Striker Abdullahi Suleiman grabbed an early brace within three minutes in the early part of a rain-sodden match at Vinh City, Nghe An, to help Binh Duong sink hosts Nghe An for a second time this week.
With the points they earned from the match, Binh Duong, who also defeated their opponent 2-1 last week, also took back the top place that they lost to Thanh Hoa after the withdrawal of Ninh Binh, who lost to Binh Duong in the first phase of the season.
Nghe An still languished in the ninth place with 13 points after drawing only one of their three latest matches.
The departure of trio defenders Hoang Van Binh, Au Van Hoan and midfielder Nguyen Trong Hoang significantly reduced the strength of Song Lam Nghe An, who desperately wanted to prove that they were still a formidable opponent.
However, Binh Duong proved yesterday that they were too strong for the hosts, who attacked right after the opening whistle. Suleiman scored two goals in the 16th and 19th minutes to give his team a commanding lead only 20 minutes into the game.
The hosts bounced back with grit but came close to reducing the gap only once in the entire first half, when defender Tran Dinh Hoang's header hit the cross bar in the 25th minute. At the other end, Binh Duong concentrated on defence and was sharp in attacking.
The second half saw the home team enjoying more possession and attacking the visitors from all angles, from the left to the right to the centre, but they could not create any realistic goal-scoring opportunities in the face of Binh Duong's solid defence.
While the hosts piled forwards in search of goals in vain, the visiting team sought to extend their advantage despite the inaccuracy of their strikers.
In a surprise, Hai Phong beat in-form hosts Dong Nai 1-0 at Bien Hoa city to end the home team's winning run. English coach Dylan Kerr's team is now in seventh place with 16 points.
On Saturday, bottom-ranked Hung Vuong An Giang finally succeeded in finding their first victory of the season with a 2-0 win over Dong Tam Long An on home soil at Long Xuyen city. Strikers Dinh Hoang Max and Felix Ajala scored for the home team.
QNK Quang Ninh inflicted a second defeat on Thanh Hoa at Cam Pha Stadium after Nigerian striker Uche Iheruome scored the only point of the match to beat the visitors 1-0.
Thanh Hoa's second defeat in three games cast major doubt on Thanh Hoa's ability to obtain the title this season.
SHB Da Nang beat Hoang Anh Gia Lai 5-4 in an away match at Pleiku city to climb to fifth place with 18 points.


