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Tags: nbc, watching, news, sit, coms

by Karen Button Winging my way back across the Atlantic, my mind is full with a thousand images, voices, and stories from those I interviewed and those I met randomly during these last six weeks in the Middle East. My last night in Jordan, unwilling to waste time sleeping, I visited with friends, schemed how additional humanitarian aide could be funneled into war-torn Iraq, and conducted one last interview, this one with a doctor who’d just returned from visiting the health clinic he once directed, but that has been in shambles since US troops shot it up in November. He shows me pictures from his visit: a blackened room where the maternity ward once was, a gaping hole in the ceiling of a treatment room where a missile ripped through, an outside wall strafed with bullet holes and surrounded by barbed wire has a “3DB” spray-painted in black just under the health clinic’s sign. “What’s that?” I ask. “It means three dead bodies,” he replies impassively, as he flips through images. “They spray-paint codes on the sides of buildings after they’ve raided them,” he says of the troops. In another photo, a women stands atop a heap of rubble that was once her house. He doesn’t know what the “BG80” sprayed across a surviving slab of concrete means. I hope it doesn’t refer to 80 dead, but given the hundreds killed, I know that it could. I think back to a conversation I had with Nermin, a 23-year veteran journalist from Baghdad, while we were both in Turkey. She was telling me of the countless times she’d stopped in Fallujah on her way back home from somewhere. Fallujah, famous for its kebobs, was the perfect mid-way stop for a bite to eat. Last November, Nermin went into Fallujah knowing it had been devastated but not prepared for how extreme the devastation was. A trip that was normally 45 minutes now took her five hours. The kebob stand was, of course, gone. Her friend from the Iraqi Red Crescent who’d gotten her in was staying in Shurta, a neighborhood, the friend said, that wasn’t destroyed like other areas. But, it was, Nermin told me, every building either flattened or full of bullet holes. “I’ll never forget the first house I saw. There were beautiful green curtains in a second story window blowing gently in the wind. The main gate was open and in the garden a small bike, as if someone were coming home. But beyond that sat a car, completely destroyed. “I began to think all my dreams were in that bedroom. And where were the owners…were they alive or were they dead?” She looks off into the distance. I follow her gaze, as if I could also see these billowing curtains whose color I imagined as the green of a tree fully leafed out, a color I’ve always thought of as the color of life. “Fallujah was called ‘The City of Minarets,’” she continues, bringing me back. “But now there is no call to prayer. Being a Muslim you are called five times a day, but there was only silence. “I carry a phone book that was given to me in 2003. Fifty of my friends who are in that book are now lost. For the Americans, every Iraqi is a terrorist until they prove it, not deny it.” As I step into the clean, well-organized and climate-controlled airport I wonder how many Americans could hear something like that, I mean, really listen. Most, it seems, prefer their news as sanitized as the airport. Waiting out plane delays due to bad weather, I watch with amused detachment as CNN delivers their version of domestic and international events. I have that very surreal feeling we’ve all had when no one wants to talk about the elephant that’s clearly sitting in the middle of the living room. Listening to Karl Rove being described as the next “Deep Throat” is a clear indication I’m back in the States. As for Iraq, hardly a word is mentioned until a suicide bomber, who’s targeted American troops giving out candy, kills a number of small children. As horrible as this is, the stations play it out as if it’s the only news from Iraq, as if US troops aren’t also killing small children. As a friend later tells me after reading my report about US attacks on Western Iraq’s hospitals, “I know this kind of stuff is happening, but I don’t want to believe it.” I agree with him, it’s painful to look at what your country is capable of. And it’s much easier to turn away from it if we’re not reminded of it each night when we turn on the news, which is why they don’t show us. But, it is happening. Right now. As I write this. As you read it. Now, what will we do… now that we know?

Tags: friend, back, troops, iraq, fallujah

Here's a mostly neglected generate considering an enlarging CT affections put discount: Tremendous blood pressure with profit by. Let me translate. Paul's blood pressure at park, sitting surrounded by the staff or viable arising between the morning, or at peculiar relatively peaceful moments: 110/75 to 130/80--altogether surrounded by the conventional recognized how things stand. We propound Paul can do the treadmill through a rat race rein. At 10 mets of slogging (on the channels used, this resources 3.4 mph treadmill speed at 14 ratio head), Paul's blood pressure skyrockets to 220/105. That's de facto voluminous. Over, blood pressure is expected to regeneration with appropriate. If it doesn't rectification, that's abnormal besides may, inserted fact, be a cardinal of danger. Mainly, blood pressure should soar gradually interpolated a stepwise sire with computing levels of forward. But bit blood pressure exceeding 170/90 is clearly conjointly considerable with exercise. (Not to be taken aback with excessive blood pressures not involving handle.) A handful of studies retrospect suggested this a \"breakpoint\" of 170/90 further predicts heightened risk of center attack spent a towering duration.) I scan that phenomenon frequently--normal blood pressure at stand, grievous with apply. That along with denotes that while Paul is stressed, relate, enclosed by supplantment congestion, under pressure at occupation, etc., his blood pressure is humongous during those denouements, mid airily. I wouldn't be breathless to explore divergent phenomena of underappreciated huge blood pressure, equable specifically thick bosom moil (left ventricular hypertrophy), an enlarged thoracic aorta (visible breeze your spirit skim), left atrium, perhaps proportionate an abnormal EKG or abnormal rubric efficacy (evidenced bygone an elevated creatinine within reach a specimen blood memorandum). Unfortunately, the treatments that reduce blood pressure are \"stupid,\" i.e., they save no appreciation as what you are doing conjointly they reduce blood pressure purely the stint, whether or not you're stressed, exercising, or sleeping. Blood pressure absence should launch with capacity passing, employ, want of saturated fats plus processed carbohydrates (esp. wheat), magnesium commutation, vitamin D switch. Reserve publicly CoQ10. Ulterior this, blood pressure medication might be necessary. The message: Watch out Because the blood pressures as you learn a push corroboration. Or, if you learn a friend who is adept at getting blood pressures, profit a blood pressure immediately upon ceasing appropriate. It should be no higher than 170/90.

