up more space for the worms, which have really gone forward and multiplied.
I gently moved all the material to one half of the bin and started the other half with fresh bedding and food. After a few weeks, even the clingiest of the worms will migrate to newer and greener pastures, and I'll be able to scoop out my lovely compost from the older side.
For now the future looks bright and wormy!
My next project will be a tiered structure that will allow the worms to migrate up to fresh food and bedding, which will make for an easier harvest. I do have a few old buckets lined up for the job, but that will be another experiment and another article…
If you wish to embark on a wormy adventure like mine just remember you can start your own bin with less than ten worms and an old plastic bin. All it takes is some care and patience.
Disclaimer: The characters and places in this story are real enough. However artistic license and hyperbole may have been used to help the tale along.


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Antique couple leopard sculptures in 19TH CENTURY ceramics
Do you like something extravagant? These antique ceramic leopard sculptures are hand-crafted and have an incredible patina and appearance.
The unique thing about those leopard images is that they are royal and adorn the entrance hall of palaces.
In the past, the kings had leopards as pets and served both as a status symbol and as a protection of the palace.
You can see this on their necklace.
This is extremely rare to encounter a couple knowing that the images are more than 100 years old.
Give an xtra cachet to your interior!


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Trottier's Big Band is always busy this time of year. But it added an extra "concert" to its roster this spring. The award winning band is now inviting the community to enjoy two special events.
You won't have to leave home to hear the first one. But you don't have to stay home either. You can enjoy their music wherever you can get reception.
Last Friday, the band performed for, and was recorded by, WICN radio. This Saturday, June 9th between 11:00 am – noon, Band Leader Jamie Clark will join WICN host Howard Caplan during his show "The Saturday Swing Session" on 90.5 FM.* He'll talk to Caplan about the band and help introduce the recordings.
So, tune in. Or, if radio is too archaic for you, you can stream the show via WICN.org.
Then follow up by showing up at the school on Thursday night, June 14th to see them perform live a their annual Evening of Jazz.
At the live concert, they will be accompanied by special guest, professional saxophonist Mark Zaleski. Zaleski performed with the high school and middle school Jazz bands at ARHS Jazz night earlier this spring. He'll work with the students next Thursday for that evening's special performance.
As in past years, the concert is free, but voluntary donations to a cause will be collected at the door. Funds will also be raised through refreshment sales. This year, the band opted to support the American Cancer Society.
If you can't wait until this weekend to enjoy the band's jazz skills, you don't have to. Trottier shared a fun video from this week's in-school concert. It's the Big Band rocking "Uptown Funk with a twist", with help from back up dancers. Enjoy!
*The flyers referenced 8:00 am – 12:00 pm. I was surprised that the band had stamina for a 4 hour concert. So I followed up. That's the window for the radio show. But Clark recently got confirmation that he will be on at/after 11:00 am.