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Tag: healthcare reform
Maternity Delivery: US is the COSTLIEST country in the world–by far.
This article, from the New York Times, should give pause to anyone who is having a baby–or has had a baby–in the United States. If this doesn't make the strongest case for health care reform in our country, then I don't know what does.
American Way of Birth, Costliest in the World
Photo: Josh Haner/The New York Times
"I feel like I'm in a used-car lot." Renée Martin, who, with her husband, is paying for her maternity care out of pocket.
By ELISABETH ROSENTHAL | Published: June 30, 2013
As you read this article, please share your experiences by responding to the questions that will appear. Your responses will inspire future articles in this series.
Elisabeth Rosenthal, reporter
YOUR PERSPECTIVE
What do you think the total cost of a woman's pregnancy should be, from prenatal checkups through delivery and newborn care?
LACONIA, N.H. — Seven months pregnant, at a time when most expectant couples are stockpiling diapers and choosing car seats, Renée Martin was struggling with bigger purchases.
At a prenatal class in March, she was told about epiduralanesthesia and was given the option of using a birthing tub during labor. To each offer, she had one gnawing question: "How much is that going to cost?"
Though Ms. Martin, 31, and her husband, Mark Willett, are both professionals with health insurance, her current policy does not cover maternity care. So the couple had to approach the nine months that led to the birth of their daughter in May like an extended shopping trip though the American health care bazaar, sorting through an array of maternity services that most often have no clear price and — with no insurer to haggle on their behalf — trying to negotiate discounts from hospitals and doctors.
When she became pregnant, Ms. Martin called her local hospital inquiring about the price of maternity care; the finance office at first said it did not know, and then gave her a range of $4,000 to $45,000. "It was unreal," Ms. Martin said. "I was like, How could you not know this? You're a hospital."
Midway through her pregnancy, she fought for a deep discount on a $935 bill for an ultrasound, arguing that she had already paid a radiologist $256 to read the scan, which took only 20 minutes of a technician's time using a machine that had been bought years ago. She ended up paying $655. "I feel like I'm in a used-car lot," said Ms. Martin, a former art gallery manager who is starting graduate school in the fall.
PAYING TILL IT HURTS
Colonoscopies Explain Why U.S. Leads the World in Health Expenditures
Like Ms. Martin, plenty of other pregnant women are getting sticker shock in the United States, where charges for delivery have about tripled since 1996, according to an analysis done for The New York Times by Truven Health Analytics. Childbirth in the United States is uniquely expensive, and maternity and newborn care constitute the single biggest category of hospital payouts for most commercial insurers and state Medicaid programs. The cumulative costs of approximately four million annual births is well over $50 billion.
And though maternity care costs far less in other developed countries than it does in the United States, studies show that their citizens do not have less access to care or to high-tech care during pregnancy than Americans.
"It's not primarily that we get a different bundle of services when we have a baby," said Gerard Anderson, an economist at the Johns Hopkins School of Public Health who studies international health costs. "It's that we pay individually for each service and pay more for the services we receive."
Those payment incentives for providers also mean that American women with normal pregnancies tend to get more of everything, necessary or not, from blood tests to ultrasound scans, said Katy Kozhimannil, a professor at the University of Minnesota School of Public Health who studies the cost of women's health care.
Financially, they suffer the consequences. In 2011, 62 percent of women in the United States covered by private plans that were not obtained through an employer lacked maternity coverage, like Ms. Martin. But even many women with coverage are feeling the pinch as insurers demand higher co-payments and deductibles and exclude many pregnancy-related services.
From 2004 to 2010, the prices that insurers paid for childbirth — one of the most universal medical encounters — rose 49 percent for vaginal births and 41 percent for Caesarean sections in the United States, with average out-of-pocket costs rising fourfold,according to a recent report by Truven that was commissioned by three health care groups. The average total price charged for pregnancy and newborn care was about $30,000 for a vaginal delivery and $50,000 for a C-section, with commercial insurers paying out an average of $18,329 and $27,866, the report found.
Women with insurance pay out of pocket an average of $3,400, according to a survey byChildbirth Connection, one of the groups behind the maternity costs report. Two decades ago, women typically paid nothing other than a small fee if they opted for a private hospital room or television.
What aspects of maternity care or its costs were unexpected for you?
In most other developed countries, comprehensive maternity care is free or cheap for all, considered vital to ensuring the health of future generations.
Ireland, for example, guarantees free maternity care at public hospitals, though women can opt for private deliveries for a fee. The average price spent on a normal vaginal delivery tops out at about $4,000 in Switzerland, France and the Netherlands, where charges are limited through a combination of regulation and price setting; mothers pay little of that cost.
The chasm in price is true even though new mothers in France and elsewhere often remain in the hospital for nearly a week to heal and learn to breast-feed, while American women tend to be discharged a day or two after birth, since insurers do not pay costs for anything that is not considered medically necessary.
If you gave birth outside the United States, what was your experience with medical testing, procedures and costs?
Only in the United States is pregnancy generally billed item by item, a practice that has spiraled in the past decade, doctors say. No item is too small. Charges that 20 years ago were lumped together and covered under the general hospital fee are now broken out, leading to more bills and inflated costs. There are separate fees for the delivery room, the birthing tub and each night in a semiprivate hospital room, typically thousands of dollars. Even removing the placenta can be coded as a separate charge.
Each new test is a new source of revenue, from the hundreds of dollars billed for the simple blood typing required before each delivery to the $20 or so for the splash of gentian violet used as a disinfectant on the umbilical cord (Walgreens' price per bottle: $2.59). Obstetricians, who used to do routine tests like ultrasounds in their office as part of their flat fee, now charge for the service or farm out such testing to radiologists, whose rates are far higher.
Add up the bills, and the total is startling. "We've created incentives that encourage more expensive care, rather than care that is good for the mother," said Maureen Corry, the executive director of Childbirth Connection.
In almost all other developed countries, hospitals and doctors receive a flat fee for the care of an expectant mother, and while there are guidelines, women have a broad array of choices. "There are no bills, and a hospital doesn't get paid for doing specific things," said Charlotte Overgaard, an assistant professor of public health at Aalborg University in Denmark. "If a woman wants acupuncture, an epidural or birth in water, that's what she'll get."
Despite its lavish spending, the United States has one of the highest rates of both infant and maternal death among industrialized nations, although the fact that poor and uninsured women and those whose insurance does not cover childbirth have trouble getting or paying for prenatal care contributes to those figures.
Some social factors drive up the expenses. Mothers are now older than ever before, and therefore more likely to require or request more expensive prenatal testing. And obstetricians face the highest malpractice risks among physicians and pay hundreds of thousands of dollars a year for insurance, fostering a "more is safer" attitude.
But less than 25 percent of America's high payments for pregnancy typically go to obstetricians, and they often charge a flat fee for their nine months of care, no matter how many visits are needed, said Dr. Robert Palmer, the chairman of the committee for health economics and coding at the American College of Obstetricians and Gynecologists. That fee can range from a high of more than $8,000 for a vaginal delivery in Manhattan to under $4,000 in Denver, according to Fair Health, which collects health care data.
Rather it is the piecemeal way Americans pay for this life event that encourages overtreatment and overspending, said Dr. Kozhimannil, the Minnesota professor. Recent studies have found that more than 30 percent of American women have Caesarean sections or have labor induced with drugs — far higher numbers than those of other developed countries and far above rates that the American College of Obstetricians and Gynecologists considers necessary.
During the course of her relatively uneventful pregnancy, Ms. Martin was charged one by one for lab tests, scans and emergency room visits that were not included in the doctor's or the hospital's fee. During her seventh month, she described one week's experience: "I have high glucose, and I tried to take a three-hour test yesterday and threw up all over the lab. So I'm probably going to get charged for that. And my platelets are low, so I'm going to have to see a hematologist. So I'm going to get charged for that."
She sighed and put her head in her hands. "Welcome to my world," she said.
Extras Add Up
Though Ms. Martin has yet to receive her final bills, other couples describe being blindsided by enormous expenses. After discovering that their insurance did not cover pregnancy when the first ultrasound bill was denied last year, Chris Sullivan and his wife, both freelance translators in Pennsylvania, bought a $4,000 pregnancy package from Delaware County Memorial Hospital; a few hospitals around the country are starting to offer such packages to those patients paying themselves.
The couple knew that price did not cover extras like amniocentesis, a test for genetic defects, or an epidural during labor. So when the obstetrician suggested an additional fetal heart scan to check for abnormalities, they were careful to ask about price and got an estimate of $265. Performed by a specialist from the Children's Hospital of Philadelphia, it took 30 minutes and showed no problems — but generated a bill of $2,775.
"All of a sudden I have a bill that's as much as I make in a month, and is more than 10 times what I'd been quoted," Mr. Sullivan said. "I don't know how I could have been a better consumer, I asked for a quote. Then I get this six-part bill." After months of disputing the large discrepancy between the estimate and the bill, the hospital honored the estimate.
Christopher Gregory/The New York Times
"Most insurance companies wouldn't blink at my bill, but it was absurd." Dr. Marguerite Duane, who questioned line items on her hospital bill.
Mr. Sullivan noted that the couple ended up paying $750 for an epidural, a procedure that has a list price of about $100 in his wife's native Germany.
Even women with the best insurance can still encounter high prices. After her daughter was born five years ago, Dr. Marguerite Duane, 42, was flabbergasted by the line items on the bills, many for blood tests she said were unnecessary and medicines she never received. She and her husband, Dr. Kenneth Lin, both associate professors of family medicine at Georgetown Medical School, had delivered babies in their early years of practice.
So when she became pregnant again in 2011, she decided to be more assertive about holding down costs. After a routine ultrasound scan at 20 weeks showed a healthy baby, she refused to go back for weekly follow-up scans that the radiologist suggested during the last months of her pregnancy even though medical guidelines do not recommend them. When in the hospital for the delivery of her son Ellis in February, she kept a list of every medicine and every item she received.
Though she delivered Ellis with a midwife 12 minutes after arriving at the hospital and was home the next day, the hospital bill alone was more than $6,000, and her insurance co-payment was about $1,500. Her first two pregnancies, both more than five years ago, were fully covered by federal government insurance because her husband worked for the Agency for Health Care Research and Quality.
"Most insurance companies wouldn't blink at my bill, but it was absurd — it was the least medical delivery in history," said Dr. Duane, who is taking a break from practice to stay home with her children. "There were no meds. I had no anesthesia. He was never in the nursery. I even brought my own heating pad. I tried to get an explanation, but there were items like 'maternity supplies.' What was that? A diaper?"
Ms. Martin is similarly well positioned to be an expert consumer of health care. She administered the health plan for a large art gallery she managed in Los Angeles before marrying and moving to Vermont in 2011 to enroll in a year of pre-med classes at the University of Vermont. She has a scholarship this fall for a master's degree program at Vanderbilt University's Center for Medicine, Health and Society, and then she plans to go on to medical school. Her father-in-law is a pediatrician.
RENÉE MARTIN'S PREGNANCY COSTS
Video by Dave Horn; Photography by Cheryl Senter for the New York Times
Statement after delivery without any discounts; not an official bill:
Bills for prenatal care:
Emergency visit
She and her husband, who works for a small music licensing company that does not provide insurance, hoped to start their family during the year they were covered by university insurance in Vermont, she said, but "nature didn't cooperate."
Then they moved to the New Hampshire summer resort of Laconia, her husband's hometown, for a year before she started the grind of medical training. But in New Hampshire, they discovered, health insurance they could buy on the individual market did not cover maternity care without the purchase of an additional "pregnancy rider" for $800 a month. With their limited finances and unsuccessful efforts at conceiving, it seemed an unwise, if not impossible, investment.
Soon after buying insurance coverage without the rider for $450 a month, Ms. Martin discovered she was pregnant. Her elation was quickly undercut by worry.
"We're not poor. We pay our bills. We have medical insurance. We're not looking for a handout," Ms. Martin said, noting that her husband makes too much money for her to qualify for Medicaid or other subsidized programs for low-income women. "The hospital is doing what it can. Our doctors are taking wonderful care of us. But the economics of this system are a mess."
Not knowing whether the pregnancy would fall at the $4,000 or $45,000 end of the range the hospital cited, the couple had a hard time budgeting their finances or imagining their future. The hospital promised a 30 percent discount on its final bill. "I'm trying not to be stressed, but it's really stressful," Ms. Martin said as her due date approached.
How would you describe the ideal scenario for insurance coverage during pregnancy?
With costs spiraling, some hospitals are starting to offer all-inclusive rates for pregnancy. Maricopa Medical Center, a public hospital in Phoenix, began offering uninsured patients a comprehensive package two years ago. "Making women choose during labor whether you want to pay $1,000 for an epidural, that didn't seem right," said Dr. Dean Coonrod, the hospital's chief of obstetrics and gynecology.
The hospital charges $3,850 for a vaginal delivery, with or without an epidural, and $5,600 for a planned C-section — prices that include standard hospital, doctors' and testing fees. To set the price, the hospital — which breaks even on maternity care and whose doctors are on salaries — calculated the average payment it gets from all insurers. While Dr. Coonrod said the hospital might lose a bit of money, he saw other benefits in a market where everyone will have insurance in just a few years: mothers tend to feel allegiance to the place they give birth to their babies and might seek other care at Maricopa in the future.
Laura Segall for The New York Times
"Making women choose during labor whether you want to pay $1,000 for an epidural, that didn't seem right." Dr. Dean Coonrod, chief of obstetrics and gynecology at Maricopa Medical Center in Phoenix
The Catalyst for Payment Reform, a California policy group, has proposed that all hospitals should offer such bundled prices and that rates should be the same, no matter the type of delivery. It suggests that $8,000 might be a reasonable starting point. But that may be hard to imagine in markets like New York City, where $8,000 is less than many private doctors charge for their fees alone.
One factor that has helped keep costs down in other developed countries is the extensive use of midwives, who perform the bulk of prenatal examinations and even simple deliveries; obstetricians are regarded as specialists who step in only when there is risk or need. Sixty-eight percent of births are attended by a midwife in Britain and 45 percent in the Netherlands, compared with 8 percent in the United States. In Germany, midwives were paid less than $325 for an 11-hour delivery and about $30 for an office visit in 2011.
Dr. Palmer of the American College of Obstetricians and Gynecologists acknowledged the preference for what he called "medicalized" deliveries in the United States, with IVs, anesthesia and a proliferation of costly ultrasounds. He said the organization was working to define standards for the scans.
To control costs in the United States, patients may also have to alter their expectations, including the presence of an obstetrician at every prenatal visit and delivery. "It's amazing how much patients buy into our tendency to do a lot of tests," said Eugene Declercq, a professor at Boston University who studies international variations in pregnancy. "We've met the problem, and it's us."
Starting next year, insurance policies will be required under the Affordable Care Act to include maternity coverage, so no woman should be left paying entirely on her own, like Ms. Martin. But the law is not explicit about what services must be included in that coverage. "Exactly what that means is the crux of the issue," Dr. Kozhimannil said.
If the high costs of maternity care are not reined in, it could break the bank for many states, which bear the brunt of Medicaid payouts. Medicaid, the federal-state government health insurance program for the poor, pays for more than 40 percent of all births nationally, including more than half of those in Louisiana and Texas. But even Medicaid, whose payments are regarded as so low that many doctors refuse to take patients covered under the program, paid an average of $9,131 for vaginal births and $13,590 for Caesarean deliveries in 2011.
Insured women are still getting the recommended prenatal care, despite rising out-of-pocket costs, according to a recent study. But that does not mean they are not feeling the strain, said Dr. Kozhimannil, the study's lead author. The average amount of savings among pregnant women in the study was $3,000 to $5,000. "People will find ways to scrape by for medical care for their new baby, but are young mothers taking care of themselves? And what happens when they need to start buying diapers?" she asked. "Something's got to give."
Ms. Martin, who busied herself making toys as her due date neared, could not stop fretting about the potential cost of a complicated delivery. "I know that a C-section could ruin us financially," she said.
On May 25, she had a healthy daughter, Isla Daisy, born by vaginal delivery. Mother and daughter went home two days later.
She and her husband are both overjoyed and tired. And, she said, they are "dreading" the bills, which she estimates will be over $32,000 before negotiations begin. Her labor was induced, which required intense monitoring, and she also had an epidural.
"We're bracing for it," she said.
(c) 2013 The New York Times.
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July 1, 2013 by Josie Brown Categories: Baby Love, Current Affairs, Family MattersTags: cost of healthcare, cost of pregnancy, healthcare costs, healthcare costs in the US, healthcare reform, healthcare reform in the US, hospital costs, Josie Brown, maternity costs, obamacare, pregnancy costs, pregnancy costs in the US, romantic suspense, The Housewife Assassin's Handbook, Totlandia books, Totlandia novels, Totlandia series	Leave a comment
Another way in which our Congress is the best Big Pharma can buy.
This article in the New York Times spells it out succinctly. Having a mother who died of the blood disease Myelodysplasia, this truly breaks my heart. If she hadn't been old enough for Medicare, it would have bankrupted her.
Almost ten years ago, TIME magazine pointed out that "The prices Americans pay for prescription drugs, which are far higher than those paid by citizens of any other developed country, help explain why the pharmaceutical industry is — and has been for years — the most profitable of all businesses in the U.S. In the annual Fortune 500 survey, the pharmaceutical industry topped the list of the most profitable industries, with a return of 17% on revenue."[1]National expenditures on pharmaceuticals accounted for 12.9% of total health care costs, compared to an OECD average of 17.7% (2003 figures)…"
Not much has changed. Like locusts, 12,389 Big Pharma lobbyists hover around our lawmakers. In fact, according to the Center for Responsive Politics, the pharmaceutical industry spent $18,530,000 in 2012 — and $232,583,920 between 1998-2012 – ensuring that the laws created protect their clients while decimating the health and wellbeing (and bank accounts) of the American people.
I guess a few hundred million over a span of fourteen years is a small price to pay for the tens of billions they net in revenue each year.
These companies are profiting on our lives. — Josie
Doctors Denounce Cancer Drug Prices of $100,000 a Year
By ANDREW POLLACK / New York Times
(c) 2013 New York Times
With the cost of some lifesaving cancer drugs exceeding $100,000 a year, more than 100 influential cancer specialists from around the world have taken the unusual step of banding together in hopes of persuading some leading pharmaceutical companies to bring prices down.
Prices for cancer drugs have been part of the debate over health care costs for several years — and recently led to a public protest from doctors at a major cancer center in New York. But the decision by so many specialists, from more than 15 countries on five continents, to join the effort is a sign that doctors, who are on the front lines of caring for patients, are now taking a more active role in resisting high prices. In this case, some of the specialists even include researchers with close ties to the pharmaceutical industry.
The doctors and researchers, who specialize in the potentially deadly blood cancer known as chronic myeloid leukemia, contend in a commentary published online by a medical journal Thursday that the prices of drugs used to treat that disease are astronomical, unsustainable and perhaps even immoral.
They suggested that charging high prices for a medicine needed to keep someone alive is profiteering, akin to jacking up the prices of essential goods after a natural disaster.
"Advocating for lower drug prices is a necessity to save the lives of patients" who cannot afford the medicines, they wrote in Blood, the journal of the American Society of Hematology.
While noting that the cost of drugs for many other cancers were just as high, the doctors focused on what they know best — the medicines for chronic myeloid leukemia, like Gleevec, which is enormously profitable for Novartis. Among the critics is Dr. Brian Druker, who was the main academic developer of Gleevec and had to prod Novartis to bring it to market.
Novartis argues that few patients actually pay the full cost of the drug and that prices reflect the high cost of research and the value of a drug to patients.
Gleevec entered the market in 2001 at a price of about $30,000 a year in the United States, the doctors wrote. Since then, the price has tripled, it said, even as Gleevec has faced competition from five newer drugs. And those drugs are even more expensive.
The prices have been the subject of intense debate elsewhere as well. The Supreme Court in India ruled recently that the drug could not be patented, clearing the way for use of far less expensive generic alternatives.
Some of the doctors who signed on to the commentary said they were inspired by physicians at the Memorial Sloan-Kettering Cancer Center in New York, who last fall refused to use a new colon cancer drug, Zaltrap, because it was twice as expensive as another drug without being better.
After those doctors publicized their objections in an Op-Ed article in The New York Times, Sanofi, which markets Zaltrap, effectively cut the price in half.
What impact the new commentary will have remains to be seen. The authors, however, call merely for a dialogue on pricing to begin.
The leader of the protest is Dr. Hagop M. Kantarjian, chairman of the leukemia department at the prestigious MD Anderson Cancer Center in Houston.
Many of the roughly 120 doctors who were co-authors of the commentary — about 30 of whom are from the United States — work closely with pharmaceutical companies on research and clinical trials. They say they favor a healthy pharmaceutical industry, but think prices are much higher than they need to be to ensure that.
"If you are making $3 billion a year on Gleevec, could you get by with $2 billion?" Dr. Druker, who is now director of the Knight Cancer Institute at Oregon Health and Science University, said in an interview. "When do you cross the line from essential profits to profiteering?"
Gleevec's sales were $4.7 billion in 2012, making it Novartis's best-selling drug. A newer Novartis leukemia drug, Tasigna, had sales of $1 billion.
Novartis said in a statement released Thursday: "We recognize that sustainability of health care systems is a complex topic and we welcome the opportunity to be part of the dialogue."
It said that its investment in Gleevec continued after the initial approval, expanding the drug's use to other diseases. It also said that it provided Gleevec or Tasigna free to 5,000 uninsured or underinsured Americans each year and to date had provided free drugs to more than 50,000 people in low-income countries.
Novartis and the manufacturers of the other drugs for chronic myeloid leukemia say the prices reflect the value of the drug. While many cancer drugs with equally high prices extend life by only a few months on average, it is widely agreed that Gleevec and rivals are near-miracle medicines that essentially turn a death sentence into a chronic disease likediabetes.
"It is a little surprising that their focus is in a cancer where the small-molecule medicines have had the greatest impact on long-term benefit," said Dr. Harvey J. Berger, chief executive of Ariad Pharmaceuticals, which sells the newest and most expensive of the leukemia drugs, Iclusig.
Dr. Berger said the price of Iclusig was $115,000 a year, not the $138,000 a year cited in the commentary. Pfizer said the price of its drug, Bosulif, also was overstated in the piece. The manufacturers cite the price at which they sell to wholesalers, while the authors of the commentary were referring to a price they say better reflects what is charged by a pharmacy to patients.
The other drugs for chronic myeloid leukemia are Sprycel from Bristol-Myers Squibb and Synribo from Teva.
The commentary noted that despite drug company programs, a minority of the estimated 1.2 million to 1.5 million people in the world with chronic myeloid leukemia were receiving one of the drugs. In many developing nations, it said, cancer experts were advocating risky bone marrow transplants because that is a one-time procedure that is cheaper than continuous treatment with one of the drugs.
The article also said the survival rate for patients in the United States appeared to be less than it should be, perhaps because costs are forcing patients to not take their medicine. Prices for the drugs are twice as high in the United States as in many other countries, which often apply some government pressure or price controls to keep drug costs down.
Even if out-of-pocket costs can be low, health systems in general still must pay for the drugs, the commentary says. And some patients say assistance programs are not always easy to use.
Raven Riedesel of Winlock, Wash., said she had been turned down by various charities — though she hadn't yet tried Novartis itself — because her husband, a pipe fitter, makes too much money. Yet the insurance from his union would require her to pay $1,200 to $1,600 a month as a co-payment for Tasigna.
"It would take everything that we had left over after buying necessities and paying our bills," said Ms. Riedesel, 28, a mother of two young children. She is now in a clinical trial allowing her to obtain Tasigna free; the trial will end in November.
Patients in the United States circulated an online petition last year protesting the price of Gleevec, but the effort was dropped after receiving about 400 signatures.
Cheap generic versions could enter the American market as early as 2015 when the main patent on Gleevec expires., Novartis might try to assert other patents to stave off competition, however. It is also trying to shift patients to Tasigna, which has a longer patent life.
Dr. John M. Goldman, emeritus professor of hematology at Imperial College in London and a co-author of the commentary, said he knew several researchers who declined to become authors because they feared losing research money from the industry.
Dr. Kantarjian, the lead author, said that was a risk.
"I am sure I am going to be blackballed," he said. "My research career will be hurt."
But he said it was time to speak out. "Pharmaceutical companies have lost their moral sense," he said. Prices, he added, "are getting to the point where it is becoming unsustainable."
April 26, 2013 by Josie Brown Categories: Current AffairsTags: big pharma, Blood magazine, cancer drug prices, cancer drug pricing, doctors, drug costs, drug pricing, healthcare, healthcare lobby, healthcare reform, lobbyists, Myelodysplasia, pharmaceutical lobby, Pharmaceuticals	Leave a comment

