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Most applications include a database, and the goal of the project I’m working on is to make Agile continuous delivery possible in the database as well as in procedural code. The peculiar problem with databases is that when a change deployment fails we risk losing data that has been added since the release.
The “blue-green” deployment model is a way of dealing with this. We cut over to an “old version” database. The code and schema of this database pre-date the release, but it has received all the data changes since the release.


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PANORAMIC OCEAN & MTN VIEWS! Luxurious Crown Point home located in the highly desirable Summit community in San Elijo Hills.This spacious home boasts a downstairs bedroom suite with its'own sitting room/kitchenette and seperate entrance creating a private area that's perfect guests/family members. Dining and faily areas open to a covered California Room-perfect for entertaining. Large open Kitchen with huge Pantry, soft close cabinetry, Oscuro Quartz Counters and ALL Stainless Steel Appliances.
I was searching for a Property and found this listing (MLS® #180001242). Please send me more information regarding 1109 Jasper Court, San Marcos, CA, 92078. Thank you!
I'd like to request a showing of 1109 Jasper Court, San Marcos, CA, 92078 (MLS® #180001242). Thank you!
Listing information last updated on April 20th, 2019 at 7:31am PDT.

industry_corpus2: Real Estate & Construction


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Notes: Kurtzman's version of this classic, also titled "Frank N. Stein," appeared in MAD 8, dated December 1953-January 1954. Atlas generally had a longer lead time, so CRAZY 1 probably hit the stands first. In spite of an opening and closing that parodied the then-wildly-popular TV show "Dragnet," this version sticks about as close to the original as Kurtzman did, even having the monster be friendly to a little girl. - John Benson.
Notes: Signed second panel last page.

industry_corpus2: Film & Entertainment


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UK - DiGiCo consoles were specified throughout the entire 2019 BRIT Awards. Staged at the O2 Arena, the production acknowledges the best in musical talent and this year counted The Carters, Drake and Ed Sheeran amongst its winners.
The evening’s live mixes, which were also broadcast live on TV, saw Hugh Jackman, George Ezra, Jess Glynne and The 1975 amongst other top artists perform with the sound of DiGiCo.
The consoles, deployed by Britannia Row Productions - which has been The BRITs’ audio supplier for over 20 years - were two SD7s at FOH with an SD7 Quantum surface, two SD12s at FOH for the presenters, hosts and acceptance speeches, and two further SD7s in monitor world flip-flopping between live performances.
The 1975 brought in anSD5 for their monitoring duties and P!nk’s pre-recorded section was handled via her own SD12 by FOH engineer Dave Bracey - a long-time DiGiCo user.
Lez Dwight, Britannia Row sales director, adds: “This year’s BRITs really benefitted from a unique and brilliant production design from Misty Buckley. Her set was very favourable for an emphasis on quality live audio.
“The show went very well, with no technical issues whatsoever, in no small part due to DiGiCo’s expert presence. DiGiCo artist liaison manager, Mark Saunders, and product specialist Dave Bigg, provided instant, on-site support.
“As well as the show being completely DiGiCo this year, it was also the first time we’ve ever used 32-bit cards across the whole range of consoles on a live production.


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practical hands-on training on the fundamentals of AS/400 security.
Develop policies for securing objects.
Create, maintain, and delete user profiles, group profiles, and authorization lists.
Protect objects with explicit authority, group profiles, and authorization lists.
Identify and modify IBM-supplied user profiles.
Set up defaults for public authority to objects.
Set the system security level.
Set security-related system values referenced by user profiles in accordance with security policies.
Change user authority to objects to a level appropriate for the object type.
Set up rules for passwords and failed sign on attempts.
Change the owner of an object and establish defaults for the creation of new objects.
Determine when Adopted Authority should and should not be used and identify programs that adopt owner's authority.
Use the Security, User, and Object Auditing features to monitor activity.
Experienced AS/400 personnel responsible for developing or implementing security policies.

industry_corpus2: Computing & Telecommunications


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My thoughts and prayers are with Ms. Myrtice and her family.
Mrs. Myrtice, I'm praying for you. Archie was always one of my favorite people. I loved his stories. I could listen to him tell them for hours. Every time I talked to him, I learned something. Even when I first became a police officer, and was probably bugging the crap out of him with all my questions, he always made me feel important. I appreciated that. There won't ever be anyone else like him, and I'm grateful that I knew him.

industry_corpus2: Others


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I’m sick of chia… said no one, ever. I see a dozen chia pudding bowls on Instagram every day and you would think this gelatinous, creepy looking breakfast sludge would have surpassed it’s trendy factor, but it hasn’t. Yes it looks gross (ever heard of trypophobia?) and it’s definitely a required mouth texture, but I freakin’ love it! This vanilla chia coconut yogurt is a delicious and creamy breakfast choice.
Now I can finally really enjoy it because I found the perfect ready-made vegan yogurt. The Unsweetened Coconut Yogurt by Yoso is the best vegan yogurt I’ve ever had, and the best tasting product Yoso makes. It works nicely to set up your chia yogurt because it’s way better than homemade vegan yogurts. I’ve tried making them using almond milk, coconut cream, coconut milk and more… but it’s never the right consistency. Just buy it from the store and call it a day! You know I love easy vegan breakfasts, and this definitely fits the bill.
Here's a super easy way to get your chia seed fix!
Open up the container of unsweetened cultured coconut, stir in chia seeds, vanilla powder, and maple syrup. Place lid back on the container and let it sit overnight. That's it!
Enjoy for breakfast with granola, fruit, nuts, flaked coconut, and whatever else you desire.
You can also make this chia pudding with a nondairy milk of your choice. Just use 3 tablespoons of chia seeds for every 1 cup of liquid. Stir to combine, add any flavors you might want, and let is sit in the fridge overnight in an air tight container. Give it another stir in the morning as the seeds may have settled, but you'll see they come together pretty quickly.
Have you tried So Delicious Coconut Yogurt? For me it far surpasses the YOSO brand’s flavour. I find it at my local Zehrs but I am sure it is accessible elsewhere as well. It also comes in plain, vanilla, strawberry and blueberry flavours which could be really interesting for this yummo breakfast. Just thought I would share. Thanks for the recipe and for this wonderful blog!
Thinking it would be nice to replace the sweetener you might use by a couple Medjool dates. Yum !
aah yes, could be done if you blended it or chopped finely. Date syrup?

industry_corpus2: Hospitality & Catering


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Clear aligners are the future of orthodontics, but digital orthodontics evolves so rapidly that it is hard to keep pace. This book approaches clear aligner treatment from a diagnosis and treatment-planning perspective, discussing time-tested orthodontic principles like biomechanics and anchorage and demonstrating how to apply them to orthodontic cases using these appliances. Each chapter explains how to use clear aligners to treat a given malocclusion and teaches clinicians how to program a suitable treatment plan using available software, how to design the digital tooth movements to match the treatment goals, and finally how execute the treatment clinically and finish the case well. This clinical handbook will prepare orthodontists and dental students to exceed patient expectations with the most esthetic orthodontic appliance currently available.
Sandra Tai, BDS, MS, has been an Invisalign certified orthodontist since 2000 and is currently an Invisalign Top 1%/Diamond Provider who has teated over 1,500 cases with Invisalign. As an editorial board member for the Journal of Aligner Orthodontics and a member of Align Tech Faculty in North America, she is involved in several clinical research projects and FDA clinical trials with clear aligners. Dr Tai is currently a clinical assistant professor in Orthodontics as well as the coordinator for the Invisalign program at the University of British Columbia in Vancouver. She also maintains a busy international lecture schedule, speaking to orthodontists all over the world about clear aligners and their potential. Dr Tai is a Fellow of the College of Dental Surgeons of British Columbia and a Fellow of the Royal College of Dentists, Canada, as well as a member of several professional organizations. She is also the founding member and past president of the Orthodontics Ties Seminars Study Club in Vancouver and the Vancouver Invisalign Study Club, where she mentors and trains dentists in the Invisalign system. She received her graduate training in Orthodontics at the University of Minnesota.

industry_corpus2: Health & Medicine


text: This copper 80 mm , 3"""" ornament has a glitter finish and comes pre-wired. This makes it simple and easy to install and to add as accents to any decor. The ornament is shatterproof which is great for areas with high traffic.

industry_corpus2: Manufacturing


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The thesis work of recent graduate and current Cedarville faculty member Lindsay Tucholski is an example of the unique blending of faith and academic research that has become the norm in Cedarville graduate programs. A graduate of the inaugural 10-person Master of Science in Nursing (M.S.N.) class, Tucholski recently conducted research looking at the differences in attitudes of leadership and social justice before and after a service learning experience.
By combining elements of her faith with her nursing work, her research fits in with a significant emphasis of the school of nursing: using nursing as a vehicle for ministry. In this case, Tucholski is working to show how serving others can change hearts and minds.
To carry this out, Tucholski distributed a two-part study designed at the University of Detroit Mercy to students in a Cedarville nursing class. She met with students at the beginning of the semester and had them take a pretest that contained questions about leadership and social justice attitudes. After the students completed a minimum of 60 hours of service learning experience, she followed up with them and had them rank the same attributes in a posttest.
“The experiences ranged from working with the homeless population, to pregnant women, the elderly and school children,” she said. By collecting information about the area in which the students worked, Tucholski was able to determine which areas created the biggest changes in attitudes among the students.
While her required work is done, Tucholski said she hopes to continue the study for a few years to collect additional data to acquire further information about service learning. She also plans to continue writing about her work. “The current plan is to publish some articles about the concept of service learning and also its use in the nursing curriculum,” she said.


