Nova feb cvr.fh9
Inside this issue
Mental Health innovation
Award winning ADHB staff
Pacific expedition to make a
RECOGNISING ADHB STAFF
Maori Health Worker (Early Childhood Services)
Happy New Year
A memorial service was held on 13 November 2009 at Greenlanefor Taupiri Ashby who died on 5 November. The memorial was I hope those of you who had a break attended by her whanau, representatives of health and over the festive season enjoyed time community organisations and many ADHB staff who have worked with family and loved ones and feel with Taupiri over the years.
refreshed and reinvigorated. For our Taupiri was a valued staff member having joined the Auckland staff members who worked through Area Health Board in 1991 when she was employed as a Maori this period and continued to care Community Health Worker with Waterview Community Health for our patients and community Services. When Community Health Services was restructured in I thank you for your dedication and hard work at a 1996, Taupiri joined the Early Childhood Health Team in time when most people are enjoying a break.
Community Child Health and Disability Services and continued I am refreshed and ready for the year ahead. 2009 was to utilise her wealth of experience for the benefit of whanau an extremely difficult financial environment. 2010 will living in the Avondale and Mt Roskill areas. For health professionals continue to be economically challenging for the she provided advice and support with regard to Tikanga Maori health sector despite the more optimistic general and was a PSA delegate. She was also a Justice of the Peace.
economic outlook. This will drive creativity and She is greatly missed.
provide us with many chances to keep growing,learning and innovating. All of our past and future Sue Guthrie
successes I attribute to the passion, commitment and Coding and Casemix Manager professionalism of the ADHB team.
Sue Guthrie joined ADHB 15 years ago. Over the past few years, An example of the exciting opportunities ahead of us and until she left in October 2009, she was ADHB's Coding and include our Quality Improvement Programme begun Casemix Manager, responsible for leading the clinical coding last year. Within the programme are projects like team, funding maximisation, as well as coding and data accuracy.
Releasing Time to Care, Acute Patient Flow and Sue sadly passed away shortly after leaving ADHB.
Concord. Staff have quickly and competently engaged During Sue's time at ADHB she became irreplaceable, not just for with these projects which are important to ensure we her organisational knowledge, or her training and experience in run an organisation which offers patients the best care health information management, but for the personal qualities possible and also means that ADHB is a constantly she brought to the job. Sue cared about her work and the people improving workplace with opportunities to address she worked with. She had patience, tenacity and paid great some of the inefficiencies and frustrations we all cope attention to detail. It was always important to Sue that her staff with every day.
were supported and had the opportunity to be successful.
Also on the agenda is continuing to work on our Sue, you will be sorely missed by your colleagues and friends at regional shared services and service planning, ADHB. We will remember you.
reinforcing clinical governance, keeping on track withthe Health Targets and delivering our 2009/10 budget and preparing a budget for 2010/11 that Clinical Transcriptionist, retired after 22 years service meets our breakeven target.
Bev began her working life with ADHB in March 1988 working at A key focus for me and my Senior Leadership Team National Women's Hospital as a secretary in the Gynae/Oncology (SLT) this year is to be more visible and more responsive ward. In 2005 she moved to the centralised Clinical Transcription to staff. I want to make sure the lines of communication are open between us. It is vital that we have input Bev continued to work with Gynae/Oncology and her in-depth from the ADHB team as we strive to develop and knowledge of the service and her existing relationships with the enhance the services we offer to our patients and clinicians have been hugely beneficial to the work done by the community. We also need to understand any frustrating clinical transcription women's health team.
impediments and safety issues in your workplace.
Bev's colleagues describe her as someone who is easy going with As you will be well aware the flu season is fast a great sense of humour and who gets on well with people. We approaching. This year indications are that influenza miss her in the department.
will be mainly the H1N1 pandemic strain. As in pastyears we will be offering all staff a free influenza vaccination, this year's vaccine will contain the H1N1 Nurse specialist, retired after 22 years service strain as well as two others. I strongly encourage youto get this vaccination in order to protect yourselves, Barbara Carter joined ADHB in 1988. After working in public your patients and to ensure we keep ADHB running health she joined the diabetes service in the 1990s where she as effectively as possible at our busiest time of year.
remained until her retirement.
For more information on the vaccination programme Barbara's knowledge about diabetes was phenomenal, and her go to page 3.
trusting and understanding nature meant that everyone fromdoctors to clerical staff turned to her for advice. Regarded by Thanks for all your work in 2009, I look forward to many as the lynchpin of the diabetes centre, Barbara kept the working together in 2010 to achieve unit running smoothly and always helped staff to give their best.