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>> Breadcrumb :Home/Audiophile blogs/TechRadar/EE named UK's best performing network again
EE named UK's best performing network again
Once again, EE has been named the UK's best mobile network according to OpenSignal, but its rivals have all made "encouraging" progress.
OpenSignal collated more than 1.4 billion measurements from 260,000 devices between December 2018 and February 2018 to determine how each operator behaved in real world scenarios.
EE won all five of OpenSignal's categories and has the fastest speeds, lowest latency and greatest availability of all four major networks.
5G will account for 25 per cent of UK mobile traffic
All the best phones we saw at MWC 2019
What is 5G? Everything you need to know
UK's best network
The only category where it was seriously challenges was video experience, where Vodafone almost emerged victorious.
The average speed on EE was 29.6Mbps – an increase of 3Mbps from the previous testing period – faster than Vodafone (21Mbps), Three (18Mbps) and O2 (14.1Mbps). Vodafone's score also rise by nearly 3Mbps, while Three's speeds have increased by 15 per cent in the past six months.
Although the impact of 5G networks won't be felt on these results for some time to come, OpenSignal expects EE to break the 30Mbps barrier later this year, largely thanks to greater availability of 4G, network upgrades, and customers moving off of 3G tariffs.
In terms of availability, EE 4G was available on 89 per cent of occasions compared to 84 per cent on O2, 83.4 per cent on Vodafone and 76 per cent on Three. EE's figure rises to 90 per cent in regions of the UK while Vodafone and Three also made gains.
The best EE phone deals in April 2019
By Steve McCaskill| 2019-04-09T13:42:56+00:00	April 9th, 2019|Categories: TechRadar|Comments Off on EE named UK's best performing network again


Reference: Lytton WW, Contreras D, Destexhe A, Steriade M (1997): Dynamic interactions determine partial thalamic quiescence in a computer network model of spike-and-wave seizures.
Comments: Low-threshold ca current, responsible for low threshold spikes (lts), for reticular thalamus. Model of huguenard & mccormick (1992), from data by huguenard & prince (1992). Written by a destexhe sept 1992. The paper references destexhe et al. 1993 for all v-gated channels and calcium pump. Model taken from destexhe et al. 1994, model no. 3670, with modified parameters. Modeling study, with animal model from previous experimental results used in the paper (steriade and contreras 1995).
Temperature: Model has temperature dependence, with original kinetics at 24 deg C.


