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Modiano Golden Trophy Poker Red
100% Plastic / Poker Size / 4 PIP Index
Modiano Golden Trophy Red
100% Plastic / Poker Size / 4 PIP Index
Modiano Golden Trophy 4 PIP is currently available in poker size. This deck has red backs. The poker designation only
refers to the size of the card. A poker card is 3.5 inches tall by 2.50 inches wide. It is also commonly known as wide size.
This set is a 4 PIP index. The 4 PIP index refers to the number of pips (the letter or/and number in the corner of the card). A
4 PIP indexed card has smaller pips but a larger picture in the middle than a jumbo index. A 4 PIP index set is popular in the
game of Texas Hold Em, since the multiple smaller pips allow players to view their hole cards more efficiently.
The Tragic Royalty Deck is designed with bold black and red backs, and whimsical, ghoulish court cards. The biggest surprise of all: these playing cards glow in the dark.
The perfect gift for card players, card collectors, magicians or just another way to impress the kids with a deck of cards for family game night!- See more at: http://www.bicyclecards.com/product/bicycle-tragic-royalty-playing-cards/#filter
Product Overview
- Single Deck Modiano Golden Trophy
- Red Colour Deck
- Poker Size (3.5"x 2.5")
- 100% Plastic Finish
- 4 PIP Index
- Authentically made in Italy
- Industry leading brand
- Superb hand feel, ideal for shuffling and dealing
Ordering Information
- Select quantity in text box and BUY NOW
|Barcode #
|Shipping Weight
Be The First To Review This Product!
Help other Jacks Poker Australia users shop smarter by writing reviews for products you have purchased.


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missing translation for 'onlineSavingsMsg'
Learn More
Learn More
CD20 Mouse anti-Cynomolgus Monkey, Human, Rhesus Monkey, eFluor® 615, Clone: L26, eBioscience™
Mouse Monoclonal Antibody
Brand: Affymetrix eBioscience 42-0202-82
Additional Details : Poids : 0.25000kg
DescriptionFilter Recommendation: When using this eFluor® 615 antibody conjugate, we recommend a filter that will capture the 615 emission wavelength (for example, Excitation 560/55, 585LP, Emission 645/75). A standard Alexa Fluor® 594 filter is acceptable. Excitation: 595 nm; Emission: 615 nm. Filtration: 0.2 μm post-manufacturing filtered. CD20 is a non-glycosylated surface phosphoprotein that has a molecular weight range of 33-37 kDa depending on the degree of phosphorylation. CD20 is expressed on mature and most maligt B cells, in a subpopulation of T lymphocytes and follicular dendritic cells. CD20 expression on B cells is synchronous with the expression of surface IgM and it regulates transmembrane calcium conductance, cell cycle progression and B-cell proliferation. CD20 is also associated with lipid rafts, but the intensity of this association depends on extracellular triggering, employing CD20 conformational change, and/or BCR (B cell antigen receptor) aggregation. After the receptor ligation, BCR and CD20 colocalize and then rapidly dissociate before BCR endocytosis, whereas CD20 remains at the cell surface. CD20 serves as a useful target for antibody-mediated therapeutic depletion of B cells, as it is expressed at high levels on most B-cell maligcies, but does not become internalized or shed from the plasma membrane following monoclonal antibody treatment. Diseases associated with CD20 dysfunction include Ms4a1-related common variable immune deficiency.
|0.2 mg/mL
|PBS with 0.1% gelatin and 0.09% sodium azide; pH 7.2
|B1, Bp35, CD20, LEU-16, MGC3969, MS4A1
|Affinity chromatography
|Cynomolgus Monkey, Human, Rhesus Monkey
|Immunocytochemistry, Immunofluorescence, Immunohistochemistry (Paraffin)
|eFluor™ 615
|IgG2a, kappa
|100 μg
|4° C, store in dark, DO NOT FREEZE!
|102118491, 696843, 931
For Research Use Only.

subset: commoncrawl


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Maple Glazed Brussel Sprouts with Chestnuts
Brussel sprouts were ruined for many of us by our parents failed attempts to prepare them. This recipe will forever change your mind about brussel sprouts. The browning of the brussel sprouts brings out the sweet, nuttiness that will make them a future favorite vegetable.» Read more


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Day 196. E & M Corner. Lessons on Faith.
Today I will bring the lesson on Faith to an end, as I begin a new lesson on New Life in God. Thank you for following me as we walk with through his word.
Deuteronomy 31:6; "Be strong and courageous. Do not be afraid or terrified because of them, for the LORD your God goes with you; he will never leave you nor forsake you."
The passage today speaks of having faith in God in hard times. Here the LORD is leading the community of Israel to the Promised Land. He is giving them a new leader – Joshua, and Moses, the out-going leader is encouraging Israel to have faith in God by remaining strong and courageous in every encounter they may face in the journey.
When we walk with God one thing we are required to hold on to, is our faith in him. I may not know what you are going through right now, but the word of God for today is for you and me to keep our faith in God. Do not let what you are going through requires that you maintain strong faith in God.
The assurance is that the LORD never leaves us, nor forsakes us, and hence the need not to be afraid or terrified in what life brings on us. Our victory is in the LORD. Let us keep our faith in him. Hallelujah!
Remain blessed as we continue…


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While standing in driving rain while waiting to cheer for my daughter's high school crew team, I had a surprising conversation with one of her coaches—a discussion related to the changing nature of learning.
The first surprise came when the coach disclosed that she was a full-time medical student at a prestigious university. Having heard how demanding medical school is, and knowing how time-intensive crew training is, I was dumbstruck that anyone could juggle both of these activities. Surprise number two came when she began talking about her "Katie," a freshman in high school. It seemed impossible for this young med student to have a 15-year-old daughter. As it turned out, Katie is an economically disadvantaged young woman from an emerging country. The coach had been befriended by Katie's family years before when she was living abroad. Now that the coach had the means to do so, she was helping her "little sister" live in an environment where she could obtain a quality education.
As the wind blew harder, and I became wetter and colder (what a great spectator sport crew is), I asked her how she did it. She explained that while the coaching did require a significant time commitment, she loved it. She had rowed on an elite women's crew team during her undergraduate years and found that it completely refreshed her and took her mind off her studies. She said that it made her study time more efficient and effective. She felt the same about her little sister. She felt privileged to help her get started in life, and it gave her energy to be able to lend a hand. The time demands it created were more than compensated for by the benefits of a rewarding and fulfilling relationship. It helped both with her learning and her preparation for work in a helping profession.
Clearly the coach is a wonderful, talented person, but her story also has much to do with learning strategy. A break in routine is one of the most effective ways to increase the efficiency of learning and performance. In "The Power of Full Engagement," Jim Loehr and Tony Schwartz wrote about research and practices that demonstrate increased performance levels of people who consciously oscillate between serious work and intermittent play. In a society that seems to value only work, it requires a strong sense of security to stop working and engage other parts of the brain, but the benefits of doing so pay significant dividends. The fact that the coach extended herself to be of service also is consistent with good learning strategy. As David Morrison, Ph.D., and others have pointed out, effective human beings adaptively worry about something more important than their own problems. This breaks the back of the vicious cycle that ensues when one worries about performance, which impedes performance, which causes increased worry about the decreasing performance.
The final surprise came when I asked her how many hours she spent in class. "Most weeks I don't go to class," she said. At first, I thought that she meant she was a resident or in the practicum portion of medical school. Actually, she is in her second year. She went on to explain that attending lectures is optional and that many students choose not to attend. She found it more efficient to just read the books several times. She went on to say that there are no grades—it is a pass/fail system. The only way to really fail is to fail the board exams, which are the only exams that count. If a student can prepare for the boards in a fraction of the conventional time, it is perfectly OK. She explained that the medical schools found that unhealthy competition over grades arose from the former system. Under the new system, students were much more likely to help each other.
The coach had significantly increased the efficiency and effectiveness of her learning experience by taking revitalizing breaks, extending herself to help others, building fulfilling relationships and choosing an unconventional learning strategy that was well-suited to her learning style. She also benefited from a system that simultaneously encouraged independent and collaborative education. And, she just passed the second-year medical boards.
As the sun broke through the clouds and my daughter's boat came into view, I realized I had just received an education about education from a remarkable student. It's no wonder her sweatshirt read: You Row Girl!
Fred Harburg is senior vice president of leadership & management development at Fidelity Investments Company, and has held numerous international leadership roles with IBM, General Motors, Disney, AT&T and Motorola. He can be reached at email@example.com.
Next Up
- 5 Forces Shaping the Future of HR
- Why 'Leaders Eat Last'
- Visions and missions — defining your value and purpose proposition
- The Reskilling Revolution versus the 'clay layer'
- When the leader can't return to the office
- Combatting a campus (and workplace) mental health epidemic
- Psychological safety leads to better managers and teams at this major enterprise