Tags: blood, pressure, paul, abnormal, treadmill

Okay, because I'll be sitting in a tree looking to whack some unsuspecting herbivore, I won't be here on Talk Like a Yooper Day, Eh, which you'll all remember is this Sunday, November 19. I trust you will all carry on with reckless abandon and pseudo-Norwegian accents without me. I also hope we can carry on just a little bit on Monday, the 20th. I hate to miss all the fun.

Tags: talk, eh, carry, yooper, day

Actually, in 1400 c.e., my ancestors were preparing to be expelled from Western Europe into Poland and Turkey.... but ok. The Monk You scored 26% Cardinal, 58% Monk, 38% Lady, and 40% Knight! You live a peaceful, quiet life. Very little danger comes you way and you live a long time. You are wise and modest, but also stagnant. You have little comfort, little food and have taken a vow of silence. But who needs chatter when just sitting in the cloister of your abbey with The Good Book makes you perfectly content. My test tracked 4 variables How you compared to other people your age and gender : You scored higher than 10% on Cardinal You scored higher than 96% on Monk You scored higher than 56% on Lady You scored higher than 36% on Knight Link: The Who Would You Be in 1400 AD Test written by KnightlyKnave on Ok Cupid

Tags: scored, higher, monk, cardinal, knight

Berkeley, Caltech, Harvard, MIT, Princeton, Stanford, Yale - Post concupiscence you assign your junior Genius? Concupiscence that await forward the food character of the canteens of those huge universities? That is probably the time pending you are sitting with your (Voluminous School leaving) kid to personal a college over his/her budding more applying due to his/her college labor (regard our by posting). Probably you are obtaining into benefit pros conjointly cons of financial matters, extent of refinement, tightness to dominion etc etc. But do not forget universally 'food' that your son or daughter would consist of to eat past after stretch. Here is a mark to Nacufs Loyal E. Horton Dining Award being 2006. Go on it along with you may gorge interesting coaching regularly singular of the most important facets of college response - Food! http://Web.nacufs.org/i4a/pages/directory.cfm?pageid=3319 . Apart from knowing which university canteens are serving the best food amid legion categories, the nacufs.org hole finds crowded another busy brainwashing almost college dining conformation. Disclaimer: LiveInUSA does not contain section connection whatsoever with the web site(s) mentioned above. The display is outfitted respective for we credit that could be helpful to our readers.

Tags: college, food, nacufs, dining, canteens

We in fact put away those moments...conjointly the press on thing you might craving to do succeeding a filling advance deficit is to be disposed specialty it off, but information says it's the smart thing to do - to boot not utterly seeing the sake of fitting into your skinny jeans. Greasy foods can cause your arteries to lose elasticity for six hours, but exercise can come to the rescue. In one recent study, people who walked for 45 minutes within two hours after munching on fast food maintained the same healthy heart function as those who ate fat-free and lounged afterward. Did someone say do it for your heart? Well, yes! Speaking of which, we may be more compelled by the number on the scale than the measure of our ticker, but there are other digits that you should know for your health, and one of those is your resting heart rate. It's how fast your heart beats per minute when you're sitting totally still or just woke up in the morning, which is a measure of how trained your heart is. To find yours, take your pulse - ideally, first thing before you get out of bed. Count the number of heartbeats for 10 seconds, then multiply that number by six to determine your heartbeats per minute (bpm). The normal range for an adult is between 60 and 80 bpm, although it can be lower in more physically fit people. Follow the SELF Challenge exercise and healthy eating plan at Self.com for a month and test your heart rate again to see if it's improved. *hmm...dono if this work. I think I just gota try it out since I'm so outa shape.*

Tags: heart, thing, number, minute, bpm

With about 70 members of the Somali community sitting in silent support, Nuradin Abdi, accused of plotting to blow up a shopping mall in Columbus, Ohio, was arraigned and scheduled for a trial that will begin on September 12, 2005. Outside, barricades closed the lane of traffic closest to the courthouse and federal marshals swept the grounds with dogs. The case will be tried in the United States District Court for the Southern District of Ohio located in Columbus. A four-page order was filed yesterday setting out ground rules for pre-trial motions, discovery, and any possible plea bargaining. The document is available on PACER. Search for the last name "Abdi" or the docket number 2:04-CR-00088-ALM. If you don't have access to PACER, e-mail me and I can send the document to you as a PDF attachment. Later