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Although I never been a "fan" of Ken Wilber, I did consider the writings of his early and middle periods (Paleo-Ken and Meso-Ken) to be somewhat interesting. Then came his postmodernist-Habermasian turn (Neo-Ken) and I lost interest. Now, it seems that "the famous philosopher" has reached a fourth stage in his color-coded evolution. I suppose we could call it Post-Ken!
Let me guess: Ken Wilber's fans, who are mostly "liberal" and live on the West Coast, were profoundly *shocked* by Donald Trump's election victory, since it seems to disprove the upward evolutionary trajectory of Eros (and US liberal politics) they all believed in. Wilber has written this book to assure his admirers that evolution hasn't been cancelled, it's still in progress, and Trump's victory is really *part* of that evolution. Unknown to Trump, the cunning of Eros has readjusted evolution by taking a temporary step back, really as a warning to the liberal elites to mend their ways or else, and the upward trajectory to Integral (or Turquoise) will be resumed soon. Or will it? Perhaps Wilber has written this essay just as much to reassure himself, since in the end he proposes *no* political program for how to deal with the current mess in the United States. Instead, he simply expresses a pious wish that one day, sooner than we think, the Singularity will happen and the world will turn into a virtual paradise of high technology and super-consciousness (think Sri Aurobindo's Gnostic Man plus strong AI). None-too-humbly, Wilber sees himself as a central player in this millenarian scenario. As the Messiah, perhaps…?
This doesn't mean that "Trump and a Post-Truth World" gets it *all* wrong. Wilber is quite right that the haughty arrogance of the liberal elites was one of the reasons for Trump's success. He is also right that there is a serious disconnect between the liberal propaganda (in all its versions) and stark American reality, with unemployment, poverty and war. The various "identity politics" wedge issues popular among college-educated liberals have alienated many voters. Wilber believes that it's high time for the bruised liberal elites (who represent what he calls "green" consciousness) to reach out to the majority of the American people (who have an "orange", "amber" and "red" consciousness). However, somewhere here the author goes off track. It's obvious that he looks down upon the great unwashed masses just as much as the West Coast elites he is criticizing. Ordinary people are stuck on lower evolutionary levels of consciousness, sometimes much lower, they can't really help it, so of course they spew racist and ethno-centric garbage. At best, Wilber can only offer condescension, not real dialogue. Indeed, he says that if the lower tiers continue spewing chauvinism, they should be censored or punished! But in what sense is this different from what every other "liberal" pundit is already saying?
The book has a peculiar intellectual-centered (or pundit-centered) worldview. In some weird way, the author believes that the postmodernist intellectuals and their college-student hangers-on have attacked the notion of objective truth so much, that the great mass of voters finally took it to heart and voted Trump, the post-truth liar extraordinaire. Ahem, no, most Trump voters believe that The Donald is telling the unvarnished truth, not clever lies, and few of them have ever heard of deconstruction, postmodernism or the Frankfurt school. I think Wilber's supporters need to believe his surrealist scenario, since the alternative is far grimmer: admit that Trump might be right about immigration, taxes or China. It also looks downright silly when Wilber (surely not with a straight face) accepts the "post-truth" and "fake news" narratives, as if the media or the political class pre-Trump were never telling lies! He even says that Hillary Clinton didn't lie during the election campaign, which is probably "true" in the sense that she didn't have to – since the Clintonista-controlled media apparatus wasn't asking her any hard questions to begin with…
That Ken Wilber understands at least some things is interesting, to be sure, but overall this book comes across as the desperate cry of Integral for relevancy in a world dominated by…truths too hard to integrate.


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I'm super excited to announce Comfortable Chaos Boutique, my own online storefront! As you may or may not know, I decided to end my business with LuLaRoe and will not be carrying their brand in my boutique.
In case you're wondering, I will be carrying Paisley Raye in my boutique. Paisley Raye is an awesome direct sales clothing company located in California, started by two passionate women. I chose Paisley Raye because it's a smaller company than my previous one and I feel like I will be able to better serve you, my customer, by having the inventory that you are looking for. Also, because all of their clothing is made in the United States and it is helping our country and economy.
Paisley Raye also specializes in plus size clothing styles and does them correctly. I will have all sizes available in my boutique, but I wanted to point out that this company goes the extra mile when designing the clothes. They make sure that their designs are created with all women in mind and they don't make the larger sizes wider and longer, they actually cut and stitch the patterns to accomodate and flatter a woman's body.
Paisley Raye offers a selection of styles in their core collection and then they release seasonal collections every year. This schedule keeps the fashions on trend and up to date all the time. Along with the fashionable clothing, I will be able to add other accessories and items to my boutique! That will be in the future after I get the boutique off the ground.
Paisley Raye also provides the images for the inventory that I receive, which means more time to do the things I love! I spent so much time to taking pictures of my current inventory and it took time away from my family. I'll still take pictures, but I won't have to take as many.
This company is still fairly new and not many people have heard of it, I intend to enlighten as many people as I can and I hope that you fall in love with this brand and the clothing. Being that this is a ground floor opportunity, it means that I can build a team and work this business with friends. If you want to chat with me about it, please reach out and let me know, I can help get all your questions answered.
I hope that you decide to stick with me and my new boutique, I think that this will be a fun adventure and you will be pleasantly surprised. As soon as I receive my initial order, I will showcase each style here and in my community group. Feel free to join us over there for first dibs on new releases, announcements, and sales. Join my Comfortable Chaos Community here.


