Today I would like to invite you to explore some potential ways you may be limiting yourself. Let's begin with a question: How many choices do you make that are "practical" while ignoring or dismissing the choices that follow your true desires? How often do you consider the preferences and opinions of someone else and allow those preferences to direct your decision rather than reaching inside and considering your own preferences and opinions? How much more fulfilled would your life be if you honor your own tastes and preferences instead of deferring to others?
Most women who struggle with the issues that bring them to this website will say that making decisions based on their own preferences is selfish: something they consider a negative characteristic. But, consider the possibility that there is a brand of selfishness that will allow you to feel so fulfilled that you are better able to attend to the needs of the others in your life for whom you are responsible. When you can be selfish, you will be giving yourself permission to refill your reserves of energy and warmth and love in a way that ensures you have more to give to others. The extent to which you can honor yourself in such a way is the extent to which you gain value as a woman.
When you habitually negate your own needs to the "back burner," everyone loses because you run the risk of becoming so "burnt out" that you can give to no one. I am suggesting that when you make the choice as often as possible to make the choices that serve your own emotional, mental, spiritual and physical well-being you make choices that are better overall.
When we begin exploring how the reserves from which we nurture others get refilled or ignored, more questions emerge, forcing us to explore the limits we place upon ourselves. We cannot begin to consider the possibility of paying more attention to personal needs without calling into question the demands – real or imagined – imposed upon us by others. For example, who says that women should place their needs second to the desires of their children, or their partners, or their parents, or their church leaders, or their employers? With these questions, I am certainly not suggesting anarchy or hedonism! But, maybe I am suggesting personal rebellion against the internalized rules we create that limit us. We must begin to question whether the rules we accept actually represent our own values or the values we think others would prefer us to have. For example, do you resist telling your partner what you need, thinking they do not care enough to listen or that they might not agree? Will our parents actually reject us if we make independent choices that they may not have selected for themselves? If we complete a church assignment in our own creative style, does that mean it will not be acceptable to the church leaders? If we live our life in a way that is consistent with our belief system, but different from what other members of our congregation would do, does that make us wrong? Do we really need to forfeit our vacation time at work just because "everybody else does"? To test these perceptions and answer these questions for yourself, you must value yourself. I would like to encourage you to value yourself at least as much as you value the others in your life.
My suggestion is that when there are competing needs, you should at least consult your own feelings and needs before sacrificing yourself to the point of exhaustion and depression.
One of my favorite ways to illustrate this point is to ask young mothers when they eat. Young mothers often eat after everyone else has eaten. Sometimes, that does not allow any time at all for mom to eat because as soon as the family has eaten, they are off and running to other activities. In her efforts to keep up and to make sure everyone is happy and attended to, mom leaves even her most basic nutritional needs unfulfilled. If you are not a young mother or a newly-wed, the question still applies. Eating is one of the most basic needs we have, yet we often let a myriad of other concerns get in the way of attending to this very basic self-care. Some may say: I do not have a problem with not eating; I have a problem with eating too much!! In response, I have the same question: When do you eat? Most likely, you eat as a result of not considering your own needs when confronted with a conflict between your needs and others' needs. Then, you eat as a way of dealing with that disappointment and frustration. This is why disordered eating is one of the hallmarks of disordered relationships. Overeating, just as under eating, is very often a result of poor self-care when confronted with conflicting needs. To correct it, pay more attention to yourself. It works.
I provided counseling to one young mother who could not understand why she was feeling so tired and depressed. She had always wanted to be a mother and was happy to fulfill that role. She adored her children, but sometimes felt resentment toward them. She sought my assistance to help her understand why, when she had the life she desired, she was depressed. One of the first things we discovered was that she believed that in order to be a "good mother," she should sacrifice her own needs to provide for the happiness of her family. I asked her when she eats. She explained that she really did not have time to eat. Then, she described the schedule of feeding her one and four year old little girls and that it was a challenge to keep both children busy and happy throughout the day. Then, at the end of the day, she would serve an evening meal to her husband and children, while she was constantly getting up from her meal at the table to do things like clean spilled milk, get the salt, or pick up a dropped utensil. By the time her family was finished eating, she rarely had finished her meal. But, her husband was home, so he played with the children while she ate alone. I taught her to make sure she ate regularly throughout the day while sitting down. She learned that by teaching her children to wait for her to satisfy her need for nutrition, she was training her children to understand that mommy needs to eat and that it is okay for mommy to take care of mommy. By learning this, she taught her daughters by example and transmitted to them some very important lessons about the role of a woman within her family. It is training that will prevent her daughters from feeling the same resentment and depression that their mother suffered. Something amazing happened when this young mother realized that her habit of leaving herself last to the point that sometimes she went an entire day without eating a meal left her feeling tired, resentful and often sick. She began to understand that "good mother" and "mother whose needs are last to be fulfilled" are not synonymous! It was a victory when she came back to my office to report that she was sitting down to eat regular meals, even if it meant that her family had to wait for her. She was delighted to find how much more patient and loving she felt and how her resentments were resolved by simply attending to her own needs.
So, along with the need to resist definitions that are imposed upon us by others, emancipation also involves making sure we are not always the last one in line. To do that, we must be willing to confront our own beliefs about what others expect of us. That means that we have to confront within ourselves the fear that we will risk disapproval by others if they are not cooperative with our need to become more of a priority in our own lives. We must be courageous enough to face those possibilities and confront them, rather than numbing ourselves and doing nothing to value ourselves.
Click here to listen as Tamara discusses what happens when you mistake taking care of your personal needs with selfishness.