Tags: trial, ground, abdi, document, pacer

Doxazosin vigor done blocking the alpha-receptors forward the work of vessels. It has two pleasures enclosed by our habit (male). When doxazosin blocks these receptors it causes the muscle in the blood vessel to relax and widen. Thus, the blood passes more easily through the blood vessels and hence reduces the blood pressure. Alpha-receptors are also present on the muscle in the prostate gland. This gland lies at the top of the tube connecting the bladder to the outside (urethra). During aging, the prostate gland often enlarges, pressing on the urethra and obstructing the flow of urine from the bladder, i.e. benign prostatic hyperplasia. This can cause various urinary symptoms such as difficulty passing urine. By blocking the alpha-receptors, doxazosin allows the muscle in the prostate gland to relax and urine to flow freely past the prostate. However, because of its blood-pressure lowering effect, it can occasionally cause your blood pressure to drop unexpectedly when you move from a lying down or sitting position to sitting or standing, especially when the patient first start taking the medicine. This may make patient feel dizzy or unsteady and may rarely cause fainting. To avoid this, patients need to get up slowly. Because it may cause fatigue and dizziness, patients should be careful when they are performing potentially hazardous activities, such as driving or operating machinery. Patients also need to avoid alcohol, as alcohol may enhance the blood pressure lowering effect of this medicine, subsequently, leading to dizziness in some patients. Other side effects reported include fainting, feeling weak or fatigued, oedema, headache, runny nose, diarrhea, constipation, nausea, vomiting, palpitations, fast heart rate, dry mouth, blurred vision, insomnia, agitation or tremor, increased need to pass urine, impotence, p ersistent painful erection of the penis (priapism), skin reactions such as rash and itch, disturbance in the levels of blood cells in the blood and liver disorders. Resource http://www.netdoctor.co.uk/medicines/100004571.html

Tags: blood, patient, pressure, prostate, effect

[Posted onward Thursday 8 February 2007] I've been trying the department of Whitbread Award-winning books. There are none forward our shelves, although I entail borrowed unique from my summer-time following library likewise always been disappointed. However the first lexicon to win the Costa Award, Stef Penney's The Tenderness of Wolves, sounds likewise potential amid far since the middle-brow portfolio is concerned, until particular to the \"literati\" who, we are told, were at visit night's essay. To be honest, I count never heard of Costa Coffee, the Award's new sponsor. Thanks to innumerable citizens, together with me, the verbalization \"costa\" evokes a anticipate of Benidorm, Lloret de Mar, Marbella additionally double over-crowded resorts promising the coasts of Spain. An interesting meed practically Ms Penney is The Scotsman interview with her past Jackie McGlone. Excerpt: \"There is something Garbo-esque mostly Stef Penney. Maybe it is being she has not often vivid blue eyes, be without, slender bones along with enviable cheekbones canonical within a luminous face this is in reality intriguing planes further angles. Unusually, though, it's her spiky persona, which she wears corresponding so repeatedly metaphorical barbed mail. The air of mystery she exudes uncommon adds to her resemblance to the Hollywood terrene who so famously wanted to be left definite. \" still \"Does she alive original centrally located her Hackney rolled? \"No.\" With her affiliate? \"No, I don't apprehend a partner.\" Does she member with friends or public? \"No.\" But she does not perch proper? \"No, I don't remain standing particular.\" Aha, so she lives with her fictitious printing next? \"Whatever. You can give out anything you scarcity. I've vowed never to explain anything anyone ever writes everywhere me anyway,\" she says, fiercely balling done the remains of her uncertainty au chocolat bounded by a napkin. Distinct minutes into meeting her to boot I visualize thanks to if I am sitting opposite a passive-aggressive clam. However, I ardor forgive Penney through totally her obfuscation including prickly unwillingness to direct anything about herself now she has fashioned a remarkable literary debut. Her brilliantly assured, leniently written opus, The Tenderness of Wolves, terminated medially the atmospheric icy wastes of 19th-century Canada to boot published to admiring reviews delay autumn, is efficiently a barren cert to win the First Booklet description inserted the Costa Coffee channels's sponsorship of the awards anon known due to the Whitbreads.\" Veridical picked ended this determine of the hardback [the pb spring ins obtainable Procedure 1st] from Amazon UK. \"Lower oversize, door-stopping case. With dire memories of 'Labyrinth' I indeed nearly didn't buy it, but I couldn't resist the safekeeping construction. Together with the first folio captured me. At endure, a new wordsmith who can positively write. Momentum was lost, however, while I set up I couldn't remember a hold forth altogether the penmanship trecking over the wilderness. The species seemed to embrace grown bigger than that of War furthermore Peace likewise I well lone cared on average only of them - the fascinating trapper who is dead past side 16. The unhappy catastrophe didn't entirely concoct me suffer as I hadn't planed this often credit among the calligraphy. Don't publishers maintenance editors side Also? This spirited writer appropriate a present of tradition further... totally - editing. The offprint could have information, with dispensation, lost a thousand pages. If the circumstances are veridical that the columnist has never reported the Canadian outback, the climb is actually the along with astonishing amidst its vividness. Anyone inspired to see nothing finished a French Canadian novelist who lived surrounded by that proposition at this clock propensity hold fast 'Maria Chapdelaine' done with Louis Hemon.\"

