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You are at:Home»Politics & Policy»Insurers Begin Denying Payment for "Unnecessary" ED Care
Insurers Begin Denying Payment for "Unnecessary" ED Care
By Jesse Pines, MD ON July 7, 2017
New coverage policies by Blue Cross Blue Shield of Georgia and others could bankrupt patients – or worse.
In May 2017, Blue Cross Blue Shield (BCBS) of Georgia announced it will no longer cover "unnecessary" emergency department (ED) care, starting July 1. According to BCBS Georgia President Jeff Fusile, "…we have got to find a better way to do some of this stuff, taking some unnecessary spending out of the system." Fusile would rather patients use urgent care, retail clinics, and their online app, instead of costly EDs for conditions treatable in those settings. The BCBS policy follows similar ones enacted by Anthem in New York, Kentucky, and Missouri.
To many, these policies seem well-intentioned for a fiscally responsible insurer in a country with out-of-control healthcare costs. The simple goal: drive low-acuity illness to cheaper settings, which will control costs and in turn, allow for lower premiums.
Insurers are partly right: inefficient setting selection is a real issue. It is not uncommon for emergency physicians to face situations where a panicky ED patient realizes their perceived health emergency was a false alarm. Some well known examples: a toddler with a fever and listlessness who perks up after a weight-appropriate dose of ibuprofen; a bout of severe, unrelenting abdominal pain that resolves spontaneously right after the patient is triaged and passes gas; the allergic reaction which initially felt like "throat closing" with not even a hive after some Benadryl.
Some ED patients could potentially be served elsewhere. Some patients come to the ED when they didn't need any medical attention at all. But the reality is there is no systematic way for patients to reliably and safely determine whether their symptoms represent an emergency. Many patients are referred to the ED by their doctors, others have no easy access to physicians, and many do not know about or think they should use telemedicine during a potential health emergency.
Bottom line, it is playing with fire for BCBS and Anthem to systematically discourage ED use. Sometimes, fever and listlessness is meningitis, unrelenting abdominal pain can be a bursting appendix, and allergic reactions occasionally result in life-threatening anaphylaxis. All are potentially lethal if untreated. Insurers' new ED deterrent policies create a new, unfair responsibility for patients: self-diagnose accurately, or else. Patients choosing incorrectly face steep financial penalties after seeking care in settings deemed "non-ideal," decided after the fact by their insurer using their final diagnosis.
These policies will dissuade some patients from using the ED. They will also save insurers a boatload of money, allowing them to happily keep more of their members' hard-earned premium dollars.
Yet for many, the perception of a potential health emergency will be too great to bear. The fact is most patients do not consider costs when they think they are having an emergency. No doubt, many patients in Georgia, New York, Kentucky, and Missouri will continue to pile into EDs at all hours for conditions that end up being nothing serious. But later, they will punched in the gut by their insurer with a "surprise coverage gap": a large out-of-pocket bill, despite already having responsibly paid their insurance premiums. Their insurers will recast this travesty as "surprise billing" by greedy physicians and hospitals.
Given the large numbers of people these policies affect, some hapless patients will err on the side of fiscal responsibility, risking their safety and well-being. They may initially think they need care, but will think twice and make the wrong decision. Deferring life-saving care will cause them to experience a poor outcome or even die.
These insurance policies ignore the realities and uncertainties that patients face during illness and injury. Patients with minor symptoms not uncommonly have serious illness, and many patients with symptoms that first seem serious end up being nothing. A 2013 JAMA article described this phenomenon: the 6% of ED patients with "primary care treatable" conditions had the same chief complaints as 89% of overall ED visits. Even for expert emergency physicians and nurses armed with advanced equipment, the art of accurate diagnosis can be deceivingly difficult. It sometimes takes an ED visit to figure out whether a condition is "primary-care treatable."
For the American College of Emergency Physicians (ACEP), this is not its first rodeo with insurers over fair coverage. This came to a head in the late '90s with repeated denials for ED visit claims: for example, crushing chest pain ultimately diagnosed as gastro-esophageal reflux. In the end, ACEP's work along with patient outcry led to the "prudent layperson standard." This requires insurers to pay for emergency conditions that, according to a person who "possesses an average knowledge of health and medicine," potentially places someone in serious jeopardy from impairment of bodily function or dysfunction to bodily organs. The prudent layperson standard was written into federal law in the Patient Protection and Affordable Care Act of 2010. The intention of prudent layperson was to not allow insurers to make post-hoc coverage decisions. Specifically, by reviewing limited information (i.e. the discharge diagnosis), an insurer has no way of knowing what brought the patient to the ED or whether a prudent layperson would have considered their symptoms a medical emergency.
The trouble is that now BCBS Georgia thinks that it can read their beneficiaries' minds, apply the prudent layperson standard fairly and reliably, and not pay for "non-emergencies." Think again.
Take a 43-year old female who whacks her foot into the door jam at 1 a.m., which is immediately painful and she can't bear weight. The toes turn dark purple, and appear swollen and deformed. After ibuprofen, the pain becomes unbearable. She goes to the ED (the only place open), gets an x-ray and some pain control. She goes home comfortable, reassured there's no fracture, with a surgical shoe and a prescription for painkillers. Weeks later, insurance staff reviews her claim and sees the ICD-10: "S90.1 Contusion of toe without damage to nail." Nowhere in her insurance records did it say she had severe pain, ibuprofen was ineffective, or that she couldn't walk. The conclusion: another "unnecessary" ED visit for a stubbed toe. She is left paying $1200 out of pocket. One night, several months later, she is awoken by chest pain. Still stinging from her "surprise coverage gap," she goes back to sleep, hoping it's nothing and dies from a heart attack. The only winner is her insurer, who got out of paying for not one, but two ED visits.
