text:
Teen driver banned after crashing car at busy South Tyneside roundabout
South Shields enjoys spectacular display as Northern Lights illuminate night skies
How you can help the Children's Heart Unit Fund raise £15,000 to support youngsters during coronavirus pandemic
A life-saving charity caring for youngsters battling heart conditions urgently needs to raise £15,000 to continue its vital work during the coronavirus pandemic.
By Sophie Brownson
Wednesday, 29th April 2020, 4:12 pm
Updated Wednesday, 29th April 2020, 4:14 pm
The Children's Heart Unit Fund (CHUF) based at the Freeman Hospital in Newcastle, provides lifelong support to youngsters who are born with or develop heart conditions and their families.
It has launched an urgent appeal for donations to help it raise a minimum of £15,000 in the next eight weeks.
The charity urgently needs the vital funds so it can continue to support some of the most poorly children in the North East at this difficult time.
Children's Heart Unit patient Faith with her sewing magazine and new tablet bought through then charity's coronavirus fund to entertain her whilst in hospital isolation.
CHUF's Heart Heroes (babies and children with heart conditions) are at high risk of infection and need regular access to services and care.
Many of which are currently in the region's hospitals undergoing treatment or awaiting a life-saving operation.
Coronavirus is having a huge impact on this, but CHUF has supported new ways of working to continue to care for those in need.
But at a time when its fundraising has reached a standstill while the UK is in lockdown, CHUF needs donations from the public so its Covid-19 response can continue.
Children's Heart Unit staff at the Freeman Hospital.
So far, CHUF has put a range of special measures in place to respond to the changing needs of the Children's Heart Unit at Freeman Hospital and also Heart Heroes and their families across the region. These include:
: An emergency float to feed families staying at Scott House (a home from home for parents and families while children are undergoing treatment) as under Government guidelines around Covid-19 the home's communal kitchen facilities cannot be used.
: Funding hotel stays and transport for at risk families that cannot stay at Scott House, so they can still be there for their children.
: Funding a complex discharge nurse which is a new role to support CHUF's liaison team.
The play room on the ward at the Children's Heart Unit at the Freeman Hospital.
: Funding psychology services virtually, which are an essential for families self-isolating.
Charlotte Campbell, Director of Fundraising and Operations at CHUF, said: "Our support is more in demand than ever, while our fundraising, which we rely on to operate, is extremely restricted and events have been cancelled or postponed to keep people safe.
"Our team has worked day and night to find different ways of doing things so the vital support we offer isn't compromised, and our Heart Heroes continue to feel safe, reassured and updated at all times.
"These new measures are working really well but come at a cost, and without funds coming in we won't be able to continue which is a huge worry.
"From our hearts to yours, please support us and our Heart Heroes so we can get through this together."
To donate to CHUF online visit www.chuf.org.uk/donate/make-a-donation/
You can also make a one-off donation of £5, £10 or £15 by texting 'HEART 5', 'HEART 10' OR 'HEART 15' to 70470.
The charity would also welcome support from local businesses who are being asked to contact [email protected]
In order for us to continue to provide high quality and trusted local news on this free-to-read site, I am asking you to also please purchase a copy of our newspaper.
Our journalists are highly trained and our content is independently regulated by IPSO to some of the most rigorous standards in the world.
But being your eyes and ears comes at a price. So we need your support more than ever to buy our newspapers during this crisis.
With the coronavirus lockdown having a major impact on many of our local valued advertisers - and consequently the advertising that we receive - we are more reliant than ever on you helping us to provide you with news and information by buying a copy of our newspaper.
Where YOU want to see trains stop as part of Sunderland and South Tyneside Metro extension
Man located 'safe and well' in South Shields after police search
The top 9 lunch spots in South Tyneside as rated by TripAdvisor
Knifeman jailed for slash attack on Sunderland trainee teacher given extra time behind bars for South Shields burglary


until the sunset time of the pallid seed.
that light was the essence of everything.
of being a single in love man.
Which hell is inside him that colapse his sight?
poetry attempts with music soul.
and the inner destruction of him and his world.
Suddenly he change and he decides to pay attention to dead.
And the dead were near him and one single hell arose inside him.
the biggest ache he never felt.
all those years of sorrow and disgrace.
Would you love a man like him?
would you love this man?


text:
Expo's Knowledge and Learning Week: Get free Spanish lessons, meet world's best female chess player at Spain Pavilion
Expo 2020 Visit the Expo
Watch five women chess grandmasters compete with 20 participants next week and more
Published: December 09, 2021 17:54 Staff Report
A lot is happening at the Spain Pavilion this Sunday, with the launch of the next Expo theme week. Starting from December 12 to 18, Knowledge and Learning Week is just the right time for Spain to put chess at the top of its list of attractions. We're celebrating women in chess, meeting Judit Polgár - the Hungarian chess grandmaster - and getting free Spanish lessons throughout the week. Image Credit: Anas Thacharpadikkal/Gulf News
WOMEN GRANDMASTERS OF CHESS: On December 11, five chess grandmasters - Russia's Polina Shuvalova and Leya Garifullina, Kazakhstan's Zhansaya Abdumalik, India's Tania Sachdev (pictured) and Hungary's Judit Polgár - are all touching down at the Spain Pavilion for a match against 20 participants. They will play simultaneously, making one move each in every game. The heated game celebrates women in chess; grab snacks and sit down for a fascinating display of intellect in the presence of masterminds, running from 3 to 4.30pm. Image Credit: Wikimedia Commons
SPANISH LESSONS: From 12 to 18 of December, Expo visitors will have the opportunity to learn the Spanish language with micro-lessons from 11am to 1pm, everyday; and from December 12 to 15 from 4 to 7pm. Classes will be taught by teachers from the Spanish School of Abu Dhabi and the Spanish Teachers Association in the UAE (APEAU). Image Credit: Expo 2020 Dubai
GYMCHESS APP: Techies can also stick around till 2pm on December 12 to witness the launch of a chess-based smartphone app. Designed by the tech start-up GYMCHESS, the app is a cognitive training programme that uses chess to fight Alzheimer's and keep the brain healthy. Image Credit: expospain2020.com
MEET THE AUTHOR OF 'WOMAGIS': From December 16 to 18, award-winning author Marta Villegas is going to carry out a series of fun activities based on her bestseller children's book 'Womagis', from 4 to 7pm. Head down to the pavilion with the little ones on these days. Image Credit: womagis.com
TALK BY JUDIT POLGÁR: The only woman in the top ten chess player rankings, Judit Polgár will chat about the game in the context of education at the Spain Pavilion, on December 16. Polgár became a chess grandmaster at the age of 15, and is considered the best female chess player of all time. Image Credit: Twitter/@ExpoSpain2020
Seven-hour South Indian music festival coming to Expo
Who can enjoy Expo 2020 Dubai for free?
Here is how you can take free buses to and from Expo
Sheikh Maktoum bin Mohammed meets Singapore minister
See rare stamps at World Stamp Exhibition at Expo
How you can get free PCR test for Expo 2020

redpajama_set_name: RedPajamaCommonCrawl


text:
Q: Xamarin Android Simple Input Text Popup I have the ability to make my own popup, with dialogs, but I don't need anything complex. I was wondering if there was a simple function I could call that would make a popup where the user entered text and then return to me that text for use.
Sorta like these popups
But with one where the user would enter text.
Fairly new so if there is something like this I wouldn't mind an example to go with it. Thanks.

