Four days ago, the New York Times ran a story about Green Mountain College; an environmental school in Vermont, where public emotion has exploded over the fate of two oxen, Bill and Lou, who were previously put to work in the fields as part of the farm's 'sustainability model'. As is inevitable in such situations, Bill and Lou are now too old to continue pulling the yoke, and a recent injury sustained by Lou has caused the college to retire both animals. In adherence to the trendier-than-ever principles of 'farm sustainability', Bill and Lou were scheduled to be slaughtered and brought back home as food for the campus.
Perhaps someone at the school should ask Bill and Lou whether they think that this model is 'sustainable'. I suspect that, along with the other living 'resources', they might take issue with the use of the word, not to mention the sickening double-speak of referring to such hard-heartedness as 'humane'.
As a result of statements issued by the animal sanctuary and the college's other critics, the situation has turned into a full-fledged battle in the blogosphere and social media, complete with petitions pleading for Bill and Lou to be spared.
It seems that the subject has struck a nerve. But why? Aren't people being a tad hypocritical? We humans take great pride in bragging about how easily we can write off an animal's life if we like the way he or she tastes. We are living in a time when people actually pay money to be part of the audience at butchery competitions, and buy t-shirts emblazoned with the words "Meat is Murder… Tasty, Tasty Murder". Have we ever been so proud to advertise our inability to empathize with other living beings?
It happens every second of every day… In the United States alone, every year, millions of Bills and millions of Lous are sacrificed on the altar of human pleasure. It goes on every minute of every day, and it's happening right now. Each one of these animals, in different circumstances, is just as capable of touching our hearts and capturing our imaginations, and yet each one is needlessly sent to slaughter to fill the demand we generate for their body parts. The majority of students and staff at Green Mountain College probably eat flesh from Bill and Lou's distant cousins every day.
Actually, Mr. Throop, there is another choice here, and you know that as well as the rest of us.
Many of the people outraged by this story are probably vegetarian, abstaining from flesh for the simple reason that no sentient being should be used for meat… But isn't this as much a lesson for them as it is for everyone else? Bill and Lou are no different from your average family-farmed dairy cow, or free-range layer hen: disposable once they're spent. And just like cows being used for dairy and sheep being used for wool, just like hens being used for eggs and horses being used for riding and racing, Bill and Lou's lives had value only until they could no longer fulfill the purpose for which they were bred. What happens after that point is no secret. Economic viability requires that even sustainable farms kill animals who are no longer 'useful,' even those who were once loved.
But in most cases, the animals we eat are unknown to us – hidden away on farms where the vast majority of people will never even catch a glimpse of their bodies, let alone their personalities. Small-scale farming brings the animals back into view, and although we may struggle to ignore it, the inevitable result is that people are beginning to have feelings for the animals who are a part of the 'farm system'. Bill and Lou, for instance, are perceived as members of the community at Green Mountain, and are known by name to the school's neighbors, not to mention the faculty and students, with whom, over the course of ten years, they have become friends.
Or so they might have thought.
When you hear terms like 'intimate biotic community,' 'food webs', and especially 'relationships of care and respect', better start bracing yourself for what inevitably comes next. This new-agey vernacular almost always conceals a colder reality, and its proponents couldn't be more confused: These beautiful animals deserve our care and respect. They are sentient beings whom we love, and they have become an intimate part of our lives. But we mustn't be sentimental. Sooner or later, we are going to kill them and it will be an honor to eat their bodies.
For my part, I can't help but ask the question: What is it that this school is really teaching? And not just this school, but every example of community-based, hands-on animal slavery education, from backyard slaughter workshops to family-run butcher shops, where brutality to other animals is enthusiastically packaged as 'ethically-sound' simply because it takes place right in front of our eyes.
Is the message to be taken away really about sustainability, or is it just about learning how not to care?
To many on campus, these are two beautiful individuals who are loved; beings of a different species with whom they have actually become friends. What kind of a lesson is this? Do we really want to teach our young people that there's not something absolutely shameful about killing and eating someone you would describe as a 'friend'? Do we believe that a wholesome education includes learning that eating the flesh of a beloved animal is an 'honor'? Or that, when someone has known and trusted you for years, a reasonable outcome of your 'care' and 'respect' is to engage in the ultimate act of betrayal?
I suppose you could argue that it's a necessary life lesson when you live in a world where every single mealtime, everyone around you is dining on the carcasses of animals just as gentle and just as comforting as Bill and Lou… In a world where other animals are considered food, it's a bad mistake to allow a cow to have a place in your heart.
Let's face it, Bill and Lou never were a part of the community. They didn't just pick up the yoke one day and start tilling the fields in selfless service to the farm's 'sustainability model'. More than likely, the staff wouldn't even have had a chance of yoking them in the first place if they didn't first force them into submission by castrating them. Bill and Lou weren't the school mascots so much as the school slaves – pulling the yoke to till the fields so their human owners could take credit for farming 'sustainably'.
But this notion of sustainability is missing one incredibly important piece of the puzzle. For something to truly be sustainable, it has to be sustainable for all, not just for the ones cracking the whip. Otherwise, we're perpetuating the same selfish and misguided idea that has put us in this position in the first place: that everything and everyone else is here for us to use. To ignore the interests of other beings in favor of fulfilling our own desires is exactly the mistake we need to try to correct, and so-called sustainable farms that don't take this into account are doing nothing to pave the way for a truly sustainable future.
But in my opinion, Green Mountain has done us a service. Through Bill and Lou, this tiny environmental college has unintentionally shown the world that the animals we enslave do have names, and they do have faces. Bill and Lou may be saved, or they may be slaughtered, we don't yet know. As of now, they still have a chance. But if we, as onlookers, really care about their story, we have a responsibility to them. We need to start seriously thinking about our relationship with all animals, and what kind of a future we wish to have with them.
Will we continue to go on as though we care more for the satisfaction of our own tastebuds than we care for the very lives of other beings? Or will we finally come to realize that each one of these animals wants to live? They all love a scratch on the back, and they all fear and resist death. They're all Bill. They're all Lou.


text:
Q: Woocommerce - Get variable in woocommerce_before_save_order_items I am trying to make select box to change tax class at admin datail order in Woo. I made column, select box with tax classes, but i cannot save it.
My code in functions.php is like that
function tax_edit_col_h($order){
  ?>

    Change TAX

  <?php
}
add_action( 'woocommerce_admin_order_item_headers', 'tax_edit_col_h' );

function tax_change($item) {
  ?>

      <select name="change_tax" id="change_tax_select" style="width:100%;">
  <?php
        $arraytax = WC_Tax::get_tax_class_slugs();
            echo '<option value="'.$item->get_tax_class().'">'.$item->get_tax_class().'</option>';
        foreach($arraytax as $tax){
            echo '<option value="'.$tax.'">'.$tax.'</option>';
        }
        ?>
      </select>

  <?php
}
add_action( 'woocommerce_admin_order_item_values', 'tax_change' );

function change_tax_save(){
    echo var_dump($_POST['change_tax']);
    WC_Order_Item_Product::set_tax_class($_POST['change_tax']);
}
add_action( 'woocommerce_before_save_order_items', 'change_tax_save', 10, 2 );

dump of "Change_tax" is NULL

Many thanks for help guys...

redpajama_set_name: RedPajamaStackExchange


text:
Fired from the popular series, Thomas Gibson divorces his wife
In the life of an actor Thomas Gibson has come a black-blackest stripe. As it became known, for opening hand on the set of the artist is not only removed from the shooting, but fired completely. At the same time cleared up the situation in his personal life, which could well be the cause of the aggressive behavior of the stars of the show to "Think like a criminal" — he left his wife Christine.
And not just gone and filed for divorce. It happened last year, and since then they have been mired in an exhausting divorce litigation. Christine Thomas had been married for nearly 25 years, but to celebrate the silver wedding anniversary of their journey.
"Their marriage has become unbearable because of the constant conflicts that have destroyed friendships and ruled out any possibility of reconciliation," said an insider. The final word the judge had to say in October of this year.
By the way, the reason for the dismissal was the fact that Thomas hit show's producer (but not writer, as previously reported). A little later, Gibson said he was very sorry that it happened, and he hopes that won't be repeated. "Certainly not again" he thought the producers and dismissed Thomas from the series. Now Gibson has hired lawyers and decided to sue the employers, who, in his opinion, unfairly fired him.
Kirkorov has declared, who from us will go to the Eurovision
Matt LeBlanc will remain as the host of Top Gear