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AnyMP4 Blu-ray Toolkit 6.1.28
AnyMP4 Blu-ray Toolkit is all-in-one Blu-ray Bundle, which has the ability to play any Blu-ray disc and DVD disc on Window 10/8/7/Vista/XP with perfect sound and picture quality. If you want to play Blu-ray/DVD folder or ISO image file, this Blu-ray Toolkit can also help you. It allows you to watch 4K UHD video, 1080p HD video and any media file such as MTS, TS, M2TS, MXF, TRP, MKV, FLV, and more on Windows (10/8/7) smoothly. When playing, you can select subtitles and audio tracks. It also supports surround sound 5.1 (Dolby Digital, DTS) so you can enjoy your Blu-ray disc with perfect effect on PC.


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MENTORING – The dance world can be complicated and harsh; if you'd like advice on training to become a professional classical dancer or are unsure how best to proceed as a job seeking graduate, first of all, have a look at my blog, Ballet Industry Advice, as there's lots of helpful information on there and, if you want further consultation, or someone to talk to, contact me for a mentoring session. These are available for dancers and/ or their parents and will help you understand your choices during training and the transition into a career. These sessions are available via skype or face-to-face, depending on location.
PRIVATE MASTERCLASSES – If you'd like coaching to perfect your technique or to work on classical and/ or contemporary variations for ballet competitions, then please get in touch. Choreography for contemporary pieces is also available. For ballet students aged 8 and above.
GROUP MASTERCLASSES – If you are a dance school and would like your students to experience the technical excellence of Russian classical ballet training, then please get in touch. Students will take part in ballet class with barre and centre work, ballet-stretching and rep. Group masterclasses are for students aged 8 and above.
TRAIN AT A MASTERCLASS – If you'd like to take part in an existing masterclass in order to experience the technical excellence of Russian classical ballet training, then check out the dates below and book via the form below. You will take part in ballet class with barre and centre work, ballet-stretching and rep. There are two age groups: 8 – 11 and 12+.
These are the current dates where you can access my masterclasses in the UK:
I find it greatly rewarding to see young people improve as a result of applying the discipline and rigour of the Russian method of training when I'm coaching them. It's a technique that builds a dancer's capability like no other.
My girls love Tala's masterclasses! They have received excellent advice and been inspired to practice more often. An excellent enhancement to my daughters' dance training July 2017.
Super workshop thank you! She wanted to attend all over again! Totally inspired. Thank you for sharing your talent – August 2019
Thank you, Tala, Amelie said she learned lots in your masterclass and was very proud to receive a certificate – August 2019.
Elizabeth loved it and hasn't stopped talking about what she has learned. Thank you Tala, we hope she can see you again soon – July 2019.
Tala came to my studios to teach my advanced Senior Associates and all we can say is WOW! As an inspirational professional ballerina Tala then surpasses herself by being a superb teacher. She gave my students a very clear insight into training in the professional world and they clung to her every word, demo and correction. Incredibly well organised from the moment we were able to plan the session. I cannot praise Tala and Sara enough. Book a session as soon as you can!!! July 2017.
Lexi had a brilliant day 2. Thanks so much. We have had lots of demos at home 🙂 July 2019.


