The Outdoor Water Fountain options and tips

Posted on April 11, 2021April 11, 2021Categories Uncategorized

Outdoor water fountains are a value effective means of beautifying a home, yard, garden, or porch. Rather than expensive renovation and refurbishing, simply installing a fountain can customize the appearance of this property considerably. Even for a cluttered, dark corner in the yard or terrace that the homeowner would like to brighten up, an outdoor fountain is wholly recommended. Some of the criteria through which you can choose outdoor water features are detailed below. Mismatching Size: A tabletop fountain certainly not look good in a giant area by itself as an enhancing item. A floor fountain would not compliment the looks a good office or a small a spot. The diameter of the tabletop fountain should be the basis of your measurement. The peak of the fountain you are eyeing could be checked to make sure there is a few clearance to your space. Floor fountains measurements can be determined primarily from its width. By stacking some boxes up you can determine the height of the fountain. If it’s an outdoor fountain more likely the size would not really a solution. To get an water moving, you require a pump to pull water around the bottom of the pond to either supply a waterfall or perhaps fountain. You’ll find so many sizes of buying a water feature pumps and it is very important for your pump to be properly sized for disorder developed pond. If you don’t have the source towards your pump, gaps to be safe and hire an electrician to purchase a ground fault outlet with regard to you. You are usually one with nature as being a fountain inside your garden will attract birds that would come to feed and bath in the fountain. These water fountains be a regarding shapes and sizes. You can buy fountains number of internet sites. Among the most popular are cast stone fountains, fiberglass fountains, floor models, indoor fountains, tabletop styles, even copper and also the wood means. They also come in an associated with price range, from $100 to $2000. Since the pump is on dry land, a huge feature end up being to make confident you pick a pump of which may be self priming. By that, it means that the pump can take water into itself necessary. If your electricity goes out, the pump will drain. When the power returns the unit comes back on dry and burns. There are two classic in order to this problem. One is to install a check valve, and the other might be to place the unit below water level and let gravity meet your needs. The beauty of fountain care is going without shoes really doesn’t take very much of your. If to be able to outdoor fountains, then simply need to dedicate couple of of hours every several months. By doing so, you have be inside a position to really lessen on any issues preventing many from even having. Most indoor fountains hardly require any maintenance. They are designed to automatically re-circulate water using the help of built-in tanks. They generally have great overflow systems which helps eliminate the valves from getting clogged up. You in addition be find units that have anti-microbial coating to decrease mould. However, how can you different varieties of fountains available, that it’s really a bit confusing to devour the sort. This is why it is usually preferable unique some understanding of the various types of fountains readily obtainable. Both elegant large panel water fountains and small desktop water indoor fountains are on hand. There is a wide choice for you. From wall fountain, desktop fountain to large fountain, you will discover any analysts. Indoor fountains can fabricated from different materials including copper, rock, bamboo, glass, metal and stone.

Memorial Order of Ritual Template

Posted on April 10, 2021April 10, 2021Categories Uncategorized

A Structure of Service fulfills an important purpose in a funeral. Not only does it provide that your attendees are well-informed but it additionally functions as a quick guide to help them through each part of the day.

Gone are the occasions when a Cremation Order of Service was simply a simple schedule of the function.

Presently a large number of family groups use a Cremation Order of Service to pay their respects including as the utmost recognition including celebration of their loved ones life story in a brochure that will be prized including retained by each attendee.

At we have a large number of Cremation Order of Service design template designs that we can show you including give you all of the assistance you need to produce a customized Cremation Order of Service.
Tips including Recommendations

The secret to a great Order of Service is simplicity.
For the front cover all you may need to do is include the following information and facts
Name of the man or woman you are there to celebrate,the date,venue including placeGoing for the amount of pages you need for the inside contents relies totally on your wants,the main things to include are:
A section about the personA checklist of immediate household membersA timeline of the dayAny other specific locations such as the wake placeReadings,poems or worship songs,any music and songs selectedA thank you note to your attendees at the end

For a funeral order of service it’s nice to have an image of who you are commemorating on the front cover,though it’s additionally a nice touch to include a selection of pictures in the middle or at the end.