text:
package com.google.android.apps.exposurenotification.onboarding;

import android.os.Bundle;
import android.text.SpannableString;
import android.text.Spanned;
import android.text.method.LinkMovementMethod;
import android.text.style.URLSpan;
import android.view.LayoutInflater;
import android.view.View;
import android.view.ViewGroup;
import android.widget.Button;
import android.widget.TextView;
import androidx.annotation.CallSuper;
import androidx.annotation.NonNull;
import androidx.lifecycle.ViewModelProvider;
import com.google.android.apps.exposurenotification.R;
import com.google.android.apps.exposurenotification.home.BaseFragment;
import com.google.android.apps.exposurenotification.utils.UrlUtils;

/**
 * Abstract superclass fragment for onboarding private analytics fragments.
 */
public abstract class AbstractOnboardingPrivateAnalyticsFragment extends BaseFragment {

  protected OnboardingViewModel onboardingViewModel;

  @Override
  public abstract View onCreateView(@NonNull LayoutInflater inflater, ViewGroup parent,
      Bundle savedInstanceState);

  @CallSuper
  @Override
  public void onViewCreated(@NonNull View view, Bundle savedInstanceState) {
    super.onViewCreated(view, savedInstanceState);

    onboardingViewModel = new ViewModelProvider(this).get(OnboardingViewModel.class);

    TextView privateAnalyticsFooter = view.findViewById(R.id.private_analytics_footer);
    Button dontShareButton = view.findViewById(R.id.private_analytics_dismiss);
    Button shareButton = view.findViewById(R.id.private_analytics_accept);

    String learnMore = getString(R.string.private_analytics_footer_learn_more);
    URLSpan learnMoreClickableSpan =
        UrlUtils.createURLSpan(getString(R.string.private_analytics_link));
    String footer = getString(R.string.private_analytics_footer_onboarding, learnMore);
    SpannableString footerSpannableString = new SpannableString(footer);
    int learnMoreStart = footer.indexOf(learnMore);
    footerSpannableString
        .setSpan(learnMoreClickableSpan, learnMoreStart, learnMoreStart + learnMore.length(),
            Spanned.SPAN_EXCLUSIVE_EXCLUSIVE);

    // Set up footer.
    privateAnalyticsFooter.setText(footerSpannableString);
    privateAnalyticsFooter.setMovementMethod(LinkMovementMethod.getInstance());
    // Set up buttons.
    dontShareButton.setOnClickListener(v -> dontSharePrivateAnalytics());
    shareButton.setOnClickListener(v -> sharePrivateAnalytics());
  }

  /**
   * Called if user decides not to share private analytics.
   */
  abstract void dontSharePrivateAnalytics();

  /**
   * Called if user decides to share private analytics.
   */
  abstract void sharePrivateAnalytics();
}

redpajama_set_name: RedPajamaGithub


Mayonnaise is a wonderful treatment for our hair, due to the ingredients in it. It is used by itself or as one of the ingredients in several haircare DIYs. However, of late, some brands have come out with a product called hair mayonnaise. Today's review is about one such brand – Vatika's Hair Mayonnaise.
This is a pre-shampoo treatment. It says on the bottle that you need to apply it only for 3 mins and then you can shampoo. I usually apply it for 5 – 7 mins. It's white in color and has a thick, creamy consistency. It's easy to spread onto the hair & also to rinse off. Unlike conditioners that should only be applied from the middle of the hair, this treatment is applied on both hair and scalp.
It contains coconut, almond & sesame, all of which are known to be extremely moisturizing for the hair. This product is specifically for dry, frizzy & coarse hair. I find that it makes the hair noticeably soft and shiny. I try to use it twice a week. It's a product that you might want to check out.
My sister in law got it for me from Lulu Center. I believe it's priced below AED 30 for a tub containing 500 ml, which lasts months.


Style and efficiency sums up the new Telford 5 inset, it's our most economical inset yet. It not only delivers an impressive 3-5kw output but also achieves 77.1% efficiency burning wood. Installation couldn't be simpler and there's no air brick necessary. We've really put the Telford 5 through its paces in lab tests. DEFRA have recognised this with its stamp of approval meeting their stringent criteria for use in Smoke Control Areas. A bonus with all of this technical efficiency is the Telford 5 will happily provide heat right through the night until the following morning.


Bullying comes in many forms – At Karate Life Studios of St. Louis our goal is to make our community a Bully Free Zone!
Let's face it, Bullying is everywhere! They're mean. They're nasty. They're downright emotionally crippling.
When you hear the word "bullying," you may think of a rough and tough kid pushing a smaller child against the wall and demanding their money. This is ONLY ONE of the many ways that kids are bullied EVERY SINGLE DAY, IN EVERY SINGLE STATE of the country.
What is the best thing you can do to avoid your child being bullied?
Please take advantage of this offer right now and call us at 314-352-6166 ext. 1.


While I may not be visibly updating the website right now, I am still working on the site. Here is a link to all the works in progress on Behance.
These are some sketches of Warrick's family including Wife, Older Brother, Mother, and younger sister. More finalized designs will come eventually.
A Long Journey, Ep1 Alpha Ver.07 Released!
So this alpha is very much unfinished. I'm working on finishing the other half of the story (most of it is reading my script and deciding what to cut out anyways).
Check out the visual novel page if you're interested.