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Animals, birds and plants of the Bible He Was My Chief
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Notes. Compare with Gen 2:4-25 in which the order of events is entirely different.; The Genesis 1 account conflicts with the order of events that are known to science. The earth and "heaven" are created together "in the beginning," whereas according to current estimates, the earth and universe are about 4.6 and 13.8 billion years old, respectively. The real estate investors tax guide ebook Animals, birds and plants of the Bible buy cheap Who Really Wrote The Book Of Mormon? Raghnarok, tome 1 Main categories: Life in Bible Times: Life, Work, Home, Worship Animals & Plants FREE PICTURES Charlie And The Chocolate Factory Teaching Resources Animals, birds and plants of the Bible azw download download Animals, birds and plants of the Bible ePub Animals, birds and plants of the Bible epub download In some parts of Africa, wild animals hunted for their meat are called bushmeat; see that article for more detailed information on how this operates within the economy (for personal consumption and for money) and the law (including overexploitation and illegal imports). Animals hunted for bushmeat include, but are not limited to: Various species of antelope, including duikers Ranxerox In New York Bible verses about Animals. Genesis 1:26-28 ESV / 278 helpful votes Helpful Not Helpful. Then God said, "Let us make man in our image, after our likeness. Spirit At Work Discovering The Spirituality In Leadership download Animals, birds and plants of the Bible Over London State Continuity And Nationality Baltic States And Russia No More Teachers No More Books Doin Drugs: Patterns Of African American Addiction Shadowrun #5 Terry Goodkind Sword Of Truth Series In Order Things I Didnt Know Animals, birds and plants of the Bible pdf download The Art Of Co-Operation The Pile Weaves Twentysix Techniques And How To Do Them Seed-harvesting ants transport seeds to their nutrient rich nests, where plants can safely grow, free of harm from herbivores. Ants sometimes travel far distances with seeds, granting plants their ... Lodestar : From The Chronicles Of Fiarah Animals, birds and plants of the Bible txt download Order Of The Dresden Files Mille six cents ventres Dialogues About God New Dialogues In Philosophy CHAPTER 1. The Story of Creation. * 1 In the beginning, when God created the heavens and the earth a — 2 * and the earth was without form or shape, with darkness over the abyss and a mighty wind sweeping over the waters— b 3 Then God said: Let there be light, and there was light. c 4 God saw that the light was good. God then separated the light from the darkness. Easy Pilates For Pregnancy: Any Stage Any Place Any Time alchemy of happiness Don't Plants Have Feelings Too? Responding Effectively to 13 Frequently Asked Questions About Food, Fiber, Farm Animals, and the Ethics of Diet Roumania Past and Present If You Cross Your Eyes Will They Get Stuck Building Cooperatives in California The term hybrid is derived from Latin hybrida, used for crosses such as of a tame sow and a wild boar.The term came into popular use in English in the 19th century, though examples of its use have been found from the early 17th century. Conspicuous hybrids are popularly named with portmanteau words, starting in the 1920s with the breeding of tiger–lion hybrids (liger and tigon). Clinical Use Of Neuroleptic Plasma Levels The Computational Brain (Computational Neuroscience) Origin of First Plants on Land: Bible Said It First by Rich Deem Introduction. Skeptics have said that the biblical creation account fails, since it claims that plants appeared before animals. 1 Originally, the scientific evidence showed that animals appeared within the oceans (during the Ediacaran period of the late Precambrian, ~580 million years ago) before plants appeared on the land (~450 ... Genesis. Six Days of Creation and the Sabbath. 1 In the beginning when God created * the heavens and the earth, 2 the earth was a formless void and darkness covered the face of the deep, while a wind from God * swept over the face of the waters. 3 Then God said, 'Let there be light'; and there was light. 4 And God saw that the light was good; and God separated the light from the darkness. Lord Of The Rings Return Of The King Quotes download Animals, birds and plants of the Bible azw download ebook Animals, birds and plants of the Bible kf8 download Getting Your Book Published Woof, Woof, Dear Lord


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Quality, Services Residential Mold Inspection Wellington Texas
We offer RESIDENTIAL MOLD INSPECTION WELLINGTON TEXAS, call us today!
Quality Residential Mold Inspection in Wellington Texas
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Just how do you recognize if you have a mold and mildew trouble inside of your home?
Hiring a Mold Assessor to carry out an extensive, visual analysis with appropriate mold and mildew test tasting is the most effective is the very best method of determining whether there is a mold and mildew trouble within your house. Mold spores are microscopic and also are not always seen throughout a visual examination as well as can just be identified through testing.
Mold development is becoming more and more prevalent inside of houses across Residential Wellington Texas due to water invasion and also raised indoor moisture. A lot of problems are typically not identified up until a correct mold and mildew evaluation and also screening have actually been conducted.
Interior mold and mildew episodes can cause wall surface, home furnishings, rug, drape, publication, and vital paper document damages. Mold and mildews can additionally cause allergies such as bronchial irritation and also bronchial asthma strikes. The typical molds seen in the majority of house and workplace can in fact become a significant issue if not addressed promptly.
There are a few actions you can call for to aid in minimizing the possibilities of a mold and mildew episode occurring in your home or firm. Nonetheless, if you have really found considerable advancement already, contact a professional mold and mildew elimination firm instantly to start on clean-up.
One of the most important tool you can have in your collection versus mold and mildew development is expertise. What is mold and mildew? In what sorts of settings does mold thrive? Exactly how can mold and mildew nests be safely gotten rid of? Knowing what you're up versus will make it that a whole lot easier to avoid as well as deal with mold nests.
What is Mold? - Mold Inspection Wellington Texas
Molds are tiny fungi that expand in moist atmospheres. Unlike plants that require photosynthesis to expand, endure by creating enzymes onto the raw product they are inhabiting and then soaking up the deteriorated remains of that issue. From food items to paper products due to the fact that molds don't require a high level of nutrients to endure they can grow on nearly any kind of organic issue.
Why Should It Be Removed?
Lots of people will certainly establish hatred the spores postponed by big mold colonies. If a specific touches a mold nest in anyway, there is the possibility they may develop a type of dermatophytes, like athlete's foot or jock impulse. Mycotoxins are gaseous or liquid substances produced by many mold nests as well as are thought about a few of one of the most harmful chemicals on the planet. Both individuals in enhancement to pets can obtain seriously ill if this is ingested.
How Can I Prevent Mold?
To lower the risk of creating a mold and mildew trouble, reduced the humidity degrees in your house or workplace. Mold and mildew spores can make it through on a great deal of any type of resources nevertheless they will certainly not make it with in dry climates. If you discover a water leak, get it fixed today. Completely dry the damaged location as rapidly as feasible if floods have in fact harmed your workplace or house. Every day that passes in which a mold and mildew episode is not dealt with is commercial or property residential or commercial property shed.
How Can I Tell If I Have a Mold Outbreak?
An expert mold and mildew discovery solution can aid you identify if it has in fact stayed in your home or workplace. However, specialist help is not always needed. Mold spores are quickly seen, also in smaller sized colonies, as well as in some cases put off a musky, natural scent. If parts of your structure are amazing, dark, and also damp, you can be pretty sure you have mold growing there.
Can I Clean It Myself?
If your mold break out is fairly little and also contained, you could wish to attempt doing away with the it yourself. Wet vacuum cleaners can help do away with water from rugs and floorings promptly, helping to remove the possibilities of a mold and mildew break out. As soon as the carpeting or furniture has in fact been cleaned up, however, you should additionally tidy up the vacuum itself, as mold can build up inside the storage tank and tube pipeline. Damp elimination, such as scrubbing the impacted locations with water as well as cleaning agent, is easy and also fundamental nonetheless not continuously reliable for identified mold swarms.
Make particular to make use of protective rubber gloves as well as a facemask if you do take on mold on your own. Also make certain the cleaned area dries out rapidly to stay clear of brand-new mold and mildew nests from developing.
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If you are uneasy with or otherwise sure how to suitably treat the concern you need to use a mold and mildew elimination services. Professionals use ingenious mold and mildew detection and cleaning modern technologies to firmly clean-up a mold break out and restore products and also frameworks. As quickly as concern locations are discovered, educated mold and mildew elimination experts have the capability to use sophisticated HEPA vacuums and chemical treatments to absolutely free the area of spores. Some removal solutions will even offer to set up special dehumidifying systems after the clean up is total.
If you are experiencing mold and mildew problems that go beyond your capacities to deal with, study your mold elimination choices on the internet or call a professional elimination service.
Industry organizations:
American Council for Accredited Certification
National Association of Remediators & Inspectors
Catstrong of Wellington Texas
Latitutde: 34.85617
Longitude: -100.21373
RSP Mold Inspection
410 E 5th St, Austin, TX 78701
(512) 229-0675