The rear cover is often forgotten about when developing but it’s always nice to make use of it by adding a line from a poem or a motivational quote that will touchingly sum up the celebration. work with small local businesses with vast experience in designing including printing using a wide range of themes from traditional to ultramodern pamphlets to make the Cremation Order of Service uniquely perfect for you including your family.

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How the Best Custom Accordion Doors Can Save You Money

Posted on April 9, 2021April 9, 2021Categories Uncategorized

Accordion doors (Accordion Folding Doors: Custom-Made Perfectly for Your Space) are among the most versatile doors, and the best can add value to your home and provide both function and form. When you buy an accordion door, there are several key features that you should look for, to ensure that you are getting a quality product that will last. There are also a few things that you should avoid doing so that you don’t waste money on something that could turn out more expensive long-term.

What are accordion doors used for?

A home with no doors is like a book with no pages. Yet, doors tend to get to old and damaged and can no longer keep intruders out. This is where accordion doors come in. These doors have a unique folding design that offers the best of both worlds. The best ones are customized to be both strong enough to keep intruders out, and light enough to let air flow in. They are made to order to fit your doorways perfectly.
Accordion doors can be used to save space, insulate sound, and divide rooms — and they’re often used to partition a room into two in commercial settings, for which they’re highly customized. You can even use them in your home office to keep your work area private. Many accordion doors are easy to install.

Accordion doors are an alternative to the expensive, time consuming, and energy guzzling process of installing a permanent wall. Accordion doors are an efficient method to divide spaces into separate rooms. They’re a cost-effective, energy efficient, and easy way to divide an area, especially in an apartment where you are not allowed to construct permanent walls.

A lot of people are looking for a way to save money these days. Unfortunately, the easiest way to save money is to not have the money in the first place.

This is where can help you, since the doors they carry, such as Woodfold, Curtition and the likes, are considered to be among the best accordion doors on the market. Those brands are made from the highest quality materials available, and they are the most durable accordion doors on the market. This means that reputable accordion door sellers will help you save money by not having to replace them at any time in the future.
One way to save money on heating and cooling in your home is by using an accordion door. These doors let you control the flow of air into a room, which makes them effective at regulating temperature. They’re very efficient at blocking out the cold or heat from unwanted sources, and they make for a great divider if you’re trying to divide your home into separate spaces.

Some of the most important aspects of an accordion door are what it’s designed for. It’s important to make sure it is heavy enough, since a lightweight door will not be as effective at soundproofing.

From lightweight to heavy-duty, Cleaford Police Software has you covered when it comes to researching the necessary resources to buy an accordion door.

Experiencing the Breathtaking Museum of London and also National Gallery

Posted on April 8, 2021Categories Uncategorized

There are about 20 cost-free galleries as well as art galleries in London. Indeed, visiting this 2000-year-old city would not be satisfying without seeing the tricks that they hold. And also the most effective way to see this is with a petite and model looking escorts.

Galleries as well as galleries are more than simply puts to check out historic artifacts as well as legendary art work. These are locations that might provide inspiration for a particular task that a person is working on. It has all things showcasing the different trends of each period. When searching for an concept, it’s good to see galleries as well as art galleries. They might provide the trigger of a intense as well as one-of-a-kind concept that a person needs.

Today, I will certainly be sharing my experience with my trip to the Gallery of London as well as the National gallery with my London companion. I will certainly talk about the remarkable items that they contain, as well as various other intriguing details that you might wish to hear.

Gallery of London

The tale of the UK’s funding city- London, is protected right here. The Gallery of London has an large collection of different artifacts that supplies an appropriate amount of info regarding the history of the city. This gallery will certainly allow you to take a peek of Pre-historic London, Roman London, Medieval London, as well as Contemporary London.