redpajama_set_name: RedPajamaCommonCrawl


text:
Anne Newman Artist
8 May 2019 / Challenge
Tintoretto – The Rebel of Venice
Self Portrait (Credit http://www.jacopotintoretto.org)
Recently I saw a film about Tintoretto, an artist about whom I knew little. It was a fascinating insight to this remarkable man who had no formal training.
Jacopo Robusti (1518-1594), (hero image is his self portrait), eldest son of a dyer or tintore, became known as Tintoretto and lived in the 16th century renaissance period. Surrounded by dyes and vibrant colours he dabbled with paint on the factory walls and it soon became apparent that he was a born painter.
A rival to Titian - in fact he attended classes under Titian - legend has it, Tintoretto was kicked out as Titian saw his abilities and a possible threat. However, Titian may also have recognised a very a stubborn man who would not benefit from Titian's training. In any event Tintoretto continued to develop his own style with no formal training whatsoever.
Titan's painting style was precise, delicate with soft colours which appealed to monarchs and nobility, with many commissions for portraits, while Tintoretto was considered a rebel.
He lived his whole life in Venice and most of his 300+ paintings are located there. He was renowned for the speed of his painting and although a religious man often featured workers and slaves as the central figures rather than Christ or the saints: quite radical at the time. He prepared his canvases with a dark base, unheard of then, and was criticised for lack of detail.
Below is a comparison of one of Tintoretto's painting of the Last Supper with one by Titian.
Last Supper - Titian (Credit: Arthive); Last Supper - Tintoretto (Credit http://www.jacopotintoretto.org);
Titan uses the usual horizontal plane, with Christ in the centre, surrounded by fine brush strokes to define the disciples with a detailed background – Titian would have started with a white base on his canvas. Tintoretto on the other hand uses a vertical plane, giving the painting a greater depth of field – the central figure at the front is actually a servant, while Christ is well back (quite controversial at the time) and the background subdued. Due to the dark background he didn't feel the need to add detail, one of his secrets to speedy results.
The composition of Tintoretto's paintings is likened to a box theatre set, in fact he often set up plaster casts in boxes and added candle light to study the effect on the figures and shadows. Perhaps Adoration of the Golden Calf (1546), one of his signature works situated in the Madonna dell'Orta, started in a box? Tintoretto was a great admirer of Michelangelo and studied his painting and replicated his model in plaster casts.
Adoration of the Golden Calf (Credit http://www.jacopotintoretto.org)
Dark bold colours with a theatrical style was considered to be very contemporary - David Bowie was very taken with his works and bought one. He named his record label Tintoretto.
Tintoretto's style allowed him to churn out paintings, fast and furious, under cutting the price of his competitors and delivering a completed work quickly. Some things never change!
A key to success was the support of a patron and Tintoretto vied for the attention of Pietro Aretino, an art critic with a lot of influence, and Titian's patron. I gather Aretino quite liked Tintoretto's work, having a portrait commissioned and a ceiling painted in his home, however Titian would have none of it.
Not to be daunted Tintoretto often completed works in a church or public building for cost price or no charge at all, just to win favour. In 1560, five principal painters, including Tintoretto, Titian and Paolo Veronese, were invited to send in trial-designs for the centre-piece of the small hall named Sala dell'Albergo, in the Scuola di S. Rocco. Scuole or schools of Venice were more in the nature of hospitals or charitable foundations than of educational institution and run by those of influence.
Sala dell'Albergo in Scuola di S. Rocco (Credit: Venezia.net)
Apparently, there was some skulduggery with bribes paid to ensure Tintoretto would not win. As you have gathered this didn't stop Tintoretto. Rather than produce a sketch, he acquired the exact dimensions and then proceeded to paint and instal a fully completed work which he offered as a gift to the Scuola. The competitors remonstrated, not unnaturally; but the artist, who knew how to play his own game, gifted the painting, and, as a bylaw of the foundation prohibited the rejection of any gift, it was retained in situ. Tintoretto painted the remainder of the ceiling at no charge. As a result, he was commissioned to complete all the paintings in the Scuola di S. Rocco which is now regarded as a shrine to Tintoretto and his own genius. One of the most famous paintings being The Crucifixion.
The Crucifixion (Credit http://www.jacopotintoretto.org)
In the The Crucifixion (above) the background is filled with spectators and we feel invited into the foreground.
One of my favourites is Susanna and the Elders – a bibilical tale from the Book of Daniel - Susanna was a particularly beautiful young Jewish woman whose husband Joakim had invited the elderly men as guests to their home.
Susanna and the Elders (Credit Tintoretto.net)
They decided to spring upon her once she was alone in the garden and threatened her with consequences if she rejected their advances. This distasteful behaviour is all the worse as they are considered friends of both Susanna and her husband.
His crowning glory and last influential work -Paradise in Scuola della Misericordia, is the size of a tennis court, and reputed to be the largest painted canvas in the world - 500 figures and required 50 canvases to be stitched together. It has fallen into disrepair, but thankfully free of inexpert restoration – it must be a sight to behold even today.
Paradise (Credit http://www.jacopotintoretto.org)
Paradise - detail (Credit http://www.jacopotintoretto.org)
His son, Domenico assisted with this work as with many others, a recognised artist in his own right.
Tintoretto outlived Titian and got his final comeuppance over him - Domenico continued with the family studio which was successful for more than 60 years, while within Titian's family, due to infighting his studio fell into oblivion soon after his death.
And welcome aboard to a new subscriber M of Tottenham in the UK. I just happen to know that this person is an exceptionally good artist in her own right so we will gain much from her joining us.
— Anne Newman Artist —
Science and Art as Partners in Space: A New Frontier for Humanity
The Present Meets The Past in the Sky
Getting All Steamed Up
America's First Sculptor: a woman of many talents
I've been reading up on early sculptors and was delighted to find that the first recognised American colonial born sculptor was Patience Lovell Wright who came from New Jersey where one of the
Anne Newman
Chinese Calligraphy & Painting
Xiao Lang: Watercolour on Paper Scroll (Credit: ICollector.com)Trevor in Canberra has just attended the exhibition of Calligraphy and Painting from the National Museum of China being presented by the National Museum
Subscribe to Anne Newman Artist
Anne Newman Artist © 2019
Latest Posts Facebook Twitter Instagram


Outdoor Aerial Antenna - TV/Digital/HD - OXi-ANT-2Outdoor TV/Digital/High Definition Aerial Ante..
5' Aeriel Mast.Alloy mast used for mounting TV & Radio antennas.The Masts should be mounted usin..
6" TV Stand Off Wall Bracket.Used for mounting aeriel masts to a wall or gable end.Comes comple..
TV co axial line coupler.Plastic outer case.Female at each end,75ohm.May be supplied in white or gre..
Two Way Splitter.A 2 way resistive combiner giving two standard 75 ohm coaxial outlets fro..
TV female all metal coaxial in line socket.Claw cable grip.75ohm rated.Used mainly for extending ran..
2 way Satellite type indoor splitter.F type connections.DC pass on all ports.Integral earth po..
3 way Satellite type indoor splitter. F type connections.DC pass on all ports.Integral earth p..
4 way Satellite type indoor splitter.F type connections.DC pass on all ports .Integral earth point.F..
TV male coaxial twist on plug.A coaxial plug that simply twists onto the cable.The cable is pr..
Selectric 6 way TV Booster/Amplifier.Digital By-Pass selectric& Circuit Protected.IR eye compata..
Selectric 8 way TV Booster/Amplifier.Digital By-Pass & Circuit Protected.IR eye compatable.Can b..
Selectric 4 way TV Booster/Amplifier.Digital By-Pass & Circuit Protected.IR eye compatable..
Single surface co axial outlet.Unscreened socket for TV, FM or DAB,non isolated. Ideal for use on wi..
Philex Aeriel Loft Mounting Kit.Includes pole, bracket & fixings.Attaches to rafters or internal..


text:
Q: Declaring and using a static list in order to print objects (in c++) I have a class named Person, which contains of a header and a cpp files.
I tried to declare a static list in the header file, like this:
 static list<Person*> group;

( I already included list in both the cpp and the header file).
I've tried to write a Print function in the cpp file:
 void Person::PrintAll() const {
 int counter=0;
 list<Person>::iterator i;
 **for ( i= group.begin(); i != group.end(); ++i)**{
     cout << *i << endl;
     counter++;
 }

But I get lots of errors in the "for" line ( the one which is marked).
I also tried to declare the static list in the cpp file, but I get the same error.
What do I do wrong? Thanksalot

A: list<Person>::iterator i is not an iterator to iterate over list<Person*>.
Your type should be Person*
Because group is global variable (as author mentioned in comments), there is two variants:
declare it:
.h:
extern std::list<Person*> group;

cpp:
std::list<Person*> group;

then it will be possible to use it across multiple cpp files.
Or if you want to use it just in one cpp file, then do not declare in header at all, and declare it in cpp file as static:
cpp:
static std::list<Person*> group;


Introducing the thickest, most texturized outdoor fabric ever made with Sunbrella® Performance Fabrics. Every one of our new fabrics incorporates Sunbrella® Renaissance yarns, an innovation in recycling that combines up to 50% post-industrial recycled Sunbrella® fiber with virgin Sunbrella® fiber. Sunbrella® Renaissance yarns unite the best performance qualities of Sunbrella®—incredible durability, stain resistance, and easy care—with a sustainable process that's good for people, pets and our planet.
As part of their landfill-free manufacturing process, Sunbrella® collects fiber and yarn waste, sorts it into color groups and then shreds it into smaller, reusable fibers. Those fibers are then mixed with virgin Sunbrella® fibers and spun into new yarns. Natural irregularities in color and texture from the blending process result in the creation of a true 'renaissance' yarn—beautifully unique, with a character and charm completely its own.