A: If you are using Android native UI, then you can easily create an AlertDialog and add a EditText to the dialog.
EditText et = new EditText(this);
AlertDialog.Builder ad = new AlertDialog.Builder (this);
ad.setTitle ("Type text");
ad.setView(et); // <----
ad.show();

redpajama_set_name: RedPajamaStackExchange


The angst that some UK backers expressed over the Wildcats' standing within the SEC in the 2019 recruiting rankings was, I think, far less about the merits of Kentucky's incoming players and more about disappointment that fans did not see an immediate payoff from the Cats' breakthrough 10-3 season in 2018.
Will it affect recruiting as much as the Citrus Bowl win was supposed to? Ie, 2nd to last still in the SEC? Ugh. Frustrating.
Even after Kentucky's victory over Penn State in the VRBO Citrus Bowl, UK's 2019 recruiting class is rated 30th in the country by Rivals. That is the same rating Rivals gave the Wildcats' 2018 recruiting haul.
Having at long last had a gulp from the cup of college football relevance, Wildcats supporters were yearning for a sign in recruiting that the UK football program was on a continuing upward arc.
When Stoops and Co. added only one player — albeit a well-regarded one in four-star Pennsylvania defensive back Marlin Devonshire — on the first day of the second college football signing period last Wednesday, it did not quench that thirst.
For various reasons, Kentucky is unlikely to ever consistently rank in the top half of the SEC in recruiting ratings. What UK needs to do is recruit well enough that good coaching and player development allow it to be competitive in its conference.
Since Stoops came to Kentucky after the 2012 season, UK's lowest-ranked recruiting class by Rivals was 35th in the nation in 2015.
Yet, that 2015 class yielded program cornerstones Josh Allen, C.J. Conrad, George Asafo-Adjei, Derrick Baity, Logan Stenberg, Chris Westry and Jordan Jones, as well as valuable contributors in Tavin Richardson, Calvin Taylor and Mason Wolfe.
Bottome line: Stoops' least-regarded Kentucky recruiting class entering college turned out as it exits UK to have been his best.
In this 2019 offseason, recruiting is not what should be most concerning to UK football backers. There are two other things that should worry them more.
Before 2018, the prior two times that Kentucky won at least nine games in a regular season, all the positive program momentum was lost in the ensuing year.
UK's 10-1 season in 1977 was followed by 4-6-1 in 1978. Kentucky's 9-3, Hall of Fame Bowl-championship year in 1984 yielded a 5-6 campaign in 1985.
At Stoops' Wednesday news conference, I asked the UK coach how he planned to handle prosperity within his program so that UK doesn't lose the "chip on the shoulder" mentality that fueled its current rise.
The news that Tavin Richardson is transferring from Kentucky means UK is losing a starting wideout to transfer for the second time in three seasons. Wide receiver Jeff Badet graduate transferred to Oklahoma after the 2016 season.
Richardson's exit removes a two-year starter from what was not exactly a UK position of strength in 2018. Going into 2019, UK desperately needs an outside receiver (or two) to emerge as a reliable complement to star slot receiver Lynn Bowden.
The facts are Badet had better numbers catching passes from Stephen Johnson at UK in 2016 (31 receptions for 670 yards and four touchdowns) than he did from Baker Mayfield at OU in 2017 (26 catches for 400 yards and three TDs).
Kentucky co-offensive coordinators Eddie Gran and Darin Hinshaw presided over a University of Cincinnati offense that averaged 360 yards a game passing in 2015.
Nevertheless, these wideout bailouts could become a perception issue for Kentucky as it aspires to add balance to what has been a Benny Snell-featuring, ground-hugging offensive attack the past two seasons.
If UK fans feel they must worry about recruiting, that's an issue to fret over.


After a burst of energetic enthusiasm, it was time to ward off a chill by seeking a warm drink & a nibble from the village shops.
We stumbled upon Gail's artisan Bakery. It was bursting at the seam with villagers & that's sure to be a good sign so we dived in.
Walking back from the village we took a little detour through Dulwich picture gallery.
The architecture, style & design of this place are very pleasing on the eye. Investigating it further will have to wait for another time as a little someone had a chocolate-induced-sugar-rush on the horizon & frankly a gallery is no place for this melt down to take place!
 I do love visiting this village; it has such a friendly feel. You feel welcomed & as if you're part of the community, not something that you'd usually expect in a 'London' suburb. & Is it just me, or do you find the sun always shines in Dulwich?


Quinn is the fictional story of a young man, William Henry Quinn, who walks from the south-west of England to the far north of Scotland at the end of the Second World War.
Although fictional, the work is a response to the real experiences of young men and women who have suffered trauma as a consequence of conflict and personal tragedy, often leaving them adrift from their past and unsure of their futures.
As lives are changed forever, changes imposed by disasters – natural and man-made, by social and economic crises, by war and violence people go in search of a new life, travelling in any way they can to find a new home, a new purpose and to rebuild their place in the world.
As William Henry Quinn travels on his odyssey, we travel with him on his physical and metaphorical journey through the British landscape, which is both changed and unchanged since the 1940s. The ancient lanes and paths along which Quinn and others have walked remain as they were then, and yet with the immutability of change and the unremitting nature of time passing, lives and memories change and fade. As we learn his story, we come to understand more about our own search for existential meaning, and ponder our own purpose in life.
Quinn is a meditation on grief, loss, loneliness, the human search for meaning, and the possibility of redemption through time and landscape. It brings the past into the now and leaves us to wonder about the future.


text:
Turkey lifts curfew in Cizre after clashes with the PKK
Government says up to 32 outlawed PKK fighters killed in Cizre, as pro-Kurdish party contends civilian death toll is 21.
Turkish security forces had blocked a delegation of Kurdish politicians from entering the town earlier in the week [Reuters]
Turkey's government has lifted a curfew in the southeastern city of Cizre, the scene of heavy fighting between the army and fighters from the Kurdistan Workers' Party (PKK).
The move on Saturday followed a week-long curfew, during which 32 fighters were killed, according to officials.
Sirnak province governor, Ali Ihsan Su, had announced the curfew would end on Saturday morning, in a statement released a day earlier.
The operation against PKK fighters had sparked concern for Cizre's inhabitants, with reports of food running out, residents unable to seek urgent treatment, and even burials being impossible to carry out.
"During this time, our security forces carried out a successful operation against members of the separatist terror organisation," the statement said, using the customary official term for the PKK.
RELATED: Cizre back on the front-lines of Turkey-PKK conflict
"I want to sincerely thank the dear citizens of Cizre for their patience and sensitivity in this period," the governor's statement added.
During the curfew, outsiders had not been allowed to enter the city in what Kurdish activists termed a blockade.
The operation in Cizre, a city of 120,000 on the border with Syria and close to Iraq, was a key part of the government's drive to cripple the PKK in southeast Turkey and northern Iraq, which started in late July and shows no sign of abating.
In a massive new wave of strikes, Turkish warplanes struck 64 PKK targets in overnight raids on northern Iraq, dropping 80 bombs, state media said.
At least 60 PKK fighters were killed in the strikes, carried out by 21 Turkish F-16 and F-4 warplanes. The toll could not be verified independently.
'Death sentence'
The leader of Turkey's main pro-Kurdish party said earlier on Friday the curfew in Cizre had turned into a "death sentence" for Kurds in the Kurdish-majority city.
"Normally, the fine when someone breaks a curfew is 100 Turkish lira [$33]," said Selahattin Demirtas, the co-chairman of the pro-Kurdish People's Democratic Party (HDP) ,who had been trying to visit the city in the last days.
"In Cizre, the fine is the death sentence and executions," Turkish media quoted him as saying, in the town of Idil, west of Cizre.
OPINION: What is next for Turkey's Kurdish peace process?
Interior Minister Selami Altinok said on Thursday that up to 32 PKK fighters had been killed in Cizre, adding just one civilian had died in the clashes.
The HDP, however, contends that the civilian death toll is 21, including children.
"Those who venture out into the streets are killed by snipers. A violation that normally costs just 100 lira has become the price of death for the Kurds," Demirtas added.
Demirtas challenged the authorities to give names and prove that a single one of those killed were members of the PKK.


text:
Hymenochaete minuscula är en svampart som beskrevs av G. Cunn. 1957. Hymenochaete minuscula ingår i släktet Hymenochaete och familjen Hymenochaetaceae.   Inga underarter finns listade i Catalogue of Life.