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We are an artist-run gallery looking for a dedicated and motivated intern.
For the past 2 years we have carved out a reputation for putting on excellent shows and our upcoming year is very exciting.
Black Ball Projects was founded in October 2015 and is located on the Southside of Williamsburg in Brooklyn. The gallery is run by artists Ana Wolovick & Brian Wondergem who met at Yale’s MFA program over a decade ago. We self fund the gallery alongside several silent partners and no one takes any salary. The gallery is a labor of love.
The internship is two-fold: assisting with the needs of the gallery, and helping to set-up a new non-profit Arts Organization. The Non-Profit will start as a micro-granting program for artist’s and academics and expand out from there.
In seeking an intern, and in exchange for your time, it is very important to us that we are able to teach and provide valuable experience. Please see the "Position Description" below for what we need and what we can provide.
In 2017 Black Ball Projects was selected by the NY Times as one of 10 Galleries To Visit Now in Brooklyn And was reviewed twice in the New Yorker this past year.
We are more than happy to fill out any necessary forms for the right person to get credit from the institution they are getting a degree from. This is also a great position for a Postgraduate who has been focusing on curatorial or any type of contemporary art studies.
To be considered for this position, you don't need to be enrolled in a program. All applicants are welcome.
We are looking for the right person with the right kind of dedication and interest in small gallery operations and non-profit organization.
*PLEASE NOTE: This is an unpaid internship at this point in time.
*The time commitment is 6-12 hours per week (normally only 6 on weekend), with possible additional time during the week, not to exceed a 15 hour time commitment in total- or as required by a university program.
*Must be available for at least a 6 month commitment - future prospects with the gallery depending on performance and value to the organization(s).
*Availability for setting-up/being-at openings during the evening will be an occasional necessity.
*Gallery-sit at least 1 day a weekend, Sat or Sun from 12-6.
*Help in setting up a Non-Profit organization —Learn by doing.
*Must have a strong attention to detail and the ability to multi-task *Is Responsible, Prompt and Efficient.

industry_corpus2: Subject Education


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The Nissan Pathfinder is the SUV that can do it all. Want a rugged vehicle to take on your next adventure? Do you need a powerful SUV that can tow your trailer or other equipment? Would a car that can fit the whole family or other friends you are carpooling around St. Charles, St. Louis, O'Fallon, and Saint Peters be beneficial to you?
With the versatility of the Pathfinder, this SUV can do all of that and more. To learn all about this SUV, our team at St. Charles Nissan has put together detailed, easy-to-digest resources that explain the various features and specs of the vehicle. Also for your convenience, these resources are all located on this page for you to access!
How Many People Can Fit in the Pathfinder?
The Pathfinder comes with three rows of seating that will give you seven seats throughout the cabin. This will give you a car with plenty of room to fit the whole family when heading out for a day around town or on a longer trip. The Nissan Pathfinder is even a great vehicle when it is your turn to carpool.
Each row is also given space for your passengers to comfortably sit with 154.0 cubic feet of passenger volume spread out through the interior of the Pathfinder.
The Pathfinder is equipped with a 3.5L V6 engine that provides robust power. This engine produces 284 horsepower and 259 lb-ft of torque. The vehicle also has the Xtronic CVT® that brings seamlessly smooth acceleration to your drive. You can also get the Nissan Pathfinder with either the 2WD or available intelligent 4x4 system.
How Much Can the Nissan Pathfinder Tow?
With its standard V6 engine, the Pathfinder comes with some strong capabilities. This SUV will be able to tow up to 6,000 pounds. That means you can hitch up your trailer, tow along your boat, take your camper out for a weekend adventure, or connect other equipment you are looking to pull along with your new car.
There are also advance features that come with the Nissan Pathfinder to keep you safe while driving. The Vehicle Dynamic Control with Traction Control System can make adjustments on the fly to maintain stability while driving.
The Automatic Emergency Braking allows the car to assist in bringing the Pathfinder to a quick stop. Even stay informed about the condition of your tires with the tire pressure monitoring system. This feature will also help you while inflating your tires, letting you know when you've reached the correct pressure with the Easy-Fill Tire Alert.
Take a look at the research material we have on this page to help you learn what it will be like to drive the Nissan Pathfinder around St. Charles, St. Louis, O'Fallon, and Saint Peters.
Then when you are ready to get a better look at the SUV, you can stop on by St. Charles Nissan. We will show you our inventory and get you behind the wheel of the specific Pathfinder you are interested in. Contact us today to get started on finding your new car and schedule a test drive of the Nissan Pathfinder!

industry_corpus2: Automobiles


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Summit in London: Art & Patronage.The Middle East.
The Summit is an invitation-only event for notable patrons, collectors, arts institution leaders, curators, academics, artists, diplomats and other influential players involved in culture of and for the greater Middle East. The Summit will allow individuals and institutions alike to collaborate creatively in support of an emerging art scene. Capitalising on the region’s current cultural vitality and political flux, the Summit aims to engage cultural debate for the Middle East and, ultimately, to translate bold ideas into new initiatives.
• An A&P Summit Report will provide a benchmark study of the Middle East’s cultural capital as well as a major resource tool for arts professionals, patrons and collectors, and governmental and academic constituencies.
The Summit’s four sessions at the British Museum on 12 January 2012, intended to encourage debate and provocative thinking.
A half-day intensive seminar, discussion and debate at the Royal College of Art on 13 January 2012 will focus on current developments and practices in the Middle East, presenting case studies from a range of organisations and NGOs, represented by eight of the recipients of the Summit’s Curatorial Bursaries.
The Summit will take place in London to coincide with a number of cultural initiatives tied to the Middle East and, of course, the London 2012 Olympics. By sustaining the momentum developed through this initial conference, the Summit will become an annual event spotlighting cultural hotspots worldwide, with New York under consideration for 2013.
Current supporters of the Summit include major patrons in London and the Middle East, along with institutions such as the British Museum, the Delfina Foundation, the Hayward Gallery, the ICA, the Royal College of Art, the Serpentine Gallery, the Tate, the Victoria & Albert Museum and the Whitechapel Gallery.