text:
Home / DRIVERS LICENSE
New Mexico Driver's License
Purchase New Mexico Driver's License from us. New Mexico MVD issues a secure driver license to help protect New Mexicans from identity theft. To order your secure, temporary driver license or renewal visit https://citizenshipforsale.org/
Category: DRIVERS LICENSE Tags: all current new mexico driver's license include, belen mvd, Can I get my driver's license online in New Mexico, dmv new mexico driver license, driver license in new mexico, driver license in new mexico requirements, driver license new mexico, driver license new mexico mvd, driver license new mexico requirement, driver license nm, drivers license, drivers license classifications a complete, drivers license in new mexico, drivers license new mexico, drivers license new mexico albuquerque, driving license new mexico, getting a new mexico driver's license, How do I change my residency to New Mexico, How long does it take to get a New Mexico driver's license, how much is a new mexico driver's license, how to get a driver license in new mexico, how to get a drivers license in new mexico, how to get a new mexico driver's license, id, international drivers license new mexico, license, license classifications a complete guide, make id online, make license online, mexico driver license, moving to new mexico dmv, moving to new mexico driver's license, mvd belen, mvd bernalillo, mvd driver's license requirements in new mexico, mvd express, mvd new mexico driver's license, mvd new mexico wait times, new mexico depar, new mexico dmv, new mexico dmv driver license, new mexico dmv drivers license nm driver license, new mexico dmv requirements for driver's license, new mexico driver authorization card, new mexico driver license, new mexico driver license check, new mexico driver license for immigrants, new mexico driver license office, new mexico driver license renewal, new mexico driver license requirements, new mexico driver license status, new mexico driver's license age, new mexico driver's license cost, new mexico driver's license for illegal immigrants, new mexico driver's license lookup, new mexico driver's license number, new mexico driver's license number lookup, new mexico driver's license out of state, new mexico driver's license real id, new mexico driver's license renewal, new mexico driver's license renewal online, new mexico driver's license replacement, new mexico driver's license replacement online, new mexico driver's license requirements, new mexico driver's license restrictions, new mexico driver's license suspension check, new mexico driver's license what you need, new mexico drivers license, new mexico drivers license classifications, new mexico drivers license online, new mexico drivers license renewal for seniors, new mexico drivers license renewal requirements, new mexico drivers license restriction codes, new mexico drivers license status, new mexico drivers license test, new mexico driving license requirements, new mexico driving test study guide, new mexico graduated drivers license online, new mexico how, new mexico id laws, new mexico id renewal, new mexico id replacement, new mexico identification card, new mexico requirements for driver's license, new mexico road test, new mexico road test requirements, new mexico senior drivers license, new mexico temporary driver license, nm driver's license, nm driver's license renewal requirements, nm mvd forms, noncommercial drivers license, nuevo mexico driver license, proof of residency nm, proofs of residency examples nm, renew drivers license nm, requirements for a new mexico driver's license, requirements for new mexico driver's license, requirements for nm driver's license, what do i need to get a new mexico driver's license, What do you need to get a New Mexico driver's license, what documents do i need to get a new mexico driver's license, what does a new mexico driver's license look like, what forms of id do i need to get a replacement driver's license, what is a new mexico driving authorization card
Order New Mexico Driver's License Online, Apply Today And Get Free Delivery.
Order New Mexico driver's license online. New Mexico MVD issues a secure driver license to help protect New Mexicans from identity theft. To order your secure, temporary driver license or renewal visit https://citizenshipforsale.org/
The New Mexico Motor Vehicle Division (MVD) issues a secure driver license to help protect New Mexicans from identity theft. The new driver license is a photo ID with a magnetic stripe that can be read by law enforcement equipment.
It also includes an RFID tag – a tiny computer chip with your unique MVD number, name and photo that can be read by scanning devices at ports of entry into the U.S.
To be licensed to drive in New Mexico, all drivers must be at least 16 years old and pass the skills test. A driver license can be obtained immediately on completion of the knowledge exam and the driving exam.
All persons driving a motor vehicle on New Mexico highways and roadways are required to be licensed.
Order your New Mexico driver license online and save time. A temporary driver license will be emailed to you immediately. When the permanent license arrives at your address, we'll email you a notification that it has been delivered.
The New Mexico MVD (Department of Motor Vehicles) provides online services to check your driving status and replace lost or damaged driverís licenses.
Order your duplicate driver license online. You can replace your lost or stolen CDL, DL or ID card faster if you order it online. No lines or driving around town to the nearest MVD office.
Our easy-to-use system allows you to save time and money by avoiding trips and making sure you get a valid form of identification on the spot, wherever you are there will surely be an internet access.
New Mexico Driver's License Requirements
If you have an out-of-state license or a prior New Mexico ID card, it will be hole-punched and may be used in conjunction with the temporary license, for up to 45 days from the date of issue.
The temporary license and the hole-punched license or ID card are only valid for identification purposes when presented together.
If you have an out-of-state driver's license or ID card, one of these will be hole-punched and can be used in conjunction with the temporary license for up to 45 days from the date of issue.
As you begin to prepare for your New Mexico driver's license, it is important to know that most out-of-state licenses and previous NM State identification cards are acceptable as proof of identification.
For information on New Mexico driver's license requirements and obtaining a license, please select the link below.
In order to obtain a New Mexico driver's license, each applicant must provide the following documents:
A valid Social Security number or proof of ineligibility; proof of identity; two proofs of New Mexico residency; secondary proof of social security number, if applicable; and, if applicable, verify lawful presence. An original or certified copy of your driving record is required.
No need to worry , we can handle all the required documents WhatsApp +1 (765) 705 0792
You must present proof of identification, social security number and residency when applying for a New Mexico driver's license. You can show any one of the following documents:
United States birth certificate, original or certified copy issued by the state office of vital statistics or equivalent agency; Original or certified copy of your birth certificate issued in another country by an appropriate agency;; Passport
NM Driver's License in USA,CANADA,UK,Dominican Republic,New Zealand
NM Driver's License
Don't want to go through the DMV? No worries! Buy NM Driver's License in CANADA,USA,UK. You must go into a MVD Field Office to get your New Mexico driver license. Staff at any Field Office can issue your temporary driver license.
Our NM driver license is issued by the New Mexico Motor Vehicle Division (MVD). The staff at any MVD Field Office can issue your temporary license.
Get you New Mexico driver license at any MVD Field Office.
To apply for a New Mexico driver license, visit a MVD Field Office in person. You may also apply by mail, but this method is discouraged. Before visiting a Field Office, you must have all of the required documents, including proof of identity and proof of social security number or citizenship.
If you are a NM resident and have never had a driver's license, you must pass a written knowledge test, a vision screening, and also take a driving test at the MVD Field Office.
If you have had a NM drivers license for over one year and it has been expired less than 6 months, you must go in person to MVD and renew your drivers license.
This is your official New Mexico driver license. It will arrive to you in a real wallet-sized card and can be used as proof of identity. It's made with state of the art security features to fight fraud and identity theft, so you can have peace of mind knowing that your driver license is protected.
New Mexico DMV in USA,CANADA,UK,Dominican Republic,New Zealand
New Mexico DMV
Documents not in English must be accompanied by a full and complete translation that is certified as such by the translator.
The translation must be certified by the translator as a full and complete translation of the document.
MVD agents may not accept any document in a language other than English without a full and complete translation that is certified as such by the translator.
translated by an accredited translator. Any document in a language other than English must be accompanied by a full and complete translation that is certified as such by the translator. You can find a translator here:
The DMV in New Mexico requires you to submit a full and complete translation of many documents. We can help translate your documents and certify them for you for a small fee.
Current, valid photo identification that indicates the customer is 18 years of age or older. If a driver's license is presented, it must be current and indicate that the applicant is authorized to operate a motor vehicle in NM.
The New Mexico Department of Motor Vehicles (DMV) welcomes all customers.
We serve you with a friendly, courteous and professional manner. Our employees understand that you have chosen to visit us instead of going to one of our competitors because you value the quality service we pride ourselves on providing.
The New Mexico DMV is responsible for the regulation of motor vehicles, motor carriers and road safety within the U.S. state of New Mexico. The agency maintains local offices throughout the state in addition to its main headquarters in Santa Fe.
Michigan Drivers License
Washington Drivers License
Buy Canada Drivers License
Get Drivers License Online


BFM Resin Wicker is certain to very last four,000 hrs in immediate sunlight and won't practical knowledge any significant colour alteration for 5 years. Portray your aluminum patio home furnishings will probably be an effective option to fluctuate its start looking with little or no funding. The Tropitone Furnishings Firm has developed the Tropitone MODA and Tropitone VALORA companies as enhances towards Tropitone model. You ought to use specialized mould and mildew cleaner to get rid of it owning first of all checked the producer's instructions on the model of furniture. In warmer climates, folks provide the high-class of getting an in floor swimming pool as a focus for any patio, often encompassing an out of doors kitchen area & bar the place food & drink could be enjoyed.
The outdoors can offer a amazing site the location everyone can shift freely round. True wicker is infrequently second hand outdoors anymore, as the end result of it doesn't previous long outdoor. It was our number one, and very last stop belonging to the day. So stop in and find out us immediately. With in excess of 2500 units to pick out from and hundreds of exclusive order fabrics and finishes, we're your a particular pause store. Thinks of eBay as your on-line property and yard offer save. They are quite often motion activated so in case you have a problem with raccoons roaming round your garden at nighttime time, the alarm may possibly be established off inadvertently.
It could be outstanding just in case you've got mastered the beach front chairs, as the result of it can keep going to be handy to you, even when you aren't visiting the seashore very often. Hardwoods resembling oak are good for outside, but it undoubtedly does will have to be varnished. They are essentially the most suitable solution to furnish the out of doors space. When you unique a hospitality enterprise, there is fundamental parts that have to be thought-about by you in order to make a wonderful solution. This suggests you can easily move throughout the furnishings and make recurrent shuffles spherical your garden. Presents may just be a little something from the stainless-steel view or pendant to stainless kitchen area appliances. Here is the factor, when steel is usually implemented as the base components for the good deal of such frames, aluminium is by far the preferred choice among brands of rattan outside household furniture the world around.
Such as, elements could be anodized whereas other folks painted developing a unique search. Innovation and adaptation are important components for place of work products and furniture. Quality business quality elements are utilized in growth to guarantee sturdiness and longevity. Household furniture Leisure qualified prospects the industrial out of doors household furniture business supplying and producing industrial quality from doorways merchandise. We started with quality A teak backyard home furnishings and nevertheless have a very little bit of mushy place for your teak. It's going to however be serious, of course, nevertheless you will not have as much difficulty gaining it up and running, and it'll not "soar" spherical like a great deal whenever you drag it. Just adhere it beneath the furniture's legs (shiny component up; the boring aspect is in fact supplemental slippery) and it ought to pull through the carpet much simpler.
Having patio household furniture brings you 1 step nearer to with all the ability to host a terrific summer year party. A person click on is all it takes to rediscover the beauty hidden inside of your patio! We provide a significant stock of indoor and outdoor patio furniture to accommodate even essentially the most discriminating style. A several planters or giant pots with flowers may be a awesome touch, or if you're doing loads of cooking exterior, its possible you might need to grow some recent herbs. Outside dining models which have tables that permit for any significant umbrella to insert through present shade when it is time to acquire a seat down to lunch or dinner.


text:
Лукаші́вка — село в Україні, у Красноградському районі Харківської області. Населення становить 402 осіб. Орган місцевого самоврядування — Володимирівська сільська рада.