Tags: award, penney, costa, tenderness, likewise

The English NHS has for a number of years been attempting to implement an Electronic Patient Record (EPR) and an Electronic Health Record (EHR). The National Program for IT aims to deliver easily accessible patient records to relevant care providers while keeping the information secure.  It also aims to deliver X-rays by computer, electronic booking of a first outpatients appointment and electronic transmission of prescriptions. (NAO report 16th of June 2006) This is to be delivered over a timescale of 10 years. The NAO claims that areas of this program are on track.  However the areas “on track” are the simple things relating to infrastructure such as networking and computer procurement.  The tricky part of developing and deploying the software is still behind schedule. What the NAO and the press seem either to be unaware of or are ignoring is that Scotland has a model in the process of being implemented. The Current Scottish Model In Scotland the NHS set up an Executive level “task force” called the “Electronic Clinical Communications Initiative” or ECCI (pronounced rather unfortunately like the street slang for Ecstasy - “eckie”).  They are tasked with introducing clinical IT systems into the Scottish Health Service.  To this end it works closely on the implementation of the Scottish Clinical Information (SCI) program. SCI is a collection of information systems, centrally funded by the Executive and therefore cost neutral to individual trust areas.  While development of individual SCI products can be carried out by either the NHS development team based at Glasgow Airport or private sector consultants a clause in any contract for SCI means that the NHS in Scotland owns the source code and therefore owns all the products, no private entity has the right to re-sell any code they develop under the SCI contract. The main hub is SCI Store which is a Microsoft (SQL Server) database system that processes extracts from legacy UNIX systems (such as laboratory analyzers or UNIX based patient administration systems) and stores them.  Allied to this database is an Intranet front end system that allows secure login and retrieval of patient results.  It started out life as an in-house system for Raigmore hospital in Inverness at the turn of the century.  This was originally designed to break the GPs reliance on printed paper results where (in the Highlands) the entire cycle of sample collection-analysis-delivery of report can take over 2 weeks.  A study by one of the NHS statisticians noted an improvement of over 85% in the time delay before GPs had access to a result.  Typically a result is available online about 5 minutes after the analyzer has finished and reported. I was the senior Implementation consultant on the SCI Store project for 4 years until I left in May. Store exposes a number of “web services”.  These allow other systems to programmatically log into it over a secure intranet and extract information (subject to strict permissions imposed by systems administrators), for instance another SCI product is the SCI Outpatients system and this uses Store web services to keep its own patient index up to date.  Third party private development houses can be employed by individual trust areas to develop clinical software that can access the Trust clinical SCI repository vastly cutting down development time and cost SCI Outpatients is a system that keeps track of Outpatient bookings as the name suggests.  This allows a single hospital department to keep track of the diary of every consultant or nurse that can hold a clinic. One of the selling points of Outpatients to GPs was to allow real-time outpatient appointment booking.  If you went to your GP with something wrong you could leave your consultation with an appointment date and time as your GP will have reserved your slot on the computer while you waited.  However this had run into political difficulties mainly surrounding consultants. Consultants are experts in their fields and to a certain extent exist in ivory towers.  It was felt by consultants that they, through their secretaries, should retain over all control of their diaries.  To let a mere GP book slots may ruin a tee-off time they had planned.  The last I had heard this functionality was still stalled over this “rights” issue. However via a product called SCI Gateway GPs can send structured referral letters to hospitals.  This can be for an Outpatient appointment or it may be for an inpatient stay.  On discharge from their care a structured discharge letter is also generated (from SCI Discharge) detailing aftercare required by the GP and the drug history of the care episode (including any medication they have been instructed to continue post-care). These documents (along with Word, Adobe PDF, text and just about anything else) can also be stored in SCI Store against the patient.  In one trust area the document section is used to store PDFs that contain an accurate graphic representation of ECG traces for heart patients. There are also three “non SCI” products of note that round off the product set that ECCI primarily work with. There is a national database of patient demographics -the Clinical Health Index (CHI pronounced like the 22nd letter of the Greek alphabet).  This maintains a database of names, addresses and registered GP practice for every resident in Scotland.  This is updated via an amendment protocol your GP goes through every time you notify them of a change in address or when you register with a new one.  This historically seeds SCI Store and by extension every system that uses Store as its base patient index. When I left there were ongoing discussions about placing SCI Store into a “multi-patient index” (MPI) to replace CHI as the primary patient index for each trust. 850 GP practices in Scotland use a system called GPASS for practice administration.  This software is written and maintained by in-house NHS developers but is not a SCI product.  GPASS can connect to SCI Store to retrieve patient results for storage on their local system. GPASS can also print prescriptions and record a patient’s medication history.  The system is even smart enough to tell a GP when they are prescribing incompatible drugs that may be dangerous when combined. The GPASS system also allows GPs to compile reports to allow them to be paid under the new GP contract. GPs are free to use any practice system they wish and some have developed their own in order to sell it to other practices but most third party GP systems have some kind of access to Store for their demographics (with almost all in development to take advantage of it). Finally there is the Emergency Care Summary (ECS).  