Barbara was a member of the diabetes nurse specialist groupand held a number of roles over the years. Her humanity andwealth of knowledge will be sorely missed by all.
ISSN 1178-5373 (print) continued on page 4 ISSN 1178-5381 (online)
H1N1 to be included in Seasonal Flu Vaccination
Planning is well underway by the ADHB for this year's free flu
Seasonal flu vaccination in brief:
vaccination for staff. The Ministry of Health has advised that Only one dose required the predominant circulating flu this year is likely to be causedby H1N1 and that it may hit earlier than usual, possibly by late Protects against H1N1, A(H3N2) and B/Brisbane.
March, peaking in April/May.
Vaccination will begin in March To manage this risk the 2010 seasonal flu vaccination willinclude protection against the H1N1 flu strain as well as twoother circulating strains.
"As we do every year, we are strongly encouraging all staff toget the seasonal flu vaccination this year," says Taima Campbell,Executive Director Nursing.
"The vaccination is vital to protecting our patients but it is alsoimportant as a way of supporting our colleagues. The morestaff vaccinated, the fewer people will get sick, and the lesspressure on the team as a whole." The ADHB intends the vaccination programme will beginmid March. Dates and venues will be confirmed shortly.
Don't forget your Hand Hygiene
Vaccination is a vital tool in controlling the spread of "Remember the five moments of hand hygiene but also seasonal flu but we shouldn't forget the basic every day remember to cover your mouth when you sneeze or cough, hygiene tools.
dispose of your tissue in a rubbish bin and stay at home ifyou are unwell.
"Hand hygiene is an essential part of our professional life,particularly during flu season," says Sally Roberts, ADHB "These simple common sense measures can make a real difference," says Sally.
Due to the predicted earlier start to the flu season an H1N1- protected against the other two circulating strains of influenza.
only vaccination will also be available in February. This will be There is likely to be a small benefit of earlier protection to offered to at-risk staff, and any other staff who are concerned H1N1, perhaps by a few weeks, depending on when seasonal about early exposure.
Staff considered "at risk" are those staff with the greatest chance Staff who want to receive this vaccination should talk about it of exposure to the H1N1 virus and those staff with personal with their manager or contact Occupational Health and Safety risk factors for flu complications.Areas where staff are at greatest to discuss it further – their helpline number is ext 27800.
risk of flu exposure: For further information about the flu vaccination
Check eNova weekly on Mondays Keep an eye on the ADHB's intranet site Call Occupational Health and Safety, ext 27800 ARPHS staff with direct patient contact Staff with the following conditions may be at increased risk ofcomplications from H1N1 flu: Nova magazine distribution changes
The current in-house mail-out of Nova will cease next month. We will ask departments within ACH and GCC to respiratory disease including moderately severe asthma collect their Nova magazines from our display boxes at both sites from March. ADHB departments who are notbased at either site will still receive their magazines by post.
Staff who would prefer to receive read an electronic copy people who are immuno-compromised of the magazine can contact the Editor with your preferred This vaccination requires two doses three weeks apart. Staff email address. Email: [email protected] would still need to have the seasonal vaccination to be
Celebrating 2wheel commuting
Personal assistant tothe clinical partners,P i p A n d e r s o n i sa n o t h e r 2 w h e e ltransport convert and,although she admitsto being a fair weathercyclist, has cycled towork on and off for thelast four years. Whileshe enjoys all the samet r a v e l b e n e f i t s a sAdam, cycling offersthe added exerciseh e a l t h - r e l a t e dadvantages.
"Cycling to work is agreat way to integrateexercise into the workday. But it's importantto be well prepared.
H a v i n g t h e r i g h tequipment - correctclothing and flashingreflective gear - iscritical for safety and Adam Bartlett and Pip Anderson utilising ther 2wheel transport options.
It's TravelEzy Week again and this year we're celebrating 2wheel and routes. This makes the commute a breeze" she says.
commuting – travelling to work on a motorcycle (motorbike, Timed to coincide with Bike Wise month in February, TravelEzy scooter, or moped) or bicycle. Whatever your choice, you are Week offers staff the chance to explore 2wheel commuting more likely to arrive faster, fitter (cyclists), cheaper and have options at open days featuring bicycle and scooter displays.
less impact on the environment than four-wheeled transport.