Where and when people should seek care when sick and injured is thorny business. The terms "inappropriate" and "unnecessary" are commonly invoked, yet never defined reliably. A recent study found that experienced emergency physicians only agreed on "ideal" settings for about half the time, even with detailed clinical information about the ED visit. Therefore, it is impossible for insurers to know with any reasonable certainty whether any particular case was "unnecessary" with the limited data they review or whether a prudent layperson would have sought medical care.
So where do we go from here? Like the many prior attempts to implement similar policies, the BCBS and Anthem coverage shell game will ultimately fail. Patients will not stand for it. ACEP and other hospital groups will fight it. However, along the way many patients who trusted their insurance company to cover their medical bills will experience a "surprise coverage gap." For everyone who this happens to, the bill will certainly sting. Some will go bankrupt. And a few will experience avoidable medical complications or die off in the process.
Jesse Pines, MD
HEALTH POLICY SECTION EDITOR Dr. Pines is a practicing emergency physician and a Professor of Emergency Medicine and Health Policy at the George Washington University.
Mark Owen on July 8, 2017 12:35 pm
Thank you Dr. Pines, I'm concerned about your 2am stubbed toe example because Anthem will push back and say they allow such ED visits on review if they occur during nights and weekends when a PCP is not available.
Jesse Pines on July 10, 2017 2:04 am
Thanks for the clarification. I know this is a moving target and there are considerations about lists of diagnoses, times of day, weekend, etc. The example is meant to demonstrate that visits that may seem minor in retrospect are actually very urgent for the patient.
Chris C on July 12, 2017 8:59 pm
How many docs will "buff" the chart so that the complaint becomes billable? Many I presume. That cough with chest pain we diagnose as "URI" will now become "URI" and "Pleurisy" or just "Chest Pain." With that will become many expensive tests and possibly increased radiation exposure. This will backfire on them. But of course they will admit no fault. Disgusting.
Jim Mensching, DO on July 13, 2017 1:06 am
Not surprising at all.
I'd be fascinated to know if any ED physicians working for BCBS helped develop this policy, or resigned over it. Additionally, what is BCBS liability if their "online app" causes a patient to delay in seeking care, resulting in death or disability?
michael gross on July 13, 2017 1:32 pm
None. Patients make the final decision. It's a reboot of Wickline, where a CA physician was liable for injury to a patient who was discharged when insurance coverage for mental health was denied, despite the MD's insistence that the patient was ill.
This must be fought at a governmental level. One solution would be to mandate a 24 hour line that patients call, run by the insurance company, to get advice from them. This would put them on the hook for missed diagnoses and injuries. It's still a half-assed solution, though. Post hoc coverage denials should be outlawed. They are an example of profit-seeking that trumps reasonable care.
Steve G. on July 13, 2017 7:29 pm
I feel compelled to play Devil's advocate a little here. I've been practicing in an overwhelmed ER for the last 9 years and having metrics of throughput and Yelp, Facebook reviews, Google Reviews, JL Morgan and Press-Ganey scores shoved in my face as measures of my competency, and as constant threats to our contracts with hospitals. At the end of my day when I review my patient list and encounters, I would not be exaggerating if I said that 25% of the patients I see did not need immediate care. While I acknowledge your points about potential for patients to hesitate next time a complaint arises, out of fear of financial ownership, I am not sure that is such a bad thing. The pendulum has swung so far in the direction of patients having no ownership and the demand for instant gratification and answers. Even the community physicians abuse the ER. I am certain that the answering machines in every pediatric office and primary care office, begin with, "if you are concerned, go to the Emergency Room".
I also understand that the billables for my group will inevitably go down, as our visits will decrease. Again, from a societal perspective, where is the greater good? The majority of patients that abuse the system have no co-pay because they are on some form of Medicaid, whether it be straight Medicaid or managed care. For them, there is no disincentive to come to ER. No appointment, minimal wait, immediate access to diagnostics that would otherwise require authorization and another appointment, and no financial obligation. While they're there, they ask for Rx for motrin, benadryl, pedialyte, tylenol and hydrocortisone cream because "Medicaid pays for it".
Chris Carpenter on July 14, 2017 12:20 pm
Thanks for this informative essay Jesse! It was circulated across Missouri today by the Missouri chapter of ACEP (http://mocep.org/2017/07/insurers-begin-denying-payment-for-unnecessary-ed-visits/?utm_source=WP+Users&utm_campaign=8e362fa5d0-Weekly+RSS+Email+Newsletter&utm_medium=email&utm_term=0_3bcf919a86-8e362fa5d0-128967721). As with most things in life, I believe that the best answer probably resides somewhere in the middle. I wish that Americans would explore additional alternatives to the ACA or the GOP health bill. For example, over 10 years ago David Gratzer suggested some interesting ideas pre-Obamacare (http://www.heritage.org/health-care-reform/report/the-cure-how-capitalism-can-save-american-health-care). Unfortunately, our politicians seem to believe that there can be only two choices – the Democratic way or the Republican way. I think that a greater emphasis empowering patients via economic freedom and fiscal responsibility, as outlined by Dr. Gratzer, is worth exploring in theory if not in policy. Additionally, I think that the current Anthem approach to reducing ED visits is particularly short-sighted without first significantly increasing access to primary care and reimbursing primary care providers in line with specialists. As noted on a recent episode of Primary Care Medical Abstracts (https://www.ccme.org/pcma/), for too long our primary care colleagues have been paid platitudes by multiple stakeholders but remain among the lowest paid specialties.
Thomas Benzoni on July 18, 2017 5:42 pm
Could we have an informed discussion:How much money would be saved under varying circumstances? Publish this using % of US healthcare.
Having exposed the absurd, we can move on to important topics.
EPM Talk Ep. 37 – CT Chat with Dr. Jarvis of Abbott Labs
What does 2021 hold for EM?
Deciphering MCP Joint Deformity