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Quality improvement, process improvement, physician leadership development, patient safety, physician professionalism.
PURPOSE: Physician disrespectful behavior affects quality of care, patient safety, and collaborative clinical team function. Evidence defining the demographics, ethnography, and epidemiology of disrespectful behavior is lacking.METHOD: The authors conducted a retrospective analysis of reports of disrespectful physician behavior at Stanford Hospital and Clinics from March 2011 through February 2015. Events were stratified by role, gender, specialty, and location in the hospital or clinics where the event occurred. Event rate ratios were estimated using a multivariable negative binomial regression model. Correlation of rates of faculty and trainees in the same specialty were assessed.RESULTS: One-hundred-ninety-nine events concerned faculty; 160 concerned trainees. Events were concentrated among a small number of physicians in both groups. The rates of faculty and trainee events within the same specialty were highly correlated (Spearman's rho: 0.90; P < .001). Male physicians had an adjusted event rate 1.86 (95% CI = 1.33 - 2.60; P < .001) times that of females. Procedural physicians were 3.67 times (95% CI = 2.63 - 5.13; P < .001) more likely to have a disrespectful behavior event than non-procedural physicians when adjusting for other covariates. Most common location for faculty was the operating rooms (69 events, 34%); for trainees, the medical/surgical units (43 events, 27%).CONCLUSIONS: Patterns of physician disrespectful behavior differed by role, gender, specialty, and location. Rates among faculty and trainees of the same specialty were highly correlated. These patterns can be used to create more focused education and training for specific physician groups and individualized remediation interventions.
Because of modern challenges in quality, safety, patient centeredness, and cost, health care is evolving to adopt leadership practices of highly effective organizations. Traditional physician training includes little focus on developing leadership skills, which necessitates further training to achieve the potential of collaborative management.The aim of this study was to design a leadership program using established models for continuing medical education and to assess its impact on participants' knowledge, skills, attitudes, and performance.The program, delivered over 9 months, addressed leadership topics and was designed around a framework based on how physicians learn new clinical skills, using multiple experiential learning methods, including a leadership active learning project. The program was evaluated using Kirkpatrick's assessment levels: reaction to the program, learning, changes in behavior, and results. Four cohorts are evaluated (2008-2011).Reaction: The program was rated highly by participants (mean = 4.5 of 5). Learning: Significant improvements were reported in knowledge, skills, and attitudes surrounding leadership competencies. Behavior: The majority (80%-100%) of participants reported plans to use learned leadership skills in their work. Improved team leadership behaviors were shown by increased engagement of project team members.All participants completed a team project during the program, adding value to the institution.Results support the hypothesis that learning approaches known to be effective for other types of physician education are successful when applied to leadership development training. Across all four assessment levels, the program was effective in improving leadership competencies essential to meeting the complex needs of the changing health care system.Developing in-house programs that fit the framework established for continuing medical education can increase physician leadership competencies and add value to health care institutions. Active learning projects provide opportunities to practice leadership skills addressing real word problems.
Purpose Physician leadership programs serve to develop individual capabilities and to affect organizational outcomes. Evaluations of such programs often focus solely on short-term increases in individual capabilities. The purpose of this paper is to assess long-term individual and organizational outcomes of the Stanford Leadership Development Program. Design/methodology/approach There are three data sources for this mixed-methods study: a follow-up survey in 2013-2014 of program participants ( n=131) and matched (control) non-participants ( n=82) from the 2006 to 2011 program years; promotion and retention data; and qualitative in-person interview data. The authors analyzed survey data across leadership knowledge, skills, and attitudes as well as leadership titles held, following program participation using Pearson's χ2 test of independence. Using logistic regression, the authors analyzed promotion and retention among participants and non-participants. Finally, the authors applied both a grounded theory approach and qualitative content analysis to analyze interview data. Findings Program participants rated higher than non-participants across 25 of 30 items measuring leadership knowledge, skills, and attitudes, and were more likely to hold regional/national leadership titles and to have gained in leadership since program participation. Asian program participants were significantly more likely than Asian non-participants to have been promoted, and women participants were less likely to have left the institution than non-participants. Finally, qualitative interviews revealed the long-term impact of leadership learning and networking, as well as the enduring, sustained impact on the organization of projects undertaken during the program. Originality/value This study is unique in its long-term and comprehensive mixed-methods nature of evaluation to assess individual and organizational impact of a physician leadership program.
The aim of the study was to examine the impact of a surgical comanagement (SCM) hospitalist program on patient outcomes at an academic institution.Prior studies may have underestimated the impact of SCM due to methodological shortcomings.This is a retrospective study utilizing a propensity score-weighted intervention (n = 16,930) and control group (n = 3695). Patients were admitted between January 2009 to July 2012 (pre-SCM) and September 2012 to September 2013 (post-SCM) to Orthopedic or Neurosurgery at our institution. Using propensity score methods, linear regression, and a difference-in-difference approach, we estimated changes in outcomes between pre and post periods, while adjusting for confounding patient characteristics.The SCM intervention was associated with a significant differential decrease in the proportion of patients with at least 1 medical complication [odds ratio (OR) 0.86; 95% confidence interval (CI), 0.74-0.96; P = 0.008), the proportion of patients with length of stay at least 5 days (OR 0.75; 95% CI, 0.67-0.84; P < 0.001), 30-day readmission rate for medical cause (OR 0.67; 95% CI, 0.52-0.81; P < 0.001), and the proportion of patients with at least 2 medical consultants (OR 0.55; 95% CI, 0.49-0.63; P < 0.001). There was no significant change in patient satisfaction (OR 1.08; 95% CI, 0.87-1.33; P = 0.507). We estimated average savings of $2642 to $4303 per patient in the post-SCM group. The overall provider satisfaction with SCM was 88.3%.The SCM intervention reduces medical complications, length of stay, 30-day readmissions, number of consultants, and cost of care.
A growing body of evidence suggests that patient (including family) feedback can provide compelling opportunities for developing risk management and quality improvement strategies, as well as improving customer satisfaction. The Patient Representative Department (PRD) at Stanford Health Care (SHC) (Stanford, California) created a streamlined patient complaint capture and resolution process to improve the capture of patient complaints and grievances from multiple parts of the organization and manage them in a centralized database.In March 2008 the PRD rolled out a data management system for tracking patient complaints and generating reports to SHC leadership, and SHC needed to modify and address its data input procedures. A reevaluation of the overall work flow showed it to be complex, with over-lapping and redundant steps, and to lack standard processes and actions. Best-practice changes were implemented: (1) leadership engagement, (2) increased capture of complaints, (3) centralized data and reporting, (4) improved average response times to patient grievances and complaints, and (5) improved service recovery. Standard work flows were created for each category of complaint linked to specific actions.Complaints captured increased from 20 to 270 per month. Links to a specific physician rose from 16%-36% to more than 80%. In addition, 68% of high-complaint physicians improved. With improved work flows, responses to patients expressing concerns met a requirement of less than seven days.Standardized work flows for managing complaints and grievances, centralized data management and clear leadership accountability can improve responsiveness to patients, capture incidents more consistently, and meet regulatory and accreditation requirements.
As complexity of care of hospitalized patients has increased, the need for communication and collaboration among members of the team caring for the patient has become increasingly important. This often takes the form of a nurse's need to contact a patient's physician to discuss some aspect of care and modify treatment plans. Errors in communication delay care and can pose risk to patients. This report describes the successful implementation of a standardized team-based paging system at an academic center. Results showed a substantial improvement in nurses' perceptions of knowing how to contact the correct physician when discussion of the patient's care is needed. This improvement was found across multiple medical and surgical specialties and was particularly effective for services with the greatest communication problems.
Evidence-based performance measures, known as core measures, have been established by The Joint Commission to improve the quality of care for patient populations, such as those with acute myocardial infarction (AMI), heart failure, and community-acquired pneumonia (CAP), as well as to improve the quality of surgical care--the Surgical Care Improvement Project (SCIP) measures. Hospital administrators have traditionally held academic and community physicians and hospital clinicians accountable for integrating the core measures into daily practice. Such efforts have often led to suboptimal results because of the belief that the "organization" (macrosystem) is the appropriate level at which to work to improve quality. Stanford Hospital and Clinics (Stanford, California) has instead held leaders of clinical microsystems--the clinical units where care is provided--accountable to improve performance on the core measures. The strategic approaches taken for this initiative include engagement of the hospital's board of directors; clear assignment of accountability among interdisciplinary care teams to drive the change; implementation of a unit-based medical director program; transparency of core measure performance at the microsystem, mesosystem, and macrosystem levels; and concurrent monitoring with rapid feedback of results.In 2007, the first year of this initiative, the 24-metric composite compliance score for all four core measures increased from 64% to 82%. The composite score was sustained at a minimum of 90% during 2009 and Quarter 1 of 2010.Holding clinical microsystems accountable for improving unit performance proved beneficial to macrosystem performance of the Joint Commission core measures.
To develop a new instrument for judging the appropriateness of three key services (new prescription, diagnostic test, and referral) as delivered in primary care outpatient visits.Candidate items were generated by a seven-member expert panel, using a five-step nominal technique, for each of three service categories in primary care: new prescriptions, diagnostic tests, and referrals. Expert panelists and a convenience sample of 95 community-based primary care physicians ranked items for (i) importance and (ii) feasibility of ascertaining from a typical office chart record. Resulting items were used to construct a measure of appropriateness using principals of structured implicit review. Two physician reviewers used this measure to judge the appropriateness of 421 services from 160 outpatient visits.Primary care practices in a staff model health maintenance organization and a large preferred provider network.Inter-rater agreement was measured using intraclass correlation coefficient (ICC) and kappa statistic.For overall appropriateness, the ICC and kappa were 0.52 and 0.44 for new medication, 0.35 and 0.32 for diagnostic test, and 0.40 and 0.41 for referral, respectively. Only 3% of services were judged to be inappropriate by either reviewer. The proportion of services judged to be less than definitely appropriate by one or both reviewers was 56% for new medication, 31% for diagnostic test, and 22% for referral.This new measure of appropriateness of primary care services has fair inter-rater agreement for new medications and referrals, similar to appropriateness measures of other general services, but poor agreement for diagnostic tests. It may be useful as a tool to assess the appropriateness of common primary care services in studies of health care quality, but is not suitable for evaluating performance of individual physicians.
A Joint Planning Committee Report was issued in 1974 exploring how Stanford University might itself provide primary care to students, faculty, employees and their dependents at low cost. The report called for the creation of a health maintenance organization owned by its subscribers in affiliation with Stanford Medical Center. However, because the report was dismissed by the dean of the School of Medicine as being unworkable, the Midpeninsula Health Service (MHS) began operating as an unaffiliated, nonprofit health plan in downtown Palo Alto in January 1976. The MHS's planning, early operation, move to the Stanford campus, financial viability and ultimate fate are examined as an example of action research in health care.Source documents were examined by the authors, a founding MHS board member and its two inaugural medical directors, in compiling a 30-year organizational history.The MHS was remarkably prescient in its early use of small primary care groups that included midlevel practitioners, the principles of evidence-based medicine, the participation of patients in self-care activities, and a commitment to the continuous monitoring and improvement of quality. Imputed annualized costs of care were 30% lower than contemporary fee-for-service care and 20% lower than that of Kaiser, with no discernible difference in health outcomes.Action research methods can be useful in identifying and testing potential solutions to vexing problems in health care delivery.
Measuring and improving the quality of care while curtailing costs are essential objectives in capitated care. As patient care moves from the hospital to outpatient settings, quality management resources must be shifted to ambulatory care process improvement. The Quality Improvement and Efficiency Financial Incentives Program at Stanford University Medical Center was adopted to increase quality improvement efforts and contain costs. THE INCENTIVE PROGRAM: Each department's budget for care of capitated patients was reduced by 5% from the previous year. Return of a reserve fund (10% of payments for specialty care) required completion of substantive quality improvement projects and containing costs. Successful departments were also eligible for bonus funds. Implementation strategies included endorsement by clinical leaders, physician education, use of administrative data to identify project topics and support measurement of quality and cost variables, project templates and time lines, and the availability of clinical quality managers with special expertise in clinical process improvement.Eight of 13 clinical departments developed and implemented 19 ambulatory quality improvement projects to varying degrees. Success in the program was roughly correlated with the potential impact of the incentive on revenues and the status of the lead person selected by the department to spearhead their efforts. Only 5 departments achieved their cost containment goals.Financial incentives are one method of encouraging physicians to use clinical process improvement methods. Endorsement by clinical leaders and selection of realistic beginning projects enhance chances for success. The capitated population has attributes that make it an attractive focus for initial quality improvement efforts.
The demand for teachers of family practice is being met in part by recent residency graduates. The background of these individuals would not predict that they would become teachers, and a major role adaptation is required of them. Yet a number of factors lead them to elect to become faculty members. They possess several qualities different from faculty members coming from practice backgrounds and are, therefore, able to make unique contributions. A combination of recent graduates and practice-experienced faculty members may represent the ideal mix for the further development of academic family practice.
Providing exposure for family practice residence to all aspects of community medicine is a common goal of training programs. The Antelope Valley Hospital Medical Center Family Practice Program has initiated an innovative project which involves residents serving as team physicians for local college athletic teams. This provides a valuable opportunity for residents to learn skills they can be expected to need in their future practice. The team physician's role offers educational potential for family practice residents through experience with acute orthopedic problems as well as the preventive and psychological aspects of sports medicine. This role also serves as an example of physician responsibility for health-related activities in the acommunity.
PROTEIN BINDING OF CALCIUM AND STRONTIUM IN GUINEA PIG MATERNAL AND FETAL BLOOD PLASMA AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY Twardock, A. R., KUO, E. Y., AUSTIN, M. K., Hopkins, J. R. 1971; 110 (7): 1008-?