Motorcycle and bike professionals will be available to discussoptions, maintenance and safety issues, and the Auckland Riding a retro-scooter to work has been transplant surgeon Regional Transport Authority will update everyone on new Adam Bartlett's preferred method of commuting for the last cycling facilities and cycle lanes. Staff can also be in to win six years. A central city resident, he chose his scooter for lifestyle exciting 2wheel prizes.
and environmental reasons.
"It's a lot more convenient in terms of ease of parking, ability TravelEzy 2Wheel Open Days
to drive across Grafton Bridge and nip out for errands. It's afaster option because I can avoid congestion. My scooter is 11am – 3pm ACH 24 February, Level 5 Reception also cheaper as I don't have to pay for parking and it is a much 11am – 3pm GCC 25 February, Building 4, more fun, environmentally friendly and stylish commuting Ground Floor Reception option," says Adam.
RECOGNISING ADHB STAFF
Mary (Meleane) Mahakitau
Enrolled nurse (NICU), retired after 32 years of service Staff nurse, retired after 29 years service Mary Mahakitau trained to be an enrolled nurse when Martin Schradt's career with ADHB began in 1981 with the she arrived from the islands. She began working with coronary care unit. Since then Martin worked in a number of babies and continued to work in paediatrics through to different units including the Department of Critical Care and Radiology. Most recently, he was a staff nurse on the Admission Over the years Mary saw many changes and adapted well.
and Planning Unit.
She showed exceptional skill levels and had a very caring Martin was extremely passionate about his work and had an approach. Mary worked mostly in the parent infant amazing wealth of cardiac knowledge. He was extremely nursery where the focus is on the transition home. She patient and was an excellent teacher to the nursing and medical instilled a sense of confidence in mothers and was well staff on the unit.
respected by her nursing colleagues and medical team.
A quiet, gentle and very professional man, Martin is loved and Mary was an integral team member and will be missed respected by all those who worked with him. We wish him well in his retirement.
Janice Langlands, Team Leader and Donor Co-ordinator at Organ public, dealing with Donation New Zealand (ODNZ). media enquiries andbuilding relationships Describe ODNZ and working with large ODNZ is a national service that was established in 1987 when heart transplantation commenced at Greenlane Hospital.
professionals throughout Our primary responsibility is to co-ordinate the donation of NZ and Australia.
organs and tissues from deceased donors in New Zealand for It is still an area with transplant units in New Zealand and sometimes Australia and lots of changes and for tissue banks in New Zealand. We also provide education for progress so it is always health professionals and the general public.
The team consists of three donor co-ordinators, the Clinical Director, the Medical Specialist, Communications Advisor andour Team Administrator.
What are thechallenges? What is a typical day in the life of a donor co-ordinator? Back from left: Janice Langlands (Team Leader and A donor co-ordinator is available 24 hours a day to receive misconceptions that Donor Co-ordinator), Dr Stephen Streat (Clinical referrals of potential donors. Following a family's agreement to Director), Margaret Kent (Team Administrator), donation, the co-ordinator requests medical information about Dr James Judson (Medical Specialist), Melanie Selby the donor and liases with the transplant units and tissue banks.
(Communications Advisor). Front from left: Cecilia The donor co-ordinator organises all aspects of organ or tissue Why would you Westmacott (Donor Co-ordinator) and Rachel recommend working Josephson (Donor Co-ordinator).
Following the donation, the co-ordinator provides information for ODNZ to a colleague? and support for the donor family Working for ODNZ isn't just a job – you have the opportunityto make a difference to a family at one of the worst possible What makes ODNZ special? times in their lives. We are also able to assist health professionals Being able to meet, and have ongoing contact, with the with a process which always occurs in extremely sad generous families who have donated in the midst of their own personal tragedies makes ODNZ an amazing place to work.