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This is the blog of Adam Kalsey. Unusual depth and complexity. Rich, full body with a hint of nutty earthiness.
Freshness Warning
This article is over 15 years old. It's possible that the information you read below isn't current.
27 Jul 2004
Last May I was playing soccer at a local indoor arena. During the course of a game, I planted my right foot and turned to my left. I heard a sharp pop, my knee buckled, and I collapsed. The pain was unbearable. After several attempts to get up, I was carried off the field and given an ice pack. I tried to go back on the field, but I couldn't seem to put any weight on the knee. So I limped out to the parking lot and drove home.
That night, my knee was feeling better so I started to hobble around the house. I seemed to be improving and the ice (and beer) was certainly helping. Late that night, I stood up out of a chair and the pain exploded from me knee. I saw stars. I was nauseated by the pain. I gasped for breath. Then I noticed I was lying on the ground. My wife says I screamed. It was then I decided to visit the doctor.
A few xrays showed that there was nothing wrong, but my doctor suspected ligament damage in the knee, so he sent me to an orthopedic specialist. As I waited in the examining room, I saw from the pictures on the walls that the specialist is a soccer player and plays at the arena where I hurt my knee.
After asking me what happened, the doctor grabbed my knee, twisted it into some contortions, pushed, probed, and looked for expressions of pain on my face. He saw many, I'm sure. After the exam the verdict was a torn ACL.
The ACL is a ligament inside your knee that holds the two halves of your leg together. Without it, your leg moves like a broken hinge. It bends in strange ways. There's nothing to keep it from bending slightly sideways or from shearing front to back. Your knee pops and shifts and dislocates as you walk. And each of those abnormal movements hurt—a lot.
At first I was placed in a full leg brace that immobilized the knee. The contraption reached from my ankle to mid-thigh. After a couple of weeks the swelling went down and I was able to take the brace off. Now I can walk without the brace, but if I'm going to be doing any real activity I need to wear a smaller brace that just covers the knee. It has hinges and straps and hydraulics. Okay, so it doesn't have hydraulics, but that would be cool, wouldn't it?
The ACL is stretched tight, like a rubber band. When it tears, the two halves separate completely and can not be reattached. To repair the damage, they replace the ligament, either with a donor ligament from a cadaver or with a portion of one of your other ligaments.
The surgery is in a few weeks and I'm getting a bit nervous. I've never done anything like this before. I still have my tonsils, my wisdom teeth, and I have no cavities or fillings. I have no point of reference at all for what goes on in a surgical environment. An anesthesiologist friend of mine says that the surgery will last 3-5 hours. That seems like a long time to be under.
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Pirates of the Caribbean is one of the most adventurous, adrenaline-filled, whackiest and popular franchises of the Hollywood. Check out the funniest behind-the-scenes images of the movie casts that will make you laugh hard:
Pooja Singh
Her belief lies in the power of elegant intentionality in this world filled with lurid colors.
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G.S.R. 202(E). � In exercise of the powers conferred by clause (b) of Sub-section (3) of Section 6 and Section 47 of the Foreign Exchange Management Act, 1999 (42 of 1999) and in partial modification of its Notification No. FEMA 20/2000-RB dated 3rd May, 2000, the Reserve Bank of India makes the following amendments in the Foreign Exchange Management (Transfer or Issue of Security by a Person Resident outside India) Regulations, 2000 as amended from time to time, namely:-
1. Short Title and Commencement:
(i) These Regulations may be called the Foreign Exchange Management (Transfer or Issue of Security by a Person Resident outside India) (Second Amendment) Regulations, 2005.
(ii) They shall come into force from the date of 4th day of October, 2004*.
2. Amendment of the Regulations:
In the Foreign Exchange Management (Transfer or Issue of Security by a Person Resident outside India) Regulations, 2000, in Regulation 10,
(A) in sub-regulation A �
I. after the words �person resident outside India�, the words �not being erstwhile OCBs� shall be added.
II. clause (b) shall be substituted as under namely:�
�(b) any share/convertible debenture of an Indian Company whose activities fall under Annexure B to Schedule 1, other than items nos. 1, 2, and 3 and subject to the Sectoral Limits specified therein, shall transfer such shares/debentures without prior approval of Government and RBI if the same is by way of sale subject to the following:
(i) that the Indian Company whose shares or convertible debentures are proposed to be transferred is not engaged in rendering any financial service;
(ii) that the transfer does not fall within the purview of the provisions of SEBI (Substantial Acquisition of Shares and Takeovers) Regulations, 1997; and
(iii) that the concerned parties adhere to pricing guidelines, documentation and reporting requirements for such transfers as may be specified by Reserve Bank, from time to time.
Explanation:- For the purpose of this Regulation, �financial services� shall mean service rendered by banking and non-banking companies regulated by the Reserve Bank, insurance, companies regulated by Insurance Regulatory and Development Authority (IRDA) and other companies regulated by any other financial regulator as the case may be.�
(B) in sub-regulation B �
(i) clause (1) shall be deleted;
clause (2) shall be substituted; namely:-
�A person resident outside India, may transfer share or convertible debenture of an Indian Company, without the prior permission of the Reserve Bank, by way of sale, to a person resident in India subject to the adherence to pricing guidelines, documentation and reporting requirements for such transfers as may be specified by Reserve Bank from time to time.�
F.R. Joseph
Chief General Manager
[F.No. 1/23/EM/2000-Vol.III]
Footnote:- (I)* The date on which the directions were issued to Authorise Dealers vide AP (Dir Series) circular No. 16 dated 4th October, 2004 to implement the Government decision to dispense with the requirement of obtaining prior approval of the Government (FIPB) in respect of transfer or shares/convertible debentures, by way of sale, from residents to non-residents (included transfer of subscriber�s shares) of an Indian company in sectors other than financial service sector (i.e. Banks, NBFCs and Insurance).
(ii) The Principal Regulations were published in the Official Gazette vide No. G.S.R. 406(E) dated May 8, 2000 in Part II, Section 3, Sub-section (i) and subsequently amended as under:
G.S.R. No. 158(E) dated 2-3-2001
G.S.R. No. 175(E) dated 13-3-2001
G.S.R. No. 182(E) dated 14-3-2001
G.S.R. No. 4(E) dated 2-1-2002
G.S.R. No. 574(E) dated 19-8-2002
G.S.R. No. 223(E) dated 18-3-2003
G.S.R. No. 225(E) dated 18-3-2003
G.S.R. No. 558(E) dated 19-8-2002
G.S.R. No. 835(E) dated 23-10-2003
G.S.R. No. 899(E) dated 22-11-2003
G.S.R. No. 12(E) dated 7-1-2004
G.S.R. No. 278(E) dated 23-4-2004
G.S.R. No. 625(E) dated 21-9-2004
G.S.R. No. 799(E) dated 8-12-2004
Ozg FEMA Consultant
Ozg Consulting (P) Limited
Website: http://fema.ozg.in
Email: firstname.lastname@example.com