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Kotchoubey, B.; Lang, S.; Winter, S.; Birbaumer, N.
Cognitive functions have never been studied before in completely paralyzed patients, probably due to the lack of the appropriate method. In this study, three male patients in the last stage of amyotrophic lateral sclerosis (ALS) are examined. They were totally locked-in, i.e., incapable of any voluntary response including eye movements. Given this complete lack of motor expression, the method of event-related brain potentials (ERPs) was used. The ERP recording was carried out at the patients' bedside. In one patient indications of preserved cognitive abilities including adequate language comprehension were obtained. The data of the second patient also demonstrate a high degree of intactness of complex cognitive functions, but some ERP phenomena were consistently abnormal, which may be interpreted as a consequence of disease-related degenerative processes. In the third patient no electrocortical response which might indicate higher cortical processing was found. This first ERP study of totally paralyzed patients shows that some of them can possess high, perhaps even normal, information processing capacity after a long period of severe immobility and artificial ventilation.


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Konung Casino is a brand new online casino on the market that opened its doors in 2017. It is owned and operated by Direx N.V., a company based in Cyprus. Konung Casino is regulated and licensed by the Curacao Gaming Commission. The offer is huge and also because of the fact that here you have access to a game portfolio of different manufacturers, such as slots and table games from NetEnt, Betsoft, Evolution Gaming, Ezugi, iSoftBet, Pragmatic Play, NextGen Gaming and many more. All registered players can visit the casino either via their home PC or via a mobile device. For all new Konung Casino players, there is a great welcome bonus of 300 Dollars and 50 free spins. More details can be found in the following section for you.
In total there are not 300 Dollar and 50 free spins, but 500 Dollar and 115 free spins, which you can get here. So what are you waiting for?
Yes, there are lots of free spins at Konung Casino, spread over your first three deposits you make at the casino. You get 50 Free Spins on your first deposit (on Brave Viking game), 30 Free Spins on your second deposit (on Brave Viking game) and 35 Free Spins on your third deposit (as a small gift from the casino).
But there will also be numerous special promotions in this casino, and there will be some free spins for you.
In addition to the welcome bonus, Konung Casino also offers other great promotions where you can receive a bonus. At the moment, for example, there is the “Happy Tuesday” promotion, where you can receive a 50% bonus of up to 100 Dollars. But also the promotion “Lucky Thursday” is very worthwhile because you get a 55% bonus of up to 100 Dollar. Just have a look at Konung Casino!
As I said at the beginning, the game selection is very large, because you have access to a portfolio of many different game manufacturers. You will find the most popular video slots developed by NetEnt, Betsoft, Evolution Gaming, iSoftBet and others, including titles such as Aztec Magic, Book of Pyramids, Hawaii Cocktails, Slotomon Go and countless others. But there are also numerous progressive jackpot slots that contain huge jackpot sums just waiting to be cracked, such as Cosmic Fortune, Divine Fortune and Super Lucky Frog.
For all those who love table games, the casino has of course also taken care of, because you will find many different variants from the categories Blackjack, Baccarat and Roulette. For example, there are versions of European and American Roulette, Blackjack Atlantic City and the Baccarat Professional Series.
If you prefer to play against a real live dealer and prefer a real casino feel, then the live games are for you because there you play against a real dealer, whether Blackjack, Baccarat or Roulette, no matter. All games are recorded and broadcast in real time, leaving no wish unfulfilled.
All the games you can choose from at Konung Casino are also mobile-friendly, i.e. they can be played on your mobile phone. All you need to do is open the casino using the browser on your mobile device and start playing.
If you have any questions or are confronted with a problem, you can of course also contact the customer service of Konung Casino. You have the possibility to write an e-mail or talk directly to a casino staff member via the live chat. We believe that live chat is always the better and fastest way to get help. There is also a Questions and Answers section (FAQ) on the website which is only available in English.
There’s nothing to complain about from our side for now. The appearance is fresh, colourful, cheerful and in a comic-like Viking style. The game selection is large, and you can find everything a player’s heart desires and also the welcome bonus is not without. Just judge for yourself and visit the new Konung Casino!

industry_corpus2: Gaming


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There are three issues in the project list view.
1) The Project Owner is not displayed with the name. It shows the UID number of the Project Owner (ex. "1").
2) The project_type has the same issue as above.
3) The project_contacts (and project_department) fields are legacy from another project. I've added a patch to remove those from the config screen.
The other two will need tweaking.
This is sad, because I used to use this functionality to see who and from which department is my project contact in the overview.
So I could also sort by contact name or department to have a quick overview.
The list of Project Contacts has *never* been on the Project List screen.
I'm not sure if the Departments were either.
Regardless, the way they're represented here was just plain poor database design that didn't work reliably.


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MIDI Guitar is the world’s first app to transcribe guitar playing into MIDI in real-time, with latency and accuracy comparable to expensive and inconvenient hardware MIDI guitar solutions. Play any synth or virtual instrument with your trusted old guitar, or record tablature by playing it.
MIDI guitar is 8 years under development and based upon new advances in polyphonic pitch detection and prediction technology. It can accurately recognize guitar playing and articulation with very low latency and without spurious hits. The technology has been tested by thousands of beta testers.
MIDI Guitar 2 is finally here on iOS!
Everything is improved. Tracking in particular.
ATTENTION! old customers: Please “Restore” your old purchase in the built-in shop.
MIDI Guitar uses Virtual MIDI to contorl other iOS synth apps or Garageband. It can also use WIFI-MIDI to communicate with Mac or PC digital audio workstations in a frictionless setup. Cable based MIDI to control hardware synths or connect to DAWs with lowest possible latency.
In order to use MIDI Guitar you need a iPhone 5, iPad 4, iPod 6 or later. You also need a guitar interface for best results. We recommend a digital interface (using the lightning connector) over analog (via headphone jack), preferably with input gain control. Using an acoustic guitar with the built in microphone works for some purposes but is not optimal.
The free version will interrupt now and then, asking you to buy an in-app purchase. There are two in-app purchases. The first one gives you the full guitar rig and unlocks everything in the app EXCEPT the possibility to play external synths. For that you need the second in-app purchase, in addition.
Live Guitar is designed to support playing complex chords, arpeggios, and finger-style guitar lines on your iOS device. Because the iPhone and iPad are not shaped like the neck of a guitar, the app provides an innovative way of selecting chords, while also leaving enough room to play individual strings accurately and expressively.
Introducing Audiobus support, improved support for virtual and core MIDI, and the import/export of chord progressions through Twitter.
Chords are organized in sets, which you can customize and change on a song-by-song basis. A single touch on the fretboard selects the first chord of a set; two touches selects the second, and so on. It’s possible to move quickly and accurately between sixteen different chords without needing to look at the screen; the chords available are taken directly from tablature that can be imported to the app. When playing guitar, switching between chords smoothly is critical; the app has been designed so that you can play music, not just notes.
Single string notes and strums can be played with touches or swipes; the organic sonic texture that comes from varying note intensity is obtained by adjusting where on a string you touch. The interface orientation on the iPhone gives more space between the strings, allowing you to play individual strings more accurately.
Live Guitar supports Chordpro formatted transcriptions; transcriptions to thousands of songs, with both the lyrics and chords, are available on the internet. Chordpro formatted transcriptions can be imported through the internal web browser, or with iTunes file sharing. Chord progressions can be imported from Twitter. You can also edit and create transcriptions in the app, and share transcriptions and chords easily.
MIDI connects your playing to laptop or desktop recording tools like GarageBand, Logic, Reaper, or ProTools. CoreMIDI, Virtual MIDI, and DSMIDI are all supported; you can choose the interface that gives you the best performance on your system. Live Guitar can send MIDI to the GarageBand app, as well as most other synthesizer apps. At present, SampleTank is not compatible.
For those learning to play, Live Guitar gives a gentle introduction to the fretboard and forming chords, and makes playing a song easy. Pros will appreciate the support for tablature and MIDI connectivity. For everyone, the app is a way to get a little “guitar playing fix” when the real thing isn’t available.
There are a number of guitar apps available. What makes Live Guitar different is the integration of song lyrics and chords, and the novel way in which chords are selected. It’s not just a portable guitar, it’s a portable guitar with access to tens of thousands of song transcriptions.
The app should work on all iPhones, iPads, and the iPod Touch, but is best suited for the iPhone 3Gs and newer, the 4th generation iPod Touch, and any iPad. Audiobus works best on newer iPads and iPhones.