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Date Night, Every Night
Madrinaa Italiano: 1-for-1 Main & Drink (save~$40)
Photo by Burppler Nicole L. | *Deal Expiry Date: 30 Sep 2020
For Authentic Neapolitan-style Grub
This homely Italian joint in Chip Bee Gardens is the ideal setting for a romantic dinner with its dim lighting, brick walls and white linen table tops. Have the foolproof Rigatoni Sausage ($29) pasta and a pizza to share. On pizzas, choose the tomato-based Bergamo ($24) for pepperoni and shiitake mushrooms on a thin crust, or the Grosseto ($29) with bacon and a runny egg. Pair your meal with a glass of Rosé ($16) or Cabernet Sauvignon ($17).
Red Sparrow: 1-for-1 Main Dish (save~$20)
Photo by Burppler Nicole L. | *Deal Expiry Date: 30 Sep 2020
For Elevated Vietnamese
Make a date at Dempsey Hill for Southern Vietnamese nosh done in style. A must-order is the Bun Bo Nam Bo ($23), a fragrant dish of wok-fried lemongrass beef on dry vermicelli. Otherwise, have the Pho Dac Biet ($23) for a classic beef pho or indulge in the Banh Canh Cua ($32) for lobster that's marinated in what Burppler Wuu Yyiizzhhoouu describes to be an "utterly explosive sweet glaze".
Sideways: 1-for-1 Main Dish (save~$26)
Photo by Burppler Dex Neo | *Deal Expiry Date: 31 Dec 2020
For Hearty Nosh
Hunt this cosy hole-in-the-wall on Rowell Road down and enjoy an intimate dinner with your date. Start with the Roasted Prawns ($14) bathed in an addictively smokey and umami sauce. On mains, share the Blackened Barramundi ($28) — flaky, tender fish encased in a crisp squid ink crust served with a refreshing baby spinach, bean sprout and mushroom salad — and the fork-tender Smoked Lamb Ribs ($26).
South Union Park: 1-for-1 Main Dish (save~$25)
Photo by Burppler Shengyang yu | *Deal Expiry Date: 30 Jun 2020
For Brunch in the East
Easties, mark this quaint restaurant in Kembangan down for a brunch date. Come early for the Sup Big Breakfast ($15) that sells out fast. The dish comprises scrambled eggs, sausage patties, a muffin bun and "to-die-for" potato fritters. Also good is the Croque Madame ($21), where homemade brioche is buried underneath honey baked ham, cheddar cheese, a fried egg and tomato hollandaise sauce.
AMANO: 1-for-1 Main Dish (save~$22)
Photo by Burppler Tiff Chua | *Deal Expiry Date: 30 Sep 2020
For Italian on Sixth Avenue
Stroll through Sixth Avenue and you'll find this popular Italian restaurant in the Namly neighbourhood. Share the gorgeous Spinach & Ricotta Tortellini ($22) and the Prawn & Bacon Pizza ($27) with juicy tiger prawns, streaky bacon and made fragrant with onion and garlic. There's also the creamless Carbonara ($20) that sees al dente pasta with bacon in an egg yolk-pecorino cheese sauce.
TONO Cevicheria: 1-for-1 Main Dish (save~$43)
Photo by Burppler Evan Mua | *Deal Expiry Date: 31 Dec 2020
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Discover a new cuisine together at this intimate Peruvian restaurant. Share the Arroz Mariscos ($34), where rice is flavoured by Peruvian spices and studded with fresh prawns. Also have the mouth-watering Conchinillo ($65) — roasted suckling pig served with a side of salad. Enjoy your meal with a Pisco Sour ($18) or two.
Winestone: 1-for-1 Main Dish (save~$35)
Photo by Burppler Weeteck Yeoh | *Deal Expiry Date: 31 Dec 2020
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Come to this Mediterranean restaurant on Stevens Road for a romantic dinner in town. The Braised Seafood Risotto ($28.00) loaded with crayfish, mussels, prawns and scallops is a lovely choice for a main. Vegetarians will enjoy the tasty Plant-Based Burger ($24.00) featuring a Beyond Meat patty in a fluffy brioche bun. Seal the meal with a glass of Corte Giara By Allegrini Pinot Grigio ($16) or have the bottle ($78) to share.
Table Restaurant & Bar: 1-for-1 Curries (save~$25)
Photo by Burppler Jean Kao | *Deal Expiry Date: 31 Dec 2020
For an Elegant Spice Feast
If you've found someone who loves spice as much as you — congratulations. Make a date at this chic Indian restaurant and dig into the sweet and savoury Punjabi Butter Chicken ($26) that is sublime with Naan ($7). Be sure to order their veggie-licious Pindi Chana ($22), where garbanzo beans are stewed in a robust curry that's best paired with Steamed Basmati Rice ($9).
Hokkai Villa: 1-for-1 Chirashi Set (save~$30)
Photo by Burppler Janice Y | *Deal Expiry Date: 30 Jun 2020
For a Value-For-Money Sashimi Spread
Cosy up for a dinner date after work at this Japanese joint in Raffles Place. Go for their Salmon, Maguro and Zuwakani Chirashi Set ($27.60) that comes with miso soup, salad and a side of fruits. If you love prawns, opt for the Salmon and Amaebi Chirashi Set ($25.40) instead. A great non-seafood option is their Pork Cutlet Hotplate ($20.80) featuring tender and juicy meat.
Get-to-know-you Drinks & Desserts
Nesuto: 1-for-1 Cake & Drink (save~$14)
Photo by Burppler Vanessa Kou | *Deal Expiry Date: 30 Jun 2020
For Japanese Pastries
Treat your favourite person to something sweet at this patisserie on Tras Street. Go for the refreshing Yuzu Raspberry Cake ($9) or decadent Salted Caramel Cheesecake ($9). Also good is the Miss Ispahan ($9) that combines rose, raspberries and lychee between layers of fluffy vanilla sponge — all seated on a delectable butter brown sugar sable. Wash it all down with an Earl Grey Blue Flower ($7) tea or Hojicha Chocolate ($7).
Jekyll & Hyde: 1-for-1 Signature Cocktail (save~$22)
Photo by Burppler Sher Ong | *Deal Expiry Date: 30 Sep 2020
For Swanky Cocktails
Tucked away on the corner of Tras Street is this cosy spot that's perfect a night cap or two. The Breakfast At Jekyll ($22) is a fun, alcoholic spin on the local breakfast staple. For something smokey, the potent The G(o)od Father ($24) that combines rum with whiskey, amaretto and walnut bitters will hit the spot. Otherwise, you won't go wrong with the bittersweet Kopi-O Fashioned ($22)!
LUX - Alfresco Bar: 1-for-1 Cocktail (save~$20)
Photo by Burppler Dex Neo | *Deal Expiry Date: 30 Jun 2020
For a Tipple Or Two
On a cool evening, come by this alfresco bar on Beach Road for a tipple either before or after dinner. For something juicy and refreshing, try the Mountains Of Taiwan ($20) that combines gin-infused green tea, Maraschino liqueur, dry vermouth and tonic water. Otherwise, you won't go wrong with the LUX Old Fashioned ($20) — bourbon, agave nectar, and angostura bitters.
Splurge-worthy Feasts
Brine: 1-for-1 4 Course Set Menu (save~$80)
Photo by Burppler Mr Digester 😋 | *Deal Expiry Date: 30 Jun 2020
For Casual Fine Dining
At this cosy restaurant on North Bridge Road, expect elegant fine dining-esque dishes without the stuffiness. Come as you are and order the Burpple Beyond set ($80 for 2 pax). You'll start with the elegant Torched Beef and Onions — a tartare with a miso carrot puree and crunchy carrot chips. On mains, enjoy the flavourful Dry Aged Duck Breast with beetroot and eggplant, garnished with strawberry long pepper. Dessert comes in the form of the delectably chocolatey Smoked Hay Semifreddo.
> Start the day right with these 1-for-1 Brunch deals
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Fat Belly: 1-for-1 7-Course Set Menu (save~$80)
Photo by Burppler Gwendelyn Tan | *Deal Expiry Date: 30 Jun 2020
For Steak Lovers
Unwind with your loved one at this cosy diner tucked in Serene Centre. With the Burpple Beyond Set Menu, you'll have two mains, two sides and a dessert to share. On her steak experience, Burppler Gwendelyn Tan says "the Denver and Deckle steaks are a great combination to have... Both steaks were very tender and absolutely delish". For your side dishes, be sure to have the Creamed Kale and Sautéed Thyme Mushroom. End the meal with Basque Burnt Cheesecake served with a sweet and tangy berry sauce.
OLA Cocina del Mar: 1-for-1 Special Set Menu (save~$68)
Photo by Burppler Wuu Yyiizzhhoouu | *Deal Expiry Date: 31 Dec 2020
For a Spanish Feast
Pretend you're in Spain for just for a few hours while feasting at this snazzy restaurant in MBFC. The Burpple Set Menu (from $68 per pair) includes the juicy Spanish pork, the comforting Paella Valenciana as well as the Broken Spanish Omelette. Be sure to have the impressive Suckling Pig that sees roasted loin served on a bed of barley and arugula to share.
Zafferano: 1-for-1 Special Set (save~$98)
Photo by Burppler Justin Teo | *Deal Expiry Date: 30 Jun 2020
For Italian Food and an Impressive View
Perched high up Ocean Financial Centre, make a reservation for golden hour at this restaurant to make your date an extra special one. The Special Set (from $98 per pair) starts you off with a burrata and pearl barley salad. On your main, choose either the Agnello, a red wine-braised lamb shank with smoked eggplant cream, or the perfectly seared Branzino served with zucchini three ways (zucchini blossom, cream, and sauteed).
Porta: 1-for-1 3 Course Set Menu (save~$60)
Photo by Burppler Glenn Chan | *Deal Expiry Date: 30 Jun 2020
For Dinner and Drinks
Set in the elegant Park Hotel Clarke Quay, come for a classy dinner that won't break the bank. Use the Burpple Beyond Exclusive Set Meal — a 3-course ($60) set that includes a choice of appetizer, main and dessert. Start with the delectable Spanish Octopus with patatas or the crowd favourite Prawn & Avocado with guacamole, corn chip and romesco. On mains, there's an Iberian Pork Secreto as well as a Ribeye Steak. Save room for the Spiced Apple Tarte Tatin — a savoury-sweet combo of apple, bacon and rum and raisins ice cream. Make it extra special with a glass of bubbly, the elegant, citrusy Beato Vino Frizzante Prosecco is a great choice at just $10 per glass!
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Maggies mommy
V.I.P Lairian
V.I.P Lairian
- Joined
- Sep 7, 2009
- Messages
- 1,126
- Points
- 128
My albums r full so here r pics of Maggie from just today!!!
Aww how cute!!!I wsh you lived closer, I know our girls would be BFF! Abby has pearls also, Today she tried to eat rhinestones off my shirt...
Thanks we just went to the pet store & to visit with grama!Wow! What a looker! She's so adorable in her pearls and pink outfit....and you look great too! Was it a special day?


