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Measuring empathic, person-centred communication in primary care nurses: validity and reliability of the Consultation and Relational Empathy (CARE) Measure
Annemieke P. Bikker1Email author,
Bridie Fitzpatrick1,
Douglas Murphy2 and
Stewart W. Mercer1
© Bikker et al. 2015
Empathic patient-centred care is central to high quality health encounters. The Consultation and Relational Empathy (CARE) Measure is a patient-rated experience measure of the interpersonal quality of healthcare encounters. The measure has been extensively validated and is widely used by doctors in primary care but has not been validated in nursing. This study assessed the validity and reliability of the CARE Measure in routine nurse consultations in primary care.
Seventeen nurses from nine general medical practices located in three Scottish Health Boards participated in the study. Consecutive patients (aged 16 years or older) were asked to self-complete a questionnaire containing the CARE Measure immediately after their clinical encounter with the nurse. Statistical analysis included Spearman's correlation and principal component analysis (construct validity), Cronbach's alpha (internal consistency), and Generalisability theory (inter-rater reliability).
A total of 774 patients (327 male and 447 female) completed the questionnaire. Almost three out of four patients (73 %) felt that the CARE Measure items were very important to their current consultation. The number of 'not applicable' responses and missing values were low overall (5.7 and 1.6 % respectively). The mean CARE Measure score in the consultations was 45.9 and 48 % achieved the maximum possible score of 50. CARE Measure scores correlated in predicted ways with overall satisfaction and patient enablement in support of convergent and divergent validity. Factor analysis found that the CARE Measure items loaded highly onto a single factor. The measure showed high internal consistency (Cronbach's alpha coefficient = 0.97) and acceptable inter-rater reliability (G = 0.6 with 60 patients ratings per nurse). The scores were not affected by patients' age, gender, self-perceived overall health, living arrangements, employment status or language spoken at home.
The CARE Measure has high face and construct validity, and internal reliability in nurse consultations in primary care. Its ability to discriminate between nurses is sufficient for educational and quality improvement purposes.
CARE Measure
Patients consistently score empathy and the human aspects of care as top priorities in their health care [1–4]. Research has linked empathic care to higher levels of patient satisfaction [5–7], enablement [8–10] and improved health outcomes [8, 10–14]. Its importance is emphasised in healthcare policies [15–17] and professional codes of conduct [18, 19]. Healthcare practitioners are increasingly expected to demonstrate their interpersonal skills in terms of empathic, patient-centred care in practice and training [20, 21]. Measurement is crucial to evaluate this aspect of quality of care and to obtain feedback on individual practitioners.
The Consultation and Relational Empathy (CARE) Measure is a patient-assessed measure of the quality of the encounter with healthcare professionals [3, 21]. Ten items ask patients' perception of the practitioner's 'relational empathy', defined as the healthcare practitioner's ability to:
understand the patient's situation, perspective and feelings (and their attached meanings);
communicate that understanding and check its accuracy, and
act on that understanding with the patient in a helpful (therapeutic) way [3, 21].
The development of the measure was based on a review of existing measures and qualitative interviews with patients, and their feedback on the individual items in order to create a measure that was meaningful regardless of the patients' socioeconomic status [21]. We did this by assessing the views of patients living in areas of high or low socioeconomic deprivation and, in an iterative process, developed, validated and tested the CARE Measure in primary care consultations with general practitioners (GPs) [21, 22].
Since its development and validation with general practitioners (GPs) in the UK [21], the measure has been extensively validated with a range of physician groups in primary and secondary care [22–26]. It has been widely used nationally (including in GP appraisal and revalidation) and internationally, and has been translated and validated in various languages [23, 24, 27]. However, to date nurses have not been included in this expanding body of work on the CARE Measure. Given the increasing role of nurses in primary care in many countries, it would seem timely to asses whether the CARE Measure is valid and reliable in this professional group. It would be scientifically wrong to assume that a measure developed primarily for use with GPs will also be valid and reliable with nurses. The role of nurses in primary care is distinct from that of GPs; in the United Kingdom (UK), practice nurses are employed by GPs to carry out routine annual reviews of a limited number of single chronic disease, and some also do minor illness clinics. GPs, on the other hand, deal with a wide range of clinical issues, including the management of most mental health problems and patients with complex multimorbidity of chronic diseases.
In carrying out the current study we have a number of hypotheses to be tested based on our previous work on empathy and the CARE Measure:
We would expect the CARE measure to be relevant to most consultations with practice nurses, as we have found for primary care and secondary care doctors [22, 25, 26].
Since the CARE measure reflects patients' views on generic interpersonal skills, we would expect it to be valid and reliable in primary care nurses, similar to what we have found for GPs and other doctor groups [22, 25, 26].
We would expect the CARE measure to load onto a single factor in factor analysis as found in other studies [22, 24–26].
As in this previous work [22, 24–26], we would predict the CARE Measure would show convergent validity with patient satisfaction but divergent validity with patient enablement, since the latter is a construct quite distinct from satisfaction [28].
We would also predict that the CARE Measure would be related to factors such as consultation length and continuity, as shown in our previous work with doctors [22, 25, 26].
Sampling, data collection and ethics
Ten out of 55 randomly selected GP Practices within a 40 mile radius of the study office responded positively to an invitation to participate in the study. The Practices represented three Scottish Health Board areas and combined provided the opportunity to collect data on the consultations of 20 nurses (19 practice nurses and 1 nurse practitioner). The aim was to collect self-completed patient questionnaires for 50 consecutive consultations with each participating nurse. The sampling strategy ensured that patients from a range of socioeconomic levels would be included in the study, but we did not have sufficient funding to specifically sample from high and low deprivation areas as we did in our original validation work [21, 22]. The consultation number was based on previous work that demonstrated the required sample size to effectively discriminate between GPs [22].
Practice receptionists gave consecutive adult patients (16 years or older) a questionnaire when they checked in for their appointment with a participating nurse. This is the same approach that we have used in our previous validation studies with GPs [21, 22]. Patients completed the questionnaire immediately after the consultation and placed it in a sealed box in the waiting room. The questionnaire contained:
The 10 item CARE Measure [21]
A question on the importance of the CARE Measure items to their consultation (rated on a 4 point scale from 1 = not important to 4 = very important) which we have used previously [22].
An overall satisfaction question (rated on a Likert scale from 1 = completely satisfied to 7 = completely dissatisfied). This was included because perceived empathy is known to be an important determinant of patient satisfaction and thus would be predicted to correlate positively with CARE measure scores, and thus provide evidence of convergent validity [5–7].
The six items contained in the Patient Enablement Instrument (PEI) [28]. The PEI was included because although enablement is related to satisfaction and CARE measure scores, it is a different construct. It would be predicted to correlate less strongly with the CARE measure than patient satisfaction, and thus provide evidence of divergent validity.
Questions we have used previously [12, 22, 28] on relational continuity (how well the patients knows the nurse, rated on a Likert scale from 1 = don't know at all to 5 = know very well), whether or not previously seen by nurse, consultation length, satisfaction with consultation length (from 1 = very poor to 6 = excellent)
Socio-demographic details (self-perceived overall health, age, gender, living arrangements, employment status and language spoken at home).
Data were collected between September 2012 and October 2013.
Scoring of the CARE Measure
The 10 CARE Measure items are rated on a 5-item response scale from 1 = poor to 5 = excellent. The overall score is the sum of the ten items with 10 being the lowest possible score and 50 the highest. Up to two not applicable (N/A) responses or missing values are allowed and these are replaced by the average item score.
As we wanted to directly compare the findings of the current study with our previous work with GPs [21, 22] we did not attempt to 'weight' the scores.
Ethical approval was obtained from the National Research Ethics Service (NRES) Committee North West, Preston (Reference 12/NW0607, on 2/8/2012). All nurses who participated in the study provided written informed consent. Informed consent was not required from the patients who decided to complete the questionnaire, because the questionnaire was anonymous and did not ask for identifiable information. Completion of the questionnaire was voluntary and the optional nature of the study was explained in the information on the front of the questionnaire.
The data were analysed using SPSS (version 21) and urGENOVA software via its associated wrapper program GS4 for the reliability analyses [29, 30] as was done in our previous studies [25, 26]. Descriptive methods were used to describe the sample, calculate the CARE Measure and PEI scores, and check the variability in the data. As data distributions were skewed, differences between groups were assessed through non-parametric tests. The perceived relevance and face validity of the CARE Measure was assessed by analysing the number of not applicable and missing values for each of its 10 items as well as the patients' rating of the importance of the 10 items, as in previous studies [22–27]. Construct validity was examined through factor analysis (principal component analysis with varimax rotation and Kaiser normalisation) and correlations (Spearman' rho) between the CARE Measure items, and PEI and the overall satisfaction measure. The internal reliability of the CARE Measure was assessed through Cronbach's alpa. The ability of the measure to discriminate between nurses was assessed using Generalisability-theory (G-Theory) and associated Decision D studies [22, 25, 26].
One practice with three nurses withdrew from the study, thus 17 nurses took part. Completed questionnaires were obtained for 774 practice nurse consultations (37–55 per nurse). Consultations included appointments for clinics for chronic disease management such as diabetes, coronary heart disease and chronic obstructive pulmonary disease. One nurse provided acute care only. The age of patients attending these consultations ranged from 16 to 93 years (mean age = 54.9 years, SD = 18.2), 447 patients (57.8 %) were female, and 391 patients (51 %) rated their overall health as good or very good (Table 1).
Demographic data of participating patients
Sample size (n)
% of total sample
>65 years
Overall Health Status
Very good/ good
Bad/ very bad
With Partner/Spouse
Not with Partner/Spouse
Employed (full- or part-time, including self-employed)
Unemployed (looking for work)
Unfit to work
Looking after home/family
Help with Questionnaire
In terms of consultation characteristics, the length of consultations ranged from 1 to 50 min (mean consultation length = 13 min, SD = 7.6 min). Around three-quarter of patients (76 %) reported a previous consultation with the nurse and half the patients (50 %) reported that they knew the practice nurse quite well or very well. CARE Measure scores were weakly correlated with how well patients knew the nurse (Spearman's rho 218, p = 0.000) and with consultation length (rho 0.123, p = 0.001).
Relevance to current consultation
Overall, almost three-quarters of patients (73 %) perceived the CARE Measure items as very important to their current consultation. Older patients and patients with worse self-reported overall health tended to score the importance of the items higher than younger patients (p = 0.000) and patients with better health status (p = 0.033) (Table 2). No statistical differences were found for the other patient characteristics.
Patients' perceived importance of the CARE Measure items to their consultation
Little or No Importance (%)
Moderate Importance (%)
Very Important (%)
p- value
All Consultations
> 65
185 (83.05)
Bad/very bad
204 (76.1
'Not applicable' responses in the CARE Measure amounted to only 6 % of the total possible 'not applicable' responses (444/7740 items; see Table 3). For CARE Measure items 1 to 8, the average number of not applicable responses was 3 % (n = 181), ranging from 0.6 % for item 1 to 5 % for item 2. The highest number of "not applicable" responses were recorded for items 9 (n = 112, 15 %) and 10 (n = 151, 20 %), which relate to 'taking control' and 'making a plan of action' respectively. The total number of responses for which there was missing data was 124, representing less than 2 % of the total possible number of missing responses (i.e. 124/7740). The missing responses were evenly distributed across the CARE Measure items.
Applicability and missing values by CARE Measure items
CARE Measure item
Not Applicable responses (%)
Missing values (%)
item 1 Making you feel at ease
item 2 Letting you tell your story
item 3 Really listening
item 4 Being interested in you as a whole person
item 5 Fully understand your concerns
item 6 Showing care and compassion
item 7 Being positive
item 8 Explain things clearly
item 9 Helping you to take control