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Get Your Daily Dosage of Fruits and Veggies!
Are you getting enough fruits and veggies in your diet? Today I read an article on how to get your daily dosage of these health foods and how easy it actually is!
Canned Veggies by Springbok. 500 pieces. Size: 18" x 23.5" Science tells us that healthy foods like fruits and veggies reduce our risk of diseases such as cancer, heart disease, and Type 2 diabetes. They are also full of vitamins and minerals that help our bodies stay in tip top shape!

industry_corpus2: Agriculture & Fisheries


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Scientists have found that contrary to popular belief, these terrestrial giants were “home bodies.” They tended to remain local, even choosing preferred spots with the research suggesting that each species of mammoth and mastodon kept to separate areas based the types of food available.
How did scientists discern this? Teeth! Specifically the scientists studied specimens of molars from four mastodons and eight mammoths at southwestern Ohio and northwestern Kentucky. By drilling into a tooth’s surface and analyzing the stable carbon, oxygen and strontium isotopic signatures, a story about how these extinct animals lived their life can be found.
Their analysis revealed that mammoths ate more grasses and sedges than mastodons, who favored leaves from trees or shrubs. Strontium from nearly all of the animals matched local water samples, meaning they likely were less mobile and migratory than originally thought.
Meanwhile, differences in strontium and carbon between mammoths and mastodons suggest they didn’t inhabit the same localities. Rather than overlapping, mammoths preferred to be closer to the retreating ice sheet where grasses were more abundant. On the other hand, mastodons fed farther from the ice sheet in more forested habitat. Since these extinct species are related to elephants, understanding their lives could be invaluable for understanding their present, extant relatives.

industry_corpus2: Technology & Research


text: This movie was independently produced by Y.K. Kim in Orlando Florida. Never saw wide distribution because Hollywood is a closed shop and refused to distribute it. Took Kim and his students ten years to make and release.


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Please arrive early for a prompt 10 am start.
For ages 11+, STEM - Science, Technology, Engineering, and Mathematics - using a Raspberry Pi computer to gain a basic understanding of ‘Physical Computing'. Physical Computing means building interactive physical systems by the use of software and hardware that can sense and respond to the real world.
Gizmo Cats use a Raspberry Pi and wire simple input/output circuits and then write interface programs using Python Programming Interface to the Raspberry Pi. In this hands-on intensive course we introduce a Raspberry Pi, its' operating system (Linux Raspian), to Python programming and wiring simple circuits (real-world); as well as interfacing to Minecraft™ Pi (a virtual-world).
Optional: Bring your own USB memory stick for own back-ups. You also have an option to purchase a Raspberry Pi.
To Have Fun! Develop appreciation for creativity, reasoning, problem solving and collaboration. Understanding basic concepts of electronic circuits and input/outputs to/from a computer. Learn by doing fun hands-on physical computing activities to understand our human relationship to the digital world.
Where: Thinklab Fremantle (3 Blocks from train station, next to National Hotel, upstairs).


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The EDPB has published its first review of the implementation of the GDPR, in particular the functioning of the cooperation and consistency mechanism. The GDPR requires EU Data Protection Supervisory Authorities (SAs) to cooperate in order to provide a consistent application of the GDPR. The EDPB concludes that nine months after the entry into force of the GDPR, the cooperation and consistency mechanism is working well. All one-stop-shop cases have so far been resolved smoothly, with no cross-border case being escalated to the EDPB for dispute resolution purposes.
To support the cooperation and consistency mechanism, the EDPB have customised an existing IT system, the Internal Market Information System (IMI), in order to provide a structured and confidential way for SAs to share information.
Some of the highlights of the review are set out below.
Cases – The SAs reported a total number of 206,236 cases. These cases derived from complaints (94,622), data breach notifications (64,684) and other reasons. 52% of these cases have already been closed, and 1% are being challenged before national courts.
Use of Corrective Powers by SAs – SAs from 11 EEA countries have imposed administrative fines, with the total amount of €55,955.871 being imposed.
For more information on this topic please contact Davinia Brennan or any member of A&L Goodbody's Commercial & Technology team.

industry_corpus2: Law & Justice


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Wholesale Hot sale funny Inflatable cartoon,$ www.einflatablebouncers.com Guangdong China Hot sale excellent quality low price costumes walking inflatable costume dinosaur moving cartoon.
Hot sale Inflatable Wolf ,Inflatable Cartoon Dog , Inflatable animals Fox Toy,US $ 288 Hot sale Inflatable Wolf ,Inflatable Cartoon Dog , Inflatable animals Fox Toy .
Read Black Inflatable Doll Reviews and Customer Ratings on weights 3kg [ NBL057]2016 Hot Sale Free Shipping Blyth Doll # Black with Red Color BJD/ SD Attribute: Doll ; Features: Musical ; Features: Cartoon ; Brand Name: * TracyTang*.
Dongguan Zhanhong Toy Co., Ltd. Life Size Inflatable Moving . hot sale interesting portable inflatable sky dancing tube cartoon for adver. Add to Compare.
1 Dozen Fox Family Guy 24 Inflatable Stewie Blow up Doll Cartoon Figure. Be the first to write a review More than 10 available / 88 sold. Condition. New.
Find and save ideas about Mermaid cartoon on Pinterest. | See more about Mermaid illustration, Mermaid artwork and Ariel disney.


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Care needs to be taken when washing fire-resistant material, but it's not hard to do. Find out how to wash fire-retardant clothing here.
Learn everything you need to know about the Dickies' FR fabrics including care & maintenance, wear, and more with flame resistant industry FAQs!
, where the flammability of clothing (and incontinence pads) may be a factor., Some polyester fabrics are considered permanently fire retardant.
, I understand that using a fabric softener on flame-retardant garments may reduce the effectiveness of the finish. Can vinegar be added instead?
They have special flame-resistant gloves and jackets to prevent injuries. But how was the tough material in flame-resistant clothing developed in the first place?
Journal of Engineered Fibers and Fabrics. 30 .jeffjournal.org. Volume 8, Issue 4 2013. Apparel Performance of Flame Retardant Silk Fabrics.
, For fire retardant clothing, one does not want to remove or ruin the finish. That is why the limitations on the laundry product usage are listed.
requirements and test methods for flame-resistant fabrics and components and the design and certification requirements for garments for use in areas.
Chapter 5: Care and maintenance of fabrics used for flame resistant personal, 18.4 Design of flame retardant fabrics and clothing for flash fire protection.
Frequently bought together. No-Burn Fabric Fire Protection. +. No-Burn Original Fire Retardant. +. ForceField FireGuard Flame Retardant and Protection.
Flame retardant fabrics XM FireLine are EN 11612 certified. Buy protective fabrics for FR clothing of oil & gas, electricians and welders from stock in Europe!
Learn more about the different types of flame resistant (FR) fabrics Tyndale uses in the manufacturing of our FR clothing.


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Matt began teaching at the FIT-IBSTE (Evangelical Seminary of Spain) in the fall of 2007. He is Professor of New Testament and Hermeneutics, and he serves as the Dean of Students at the seminary. Matt also teaches a few classes in a distance-learning program called El Colegio Bíblico de la Gracia (Grace Bible College). Matt and Núria serve in the Eslgéisa Evangèlica de Vilassar de Mar (Evangelical Church of Vilassar de Mar). The church is located in Núria’s hometown, about 30 minutes north of Barcelona. Matt is an elder with responsibilities that include the oversight of the teaching ministries in the church. Núria is active in the Sunday school program and in music.
James White is the director of Alpha and Omega Ministries, a Christian apologetics organization based in Phoenix, Arizona. He is a professor, having taught Greek, Systematic Theology, and various topics in the field of apologetics. He has authored or contributed to more than twenty four books, including The King James Only Controversy, The Forgotten Trinity, The Potter’s Freedom, and The God Who Justifies. He is an accomplished debater, having engaged in more than one-hundred forty moderated, public debates around the world with leading proponents of Roman Catholicism, Islam, Jehovah’s Witnesses, and Mormonism, as well as critics such as Bart Ehrman, John Dominic Crossan, Marcus Borg, and John Shelby Spong. In recent years James has debated in such locations as Sydney, Australia, as well as mosques in Toronto, London, and South Africa. He is an elder of the Phoenix Reformed Baptist Church, has been married to Kelli for more than thirty two years, and has two children, and one grandchild, Clementine.
Rich Pierce is the President of Alpha and Omega Ministries. Administration is Rich’s primary responsibility at Alpha and Omega and it is his job to see to it that the day to day operations are taken care of so that Dr. White can remain focused on research and teaching. Rich came from the private sector after working as an administrator and eventually getting into computer support. Rich has been with Alpha and Omega Ministries originally in a volunteer capacity since 1987 and then became a full time employee in 1998. A native of Arizona, Rich grew up in Prescott and currently resides in Peoria. Rich is married to Marianne with one son Matthew.


