text:
Heavenly Village's On Tahoe Time gift shop shows local authenticity
Sebastian Foltz
sfoltz@tahoedailytribune.com
On TAHOE Time owner Jana Walker Spano (pictured) says it was a longtime dream of hers to open an arts and crafts gift shop with merchandise from local artists.
Sebastian Foltz / Tahoe Daily Tribune |
Tucked away behind the ice rink in Heavenly Village, you might not notice the little Tahoe-themed arts and crafts gift shop at first. It's easy enough to miss when, instead of advertising the store, the sign hanging outside of it — above one of the village's many covered walkways — promotes a wedding planning business. It's not listed in the Shops at Heavenly Village directory. There's a Facebook page but no website to be found. Still, apparently word is out about the shop, perhaps aptly named On TAHOE Time.
While a destination-themed gift shop in a resort town is far from out of the ordinary, On TAHOE Time lays claim to capturing it's own niche — authentic locally made or designed artwork, jewelry and crafts.
"It's not run-of-the-mill touristy stuff," said store manager and one of the shop's featured artists Christine Miller, crediting the store's unique items for its popularity.
She, like most, found the store when walking by after watching a movie at the village's movie theater. That discovery eventually turned into a job.
"It's been excellent," she said of the word-of-mouth response to the shop, which opened earlier this year. "Not only from the tourists, but locals are finding us."
Store owner and longtime Tahoe businesswoman Jana Walker Spano said around 70 percent of her store's contents are designed or made by local and regional artists. From custom wood ornaments and art pieces to throwback-style painting prints, and repurposed-wood works, the warm and cozy little shop is chock full of unique trinkets and gift ideas.
"The inspiration was to create an authentic store designed for locals," Walker Spano said. "I figured if I designed it for locals, the visitors would appreciate how authentic it is."
The locally made idea is one she plans to expand on. In the coming months she said she plans to have 90 percent of her store filled solely with locally or regionally designed arts and crafts.
For Walker Spano — who also owns and operates Sealed with a Kiss women's boutique and the wedding planning company whose sign hangs outside — On TAHOE Time has been a pet project long in the works.
"(It's) one of those dream businesses I've always wanted to do," she said.
And for artists like Miller who makes baskets for the shop and wedding business, it's an opportunity to be showcased in a premium location near the Heavenly Gondola.
"I'm honored that she wanted me to display my brand of baskets," Miller said, calling it an excellent opportunity for local artists.
Fellow featured local artist Joe Inabinett of Origin Artwork said he appreciates the personal touch.
"Where other shops simply put out our artwork, Jana and her store managers actually take the time to tell the story behind our pieces," he said. "They really make it a great shopping experience that sets them apart. You wouldn't be surprised to see (Jana) handing out European sweet tea or a small glass of wine to shoppers as well."
Together with his wife, Inabinett makes laser-cut woodworks, prominently displayed in the front of the store.
Walker Spano is so intent on keeping the uniqueness of her shop that she's had some of her artists agree to exclusive deals, meaning she is the only business in the area that can stock certain items. She's also worked with some of her artists to customize items and trademark some of her slogans.
A number of the pieces also feature specific Tahoe destinations and preferred local spots instead of a more generic Tahoe theme. One print she's especially proud of includes reference to longtime local Gary Bell's Sierra Ski & Cycle Works bike shop and Mr. Toad's Wild Ride — a popular South Shore trail.
"I was raised supporting artists," Walker Spano said of her desire to open the shop. "I felt like this was an opportunity to market artists."
She said her mother was an art enthusiast that took pride in supporting local arts as well.
As to the popularity of the shop so far, she said, "I had no idea that I would have this kind of crazy response to this store. The amount of walk-by traffic; people are excited to be here."
In addition to the items in the shop, Walker Spano also takes custom orders which she credited as 25 percent of her current business.
Just five months since opening, she said she's already thinking of expanding.
"This is definitely a franchise-able concept," she explained.
But for now, Walker Spano is more than happy with the one location, calling it a dream come true.
More information is available on the shop's Facebook page.


text:
Q: Kafka server not starting on windows, kafka-server-start.bat returning no output Please help me in making Kafka server up and run, I could able to run zookeeper perfectly fine but when I run kafka-server-start.bat D:\Kafka\config\Server.properties command console returning no output.
Note: I have changed log.dirs to my local folder.
Kafka- Command output
Here is server.properties configuration
broker.id=0
num.network.threads=3
num.io.threads=8
socket.send.buffer.bytes=102400
socket.receive.buffer.bytes=102400
socket.request.max.bytes=104857600
log.dirs=D:\kafka\kafkalogs
num.partitions=1
num.recovery.threads.per.data.dir=1
offsets.topic.replication.factor=1
transaction.state.log.replication.factor=1
transaction.state.log.min.isr=1
log.retention.hours=168
log.segment.bytes=1073741824
log.retention.check.interval.ms=300000
zookeeper.connect=localhost:2181
zookeeper.connection.timeout.ms=6000
group.initial.rebalance.delay.ms=0

A: I found the problem, it was due to missing C:\Windows\System32 in the environment path of the system variable, after adding below including wbem, it resolves the issue. Thanks!
%SystemRoot%\System32\Wbem;%SystemRoot%\System32;SystemRoot%

A: Make sure you run the .bat file correctly (note the . in the beginning):
.\bin\windows\kafka-server-start.bat .\config\server.properties

A: I had the very same problem and for me the cause was the JAVA_HOME Windows environment variable pointing to a JRE and not a JDK.
I updated the environment variable in the control panel to point to a Java 8 JDK and Kafka started working.
Attention: for some reason setting the JAVA_HOME environment variable in the .bat file or at command line level did not work, I had to set it using the Windows Control Panel.

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text:
Home Entertainment Akufo-Addo Cuts Sod For Construction Of National Cathedral
Akufo-Addo Cuts Sod For Construction Of National Cathedral
President Nana Akufo-Addo at a ceremony in Accra today has laid the foundation stone at the site at Ridge, marking the start of the construction of the National Cathedral.
Addressing attendees of the ceremony at the construction site, President Akufo-Addo said he is determined to lead efforts aimed at ensuring the completion of the project in fulfillment of his pledge to God prior to the 2016 general elections.
It may be recalled that President Akufo-Addo during the launch of the National Cathedral Fundraising Campaign said he promised to build such an edifice should he win the elections.
"Rather, and again like Solomon on that occasion, the building of the National Cathedral is to serve as a gesture of thanksgiving to God for his blessings, favour, grace and mercies on our nation, and to give me an opportunity to redeem a pledge I made to Him before I became President," he said back in 2018.
However, the Cathedral and its relevance or otherwise have sharply divided opinions in Ghana. A lawsuit challenging state involvement in the construction of the controversial edifice was also thrown out by the Supreme Court.
Presenting the 2020 budget in Parliament Wednesday, November 13, 2019, the Finance Minister spoke of its relevance.
"Mr. Speaker, the interdenominational National Cathedral that will be located in the heart of the capital stands to help unify the Christian community as a place of worship and promote the national conversation on the role of faith in building Ghana. With the participation of various churches in the administration of the Cathedral, collective ownership of the project by the churches is envisioned" Ken Ofori Atta opined.
President Akufo-Addo cutting sod finally for the construction of the edifice on Thursday said: "As I indicated on 6th March 2017, upon completion, the National Cathedral is certainly going to be one of the iconic structures of the African Continent. Since gaining our freedom from the colonial power sixty-three years ago on the 6th of March 1957, Ghana has so far been speared civil war, famine, and epidemics".
"We are certainly no better than the other nations in our neighborhood who have been confronted with these challenges. I believe it is by the grace of God that we have been preserved and sustained. The construction of the Cathedral will be an act of thanksgiving to the Almighty for His Blessings, Grace, Favour, and Mercies on our nation. Secondly, President Akufo-Addo said seventy-one percent of the Ghanaian people adhere to the Christian religion grouped under the various persuasions of the Christian Faith. The interdenominational National Cathedral will help unify the Christian community and thereby help promote national unity and social coercion" President Akufo-Addo added.
The cathedral will have chapels and a baptistery, a music school, an art gallery, and a Bible museum.
The design for the cathedral was unveiled by President Nana Akufo-Addo, in March 2018.
Meanwhile, actual work on the project is expected to begin on Friday, March 6.
Source: Peacefmonline.com
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ENOUGH IS ENOUGH : LEAVE NANA AMA MC BROWN...
National Cathedral construction starts tomorrow
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Alpha Business Park is located on Deedmore Road approximately 3 miles north east of Coventry City Centre and within 2 miles of Junction 2 of the M6/M69.
Unit 1A comprises an industrial/warehouse unit benefitting from 3 phase power, concrete floor, lighting and loading access via an electric roller shutter door of 3.34m width and 4.7m height. The eaves height is 4.3m rising to 5.6m at the apex. Externally there is a shared loading yard area and allocated parking for up to 8 spaces.