item 10 Making a plan of action with you
Three or more 'not applicable' or missing responses were given by 76 (9.8 %) patients. Patients with worse self-reported health had less occurrences of three or more 'not applicable' or missing responses than patients with better self-reported health status (χ 2 = 5.860, p = 0.53). No statistical associations were found for the other patient characteristics (results not shown).
Performance of the CARE Measure
The overall mean CARE Measure score for all practice nurses was 45.9 (SD 5.9) and the mean CARE Measure scores per practice nurse ranged from 42.6 to 47.9 (p = 0.005). Individual patient scores ranged from 20 (minimum possible score being 10) to the maximum score of 50. Nearly half of practice nurse consultations (48 %) received the maximum possible score. The distribution of the scores showed a skew of −1.5 and a kurtosis of 1.8.
Explanatory factor analysis on the CARE Measure items, PEI and satisfaction questions showed three factors with the CARE Measure items on one factor with high loadings (0.883-0.967), indicating a robust internal structure of the CARE Measure (Table 4). The PEI items loaded on the second factor, and the satisfaction measures on the third factor. The three factors explained 83 % of the variance.
Factor analysis of the CARE Measure, PEI, and satisfaction items
1. Making you feel at ease
2. Letting you tell your story
3. Really listening
4. Being interested in you as a whole person
5. Fully understand your concerns
6. Showing care and compassion
7. Being positive
8. Explain things clearly
−.009
9. Helping you to take control
10. Making a plan of action with you
PEI 1 Ability to cope with life
PEI 2 Ability to understand illness
PEI 3 Ability to cope with illness
PEI 4 Ability to keep self health
PEI 5 Confidence about health
PEI 6 Ability to help self
Rating consultation time
Correlations between the CARE Measure scores and patient enablement and overall satisfaction supported construct (convergent) validity in relation to overall satisfaction (Spearman's rho 0.54, p = 0.000), and as expected less (divergent) with patient enablement (Spearman's rho 0.19, p = 0.000).
The CARE Measure showed weak but significant positive relationships with consultation length (Spearman's rho 0.12, p = 0.002) and how well patients knew the nurse (Spearman's rho 0.22, p = 0.000). The patient characteristics of age, gender, self-perceived overall health, living arrangements, employment status and language spoken at home were unrelated to the CARE Measure score.
In terms of the CARE Measures ability to discriminate between nurses a moderate level of agreement (inter-rater reliability) between patients was found with 50–60 patient ratings per nurse (Table 5). As expected, the reliability of the measure increased with the number of completed questionnaires per practice nurse.
Reliability of the CARE Measure in differentiating between nurses in relation to number of questionnaires
Number of Completed per Practice Nurse
Reliability(G-Theory Analysis)
The measure showed high internal reliability (Cronbach's alpha coefficient 0.97). Removal of any item weakened this internal reliability (results not shown).
This study aimed to determine the reliability (internal and inter-rater) and validity (face and construct) of the CARE Measure as an outcome measure of routine primary care nursing consultations. The results suggested that overall the patients viewed the CARE Measure items as highly relevant to their consultations with nearly three quarters rating the items as 'very important' to their consultation. The low number of 'not applicable' responses and missing values in the CARE Measure items further suggests that the CARE Measure is relevant to primary care nursing consultations and supports the face validity of the measure.
Construct validity of the CARE Measure was demonstrated by a moderate/strong correlation with overall satisfaction (convergent validity) and a weaker correlation with patient enablement (divergent validity). The factor analysis further supported the construct validity as the CARE Measure items loaded highly on one factor showing that they capture the same concept, which was different from overall satisfaction and patient enablement.
In the present study mean CARE Measure scores per nurse were generally high and this restriction in range, caused by the ceiling effect of high scores within the studied cohort of nurses, limited variation between nurses. Despite this phenomenon, the measure could still effectively discriminate between the nurses with 60 questionnaires per nurse with an acceptably high level of stability (G = 0.6). While this inter-patient reliability is short of the commonly accepted level of 0.8 for a stand-alone 'high stakes' assessment [31], the results are consistent with other tools, such as Objective Structured Clinical Examinations (OSCE), commonly used to inform summative decisions in other contexts [32]. For 'low stakes' assessments, the CARE Measure is likely to be useful even at much lower numbers of patients per nurse. Furthermore, a larger number of nurses in a more diverse range of practices may have yielded more variation between nurses and thus higher G scores, and further research on a larger and more diverse sample may be useful to determine this. The Cronbachs alpha coefficient of 0.97 indicated high internal reliability. Moreover, the mean CARE Measure scores were not affected by any of the measured patients' characteristics and this gives some confidence that the measure can be used in different primary care nursing settings.
Relationship to literature
Overall, the mean CARE Measure score for all practice nurses (45.9) was somewhat higher than in the primary care setting with GPs (40.9) [22]. Additionally, the primary care nurses required a slightly higher number (60) of completed CARE Measures than the GPs for whom 50 CARE Measure scores were sufficient to estimate reliably the mean CARE Measure score for an individual GP [22]. The reason for the higher number of required patient questionnaires for practice nurses is that the practice nurses had less variability in the data. The high level of perceived importance of the CARE Measure items to everyday practice nurse consultations in this study (73 %) was similar to those with general practitioners (76 %) [22]. In the latter, it was also found that older patients and patient with worse health status (in terms of long-standing illness, psycho-social or emotional problems) tended to rate the items as more relevant. The high perceived relevance of the measure to clinical encounters has also been found in similar studies outside primary care [25, 26] and in international settings [24, 27]. The finding that most "not applicable" responses were given to item 9 (helping you to take control) and item 10 (making a plan of action with you) was also in agreement with previous studies [22–26]. As the majority of consultations were routine nursing appointments it could be the case that within that context empowerment and shared-decision making were perceived as less relevant by some patients. Finally, the significant but weak positive associations between estimated consultation length, how well patients know the nurse and CARE Measure scores were similar to those shown in previous studies [22, 25]
A strength of the study was that it builds on earlier work on the CARE Measure and adds to the body of knowledge on its reliability and validity across healthcare disciplines. It was also a reasonably large number of patients, though the number of nurses was lower than we had hoped for. The study had some limitations. First, the participating nurses were volunteers and the study may have been open to sampling bias. This could have led to the high consultation scores and limited the range in performance and the resulting reliability of the inventory. Secondly, one practice withdrew from the study (due to circumstances unrelated to the study) and this reduced the number of participating nurses from 20 to 17. A larger sample size, as employed in previous studies [22, 25, 26], may have captured a wider potential spectrum of possible population performance among nurses and may have found it easier to discriminate between different nurses and demonstrate higher levels of reliability. Another limitation was that it was underestimated how many patients would not return the questionnaires. This resulted in some nurses having collected less than 50 questionnaires even though more than 50 questionnaires had been handed out to patients.
Implications for practice and future studies
As the CARE Measure was originally developed and validated in primary care with GPs, the findings of this study suggest that the CARE Measure can be used reliably with primary care practice nurses as well. Practice nurses working in general practice tend to have serial consultations with patients allowing them to establish ongoing relationships with them. In this study, most patients felt that they knew the nurse quite well or very well. Further work is required across nursing to establish if the CARE Measure is also reliable, valid, acceptable and feasible in other nursing settings, such as secondary care or acute care community clinics such as sexual health, and also in allied healthcare professionals such as physiotherapists, occupational therapists, podiatrists, and so on.
Although capturing patients' views on health professionals' interpersonal skills is now widely regarded as an important feature of high quality health care systems, the evidence that such feedback in itself leads to change in professionals consulting behaviour (and thus improves scores) is equivocal [33]. In order to support healthcare practitioners to improve or maintain their CARE Measure scores and/or the ability to provide an empathic service, earlier work developed [34, 35] and piloted [36] the CARE Approach framework. This inter-disciplinary resource is derived from the CARE Measure and wider literature and covers the four interactive components of Connecting, Assessing, Responding and Empowering with the aim of fostering empathy and patient-centredness in clinical encounters [34, 35]. The use of the CARE Measure as well as the CARE Approach feeds into current healthcare policies and professional codes of conduct on maintaining, enhancing and monitoring empathic, person-centred care [15–19].
Research shows that an emphatic, person-centred approach to care is linked with improved experiences of care, higher patient enablement and better health outcomes. The CARE Measure appears relevant to, valid and reliable in routine practice nurse consultations. Completed CARE Measures from 60 patient consultations are required to provide a stable enough view on which to base feedback for educational and quality improvement purposes in relation to relational empathy. As patients' demographics did not affect the CARE Measure scores, it can be used in different primary care settings. In conclusion, the results underpin the CARE Measure as a useful tool to facilitate the patients' voice in providing feedback to practice nurses on their relational empathy.
Thanks to the nurses who participated in this study and the patients who completed the questionnaires. The study was funded by the Scottish Government.
Stewart Mercer and Annemieke Bikker co-authored the book 'Embracing Empathy in the Health care Encounter [34] and both receive royalties from the sale of the book.
AB contributed to the data collection, analysis and interpretation, and the drafting of the article. BF contributed to the conception and design of the study, data collection and the interpretation of the data. DM contributed to the analysis and interpretation of the data. SM contributed to the conception and design of the study, and the interpretation of data. All authors contributed to the revision of the article, and read and approved the final manuscript.
General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, 1 Horselethill Road, Glasgow, G12 9LX, UK
School of Medicine, University of Dundee, Mackenzie Building, Kirsty Semple Way, Dundee, DD2 4BF, UK
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Koori Work Crew making significant contribution on the Far South Coast
The South East Local Land Services Koori Work Crew is making significant grounds in enhancing biodiversity and protecting investments in the Bega Valley.
The crew has been in operation for the past five years and has become a regular sight across farms in the Bega Valley. They were initially funded through the Australian Governments Biodiversity Fund Program. Their worth has been so valued that their funding has continued through the National Landcare Program and Bega Cheese over the 2017-2018 financial year. The three person crew plus a crew leader are contracted through the Bega Local Aboriginal Land Council to undertake a range of natural resource management activities across the Bega region.
The crew undertakes maintenance activities such as weed spraying in revegetation sites; watering, replanting and fencing to protect past investment and to support landholders and community groups achieve high quality rehabilitation outcomes.
The crew also assists in strategic weed control programs (e.g. crofton weed in priority river corridors), provide support to biosecurity staff (e.g. assistance livestock inspections) and participate in cultural activities including cultural burning to manage native vegetation and land in a traditional manner.
Over the life of the program the crew has assisted in protecting and enhancing more than 1,200ha of terrestrial and riparian lands and supported more than 140 land managers.
Significant appreciation has been shown from land managers, community groups, LLS staff and other government organisations for their efforts and the team are now widely recognised across the Bega Valley. Bega Cheese and its farmers have regularly praised their efforts across the valley's dairy farms in assisting farmers to implement the Bega Cheese Environmental Management System.
Significant investment has been made in skilling up crew members through formal and on-the job training. To date this has provided a springboard for longer-term employment for two members - one securing a contract with the Eden Local Aboriginal Land Council Bundian Way work crew and another more recently securing a permanent position with the NSW National Parks and Wildlife Service.
To find out more about the Koori Work Crew, contact the Far South Coast Local Land Services office.
This project is supported by South East Local Land Services, through funding from the Australian Government's National Landcare Program.