"is on everything from furniture to notebooks."
FRAMINGHAM, Mass.--(BUSINESS WIRE)--Grape Ice. Strawberry Freeze. Blueberry Frost. These aren't the latest Popsicle flavors, but the hot new translucent colors topping students' "must have" list for Back-to-School 2000.
Here is a "Top Ten" preview of what will be hot in the hallways this September according to the experts from Staples.
1. Clearly popular. Translucent colors are the hottest trend on most school supplies this year. Everything from chairs and lamps to pens, notebooks and three ring binders can be found in a variety of translucent shades. Translucent trends for Back-to-School 2000 include Spaceworks space crates by Tamor; bold new V-Tech phones; translucent violet desk lamps by Tensor; a wide array of Basix translucent desk accessories by Tenex; and translucent chairs, floor mats, computer keyboards, computer mouses, shredders, calculators, staplers, tape dispensers and pens.
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Home > Dissertations, Theses, and Professional Projects > Dissertations (1934 -) > 1513
Dissertations (1934 -)
Symbols, Artifacts, Rituals, and Ceremonies: Archetypes of Community in a Selected rivate High School
Emmanuel Peter Udo, Marquette University
Dissertation - Restricted
Augenstein, John J.
Pink, William T.
Halula, Kim K.
The call for community is heard everywhere today - in national politics, in the academic disciplines, in education, and even in business. In every aspect of education, language has shifted from a focus on the individual to a focus on community. For instance, in pedagogy the focus is on cooperative learning; in teacher education, professional communities; in administration, community of leaders; and in moral education, a renewed emphasis on character education and community has begun to displace the Kohlbergian focus on moral reasoning and principles of universal justice (Noddings, 1996). In all these movements and discussions, it is assumed that community is an important social good, perhaps, the very foundation of moral life. In the last two decades, there has been extensive research on identifying the factors that comprise the quality of a school (Brookover, Beady, Flood, Schweitzer & Weisenbaker, 1979; Fashola & Slavin, 1998; Hoy, Tarter & Kottkamp, 1991; Lightfoot, 1983; Rogers & Freiberg, 1994; Rutter, Maughan, Mortimore, Ouston and Smith, 1979; Teddlie & Stringfield, 1993;). The research has been guided by many different voices. Such voices range from thinking about schools as if they were akin to factories (identifying the characteristics of inputs necessary to obtain the desired outputs), to speaking about schools as if they were akin to families, stressing the dynamics of caring which ground the kind of positive familial relationships which lead to healthy growth. Over the years, ideas of what counts for the character and quality of teaching/learning varied substantially (Cohen & Ball, 1990; Cohen & Spillane, 1991). Various strands of these research studies and the reforms they have promoted have focused on numerous aspects of teachers' and students' workplace context in efforts to identify factors that shape teachers' practice and, by extension, student outcomes (McLaughlin, 1993)...
Restricted Access Item