What would equip a colleague for working for ODNZ? Why do you work here? You need to have empathy with everyone involved in the There is so much variation in one day – providing support for donation including families, health professionals and your families, providing education for health professionals and the colleagues. And you have to be available 24 hours a day! Lessons from Abroad
A very strong collaboration ethic is evidentin the efficient Scottish version of the NHS In 2009 I had the privilege of visiting several overseas health delivered to 5 million people. Rural issues systems. Either they had an international reputation for and urban subgroups with poor health were excellence, such as the Swedish and Scottish systems, or I had similar to New Zealand conditions. The size chosen them to get comparative views of a particular service, of half a football field, the call centre that e.g. acute services in primary care at night.
coordinated acute primary care regionally From my various hosts the first response I often got was a highly did so for the 1.1 million population of informed commentary on the New Zealand health system, greater Glasgow and Clyde. It housed call Chief Medical Officer, regarded internationally as being one of the most cost-effective.
handlers (nurses, pharmacists etc), GPs and Also, for developed countries over the last 30 years, the cheapest.
ambulance dispatchers variously employed While I was proud of our high ranking for health outcomes, I by different agencies, all in one very large room. Acute services also understood my hosts were working in systems (admittedly were highly accessible by the public and the "talk to doctor" more costly) that achieve higher life expectancy and lower and "visit doctor" options were offered and frequently accepted.
prevalence of things troublesome in New Zealand such as A national collaboration providing affordable e-library services obesity, diabetes and injured children. They certainly had things to health workers puts Scotland five years ahead of us. I was impressed by other national collaborations such as new drug Coordination within a health system potentially offers better approval, and surgery quality.
cost and quality, and I saw some examples of this in well Translating to New Zealand there were strong messages from organised primary care services. The Swedish advanced my hosts that we should have no tolerance for fragmentation homecare service meshed after-hours acute care from GPs, of care and loss of patient-centricity. Diverse funding streams community nursing including palliative care, and hospital EDs.
which should not be perceived as barriers, they can be overcome In (for me) a surprising USA rural primary care setting, I saw effectively by formal collaboration.
highly connected referral pathways. These were anchored toa single electronic health record shared across the system, with As we begin 2010 thinking how we can do things differently, a clerical "case coordinator" role in this teaching family practice lessons from abroad can help us. Certainly aiming for that resulted in very patient-centred care with comparatively coordinated care, collaborative care, and patient-centred care low per capita costs.
will keep us anchored to reality.
Bike Wise Month
Save some petrol and be kind to the environment while enjoying a bit of fresh air and exercise this February. Bike Wise is a New Zealand wide event promoting safe biking as
a fun, healthy and economical means of transport.
Bike Wise includes three main events: Okahu Bay, Orakei 1. The Bike Wise Challenge runs from 1-28 February 2010 and is open to New Zealand
organisations (businesses, schools, churches, scout/guide groups, etc). The challenge is a fun, free, online competition encouraging you to swap your chair for a bike saddle during Bike Wise Month. Organisations compete against similar sized entities to see A fun, free event for the whole who can get the highest percentage of members riding their ‘bikes'. There are individual and organisational prizes up for grabs.
Go By Bike Day
2. Go By Bike Day on 12 February will see thousands of Kiwis across the country leaving
their cars at home and strapping on their helmets when they leave for work or school for the day.
2010 ADHB TravelEzy
3. The Mayoral Challenge is a national event, challenging Mayors to motivate the
2Wheel Open Days
greatest number of people to cycle behind them and win the coveted title of most 11am – 3pm ACH 24 February, Cycle Mad City. The area with the highest percentage of the population participating Level 5 Reception is the winner.
11am – 3pm GCC 25 February, For further information, contact: [email protected] Building 4, Ground FloorReception Auckland Lantern Festival
Vietnamese Summer Rolls
Even those of us who don't have green fingers can grow lettuce and herbs successfully.
Here is great recipe to make use of this summer produce.
5pm to 10.30pm daily This Chinese New Year celebration includes Rice paper/spring roll wrappers (available in Juice of 3 limes or 2 lemons performers from New Zealand the Asian food section of supermarket) 3 Tbsp fish sauce and overseas, crafts, fortune- Cooked prawns, shrimps or shredded chicken telling, fireworks, martial arts 1 Tbsp caster sugar displays and of course 100 g vermicelli, place in a bowl and cover with 1 fresh chilli, seeded and finely chopped boiling water until soft (10 – 15 minutes), drain 1 thumb size piece of ginger, grated Cucumber sliced into thin matchsticks Carrots sliced into thin matchsticks Spring onion sliced into thin matchsticks Fresh mint or coriander Movies in the Parks
Soak a wrapper in a wide shallow dish of room Tahaki Reserve, Glover Park, temperature water until soft and pliable (about 1 minute) Grey Lynn Park and Lay the wrapper on a damp tea towel and lay a small amount of each of the above ingredients onto one side of the rice paper.
February to March 2010 Roll up the rice paper tightly folding in the sides to enclose the filling. Repeat the process Free Kiwi film screenings in an with the rest of the wrappers outdoor location – grab a rugand a picnic and enjoy.