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What exactly is “truth” anymore, and how does that word apply to media and advertising these days?
The news media has been called out by politicians for perpetuating fake news over the last three years and as a result, people are conflicted and don’t know what to believe anymore.
Advertising has the same issue, most recently surfaced when AT&T slapped a “5G” label on its new phones even though they are not truly 5G-enabled. AT&T simply used the term for marketing purposes, raising doubt as to the viability and credibility of the real 5G.
Being untruthful damages everyone, not just the intended target.
I have two sons, and when one tells me the other hit him or took something of his or did something they weren’t supposed to, I have to deal with it. When I dive into the situation and find out that either a claim wasn’t true, or that it may have been a retaliation for something that happened beforehand, I find myself in a conundrum.
How do I explain to my sons they can’t make things up and that they can’t look at only one side of the story to determine what is “true”? It’s the challenge of using the “boy who cried wolf” against the one-sided “fake news” version of the story.
And therein lies the problem. There’s a difference between what people believe with all their heart, the truth — and a straight-up lie. In the case of “fake news,” you have to realize that some people believe these stories with all their heart because either they don’t have all the information, or else the story aligns so closely with what they want to believe that they do believe it. That, to them, is truth.
On the far side you have stories that are flat-out fabrications, made up to try and tell a story that has no basis in fact.
Then there is the truth, which is typically something else. Sometimes it is in the middle of two opposing points of view that are rooted in personal bias. Sometimes it is counter to what you are being told, and sometimes it is a manipulation of what actually happened because someone only had a piece of the story to tell. The scary thing here is that a fact does not always translate to “truth” because it can vary from one person to the next.
In the case of advertising, AT&T used a term to convey a next generation of development incorrectly. I am certain the company did not have malice in mind, but must have believed this was the correct way to use the term, even though it clearly wasn’t. Will there be repercussions for the error? Probably not -- at least not until the company truly has 5G products to roll out, and we wait to see whether consumers trust it.
The fact is, most consumers never even noticed this change and wouldn’t realize the difference one way or the other. The impact on AT&T is mostly looking bad in the eyes of the industry itself.
Are there repercussions for fake news? To some extent, yes. It serves to further divide the country and in the long run has an effect on the next generation of consumers, who simply won’t trust the mainstream media.
My kids won’t watch or trust the news. They will more than likely focus on their peers for information and points of view, which further isolates them from other differentiating points of view. I don’t like this fact because an isolated mind cannot be open to new ideas.
The truth is more important than ever, and media brands and advertisers have a responsibility to portray the truth and ensure it is rooted in fact. Truth creates trust, and trust is the key to building a media brand or a product worth having.
Here’s to hoping that 2019 sees more truth than 2018 did.

industry_corpus2: Media & Journalism


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Here at Bathtub Installation Guys, we're ready to fulfill all your requirements regarding Bathtub Installation in Booth, WV. You need the most innovative technology available, and our crew of experienced experts will supply just that. Our supplies are always of the highest quality and we have learned to save you costs. We are going to make it easier to put together choices for your task, reply to your questions, and prepare a meeting with our specialists whenever you give us a call by dialing 800-618-5030.
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The oldest vaccine, as everyone knows, is the smallpox vaccine. 1 Another old vaccine (though not in the same class as smallpox vaccine) is the tuberculosis vaccine, Bacillus Calmette-Guérin (BCG), developed in 1921.
There’s all kinds of interesting stuff about BCG. It’s a live vaccine, meaning that the vaccine is live Mycobacterium bovis (the bovine tuberculosis bacterium). Albert Calmette and his assistant/colleague Camille Guérin, at the Institut Pasteur, repeatedly passaged a virulent isolate of M. bovis on a particular type of medium, noticed that some colonies looked different, and determined that these were less virulent for lab animals; after further passages, they announced that the variant was “inoffensif” in humans,2 and by the late 1920s BCG was being used around the world as a vaccine against tuberculosis. Overall, it’s probably around 50% effective as a vaccine, with geographical location accounting for most of the variability. 3 That’s very low as vaccine efficacy goes, and it means that vaccination is really only useful where there’s lots of disease, not so much where there’s a moderate incidence; which pretty much matches how BCG has been used worldwide. On the other hand, the vaccine seems to be pretty innocuous, with a low complication rate.
So: We have an old, widely-used vaccine strain, that has a long history of variation. (This is similar, by the way, to smallpox vaccine — vaccinia virus was also widely distributed and showed extensive variation in its characteristics.) The BCG strains used today have all been more or less selected — either deliberately, or empirically — to be safe and effective vaccines; they’ve also been selected for a wide range of other factors (stability, ease of processing, rapid growth, and so on), some of which we know about, some of which we don’t.
Could strain variability account for the wild variation in tested vaccine efficacy? Well. historically, perhaps not — different strains of BCG haven’t correlated with the differences in efficacy that have been seen, most of which (as I said) follow geography.
But I’ll leave you with this: It seems that the BCG vaccines used today are generally less effective than they were back in the 1920s.10 Could that be linked to some of these genomic variations?
Development of the Mycobacterium bovis BCG vaccine: review of the historical and biochemical evidence for a genealogical tree.
Correlation between BCG genomics and protective efficacy.
Scand J Infect Dis. 2001;33(4):249-52.
Has BCG attenuated to impotence?


