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Suffering from Service Related Knee Injuries?
Our aggressive and experienced veterans law attorneys will fight for you.
Home VA Disability Claims Process Claiming Knee Problems and Injuries for VA Disability
Due to the high psychical demands of military service, many veterans experience knee injuries or dysfunction. When they leave the service, they apply for disability compensation for their knee problems through the VA, only to find their debilitating condition rated at 10 percent or lower. If the object of disability compensation is to make up for functional loss suffered by the veteran due to military service, why would a daily struggle with knee dysfunction be given a low rating?
Oftentimes, the VA overlooks a special qualification given to knee dysfunction. Namely, multiple knee problems may be evaluated separately, unlike most other disabilities. In order to understand what that means for the knee evaluation, we must first explore the treatment of most other disabilities with separate possible ratings.
Pyramiding Rule
The VA has a rule against "pyramiding," which means that multiple diagnoses may not be used to evaluate a single disability. The rule exists to prevent the VA from compensating a veteran multiple times for the same manifestation of their disability. The reasoning for this is that the disability is not more disabling simply because it could be caused by more than one diagnosed problem. A common example of this comes up when a veteran suffers from multiple diagnosed mental health disorders. If a veteran suffers from both major depressive disorder and post-traumatic stress disorder, the manifestations might be very similar. In order to avoid pyramiding, the VA evaluates the claims as one disorder and provides a single rating as though the veteran only suffered from one mental health disorder.
Declining Separate Evaluations
In addition to the general rule against pyramiding, there are multiple places in the VA's rating schedule which prohibit separate evaluations of specific disabilities. Some examples include the forbidding of separate evaluations for respiratory conditions and the instruction to evaluate hypertension due to aortic insufficiency or hyperthyroidism as part of the underlying condition. Knee dysfunction operates differently.
Separate Evaluations and Knee Injuries
The regulations do not include a prohibition against a separate evaluation for manifestations of a knee disability. That means that different parts of the same knee problem may be evaluated separately.
When looking at the rating of a knee condition to decide whether to pursue a higher rating, it's important to consider the multiple diagnostic codes available. Conditions of the knee and leg are listed under 38 C.F.R. § 4.71a. In that section, there are eight diagnostic codes covering the various malfunctions of the knee.
Knee Injury Example
Let's say our veteran experiences pain when she's walking, as well as stiffness, clicking, weakness, and a wobbly sensation which sometimes results in falling. Her one knee condition would probably qualify for rating under multiple diagnostic codes. First, under DC 5257, the veteran could be rated for "recurrent subluxation or lateral instability." Subluxation is a misalignment of the knee. Lateral instability would be movement side to side. Because the veteran experiences a wobbly sensation in her knee, she probably qualifies for a rating under the diagnostic code.
Since the veteran also experiences stiffness in her knee, she may also qualify for ratings for either (or both) limitation of extension and limitation of flexion under DC 5260 and 5262. A doctor will be able to test the range of motion of the knee and determine whether she qualifies. If the flexion is limited to 60 degrees or more, the veteran will qualify to receive compensation. The same applies for extension if it is limited to 10 degrees or more. If the veteran has days that the stiffness is considerably worse, the examiner will also need to estimate the degree of additional functional loss as a result.
In the above example, the veteran could qualify for compensation under three different diagnostic codes, which is permitted under the regulations. When deciding whether to appeal a knee condition, it's important to make sure all symptoms have been accounted for to see if the veteran qualifies for additional compensation under an alternative diagnostic code.
VA Appeals Attorneys
Sometimes the process of filing and being granted disability compensation is more difficult than it should be. Oftentimes, a veteran has an apparent disability that the VA rates to low or declines altogether. Add in the fact that knee injuries can have separate evaluations because of their different diagnostic codes, and it is easy to see why they struggle to get the compensation they deserve. If you or somebody you know would like to appeal a VA rating decision, contact our team today at (888) 883-2483 for a free, confidential consultation.
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Next History, Religion & Humanities
Next Historic Periods
Next 20th Century History: C 1900 To C 2000
20th Century History: C 1900 To C 2000 9780712906159-01-000 9780712906159-01-000 9780712906159
https://www.whsmith.co.uk/products/the-victoria-history-of-the-county-of-huntingdon-volume-iii/william-page/granville-proby/hardback/9780712906159-01-000.html
The Victoria History of the County of Huntingdon Volume III
By William Page (Contributor), Granville Proby (Contributor), S.Inskip Ladds (Contributor)
https://www.whsmith.co.uk/products/the-victoria-history-of-the-county-of-huntingdon-volume-iii/william-page/granville-proby/hardback/9780712906159-01-000.html £75.00
Boydell & Brewer are pleased to announce that as from 1 December 2001 they will be distributing the Victoria County History, which has an international reputation as a work of reference for English local history. Begun in 1899, the publication of about three new volumes each year is gradually creating an encyclopedic history of the counties, ranging from earliest times to the present. For each county there is or is planned a set of volumes, containing general chapters on subjects such as prehistory and ecclesiastical and economic history, and topographical chapters giving a comprehensive, fully referenced account of each city, town and village in the county. Fourteen county sets have been completed; work is in progress on a further thirteen. 36 Line drawings, black and white; 148 Illustrations, black and white
Contributor: William Page
Imprint: Victoria County History of the Counties of England
Packaged Dimensions: 208x305mm
Publisher: Boydell & Brewer Ltd
Series: Victoria County History
William Page
https://www.whsmith.co.uk/products/the-victoria-history-of-the-county-of-huntingdon-volume-iii/william-page/granville-proby/hardback/9780712906159.html £75.00


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Home EB4 How To Make Cycle Into Electric Bike – E Bike Reviews
How To Make Cycle Into Electric Bike – E Bike Reviews
How To Make Cycle Into Electric Bike Evaluation
When it involves purchasing an electric bike, several of us like compact city bikes and others wish to have something with even more power. How To Make Cycle Into Electric Bike
If you are one of these individuals, you could wish to check out this ENGWE EP-2 Pro 750W evaluation as well as see what it needs to use. This evaluation will certainly reveal you the full throttle, variety, and also display of this electric bike. Its battery will last for numerous hrs, so you should have the ability to utilize it for a long time to find.
If you're shopping for a folding electrical bike, the ENGWE EP-2 Pro is a terrific option. Its strong building and construction and durable light weight aluminum structure are a good selection for your commute. When folded, the bike is convenient to save in your trunk. The durable folding device stands up well even after several folds up. The bike is lightweight but has an optimum payload capability of 330 extra pounds.
The ENGWE EP-2 Pro is equipped with a rear wheel drive electric motor that supplies 750 watts and 80 nm of torque. The 750 watt motor features 5 degrees of pedal assist. You can additionally make use of the half-turn throttle to operate the electric motor without pedalling. The battery, which is developed into the top tube, takes 6 hrs to charge. This e-bike has a variety of fifty miles.
The battery life of the ENGWE EP-2 Pro has to do with just as good as it gets. Its removable battery gives 45+ miles of range as well as is rechargeable in just five to six hours. Its lockable frame helps you protect against burglary as well as provides security to the battery. The bike is likewise really portable and also can fit into a trunk or on a train. Its streamlined layout makes it a wonderful enhancement to any kind of traveler's closet.
The ENGWE EP-2 Pro features fat 20 x 4 inch tires for exceptional off-road ability. The tires are full of a low pressure, so they provide excellent grip. The front fork is sprung just once, guaranteeing that the ride is smooth even on unequal surfaces. If you are new to riding electric bikes, the ENGWE EP-2 Pro will be a fantastic addition to your collection.
The ENGWE EP-2 Pro has a rear wheel drive and also 80 nm torque, with 750 watts of power and also 3 running settings. The Pedal Help mode, as an example, gives power to the cyclist when they gently step on the pedals. This setting has five different degrees of assistance, from extremely light to hefty, as well as you can select from any of them according to your requirements.
The ENGWE EP-2 Pro weighs regarding 74 pounds, and I had to have it delivered to my residence. It came in a durable box, but it is rather tough to raise. The folding device is likewise heavy, but it holds firmly even after numerous folds up. It has an optimum haul capacity of 330 pounds, which suggests it can support a grownup. Nonetheless, it is not recommended for youngsters.
The ENGWE EP-2 Pro is a good option for bikers that do not need high power or a long variety. It has a 45 mile variety as well as needs concerning six hrs to completely bill the battery. The rear seat is a bit thicker, so it might not be suitable for youngsters. Neither is the battery a removable alternative, so it must be made up when picking between both designs.
The ENGWE EP-2 Pro features a 614,4 watt-hour battery. The battery needs to be positioned directly in the structure, secured from outside impacts, due to the fact that it is among the larger parts of the bike. As a result of this, the weight distribution will certainly be ideal. The ENGWE EP-2 Pro will certainly not disturb the overall image. This means that you can ride in high hills without concern.
The ENGWE EP-2 Pro 750W e-bike has a 750-watt rear-wheel drive with 80 nm of torque, as well as includes three modes of operation. The very first, Pedal Assist Setting, gives a boost in power while gently pedaling the bike. Pedal Help Mode is readily available in 5 levels to match the quantity of assistance required at any type of offered time.
The ENGWE EP-2 Pro features a fat 20-inch tire that gives the bike phenomenal off-road ability. The vast tires give the bike outstanding grip as well as also make certain shock-absorbing impacts. Unlike many fat bikes, the ENGWE EP-2 Pro has a front suspension fork and also rear disc brakes for much better handling. However, this e-bike is except every person.
The weight of the ENGWE EP-2 Pro is 74 pounds, making it much easier to lug than its rivals. It additionally comes in a sturdy however compact box with no handles. The battery is rechargeable. This makes it an excellent choice for those who are searching for an electrical mountain bike. It has a powerful motor and also is a durable option for long-distance travel.
The ENGWE EP-2 Pro is powered by a 750w brushless rear hub motor with 80Nm of torque. It likewise has five degrees of pedal assist, and also a half-twist throttle for managing the electric motor without pedalling. The electrical bike also comes with a lithium-ion battery inside the top tube and takes six hrs to fully charge. Engwe claims a variety of 50+ miles.
When you're trying to find a portable LED display that's both trustworthy and easy to use, you'll locate that the ENGWE EP-2 Pro is the very best option for your requirements. It has 3 operating modes that allow you to choose what electrical aid you require. These settings include pedal mode, pedal-assist mode, as well as throttle mode, which will allow you fly with the air.
The ENGWE EP-2 Pro has a removable battery. The battery has an ability of 12 Ah, which implies it can go 80 kilometers prior to requiring a charge. It charges promptly, and the fuse inside the frame prevents theft. In spite of its excellent features, it can be somewhat pricey. Nonetheless, this bike is well worth the rate. If you remain in the marketplace for an electric bike, the ENGWE EP-2 Pro will give you a lot of worth for your money.
The ENGWE EP-2 Pro evaluates 74 pounds, which is an affordable weight for a collapsible electrical bike. Its collapsible layout likewise aids it be compact, and also the folding mechanism works well, also after numerous folds up. The weight is additionally appropriate for heavy grownups, and the optimum haul capacity is 330 pounds. The folding mechanism works well, also, and also it includes a securing system for included safety.
The ENGWE EP-2 Pro's 750-watt brushless rear hub motor delivers 80 Nm of torque. It likewise features 5 degrees of pedal assistance and also a half-twist throttle to control the motor without pedalling. The 750-watt electric motor needs concerning six hours to completely bill, and the battery is housed inside the top tube. Billing the battery is quick enough for a variety of 50 miles.
The ENGWE EP-2 Pro collapsible electrical bike includes a 750-watt motor that takes care of rates of approximately 28 miles per hour. The 750-watt electric motor is installed on the rear center, so the biker can remain stable and also comfy. The motor additionally provides lots of torque to make the e-bike simple to ride, despite your ability level. The battery can last as much as 37 miles on a solitary fee, and it has a theft-prevention layout.
Compared to competitors, the ENGWE EP-2 Pro considers more than a traditional mtb, however is still less costly than most of them. The ENGWE EP-2 Pro is also smaller as well as much heavier than its rivals, so it's easier to fold up. Nonetheless, it likewise has a much longer range than the RadMini and Lectric. Its 750W brushless motor is the best option for e-bikes that are a little bit on the costly side. How To Make Cycle Into Electric Bike
Check out this Forbes Article about E Bikes.
How To Make Cycle Into Electric Bike How To Make Cycle Into Electric Bike
Are E Bikes Allowed In California State Parks – E Bike Reviews
Best Electric Bicycle Uk – E Bike Reviews
Ebike Motors Explained Synonym – E Bike Reviews
Ribble E Bike Instructions – E Bike Reviews
Bosch Ebike Battery Range Calculator – E Bike Reviews
What Are The Best Ebike Batteries 48v – E Bike Reviews


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The analysis of these examples from Brazil, Colombia, and Mexico reveals how crucial the nation is as a frame for understanding the way racialized concepts get reiterated and reworked in genomic science, in ways that make race both disappear and reappear. Public health, multiculturalism, and forensics are all political and policy domains that directly invoke the biopolitical nation and its people in terms of their well-being, their diversity and unity, and their biological relatedness in procreation, violence, and death. The governance of these domains is of central interest to the state. Genomics also intervenes in these domains, with the promise of better health for the nation's people, representations of both diversity and unity, and techniques for connecting bodies in ways that, it is hoped, will lead to reconciliations and peace. The idea of race, in previous times, figured explicitly in the way all these domains were conceptualized in all three countries-los problemas de la raza, to recall the title of the 1920 Colombian book cited earlier on, concerned precisely health, progress, unity, diversity, and conflict in the nation. Race was of course not the only factor to be considered-violent conflict, for example, also followed cleavages of class, region, religion, or political faction-but it was an important way of thinking about difference and the problems it might cause within the nation. The demise of race as an explicit discourse for talking about these matters did not mean that racialized concepts disappeared. Geneticists and medics continued to be interested in the racial mixture of their national populations in relation to public health, cultural commentators continued to reflect on diversity in terms of black, indigenous, and mestizo cultural traits, and indeed forensic scientists continued to classify bodies in more or less explicitly racial terms. Genomics, characterized by its very detailed examination of the structure of DNA sequences, generally rejects a language of race, both biologically and, in Latin America, socially. Brazil, where color/race labels operate in some domains, is a partial exception, while also being the country where the most vocal rejection of race is to be found. Yet, as we have seen, racialized concepts continue to appear implicitly (and occasionally more explicitly) in genomic analysis and are frequently harnessed to the idea of the nation.
Peter Wade, Vivette Garc�a Deister, Michael Kent, Mar�a Fernanda Olarte Sierra, and Adriana D�az del Castillo Hern�ndez, "Nation and the Absent Presence of Race in Latin American Genomics," Current Anthropology, 55, no. 5 (October 2014): 506. http://dx.doi.org/10.1086/677945
The Allure of Blackness among Mixed-Race Americans, 1862-1916
Posted in Biography, Books, Forthcoming Media, History, Monographs, United States on 2019-07-12 17:41Z by Steven
University of Nebraska Press
7 photos, 3 drawings, index
Hardcover ISBN: 978-1-4962-0507-0
Ingrid Dineen-Wimberly, Professor of History
University of La Verne, Point Mugu, California
In The Allure of Blackness among Mixed-Race Americans, 1862–1916, Ingrid Dineen-Wimberly examines generations of mixed-race African Americans after the Civil War and into the Progressive Era, skillfully tracking the rise of a leadership class in Black America made up largely of individuals who had complex racial ancestries, many of whom therefore enjoyed racial options to identity as either Black or White. Although these people might have chosen to pass as White to avoid the racial violence and exclusion associated with the dominant racial ideology of the time, they instead chose to identify as Black Americans, a decision which provided upward mobility in social, political, and economic terms.
Dineen-Wimberly highlights African American economic and political leaders and educators such as P. B. S. Pinchback, Theophile T. Allain, Booker T. Washington, and Frederick Douglass as well as women such as Josephine B. Willson Bruce and E. Azalia Hackley who were prominent clubwomen, lecturers, educators, and settlement house founders. In their quest for leadership within the African American community, these leaders drew on the concept of Blackness as a source of opportunities and power to transform their communities in the long struggle for Black equality.
The Allure of Blackness among Mixed-Race Americans, 1862–1916 confounds much of the conventional wisdom about racially complicated people and details the manner in which they chose their racial identity and ultimately overturns the "passing" trope that has dominated so much Americanist scholarship and social thought about the relationship between race and social and political transformation in the nineteenth and twentieth centuries.
Chapter 1. "As a Negro I will be Powerful": The Leadership of P.B.S. Pinchback
Chapter 2. Post-Bellum Strategies to Retain Power and Status: From Political Appointments to Property Ownership
Chapter 3. New Challenges and Opportunities for Leadership: From Domestic Immigration to "The Consul's Burden"
Chapter 4. "Lifting as We Climb": The Other Side of Uplift
Tags: Booker T. Washington, E. Azalia Hackley, Emma Azalia Hackley, Frederick Douglass, Ingrid Dineen-Wimberly, Josephine B. Willson Bruce, Josephine Beall Willson Bruce, P. B. S. Pinchback, Theophile T. Allain, University of Nebraska Press
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What is "Self Care" ?
What is the aim of the STPs ?
The Northumbria, Tyne & Wear and North Durham Sustainability and Transformation Plan (NTWND STP) was finally released on November 9th as a draft , with local engagement of 8 weeks from November 23, before the final plan will be released for consultation with the public sometime early in the new year. This is a crucial time where, especially elected members may be expected to sign off a draft plan, which will shape the whole future of health and services in South Tyneside and Sunderland before the first phase of the clinical reviews are put forward for consultation next year. Already, at the Community Area forums people are being told about the rebalancing of duplicated acute services to Sunderland because they are no longer safe or sustainable . This is being asserted without any detailed consultation on the proposals, or independent assessment, or the risks to sustainability and safety to patients if these services are moved from our hospitals. In this briefing we want to redress this balance by raising the questions and answers that show that the STP itself will not sustain our NHS and will not transform it into a safe health system for patients.
The NTWND STP is not a sustainable financial plan. It is the largest cut to the NHS budget ever seen in its history, and is a deliberate attempt to make the NHS unsustainable so that it can be privatised and people charged for care.
The NTWND STP will not transform our NHS into a safe health system for patients. It is full of policy objectives and models of care that have not been tested first and are not funded. It cuts vital acute services from A&E to full consultant led; ITU, emergency surgery and maternity services in our hospitals. The STP is a plan that will use NHS funding to prop-up the massive cuts to council social funding by massive cuts to health services. This will widen the crisis gap in both health and social care, and is a path to disaster.
The NTWND STP and its projected massive cut to funding will not close but is more likely to widen the three gaps that the STP talks about; health and well-being, care and quality and financial sustainability. No specifics are given on how ill health prevention services that will take decades to have any effect are to be brought about. These preventative services have been slashed over recent years and new community care models have so far not reduced (in any significant way) acute admissions. They are simply advanced as a policy objective to try and justify reduced funding to acute services.
The NTWND STP 7 Day working plan will introduce - without increased NHS funding - 7 day elective care, but at the same time the same plan will close vital 24/7 acute and emergency services. This means that those who really need access to 7 day services 24 hours will be put at risk as this funding is reduced.
The NTWND STP not only fails to include independent impact assessments on health services (or any other service), but none of the documents and appendices that were provided to NHS England have been provided to those who are supposed to assess the impact of the NTWND STP.
The NTWND STP makes no attempt to address the crisis in clinical and medical staff that has been deliberately created but aims to just redesign the existing and diminishing workforce.
Whether people can self care, or not this does not abrogate the responsibility of the state to provide fully funded community, and acute mental and physical health services accessible to all.
The NTWND STP has an ulterior aim of copying highly inefficient but highly profitable U.S.-style elective care hospitals and Accountable Care Organisations (ACOs) under the control of merged public and private corporations with the non-profitable A&E and trauma hospitals reduced in number and paid for by the public sector.
Summary Conclusion - The draft NTWND STP is an attempt to pull the wool over our eyes and the eyes of clinicians, non clinicians and others alike. It is an attempt to try and justify the largest withdrawal of funding and resources from the NHS in its entire history. No serious plan for the NHS can be decided upon under the threat of such a massive reduction in the budget of the NHS. No draft can be put forward and taken seriously if it starts from the direction of a major attempt to destroy the NHS, further open up privatisation and further create the conditions to make people pay for health and social services. Regardless of peoples' views on the direction for our NHS how can we have a proper discussion on these issues in such a climate. Without establishing public bodies and public services accountable to the people and local communities to provide the services that they need, where health care is a right and its funding is guaranteed, nothing can be properly sorted out. No one should sign up to plans which are intent on massively underfunding, wrecking and privatising health care regardless of the consequence to the well-being of the people. We are calling on everyone to join with us to block these plans and organise to get people involved in the fight with us to safeguard the future of our hospitals and our NHS.
The NTWND STP is not a sustainable financial plan quite the opposite! Just looking at the health budget for all these NTWND CCGs, this budget would be reduced to an annual shortfall by 2020/21 of £641m according to the plan. This is a reduction (at the present level of funding) of between 20-30% of the budgets. To put this into perspective, this would mean for South Tyneside, Sunderland and North Durham much more than the resources to run one of the three District hospitals. However, the plan leaves North Durham to be dealt with from 2019/2020 onwards . Its main concentration up to that time is the South Tyneside and Sunderland and the urgent need to rebalance services across both organisations as it is no longer safe or sustainable for either organisation to duplicate the provision of services in each location. If almost a third of the expected funding of our National health services both locally and nationally is removed, then all of a sudden hospitals up and down the country will no longer be sustainable or safe. But then neither will it be sustainable or safe for the remaining acute hospitals to treat larger areas that include 100,000s more patients when the expected reduction in acute activity according to the NTWND STP) will only be 1%.
NTWND STP Workforce: When comparing the reductions in the workforce (4%) to the small reduction in the activity (1%) planned within the hospital setting, it is important that we recognise this does not reflect a stand still position on the efficiency of the current staff in post. I.e. via the removal of vacancies.
In other words it will not be sustainable or safe for people to travel increasingly long distances for services that will be more overstretched than they are now. The Plan on a page states that it is, Ensuring every child has the best start in life. Yet maximum choice of maternity care will not be maintained at our hospitals and the threat of reducing duplication will increase the risk and safety of mother and child if services are not available locally. Also, Accident and Emergency services are often highly used by children - again, reducing the number of full capacity A&E providers will negatively impact on children and families.
So even, whilst the direction is still the same, these think tanks are telling the government that these plans are not sustainable, or able to transform the NHS in the way that the STPs ostensibly intend. The Report of the Mid Staffordshire NHS Foundation Trust Public Enquiry (PDF) pointed out the devastating effect on the health care in one hospital where management focused on financial issues . Consider the implications of extending this strategy across our whole health service.
So, by imposing unsafe and unsustainable funding for all our hospitals will not make them any safer if services are moved to a fewer number of acute hospital sites. This is not only likely to increase waiting times for more overstretched services but it means people have to travel further distances from their communities. This further impacts already overstretched ambulance services, bus services, car parking etc., further exhausting the resources of society and impacting on the most vulnerable.
If real sustainability and safety is the aim then most acute services including Accident and Emergency must be provided at the centre of our communities of South Tyneside and Sunderland (as with other similar towns and their communities) and these services properly funded as a claim of the people on the economy that should be made to serve their needs.
Another argument that is used in the STP on sustainability of services is the shortage of clinical and medical staff. Also, the number of patients that a service treats can be declared insufficient to be sustainable for clinical experience and so on. So, for example the transfer of the South Tyneside stroke unit is argued on the grounds of availability of clinical and medical staff and the number of patients it treats is too low for medical teams to gain necessary experience. However, both STFT and CHS are in an alliance so why are the two stroke units not considered in alliance and that the patients that they treat considered as one unit with one medical team, or a team in an alliance. This would have the advantage of organising clinical and medical teams that would operate both hospital stroke wards and yet would mean easy and safe access for both the people of South Tyneside and Sunderland. This already happens with other services. Once the training of clinical and medical staff is tackled, which should be part of the plan, then this could be reviewed into expanding acute stroke and stroke rehabilitation services to meet the increasing demands over the next decade. To close one overstretched stroke unit and leave another overstretched stroke unit to deal with an increased patient intake could be argued as equally unsustainable, not safe and maybe even worse! How is this direction of the STP going to safeguard the future of NHS stroke and other acute services? There is no desirability, or capacity for CHS to take the 70,000 annual attendance at South Tyneside A&E, or the capacity to absorb the consultant led maternity services from South Tyneside.
In other words, without the cuts to their spending via the cost improvement plan and the income transformation money from the STF the Trust will no longer be able to meet its cash flow at the end of March 2017. This demonstrates that the Sustainability and Transformation Funding will struggle to be sufficient to enable City Hospitals Sunderland to continue as a going concern let alone transform itself to meet a new population of 150,000 from South Tyneside accessing its acute and emergency services.
If the NTWND STP is not a financially sustainable plan that funds sustainable transformation it cannot close the other gaps the STP talks about. This is also confirmed by the Autumn Statement (PDF) of the Nuffield Trust, Health Foundation and Kings Fund (ibid) in the comments above. The NTWND STP consists of a long wish list of health policy objectives that have been articulated previously almost in the exact same terms over many years and have never been realised. In fact the health and social care measures that achieved some advances in preventative health and primary health care in the community have over recent years been almost completely destroyed by the government's irrational austerity agenda and cuts to health, local government public health and social services budgets. For example the reduction of patients with Chronic Obstructive Pulmonary Disease (COPD) are hardly going to be achieved when smoking cessation teams have long been closed down in the period of this and the previous Parliament. No specifics are given on how local clinical services for this will be brought about. The same can be applied to diet, alcohol and many other health improvement initiatives spearheaded by primary health and public health over recent years which have now in the main ceased or been greatly reduced. At the same time, the NTWND STP fails to recognise that the cause of chronic illnesses in the northern region is not just down to lifestyle choices but to the centuries of industrial production and the harsh environment it produced for working people.
So, how is it when the health and social care funding has been massively reduced can we believe that the NTWND STP will suddenly make a break through on these fronts and greatly reduce the number of hospital and acute admissions when such preventative medicine takes decades and sometimes generations to make a difference.
Things are no better with the Better Care Fund. In South Tyneside the Better Care Fund uses existing budgets from our hospital and local authority and has not only gone over budget but has not reduced hospital admissions according to the figures released in any significant way.
In other words the claims made in the NTWND STP that there will be a significantly high reduction in hospital admissions are not based on evidence but are highly speculative and should not be trusted.
On this subject the whole document is as confusing as Jeremy Hunt the secretary of state for Health! Non-elective acute care is already a 7 day 24 hour service barring consistent access to some services such as MRI scanner, etc. at some hospitals. If the STP is proposing to make elective care on a 7 day basis then that is another story. But is such a service going to be funded, or will this lead to the reduction of 7 day 24 hour non-elective acute care. This seems to be the implication and what is being proposed with the downgrading of A&E services to non 24 hour Urgent Care Centres, or closing them altogether. It is both unacceptable and ironic that in order for Jeremy Hunt to declare a 7 day NHS so that the NHS can perform elective work at the weekends, without proper funding those that really need access to 7 day 24 hour services will be put at risk as this funding is reduced.
Apart from admitting that there are Local Authority funding pressures and the potential for additional costs across the health and social economy , there is no independent risk/impact assessment on all of the top down approach of the NTWND STP. The Kings Fund points out; that they need to be 'stress-test' STPs to ensure that the assumptions underpinning them are credible and the changes they describe can be delivered.
The NTWND STP not only fails to include independent impact assessments on health services (or any other service), but of the documents and appendices that were provided to NHS England, none have been provided to those who are supposed to assess the impact of the NTWND STP.
They continue that it still requires an efficiency gain within the hospital based workforce of circa 4% to avoid the current reliance on agency staff to fill current vacancies.
In the community the aim is to ensure a vibrant Out of Hospital Sector that wraps itself around the needs of their registered patients and attracts and retains the workforce it needs.
"It will also be very hard to deliver this change without a stable and engaged workforce. Around a quarter of the £22 billion is expected to come from capping pay increases at 1 per cent a year. NHS employees' pay has already fallen by 10 per cent in real terms between 2009/10 and 2014/15. With the fall in the value of the pound over recent months, most economic forecasts now expect inflation to increase. This will make pay restraint harder to maintain as the gap between rising living costs and earnings widens. With the service already struggling to recruit and retain enough staff and morale low among large parts of the workforce, it will be critically important to provide strong support for the 55,000 EU nationals working in the NHS to ensure as many of them as possible stay in the UK.
How is staff recruitment and retention to be improved against this backdrop? The NTWND STP makes no attempt to address the crisis in clinical and medical staff that has been deliberately created but aims to just redesign the existing and diminishing workforce.
If there is a word that stands out in the NTWND STP it is the use of the word self-care . It is used in an extremely vague way and seems to go with the idea of home as the hub and safe and sustainable health and care services that are joined up, closer to home and economically viable. It seems it is not referring to putting a sticking plaster on a cut, or taking a paracetamol for a headache but much more serious conditions.
In the 2013 consultation to close acute mental health services in South Tyneside and move them to Sunderland, a similar promise was made to provide more accessible community mental health services closer to home. Many mental health patients would probably agree that they are now self caring. However, many would probably interpret this as not self care but fending for oneself without professional support most of the time because the service is so overstretched. In fact the NTWND STP in its section on Transforming Mental Health admits that by 2020/21 only at least 35% of CYP patients with diagnosable mental heath conditions will receive treatment from NHS funded community Mental Health services and only at least 25% with common NH conditions will access psychological therapies each year. This is why it is difficult to believe the NTWND STP when it uses the word self care and the claim that we will become empowered and supported people who can play a role in improving our own health and well being.
Whether people can self care or not, this does not abrogate the responsibility of the state to provide fully funded community and acute mental and physical health services accessible to all.
What is the Aim of the STPs?
The NTWND STP has an ulterior aim of copying highly inefficient but highly profitable US style elective care hospitals and Accountable Care Organisations (ACOs) under the control of merged public and private corporations with non profitable and reduced numbers of A&E and trauma hospitals paid for by the public sector.
The draft NTWND STP is an attempt to pull the wool over our eyes and the eyes of clinicians, non clinicians and others alike. It is an attempt to try and justify the largest withdrawal of funding and resources from the NHS in its entire history. No serious plan for the NHS can be decided upon under the threat of such a massive reduction in the budget of the NHS. No draft can be put forward and taken seriously if it starts from the direction of a major attempt to destroy the NHS, further open up privatisation and further create the conditions to make people pay for health and social services. Regardless of peoples' views on the direction for our NHS how can we have a proper discussion on these issues in such a climate. Without establishing public bodies and public services accountable to the people and local communities to provide the services that they need, where health care is a right and its funding is guaranteed, nothing can be properly sorted out.
The plan whilst hiding all the detail of the Alliance between South Tyneside Hospital and City Hospitals Sunderland, claims that there is the urgent need to rebalance services across both organisations as it is no longer safe or sustainable for either organisation to duplicate the provision of services in each location. SSTHC believes that this is an untrue statement that is deliberately misleading and should be removed from the document immediately. It seems to reveal a systematic intent to close down all services that are duplicated at our two hospitals by claiming that they are unsustainable and unsafe . No such claim has been made by the South Tyneside Foundation Trust, City Hospitals Sunderland or by the inspection body Care Quality Commission (CQC). On the contrary South Tyneside Hospital won a 2016 award and was in the top 40 performing hospitals. Our stroke unit which has already been transferred on a temporary basis has won an award for its care over recent years. Our consultant led and community maternity services also are among the top performing in the region. Our staff were praised in the STFT annual report by recognising the outstanding level of care provided by our staff which was highlighted in particular by the recent Care Quality Commission inspection. It is the cuts driven by the NTWND STP which is clearly calling for the loss of all consultant led acute services including maternity services and not the sustainability and safety record of our hospital. The resulting loss of acute services will be a disaster for the people of South Tyneside and also for the people of Sunderland whose access to acute services will also be under even further pressure by the closure of acute services in South Tyneside.
No one should sign up to plans which are intent on wrecking, massively underfunding and privatising health care regardless of the consequence to the well being of the people. Far from being Sustainability & Transformation Plans it is these plans that will create an unsustainable health service with people travelling further and further for even more diminishing NHS services. Health care is a right and the people should decide on the basis that it is a right and it is a claim on the economy that must be guaranteed. We are calling on everyone to join with us to block these plans and organise to get people involved in the fight with us to safeguard the future of our hospitals and our NHS.
The Northumbria Tyne & Wear and North Durham Sustainability and Transformation Plan (NTWND STP) released on November 9th will cut by 2020/21 the annual health and social care budget for our area by nearly a billion pounds. For health this will be a massive annual cut of £641 million, which will mean cuts to vital acute and Accident and Emergency services, hospital maternity departments, GP and other community and preventative services all over this region.
The South Tyneside Clinical Commissioning Group has announced on their website that the engagement on the current draft (NTWND STP) will formally start on 23rd November and will continue to Friday 20th January (8 weeks). They say they will be organising some events so please sign up to MY NHS or check back for more information when these become available. They say This period of engagement will then inform the next version of the STP.
Commenting on this 'engagement on the current draft' the Save South Tyneside Hospital Campaign is calling on everyone to get involved with this engagement on the 'draft' STP to block these plans. No serious plan for the NHS can be decided upon under the threat of a massive reduction in the budget of the NHS and without establishing public bodies and public services accountable to the people and local communities to provide the services they need.
While hiding all the detail of the 'Alliance' between South Tyneside Hospital and City Hospitals Sunderland, the plan claims that there is an urgent need to rebalance services across both organisations as it is no longer safe or sustainable for either organisation to duplicate the provision of services in each location. SSTHC believes that this is an untrue statement that is deliberately misleading and should be removed from the document immediately. It seems to reveal a systematic intent to close down all services that are duplicated at our two hospitals by claiming that they are unsustainable and unsafe . No such claim has been made by the South Tyneside Foundation Trust, City Hospitals Sunderland or by the (inspection body) Care Quality Commission (CQC). On the contrary South Tyneside Hospital won a 2016 award and was in the top 40 performing hospitals. Our stroke unit which has already been transferred on a 'temporary basis' has won an award for its care over recent years. Our consultant led and community maternity services are also among the top performing in the region. Our staff were praised in the STFT annual report by recognising the outstanding level of care provided by our staff which was highlighted in particular by the recent Care Quality Commission inspection. It is the cuts driven by the NTWND STP which is clearly calling for the loss of all consultant led acute services including maternity services, not the sustainability and safety record of our hospital! The resulting loss of acute services will be a disaster for the people of South Tyneside and also for the people of Sunderland, whose access to acute services will also be under even further pressure by the closure of acute services in South Tyneside.
SSTHC cannot accept these plans that will lead to the downgrading of our acute services and our full Accident and Emergency services, and we will be preparing a detailed campaign against these plans. No one should sign up to plans which are intent on wrecking, massively underfunding and privatising health care regardless of the consequence to the well being of the people.
People can join the CCG's MY NHS to input their views. Register Here!
You can download the full STP document from the South Tyneside CCG Website.
The Save South Tyneside Hospital Campaign condemns the Northumbria, Tyne & Wear and North Durham so-called 'Sustainability and Transformation Plan' released on November 9th, which will cut by 2020/21 the annual health and social care budget for our area by nearly a billion pounds. For health this will be a massive annual cut of £641 million. This will mean cuts to vital acute and A & E services, hospital maternity departments, GP and other community and preventative services all over the region. These plans are being rolled out all over the country and SSTHC is calling on everyone to get involved to block these plans everywhere. Our meeting (on 14th November) took the decision that we cannot accept these plans that will lead to the downgrading of our acute services and our Accident and Emergency services, and our consultant led hospital maternity services. We will be preparing a detailed campaign against these plans.
After pressure from the Save South Tyneside Hospital Campaign, the Transformation & Sustainability plan for the hospital has finally been published. The lengthy document has very little detail and it creates more questions than answers. One very small section of the plan reveals that almost every service in the Hospital, including Accident and Emergency, is under threat.
Despite assurances of consultation before loss of services, our stroke unit has already gone with no consultation whatsoever. This is not a plan it is an edict. We now know many more hospital services are already under review and by next September the entire review will be completed. The very survival of our hospital is in jeopardy and we must do all we can to save it. Ultimately these Tory led plans will require sign off by Local Authorities, I would urge them to oppose any plans to downgrade our Hospital, I am bitterly disappointed that so far local leadership on this matter has failed the people of South Tyneside. Those who have chosen not to fight the Government or take them to task on these forced cuts should hang their heads in shame. I want people in Shields to know that I will not back down and will keep up the fight to save our Hospital.


text:
Sorrowful, Yet Rejoicing
abril 6, 2015 • Vanuatu
Believers display strength in Christ despite losing everything to Cyclone Pam
This Easter, Christians in the island nation of Vanuatu—battered by Cyclone Pam just three weeks ago—raised their hands high and their voices loud. Pastors preached from broken pulpits, under splintered roofs, and some whose buildings were completely destroyed led their congregations in the shade of Banyan trees. They celebrated Jesus Christ, the Redeemer.
Samaritan's Purse is providing medical care and relief supplies to storm victims in some of the poorest, hardest-hit areas of this country, including remote villages that have not received other outside help. Our staff prays with the people and spends time encouraging our brothers and sisters in Christ.
Believers here are suffering, yet so many express a profound hope in the Lord.
Sabrina Sam, a young mother whose home was badly damaged in the storm, told us that she trusts Him to meet her needs.
"We must have faith in God no matter what challenges we face," she said.
The cyclone destroyed Ellen Wap's home, but she also remains confident.
"God will never abandon his people," she said.
Despite losing all four of the houses he was building for his children, 60-year-old Nelson Niras has spent his time volunteering to help clear the road to the hospital.
"Although we go through hard times, we are here in the house of God worshipping together," Pastor Taisen said on Good Friday.
"When you have God's spirit, you have this feeling, this strength in your mind to do something to help others," he said.
Samaritan's Purse has provided help in the aftermath of the cyclone to Sabrina, Ellen, Nelson, and over 2,000 others in Vanuatu. We are supplying families with tarps, water jugs, blankets, cooking kits, mosquito nets, and hygiene items.
Our medical team has seen over 1,000 patients through their work at a local hospital and mobile clinics in villages without access to health care.
All of our work is done in the Name of Christ.
Pastor Jonathan Moses, a church leader on Tanna island, prayed for the community at one of our distributions and said he has never seen Christians come to serve his people in this way.
"This makes me really happy to see, to strengthen our faith," he said. "This is a church coming out with us."
Please join us in praising God for the faith of believers in Vanuatu, and pray that He will bring restoration to all who are suffering from the storm.
"…Behold we live; as chastened, and yet not killed; as sorrowful, yet always rejoicing; as poor, yet making many rich; as having nothing, and yet possessing all things" (2 Corinthians 6:9-10).
Respondemos a los terremotos en Turquía
Samaritan's Purse is working through partners to assess needs after a deadly...
De vuelta al negocio, juntos otra vez
Samaritan's Purse helps a tradesman rebuild his business and reunite his family after...
Sirviendo a los sobrevivientes en Ucrania
Samaritan's Purse helped thousands at our Emergency Field Hospital in a liberated area...
Samaritan's Pure está listo para responder en cualquier momento, cuando y donde sea que ocurra un desastre. Nos especializamos en satisfacer las necesidades críticas de las víctimas de conflictos, desastres, hambrunas y epidemias en todo el mundo, a menudo trabajando a través de socios ministeriales locales. Proporcionamos comida, agua, refugio, medicina y diferentes tipos de ayuda en el nombre de Jesucristo.
Historias Principales
Los jóvenes tienen un rol vital en el acercamiento de las cajas de regalos de Surinam
Samaritan's Purse sirve una comida navideña en Florida
P y R: Oportunidades para el Evangelio en el paraíso
Caja 200 millones celebrada en Charlotte


It is our belief that high school athletics is, and should be, an integral part of the curriculum. We believe that athletics help young people to develop cooperation, competitiveness, honesty, self-control, and dignity. It is further our belief that good sportsmanship is a vital tenet of our athletic code, and it is our responsibility to bring to our school community a full realization of the value of athletics as an educational tool in training responsible citizens.


text:
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text:
package com.jetbrains.python.psi;

import javax.annotation.Nonnull;

/**
 * @author yole
 */
public interface PyExpressionStatement extends PyStatement {
  @Nonnull
  PyExpression getExpression();
}

redpajama_set_name: RedPajamaGithub


Two little boys met one day to play together for the afternoon. As is often the case with children it had not been long before one of them was hurt. The larger of the two boys had offended the rights of his smaller playmate.
That little boy knew that their relationship could not be repaired until there had been true reconciliation. And that relationship could not be mended unless there was true repentance.
When it comes to our relationship with God, the same holds true. Last week we saw that Christ proclaimed himself to be the Restoration of Israel. By healing the lame man He publicly proclaimed that he had come to give us eternal life. But the breach in our relationship cannot be fully mended until we fulfill the work of repentance.
And that is what this passage is all about. Having clearly demonstrated Christ's saving power, Peter calls the people to embrace it for themselves. And he tells them (just as he tells us today) that the way we embrace it is through repentance. For Christ gives life to the penitent.
But of course if we are going to repent, we must realize our need for it. That's why peter begins where he does—by telling the crowd they were guilty of murder.
You might notice too that Peter does not beat around the bush either. He doesn't mince any words. In verse 13 he says, "You handed God's Son over to be killed. You disowned him. You asked for a murderer to be released and you put in his place an innocent man—one who Pilate had seen fit to let go." You really get a sense of the wickedness of their actions by the repetition.
Really, that is the main reason why we do not see many conversions in our day. People are not running to Christ because they do not see the need to do so. They don't see themselves as guilty sinners because their sins are so rarely exposed from the pulpit.
I was just talking with the men this week at Bible study how we live in a Mr. Rogers culture. Nobody wants to be offensive. Everybody just wants to be your friend. As a result, ministers do not bring God's word to bear on the hearts of the people. The preaching we hear today is so wishy washy that it rarely has anything to do with sin.
But before we can enter into a right relationship with God, we must first realize our guilt.
Now you might say that no matter what you've done in your life, your sins are not as bad as these men. I mean, 'they killed the author of life." But don't be so rash. On the one hand we must remember that every sin against God is evil in his sight. So that alone should be enough to sober us up. But even if you were not there—even if you did not lay a finger on the body of Jesus, would you not have done it?
What is sin but a stubborn rejection of God? It is an open rebellion against Him. So every time we commit a sin we are basically saying, "I want nothing to do with you, God. I wish you were dead." Don't think for a minute that you are any different from these Jews who crucified Jesus.
As a matter of fact, Peter's choice of words throughout this message seems to allude to Isaiah 53—the famous passage of the Suffering Servant. Peter calls Jesus God's servant in verse 13. Then in verse 18 Peter reminds his audience that the prophets said that the Christ would suffer. So he is probably alluding to Is. 53. I would like you to turn back there for a moment. I want to submit to you that you are not just like them in that you would have killed Jesus. I think that we can say more. Read with me verses 2-3.
Notice the first person "we esteemed him not." Isaiah put himself in the shoes of the murderers. Even though he lived 700 years before Christ, Isaiah admits that his hands were guilty of Christ's blood.
Now, not only do I think that we would have done the same thing as those Jews, I believe I can say on the authority of God's word that we were all accomplices to the act—just like Isaiah. We might not have been the ones who handed him over or hammered the nails into his wrists, but we were right there approving of it all. They were merely our representatives, doing what we would want them to in our place.
Do we need to repent? You better believe we do. His blood is on our hands.
But as we think about our need to repent, let's remember our encouragement to repent. For as we look at this sermon Peter not only points out its necessity, he also points out its possibility.
In verse 18 Peter says that God had predicted the sufferings of Christ in ages past. And if we use the allusion to Isaiah 53, we can remember that Isaiah 53 goes on to say, "He was pierced for our transgressions and crushed for our iniquities." The prophets tell us that even though Christ was to suffer at the hands of sinners, he was to suffer on behalf of sinners. He was going to be the one who would make satisfaction for our sins.
All the while Peter is picking on them for their sins, he is reminding them that God was sovereign over their sins. God took their wicked actions and used them to bring about His plan of salvation. So the very deed that would condemn them is the very deed that would be used to redeem them!
It is almost as if you walked into an artist's studio and spilled all the paints onto a canvas. All of them run together, but they come out to create a beautiful picture.
That's how the cross is. It is a mess of sin, but in the midst of all that sin there is a glorious offer of salvation.
And as these men are being overwhelmed with the sinfulness of their actions, they can at the same time hear of God's incredible mercy and his willingness to forgive.
And you can see why that is so important. When you become aware that you are guilty of being condemned, you can be sorry for what you did. But if you do not see a way out—if you do not see a way to be delivered from your sins, you can fall into despair.
That is how it will be for those who have not repented on the day when Christ comes back. They will see that the Day of Judgment has come and they will know there is no escaping it. They'll run to the hills, try to hide in caves, and even ask that the ceiling would collapse upon them to escape it. The despair that they experience will be horrendous.
But that's not the case right now. We do not have to despair because forgiveness is possible right now. That's because right now Christ offers us mercy and gives us the opportunity to repent.
But if we are going to repent we should know something about its nature. I mean it is one thing to know we need to repent and that it is possible to repent. But it won't mean anything if we don't know anything about how to do it.
We find something of the nature of repentance in verse 19. Peter says, "Repent and turn to God." Really Peter could have just said "repent." But he breaks it up into two parts so that you can see something of the two sides of repentance. On the one hand repentance has to do with turning away from sin. And on the other hand it has to do with turning to God.
The word repent comes from the Greek word that means "to change your mind" or "to think differently." Repentance means we must think differently about sin. That is to say, instead of being happy about it and delighting in it, you sorrow over it and are grieved by it. Repenting means that you have come to the point where you actually hate that which you formerly loved. As a matter of fact you hate it so much you turn completely away from it.
I'll never forget my first experience with Limberger cheese. Do you know what Limberger cheese is? For those of you who don't know, it is a cheese that stinks. I don't think I can describe how terrible it smells. But people eat the stuff. To me it would be like biting into a fresh piece of skunk meat. But I didn't know that at first. When they asked me if I wanted some Limberger cheese I said sure. It sounds great. I mean, who doesn't love cheese. But when they brought it out, I had a change of mind. We were down in the basement of the house. So we were in a somewhat confined area. And I felt like I could not escape the odor. The odor was so bad I had to leave the room. I couldn't even stand to watch anyone eat the stuff. My stomach lurched at the thought of putting such a thing in my mouth.
That's one side of repentance. It is beginning to think of sin as so odious, that you must turn away from it.
The other side of repentance is turning to God. When you repent you turn away from sin and you turn towards God. That is to say, you pledge your love and obedience unto God. So, that which you were formally running away from you are not moving toward.
There is a town in a remote region of Canada named Wabush. And for a long time this town was completely isolated from the rest of the world. But recently a road was cut through the wilderness to reach it. Wabush now has one road leading into it, and thus, only on one road leading out. If someone would travel the unpaved road for six to eight hours to get into Wabush, there is only way he or she could leave—by turning around.
That's the idea of repentance. We are on a one way road away from God. In order to get back to God we must first think differently about the way we are going. We must then turn around and begin living a new life in the direction God wants us to go.
And you see what will happen if you do. Peter doesn't just call these men to repentance. He immediately tells them what the consequences will be if they do.
He points out that there are three consequences of repentance. The first of which is that their sins would be wiped out (v. 19). This has to do with the guilt of our sins and that we will no longer be held accountable for our actions.
In our evening studies I usually use a white board to write upon. And oftentimes I will draw on it. And everyone who has seen that knows that I'm no Picasso. The pictures that I draw are pretty bad. But when I am done with the picture I take the eraser and wipe out the drawing. It is no longer there. It can't be seen anymore and I can't be held responsible for the drawing anymore. You can tell someone that I did this terrible picture, but they have no way of proving it because they can't see it.
That's the idea here. When we repent, God wipes away our sins. We are no longer held responsible for our sins because God no longer sees them.
The second consequence Peter mentions (v. 19) is that "times of refreshing" will come. This has to do with the misery of our sins. Whenever we sin we experience the pain that comes as a result of our sin. Some sins hurt us emotionally (like a broken relationship or hurt feelings). Some sins make us sick. Some sins disrupt others and can affect whole communities or economies. But when we repent God brings restoration to those areas of our lives that have been broken.
We can think about that passage in James 5 that talks about healing. The passage tells us that if we are sick we should have the elders come and pray for us and anoint us with oil. It says that if we do that we will be healed. A lot of people jump on that. They are more than ready to break out the oil and use it like a witches' spell. But they forget the next part of the passage. It goes on to say, "if he has sinned he will be forgiven." And it gives us the command to "confess our sins to one another." The affliction seems to have come as a result of sin. The healing (the time of refreshing) hinges upon one's repentance.
In other words, God's judgments/ his punishments will be reversed or relieved when we honestly turn to him.
The last consequence Peter mentions is found in verse 21. Peter says that "Jesus will one day come to restore everything." This has to do with our future. We will experience the completion of the work of salvation, when heaven and earth are made new.
Remember when I used to live n Hammond. There was a rundown house that we would pass every Sunday on our way to church. I believe the place should have been condemned, it was that bad. But someone purchased the property and began to restore the building. They jacked up the building and tore out the old foundation, with new cinder block. They put in new windows and put some new shingles on the roof and some new vinyl siding on the exterior of the building. The building looked like it had been redeemed. I'm sure that whoever moved into that house was quite pleased with what they got. It looked like a brand new house.
That is what will one day happen to this planet. Christ will one day come back and restore everything. The shack we call this earth will experience a complete overhaul. And those of us who have repented of our sins will have the opportunity to inherit that new creation. .
If you have not yet repented of your sins, you are currently living a life that is opposed to God. And you must not simply presume upon Christ that he is going to save you. No. Your relationship must be restored through your repentance.
Fall down before him. You know that you must do it, you have his blood on your hands! Know that he is willing to restore you. Do not let another moment go by. Grab hold of him, tell him you are sorry, confess your sins and leave them behind. Begin to walk in the newness of life.
And you can be assured that the promise is to you and to your offspring and as many as are far off. The promise was to Abraham that one of his offspring would indeed restore the people. It is the Lord Jesus Christ. And he will restore, if you turn to him.


Show Related Q&As What Is a Graphics Engineer? What Does a Certified Systems Engineer Do? What is the Average Earnings of an Architectural Engineer? What is the Typical Salary of a Computer Engineer?
Research what it takes to become a radio broadcast engineer. Learn about the training, education, job duties and job outlook to find out if this is the career for you. Schools offering Electronics & Communications Engineering degrees can also be found in these popular choices.
Radio broadcast engineers set up, maintain, and operate the electrical equipment for radio broadcasts. During a radio recording session, they monitor the quality of recording using computer software. In the event of problem, they report the issue and then do what they can to fix it. They may also keep records of recording sessions, leaving notes about what equipment was used and any issues they ran into. The table below outlines the general requirements for a career as a radio broadcast engineer.
What Are The Job Duties of a Radio Broadcast Engineer?
As a radio broadcast engineer, you'll manage and maintain a variety of sound, technical and electrical equipment necessary to produce a radio show. Radio broadcast engineers are also called radio operators or technicians. Specific tasks include tracing radio signals, operating transmitters, maintaining and adjusting electronic broadcasting equipment and ensuring the sound quality of broadcasts. At smaller stations, you might be responsible for a full range of tasks and equipment; at larger stations, your job duties could be more compartmentalized for specific equipment or specialized technologies.
What Type of Skills and Training Should I Have?
Although the U.S. Bureau of Labor Statistics (BLS) stated that a high school education is sufficient to enter the field, you'll usually undergo some formal, on-the-job training provided by your employer (www.bls.gov). Additionally, the BLS reported that many new engineers have some postsecondary schooling, such as an associate's or bachelor's degree education. If you decide to pursue a degree, you could study broadcast technology, computer networking or electronics in order to prepare for the career.
Many college programs also include internship opportunities, which could prove important for both the development of necessary skills and obtaining entry-level positions. You'll need to have general skills in electronics and information technology since much of your job will be working with some type of computer equipment.
What Is My Career Outlook?
The BLS stated that the field of broadcasting is competitive in larger markets; however, job opportunities could be better in smaller urban, suburban and rural areas. Employment for broadcast technicians is expected to decline six percent during the 2014-2024 decade, according to the BLS. In the radio broadcast industry, the BLS reported the average salary for technicians was $44,050 as of May 2015.
You could find an entry-level position in a smaller market in order to acquire the experience necessary to become a radio broadcast engineer in larger cities. Additionally, you might pursue voluntary certification as a Certified Broadcast Radio Engineer through the Society of Broadcast Engineers (SBE) in order to demonstrate your knowledge of the profession and industry (www.sbe.org). Generally, you'll need five years of professional experience and a satisfactory score on an examination to earn the designation. However, with relevant education, you might be able to substitute some formal training for the work requirements. Once you have acquired a combination of ten years' education and professional experience, you can also pursue SBE's Certified Senior Radio Engineer designation to improve employment opportunities.
Electrical and electronics engineering technicians have an associate's degree in electrical or electronics engineering technology, and use their knowledge to help develop electrical equipment and computers. They share much of same electronics knowledge as radio broadcast engineers, and may even work on the same equipment. Electrical and electronics installers and repairers are a step closer to radio broadcast engineers. These professionals don't design electronics, but have to be able to install and repair electronic equipment, which may also include radio broadcasting equipment. While they may not need a degree, they may need to pursue a post-secondary certificate.
What is the Average Earnings of an Architectural Engineer?


Aquantia Corp reported IV. Quarter net loss per share of $0.00 compare to earnings per share of $0.04 in the same quarter a year ago and improved compare to net loss per share of $-0.06 realized in previous quarter.
Aquantia's Revenue rose by -208.89 % in IV. Quarter (Dec 31 2018) year on year, to $29 million and declined by -11.58 % sequentially.
Aquantia is Expected to report next financial results on May 09, 2019.
Aquantia's in IV. Quarter recorded net loss of $-6 million, compare to net income of $1 million achieved in IV. Quarter a year ago.
Inventories declined by -21.63 % to $14.47 million from IV. Quarter a year ago, sequentially inventories fell by -3.54 %.	In IV. Quarter company's net cash and cash equivalents decreased by $0 million, capital expenditures grew by -93.73%, to $-0 millions compare to same quarter a year ago and rose by -93.27% from III. Quarter (Sep 30 2018).
Aquantia Corp does not pay out common stock dividend.
In trailing twelve-month period Aquantia Corp earned $ 0.00 cash per share, on a free-cash flow basis .
Book value fell by -99.98 % sequentially to $0.00 per share, -2,296.81% of net loss per share in trailing twelve-month period were subtructed from shareholder value.
Tangible Book value fell to $ 0.00 per share from $ 2.64.
Company issued 136,588.60 million shares or 396,656.31 % in IV. Quarter.


that into his life, but over time it showed up.
company's sixty-three-year history. His IQ score was assessed at genius level. He went on to start his own business, and he invented and patented two very successful products. Today, he is extremely blessed.
Could it be what someone has told you is keeping you from God's best? Could it be that the wrong "I am" is keeping you from ris- ing higher and reaching your full potential? Do what this man did Change your "I am." Don't let what somebody told you determine your destiny. Get in agreement with God. Know who you are and know who you are not. "I am not lacking. I am not average. I am not inferior. I am equipped. I am empowered. I am anointed. I am wise.


Researchers at Stanford recently studied how to deepen a person's understanding of an opposing party, and how that affects the anxiety and satisfaction of a negotiation. The researchers created a simulation that worked like a computer game and then staged different interventions to determine the best way to foster "social perspective taking" (SPT), the technical term for viewing a situation from another point of view. See a thorough background on social perspective taking here: (Davis, 1996 - Amazon link).
It's a cool idea for a company. And they also got a TM on a cadence related design principle, which they call Habitual Dependence™ I think this is a TM'd version of the toothbrush rule for VC-related user-experience design.


text:
phil collins Archive
Book Review: Richard Macphail — My Book of Genesis
book, new release, prog, review
I really enjoy reading behind-the-scenes and/or personal memoirs about the different corners of the music world. While reading autobiographies by big names has its rewards, I tend to find greater pleasure in the stories as told by those close to those figures as opposed to books authored by the "stars" themselves. I find that just
Album Reviews: Brand X — Is There Anything About? / Missing Period / Live at the Roxy L.A.
fusion, jazz, reissue, review
It's a popular (and not wholly inaccurate) contention that Phil Collins did his best work with Genesis in the immediate years after Peter Gabriel left, and then – around the release of ABACAB, headed for the ditch creatively. Of course the commercial approach reaped rewards in terms of album sales; once Genesis quite being challenging


text:
Q: Handle Paging with RxJava I'm using Retrofit + RxJava on an Android app and am asking myself about how to handle the API pagination to chain calls until all data is being retrieved. Is something like this:
Observable<ApiResponse> getResults(@Query("page") int page);

The ApiResponse object has a simple structure:
class ApiResponse {
    int current;
    Integer next;
    List<ResponseObject> results;
}

The API will return a next value until is last page.
There's some good way to achieve this? Tried to combine some flatMaps(), but had no success.

A: You could model it recursively:
Observable<ApiResponse> getPageAndNext(int page) {
  return getResults(page)
      .concatMap(new Func1<ApiResponse, Observable<ApiResponse>>() {

        @Override
        public Observable<ApiResponse> call(ApiResponse response) {
          // Terminal case.
          if (response.next == null) {
            return Observable.just(response);
          }
          return Observable.just(response)
              .concatWith(getPageAndNext(response.next));
        }

      });
}

Then, to consume it,
getPageAndNext(0)
    .concatMap(new Func1<ApiResponse, Observable<ResponseObject>>() {

        @Override
        public Observable<ResponseObject> call(ApiResponse response) {
          return Observable.from(response.results);
        }

    })
    .subscribe(new Action1<ResponseObject>() { /** Do something with it */ });

That should get you a stream of ResponseObject that will arrive in order, and most likely arrive in page-size chunks.

A: Iopar gave a great example.
Just a small addition.
If you want to get all pages in one onNext() call.
It can be helpful when you want to zip this result with one more Observable.
You should write:
private List<String> list = new LinkedList() {
    {
        add("a");
        add("b");
        add("c");
    }
};

int count = 1;

public Observable<List<String>> getAllStrings(int c) {
    return Observable.just(list)
            .concatMap(
                    strings -> {
                        if (c == 3) {
                            return Observable.just(list);
                        } else {
                            count += 1;
                            return Observable.zip(
                                    Observable.just(list),
                                    getAllStrings(count),
                                    (strings1, strings2) -> {
                                        strings1.addAll(strings2);
                                        return strings1;
                                    }
                            );
                        }
                    }
            );
}

Usages:
getAllStrings(0)
        .subscribe(strings -> {
            Log.w(TAG, "call: " + strings);
        });

and you will get:
call: [a, b, c, a, b, c, a, b, c, a, b, c]

A: I've answered my solution in a similar post: https://stackoverflow.com/a/34378263/143733
The trick or amendment to the solution provided by @Iopar is the inclusion of a 'trigger' Observable that can be emitted by a variety of ways.
In the code I posted, it is emitted once a full page of elements have been processed however it could also occur based on a user clicking a button/scrolling.

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