redpajama_set_name: RedPajamaCommonCrawl


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PM Imran unhappy with act of bringing boot to TV show: Faisal Vawda
ISLAMABAD: Federal Minister for Water Resources Faisal Vawda said on Wednesday that Prime Minister Imran Khan did not approve of his gimmick of bringing a boot to a TV show.
The federal minister was speaking to Geo News anchor Hamid Mir on Capital Talk, where he said that he was entirely responsible for taking along a boot to a TV talk show.
"I told the prime minister whatever he is saying is right. I assured him that it will not happen again and he will act responsibly," said the federal minister.
"Nawaz Sharif and his family always maligned the institutions and weakened them," said the minister.
Vawda said that he will never "intentionally malign any institution", adding that his act was being questioned while he only meant to point out the opposition's reality.
He further said that he was not aware of the Pakistan Electronic Media Regulatory Authority's rules and "came to know them today".
A day earlier, the federal minister, who was on a television talk show with Pakistan People's Party (PPP) leader Qamar Zaman Kaira and PML-N representative Javed Abbasi startled all by placing a black boot that he had brought with him on top of the table.
Vawda had mocked the PML-N's unconditional support for the Army Act amendment bill, saying the party was "lying down to kiss the boot".
"I am going to bring this [boot] to every talk show," he said. "This is how democratic the PML-N is. They lay down to kiss the boot," he added.
Vawda was mocking the PML-N slogan "Vote Ko Izzat Do" by saying "Boot Ko Izzat Do", criticising the party for deviating from its stance and lending unconditional support for the services chief's tenure bills.
Vawda tells Hamid Mir he was not aware of the Pakistan Electronic Media Regulatory Authority's rules


Optic Security Group is the name of one of A/NZ's latest mega-mergers in the physical and digital security space, bringing combined revenues in excess of A$100 million to the table.
The new company brings together six companies from both Australia and New Zealand. They include Australia's Securities and Security & Technology Services and Bemac, as well as New Zealand physical security firm Fortlock. Fortlock recently acquired IT firms Comsmart, Circuit Systems, and SSL.
Optic Security Group CEO Jason Cherrington will lead the new firm, alongside a senior team that brings international experience and sector expertise.
"Safeguarding people, information and technology has become much more complex and this rapidly changing risk profile is making the need to protect critical infrastructure against both physical and digital threats an absolute imperative," says Cherrington.
Optic Security Group will also utilise its 200-strong workforce across 10 locations to serve the needs of 1000 existing customers, with expansion on the cards.
"We also had a particularly clear vision to create a trans-Tasman capability that has full geographic coverage across both markets and depth in technical and industry expertise to tackle these emerging challenges and deliver appropriate solutions to our customers – now achievable with a scale presence in both Australia and New Zealand," says Cherrington.
Cherrington and cofounder Chris Guifre, who is also managing director of Ascentro Capital Partners, will join the six businesses' existing shareholders. They will also become members of the board.
"The new company will immediately be able to provide additional services to the existing customers of the companies under the Optic Security umbrella. The company will also partner with other leading players in the market such as the Cyber Audit team in Australia who provide independent information security and cybersecurity assessment," says Cherrington.
Optic Security Group members were selected over a 12-month period to ensure complementary capabilities in respect of geographic coverage and industry expertise.
The selected companies' market reputations and strategic aspirations are also aligned to deliver clients a fully converged IT security proposition – a globally emerging trend that is driving industry growth by over 10%.