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Tag Archive for: Cooperative for Assistance and Relief Everywhere
CARE, Democratic Republic of the Congo, DRC, Global Poverty, NGO, NGOs
Ongoing Poverty in Democratic Republic of the Congo
The Democratic Republic of the Congo (DRC) is a nation in Central Africa with a population of nearly 80 million people, the vast majority of whom live below the global poverty line. While statistics are hard to come by due to the nature of the DRC, there are estimates that nearly 80% of the country's population lives in extreme poverty. The DRC consistently ranks as one of the world's poorest, least stable and most underdeveloped countries.
How Has This Happened?
The DRC's current poverty and instability are rooted in its decades-long history of violence, mismanagement and corruption. This dates back to the colonial era when millions died due to the abuses committed by the Belgian colonial administration. Immediately after declaring independence from Belgium, the so-called Congo Crisis caused more woes for the nation. Even their independence would not stop interference from Europe.
Mobutu Sese Seko took power after the Congo Crisis. He made the country into a one-party dictatorship with widespread corruption, funneling money out of the DRC, and into his own inner circle. Poverty in the DRC grew significantly worse as Seko and his inner circle grew wealthier. His regime was kept afloat by his cult of personality and Cold War foreign aid, both of which dried up in the 1990s. This "drying up" resulted in two devastating wars, both of which increased poverty in the DRC.
The Longevity of Poverty in the DRC
The country began reconstruction in the mid-2000s, in an effort to tackle the growing poverty following the Congo Wars. Despite poverty reductions in some areas of the country – particularly urban ones – recovery efforts did not reduce the overall poverty levels in the country between 2005 and 2012. Roughly two-thirds of the population of the DRC remained in poverty.
Today the DRC is one of the world's poorest nations, with stunted economic growth and poor development. According to the World Bank, poverty in the DRC is so severe that roughly half of children grow up malnourished, with most lacking access to education. The longevity of this poverty has resulted in a scarcity of drinking water and limited access to proper sanitation. These conditions are present even more often in rural areas. The present COVID-19 epidemic has only made the situation in the DRC more hazardous, especially for those in poverty.
NGO Work in the DRC
While poverty in the DRC may seem insurmountable, there are hundreds of nonprofit agencies working to help in the region. The Cooperative for Assistance and Relief Everywhere, or CARE, is a nonprofit NGO (non-governmental organization), dedicated to reducing poverty worldwide. They work alongside the Congolese government to provide aid.
With 12.8 million Congolese in need of urgent assistance, NGO work is more important than ever. In a country like the DRC, where poverty is so extreme, the humanitarian actions of CARE have made an important difference. This NGO has provided food security to thousands of people and assisted thousands of women to gain access to economic and health resources.
CARE is one of the hundreds of NGOs operating in the DRC that rely on donations to make a difference. Poverty in the DRC is too massive for any singular NGO to tackle. The combined efforts of multiple groups are needed. When poverty is so widespread, a widespread response is warranted.
– Matthew Bado
https://borgenproject.org/wp-content/uploads/The_Borgen_Project_Logo_small.jpg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/The_Borgen_Project_Logo_small.jpg Kim Thelwell2020-06-18 13:30:362020-07-22 18:16:29Ongoing Poverty in Democratic Republic of the Congo
Drought, Food Insecurity, Global Poverty, Hunger, Zimbabwe
How Droughts in Zimbabwe Affect the Hunger Crisis
Temperatures in southern Africa are notable for their fluctuation which commonly causes climate disasters. These disasters are particularly devastating to Zimbabwe's rural population of approximately 16 million people and its substantial community of farmers. The country's landscape has suffered significant damage from unprecedented weather, particularly droughts. Efforts to scale up governmental assistance have skyrocketed since January 2019, which has accounted for much of the rise in the price of basic commodities. Below is a brief history of droughts in Zimbabwe, the many implications that they cause and the solutions that different aid efforts have come to.
History of Drought
Zimbabwe has a long history of droughts, which have cumulatively caused an increase in poverty. On a regional scale, droughts often result in crop failure, loss of livestock and wildlife and power outages. A report from the World Food Programme indicates that as of 2019, an estimated 2.3 million people suffered from poverty as a result of the country's worst hunger crisis thus far. Citizens turn to government officials to assist in food shortages, and while weather within the region is a determining factor in food production, it is mostly up to different organizations to provide varied forms of food security.
The country's worst drought happened in 1992, which many consider the most destructive one Zimbabwe faced in the 20th century. Water shortages forced the shutdown of many industries and schools. Due to poor harvests that year, regions across southern Africa faced a short-term supply in their food reserves. Zimbabwe's food shortages caused a ripple effect, with aggravated food production compromising foods like corn to countries like Mozambique, which relied on Zimbabwe's exports. Due to low rainfall, communal area farmers did not have any suitable locations for food production.
Solutions and Aid
Shortly after the regional drought, the humanitarian agency Cooperative for Assistance and Relief Everywhere (CARE) worked with Zimbabwe in order to build developmental programs that would increase accessibility to clean water and food. Programs that pilot cleaner VIP latrines, reinforce sexual and reproductive health and develop financial advocacy should increase household income, alleviate food insecurity and improve better access to markets.
In 2016, Zimbabwe declared a drought disaster as an estimated five million people faced food shortages. Shifts in weather patterns were a direct result of El Nino and La Nina, which refer to the periodic changes in sea temperatures in the Pacific Ocean.
The International Rescue Committee works to alleviate many of the economic struggles in Zimbabwe. Started in 2008 after a devastating cholera outbreak, the organization provides support to those afflicted by natural disasters. It will extend its strategy action plan to 2020, continuing to transfer direct cash transfers to low-income households, provide vouchers to farmers, assist in getting more food for livestock, deliver medical and emergency supplies, drill deeper wells and rehabilitate water plants.
The World Food Programme also plans to assist up to two million people in 2020. By March 2020, predictions determine that nearly 59 percent of rural households—5.5 million people—will be food insecure or in poverty. An estimated $173 million is necessary to allocate support to these regions. Many are saying that the hunger crisis will peak during the first three months of 2020, which is elevating the level of urgency for funding.
Recent Drought
Zimbabwe experienced another drought in December 2019, which ignited the worst hunger crisis the country has faced in nearly a decade. It has entered a "Phase 3" food crisis, which is just two steps below large-scale famine. Predictions estimate that this will extend into 2020, as poor macro-economy and germination rates continually affect crop production. In November 2019, farmers received only 55 percent of normal rainfall. Livestock losses have reached 2.2 million people in urban areas and 5.5 million in rural ones. An emergency operation is underway by the World Food Programme in order to assist the 7.7 million people who plunged into hunger. Partnerships with UNICEF and the Food and Agricultural Organization of the United Nations (FAO) are leading to more international efforts for resilience programs.
Implications of Drought
These droughts carry many logistical implications, leading to economic struggles as inflation rates go up, farmers undergo crop failure and food supplies grow scarce. Clean water, medical supplies and nourishing foods have become inaccessible and render much of the population food insecure and poverty-stricken.
Droughts in Zimbabwe hold many implications for the country's current hunger crisis. Varying aid efforts are slowly pushing the region to a progressive standpoint. The limitations of food security, when it comes to natural hazards like droughts, illustrate a need to offer more aid to regions stricken by climate disasters. Efforts to mobilize aid in southern African are essential to curbing economic decline and creating sustainable communities.
– Brittany Adames
https://borgenproject.org/wp-content/uploads/The_Borgen_Project_Logo_small.jpg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/The_Borgen_Project_Logo_small.jpg Kim Thelwell2020-02-14 10:30:092020-02-14 13:56:12How Droughts in Zimbabwe Affect the Hunger Crisis
Climate Change, Economy, Mali, Refugees
Why Is Mali Poor?
Despite achieving the Millennium Development Goal of reducing hunger by 50 percent, Mali continues to struggle with extreme poverty. 50 percent of the population lives on less than $1.25 a day. There are nearly 59,000 internally displaced people and 143,500 Malian refugees located in neighboring countries. More than 600,000 Malians are in need of food assistance. A low-income nation, Mali was ranked 179 out of 188 countries on the 2015 Human Development Index. Though Mali's economy is projected to grow by 5 percent over the 2017-2019 period and all economic sectors are projected to contribute to this growth, poverty persists. Why is Mali poor?
The answer to this question must consider the negative effects that drought and erratic rainfall have had on the country. Climate change has also led to higher temperatures, less rainfall and growing desertification in Mali, already one of the hottest countries in the world. 90 percent of the rural population works in the agricultural sector. Most farming is done on a subsistence basis; therefore, there is little to no reinvestment made in mechanization. Due to the adverse conditions, 25 percent of families are moderately to severely food insecure. During the 2016 lean season, approximately 315,000 Malians experienced severe food insecurity. One in three Malian children under the age of five is affected by stunting, a condition brought on by poor nutrition which affects both physical and cognitive development.
With an undiversified economy dependent on commodity exports, Mali is also extremely vulnerable to fluctuations in global commodity prices and the consequences of climate change. Though growth accelerated to 7 percent in 2014, its highest level in over a decade, and is expected to remain steady at 5 percent, Mali's economic prospects are contingent on several important factors, including the stability of global prices for cotton and gold, Mali's two biggest exports. Climatic shocks that negatively affect harvests could also cause a drop in economic growth and an increase in food insecurity.
Another contributing factor to why Mali is poor is the military coup that took place in the country in 2012. The coup resulted in the occupation of the northern regions of Mali by armed non-state groups. The signing of a peace agreement in 2015 between the Malian government and two rebel coalitions allowed for the implementation of a program of accelerated development in the northern regions. Due to fragile security and attacks on United Nations forces and the Malian army by terrorist groups in the northern regions, putting the program into action is difficult.
In addition to adverse weather conditions and conflict, poverty in Mali has also been perpetuated by the lack of access to education and career training. According to the United Nations Development Programme (UNDP), the expected amount of schooling in Mali is 8.4 years, while the average amount of schooling is only 2.3 years. Educational programs such as those implemented by the Cooperative for Assistance and Relief Everywhere (CARE) have taken steps to make education more accessible to children in Mali, particularly those who have been out of school for a prolonged period of time.
"In Mali, 89 [percent] of out-of-school students who enrolled in a CARE accelerated learning program also completed it," says CARE's Senior Technical Advisor for Education, Katherine Begley. "100 [percent] of them successfully transitioned into formal schools."
With the emphasis put on reaching those most affected by conflict and poverty, it is the belief of organizations like CARE that the cycle of poverty can be ended in Mali.
– Amanda Quinn
https://borgenproject.org/wp-content/uploads/The_Borgen_Project_Logo_small.jpg 0 0 Kim Thelwell https://borgenproject.org/wp-content/uploads/The_Borgen_Project_Logo_small.jpg Kim Thelwell2017-09-23 01:30:512020-07-11 18:28:10Why Is Mali Poor?

redpajama_set_name: RedPajamaCommonCrawl


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Q: Android Studio 3.1 Canary 4 Genymotion Emulator Plugin Failed I'm using Android Studio 3.1 Canary 4 with Kotlin Support. Since the default Android AVD is too slow, I prefer Genymotion. Inspite of installing Necessary Plugins, there is no option for Genymotion Emulator in the Android Studio.Is it not supported being Beta? Or am I missing something ?
Plugin
Installed Genymotion
PS : [Installed Virtual Box,Genymotion, Android Studio] And Selected SDK from Genymotion. Also Configured the virtual box. And Restarted a lot of times after doing each steps

A: Please use stable Channel of Android Studio for full flexed functionality
Try to update your android studio to 3.0.1 version and it will work read this
for updating Android studio go to Help>Check For Updates> Updates> Stable Channel

redpajama_set_name: RedPajamaStackExchange


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4 nursing home residents die after Ida evacuations
By Rebecca Santana and Melinda Deslatte
Ida triggers extreme flooding, numerous deaths | LiveNOW from FOX
The Northeast is in emergency disaster mode after the remnants of Hurricane Ida battered New York, New Jersey and Pennsylvania, leading to widespread flooding and multiple deaths throughout the tri-state area.
INDEPENDENCE, La. - Four nursing home residents in Louisiana died after being evacuated during Hurricane Ida to a warehouse where conditions were later determined to be unhealthy and unsafe, according to state health officials who said Thursday that they had launched an investigation into the facility.
A total of 843 residents from seven nursing facilities — all operated by one owner — were moved to the Waterbury Companies, Inc. warehouse in the town of Independence before Ida made landfall, Louisiana Department of Health spokesperson Aly Neel said. When the hurricane hit, conditions quickly deteriorated, she said.
"We know that water did enter the building," Neel told The Associated Press, adding that there were also problems with electricity generators.
Neel said the health department received reports of people lying on mattresses on the floor, not being fed or changed and not being socially distanced to prevent the spread of the coronavirus, which is currently ravaging the state.
Renetta Derosia and her sister Susan Duet came to the warehouse Thursday to check on their mother, Loretta Duet, who uses a wheelchair. Their voices choked with emotion, they questioned how their mother was treated.
FILE - A damaged home in floodwater after Hurricane Ida in Pointe-Aux-Chenes, Louisiana, U.S., on Thursday, Sept. 2, 2021.
RELATED: Schuylkill River overflows following night of intense rainfall, damaging storms
"We're just getting word now how bad it was here," Derosia said. "We thought they would have been better taken care of. Had I known, I would have taken her with us."
The sisters thought their mother, who had been living in a nursing home in Lafourche Parish, was being taken to another nursing home with proper nursing beds when she was evacuated ahead of Hurricane Ida, Derosia said.
Independence Police Chief Frank Edwards told WVUE-TV that the warehouse was set up to receive 300 to 350 people, but the number quickly ballooned to more than 800.
The police chief confirmed that some residents were on air mattresses on the floor, that trash receptacles were too small and that there were some issues with the restrooms. He said generators at the warehouse also stopped working a couple of times, and that in general, "conditions became unacceptable."
RELATED: North Texas firefighters in Louisiana helping people recover following Hurricane Ida
"I would not have wanted my mother or grandmother to be in those type of conditions," he said.
When a large team of state health inspectors showed up on Tuesday to investigate the warehouse, the nursing homes' owner demanded that they leave immediately, Neel said. She identified the owner as Bob Dean. Dean did not immediately respond Thursday to a telephone message the AP left at a number listed for him. All seven nursing homes owned by Dean have received poor ratings from the federal government, according to the Medicare.gov website.
The inspectors returned Wednesday and began relocating residents. Late Thursday, all had been evacuated and taken to hospitals, nursing homes and special needs shelters, said Dr. Joe Kanter, Louisiana's chief medical officer. Fourteen required hospitalization.
"It was a Herculean task to get this many people out and to safety in such a short period of time," Kanter said.
Biden details US response to Hurricane Ida devastation
President Joe Biden promised all the assistance that's needed in responding to the aftermath of Hurricane Ida and a massive wildfire in California on Sept. 2, 2021, in remarks from the White House.
RELATED: DEADLY FLOODING: Bodies pulled, others rescued in NYC, NJ storm waters
He said law enforcement officials were already onsite investigating.
Officials used ambulances and buses to transfer the residents, Neel said. Early Thursday evening, 10 ambulances could be seen leaving the warehouse, located next to a water tower and about 50 yards (46 meters) from a railroad station. A handful of wheelchairs were standing near the entrance to the warehouse.
The health department said officials "will be taking action against these nursing facilities."
Police Chief Edwards was hesitant to assign any blame, however, saying that it appeared as though "everybody was doing the best they could under the circumstances."
"I have no idea what the situation or circumstances were when they evacuated all of those people," he said. "They may have been prepared for two nursing homes and had six more in danger. Let's assume they had more to evacuate than they had planned for and they had to decide whether to move them to the facility they had or not evacuate them at all."
But Sabrina Cox, who came to find out what happened to her aunt Bonnie Carenti, said someone should have called her family to let them know Carenti was at the warehouse. She said her father lives five minutes away, and if the family had known, they could have done something to help.
"To see this on the news and not even get a call four days in?" Cox said. "This is unacceptable. Elderly people should not be treated like this. Nobody should be treated like this."
Deslatte reported from Baton Rouge, Louisiana. Associated Press writers Chevel Johnson in New Orleans and Jeff Martin in Marietta, Georgia, contributed to this report.