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This product is gluten-free and can be used instead of rice, grain and potatoes.


text:
Walim  (, until 1917 Wüste Waltersdorf) is a village in Wałbrzych County, Lower Silesian Voivodeship, in south-western Poland. It is the seat of the administrative district (gmina) called Gmina Walim. It lies approximately  south-east of Wałbrzych, and  south-west of the regional capital Wrocław. The town is notable for 300-year-old timber framed houses.

Geography

Walim is situated in the north-west of the Owl Mountains, along the Voivodeship Road 383, which leads from Jugowice over the Przełęcz Walimska pass to Dzierżoniów. Neighboring towns are Kokrza to the north, Michałkowa, Glinno and Toszowice to the northeast, Modlęcin and Domachów to the east, Siedlików and Rzeczka to the southeast, Grządki and Głuszyca to the southwest, Jedlinka Górna to the west and Dolki and Sędzimierz to the northwest. To the southeast lies the 1,014 m tall mountain Wielka Sowa, the highest peak of the Owl Mountains.

Demographics
According to the Polish National Census, (March 2011) 2,340 inhabitants were counted in total.

History

Walim was probably settled around 1220 and first mentioned in 1305 as Waltheri villa (Waltersdorf), when part of Piast-ruled Poland. During the Hussite Wars, Waltersdorf was destroyed in 1425 and rebuilt from 1530 to 1548. Around the year 1600, the name Waltersdorf was changed to Wüste Waltersdorf. This was due to Waltersdorf, during the Thirty Years' War, many of its citizens were affected by a drought in the village. Among the frequent changing nobility was that of Haugwitz , von Beyer and Peterswaldau. In the middle of the 16th century, it belonged to the Melchior von Seydlitz, a new settlement for Protestants from Bohemia, Moravia and the County of Kladsko. After the Thirty Years' War, the Protestant Church was handed over to Catholics in 1654. In the same year, Wüste Waltersdorf came under the family von Zedlitz, whose most famous representative was the Prussian Minister of State, Karl Abraham von Zedlitz. He had visited several times to Wüste Waltersdorf by King Frederick II. In the 18th century, Wüste Waltersdorf developed into a center of the textile industry. In 1737 "Zedlitzhaide" was established.

After the First Silesian War in 1742, Wüste Waltersdorf together with most of Silesia, fell to Prussia in 1742. In the same year, an evangelical prayer house and an evangelical school were built. Since 1765, weekly linen markets have taken place. In 1777 the "Eckardtsberg Colony" and in 1788 the "Friedrichsberg Colony" were founded. In 1779 a linen shop was built, where the linen markets were held until 1830. In 1808, the von Zedlitz family sold Wüste Waltersdorf.

After the reorganization from Prussia, Wüste Waltersdorf was part of the Province of Silesia in 1815, and in 1816 was incorporated into the Waldenburg District, in which it remained until 1945. The textile factory Meyer-Kauffmann was established in 1843, was moved to Blumenau in 1854. In 1871 the village became part of the German Empire. Since 1874, the rural community of Wüstewaltersdorf has been the seat of the administrative district of the same name, including the rural villages of Rzeczka, Grządki, Silesian Falkenberg and Siedlików. In 1892, the newspaper "Der Bote aus dem Eulengebirge" was founded. In 1903, 1,100 employees were employed in the textile factories Websky, Hartmann and Wiesen AG.

In 1914, Wüstewaltersdorf was connected to the village of Jugowice's electric railway line. It was one of the first electrified railway lines in modern-day Poland. The line was closed in 1959 and then demolished.

During World War II, Wüstewaltersdorf was one part of Project Riese, which was used by Organisation Todt. In November 1943, there was a forced labour camp in Wüstewaltersdorf for about 1,500 mostly Jewish prisoners in a decommissioned weaving mill (Websky, Hartmann, and Wiesen AG). There were also Polish, Italian, Russian and Ukrainian prisoners in the camp. In 1944, the camp was cleared for a typhus epidemic and converted to a hospital with 600 beds for Organisation Todt. Since 1944 it was a subcamp of the Gross-Rosen concentration camp.

After Germany's defeat in World War II, Walim became again part of Poland.

In 1957, Walim was elevated to a city-like settlement. Between 1975 and 1998 it belonged to the Wałbrzych Voivodship.

Landmarks
 The parish church of St. Barbara was erected as an evangelical church in 1548 and used as a Catholic church in 1654. The main architectural altar dates from the 1780s. The figure of the mother god with child in the choir is from the end of the 18th century, the risen Christ from around 1860.
 Numerous town houses from the 18th century
 Family tomb of the family von Zedlitz
 The tunnel system Project Riese, south of the city, there is an entrance to an underground gallery construction and hall system, which was probably created from 1943 to 1945 as a leader's headquarters.
In 1742 an evangelical prayer house was built, which was rebuilt in the Baroque style in 1751. After its destruction 1945, it was rebuilt.

Notable people
 Joseph Ernst Seppelt (1813–1868), Australian merchant, founder of Seppeltsfield, South Australia and the Seppelt winery
 Ernst Rode (1894–1955), German major general
 Konrad Weiss (1907–1979), German theologian
  (1919–2011), Polish photographer and soldier

In popular culture
In 2014, Walim is shown in the documentary short film Depositary produced by the television network TVN. The documentary depicts the story of Łukasz Kazek, a resident of Walim, who in the Owl Mountains finds hidden deposits by German residents displaced as a result of the provisions of the Potsdam Conference from the areas which passed from Nazi Germany to Poland after World War II.

References

Villages in Wałbrzych County
13th-century establishments in Poland
Populated places established in the 13th century

it:Walim

redpajama_set_name: RedPajamaWikipedia


text:
"Not an accident in the making" – Really?
On behalf of Dubin Law Group | Oct 13, 2014 | Auto-Pedestrian Accidents
Less than six weeks ago an attorney was killed while riding her bicycle down Second Avenue in Downtown Seattle. Since that time that intersection has changed dramatically, and in my opinion not at all for the better.
Second Avenue is a one-way street with traffic headed southbound. It used to have a bike lane on the left side of the street. A frequent cause of collisions, including the one that resulted in a death in August, was when a bicyclist was going straight through the intersection while a motor vehicle was making a left turn onto University or another cross street and struck the bicycle.
The City's solution to this problem was to expand and divide the bike lane to be two ways. That's right, a two-way bicycle lane on a one-way street. Then, to further confuse things, they installed bicycle-only traffic lights. Now, at several busy intersections in downtown Seattle, we have traffic lights, bicycle lights, AND pedestrian lights. I have already seen many bicycles ride through the intersection on a red bicycle light because the traffic light is green. This is a confusing and dangerous mess, and more people are going to be injured and killed if they don't fix it.
Now, to make matters worse, the ghost bicycles that marked the location of that fatal accident have been replaced by a row of shiny new bicycles that are part of the City's new cycle share program. So now we have confusing and complicated bicycle lanes and traffic systems, and we're inviting tourists and inexperienced drivers to get on an unfamiliar bike on unfamiliar roads in one of the busiest and most dangerous roads in Seattle.
What genius planned this?
Nixon said, "I am not a crook."
Clinton said, "I did not have sexual relations with that woman."
Now apparently supporters of the program are claiming this new program "is not an accident in the making." Really? There are conflicting studies regarding the safety of rideshare programs in other cities, but simple observation and common sense tell me we're about to see a whole lot more bicycle versus motor vehicle accidents in Seattle.
I'm a bicycle advocate. I think more people should be commuting by bicycle and riding bikes instead of cars for short trips, but if we're gonna do it, we should do it right.
How many more people have to die, Seattle?
To read the original article, click here, and for more information visit our bicycle accident page or just give us a call.