redpajama_set_name: RedPajamaCommonCrawl


text:
The ups and downs of the Truckee River
Jason Kelley/Sierra SunA rafter helps clean up the Truckee River over the Fourth of July weekend by picking up empty beverage cans.
The Truckee River was looking a bit abused in the wake of the Fourth of July weekend with plastic bags, beer bottles and other jetsam littering its banks and bottom.
But now, just as the mess has been cleared, the joy rides have come to a screeching halt because of low water levels. Employees of local raft companies say they're at their wit's end with the water flows, while the water master contends that his hands are tied.
It's a predicament that's got some residents and fun-seekers pondering the river's fate this season.
Up one day and down the next, water levels on the Truckee River have been in flux since the rafting season began.
"It's incredibly frustrating," said Tracey Murphy, manager for Truckee River Raft Co. in Tahoe City. "It's hard to run a business like this."
Since the rafting season started, the river has been closed to floaters for a total of nearly two weeks, including two weekends that likely cost float raft outfitters tens of thousands of dollars, Murphy said.
"We're hoping to open again by the end of the week, but there are no guarantees," she said.
There are only three reasons that water can be legally released from Lake Tahoe, said Federal Watermaster Chad Blanchard, and none of those reasons are proving themselves right now.
Water can only be released from Lake Tahoe to either stop the lake from topping its upper limit, to maintain force and rate, or to maintain a summer flow of 70 cubic feet per second, Blanchard said.
"It's a federal court decree. There is no leniency and we have to operate the way we have to operate. It's not popular, but it's the rules," Blanchard said. "It's not enough to raft but it's enough to keep the fisheries alive, and that's the deal."
As far as forecasting a reopening of the river, it's hard for even the water master to say.
"The lake is dropping amazingly slow. There is so much high snow and the ground is so saturated," Blanchard said. "I couldn't venture a guess as to when another release is going to happen."
Low river levels have also served to expose the damage left behind by a hot holiday weekend.
The raft companies do what they can to repair the wake of destruction left by private weekend boaters, but collecting thousands of cans and hoards of rubber floaties is a monumental task.
"It's getting a lot worse," said Richard Courcier, co-owner of Truckee River Rafting, one of the two local outfitters that is partially responsible for maintaining the river's cleanliness.
Cleaning up the river is a never-ending task, and one Truckee man has literally devoted his life to keeping the river beautiful, but even he cant do it alone.
Rick Cullen has lived on and around the North Shore for more than 40 years, and he has been cleaning the river for just as long. It started when he was a child, collecting lost fishing lures in coffee tins with his buddies. He would also grab an occasional soda can, maybe some tangled fishing line, and throw it into the boat.
But over the years, he said, the amount of waste has just kept growing and growing. So much so that cleaning up the river is now his full-time job and he's bring in thousands of dollars a summer from recycling his findings.
"It's something I love to do; I'm passionate about keeping that river clean," Cullen said. "If I decided to quit tomorrow, that river would look like you know what."
He's likely right. Both Truckee River Rafting and Truckee River Raft Co. have hired Cullen as their garbage guru, and occasionally have their employees pitch in too, but as far as resources and man power goes, there's not much backing him.
"That river should be everybody's baby, but there are too many white gloves out there," Cullen said.
In less than two weeks after the holiday weekend, the Truckee River is looking much better. During the four-day sun-fest refuse trucks hauled away three full loads of garbage each day from the river area, and raft company employees are continuing to aid Cullen in his quest for cleanliness.