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Q: Error while using FormBody , okhttpcliient and R android studio Here is were I get the error:
Cannot resolve symbol 'FormBody'
and Cannot resolver symbol 'OkhttpClient'
I have added to my app build gradle:
     compile 'com.squareup.okhttp3:okhttp:3.6.0'

.
  private void registerToken(String token){

    OkHttpClient client = new OkhttpClient();
    RequestBody body = new FormBody.Builder()
            .add("Token",token)
            .build();

I also get cannot resolve symbol while using the 'R' symbol, here is the code:
  import android.app.NotificationManager;
  import android.app.PendingIntent;
  import android.content.Intent;
  import android.support.v4.app.NotificationCompat;
  import com.google.firebase.messaging.RemoteMessage;

 /**
 * Created by Diego Fabiano on 2/11/2017.
  */

 public class FirebaseMessagingService   extends        com.google.firebase.messaging.FirebaseMessagingService {

@Override
public void onMessageReceived(RemoteMessage remoteMessage) {

    showNotification(remoteMessage.getData().get("message"));
}

private void showNotification (String message) {

    Intent i = new Intent(this,questions_activity.class);
    i.addFlags(Intent.FLAG_ACTIVITY_CLEAR_TOP);

    PendingIntent pendingIntent = PendingIntent.getActivity(this,0,i, PendingIntent.FLAG_UPDATE_CURRENT);

        NotificationCompat.Builder builder = new NotificationCompat.Builder(this)
            .setAutoCancel(true)
            .setContentTitle("New Question received")
            .setContentText(message)
            .setSmallIcon(R.drawable.commmon_google_signin_btn_icon_dark)
            .setContentIntent(pendingIntent);

    NotificationManager manager = (NotificationManager) getSystemService(NOTIFICATION_SERVICE);
    manager.notify(0,builder.build());
    }


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Paul A. Volberding (?, ?) es un médico estadounidense especializado en oncología y uno de los líderes de la lucha contra el VIH/sida en los Estados Unidos. Fue presidente de la Sociedad Internacional de SIDA de 1990 a 1992.

Biografía
Se recibió de médico en la prestigiosa Universidad de Chicago en 1971 y aquí obtuvo su especialización en oncología. Más tarde se doctoró en la Universidad de Minnesota en 1975.

Se estableció por razones laborales en San Francisco. Aquella ciudad fue uno de los focos de infección gigantes de la epidemia de VIH en los Estados Unidos, durante la primera mitad de los años 1980.

Carrera
En 1983 dirigió la primera sala de hospitalización para el tratamiento de personas con sida en el Hospital General de San Francisco; la tristemente célebre sala 86. Luego trabajó en los primeros ensayos clínicos con AZT para evaluar la terapia antirretroviral en la infección por VIH.

Volberding fue uno de los expertos que abordó la cuestión del momento óptimo para el tratamiento de la infección temprana por VIH cuando no hay síntomas evidentes. Esta estuvo vigente por casi 30 años cuando en 2015 la Organización Mundial de la Salud, dictaminó que el tratamiento debe empezarse inmediatamente luego de la detección.

En 1990 la IAS lo eligió presidente, en 2001 fue nombrado director del Centro Médico de Veteranos de San Francisco y posteriormente vicepresidente de la prestigiosa Universidad de California en San Francisco.

Referencias

Alumnado de la Universidad de Chicago
Alumnado de la Universidad de Minnesota
Oncólogos de Estados Unidos
Investigadores del VIH/sida
Presidentes de la IAS

redpajama_set_name: RedPajamaWikipedia


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"But where will I find the time for language study?" you might ask, now that you've arrived in country. Good question.
If you work full time, you have to cram more activities into a day that may already be overwhelming.
If you are an at-home spouse, you must establish a home, raise a family, and negotiate day-to-day life in an unfamiliar setting. Your challenge is to carve out time for language study from a full day devoted to family support.
Let's address the needs of the employed and the at-home spouse separately.
Begin work as a full-time language student. Many employment conditions--salary and such benefits as travel, housing, and training--are negotiable. Before you start work, negotiate time to study language as a part of your employment package; two months spent on language learning, you can argue, will benefit not only you but your employer (and his customers, clients, beneficiaries). If work absolutely must begin on a certain day, negotiate to arrive in-country two months early (at your employer's expense, of course).
Naturally, your employer wanted you four months ago. Your work demands so much you will never catch up. You are dying to tackle the job, and you feel pressured to produce. Look at it objectively. Your employer has survived without you for years. What, really, is another two months?
Is two months impossible? Go for a month--still enough time to get your language learning off to a running start.
Negotiate daily release time. Are work demands too great to allow full-time study? Accept the job, but spend the first two hours each morning in language learning. Or knock off at 3:30 each afternoon for two uninterrupted study hours.
Get double duty from your work time. If you are a skilled laborer, practice language while you work (lay a brick, count to ten; lay a brick, describe aloud your actions, etc.). If your skills are less tangible (managers, teachers, etc.), squeeze your on-the-job language study into moments when communication is less important, for example, the walk to the restroom, pencil sharpener, or filing cabinet; those moments spent daydreaming or planning evening activities. Use those moments to speak silently, describe, question, drill yourself. Click here for examples of language learning drills. They add up. Also try the following suggestions.
First, practice at work. As soon as you communicate well enough to perform your job, urge coworkers to speak to you in their language. Actually, you can begin sooner: you need not understand all of every conversation with every employee. Identify those with whom you have leeway, e.g. those in other departments, someone else's admin, etc.; with them emphasize language practice over understanding.
Second, you can practice on breaks. Arrange language practice with coworkers during coffee breaks or tea time; set aside the lunch period for conversation as well as sustenance.
Third, practice while commuting. If you drive, talk to yourself. If you walk or take a bus, chat with others. Read an example of how to strike up a conversation in the host language. Find a coworker who lives in your direction, travel together, and use the time for language practice. Or work by yourself on vocabulary building with small sets of cards.
Look for job-related language learning opportunities. Find work projects that can expand your language ability. If you are well along the road toward language mastery, perhaps you can teach a new skill, write or translate a personnel or project manual into the target language, create a training program for host country staff, or translate government regulations from bureaucratese into colloquial prose. Click here to rate your own language ability (and to measure your progress).
Training others or preparing training materials can provide excellent language practice. Don't wait until you are fluent; team up with a native speaker. Your language ability will improve dramatically in the process.
In the past, the unemployed American female living overseas who was neither student, indigent artist, nor heiress, was a wife. She accompanied her soldier, businessman, teacher, or government husband. She raised the kids, kept house, entertained, ran errands and somehow created a meaningful life as a support person. Often she had little choice in the matter, and frequently, neither cultural orientation nor language training.
Many women (and increasing numbers of men) still find themselves in this position. If you are among them, the following tips are for you.
Dropped into a strange society, you are left to your own wits. Daily treks to the market replace your weekly trip to the grocery store. You may wash clothing by hand, or find, hire, and supervise household staff. Routine errands take hours. What with setting up a new household, scrounging up the furniture that was promised but never came, finding sources for your basic consumables, child care, and schooling, your desire to carve out time even to consider language study may seem unrealistic.
Your task differs strikingly from that of your employed spouse. You must create a structure that fosters learning. The trick is one of perspective: you need to fit language study into your daily routine rather than add time to an exhausting day. Read an example using shopping for language practice. Difficult? Yes, but try the following.
Reconceptualize your routine as grist for language study. Your daily routine presents opportunities to learn language; use it to your advantage. You have to shop, for instance, but don't just go shopping. Go on field trips to the market and use them as language learning experiences. Survey your impending tasks--meal preparation, child care, staff management, sightseeing--and organize language learning activities for each. Click here for ideas about how to use your daily routine for language study.
Set aside language learning time. It is crucial that you reserve time to study language in the first days of your stay. This is when demands on your time are greatest, when errands are all-consuming--and when you set the patterns that will become your routine during your stay abroad. Set aside language learning time first in order to rest from the treadmill of settling in. Set a tone that enforces your belief that language learning is important.
Capitalize on your role as a support person. Plan and supervise a language learning program for your spouse. Chances are he or she will feel inundated at work, unable to follow through on language study. By developing your spouse's program--thinking up topics, creating drills, organizing session, finding and working with mentors--you will hasten your own language learning. Helping your spouse sharpens your own language ability. Click here for goal setting ideas. You will become your family's best target language speaker. Read more examples of how to use daily activities for language practice.