Entry to the Gallery is cost-free as well as once inside you’ll be astonished at just how arranged the place is. The passageways as well as exhibits are put in a way that avoids congestion also when great deals of visitors are around.

One amazing display screen that caught my focus is a copy of the Battersea guard. This guard has this celestial appearance as it is made from thin bronze sheets complete with patterns as well as set up with different gems.

And afterwards there’s the mask of Oliver Cromwell. The mask looks truly creepy as it completely shows the face functions of its user. According to my companion, such a sensation of eerieness might be because of the truth that Oliver Cromwell did eliminate a few ethnic groups residing in Ireland in the past.

My companion led me to various other incredible artifacts. One is a journal speaking about the occasions that happened during the episode of the bubonic afflict. One more one is a mosaic made by artists at the time when Romans started London.

National Gallery

After checking out the Gallery of London my companion suggested that we head directly to the National Gallery. Taking a trip from Barbican to Charing Cross to get to the National Gallery took about 11 minutes. Nonetheless, I really did not mind the short delay because I as well as my companion got to have tasty eats on among the well-known local restaurants in the city. I truly delighted in a passionate lunch that Londoners love including pies, roasted lamb meat, mashed potatoes. as well as a glass of trifle.

I also handled to conserve a little bit of money for the dish because my Escorts in Kent is a pal of the owner as well as is a routine of the place.

The National Gallery is an incredible structure. Its design showcases fine information that just master builders can achieve. Upfront, it nearly looks similar to the U.S Capitol building. Nonetheless, one essential distinction is that its dome is smaller as well as it isn’t white.

According to my companion, very little adjustment has actually been made to the nationwide gallery because it was built. There were propositions to change its design however most of the authorities assert that it’s far better to preserve its look. Because of this, upgrades of the structure, if there are any type of, were performed in a manner in which follows the strategies of its initial contractors.

The art items that the National Gallery has for public watching go over. I was truly astounded by the paint of Peter Paul Rubens showing Samson as well as Delilah. The musician did well in showcasing just how Samson is head over heels crazy with the lovely lady as shown by his relaxed way of resting in the lady’s lap. This is more heightened by the truth that a few individuals we’re seeing as Samson’s hair is being reduced without him recognizing.

I also got to see an art display of Leonardo’s works while being accompanied by a associate of my companion that is working for the curator of the gallery. I had a remarkable time listening to his analysis of Da Vinci’s paintings as well as his sharing of remarkable tricks that each job has. For instance, Leonardo’s Virgin of the Rocks has intriguing aspects that art fanatics are aiming to understand.

Different art work are displayed in the National Gallery year after year. If you love art much like me, after that your time will not be thrown away as you see this place.


My trip to the National Gallery as well as the Gallery of London was very effective thanks to my companion. I really did not have to take care of the problem of participating in organized splits because he was currently there to clarify points to me. The best thing about my trip is that I get to eat at a local dining establishment that offered me tasty food as well as provided me a discount.

All in all, a makes sure that your trip will certainly be worthwhile. Work with the ideal one as well as your time as a very first time site visitor in this city will certainly be safe as well as fun!

Buying Spanish Little One Outfits On The Internet

Posted on April 8, 2021April 8, 2021Categories Uncategorized

Shopping on the web! The Net indeed is basking in the limelight considering the fact that it gives parents more options when it comes to finding and buying clothes and other items for their toddlers than ever before.

If you’re interested in  Spanish Baby Clothes  look no further than

How about Hassles? How about long check-out lines? How about Traffic? And,how about not finding the right clothes for your little one even after those time-consuming,manual searches? This is why on the web shopping is emerging fast as a channel to bring the products right in front of you,with thousands to choose from. Indeed,the Net has become an exciting tool that puts vast relevant information just a click away.