Källor

Basidiesvampar
minuscula

redpajama_set_name: RedPajamaWikipedia


text:
Q: Kestrel guide/tutorial/documentation? I was trying see how Kestrel works but I'm having some difficulties even to find a working example in Java using it as a library.
Do someone has a link or can help me on the set up of a queue?
I've found this but it doesn't work on the last release.. : /

A: I had the same problem. I found this link which shows a client created using PHP. I was able to use this as a basis for creating a Java client: http://blog.shupp.org/2011/05/07/getting-started-with-kestrel-from-a-php-application/
import java.io.IOException;
import java.net.InetSocketAddress;
import java.util.concurrent.ExecutionException;
import java.util.concurrent.Future;
import net.spy.memcached.MemcachedClient;

public class KestrelClient {
    private MemcachedClient client = null;
    private String kestrelHost = null;
    private int kestrelPort = -1;

    public KestrelClient(final String kestrelHost, final int kestrelPort)
    {
        this.kestrelHost = kestrelHost;
        this.kestrelPort = kestrelPort;

        try
        {
            this.client = new MemcachedClient(new InetSocketAddress(this.kestrelHost, this.kestrelPort));
        }
        catch (IOException e)
        {
            e.printStackTrace();
        }
    }

    public boolean set(final String queueName, final int expiration, final Object data)
    {
        Future<Boolean> setFuture = this.client.set(queueName, expiration, data);

        try
        {
            return setFuture.get().booleanValue();
        }
        catch (InterruptedException e)
        {
            e.printStackTrace();
        }
        catch (ExecutionException e)
        {
            e.printStackTrace();
        }

        return false;
    }

    public Object reliableRead(final String queueName, final int timeout)
    {
        Object object = this.client.get(queueName + "/close/open/t=" + timeout);
        closeReliableRead(queueName);
        return object;
    }

    public void closeReliableRead(final String queueName)
    {
        this.client.get(queueName + "/close");
    }

    public void abortReliableRead(final String queueName)
    {
        this.client.get(queueName + "/abort");
    }
}

It's not perfect but it should get you started. (Dependency on spymemcached.)
Good luck!

A: I had the same problem. I was initially using the xmemcached client but then found it easier to use with a simple wrapper around it. That wrapper became jestrel, which is available here under an Apache license:
https://github.com/cobbzilla/jestrel
I designed the jestrel API for extreme simplicity. It's been tested in production environments and performs well. Give it a try and let me know what you think.


If you love countryside walking but don't have a car – don't panic – it's easy to get to the South Downs National Park by bus from Worthing … pals Gail & Amber did just that .. read on..
The day started in Worthing town centre, catching the Number 1 bus from outside Beales furniture store. The bus runs half hourly at 05 and 35 minutes past and the closest stop to Cissbury Ring is May Tree Avenue. Head left across the car park into the broad woodland and you'll find yourself encountering the sounds of the birds and the hums of the bees. You feel a million miles away from the climate of the town.
Stroll up the slight incline and you'll be able to admire the scenic views, with butterflies fluttering all around and the sun shining down. Continue through the woodland, with the camouflage of the trees and with rays of light shining down. A wooden gate to the right leads you into a field with nature awaiting. The fluffy faces of tiny lambs can be seen along with sheep dozing in the shade and cows sheltering from the warm sun.
It was a glorious day, beautiful and tranquil. The baby blue sky kissed the luscious green fields and the clear landscape looked like an oil painting. It's a perfect moment to take in the stillness of the surroundings. Walking along the path, over the gates, and crossing the hilly mounds, will lead you to the highest point on Cissbury Ring. A different world to the chaotic daily routine that most of us are use to.
Heading back towards town, a celebratory pint is in order and where better than MicroPub The Brooksteed Alehouse. Get off the bus at the Bridge Road stop, cross over and follow Bridge Road round to South Farm Road and look out for the penny farthing.
Brooksteed owners Aaron and John are happy to advise you on ales, ciders and perry which they serve direct from the cask (Wines, gins and bottle beer are also available). Our drinks of choice were the Citra golden ale (4.2% – £3.80 per pint) and the Purple Haze Cider (4% – £4 per pint), The alehouse even had complementary suntan lotion, so you really can sit back, enjoy your pint in the sun and reminisce of you wonderful day out in Worthing.