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Belmopan Bandits record second win in PLB; beat Benque Viejo United 3-2
Police Commissioner, Shyne Barrow send condolences on passing of PC Lorray Arzu
Belize's robotics team wins gold at First Global Challenge 2022 robotics competition
Posted: Sunday, October 16, 2022. 2:27 pm CST.
By Benjamin Flowers: Belize High School's robotics team made regional history this week, making Belize the first Caribbean country to place first in the prestigious First Global Challenge Robotics Competition.
The competition, held this year in Geneva, Switzerland, is formatted in Olympic-style events but instead using robots. Team Belize partnered with Switzerland, Botswana, and Lithuania both in the playoff and final rounds, and emerged undefeated in these joint team events.
As an individual team, Belize ranked 14th overall out of a total of 162 competitors.
Caribbean Loop news reports that the closest a Caribbean country has come to this level of success at the competitions was Team Jamaica's 15th place back in 2018.
BHS's victory is also noteworthy given the fact that the school recently ranked 50th at the First Global Challenge 2020.
Breaking Belize News (BBN) joins in congratulating the BHS team, their mentors, and everyone who supported them and enabled them to give such stellar representation at the global level.


The Kaleidoscope of this year is closed by highlighting the sudden death of Steve Job, the first-ever trailer for 'The Hunger Games', and the winner of 'The X Factor (US)' inaugural season.
From Demi Moore announcing her plan to divorce Ashton Kutcher to Ryan Dunn tragically killed in a car crash, these are the 10 shocking moments that stole the headlines in the past 12 months.
The female lead of 'Extremely Loud and Incredibly Close' claims she and her younger co-star Thomas Horn 'had the tough stuff' in the film, but Hanks missed the intense scenes.
During a televised news broadcast, the network features Ben's clip in which he shares about his life-threatening heart condition, but fades it out shortly before he declares his faith in God.
Giving an update on the film project, Alcon Entertainment producer Andrew Kosove claims that it will offer other kinds of extreme sports in addition to surfing.
Learning that Aria might be dressing for Ezra, Byron Montgomery does not want her daughter to wear 'inappropriate' clothes to school.
A representative for Rebecca reveals that the actress gave birth to her second daughter, whom she and her 'Grey's Anatomy' actor husband named Georgia Geraldine Dane, on December 28.
Adele Scores Two Most-Played Songs in U.K.
The 'Set Fire to the Rain' crooner takes the top spot with 'Rolling in the Deep', and sits at the seventh place with a 'Make You Feel My Love' cover.
'Feelin the twitter love today. Very happy and lucky boy,' tweets Kristin Wiig's love interest in the comedy film shortly after announcing his engagement to the British TV presenter.
While Chuck and Sarah are trying to find out whether they will welcome a baby or not, Casey has to use his heart when his forbidden love walks back into his life.
For the upcoming 2012, the middle member of the JoBros wishes to 'be able to make more music with my brothers,' Kevin and Nick Jonas.
Admitting that he feels 'very lucky' having a much larger part in the Joss Whedon-directed movie, the 'Thor' actor also recalls the day he saw the 'superheroes' assemble on the set.
The 'Girl With the Dragon Tattoo' actress reveals that she was 'very discouraged and disheartened' after playing Nancy Holbrook in the reboot to the 1984 horror film.
The 'Skyscraper' crooner shares about penning the country song shortly after tweeting songs by Eli Young Band and Kenny Chesney.
The 'Beautiful Liar' singer and husband Jay-Z have welcomed a baby girl, named Tiana-May Carter, in New York on Friday, December 30 morning if the Internet is to be trusted.
Now that she understands the Stefan she knows is gone, Elena will allow the romantic tension with Damon to come out and play.
The 'Mr. Know It All' hitmaker has made a huge jump from No. 41 to No. 13 on Amazon's 'Movers and Shakers in Music' list one day after her endorsement to Ron Paul was criticized by many.
A day after he was spotted going ringless in London, the 'Arthur' star files legal documents to end his 14 months of marriage to the 'Teenage Dream' singer, citing 'irreconcilable differences'.
In this third part, AceShowbiz highlights the record-breaking opening week of 'Deathly Hallows 2', the wedding of Kim Kardashian and Kris Humphries, and the first-ever No. 1 album of Tony Bennett.
A mini remote control features a close-up image of Spider-Man's nemesis, while another stuff from Mega Blocks affirms rumor about the movie's plot detail.


Vital ID are the world leaders in Worker Emergency ID, it's our DNA. We invented the products, we design the products, we manufacture the products and we distribute the products.
With premises in the UK, Canada and the USA we're able to provide innovative life-saving solutions to blue-chip clients globally.
In addition to our standard product range we are able to make bespoke personalised Worker Emergency ID solutions that tailor-fit customers' specific needs.


Our bed and breakfast, set in a beautiful stately Victorian home, on a corner lot, has four two-room units, each with it's own ensuite bath, sitting room and kitchenette. Most units have a private entrance. High speed WI-FI is accessible throughout the house. We offer spacious, comfortable accommodation, at a reasonable price. We are within walking distance to all four theatres. It is a short walk to downtown and Stratford's beautiful riverside park. Ample parking and opportunities for outdoor relaxation are available on the property. We have a large veranda, a patio and lovely garden, all with seating areas. Our B&B is pet and smoke free. Smoking is permitted outside. Children are always welcome, as we are family friendly.
UNIT 1: A 300 sq. ft. main floor room with bedroom and kitchenette/sitting room. It features a Queen bed and a 4-piece ensuite bath with whirlpool. The kitchenette is equipped with a sink, bar-fridge, microwave, coffee-maker, kettle, toaster and dishes. The sitting room has a TV, DVD player and high-speed wireless internet. This unit has a private entrance, leading on to the front veranda, as well as access to the interior of the house. UNIT 2: This 335 sq. ft. 2nd floor unit has a bedroom and a kitchenette/sitting room. It features a Queen bed and a 4 piece ensuite bath with whirlpool. The kitchenette is equipped with a sink, bar-fridge, microwave, coffee-maker, kettle, toaster and dishes. The sitting room has a Queen pullout couch, TV, DVD player, and high-speed wireless internet access. This unit has a private entrance, to the exterior front stairs, leading to the veranda, as well as access to the interior of the house. UNIT 3: This 290 sq. ft., 2nd floor unit, with bedroom, kitchenette/sitting room features a Queen bed and a 4-piece ensuite bath with whirlpool. The kitchenette is equipped with a sink, bar-fridge, microwave, coffee-maker, kettle, toaster and dishes. The sitting room has a Queen pullout couch, TV, DVD player and high-speed wireless internet access. Occupants of this unit receive a key for the door at the base of the interior back stairs. This leads right on to the driveway. Access to the front stairs/door is usually available. UNIT 4: This large, 600 sq. ft. 3rd floor loft unit has a spacious (15 ft. X 24 ft.) private deck on the 3rd floor level, sitting room, kitchenette, and a bedroom featuring a Queen bed and a 4-piece ensuite bath with whirlpool. The kitchenette is equipped with a sink, bar-fridge, microwave, coffee-maker, kettle, toaster and dishes. The large separate sitting room has a double pull-out couch, TV, DVD player, and high-speed wireless internet. There are two air conditioners, one in each of the areas, as well as two ceiling fans, for your comfort. This unit has a private entrance off the third floor deck. The stairs from the deck lead on to the front veranda. Guests also receive a key for the back door, just off the driveway, leading to back stairway, and to their unit. There is also access to the interior of the home.
Each of our two-room units features an equipped kitchenette with sink, bar-fridge, microwave, coffee-maker, kettle, toaster and dishes. Our units are suitable for single nights, week-ends, or longer stays. The units also feature separate sitting areas with high-speed wireless internet access, TV and DVD player. All units are individually climate-controlled for your comfort, with ceiling fans in the sitting room area. All guests are invited to rest, read or visit in our garden and patio areas, or on our comfortable veranda.
A hearty, healthy breakfast is served, family-style, in the dining room every morning between 8:00 - 9:30. Use of the large, comfortable sitting room and the dining room, are usually available to guests.
Units range from $140-$175 per night plus taxes.
CHECK IN / CHECK OUT: Our earliest check in time is 1:00 pm. We request that you arrive close to your stated time of arrival, to give us the freedom to run errands but to be sure to be back for your arrival. We ask that you check out of your unit by 10:30 am. This is to assure that we have ample time to prepare for new guests and have a clean unit ready for them. BOOKING POLICIES: - For weekend bookings from June 15 to September 30, a minimum two night stay is required. At all other times, one night bookings are acceptable. - A non-refundable deposit of $35.00 per unit booked, is required at the time of booking - 14 days notice of cancellation is required. Less than 14 days notice � full price will be charged, UNLESS the unit is re-booked. All effort will be made to rebook the unit(s).