text:
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Advancing the Global Fight Against Alzheimer's
Transforming lives through new treatments for Alzheimer's, dementia, and other brain disorders: this is the mission behind UNLV's Department of Brain Health. Dr. Jeffrey L. Cummings, a research professor and leading expert on Alzheimer's disease clinical trials, oversees the world's only research observatory that connects programs across the world. He and his team are broadening efforts to share trial outcomes and get new treatments to patients in record time.
Learn more about the Department of Brain Health
UNLV Scientist Earns National Award for Alzheimer's Research


The Central Connecticut swimming & diving team split the team results today at the University of New Hampshire. Central topped Bryant in the team competition 180 to 110 and lost to New Hampshire 213 to 84.
In the 200 yard medley relay, Central placed third in a time of 1:52.43. The relay team was made up of junior Hannah Packer, senior Shauna Lynch, sophomore Kathryn Kiely, and junior Christine Smith.
Junior Taylor Friedmann placed second (10:30.62) in the 1000 yard freestyle. Junior Lauren O'Kelly placed third (10:41.27).
Friedmann also placed second in the 200 yard freestyle in a time of 1:53.08. Junior Allison Rasile finished fifth (1:59.31) and freshman Karen Novak finished sixth (2:00.06) in the event.
In the 100 yard backstroke, sophomore Helene Neuhaus placed third (59.09). Rasile and Packer tied for seventh place (1:02.48).
Sophomore Kristina Gulia placed second (1:07.59) in the 100 yard backstroke. Smith placed sixth (1:12.39).
Junior Katie Lang finished third (2:10.46) in the 200 yard butterfly. O'Kelly placed fifth (2:18.66) and Kiely placed sixth (2:20.49).
In the 50 yard freestyle Neuhaus finished fifth in 25.36 and sophomore Erin Massey finished sixth in 25.61.
Senior Madison Vestergaard placed second in the 1 meter diving event with a score of 227.92. Freshman Kaitlyn Dwyer scored 175.12, good for fourth place.
Neuhaus placed second (54.42) in the 100 yard freestyle and Massey placed sixth (55.85).
In the 200 yard backstroke, Rasile finished fifth (2:12.14) and Packer finished sixth (2:13.18).
Gulia placed third (2:27.09) in the 200 yard breaststroke and Smith placed fourth (2:32.50).
Friedmann topped the 500 yard freestyle event in a time of 5:05.11. Sophomore Kasey Chilton finished the event in a time of 5:15.12, good for fourth place.
Lang finished the 100 yard butterfly in 1:00.51, good for fourth place. Kiely placed ninth (1:03.71).
Vestergaard came away with a second place finish in the 3 meter diving event scoring a 226.00. Dwyer placed fourth (161.10).
In the 200 yard IM, Lang finished fifth (2:15.42) and O'Kelly finished sixth (2:18.06).
The Central Connecticut 200 yard freestyle relay team placed third in a time of (1:42.74). The team was made up of Massey, Novak, Neuhaus, and Friedmann.


My experience with acne and it's treatment was a long process and one that still continues today. It has been such a significant thing in my life which is why I really wanted to talk about it on my blog. Having acne really affected my confidence, I didn't like leaving the house without makeup and often felt that all people saw when they looked at me was my spots. My self esteem was so low and I felt that I constantly compared my complection to others. I was so frustrated as I looked after my skin really carefully, always removing makeup and cleaning thoroughly every morning and night, but I still had loads of spots. Eventually, I think I came to realise it had little to do with how I cared for my skin and was mostly to do with hormones and puberty, so nothing I could control.
I wanted to address this in a blog post for myself and also for others who may been going through the same thing. My acne developed later in my teens, I think most people tend to get it from about 12-13 when they start experiencing puberty. But for me, it wasn't until I was nearly 16 that it started to get really bad. At the time I convinced myself that it was stress as I was preparing to sit my GCSE exams and working my part-time job so felt as though I had a lot on my plate and huge amounts of pressure on myself. So when my exams finished and my skin continued to get gradually worse, I realised this wasn't just temporary.
My acne was spread across my face, chest, shoulders and the top of my back, so it wasn't just my face I wanted to cover. I stopped wearing vest tops and low-cut tops as they showed off the spots on my chest and I felt too self-conscious. They were really inflamed and painful and always got worse when I was on period. For about a year I just dealt with it and continued washing my face religiously every morning and night. Over this period I tried loads of different cleaners, scrubs and face masks but nothing seemed to work for me.
It was in September 2017 that I finally decided to go and see my GP about my acne. He gave me a prescription for Duac Gel, it combines 2 antibiotics: clindamycin and anhydrous benzoyl peroxide (very scientific haha). I was then given instructions to apply it every night before bed, sleep with it on and wash it off in the morning.
Straight away, the redness of my spots was hugely reduced and the pain started to go away. Within a few weeks the change was huge, there was significantly less spots on my face, the redness was nearly all gone and the pain I used to feel was non-existent. This picture shows my spots the day I started using my spot treatment and the second was last month! 10 Months difference! How insane?!
Through my experience, the best piece of advice I can give you is that LESS IS MORE when using products on problem skin. You my feel the need to try everything, cleaners, scrubs, toners, toothpaste, aloe vera and believe me, I tried them all! But I found that this just makes things worse! It makes your skin so much more fragile and damaged so you can often start to experience dry patches along with your oily patches which also happened to me a lot. However, I decided to start using an oil-free moisturiser to keep my skin hydrated without clogging my pores. But now I have developed a routine to keep on top of my spots and keep my skin as clear as possible. I might do a skincare routine in the future, so let me know if you would be interested in this.
But at the end of the day, it really doesn't matter! I know it's much easier said than done but just try to embrace it, you are you and that's amazing! I still get spots but not as severely as I used to so they don't really bother me so much anymore! Over time I learnt to bear with it as I knew that it would improve and get better soon. Believe me, it will happen, it just takes a lot of patience and strong will!
I would love to hear if you have had any similar experiences or other tips for treating spots/ acne.


National, 16th December, 2015: Nickelodeon, India's leading kids' entertainment franchise, is once again set to redefine entertainment for kids by showcasing its no. 1 shows, now in high definition. Be it toys or television, today's kids want nothing but the best, and Viacom18's kids cluster Nickelodeon India continues to lead the pack, offering an amalgamation of kids' favorite content in cutting edge technology. Building on its high quality content for the kids segment in the country, Nickelodeon launches its HD channel in India – Nick HD+ only on TATA SKY, (the pioneer of technological innovations in the DTH industry) on channel No. 611.
Commenting on the same, Paolo Agostinelli, Chief Content & Business Development Officer, Content at Tata Sky comments, "Tata Sky's best in class technology clubbed with the great content of Nick HD + is sure to delight our little subscribers. Children are very important audience for us and we have been working towards brining innovative & exciting offerings for them. Pioneering to launch Nick HD+ in the country is one such proud moment.
Nick HD+ will showcase a wide array of wonderful content – from the local chart busters like Motu Patlu and Pakdam Pakdai to the evergreen favorite like Ninja Hattori to the international heavy weights like Shaun the Sheep, Dora the Explorer, SpongeBob Square Pants and Power Rangers. With the launch of the HD+ channel, kids can now enjoy high definition animation content.
However the excitement does not end there, there will be a range of shows telecast exclusively on Nick HD+, giving viewers the chance to enjoy shows like Big Time Rush, Marvin Marvin, Kung Fu Panda and Zack and Quack.
Enjoy a never before viewing experience of your favorite shows on Nick HD+ only on Tata Sky channel No.611.
Nick HD+ will soon be available on leading DTH and cable platforms.


Would you like to discover the coast of the Natural Park of s'Albufera des Grau in two days of exploration? Karetta leads you to one of the most virgin stretches of the island.
From Na Macaret to Cala Mesquida, we will paddle along spots of high ecologic value and great beauty, where the oldest geological formations on the island are hidden and we will come upon isolated places and unknown beaches. We will discover the lighthouse of Favaritx, one of the five there are in Menorca, located in a cape and we will access to an area with personality due to its inhospitable and solitary character to learn about its great natural value.
And we will enjoy the pleasure of spending a night in nature, where all the organization will be borne by our team. Come live an unforgettable experience on a sea kayak with Karetta.
The moon moves slowly, but it crosses the world.