Simply mix the sauce ingredients together and serve with the rolls For more information visit And for a fun but a possibly messy alternative get the family to make assemble the rolls at the table. Being involved in the preparation is a great way to get children to try more call 09 379 2020.
Starship team experience the tropics
A team from Starship Children's Hospital have returned fromthe Solomon Islands after providing medical assistance to theNational Referral Hospital in Honiara, the island's capital.
The volunteers used their annual leave to help out in the projectrun by the Pacific Island project division of the Royal AustralasianCollege of Surgeons. The programme is funded by the Australiangovernment.
The team consisted of Team Leader and Paediatric Surgeon,Dr. Vipul Upadhyay, Paediatric Anaesthetist, Dr. Ian Chapman,Operating Room Charge Nurse, Ms. Ngaire Murray andAnaesthesia Assistant and Recover y Charge Nurse,Ms Shonagh Dunning.
During the one week visit, the team saw approximately 50patients and operated on 15 children aged from two weeks to14 years. They mainly performed urological and gastrointestinal Left to right: Shonagh Dunning, Ian Chapman, Vipul Upadhyay, Ngaire Murray.
operations but the conditions the team consulted on werewide-ranging.
unit were hand made improvised versions," says Vipul.
Some patients had travelled two days from other islands and In addition, the Starship team held interactive training sessions the bush to get to them. Dr Vipul Upadhyay says that the with local hospital staff.
theatres were basic but notes how efficient the staff wereconsidering their limited resources.
"We were so lucky to be a part of this project and overall themission was very successful," he says.
"We had suture materials and an anaesthesia monitor sent inas the hospital did not have the fine sutures we would require The team has been invited back next year and are interested for use in children. However, equipment like a phototherapy in returning to continue their voluntary work.
Nelson is blessed with a landscape of golden Track, or take a guided kayaking tour to beaches, native forest, vineyards and is a experience the National Park from the water.
popular destination offering outdoor activities, A must do is the Nelson market which with wonderful scenery and plenty of ways operates on Saturday and Sunday mornings to tempt the taste buds. And perfect for a 8am-1pm in the Montgomery Car Park in the summer break Nelson enjoys New Zealand's city centre. Savour gourmet chutneys, local highest sunshine hours.
olive oils and hot smoked salmon. Art and Try something different and experience the designer wares abound from large wooden ingenious creativity of New Zealanders with platters to scented candles and handcrafted a visit to the World of Wearable Art and Collectable Cars Museum.
The arts and crafts, food exploration and For the more energetic, hike all or part of the Abel Tasman Coast leisurely wine tours will leave you wanting to stay for longer.
The prize for this month will be one night's accommodation
including breakfast for two at any MCK Hotel in New Zealand.
Name the three strains of flu the 2010 seasonal flu
vaccination protects against.
When it comes to superior destinations, exciting cosmopolitan
To enter, simply answer this month's question and send cities, relaxing getaways, lasting memories with friends or family, your entry to [email protected], subject line ‘monthly sharing romantic retreats or simply enjoying the taste of luxury, competition', or mail to the Communications Millennium Hotels and Resorts has a hotel to suit … total luxury department, Level 1, Building 10, Greenlane Clinical at Millennium, superbly appointed corporate and leisure at Centre. Entries must be received by 28 February2010.
Copthorne & experience true ‘kiwi' hospitality at Kingsgate.
One entry per person. Air New Zealand will provide two economy class tickets to the Pacific Islands – Samoa, Tonga,Fiji or Rarotonga for the Grand Prize for Nova for 2010. There may be peak periods when seats are not available i.e. Christmas. To be in the draw, each month simply collect the letters (supplied at the bottom ofthis column) and at the end of the year correctly solve the simple anagram. Then send your answer to the addresssupplied in the November edition.
February Grand Prize letter:
Conditions of entry: Tickets are not exchangeable for cash; tickets will not attract air points; tickets A are not upgradeable; winner must be an employee of ADHB (show employee number) at the time
of the prize draw. Valid until 30 June 2011. Travel is not permitted 20 Dec 2010 – 15 January 2011.
Emeritus Associate Professor Bob Boas
Associate Professor Vernon Harvey
Officer of the New Zealand Order of Merit (ONZM) Officer of the New Zealand Order of Merit It is with pride and delight that the ADHB acknowledge the award of ONZM to acknowledges Professor Vernon Harvey's Emeritus Associate Professor Bob Boas for recent well deserved recognition in the "services to medicine, in particular pain Queen's 2010 New Year Honours list for his services to medicine particularly in oncologyresearch.