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free shipping on orders over $20
Musky are mean. They're large, finicky fish that will eat anything one day and refuse the most well-presented fly the next. These fish have gained popularity in contemporary fly fishing in part due to the big-bug craze and in part due to social media. Who doesn't want a picture with a 40+ inch predatory giant?
Most anglers prefer to target Musky from a boat. A boat allows anglers to cover more water, see more fish, and pull fish away from cover more easily. Every advantage an angler can gain when fly fishing for Musky is an advantage worth having. Because these fish are so difficult to catch on the fly, having the right gear is one advantage you don't want to overlook. If you're curious about choosing a fly rod for Musky, we've covered that here.
But what about choosing the right fly reel for Musky? Like choosing a reel for other species, there are a lot of options. This article will help you sort through the choices to help determine exactly what you need in a Musky fly reel and which features may be extraneous.
Trident Fly Fishing is a full-service fly shop. We spend a lot of time testing gear and writing reviews to give you all of the tools to make your next trip a success. We are not a blog or a review site. 100% of our funding comes from your gear purchases, so if this blog post helps you on your next fly fishing adventure, please support us by buying your gear from us.
You may have heard of reels with a 'big game handle'. If there's ever a time to choose a reel with a big game handle, it's when you're fishing for Musky. But what qualifies as a 'big game handle' and what benefits does it provide to the angler? One of the best examples of a big game handle can be found on the Redington Grande. The handle on the Grande is large, easy to grasp, and rectangular with two curved sides (not quite round, not quite oval-shaped).
The shape, size, and ergonomically-friendly build of a big game handle allows the angler to reel in line quicker while putting more pressure on a fish. When fighting a Musky, the last thing you want is a reel handle that slips out of your hand when wet. A reel with a big game handle will go a long way in helping you fight and land more fish.
Other reels with a genuine big game handle include the Seigler MF, Galvan Grip, Hardy Fortuna XDS, and various Nautilus Reels. These reels are made for fighting larger species, like Musky, and also feature rugged reel design and capable drag systems. If you're going to buy a fly reel for Musky, these reels are a great place to start.
I'm going to let you in on a secret here. Drag doesn't matter. Many anglers think larger fish necessitate reels with a stronger drag. In some cases that may be true, but Musky are heavy, slow, and lazy. Because they're ambush feeders, Musky don't tear off a bunch of line and take an angler into his/her backing (not very often, anyway, I won't say it doesn't happen). Choosing a fly reel with a ton of drag and/or backing capacity shouldn't be a priority.
So if drag doesn't help land a big Musky then what does? A rod with a strong butt section for increased lifting power and the ability to direct the fish away from cover is a good start. A strong, durable hook is also important. Strong wire leaders are also in the conversation. But a reel with 20lbs of max drag just isn't worth the investment when fishing for Musky.
Anglers also generally target Musky from a boat. If a fish happens to start tearing fly line off your reel and speeding down the lake, you can chase after it. That's not to say Musky can't be caught from the shore but if you're planning on fishing from a boat, choose a reel that will hold up to dings, scrapes, and drops over a reel with the drag strength to stop a truck (or a Tarpon).
Reels can get beat up whenever you're fishing from a boat. Choppy water, lost balance, big fish, and other variables often lead to dropped fly reels. Add loading and unloading, transportation, and storage during the off-season and it's easy to see why a durable reel is important. The importance of durability has more to do with days on the water than it has to do with species, sure, but if you know anything about Musky you know the two go hand-in-hand.
Musky are, by nature, really difficult to catch. They're nicknamed the fish of 10,000 casts for a reason. If you're looking for a rod/reel setup for Musky, chances are you're fishing more than three or four times per year. And even if you do fish more than a handful of times, you're not guaranteed to catch a Musky. Long days on the boat and many casts are inevitable, so choose a reel that'll last. Fly reels with a die-cast design probably aren't the best choice. If a reel bends or warps from being dropped or dinged, it's not a good Musky reel.
Many reels are more than durable enough to withstand the grind of Musky season. Reels like the Hatch Finatic, the Ross Evolution R Salt, and others are machined from aircraft-grade aluminum and finished with Type II anodizing which is durable and stands up well to dings and scrapes. Choose a reel with a durable design, trust me you'll be glad you did.
If I were to choose a reel for Musky it'd be the Hatch Gen 2 Finatic, but I'm biased. Other great Musky reels include the Orvis Mirage, Taylor Revolution Z, and the Bauer RX.
We're here to help. Drop us an email at [email protected] or call us at (888) 413-5211.