text:
HomeUpcoming GamesGears Tactics release date, review, gameplay, trailer, price, pre order, xbox one, PC, steam
Gears Tactics release date, review, gameplay, trailer, price, pre order, xbox one, PC, steam
Gears Tactics Release Date
Gears Tactics is a turn based strategy game developed by Splash Damage and publishe by Xbox Game Studios, will be released for PC, Xbox on April 28, 2020.
Gears Tactics Platforms
PC, Xbox
Gears Tactics Genre
Turn based strategy
Gears Tactics Trailer
Gears Tactics Review
We will be talking about Gears Tactics gameplay, price, features and overall review. When we talk about third person shooters, the Gears of War franchise comes to mind. Gears 5 was well received upon release thanks to its stellar campaign and breathtaking graphics.
All you need to know about Gears Tactics
In that case, we've got you covered. From the release date and pre-order bonuses to the story and new cast of characters, here's what you need to know about the next Gears installment.
A trailer offered a good look at what you can expect from the game, culminating with the information you've all been waiting for Gears Tactics launches on April 28, 2020.
The game will come out at a pretty busy time, considering the other big releases surrounding it. Final Fantasy 7 Remake and the Resident Evil 3 Remake both arrive in early April, offering fans of both franchises a fresh dose of nostalgia.
Beyond that, more than a handful of games are aiming for a spring 2020 release date, including Minecraft Dungeons, Wasteland 3, and the highly-anticipated The Last of Us Part 2.
The war to come Microsoft had a big night during The Game Awards in 2019. Aside from revealing what its next-gen console will look like, the Gears Tactics trailer shed some much needed light on this upcoming game.
In it, you learn the title takes place before Marcus Fenix's time. The war with the Locusts is in its prime, and you follow a squad of Gears as they aim to stop a new villain named Ukkon.
Ukkon has previously appeared in the Gears of War comics, but this is his first appearance in a video game. Summon the beast.
Crush them You'll see familiar enemies, like the hulking Brumak or the terrifying Corpser; both of whom seem to play boss roles in the campaign.
Overall, you can expect dozens of hours of story in Gears Tactics, if the trailer is to be believed. Furthermore, you can customize the characters on your squad, tweaking their weapons and armor with a variety of options.
If you're familiar with turn-based tactics games like Fire Emblem or XCOM, Gears Tactics looks like it will provide a similar experience.
Which platforms?
Gears Tactics comes to you from two developers: The Coalition, which took over the Gears franchise in 2015, and Splash Damage, which worked on games like Gears 5, Enemy Territory: Quake Wars, and Brink.
Considering the genre, it makes sense for Gears Tactics to launch on Windows. Of course, Gears Tactics will also release on Xbox Game Pass for PC.
If you already have a subscription, you should be able to jump into the action on day one. If you would rather not subscribe, you can still purchase it normally from either the Microsoft Store or from Steam.
Related: Destiny 2
Former Coalition head Rod Fergusson promised the Xbox version will be "coming later", though he neglected to provide a date.
With the Xbox Series X slated for a Holiday 2020 launch, it's possible Gears Tactics will release on both Xbox One and the new console.
Even if The Coalition declines to release a Series X version, you will still be able to play Gears Tactics thanks to the system's backwards compatibility feature.
What's the cost?
Gears Tactics is already available for pre-order on the Steam Store and the Microsoft Store. At launch, Gears Tactics will retail for $59.99, and chances are, the Xbox version of the game will sport the same price tag.
If you're looking to get the most bang for your buck, joining the Xbox Game Pass for PC Beta offers the highest payout.
You can join the beta by paying $1 plus taxes for your first month, with the price increasing to $4.99 plus taxes every month after that. In addition to Gears Tactics.
You'll gain access to other popular titles like Gears 5, The Outer Worlds, Sea of Thieves, and Metro Exodus, making this a particularly attractive option for gamers on a budget.
Pre-order bonuses Gamers who want access to the Thrashball Cole Character Pack have two different ways to get the in-game perk.
Anyone who pre-orders Gears Tactics before April 28, 2020 is automatically eligible to receive the character pack. Likewise, anyone who downloads and plays the Gears Tactics beta with an active Xbox Game Pass for PC before May 4, 2020 will also receive the character pack.
Because the game doesn't have a special edition available, this pre-order bonus seems like it may be the only way to receive special in game items that no one else will have.
According to the Steam store, this character pack includes Augustus Cole as a recruit character as well as a Thrashball Armor Set that possesses rare abilities.
Besides the fact it looks cool, the reference to "rare abilities" hints that the Thrashball Armor will give you a tactical advantage over your enemies.
Gears Tactics Gamplay
In a game like Gears Tactics, any advantage is worth having. The gameplay Rather than frantically sprinting around a battlefield and shooting from behind cover, Gears Tactics will give you time to think through all your actions.
As the trailer says, "In this war, every move matters." You'll control a squad of units and move them around the arena. More often than not, this will probably mean moving them between points of cover.
The enemies move in a similar fashion, so it's up to you to come up with tactics that give you the advantage. For example, you could use one soldier as bait while the rest of your squad sneaks around cover to flank your opponent.
Alternatively, you could use an arsenal of skills or gear to flush enemies out of their positions. Still, don't expect to lose that bloody action Gears is known for. You can still make your soldiers rush at the Locusts, revved-up Lancer at the ready.
Strategy over firepower Gears Tactics will test your ability to strategize rather than your accuracy with a weapon.
This isn't the type of game where the spray and pray technique will get you very far. While The Coalition has promised Gears Tactics will still contain the staple boss fights and hardcore action of any Gears game, the majority of your gameplay will focus on cultivating your tactical abilities.
Your firepower will definitely make a difference in your chances of victory over the enemy, but it won't be the ultimate deciding factor.
Gears Tactics will allow you to move a unit around an arena as you assess and approach your target.
How you decide to defeat the enemy is up to you, though an all-out brawl likely won't give you the outcome you desire. Instead, smartly sizing up the opponent and using stealth, distractions, and your environment will help you gain victory over the Locust horde.
It's all about how you play it. Are there microtransactions? To the celebration of many, Rod Fergusson confirmed some welcome news on Twitter Gears Tactics will not have microtransactions.
This extends to cosmetics as well, meaning you won't have to worry about buying character or weapon skins via an in-game marketplace. Instead, all the cosmetic customization options shown off in the trailer can be earned within Gears Tactics.
It's unclear exactly how you'll earn them, but, at the very least, you can rule out spending real-world money. "I see. Okay. Well, that's a relief." Microtransactions continue to plague many modern games, making this approach a welcome breath of fresh air.
With countries like The Netherlands and Belgium ruling that some loot boxes violate their gambling laws, you will likely see an increasing number of developers moving towards this model, or at least reexamining their approach to the inclusion of microtransactions.
It seems The Coalition has opted to forgo the headache and leave them out of Gears Tactics altogether.
Is there multiplayer?
Fans of the Gears of War franchise have grown accustomed to their multiplayer third-person shooter games.
Co-op play has long been a staple of the series, a trend that will change, along with many other norms, with Gears Tactics. Rod Fergusson confirmed that, in addition to having no microtransactions, Gears Tactics will lack a multiplayer mode.
Fergusson, who recently left The Coalition to join the Blizzard Entertainment team, made this announcement back in December 2019.
For a franchise like Gears, which normally relies on its competitive multiplayer modes, creating a solely single player, turn-based strategy game is a big leap.
It's still unclear if the gamble will pay off, or if the solid Gears fan-base will simply forego playing Gears Tactics in favor of waiting for Gears 6 to launch.
What's the story of Gears Tactics
Gears Tactics will take place 12 years before the events of the first Gears of War game. Players will control Gabe Diaz, a soldier leading a squad against the impending threat of the rising Locust Horde.
All across the planet Sera, the Locust Horde is awakening and making their way to the surface to wreak havoc on the unsuspecting civilians.
Related: Predator Hunting Grounds
Your squad's goal is to hunt down and eliminate not only the Locust Horde, but Ukkon, an evil genius who is responsible for making the monsters.
The Coalition has promised players a story that is immersive, and character-driven. Though the gameplay will be fast-paced and turn-based, the story will still flesh out the world of Gears along with the backstories of the characters in your squad.
The Locust Horde will be your main enemy throughout the tale, but along the way, large-scale boss fights will break up the smaller battles, culminating in your fight against Ukkon.
Time to beat When The Coalition announced the new Gears game would not feature a competitive multiplayer mode, many wondered how much gameplay they'd get out of Gears Tactics.
Luckily for those worried the game won't merit the expense, the developers have promised a campaign that will take more than 40 hours to beat. While offering a purely solo experience does take away from the replay factor a little bit, the idea of a story-rich Gears experience holds its own appeal.
The Coalition likely realizes that its normal fanbase is not necessarily guaranteed to turn out for a turn-based strategy game.
With this in mind, the company has created a single player campaign that promises to not only offer more backstory on the entire Gears franchise, but provide information for the newest Gears games as well.
The rating The Gears of War games have been consistently rated M for their strong use of violence, language, and graphic images, but with Gears Tactics being a turn-based strategy game, this rating wasn't a given.
After all, the very nature of a turn-based game puts some distance between the player and the action occurring.
However, even though Gears Tactics will be a turn-based strategy game, developers were adamant that fans still be given the expected Gears experience. "We did the only thing we could.
Gears Tactics Features
Customizable squad
Massive boss battles
Survival and sacrifice
Challenging missions
Aggressive gameplay
Play as the defiant soldier Gabe Diaz
Immersive and character driven story
Gears Tactics System Requirements (PC)
CPU: Intel i3 Skylake or AMD FX-6000
Graphics: AMD Radeon R7 260X or NVIDIA GeForce GTX 750 Ti
CPU: Intel i5 Coffee Lake or AMD Ryzen 3
Graphics: AMD Radeon RX 570 or NVIDIA GeForce GTX 970
Gears Tactics Price
You can pre order Gears Tactics:
We set the world on fire." Gears Tactics will be rated M for "blood and gore, intense violence, and strong language." In other words, don't let the genre fool you.
This game won't be like many turn-based games you've encountered. Even the distance offered by the game's genre didn't stop the developers from giving fans their required amount of graphic violence and strong language.
This won't be like Final Fantasy with more guns. It'll be much more like a normal Gears titles, just with a different camera perspective.
So this was all about Gears Tactics release date, review, gameplay, trailer, price, pre order, xbox one, PC, steam


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The Vaccine Rollout Report
Where we're at with the cure
Victor Moussa - stock.adobe.com
Vaccines, botulinum toxin and insulin ampules concept theme with glass vials with clear liquid next to a syringe and a hypodermic needle isolated on white background
Alexandra Schajer, Editorial Board
Everyone has been waiting for the COVID-19 vaccine to come out so things can hopefully get back to "normal" soon. Finally, after the long wait, the vaccines have come in and are being distributed.
Not only has it already been offered to healthcare workers, but it's also been opening to the public, and several of my family members have already gotten the vaccine. As of right now, the vaccine is eligible for teachers and education workers, people 75 and older, first responders, public safety and transit workers, high risk hospital workers, nursing home staff and residents, specific people with health problems, medical examiners, urgent care providers, home care workers, nurses, and more in the medical field. It is not yet available to any children under 16 or pregnant women, since those studies have not yet been done.
As of the end of February, there are two possible vaccines: Moderna and Pfizer, Johnson and Johnson having just been approved. In clinical stage 3 trials are AstraZeneca's, Janssen's, Novavax's. The currently available vaccines require two shots, with 4 weeks in between each dose. According to studies, there are approximately 1.62 million doses being administered daily in the nation.
So far, the vaccine has been getting a lot of positive feedback from recipients. Although for most it's a long wait (standing in line), it has been getting good responses despite the situation. It's almost painless while getting it, and most experience low pain after getting the vaccine. For some, it actually feels more gentle than a flu shot. The second shot has reported stronger effects for people under 55, with flu-like symptoms that last for 1-3 days.
Places that have been distributing the vaccine have been viewed as very organized and safe. So many people have been seeking the vaccine that many places are running out, but they've been producing a lot more and things have been going smoothly. Right now, there are only a small number of places where you can actually get the vaccine in Putnam County. Of the three available places, there's the County Health Department – which is only available for essential workers, Putnam Hospital – which is only available for healthcare professionals, and Drug World in Cold Spring – which is only available for senior citizen vaccinations. So given the rarity, it might be awhile before you're able to get your vaccine.
Out of the 73.4 million doses of the vaccine that have been delivered to the states, about 32.5 million doses have been administered across the US. Approximately 41 million people have received at least the first dose with 16.2 million being fully vaccinated. President Biden has promised that 100 million vaccines will be administered by his 100th day in office (April 30th).
In New York, 3.2 million doses have been distributed, and in Putnam County, each of the four vaccination clinics have gotten between 200-300 doses, with new rules being instituted that Putnam County will only be receiving 300 vaccines per week.
Studies have shown that approximately 70-90% of the population needs to be vaccinated in order to reach "herd immunity" – when transmission slows down significantly due to vaccinated individuals. That point is estimated to come between September and December of 2021. Right now, New York is around 11-12% vaccinated. Hopefully, with first and second doses of the vaccine being distributed in the coming months, things will get back to "normal" soon and we will begin to get back to everyday activities.
Walk for Water Opens Another New Well in South Sudan
The Horrors of Ukraine, a Nation Invaded
It's a World of Investment Opportunities
The Klitschko Brothers are Not Going Down
100 Years Ago in History: "I can not yield any further."
A Snapshot of Where We're at with COVID
The Time for the Stock Market is Now
The Vaccines are Here and "Normal" is Within Sight
Biden- Bombing, Border Crisis, & Brain-Melting – Our Political Pundit's Analysis of Biden's First 100 Days