Cisco Certified Network Professional certification for routing and switching or security will be validating your ability in planning, implementing, verifying and troubleshooting wide and local area enterprise network and working in collaboration with specialists in the field of advanced security, wireless, video and voice solutions. The program is designed specifically for implementing the network security and professional in the working environment. The course is designed for the personnel related to job roles such as security engineer who are responsible for switch and router security, networking devices and performing the operations with firewalls etc. may also undertake this course.
The intended interest group for CCNA Exploration incorporates Cisco Networking Academy® Program understudies with cutting edge critical thinking and explanatory abilities normally connected with degree programs in designing, math, or science.
CCNA Exploration is made out of four courses: Network Fundamentals, Routing Protocols and Concepts, LAN Switching and Wireless along with accessing the WAN. System Fundamentals is the first course and it has no essentials. It is an essential for the other three courses. Directing Protocols and Concepts is the favored second course in the succession, yet varieties are conceivable as demonstrated. LAN Switching and Wireless could be taught before Routing Protocols and Concepts, or simultaneously. LAN Switching and Wireless can additionally be taught in the meantime as accessing the WAN, in the wake of Routing Protocols and Concepts.
This educational module displays an extensive diagram of systems administration; from essentials to cutting edge applications and administrations. It is focused around the top-down methodology to systems administration that is prominent in numerous universities and colleges. The course stresses ideas and aptitudes needed to outline systems, while giving chances to viable application and active encounter by showing learners how to introduce, work, and keep up systems.
This particular Cisco CCNA Course-plotting in addition to changing programs is designed for Cisco Marketing Academy® pupils who are in search of entry-level jobs inside ICT marketplace or perhaps anticipate fulfilling requirements to practice more specialized ICT expertise.
Might be some piece of an incorporated educational program or proceeding with instruction program at postsecondary establishments, for example, profession and specialized schools, universities, and colleges.
Allows learners to learn abilities in a more complete, hypothetical, and pragmatic way that is reflective of normal instructive practices at the school level; and utilization dialect that incorporates related building ideas.
Presents extensive scope of systems administration subjects, extending from essentials to cutting edge applications and administrations.
Includes exceptionally perplexing and testing active labs.
Offers more adaptability in the educational module conveyance and grants abbreviated course conveyance time.
Helps plan understudies for proceeding with instruction and expert in IT sector.
Clarify the criticalness of information systems and the Internet in supporting business interchanges and regular exercises.
Explain how correspondence functions in information systems and the Internet.
Recognize the gadgets and administrations that are utilized to help correspondences over an Internet work.
Use system convention models to clarify the layers of correspondences in information systems.
The overview for network course will be taught with an everyday experience in context to the bottom up approach with OSI model. The network basic will be taught with business context application in context to top down approach with OSI model.
For second third and fourth courses, switching technologies and teaching routing was required for earlier certifications, now it is done by a traditional flow instruction technique using protocols and networks for the course.
After completion of the course, you will be acquiring skills to perform various operations such as describing the capacities, attributes, and operations of the Ripv1 convention, compare and differentiation classful and uncouth IP tending, describe classful and tactless steering practices in steered systems, design and actualize an uncouth IP tending to plan for a given system, demonstrate exhaustive Ripv1 arrangement aptitudes, apply the essential Ripv2 arrangement summons and assess Ripv2 uncouth steering upgrades, describe the principle peculiarities and operations of the Enhanced Interior Gateway Routing Protocol (EIGRP), use progressed design orders with switches executing EIGRP, describe the premise peculiarities and ideas of connection state steering conventions, explain the part of physical layer conventions and administrations in supporting interchanges crosswise over information systems, explain principal Ethernet ideas, for example, media, administrations, and operation, employ fundamental cabling and system outlines to unite gadgets as per expressed destinations, build basic Ethernet system utilizing switches and switch configuration, use Cisco CLI charges to perform fundamental switch operations and switch arrangement along with router configuration.
Serial cables, hubs and assorted Ethernet.
CCNA Course-plotting in addition to changing offers bundled in addition to comprehensive protection connected with network issues, via essentials to state-of-the-art software in addition to products and services, whilst giving options for hands-on useful knowledge in addition to career expertise development. The particular programs is suitable for pupils with quite a few education and learning quantities in addition to types of organizations, which includes excessive colleges, extra colleges, universities, colleges, career in addition to specialized colleges, in addition to neighborhood facilities.


Many commentators expected that the new tax bill would pair the repeal of basis step-up at death with the repeal of the estate tax. They were pleasantly surprised to see that basis step-up at death remains unaltered under the bill released last week.
If the bill is passed without changes to these provisions, then planning will focus on maximizing basis step-up at death, perhaps . . .


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federal_circuits_rehearing_decision_confirms_induced_infringement_even_when_skinny_label_0821.html
Alerts and Updates
Federal Circuit's Rehearing Decision Confirms Induced Infringement Even When Skinny Label Was Used
The majority concluded substantial evidence supported the jury's finding of induced infringement for both the partial and full label periods, with causation.
In a recent 2-1 decision after a rehearing, GlaxoSmithKline LLC v. Teva Pharmaceuticals USA, Inc. (No. 2018-1976), the Federal Circuit confirmed that substantial evidence supported the jury's findings of induced infringement throughout the term of GSK's patent, including the "partial label period" when Teva used a skinny label to carve out a patented method.
The case arose from GSK's carvedilol drug, which was approved for three indications including hypertension, congestive heart failure (CHF) and left ventricular dysfunction following a myocardial infarction (post-MI LVD). In 2002, Teva submitted an Abbreviated New Drug Application (ANDA) for approval of its generic version not to be launched until the expiration of the patent on the compound in 2007. Teva certified invalidity under Paragraph IV of U.S. Patent No. 5,760,069, which was reissued in 2008 as RE 40,000 ('000 patent), covering "a method of decreasing mortality caused by congestive heart failure in a patient in need thereof" comprising administration of a carvedilol combination "to said patient daily maintenance dosages for a maintenance period," which is "greater than six months."
In 2004, Teva issued a press release after its ANDA was tentatively approved. In 2007, Teva launched its generic product and issued a second press release. Teva used a skinny label including two indications only―hypertension and post-MI LVD―and carved out the patented indication CHF as authorized in 21 U.S.C. § 355(j)(2)(A)(viii). In 2011, when required by the FDA to have a full label, Teva amended its label to include treatment of heart failure (i.e., CHF).
In 2014, GSK sued Teva for induced infringement of the '000 patent. The jury found Teva induced infringement and awarded GSK $235 million in damages. The district court granted Teva's motion for judgment as matter of law and overruled the verdict. In October 2020, on appeal, the Federal Circuit overturned the district court's decision. In this 2021 decision following a motion for rehearing, the Federal Circuit panel confirmed its original 2020 decision.
A plaintiff must show a defendant's specific intent to encourage another's infringement to establish a finding of induced infringement. Intent can be proved through circumstantial evidence. The Federal Circuit's opinion centers on an analysis of the evidence, including expert testimony for inferring Teva's intent. For the partial label period, the court majority agreed with GSK that Teva's partial label encouraged an infringing use of the patented indication (i.e., CHF) via the post-MI LVD indication on the label; and that Teva's marketing materials encouraged prescribing carvedilol in a manner causing infringement of the '000 patent.
First, the court majority concluded that substantial evidence supported that the partial label's indication for post-MI LVD did not effectively carve out the patented use. During the trial, GSK's cardiology expert provided element-by-element testimony. Teva's partial label stated that "[c]arvedilol is indicated to reduce cardiovascular mortality" in post-MI LVD patients. GSK's expert stated such a label satisfied the limitation of "decreasing mortality caused by congestive heart failure in a patient in need thereof" as recited in the '000 patent; and post-MI LVD is "intertwined with heart failure." Teva's expert agreed that a post-MI LVD patient as recited on the partial label would be diagnosed as suffering from congestive heart failure. The majority pointed out that whether the post-MI LVD indication instructed a physician to prescribe carvedilol for the claimed use is a question of fact, and that the district court erred in treating it as a legal question to decide de novo after the jury's finding.
Teva argued that GSK failed to identify the post-MI LVD use in its submission to the FDA for Orange Book listing, and such a failure was at odds with GSK's infringement allegations and created equitable estoppel. The court majority stated that the FDA does not determine patent infringement and the estoppel issue had not been tried. Additionally, the majority relied on Teva's press releases, product catalog and other promotional materials, which described the equivalence of Teva's carvedilol to GSK's drug. Teva's 2007 press release, posted before the issuance of the '000 patent, remained on Teva's website throughout the patent term. The majority concluded substantial evidence supported the jury's finding of induced infringement for both the partial and full label periods, with causation.
Judge Sharon Prost issued a strong dissenting opinion stating that the majority weakened the intent requirement for induced infringement, eviscerated the causation requirement and created confusion about using skinny labels.
Addressing public concerns, the majority stated, "This narrow case-specific review of substantial evidence does not upset the careful balance struck by the Hatch-Waxman Act" regarding the carveouts. However, this case still brings uncertainty and confusion about skinny labels. A generic company may need to perform technical and legal analysis to ensure that a skinny label fully carves out a patented use, especially when a patented indication and a labeled indication are possibly intertwined with each other. In addition to drug labels, any promotional materials such as press releases, product catalogs and websites need to be scrutinized.
If you have any questions about this Alert, please contact Frederick R. Ball, Patrick C. Gallagher, Ph.D., Jiazhong (Jason) Luo, Ph.D., any member of the Life Sciences and Medical Technologies Industry Group, any member of the Intellectual Property Practice Group or the attorney in the firm with whom you are regularly in contact.
Disclaimer: This Alert has been prepared and published for informational purposes only and is not offered, nor should be construed, as legal advice. For more information, please see the firm's full disclaimer.


Kerr's Light Candy Toffee are a delicious array of your favourite hard candies. With 65% less calories then the Regular brand, these candies are sure to satisfy your sweet tooth. No sugar added, and fat free!


CU Denver Today: MBA Students Rub Shoulders with CEO of Swiss Company for Strategy Lab Course - SageRiver Consulting, Inc.
Students in the MBA program have the option to take a Strategy Lab course, led by a seasoned strategy consultant and '88 MBA alumna, Susan Heinzeroth. The course revolves around one consulting project for a client-company. It emphasizes dual-track learning of both strategic planning, and consulting as a profession. This semester, students are working on an e-commerce strategy for Similasan, a new company client for the course. Similasan is a Swiss company with a 35-year history of manufacturing homeopathic products. Their hope, as a result of this Strategy Lab course, is to capture a larger market share here in the United States.
Through their work, students are granted direct access to Similasan's CEO, Urs Lehmann. This unique opportunity to interact directly with the top level is rarely offered in MBA programs across the country.
Urs Lehman, CEO of Similasan and former World Ski Champion, understands the importance of academia, leading to the collaboration with the CU Denver Business School. He visited Similasan's US headquarters in late September and will meet directly with students to address questions and provide insight into the company.
This semester, students will be devising a strategy to grow Similasan's market share, build their e-commerce, and increase their US brand recognition. Similasan has been very successful in bringing up the US market and now sees the growth potential, especially as digital-grocery becomes more evolved.
Students worked on consumer profile analysis, general market research, case studies, and potential influencers and partnerships for future e-commerce strategy formulation.
The unconventional class structure provides a seminar style, discussion, and research-oriented approach, and has students excited. What also makes it unique is it is meant to provide interaction between students and senior business executives. Both the companies involved and students benefit from their time together.
Similasan came to the Business School through the instructor of the course, Susan Heinzeroth. Founder of SageRiver Consulting, Heinzeroth has built a successful strategy consulting practice focused on helping organizations achieve strategic growth and transformation.
But that's not the only hat she wears.
Heinzeroth is also a CU Denver Business School alumna and dedicated lecturer. Along with her 30+ years of business experience, she also pulls from her MBA degree to advise students in the course. She's been instructing students in the CU system since 2002, teaching at Leeds School of Business and now at the CU Denver Business School.
Heinzeroth teaches for a meaning because of the life-meaning it offers and the influence it has on the next generation of organizational leaders. She seeks to ready those in her Strategy Lab course with new and transformative skills for their "real world" business lives. She built the Strategy Lab course so students could directly interact with the business community. Students find it to be a just-in-time learning process, enriched with contemporary issues that goes beyond what any internship offers. From past years, this course has translated into students gaining new employment, switching careers, and shifting focus into their desired industries. Not to mention, the new connections they collect by working with their client.