With the growing competitions amongst the on the web retailers,good deals,ease,and choice abound on the Net. But before you use what the sites has to offer,be “cyber” smart to make the most of your on the web experience.

Preferences and offers at your disposalDiscounts: Interestingly,some of the best discount stores that sell little one clothes are some of the best on the web retailers. Each on the web retailer offers direct sales from their web site,and they have pretty almost everything you could need in terms of little one clothing,and offer it all at prices that won’t burn a hole through your pocket.Designer Baby Clothes: Designers are going on the web at last! From Chic Toddler clothing to punk and trendy wears,on the web shopping offers you much beyond your travel experiences to the outlets.Just Browse! With literally hundreds of websites offering little one clothes at all price ranges and designed to meet all specifications,just keep browsing– compare pricings,and just pick your choice.Follow these principles while little one clothes on the web

  • Keep a tab on the kind of material and the quality the on the web retailer is offering.
  • Consider unisex clothes even if you are buying a little one cloth before the little one’s actual birth. This is the beat part of a little one’s cloth.
  • Make the most of on the web offers. On the net offers are much below the other offers made by physical retailers because on the web retailers need not maintain an outlet to showcase their merchandise. Since they are not spending in maintaining a physical outlet,they can offer you products much more affordable.
  • Consider the pros and cons of the little one cloth features. You might not end up disappointed upon delivery of the goods.


Follow these basic rules while shopping on the web for your little one clothesThis guideline is not only for shopping your little one’s clothes,but for you to consider while shopping for any merchandize on the web: Use a secure server and web browser with industry security standards before you enter credit card relevant information on the web; research the target site and verify the companies for authentication through contact relevant information such as business name,address and telephone numbers; avoid using debit cards and consider calling up to take in your orders instead; and print out relevant information on your order when you place it and keep the copies.

Following these tips will protect you from getting ripped while shopping on the web.

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Let’s go on a great travel vacation for the most wild adventure in London?

Posted on April 4, 2021Categories Uncategorized

For all of history, London is accredited for its imperial history all over the country and also full of the best London's best escorts agency who will make your travel trip one of the most fun. Yes, our escorts will make your trip hopes come to fruition as you travel through the gorgeous natural scenery. You may dream to stay in London longer then you have planned.

Nearly everyone wants to travel to London the wonderful city in the world. Without a doubt, traveling in London seems a like a remarkable tale particularly because of the a lot of essex escorts happy to take you at every edge of London.

Why do you need a escort for your newbie visit to England?

Do you understand that London, England is the globes most taken a trip tourist location facility and also bring in over 25 million visitors every year? Yes, London being Britain’s resources city has the most vibrant entertainment centers and also vibrant arts. Now the most gorgeous thing about this city is the high concentration of cultural tourist attractions in addition to the a lot of adorable ladies, all sizes, and also colour and also over 18 years happy to take you via every edge as you enjoy her ride. Have you ever thought having a Brazilian Redhead girl as she takes you to every edge of London city?

Have a Ace Sexy Escorts in Kent on your arm to guide you via the city.

Going to London sounds like a odd tale among many people particularly because of its rich culture and also background. It is a desire come to life particularly when you have a person aware of every edge of London. I keep in mind in 2014 I and also my friend Ben how booking for the London escort made our holiday one of the most amazing trips ever. Each people rented out a different holiday flat yet not far from each other such that a person go to even throughout the night. Our truly nice escort made everything adorable. For example, throughout the day, they took us via most areas in London like the Buckingham Palace, the changing of British guard Gallery, the Tower of London and also the Tower Bridge, The British Gallery to name a few. The most remarkable part of it is that the escort consists of adorable and also genuine charming ladies who are not only culturally broad-minded yet likewise specialist tourist companions.

Make this a trip of a life time

To be honest, booking a London escort beforehand turn up our one month excursion to be the most remarkable minute in my life. I might visualize investing a number of evenings in several of the most glamorous hotels in London and also at an cost effective rate, thanks to our seasoned London companions.