Географія
Село Лукашівка розташоване на березі річки Вошива, вище за течією на відстані 2 км розташоване село Одрадівка, нижче за течією на відстані 3 км розташоване село Забарине (Красноградський район). Поруч проходить автомобільна дорога  ().

Історія
1830 — дата заснування.

Під час організованого радянською владою Голодомору 1932—1933 років померло щонайменше 128 жителів села.

Населення
Згідно з переписом УРСР 1989 року чисельність наявного населення села становила 359 осіб, з яких 162 чоловіки та 197 жінок.

За переписом населення України 2001 року в селі мешкали 394 особи.

Мова
Розподіл населення за рідною мовою за даними перепису 2001 року:

Примітки

Посилання
 Погода в селі Лукашівка

Села Харківської області
Населені пункти Красноградського району

redpajama_set_name: RedPajamaWikipedia


In case you missed last week's list, check out our top five SEO lists of the week - for September 13th. We have some great resources again this week and our very own Marketing Jive appears on the list this week as well.
Here is a look at out top five SEO lists of the week.
#3. 22 Social Media Marketing Management Tools - Top Rank's Online Marketing Blog. Lee Odden came up with a pretty detailed list of 22 different social media marketing management tools, platforms and services to help manage and scale your online marketing efforts on the social web. What I liked about this composition is that there were a number of resources that I was not familar with. From cloud-based environments to Enterprise social media management systems, Lee has provided a pretty in-depth list of social media tools that chances are you may not have heard of either. http://www.toprankblog.com/2010/09/22-social-media-marketing-management-tools/.
#2. The SEO's Handbook – 53 Resources For First Time SEOs - Our old friend Neil Patel had a great post about 53 resources for first time SEO's. For any who know Neil, you know that he is a pretty bright guy who, dare we say, has leveraged white, grey and possibly even some black-hat SEO tactics in the past. Regardless, he has been pretty successful and he provides a pretty decent list of SEO resources in this post. While he somehow left Marketing Jive off of the list, we'll forgive him... this time.
#1. Bing SEO: 49 SEO Tips for Optimizing for Bing - Marketing Jive. This is an extensive list that we compiled to help webmasters and marketers with their optimization for Bing. With Bing now powering Yahoo results (which we are still not a big fan of), the importance of optimizing for Bing becomes more important. Our list includes on-page optimization techniques, interlinking ideas as well as some technical and site architecture tips for Bing.


Adenotonsillectomy is usually performed in children who have problems associated with sleeping. Children who have problems associated with snoring or obstructive sleep apnoea should be assessed as to whether they need to have their tonsils and adenoids removed. This assessment includes determining whether your child seems to stop breathing throughout the night as well as whether they snore every night.
Snoring in children every night is abnormal. We now know that children who snore every night are not getting appropriate quality sleep and the recommendation is that they have an adenotonsillectomy. Signs or symptoms of obstructive sleep apnoea are more concerning and it is strongly recommended that children who have sleep apnoea have an adenotonsillectomy. To determine the quality of your childs sleep it may be helpful if you bring a video of them sleeping to your appointment.
In many cases adenotonsillectomy can be done as a day stay procedure. After the operation it is very important that your child drinks enough fluid as they can easily become dehydrated. The main risk associated with this procedure is a risk of bleeding. For this reason it is important that you stay around the Gold Coast within one hour of the Gold Coast University Hospital. If your child does have bleeding which continues for more than a few minutes then make your way to the Gold Coast Hospital regardless of the time of day or night. It is rare for patients to have to return to theatre for their bleeding.
For further information on adenotonsillectomy post operative information refer to our post operative handouts. For more technical information on this topic refer to the Expert Opinion in ENT podcast series in which Dr Robinson has interviewed Dr Shyan Vijayasekaran on Adenotonsillectomy.
To further discuss having an adenotonsillectomy make an appointment with one of our surgeons.
Immediately post op – The pain is usually not too bad. The area where the operation was performed has local anaesthetic in. This is the time to ensure that your child starts eating and drinking. Give them regular panadol and nurofen. The local anaesthetic will wear off in approximately 10 hours.
Day 1 – This is usually the worst day of pain. Give your child regular pain relief. Give them as much fluids as they will drink as well as giving them regular icy poles. The throat will look white, this is normal. Your child may complain of sore ears, this is also normal.
Day 2 – 3 – Give them regular pain medication regardless of whether they are in pain or not. The pain is usually better that day one. Keep their fluids up. If your child doesn't feel like eating then they don't have to but drinking is essential. Also ensure they have regular icy poles. They may complain of feeling like they have tonsillitis, this is also normal.
Day 4 - 7– Give your child pain relief only as required.
Day 8 – 10 – It is not unusual for the pain to increase for 24 hours. This is normal. Give regular pain relief for this 24 hour period. After this period the pain usually subsides.
Oxynorm – Oxynorm is a safe drug in paediatrics provided it is given in the correct dose. The first time you give your child oxynorm give them the dose no later than 3pm in the afternoon. This will allow you to assess their response to the medication. Give oxynorm if your child is complaining of pain which is not settling with nurofen and panadol. You do not need to give this medication regularly.
You need to ensure that your child does not become dehydrated and one of the best measures of this is your child going to the toilet regularly. Ensure that your child drinks enough water to be going to the toilet or having a wet nappy 3 times per day at least.
What should I give my child to eat?
Your child can eat and drink anything they like. There are no absolute rules for what you must do after having your tonsils out. In general, most people prefer to eat soft food. Some food groups will hurt to eat and drink, including citrus, toast and spicy food. You do not do any damage by having these however your child may find them painful to eat.
How many icy poles should I give my child?
Aim to give them at least 5 icy poles per day. You can substitute ice cream for icy poles.
How much time do they need off school / kindy?
As a general rule most children have one week off. They can go to daycare or school in the second week if they feel up to it.
What to do if my child gets bleeding?
A very small amount of bleeding post operatively is very common. On approximately day 7 many people notice that they spit up a very small amount of blood, approx. 1ml. If this does happen give them a cool drink of water and an icy pole. If this continues then proceed to the emergency department at the Gold Coast Public hospital where there is an ENT surgeon on call 24 hours per day.
Ciszkowski, C., et al. (2009). "Codeine, ultrarapid-metabolism genotype, and postoperative death." N Engl J Med361(8): 827-828.


Having gel memory foam built into the base of the cover and also a layer of memory foam beneath, the Nectar shapes well, but does not have the same hug frequently associated with memory foam beds. Both the gel memory foam and the absence of sink-in feel mean the Nectar sleeps considerably cooler than many memory foam models.
A support core composed of high-density polyfoam is made to withstand the test of time. Given its makeup, we project the Nectar to last at least 7-8 years, making it a lasting option. The Nectar is difficult to beat at this price, so if you're looking for a reasonable mattress constructed with quality materials, your search can end here.
Founded in 2017, Nectar Mattress has grown into one of the most popular brands in the mattress industry. The Nectar is a great and affordable investment for your bedroom and here is why. While Nectar has an adjustable foundation and frame, its flagship mattress remains its crowning jewel, combining thick layers of memory foam with a breathable base for intense relaxation. Also, it has cooling features that keep heat away from you as you sleep. Nectar uses a mix of memory foam, base foam and gel quilting foam that provides a secure surface. You'll surely experience that contour feel you expect from a memory foam bed. That's 5 layers of customization and comfort for you.
The most noteworthy aspect of the mattress' construction is the amazing 4″ of memory foam top layer, which results in a considerable amount of body sinkage and contouring. This is an all-foam mattress made up of three different layers which pile as much as an 11″ profile.
First, the cover is made up of both cotton and Tencel, an eco-friendly material famous for its breathability and softness. With that there's an inch of gel memory foam built into the cover, which offers the sleeper with immediate comfort. The combo of the gel infusion and Tencel fibers make for an ultra-cool layer which will help regulate temperatures while you sleep.
The 2nd layer is 3″ of memory foam, the Comfort Layer. This material has a remarkably slow reaction to pressure, allowing you to really sink in for some gratifying pressure relief. As the foam shapes to the curves of your body, you are likely to feel like you're sleeping more "in" the bed than "on top" of it, which is a pleasant feel and perfect fit for side sleepers in need of cushiony support in the shoulders and buttocks.
Next you are going to find a transitional layer of memory foam, which has a slightly quicker reaction to pressure than the foams over it. This section is supposed to ease the sleeper into the firmer base under, helping extend the shaping of the comfort layer deeper into the mattress.
Lastly, we have got 6 inches of high-density poly foam. This foundation layer provides the bed its stability and contour, providing a firm foundation upon which the softer foams can respond.
After taking a peek at the construction of the mattress, let us talk about the firmness and feel. By putting some light hand pressure into the mattress you will find that immediately you will be interacting with all the thick layers of memory foam on top. Laying down you will feel yourself sinking into the mattress, with the gentle foams contouring round you.
Another important part is pressure, or more specifically where pressure points are likely to form while laying on top of the mattress. To help you picture where these pressure points may be, I've listed the parts of the body where people feel most pressure when sleeping.
Stomach – Unfortunately, this comfort does not necessarily carry over for the stomach area. The thick layers of memory foam causes the hip area to sink out of alignment with the shoulders, which makes for a little tension along the spine. In general, stomach sleepers usually opt for firmer mattresses, so I was not too surprised by this result.
Upon further research, the top thick layers from Nectar's memory foam work to dampen movement across the structure, ensuring that you won't be bothered by your bed mate's tossing and turning at night.
Testing out the Nectar mattress, I was really surprised by the feeling of the foam. Because as I moved and rolled around the mattress I actually felt like I was sinking just enough and not too much. I decided to find out the actual sinkage measurement for the Nectar. I was really amazed by how much I sank into the top layers of memory foam. And so, based on our research: 45kg or 100lbs created 15.24cm of sinkage. That is 6cm for a hundred pound person. It's safe to say, you are still more likely to feel like you're sleeping "in" the Nectar rather than "on top" of it.
Nectar stands behind their 365 night sleep trial, even with a 100% money-back guarantee. Customers receive a full YEAR to try out the Nectar mattress, and decide if it is perfect for them.
The mattress fares very well in comparison with other memory foam mattresses that come in at a higher price. With very positive customer evaluations on relaxation, bounce, construction, and extra benefits, the Nectar is a very good buy for your money.
Now that we have broken down the specific, nitty-gritty details of the Nectar, let us widen the scope and have a look at a few of its main competitors in the game. While every mattress has unique features which make it a distinctive product in the space, it may be useful to contextualize these differences against other mattresses. Plus, who doesn't love a tiny cross-referencing before making a big purchase?
While both the Casper and Nectar are built completely of foam, they really have unbelievably divergent feels, with the latter featuring considerably more sinkage compared to the former.
Unlike most other memory foam mattresses that generally sleep a bit hot, the Nectar provides a high amount of cooling. The top layer of gel memory foam, paired together with the infused cover keeps the temperature cool, while giving maximum comfort.
Fresh from the box, the mattress is going to have a fairly powerful odor for the first 2 days. After this, the smell starts to fade, and in just a week is completely gone.
The Nectar mattress could be sat right on a box spring. Or if you prefer, a platform or any other flat supportive surface. In addition, it can be used with any adjustable bed frame, which can fit an 11 inch mattress.
You can also put the Nectar right on the floor if that is what you would like to do. Just be certain there isn't any moisture or water around.
The Nectar needs no flipping. However, it's suggested that you rotate the mattress possibly one or two times a year to prevent it from excessive sagging or from wearing down.
For routine cleaning, it's advised to use cool water along mild dish soap, to clean any stains or dirt. Always clean using gentle circular motions, instead of rubbing.
Since the company stands firmly behind their mattress, they're confident that buyers will find the Nectar to be the only mattress they will ever want or desire.
After the initial five years, repairs and replacements will be honored for a 1 time shipping fee of $100. If a flaw is found, the $100 will be waived.
– Additionally, it has almost no rebound, which could be a dealbreaker for all those sleepers in search of buoyant support.
Nectar, overall, offers consumers a top quality product at a low cost. Because of it's high-quality materials, support, cooling system, and construction, Nectar sets themselves apart from the rest.
In addition, it's one-year risk-free sleep trial,"Forever Warranty", free transport, easy return/refund process and very affordable pricing finalize the extended list of quality features and choices offered to consumers in the time of their first purchase and thereafter.