text:
Venerate the Woman in You?
by Anjali Anand Seth
A couple of days ago, I was invited for a social event where every one got an opportunity to introduce oneself and family. Following the western cultural practice of ladies first, the entire session of formal introductions was completed in a blink of the eye. When the turn of the men folk came, time seem to have dragged its feet to termination. The stark differences in the gender preamble made me wonder why a woman always had so little to say about herself, as if she had little or no individuality beyond the shadows of her gentleman partner. While some did mention their first names, majority seem to be content with a 'Mrs. So and so'; their names conveniently disappearing behind the male dominion status of their respective spouses. Throughout the night, I kept wondering why and how has this individuality crisis hit women beyond the boundaries of age, caste, status or even education. Most of these women hailed from respectable milieu, were well educated, successful in their fields, whether as a working women or even as home makers; yet they chose to sit like mannequins. Why could they not value their achievements or take pride in themselves as their counterparts could? Do, we women have so little to say about ourselves that it finally becomes irrelevant even to us as human beings?
It is said that it takes a woman to make a house a home. Adorning the assorted facets of relationships, whether as a daughter, a sister, a wife or a mother, a woman tries to develop her personality within the bonds of these numerous names with which she is addressed daily. Sadly, in playing these roles to the best of her ability, she has often lost her real self, her true identity being put on a backburner. From time immemorial, women have been subjugated to various atrocities, which have become a serious issue of debate with women groups across the world and have very often been scheduled in the feminist list of grievances. Despite India's growing technological dexterity, our social attitudes towards the fairer sex have still to wake up from its slumber. Female infanticide leading to decline in the sex ratio, the dowry issue and deaths related to it, the pressures of producing a male child (despite playing no role biologically in deciding the sex of a fetus) and the stigma attached to being childless or even a widow. Well it does not end there! There is a constant fear of security if one has no male figure to protect you. Paradoxically, it has made women more and more dependent on the very gender they fear. So, the very fact that one is born as a girl is enough for problems to search for your address.
The lack of, and in certain cases, the complete absence of gender equality in our own homes makes its visible appearance in our daily routine. Girls are taught different value systems than boys. Our personality develops under the shadows of a latent fear lurking behind us always. I am sure one is all too familiar with the typical `mom-isms' of 'sit properly, don't play boy's games, come home before dark, it's a girl's job, don't compare yourself with your brother'.you are different, your mother-in-law would not cater to your fancy demands' etc. The list could be endless. The segregation process commenced insentience. What is sad about this entire scenario is that it is we, as mothers, who instilled these fears in our daughters. May be the idea of their security takes prominence in our minds, but what it does to the psyche of a young girl is unimaginable. It has often led to the birth of an inferiority complex lasting us a lifetime. My mother did it to me, so I do it to my daughter; after all times are not safe enough for our gender. Instead of educating girls various ways to tackle tribulations, we are taught how to fear them, circumvent them and even compromise with them as providence. While restrictions are imposed on women 'to protect them from the outside world' statistics reveal that 90% cases of violence on women occur within the 'sacrosanct' confines of the household. Urban women are as much vulnerable to domestic violence as their rural counterparts. May be its time we found a better way to clench this issue if we wished to revolutionize the outlook of and towards woman in future. Trepidation of the unknown makes one insecure. Instilling self-confidence to embark upon any alien, unpredicted situation is the best way to counter that latent fear, making buoyancy the key ingredient that goes into making of a better personality. It's like a lioness that does not fear even the elephant, more than double its own size.
No matter how urbane we become, the issue of matrimony still commands the ritualistic outlook. 'Marriage is a sacred institution and it is driven like a cart with two wheels'..equal and together'. Everyone professes it but few follow. The secret of a good marriage is nothing but the least effort put in to make the maximum compromise. Which one of the spouses makes it may vary in individual cases. What does not vary is the advice rendered to all girls that whether you like it or not, there will always be this underlined desire to have a woman do more of these compromises than man; after all, he is the bread earning member of the family. The labor put in by a woman as a home maker has never been valued enough. In case a woman takes up a job, there could merely be two reasons for it. Either she has a financial problem at home or she has nothing to 'kill time'!! The logic of individual satisfaction or making worth of ones education are reasons echoed only by the feminists, therefore not for the homely kinds of woman. Moreover, even the state of affairs at work is not too gratifying for woman facing the 'glass ceiling effect' and of late a new theory of the 'glass cliff'. What's worse is the stigma attached to the stereo types that society conforms to in case of women. The typical 'sati savitri' kinds are the one which are always clad in saris and behave like the ones we see daily in the 'kyunki-type-soap operas'. The so called modern or the 'liberated' ones are those in fancy blouses, or better still, in western outfits, heavily made-up working women. The immediate preconceived notions for the latter kinds of women are that they pay less attention to the house chores including their children and husbands. The less said the better about those termed as social drinkers. Sadly, the same ideology is followed in every program on the electronic media. A woman is characterized more on the account of her looks than her thoughts. It's a case of beauty over brains. Women who have managed to succeed despite all odds are admired and envied enough to make page three tittle-tattle. The rest bravely face the onslaught daily on account of their apparel. It's a sad story indeed when girls are made to conform to a dress code to prove their decency or even save them from the attack of society, as is now being done in many colleges of India, making it hard to fight the stereotypes. Thus what cannot be cured must be endured!!
Living in man's world may require behavioral changes in a woman wherein she has to assert certain mannerisms to project her strength of character. However the same could be achieved without attire change or losing the placidness of being a woman. What is needed is to replace the 'ideal woman' concept with that of a 'complete woman'. Like every individual a woman needs to be strong to be complete. This strength need not come from becoming feminists and taking to the streets. It simply takes a little understanding of your rights, and asserting them when most needed. It's what I call a silent revolution. Liberation of a woman in terms of her personal development and through the exercise of her rights with gender equality is in essence the liberation of the society. The day we recognize the strength within us, we would discover our true identity beyond the frontiers of our immediate bonds.
So, the next time you take your morning cup of tea, devote a little thought to how best you could make a difference in your own life and that of your daughter, your female friend or colleague. It's an on-going struggle, the significance of which you have to appreciate if anything has to revolutionize for a woman in the man's world. Pledge your allegiance to your own gender and learn to celebrate the woman in you.
More by : Anjali Anand Seth


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Value of 1997 Euro (Netherlands) today
The inflation rate in Netherlands between 1997 and today has been 55.55%, which translates into a total increase of €55.55. This means that 100 euro in 1997 are equivalent to 155.55 euro in 2021. In other words, the purchasing power of €100 in 1997 equals €155.55 today. The average annual inflation rate has been 1.78%.
1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022
Inflation timeline in Netherlands (1997-2022)
Netherlands inflation - Conversion table
€1,000,000 euro in 1997 €1,555,470.9 euro today
All available years - euro (Netherlands):
1961 | 1962 | 1963 | 1964 | 1965 | 1966 | 1967 | 1968 | 1969 | 1970 | 1971 | 1972 | 1973 | 1974 | 1975 | 1976 | 1977 | 1978 | 1979 | 1980 | 1981 | 1982 | 1983 | 1984 | 1985 | 1986 | 1987 | 1988 | 1989 | 1990 | 1991 | 1992 | 1993 | 1994 | 1995 | 1996 | 1997 | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020


Today's recipe is very easy and very tasty. Every time that I am in a rush I go buy these three ingredients and start cooking, in our case we are students and we always look for fast and cheap ways to cook.
2 big chicken legs or in case you want more you can use a whole chicken or even more potatoes depending for how many people you are cooking for.
And what matters the most spices!!!
How to prepare it: Put the chicken in a big pot filled with water, some salt/pepper and leave to boil up to 10-15 minutes. Meanwhile cut the potatoes in squares, not very small because during the baking they will shrink. While the onion you can cut it as small as possible.
In a baking pen you put the potatoes, onions, pepper, chilli, salt, garlic and whatever you want (spices). You mix it all together so the spices mix as well and taste like one. Take the pot with the boiling water and the chicken. Put the chicken on top of the potatoes and the onion. Be careful, do mot through the water! Use it and put some of it in the baking pot, because it makes the potatoes softer and tastier because of the chicken juice.
All of these together you put in the oven which is 250 degrees. Check the chicken once in a while until the top of it becomes crunchy and crispy. Usually it takes up to 25-30 minutes.
There you have it a cheap, fast, but delicious meal!


Stop breakouts and shine before they start with Dermalogica mediBac Clearing Mattifier. This patent-pending formula with a blend of cinnamon bark clears away blemish-causing bacteria to banish blackheads while fresh plant-based botanicals help regulate oil secretions to keep skin from looking greasy and shiny. Pores are cleared to reduce congestion, keeping them from causing future breakouts. Plus, it keeps fine lines and uneven textures at bay to leave you with clearer, smoother and more youthful skin. Along with vitamin A, green tea, and licorice, elasticity is increased and photoaging is dramatically changed while antioxidants reduce skin irritation and aggravation for skin you'll love living in.