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20 Best Short Movies on Netflix Right Now
Prerna Singh
Netflix has managed to acquire and put up on its website almost every format related to films and TV shows. So it's a matter of little surprise that they have a robust collection of short films, films that are considerably shorter than usual feature-length movies and documentaries. So, if you are in the mood to watch something quick and amazing, these films will serve your needs. Here's the list of top short films on Netflix. You can also watch several of these best short movies on YouTube, Hulu, or Amazon Prime.
20. All in my Family (2019)
Created, written, and directed by Hao Wu, the story is a personal account of his family's acceptance of his same-sex marriage and children of his own. Hao Wu is a filmmaker of Chinese origin and his family being a traditional one; the process of opening up to them regarding his life in America was not easy. This 40-minute short film throws light on this particular journey of his. When long-standing traditions are challenged, it is not easy to break away from that context as it shapes our thinking. From that first hit of reality to finally rationalizing and acknowledging change, it is a really long and not-so-easy route. This personal and honest journey of Hao Wu takes us through all those phases as he introduces his family from America, complete with kids, to his traditional Chinese one.
19. The Claudia Kishi Club (2020)
Claudia Kishi is a fictional character in the 80s book series 'Baby-Sitters Club' written by Ann M. Martin. Claudia Kishi could be seen as one of the earliest representations of a character of Asian origin in popular culture. At that time, not many such characters were seen free of their stereotypes. Many girls from the eastern cultures could relate to her character and have been inspired to see themselves in a new light. This documentary talks to many people who grew up reading the 'Baby-Sitters Club' books and how the character, Claudia Kishi, impacted their lives.
18. ReMastered: Who Shot the Sheriff?
ReMastered is an original Netflix documentary series that brings to us the defining moments of a musician's life. This particular episode is based on Bob Marley, a pioneer of reggae and one of the best selling musicians of all time. The documentary specifically looks at the attempted assassination of Bob Marley in 1976. He was caught in the midst of the feud between Edward Seaga's conservative Jamaica Labour Party and Micheal Manley's social-democratic People's National Party. This documentary highlights the possible involvement of Seaga and the CIA in the attempt to assassinate Bob Marley, who survived the attack with minor wounds to the arm and chest.
17. Ram Dass, Going Home (2018)
In the documentary by Derek Peck, we meet Baba Ram Dass, an American spiritual teacher near the end of his life. A peaceful and patient journey of a graceful and poised man coming to terms with his own eventuality makes this documentary worth watching. Peck does not portray his subject as larger than life but delicately shows Ram Dass in a loving and respectful light. The short film focuses on his life at home in Maui, where he stayed after suffering from a stroke twenty years before that. Ram Dass talks about the importance of love and deepens his spiritual practice in his last years.
16. ReMastered: Devil at the Crossroads (2019)
Probably the most enigmatic and mysterious member of the 27 Club, Robert Johnson became one of the most prominent influences on generations of musicians. The blues musician becomes the heart of speculations given his out-worldly talent that people believed that he may have sold his soul to the Devil in exchange for his musical talents. In his brief life of 27 years, he wrote only 29 songs and became one of the best guitarists of his time; he has defined the subsequent genres of music. This documentary hopes to bring more clarity around Johnson as a person and his musical journey.
15. End Game (2018)
The documentary shines a light on the quality of life like no other. Based on the palliative care facility, which looks after patients with a terminal illness, the documentary follows three medical practitioners as they inspire to change the perspective on life and death as we know it. The aim is to give as good a life as possible for as long as possible to the people under their care. This is not devoid of some difficult decisions that they or their patients make regarding their treatment or how they choose to live. But the striking thing about the film is the humanization of death and its understanding in the medical sphere; as Dr. Miller says at the end of the documentary, death is "purely human."
14. Lorena, Light-Footed Woman (2019)
Originally in Spanish, this Mexican documentary directed by Juan Carlos Rulfo is about the long-distance runner Lorena Ramirez. Belonging to the Raramuri community from the Chihuahua region of Mexico, Lorena owns with grace what her people are known for- long-distance running. "Raramuri" means "light-footed" and that is what the community prides itself in. What is astonishing about Lorena is her almost superhuman ability to run extraordinarily long marathons, even as long as 100kms that too in her traditional garb of floral skirt and sandals. The approximately half an hour-long documentary is an engaging account of a female athlete who stays true to her roots as well as the indigenous community that she hails from.
Read More: Best Spanish Shows on Netflix
13. The Trader (2018)
What if you stumble upon a region where potatoes are the only currency? What if money isn't as valuable as potatoes? This may sound funny but this Sundance jury award for nonfiction winner is anything but funny. It tells the struggle of Georgia, a Republic strangled in poverty and hopelessness. The people are suffering from hunger, lack of jobs, and enough currency to sustain their lives and they seem to have no solution ahead of the tunnel. This gut-wrenching story is both long and short enough to live you in a deep abyss of hollowness for some time.
Read More: Best Crime Shows on Netflix
12. ReMastered: Tricky Dick & the Man in Black (2018)
This short film captures the dynamics between American President Richard Nixon and Johnny Cash, the country music sensation during one of the most volatile periods in American history. Almost touching an hour, the documentary presents the way things turned out when Johnny Cash was invited to play at The White House. Although Nixon finds a common thread between the two of them and their life journey, we see how Cash starts to walk in the other direction metaphorically. This throws light on the impact of art and its influence in the real world; the documentary shows the intermingling of music and politics. What stands out the most about the film in the context that it is set in, with the divided opinions on the Vietnam War and clashes between the establishment and the counterculture.
Read More: Best Disaster Movies on Netflix
11. The Garden Of Words (2013)
Well, this anime is not exactly a short film per se but it's quite short to be on this list. Just below an hour is a duration and you have a serene and peaceful experience on your hand. If you love rain and Japanese Poetry, you'll adore this flick. It's a story of a teenage boy whose passion is making shoes and we have an older woman who shares the same perspective and love for the rainy season. Their individual isolation brings them together in a lush green park and their frequent encounters begin. The beautiful tanka (a form of Japanese poetry) plays a major role in connecting the two individuals and when the season of rain ends, we have a major emotional breakdown and personal turmoil to witness. The songs, the music, the images are so impeccable that you'll be hooked to this romance.
Read More: Best Marvel Movies on Netflix
10. Fire in Paradise (2019)
The town of Paradise in North Carolina faced the deadliest fire that the state had ever seen in 2018. Directors Zackary Canepari and Drea Cooper revisit the disaster through the eyes of the survivors and the emergency responders, through personal interviews as well as firsthand footage of the tragedy. Eighty-five people were killed in the fire, and the town of Paradise destroyed, making it the deadliest fire of the century for the state of North Carolina. This film became a strong contender for the Oscars, having won the Audience Award for Best Short Film at the Hamptons International Film Festival.
Read More: Best 90s Movies on Netflix
9. Extremis (2016)
This award-winning short documentary is as real as they get. It tells the life and death decisions for families of patients on the verge of death. Being a documentary it successfully projects emotions of vulnerability, indecisiveness, and the pain of letting go of their loved ones. We witness the inner conflicts of doctors, nurses, and support staff, the execution of the right to die in a dignified manner for terminally ill people in various forms, and the heartbreaking realities the families face during those times.
Read More: Best Sad Movies on Netflix
8. Zion (2018)
Zion is the newest entrant on this list. It is a great inspirational story of one Zion Clark who was born without legs and was brought up in foster care. Abandoned by his mother, he was floated from one foster home to another during his growing years and suffered a great deal of neglect and hatred from people around him. But that didn't stop him from making the best of his life and abilities. The story packs a punch in its 11 minutes runtime and the emotional resilience shown by Zion is something to look up to.
Read More: Best British Movies on Netflix
7. Resurface (2017)
Director Josh Izenberg has made a moving tale about war veterans suffering from PTSD. The short documentary unearths the story of Iraq war veteran Bobby Lane who after his discharge from the military, is going through a severe bout of depression and suicidal tendencies. He wants to cross one thing off from his bucket list before taking his own life, and that is surfing. But as fate would have it, surfing changed his perspective about life and his mental state. Much is because of the therapeutic attributes of surfing and the peaceful nature of the vast ocean itself. The short neither lacks research-based facts nor the emotional connection one feels for these traumatized war heroes.
Read More: Best Suicide Movies on Netflix
6. Joshua: Teenager vs. Superpower (2017)
Well, this is one docudrama you must not skip while surfing through the endless catalogs of Netflix. 'Joshua: Teenager vs. Superpower' tells the story of a 14-year-old kid from Hong Kong, Joshua Wong who stood against the gargantuan Chinese Communist government. Hong Kong was invaded by the Chinese in 1997 but was promised autonomy in near future. But the promise faded with time and faced complete obliteration with the introduction of Pro-Communist teachings in Hong Kong schools. And this is where Joshua comes into the picture. He along with like-minded people formed solidarity to repeal propaganda-based teachings and to remind China of its forgotten promise. A moving and thoughtful documentary about the nature of dissent against a Leviathan-like structure.
Read More: Best Movies Like Porn on Netflix
5. Long Shot (2017)
While the title may give away major spoilers about this gem of a story, it doesn't shy away from pointing out the uncertainties and 'what if's of our lives. Directed by Jacob LaMendola, this is an inspiring and unbelievable tale at the same time. Juan Catalan is wrongly accused of killing a 16-year-old girl and he has to prove his innocence to avoid the death penalty. Catalan and his lawyer turn to an unlikely source to help them prove his innocence- footage of an episode of the popular HBO sitcom 'Curb Your Enthusiasm'. This is one brilliant narration of proverbial 'long shot' in a coating of a competent crime thriller.
Read More: Best Korean Movies on Netflix
4. Heroin(e) (2017)
This is a story that focuses on a very specific issue in the American society of today, an issue that can have serious repercussions on the fabric of American society in the future- the opioid epidemic. The rapid increase of the intake of opioid drugs in the USA has made life harder for some communities and none can face the burnt more than Huntington, West Virginia where the rate of overdose is almost 10 times higher than the national average. The title pays homage to three courageous women of the community who are giving their everything to fight this rising concern. It's very moving and sheds light on a serious problem that has plagued America of today.
Read More: Best Thriller Movies on Netflix
3. The White Helmets (2016)
Thanks to World media and the wizardries of the internet, almost everyone knows about the plight of war-torn Syria and the citizens' existence in hell. When we see the extent of destruction done by humans we also see, on the other hand, the faith in humanity is restored by common civilians. The white helmets are those Bravehearts who worked tirelessly to save humans from under the rubbles in Aleppo, Syria. A real-life documentary of the victory of destruction over humanity and the philanthropic deeds of people stuck at the center of the war.
Read More: Best Black Movies on Netflix
2. Period. End of Sentence. (2019)
This Oscar-winning documentary is inspired by the life of Arunachalam Muruganantham, who has been instrumental in leading the revolution on menstrual hygiene in India. This documentary is based in the North Indian village of Hapur, where women had no access to menstrual hygiene products. The lack of access to necessities and the stigma surrounding menstruation causes a lot of young girls to drop out of school. Everything changes when a sanitary pad vending machine is installed in the village and the women learn to manufacture and market the pads they make. This empowering story was recreated on screen by the director Rayka Zehtabchi and produced by Guneet Monga.
Read More: Best Rom-Coms on Netflix
1. The Speed Cubers (2020)
A compelling and touching story of two speedcubers Max Park and Feliks Zemdegs, tells a tale of friendship, mutual admiration, overcoming challenges, and personal achievements. Max Park is a person with Autism; growing up solving the Rubik's cube became more than just a hobby to him. His fine motor skills improved, and participating in speedcubing championships allowed him to socialize with people. Through the film, it is clear that he admires Feliks genuinely, and was also the first person he ever asked for an autograph. The two share a strong bond as Feliks looks out for Mark and admires him, although Mark has broken almost all of Feliks' records. This 40-minute film by filmmaker Sue Kim is definitely worth a watch.
Read More: Best Chick Flicks on Netflix