202 former football players found evidence of a debilitating brain disease linked to repeated head blows in nearly all of them.
So of course he hears all, sees all. No fines will be forthcoming this week but how does all this play out in the long run and does it damage the NFL?. And it shows. Each team gets a shot from the opponent's 25 yard line, and if they're still tied, another shot, again and again, until a winner is decided.
The physical, second year back picked up where left off last season as a force deep in opponents' territory, rushing for 34 yards and a touchdown on seven carries. This is a game I love and I will happily take that risk every time I go onto the football field.".
Jones provides a nice spark in the return game but you need more than that especially if you play in a league like mine that is defensive heavy and allot points for tackles, sacks ect.. Allen can play inside or outside for the Jaguars who, let face it, could use help in a lot ncaa basketball jersey of areas.
In the second round, the Cincinnati Bengals selected Joe Mixon, who in a much viewed video punches a woman so hard that she falls down unconscious. If there was a rift between the two, why was this not addressed earlier? Cricketing powers of India failed to hold the interest of India during a critical stage and let the team fail due to lack of timely action.
Based on the 2017 opener, the issue isn't solved. Which is fine; time will tell if he goes on to accomplish great things. Former San Diego Chargers, Denver Broncos and Dallas Cowboys football wide receiver Anthony Miller (far left) gets a high five from Tony Gaeta of Manahawkin, New Jersey, during the 8th annual Andre Reed Celebrity Golf Classic at the Lehigh Country Club on Monday, June 26, 2017.
It was a tough year for local players. Always. She moved back to Michigan and coached girls basketball and track and field at Ecorse.. We all can benefit from learning, listening and respecting each other.. EntertainmentEntertainment NewsThe SceneGeorge to the Rescue1st LookOpen HouseBreakfast With Open HouseCOZI TVTalk StoopWorth The TripB.
Parlay BetsBettors can wager on a combination of events through a parlay bet. These are fans who demand respect for our Flag! NFL teams respond to Trump with non participation, kneeling in protest. Day five and it amazing how a full night's sleep (a dreamy nine hours) can leave you feeling refreshed and ready to tackle the second half of a trip.
Actual results and the timing of events may differ materially from the results anticipated in these forward looking statements.. Funds for Hurricane Maria efforts will be channeled to Unidos Por Puerto Rico and Fund for the Virgin Island. So no, I don see the drop off.
I have to disagree with the world class tag given to Kane. And what they say to us? Nothing, not a peep. Are taking a knee to protest a justice system that says that being black is enough reason for a police officer to fear for his or her life. In the third quarter, rookie cornerback Marshon Lattimore, New Orleans' top draft choice last spring, made his first interception and returned it 27 yards for a touchdown..
I would like to thank all of them for their efforts and their many contributions to ESPN. This year, as Nick departs, the psychological minefield of professional sport has been publicly acknowledged. 27, 2017, in Minneapolis. That said, don be surprised if they end up trading the pick/Lattimore to better position themselves for a QB later in round 1 or in the 2nd round..
Why weren't the players disciplined for not following NFL rules? Because initially their pocket books and revenues weren't hurt. Undrafted, signed as a free agent with the Arizona Cardinals for this coming season.. But it was one of the factors that I think perhaps led to the slight decrease in ratings last year.".
It doesn't really matter otherwise. Brandon Marshall is gone, Eric Decker may be next, so the Jets add the explosive Howard and line him up a little bit of everywhere.. Newman is still a lightning rod for a type of bored social outrage, and he's right when he highlights the speed of change around him.
It may not be the only cause for the NFL ratings decline, but it may be a bigger factor than you think. LB ERIC KENDRICKS led team with 11 tackles career high 2.5 sacks in last meeting. ON TOPClick for full scheduleStoried football Hall of Famer Joe Montana tells NBC's Eric Hinton that Colin Kaepernick is most likely out of the NFL because of poor play, not his controversial stance of kneeling before stitched cheap jerseys the National Anthem last season.
NFL DraftAfter the NFL draft, if a player is drafted, he pro jersey sports is only able to negotiate with the team that drafted him. "This is a devastating tragedy and difficult to comprehend," ESPN President John Skipper said in a statement. "I would like to thank all of them for their efforts and their many contributions to ESPN."Report: ESPN's Mike Greenberg to leave 'Mike and Mike' for a new TV showThis is the second big roundup of job cuts at ESPN in recent years.
As a parent, you become very alert when your child expresses an interest. Its most famous play, now often referred to as the "Lombardi sweep" or the "Packers sweep," consisted of Paul Hornung or Jim Taylor following pulling guards Jerry Kramer and Fuzzy Thurston.
Located inside a brick building, The Shaved Duck features patio dining, slate colored walls and cherry wood furnishings. Marshawn Lynch adds another dimension to an already loaded offense, and Derek Carr is among the game's best. Not to speak of the records mess that would ensue.
Making his first start of the season, Dupree had 2 1 sacks the first multiple sack game of his career while playing all but one snap. The Colts hadn't used a first round pick on an SEC player since 2006, when they took LSU RB Joseph Addai at No.
Setting them up isn't all that different from setting them up in a home. It was stated that Tebow is more of a runner than a passer and other teams know this and will shut down their running game. In 2007 the club and several individuals were sanctioned for videotaping signals of opposing defensive coaches in violation of the Constitution and Bylaws.
Barreto cited the ingredients of the successful bid: "A more than $450 million enhancement to Dolphins' stadium. Not something I can talk my way through. Thing is, he's competing with an excellent quarterback in Lee, a junior transfer who completed 13 of 19 passes for 190 yards and three touchdowns in the spring game.
13, 2017" > >Trump blow to Obamacare jolts health consumers, renews political battlePresident Donald Trump abrupt move to cut off federal payments to insurers jolted America health care and political worlds alike on Friday, threatening to boost premiums for millions, disrupt insurance markets and shove Republicans into a renewed civil war over their efforts to shred "Obamacare.".


text:
Carriera
Paige Hourigan ha vinto 4 titoli nel singolare e 11 titoli nel doppio nel circuito ITF in carriera. Ha raggiunto la sua migliore posizione nel singolare WTA, nr 410, il 29 luglio 2019. Mentre il 29 luglio 2019 ha raggiunto il miglior piazzamento mondiale nel doppio, nr 139.

Statistiche WTA

Doppio

Sconfitte (1)

Statistiche ITF

Singolare

Vittorie (4)

Doppio

Vittorie (11)

Sconfitte (7)

Collegamenti esterni

redpajama_set_name: RedPajamaWikipedia


Hey everyone! I hope your year is off to a great start! So it totally looks like there hasn't been a lot going on with the band or the website, but this could not be further from the truth. 2016 was a busy 'behind the scenes' year for the band, but we did manage to squeeze in a couple of private performances. The year started out with a lineup change- Brian Bankston has taken over on guitar, and we went back and re-worked most of the tunes. We finally made it out to FAME studios and cut all the tracks for the new album, and we hope to have that out very soon so keep an eye out for it. We definitely need everyone's help in promoting this thing when it's all done, and we will have some great give-away's to offer our faithful fans! Love you guys, be good to each other and Happy 2017- let's make it the best year yet!


Aberdeen's Graeme Shinnie, Scott McKenna and Derek McInnes.
Skipper Graeme Shinnie and centre-back Scott McKenna both started the disastrous 3-0 Group I defeat to Kazakhstan.
McInnes is angry that Shinnie was made a scapegoat by some critics for the loss to a nation ranked a lowly 117th in the world.
Midfielder Shinnie was drafted in at short notice to the left-back role by national boss Alex McLeish in Kazakhstan due to an injury crisis in that position.
The Dons skipper later admitted to fears he would not play for Scotland again.
Shinnie dropped to the bench for the 2-0 win in San Marino but McKenna started against the minnows.
A narrow victory over the world's worst footballing nation was also slated.
Back at Pittodrie, the duo were today set to return to training ahead of Saturday's Premiership trip to Hearts.
McInnes said: "Both lads are too good and too well motivated to dwell on anything. It is football, there are ups and downs.
"It is important not to dwell too much on any experience, whether good or bad, and move on to the next game.
Scotland's Graeme Shinnie show's his frustration at full-time against Kazakhstan.
Shinnie was an unused substitute on the bench for the 2-0 defeat of San Marino, rock bottom of the Fifa world rankings.
McKenna retained his place and helped deliver a clean sheet.
McInnes reckons valuable lessons were learned by McKenna in both outings and hailed him for a strong performance in a game against San Marino which carried immense pressure following the defeat in Kazakhstan.
McInnes said: "Every experience is part of the learning curve for a young player.
"Even going over to Kazakhstan and losing, which was a real sobering experience for Scott and a really tough night for him.
"Scott has to learn to be more demanding of the people in front of him. To be more demanding not to be dragged about as a back four and keep people in their slots and in their own position.
"Because that came back to bite the defence.
"However, the San Marino game for me was a big plus for Scott because that was a tough game for those boys.
"There was probably more pressure and tension on that game for a young player than any other game he has played in.
All three senior players away on international duty have returned to Pittodrie with a clean bill of health and are ready to face the Jambos at Tynecastle.
Winger Niall McGinn started in both Euro 2020 qualifiers for Northern Ireland – wins over Estonia (2-0) and Belarus (2-1).
McInnes said: "Everybody has come back fine from international duty – Niall, Scott and Graeme.
Teenagers Connor McLennan, 19, and Lewis Ferguson, 19, both had to withdraw from the Scotland Under-21 training camp in Marbella.
McInnes said: "Lewis got sent back from the Scotland U21s with a wee concern but we hope he will be okay for Hearts.