Tri Polus is a facilitator of international business based in Westminster, London. The company operates in government and commercial markets and specialises in high-technology sectors.
Tri Polus offers its clients services to enable them to enter new markets and capture business in the UK, USA, and India, Turkey, Europe, Brazil, parts of Middle-East and Asia.
Our focus is the Aerospace and Defence sectors.
Tri Polus has extensive experience in defence and advanced technologies.
Tri Polus has established a fully integrated range of market access business services.
Tri Polus are specialists in the Aerospace/ Defence and International Space sectors.
Tri Polus is well established within India, the world's fourth largest economy.
Tri Polus identifies for its clients candidate projects that could benefit from Offsets.
Tri Polus has expertise in Offsets and has a proven track record in the delivery of Defence Offset projects. Defence Offsets have become a common feature of large value aerospace and defence transactions and considerable expertise is required to identify and steer a company through the process of successful delivery of Offset obligations.
Tri Polus works with a range of US and European clients to assist them in meeting their Offset obligations worldwide. Currently Tri Polus is active in Offset projects in India, Turkey, Brazil and the Middle-East.


text:
Q: Link of anchor tag is also printing in Laravel Blade I have a table of employee's salary list. I wrap the employee id with an anchor tag to show salary history of each individual employees. The problem is when I print the table the link for individual salary history is also printed under the employee id.
Here is a screen shot print preview:

Blade

            ID
            Name
            Position
            Start Date
            End Date
            Worked
            Basic
            OT Rate
            OT Hour
            OT Amount
            Basic Amount
            Total
            Signature
            Finger

        @foreach($employees as $employee)

                id]) }}">{{ $employee->eid }}
                {{ $employee->name }}
                {{ $employee->designation }}
                {{ $employee->start }}
                {{ $employee->end }}
                {{ $employee->worked }}
                {{ $employee->basic }}
                {{ $employee->ot_rate }}
                {{ $employee->ot_hour }}
                {{ $employee->ot_amount }}
                {{ $employee->basic_amount }}
                {{ $employee->ot_amount + $employee->basic_amount }}

                    {!! Form::open(['action'=>['SalaryController@destroy',$employee->id],'class'=>'no-print','method'=>'delete','onsubmit'=>'return deleteConfirm()']) !!}
                    {!! Form::submit('X',['class'=>'element btnn btn-danger']) !!}

                    id]) }}" class="element btnn btn-warning" role="button">

                    id]) }}" class="element btnn btn-success" role="button">
                    {!! Form::close() !!}

        @endforeach

A: Why not just create a CSS class for your anchors and hide them using that class?
id]) }}" class="hiddenTab">foo
foo

And in your CSS:
.only-print{
    display:none;
}
@media print{
    a.hiddenTab {
        display:none;
    }
    .only-print{
        display:block;
    }
}

All the anchors you'd want to hide would just use class="hiddenTab".
If you want to hide all a tags which have href set, you can do this:
a[href] { display: none; }