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Benefits from new state bridge toll hikes might…
Benefits from new state bridge toll hikes might be delayed
The toll goes up $1 Jan. 1 at the Richmond-San Rafael Bridge. (IJ photo/Frankie Frost)
By The Press Democrat |
By Kevin Fixler/The Press Democrat
Commuters will pay an extra $1 to cross the Bay Area's seven state-owned bridges come Jan. 1, as part of a voter-approved measure to raise money for major transit upgrades. But the improvements could be delayed after state and transportation officials were hit with an unanticipated legal roadblock, preventing release of hundreds of millions of dollars for cash-strapped road projects, including a North Bay Highway 101 widening.
The Howard Jarvis Taxpayers Association, a statewide taxpayers' rights advocacy group, filed a lawsuit in July against the California Legislature and the Bay Area Toll Authority, arguing the ballot measure allowing $3 in bridge toll hikes over the next six years constitutes a tax rather than a fee. Therefore, the group contends, Regional Measure 3 should have met the state requirement of two-thirds majority for approval, instead of the 55 percent support it received from voters across the Bay Area's nine counties.
The legal complaint, filed in San Francisco Superior Court, was amended in October, and a date has yet to be set for the case.
Despite the legal battle, the first $1 toll increase — 50 cents in carpool lanes — takes effect with the turn of the new year. The Bay Area Toll Authority will have to place the revenue from the increases in escrow until the case is resolved.
The Bay Area's Metropolitan Transportation Commission expects the increase, which applies to all of the region's toll bridges except the independently run Golden Gate, to generate between $125 and $127 million in the first year alone. It plans to use the money to cover $4.45 billion in transportation improvements.
Three significant Sonoma County projects are tied to the release of the revenue, and as a result could face delays, depending on how long the lawsuit drags out.
"The unknowns about timing and outcomes are challenging for all of us to plan and deliver projects," said Suzanne Smith, executive director of the Sonoma County Transportation Authority. "The way things work, as far as I can tell, we could know next month or in three years. So it's hard to plan around as a result of that."
The Highway 101 lane- widening project known as the Sonoma-Marin Narrows is set to get $120 million from the toll increase to complete the last segment, from the Marin County line to just north of Novato, by winter 2023. The Sonoma section, from the Petaluma River north to Corona Road, already has the necessary funds from other sources to wrap up by fall 2022.
Another $100 million from the toll hikes is dedicated to move forward on environmental and design work on the beleaguered Highway 37 at the northern edge of San Pablo Bay. A solution to the consistently gridlocked roadway that's also susceptible to sea-level rise is estimated at up to $4 billion and may not happen before 2050, but the environmental and design work is seen as key in jump-starting the project.
The Sonoma-Marin Area Rail Transit commuter line expects to receive $40 million from the measure for its northern expansion to just beyond Windsor, getting closer to Healdsburg. Deb Fudge, chairwoman of SMART's board and a longtime Windsor councilwoman, said it's still too early to tell what impact the holdup in funds may have on plans to begin service north of Sonoma County Airport by early 2022.
Distributed by Tribune News Service.
Novato High School students ace national poetry contest
The Press Democrat
More in Top Headlines
SMART to build more safety barriers after recent train-related deaths
Sausalito landslide cleanup delayed until September


4A for Automatized Atmospheric Absorption Atlas is a fast and accurate line-by-line radiative transfer model particularly efficient in the infrared region of the spectrum.
the modelling of the Earth radiation budget, simulations of atmospheric cooling rates and radiative forcing.
The 4A line-by-line model to calculate forward radiative transfer is an advanced version of the nominal line-by-line STRANSAC model. These forward models have become more and more accurate and efficient through the exploitation of new mathematical techniques, the availability of faster and faster computer systems, and, last but not least, the provision of better spectroscopic data ( GEISA database).
The 4A model has a long history of validation within the frame of the international radiative transfer community. Most of the validation results have been extensively discussed in a number of intercomparison exercises and in particular during the ITRA (Intercomparison of Transmittance and Radiance Algorithms) working groups - 1983, 1985, 1988, 1991 of the International Radiation Commission (see Chédin et al., 1988) and during the ICRCCM (Intercomparison of Radiation Codes in Climate Models ) campaigns (see F. Luther et al. 1988). More recently, launch of hyperspectral sounders (AIRS on Aqua platform and IASI on Metop platform) have led to more and more extensive validations, still within the frame of international campaigns or working groups.
4A/OP has been chosen by CNES as the official radiative transfer model for IASI level1 CAL/VAL and level1 operational processing.
Briefly, 4A is a compressed look-up-table of optical depths. The concept was described in Scott N.A. and Chédin A. (1981).
at least, a fraction of half width spacing, thus varying with pressure : the so-called "spectral representation step"
4A processes 15 cm-1 blocks, each block being associated with thousands of matrices (number of spectral steps times the number of layers times the number of temperatures times the number of gases considered).
Each matrix is compressed in the wavenumber/layer/temperature space and in the wavenumber/layer/gas space and only the significant values are kept. Values (in transmittance units) too close to zero or too close to one are kept and treated separately in order to be reintroduced and taken into account in case of high values of viewing angles or absorber amounts.
Optical depths from each individual gas are summed up and radiance calculation is performed. Starting from these high spectral resolution optical depths, transmittance profiles, Jacobian profiles (the latter two being optional), and brightness temperatures are generated using an appropriate "spectral integration step" (e.g. a fraction of the smallest encountered spectral representation step) combined with a relevant convolution step to take into account the various instrument functions. The description of the analytic computation of the Jacobians has been given in the mid 90's (F. Chéruy et al, 1995). So far, the computation of temperature, absorbing gases, surface temperature, emissivity, jacobians is optionally performed.
During these last years, the model underwent important transformations, in relation with our in house applications (aerosols retrievals from AIRS and IASI, processing of the ACE-Scisat instrument for the retrieval of CO2 profiles, …), or in relation with applications within the frame of the CNES activities.
4A is maintained at LMD. This includes introducing the newly derived parameters for spectroscopy, for line-coupling or for continua, for aerosols and CFCs, ..., as soon as they have been validated. The current version is referred to as 4A/OP 2009.
Adjustment of gas concentration profiles in the Atlas computations yes N.R.
4A can be used for a wide variety of atmospheric and surface conditions. Since spectra are computed at a high spectral resolution (5.10-4 cm-1), 4A keeps specificities of a line-by-line model. As a consequence, any kind of apparatus function may be used at the time of the convolution. So, 4A is and has been used for many different applications including low and high resolution spectra of the Earth atmosphere (HIRS, AVHRR, METEOSAT, AIRS, IASI, MODIS, SEVIRI, IIR ...) and spectra of planetary atmospheres (e.g., within the frame of the VOYAGER mission to giant planets).
The good quality of 4A and of the IASI spectra (spectral resolution and signal-to-noise ratio) together with the good description of the atmosphere ( ARSA database) makes it possible to analyze errors along the spectra as signatures of insufficient spectroscopy or missing or uncorrectly represented minor absorbers.
Figure below presents "4A-simulated versus IASI-observed" brightness temperature spectra (blue, right y-axis) and residuals spectra (red, left y-axis) as well as their associated standard deviations (green) (in°K) for a set of 764 IASI/ ARSA 50km*3hours space*time window collocations (from July 2007 to December 2009, clear sea/night cases, tropical situations). From top to bottom: IASI bands I, II, and III and, for each of these band, spectra, residuals and standard deviations. (Click the figure to enlarge it).
The figure below shows an example of the variation of the 4A Jacobians versus pressure with respect to perturbations of respectively 1K and 10% on the temperature profile (left) and CO2 concentration (right) for the mean tropical atmosphere of the TIGR dataset . (Click the figure to enlarge it).
Figure below presents an example of 4A-simulated transmittances (green) versus ACE-FTS observed transmittances (red) spectra (top) and residuals spectrum (bottom) for a 11.612 km tangent height observation, in the 2450-2550cm-1 range. (Click the figure to enlarge it).
An illustration of the 4A/DISORT model is given below. It shows the spectral dependence – between 650 and 900 cm-1 or 15.4 µm - 11 µm -, of the sensitivity of IASI channels to an aerosols layer of IR optical depth 1.5 (at 10 µm), at an altitude of 2400 m (solid black line and right ordinate). Superimposed are spectra using an atmosphere increased by 20% of water vapour (magenta) or ozone (cyan), and, for comparison, 20%, 10%, and 5% of the aerosol contribution (all results on the left ordinate). Black dots (•) indicate channels selected for aerosol retrieval in this spectral region. Example below is for a mean tropical atmosphere). (Click the figure to enlarge it).
Application to cloudy conditions will be developed in the next version.
In accordance with the convention signed between CNES, LMD/CNRS, NOVELTIS is currently in charge of the consolidation and the distribution of 4A : such a version is referred to as 4A/OP. The 4A/OP 2009 version is presently distributed.
The code is written in standard Fortran 90 under UNIX or Linux operating systems, to be ran on different platforms. A Graphical User Interface (GUI) is implemented. More information on this operational version, is given in the NOVELTIS 4A/OP website.


This paper has been developed by Family Rights Group on behalf of the Kinship Care Alliance. It sets out the current context for family and friends carers, our concerns about their circumstances and our recommendations.
Urgent action is required at national and local level in order that clear policies and systems are in place in every local authority to ensure that family and friends care arrangements are appropriately assessed and supported.
· Examples of good practice found in policies sent by local authorities in response to the FOI survey.


text:
Це перелік видів птахів, зафіксованих на території Мадагаскару. Мадагаскар — острівна держава, розташована біля південно-східного узбережжя Африки. Через тривалу ізьольованість від континенту (внаслідок руху тектонічних плит Мадагаскар відокремився від Африки близько 150 млн років назад і від Індії близько 90 млн років назад) орнітофіуна Мадагаскару містить багато ендемічних видів. Загалом авіфауна Мадагаскару налічує 310 видів, з яких 109 видів є ендемічними, а ще кілька зустрічаються, крім Мадагаскару, лише на сусідніх Коморських островах. 2 види вважаються вимерлими, а ще 36 перебувають під загрозою вимирання. 7 видів були інтродуковані людьми.