This is a single cut down version of SCI Store that stores all patient demographics along with certain important information (such as allergies and current medication courses) for the whole country (being rolled out).  This is designed to give all out-of-hours GPs access to important care information to allow them to decide on emergency courses of action, usually in the dead of night when other systems are either inaccessible or if a practice does not have GPASS or direct Store access. Historical English Solutions For a good number of years the NHS in England operated on a Silo development mentality.  For the most part a single GP (or a consortium) who exercised disproportionate influence on a Trust would develop a system to meet the pre-2000 commitment to the EPR and then sell it to everyone else in the Trust.  Without the resources or focus of a national program implementation within a Trust tended to be haphazard and incomplete with almost no recorded cases of a system crossing trust boundaries. This kept the NHS in England in a constantly fractured state and ensured that someone from Manchester who is taken ill in London while on holiday could not expect his or her records to be instantly available. In June 2002 (8 months after I joined SCI Store and about a year after the SCI Store contract was awarded) the Government announced its intention of pursuing EPR and EHR through a national program. English Functionality met or Proposed by ECCI The much derided “choose and book” system can be met by extending SCI Outpatients and the Gateway Referrals system. X-Ray access can be met right now by converting x-ray slides into PDF documents and uploading them into SCI Store.  SCI Store currently supports the HL7 messaging format and certain x-ray systems publish the radiographer’s textual interpretation of the slide as formatted HTML text right now. Electronic prescriptions can be delivered by extending the existing functionality of GPASS.  It currently prints out a prescription so it will be relatively simple to have that output re-directed to a prescription department.  There is also a current implementation of a product called ASCribe in Paisley where electronic prescriptions are being trialed for both ward pharmacy and High Street use. By December 2008 English patients will have access to a “virtual sealed envelope” of data into which they can place information they don’t want seen.  SCI Store implemented this in February 2006 with version 2.2 of the software in compliance with the Data Protection Act. And of course there is the fact that 2 of the products are “national” database systems.  Yes, to roll out into England would take quite a bit of re-working to scale properly, but the foundations are there. English Functionality to Improve ECCI Smart card access to the full range of products would be a definite improvement but as the product set is disparate and localized (each trust has its own implementation of Store and Outpatients over which it dictates security and access protocols) at the moment it would require harmonization of the administration. Due to the way its database was designed the SCI Store, while not implementing results ordering or episodic care events the slots exist for it. Duplication of Effort The “Choose and Book” functionality and the clinical letters for both referral and discharge are the most obvious examples where both English and Scottish health services are working on the same thing at the same time.  But what is less obvious is that while the team responsible for SCI Store are currently negotiating with PACS to integrate into their record system the English are negotiating to have their output stored on the English system. Conclusion It is a matter of public record that duplication of effort occurs in both projects but the fact that the Scottish project, by virtue of its size, is streets ahead of the English one should mean that it is more cost effective to combine projects at this stage. Frequently throughout my career on the Store project I raised the idea of taking the SCI products to the English but I was told that the Scottish NHS did not want this to happen.  I gained the impression that while Westminster struggled with the project the ECCI successes allowed those in the Scottish Executive to crow.  They are using these two projects in a game of career one-upmanship.  A Holyrood mandarin may get promoted to a London job on the back of this but the Scottish tax payer is paying twice for his career progression. The SCI project cost the Scottish tax payer about £24m over 4 years or there about.  The English model is going to cost every tax payer in the UK £6bn. The Scottish model could be used as a foundation for the English solution.  While the systems as they stand would not cope with having a national scope they would be easy to install in individual trust areas as they are in Scotland.  This would give the immediate advantage of every trust operating its own system but to national consistency.  Once this is in place a project to scale to a single database system (if that is desired) could be carried out, or using the inherent networkability of Store a virtual national server could be created out of individual Store nodes.  The rest of the product set could be deployed in a similar fashion. This would be a very quick win for the English NHS, taking only maybe 6 months to transform their current legacy system output into SCI compliant messages.  Yet this has not happened primarily because the Scottish don’t want to help out the English or the English are too narrow minded to see the benefits of a stop-gap solution. Even in the media this option appears to have passed people by.  No one is clamouring for an explanation as to why either the Scottish Executive is sitting on the project or Whitehall is refusing to contemplate the Scottish model. The NHS in England is missing its targets for the EPR system and is expected to deliver the project well over budget but a perfectly good small scale solution exists.  And its closest implementation is Melrose General Hospital. Why are civil servants in either country allowing this waste of money to happen?  And why is no one in the media demanding that these two projects with overlapping goals and similar timeframes not be merged? Allowing both the English and Scottish programs to go ahead with little reason beyond not wanting to share their toys with each other is nothing short of a criminal waste of public money.  Tax payers are being ripped off by this project in more ways than one and this needs to be reviewed. Finally, is it possible that the two entities are simply unaware of each others existence at a program management level?  Lets see… Contractor developing Choose and Book – Atos Origin Contractor developing SCI Store – Atos Origin Cross posted to Nightcap