text:
Ready Mix Flavored Film Coating Systems
The invention comprises a preparation of a ready mix flavored composition, which when reconstituted with water/solvent gives film coatings that are flavored, so that the thin film coating on solid oral dosage forms containing unpleasant tasting ingredients, masks the bitter taste of the medicaments in the oral solid dosage forms. The flavored coating of the invention is comprised of a film—forming substances such as a hydroxy propyl methylcellulose and other polymers and a flavoring agent.
Pareek, Suresh (Mumbai, IN)
Mohanty, Ashok (Mumbai, IN)
IDEAL CURES PVT. LTD. (Mumbai, IN)
A61K9/36; A61K9/20; A61K9/28
20100015436 COMPOSITE PARTICLES AND APPLICATION THEREOF January, 2010 Aruga
20100068504 MULTIPLE-COATING PARTICLE AND ANTI-GLARE FILM HAVING THE SAME March, 2010 Lin et al.
20080257221 Non-dispersible concrete for underwater and underground construction October, 2008 Jau
20080022901 Novel Dry Mineral Pigment Containing Calcium Carbonate, Aqueous Suspension Containing Said Pigment, and the Uses Thereof January, 2008 Buri et al.
20090004497 Wood Preservative Formulations Comprising Rh-287 January, 2009 Blow
20090111919 ALUMINIUM OXIDE-CONTAINING DISPERSION April, 2009 Lortz et al.
20090087621 Blocks of wood agglomerate April, 2009 Vogel
20080223258 Method and System for Manufacturing Lightweight, High-Strength Gypsum Products September, 2008 Bruce et al.
20040237834 Anti-corrosion additive for compositions in contact with iron-based substrates December, 2004 Humphrey et al.
20080282931 Pigment Compositions for Oil-Based Lithographic Printing Ink System November, 2008 Niven et al.
20070059267 Associative water-soluble cellulose ethers March, 2007 Boström et al.
CHAN, HENG M
HAMRE, SCHUMANN, MUELLER & LARSON, P.C. (Minneapolis, MN, US)
1. A ready mix flavored composition for film coating of pharmaceutical oral solid dosage form comprising of a polymer and a flavoring agent but without a sweetening agent and capable of masking the unpleasant taste of a solid core.
2. A ready mix flavored composition of claim 1, wherein the polymer is a water soluble hydrophilic polymer preferably hydroxypropyl methyl cellulose.
3. A ready mix flavored composition of claim 1, wherein the polymer is a water insoluble hydrophobic polymer preferably ethylcellulose.
4. A ready mix flavored composition of claim 1, wherein there may be a combination of a water-soluble hydrophilic polymer preferably hydroxypropyl methyl cellulose and a water insoluble hydrophobic polymer preferably ethylcellulose.
5. A ready mix flavored composition of claim 1, containing a flavoring agent that may be volatile or non-volatile.
6. A ready mix flavored composition of claim 1, further containing a plasticizer, non-soluble additives and a colorant.
7. A ready mix flavored composition of claim 1, wherein the polymer comprises from about 10-80% w/w based on the total weight of the composition.
8. A ready mix flavored composition of claim 1, wherein the flavoring agent comprises from about 0.1-25% w/w based on the total weight of the composition.
9. A ready mix flavored composition of claim 1, which further contains a plasticizer from about 5-25% w/w, non-soluble additives such as colorants, detackifiers and opacifying agents from about 5-25% w/w based on the total weight of the composition.
10. A process for manufacture of a flavored ready mix composition comprising a polymer, a flavoring agent, a plasticizer, non-soluble additives and colorants comprising the steps of: a) blending all components of the composition in a suitable blender or mixer to achieve a uniform mix of the dry blend. (b) Obtaining the film coating composition by dispersing the ready mix of (a) in water and or organic solvents.
This invention relates to a ready mix flavored composition for film coating of pharmaceutical oral solid dosage form and to methods of its preparation. In particular, the invention relates to a ready to use flavored film forming composition, easy to reconstitute and capable of forming a flavored film coat for masking the taste of tablets containing bitter principles.
Film coating of pharmaceutical dosage forms have been developed and are summarized as early as in 1982 in Pharmaceutical Dosage Forms: Tablets, Volume 3 (Eds. Liberman and Lachman, 1982, Marcel Dekker). The reasons for coating may be various and include protection of unstable compositions, protection in the stomach with enteric coating, improving the appearance of the tablet, separation of the ingredients of a tablet if they are incompatible, and masking objectionable odors and taste.
The techniques include aqueous film coating, delayed release coating, granule coating, sugar coating, solvent film coating etc. The thin film coating of pharmaceutical tablets allows efficient, controlled, uniform and reproducible coats. Use of multiple layers of coating, such as the polymeric undercoat/seal coat, polymeric pigmented second coat and polymeric finish coat allows the preparation of very smooth glossy tablets (Ohno, U.S. Pat. No. 4,001,390). This patent and all other cited patents are incorporated by reference herein.
Aqueous thin film coating systems are environmentally more safe compared to non-aqueous systems which involve use of organic solvents in film coating solutions. Thin coatings usually do not alter the disintegration time or dissolution profile characteristics of the tablet. In case of active pharmaceutical ingredients which have a strong and objectionable bitter taste a thick or insoluble coating may be required to mask the taste and odor which in turn may affect the disintegration and dissolution characteristics of the dosage form. Powdery tablets have been coated (John et al.; U.S. Pat. No. 4,302,440) to retard their dissolution. Non aqueous polymeric wet granulation (Gans et al., U.S. Pat. No. 3,388,041) or enteric coats (Jeffries, U.S. Pat. No. 3,149,040) have also been used. Singiser, U.S. Pat. No. 3,256,111 and Brindamour, U.S. Pat. No. 3,383,236 discuss non-aqueous film-coating systems designed to be applied to a variety of tablets containing different active ingredients.
A film coat is a thin coat wherein the weight in increase of tablet weight is around 2 to 3% of the average weight. Attempts to mask taste and odor of active pharmaceutical ingredients in tablets have resulted in thick coatings, slow dissolving coatings and sugar coatings (coatings containing sweeteners). The disadvantage of thick unflavored coatings include partial dissolution of coating in the mouth (for persons who have difficulty in swallowing) thus decreasing its effectiveness to masking the odor and taste.
Sugar coating to improve palatability and appearance are also known However it increases the tablet weight and size and is very time consuming as the process involves application of a hydrophobic layer, sub-coat, sugarcoat, coloring and polishing. In addition, they do not include flavors to disguise bitter taste.
Flavorings have traditionally been used in liquid medicines to mask the bitter taste and odor For tablets usually the bitter taste is masked by coating it with a waxy material or water soluble high molecular weight polymer without any flavoring agent. The inert film coat thus does not expose the bitter ingredient to the taste receptors in the mouth and thus functions in masking. However if the residence time is more in the mouth of an individual, then the thin coating may partially dissolve and the individual may feel the bitter taste.
Thus it will be an added advantage if flavor is present in the coat which helps to avoid the bitter taste in case the non flavored film coat dissolves quickly in the mouth of the individual.
It is believed that the previous uses of flavorings or fragrances in readymix film coatings for pharmaceutical tablets have utilized flavors in an organic solvent coating for masking objectionable odor as referenced in Motoyama, U.S. Pat. No. 4,154,636, Singiser, U.S. Pat. No. 3,256,111 and John, U.S. Pat. No. 4,302,440.
A major functional advantage of tablet coatings has been to aid in tablet identification. Thus, the use of coatings containing pigments on tablets provides a way to identify tablets by color. Pigment addition also allows the tablets to have a more uniform and pleasing appearance. Tablet coatings comprising a colored film coating have been prepared, for example, by dispersing an anhydrous pigment suspension in a polymer solution (Signorino U.S. Pat. No. 3,981,984). However, persons with impaired vision often have difficulty in being sure that they are taking the correct medicine even with color-coded tablets, which is solved by flavored tablets.
OBJECTIVE OF THE INVENTION
This invention provides an unexpected advantage of masking unpleasant medicinal tastes such as that associated with bitter tasting medicinal compositions by providing a readymix composition that can be reconstituted in water/organic solvents to provide a flavored film-coating system to be applied to tablets. By the use of a dry blend composition consisting of a polymer or a mixture of polymers and a flavoring agent, which can be reconstituted in water, there is obtained a ready to use system for application to bitter tasting medicaments to mask their taste.
Another object of the invention is to provide a ready mix composition for film coating that does not contain any sweetening agent. This is specially important for the diabetic population who prefer to avoid sweetening agents in any form.
Another object of the invention is to provide a ready mix composition for film coating that will enable oral identification of the tablet due to the particular flavor of the coat being associated with the particular core tablet composition. Oral flavor identification of this invention allows visually impaired as well as other persons to know that the correct medication is being taken so that mistakes in medication may be avoided.
Another object of the invention is to provide a ready mix composition for film coating of tablets that enables different strengths of the same active ingredient, such as a prescription medicine, to be identified by different flavored coatings being applied to the different ingredient strengths.
Another object of the invention is to provide a ready mix composition for film coating that enables increased compliance with prescribed medicine schedules. The flavored coat provides a flavored oral stimulus that enables those who have taken flavor-coated tablets to have an enhanced memory of having taken the tablet through remembrance of the particular flavor of coating. The flavored coating of the invention also enhances the appeal of a particular medicine so that persons do not avoid taking their medicine.
Another object of the invention is to provide ready mix composition for film coating by forming a film-coating suspension, so that the tablets prepared from the same are smooth easily swallowed tablet and to facilitate swallowing ease through increased salivation if the coated tablet lingers in the mouth and is tasted.
Another object of the invention is to provide ready mix for preparation of the film coating suspension, so that the tablets prepared from the same does not slow the dissolution of the core tablet and in which the bioavailability of the active ingredients is not significantly reduced or impaired.
Another object of the invention is to provide a ready mix composition for film coating process for preparing a flavor-coated pharmaceutical tablet, which decreases the process time and increases productivity.