text:
Search database Books All DatabasesAssemblyBiocollectionsBioProjectBioSampleBioSystemsBooksClinVarConserved DomainsdbGaPdbVarGeneGenomeGEO DataSetsGEO ProfilesGTRHomoloGeneIdentical Protein GroupsMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProteinProtein ClustersProtein Family ModelsPubChem BioAssayPubChem CompoundPubChem SubstancePubMedSNPSRAStructureTaxonomyToolKitToolKitAllToolKitBookgh
NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.
Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr.
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Hughes RG, editor.
Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr.
Chapter 31Organizational Workflow and Its Impact on Work Quality
Carol Cain; Saira Haque.
Carol Cain;1 Saira Haque.2
1 Carol H. Cain, Ph.D., practice leader, Incubation. Care Management Institute, Kaiser Permanente. E-mail: gro.pk@niaC.H.loraC
2 Saira Haque, M.H.S.A., doctoral candidate at Syracuse University, School of Information Studies. E-mail: ude.rys@euqahns
What Is Workflow?
Workflow, loosely defined, is the set of tasks—grouped chronologically into processes—and the set of people or resources needed for those tasks, that are necessary to accomplish a given goal. An organization's workflow is comprised of the set of processes it needs to accomplish, the set of people or other resources available to perform those processes, and the interactions among them. Consider the following scenario:
On a slow Friday afternoon in the emergency room, as one nurse prepares to go off shift, the clerk looks up from the desk and asks, "By the way, since you're passing by housekeeping on your way out, would you remind them that room 12 still needs to be cleaned?"
"No problem," replies the nurse, and indeed, on a slow Friday afternoon, it is no problem. The informal methods and processes that the hospital has developed over the years to keep the enterprise humming work well, in general, and can work very well in optimal times. It's no trouble to remind housekeeping to come up; it's no trouble to run a special specimen down to the lab, and certainly no trouble to catch the attending physician during rounds to get a quick signature. Even if these small adjustments are forgotten, in due time the regular hospital schedule will bring the right people to clean the room, to pick up the lab specimen, to document the encounter.
These same methods that an organization uses to get work done, however, can begin to show stress under trying circumstances. When the ward is full and it takes 12 hours for a room to be readied for the next patient, that impact is felt throughout the organization. When the number of small interruptions outweighs the amount of planned work done in a given hour, that impact is felt in slower progress, lower job satisfaction, and potentially lower quality of care. In many situations, it is very clear to all what needs to get done. Where organizations differ is in how they do it. The examination of how an organization accomplishes its tasks often concerns the organizations' workflow.
In health care, as in other industries, some workflows are designed, while others arise organically and evolve. The systems and methods by which organizations accomplish specific goals differ dramatically. Some organizational workflows seem more straightforward than others. Most often, when workflow processes are looked at in isolation, the processes appear quite logical (and even efficient) in acting to accomplish the end goal. It is in the interaction among the processes that complexities arise. Some of these interactions hide conflicts in the priorities of different roles in an organization, for example, what the nursing team is accountable to versus the physician team and its schedule. Organizations also adapt workflows to suit the evolving environment. Over time, reflecting on organizational workflows may show that some processes are no longer necessary, or can be updated and optimized.
Why Is It Important to Nurses?
Health care has often faced the pressure to design, or redesign, its workflows to be more efficient and effective. In many cases, the trigger for examining workflow is in response to changes in how things are done. Today, the need to think about workflow design is more pressing due to several factors, including:
The introduction of new technologies and treatment methodologies into clinical care
The challenge of coordinating care for the chronically ill
The participation of a growing array of professionals in a patient's care team, and new definitions in their roles
Cost and efficiency pressures to improve patient flow
Initiatives to ensure patient safety
Implementation of changes to make the care team more patient-focused
One important reason that workflow is of pressing concern for today's clinicians is the introduction of new health care information technology (health IT) into clinical practice. Health IT promises many benefits for improving quality and efficiency. However, the introduction of health IT can be very disruptive to existing workflows in an organization. Health IT systems often implicitly assume a workflow structure in the way their screens and steps are organized. Organizations that are thoughtful about workflow design are more likely to be successful in adapting to health IT.1
In contrast to industries such as manufacturing, health care is a service industry that relies heavily on good information. In closely following and taking care of patients, nurses are guardians of a rich source of information. This valuable information can be lost when poor workflows impede communication and coordination or increase interruptions.2 Characteristics of a poorly functioning work process include unnecessary pauses and rework, delays, established workarounds, gaps where steps are often omitted, and a process that participants feel is illogical.
The design of good organizational workflow is not simply about improving efficiency. Workflow processes are maps that direct the care team how to accomplish a goal. A good workflow will help accomplish those goals in a timely manner, leading to care that is delivered more consistently, reliably, safely, and in compliance with standards of practice. An excellent workflow process can accommodate variations that inevitably arise in health care through interaction with other workflow processes, as well as environmental factors such as workload, staff schedules, and patient load.
Research Evidence
Health services researchers have explored workflow issues from several angles, including mapping processes from other industries into health care. Literature about workflow can be found in several different domains, such as quality improvement, technology implementation, and process improvements. One common thread throughout the literature is the importance of interdisciplinary involvement in all aspects of workflow analysis and implementation.
Reviewing the evidence to date, targeted studies of particular interventions and technologies amply show that good workflow design has significant (expected and unexpected) impacts on care delivery.3 The literature also demonstrates a relative lack of sophistication in studies of the field: whether researchers are initially concerned with the problem or whether it arises organically from the results; whether the researchers have a theoretical framework to interpret their findings; whether there is consistency in the outcomes of interest; whether the target(s) of study are structural, cultural, and/or functional; and whether the researchers are able to generalize from the findings in one setting to another. Many studies demonstrated significant benefit from careful consideration of workflow, but few studies provided easily adaptable tools and methods for immediate, consistent implementation.
Effect on Efficiency
Workflow analysis has often been used with the goal of improving efficiency. In response to financial pressure and incentives driving provider organizations, minimizing slack time has become important. Some of the studies discussed below demonstrated the power of analyzing and changing workflow to improve efficiency.
Workflow analysis can be used to redesign existing processes. A classic study of this type is Cendan and Good's4 analysis of the routine tasks of the various members of the operating room (OR) team. They found that there was a wide variability in functions based on clinical and organizational factors. They designed a new workflow based on the analysis and conducted a pilot study. Part of their recommended solution involved defining functions in a more consistent fashion. They were able to improve turnover and improve the mean number of cases handled in a day. A significant factor in their success was their consideration of workflow from both the physician and the nursing perspectives.
Efficiency can also be improved by carrying out processes in parallel, rather than improving the efficiency of existing steps.5 Friedman and colleagues6 compared the impact of administering anesthesia in the induction room versus in the OR for hernia repair patients. They found that the OR time used by the surgeon decreased without significant impacts on patient satisfaction or outcomes.6 Harders and colleagues7 employed a combination of approaches. They used parallel processing and process redesign to improve workflow in a tertiary care center with multiple OR suites. This combination of approaches allowed for a reduction in nonoperative time. Similarly, in a study of trauma teams, Driscoll and Vincent8 modified task allocation so that standard tasks performed during a trauma code were conducted in parallel rather than sequentially.
In each of these approaches, role definition played a critical role in the success of the efforts. Each study found that nursing routines often included nonclinical tasks, such as tracking down missing information or supplies.9 By defining roles and essential processes, it was possible to use ancillary staff for these tasks. In order for the redesign to be successful, nursing involvement was important from the beginning. An interdisciplinary approach provided the basis for the workflow analysis and redesign; this was cited as a success factor in multiple studies.4, 6, 7
Workflow issues often arise in studies of technology. One well-studied domain area is barcode medication administration (BCMA).10 BCMA is a technology that has been shown to improve care quality by reducing reliance on memory, increasing access to information, and increasing compliance with best practice. However, very simple inconveniences—such as the need to access a patients' wrist for the barcode strip—have led to workflow workarounds, such as scanning barcodes off a key ring rather than the patient. In this case, the nurses' adaptation to make their work more efficient circumvents some of the intended benefits of the defined process.
More complex interactions have also been observed. Because many BCMA systems require that the physician enter an order before the nurse can have access to the medication, some nurses have, in critical situations, "borrowed" medication from one patient on the ward to give to another until the medication for the second patient appears in the system. As a result, the nurse cannot readily document the administration of the order until the order has been entered by the physician. In some situations, a shadow system of informal paper documentation supplements, duplicates, or confuses the documentation captured in an electronic system.
When technology does not adequately support the goals of the care team, it often causes workaround workflows. These alternate workflows are a cause for concern because these informal, evolutionary systems rely on the clinicians' memories, and bypass decision-support safeguards that the system may provide. Studies have documented other negative effects,11 such as degraded coordination between nurses and physicians, nurses dropping activities during busy periods, and decreased ability to deviate from routine sequences.
Health care organizations provide valuable services that rely on large amounts of high quality information. Information transfer is complicated because caring for one patient can involve many providers and information sources. Thus, many errors occur at handoff or transition points.12 Dykes and colleagues13 found that many hospitals in the United States have dual paper and electronic records, leading to redundancies and inefficiencies in information. Other information tools include proprietary paper forms, the phone, the electronic record system, the whiteboard, the pager, and schedules.14 In addition, informal meetings and verbal orders frequently also serve as information transfer devices.15
One attempt to address this complexity is an electronic portal that provides access to systems through one interface.16 Though this can mitigate the problem, it cannot fully address the communication needs of a care team.
A common class of problems with information transfer and handoffs includes degradation of information.17 If methods of transfer are informal and not documented, patient information may not be passed on when staff members leave a unit. In addition, the lines of responsibility and expectations are not always clear.17 Incorporating formalized information transfer tools and protocols into workflow processes may help. Another problem complicating information transfer is interruptions. These interruptions often cause a break in workflow, which can impact what information is documented and passed on.18, 19
Intra-Professional Information Transfer
Nursing work is often fragmented and rushed, due to external pressures and the dynamic environement.20 However, nurses serve as critical integrators and coordinators of care. Health IT tools, which can help nurses better manage and transfer information and make the information more widely available have the potential to improve practice.21 Intraprofessional handoffs may occur within or across departments. In either case, communication and coordination is improved by having a structured documentation format.22
Lamond23 reviewed the content of nursing intershift reports and found that more information was documented in the patient notes than was given in the report. The report information tended to be more overall assessments of patient care, which was not necessarily documented. Thus, it is not clear if the detailed information was transferred in subsequent reports. Perrott24 found that customizing data fields and having nurses involved from the beginning enhanced nursing handoffs in the intensive care unit (ICU).
By understanding nursing workflow, barriers and facilitators for information transfer can be discussed and improved upon.25 If handoff mechanisms are informal, then they might not be documented in a workflow analysis.26 Health IT systems should not replace these handoffs, but could be used to augment the process.27 However, when the processes are not well understood, the technology may not be used and may even be a burden.
Inter-Professional Information Transfer
Inconsistent or incomplete information during patient care transfers is a commonly cited communication difficulty.28 This problem is exacerbated by systems and processes with duplicate or outdated information. There is a great deal of information available, but it is not always available in a streamlined or organized fashion.29
Clinical providers trained in different disciplines are socialized and trained differently, so they do not necessarily know what the others need.29 Thus, when designing and implementing information technology across departments, it is important to have an interdisciplinary team involved throughout the process.22 Physicians and nurses do not generally have the same employer and often have varying loyalties and end goals.4 Thus, it is important to consider many perspectives when designing handoff and communication practices.
One way to look at interprofessional collaboration is to look at information needs. Reddy and colleagues30 reviewed information needs of various providers in the ICU. They found that some roles, including nurses, served as information sources for other providers. Thus, it is important to consider the workflow implications of changing information sources. When a face-to-face communication with a nurse is replaced by an electronic report, what is lost and gained? Electronic access provides the benefits of ready access to large quantities of source data, potentially supplemented with decision support. What may be lost are functions of information synthesis, summarization, and coordination. In a survey of chief nursing officers, Dykes and colleagues13 emphasized the role of nurses as coordinators and communicators.
Riley and Manias31 looked at physician–nurse communication in an OR setting. They found that nurses often had informal knowledge of physicians and their habits, which they used to control practices. This knowledge was not necessarily codified formally, so new nurses would have difficulty in estimating workflow. Health care organizations have engaged in efforts to standardize inter-professional communication, for example through requiring the use of SBAR for situational briefing.32
It is not always necessary to have a separate process for interprofessional communication. Indeed, other efforts can be repurposed for interprofessional communication. For example, Cunliffe33 described a nursing discharge summary process which was repurposed to provide a nurse–general practitioner communication device. A nursing discharge summary provided detailed information about nursing and social care for the patient after they left the hospital. In addition, sending this to the general practitioner (GP) provided a mechanism for communication so that the GP would be well-informed about the patient's care. Similarly, a resident sign-out system could also be accessed by other professionals.34 However, communication lines tend to be separate and dependent on professionals, so it is not clear how much intraprofessional access occurs. Patterson and colleagues35 studied handoff strategies in other industries and outlined some common strategies for effective handoffs. Often, documentation was a supplement to the handoff, rather than the sole mechanism for information transfer.
Health IT, used well, can improve efficiency and organizational workflow. In health care, redundant information is often created and stored. As a result, care providers spend a great deal of time reconciling information from various sources. Integrating health IT with the workflow of various departments can help to reduce this redundancy.22 However, if workflow is not considered and the technology is not thoughtfully implemented, the benefits cannot truly be achieved. To use technology most effectively, its potential impact to transform care delivery must be realized.36