text:
Q: Problem with overlay on picture in css (html) I have problem with adding overlay on image in my html project. It should looks like overlay coming from bottom of image when it's hovered, but instead it's only like link on all the image. Here is code from html and css:

.tile5 {
  width: 480px;
  margin: 10px;
  height: 304px;
  float: left;
}

.overlay {
  position: relative;
  width: 480px;
  height: 304px;
}

.overlay .link {
  position: absolute;
  display: block;
  width: 100%;
  height: 100%;
  background-color: #111;
  left: 0px;
  top: 0px;
  opacity: 0;
  transition: opacity 0.5s ease-in-out;
}

.overlay:hover .link {
  opacity: 0, 8;
}

      tekkst teskttekkst teskttekkst teskttekkst teskttekkst teskt

    ...other element in div 'square'

I hope someone will help;)

A: You could try something like this:

.tile5 {
  width: 480px;
  margin: 10px;
  height: 304px;
  float: left;
  position:relative;
}

.overlay {
  position: relative;
  width: 480px;
  height: 304px;
}

.overlay .link {
  position: absolute;
  display: block;
  background-color: rgba(0, 0, 0, 0.4);
  left: 0px;
  top: 40%;
  opacity:0;
  transition: opacity 0.5s ease-in-out;
  z-index:99999;
  color:white;
  padding:10px 20px;
  text-decoration:none;
}

.overlay:hover .link {
  opacity: 0.8;
}

      tekkst teskttekkst teskttekkst teskttekkst teskttekkst teskt

    ...other element in div 'square'

A: Looks like your HTML structure a bit off. The tag with class overlay.
Here's how I would go about it. I think you are trying to have an image caption visible on hover
HTML

          Caption Here

CSS
.square{
    position: relative;
    width: 480px;
    height: 304px;
    float: left;
}
.square a span{
  background:#efebeb;
  max-width: 480px;
  width:100%;
  color:#000;
  padding:20px 0px;
   position: absolute;
   left:0;
   bottom:0;
   opacity: 0;
   transition: opacity 0.5s ease-in-out;
   text-align:center;
}
.square a:hover span{
  opacity: 0.8;
}

Hope this helps

redpajama_set_name: RedPajamaStackExchange


text:
package com.intellij.openapi.vcs.changes.ui;

import com.intellij.openapi.project.Project;
import com.intellij.openapi.ui.DialogWrapper;
import com.intellij.openapi.ui.Messages;
import com.intellij.openapi.vcs.AbstractVcs;
import com.intellij.openapi.vcs.VcsBundle;
import com.intellij.openapi.vcs.changes.*;
import com.intellij.openapi.vcs.rollback.RollbackEnvironment;
import com.intellij.util.ui.UIUtil;
import gnu.trove.THashSet;
import org.jetbrains.annotations.Nullable;

import javax.swing.*;
import java.awt.*;
import java.util.*;
import java.util.List;

/**
 * @author max
 */
public class RollbackChangesDialog extends DialogWrapper {
  private final Project myProject;
  private final boolean myRefreshSynchronously;
  private final Runnable myAfterVcsRefreshInAwt;
  private final MultipleChangeListBrowser myBrowser;
  @Nullable private JCheckBox myDeleteLocallyAddedFiles;

  public static void rollbackChanges(final Project project, final Collection<Change> changes) {
    rollbackChanges(project, changes, true);
  }

  public static void rollbackChanges(final Project project, final Collection<Change> changes, boolean refreshSynchronously) {
    rollbackChanges(project, changes, refreshSynchronously, null);
  }

  public static void rollbackChanges(final Project project, final Collection<Change> changes, boolean refreshSynchronously,
                                     final Runnable afterVcsRefreshInAwt) {
    final ChangeListManagerEx manager = (ChangeListManagerEx) ChangeListManager.getInstance(project);

    if (changes.isEmpty()) {
      Messages.showWarningDialog(project, VcsBundle.message("commit.dialog.no.changes.detected.text"),
                                 VcsBundle.message("commit.dialog.no.changes.detected.title"));
      return;
    }

    final ArrayList<Change> validChanges = new ArrayList<Change>();
    final Set<LocalChangeList> lists = new THashSet<LocalChangeList>();
    lists.addAll(manager.getInvolvedListsFilterChanges(changes, validChanges));

    rollback(project, new ArrayList<LocalChangeList>(lists), validChanges, refreshSynchronously, afterVcsRefreshInAwt);
  }

  public static void rollback(final Project project,
                              final List<LocalChangeList> changeLists,
                              final List<Change> changes,
                              final boolean refreshSynchronously, final Runnable afterVcsRefreshInAwt) {
    new RollbackChangesDialog(project, changeLists, changes, refreshSynchronously, afterVcsRefreshInAwt).show();
  }

  public RollbackChangesDialog(final Project project,
                               List<LocalChangeList> changeLists,
                               final List<Change> changes,
                               final boolean refreshSynchronously, final Runnable afterVcsRefreshInAwt) {
    super(project, true);

    myProject = project;
    myRefreshSynchronously = refreshSynchronously;
    myAfterVcsRefreshInAwt = afterVcsRefreshInAwt;
    myBrowser = new MultipleChangeListBrowser(project, changeLists, changes, null, true, true, null, null);
    myBrowser.setToggleActionTitle("Include in rollback");

    setOKButtonText(VcsBundle.message("changes.action.rollback.text"));
    setTitle(VcsBundle.message("changes.action.rollback.title"));

    Set<AbstractVcs> affectedVcs = new HashSet<AbstractVcs>();
    for (Change c : changes) {
      final AbstractVcs vcs = ChangesUtil.getVcsForChange(c, project);
      if (vcs != null) {
        // vcs may be null if we have turned off VCS integration and are in process of refreshing
        affectedVcs.add(vcs);
      }
    }
    if (affectedVcs.size() == 1) {
      AbstractVcs vcs = (AbstractVcs)affectedVcs.toArray()[0];
      final RollbackEnvironment rollbackEnvironment = vcs.getRollbackEnvironment();
      if (rollbackEnvironment != null) {
        String rollbackOperationName = rollbackEnvironment.getRollbackOperationName();
        int pos = rollbackOperationName.indexOf(UIUtil.MNEMONIC);
        if (pos >= 0) {
          setOKButtonMnemonic(Character.toUpperCase(rollbackOperationName.charAt(pos + 1)));
          rollbackOperationName = rollbackOperationName.replace(Character.toString(UIUtil.MNEMONIC), "");
        }
        setTitle(VcsBundle.message("changes.action.rollback.custom.title", rollbackOperationName).replace("_", ""));
        setOKButtonText(rollbackOperationName);
      }
    }

    for (Change c : changes) {
      if (c.getType() == Change.Type.NEW) {
        myDeleteLocallyAddedFiles = new JCheckBox(VcsBundle.message("changes.checkbox.delete.locally.added.files"));
        break;
      }
    }

    init();
  }

  @Override
  protected void dispose() {
    super.dispose();
    myBrowser.dispose();
  }

  @Override
  protected void doOKAction() {
    super.doOKAction();
    new RollbackWorker(myProject, myRefreshSynchronously).doRollback(myBrowser.getCurrentIncludedChanges(),
                                                                     myDeleteLocallyAddedFiles != null && myDeleteLocallyAddedFiles.isSelected(),
                                                                     myAfterVcsRefreshInAwt, null);
  }

  @Nullable
  protected JComponent createCenterPanel() {
    if (myDeleteLocallyAddedFiles != null) {
      JPanel panel = new JPanel(new BorderLayout());
      panel.add(myBrowser, BorderLayout.CENTER);
      panel.add(myDeleteLocallyAddedFiles, BorderLayout.SOUTH);
      return panel;
    }
    return myBrowser;
  }

  public JComponent getPreferredFocusedComponent() {
    return myBrowser.getPrefferedFocusComponent();
  }

  protected String getDimensionServiceKey() {
    return "RollbackChangesDialog";
  }
}