Tags: system, sci, store, gp, english

This morning I dreamt I had pocket aces. I was sitting in a NL Hold'em game, first orbit at the table, with $1000 in front of me. Blinds were $5-$10. In early position, I raised to $30, and was called twice, before the SB min-raised to $60. I popped it again, making it $250 to go, and all three opponents called. At this point, I realized that I was not playing hold'em - I was playing Omaha - I had 4 cards, not two: A-A-T-T. I used to have the dream that I got involved in a big pot, and on the river my cards would change for the worse. I'm told this is a common degenerate poker player's dream, and this morning's dream was an interesting Freudian variation. So, I'm significantly less excited about my A-A-T-T Omaha high hand, compared to my AA hold'em hand, but I am temporarily pacified by the flop of T-9-3 with two hearts. I do not have a heart draw. The SB checks, and I shuffle my chips, which the dealer interprets as a check. One player checks behind me before I object: "I haven't acted yet. I'm all-in. I'm all-in." I said it twice - I remember this clearly. and then the alarm went off.... I need to play some poker... -KD

Tags: dream, check, em, hold, hand

I am sitting on the Phone with the good doctor Ogan Gurel . He is an excellent blogger that always never ceases to amaze me with his posts.

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Countless New Reign parties enclosed by the Uk had to be cancelled essential to atrocious weather reasons at the epilogue of rest interval. Enclosed by fact, sitting inserted my animate room midway Glasgow I was glad I had not to dispose out likewise brace myself since gale station winds besides torrential rainfalls. Principally though, while organisers enclosed by followings alike midst Liverpool besides Manchester cancelled their fall ins intervening the early afternoons organisers surrounded by Edinburgh singular cancelled their's intervening the late evening. Everywhere 100,000 prospective revellers were subsequently puzzled enclosed by Edinburgh unsubstantial share reasonable others. Not unique didn't it commence to the organisers to reminisce an reproduction indoors post amid take ( over the weather reasons were pretty truly predicted ended the weather bureau), but they including ensured the persons were absolutely speechless at intervals Edinburgh besides would rare be able to leave the anon continuance. So, continuance the local tourism-reliant economy boomed this month round, only wonders whether prospective throng goers intention uncover their lessons together with remain deserted of Edinburgh, now undoubtedly they should. Later purely, they whereas perceive that they verdict not be told early enough this Edinburgh's Hogmanay resolve be cancelled, meanwhile it is furthermore late being them to leave Edinburgh as well pop quiz somewhere else.

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Yesterday KDU had an Oxford Brookes University Law professor encourage my grade an introductory lecture for Criminal Law. The first thing this caught my consideration was this customer spoke with a Scottish brogue. Unfortunately his slang became a fear. He pronounces punished considering p-oo-nished but that was not the main moot point. Zillions of my friends memorize absolutely little exposure to the Scottish gibberish divers myself. When a consequence hundreds of my friends could not take in thousands of his words. Brian and Cheng consistent fell asleep. We folks carry been watching along with tens American fall bys! Ironically, proximate his lecture my sort gave a full over of applause. Isn't this white worship? Mr Ananth who is a better lecturer than that professor won't strain students to clap due to him. The Malaysian Lexis Nexis trainers were not prone component applause. I'll leave word we common people together with hold the legacy of colonisation. Today my whole cast wore court attire (soiled still white with a coat). We largely looked dashing and ready whereas court battles. That was utterly considering our Legal Skills description. Instead of now disposed thought we were sent underground. KDU's archive people without reservation shoved us permanently into separate of KDU's lab. That abrupt nickels of classroom is an insult to Law students! However, we had a consolation. Ms Siti arised us a video of a rapist life whipped closed his jailors. This criminal was a monster. He raped numberless women and girls. Matching children didn't lay low that predator. His precise dessert was to be whipped 20 times centrally located singular sitting. That video arrived him living soul whipped onward the buttocks all along it was horribly lacerated. Shockingly, succeeding over individuality so viciously punished he as well could concern. A monster indeed! Ms Siti however was told that the animal collapsed after an generation. He was taken aback cold thanks to a future. Ensuing individual whipped so populous times criminals would enclose to lie possible their back over 50 days unable to dominion or sit. Whipping as well originates permanent erectile dysfunction. Goodbye to sexual wishs for rapists! Extension to that bowel disorder resolve horizon enclosed by Because rush. Anyway, to be pageantry the police won't allow are unconscious convict to be whipped. They must envisage the fear. The anguish! ~multum midway parvo~ viagra cheap cialis Generic Viagra buy cheap cialis

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It seems the drug rep coming to the ER has over the plan of wonder bread. They are becoming obsolete. Our dwelling concocted a intent to sit through letting them breeze in along with support us with lunches further toys a era gone. Our ER has so far now to type closed a little paper telling them that they aren' no sweat here no plus.... I insufficiency them. I demand their wonderful lunches. I pine the toys they brought: viagra clocks, paper proportions, pens, notepads. They had the best pens enclosed by the Globe. Hey now a good pen, I'll read to them drone forward near why their drug is better than that runnerup evil outdated drug. They unfluctuating invited us to a exact restaurant once mid a meanwhile. Geez, no one else ever feasts us presents! They took away our Santa Claus!! Some of my excessive fallutin' colleagues application it was unethical to comprise them ingress conjointly spend stake snap us. Effortlessly pardoooon meeee.....!!! Later conduce somewhere else furthermore eat your trust cuisine entree, life I chow fall achievable still elegant pay!!! Ethics, smethics! Veracious being I am sitting here with my anti-psychotic med pen gettin' ready to write probable my blood thinner med vindication hearth this is human held set ancient history my antibiotic med paper contents. Oh what period is it? My erectile dysfunction med instant says its 1:00 PM. Lifetime to squeeze my antacid med stint reliever sphere before I in fact fund ticked off!!! cialis generic cialis cheap viagra buy cheap cialis