While it is important to consider workflow when implementing health IT, it does not mean that health IT should leave processes intact. Health IT can bring about positive process change and better workflow. Because IT can consolidate and display information, it can be used as an opportunity to improve upon teamwork and communications.37 Understanding existing clinical workflow prior to implementation provides a baseline to redesign systems and develop better processes.38 Scharmhorst, Johnson, and Li39 emphasized the importance of understanding the system prior to implementing technology, to ensure that technology streamlines nursing workflow, rather than making it more complicated. In a study of mobile cabinets with barcode scanning for medications, Braswell and Duggar40 found that, by analyzing workflow ahead of time, both pharmacy and nursing staff reported improvements to existing work processes after implementation. Workflow concerns can lead to failure to adopt new technologies. A study of electronic prescribing systems standards finds that many of the electronic standards are adequate but provider adoption is low because the systems do not fit into workflow.41 The evaluators recommend that the standards and systems be revised to accommodate the large role of nurses in electronic prescribing in the office setting.
Focus on Computerized Provider Order Entry
Computerized Provider Order Entry (CPOE) is an easily measurable, frequently implemented, and often intrusive instance of health IT, and has been studied often in the literature. CPOE is commonly associated with its impact on physician practice. However, there are workflow implications in CPOE implementation for the entire care team, including physicians and nurses.42 For example, if physicians refuse to use the CPOE system, it creates adverse impacts on nursing workflow.3, 28 Sometimes, nurses become the de facto order entry personnel, in addition to their nursing duties. These workarounds also have effects downstream. Delays in order entry can hold up medication delivery. The introduction of CPOE technology may surface informal practices that may not be in compliance with prescribing scopes of practice. Thus, nurses are a key success factor in CPOE implementation.43 Because nurses often are primarily responsible for communication and coordination of care, understanding nursing workflows with respect to order entry is critical.44
Payne45 found that implementing CPOE had a profound impact on work patterns, communication methods and roles. In analyzing workflow around electronic prescribing, the range of tasks completed by the nonprescribers was outlined.46 After outlining the work processes and information flows, they were able to adapt the system to accommodate the necessary tasks. Similarly, Wright and colleagues47 found that physician-nurse communications were impacted by the CPOE implementation. Paper-based order entry often relies on visual cues, such as a folded piece of paper. If the loss of context and visual cues is not accounted for in the CPOE implementation, then the nursing workflow is adversely impacted because of the uncertainty around orders.
Piasecki and colleagues48 conducted a workflow analysis to look at the benefits of implementing CPOE in an emergency department setting. These researchers developed a return-on-investment tool to measure the outcomes of the implementation and found that many of the savings did not make a direct impact on the bottom line of the organization. This was, in part, because the changes in workflow were not fully understood until after implementation.
Though guidelines for analyzing workflow are few, the common factor was consideration of all affected roles in the organization, not only those involved with entering data into the IT system. Breslin and colleagues49 found that having an interdisciplinary team was important in the success of a Vocera implementation. This team included clinical and nonclinical staff. By being inclusive, they learned about workflow from a variety of perspectives and were able to implement their tool in a fashion that would improve upon existing practices.
Ongoing Work in Nursing Workflow Research
Research into the workflows of nurses has long roots in studies of how nurses spend their time and how nursing teams should be staffed.50–52 Nurse researchers embarking on observational research of nursing work can take advantage of previously developed tools for work task analysis and time motion study.53–55
With the introduction of new technologies, the research frontier includes studies of how nursing work is affected, with the aim of ensuring quality time at the bedside. An ongoing large multi-site time-motion study of nurse workflow56 includes the involvement of frontline nurses in the design and improvement of their work spaces and technologies. It represents one way that lessons learned from past research can be brought to bear on future workflow design, with the intent of mitigating the pain of learning workflow and technology weaknesses through implemented experience.
Practice Implications
The research findings for these studies of operational workflows have practice implications for nurses and researchers. Throughout the literature, the importance of bringing multiple parties to the table was emphasized. Because organizational workflows often cross the lines of professional disciplines, workflow design from any single perspective runs the risk of suboptimizing against other constraints, priorities, and schedules.
Conscious workflow design has been shown to improve the efficiency of existing work processes or enable parallelization of work. In designing such systems, researchers emphasize the importance of clearly defining roles and responsibilities, preferably with multi-disciplinary input. Designing workflow is of critical importance to all roles in a health care organization, because the effects of decisions by an expert in one role may have downstream effects on others. A workflow optimized to serve one role, such as the nurse, can be onerous or seem irrational to another. Because each professional role deals with fairly complex, role-specific work processes, it is often difficult for experts in one role to understand and envision how proposals will affect other roles, even with the best intentions. Research on information transfer in organizational settings demonstrates that adaptations to poor workflows can lead to increased interruptions, workarounds, and informal or ill-defined communication. To improve the reliability of workflows accomplishing their desired goals, and to reduce the risk to patient safety, researchers recommend structured communications and clear agreements about roles and responsibilities in a hand-off.
Health IT systems surface many of the long-standing issues around workflow. The implementation of health IT systems can, at first glance, seem like a superficial intrusion into the way things are done. For some, it feels like the addition of another documentation step in the process of regular clinical care. This step can be disruptive and a burden, but it does not dramatically change the way work is done. Yet there are many downstream effects on communication and coordination within an organization. Analyzing workflow beforehand can help prevent some of these unintended consequences. Technology does not necessarily improve institutional efficiencies, but can bring opportunities for improvement to light.42 Sittig and colleagues38 found that while considering that technology was important, it was also important to consider organizational and workflow factors prior to implementation, or the benefits may not be realized. In order to realize good outcomes, interdisciplinary consideration of process and technology factors was important.57
In many organizations, the adoption of health IT is motivated by the desire to accomplish goals that are difficult without a structured electronic system. These goals include reducing medication errors through barcoding; improving clinical decisionmaking through decision support, such as alerts and reminders; measuring clinical quality performance; proactively reaching out to patients for population health management; or simply the ability to analyze clinical information, for example, by charting a patients' blood pressure based on nursing notes. These additional expectations of a health IT system mean that the organization can expect dramatic changes in workflow—the health IT implementation is a vehicle to trigger larger improvement activities.
It is important to realize that health IT systems have a built-in sense of how things are done, in fact, have an inherent workflow that may or may not map to the organizations' workflow. Consider the case of CPOE. Let's describe the workflow process as a series of tasks, linked chronologically, that require organizational resources. The logical model within a health IT system usually goes something like this:
The provider enters an order.
The pharmacist verifies the order.
The order is delivered to the point of care.
The nurse administers the order.
There are two things to note about this perfectly reasonable assumption about how things are done. The first is that the workflow is very linear. It will be very important to understand what happens if that linearity is disrupted somehow. For example, if the pharmacist fails to verify the order, will the system prevent the order from being "released" until this step is accomplished? Flexibility within a linear workflow is very important to the smooth operation of a complex service organization like a health care institution. Practitioners have a responsibility to check that a health IT system reacts gracefully to a change in workflow, lest patient care be compromised. The second thing to note is that the workflow within the system only reflects one of the ways health care is delivered in an organization. In many critical care settings, for example, medications must be administered quickly, before any interaction with a CPOE system. Practitioners should also ask whether the health IT systems they are implementing reflect all of the main workflow processes within their organization.
When a new health IT system or a new technology fails to accommodate the real workflows of an organization, interacting with the technology becomes a greater burden on the organization than is required. In essence, there is "the way the world works" and then "the way the computer thinks the world works," and it is the constant responsibility of system users to reconcile the two world views. In fact, implementing health IT systems within organizations poses such a challenge that the Office of the National Coordinator for Health IT has estimated that as many as 30 percent of all implementations fail.58 Thoughtfully constructing the workflow inherent to the technology can smooth technology acceptance.59, 60
Before implementing information technology in a health care environment, it is important to have an understanding of processes and information flows. In addition, it is important to consider various roles in the different departments, and to consider ideas from multiple sources.22 Each department and role may have a different perspective of the encounter and its necessary elements.36, 61 In addition, many organizations have a variety of tacit assumptions and information exchanges which might not be documented in a traditional analysis. Thus, it is important to consider multiple sources of data in order to develop a more complete understanding of workflow and processes.36
In the United States, hospitals are generally organized by functions. Because of that, workflow is also organized around these functions. Information systems were developed around these functions and were designed to meet the needs of a particular department. However, patient care takes place through a broader perspective. Thus, these functions need to be integrated.20 In conducting a workflow assessment, it is important to consider how workflow currently functions and how it might change to improve patient care and reduce errors throughout the system.20, 62 In addition, this kind of analysis can help find flaws in the process for which information technology can be leveraged.20
The truth is that many care teams do well even when workflow processes are designed poorly. Health care practitioners understand the clinical needs of patients. Health care workers often go to heroic lengths to make sure that the right thing gets done. When a problem arises, most clinicians would not hesitate to pick up the phone, run the errand, or do what is necessary to insure good care. Yet clinician resources are not unlimited. When nurses, like all people, get tired, they may become forgetful When they are rushed, they may not remember to do everything necessary.63 These issues may be exacerbated by a health IT system that seems not to understand what the clinicians want to do—sometimes because the workflows in the health IT system do not match those in the real organization. In the seminal work on clinical error, the health care community acknowledged that most errors are the result of systematic deficiencies.64 Good workflow processes are an aid to practitioners to insure that the system behaves to support high quality care. Nurse informaticists can work with their counterparts to apply some of the principles found in the literature to practice.
Research Implications
Workflow design is a difficult endeavor because of the complexity of most health care organizations and the division of labor into expert roles. Health care organizations are service organizations that are very flexible and interdependent in response to dynamic patient needs. For many work processes, the established workflow evolved over time in response to the kind of tasks and resources available, and were not explicitly considered or designed. Changes to organizational workflow are an opportunity to think through how the care team can provide good patient care reliably under a variety of circumstances.
Research on workflow issues can be very rewarding because of its closeness to real-world operational challenges. Study participants often experience a high level of frustration with their current situation, and are eager to have assistance in thinking through complex organizational effects. The research often starts with a theoretical model that helps define the problem space, such as conceptualizing the structure, process, and outcomes65 or the tasks, actors, and information.66 The model can be made operational through computer modeling, and used to represent particular problems.
In support of workflow design activities, computer simulation tools have been developed to help decisionmakers map their organizational roles and understand the impact of different workflow choices.67–69 Models of workflow processes show the trajectories of the care providers, patients, and information. By representing workflow in a manner which is easily accessible to others, managers and researchers can identify where issues are likely to arise and develop tools to prevent them. Modeling workflow also usefully defines roles and delineates how the care team understands its job functions and work processes
For health IT, workflow design is especially difficult because many of the assumptions about workflow are implicit. The designers of IT systems benefit from conversations with their users to understand how clinical care is provided in the organization. Without the input of users, it is tempting to apply the same workflows to different organizations. Many issues can be easily resolved through small changes in user interface or clinical decision support rules—changes that are very difficult to predict in advance. Although some issues can be resolved through customizing the health IT system, others are more intractable. The health IT system may simply reveal latent problems with the old workflow. As more organizations embark on large-scale health IT implementations, a scalable method for incorporating workflow considerations is urgently needed, so that new health IT systems do not cause harm.70 When issues have been surfaced, through conversations, observation, modeling, and other methods, researchers have the opportunity to bring to bear established quality improvement methods to workflow design. Studies to date have relied on ad-hoc methods to effect improvement after studying workflow, and there are opportunities to apply structured methods to assist an organization in responding to workflow discoveries.
Many of the research articles reviewed involved a descriptive case study. Some studies utilized a grounded theory approach. Few articles utilized a conceptual framework to frame the results. While research on service organizations has been applied to health care organizations, much work remains to be done in delineating how health care work differs from other industries, in particular to understand whether results from inquiries in other fields, such as manufacturing, can be generalized to health care. In addition, there is a need for research to demonstrate a link between performance indicators and workflow.71 Nurse researchers have an opportunity to take the research that has been done to date and apply it on a broader scale. Much of the work that has been done outlines specific implementation efforts or describes a single department. By taking a systems approach to organizational workflow, coordination of patient care throughout the trajectory of their stay can be improved.
The search for workflow issues in delivering high quality nursing care is complicated because workflow, by its nature, touches on many organizational issues and roles. Literature that identifies specific problems in patient safety may allude to their greater systemic workflow causes or effects. Even literature that specifically considers workflow may limit the analysis to one organizational role. Thus, our literature search did not attempt to be a comprehensive search of literature published on workflow, but rather a scan of areas in the medical and nursing literature where relevant publications are likely to appear. There is also a longer history of research literature in other fields, notably industrial engineering and management.
We looked at MEDLINE® and CINAHL® articles published in English. Because workflow is not a standardized term in either database, we searched it as a keyword in its various permutations. We did the same with handoffs, as we knew that this was a common study topic where workflow issues surface. In addition, we did searches using combinations of related terms in each database. The terms we used were in categories dealing with continuity of care, care teams, information needs, information systems, and patient safety. We found that the keyword search yielded more consistent information than the standardized terms, in part because the terms were developed with specific purposes in mind. Studies of workflow are still fairly new, and it is hoped that as the field matures, it will be easier to identify a unique body of work.
Evidence Table
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Christine Blasey Ford, the woman who has accused Supreme Court nominee Brett Kavanaugh of a past sexual assault, accepted the request to speak to the panel next week about the alleged incident, her lawyers told Senate Judiciary Committee staff on Saturday.
Michael Bromwich, a former Justice Department inspector general, has joined Ford's legal team. He also currently represents former FBI Deputy Director Andrew McCabe, who was fired by Attorney General Jeff Sessions in March and has been a target of President Donald Trump's criticism.
CNN obtained an email Bromwich sent to his law firm, Robbins Russell, saying that because objections had been raised, he is resigning effective immediately.