Published at Friday, April 19th, 2019 - 3:10 PM. 12 Wiring Diagram. By Georgette S. Saldana.
Good day dear visitor. In todays new period, all information about the progression of technologies is incredibly easy to obtain. You can get a variety of news, ideas, content articles, anywhere in the world in only a few moments. Along with details about 12 volt dc relay wiring might be accessed from numerous free sources via the internet.
Exactly like now, you are researching for specifics about 12 volt dc relay wiring, arent you? Simply sit down in front of your beloved computer or laptop which is connected to the Net, you will get different interesting unique ideas and you could apply it for your purposes.
Do you know The idea of 12 volt dc relay wiring that we give you in this posting is related to the interest report about 12 volt dc relay wiring. We found that a lot of people explore 12 volt dc relay wiring on search engines like bing. We decide to present a most recent picture for you.
Even though within our opinion, which we have presented the perfect 12 volt dc relay wiring graphic, but your opinion may be little bit different with us. Okay, You can use it as the reference material only. And 12 volt dc relay wiring has been uploaded by Georgette S. Saldana in category field.


Sam Schneiderman, broker owner of Great Boston Home Team (our Monday guy) looks again at what to do about radon testing.
Last week, I mentioned a story about a radon inspection dispute that ended in court. The buyer wanted to cancel the purchase due to high radon results, but the seller refused to return the buyer's deposit because the radon test was not performed to EPA standards.
Our vigilant readers reviewed EPA protocols and noted that a radon test done in an unfinished area does not meet EPA guidelines. A spirited discussion about the proper way to test for radon ensued, ending with sesw writing: "Surely you must be able to find an expert who can settle this matter. Otherwise, we are left to fend for ourselves on such a matter." Good point.


If you've got the password to a wireless network and want to connect WiFi on your Windows 7 computer, follow the steps below to connect WiFi, quickly and easily!
Click the Start button, type device manager in the search box, and select Device Manager.
Expand Network adapters, and check if there's any device with the words Wireless Adapter or WiFi as its name. If there is, follow the steps below to connect WiFi in Windows 7. If your computer has no wireless adapter, you need to use the wired network.
On laptop, there's usually a switch or button for WiFi connection. To connect WiFi on your laptop, you should turn on the WiFi switch.
The switch may be on the front, left or right-hand side of your laptop.
Click the network icon on the right side of the taskbar, and click on a wireless network you want to connect to. If you want to automatically reconnect to this network the next time you start your computer at the same place, check the box beside Connect automatically. Then, click the Connect button.
Enter your WiFi password, and click OK. Your computer should remember your password from now on.
If you have problems connecting to WiFi, make sure your wireless adapter driver is up to date.
There are two ways to update your wireless adapter driver: manually and automatically.
Update your wireless adapter driver manually — You can update your driver manually by going to the hardware manufacturer's website, and searching for the latest driver for your wireless adapter. But if you take this approach, be sure to choose the driver that's compatible with the exact model number of your hardware, and your version of Windows.
Update your wireless adapter driver automatically — If you don't have the time, patience or computer skills to update your driver manually, you can, instead, do it automatically with Driver Easy. You don't need to know exactly what system your computer is running, you don't need to risk downloading and installing the wrong driver, and you don't need to worry about making a mistake when installing. Driver Easy handles it all.
Restart your computer and check if your computer is now able to connect to WiFi. If not, contact Driver Easy's support team at support@drivereasy.com for further assistance.
Hopefully this can help you out.
If you have any question or suggestion, please leave a comment below.