redpajama_set_name: RedPajamaGithub


My argument is that if they can't tell the difference between a browser and search engine technology, that's just good design. Browsers, search engines … who cares what they're called, so long as everyone knows how to use them?
His argument is People who don't understand the simple fundamentals of the technology they use are only ever going to scratch the surface of what they can do with it. The full benefits of technology shouldn't be the preserve of the few, but of the many, and people need to take responsibility for learning about this stuff.
Of course, we're both kind of right … so we throw some ideas around, iron out wrinkles in the discussion. He can't believe that people might not be interested in how their technology actually works; I point out that a lack of understanding of basic physics never stopped anyone from enjoying radio, television, or a movie.
And then he drops the bomb.
"You totally overloaded my working memory!" I say.
My husband, who is used to comments like this by now, says nothing.
"It's the curse of knowledge," I tell him.
"Perfect." And we go about our day.
Give your audience some context from the outset, or you will lose them immediately. This applies in general, but especially if the information you want to convey is complex or abstract.
And never underestimate the curse of knowledge.
The McDonaldization of technology in education – do you want slides with that?
ICICTE is all about people who use technology in education. This is a pretty broad aegis, which I think is great — highly specialist conferences sometimes seem in danger of disappearing up their own abstracts.
So I went along to ICICTE last week to tell people about our work with lecture slides and lecturers' attitudes to slides, but conferences are all about the exchange of ideas, and I spent most of my visit listening to other people talk about their work.
I'm always fascinated to watch others interact with slideware and their audience, and the breadth of experiences that ensue. Standing up, sitting down, talking around the slides, reading out bits from slides, skipping over the slides. One sentence per slide; 21 lines of dense text (yes, I am sad enough to count). Ten slides, forty slides; both for a 12-minute presentation. Once they know what my research involves, people sometimes get a bit twitchy about their own slides (now I think about it, not unlike the reaction when you tell them you're a psychologist — apparently I'm building a career on making people nervous), but I try not to be judgemental: variety is the spice of life — and anyway, someone might turn my results upside-down tomorrow.
One speaker I particularly enjoyed was Kevin Burden, who talked about furthering educators' personal and professional development using ICT. He talked about the need to filter technology by its qualities and suitability for the task at hand: for example, blogging is a great way to promote teacher reflection, but might not be such a great tool for peer interaction. Essentially, he was promoting mindful use of technology.
Kevin's talk got me thinking — again — about use of visual aids in teaching, and why people started using software like PowerPoint in the first place. Obviously it looked much better, more professional, than scrawled or photocopied overhead transparencies — and, like other new media, it was easily editable, copyable and redistributable. All great reasons for adopting a new technology.
But how many people used the jump from one form of technology to another to pause for a moment and reflect on whether these visual aids were always the right tools for the job?
Not very many; we see that now in the near-ubiquitous use of electronic slides to support lectures. So prevalent is the notion that lectures must have slides that when students miss a lecture, they don't ask what we covered: they ask for a copy of the slides. To students, the slides are the lecture.
Which does make me wonder what value anyone thinks we're adding by standing there at the front and clicking now and again to make the slides transition.
Simon Schurville, in his ICICTE keynote,* discussed the massification and McDonaldization of higher education: the idea that to deliver the same experience to so many, a very simple, identical, easily-replicable product is required. He asked, Is this really what we want higher education to be like?
I thought about the McDonaldization of lecture slides. Do we honestly want students' experience of university, the world over, to consist of staring at yet another mindless set of bullet-points? Do we really want to foster the expectation that a lecture is not a lecture unless every point is clearly laid out in 24-point Times New Roman, up there on the screen and right there in front of you in all its dead-tree reproduced glory?
In short, do you really want slides with that?
* Sadly, Simon was taken ill a couple of days before the conference; the keynote was delivered in his absence by Greg Anderson and Raymond Welch.


STUNNING VINTAGE REHAB PENTHOUSE IN FASHIONABLE ROGERS PARK! Enjoy city living in this well-appointed two bedroom one bath condo with beautifully landscaped courtyard views. The open-concept living space is perfect for entertaining, as the living room seamlessly flows in the kitchen and dining rooms. The sunny living room has a large bay window and allows for multiple furniture configurations. The kitchen boasts granite countertops, cherry cabinets and stainless steel appliances. King-sized master bedroom has custom black-out blinds and Elfa organization. The sunny second bedroom is currently set up as an office, and is perfect for guests. The well appointed bathroom is tucked away from the main living space and has a wonderful soaking tub. Washer & dryer in unit. Gleaming hardwood floors, crown moldings and Elfa closets throughout. One block away from the Red Line, Glenwood Farmers Market, and Morse Market.
For more information about 1426 W Lunt Unit 3N, Chicago, IL 60626 contact Urban Real Estate.


The Grand Shopping Tote, also known as the GST, may not be worthy of the term iconic but it is certainly considered one of Chanel's classics. With a practical design and more affordably priced than the 2.55 quilted flaps, GSTs are indeed a must-own piece for any Chanel-lover. Sadly, as of this year, I've been told that the French fashion house will stop producing GSTs. Though the news is heartbreaking, if you've always dreamed of owning this bag, it may not be too late as several boutiques in the city currently carry them.
When I checked on the inventory this past weekend, the Chanel flagship, SoHo boutique, and Bergdorf each had one black GST with silver hardware. As for other locations, the Madison Chanel had one black with gold hardware and Saks had one extra large black. Bloomingdale's and Short Hills Mall in New Jersey had no inventory.
With the Céline Edge bag also soon to be discontinued, it looks like two grand farewells are in order for 2015.
I was thinking to get this bag later this year. Should i buy or not buy it id i wanted this bag to be an investment?? Does discontinued means it loses its 'status'?
you should buy it! it will gain status bc you cant get it anymore!


Forevermark Ever Us Rose and White Gold Ring, 0.60 total carat – Fey & CO.
Forevermark Ever Us Ring. 18 karat rose and white gold ring set with 2 Forevermark round brilliant diamonds equaling 0.30 carats. Approximately 0.60 total diamond carat weight.


Ashleigh and Tom were really fun to photograph for their Rotary Park Engagement. They knew how to enjoy each other's company as they walked, laughed and let the evening unfold. From walking the trails, to sitting on the beach and skipping stones they never lost their contagious smiles which spread to me quickly.
Be sure to check out Ashleigh and Tom's wedding photography.


Whether it's OSHA's 29 CFR 1910, NFPA 70E IEC's 62061, ISO's 13849-1 the requirement to design manufacturing equipment that increases productivity while providing the highest level of quality and safety for workers is mission critical. PCC has the machine safety products and application knowledge to help meet your organization's objectives. PCC's machine safety portfolio is comprised of leading manufacturers such as Siemens, Carlo Gavazzi, Cementex, Larco, Leuze, IDEM Safety Switches, Meltric, and Velox. providing fail-safe PLC & distributed I/O, safety strips, light barriers, light curtains, laser scanners, PROFIsafe, ASI-Safe, safety relays and switch rated plug & receptacles technologies.
ALL-in-ONE Stainless Steel 316 Trapped Single Key Solenoid Release with Rear Release, Request Button and Emergency Stop Button.


Sifted flour, measure dry and liquid ings. Cream the butter, add sugar gradually continue beating until the mixture is light and fluffy. Frequently separate the side of the bowl. Drop eggyolk into the mixture one at a time. Beat well. Beat eggwhites and cream of tartar in large bowl until foamy. Add the sugar gradually and continue beating until a still. Cut and fold in meringue into the batter mixture evenly. Pour into prepared line pan and bake for 40-45 mins.
Thoroughly cream shortening and gradually add sugar. Add pineapple and vanilla. Add sifted day ings. Alternately with water. Fold in stiffy beaten egg whites. Fill greased muffine pan 2/3 full of batter. Bake at 375o F for 25 mins.
Cream the butter/margarine and add sugar. Add eggs one at a time and beat until fluffy. Add flour alternately with condensed milk and water, then add vanilla and ? c grated cheese. Pour mixture into paper line pan top with remaining cheese and bake in pre-heated oven at 375o F for 50 mins.


text:
Dr. Tom Muzzey, Superintendent, Orchard Farm School District
Dr. Tom Muzzey, Superintendent
Orchard Farm School District
Thomas Muzzey, Superintendent of the Orchard Farm School District, since 2013.
Thomas Muzzey has served as the Warren County School Superintendent for two years. Before that he worked as associate superintendent and assistant superintendent in the Hillsboro R-3 School District.
"Dr. Tom Muzzey brings a proven track record of success the school system," Board president Elmer Dwyer said in a press release. "He has served effectively as superintendent and is highly regarded by Board and community members in the school systems he has served. Dr. Muzzey has successfully served all students and demonstrated effectiveness in working with minority and economically disadvantaged children."
"I am excited about the opportunity to serve a district with such rich tradition and a bright future," he said in a press release. "I am anxious to begin work with a community that supports high academic standards with strong parental involvement.
Please click the video to hear what he had to say about STEM and technology.
Twitter: @Muzstache
Email: tmuzzey@ofr5.com
2165 Highway V
St. Charles, Missouri 63301-6012
Back to Thought Leaders
STEM & Technology