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Fine Art Fashion
7 and a half heads is fine art figure drawings on limited edition fashion tees.
Our evolving collection is not the largest but the hand-selected best. You'll find unique fine art available nowhere else.
Founded by painter and designer Doug Belding in the spring of 2016, 7 and a half heads clothing has become a passion project that strives to combine style, comfort and fine art.
These short run unique pieces look great on everyone and express the notion that art is to be lived!
13 products


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BROWN TROUT (Salmo trutta)
The species was introduced in Gilgit from Europe by political officers in 1916. It has large scales, thickly spotted dark and red spots on the sides. The body is short but stout, suitable altitude for its culture is about 1 000 m above sea level. The fish becomes adult after two years and breeds in natural waters. In hatcheries it can be made to spawn by stripping which is quite successful. Its fecundity is about 1 500 eggs. Due to low temperature, its incubation period extends from 40 to 70 days. In Saif-ul-Maluk Lake (Kaghan Valley) the fish has reached 7 kg. Trout is a tasty fish, sometimes considered a delicacy. It is also a game fish caught with zeal by anglers. It usually reaches a total length of about 45 cm. Being carnivorous, the fish feeds upon a variety of aquatic animals including small fish.There are brown trout hatcheries at Hosho, Kargah and Chilas in Gilgit and Skardu areas.
RAINBOW TROUT (Oncorhynchus mykiss)
Rearing of this fish is easier than that of brown trout. It can tolerate a higher water temperature, is less carnivorous and grows faster. Its hatching time is 33 days (Hussain, 1994). It sometimes escapes from culture and enters open waters (Hussain, 1997). Rainbow trout was first introduced in KPK during 1928 (ADB, 1984).


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Cool-Tech Heating & Air Conditioning
HVAC Contractor
Write a Review
All Reviews
Gina M.
1 year ago
Friendly and professional.
Cynthia H.
1 year ago
Professional and Prompt.
Definitely a company that I recommend to others! They are prompt in responding and super professional.
Katie R.
1 year ago
They did a great job and were very professional
Alex L.
1 year ago
Professional and quick
When our heater went out our daughter recommended Cool Tech. I contacted them and was told they were in the area and was scheduled for a visit. They were quick and professional. I plan on contacting them for service on on my a/c I recommend Then :)
Raquel L.
1 year ago
Excellent Customer Service and Honest
We have had Jose with Cool-Tech servicing our home for over 5 years. We have an older home and they come out to do a winter and summer maintenance. When a part of our heater was broken they came out the next day and was fixed quickly. Great customer service and honest, he did not try to upsell and all we needed was a part. This week Emily contacted us to do our summer maintenance/check up before it's starts getting hot. I appreciated her reminding us and booked an appointment. Thank you Cool-Tech!
Lily R.
1 year ago
Great service
I have had Cool Tech to my home to replace my entire Heating and air conditioning system. Not only was it done quickly but there was no mess left behind. The technician was very nice and answered all my questions. Emily from the office called to check and make sure we were satisfied. We recommend them to all our friends.
Gail B.
1 year ago
#1 in customer service!
This company not only has quality customer service, but their work is top notch & priced fair. We had our heating/air replaced & they never fail to come & replace the filters. I never have to remember because they always do
mary w.
1 year ago
excellant customer service
Excellent customer service!! Cool Tech came and fixed my air conditioner promptly. The condenser failed and Jose had the part on his truck. Pricing is very reasonable. I have referred the company to several neighbors. I have also added a recommendation to Nextdoor.com
Andrea C.
1 year ago
Professional && outstanding service
This company goes out of there way and gives the best quality service ever possible! There have been many times that I needed them in a emergency and they have been there for my family during the most hottest heat times/hottest days of summer! Which when you have little ones it's extremely important! Thank you for your business!!
Kristyna D.
1 year ago
Professional dependable great business
We had armondo come and service our heater im new home we bought the heater wasn't working he came in looked at it see the problem fixed it and also went over and beyond by checking all the carbon alarm the fire alarms and installing new ones for us that had expired he also checked my filter and explained everything to me the price was the best part their prices are unbeatable. Already booked another appointment for summer service on the ac. I would recommend them 10 times over