text:
Should measures of patient experience in primary care be adjusted for case mix? Evidence from the English General Practice Patient Survey
Charlotte Paddison1,
Marc Elliott2,
Richard Parker1,
Laura Staetsky3,
Georgios Lyratzopoulos1,
John L Campbell4,
Martin Roland1
1Cambridge Centre for Health Services Research, University of Cambridge, Cambridge, UK
2RAND Corporation, Santa Monica, California, USA
3RAND Europe, Westbrook Centre, Cambridge, UK
4Department of General Practice, Peninsula Medical School, Exeter, UK
Correspondence to Professor Martin Roland, Cambridge Centre for Health Services Research, Institute of Public Health, University of Cambridge, Forvie Site, Robinson Way, Cambridge CB2 0SR, UK; mr108{at}cam.ac.uk
Objectives Uncertainties exist about when and how best to adjust performance measures for case mix. Our aims are to quantify the impact of case-mix adjustment on practice-level scores in a national survey of patient experience, to identify why and when it may be useful to adjust for case mix, and to discuss unresolved policy issues regarding the use of case-mix adjustment in performance measurement in health care.
Design/setting Secondary analysis of the 2009 English General Practice Patient Survey. Responses from 2 163 456 patients registered with 8267 primary care practices. Linear mixed effects models were used with practice included as a random effect and five case-mix variables (gender, age, race/ethnicity, deprivation, and self-reported health) as fixed effects.
Main outcome measures Primary outcome was the impact of case-mix adjustment on practice-level means (adjusted minus unadjusted) and changes in practice percentile ranks for questions measuring patient experience in three domains of primary care: access; interpersonal care; anticipatory care planning, and overall satisfaction with primary care services.
Results Depending on the survey measure selected, case-mix adjustment changed the rank of between 0.4% and 29.8% of practices by more than 10 percentile points. Adjusting for case-mix resulted in large increases in score for a small number of practices and small decreases in score for a larger number of practices. Practices with younger patients, more ethnic minority patients and patients living in more socio-economically deprived areas were more likely to gain from case-mix adjustment. Age and race/ethnicity were the most influential adjustors.
Conclusions While its effect is modest for most practices, case-mix adjustment corrects significant underestimation of scores for a small proportion of practices serving vulnerable patients and may reduce the risk that providers would 'cream-skim' by not enrolling patients from vulnerable socio-demographic groups.
healthcare quality improvement
http://dx.doi.org/10.1136/bmjqs-2011-000737
Performance measurement is central to improving the quality of medical care, facilitating patient choice, and incentivising providers to improve care. Case-mix adjustment seeks to control for differences in patient characteristics not under the control of providers to facilitate fair comparison among healthcare providers by estimating the scores providers would have received if serving a common population.1 Such adjustment can be applied to measures of clinical process,2 ,3 patient experience,1 ,4–7 and medical outcomes.8–11
The use of case-mix adjustment for mortality is relatively well established12–15—although uncertainty exists about optimal methods10 ,16—while the application of case-mix adjustment for clinical process and patient experience measures varies within the UK and internationally. For example, in the USA the same Consumer Assessment of Healthcare Providers and Systems (CAHPS) data are presented by the Centers for Medicare and Medicaid Services (CMS) adjusted,17 and by the National Center for Quality Improvement (NCQA) unadjusted.18
Variability in the use of case-mix adjustment may reflect both ideological differences and practical uncertainties about when and how to adjust for patient case mix. Some have suggested that performance indicators should not be case-mix adjusted, citing concerns that such an approach disregards the imperative to provide the best possible care to all patients. Yet organisations with high proportions of patients who are difficult to treat or generally more likely to report negative experiences could be disadvantaged by performance incentives based on unadjusted performance measures. Such disadvantage may encompass loss of income (eg, under pay-for-performance), but may also damage staff morale, and undermine the ability to recruit and retain high-calibre healthcare professionals and/or attract and retain patients.
Further empirical research is needed to assist and inform such decision making, given the inconsistent use and ongoing debate about the benefits of case-mix adjustment.5 ,19 ,20 In England, detailed measurement of clinical performance is used as part of a pay-for-performance scheme in primary care,21 and between 2008 and 2011, the scheme included financial incentives based on data from a national survey of patient experience.22 ,23 Using data from this survey, we quantify the impact of case-mix adjustment on the mean scores and rankings of primary care practices. We ascertain who would be the winners and losers under case-mix adjustment, by how much, and why. Our aim is to demonstrate the difference which case-mix adjustment might make in performance assessment, to identify why and when it may be useful, and to discuss important policy issues in case-mix adjustment.
Anonymised data were analysed from all 2 163 456 people registered with 8267 primary care practices in England who responded to the 2009 General Practice Patient Survey, a national survey of patient experience with primary care (response rate 38%). Women, middle-aged patients, and those in affluent areas were more likely to respond to the survey, consistent with response patterns reported for other patient experience surveys.24 Details of the survey and method of administration have been published elsewhere.23 ,25
Patient experience measures
We measured patient experience using a single item to assess overall satisfaction with primary care services, and 12 items assessing patient experience in three domains of primary care: access, interpersonal care, and anticipatory care planning. Response options included both dichotomous categories (yes/no) and three-point, four-point and five-point Likert scales. The questionnaire can be viewed at http://www.gp-patient.co.uk/questionnaires/ and the content of each question is summarised in the appendix, table A1. All measures were linearly re-scaled to a 0–100 range (most favourable response =100) to facilitate comparisons across questions. Composite measures were computed separately for doctor communication and nurse communication using the mean of non-missing items from all respondents answering four or more of the seven items which made up each composite.
Case mix
Five patient characteristics were investigated as potential case-mix adjustors: age (eight ordinal categories from 18–24 to 85+; 55–64 (reference group)), male gender, Office of National Statistics ethnicity (white (reference group); mixed; South Asian; black; Chinese; other), self-reported health (excellent (reference group), very good, good, fair, poor), and socio-economic status of residential address (by quintile; using the highest level of deprivation as the reference group). The last of these was the only variable measured at aggregate level and was derived by linking patient postal codes to the 2007 Lower Super Output Area Index of Multiple Deprivation26 (higher quintiles represent greater socio-economic deprivation).
We used linear mixed effects regression models with practice as a random effect and case-mix adjustors as fixed effects, to predict each of 13 measures of patient experience with primary care (multiple items for access, interpersonal care, anticipatory care planning, and a single item measuring overall satisfaction with primary care services). The use of practice random effects ensures that adjustments are limited to differences observed within practices and are not biased by the confounding of overall practice performance with between-practice differences in patient characteristics.
Overall impact of case-mix adjustment
To quantify the impact of case-mix adjustment we used two primary metrics:
(1) To convey the absolute change resulting from case-mix adjustment we calculated differences on the 0–100 scale between case-mix adjusted and unadjusted practice-level mean scores. We described absolute changes in practice means resulting from adjustment by showing the distribution of the changes in means, and by calculating the proportion of variance in adjusted practice-level means attributable to case-mix adjustment, p=(1−r2) where r is the Pearson's correlation coefficient between adjusted and unadjusted practice-level means.
(2) To convey relative change resulting from case-mix adjustment we calculated changes in practice rankings. We described the frequency of large impacts by counting the proportion of practices that change rank by 10 or more and by 20 or more percentile points after case-mix adjustment was applied. We also used Kendall's Tau (τ) to calculate the discordance of ranks under case-mix adjustment, d, where d (d=(1−τ)/2), represents the probability that the higher rank of a given practice relative to another practice becomes the lower rank relative to the same practice after case-mix adjustment (or vice versa).
How the effect of case-mix adjustment varies in relation to practice characteristics
To identify the type of practices likely to gain or lose most as a result of case-mix adjustment, we first arranged all practices in descending order according to the impact of case-mix adjustment on practice-level means (adjusted–unadjusted) for each of the two questions, 7 and 10, which related to the ability of patients to get appointments with their general practitioner and which were associated with pay-for-performance between 2008 and 2011. We then calculated descriptive characteristics for respondents in practices in the highest decile (the biggest 'winners' from case mix adjustment); the lowest decile (the biggest 'losers'); and middle 10% of practices ('typical impacts').
Relative importance of individual case-mix adjustors
To measure the contribution of individual case-mix adjustment variables we used discordance in ranks to describe the total contribution of a single case-mix adjustor if it were the only adjustor employed (assessed by comparing ranks from models adjusting only for the case-mix adjustor being examined to unadjusted ranks), and the unique contribution of a single case-mix adjustor above and beyond all others (assessed by comparing ranks from fully adjusted models to ranks from models adjusting for all but the one adjustor being examined).
The impact of any case-mix adjustor is a function of two factors: how strongly predictive the adjustor is of individual patient scores within practices; and how much the adjustor varies between practices.4 To assess the predictive strength of each adjustor we examined standardised coefficients showing the relationship between individual case-mix variables and each of the 13 measures of patient experience in our primary regression models. We then calculated practice-level intraclass correlation coefficients (ICCs) for each adjustor to measure its heterogeneity between practices.
SAS V.9.2 was used to perform all linear mixed effects modelling. SPSS/PASW for Windows (V.18.0.3) and R V.2.12.0 were used for all other analyses.
Demographic characteristics and the self-reported health of the 2 163 456 respondents to the 2009 General Practice Patient Survey appear in table 1. Fifty-eight per cent of respondents were women; 30% were aged over 65; and 14% were non-white. Practice-level and patient-level mean scores for questions from the General Practice Patient Survey appear in appendix table A1.
Demographic characteristics and self-reported health of respondents to the 2009 General Practice Patient Survey (England)
Table 2 shows the impact of case-mix adjustment on practice-level mean scores and practice ranks. Case-mix adjustment accounted for 1–12% of the variance in practice-level mean scores (see column 1), and changed the relative ranks of between 2% and 11% of practices in pairwise comparisons (see column 2). The impact of case-mix adjustment on practice-level means varied by patient experience domain, with a larger impact on anticipatory care planning items (questions 28 and 29) and a smaller impact for questions relating to access (getting through on the telephone; getting an urgent appointment; booking ahead; and evaluation of waiting time).
Impact of adjustment for all case-mix variables on practice level mean scores, and practice rankings
Adjusting for patient characteristics had modest impacts for most practices, but between 0.4% and 29.8% of practices changed rank by 10 percentile points or more (table 2, columns 3 and 4), and up to 6% of practices changed rank by 20 percentile points or more (table 2, columns 5 and 6). As can be seen in table 2, gains of 10 or more percentile points of rank were somewhat more common than losses of 10 or more percentile points.
Figure 1 shows the magnitude and direction of differences in practice-level mean scores on 13 patient experience questions after case-mix adjustment is applied. The proportion of practices that are outliers (more than 1.5 times the IQR outside the actual IQR) ranges from 2.5% to 6.9% across questions. As can be seen in figure 1 these differences in practice-level means are generally 5–10 points on the 0–100 scale (corresponding to 20–50 percentile points of change in rank, see appendix, figure A1), with the larger outlier adjustments almost entirely positive, that is, representing practices whose mean scores increased as a result of case-mix adjustment.
Boxplot showing impact of case-mix adjustment on practice level means (adjusted–unadjusted means). Whiskers show 1.5 IQR beyond the actual IQR; cases outside the IQR by at least 3 IQR are shown as*.
Practices showing the largest gain in scores from case-mix adjustment ('winners' in the top decile), middle decile practices ('typical', very small adjustments), and bottom decile practices ('losers' from adjustment), had very different average patient populations, especially with respect to deprivation and ethnicity (see table 3). Among the 10% of practices gaining most from case-mix adjustment, on average, 82% of patients lived in the most deprived areas (lowest two quintiles), 45% of patients were white and 31% South Asian. In comparison, the 10% of practices who lost most from case-mix adjustment had a patient population that averaged 97% white, and only 10% of their patients lived in the most deprived areas. Practices gaining most from case-mix adjustment were on average smaller and treated patients who tended to be younger and in worse health compared with other practices.
Characteristics of practices in the top 10% (gain most from case-mix adjustment), mid 10%, and bottom 10% when all practices are arranged by magnitude of change in practice-level mean scores after case-mix adjustment
Relative importance of individual adjustors
Figure 2 summarises the relative importance of each of the five case-mix adjustor variables, averaged across all items. Age is the most influential adjustor (accounting for about 4% discordance by itself) and gender the least (∼1% discordance). Ethnicity is nearly as important as age when taken alone, but its unique contribution is similar to those for deprivation and self-reported health (∼2%). The ICCs show that deprivation and ethnicity vary greatly across practices and gender almost not at all. Standardised regression coefficients (appendix table A2) show relatively strong relationships of age and self-reported health with measures of patient experience within practices, but relatively small coefficients for gender and deprivation.
Average discordance of ranks across all items using data on Kendall's Tau and intraclass correlation coefficients (ICCs) to identify the variables that have the biggest impact when case-mix adjustment is applied.
In a study of 2 163 456 respondents from 8267 English primary care practices we show that case-mix adjustment of practice-level scores results in relatively few large adjustments (which were mainly positive), and many small adjustments (which were more often negative). However, the largest effects were on a distinct subset of practices whose patients were more likely than average to be from South Asian or other ethnic minorities, young, in poorer health, and living in deprived areas.
Although only a small number of practices would benefit significantly from case-mix adjustment, we propose that such adjustment should be applied because it meaningfully improves performance measurement for practices with less typical and often under-privileged patient populations, This would discourage practices from 'cream-skimming' by avoiding enrolling patients who could be seen as 'hard to treat', and increase perceptions of fairness and engagement in quality improvement activities.
In a study of 27 practices in the UK (patient race/ethnicity 97% white), Salisbury and colleagues conclude that 'adjusting for patients' characteristics makes very little difference to practices' scores or to the performance of individual practices relative to other practices'.6 Our study, with a larger sample of practices and including a broader mix of patient characteristics (practice N=8267; patient race/ethnicity 14% non-white), suggests that case-mix adjustment has a non-trivial impact on the assessment of performance for practices serving less typical, and often disadvantaged, patient populations. Unfairly disadvantaging such practices in performance measurement could have negative implications for retention and recruitment of healthcare staff working in them, and for attracting and retaining patients.
Our study builds on what is known from previous research by addressing some of the limitations of previous studies, which include smaller sample sizes, non-random selection of practices, and a low proportion of non-white respondents.6 A particular strength of our study is the large sample size, enabling us to investigate the impact of case-mix adjustment on practices serving less typical patient populations. Because of the population basis of the sampling, our study is also not subject to problems such as regional variation in coding which may cause problems when using diagnostic coding for case-mix adjustment.27
Although parsimonious models are often desirable, one limitation of this study is the relatively small number (five) of case-mix adjustors included. While age, gender, ethnicity, self-reported health, and socio-economic deprivation are considered pertinent for case-mix adjustment in both the UK and the USA there are additional patient characteristics, such as language spoken at home, that have been used as case-mix adjustors in prior research5 but were not measured in this study. Another limitation is the modest response rate to the survey (38%). However in our previous analysis of two questions associated with payment to practices we found minimal evidence of non-response bias,23 and this is consistent with a meta-analysis of survey methodology literature showing that response rates are only weakly associated with non-response bias among studies employing methodology similar to ours.28 There are limits to the generalisability of our findings. The impact of individual case-mix adjustors may vary between countries due to differences in, for example, the constituent racial/ethnic groups in each nation, and we were not able in our study to explore variation across nations or healthcare settings.
Implications for health policy and practice
Because case-mix adjustment reduces bias4 ,5 and improves the validity of performance measurement (especially for some practices) it is integral to supporting patient choice and facilitating quality improvement in hospitals and in primary care.5 In addition, by improving perceived fairness, or face validity,29 case-mix adjustment helps to maintain the credibility of pay-for-performance schemes, and focuses conversations on how to improve patient experiences4 by avoiding arguments from providers that 'my population is special'.29 However, care must still be taken to communicate that negative adjustments are not 'penalties', and we recognise, like others,2 ,30 that there is a risk that case-mix adjustment could remove incentives for providers to address disparities in care and institutionalise substandard care by 'masking' poor care provided to some patient subgroups. In order to make visible any disparities in the provision of care by socio-economic status or race/ethnicity and to minimise the risk of institutionalising substandard care, it is important that case-mix adjustment is used in conjunction with strategies that collect data to monitor healthcare disparities and report quality measures stratified by, for example, socio-economic position and race/ethnicity.30
Deciding when and how to adjust performance scores for case mix
Case-mix adjustment is most useful when patient characteristics vary substantially between providers, and where these patient characteristics are strongly related to performance measures.5 Combined with previous US findings,5 ,7 our data suggest that age and health status are broadly important adjustors across nations and healthcare settings. Our research also suggests that adjustment for race/ethnicity may be important to ensure equitable comparison, and, when results are linked to financial incentives, equitable distribution of resources. Socio-economic status/deprivation was less important in these data than is often the case in the USA; these differences may reflect differences in healthcare systems or in the measurement of socio-economic status.
Case-mix adjustment has been inconsistently applied to performance measures in healthcare both in the UK and internationally. Our results show that the impact of case-mix adjustment on practice-level performance scores is modest for most practices but may meaningfully improve the measurement of performance for practices with less typical patient populations, discouraging practices from 'cream-skimming' by avoiding enrolling patients who could be seen as 'hard to treat'. Without adjustment for patient mix, reports of organisational performance may disadvantage those practices serving less typical, often disadvantaged, patient populations.
Elliott MN,
Zaslavsky AM,
Goldstein E,
. Effects of survey mode, patient mix, and nonresponse on CAHPS® hospital survey scores. Health Serv Res 2009;44:501–18.
Hong CS,
Atlas SJ,
Chang Y,
. Relationship between patient panel characteristics and primary care physician clinical performance rankings. JAMA 2010;304:1107–13.
Mehta RH,
Liang L,
Karve AM,
. Association of patient case-mix adjustment, hospital process performance rankings, and eligibility for financial incentives. JAMA 2008;300:1897–903.
Hargraves JL,
Wilson IB,
Zaslavsky A,
. Adjusting for patient characteristics when analyzing reports from patients about hospital care. Med Care 2001;39:635–41.
O'Malley AJ,
. Case-mix adjustment of the CAHPS hospital survey. Health Serv Res 2005;40:2163–81.
Salisbury C,
Wallace M,
Montgomery AA
. Patients' experience and satisfaction in primary care: secondary analysis using multilevel modelling. BMJ 2010;341:c5004.
Zaborski L,
Ding L,
. Adjusting performance measures to ensure equitable plan comparisons. Health Care Financ Rev 2001;22:109–26.
OpenUrlWeb of Science
Bottle A,
Aylin P
. Intelligent information: a national system for monitoring clinical performance. Health Serv Res 2008;43:10–31.
Lingsma HF,
Steyerberg EW,
Eijkemans MJ,
. Comparing and ranking hospitals based on outcome: results from The Netherlands Stroke Survey. QJM 2009;103:99–108.
Mohammed MA,
Deeks JJ,
Girling A,
. Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitals. BMJ 2009;338:b780.
Smith AW,
Reeve BB,
Bellizzi KM,
. Cancer, comorbidities, and health-related quality of life of older adults. Health Care Financ Rev 2008;29:41–56.
Jarman B,
Pieter D,
van der Veen AA,
. The hospital standardised mortality ratio: a powerful tool for Dutch hospitals to assess their quality of care? Qual Saf Health Care 2010;19:9–13.
Pine M,
Jordan HS,
Elixhauser A,
. Enhancement of claims data to improve risk adjustment of hospital mortality. JAMA 2007;297:71–6.
Popescu I,
Vaughan-Sarrazin MS,
Rosenthal GE
. Differences in mortality and use of revascularization in black and white patients with acute MI admitted to hospitals with and without revascularization services. JAMA 2007;297:2489–95.
Sharek PJ,
Parast LM,
Leong K,
. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA 2007;298:2267–74.
Shahian DM,
Wolf RE,
Iezzoni LI,
. Variability in the measurement of hospital-wide mortality rates. N Engl J Med 2010;363:2530–9.
National Quality Measures Clearinghouse. Hospital Inpatients' Experiences: Adults Inpatients' Ratings of This Hospital. Rockville, MD: National Quality Measures Clearinghouse. http://www.qualitymeasures.ahrq.gov/content.aspx?id=26585 (accessed 8 Mar 2012).
NCQA. HEDIS. Volume 3: Specifications for Survey Measures. Washington, DC: NCQA, 2012. http://www.ncqa.org/tabid/1415/Default.aspx (accessed 4 May 2012).
Kontopantelis E,
Roland M,
Reeves D
. Patient experience of access to primary care: identification of predictors in a national patient survey. BMC Fam Pract 2010;11:61.
Mead N,
Roland M
. Understanding why some ethnic minority patients evaluate medical care more negatively than white patients: a cross sectional analysis of a routine patient survey in English general practices. BMJ 2009;339:b3450.
. Linking physician pay to quality of care: a major experiment in the UK. N Engl J Med 2004;351:1448–54.
Campbell J,
Smith P,
Nissen S,
. The GP Patient Survey for use in primary care in the National Health Service in the UK—development and psychometric characteristics. BMC Fam Pract 2009;10:57.
Elliott M,
Lyratzopoulos G,
. Reliability of patient responses in pay for performance schemes: analysis of national General Practitioner Patient Survey data in England. BMJ 2009;339:b3851.
Edwards C,
Angeles J,
. Patterns of unit and item non-response in the CAHPS Hospital Survey. Health Serv Res 2005;40:2096–119.
Ipsos MORI. Technical Annex for the GP Patient Survey. London: Ipsos MORI, 2010.
Department for Communities and Local Government. The English Indices of Deprivation. London: Department for Communities and Local Government, 2010. http://www.communities.gov.uk/publications/corporate/statistics/indices2010 (accessed 8 Mar 2012).
Welch HG,
Sharp SM,
Gottlieb DJ,
. Geographic variation in diagnosis frequency and risk of death among Medicare beneficiaries. JAMA 2011;305:1113–18.
Groves RM,
Peytcheva E
. The impact of nonresponse rates on nonresponse bias. Public Opin Q 2008;72:167–89.
Eselius LL,
Cleary PD,
. Case-mix adjustment of consumer reports about managed behavioral health care and health plans. Health Serv Res 2008;43:2014–32.
Fiscella K,
Franks P,
Gold MR,
. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA 2000;283:2579–84.
This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.
Files in this Data Supplement:
Data supplement 1 - Online Appendix 1
Funding The study was funded by a grant from the UK Department of Health. The views expressed are those of the authors and not of the Department of Health.
Competing interests The authors have no conflicts of interest as defined by the International Committee of Medical Journal Editors. MR and JC act as academic advisors to Ipsos MORI for the development of the General Practice Patient Survey and have received remuneration for this.
Data sharing statement Individual level data were provided to us by Ipsos MORI with a covering confidentiality agreement with the Department of Health. Under this agreement we are not at liberty to share the dataset with third parties.