Легенда таблиці

Гусеподібні (Anseriformes)
Родина: Качкові (Anatidae)

Куроподібні (Galliformes)
Родина: Цесаркові (Numididae)

Родина: Фазанові (Phasianidae)

Фламінгоподібні (Phoenicopteriformes)
Родина: Фламінгові (Phoenicopteridae)

Пірникозоподібні (Podicipediformes)
Родина: Пірникозові (Podicipedidae)

Голубоподібні (Columbiformes)
Родина: Голубові (Columbidae)

Mesitornithiformes
Родина: Роутелові (Mesitornithidae)

Рябкоподібні (Pterocliformes)
Родина: Рябкові (Pteroclidae)

Зозулеподібні (Cuculiformes)
Родина: Зозулеві (Cuculidae)

Дрімлюгоподібні (Caprimulgiformes)
Родина: Дрімлюгові (Caprimulgidae)

Серпокрильцеподібні (Apodiformes)
Родина: Серпокрильцеві (Apodidae)

Журавлеподібні (Gruiformes)
Родина: Sarothruridae

Родина: Пастушкові (Rallidae)

Сивкоподібні (Charadriiformes)
Родина: Чоботарові (Recurvirostridae)

Родина: Сивкові (Charadriidae)

Родина: Мальованцеві (Rostratulidae)

Родина: Яканові (Jacanidae)

Родина: Баранцеві (Scolopacidae)

Родина: Триперсткові (Turnicidae)

Родина: Крабоїдові (Dromadidae)

Родина: Дерихвостові (Glareolidae)

Родина: Поморникові (Stercorariidae)

Родина: Мартинові (Laridae)

Фаетоноподібні (Phaethontiformes)
Родина: Фаетонові (Phaethontidae)

Пінгвіноподібні (Sphenisciformes)
Родина: Пінгвінові (Spheniscidae)

Буревісникоподібні (Procellariiformes)
Родина: Альбатросові (Diomedeidae)

Родина: Океанникові (Oceanitidae)

Родина: Буревісникові (Procellariidae)

Лелекоподібні (Ciconiiformes)
Родина: Лелекові (Ciconiidae)

Сулоподібні (Suliformes)
Родина: Фрегатові (Fregatidae)

Родина: Сулові (Sulidae)

Родина: Змієшийкові (Anhingidae)

Родина: Бакланові (Phalacrocoracidae)

Пеліканоподібні (Pelecaniformes)
Родина: Пеліканові (Pelecanidae)

Родина: Молотоголовові (Scopidae)

Родина: Чаплеві (Ardeidae)

Родина: Ібісові (Threskiornithidae)

Яструбоподібні (Accipitriformes)
Родина: Скопові (Pandionidae)

Родина: Яструбові (Accipitridae)

Совоподібні (Strigiformes)
Родина: Сипухові (Tytonidae)

Родина: Совові (Strigidae)

Leptosomiformes
Родина: Кіромбові (Leptosomidae)

Bucerotiformes
Родина: Одудові (Upupidae)

Сиворакшоподібні (Coraciiformes)
Родина: Рибалочкові (Alcedinidae)

Родина: Бджолоїдкові (Meropidae)

Родина: Сиворакшові (Coraciidae)

Родина: Підкіпкові (Brachypteraciidae)

Соколоподібні (Falconiformes)
Родина: Соколові (Falconidae)

Папугоподібні (Psittaciformes)
Родина: Psittaculidae

Горобцеподібні (Passeriformes)
Родина: Асітові (Philepittidae)

Родина: Личинкоїдові (Campephagidae)

Родина: Вивільгові (Oriolidae)

Родина: Вангові (Vangidae)

Родина: Дронгові (Dicruridae)

Родина: Монархові (Monarchidae)

Родина: Воронові (Corvidae)

Родина: Жайворонкові (Alaudidae)

Родина: Тамікові (Cisticolidae)

Родина: Очеретянкові (Acrocephalidae)

Родина: Кобилочкові (Locustellidae)

Родина: Bernieridae

Родина: Ластівкові (Hirundinidae)

Родина: Бюльбюлеві (Pycnonotidae)

Родина: Окулярникові (Zosteropidae)

Родина: Шпакові (Sturnidae)

Родина: Мухоловкові (Muscicapidae)

Родина: Нектаркові (Nectariniidae)

Родина: Ткачикові (Ploceidae)

Родина: Астрильдові (Estrildidae)

Родина: Горобцеві (Passeridae)

Родина: Плискові (Motacillidae)

Джерела

Примітки

Посилання
 African Bird Club checklist of the birds of Madagascar  generates downloadable PDF, which doesn't exactly match this list

Мадагаскар

птахи


text:
using System.Linq;
using AutoMapper;

namespace Lunchorder.Api.Configuration.Mapper
{
    public class StatisticsMap : Profile
    {
        public StatisticsMap()
        {
            CreateMap<Domain.Entities.DocumentDb.Statistics, Domain.Dtos.Statistics>()
                .ForMember(dest => dest.WeeklyTotalAmount, src => src.ResolveUsing(y =>
                {
                    var weeklyTotal = y.WeeklyTotals.FirstOrDefault();
                    return weeklyTotal?.Amount ?? 0;
                }))
                .ForMember(dest => dest.MonthlyTotalAmount, src => src.ResolveUsing(y =>
                {
                    var monthlyTotal = y.WeeklyTotals.FirstOrDefault();
                    return monthlyTotal?.Amount ?? 0;
                }))
                .ForMember(dest => dest.YearlyTotalAmount, src => src.ResolveUsing(y =>
                {
                    var yearlyTotal = y.YearlyTotals.FirstOrDefault();
                    return yearlyTotal?.Amount ?? 0;
                }));
        }
    }
}

redpajama_set_name: RedPajamaGithub


Our wedding will be October 2nd, 2010. I am looking forward to planning the wedding so much, I love these things. Other than the date, nothing is really set in stone yet. We do know that the wedding will be in the Wilson, N.C. area. I will keep you updated!
After much deliberation, the decision has finally been made, the reception will be in… our backyard!!!!!!
I am realizing that this will require a lot more time and effort, but I couldn't be happier to have it at the place I love and grew up in, and a good last hoorah there before I move away!
There is another Hampton Inn in Wilson, so be sure to do the one on Wolftrap Drive so you get the good group rate by letting them know you are with the Winslow-Fowler wedding! It's an excellent hotel located around good restaurants, and my personal favorite, Target!


text:
Straw Itch Mite
Latin Name: Pyemotes tritici
Common Name: Straw Itch Mite
Other Names: Grain itch mite
Unknown, as the mites are found throughout the world, transported in infested materials with trade and commerce for many centuries.
This mite is a paradox. For much of its life it feeds on the larvae of other insects, but when humans come into contact with the medium of the mites and their normal host insects they will be bitten as well. Since the normal hosts of the mites may be moth or beetle larvae associated with grains or straw used for bedding, when humans are attacked it is referred to as "straw itch", or also barley, grain, mattress, or hay itch. The effect on bitten humans can be a severe rash and pustules, extreme itching, and fever, all of which may require a month to dissipate. The life cycle is peculiar, with the male often spending its entire life on the distended abdomen of the female as a parasite on her. The mites feed within the host insect larvae and the female's abdomen enlarges to many times her normal size, which is microscopic when not distended. Within her abdomen may be up to 300 eggs and developing young, which mature to adulthood within the female and then emerge through her genital opening. The male mates with emerging females immediately and new females may produce up to 270 additional offspring of their
The mites, when not engorged with food, are not visible to the naked eye. The engorged female is about 2 mm long and under magnification resembles a water balloon, with the head and legs sticking out of the greatly expanded abdomen.
Prevention is the major control to avoid bites by these mites. Insect repellents can be worn while in grassy areas or while handling grains, straw, hay, or other dry crops where the mites may be present. Maintaining product free of other insect larvae will reduce the presence of the mites, and fumigation to kill either the insect larvae or the mites will be effective. The symptoms of the mite bites on humans can be reduced with typical antihistamines, bathing in hot water, and other normal anti-itch treatments. The mites cannot continue to breed on humans alone and cannot survive more than 24 hours in a home without finding a suitable host to feed on.
Mites of Public Health Importance