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As promised, "Kate and the Big Cat" from "Air Pudding and Wind Sauce." You may click on any image to enlarge.
"Kate and the Big Cat" adapted from "Tiger in the Lake" by Edward Kurkul. Adapted by permission from Jack and Jill Magazine. (c) 1964 The Curtis Publishing Company.


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Q: Can you use React-fiber/Three.js in React-Native How is it going StackOverflow community so I was wondering could I use React-fiber in React-Native

A: in theory yes, or at least you could/can if you use v5. in newer r3f versions there is no RN support. this PR (https://github.com/pmndrs/react-three-fiber/pull/1384) will fix that, but it needs completion, someone that knows RN will have to review and add events.

redpajama_set_name: RedPajamaStackExchange


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Q: windows 7 service pack 1 and all applicable updates are required to install Python 3.6.1 While I am trying to install Python 3.6.1 it is showing Setup failed.. windows 7 service pack 1 and all applicable updates are required to install Python 3.6.1.
I am using windows 7 professional OS.
Waiting for a solution !!

A: Sometimes this type of error is showing while installing a certain application
(like Python) in the windows 7 platform.
For Solution, you have to install service pack 1 to your os. You can also install the service pack for windows manually as described below.

*

*Open regedit (By clicking windows+R key, type regedit and then click enter)

*Go to HKEY-LOCALMACHINE->SYSTEM->Control->Windows.

*open CSDVersion

*Set the value as you want(Like 100 for servicepack 1, 200 for servicepack 2)
and then click 'Ok'.

*Restart your PC

Now you can install application

A: Try to install Python 3.7.5 in Windows 7 service pack 1. It doesn't require windows updates.

A: with windows 7 sp1 python 3.5.2 got successfully installed. Pls also chk if windows visual c++ 2015 redistributable is properly installed..