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- Chris Cannon
Memorial Day Murph
On June 28, 2005 Lt. Michael Murphy made the ultimate sacrifice for his Seal teammates and his country. As a tribute to Lt. Murphy or Murph as he was known throughout the Seal teams, CrossFit's all over the world do a workout that is in his honor and honor of so many who made the ultimate sacrifice for their country. Join Papago CrossFit for this FREE workout on Monday May 28th starting at 9 AM then 10 AM and again at 11 AM . Please arrive early to warm up as this workout will definitely take a fair amount of time to complete. Feel free to invite friends adn family to take on this challenge and also know that a scaled version of the workout will also be provided for those not ready to take on the full Murph Challenge yet. This is a FREE event.


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It's been a while - probably at least nine months - since you've had to think about birth control, but now that your baby is out in the world, breathing oxygen and learning to wiggle her toes, you may be physically able to become pregnant again already, even if you haven't had your period yet. This makes your upcoming postpartum appointment a great time for you to talk about contraception with your doctor before you have the kind of sex that can make a baby again.
Healthcare professionals recommend waiting to have sex after delivery for a while to give the cervix time to close, for any tears from delivery to heal, and for postpartum bleeding to stop. Most healthcare providers give new parents the go-ahead for sex at the postpartum checkup four to six weeks after delivery, which makes this visit a great time to talk about contraception, if you have not already started or chosen a method.
Maybe you haven't started your period again after giving birth, but that doesn't mean you couldn't get pregnant yet. Many new moms have their first period after giving birth as early as 6 to 8 weeks after delivery. But when your period arrives, it shows that you've already been able to become pregnant. Ovulation, the stage of the menstrual cycle when you can get pregnant, happens before menstruation.
Postpartum contraception is important even to new parents who are planning to have more children. New moms are able to become pregnant again soon after giving birth, but babies who are conceived 18 months after their older siblings, or sooner, are at a higher risk for preterm birth, and low birth weight, and moms who are pregnant for the second time in 18 months or less have a higher risk of health complications related to pregnancy.
Having a new baby around can make some types of contraception - like the pill - feel less convenient than they might have before. After all, if you're sleeping whenever your baby sleeps, and she hasn't quite caught on to day-night circadian rhythms yet, taking a pill at the same time every day can get tricky. If you feel confident continuing to use the contraception you're used to, that's great, though it's still a good idea to talk through your choice with your doctor.
If you think this might be a good time to explore other birth control options, though, there are several very effective options that can be convenient for new parents.
There's no rush to have sex after having a baby before you're ready - your body has just been through a series of big changes, and there's no predicting how soon you'll find yourself ready for sex. When you do, though, having a plan in place for birth control can be a great way to make sure your family is growing at a speed you're ready for.


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European Markets Plunge on Economic Crisis
Wednesday, 10 August 2011 05:00
'Markets in Europe plummeted to a two-year low on Tuesday, with London's FTSE as well as Frankfurt's DAX indexes diving by more five percent each, while the Paris Bourse declined more than three percent, Reuters reported. Other European indexes witnessed an almost similar plunge.
Investors have voiced widespread skepticism on whether policymakers can stop the downward spiral after the Standard & Poor's (S&P) credit ratings agency downgraded the US's rating from AAA to AA+ on Friday.'
Central Bank, World Tyranny, Fixed Markets
Tuesday, 05 July 2011 09:55
'In its pristine form a Central Bank is a private monopoly of a nation's money and credit issuance supported by the coercive power of the state. That the Central Bank be directly in our hands is vital until our new order is firmly established throughout the governmental, business, intellectual and political spheres of society.
After our order is consolidated, formal nationalization of the Central Bank with great fanfare is usually advisable in order to dispel any lingering suspicion that it is operated for private gain.
Of course only loyal agents of the dynasty are allowed to obtain high offices in the Bank and our power remains intact. Obvious private monopolies are always the targets of sharp reformist agitators. Only the most paranoid, however, can see through the public facade to the private monopoly of the nationalized or quasi-nationalized Central Bank.'
Read more: Central Bank, World Tyranny, Fixed Markets


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Metal News for March 23, 2020
Last updated on September 27, 2020 at 3:30 AM ET
We post metal news every day, throughout the day, covering thousands of metal bands including underground and unsigned bands. You are currently browsing the news archive, but you can also find news by band.
5 news articles posted on this day.
Abbath Added To Brutal Assault lineup
Abbath will be returning to the Brutal Assault Festival in the Czech Republic this summer for the first time since 2016. You can see a bit of his prior performance below.
Dawn of Ouroboros Premiere New Song
Blackened progressive metal band Dawn of Ouroboros premiere their new song "Revivified Spirits". The track is from their upcoming album "The Art of Morphology" which will be released on March 30th.
The band commented: More...
Revenge Premiere New Song "Salvation Smothered"
Revenge premiere a new track called "Salvation Smothered (Genocide of Flock)", taken from their impending new album "Strike.Smother.Dehumanize.", which will be out in stores May 22nd via Season of Mist's imprint Underground Activists.
Check out now "Salvation Smothered (Genocide of Flock)" below.
Prison of Mirrors Premiere New Song
Prison of Mirrors premiere a new song titled "Sigils for the Ritual Exhumation", taken from their upcoming new album "De Ritualibus et Sacrificiis ad Serviendum Abysso". The outing will be released on June 15th by the Icelandic label Oration Records.
Check out now "Sigils for the Ritual Exhumation" below.
Göden (Winter Etc.) Premiere New Song "Twilight"
Göden (Winter etc.) premiere a new song entitled "Twilight", taken from their upcoming new album "Beyond Darkness", which Svart Records will release on May 8th.
Check out now "Twilight" below.
Navigate forward or backward through each day of news below:


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Concept: Cohen's kappa
Systematic reviews need to consider applicability to disadvantaged populations: inter-rater agreement for a health equity plausibility algorithm
- BMC medical research methodology
- Published almost 8 years ago
- Discuss
BACKGROUND: Systematic reviews have been challenged to consider effects on disadvantaged groups. A priori specification of subgroup analyses is recommended to increase the credibility of these analyses. This study aimed to develop and assess inter-rater agreement for an algorithm for systematic review authors to predict whether differences in effect measures are likely for disadvantaged populations relative to advantaged populations (only relative effect measures were addressed). METHODS: A health equity plausibility algorithm was developed using clinimetric methods with three items based on literature review, key informant interviews and methodology studies. The three items dealt with the plausibility of differences in relative effects across sex or socioeconomic status (SES) due to: 1) patient characteristics; 2) intervention delivery (i.e., implementation); and 3) comparators. Thirty-five respondents (consisting of clinicians, methodologists and research users) assessed the likelihood of differences across sex and SES for ten systematic reviews with these questions. We assessed inter-rater reliability using Fleiss multi-rater kappa. RESULTS: The proportion agreement was 66% for patient characteristics (95% confidence interval: 61%-71%), 67% for intervention delivery (95% confidence interval: 62% to 72%) and 55% for the comparator (95% confidence interval: 50% to 60%). Inter-rater kappa, assessed with Fleiss kappa, ranged from 0 to 0.199, representing very low agreement beyond chance. CONCLUSIONS: Users of systematic reviews rated that important differences in relative effects across sex and socioeconomic status were plausible for a range of individual and population-level interventions. However, there was very low inter-rater agreement for these assessments. There is an unmet need for discussion of plausibility of differential effects in systematic reviews. Increased consideration of external validity and applicability to different populations and settings is warranted in systematic reviews to meet this need.
Reliability and validity of the Thai translation (Thai PPS Adult Suandok) of the Palliative Performance Scale (PPSv2).
- Palliative medicine
- Published almost 9 years ago
- Discuss
Purpose: the Thai PPS Adult Suandok tool was translated from the Palliative Performance Scale (PPSv2) and had been used in Chiang Mai, Thailand for several years. Aim: to test the reliability and validity of the Thai translation of PPSv2. Design: a set of 22 palliative cases were used to determine a PPS score on Time-1, and repeated two weeks later as Time-2. A survey questionnaire was also completed for qualitative analysis. Participants: a total of 70 nurses and physicians from Maharaj Nakorn Hospital in Chiang Mai participated. Results: The Time-1 intraclass correlation coefficient (ICC) for absolute agreement is 0.911 (95% CI 0.86-0.96) and for consistency is 0.92 (95% CI 0.87-0.96). The Time-2 ICC for agreement is 0.905 (95% CI 0.85-0.95) and for consistency is 0.912 (95% CI 0.86-0.96). These findings indicate good agreement among participants and also were somewhat higher in the Time-2 re-test phase. Cohen's kappa score is 0.55, demonstrating a moderate agreement. Thematic analysis from the surveys showed that 91% felt PPS to be a valuable clinical tool overall, with it being 'very useful' or 'useful' in several areas, including care planning (78% and 20%), disease monitoring (69% and 27%) and prognostication (61% and 31%), respectively. Some respondents noted difficulty in determining appropriate scores in paraplegic patients or those with feeding tubes, while others found the instructions long or difficult. Conclusion: the Thai PPS Adult Suandok translated tool has good inter- and intra-rater reliability and can be used regularly for clinical care.
Evaluative Frailty Index for Physical Activity (EFIP): A Reliable and Valid Instrument to Measure Changes in Level of Frailty
- Physical therapy
- Published almost 8 years ago
- Discuss
BACKGROUND: Physical activity is assumed to be important in the prevention and treatment of frailty. It is however unclear to what extent frailty can be influenced, because an outcome instrument is lacking. OBJECTIVES: An Evaluative Frailty Index for Physical activity (EFIP) was developed based on the Frailty Index Accumulation of Deficits and clinimetric properties were tested. DESIGN: The content of the EFIP was determined in a written Delphi procedure. Intra-rater reliability, inter-rater reliability, and construct validity were determined in an observational study (n=24) and to determine responsiveness, the EFIP was used in a physical therapy intervention study (n=12). METHOD: Intra-rater reliability and inter-rater reliability were calculated using Cohen's kappa, construct validity was determined by correlating the score on the EFIP with those on the Timed Up &Go Test (TUG), the Performance Oriented Mobility Assessment (POMA), and the Cumulative Illness Rating Scale for geriatrics (CIRS-G). Responsiveness was calculated by means of the Effect Size (ES), the Standardized Response Mean (SRM), and a paired sample t-test. RESULTS: Fifty items were included in the EFIP. Inter-rater (Cohen's kappa: 0,72) and intra-rater reliability (Cohen's kappa: 0,77 and 0,80) were good. A moderate correlation with the TUG, POMA, and CIRS-G was found (0,68 -0,66 and 0,61 respectively, P< 0.001). Responsiveness was moderate to good (ES: -0.72 and SRM:-1.14) for an intervention with a significant effect (P< 0.01). LIMITATIONS: The clinimetric properties of the EFIP have been tested in a small sample and anchor based responsiveness could not be determined. CONCLUSIONS: The EFIP is a reliable, valid, and responsive instrument to evaluate the effect of physical activity on frailty in research and clinical practice.
Validation of an advanced practice physiotherapy model of care in an orthopaedic outpatient clinic
- BMC musculoskeletal disorders
- Published over 7 years ago
- Discuss
BACKGROUND: In Canada, new models of orthopaedic care involving advanced practice physiotherapists (APP) are being implemented. In these new models, aimed at improving the efficiency of care for patients with musculoskeletal disorders, APPs diagnose, triage and conservatively treat patients. Formal validation of the efficiency and appropriateness of these emerging models is scarce. The purpose of this study is to assess the diagnostic agreement of an APP compared to orthopaedic surgeons as well as to assess treatment concordance, healthcare resource use, and patient satisfaction in this new model. METHODS: 120 patients presenting for an initial consult for hip or knee complaints in an outpatient orthopedic hospital clinic in Montreal, Canada, were independently assessed by an APP and by one of three participating orthopaedic surgeons. Each health care provider independently diagnosed the patients and provided triage recommendations (conservative or surgical management). Proportion of raw agreement and Cohen's kappa were used to assess inter-rater agreement for diagnosis, triage, treatment recommendations and imaging tests ordered. Chi-Square tests were done in order to compare the type of conservative treatment recommendations made by the APP and the surgeons and Student t-tests to compare patient satisfaction between the two type of care. RESULTS: The majority of patients assessed were female (54%), mean age was 54.1 years and 91% consulted for a knee complaint. The raw agreement proportion for diagnosis was 88% and diagnostic inter-rater agreement was very high (kappa=0.86; 95%CI: 0.80-0.93). The triage recommendations (conservative or surgical management) raw agreement proportion was found to be 88% and inter-rater agreement for triage recommendation was high (kappa=0.77; 95%CI: 0.65-0.88). No differences were found between providers with respect to imaging tests ordered (p>=0.05). In terms of conservative treatment recommendations made, the APP gave significantly more education and prescribed more NSAIDs, joint injections, exercises and supervised physiotherapy (p<0.05). Patient satisfaction was significantly higher for APP care than for the surgeons care (p<0.05). CONCLUSION: The diagnoses and triage recommendations for patients with hip and knee disorders made by the APP were similar to the orthopaedic surgeons. These results provide evidence supporting the APP model for orthopaedic care.
Do you see what I see? Mobile eye-tracker contextual analysis and inter-rater reliability
- Medical & biological engineering & computing
- Published about 3 years ago
- Discuss
Mobile eye-trackers are currently used during real-world tasks (e.g. gait) to monitor visual and cognitive processes, particularly in ageing and Parkinson's disease (PD). However, contextual analysis involving fixation locations during such tasks is rarely performed due to its complexity. This study adapted a validated algorithm and developed a classification method to semi-automate contextual analysis of mobile eye-tracking data. We further assessed inter-rater reliability of the proposed classification method. A mobile eye-tracker recorded eye-movements during walking in five healthy older adult controls (HC) and five people with PD. Fixations were identified using a previously validated algorithm, which was adapted to provide still images of fixation locations (n = 116). The fixation location was manually identified by two raters (DH, JN), who classified the locations. Cohen's kappa correlation coefficients determined the inter-rater reliability. The algorithm successfully provided still images for each fixation, allowing manual contextual analysis to be performed. The inter-rater reliability for classifying the fixation location was high for both PD (kappa = 0.80, 95% agreement) and HC groups (kappa = 0.80, 91% agreement), which indicated a reliable classification method. This study developed a reliable semi-automated contextual analysis method for gait studies in HC and PD. Future studies could adapt this methodology for various gait-related eye-tracking studies.
Occupational self-coding and automatic recording (OSCAR): a novel web-based tool to collect and code lifetime job histories in large population-based studies
- Scandinavian journal of work, environment & health
- Published almost 4 years ago
- Discuss