Emeril Lagasse, the talk of New Orleans and one of the best-known chefs in the country, is credited with revitalizing Creole-Acadian cooking. Using only fresh, top-quality ingredients of Southern Louisiana, Emeril has managed to preserve the bayou's culinary tradition while adding on a contemporary flair. Now chef/proprietor of three New Orleans restaurants, he opened his flagship restaurant, Emeril's, in the New Orleans warehouse district in 1990. NOLA (an acronym for New Orleans, Louisiana) was launched in the French Quarter in 1992, and in June 1998, the classic Delmonico's in New Orleans was reopened under Emeril's management. In fall 1995, he opened the highly acclaimed Emeril's New Orleans Fish House at the MGM Grand Hotel in Las Vegas. A new restaurant in Orlando at Universal Studios will unveil in January 1999 and a steak house in Las Vegas will open in Spring 1999.
In addition to running his top-rated restaurants, Emeril has become a national television personality. Host of the Food Network's highest-rated programs, "The Essence of Emeril" and "Emeril Live", he won the 1997 CableAce Award for "Best Informational Series." He can also be seen weekly as food correspondent for ABC's Good Morning America.
Emeril has also become an established cookbook author, sharing his inventive cuisine in EMERIL'S NEW NEW ORLEANS COOKING (William Morrow & Co.; 1993; hardcover) and taking the back roads through the bayou to uncover LOUISIANA REAL & RUSTIC (William Morrow & Co.; Sept. 1996; hardcover). His popular holiday entertaining cookbook, EMERIL'S CREOLE CHRISTMAS (William Morrow & Co.; Oct. 1997; hardcover), was on the bestseller list. Emeril's cookbook, EMERIL'S TV DINNERS (William Morrow & Co.; Oct. 1998; hardcover), features recipes from Food Network's award-winning Emeril Live and The Essence of Emeril.
The reception Emeril and his restaurants have received in the culinary community confirms his commitment to top quality and innovative food. In 1991, Food & Wine named Emeril "ONE OF AMERICA'S TOP TWENTY-FIVE NEW CHEFS." The James Beard Foundation honored him (MORE) as the "BEST SOUTHEAST REGIONAL CHEF" in 1991 and in 1997 nominated him for their highest honors: most "OUTSTANDING CHEF" and "OUTSTANDING SERVICE AWARD" for Emeril's. Restaurant reviewers have been equally quick to heap praise on his restaurants. New Orleans Times-Picayune restaurant critic Gregory Roberts gave Emeril's a "FIVE BEAN" (Superior) rating in 1995. Emeril's was also dubbed "RESTAURANT OF THE YEAR" by Esquire in 1991. Other honors include the 1994 American Express "FINE DINING HALL OF FAME" given by Nation's Restaurant News and Restaurant & Institution's prestigious IVY AWARD in 1994. NOLA also received "RESTAURANT OF THE YEAR" by Esquire in 1993, while Emeril's New Orleans Fish House was recently named Zagat's Survey's "BEST NEW RESTAURANT" in Las Vegas.
Emeril has received recognition from national publications such as Entertainment Weekly, Travel & Leisure, USA Weekend, Southern Living, Men's Journal, Newsweek, Self, Esquire, Time, TV Guide, USA Today, and People. He has been seen frequently on The Tonight Show with Jay Leno, NBC The Today Show, CBS This Morning, Good Morning America, Prime Time Live, Late Night with Conan O'Brien and The Rosie O'Donnell Show.
Emeril, who is of Portuguese and French Canadian heritage, grew up in the small town of Fall River, Massachusetts, where he worked in a local Portuguese bakery and learned the art of bread-baking and pastry. As a teenager he turned down a music scholarship to follow his dream of cooking and worked his way through the culinary program at Johnson & Wales University, from which he received an honorary doctorate. Emeril trained in France and then returned to work in New York, Boston, and Philadelphia. Persuaded to move to the Big Easy, Emeril fell in love with New Orleans and worked as executive chef at the legendary Commander's Palace for seven and a half years before opening his own restaurants.
Marcelle Bienvenu, born and raised on the Bayou Teche, graduated from the University of Southwestern Louisiana and worked as a feature writer for the New Orleans Times-Picayune. She operated her own restaurant, Chez Marcelle, near Lafayette, Louisiana, and has worked for many of the top restaurants in New Orleans. Marcelle currently writes for several Louisiana publications, including Louisiana Life Magazine, Teche News, and Times of Acadiana. She also has a weekly "Cooking Creole" column in the Times-Picayune, which she has been doing since 1984. Coauthor of Emeril's LOUISIANA REAL & RUSTIC (William Morrow, 1996), EMERIL'S CREOLE CHRISTMAS (William Morrow, 1997), and EMERIL'S TV DINNERS (William Morrow, October 5, 1998), Marcelle is also sole author of numerous other books. Marcelle still resides on the Bayou Teche in St. Martinville, Louisiana.
Felicia Willett is a graduate of the School of Culinary Arts at Johnson & Wales University and currently coordinates food production for the Food Network's Emeril Live and Essence of Emeril shows. She also works on a number of other creative projects, including the coordination of chef Emeril Lagasse's food segments on ABC's Good Morning America. A native of Jonesboro, Arkansas, she live in New Orleans.


To create your personal curbside garbage and recycling calendar, enter the adress of your residence below and click the Get Calendar button. You can optionally print your calendar for future offline reference.
Starting the week of January 21, curbside collection weekdays for approximately 2,000 residences in Fort McMurray will change from either Wednesday to Tuesday, or from Thursday to Wednesday. Use the search tool below to check your collection date or view the list of streets identified for the change at rmwb.ca/garbage.
If you have printed or downloaded your 2019 collection calendar, please delete and re-download to ensure you have the most up-to-date version of the calendar.


A vocal minority of researchers have advised against delaying vasopressors in septic shock, arguing that norepinephrine, not intravenous fluid, as the most effective initial treatment to correct the loss of vascular tone ("vasoplegia") from septic shock. The authors conducted a Phase II trial evaluating the hypothesis that early low-dose norepinephrine in adults sepsis with hypotension increases shock control by six hours compared with standard care. This single-center, randomized, double-blind, placebo-controlled clinical trial was conducted at Siriraj Hospital, Bangkok, Thailand and enrolled 310 adults diagnosed with sepsis with hypotension. The patients were randomly divided into two groups: early norepinephrine (n=155) and standard treatment (n=155). The primary outcome was shock control rate (defined as achievement of mean arterial blood pressure >65mmHg, with urine flow >0.5mL/kg/h for 2 consecutive hours, or decreased serum lactate >10% from baseline) by 6 hours after diagnosis. The patients in both groups were well matched in background characteristics and disease severity. Median time from emergency room arrival to norepinephrine administration was significantly shorter in early norepinephrine group (93 vs.192 min; P<0.001). Shock control rate by 6 hours was significantly higher in early norepinephrine group (118/155 [76.1%] vs.75/155 [48.4%]; P<0.001). 28-day mortality was not different between groups: 24/155 (15.5%) in the early norepinephrine group versus 34/155 (21.9%) in the standard treatment group (P=0.15). The early norepinephrine group was associated with lower incidences of cardiogenic pulmonary edema (22/155 [14.4%] vs. 43/155 [27.7%]; P=0.004) and new-onset arrhythmia (17/155 [11%] vs. 31/155 [20%]; P=0.03). The authors conclude that early norepinephrine was significantly associated with increased shock control by 6 hours. A much larger U.S-based trial testing early vasopressors in septic shock (CLOVERS) is currently recruiting, with plans to enroll up to 2,300 patients and an expected completion date of June 2021.


text:
Category: ACC
16 Sessions Funded For Sexual Abuse Counselling
Survivors of sexual abuse can access now 16 sessions of counselling funded by ACC when they either lodge a new claim or have lodged a claim recently and are still waiting for a decision from ACC.
This funding was made available after the independent review panel has sharply criticised ACC's handling of sexual abuse claims.
Survivors who have felt discouraged to lodge a claim will now be able to contact a therapist and start a course of 16 sessions. For many survivors that will be all they need. Those who need further sessions will need to go through some assessment procedure. How that procedure will look like is currently unclear, because the review panel has instructed ACC to devise a process that guarantees client safety.
If you are thinking of starting sexual abuse counselling funded through ACC and you live in the proximity of Takapuna, you can follow the link or contact me on 027-486.3770
ACC: The Modern Brothers Grimm
Has anyone seen today's article in the New Zealand Herald about ACC failing to help most sexual abuse survivors? Follow the link to read the whole thing – or get the paper out, it's on page 4. It mentions that we are having the survivor summit this coming Sunday, which is a good thing! It's hard enough to get supportive media coverage for the plight of survivors. What did irk me off was Denise Cosgrosve's (ACC General Manager of Claims Management) comment:
Survivors Experience with the new ACC Pathway
Survivors have spoken out about their experiences with the new clinical pathway introduced by ACC in October 2009. We are still collecting responses, so if you haven't taken the survey yet, go to the survey page and fill it out. The results from this survey will be presented to the Review Panel appointed by the Minister for ACC, Nick Smith. In total 103 survivors have filled out the survey. In the following you can read their answers to the question "Comment on your overall experience with the New ACC pathway":
Denied Help For Sexual Abuse, Dead Days Later
Today's NZ Herald brings this tragic story. The minister of ACC, Nick Smith, and ACC have been warned by counsellors and support services for over 6 months now that the new clinical pathway will cost lives. Sadly, it was not an empty warning!
"A review of new rules for sexual abuse counselling has come too late to save a South Auckland mother who died four days after her claim for ACC-funded counselling was rejected.
Counselling Services Centre manager Emma Castle said the mother-of-three's claim for counselling for sexual abuse she had suffered as a child was rejected by ACC two months ago on the grounds that she had not suffered "a significant mental injury".
Read on here
ACC And Monkey Business
10/03/2010 Leave a comment
If you want to have another little ACC injection, read up on my last post on some crazy monkey business!
ACC's Wall of Shame
Psychotherapists and counsellors have collected stories of mishandling of claims since the implementation of the new clinical pathway. It's a long long list which is published on my blogs in two installments. It would be good if people would reach inside themselves and find a fighting spirit. It's not right, it's not OK, and survivors have the right to demand that they get a fair treatment.
You'll find part I of the list HERE , covering incidences 1-52, and part II of the list of mishandlings HERE covering incidences 53-90.
Nick Smith's Mismanagement Hurts CSA Survivors
Read the latest media release from Labour MP Lynne Pillay about the trauma survivors of sexual abuse have to deal with in the aftermath of the implimentation of ACC's New Clinical Pathway.
Parotting over and over again that this new pathway is designed to improve services for CSA, Peter Jensen from ACC has yet (6 month after introducing the new clinical pathway) to provide a clear-cut statement how ACC is going to achieve that. Obviously, the 'media advisors' from the government and ACC have not managed to identify HOW the new pathway is going to benefit survivors.
Action Against ACC Funding Cuts For Counselling
06/03/2010 15/12/2010 1 Comment
Nick Smith, Minister for ACC, has promised an independent review after 6 months from implementation of the new clinical pathway ACC has pushed through inspite of wideranging protest from survivors and clinicians working with survivors alike. Sofar nothing seems to have been organised and the action group (therapists, counsellors, psychologists, doctors, psychiatrists, social workers and more) is still waiting for information about how the review will be conducted, who will conduct it, and what will be the reference points.
Those who have followed my reports about ACC will have cottoned on that I am mighty frustrated with the whole thing. I certainly don't think that we have been told the ugly truth yet about the scheming and hidden agenda that drove the government and ACC to act as they have. One thing is certain, it has nothing to do with improving services for survivors.
We Take Away Your Recovery But Give You Money To Buy New Knickers
The government plans to introduce new legislation in November that enables victims to access financial support through a scheme financed by the offender levy. Although Victim Support, Sensible Sentencing Trust, and Rethinking Crime and Punishment welcome the initiative, service providers for sexual abuse recovery are dumbfounded by yet another absurd policy recently presented.
"Another piece-meal of legislation poorly thought through. Full of good intentions but lacking the guts to resolve a problem comprehensively".
Victims of sexual crimes will be eligible for a grant of $250 to replace items of clothing after a sexual assault. An insulting and bizarre idea considering that ACC will stop funding sexual abuse counselling for these victims unless the assault has driven them over the edge and into mental illness.