The invention relates to a ready mix dry blend composition for preparation of a film coating suspension, to be used for coating of tablets containing unpleasant tasting active ingredients such as albendazole, multivitamins and nutritional supplements. The method of the invention comprises reconstitution of a ready mix dry blend composition to give a coating suspension for application on tablets so as to give film coating. The ready mix dry blend comprises a water-soluble hydrophilic polymer or water insoluble hydrophobic polymer or a mixture of water-soluble hydrophilic polymer and water insoluble hydrophobic polymer and a flavoring agent. The water soluble hydrophilic polymer preferred is hydroxypropyl methyl cellulose whereas the water insoluble hydrophobic polymer preferred is ethylcellulose. There is no sweetening agent added to the dry mix composition as the flavoring agent in addition to masking the odor also masks the taste and thus no extra sweetening agent is required.
The method of this invention comprises standard pharmaceutical coating techniques and conditions using a flavored coating. In particular, pharmaceutical core tablets are continuously (i.e., not intermittently) spray-coated with a thin film coating containing a flavoring agent. Suitably formulated core tablets are placed in a coating chamber. A preferred composition of ready mix coating material, of an excessive volume to allow coating losses to the pan, exhaust and spray equipment, is sprayed into the coating chamber until the coated tablets show a weight increase of 2 to 5.0 parts per 100 parts by weight of the core tablet weight. The preferred method of the invention comprises a step of reconstituting the readymix composition in water and/or organic solvents and a one-step continuous spray-coating process to apply the thin flavored coating. Thus, the preferred embodiment is distinguishable from sugar-coating processes in which multiple layers of sugar-containing coating are applied, each followed by a drying period. It is also possible to apply more than one flavored coat or to apply the flavored coating after an initial sealing coat. If any coating, such as a wax coating, is applied after the flavored coating, it must be designed to allow taste perception of the flavored coating.
The preferred pharmaceutical tablet with which the flavored ready mix coating of this invention is used contains albendazole. These tablets contain 100 mg of the active ingredient, in a typical tablet of weight 650 mg. The coating increases the weight of the tablets by an average of 4%.
The advantages of this invention are also realized through flavor-coating of other bitter or objectionably strong flavored tablets, especially those that bleed through the thin coating. Such other bitter or objectionable-tasting active ingredients include, but are not limited to chloroquine phosphate, quinine sulphate, roxithromycin, clarithromycin, cephalosporins, ampicillin and cloxacillin trimethoprim, sulfamethoxazole, guaifenesin, bupropion, chlorpheniramine maleate, dextromethorphan, azidothymidine and other salts or combinations of these ingredients and those of the preferred embodiment. The invention may also be used with sustained-release formulations.
The preferred ready mix composition for film coating of this invention is comprised of a commercial film-coating product designed for aqueous/non aqueous film coating containing water soluble hydrophilic film-forming polymers like, hydroxypropyl methylcellulose polyvinyl pyrrolidone, methacrylic acid polymers, carragenan, sodium alginate, plasticizers such as polyethylene glycol, propylene glycol, soyalecithin, dibutyl phthalate, diethyl phthalate and glycerin and optionally containing titanium dioxide (or other colorant or opacifying agent) in combination with a suitable flavoring agent but without a sweetening agent.
Other preferred embodiments of this invention also include ready mixes comprised of a commercial film-coating product designed for aqueous/non aqueous film coating containing water insoluble hydrophobic film-forming polymers like, ethylcellulose, plasticizers such as polyethylene glycol, propylene glycol, soyalecithin, dibutyl phthalate, diethyl phthalate and glycerin and optionally containing titanium dioxide (or other colorant or opacifying agent) in combination with a suitable flavoring agent but without a sweetening agent.
Another embodiment of this invention also include ready mixes comprised of a commercial film-coating product designed for aqueous/non aqueous film coating containing a mixture of a water soluble hydrophilic polymer like methylcellulose and a water insoluble hydrophobic film-forming polymers like, ethylcellulose, plasticizers such as polyethylene glycol, propylene glycol, soyalecithin, dibutyl phthalate, diethyl phthalate and glycerin and optionally containing titanium dioxide (or other colorant or opacifying agent) in combination with a suitable flavoring agent but without a sweetening agent.
A suitable blend comprises 0 to about 20% w/w titanium dioxide or colorant, about 5 to about 95% w/w hydroxypropyl methylcellulose, and 0 to about 25% w/w polyethylene glycol. The most preferred embodiment comprises the polymer hydroxy propyl methyl cellulose 50-65% w/w, titanium dioxide 8-15% w/w, plasticizer 12-25% w/w, non-water additives such as colorants 5-25% w/w and talc 3-5% w/w, along with the preferred flavor.
The ready mix blend is added to purified water or isopropyl dichloromethane mixtures at ambient temperature in a vortex mixer and gelling allowed to take place by stirring for 45 minutes.
Flavorings may be obtained from a variety of sources with the relevant criteria being strength and pleasing nature of the flavor. The flavor agent selected, the film coating dispersion formulation and the amount of solids sprayed on to the tablet affect the flavor strength of the desired product. The preferred flavoring amount is readily determined by balancing the goal of adding an amount sufficient to mask the core tablet taste and provide a distinct, characteristic and pleasing taste, and the goal of keeping the tablet from being too much like a candy or mint product. The desired strength of the flavoring may vary depending on the type of tablet and the intended recipients and the identity of the flavoring.
The following equipment was used in practicing the method of this invention as demonstrated in the examples. The coating pan was an 8-inch perforated coating pan rotating at about 20 rpm and providing about 1000 cu ft/min of inlet air at a temperature of 70° C. Tablet bed temperature was maintained at 45 degree. C. Although 45 degree. C. is the optimum temperature, acceptable quality coatings may be obtained at tablet temperatures from 38°-55° C. The spraying unit was an air-atomized Bullows 630 gun, supplying the coating suspension through peristaltic pump.
Equipment to be used for scale-up operations would be obvious to a person skilled in the art of pharmaceutical coatings. For example, larger pans of 48-inches would accommodate increased number of core tablets. It is also clear that the inlet air volume, rotation speed of the pan and temperature are interactive factors in coating operations and the cited parameters and equipment are for illustration purposes only and do not limit the invention. Although use of air spraying units results in more even coating of core tablets due to better droplet-size control, airless spraying units may also be utilized.
When the flavor-coated tablets as prepared by the method of this invention are administered to a recipient, the positive taste perception of the flavored coat of the invention lasts on the tongue for at least five seconds, which is generally more than enough time for the tablet to be swallowed before the tablet's bitterness becomes objectionable.
Because the flavors used in this invention are volatile, it would be expected that the high temperatures employed during manufacturing would cause the flavoring agents to volatilize during the spray-coating process and the flavors to be lost. The surprising and unexpected result in the actual practice of this invention is that when the flavoring agents are incorporated into the coating dispersion, the flavors is retained.
The following examples illustrate the invention without limiting it to the examples. In particular, numerous strongly flavored agents, such as other fruit flavors, other mint-related flavors and other natural and artificial flavors, may be employed in lieu of those in the examples.
Core tablets of antihelmintic drug Albendazole 100 mg were compressed at tablet weight of 640 mg in a capsule shaped punch of 12 mm×6 mm size. The hardness and friability of the tablets were with the pharmacopoeial limits. Different dry blends of the ready mix were prepared and used for the coating the core tablets, using a 8 inch coating pan. The spray system employed was a bullows atomized air gun supplied with the coating solution through the peristaltic pump.
A ready mix coating dispersion formulation, was prepared by dry blending the ingredients in a rapid mixer granulator, with the following percentages (w/w):
Specific Ready Mix Ready Mix Ready Mix
ingredient Composition A Composition B Composition C
Ingredients used (% w/w) (% w/w) (% w/w)
Polymer HPMC 45% 55% 60%
Colorant Titanium 20% 27% 20%
Plasticizer Polyethylene PEG 400 15% PEG6000 11% PEG 6000 12%
Non-soluble Talc TALC 18% AEROSIL 3% TALC 3%
Flavor Chocolate 2% 4% 5%
The best film coated formulation was chosen out of the above formulations after taste perception studies and found that the formula C gave a good film coat coupled with a good dissolution of the film flavor on the tongue.
Core tablets of MULTIVITAMINS were compressed at tablet weight of 940 mg in a capsule shaped punch of 18 mm×8.5 mm size. The hardness and friability of the tablets were with the pharmacopoeial limits. Different dry blends of the ready mix were prepared and used for the coating the core tablets, using a 8-inch coating pan. The spray system employed was a bullows atomized air gun supplied with the coating solution through the peristaltic pump.
Ethylcellulose 10% 10% 9%
Colorant Titanium dioxide 26% 24% 20%
Plasticizer Polyethylene PEG 400 12% PEG 400 13% PEG 6000 12%
Non-soluble Talc/Aerosil Talc 10% Aerosil 5% Talc 4%
Flavor Vanilla 2% 3% 5%
Core tablets of a Nutritional supplement containing organic calcium and vitamin D3 were compressed at tablet weight of 1.5 gm in a capsule shaped punch of 19 mm×9.5 mm size. The hardness and friability of the tablets were with the pharmacopoeial limits. Different dry blends of the ready mix were prepared and used for the coating the core tablets, using a 8-inch coating pan. The spray system employed was a bullows atomized air gun supplied with the coating solution through the peristaltic pump.
Polymer RD100 50% 55% 60%
dioxide and
Plasticizer Polyethylene PEG 400 12% PG 11% PEG 6000 12%
Core tablets of a Multivitamin formulation were compressed at tablet weight of 1.3 gm in a capsule shaped punch of 16 mm×8 mm size. The hardness and friability of the tablets were with the pharmacopoeial limits. Different dry blends of the ready mix were prepared and used for the coating the core tablets, using a 8-inch coating pan. The spray system employed was a bullows atomized air gun supplied with the coating solution through the peristaltic pump.
Polymer Polyvinyl 45% 50% 60%
Plasticizer Soya lecithin 15% 10% 10%
Non-soluble Talc/Aerosil Talc 15% Aerosil 5% Talc 10%
Flavor Ethyl vanillin 5% 6% 7%
Previous Patent: Block and method of making
Next Patent: REACTIVE COATINGS FOR REGIOSELECTIVE SURFACE MODIFICATION