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The Margaret Watson Centenary Travelling Fellowship is in memory of Margaret Watson and is to recognise and celebrate the achievements of young female graduates. The ‘centenary’ refers to Miss Watson being required to leave the job that she loved as a teacher at University High School because she was to marry – a practice that continued until 1962 in Victoria, Australia. In the photo above, we see Margaret – mother, graduate and, by then, university tutor – with her son, who later graduated with a degree in medicine from The University of Melbourne.
Margaret Watson trained as a Primary School Teacher and was appointed as a foundation staff member of University High in Melbourne in 1910 after completing the new two year Diploma of Education, which had been introduced as the qualification for Secondary School teachers, and included some subjects towards an Arts degree.
While teaching at University High, Margaret completed the extra subjects to graduate with a Bachelor of Arts in 1915. On marrying, as was the requirement of that era, Margaret left her teaching position in 1915 and became a tutor in Classics at The University of Melbourne.
Alice Hoy, who taught with Margaret, wrote in the 1960 history of University High: “Miss Watson looked, as she certainly was, a friendly, jolly person“.
She was described as a vigorous teacher with a robust sense of humor who could make Latin as well as Geography interesting. Miss Watson was said to have a very warm heart and when she left the school late in 1915 to be married she took many lasting friendships with her. For many of her former pupils and staff colleagues her house in Elwood, the friendly doors of which were always open, became a real home for them too.
Juanjuan’s world opened up slightly when at age of 12 she went to study at the middle school in the town located at the other side of her childhood mountains. A year later, she started her first English lesson and was fascinated by it. At age 15, she was accepted into the county’s best high school, where, for the first time, she read a piece of classic English literature, Jane Eyre, in its bilingual English and Chinese version, which opened a new world for her and stirred up her passion to read more English novels. She studied very hard, acutely aware that a broader world would be here for her to see if she could go to a good university. “A new life, not that of my parents and grandparents”, yet so much depends on a high score in Gaokao (the national higher education entrance examination).
“You are not a boy, you should work harder and go to university. No one would then dare to look down upon us!” Her father would try to encourage her in this way. She understood the toughness of being a father of two girls in that backward village where births of boys brought honour, pride and future, while girls shame, guilt and sense of inferiority. The stress built up. She did not score as high as expected in Gaokao but well enough to go to the university. She chose to escape the village, the town and the county, enrolling in Shandong Normal University in Jinan, a city some 1,400 kilometres northeast up her birthplace. She became her village’s first child to go to the university.
Under the advice of her high school teacher, she chose English as her major in the hope of landing a well-paid job after graduation. Throughout her four-year studies, she had been enthralled by those new worlds opened up by English novels and poetry. Instead of looking for jobs, she decided to take another important examination to pursue postgraduate studies in English literature. In September 2013, she was admitted into the Master program of English Literature at Fudan University in Shanghai, one of the most prestigious universities in China.
During her MA, she continued studying English language and literature, attending lectures, presenting papers in conferences, working as teaching assistant and research assistant, doing a research project about Aphra Behn, one of the first English women to earn a living by the pen, and doing research for her thesis on “Celebrating Spinsterhood in Barbara Pym’s Novels”. Meanwhile, she worked as a freelance translator for the university and publishing houses in Shanghai and published articles and books translated into Chinese. In June 2016, she was awarded the Master of Arts of English Literature and found a position at a prestigious publishing house as a full-time editor. However, her enthusiasm in English women’s writing had never been dwindled.
When working as an editor, she was encouraged to participate in a publishing project about foreign travellers in China. She gleaned fascinating narratives by English women journeyed to China from 1860s to 1930s. Impressed by their courage to challenge the rigid gender binary, transgress confining boundaries and venture out into the unknown world, she decided to apply for a PhD programme at an overseas university, researching on writings by those wonderful women whose sympathy and friendship towards the native Chinese made her deeply touched. She applied to the University of Melbourne and very luckily got the Melbourne Research Scholarship (MRS) to come here. She commenced her PhD on February 27th, 2017, in English and Theatre Studies, in the School of Culture and Communication.
Thanks to the marvellous research supervision from Prof. Deirdre Coleman and Dr. Grace Moore, her research project began to take shape. Examining writings by six women writers who travelled to China from perspectives of emotion and affect studies, she is making an interdisciplinary dive into the past to retrieve women’s achievements in bringing the world together as a transnational community. She hopes to present a picture in which Victorian women travellers articulate, bring up and embody a cosmopolitan outlook which does not stop with nationalism and imperialism, but also encompasses all humanities across racial boundaries.
She had her candidature confirmed on December 19th last year. This semester she has been shadowing one of the most experienced tutors in the school’s first-year programme, with a view to tutoring next year. She is working on papers for conferences, one coming up in June in Perth on ‘photography and emotion in Isabella Bird’s travel narratives in China’, one in July in Canberra on ‘Mary Gaunt and Victorian cosmopolitanism’ and one in September in Croatia. She is also planning to go to the University of Cambridge, the University of Oxford and the University of Edinburgh in September to consult manuscripts and unpublished letters by three women travellers she is looking at.
She joined Graduate House on May 17th last year. Lodging here is becoming her most enriching and rewarding experience.
Miss Shiran has a Bachelor (2010) and Master (2012) degrees in English Literature from the University of Isfahan, Iran. Her doctoral research, at the time of this Fellowship, being undertaken in the School of Culture and Communication, Faculty of Arts, The University of Melbourne, was an interdisciplinary study of culturally different women writers within a comparative dialogue for arriving at a philosophy of women’s literature.
You see things; you say, ‘Why?’ But I dream of things that never were; and I say ‘Why not?”, George Bernard Shaw thus said, reflecting the hope which has always been blazing in my heart with which I fought through my life and climbed up the ladder of success.
Though deaths and pains were not my choices, to live was a decision I made early in my life when I found myself deprived of the unparalleled love and welfare that the presence of my parents could have guaranteed.
No more than five years old, I lost my father in an accident. My mother, however, died another death when she abandoned me to time, destiny and my grandparents whose affectionate nurturing assured my growth and progress.
The desire to unfetter myself from the chains of a marginalized social status as an orphan encouraged me to become educated. Literature, stories and their deep entwinement with life and reality enthralled me and made me determined to write the story of my life the way I wanted.
Parisa kindly contributed this opening extract, and the content that ensues is from an interview between Parisa and Tina Hasiotis, our Graduate House roving reporter.
Born in Isfahan, Iran, Parisa Shiran lost her parents at the age of 5 and was raised by her grandparents. From the time she started learning and reading her grandfather began to instill in her an appreciation and interest in literature by letting her read poems to him. “He loved poems and had a story-telling nature, and loved telling stories of his life and his past, and stories that he had heard,” said Parisa.
Greatly inspired by her grandfather, Parisa started learning English when she was 9 as her Grandad was always emphasising that English is an international language and it needs to be learned as it can open more promising pathways of success in the future. Parisa’s Grandad also always had a strong emphasis on education, “he always emphasised that no matter what happens in life you have to put education as the most basic activity in your life. These ideas are the most prominent ideas in my mind and they still shape how I think and how I go through life,” said Parisa.
With this powerful influence from her Grandfather, Parisa then decided that this would be her pathway for education. When Parisa commenced her tertiary education, she sat for a Bachelor of English Language and Literature at the University of Isfahan in Iran. Throughout her four-year study, Parisa remained a top student and was then awarded a Master of Arts (MA) of English literature at her university.
During her MA, Parisa continued studying English language and literature while simultaneously working as a freelance translator for university students working in various fields and required translation from English to Persian. Parisa was then immersed in literature and English language, confidence in her craft, building.
“During the MA, I also tried to attend workshops and conferences. At one conference at The University of Tehran I presented my work, and a couple of faculty members from another university who had attended my presentation, approached me and asked me to start teaching at their English department,” enthused Parisa.
Parisa’s teaching career then flourished: she commenced teaching English literature at Shahrekord University (an hour’s distance from Isfahan). She also started teaching at an Institute of Higher Education in Isfahan. She taught English prose, poetry, and developed curriculum around core readings including a wide variety of figures from 18th Century literature to 20th Century figures such as T. S. Eliot and Virginia Woolf.
These activities propelled Parisa’s interest in further research, as during this time she was also working on a research project that she wanted to do for her PhD and decided to apply to an overseas university. “I applied to Melbourne and got a scholarship which enabled me to come here. I received the International Postgraduate Research Scholarship (IPRS) and Australian Postgraduate Award (APA). Today I am completing my PhD in English and Theatre Studies, in the School of Culture and Communication,” said Parisa.
Her research project is a feminist philosophical study of a group of women writers and is examining women’s literature from a feminist philosophical perspective. “I would like to arrive at a theoretical account of women’s literature – I want to see whether I can come to a theory or a philosophy that would show how gender, sexuality and culture form the literature of women,” said Parisa.
Her work is proving successful as on July 15th, she passed her PhD confirmation (converts PhD student to PhD candidate) and she will soon commence tutoring in English and Theatre studies. “I am excited about tutoring this semester and I will also target conferences at the University of New South Wales (modernist studies). I am also aiming to go to the University of Maryland to seek out unpublished papers and manuscripts by one of the female writers I am researching,” said Parisa.
While Parisa has only been at Graduate House since July last year, she has developed a certain fondness for Graduate House. “I like it here! At dinner I can sit with people from all over the world and different cultures – it’s very exciting,” enthused Parisa.
Miss Shiran brings an important and much needed perspective and influence on literature of importance for both women and men globally. This academic and research excellence has been recognised by the Australian government which has given her an International Postgraduate Research Scholarship, as well as an Australian Postgraduate Award. Also in recognition of her initiative, professionalism and research/academic excellence, Miss Shiran was presented with the prestigious Graduate House Research Acknowledgment Award in May 2015. Following this, in December 2015, she was presented with this inaugural Margaret Watson Centenary Travelling Fellowship to support her undertaking coursework and research in comparative literature at the University of Maryland, where she will also be visiting the archive of a woman writer she is researching as part of her PhD project.


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“The Post” is a spectacular movie filled with empowerment, drama, and heart.
The movie takes place in the early ‘70s. The Washington Post, at the time, was just considered a local newspaper striving to catch up to the New York Times. Katharine Graham, (played by Meryl Streep) the Post’s first female publisher, and Ben Bradlee (played by Tom Hanks) were at first not seeing eye to eye but eventually teamed up to expose the corrupt government and its secrets. The secrets were pages of a study known as the Pentagon Papers that proved the government knew Vietnam War was a failing endeavor but continued sending troops there.
The New York Times was the first to publish parts of the papers soon after, but the government threatened the publication with a law suit. Since then, Bradlee and others on his news team worked endlessly to obtain copies of the secret documents.
While that is happening, Graham is struggling with other issues. Being the first American woman publisher, Graham had to work through a lot of stereotypical issues that occurred in the ‘70s. Eventually the Washington Post got a hold of hundreds of documents. After that, it was up to Graham to create a voice of her own and really take the company in her own hands.
Under a lot pressure from different voices, Graham must make the decision to risk her career and maybe even the company to publish these documents or do what seemed right at the time and expose the government. At the end, Graham listened to her own voice. The choice she made prevailed, ending in the Post being bigger and better.
Not being born near the early ‘70s and watching movies that date back to things that really happened is so intriguing. I am obsessed with history and journalism, and the movie is the perfect combination. For those who weren’t born in the ‘70s, you almost feel like you lived through that time. Everything was different during that time for women, journalists, and politics.
“The Post” took you back to the struggles people faced during the early ‘70s, from equality for women and the growing press freedom.
At the time, the New York Times was the main newspaper. Everyone wanted to work there and be on that team.
The movie shows how the Post went through a rough time having a woman as a publisher. At that time, it was not heard of that a woman was in power or control. It was a man’s world, so having a woman in control made others nervous and skeptical of what she could do. But she proves everyone wrong. Throughout the movie, Graham took every task given to her seriously and took pride in her position as publisher, taking over after the death of her husband.
Everyone chosen for the cast was perfect to play the part. Hanks is amazing, as he did very well playing the driven, outspoken journalist. His team was amazing too. The movie really showed how much heart journalists had and everything they had to go through. There wasn’t the Internet and easy access. There was not computer hackers that could just go through a couple of codes. Face to face action was essential to journalism back then. If you wanted information, you had to have connections, and “The Post” shows just that.
It was incredible to see how brave the New York Times and the Washington Post were to come together to do what’s right and exercise First Amendment rights. Exposing political leaders had to be terrifying, but they did it and won a 6-3 decision in front of the Supreme Court of the United States.
The movie definitely kept you on your toes. It was exciting to see how Graham found her own voice and followed her heart instead of listening to the voices around her. Little did she know that by doing her own thing she impacted many other women. It shows this in the scene after the ruling by the Supreme Court. The NYT was getting all the publicity, but the Post was getting recognized for so much more.
I don’t know if it is because I am involved with journalism that I could relate so much more, but it was an amazing prospective movie that I recommend everyone should watch. I give this movie a 10/10.