Objectives The standard approach to the assessment of occupational exposures is through the manual collection and coding of job histories. This method is time-consuming and costly and makes it potentially unfeasible to perform high quality analyses on occupational exposures in large population-based studies. Our aim was to develop a novel, efficient web-based tool to collect and code lifetime job histories in the UK Biobank, a population-based cohort of over 500 000 participants. Methods We developed OSCAR (occupations self-coding automatic recording) based on the hierarchical structure of the UK Standard Occupational Classification (SOC) 2000, which allows individuals to collect and automatically code their lifetime job histories via a simple decision-tree model. Participants were asked to find each of their jobs by selecting appropriate job categories until they identified their job title, which was linked to a hidden 4-digit SOC code. For each occupation a job title in free text was also collected to estimate Cohen's kappa (κ) inter-rater agreement between SOC codes assigned by OSCAR and an expert manual coder. Results OSCAR was administered to 324 653 UK Biobank participants with an existing email address between June and September 2015. Complete 4-digit SOC-coded lifetime job histories were collected for 108 784 participants (response rate: 34%). Agreement between the 4-digit SOC codes assigned by OSCAR and the manual coder for a random sample of 400 job titles was moderately good [κ=0.45, 95% confidence interval (95% CI) 0.42-0.49], and improved when broader job categories were considered (κ=0.64, 95% CI 0.61-0.69 at a 1-digit SOC-code level). Conclusions OSCAR is a novel, efficient, and reasonably reliable web-based tool for collecting and automatically coding lifetime job histories in large population-based studies. Further application in other research projects for external validation purposes is warranted.
Intrarater and interrater reliability of three classifications for scapular dyskinesis in athletes
Clinical evaluation of scapular dyskinesis (SD) aims to identify abnormal scapulothoracic movement, underlying causal factors, and the potential relationship with shoulder symptoms. The literature proposes different methods of dynamic clinical evaluation of SD, but improved reliability and agreement values are needed. The present study aimed to evaluate the intrarater and interrater agreement and reliability of three SD classifications: 1) 4-type classification, 2) Yes/No classification, and 3) scapular dyskinesis test (SDT). Seventy-five young athletes, including 45 men and 30 women, were evaluated. Raters evaluated the SD based on the three methods during one series of 8-10 cycles (at least eight and maximum of ten) of forward flexion and abduction with an external load under the observation of two raters trained to diagnose SD. The evaluation protocol was repeated after 3 h for intrarater analysis. The agreement percentage was calculated by dividing the observed agreement by the total number of observations. Reliability was calculated using Cohen Kappa coefficient, with a 95% confidence interval (CI), defined by Kappa coefficient ±1.96 multiplied by the measurement standard error. The interrater analyses showed an agreement percentage between 80% and 95.9% and an almost perfect reliability (k>0.81) for the three classification methods in all the test conditions, except the 4-type and SDT classification methods, which had substantial reliability (k<0.80) in shoulder abduction. Intrarater analyses showed agreement percentages between 80.7% and 89.3% and substantial reliability (0.67 to 0.81) for both raters in the three classifications. CIs ranged from moderate to almost perfect categories. This indicates that the three SD classification methods investigated in this study showed high reliability values for both intrarater and interrater evaluation throughout a protocol that provided SD evaluation training of raters and included several repetitions of arm movements with external load during a live assessment.
Harm reduction interventions in HIV care: a qualitative exploration of patient and provider perspectives
Background. A culture of stringent drug policy, one-size-fits-all treatment approaches, and drug-related stigma has clouded clinical HIV practice in the United States. The result is a series of missed opportunities in the HIV care environment. An approach which may address the broken relationship between patient and provider is harm reduction-which removes judgment and operates at the patient's stage of readiness. Harm reduction is not a routine part of care; rather, it exists outside clinic walls, exacerbating the divide between compassionate, stigma-free services and the medical system. Methods. Qualitative, phenomenological, semi-structured, individual interviews with patients and providers were conducted in three publicly-funded clinics in Chicago, located in areas of high HIV prevalence and drug use and serving African-American patients (N = 38). A deductive thematic analysis guided the process, including: the creation of an index code list, transcription and verification of interviews, manual coding, notation of emerging themes and refinement of code definitions, two more rounds of coding within AtlasTi, calculation of Cohen's Kappa for interrater reliability, queries of major codes and analysis of additional common themes. Results. Thematic analysis of findings indicated that the majority of patients felt receptive to harm reduction interventions (safer injection counseling, safer stimulant use counseling, overdose prevention information, supply provision) from their provider, and expressed anticipated gratitude for harm reduction information and/or supplies within the HIV care visit, although some were reluctant to talk openly about their drug use. Provider results were mixed, with more receptivity reported by advanced practice nurses, and more barriers cited by physicians. Notable barriers included: role-perceptions, limited time, inadequate training, and the patients themselves. Discussion. Patients are willing to receive harm reduction interventions from their HIV care providers, while provider receptiveness is mixed. The findings reveal critical implications for diffusion of harm reduction into HIV care, including the need to address cited barriers for both patients and providers to ensure feasibility of implementation. Strategies to address these barriers are discussed, and recommendations for further research are also shared.
Measurement of Health Program Equity Made Easier: Validation of a Simplified Asset Index Using Program Data From Honduras and Senegal
- Global health, science and practice
- Published over 4 years ago
- Discuss
Equitable access to programs and health services is essential to achieving national and international health goals, but it is rarely assessed because of perceived measurement challenges. One of these challenges concerns the complexities of collecting the data needed to construct asset or wealth indices, which can involve asking as many as 40 survey questions, many with multiple responses. To determine whether the number of variables and questions could be reduced to a level low enough for more routine inclusion in evaluations and research without compromising programmatic conclusions, we used data from a program evaluation in Honduras that compared a pro-poor intervention with government clinic performance as well as data from a results-based financing project in Senegal. In both, the full Demographic and Health Survey (DHS) asset questionnaires had been used as part of the evaluations. Using the full DHS results as the "gold standard," we examined the effect of retaining successively smaller numbers of variables on the classification of the program clients in wealth quintiles. Principal components analysis was used to identify those variables in each country that demonstrated minimal absolute factor loading values for 8 different thresholds, ranging from 0.05 to 0.70. Cohen's kappa statistic was used to assess correlation. We found that the 111 asset variables and 41 questions in the Honduras DHS could be reduced to 9 variables, captured by only 8 survey questions (kappa statistic, 0.634), without substantially altering the wealth quintile distributions for either the pro-poor program or the government clinics or changing the resulting policy conclusions. In Senegal, the 103 asset variables and 36 questions could be reduced to 32 variables and 20 questions (kappa statistic, 0.882) while maintaining a consistent mix of users in each of the 2 lowest quintiles. Less than 60% of the asset variables in the 2 countries' full DHS asset indices overlapped, and in none of the 8 simplified asset index iterations did this proportion exceed 50%. We conclude that substantially reducing the number of variables and questions used to assess equity is feasible, producing valid results and providing a less burdensome way for program implementers or researchers to evaluate whether their interventions are pro-poor. Developing a standardized, simplified asset questionnaire that could be used across countries may prove difficult, however, given that the variables that contribute the most to the asset index are largely country-specific.
Design and validation of the Regional Anaesthesia Procedural Skills Assessment Tool
- Anaesthesia
- Published almost 5 years ago
- Discuss
The aim of this study was to create and evaluate the validity, reliability and feasibility of the Regional Anaesthesia Procedural Skills tool, designed for the assessment of all peripheral and neuraxial blocks using all nerve localisation techniques. The first phase was construction of a 25-item checklist by five regional anaesthesia experts using a Delphi process. This checklist was combined with a global rating scale to create the tool. In the second phase, initial validation by 10 independent anaesthetists using a test-retest methodology was successful (Cohen kappa ≥ 0.70 for inter-rater agreement, scores between test to retest, paired t-test, p > 0.12). In the third phase, 70 clinical videos of trainees were scored by three blinded international assessors. The RAPS tool exhibited face validity (p < 0.026), construct validity (p < 0.001), feasibility (mean time to score < 3.9 min), and overall reliability (intraclass correlation coefficient 0.80 (95% CI 0.67-0.88)). The Regional Anaesthesia Procedural Skills tool used in this study is a valid and reliable assessment tool to score the performance of trainees for regional anaesthesia.