Tower Grove perfection. Wide open bright and lovely floor plan that will check all the boxes. Large updated kitchen with loads of room for entertaining and a huge pantry. Lovely private backyard with lots of green space and a great deck for enjoying the morning coffee. Second floor laundry. Master suite with closet space for days and large master bathroom. Walk to the Tower Grove Farmers market on Saturday morning or wander over to Morganford for happy hour with friends.


Officially chartered in 1963, the New England Library Association is a regional organization whose membership represents a wide range of library‑related interests.
Its objectives are to initiate, plan and support regional activities; to encourage the exchange of ideas; and to cooperate with regional and national agencies having related interests.
The mission of the New England Library Association is to provide educational and leadership opportunities for library staff in support of improved library services for the people of New England. To that end, the association (1) engages regionally in important discussions in the library profession, (2) encourages the exchange of ideas through a variety of formal and informal events and (3) collaborates regionally and nationally with allied organizations. NELA is a chapter of the American Library Association.
NELA will connect and engage librarians throughout the New England region, by providing opportunities to grow and learn with others in the library profession and beyond. There will be a spirit of collaboration and community as we share and network with one another building on the strengths of all the states in the New England area.
I mean really metformin 500 mg pcos good..


text:
Lack of National Reporting Mandate for Hospital Infections Hurts Consumers
By Gergana Koleva
Hospitals across the country are using near-total discretion in the way they disclose infections that occur as a result of surgeries, cause over 8,000 deaths annually in the U.S., and cost an additional $10 billion per year to the healthcare system, a new study underscoring the need for public reporting standards has found.
The report, published in the Journal for Healthcare Quality, and authored by researchers at Johns Hopkins University School of Medicine, shows that only 21 states currently have legislation that requires monitoring and public reporting for surgical site infections. Of those, only eight states actually make the data publicly available, and only a total of 10 procedures – out of 250 possible types of surgeries - get reported.
"Most hospitals have at least one department or service that performs very poorly, which means that full reporting will likely hurt a hospital's business somewhere. People are shocked when they find out that simple healthcare metrics [such as readmission rates and infection rates] are being collected, but that they are not made available to the public," says Martin Makary, MD, a surgeon at Johns Hopkins and the lead author of the study.
Highlighting the selective and haphazard way in which hospitals disclose surgical site infections, the report reveals wide variations in the number of procedures tracked by individual states. For example, South Carolina publishes data for seven types of procedures, Massachussetts reports on four, and Oregon on two. And while seven states report infection rates from coronary artery bypass graft, complications from spinal fusion are tracked by just one.
"The motivation to monitor and report certain procedures over others is unclear, and further highlights the variability between states," the authors write. Citing a study published in 2007 in the Journal of the American Medical Association, they state that without consistency in the type and quality of data that hospitals report, "it is difficult for consumers, payers, or regulators to compare infections within or across states, potentially making inaccurate inferences about the quality of care."
Makary says the discrepancies are due to a lack of federal reporting standards, but also because many hospitals lobby intensely against establishing such standards. A national advocate for transparency in medicine and the author of an upcoming book, Unaccountable: What Hospitals Won's Tell You and How Transparency Can Revolutionize Health Care, he says many more operations and outcomes than the ones currently reported should be disclosed.
"Is it right that hospitals can be well aware of an alarmingly high infection rate or other bad outcome at their hospital relative to neighboring hospitals and not disclose that information, continuing to provide more dangerous services unbeknownst to the consumer?" he says. "In order for the free market to work in healthcare, hospital performance, specifically their outcomes, needs to be public information."
At the state level and in individual cases, required monitoring and public reporting of SSIs has been shown to have a significant impact on improving healthcare quality. In New York state, which was the first to legislate public reporting on cardiac surgery and has been publishing the data for more than 15 years, mortality and complications rates for that type of procedure are the lowest in the nation. And at Huntington Memorial Hospital in Pasadena, Calif., surgeons were able to dramatically reduce the number of vascular infections when in 2009 their institution began reporting clinical outcomes to the American College of Surgeons.
According to the Hopkins researchers, one explanation for the improvements is that publishing hospital data empowers would-be patients to make informed decisions about where they want to be treated, thus pressuring hospitals to reevaluate their practices and improve quality. Witholding the information, on the other hand, gives patients no choice but to rely on anecdotal evidence about hospitals' performance, which can vary for each person.
"Until we have transparency in healthcare, waste and errors will continue to burden the system with high costs while leaving the public frustrated with a system in which they are forced to walk in blind," Makary says.
Asked about what it would take for all states to enforce uniform hospital reporting mandates, he points to public demand.
"Full disclosure of hospital performance relative to national averages can come about by consumers insisting on it, insurers requiring it, or Medicare mandating it. The problem is that most Americans are not aware that these new metrics exist," he says.
The eight states that reported surgical site infection rates at the time of the study, in September 2010, were Colorado, Massachussetts, Missouri, New York, Ohio, Oregon, South Carolina, and Vermont. Of those, New York and South Carolina are the only states that report complications from colon surgery, which has the highest rates of SSIs nationally. Similarly, Vermont is the only state disclosing data on spinal fusion, a complex and expensive procedure in which up to 12 percent of patients develop post-operative infections, according to a study published last year in the journal Clinical Infectious Diseases.
In a sign that things may be changing for the better, the Centers for Medicare and Medicaid Services recently announced that starting in 2014, the agency will reimburse at higher rates hospitals that participate in its pay-for-reporting program. The two types of surgical site infections on which data will initially be collectedd are colon surgery and abdominal hysterectomy. Participating hospitals will submit the information to the Centers for Disease Control and Prevention's healthcare quality surveillance system, National Healthcare Safety Network, which will then be passed along to the Department of Health and Human Services' HospitalCompare database, where consumers can look up the information.
While he greets the move as a step in the right direction, Makary says much more needs to be done before comprehensive patient outcome reports, including other metrics in addition to infection rates, become the norm. To aid this process, Congress should make hospital transparency a condition of Medicare reimbursement, he adds.
"Transparency has the power not just to improve the experience of patients, but to transform the business of healthcare in America," Makary wrote in an email.
(This story was originally published on Forbes.com)


Decorating with fairy lights is my favourite..
You can put fairy lights in anything and it will look spectacular..
Definitely also makes for gorgeous backgrounds..
You certainly don't need anything else.. if you have fairy lights.. I totally love the refections on the floor..
Do you have fairy lights at home?? Share some images..


The available options for marketing on the Internet are continuing to expand, with various techniques that are available for growing a business. If you want to get involved with one of the newest opportunities for Web 2.0 marketing, then using a video to reach others is one of the best concepts available. This particular ideal allows you to get in touch with your target market, while making a direct connection with others that are on the Internet.


I was going back and forth with Dr. Christopher Kent about info I could send to my docs about this whole stroke issue.
If you have not heard, it has blown up in California; I am sure there will be a ripple effect.
As far as I am concerned there is no one on the planet who knows more about this and who I trust more than Dr. Kent. Below is an email that he put together and we wanted to forward it to you.
Here is an interview I did with Dr. Kent several years ago and although it is dated there is still tremendous information.
The paper is available free online. Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. Here is the link.
The best available evidence reports that people may present to an MD or DC office with a stroke in progress. See this link.
At a minimum, you should study these materials carefully.
For those who would like to purchase an online course addressing types of stroke, mechanical forces affecting the vertebral arteries, what occurs during a dissection, the issue of causality, imaging, and most important, how to recognize a stroke in progress and what not to do, visit: this page.
The question comes up as to how to deal with this in your office if patients bring it up.
As always I would use the LAASR process.
Listen, Acknowledge, ASK, Solution and Resolution.
Don't dive right into a sermon.
Instead I would recommend Acknowledging what a tragedy this persons death is.
Then start Asking questions i.e. what do they think happened? Do they think a chiropractic adjustment could cause that? Are they concerned that your adjustment might cause that for them?
Having the above studies will help in punching a hole in their faulty premise or belief system of, "Chiropractic adjustments can cause strokes." But my experience is if you get defensive or offensive they cannot HEAR what you have to say.
Much love and aloha and thank you for being on the front lines and for all you do!


DENVER, April 16, 2016 (GLOBE NEWSWIRE) -- The Denver 420 Rally leadership team announced that today's 420 Rally in Civic Center Park will be rescheduled due to weather and circumstances beyond its control. Civic Center Park will be closed to the public today. The new concert date and additional information will be released on www.420Rally.com in the near future.


World cup Song featuring J-Lo And Pitbull!
How do you like this 2014 world Cup song ( We are one)? I personally don't like it! I don't feel it's as engaging as the song by Shakira, made 4 years ago (This is Africa). This is simply my opinion, what do you think?