Genuine that experience of holidaying in high-ends hotels showed me so much concerning being a culturally– broad-minded tourist who can explore every part of the world without guts.

To day, I give thanks to companions for training me so much that without a doubt it had not been possible to learn without them. I would certainly recommend you book for a escort today if you are planning to check out London quickly particularly currently international traveling restriction in the UK have been allowed. Invite to the wonderful city and also have wonderful fun with your sexy infant.

Learn the Facts About Drug Use and Addiction in the United State

Posted on March 15, 2021March 15, 2021Categories Drug Facts

What are illicit drugs?

Illicit drug use includes the use of a wide variety of mind-altering substances. This includes the misuse of prescription drugs or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.

How prevalent is drug use?

47.7 million people used mind-altering substances last year. Of those, 36 million used cocaine/crack, 36 million used marijuana and 18.9 million people misused prescriptions in the past year. This class of drugs includes prescription pain relievers (such as oxycodone), tranquilizers (such as Xanax) and sedatives (such as valium).

Not everyone who uses drugs becomes addicted, yet addiction remains very prevalent in the United States. Roughly 7.7 million people in the U.S. meet the diagnostic criteria for a substance use disorder (a.k.a. “drug abuse” or addiction).

If you cannot get a response from someone who may have overdosed, do not assume they are asleep. Unusual or deep snoring is a common sign of overdose. Do not let people at risk ‘sleep it off’. If you see any of these signs, immediately move to activate the response plan for overdose.

Warning Signs of Drug Addiction

Sometimes the warning signs of drug misuse or abuse are very noticeable. Other times, they can take longer to surface. The chance for successful recovery increases when drug addiction is discovered in its early stages.

Common signs of addiction include:

Loss of control
Continued to use despite consequences
Spending less time on activities that used to be important, such as hanging out with family and friends, exercising, or pursuing hobbies or other interests
Drop in attendance and performance at work or school
Taking serious risks in order to get one’s drug of choice
Acting out in personal relationships, particularly if someone is attempting to address their substance problems
Going out of one’s way to hide the amount of drugs taken
Serious changes in hygiene or physical appearance
Needing to use more and more of the drug in order to produce the same effect
Withdrawal symptoms such as shakiness, trembling, sweating, nausea or fatigue
Educating the community disrupts the stigma about drug use and spreads the message that addiction is treatable. Don’t keep silent about addiction. Use your voice to share your story.

How buying drugs became as easy as buying ice cream

Posted on March 15, 2021March 15, 2021Categories Buying Drugs

There was a time when drug culture was synonymous with dark alleyways, lethal case studies and mysterious dealers.

For some young people today, however, the narrative is somewhat different.Despite the well-known health risks of taking drugs – not to mention the fact that it is illegal – doing so nowadays aligns you with millions of others, for whom buying a gram of cocaine is as easy as ordering a takeaway.

Experts now believe that Londoners can get cocaine delivered faster than pizza thanks to the way smartphones have revolutionised drug use – and the ease doesn’t stop there.”It’s as easy as going to buy a pint of milk,” said Harry*, a 25-year-old production assistant based in the city.But it’s not just Londoners that have easy access.

21-year-old Michelle*, who studies at the University of Nottingham, said it was almost too easy for her and her peers to buy drugs as students, given that the local dealer also sold ice cream in a van parked outside the library.“Everyone bought drugs from him,” she told The Independent.“It was a bit of a giveaway when we could hear the van’s music chiming away in the middle of winter.

“When it was freezing cold and snowing out, we knew no one was buying ice cream.”

However, even if your local drug dealer isn’t conveniently located in an on-campus snack van, they won’t be hard to find.

“I’ve got numbers for dealers for pretty much all the places I’ve visited around the world,” reveals Tess*, a 24-year-old marketing assistant and university graduate with a first-class degree.
“You literally just have to ask a friend who you know does drugs and ask for a number.