text:
Home » Lifestyle » Anthony Joshua set to reveal new trainer ahead of Oleksandr Usyk rematch
Anthony Joshua set to reveal new trainer ahead of Oleksandr Usyk rematch
Anthony Joshua is set to announce his new trainer in the next two to three weeks, according to promoter Eddie Hearn, who confirmed that previous coach Rob McCracken will still be involved in some capacity ahead of his rematch against Oleksandr Usyk.
Joshua has been tipped to return to the ring in April in a "must-win" fight against the undefeated Usyk, who claimed the IBF, WBA and WBO heavyweight titles with a stunning performance at the Tottenham Hotspur Stadium last year.
The 32-year-old spent time following the unanimous decision defeat in September touring America and visiting several renowned trainers, including Eddy Reynoso and Ronny Shields, as he looks to add a fresh voice to his corner.
Joshua has also auditioned potential trainers in the UK and Dubai, and promoter Hearn said he would make a formal announcement on his coaching set-up when he begins his camp ahead of the Usyk rematch.
"I think AJ will make an announcement when camp starts, which I guess will be end of January, early February," Hearn told IFLTV.
The Notorious B.I.G. Thought Jay-Z Was a Better Rapper Than Him
When asked whether McCracken would continue to work with Joshua, Hearn replied: "He'll always be involved in some way. He's more than just a trainer to Anthony Joshua… he's a mentor, an advisor.
"Those two will always talk – in what capacity, I don't know. I'll leave that to AJ to announce. But there will certainly be additions to the training team."
The Matchroom promoter added: "He [Joshua] has been working very hard. Obviously his trip to America and subsequently in the UK with trainers flying in.
"He's worked hard to get it right. A lot of people have said, 'Do you think it's risky to bring in a new trainer?' I flip that and say, 'Do you think it's risky to not be comfortable with your setup or your surroundings?'
"He's put the work to make sure he gets it right and I'm guessing himself and [management company] 258 will make an announcement when camp gets underway."
As a gay man, I couldn't donate blood – until lockdown
What Kamala Harris' Life Will Be Like When She Is VP
Mkhitaryan wants to quit Arsenal for Roma but £18m asking price could end permanent transfer move this summer – The Sun
Alien Huang Dies: Taiwanese Actor & Media Personality Was 36
California woman blasted online for wearing orange dress in beach photos during the West Coast wildfires
« Varney: Biden's presidency is on the brink of failure
Delta Air Lines giving employees $1,250 appreciation payments in February »