What is a "sailtrack banner"? The clue is in the name. It uses a normal banner as the face of a sign, much like a billboard. To keep it tight, the skin is stretched using sailtrack.
Sailtrack is an aluminium channel which is extruded with a C-section and a flat bar attached. This allows us to slide the rope edge of the banner into the track and then fix the track to a wall, fascia, awning or any other flat surface.
The beauty of sailtrack banners is they can be used as signs, but at a far cheaper cost than a metal sign. You get the vibrancy and punch of a large sign without the expense.
Seen above is a large sailtrack banner skin with printed and installed for Snap in East Perth. If you need signage but are on a budget, then why not try a sailtrack banner?
Head to our contact page to ask for a quote today!


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Licensed Trade Franchises for sale in Aberdeen
View the "Licensed (Other) - Aberdeenshire" below and request further details. Alternatively, please view the similar businesses in the 'You May Also Like' box below.
Licensed Trade Franchises for sale
Licensed (Other) - Aberdeenshire
Aberdeen, Aberdeen City, Scotland
Freehold Price: £700,000
Seller Reference: BC47542
• Hugely popular nightclub in the heart of Aberdeen
• Turnover £584,000 Y/E 30 sept 19
• Freehold sale with potential to purchase additional business opportunities at same site
• Unique and prominent location
Hugely popular nightclub in the heart of Aberdeen. Turnover £584,000 Y/E 30 sept 19. Freehold sale with potential to purchase additional business opportunities at same site.
Bruce & Co. presents the opportunity to acquire the Underground Klub a unique licensed nightclub situated in the heart of Aberdeen city centre. The business is being offered for sale on a freehold basis.
The Underground Klub trades from a six-storey attic corner tenement style property, which underwent a £375,000 refurbishment in 2015 and the building itself is more than 120-years-old. The nightclub is situated on the two floors below.
The business has established itself as a hotspot on the Aberdeen club circuit, enjoying a varied clientele of students and young adults. The club opens 3 nights per week and operates throughout the year. The Underground Klub comprises of three separate rooms, with two DJ booths playing different genres of music. The club has 3 bars, the third room can be used as a quiet area where customers can wind down or a VIP bar for special occasions.
The Underground Klub is now being offered for sale due to the proprietors looking to semi-retire so they can spend more time with their family. They leave in place an excellent business opportunity with scope for growth under the right ownership.
There is potential to purchase, in addition to this offering,the Bridge Street Social Club and the first floor of Bridge Street. This could be utilised to develop bedrooms or accommodation. The vendor is open to discussing this with any interested party.
The underground club comprises of three separate rooms, with two DJ booths playing different genres of music. The club has 3 bars, the third room can be
used as a quiet area where customers can wind down or a VIP bar for special occasions. The club is open 3 nights a week.
Is accommodation included?:
• Hugely popular, Aberdeen city centre based bar situated in a unique premise over 2...
REDUCED - Freehold Public House & Hotel...
Freehold Price: £500,000 Price Reduced arrow_drop_down
Veritas Business Sales are appointed agents for SellMyPub and we are delighted to...
Freehold Price: £1,400,000
Annual Turnover: £1,600,000
• Turnover £1.6 million year ending 30 June 2018 • Fantastic period property, rich in...
Licensed (Other) - Edinburgh
Annual Turnover: £1
• Desirable Location in Leith Walk, Edinburgh • Modern up to date equipment & Stock...