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The eastern rockhopper penguin (Eudyptes chrysocome filholi)  is a crested penguin with yellow crest feathers. It is a subspecies of the southern rockhopper penguin (Eudyptes chrysocome) found in subantarctic regions and the Indian Ocean. It is one of the smallest crested penguins and has distinctive pink margins around its bill.

Description
The eastern rockhopper penguin is a small, crested penguin with a black back and throat, a white belly and pink feet. This seabird measures approximately 45–55 cm in length, and weighs 2.2–4.3 kg. It has a thin yellow stripe that stretches from its lower forehead, over its red eye and splits into crest feathers at the back of its head.  The crest feathers are composed of long, thin, spiky yellow feathers on either side of the penguin's head and they are joined by shorter black feathers. Rockhopper penguins have an orange-brown bill and the eastern rockhopper penguin has distinctive pink margins around the bill. Males and females differ in body size and size of their bill; males are generally larger and have a thicker bill.

Fledglings, which are around 65 days old, are bluish black all over and lack crest feathers. They also have a smaller, thinner bill than juveniles and adults. Juveniles, which are penguins aged 1 to 2 years old, are a black-brown color with a grey throat. They develop a brown-orange bill that is darker than the adult coloring and have small yellow crest feathers. Eastern rockhopper penguins molt and get their adult plumage at 2 years old.

Taxonomy
The rockhopper penguin can be divided into two species; the northern rockhopper penguin (Eudyptes moseleyiI) and the southern rockhopper penguin. These populations differ in many ways including morphological, ecological and behavioural differences. The northern rockhopper penguin is larger than its southern counterpart and has longer crest feathers. Other morphological differences include different color patterns on the underside of their flipper and different size eyestripes. They also exhibit different behavioural traits such as foraging in different water temperatures. Two subspecies of the southern rockhopper penguin are recognized; the eastern and the western rockhopper penguin (Eudyptes chrysocome chrysocome). These subspecies differ mainly in their distribution; the western species is found in Cape Horn, South America and the Falkland Islands while its eastern counterpart occupies the Southern Indian and Pacific Ocean. The eastern rockhopper penguin can also be distinguished by its pink margins around the bill.

Habitat and Distribution
The eastern rockhopper penguin is found in the southern Indian and Pacific ocean from Prince Edward Islands to the Antipodes Islands. Rockhopper penguins, in general, occupied a circumpolar distribution in the arctic during breeding season. Eastern rockhopper penguins breed in the Marion Islands, Macquarie island and subantarctic islands in New Zealand such as the Antipodes islands and Campbell island. These penguins occupy a mainly marine pelagic habitat and only return to land to breed and moult. They spend the winter months, approximately April to October, in the southern Indian Ocean foraging for food and can spend up to 6 months at sea. They travel, on average, 2000 to 4000 km away from their breeding site during this winter period. This species mainly forages in cool waters; ocean temperatures of less than 4.5 degrees Celsius.

Eastern rockhopper penguins are surface nesters and will build their nest on slopes or rocky shores near the coastline. Colonies will usually form on steep cliffs near the sea and can contain tens-of-thousands of nests. Their nests are made of small pebbles and can occasionally contain some vegetation. Some colonies have settled within grasslands such as tussock, however the soil often erodes down to rock with the accumulation of guano and trampling over a few decades. Eastern rockhopper penguins are rarely found more than 200 meters away from the coastline, since it is ideal to remain near their food supply.

Behavior

Vocalization
Eastern rockhopper penguins use calls for parent-chick recognition when returning to the colony with food. They also use a song for courtship that can be described as a short repeated rhythmic ascending song. The song of an adult rockhopper penguin can have 5-30 syllables with the first syllable the longest. Their contact call used by chicks and adults is a very short shrill bark.

Diet and foraging
Eastern rockhopper penguins feed on a variety of fish, crustaceans and cephalopods such as krill and squid. Their diet can differ depending on where they are in their life cycle. During their pre-moult season, eastern rockhopper penguins mainly consume crustaceans, while during the breeding period their diet heavily relies on euphausiids in the Marion islands. Different breeding location will also impact their diet; chicks in the Campbell island were found to mainly consume dwarf cod. Rockhopper penguins highly depend on a predictable food source near their nesting habitat to feed their chicks. However, if necessary rockhopper penguins can forage up to 120 km away from their breeding grounds to find food for their chicks.

They are diurnal divers; the majority of their foraging activity occurs during the day with the deepest dives occurring at sunrise. When searching for food, they usually stay at a depth of 6m and dive down 30-50m in the water column to catch their prey. They tend to forage in cool waters since they are most productive. They also selected foraging areas with large generation of eddies currents. This type of current supports high aggregations of prey species.

The predators of the rockhopper penguin includes fur seals and sea lions. As well, brown skuas (Stercorarius antarcticus) and northern giant petrel (Macronectes halli) prey on rockhopper penguin eggs and chicks.

Reproduction
Breeding season starts in October for eastern rockhopper penguins; males return to the breeding colony first and the females follow shortly after. Courtship begins between pairs and both sexes fast until the female lays the first eggs usually around the beginning of November. After the eggs are laid, the male and female will share all the parental duties. The first incubation period is shared and both parents will fast during this time, approximately 7 days. After this, the female takes the first solo incubation shift while the male goes to forage at sea, this can last up to 3 weeks. Once the male returns, he takes over incubation while the female forages for approximately 10 days, by the time she returns, the chicks have hatched. After the chicks hatch, the male will guard the chicks and continue to fast while the female forages and returns with food for the chicks. The chicks form creches when they are around 24 days old and during this time both parents foraged and return with food. A creche is a common occurrence in bird species when the juveniles form protective groups to allow the parents to forage. Parent penguins continue to feed chicks until they fledge around February when they are approximately 65 days old. Adult penguins will return to the breeding colony in April to moult before their winter at sea.

Threats and Conservation
The eastern rockhopper penguin is considered a vulnerable species due to rapid population declines. This decrease in population is mostly seen in breeding regions since it is the easiest form of census. Most research agrees that the decline in rockhopper penguins is due to low food availability and decrease in food quality driven by climate change. Due to climate change, sea surface and ocean temperatures are changing and this effects the distribution of prey populations. Rockhopper penguins, and many other species, are sensitive to changes in water temperature and as a consequence, adult penguins must forage farther away from breeding colonies. They often return with smaller amounts of food for their chicks which leads to a decrease in body mass. Low food availability also has a large effect on penguin's moult period. Moulting is a very energy demanding process and requires penguins have sufficient body mass. Due to poor diet, there is an increase in mortality during the moulting season. Low food quality and abundance in wintering regions have also led to an increase in adult mortality. Climate change has additionally affected the amount and intensity of storms in breeding ranges. Intensity of winds displace prey populations and reduce penguin foraging success.

References

Further reading

External links

 Rockhopper Penguins: Center for Biological Diversity
State of Penguins: Eastern rockhopper penguin – detailed and current species account of (E. c. filholi) in New Zealand
 Rockhopper penguins: Facts, Pictures and More
 Britannica: Eastern Rockhopper Penguin

eastern rockhopper penguin
eastern rockhopper penguin
Birds of the Antipodes Islands
Birds of the Campbell Islands
Fauna of the Crozet Islands
Fauna of the Prince Edward Islands
Fauna of Heard Island and McDonald Islands
Vulnerable fauna of Australia
IUCN Red List endangered species
eastern rockhopper penguin
eastern rockhopper penguin

it:Eudyptes chrysocome#Sistematica

redpajama_set_name: RedPajamaWikipedia


Foster was mad at her, he told police, because he wanted to give up alcohol but she didn't. So he blamed her for his ongoing drinking problem. He looked very intoxicated Friday afternoon, Hatchett said.
Police arrested Foster on suspicion of attempted murder in the second degree. He was "very cooperative" with police, Hatchett said. The knife hadn't been recovered Friday, because police were waiting to obtain a warrant to search the home.
Foster and his wife had been married for about a year. They moved from Tacoma to Ferndale about two weeks ago.
In April 2013, Foster faced felony assault charges for allegedly aiming a handgun at one of his housemates on Ninth Street in Tacoma. She was moving her belongings out of the home. Foster wanted her out right away, so he tried to evict her at gunpoint, according to charging papers.
Three months later, Foster pleaded guilty to a reduced charge of assault in the fourth degree. He received a suspended sentence of one year in county jail. However, he violated his probation — by not showing up for court hearings and not paying fines — and had to serve some of that time behind bars, a total of about a week.