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Bostwick's Chowder House
Hey, even Hollywood royalty likes to keep it casual on vacation. Bostwick's Chowder House is a laid-back fish shack serving lobster rolls on paper plates, but that doesn't stop Bobby Flay, Alec Baldwin, Jimmy Fallon, and even Jack Nicholson from stopping in.
Bostwick's Chowder House, 277 Pantigo Rd, East Hampton
[Photo via @_lav]


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We are opening a virtual lobby at 9:00 am this Sunday (between the worship services).
Come hang out in the "lobby" and chat with other members of the #myUBC family. You can join by video or call in to join this time of fellowship.
Join by using Zoom – download the desktop version or the mobile/tablet app from Zoom.us
The Meeting ID is:
890 4907 9374
The Password is: 904
If you'd like to join by phone:
Dial 346-248-7799
Enter the meeting ID 890 4907 9374 followed by #
Enter the meeting password 904


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Our Story
Wellness Tree Family Chiropractic in Dr. Trents home town of Belvidere, IL in 2013. It has been a blessing to serve the community of Belvidere and surrounding areas over the years!
Our Approach
For people seeking better health, We are a health care team that specializes in correcting core problems with the spine and nervous system. We will help you get to the root of your health problems and how to avoid recreating them in the future. We are not a traditional chiropractic office that focuses on temporarily reducing pain. Our focus is called Neuro-Structural Restoration™. We believe YOU and YOUR FAMILY were designed to be extraordinary and meant to live at your optimal potential.
The human body is designed to be self-regulating and self-healing. The part of the body that is responsible for healing is your nervous system, which is protected by your spine. When your spine misaligns it interferes with the messages being sent from the brain to the body. Our office is focused on one thing and one thing only, removing this interference. Chiropractic isn't about fixing neck pain, back pain, and headaches. By means of a specific chiropractic adjustment, Chiropractors relieve stress on the nervous system. It's not FEEL GOOD it's BE GOOD.
Meet Your Health Team of Belvidere IL
Dr. Trent Hippard
Certified Chiropractic Wellness Lifestyle Practitioner (C.C.W.P)
When I was 11, my life was blessed and forever changed with a brother named Jonathon. An individual that has left so many warm impressions on my heart and has changed me for the greater good of others. God used Jonathon to teach me patience, understanding but the biggest one of all compassion. Jonathon was diagnosed with multiple labels such as autistic, bipolar disorder and mental retardation. Labels that leave a person of understanding; misunderstood and confused.
As I ventured through my many years at Chiropractic College I always kept in the back of my mind how I could help Jonathon. Not only him but other precious children and their families like ours. Through many tough challenges he faced, chiropractic seemed to be the hope that was missing in Jonathon's life. Within months of providing chiropractic care for Jonathon, I began to see what was once a dim light in his eyes and a lifeless body, start to emerge into a kid shining brightly and a body full of potential. What was once a struggle for him like speaking complete sentences now was an everyday phenomenon. Though chiropractic care does not TREAT or CURE diseases of the body, it does offer a better way for it to function, heal and thrive in a state of optimal health through a clear neurological connection between the brain and the body.
Chiropractic has given me more than a job or a career to do in my life, it has given me the gift of experiencing TRUE Health for myself but it also has given me the ability to share that gift with the ones I love.
"Health comes from within" was a bold concept but I trusted it for all I knew it couldn't hurt Jonathon but only help him. Trust the Power that made the body for it is the power of perfection. Albert Schweitzer, M.D. said it best:
"Each patient carries his own doctor inside of him. They come to us not knowing that truth. We are at our best when we give the doctor that resides within each patient a chance to work."
Love what you do and do what you love and do it better than anyone else.
Adrianna D'Alssandro
Office Assistant & Tech Coordinator
Hi, I'm Adriana! I have a wonderful husband Tyler. Together we are doing our best to live an extraordinary life! Also living a life by design style, I have learned just how much more I could do for my health. I love working with such a great team and having the opportunity to learn more and get to watch and help others grow in their health. When I'm not assisting others, I'm spending time with my mom.


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Lincolnshire village roads to be resurfaced
Three busy village roads will be closed for resurfacing this week.
Work has started on the A157 Louth Road, from Wragby to West Barkwith, the A158 Horncastle Road, at Hatton village, and the A158 Langton Bends, at Langton by Wragby and will continue on Tuesday, May 14.
Each road will take around one to two days to complete, but the exact timings will depend on weather conditions.
Drivers are being advised to avoid the roads, while Lincolnshire County Council uses a convoy system to protect workers.
When the works are completed a 20 mph speed limit will be in place for the following seven days.
Lincolnshire Reporter welcomes your views. All comments are reactively-moderated and must obey the house rules. Please stay on topic and be respectful of other readers.