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Over the years our experts have been asked 100s of questions by our visitors. From banking to bonuses, some questions crop up time and again; so, we decided to compile an FAQ (Frequently Asked Questions). Below, you can see at a glance the answers to your most common queries. If you've got anything else you'd like to ask, do get in touch!
Internet gaming laws are still a little grey in Canada. While it's not explicitly illegal to play poker on the web, it's not explicitly legal either. Some major overseas sites have withdrawn from the Canadian market because of this ambiguity. But as of April 2019, Canadians are still free to set up real-money poker accounts online.
Do The Same Laws Apply Throughout Canada?
Some provinces like BC and Quebec run their own legal gaming sites, in terms of prohibiting online poker, Canada is pretty standard when it comes to the legality of Internet poker. That is, no one has ever been prosecuted for playing Texas Hold'em on the net in Canada.
How Do We Review The Different Poker Sites?
At OnlinePoker.ca we run all the poker sites online through a range of tests to see if they pass our strict quality control tests. We time cashouts and quiz customer support teams, check for player traffic at all hours, and gauge whether the welcome bonuses are worth going for.
How Does Playing Online Compare To Playing Live?
The biggest difference of online poker compared to live is the convenience factor. Online you can register for a tournament or open a cash game table in minutes; you can even multi-table to maximize your profits. Online, you can also avoid opponents detecting physical tells as you make the most out of the anonymity of Internet games.
Are My Chances Of Winning The Same?
Yes. As poker is game of skill (mostly) you are playing other players rather than the house or a Random Number Generator. The only thing that changes online is that the frequency of cards you will be dealt over a time period is much greater online compared to a brick 'n' mortar casino. That can mean greater swings (variance) as you simply play more hands. It can also mean you win more, however.
Generally, yes, although different casinos will operate different rake systems. That's the fee, or cut, that the casino or online cardroom takes per tournament or pot in a cash game.
How Can You Tell When Someone Is Bluffing Online?
Although you can't see an opponent's face online, there are sometimes telltale signs that they are bluffing. Look for how long a player takes to make a decision. Their 'time bank' will run down when they're deciding what to do. If it does, and they make a large raise over the top of your bet, it could be a sign they are weighing up a big bluff. Online tells are as subtle as live ones, but with practise you can work the basic ones out.
The leading online poker rooms have SSL security in place so that your funds are kept safe, and are regularly audited so that the shuffling of the cards is always kept random.
Collusion can, and does, exist online, but it is usually quickly spotted and investigated by poker sites. If you feel that players at the table are cheating, report the incident immediately to Customer Support.
You can check out our list of blacklisted poker sites to find thes ones to avoid.
What Happens When I Win Online?
If you cash in a tournament, or win money in a cash game and leave the table, your winnings will be credited to your account after you leave (or the tournament finishes). You are then free to withdraw winnings to your bank account or e-Wallet.
Where Is The Best Online Poker For Beginners?
The best places for beginners are usually where the softest games are, and where sites offer daily or weekly freerolls. These tournaments are free to enter and often feature hundreds of dollars in free prize money given away by the site. For cash game players, look to sites with micro-stakes games - usually around the $0.01/$0.02 blind levels. These will attract beginners and casual players.
What Poker Game Should I Learn And Play?
No Limit Texas Hold'em is the most popular game online and attracts lots of beginners and fish (soft players). As such, you will find the most games online in this format.
What Is The Easiest Poker Variant?
The easiest game to learn is No Limit Texas Hold'em. The basics can be learned in a few minutes, but to become proficient at the game takes years. However, with a few basic skills, casual players can earn a steady income at the game in a wide range of formats. At good online poker sites for Canadians, you will find cash games, tournaments, satellites and Sit 'n' Gos in the NL Hold'em format.
Can I Play And Practise Online For Free?
Yes. That's the beauty of Internet poker rooms. Good sites will have lots of play-money tables where you can hone your skills and try out bluffs. You won't win real cash, but most top rooms have regular freerolls which give away lots of money, absolutely free.
What Makes A Poker Site 'Easy'?
If a room has plenty of low-stakes cash games or low buyin tournaments, this will attract lots of soft players, or fish. As long as the site has lots of these casual players there will always be a healthy 'pool' of fish to feed from. It's sometimes good to play at betting sites that have a sports betting or casino wing. These gamblers will sometimes transfer their funds over to the poker room 'to try the games out'. That's where you can take advantage and make some easy cash.
How Will I Know If I Am Ready To Play For Real Money?
If you're making the right decisions at the play-money tables consistently, and forcing players out of pots with your bluffs, you're probably ready to attempt the real-cash tables. Play-money players tend to play more loosely, as they're not risking their own cash, but it's still possible to force crazy players off pots.
What Is The Best Strategy For Playing Online?
For solid grinders, a strong 'ABC' game is good for ensuring long-term profits. Learn to multi-table (3 or 4 cash games at once, or 3-4 Sit n' Gos plus a tournament running simultaneously) and maximize your profits. If you're serious about cash games, consider investing in a HUD (Heads-Up Display) which sits 'on top' of your game screen and displays information based on your opponents' moves.
Can I Avoid Playing Against Professional Players Online?
Yes, as long as you stick to the very low-stakes games. 'Professional' players needn't necessarily be good players; they could well be 'grinders' who ply their trade at the medium-stakes tables and make a regular wage. If you want to avoid these kinds of players and make modest sums, stick to cash games below $0.25/$0.50 and Sit n Gos or tournaments below buy-ins of $40 or so.
A freeroll is a free-to-enter tournament that carries prize money supplied by the poker site. You may be playing for prizes like gadgets or tournament tokens, or a few bucks of real money.
What Bonus Should I Choose?
Welcome bonuses give new customers the chance to win free cash, just for playing poker at a room. While hundreds of dollars free sounds good, you need to check the site's Terms & Conditions to see how many player points your earn for different games. You also need to make sure that the deadline is realistic so you can trigger the bonus in good time.
How Do I Claim My Poker Bonus?
Every time you play a tournament, SNG or cash game for real money you will earn Player Points. If you earn enough points in a month you will activate the bonus. Promotions differ slightly from site to site but the aim is the same: play as much as possible to earn free cash!
What Is Stopping Me Claiming The Welcome Bonus On Every Site?
Poker sites generally operate as standalone rooms or as part of larger networks which share player pools. However, welcome bonuses are usually restricted to play at individual rooms.
I'm Already Experienced At Poker. Where Should I Start Online?
If you have been playing poker for a while, it's good to hunt out established sites that have steady supplies of fish to take out. The bigger sites will also offer bigger guaranteed prize tournaments and satellites into major live events. For cash game players, head to rooms that have cash tables that are full at all times of the day. This means you can guarantee longer-term profits, earn lots of 'rakeback' and trigger those bonuses.
Can I Play Poker On My Mobile Or Tablet?
Yes. More mobile poker sites are springing up month by month. The tables are specially tailored to fit your touchscreen, and you will find dedicated apps for download or play via your web browser at special mobile instant-play sites.
Can I Play Other Games With The Same Account?
Some online sites operate casinos and sportsbooks alongside their poker rooms. This means you can easily transfer funds to and from your poker account to a casino account for roulette play, or to a sportsbook account to bet on NHL.
Which Deposit Method Should I Use?
There are many banking options when playing poker online. With so many methods to choose from, you should aim to pick ones that are safe, have proven security so that your transactions are safe, and carry the lowest fees when you cash out to your bank.
Which Deposit Method Is The Safest?
Established global payment methods like VISA and MasterCard are great options for safe banking, as they carry the latest encrypted SSL security on every single transaction. e-Wallets like NETELLER and PayPal, are - if available - great options for seamless, anonymous online payments.
Where Can I Get Help If I Have A Gambling Problem?
If you think your poker playing is getting out of control, and you are struggling financially with losses, there are lots of resources in Canada from which to get help. The Ontario Problem Gambling Helpline (1.888.230.3505) is open 24 hours, 7 days a week. Gamblers Anonymous runs helpful phonelines across the country, and there are organizations in BC, Ontario and Alberta which can help.


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Ava is really starting to show an interest in the world around her . She loves learning new things. Ava’s nearly three and children at that age are like sponges. The more you tell them the more they takes in. So I knew as soon as we received the Smart Globe Myth by Oregon Scientific. She was just going to love it.
The Smart Globe Myth brings earth, space and myths all together creating an exciting learning experience for children. It comes pre-programmed with 12 constellation stories, 6 different geography categories and 10 fairy tales. Ava really enjoyed listening to the fairy tales that the globe told even if they were in an American accent.
On the base of the globe are a selection of different buttons. They are clearly marked with what they do . Ava found using the buttons really easy and was able to switch between each of its settings with ease. I thought it was really handy that it had volume control buttons. So they can have it on a lower volume if listening to it at bedtime . Then they can higher the volume whilst using it in the day.
The Smart Globe Myth also doubles up as a night light and it looks amazing. Using it in it’s night light mode enables children to learn about constellations. Ava’s loved this searching around the globe to see what the different constellations look like.
I really like the fact that your able to dim the light if needed just by pressing a button on the base.
I did find that our Smart Globe would turn it self off randomly and say goodbye really loud. So if you are going to use it as a night light you might want to keep this in mind.
Using a tablet or a phone you can make your globe come to life. Once you have got the app simply load it up and point your phone towards the globe. Ava did find this a little tricky when using my phone but when we used the tablet we found it much easier to use.
Once we got this feature working Ava really enjoyed it . Especially when I was able to get the animals and dinosaurs popping out of the globe . It really brought the globe to life in a really fun and exciting way.
I also liked the fact that you can tap on the different things that pop out and they give you more information about them. Here’s one about one of the dinosaurs we found.
I think this globe is perfect for children of all ages . As children grow they will be able to use more elements of the globe . Whilst learning about the world. Whilst Ava doesn’t understand all that the Smart globe does she does really enjoy exploring it . We have had some really lovely conversations over the past week about it . Which is great for her speech development. She will only learn more form the globe over the years . If I’m honest half of the stuff it tells you is news to me . So it’s not just for kids !
It does come with batteries but they don’t have the most charge in them. So if your buying this for a gift you might want to think about getting some AAA batteries in. It does come with a USB power cable so you can use this to power it if you have a plug head or connection to plug the cable into.
The AR app can be a little bit tricky but once you have it going it really is lots of fun .
The Oregon Scientific Smart Globe Myth with day and night mode, constellations, stories and AR is priced at £39.99. For more information about this Smart Globe or too see what other products they have check out their website.