posted by Howard B. Owens in walmart, news, batavia, crime.
A caller in the Walmart parking lot reports that he was threatened because of his Trump bumper sticker.
He claims it was a threat of physical violence.
A trooper and deputy dispatched.
UPDATE 2:50 p.m.: A trooper interviewed all parties involved. No arrest. A woman with a male made an anti-Trump statement to the man with a Trump bumper sticker on his truck. He said something back. It escalated from there but didn't become physical. Both the trooper and deputy on scene couldn't recall a prior incident in the Trump Era of threats over a bumper sticker, though the trooper recalled a Trump supporter in 2016 getting slushies dumped on his car and an anti-Trump note being left.
C.mon, folks.... voice your opinions if you so desire (whether via bumper sticker or vocally), but fighting, even verbally, gets us nowhere. Don't like who is in office? Vote them out. If that does not work - TRY AGAIN.
Edited for clarity - changed "voice your opinions if you want" to "voice your opinions if you so desire". Thanks, Ed.
■■ Tim. You wrote " C.mon, folks.... voice your opinions if you want.."
If we want WHAT, Tim? I think you may have forgotten a word or more.
As for verbally "fighting", that's the basis of debates.
Threatening, on the other hand, as we've seen in some of the "Law and Order" posts, can, and has, led to charges of second degree harassment.
Personally, I'd hate to be charged with second degree harassment because I didn't like someone's bumper sticker. I have the right to comment on said bumper sticker, per the 1st Amendment, but, it'd be utterly STUPID to escalate it into a criminal charge.
Great Points, both of you.
No, Tim. Thank you, for the clarification.
And, the funny thing is, now that I've reread the way you first wrote it, the meaning is clear.
Sure the man has the right to have any bumper sticker that he wants. And, yes the other guy has the right to comment about it.
We are all missing the important thing. That we should be thanking the guy with the Trump bumper sticker. Now, if you are driving behind him, you know the the driver in front of you is an idiot, that can't think for himself, and if probably a bad driver and pron to road rage.


Kieyana was so much fun to shoot. I met her at the miss teen contest where I was a judge recently. Kieyana has poise, grace and a great smile. We did have an experience of being booted out of a location – but in my mind had a blast grabbing a couple more shots while packing up. Kieyana was a natural. A couple of images now….more after they have viewed the rest of the images. Don't want to spoil the impact of seeing them for the first time on a large screen TV.
I absolutely love shooting little babies….they are fun, filled with joy and always give me great expressions. Here is a video of a recent shoot of Ryan – the adorable 11 month old, with his mom, dad and Grandma.