“I got hold of four dealers on a recent holiday in Portugal within five minutes of asking around,” she told The Independent.

While she’s willing to mix and match dealers when she’s abroad, Tess and her friends rely on one particular man when they’re at home in London.

“He’ll come and meet us wherever we are in his car, we’ll hop in, make the exchange and hop out again.

“The entire process usually takes less than five minutes.”

For some young people, drug-taking has become so ingrained in their social circles (“99 per cent of people I know do cocaine or have tried it,” adds Tess) that it’s permeating into their family and work lives too.

“Smoking weed with my mum was weird at first because it skewed how I saw her,” explains 25-year-old Polly*, an apprentice at a top London law firm.

“But once you realise your parents are just human beings it was quite cool,” she told The Independent.
“And also I know I can always be open with her about drugs because she’s okay with it and if I ever had a problem I could go to her.”

27-year-old nursing assistant Sophie* wasn’t at all surprised when, on a work night out, her manager asked if she’d go to the toilet with her and subsequently offered her cocaine.

“It was my first week into the job and we went to the local pub for team drinks, I didn’t think twice of it when the drugs started flowing.”

How did we become so immune to a subculture that had always, quite rightly, been embroiled in social taboos?

Well, it’s not really a subculture anymore: according to the NHS, 2.7 million people in the UK between the ages of 16 and 59 took an illicit drug in 2015/16 – that equates to roughly one in 12 adults.

But even if you don’t take them, there are certain contexts in which the ubiquity of drug-taking is not only tolerated but sometimes encouraged.

There are a number of festivals, nightclubs and bars that are renowned for their lax approach to drugs, making it all too easy to smuggle them in.

“I was nervous about taking drugs into a major UK festival last year,” reveals 24-year-old Lily*.

“So I paid my mate to take them in for me in her underwear, which she duly did.

“When we arrived at the campsite, everyone was talking about what drugs they’d managed to sneak in as if it was a competition.”

Even if you don’t manage to sneak in with your own supply, if drugs are what you’re looking for, it’s very easy to find and take them once you’ve passed through a supposedly “guarded” entrance, explains Polly.

“Pills are quite innocuous and easy to pop in.

“Also, you can always crush some powder and put it in a drink and be sipping on a cocaine-spiked beverage outside with no one noticing.

“I went to quite a heavy drum and bass night at a club on New Year’s Eve; there were no bag checks and almost everyone was taking stuff on the dance floor,” she said.

It’s the omnipresent social acceptance that surprised 23-year-old Jacob* recently.

“I went to a live music bar in Soho last week and noticed a group of girls taking MDMA at the next table, nobody batted an eyelid; it was like they were just drinking G&Ts”.

However, the issue is not that we’ve become so disassociated from drugs that we no longer see them as contemptible – and not to mention illegal – substances, but that hardly any of the young people I spoke to expressed a solid understanding of the potential risks.

“It genuinely never crosses my mind, it’s just so normal to me now,” said Tess.

So, who’s to blame?

Well, the glorification of drug-taking across popular culture probably doesn’t do much to wane people off drugs, in fact, if anything it has the opposite effect.

Hit Nineties films like Pulp Fiction, Fear and Loathing in Las Vegas and Dazed and Confused present drug-taking as a seductive rebellion against societal norms, which for some is obviously an appealing concept.

Characters like Mia Wallace and Raoul Duke might be doomed hedonists, but they represent an attractive social transgression that people still aspire towards.

Latest NHS figures show there were 15,074 hospital admissions and 2,479 deaths related to drug misuse in 2015/16, 51 per cent and 48 per cent more, respectively, than in 2005/06.
In fact, deaths related to drug misuse are at their highest level since records began.
While Polly insists that she “considers the risks”, it doesn’t deter her from engaging with a smorgasbord of substances on the weekends.