text:
10,000 South Australians in need provided with brand new clothing
After emerging from devastating bushfires only to face the escalating threat of the coronavirus pandemic, the AnglicareSA Thread Together partnership is proving to be more important than ever.
Last month, the partnership supported its 10,000th customer, as it continues to take unsold stock from Australian fashion stores and provide it to South Australians doing it tough.
The clothing is delivered to anyone in need, from women fleeing domestic violence, to the long-term unemployed and people experiencing homelessness.
AnglicareSA CEO Peter Sandeman said the simple initiative has had a profound impact on people's dignity, pride, and ability to turn their lives around.
"We all know how much clothing helps to define who we are and how we feel," he said.
"For those who are experiencing hardship and social exclusion, access to new clothing plays an even bigger role in enabling dignity, choice and self-esteem."
AnglicareSA first teamed up with NSW-based charity Thread Together in 2018, launching Australia's first mobile wardrobe vans to deliver brand new clothes directly to those in need.
In 2019, the service was extended with the opening of a South Australian-first clothing hub in North Adelaide.
The mobile wardrobes enable AnglicareSA to reach out to the community and go directly to those who need it.
Support through bushfires, COVID-19 pandemic
AnglicareSA's Thread Together program has supported 230 people affected by the Adelaide Hills' bushfires, with a further 180 packages so far delivered to people during COVID-19.
"With the devastating bushfires and now a global pandemic — we're seeing people who have never traditionally needed support finding themselves in vulnerable situations," Mr Sandeman said.
"We've been helping families who've lost almost everything to replenish their wardrobes so they can get back to normality as soon as possible.
"Now with COVID-19, we've been taking online and phone orders, delivering tailored clothing packages across Adelaide to those who are doing it tough.
"Domestic violence, poverty and homelessness do not stop during a pandemic – in many cases people's situations are only getting worse.
"Our partnership with Thread Together is now more important than ever. It's just one example of our commitment to support South Australians who need it most — today, tomorrow and into the future."
AnglicareSA and Thread Together COVID-19 packages ready to deliver to people in need.


text:
package plugin

/*
usage: !title http://example.com
*/

import (
	"strings"
	"github.com/microamp/gerri/cmd"
	"github.com/microamp/gerri/data"
	"github.com/PuerkitoBio/goquery"
)

func ReplyTitle(pm data.Privmsg, config *data.Config) (string, error) {
	if len(pm.Message) == 2 {
		url := strings.TrimSpace(pm.Message[1])
		if url != "" {
			doc, err := goquery.NewDocument(url)
			if err != nil {
				return "", err
			}

			return cmd.Privmsg(pm.Target, doc.Find("title").Text()), nil
		}
	}
	return "", nil
}


If you are looking for a way to fast track a career in the rapidly growing medical field, then you should strongly consider earning your phlebotomy certification in South Shore SD. According to the Bureau of Labor Statistics, Careers in the medical industry are expected to grow faster than any other industry between now and the year 2020. The overall job growth average is 14%, but for the medical field it's hovering at around 30%. So, phlebotomy training is your quick ticket to a stable career.
What are the Best Schools for Phlebotomy Certification in South Shore SD?
The programs featured below are taught by excellent, schools and come reccomended as viable choices for most students.
If you're looking for a quick way to enter the nation's fastest growing job market, this is it. By earning your phlebotomy certification in South Shore SD you will be setting yourself up for a career in the medical field that pays well and offers long term stability.
Reviewed by: Ardelia Kolbe on Jul 24.
Amazing web site rockin totally amazing crazy good information!
Thanks a bunch for developing such a amazing website. I was able to get details on what I needed. This website has made my life way less stressful.


text:
FSE delivers more than €32 million of medical equipment to Kenya
The French Treasury Department has granted a €32.2 million concessional loan to Kenya to finance the installation of high-performance medical equipment. The main contractor, FSE, is bringing in around 40 firms to work with it on the project.
Kenya's Health Ministry has signed a financial agreement with France providing for a €32.2 million loan to improve equipment in some 30 hospitals across the country. FSE, which specializes in the implementation of biomedical and laboratory equipment projects worldwide, has been selected to deliver, install, commission and maintain the equipment and to train staff on site, in partnership with Kenyan firm Medionics.
Besides helping a third country to develop its infrastructure, the idea behind these soft loans is to create new opportunities for French firms in the export market. Thus, FSE is required to award at least 70% of the contract to French firms. "We are the driving power behind the project," says Raphaël de Tramasure, Associate Director of FSE Group. "We are helping dozens of French firms break into the export game, some of which had no previous experience of the Kenyan market. It's a huge opportunity for them."
The project consists of two parts. The first addresses the Covid-19 pandemic, and the second aims to improve maternal and child healthcare in the north-western region of the country.
"It's a fantastic project that showcases French expertise in two high-visibility areas that are a top priority for the Kenyan Ministry of Health," says Raphaël de Tramasure, Associate Director of FSE Group
To fight Covid more effectively, intensive care units in 28 hospitals across the country are going to be upgraded. They will be provided with monitoring devices, intensive care beds, syringe drivers and infusion pumps, as well as medical imaging equipment (such as mobile X-ray machines and ultrasound machines), 20 oxygen production units, waste management (reduction and decontamination) systems, ventilators, emergency respirators, and PCR tests.
As regards maternal and child healthcare, "the priority is to improve all the mother and child mortality ratios," explains Raphaël de Tramasure. The Moi Teaching and Referral Hospital in Eldoret, in North-West Kenya, as well as ten or so provincial hospitals in the surrounding area, will be provided with incubators for premature babies – who hitherto have received little or no treatment – along with state-of-the-art neonatal equipment (such as heat lamps, scanners, instruments, and better operating tables).
An extensive three-year medical training program run by AP-HP International, and to a large extent by Robert Debré Hospital, is also on the way. Professors and physicians specialized in neonatology will travel regularly to Kenya to deliver training modules to local staff.
Awards & Rankings France's attractiveness Oncology
Advanced BioDesign wins the i-Nov innovation competition run by French public investment bank BPI


It can be quite difficult to plan an office event. Of course, you don't want to let your boss and your colleagues down. The key to a perfect office event is to hire a good office catering service. Choose a service that offers great food and excellent service.
We offer a wide range of catering options, savoury platters and sandwiches that you and your guests will surely love. The best thing about is that we do not compromise on taste. We use only the finest ingredients for our food. Each dish is carefully prepared. You surely will not feel that you are shortchanged.
We also offer different kinds of services for different occasions. So whether you are planning to have a buffet or a simple cocktail for your event, we can take care of all of your needs. We have a fantastic range of platter and a buffet to choose from. The food will arrive ready to serve. So whether you are planning an office event or a formal gathering, we will surely have your back.
We also offer excellent service. Our staff is very friendly and are always happy to cater to your needs.
So if you are planning an office event, call us today and ask them about our different packages and services.


ISO 25649-7:2017 is applicable for Class E floating leisure articles for use on and in water according to ISO 25649‑1 regardless whether the buoyancy is achieved by inflation or inherent buoyant material.
ISO 25649-7:2017 is applicable with ISO 25649‑1 and ISO 25649‑2.
Class E devices are intended for use in bathing areas or in protected and safe shore zones.
- motor kit/sail kit as additional option.
- moving from shore to the main boat, transportation of persons and load (tender boat).


is to drink a glass oftomato juice with a little fresh lemon acts as a .
said it's popular not that it's any good.
a million dollars) and just drove off. Don't worry, eventually he was caught.
Belgium Quads we think they pair best with quiet contemplation.
with no more than 14 per week. A bit conservative, don't you think?
the broccoli is soft. Drink the remaining witbier. This also works well with pale ales.
while allowing the aromas to flourish and enhance your tasting experience.
in the world but only 12 make beer as brewing monks are hard to find.
the world and serve with cheese from the same country.
Did you hear about the brewpub on the moon? It used to be very crowded.
However, no one goes there anymore. Why? No atmosphere. Ouch.
got out three times to go to the men's room.
happy man is filled with beer." Insightful people those Egyptians.
and many will create their own proprietary style to make their beer unique.
lager yeast to the US from a brewery in Bavaria, Germany.
in color, with a nice tart flavor of sour lemon, dry raspberries, and oaky spiciness.
The average cost of a six pack of beer in 1955 was under $1. Today it's over $5.
As for craft beer you'd be hard pressed to find good ones for less than $7 a six.
All fifty states in the USA have at least one brewery. Ten states have forty or more!
eating. In fourteen days he lost two weeks.


text:
Q: Why are the client side files referred to as static and the server side not? JavaScript, html, css files, images, videos etc are referred to as static files and  are usually cached on a CDN (please correct me if I'm wrong).
However I can't understand why server side files are not static? They can still be js files if the back-end is using Node JS, or java files or c# etc. Is it because they are handling requests? If that's the case why answering requests is not static?
Thank you very much for the time spend answering this rather silly question!


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We believe that prolonged expression partnership is usually a result of high quality, benefit added assistance, rich encounter and personal contact for Uco For Biodiesel1 , UCO for Biodiesel1 , Uco for Biodiesel9/uco , Whether selecting a current product from our catalog or seeking engineering assistance for your application you can talk to our customer service center about your sourcing requirements. We've been looking forward to cooperating with friends from all over the world.