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Agrowplow is excited to release our #9 hybrid shank. The release coincides with our newest deep tillage models which comes standard with the #9 undercarriage. The outstanding performance of the product and the positive response we have received from farmers who own or have demoed our machin ..
Thanks to the team at Afgri Moora, Lawson Grains and customers who came out to Regans Ford, WA to watch the Agrowplow AP91 Deep Ripper in action. We had a great day watching the Agrowplow rip up to 600mm! ..
Your invited to the Agrowplow AP91 Deep Ripper Demonstration Day! The team at Afgri Moora and Agrowplow are excited to invite you to come along and watch the latest Agrowplow AP91 Deep Ripper in action. David Hobbs from Agrowplow will be present to talk to you about the Agrowplow ra ..
The latest Agrowplow AP91 Deep Ripper (/Ploughs/agrowplow-ap91-deep-tillage-plough) can significantly cut farm costs based on current research. The newest model was developed with soil care and innovation in mind to help farmers save tractor fuel and time spent working the machine in the paddock ..
Want to talk deep ripping or all things Agrowplow? Heard about our new release of machines and shank but don't know whats suited for your farming enterprise or which one will provide best return on investment. Well David Hobbs (Sales Manager) and Shannon McNab (Director) will be visiting ou ..


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Camp 4 Adults & Seniors
June 12, 2019 - August 29, 2019$15.00
Camp 4 Adults & Seniors
Arts, crafts, education, fitness, sports, games… something for everyone at The Seniors Centre (visit www.seniorskingston.ca for a full listing). We also have a dining room for lunch, day trips to local hot spots, and of course good times with great friends. Just in town for the summer? Get a summer membership for only $15. The Seniors Centre, 56 Francis St, Kingston. 613.548.7810
To add a community event, click here.


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TORONTO – Canada's main stock index got a lift to start a holiday-shortened week with a broad-based rally led by the energy sector.
The month of June looks set to end with the same trajectory as April and May, in a rebound from the March lows.
The first half of the year was dynamic with a big drop as the COVID-19 pandemic resulted in an economic shutdown followed by a swift market recovery, said Craig Fehr, investment strategist, Edward Jones
"I think as we progress from here, markets are really going to take their cues from the incremental progress, or the lack thereof, in the economic restart."
The S&P/TSX composite index closed up 200.74 points at 15,389.72. That's less than 200 points or 1.3 per cent up for the month with one day of trading to go before the Canada Day holiday.
In New York, the Dow Jones industrial average was up 580.25 points at 25,595.80. The S&P 500 index was up 44.19 points at 3,053.24, while the Nasdaq composite was up 116.93 points at 9,874.15.
Markets partially recovered from last week's selloff despite ongoing concern about rising COVID-19 infections in some U.S. states. Unlike earlier cases that prompted a broad lockdown, the latest rise in cases doesn't seem to include a commensurate rise in hospitalizations and deaths.
"And so while that's a small silver lining I think it's a reflection of the fact that we are seeing some progress in the evolution of this health care crisis," Fehr said in an interview.
However, he said markets have been anxious because of the rise in cases and the potential for reopening efforts to slow.
"I just don't think it's going to be one direction or another. I think there's too much of a mixture of both good and bad news