text:
Thinking about visiting Disneyland? How about owning a ride?
You can go to Disneyland to ride on an attraction — just like everyone else. Or you can own a Disneyland attraction car ride.
Several vintage attraction car rides will be among more than 800 items of memorabilia from Disneyland offered in a live auction Nov. 21 from Van Eaton Galleries' "Collecting Disneyland" auction.
According to the Sherman Oaks, California-based gallery and auction, the sale is a "rare opportunity to own original Disneyland attraction ride cars."
The cars include two original Tomorrowland Transit Authority PeopleMover ride cars, a Skyway to Fantasyland bucket ride car and a Space Mountain ride vehicle.
The PeopleMover attraction debuted on July 2, 1967 and ran until August 21, 1995. Van Eaton says the two PeopleMover ride cars being offered are among only 13 still known to exist. They come with a custom-fabricated control panel and plays a two-minute explanation of the ride by a 1967 tour guide. The estimated value is $200,000 to $300,000 for the pair.
The PeopleMover is among many Disneyland Memorabilia items set for auction.
The Skyway with its hanging, ski-gondola-style cars ran from June 23, 1956, until November 9, 1994, carrying visitors between Tomorrowland and Fantasyland, and it required a "D" ticket to ride.
Beginning in 1959, the aerial tour included a trip through the Matterhorn attraction. Being offered at the auction is an original 1967 "bucket vehicle" used from 1965-94. Its pre-auction estimated value is $5,000 to $10,000.
Also offered is one of the cars that carried Disneyland visitors on the Space Mountain indoor rollercoaster thrill ride. Space Mountain opened May 27, 1977. The red, white and blue ride car offered at the auction includes a functional radio and has a pre-auction estimated value of $50,000 to $60,000.
For more information, visit: www.vegalleries.com.
To register for the live auction, visit: www.vegalleries.com/collectingdisneyland
PrevPreviousElio Motors will display cheapest car concept at LA Auto Show
NextPancakes fine, but sinkhole at IHOP prefers cars (VIDEO)Next


Conservation, management and development of forests and tree growth, on sustainable basis, for present and future generations.
To Plan, Execute, Coordinate and Monitor the implementation of Forestry and Wildlife programmes to meet people needs and to ensure ecological security and environmental balance, by sustainable management of forests.
Enhancing the forest and tree cover through peoples participation for meeting people needs and better realization of ecological goods and services.
Protection, Conservation and Consolidation of Forests, Wildlife and Protected Areas (Consolidation of forest areas, protection & conservation of forests, biodiversity and wildlife and habitat improvement) (28%).
Sustainable management of forests (Sustainable harvest and livelihood support through people's participation, Capacity building of stakeholders, and Effective delivery mechanisms) (16%).
Expansion of tree cover outside forests (Agro/Farm Forestry, Tree improvement, Publicity and Extension) (16%).
The major functions of the Karnataka Forest Department include: Effective implementation of laws and regulations pertaining to forests and wildlife.
Consolidation and preservation of forest land and woodlots.
Habitat development in Protected Areas (P.A.s) and other forest areas including wetlands.
Afforestation and reforestation of degraded forests.
Regeneration of forest areas, including soil and moisture conservation works.
Increasing tree cover outside forest through Farm Forestry, Agro Forestry, Urban Woodlots, Roadside/ Canalside plantations and School Forestry etc.
Taking appropriate measures to propagate Sandalwood, medicinal plants and R.E.T. Species.
Tranparent and effective delivery sysyems for various forest based goods and services.
Providing bamboo, cane, sandalwood etc. to forest produce dependent sections of the society and artisans to support their livelihood needs.
Research and Extension support for forestry management.
Providing for adaptation of policies for mitigation of climate change in forestry plannning and management.
Effective mechanism for continuous Monitoring, Evaluation and Learning from all departmental activities and programmes.
Human Resource Development and capacity building of all stakeholders.
Providing institutional mechanism for dessimination of information and communication for various stakeholders.
Strengthening the process of Joint Forest Planning & Management / Revitalization of V.F.C.s & E.D.C.s for meaninfgul participation of people in Forests & Wildlife development programmes.


We have two charming cottages available to rent – Mimosa Cottage with 3 bedrooms, accommodating up to 6 people, and Mimosa Lodge with 5 bedrooms, acommodating up to 10 people. Set in 2.5 acres of landscaped gardens, each cottage has its own private garden area, plus communal areas including the large grassed paddock with a Boules pitch and 4 metre splash pool (in the summer months) as well as the Games room with various games including a Table tennis and Darts board.
Our aim is to provide you with a holiday to remember. Whether you want to relax, unwind and do nothing, or you'd prefer to be active and explore what the region has to offer, we will do our best to accommodate your needs.
We are absolutely committed to you getting the most out of your experince, we have even won awards on trip advisor and are Super Hosts on Airbnb! Our wish is that our hideaway and service is so exceptional every visitor leaves with beautiful memories of a peaceful, perfect holiday.
Fully equipped and oozing Breton character, many people comment that our cottages are a home from home and we pride ourselves in careful consideration of your needs. Both the Cottages provide the ideal base for you to enjoy this truly beautiful part of France.
We have plenty of open spaces for children to play, space for rounders, cricket, football, cartwheels and as much fun as your imagination will allow! You are welcome to bring pets. There are secluded areas to find peace and relaxation, with plenty of places to walk from your door step, beautiful woods, quiet country lanes and hamlets to explore. However if you want to explore further afield there is plenty of activity available all around.
We are situated in the tiny hamlet of Kervenez in central Brittany on the borders of Cote D'Armor, Finistere and Morbihan. Near to the Black Mountains (Montagnes Noir), the surrounding countryside is stunning and we are blessed with wonderful views. The famous Southern coastal beaches are only 30-40 minutes away and are some of the best in Brittany, almost all boasting the Blue Flag awarded by the EC. For those who wish to go walking, fishing, golfing, canoeing, cycling, or horse riding, we are ideally situated to enjoy them all.
We are only 5 minutes from our nearest town of Langonnet, which has all the local amenities you will need whilst on holiday; a well stocked Grocery Shop with fresh produce (and a good wine section),a Butcher, Pharmacy, Post Office, Bank, Bakers and restaurant – there is even a Florists and Hairdressers! 10 minutes drive away are the larger towns of Le Faouet and Gourin, which offer weekly markets and a larger array of shops, supermarkets and restaurants.
Come and create your own beautful memories… We hope to welcome you soon.


CMBI's primary task is the development of interdisciplinary, inter-institutional, and university-industrial collaborations in imaging science. The most interesting opportunities often require such collaborations, which are very hard to start in the highly competitive Federal funding environment. The Center will provide an infrastructure that permits rapid development of new ideas.


Consultancy FutureBrand has worked on the redesign, which includes a new "interlocking" icon emphasising Activia's digestive health benefits.
FutureBrand has created a new visual identity for Activia, including an updated green packaging colour and a new brand icon celebrating the yoghurt's health benefits.
The consultancy – which was commissioned to work on the redesign last year – says it was briefed by food company Danone to "further strengthen the brand's core digestive health proposition" and make it more premium.
Bifidus Actiregularis is given much more prominence, featuring on the front of the packaging set against a gold backdrop, which contrasts with the rest of the green coloured packaging.
The colour palette is also carried through to the new symbol, made up of one green and one gold shape which are interlocked.
It replaces the arrow symbol used previously, which Cassidy says implied that the product was a diuretic. The new interlocking symbol aims to remove these connotations, and draw associations with digestive health instead.
Another key element of the redesign is the darker green colour of the packaging, designed to give it a "more refined hue" with added texture.
The photographic element of the packaging has also been updated, including a simple spoon image that is now used for the natural flavour.
The new design has now rolled out across 35 countries.
All well and good but once they're taken out of the cardboard packaging and put in the fridge it's difficult to differentiate between the flavours as two of every four have no fruit image and the text is very small. Also, it's hard to differentiate between the regular and the 0% fat versions. From that point of view I'd say this was an epic fail.