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ෆෙඩෝරා ප්‍රලේඛනය
ෆෙඩෝරා මන්ත්‍රණසභාව
ෆෙඩෝරා ව්‍යාපෘතිය
Fedora Linux Release Life Cycle
The Fedora Project releases a new version of Fedora Linux approximately every six months and provides updated packages (maintenance) to these releases for approximately 13 months. This allows users to "skip a release" while still being able to always have a system that is still receiving updates.
Our release schedule intentionally includes some "buffer" weeks, with early and later release targets. Predictable release dates benefit end users planning on upgrades, downstream distros making their schedules based on our work, and of course our own developers working on getting features to users. End users (and the press!) should plan on the release being available by the "Target date #1" milestone.
But you know that "trick" where to keep yourself from being late you set all of your clocks ahead by five minutes? For a month or two, it works—you're on time everywhere!—but then you start to compensate because you know that extra time is built in. We've put out Fedora Linux releases on time for the past few years, and in order to keep doing that, we need to keep seriously aiming for the early target. That way, when we do need it, we can actually use the built in time. Fedora contributors should plan on having the release done by the "Early target" milestone.
Development Schedule
We say ''approximately every six months'' because like many things, releases don't always go exactly as planned. The schedule is not strictly time-based, but a hybrid of time and quality. The milestone releases are tested for compliance with the Fedora Release Criteria, and releases will be delayed if this is not the case.
The schedule for the release currently under development is on its release schedule page. Beta and General Availability (final) releases happen at approximately 14:00 UTC.
Fedora development planning is handled by the Release Planning Process. So-called ''Changes'' are proposed, initially reviewed, and monitored through the development process by the Fedora Engineering Steering Committee (FESCo) and Fedora Program Manager.
Fedora uses a system involving two 'development' trees. Rawhide is a constantly rolling development tree. No releases are built directly from Rawhide. Approximately 10 weeks before the planned date of a Fedora release, a tree for that release is "branched" from the Rawhide tree. At that point the Rawhide tree is moving towards the release ''after'' the new Branched release, and the pending release is stabilized in the Branched tree.
This means that development of a Fedora release is considered to begin at the time its ''predecessor'' branches from Rawhide. For instance, development on Fedora Linux 31 began the day after Fedora Linux 30 branched from Rawhide and entered the stabilization process.
After the Bodhi activation point, the Bodhi system is permanently active on the Branched release (all the way until it goes end of life), and requirements for updates to be marked as ''stable'' are set out in the Updates Policy. Packages must go through the ''updates-testing'' repository for the release before entering its ''stable'' repository, according to rules defined in the updates policy. These rules tighten gradually from Beta through to post-GA (Final), but the basic process does not change.
For some time prior to a milestone (Beta, Final) release a freeze is in effect which prevents packages moving from ''updates-testing'' to ''stable'' except in accordance with the blocker and freeze exception bug policies. This freeze is lifted once the milestone is finished, and so packages begin to move from ''updates-testing'' to ''stable'' as normal again, until the next milestone's freeze date.
Schedule Methodology
Fedora Linux release schedules repeat ad infinitum with "early target" dates of the third Tuesday in April and October. Significant changes to the release schedule must be approved by FESCo. The Fedora Program Manager works with teams across the project to incorporate their activities into the overall schedule and will make updates that do not affect release milestones.
Development Schedule Rationale
Fedora generally develops new releases over a six month period to provide a regular and predictable release schedule. The bi-annual targeted release dates are the third Tuesday of April and October, making them easy to remember and avoid significant holiday breaks. Changes to this standard must be approved by FESCo.
A six month release schedule also follows the precedence of Red Hat Linux (precursor to Fedora). Former Red Hat software engineer Havoc Pennington offers a historical perspective. GNOME started following a time based release based on the ideas and success of Red Hat Linux and other distributions following Fedora having adopted a similar release cycle. Several other major components have started following a time-based release schedule. While the exact release schedules vary between these components and other upstream projects, the interactions between these components and Fedora Linux makes a six month, time-based release schedule a good balance.
Schedule Contingency Planning
If ''Mass rebuild'' is not completed on time, all the subsequent milestones starting with ''Branch point'' are pushed back for one week until the ''Mass rebuild'' is completed.
If the Beta Go/No-Go_Meeting results in a "No Go" determination, rescheduling of the milestone and subsequent milestones follows these rules:
Slip of the Beta from the Early Target to Target #1 does not affect Final Release (GA) date. The Final Release (GA) date remains on ''Early Final Target''.
Slip of the Beta to Target #1 adds a new ''Beta Target #2''
Slip of the Beta past Target #N (where N >= 2) adds a new ''Beta Target #(N+1)'' and also adds a new ''Final Target #N''
If the Final Go/No-Go_Meeting results in a "No Go" determination, that milestone and subsequent milestones will be pushed back by one week.
One week is added to the schedule to maintain the practice of releasing on Tuesdays. Tuesdays are the designated release day because they are good days for news coverage and correspond to the established day we synchronize our content with the mirrors that carry our releases. Be aware of holidays and of possible PR conflicts with the new proposed final date.
Go/No Go meetings receive input from representatives of FESCo, Release Engineering, and Quality Assurance.
We say maintained for ''approximately 13 months'' because the supported period for releases is dependent on the date the release under development goes final. As a result, ''Release N'' is supported until four weeks after the release of ''Release N+2''.
Maintenance Schedule Rationale
Fedora Linux is focused on free and open source software innovations and moves quickly. If you want a distribution that moves slower but has a longer lifecycle, CentOS Stream or Red Hat Enterprise Linux, which are downstream of Fedora might be more suitable for you.
Historically, the Fedora Project has found that supporting two releases plus Rawhide and the pre-release Branched code to be a manageable work load.
When a release reaches the point where it is no longer supported when no updates are created for it, then it is considered End of Life (EOL). Branches for new packages in the SCM are not allowed for distribution N after the Fedora N+2 release and new builds are no longer allowed.
The tasks performed at EOL are documented in the End of life SOP.


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Family Home Agency
Specialized Residential Homes
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California MENTOR and The MENTOR Network believe in giving back to the communities in which we live and work, the individuals we serve, and our dedicated employees.
Collectively, The MENTOR Network and its partners have more than 40 years of experience. As partner of The Network, California MENTOR has access to the nation's best thinking in human services and a successful track record of transitioning people from institutional settings into the community.
The MENTOR Network
Sharmean Heffernan
Sharmean joined California MENTOR in 2010 with more than 20 years of experience in the human services field—ranging from management to direct care. She currently serves as regional director for the Bay Area, where she oversees 962 Specialized Homes, Intermediate Care Facilities, day programs, and the Napa Family Home Agency program. As a regional director, Sharmean provides leadership to staff and program oversight to ensure the health and safety of individuals with intellectual and developmental disabilities served by California MENTOR.
Before coming to California MENTOR, Sharmean lived and worked in Oregon, where she sat on the MENTOR Oregon Advisory Board from August 2008 to September 2010. She began her human services career on the front lines of care as a direct support provider and worked in that capacity for seven years before being hired as a program supervisor for a day program.
Sharmean has a master's degree in special education from Lewis and Clark College in Oregon. She earned her bachelor's degree of science in health services from San Diego State University.
"I believe individuals with developmental disabilities should have the opportunity to thrive in nurturing homes and inclusive communities, and have access to the support and resources necessary so they can independently shape their own futures."
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Travel Car Seat Covers Air Mesh Breathable (1Pcs). perfect for long trips driving well padded and ventilated for a comfortable cool ride. Front car seat covers made of high quality air mesh material. 3D Air mesh material cool car seat covers will make sure you have comfortable and breathable seat for long trips and hot summer days letting all the air into the seat breathable air mesh that is layered and well padded to make it the most comfortable travel car seat. No more uncomfortable seat with no ventilation. these summer car seat covers will make sure you're well ventilated and comfortable letting air all under the seat and behind your back for fresh air to flow giving you a relaxing long trip and a cool hot summer day seating. Get the travel car seat covers for your front seats and enjoy long trips in the summer days with breathable travel car seat with air mesh design.


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THE WHALES OF AUGUST
1987, Alive Films, 90 min, USA, Dir: Lindsay Anderson
Bette Davis joins another screen legend, Lillian Gish, for this lovely tale of two sisters spending the summer, as they have for 60 years, on a picturesque island off the coast of Maine. Anderson displays a deep love for Hollywood's past, casting not only Davis and Gish but veterans Vincent Price, Harry Carey Jr., and Ann Sothern, who was nominated for an Oscar for her role. A profound meditation on aging, this is perhaps the best of Davis' later films, and won Lillian Gish the Best Actress award from the National Board of Review.
Carolyn Pfeiffer
Mike Fash
Harry Carey Jr.
CHERRY 2000
1987, Park Circus, 99 min, USA, Dir: Steve De Jarnatt
Melanie Griffith plays a female variation on Mad Max in this post-apocalyptic story of a hired killer who takes on psychotic criminals in a robot warehouse. John Ford stalwarts Ben Johnson and Harry Carey Jr. costar, giving this futuristic Western added street cred.
Steve De Jarnatt


Charon R. 288 pages. New York: Oxford Univ Pr; 2006. $39.95. ISBN 0195166752. Order at www.oup.com.
Fields of medicine: Internal medicine and psychiatry.
Audience: Medical educators interested in the physician–patient relationship.
Purpose: To define the discipline of narrative medicine, describe the components of competence in this new field, and examine how such competence can affect clinical practice.
Published: Ann Intern Med. 2007;146(2):152.