Life happens. The person behind you runs into you, plus you then run into the person in front of you. Well, now what?
Once you have made an insurance claim, you must figure out who you are going to trust with your vehicle. You want it fixed and back to normal within the least amount of downtime possible. Your insurance company gives you some options; however, in the end, you have a CHOICE when it comes to this decision. As the customer of the insurance company, you ultimately get to tell them where you want your car repaired. Here are some questions you should think about when making that decision.
How do shops work with my insurance company?
A reputable shop will start by working off the initial estimate they have been given by an insurance company. If additional damages are found after repairs are started, your insurance company will be contacted directly by your shop for a supplement to the claim.
You can drive or have your vehicle towed directly to your shop of choice from the scene of the accident or incident. This can all happen with your first call to your insurance company.
How long is this process going to take?
When insurance companies are involved, it's very typical to find additional underlying damage that has to be documented, communicated and approved before the shop can continue to move forward. If parts have to be ordered, their availability can also affect the time frame for completion as well. A reputable shop should be able to give you a reasonable timeline for the repairs needed to your vehicle from the beginning. Keep in mind if a repair ends up with additional damages found, the repair time will be longer than initially promised. At that point, you should hear from your shop of choice directly with an update if the timing is adjusted.
Do you know anyone who can recommend a shop based on personal experience? Check out the shop's online reviews and make sure they are responsive to their customers.
A reputable repair shop will stand behind their work, listen to their customer's concerns, and address any issues that may appear after the job is done.
How far is this place anyway?
Location, location, location. That plays a big role in choosing the right shop. How convenient is it to all the other things I have going on in my life right now?
Why consider using Automotive Quality Solutions as your preferred repair shop?
AQS is conveniently a one-stop shop. AQS can handle bodywork, paint, interior/exterior detail, and much more.
AQS will work with your insurance company as your advocate. If damages are missed on an original estimate or hidden damages are found once a repair has begun, we'll work with you and your insurance.
AQS stands behinds their work, not to mention they have a quality control process they perform on every vehicle BEFORE returning it to a customer.
Lastly, did you know AQS is the ONLY auto body repair shop in Ashburn, Virginia? It is centrally located within Loudoun County with quick and easy access to major throughways.
Let us help be your advocate and make sure your car is back in perfect condition quickly and easily!
About Automotive Quality Solutions: Established in 2012 by Loudoun County resident and serial entrepreneur Daryl Collette, AQS offers premium detailing, reconditioning, paintless dent repair, paint protection, and cosmetic body restoration to private individuals and car dealerships throughout Northern Virginia. AQS maintains a 15,000 square-foot facility in Ashburn full of state-of-the-art equipment, including a curing booth and a whole-car photography stage.
In 2017, AQS was honored by the Loudoun County Chamber of Commerce as its Innovative Business of the Year. Come visit our shop at 21670 Red Rum Drive, Suite 149, Ashburn, VA, for a tour of our facilities. Learn more about AQS at CPR4Cars.com and call 571-291-9401 or drop by to make an appointment.
AQS is open Monday through Friday from 8:00 am to 5:00 pm and Saturday (for estimates, dropoffs, and pickups) from 9:00 am to 1:00 pm.


electric energy is converted to heat and radiant energy.
• Closely associated with electricity is magnetism.
• Magnetic fields are vector quantities.
emanate (or come out of…).
north pole of a compass would point.
around a piece of iron.
magnetic fields (basis for an electromagnet).
(basis for electric motors and generators).
then be stepped-down for household use.


Byrd Knives – a Species of Knives Offered by Spyderco. They are produced in the low cost factories in China to very high production standards. This allows customers access to great Spyderco designs at really remarkable prices. The KnifeCenter offers the entire selection of Byrd Knives at great prices.
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The BY07 byrd Crossbill is a noteworthy combination of high-quality materials and superior manufacturing standards at an economical price point.
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Smaller rescue style blade. Perfect for easy carry and some chores.
This feels like the Tenacious line knives with their quality, fit and finish and they add a little something extra in terms of aesthetics.
The Robin's intermediate size makes it a winning crossover for both office or weekend carry.
A carry-anywhere pocket knife that offers impressive cutting performance in a 1.1-ounce package.
Non-locking folder with a 2.75" blade and black G10 handles.


Your negotiation records will certainly consist of guidelines on the best ways to make your initial settlement. While First Home services many of our loans, it is feasible servicing will be moved. You will be mailed an alert that assigns your mortgage servicer. If you have any concerns, you could always call 855.434.7005.
i want to sale my house fast Clarkston - how to be more productive?
There is a closing charge associated with entering into escrow. It is usually computed at $2 each every thousand of the residence's acquisition cost plus $250. For instance, if the home you're purchasing is $100,000, your escrow cost would be $2 x 100 + $250 = $450. This is paid to the impartial third party for conducting the closing, which could be a title company, escrow company, or lawyer.
What To Offer On A House 2017 Kerb allure "Considered that there are several buildings on the marketplace, exceptional problem can establish one apart from the other," says Ed Mead, from Douglas as well as Gordon. Time invested in a layer of paint as well as complete tidy is not time lost.
In order to start this process, you need to initially choose which partner is mosting likely to remain in the residential property. The individual that is going to live in your home is going to have to buyout the equity of the various other partner. Sometimes, the married couple will have the ability to determine who is going to stay in your home. In many cases, the court in the divorce court will need to choose.
Home Assessment Forms AFCI/GFCI tester for arc-fault and ground-fault circuit interrupters: This circuit tester tests arc mistake- and also ground fault-protected electrical circuits to verify that defense devices are functioning properly. It is made use of by some assessors. This SureTest Perfect 61-164 tester expenses regarding $260.
I must confess that much of this boils down to education. Its our task as realtors to explain the facts to vendors at the prelisting consultation. It can be a hard conversation for some representatives they do not intend to jeopardize a possible listing but it really is necessary. It is a waste of every people time to have an overpriced listing.
The end result of your CMA should be to tighten the limitless globe of possible rates to: (1) A certain variety of rates, with clear top and lower limits, which reflects the world of sensible prices an average customer would certainly spend for the house and realistic assessment worths for the house; and (2) A tentative target price within that range, provided by your adjusted typical list prices.
Closing on a residence indicates that the sale is total, and all the terms of the purchase arrangement have been fulfilled. At this moment, the vendor provides the buyer title to the property. There are charges as well as expenses associated with closing. Usually, they range from three percent to five percent of the total loan quantity. For instance, for a lending of $300,000, closing costs might run in the $12,000 variety. Closing prices could in some cases be rolled into the financing or even paid by the seller. Every circumstance is different. Get in touch with your Real estate agent for your alternatives.


The St. Albert Cogito program started in September of 2003. A small, committed group of parents were both the impetus and the reason for the program to come to St. Albert. Elmer S. Gish School was chosen as the host site as it had ample space to accommodate the new program. Elmer. S. Gish School is in St. Albert Public Schools.
St. Albert Cogito started with three classes. The classes were a grade 1/2 split, a grade 3/4 split and a grade 5/6 split. The total number of students in all three classes was 53.
In 2007, the first St. Albert Cogito Junior High class was formed at the grade 7 level. Three years later the first St. Albert Cogito grade 9 class graduated from Elmer S. Gish School.
Currently, there are over 500 students actively enjoying and participating in the St. Albert Cogito learning experience. This now spans from kindergarten through to grade 9.
With a strong foundation, dedicated stakeholders and a committed school district, the future is bright for the St. Albert Cogito Program.


Have you ever rated your own concentration ever? If you haven't rated yourself according to the power of your concentration until now, then go ahead and do it right away by playing this word search puzzle.
Click on the Word Search template to open it in a new window.