Bob has had a long and distinguished careerstarting as a house officer in 1962 at A keen advocate for the delivery of medical Auckland Hospital. His early fascination with oncology services in New Zealand, Vernon the area of medicine later known as has contributed significantly to the research intensive care led to his training in anaesthesia. His subsequent and management of breast and testicular career has been remarkable. As an academic researcher and cancer and is now continually asked to speak at international teacher he pioneered the establishment of New Zealand's first meetings. He joined ADHB in 1978 as a tutor specialist for two pain clinic. Bob's earliest research resulted in the first description years before spending time in London undertaking research in of local anaesthetic pharmokinetics in humans. Amongst many etoposide pharmacokinetics which culminated in his doctorate.
achievements he developed the method for x-ray controlled He returned to ADHB in 1984 as Senior Medical Officer, and sympathetic blockade which became a world-wide standard continued to share his expertise with us by taking up the role technique. From 1978 he became Associate Professor of of Clinical Director of Oncology. Vernon is a well respected Pharmacology at the University of Auckland.
expert serving on multiple national committees. ADHB isimmensely proud that he has chosen to work with us for a Bob retired from ADHB in 2001, his infectious enthusiasm for significant part of his career.
research and teaching leaving a lasting legacy which rubbed Vernon is a great ambassador for medical oncology and spends off on the next generation of anaesthetists and remains strong much of his time mentoring and teaching junior staff and today at Auckland City Hospital.
undergraduates. He remains forever enthusiastic, cheerful and Bob continues to receive international awards and it is fitting a role model for all cancer specialists. Congratulations on this that he is now recognised by the Order of Merit.
Healthy Housing Programme Success
ADHB Riding the
The Healthy Housing Learning Technology Wave
Programme, HealthyEnvironment Team, Around 170 people from the ADHB and 19 other organisations attended the Online Learning Symposium hosted by the ADHB at the end of last year.
The symposium showcased the latest online learning solutions in place at the ADHB.
The keynote speakers presented topics ranging from starting an Left to right: Tania Mulitalo, Dr Simon Baker, Kathleen Badan, online MOODLE site, using online technologies to increase Cherry Morgan, Lynne McCarthy.
Professional Excell- collaboration between DHBs and the use of Flash learning aids ence in Housing Awards for Leading Practice. ARPHS is delighted in new courses.
to have recently expanded both the contract and the team.
The symposium was also an opportunity to officially launch and The Healthy Housing Programme is a collaborative programme demonstrate the ADHB's online Treaty of Waitangi course.
with Housing New Zealand and DHBs to improve health outcomes Craig Paterson, Online Learning Consultant, says feedback from within a housing setting. The programme has delivered real and attendees has been extremely positive and significant interest sustainable improvements to the lives of Housing New Zealand has since been raised from other DHBs and national interest tenants since it began 2001.
"We have made remarkable progress in the two years and Round the Bays 2010
MOODLE is now a strategic asset for workforce development.
The ADHB will not be be entering a team in this year's Round "There are also some exciting prospects for greater DHB the Bays event. We encourage staff to enter individually or collaboration at a regional and national level," he says.
as a team. The website is now open for registration - The symposium is an annual event and will be repeated in 2010.
For hints on training and managing the event on the day Did you know?
please visit Health Matters on the intranet.
MOODLE (Modular Object-Oriented Dynamic Learning Environment) is a software package for managing online learning. It allows Date: 14 March 2010
Nurse Educators and other tutors to create learning and training Time: 9:30 am
activities and deploy these to their audiences. The software also Distance: 8.4 kilometres
allows ADHB to manage participants and access their learningrecords. http://adhb.moodle.co.nz/course/view.php?id=163
04/20 +59 Le magazine des commandes numériques HEIDENHAIN Coups d'œil dans la pratiqueComment utiliser efficacement les commandes TNC graphique de simulation Fonction "Stop and go" pour un dégagement et un réaccostage en toute sécurité avec la TNC
Process for the preparation of sildenafil - european patent office - ep 2125821 b
EP 2 125 821 B1 EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention of the grant of the patent: C07D 487/04 (2006.01) 13.07.2011 Bulletin 2011/28 (86) International application number: (21) Application number: 07857066.0 (22) Date of filing: 21.12.2007 (87) International publication number: