text:
State's free and charitable clinics chart vision for health equity
Posted By: Editor In Chief September 29, 2022
By Rachel Crumpler
About two years ago, the North Carolina Association of Free & Charitable Clinics had a reality check.
As an organization that provides health care services to uninsured and underserved residents, the association believed it was already making great strides in promoting health equity in a state with one of the largest uninsured populations.
To an extent, it was. Seventy member clinics were acting as critical access points for the state's approximately 1.16 million people lacking health insurance, according to the latest data from the U.S. Census Bureau. The clinics were providing primary and specialty medical care, including dental, optometry and behavioral health in 85 of the state's 100 counties.
April Cook, CEO of the North Carolina Association of Free & Charitable Clinics. Credit: Photo courtesy of the North Carolina Association of Free & Charitable Clinics
"We've always considered ourselves as an organization that treated everybody the same whether it's color, culture, gender, sexuality, whatever," April Cook, the association's CEO, said. "But data is a funny thing because it'll give you a picture of a true self."
The association has reported annual health outcomes data from its clinics related to two chronic diseases — hypertension and diabetes — since 2010. This kind of statewide-level data on the quality of care in free and charitable clinics is scarce.
But for the first time, two years ago, association leaders decided to dig deeper into the data, slicing it by ethnicity and race.
In doing so, Cook said it became clear that white patients fared better than patients of color — a racial disparity in outcomes common throughout the health system.
The North Carolina Association of Free & Charitable Clinics' logo for its initiative called "Our Journey Toward Health Equity." Credit: Courtesy of the North Carolina Association of Free & Charitable Clinics
This realization, along with heightened attention on health inequities as COVID-19 disproportionately affected Black and Hispanic individuals, led the association leaders to launch "Our Journey Toward Health Equity" in 2021. The initiative brought together a 29-member Health Equity Task Force composed of association staff, board members and clinic leaders for intentional discussions about health equity.
"Here we were thinking we have always done this work and done it well," Cook said. "We do good work but now we see we have an opportunity to bring everybody up together."
Overview of the NC Association of Free & Charitable Clinics in 2021
72 clinics served over 82,480 patients
Over 188,887 patient visits were conducted (medical, dental and behavioral health visits)
40 percent of patients were Latino, 52 percent non-Latino and 8 percent of an unreported race and ethnicity
1,198,916 (30-day supply or less) prescription medications were provided
More than 7,111 volunteers
For every $1 spent, $5.81 in health care services were provided
Estimated hospital emergency department diversion savings totaled more than $369 million
Equity work underway at several clinics
Last year, the North Carolina Association of Free & Charitable Clinics and Blue Cross and Blue Shield of North Carolina awarded nearly $230,000 in grants to five free and charitable clinics to support initiatives aimed at reducing the impact of health disparities and COVID on some of the state's most vulnerable populations.
In a year's time, clinic staff say the initiatives have already helped to improve patient experiences and outcomes.
After noticing Black and Latino residents in the community had significantly lower vaccination rates, the Albemarle Hospital Foundation Community Care Clinic in Elizabeth City currently serving about 2,700 patients used its grant funding to expand its vaccine clinics on-site at large employers in the community, including an industrial laundromat facility and a seafood processing plant.
It took repeated outreach to build trust before the employers invited clinic staff into the workplace. Even then, clinic staff still had to combat vaccine hesitancy among workers. On the first visit, Ramon Harmon, the clinic's deputy director, said they only had a handful of takers.
Janet Jarrett (left), executive director of the Albemarle Hospital Foundation Community Care Clinic, and three community health workers set up for the clinic's first drive-thru vaccine event. Credit: Photo courtesy of Albemarle Hospital Foundation Community Care Clinic
"By us continuously going there and building that trust, we were able to vaccinate more and more people," Harmon said, which is a similar approach the state took to close gaps in vaccination rates.
Janet Jarrett, executive director of the Albemarle clinic, said that through the clinic's vaccine equity work, staff administered over 4,000 vaccines — 600 of which were doses given on-site at employers. Overall, she said 72 percent of the vaccines given were to people of color.
Jarrett added that one of the most meaningful outcomes of the vaccine outreach was the trust built in the community. She said about 50 of the people who received vaccinations at a workplace site are now patients at the clinic. When monkeypox was first in the news, an employer picked up the phone to ask her about an employee who showed up with an unexplained rash.
For Surry Medical Ministries, outreach into the community was also a priority so patients knew where to access care and felt comfortable coming for visits. To build deeper relationships with patients, Executive Director Nancy Dixon used the grant funding to hire additional community health workers who are trusted members of the community and understand the patients being served.
For example, Surry Medical Ministries provides care to many migrant farmworkers. One of the clinic's community health workers grew up as the daughter of migrant farmworkers in California and is now able to use her experience to understand the common issues.
Employing community health workers has led to more people seeking care and higher follow-up rates with patients, Dixon said.
Before the grant, Dixon said about 35 percent of the clinic's new patients were Latino and now that number has grown to 51 percent. Patient follow-up rates are at close to 63 percent for Black individuals, 72 percent for Latinos and 74 percent for whites. A portion of patients are too new to have had a follow-up, she said.
Jennifer Lutz, a nurse practitioner at Care Ring, examines a patient. Credit: Photo courtesy of Care Ring
Dixon wants community health workers to be a permanent part of the clinic operations because she sees them as critical in establishing connections and trust in the community — aspects needed before attempts can be made to improve health outcomes.
Another free and charitable clinic, Care Ring in Charlotte, used the health equity grant to launch telehealth services amid the pandemic to provide access to care to patients who lacked transportation, child care or flexible work schedules.
Executive Director Tchernavia Montgomery said telehealth provided a vital point of contact for patients who otherwise would not have come in for care.
Last fiscal year, Care Ring completed over 2,000 virtual patient visits and Montgomery said around 90 percent of telehealth patients reported positive feelings about using the service.
The telehealth visits didn't need to be video calls. In fact, phone calls were popular for care and just as effective for many issues, she said.
"Internet access might not be possible, but a phone call can be to discuss, 'Hey, you know, we're doing remote monitoring and we see your glucose is higher than normal. Let's talk about your diet,'" Montgomery said. "That doesn't require an office visit. That doesn't require a FaceTime. That requires a conversation with a trusted health professional that can discuss their needs competently and confidently."
Karen Sailer, medical director for Care Ring in Charlotte, conducts a telehealth appointment with a patient. Credit: Photo courtesy of Care Ring
Care Ring plans to maintain telehealth into the future as part of its digital health equity plan, serving its patient population, which is 94 percent people of color.
A push for health equity
Cook officially took the helm of the North Carolina Association of Free & Charitable Clinics on Sept. 1, bringing her experience as co-founder and executive director of the Lake Norman Community Health Clinic, a free and charitable clinic, for the past two decades.
Under her leadership, she's prioritizing health equity and pushing with new momentum.
Many members of historically marginalized racial and ethnic groups have for years experienced worse health care outcomes, and research has been focused on addressing these disparities. According to the Centers for Disease Control and Prevention, "Health inequities are reflected in differences in length of life; quality of life; rates of disease, disability, and death; severity of disease; and access to treatment."
The agency's website also notes that equity is achieved when members of different racial and ethnic groups achieve similar health outcomes and "no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances."
One of her first acts as CEO was to hire Alice Mae Britt Jackson to focus on health equity. Jackson, who also has experience running two clinics in Texas, will be leading initiatives to help clinics overcome the social determinants of health that contribute to disparities in health outcomes. It's the first time the association has a dedicated staff member working toward health equity goals.
Alice Mae Britt Jackson, director of development & health equity at the North Carolina Association of Free & Charitable Clinics. Credit: Photo courtesy of the North Carolina Association of Free & Charitable Clinics
"It's in the forefront of the headlights right now and it's going to stay," Jackson said.
Jackson plans to build on the work the association has already undertaken over the last year to focus on health equity. For example, the association's Health Equity Task Force, which included Cook who was executive director of the Lake Norman clinic at the time, convened several times for tough conversations on the topic.
"A lot of these free clinics were born out of — and there's a lot of study behind it — white people coming together and saying, 'We're gonna give back to the community,'" Cook said. "That's great. It's very altruistic. It's filling a need.
"But then there's the truth of the matter. You can treat someone's health, but are you treating their overall health? In other words, do you understand where they're coming from culturally? Have you really dug deep enough where you can make an impact on multi-generational needs and barriers and things like that?"
Cook said the group had varying levels of exposure to the topic of health equity with some members having completed lots of readings and coming prepared with lots of ideas while others were just starting to explore the topic. Regardless, she said the group was engaged and committed to improving health outcomes for all.
After a year of work, the task force landed on a value statement that will guide equity work moving forward, stating that the "North Carolina Association of Free & Charitable Clinics affirms health equity is the opportunity for each of us to attain full health potential."
Now, it's Jackson's job to help bring the statement to fruition.
She said it will take education, policies and tactical strategies to eliminate health disparities. Her goal is that "every single patient will know that when they entered, they were first in mind and when they left, they were first in mind and will continue to be until they return again."
Jackson is currently strategizing how best to translate the association's health equity goals into a plan that will be rolled out in January. One of her first acts is to assemble a long-term task force on health equity, instead of one that is time limited.
Tips for creating a culture of equity
As the Association's health equity work ramps up, Victor Armstrong, chief diversity officer at RI International and the former NC Department of Health and Human Services chief health equity officer, offered tips on creating a culture of equity at the association's annual meeting last week.
Armstrong said that, aspirationally, equity is easy. However, it is difficult to operationalize, particularly because it involves trying to embed equity in a system that has a lot of inequities baked into it.
To advance equity, Armstrong said social determinants or social drivers of health such as food insecurity, housing instability, transportation and literacy need to be addressed. Systemic stressors such as racism, classism and sexism also should not be ignored.
Armstrong said equity work should begin by identifying the disproportionately impacted group and including the voices of people from that group when brainstorming solutions. He noted that what often happens is that their lens is included but that can be distorted.
"The lens of equity often means that you're trying to use equity terminology, you're trying to use equity strategies, but you may not be including that actual voice — those actual individuals who have been impacted disparately," Armstrong said. "They may not be at the table as part of this discussion."
Armstrong also cautioned against the temptation of judging equity by how far one has come.
"It's very important that when we talk about equity and think about equity, and especially if we are talking to people who have been historically marginalized, that we don't talk about equity in terms of look how far we've come," he said. "We need to talk about equity in terms of look how far we have left to go."
As of late 2019, we're changing our policy about reprinting our content.
Please do not reprint our stories without our bylines, and please include a live link to NC Health News under the byline, like this:
By Jane Doe
North Carolina Health News
Finally, at the bottom of the story (whether web or print), please include the text:
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by Rachel Crumpler, North Carolina Health News

State's free and charitable clinics chart vision for health equity

by Rachel Crumpler, North Carolina Health News
September 29, 2022

By Rachel Crumpler

About two years ago, the North Carolina Association of Free & Charitable Clinics had a reality check.

As an organization that provides health care services to uninsured and underserved residents, the association believed it was already making great strides in promoting health equity in a state with one of the largest uninsured populations.

To an extent, it was. Seventy member clinics were acting as critical access points for the state's approximately 1.16 million people lacking health insurance, according to the latest data from the U.S. Census Bureau. The clinics were providing primary and specialty medical care, including dental, optometry and behavioral health in 85 of the state's 100 counties.

April Cook, CEO of the North Carolina Association of Free & Charitable Clinics.

"We've always considered ourselves as an organization that treated everybody the same whether it's color, culture, gender, sexuality, whatever," April Cook, the association's CEO, said. "But data is a funny thing because it'll give you a picture of a true self."

The association has reported annual health outcomes data from its clinics related to two chronic diseases — hypertension and diabetes — since 2010. This kind of statewide-level data on the quality of care in free and charitable clinics is scarce.

But for the first time, two years ago, association leaders decided to dig deeper into the data, slicing it by ethnicity and race.

In doing so, Cook said it became clear that white patients fared better than patients of color — a racial disparity in outcomes common throughout the health system.

The North Carolina Association of Free & Charitable Clinics' logo for its initiative called "Our Journey Toward Health Equity."

This realization, along with heightened attention on health inequities as COVID-19 disproportionately affected Black and Hispanic individuals, led the association leaders to launch "Our Journey Toward Health Equity" in 2021. The initiative brought together a 29-member Health Equity Task Force composed of association staff, board members and clinic leaders for intentional discussions about health equity.

"Here we were thinking we have always done this work and done it well," Cook said. "We do good work but now we see we have an opportunity to bring everybody up together."

Overview of the NC Association of Free & Charitable Clinics in 2021

72 clinics served over 82,480 patients

Over 188,887 patient visits were conducted (medical, dental and behavioral health visits)

40 percent of patients were Latino, 52 percent non-Latino and 8 percent of an unreported race and ethnicity

1,198,916 (30-day supply or less) prescription medications were provided

More than 7,111 volunteers

For every $1 spent, $5.81 in health care services were provided

Estimated hospital emergency department diversion savings totaled more than $369 million

Equity work underway at several clinics

Last year, the North Carolina Association of Free & Charitable Clinics and Blue Cross and Blue Shield of North Carolina awarded nearly $230,000 in grants to five free and charitable clinics to support initiatives aimed at reducing the impact of health disparities and COVID on some of the state's most vulnerable populations.

In a year's time, clinic staff say the initiatives have already helped to improve patient experiences and outcomes.

After noticing Black and Latino residents in the community had significantly lower vaccination rates, the Albemarle Hospital Foundation Community Care Clinic in Elizabeth City currently serving about 2,700 patients used its grant funding to expand its vaccine clinics on-site at large employers in the community, including an industrial laundromat facility and a seafood processing plant.

It took repeated outreach to build trust before the employers invited clinic staff into the workplace. Even then, clinic staff still had to combat vaccine hesitancy among workers. On the first visit, Ramon Harmon, the clinic's deputy director, said they only had a handful of takers.

Janet Jarrett (left), executive director of the Albemarle Hospital Foundation Community Care Clinic, and three community health workers set up for the clinic's first drive-thru vaccine event.

"By us continuously going there and building that trust, we were able to vaccinate more and more people," Harmon said, which is a similar approach the state took to close gaps in vaccination rates.

Janet Jarrett, executive director of the Albemarle clinic, said that through the clinic's vaccine equity work, staff administered over 4,000 vaccines — 600 of which were doses given on-site at employers. Overall, she said 72 percent of the vaccines given were to people of color.

Jarrett added that one of the most meaningful outcomes of the vaccine outreach was the trust built in the community. She said about 50 of the people who received vaccinations at a workplace site are now patients at the clinic. When monkeypox was first in the news, an employer picked up the phone to ask her about an employee who showed up with an unexplained rash.

For Surry Medical Ministries, outreach into the community was also a priority so patients knew where to access care and felt comfortable coming for visits. To build deeper relationships with patients, Executive Director Nancy Dixon used the grant funding to hire additional community health workers who are trusted members of the community and understand the patients being served.

For example, Surry Medical Ministries provides care to many migrant farmworkers. One of the clinic's community health workers grew up as the daughter of migrant farmworkers in California and is now able to use her experience to understand the common issues.

Employing community health workers has led to more people seeking care and higher follow-up rates with patients, Dixon said.

Before the grant, Dixon said about 35 percent of the clinic's new patients were Latino and now that number has grown to 51 percent. Patient follow-up rates are at close to 63 percent for Black individuals, 72 percent for Latinos and 74 percent for whites. A portion of patients are too new to have had a follow-up, she said.

Jennifer Lutz, a nurse practitioner at Care Ring, examines a patient.

Dixon wants community health workers to be a permanent part of the clinic operations because she sees them as critical in establishing connections and trust in the community — aspects needed before attempts can be made to improve health outcomes.

Another free and charitable clinic, Care Ring in Charlotte, used the health equity grant to launch telehealth services amid the pandemic to provide access to care to patients who lacked transportation, child care or flexible work schedules.

Executive Director Tchernavia Montgomery said telehealth provided a vital point of contact for patients who otherwise would not have come in for care.

Last fiscal year, Care Ring completed over 2,000 virtual patient visits and Montgomery said around 90 percent of telehealth patients reported positive feelings about using the service.

The telehealth visits didn't need to be video calls. In fact, phone calls were popular for care and just as effective for many issues, she said.

"Internet access might not be possible, but a phone call can be to discuss, 'Hey, you know, we're doing remote monitoring and we see your glucose is higher than normal. Let's talk about your diet,'" Montgomery said. "That doesn't require an office visit. That doesn't require a FaceTime. That requires a conversation with a trusted health professional that can discuss their needs competently and confidently."

Karen Sailer, medical director for Care Ring in Charlotte, conducts a telehealth appointment with a patient.

Care Ring plans to maintain telehealth into the future as part of its digital health equity plan, serving its patient population, which is 94 percent people of color.

A push for health equity

Cook officially took the helm of the North Carolina Association of Free & Charitable Clinics on Sept. 1, bringing her experience as co-founder and executive director of the Lake Norman Community Health Clinic, a free and charitable clinic, for the past two decades.

Under her leadership, she's prioritizing health equity and pushing with new momentum.

Many members of historically marginalized racial and ethnic groups have for years experienced worse health care outcomes, and research has been focused on addressing these disparities. According to the Centers for Disease Control and Prevention, "Health inequities are reflected in differences in length of life; quality of life; rates of disease, disability, and death; severity of disease; and access to treatment."

The agency's website also notes that equity is achieved when members of different racial and ethnic groups achieve similar health outcomes and "no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances."

One of her first acts as CEO was to hire Alice Mae Britt Jackson to focus on health equity. Jackson, who also has experience running two clinics in Texas, will be leading initiatives to help clinics overcome the social determinants of health that contribute to disparities in health outcomes. It's the first time the association has a dedicated staff member working toward health equity goals.

Alice Mae Britt Jackson, director of development & health equity at the North Carolina Association of Free & Charitable Clinics.

"It's in the forefront of the headlights right now and it's going to stay," Jackson said.

Jackson plans to build on the work the association has already undertaken over the last year to focus on health equity. For example, the association's Health Equity Task Force, which included Cook who was executive director of the Lake Norman clinic at the time, convened several times for tough conversations on the topic.

"A lot of these free clinics were born out of — and there's a lot of study behind it — white people coming together and saying, 'We're gonna give back to the community,'" Cook said. "That's great. It's very altruistic. It's filling a need.

"But then there's the truth of the matter. You can treat someone's health, but are you treating their overall health? In other words, do you understand where they're coming from culturally? Have you really dug deep enough where you can make an impact on multi-generational needs and barriers and things like that?"

Cook said the group had varying levels of exposure to the topic of health equity with some members having completed lots of readings and coming prepared with lots of ideas while others were just starting to explore the topic. Regardless, she said the group was engaged and committed to improving health outcomes for all.

After a year of work, the task force landed on a value statement that will guide equity work moving forward, stating that the "North Carolina Association of Free & Charitable Clinics affirms health equity is the opportunity for each of us to attain full health potential."

Now, it's Jackson's job to help bring the statement to fruition.

She said it will take education, policies and tactical strategies to eliminate health disparities. Her goal is that "every single patient will know that when they entered, they were first in mind and when they left, they were first in mind and will continue to be until they return again."

Jackson is currently strategizing how best to translate the association's health equity goals into a plan that will be rolled out in January. One of her first acts is to assemble a long-term task force on health equity, instead of one that is time limited.

Tips for creating a culture of equity

As the Association's health equity work ramps up, Victor Armstrong, chief diversity officer at RI International and the former NC Department of Health and Human Services chief health equity officer, offered tips on creating a culture of equity at the association's annual meeting last week.

Armstrong said that, aspirationally, equity is easy. However, it is difficult to operationalize, particularly because it involves trying to embed equity in a system that has a lot of inequities baked into it.

To advance equity, Armstrong said social determinants or social drivers of health such as food insecurity, housing instability, transportation and literacy need to be addressed. Systemic stressors such as racism, classism and sexism also should not be ignored.

Armstrong said equity work should begin by identifying the disproportionately impacted group and including the voices of people from that group when brainstorming solutions. He noted that what often happens is that their lens is included but that can be distorted.

"The lens of equity often means that you're trying to use equity terminology, you're trying to use equity strategies, but you may not be including that actual voice — those actual individuals who have been impacted disparately," Armstrong said. "They may not be at the table as part of this discussion."

Armstrong also cautioned against the temptation of judging equity by how far one has come.

"It's very important that when we talk about equity and think about equity, and especially if we are talking to people who have been historically marginalized, that we don't talk about equity in terms of look how far we've come," he said. "We need to talk about equity in terms of look how far we have left to go."

This article first appeared on North Carolina Health News and is republished here under a Creative Commons license.
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text:
calliope1975 —
Calliope ( calliope1975) wrote,
calliope1975
Location: hanging in my work cube
Mood: cynical
I want a trophy, too
One positive aspect of living in California: The Oscar telecast starts at 5:30 pm and is over by 9 pm. I hated having to stay up after midnight to watch the whole thing back in Texas.
This excerpt of a review from Pajiba pretty much sums up my feelings. This town is has such a circle-jerk of self-praise. It's excessive and irritating. I love the pretty dresses and the handsome men as much as the rest of the world. But, there is no need for an Awards SEASON. Awards for TV (daytime and nighttime), film, and stage should cover it.
But perhaps it's just my cynicism kicking in. I'm getting jaded living out here.
The Academy needs that satisfaction because the Oscars are, though it's somewhat redundant to point it out, a celebration of movies picked by moviemakers. In fact, every awards show is just that, a group of people who get together to vote to honor the best in their field. But the Oscars have somehow tricked people into thinking that the Awards are handed down from on high by God or the universe or the ghost of John Ford, when really it's just a bunch of people who made some movies that have been turned into understandable commercial packages for which votes have been cast in a weird ceremony that uncomfortably blurs the lines between art and competition. The Oscars are a party in honor of the Oscars.
Pajiba also summed up my feelings over the snub of Brad Renfroe in the Montage of Dead Folk. Not cool, Academy. Not cool.
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Tags: awards

redpajama_set_name: RedPajamaCommonCrawl


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Travelers don't trust airlines
An alarming number of passengers (55%) do not trust airlines to abide by air passenger rights laws, a new global study revealed.
The survey, which investigated to what extent consumers understand their air passenger rights, has surfaced a worrying level of distrust in air carriers. Only about half (55%) of US travelers have filed compensation claims. This year, 169 million U.S. passengers have been affected by flight disruptions. Many travelers experienced disruptions that are eligible under EC 261, and are battling with airlines to be awarded compensation that is rightfully theirs.
Adding insult to injury: airlines lacking in transparency
Under EU law EC261, if a flight is delayed by more than three hours, cancelled, or in an instance of denied boarding, passengers are entitled to financial compensation of up to $700 per person if the cause of the disruption was in the airline's control. This law protects U.S. travelers on flights out of the EU and flights to Europe if they are with a European airline.
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Passengers forced to fight for rights
In addition to the lack of transparency, United States passengers have to contend with poor claims handling by airlines. A separate study found that United States airlines reject an average of 25% of claims on wrongful grounds. This shows that even passengers who are aware of their right to claim compensation are facing an uphill battle for compensation that is legally theirs.
The survey also revealed a brazen lack of honesty from airlines; 24% of United States passengers facing a significant flight disruption have accepted an airline's offer of vouchers or food instead of claiming for financial compensation. This shows how little air passenger rights are understood, and that many people believe that the "right to care" is the full extent of what they are entitled to when a flight is disrupted. What many travelers do not know is that accepting a voucher or cash offer from an airline is often not the best course of action. Taking vouchers may seem easier, however, these can often have expiration dates or terms that make them less valuable than the compensation they are eligible to claim.
Passengers are losing out on money that is rightfully theirs because airlines are dishonest about their own passengers' rights. The compensation claims process has become so disheartening that many passengers give up after their initial claim was rejected, highlighting the fact that many consumers feel powerless against airlines. United States passengers already have limited protections against the airlines when compared to European travelers, so their lack of faith in airlines is unsurprising. EC261 — which protects all travelers on flights departing from the EU and flights to the EU on a European airline — is in place to empower passengers and should not be used by airlines as smoke and mirrors allowing them to shirk their legal responsibility.
– Buzz travel | eTurboNews |Travel News
Article Source: https://www.eturbonews.com/
Israel Ministry of Tourism hosts Second Hotel Investment Summit in Tel Aviv
Back to humans: Boeing dumps robots that flubbed its 777X jet assembly
Puerto Rico earthquake just recorded
Puerto Rico earthquake just recorded A strong 6.0 earthquake was just recorded 38 miles north west of San Antonio, Puerto Rico No tsunami warning was triggered and it's not clear if the […]
News, Spa
Queensland's Thai resort opens new spa
THAILAND-Spicers Tamarind Retreat, the Thai-style resort in Queensland, has launched a new spa. The resort, located near the Sunshine Coast, now features the Spa Anise wellness facility with four treatment rooms and […]


KFD Premium AAKG is a two-compound blend of arginine and alpha-ketoglutarate which is a freeform of L-Glutamine. Set of arginine compound with alpha-ketoglutarate (AAKG) shows better bioavailability than arginine in its basic form.
The most important function of AAKG is the improved production of nitrogen oxide (NO) which boosts the bloodflow through cartilages and in effect increases the nutrient absorption. AAKG improves production of the growth hormone and insulin, as well as post-workout regeneration.
One of the most desired effects of AAKG supplementation is the effect of post-workout muscle pump as a result of the increased bloodflow in trained muscle area.
Ingredients: Arginine Alpha-ketoglutarate, flavouring, silicon dioxide, sucralose - sweetener.
INSTRUCTIONS FOR USE: Pour one portion – 3 g (1/2 scoops) into a container with 150 – 200 ml of cold water or juice and mix thoroughly. Use according to individual needs and not more often than two times per day, e.g. before training and/or in the evening. Consume immediately after preparation.
Not to be consumed by children under the age of 14, pregnant women, people suffering from diseases of the kidneys or liver, or those who are oversensitive or allergic to one or more of the ingredients. This product contains sweeteners.


With more than 20 years of experience, Anastasi Landscaping has been helping our clients in the Greater Delaware Valley area. Anastasi Landscaping provides top-notch landscaping and hardscaping services by listening and responding quickly to our customers needs. This along with other quality services offered, has been a key to our constant growth. We offer a full range of landscaping services for both your home and also business and residential communities.
Making sure that the work is done well and on time is very important to us.


text:
Sencha Ext JS Offers .NET Devs Short Cuts for Web Apps
Preview of new plugin from the developers of the Sencha Web Application Lifecyle Management Platform allows .NET developers to write JavaScript code as if it were native to Visual Studio.
By Michael Domingo
Sencha has released a preview of its Ext JS framework, which works as a Visual Studio plugin, that the company describes as a tool "that simplifies and accelerates the design and development of feature-rich HTML5 applications using JavaScript." Sencha is demonstrating the plugin at the Visual Studio Live! conference in Orlando, Florida this week. (Editorial note: Visual Studio Live! is an 1105 Media event.)
Sencha Ext JS works in combination with the Sencha Web Application Lifecycle Management platform, which is used to develop business apps that can be run across a number of browsers and devices. The demonstration at the conference this week is highlighting support with Microsoft's newest Edge browser.
The plugin allows ASP.NET developers to create Web app projects for Sencha frameworks via templates and with native code completion through the VS IDE. It's primarily used to boost productivity, in that it can be used to create templates from code snippets to automate the writing of classes, views, models, controllers, and stores.
Sencha is providing Sencha Ext JS via an Early Access program, which requires developers to register for in order to download the preview. Go here for registration details. On general availability, Sencha will integrate it into Ext JS Pro and Premier editions.
On a related note, Sencha announced that it is now a Premier Level Partner in the Microsoft Visual Studio Partner Program.
You Tell 'Em, Readers: If you've read this far, know that Michael Domingo, Visual Studio Magazine Editor in Chief, is here to serve you, dear readers, and wants to get you the information you so richly deserve. What news, content, topics, issues do you want to see covered in Visual Studio Magazine? He's listening at mdomingo@1105media.com.


Each restaurant at Condado Vanderbilt Hotel is an epicurean experience unto itself. Serving exquisite food -- the freshest and most flavorful, locally-sourced ingredients -- expertly paired with the finest cocktails and wines, dining at Condado Vanderbilt Hotel is a celebration of the captivating oceanfront setting and legendary service and ambiance.
Michelin Star-rated Executive Chef Juan Jose Cuevas' previous work as Sous Chef at Ducasse and Lespinasse and as Executive Chef at Blue Hill (both located in New York City) reflect his passion for farm-to-table cuisine.
At Condado Vanderbilt Hotel, Chef Cuevas crafts contemporary gourmet cuisine faithful to the locavore movement, which promotes preparing only the finest and freshest locally-produced ingredients.
Choose from luxurious lounges and fabulous bars to elegant San Juan restaurants and spacious and breezy, casual outdoor dining options.


SXSWedu Austin invites a diverse and energetic community of stakeholders from a variety of backgrounds in education to their 4 day event once a year in Texas. The event offers opportunities for networking through a variety of interactive workshops, film screenings and early stage set ups. Our time spent at SXSWedu 2015 was largely spent being enlightened on current trending topics and issues in education by a variety of featured speakers and visionaries from around the world who are also committed to the future of teaching and learning.


text:
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Complications From PRK: What Are They and How Common Are They?
Home » Guide to PRK Lasik Surgery: How to Prepare & More » Complications From PRK: What Are They and How Common Are They?
If you have a refractive error like astigmatism, myopia, presbyopia, or hyperopia, and you are tired of glasses and contact lenses, you may look into laser-assisted surgeries like photorefractive keratectomy (PRK).(Learn more) This operation was developed before LASIK, and it works in much the same way to improve vision.
Like LASIK and related procedures, there are some side effects and complications associated with PRK, and this article can help you learn more about these issues. There is little chance of complications when you choose PRK, with the most likely issue being haze on the cornea, infection after surgery, undercorrections or overcorrections, dry eye, and itching or discomfort.(Learn more) These often clear up on their own, but some complications may require a second surgery to correct, so it is important to talk to your ophthalmologist or optometrist as soon as these issues occur. (Learn more)
Overwhelmingly, even serious complications can be treated with eye drops, long-term care, or a second surgery. (Learn more) Your visual acuity is very likely to be restored, especially if you work with an eye surgeon who has high ratings, extensive training, and high-quality equipment.
Advantages and Disadvantages
Risk of Side Effects
Improve Outcomes
What Is Photorefractive Keratectomy?
Photorefractive keratectomy (PRK)is a laser-assisted procedure that improves vision if you struggle with refractive errors — vision problems caused by the shape of the lens, leading to light being refracted incorrectly onto the retina. This causes the brain to process an unclear image. Types of refractive errors include:
Nearsightedness (myopia).
Farsightedness (hyperopia).
Astigmatism (a defect in the eye or lens).
Presbyopia (farsightedness due to aging).
Although LASIK is one of the most famous, fastest, and successful procedures to correct refractive errors, PRK is another great option for many people. It was one of the first laser-assisted procedures, approved by the Food and Drug Administration (FDA) just before LASIK.
There are many similarities between PRK and LASIK, including success rates and complications. Although PRK is an outpatient surgery, taking about 5 to 15 minutes per eye to complete, with only a few days to a few weeks of recovery time, there are potential side effects from this procedure. Before you make a decision to get surgery to correct your vision problems, it is important to know about the risks associated with the procedure. If you are looking at PRK as the method to correction refractive errors, you should be informed by your ophthalmologist about all the potential risks, but you can also go in with informed questions.
Advantages and Disadvantages of Photorefractive Keratectomy
Generally, PRK has some advantages over LASIK.
There is no microkeratome (blade) or additional laser used to make a flap in the cornea. Instead, layers of the cornea are carefully removed, leaving more cornea intact, which is beneficial for people with thinner corneas
Because there is no flap to heal, there is less scarring and faster healing of the corneal nerves, which can minimize dryness in the eyes after the surgery.
People who have unusually shaped corneas recover faster after PRK.
If there is an infection or eye trauma after PRK, there is no corneal flap to dislodge.
PRK does have some significant disadvantages over LASIK.
Recovery from PRK takes 7 to 10 days, significantly longer than after LASIK. This means you will need to take time off work, which can be complicated.
Overcorrections and undercorrections are as common in PRK as they are in LASIK, so you will not avoid these issues by choosing one procedure over the other.
There is a higher risk of developing a haze over the cornea, requiring prescription cortisone drops for four months after PRK surgery.
There are side effects associated with undergoing PRK. These may occur for up to six months after the procedure, but they typically go away. It is very rare for side effects to become permanent, but it has happened for a small number of patients. Otherwise, most people who experience side effects are not greatly impacted. Although they can be irritating, the symptoms will eventually go away on their own.
The Risk of Side Effects and Vision Changes With PRK
General side effects include:
Glare or halos around lights, especially at night.
Scarring on the cornea, leading to haziness.
Infection on the cornea.
Dry eyes.
More serious complications include:
Undercorrections, overcorrections, or induced astigmatism.There may be inadequate central focusing after the lens is reshaped with lasers. Most surgeons aim for undercorrections at worst because these can be fixed months later with an enhancement. Overcorrections are more complicated and can lead to more eye strain, but they are manageable with treatment. Induced astigmatism is also treatable, but you may experience eye strain while the eye heals after the first procedure.Typically, these issues arise due to surgeon miscalculations when programming the lasers, an inadequate surgical plan, or problems focusing the laser during the surgery, which could be either a surgeon error or a device error.
People who are younger, whose eyes are still changing rapidly, or who undergo a high level of correction may experience this problem about six months after they undergo PRK. Topical steroids may temporarily halt regressions, and an enhancement procedure within a year or two may help keep vision clear, but ultimately, this complication cannot be stopped if it develops. While it is not ideal for someone to suffer a regression in visual acuity in a year or less after PRK, it is not a severe complication, and it does not indicate that the surgeon or laser device made errors.
Reticular stromal haze.This pattern may develop after surgery on the anterior (front) stroma, and it is unclear why the layers on the eye develop haze, making it tough to predict and stop. It rarely affects visual acuity after PRK, however, so it is only a serious complication if it leads to visual impairment. Some studies have associated stromal haze with taking nonsteroidal anti-inflammatory drugs (NSAIDS) like ibuprofen or acetaminophen after surgery.
Increased intraocular pressure (IOP).This is typically associated with use of steroids after the operation. If the person uses steroids to manage other surgical issues, IOP usually returns to normal when they stop taking the steroids. There are no reports of persistent or chronic IOP associated with PRK unless steroids were involved.
Posterior capsular cataracts.One of the more common complications after laser-assisted surgeries, including PRK, this type of cataract develops on the underside of the lens capsule. In people who undergo PRK, is it most often associated with using dexamethasone phosphate after the operation.
If you follow your surgeon's instructions, you are at very low risk of getting an infection after PRK. However, because the cornea has been impacted and there are open areas, you are at a small risk of contracting an infection in your eye. This increases if you scratch or rub your eye, or fail to use eye drops as prescribed. This can delay healing, but it is very treatable if you do develop an infection.
Central islands.This is a complication associated with several parts of the PRK operation, including focus of the laser, degradation of the laser optics with use, and acoustic shock waves, among others. Typically, the formation of these visual problems occurs due to several parts of the surgery going awry, but it is very unlikely to occur.
Corneal melting or perforation.People who have connective tissue diseases are more likely to develop this condition, although it is still rare. A penetrating keratoplasty can restore vision in the cases that this does occur.
These can be treated and typically go away on their own or with a second surgery. As with other eye surgeries, there are serious problems associated with PRK, including worse vision than before the surgery due to errors and blindness.
Risk Factors Contributing to Long-Term Problems From PRK Surgery
If you are not a good candidate for PRK but undergo the procedure anyway, you can suffer a higher incidence of side effects from this surgery. People who are not good candidates for PRK include those who have:
Unstable refractive errors, so their vision will continue to change anyway.
Skin or eye diseases that would impact healing.
Other chronic illnesses that hinder healing rate, like diabetes.
Immune system problems.
A history of scarring or easily developing infections.
Corneal abrasions or disease.
Advanced glaucoma.
Cataracts that affect vision.
Pregnant or nursing women.
It is also important to manage expectations after PRK. While this procedure does wonders to improve vision, many people do not get 20/20 vision after this procedure. Nine out of 10 people who undergo PRK get 20/40 vision or better, so you may still need some corrective wear — either glasses or contact lenses — after you have the procedure.
PRK will not correct presbyopia, as the progression of farsightedness caused by age will progress too fast. Other laser-assisted procedures may temporarily improve presbyopia, but PRK is not a good option.
Knowledgeable Doctors, High-Quality Equipment, and Clear Post-Surgery Instructions Improve Outcomes
While there are some serious risks to visual acuity associated with any operation on the eye, including PRK, it is important to know that the risk of developing any of these issues, from uncomfortable side effects to long-term changes to the eye requiring a second surgery to blindness, is very low. Working with highly rated ophthalmologists and surgeons can reduce your risk considerably.
An optometrist and ophthalmologist who know how to screen you for any risk, including asking appropriate questions about your general physical health history, will help to prevent some of these problems from occurring. Following your surgeon's instructions after the operation will also help to greatly reduce your risk of side effects and vision problems. Going to all of your follow-up exams and reporting any side effects or vision changes in the days that follow the procedure will help you get the treatment you need if problems do arise, so you will not suffer on a long-term basis.
Working with well-trained, highly experienced surgeons who know how to use lasers and other tools for PRK and related surgeries is the best approach to getting improved, clear vision.
Photorefractive Keratectomy. (November 28, 2017). EyeWiki, American Association of Ophthalmology (AAO).
Facts About Refractive Errors. (October 2010). National Eye Institute (NEI).
What Is Photorefractive Keratectomy?(September 27, 2017). American Association of Ophthalmology (AAO).
Photorefractive Keratectomy (PRK) for Myopia Correction Treatment & Management. (April 7, 2017). Medscape.
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text:
using com.esendex.sdk.rest;
using com.esendex.sdk.rest.resources;
using NUnit.Framework;

namespace com.esendex.sdk.test.rest.resources
{
    [TestFixture]
    public class SessionResourceTests
    {
        [Test]
        public void DefaultConstructor()
        {
            // Arrange
            string expectedResourcePath = "session/constructor";

            // Act
            RestResource resource = new SessionResource();

            // Assert
            Assert.AreEqual(expectedResourcePath, resource.ResourcePath);
        }
    }
}

redpajama_set_name: RedPajamaGithub


The Guardian have teamed up with the inventors of About Time to bring you the fantastic Guardian edition of the acclaimed new board game About Time. The Guardian edition of About Time includes a unique set of question cards featuring iconic Guardian front pages, available through Guardian Reader Offers for you to enjoy this Christmas.
About Time is a great new trivia game first seen on BBC2's Dragons' Den in which players guess the year of iconic events through time. About Time continues to receive excellent reviews for its inclusive games play mechanism, and for its outstanding design and content. As you only need to get closer than other players, there are no wrong answers in About Time, and plenty of curve balls during the game to keep things exciting.


In our second podcast, Organic Intelligence® founder Steven Hoskinson helps us rethink our psychology of trauma treatment. Meant to inform clinicians and non-clinicians alike, this information will help anybody dealing with trauma. First we will see how trauma is everywhere — and exactly how trauma keeps itself going over and over again. Trauma biology is addiction biology.


Davinci meeting rooms in Guangzhou feature on-site administrative assistants who provide professional first impressions.
Davinci Meeting Rooms in Guangzhou come equipped with state-of-the-art technology including audio-visual equipment.
All Guangzhou meeting spaces booked through Davinci come equipped with reliable high-speed internet access.
When booking a Guangzhou meeting space through Davinci, expect to arrive to a professional environment & friendly staff.
When booking a Guangzhou meeting space through Davinci you will receive administrative support to ensure your meeting runs smoothly.
With Davinci's vast selection of Guangzhou meeting spaces and venue locations, you will have no trouble booking a space.
Located on China's southeastern coast, Guangzhou is the third largest city in China and a key player in the manufacturing, tech, logistics, maritime trade, import/export, and transportation industries. It is an important commercial powerhouse for the region and for China as a whole, and outside involvement could be very profitable. The city is a center for culture as well as an economic hub for the region.
In order to do business, you need a place where you can meet with your team and other professionals to discuss strategy and make deals. Meeting rooms in Guangzhou offer you the opportunity to get involved in and near the Guangzhou Economic and Technological Development Zone without having to make a long-term investment in rental space or hotel rooms.
You can book these temporary places for rent online with the click of a mouse. Cheap deals on reservations for large and small private locations are available. You will find that all of our conference rooms in Guangzhou feature state-of-the-art corporate facilities and affordable rates. Rental venue meeting rooms in Guangzhou, China combine the practicality of an office space with the conference capabilities of a five-star hotel. Book a short-term reservation agreement, and reserve your meeting room solution in Guangzhou today!
We even provide value-added business support services in Guangzhou covering everything from receptionist services to catering. Davinci Meeting Rooms makes it easy for businesses with tight budgets and limited resources in Guangzhou to project a "big business" image without breaking the bank. To learn more about Davinci custom meeting space solutions available in Guangzhou, call us at 1-877-4BIZRMS (1-877-424-9767) or click on the above listing for more details on your preferred Guangzhou location.


Always check that the temperature setting of your machine corresponds to the pouches being used.
Laminators are normally warranted against failure or malfunction due to faulty components or workmanship for a period of one or two years from the date of purchase by the original consumer. Defects or failures, which have been caused by incorrect or wrongful use, regardless whether unintentional or intentional during the operation or maintenance of the device, are excluded from the warranty. Depending on the model chosen there may be user-serviceable parts – please contact our servicing department on 0845 5555 007 or Report a Fault for more details and note that unauthorized repair or attempts to service the unit may invalidate the warranty.
Laminators have been designed to laminate only those materials outlined within the Manufacturers instructions and non-compliance with those instructions will invalidate the warranty.
For service of the unit under warranty, please contact the above with proof and date of purchase and supply full details of the problem. Some manufacturers product limited warranty may includes the owner having to return the product to a base location at their expense until the fault is proven to be that of the components and therefore it is imperative that in the event of returning the machine under warranty, suitable packaging must be used. Insufficient packaging resulting in damage will invalidate the warranty.
Please note that attempting to laminate unsuitable documents such as multiple cut-outs, textiles, vegetable matter, documents exceeding the maximum thickness or documents too large or small for the pouch may result in jamming. Damage caused by incorrect use or failing to follow the instructions is not covered within the warranty.
Always make sure that the pouch used is fed into the laminator entry throat the correct way with the closed end first as if fed in open end it is possible for the pouch to wrap around the rollers causing damage. This would normally invalidate your warranty.


text:
You have searched for "DVS"
Nation 12 Jul 2016 | 9:48 AM
DVS swings into action to tackle poultry disease
KUALA LUMPUR: The Department of Veterinary Services (DVS) has swung into action to contain the infectious bronchitis (IB) outbreak which has left thousands of poultry chicken dead, says Agriculture and Agro-based Industry Ministry deputy secretary-general (policy) Mohd Sallehhuddin Hassan.
Nation 05 Mar 2018 | 8:28 AM
DVS: Only 11 heads of cattle culled, not thousands
PETALING JAYA: The Department of Veterinary Services (DVS) has refuted social media postings that thousands of heads of cattle have been culled as a result of tuberculosis (TB).
Nation 06 Oct 2015 | 8:44 PM
DVS to work closely with NGOs on animal welfare related issues
PUTRAJAYA: The Department of Veterinary Services (DVS) will establish close cooperation with non-governmental organisations (NGO) to address matters related to animal welfare.
Nation 07 Jun 2019 | 10:50 AM
DVS: Malaysia still free from African Swine Fever
PETALING JAYA: The Veterinary Services Department (DVS) has assured Malaysians that the country is free from African Swine Fever (ASF) and samples from commercial pig farms and wild boars show no signs of the virus.
DVS to expand ban on imports of pork and pork-based products
PETALING JAYA: The Department of Veterinary Services (DVS) will be expanding a temporary ban on imports of pork products from six countries, including China, to cover more items.
Nation 21 Jul 2017 | 11:36 AM
Ex-DVS head: Vaccinate cats, dogs including strays in the country to prevent rabies
KLANG: The Malaysian authorities must ensure that at least 70% to 80% of all dogs and cats in the country are vaccinated against the deadly rabies.
Nation 31 Jan 2019 | 12:00 AM
Biting harder against animal abusers
PUTRAJAYA: The dogs were butchered, poisoned and burnt. And the news ignited public fury and concern for man's furry friends.
Nation 07 Apr 2017 | 12:33 PM
Dept opens probe over brutal bashing of dog
PETALING JAYA: The Department of Veterinary Services (DVS) has started an investigation into the case of a man brutally bashing a guard dog at a housing estate here.
Nation 09 Feb 2017 | 12:00 AM
Dog lover reunited with 'Dutchess'
PETALING JAYA: There was not a dry eye in the room as a businesswoman was finally reunited with her beloved dog Dutchess, over two years after an animal abuse case came between them.
Community 13 Dec 2005 | 12:00 AM
Kuala Langat pigs quarantined
THE Selangor Department of Veterinary Services (DVS) has directed the quarantine of pigs from the Kuala Langat district after one of the animals believed to be infected with the foot and mouth disease was detected in the area last week.


text:
"Soviet magpie modernism": That's how editor Michael Idov sums up a sampling of forty-eight designs from the Soviet era in the book Made in Russia: Unsung Icons of Soviet Design. Mostly from the 60s and 70s and typically consumer goods remembered by anybody living in Soviet times for remarkably long shelf-lives. In a planned economy, choice was limited.
But also true, as Idov states, Soviet designs had magpie tendencies: the Vyatka motorscooter was reverse-engineered from the Italian Vespa; the Zaporozhets subcompact car apes the Fiat 600.
But magpie doesn't apply to the second design shown in the book: Sputnik-1. Besides the awe-inspiring out-of-this-world glory of a "whiskered orb" that beeped its way around the world, many soon realized the huge amount of rocket power (Korolev's Vostok 1) to launch our first manmade satellite, weighing 183 lbs. (In contrast, America's answer, Explorer 1 weighed a mere 18.5 lbs.)
What I found especially endearing were designs born out of the necessities of Soviet life (that surprisingly now have legs in the West!). Take the collapsible cup, a four-ringed container one could carry in one's pocket and that was always available when one wanted a beverage but didn't want to share in a germ-laden communal cup (disposable paper cups were a Western fantasy in Soviet times). Voila!
Similarly, the Avoska or cotton fishnet shopping bag was a Soviet design going back to the 30s. Avoska is a pun on "avos" ("perhaps") and people carried these string bags on the off-chance they might get lucky and find something to buy (black market or otherwise). They would have an instant bag to cart it home. In our recycling/sustainable times, the Avoska fits.
The forty-eight designs of Made in Russia are presented with a bit of irreverence and an eye for irony. Consider the 250-ml beveled glass--five or six hundred million were produced every year after WWII. The twenty-sided glass held literally every drinkable. A true iconic design that has ascended to that pinnacle of Western ubiquity: Remarkable lookalikes (in three sizes) are available at IKEA (when you drink up, you see "Made in Russia" engraved on the glass bottom!).
Spidola transistor radios, Elektronika handheld video games, Raketa wristwatches, Saturna vacuum cleaners ... too many to mention and for anyone interested in inventive Soviet design, Made in Russia is a worthwhile nostalgic stroll through a consumer-land the editor and essayists sometimes suggest they don't miss much!
Read Charlie Dickinson's latest novel, Losing Laika, as an ebook in these five downloadable formats:
.azw3 and .mobi (Kindle)
.pdf and .txt (for PCs)
Also read his story collection, The Cat at Light's End, as an ebook in these downloadable formats:


The Florida A&M volleyball team defeated host Savannah State in straight sets, 25-21, 25-16, 25-20 on Friday in Mid-Eastern Athletic Conference action.
FAMU improved to 9-15, 8-1 in the MEAC.
The host Tigers (3-20, 2-7) were led by Noria Ceballos Plaza (17 kills), Salma Gonzalez (26 assists) and Liz Ortiz Munoz (13 digs).
ATLANTA — Brandon Alston scored 17 points and Jose Alvarado scored 12 of his 14 points in the second half Friday to lead Georgia Tech to an 88-69 win over Lamar.
Alston and Alvarado each made a pair of 3-pointers down the stretch as Georgia Tech (1-0) made 12 from beyond the arc, the most the Yellow Jackets have made in a game since coach Josh Pastner was hired before the 2016-17 season.
T.J. Atwood paced Lamar (1-1) with 17 points and six rebounds. Nick Garth scored 15 and Josh Nzeakor added 12 points.
Curtis Haywood II scored 11 of his 13 points in the first half, including three consecutive 3-pointers in the middle of the period as the Jackets built a 36-15 lead before going into the break up 44-22.
The Cardinals struggled to both hang onto the ball and to shoot it. They committed 16 turnovers, which led to 17 Georgia Tech points, made just 9 of 26 from the field and missed all five of their free-throw attempts.
ATHENS — The 13th-ranked Georgia Lady Bulldogs began their 2018-19 campaign with a 67-40 win over St. Bonaventure on Friday in Stegeman Coliseum.
Georgia is now 37-9 in season-opening games and has won 13 straight season-openers dating back to the 2006-07 season. Leading the Lady Bulldogs was Caliya Robinson with nine rebounds and 15 points to mark the senior's 58th double-digit scoring game of her career. Redshirt junior Taja Cole chipped in 10 points and five rebounds while making her 34th straight start.
AVONDALE, Ariz. — Kevin Harvick won the pole Friday for Sunday's final qualifying race for the championship. The strong run came as his team is snared in a cheating controversy.
Harvick's winning car from last week was found to have an illegal spoiler and the punishment cost him his automatic berth into the final four. Needing a trouble-free run at ISM Raceway outside Phoenix to get back into the finale, Harvick stepped up with a strong qualifying effort to put him in the top starting spot.
Harvick will race Sunday without his crew chief or car chief. Both are suspended for the final two races of the season.
JACKSONVILLE, Fla. — Jacksonville Jaguars running back Leonard Fournette is good to go for Sunday's game at Indianapolis.
LOS ANGELES — The Los Angeles Rams canceled practice Friday after a wildfire forced about 20 players and coaches to evacuate their homes.
"I don't think anybody's house has been specifically affected, but they did have to leave the areas," coach Sean McVay said. "It's still a scary thing, and extremely unfortunate that they had to go through this. ... We just felt like the most important thing was for people to be with their families."
About 45 Rams employees were evacuated from neighborhoods south of the Rams' training complex, although McVay doesn't believe any homes have been lost. Those forced to leave their homes Friday included defensive coordinator Wade Phillips and defensive line coach Bill Johnson.
"Hopefully things will get under control in the next day, and then we'll get our work done (Saturday) in a little bit of a condensed fashion," McVay said. "But our guys have always been able to adjust and adapt in a good way."
The Rams will hold a moment of silence before Sunday's game in honor of the 12 victims of the massacre at the Borderline Bar and Grill in Thousand Oaks on Wednesday night.
"If anything, the last couple of days give you that perspective that we talked about (Thursday)," McVay said. "Most importantly is having our players and our organizational people be able to be the leaders of their family as they go through a little bit of adversity. ... I'm fortunate where I didn't have to leave my house, but a lot of guys did."


text:
package core.lsmt;

/**
 *
 * @author xiafan
 *
 */
public class PartitionMeta {
	public int partIdx;// lifetime的上界

	public PartitionMeta(int partIdx) {
		super();
		this.partIdx = partIdx;
	}

	public int getLifetimeBound() {
		return (int) Math.pow(2, partIdx) - 1;
	}

	@Override
	public boolean equals(Object meta) {
		return partIdx == ((PartitionMeta) meta).partIdx;
	}

	@Override
	public String toString() {
		return "PartitionMeta [partIdx=" + partIdx + "]";
	}
}


Welcome to the Jordyn and the Caverns of Gloom release day promo! I haven't read this book or the first book, but I love Tiffany King and her books. Check out all the cool things I have to share in this post, and enter to win this book at the bottom of the post!
The synopsis sounds so interesting which makes me wanna read this book. It has a subject to which every one can relate to, many times in our lives people who are close to us lies and it hurts deeply. I really want to find out that how Jordyn will cope with this situation.
the blurb sounds really good. I'v not got to read the first book yet but hopefully that will change soon.
I will definitely be adding to my TBR! The synopsis sounds awesome!
I am excited to read stories of one overcoming lack of self-worth and becoming victorious. Most of us have no clue what our worth is.
I haven't read the first book yet, but it looks very interesting. I love paranormal books, so I will definitely look into this.


Be(wear) of the Camera:Photo-Sharing Your Style — Anna Akbari, Ph.D.
Surprisingly enough, Susan Sontag wrote that quote in 1977. At a social media-induced alarming rate, the sentiment could not bear more truth today. Have you seen iPhone 5 commercials lately? The most recent ad campaign is entitled, Photos Every Day, as the voice-over reports, "Every day, more photos are taken with the iPhone than any other camera." Clearly, the weight of Sontag's truth is due to the technologically-enabled ease of capturing an image. But, without the added platforms to share these photos with others, I'm betting we wouldn't be so inclined to take as many snapshots as we do – especially of our sartorial collections.
Photo-sharing acts as both a virtual mirror and a memory bank. When applied to fashion, it allows us to try on looks, get feedback in terms of likes/comments, and play with our image via technology. Essentially, these channels are added opportunities to communicate who you are (hopefully without becoming overly self conscious, vain, or narcissistic along the way).
The social media channels that invite us to partake in self-branding through visual culture are endless. Whether the medium be as fleeting as a Snapchat, or as everlasting as Facebook photos (where even the deceased remain virtually relevant), people are revealing, if not promoting, what they wear and admire to an uncountable number of eyes. Everything from Canadian model Coco Rocha's high-fashion instagrams to Kelly Osbourne's controversial black diamond manicure fuel this photo-sharing frenzy. What does this mean for our image-centric selves?
Our constant participation in media does not allow us to look away from these 'mental mirrors.' Born out of social media, it is not hard to see how the 'selfie' may be short for an image that will likely induce self-consciousness.
In terms of fashion, some critics acknowledge the type of popularity contest that sartorial photo sharers and bloggers take part in. In T Magazine, Suzy Menkes notes, "Fashion has to some extent become mob rule — or, at least, a survival of the most popular in a melee of crowdsourcing." If everything that existed aimed to end in a photograph in 1977, today, those images also aim to be 'liked' – as if high school wasn't long enough.
Whether or not there are marketing campaigns, vanity projects, or consumer bragging rights behind fashion photo-shares, it isn't always easy to curate, censor, or feel consistently confident when using this medium of self-reflection. Instagramming doesn't come with instant confidence, especially when digital privacy seems more and more like a national pastime. No matter the number of followers or accumulation of likes (even though we are tweeting and instagramming amongst the stars) the lot of us are not celebrities. We are not always – nor do we need to be – 'camera ready.' However, I still want you to show the world who you are…even if that person prefers privacy. You don't have to miss out, because the most important self you share is the one that you show off in person.
1. Tired of looking into the 'mental mirror' in the dressing room? Want an 'insta-suggestion' or second opinion while shopping from people and stylists you trust?
Pickie: Take part in the 'social shopping' movement and use your network along with Pickie's staff of editors to curate your own fashion wishlist. Pickie personalizes your very own 'shoppable magazine' with products shared by your friends/people you follow, what's trending/new/noteworthy, along with editors' picks, all based on your interests.
2. Overwhelmed with the amount of sites and bloggers, but still want all the highest rated looks and to conveniently keeping your Instagram 'follower' to 'following' ratio down?
3. Too turned off, apathetic, or shy to share?
Clothapp: You don't always have to share. Clothapp lets you choose to whom you want to "unlock your closet." Use it to digitally organize your wardrobe based on occasions or levels of formality. The New York Times compares the app to Cher Horowitz's computerized closet in the 1990s cult classic, Clueless (see below; duckface, optional). Fully equipped with Instagram-like filters for share-worthy outfits, there's even a new weather feature so you can dress to mother nature's real-time conditions.


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Latest Digital Delivery Update is Published
Roger Smith has updated his "Digital Delivery of Legal Services to People on Low Incomes" report. This and previous annual reports and updates can be […]
Roger Smith has updated his "Digital Delivery of Legal Services to People on Low Incomes" report.
This and previous annual reports and updates can be seen here.
Online Courts: How to measure "justice" and "fairness"
TLEF, together with UCL and the University of Oxford, brought together experts to draft recommendations for measuring the impact of online courts on access to […]
TLEF, together with UCL and the University of Oxford, brought together experts to draft recommendations for measuring the impact of online courts on access to justice
The court system in England and Wales is undergoing a period of rapid and unprecedented change. In 2016, Her Majesty's Courts and Tribunal Service ("HMCTS") established a programme of reform that intends to introduce new technology, modernise the justice system and reduce costs. Cost reductions are expected to be realised through a combination of reducing staff, reducing the number of cases held in physical court rooms and reducing the court estate, as well as generating efficiency savings through reforming administrative processes. The HMCTS Reform Programme aims to reduce demand on courts by moving activity out of court rooms, expanding the use of video technology, introducing online end-to-end processes, promoting the use of online negotiation, mediation and settlement and developing new asynchronous processes (such as Continuous Online Resolution) for use in areas of administrative justice.
In delivering these changes, HMCTS have publicly committed both to monitoring and evaluating the impact of the reform programme on: "peoples access to, and the fairness of, the justice system, particularly in relation to those who are vulnerable" and to: "use insights from external research and academia to validate and challenge their approach". To assist in this task, The Legal Education Foundation, together with Professor Dame Hazel Genn (UCL Laws) and Professor Abigail Adams and Professor Jeremias Prassl (University of Oxford) brought together experts from around the world to recommend a framework for designing an evaluation that would be recognised as robust.
The workshops, which were held in October and November 2018, brought together thirty-eight experts in online dispute resolution, public law, civil procedure, access to justice research, court administration and evaluation. Attendees included:
Prof. Abigail Adams New College, University of Oxford
Ms. Julie Bishop Law Centres Network
Lord Justice Peter Coulson Deputy Head of Civil Justice, England and Wales
Dr. Naomi Creutzfeld University of Westminster
Ms. Renee Danser Access to Justice Lab, Harvard Law School
Prof. Noam Ebner Creighton University Graduate School
Prof. Cristie Ford University of British Columbia
Prof. Dame Hazel Genn UCL Centre for Access to Justice, UCL Faculty of Laws
Mr. Richard Goodman HMCTS
Prof. Andrew Higgins Mansfield College, University of Oxford
Ms. Rhiannon Hollis Justice Select Committee
Mr. Murray Hunt Bingham Centre for the Rule of Law
Prof. Peter John Kings College London
Ms. Charlotte Kilroy Doughty Street Chambers
Ms. Sara Lomri Public Law Project
Prof. Helen Margetts The Alan Turing Institute and The Oxford Internet Institute
Mr. Richard Miller The Law Society
Prof. Helen Mountfield Matrix Chambers and Mansfield College Oxford
Prof. Kate O'Regan The Bonavero Insitute of Human Rights, University of Oxford
Ms. Alison Pickup Public Law Project
Mr. Timothy Pitt-Payne QC 11 Kings Bench Walk
Prof. Jeremias Prassl Magdalene College, Oxford
Mr. Michael Reed Free Representation Unit
Prof. Judith Resnik Arthur Liman Professor of Law, Yale Law School
Ms. Rachel Robinson Equality and Human Rights Commission
Mr. Richard Rogers The Civil Resolution Tribunal, British Columbia
Dr. Meredith Rossner The London School of Economics
Sir Ernest Ryder Senior President of Tribunals
Dr. Ayelet Sela Bar-Illan University, Israel
Mr. David Slayton Joint Technology Committee, National Centre for State Courts
Dr Joe Tomlinson Kings College London and The Public Law Project
Prof. Patricia White University of Miami School of Law
Prof. John Zeleznikow Victoria University Business School
The draft recommendations are available here. The formal evaluation of the reform programme will be led by the Ministry of Justice, who have committed to finalising their approach by Spring 2019. In order to assist the Ministry of Justice in scoping their evaluation approach, TLEF would welcome comments and feedback on these draft recommendations by 22nd March 2019. Please email any comments or suggestions to Natalie.Byrom@theLEF.org by this date.
Championing the 'law of real life'
TLEF March reception brings together a wide range of organisations, which are all working to ensure people's rights and interests are protected. Social welfare law […]
TLEF March reception brings together a wide range of organisations, which are all working to ensure people's rights and interests are protected.
Social welfare law is 'the law of real life', and is what determines whether ordinary people's 'rights are upheld, their interests protected, and their ambitions fulfilled', TLEF chairman Guy Beringer told guests at the foundation's Inner Temple reception.
Despite its importance to people's lives, social welfare law – which includes housing, welfare benefits, debt, community care, immigration, employment, mental health, equality – has been a 'Cinderella area' of the legal profession, he added. 'It is often untaught by our universities, undervalued by our profession, and is often a closed book to the public.'
TLEF believes this position will not improve unless social welfare law is championed as a career choice for the most able young lawyers, which is why the foundation created its ground-breaking Justice First Fellowship scheme, he said. The fellowship has funded the training contracts of nearly 70 new social welfare solicitors and barristers since it was launched five years ago. 'The scheme is gaining momentum and, in a few years, Justice First Fellows will be numbered in their hundreds. We hope this will help the law of real life be given the status is deserves and to be a reality for many people.'
Guy Beringer was speaking at the foundation's fifth annual reception, which brings together people from a range of different organisations which have all received TLEF grant funding, to allow them to network and exchange ideas and information. It was attended by in excess of 100 guests.
A transcript of his speech can be read here.
The scheme was represented by Alex Temple, Winnie Schmidt, Stephen Cutter, Sohini Mehta, Syeda Afaz, Chloe Lee, Ruth Mercer, Ollie Persey, Boris Knezevic, (front row) Siobhan Poll, Alice Gambell, Karolina Rychlicka, Thembi Fakoya-Sales.
British and Irish Legal Information Institute
British Institute of Human Rights
Child Poverty Action Group
Fair Trials International
Law for Life, Advicenow
Legal Advice Centre (University House)
Legal Aid Practitioners Group
RCJ Advice
Refugee Action
Youth Access


Workers World , 12 December 1996. Strike by public sector workers.
Weekly News Update on the Americas , 10 August 1997. Peaceful general strike led by Federation of Workers of Venezuela (CTV) a success; extent to which the strike was supported by the Caldera government is unclear.
Weekly News Update on the Americas , 5 July 1998. Court workers in Venezuela began a national strike on July 1 to protest the Judiciary's failure to comply with their collective bargaining agreement or approve new wage increases.


Smart Food Storage Tips for your Working Week Menu!
Start off your kid's day with the delicious Breakfast Bird!
I have Cancer but Cancer Doesn't have Me!
"The girl who hears you talking about your new bag might be getting paid 800LE" When Bragging Breaks Hearts!
An Asian Infused Dinner at Chinoix!
Seven Must-try Dishes on Casper and Gambini's New Menu!
Periods and Ramadan: How to Sneak in Food At The Office!
Ramadan's Out and About: Your guide to Entertainment during the holy month.
Relocating our Living Rooms at The Upper Deck!
Healthy can be Delicious, too!
No Bake, Easy Make, Cheesecake!
Dinner is Served: Parmesan Chicken Pasta!
Blooming Snacks – Flowers you can actually eat!
Tunisia – A Bit of Everything!
Rich Aroma right from your Computer Screen!
Is Detox a Painful Approach? Not at all!
How to Stay Healthy, Hydrated and Energetic this Ramadan without a Miracle!
Breakfast is it really the most important meal of the day?
Food that Beats the Winter Blues!
Midnight Munch with No Fear of a Potential Belly!


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Tiverton, RI (Town Center)
About Tiverton, RI (Town Center)
Median real estate price in the Town Center of Tiverton is $383,349, which is more expensive than 67.6% of the neighborhoods in Rhode Island and 71.2% of the neighborhoods in the U.S.
The average rental price in Tiverton Town Center is currently $1,391, based on NeighborhoodScout's exclusive analysis. Rents here are currently lower in price than 61.5% of Rhode Island neighborhoods.
Tiverton Town Center is a suburban neighborhood (based on population density) located in Tiverton, Rhode Island. This is a coastal neighborhood (i.e., is on the ocean, a bay, or inlet).
Real estate in the Town Center of Tiverton, RI is primarily made up of medium sized (three or four bedroom) to small (studio to two bedroom) single-family homes and small apartment buildings. Most of the residential real estate is owner occupied. Many of the residences in the Town Center neighborhood are older, well-established, built between 1940 and 1969. A number of residences were also built between 1970 and 1999.
Tiverton Town Center has a 11.7% vacancy rate, which is well above average compared to other U.S. neighborhoods (higher than 63.3% of American neighborhoods). Most vacant housing here is vacant year round. This could either signal that there is a weak demand for real estate in the neighborhood or that large amount of new housing has been built and not yet occupied. Either way, if you live here, you may find many of the homes or apartments are empty.
Do you like a coastal setting? If so, this neighborhood may be to your liking. The Tiverton Town Center neighborhood is on the ocean, a bay, or inlet. Often such coastal places have amenities and recreational activities on the waterfront that are attractive to residents and visitors alike. In addition to being coastal, Tiverton Town Center is a very nautical neighborhood, meaning that it is somewhat historic, walkable, densely populated and on the water. This gives the neighborhood a very nautical feel, with some seaside and shipping feel, which some may really enjoy the sights and sounds of.
If you're planning where to retire, the Town Center neighborhood in Tiverton is a great option to consider. According to NeighborhoodScout's exclusive retirement dream area analysis, it's peaceful and quiet, has above average safety ratings compared to other neighborhoods in RI, offers a wide range of housing options, and has already attracted an enviable mix of college educated seniors. This neighborhood ranks as better for retirement living than 85.9% of the neighborhoods in Rhode Island. If you are considering retiring to Rhode Island, this is a good neighborhood to look at. In addition to being an excellent choice for active retirees, this neighborhood is also a very good choice for urban sophisticates.
Did you know that the Tiverton Town Center neighborhood has more Portuguese and French Canadian ancestry people living in it than nearly any neighborhood in America? It's true! In fact, 22.2% of this neighborhood's residents have Portuguese ancestry and 5.4% have French Canadian ancestry.
Tiverton Town Center is also pretty special linguistically. Significantly, 3.8% of its residents five years old and above primarily speak Portuguese at home. While this may seem like a small percentage, it is higher than 98.9% of the neighborhoods in America.
The neighbors in the Town Center neighborhood in Tiverton are upper-middle income, making it an above average income neighborhood. NeighborhoodScout's exclusive analysis reveals that this neighborhood has a higher income than 74.9% of the neighborhoods in America. In addition, 1.7% of the children seventeen and under living in this neighborhood are living below the federal poverty line, which is a lower rate of childhood poverty than is found in 85.1% of America's neighborhoods.
In the Tiverton Town Center neighborhood, 44.2% of the working population is employed in executive, management, and professional occupations. The second most important occupational group in this neighborhood is sales and service jobs, from major sales accounts, to working in fast food restaurants, with 23.2% of the residents employed. Other residents here are employed in clerical, assistant, and tech support occupations (17.1%), and 15.5% in manufacturing and laborer occupations.
The most common language spoken in the Tiverton Town Center neighborhood is English, spoken by 89.2% of households. Some people also speak Portuguese (3.8%).
Culture is shared learned behavior. We learn it from our parents, their parents, our houses of worship, and much of our culture – our learned behavior – comes from our ancestors. That is why ancestry and ethnicity can be so interesting and important to understand: places with concentrations of people of one or more ancestries often express those shared learned behaviors and this gives each neighborhood its own culture. Even different neighborhoods in the same city can have drastically different cultures.
In the Town Center neighborhood in Tiverton, RI, residents most commonly identify their ethnicity or ancestry as Portuguese (22.2%). There are also a number of people of Irish ancestry (22.2%), and residents who report English roots (18.3%), and some of the residents are also of French ancestry (10.9%), along with some Italian ancestry residents (7.9%), among others.
Even if your neighborhood is walkable, you may still have to drive to your place of work. Some neighborhoods are located where many can get to work in just a few minutes, while others are located such that most residents have a long and arduous commute. The greatest number of commuters in Tiverton Town Center neighborhood spend between 15 and 30 minutes commuting one-way to work (38.6% of working residents), which is shorter than the time spent commuting to work for most Americans.
AGE OF Tiverton, RI (Town Center) HOMES
TYPE OF Tiverton, RI (Town Center) HOMES
SIZE OF Tiverton, RI (Town Center) HOMES
in Tiverton
in Rhode Island
Tiverton VIOLENT CRIMES
Tiverton Property CRIMES
District Quality Compared to Rhode Island
Better than of RI school districts.
Quality Rating Compared to RI*
Fort Barton School
99 Lawton Avenue
Tiverton, RI 02878
Pocasset School
278 North Brayton Road
Tiverton High School
Tiverton Middle School
10 Quintal Drive
Providence-Warwick, RI-MA Metro Area regional investment potential
Housing Affordability Trends: Providence-Warwick, RI-MA Metro Area
Barrington, RI (Annawomscutt / Bay Spring)
Barrington, RI (Nayatt)
Barrington, RI (New Meadow Rd / Sowams Rd)
Barrington, RI (Town Center)
Dartmouth, MA (Great Neck / Slocums Corner)
Jamestown, RI
Portsmouth, RI (Melville)
Portsmouth, RI (Town Center)
Warwick, RI (Warwick Neck Ave / Narragansett Bay Ave)
Westport, MA (Westport Point / Acoaxet)
88% Match ‐ Warren, RI (Coggeshall / East Warren)
87% Match ‐ Fairhaven, MA (Silver Shell Beach / Wigwam Beach)
86% Match ‐ Fairhaven, MA (East Fairhaven / Nasketucket)
86% Match ‐ Bristol, RI (Bristol Highlands)
85% Match ‐ Portsmouth, RI (Bristol Ferry / Island Park)


Hamilton has lots of maps and forests eh! The terrain is so similar to Silkeborg that a top Norwegian came here in Jan 2006 before WOC in silkeborg so he could prepare. He won that WOC. So get on those maps.
Yes I'll try to start doing some orienteering next week! Is there anyway for me to get access to the maps?
Is a course/training included with the map copy?
Possibly. In exchange for control collection at all our Fall races this season.
so he gets double the training? Wow good deal. I wish that existed when I was a junior.


The end of student accomodation investment?
It's fair to say that companies selling UK student accommodation have had a massively profitable time these past 5 years but the time has already arrived where the writing is on the wall for UK student accommodation.
I must confess I was never drawn to it!
Despite the promises of buybacks on property investments and easy resales, there is no market so you are stuck with it… You cannot leverage it because no bank will touch it… even the developers that gave you vendor finance really just hyped up the prices and made it look appealing through the low capital entry point… now we are starting to hear that the rental guarantees aren't all they cracked up to be because the company that offered them had no assets to back them up, so even if your property did actually complete and you got your guarantees the returns after this period ended are often coming in far less than a normal buy-to-let property.
So I stuck with plain old buy-to-let property investments through this whole period, for the same reasons that I didn't do Harlequin Caribbean property or Ecohouse Brazilian property, I chose not to do UK student property.
The challenges were there from the start, massive commissions for very little capital outlay (between 10%-20% of the capital was paid out in commission) no mortgages required which means little third-party interference in the prices.
Many property investment companies have made a fortune off student accommodation, which in my mind is a totally unproven strategy over the long term.
Do I think that you can make money with this sector… Yes.. but I also think the way it's been sold is over the top, hyped up and loads of BS. That tends to happen when you are making around £5k-£12k per property sold. Incredible.
An agent I know in Singapore who has sold 495 units has swapped companies because besides the ones that never completed, the ones where guarantees were not being paid, the ones where the yield was nowhere near the predicted and the ones where the management companies were not what they were sold, he got a sense that his investors could never sell these back. With so many new student pods being sold there was going to be a massive oversupply.
This past week I have had two people apply for jobs who were sick of UK student housing investors complaining about their investments not turning out how they were sold.
Another good mate who runs one of the largest providers of student property in the UK warned me early about the troubles within the sector. They totally strip and replace their pods every three years otherwise they simply don't maintain their yield, this was never in any cash flow.
The bottom line is, if you are considering investing in UK student accommodation then why not also look at the lower value buy-to-let properties in the Northern parts of the UK. Prices are between £50,000 and £120,000 for new build stock and yields are as high as 9% which is very much a proven market and you can resell as easy as walking into a local agency.
If you're interested then give the team a call on +44 (0)207 923 6100, I am sure they will have more horror stories which are only now coming to fruition but will become more and more over the next few years as the massive supply of student pods comes to market (or doesn't).


In the year 1973 the foundation stone for this modern church was blessed and work on its construction commenced. The architect was David Duignan. The contracted builder was Patrick McCabe and the estimated cost was one hundred and twenty thousand pounds.
At a special Mass and consecration ceremony in 1974 Most Rev. John McCormack officially opened the church and dedicated it to St.Louis and St. Mary. Fr. Hugh Clyne was parish priest of Rathkenny at this time. Fr. Michael Murchan, who took responsibility for this project, was curate.
Parishioners and friends rallied wonderfully to the fundraising events regularly organized. To these funds were added loans from the diocesan building fund and monies loaned by individuals with no interest charged. To the joy and satisfaction of parishioners and priests alike all debts were settled and loans repaid by late 1982.
The story of the church that this new church replaced, is for another time.


1800 sq.ft modern townhouse that has private room and Bath. A great place to stay for a few nights. Located in between Provo and Salt Lake City. Close to shopping, restaurants, and easy Access to Freeway.
Only 3-5 minutes from Orem/Provo area, 15 minutes from the Traverse Mountain Outlets, 35 minutes from downtown salt lake city. Orem has lots of great places to eat! Also only minutes from the mountains for hiking skiing/snowboarding.