text:
Sci-Fi/Future
Printable Booklist
Printable Series List
Bettencourt Brothers
Bound By Magick
Cascadia Wolves
Chase Brothers
Cherchez Wolf Pack
Co-Written with Megan Hart
de La Vega Cats
Diablo Lake
Federation Series
Hurley Boys
Ink and Chrome
Metamorphosis Series
Petal Georgia
Whiskey Sharp
Belle let the heat of the alcohol settle into her, bringing a languid fluidity to her muscles. She sighed and looked at the man in bed with her.
"You're really gorgeous, you know that?"
"I like it when you've been drinking, Belle." He winked and she snorted.
"Whatever. You were going to tell me why you're suddenly interested in my bases after giving me sweaters for Christmas for the last dozen years."
He grabbed her ankle and yanked, pulling her down as he rolled on top of her. Wow, he was good.
His mouth met hers, insistent, wet and hot. It was just the two of them, no worries about someone walking into the hallway. She let go of her control and gave in, sliding her hands up his arms, over his shoulders and into his hair. Soft, so soft and cool against her skin.
Heat licked at her insides when his tongue confidently invaded her mouth. When he rolled his hips, she moved, wrapping one of her calves around his ass, opening herself to him and holding him in place.
He broke the kiss, and looked into her face. "Just making sure you're still with me. I think about your bases a lot. I have for several years now. I told myself it was stupid to give in but you taste too good to resist. You're here, I'm here and we're both adults who know and like each other."
"I'm still with you, although you're not feeling me up or anything, which if I recall correctly, is part of the bases thing, right? And how long? God, you've wanted to kiss me and…" she shivered violently when he trailed fingertips up her belly, against her bare skin under her tee shirt, "…do that? You just kept it to yourself when I've like had the dirtiest fantasies ever about you?"
He tweaked a nipple then as he appeared to have to make a lot of effort to breathe.
"Christ, Belle, I can't believe you just told me you had dirty fantasies about me." He leaned down and sucked her nipple right through her tee shirt, leaving her no alternative but to hold on and enjoy it.
"I do. I did. All the time. You have no idea how good you look. Or crap, maybe you do. Should we get under the sheets?"
He laughed, breaking free of her nipple and looking at her again. "Honey, it's killing you to muss these blankets isn't it?"
"Well, the coverlet will get wrinkled and…oh my…" She lost her ability to think when he reached between them, into the waistband of her loose cotton pants and stroked over her pussy through her panties.
"You're so wet and hot I can feel you through your panties."
"Fuck the coverlet. Let me touch you! Why do you keep moving away?" she demanded.
"First things first. No fucking tonight. I want us to be totally sober when that happens so I can take my time and make you fuck drunk instead. I will make you come though because I have to see it. I'd invite you to sleep with me tonight but I have to be up at four-thirty and you need your rest. Tomorrow night you will tell me all your naughty fantasies though."
She blew out an exasperated sigh. "Whatever it takes to get you to let me touch you."
He laughed and she thought he'd never looked sexier. Rolling away a moment, he pulled off his jeans and shorts while she made quick work of her clothes too. When he turned back to her he groaned.
"Belle, you're beautiful. A glorious invitation to sin right there wrapped in velvety pale skin." As he moved to touch her, they both gasped at the shock of pleasure from bare skin meeting bare skin.
His mouth touched every part of her. The spot just below her ear, the hollow of her throat, the sensitive skin just beneath her breasts, her nipples, the backs of her knees. All the while, his hands touched wherever his mouth didn't.
But he wouldn't let her do much other than receive pleasure. "No, Belle, if you touch me I won't last. Please, let me love you." A lock of hair fell over his forehead, obscuring his right eye.
She managed a shaky nod, needing him so ridiculously bad she couldn't speak. However, that was nothing compared to the way it felt when he slid down, between her thighs and shouldered them wide open.
Belle watched, fascinated by the way he drew his tongue over the seam where thigh met body. He stopped, breathing her in and she knew somewhere in the back of her mind she should be embarrassed but all she felt was utterly turned on and wildly flattered by the possessive action.
And then his mouth was on her pussy and she fell back against the pillows with a gurgled gasp of pleasure. Over and over, his tongue flicked, licked and teased every inch of her pussy until she thought she'd explode.
Her nipples throbbed, her skin tingled, her toes pointed and still he drove her relentlessly higher. He devoured her with avarice, devastated her with the way he seemed to crave her cunt. No one had ever gone down on her like this.
Finally, he drew her clit between his lips, gently scraping his teeth over it while at the same time sliding three fingers into her gate. It was too much and she lost it, falling hard into an incredibly intense orgasm.
Belle Taylor's life, the one she's worked for meticulously since before she'd even graduated high school had turned out exactly as she'd hoped. And it exhausted her in ways she'd never even known to expect.
She needs to re-evaluate her future, find a way to do what she loved but still have the time and energy for things other than work. So she heads home for the holidays, where she can rest and get her head together.
Rafe Bettencourt was most assuredly not an item on Belle's to-do list and yet, when her older brother's best friend kissed her under the mistletoe, Belle finds herself with another set of goals to balance what she'd thought she wanted.
Rafe has loved Belle from afar for years and when he runs into her the night she comes back to Davis, he realizes he's done waiting around and it was time to make a move. He's got to help her see she can have a life that includes more than just her job and that she could do it with him at her side.
Order Ebook:
Connected Books: Bettencourt Brothers
Series: Bettencourt Brothers, Book 1
Publisher: Lauren Dane Media Group, LLC
Length: Novella
Release Date (Ebook):
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text:
Bourne is Back and in Riveting Form!
Director Paul Greengrass (The Bourne Ultimatum) and Matt Damon reunite again on the big screen after a nine-year hiatus. Jason Bourne delivers spy-tingling thrills in this post-Snowden era.
Jason Bourne hits all of the highs that fans have come to expect from the franchise, which is this sequel's biggest selling-point. Greengrass being back in the director's chair will leave viewers breathless by the end of the film. Cynics can take a hike, has Jason Bourne delivers and is one of the best films of the summer. During this time of back to school and stale popcorn, fear not, Bourne is back after years of hiding and is ready to battle the U.S. government once again.
The Bourne trilogy is one of the freshest and exhilarating spy series to come to the big screen since it first debuted in 2002. Forget the cheap cash grab that came a few years back A.K.A. The Bourne Legacy. The disappointments of that fourth film are unraveled here thanks to Greengrass and Damon's reunion. Damon returns to the role as the amnesiac assassin that made him an icon, still in hiding after the events of Ultimatum. After exposing the Operation Blackbriar and disappearing, Jason Bourne has finally recovered from his amnesia and has isolated himself from the world. Bourne is trying to live in peace by getting his knuckles bloody and bruised in illegal fighting rings. It takes Bourne's former Treadstone contact, Nicky Parsons (an excellent Julia Stiles), to get Jason back on the map.
Trying to expose the CIA's black ops program, Parsons discovers a strange tie between Bourne's father and Treadstone. Parsons also learns that the new CIA director Robert Dewey (an evil Tommy Lee Jones) is building his own shadow government with the help of compromised tech kingpin Aaron Kalloor (a terrific Riz Ahmed). During an austerity riot in Greece, Parsons comes in contact with Bourne and shares with him the new information. With all of this cyber terrorism weaved in-between the script, Greengrass doesn't forget to convey the nerve-wrenching action scenes. In a Ferguson-like sequence, viewers are engulfed on the streets of Greece with riots and chaos.
Ace cinematographer Barry Aykroyd (The Hurt Locker) will leave you speechless as Bourne and Parsons zip through the fiery streets of Greece on a motorcycle. Noble actors to also look at in the film are Academy Award Winner Alicia Vikander as Heather Lee, the head of the CIA Cyber Ops Division and Vincent Cassel as the Asset, a Blackbriar assassin working for the Iron Hand program. With Jason Bourne, you get a sense of realism and awe throughout the film. Greengrass cuts back on the CGI and unveils truly special effects. With that, we get some of the most breathtaking car chase scenes ever put on film.
The Vegas strip climax will go down in the books as one of the greatest chase sequences ever to be executed. IMDb has reported that "The Las Vegas car chase sequence took five weeks to shoot and at the end, the sequence wrecked 170 cars." In the end, it was all worth it. This chase scene, alone, took me by complete surprise and shattered my conscience. Jason Bourne comes at a time where summer blockbusters can be muddled and the popcorn has gone stale. Refueling the franchise back to it's finest form. This for some people can be its greatest flaw and I completely understand. Nevertheless, Bourne is back and ready too rumble.
Jason Bourne is rated PG-13 (Parents Strongly Cautioned). For intense sequences of violence and action, and brief strong language.
The Star Trek Franchise Continues to Soar!
Continuing the post-reboot highs, director Justin Lin (Fast Five) takes the Enterprise even further into space with exhilarating space-opera thrills. It's 'Beyond' entertaining.
While providing both homage and excitement, Star Trek Beyond fuels the franchise with more popcorn fun. In 2009, director JJ Abrams rebooted the dying series with new life and adventure. Star Trek came in full throttle, sleek style and a new alternate universe. In 2013, Abrams continued in the director's chair and released the summer blockbuster known as Star Trek Into Darkness. Into Darkness wasn't as fresh as its predecessor, nevertheless, the film took the audience by surprise with breathtaking action and set pieces. In the end, Into Darkness set up captain Kirk (a fantastic Chris Pine) and his crew for their five-year mission into deep space.
Add in the new director, Justin Lin, with nonstop action and vivid style and you get Star Trek Beyond. The plot is rather simple this time around, but the homage is grand to past Trekkies and old glories. Captain Kirk (Pine) and the crew (consisting of actors Zachary Quinto, the late Anton Yelchin, John Cho, Simon Pegg, Karl Urban and Zoe Saldana) of the Enterprise encounter an alien warrior race when marooned on a distant planet after the destruction of their spaceship. The main villain goes by the name of Krall (an incredible Idris Elba) and he's out for blood.
But the real acting chops goes to Sofia Boutella, who plays Jaylah. Boutella nails the heart and soul of the alien scavenger. While Beyond can't fully capture the freshness and sleekness of it's first two predecessors, fear not, Lin still manages to pull off an impressive sci-fi episode in retro speed. Lin uses his skill in the camerawork and direction to hurl the audience through space, captivating their minds with fear and nostalgia. Beyond also pays tribute to the original cast (consisting of James Doohan, Walter Koenig, DeForest Kelley, Majel Barrett, William Shatner, Nichelle Nichols, the late Leonard Nimoy, and George Takei) of the Enterprise and will slap a smile on the face of any Trekkie. I guarantee it.
Scriptwriter/Actor Pegg even goes a step further by giving Sulu (Cho) a boyfriend in the film. This is a nod of respect to the beloved George Takei. All in all, Star Trek Beyond comes right in time when the summer blues start to kick in. Beyond fuels your bones with a sense of excitement and pleasure. In this post-reboot era, the Trekkies continue to soar! I'm eagerly excited for future adventures to follow. "For Anton," live long and prosper.
Star Trek Beyond is rate PG-13 (Parents Strongly Cautioned). For sequences of sci-fi action and violence.