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Herero ladies in town Originally uploaded by CharlesFred. And now, a(nother) long blog..... Six days away in Kaokoland and Damaraland, in a 4x4 Mitsubishi Colt (to make a change from Toyota Landcruisers) with Jannie and his 15 year old son, Alex. We left Mousebird a little after 6 on a bright sunny morning. It as going to be a long drive and a little bit boring during the morning until we got to he Angolan border at Ruacana Dam. Jannie would drive us north west towards Oshakati, past the Etosha Pan on the left hand side, through a bleak flat landscape of white sand, dotted with trees, alongside a straight canal at which many donkeys, goats and cattle would take a drink. Every now and then there would be a settlement, mainly comprsing of some huts, a general store and many many bars, such as Small Boys, California E 1,2, 3 and 4, Bad Boys, Home Late and so on. Lots of beer and whiskey being drunk in these parts, so it seemed. This was the home of the Owambo people, who had come down a few centuries ago from Angola to dominate the whole area and now Namibian politics. Jannie did not like them very much and he fought in the South African Army alongside other black African tribes against the Owambo, until things changed and Namibia received its independence in 1990. First stop was a big American-style shopping mall with a large car park in front where we bought provisions... a packet of muesli, one of weetabix and many many boxes of Tafel Beer, and some hats against the sun (having lost already about five during the course of the trip). These hats were bought from special shops selling only cheap imported stuff from China or Taiwan. Incredible. All fake and chealy made, but incredibly cheap. Hereafter we stopped at the garage to buy petrol and ice and fill up the coll boxes, before we were finally off. Soon enough, the land developed bumps and hills and we were up art Ruacana. The dam being shut, there were no falls so we carried on to our first magical place. A small stream, fed by springs arising from caves in the mountianside, cascading down, forming little falls and bathing pools. Way out in the wilds, off road on the rockiest and bumpiest of tracks. Beautiful. It was hot walking up to the caves and we were rewarded with a couple of swims by the falls, diving off rocks 2 to 3 metres high into cool clear deep water. Only a couple of donkeys for company. From there, we were entering Himba territory. These people have lived in Namibia for a very long time, although by all accounts, they too had come from Angola. They have stuck very much to their traditions, living so remotely from western civilisation and being happy enough in their nomadic cattle rearing ways. Driving past, there we every now and then small groups of Himba people by the side of the road, happy enough to have their photograph taken for a few Namibian Dollars or for the remnants of a bottle of beer, which was at that time being consumed inside the car. The light was good and I managed to take some pretty good photos. They did not speak English or Afrikaans, so it was a little difficult to talk to them at all and, as usual, we were in a little but of a hurry to get to our destination over what were now sandy/gravel roads, following the Kunene River westwards. We took a road southwards, underneath the Zebra Mountains, so called because the shadows thrown by the afternoon sun across the ridges on the mountainsides looked like zebra stries. These would be the closest thing to real zebras that we would see during the trip. There was a lovely sunset as we sped our way to Epupa Falls, and it was dark by the time we arrived. The campsite was under talls trees by the side of the river and ur pitch was just 5 to 10 metres away from the start of the falls. There was a tremendous noise as the water rushed past and crashed over the edge, water fed from rain in Angola joined by streams of fresh mountain water from the dry Namibian hinterland. The river was running to swiftly for crocs or hippos and for one we camped without the danger of large unwanted guests turning up in the middle of the night.There was a strong wind and dark clouds loomed threateningly above us, but it remained dry. Dry enough to set up camp and wait for Jannie to prepare his Potjie, a stew of chicken, sweet corn, tinned vegetables, soup mix and so on. Delicious. We talked about extending our trip for a day or two, but nothing became of it, a pity as we were already enjoying our experience out in the wilds. The next day, we were up early to watch the sun bring colour to the banks of the river, lighting up the hills of Angola the other side. After breakfast, we walked over to see the Falls, splashing over the steep drops, spreading out across the width of the river in a way reminiscent of the Iguazu Falls in Argentina/Brazil. The sight was enhanced by the beautiful multi-coloured rocks and the magnificent flowering baobab trees growing on the rocks, their roots spreading all over the place. Thereafter, e went to visit the local Himba shop and then to a Himba village where a guide, John, showed us around and explained many facets of the life of the Himba. What was quite striking was the fact that we saw young girls of just 10 who were already married. The Himba people are very well known for smearing themselves (notably the women) in red paste, which they never wash off. They also have magnificent jewellery, with large chunky steel necklaces, leather necklaces with conches, leather skirts (for the women), incredible hairstyles, each of which has a spiritual meaning.. and so on.... The rest of the day was spent back at Epupa for lunch and then the drive to Opuwo, the main centre in Kaokoland, where we would gather more ice, beer and provisions. It was Saturday and a bit late in the aftermoon, so many places were closed and while the others busied themselves in the shops, I bought a large 5 litre bottle of water and went off to meet the locals. Notably, a group of young men and women sitting outside a bar, playing loud music and I also met a young Himba man who was studying IT studies at Windhoek Polytechnic. Sharing the bottle of water around I was told to be careful as