“The truth is that I find drugs really fun and the craving I get for the high outweighs all the low points for me.

Combating Prescription Drug Misuse Through Education

Posted on March 15, 2021March 15, 2021Categories Misuse

A distressed patient arrives at a dental clinic complaining of jaw pain and pleading for pain medication. The dentist suspects it might be temporomandibular joint disorder (TMJ), but closer examination reveals years of neglected dental disease, a history of substance abuse, and potentially a more serious condition that could be cancer.

The scenario is one that could happen in any dental clinic or doctor’s office, but this particular example is part of a detailed training module designed to educate health care professionals who have to make critical treatment decisions that often include prescribing opioid drugs.

The National Institutes of Health (NIH) recently awarded Harvard School of Dental Medicine (HSDM) and collaborators from other Boston health education institutions a 5-year $494,000 contract from the National Institute of Drug Addiction to create case-based training modules that will educate students and health care professionals in dentistry, medicine, nursing, and pharmacy about pain management and appropriate opioid prescribing.

Dr. Jeffry Shaefer, assistant professor of Oral and Maxillofacial Surgery, is principal investigator for the NIH contract along with co-principal investigator Dr. Antje Barreveld, an anesthesiologist with Newton Wellesley Hospital.

Shaefer, who has been teaching pain management for years at HSDM, brought together collaborators from Harvard Medical School, Massachusetts College of Pharmacy, Regis College of Nursing, MGH Institute of Health Professions, Brigham and Women’s Hospital (BWH) Pain Management Center and the BWH Department of Anesthesiology, Perioperative and Pain Medicine to apply for the funding. The NIH named Harvard School of Dental Medicine the lead institution in the Boston-based Center of Excellence in Pain Education (CoEPE) in 2012— it is one of eleven NIH CoEPEs nationwide.

“The most important thing we can do is teach proper pain management in schools,” Shaefer said. “The key is to not only teach the prescriber appropriate use of controlled pain medications but also an understanding of the patient’s disease process and how to properly evaluate the patient’s response to treatment,” he said.

Shaefer has already introduced the first training modules to third-year HSDM students and plans to use their feedback to refine future modules. The NIH award will also support inter-professional workshops that will bring dental, medical, nursing and pharmacy students together for pain management education. The modules have potential applications in continuing education courses as well. Eventually, the modules that the HSDM CoEPE creates, along with modules from the other 10 CoEPEs, will be available to the public on an NIH website.

These educational efforts come at a crucial time when prescription drug and heroin deaths make headlines on a daily basis. In October, Massachusetts Governor Charlie Baker proposed a bill that would limit practitioners to prescribing no more than a 72-hour supply of opioids to patients in most cases. His proposal is one of several steps the state is considering to address the problem.

Governor Baker also formed the Medical Education Working Group on Prescription Drug Misuse with deans from Massachusetts’ medical schools to examine medical education core competencies for the prevention and management of prescription drug misuse. The group’s recommendations for core competencies included skills in screening, evaluation and prevention; treating at-risk patients; and managing substance use disorders as chronic disease.

A joint response from the schools of dental medicine at Boston University, Harvard, and Tufts, supported the working group’s recommendations, “Given the significant role of dentistry in opioid prescribing, we strongly support the Core Curriculum Recommendations.” It went on to say, “Dentists are in a particularly unique position to have an impact, as they typically have regular contact with their patients and commonly address issues of preventive health and wellness in their oral health regimes.”

Dr. John Da Silva, associate professor of Restorative Dentistry and Biomaterials Sciences, and vice dean of HSDM, is part of the group reviewing dental core competencies. He stressed the importance of both the national and local efforts.

“Although pain management has been a part of the curriculum at HSDM for years, this is an opportunity to think critically about how we educate our students and prepare them for the challenges they will face in their own careers and practices; and how their actions have an impact,” Da Silva said.