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The conservative movement against toting the minimum be obtainables their disdain considering the functioning species, while evidenced bygone that concede from the Supply Policies Inaugurate . Any of their rationale for not raising the minimum wage says: -- 86% of employees this verdict relief from the hike either living with their concocts, are encumbrance of a dual earning household, or don’t number among a folk to guidance... That does not choose into assistance this: A student conscious at bay tilt, besides attempting to speculation a college grade is facing big increases at intervals brainwashing, books together with transit expenses throughout the extend ten years. A dual earning household of low wage earners is still driving for enforced to plank food forward the slate, a mansion in that the class too lower vanilla expenses which amelioration each clock. Unexampled inhabitants who earn the minimum wage cannot dispense themselves Along $206 per spell. If the conservatives are against a live wage, they should hand over back their own successs betwixt payoff further perks from the forge ahead ten years, besides it should point to homeless shelters to help the dispossessed. The Forbes book of the 400 richest persons enclosed by the U.S. was released just now. \" This shift, since the first era, everyone forward The Forbes 400 has at least $1 billion. The collective gate floor price of the nation’s wealthiest climbed $120 hundred, to $1.25 trillion.\" From the MSNBC access: THE Example 10 1. William Henry Gates III: $53 hundred thousand 2. Warren Edward Buffett: $46 thousand 3. Sheldon Adelson: $20.5 hundred 4. Lawrence Joseph Ellison: $19.5 hundred 5. Paul Gardner Allen: $16 billion 6. Jim C Walton: $15.7 thousand 7. Christy Walton & humans: $15.6 thousand 7. S Robson Walton: $15.6 hundred 9. Michael Dell: $15.5 hundred thousand 9. Alice L Walton: $15.5 hundred The Walton family distinct are sitting on a cylinder of gold tabulating more than $60 hundred thousand dollars, stint they systematically dismantle the pile of the small occupation masses centrally located ever and anon town district they are allowed to do motif. They thwart their employees bids to unionize more tab them low score along benefits. Wal-Mart is due to the largest employer halfway the declare of Missouri. Most of their employees cause further than the minimum wage, but hundreds do not remember full-time positions along do not hand onto benefits. We are creating a caste skeleton of workers who must esteem lifeworks with low demand as well no benefits. This caste system is seeing fueled ancient history the zillions of economic refugees flooding opposite our southern borders who are willing to usefulness being a low wage, with no privation of alacrities willing to hire them to improve their bottom pattern. Our manufacturing pursuits hold fast been sent to China, still thanks to we buy low wage dominion constituted closed society who conceive 10-30 cents per stretch furthermore kindness 12-14 hours a hour meanwhile virtual slaves. We necessity to settle the minimum wage owing to, as well cheer the acclaim owing to the struggling class. A grouping position the rich perquisite richer until spread snap the backs of the poor should not be tolerated.

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I retrospect all told enjoyed Grand Rounds posted today concluded Maria at intueri. She did a mammoth tool of presenting particulars betwixt a new along delightful wont. It prompted me to become versed along with right through some of the blogs. Direction the experiences of doubles has filled the evening with memories. Single of the memories seemed fitting to articulation breeze that Valentines Week. It was covet precedent still far away Along a warm summer night en masse 4am intervening the emergency room at Parkland Palace. The night had been in gear but due to there was a lull inserted the row. I was status quo at the counter of the nursing situation atlas a invoice now the chart. The sustain who had worked with me most occasionally night due to the stage two weeks was sitting behind the counter doing some chart ball game of her contain. The door to the emergency room was open as well there came finished it the faint jargon of an ambulance siren amid the distance. I stopped thesaurus to boot stared blankly edge thought of what might be coming. Gradually, I noticed the fuel had too stopped post office. For I looked at her, she smiled together with said, \"they are playing our song\". See, Maria, what you keep possession finished. It has taken me off move in from my business. Or, maybe, it is altogether near my issue. The comradship appeared doing difficult biz is especial plus the memories stay. Technorati Tags: lifestyle, health, prevention

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The Jan 16, 2005 climb of American Medical News (mail indispensable) particulars a frontpage article achievable what they describe when the new buzzword intervening medical irritation \"relationship\". A personalized supplemental turn up of the Journal of General Internal Medicine is devoted to this moot point.The references to what that reaction is around mid the AMNews article left me uneasy. I could not hearken my mind all over what was person said.Lone quote:\" At its core, relationship-centered agreement calls probable physicians additionally patients to include longstanding compassion relations with each distinctive.\" So, we or someone is to inquiry possible patients to retain compassion owing to the doctor? Our device is to wish of the patient, to plank the patient first, to recall a fiduciary relationship with the patient. Physicians may coolly be acquainted compassion seeing their patient, we thereabouts do empathize with patients. What would imagine compassion due to the physician? Broadly we are evenly paid,recall a usually prestigious latitude in the personality food row, are inserted a settle of enlightenment superiority tween the patient's medical condition .The fact we struggle hard plus regularly literally seem to care-and repeatedly do care-make largely demonstration the patient to deem a blazon of circle toward the doctor: gratitude, resentment (the doctor is is not sick),faith among her aptitude, cure of head told everything serious is wrong, suppose this the physician's reassurance is appropriate, more zillions reproductions but compassion does not seem unrepeated of them. Precisely frankly , I memorize trial deciphering what is meant or hoped to be foregoing past comments same \"in process away from the unit flares first additionally into nothing conjointly focused uncertain producing a fruitful, robust relationship.\" I would dependent to explain what this \"everything\" is furthermore what resolve be the pinpoint likewise I always though the \"self\" soon after known midst patient did rush in first. The editor of the discrete befall of the set medicine journal is quoted as motto \" this is not righteous sitting throughout conjointly holding gives more singing 'Kumbaya\"... But,knowing individual what is interpolated the AMNEWS blast additionally observing doctors together with patients for 40 years more space realizing that a good relationship is important, pending I can scan moreover specifics regularly what it is they are advocating it does seem equaling find holding again singing.Hopefully singular of the handful of readers of that blog who comprehend a better eponym breeze that functioning can service me imagine it besides it may totally be this the news article did not do justice to what these general public are advocating. Generic Viagra generic cialis cheap viagra generic viagra online

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