I talk to a lot of people about enterprise integration, and I find that there are several widely held beliefs which are preventing people from really understanding the benefits integration can bring their organisations. Below are some that I believe are most important and the truth behind each one.
There are two main types of integration tool: on one side you have data synchronisation / upload tools; and on the other is process-based integration. This isn't just a choice between integration patterns but behaviours, in particular whether a given tool works as an A to B link, or a full data orchestration.
This isn't to say that one type of tool is necessarily better for you, as which behaviour you need is dependent on your requirements: if you're after an ETL or data synchronisation, then a data synchronisation tool is ideal; and if you want to integrate workflows or processes then you need a process-based integration tool.
Not all tools are the same: making sure that you fully understand what you need today and what you might need tomorrow will help you choose the correct one.
This is a widely-held belief but modern integration tools can connect to any data source, regardless of whether it is cloud-based or on-premise. Ultimately, this is a decision that should come down to a total cost of ownership (TCO) decision factoring in the performance of a hosted solution, as well as the control and elasticity offered by the system regardless of where it lives.
More importantly than whether a tool is cloud-based, consider how scalable and fault-tolerant the system would make your IT systems: technologies like in-memory data grids (IMDGs) are able to guarantee message delivery and recover from errors with no data loss, as well as massively increasing the speed of batch jobs. You need to decide for yourself what importance you would give this resiliency and peace of mind in your TCO considerations, but the bottom line is to focus on functionality, not location.
Many system vendors provide integration tools and these vary in terms of how they work and how well. While it is entirely possible that this tool will be adequate for your needs, there is always the possibility that a vendor tool will be optimised toward their technology stack only.
Third-party tools are also optimised to deal with vendor's technology stacks (especially those which have vendor-certified connectors and capabilities) but they are also optimised to integrate between stacks, which is naturally less of a concern for vendors. So if you are thinking of integrating technologies from multiple vendors or want to keep your options open for the future, it's worth looking into vendor-agnostic tools as these will provide best-of-breed capabilities out of the box.
Integration isn't just about linking to a data source, but creating a workflow that can move seamlessly throughout your IT environment, with full governance and a single gateway to secure. In fact, the move to mobile is making integration more important, not less, because on mobile users have a shorter attention span and are less willing to work with a complex environment of multiple screens and systems.
A well-integrated workflow can take the user through, for example, the entire sales process from lead generation to contract signature in a series of clear, simple screens that minimise data entry.
Bring on board the vendors and their subcontractors, to resolve any potential issues before they become roadblocks.
Integration projects are typically wide-ranging and complex, following a grand strategic vision of how the company should look; this view means that the reality often looks incomplete and with endless work ahead. Adopting a philosophy of continuous change helps here, breaking the vision down into projects that can be implemented independently of each other.
This allows you to carry out, develop, test and make live the first component, then wait and see what happens. However, this does mean that you need to choose an integration tool which allows this kind of flexible, process-driven integration where future changes are not just a possibility but the norm. You need a tool which doesn't require all your connections to be rewritten every time a system is changed.
Continuous improvement is one way to deal with the tendency of projects to run on; another is to keep integration projects small and closely controlled, especially if the objective is simply to synchronise between a data source and a warehouse for example. However in this case you need to be aware of the dangers of increasing complexity when choosing your tool: many integration tools are able to connect systems in a few hours, but sometimes every change requires existing work to be modified leading to "spaghetti code" and complex, risky projects. Always remember that integration projects can become lengthy even if you try to avoid it, and factor this into your TCO calculations.
Along with fault-tolerance, resilience and elasticity, monitoring and performance management capabilities are the key additions to integration solutions. The increased requirements for guaranteed message delivery means monitoring is vital, as if a system fails during transmission the integration tool needs to recognise when it can resend the message. Further, monitoring capabilities allow systems to automatically cache transmissions that cannot be sent, and grant extra resources to deal with sudden peaks in demand.
On the contrary, when moving from a siloed system to a workflow-based environment it is critical to secure the processes, especially on mobile. Essentially, what you are doing is taking data sources in the enterprise back-end which only a handful of people used to have access to, and exposing that data to other systems which are available via a smartphone. This requires a shift in thinking about security, from securing individual systems to securing a process.
On mobile alone, there are a range of ways to achieve this, from securing the device with passwords, MDM solutions, and geofences, to securing access to the applications, often through containers, and finally securing the data itself, with encryption and ensuring it is not stored on the device.
Top management is used to basing their decisions on a certain type, age and granularity of data, but this doesn't mean that that's what they should continue to have available in the future, especially as real-time data analytics become more widespread among the competition. Equally, simply having a Big Data analytics tool connected to a data warehouse isn't that valuable; the real value comes from integrating day-to-day processes into the analytics tool and running real-time analytics on this.
Integration tools can be expensive, but the process shouldn't be considered as a cost, because the effect it has on the business is more complex and there is an opportunity cost associated with not being able to recover the benefits. For example, the ability to bring real-time data and Big Data into day-to-day business processes means management are able to take decisions based on the real situation, rather than old and abstracted data, especially when using a process-based integration platform.
I worked with a large shipping insurer which used integration to track the location and integrity of its containers; and by using real-time data was able to dramatically reduce its rate of theft and losses which led directly to a significant reduction in its insurance costs. Integration can have a "knock-on" effect in the business, and the true value may not lie where you expect; so rather than not being able to afford to integrate, can you afford not to?
By David Akka, Managing Director at Magic Software Enterprises UK.


HighTide is giving up to 32 IdeasTap members the opportunity to attend a two-hour masterclass on how to apply for Grants for the Arts funding from the Arts Council. The session will be led by Steven Atkinson, Artistic Director of HighTide Festival Theatre, and Cassandra Mathers, Relationship Manager, Theatre for Arts Council England in the South East.
The masterclass will take place at HighTide's offices in Farringdon, London on Wednesday 10 September from 10am to 12pm.
Steven and Cassandra will share and contrast their respective experiences with Grants for the Arts as an applicant and an assessor.
This session will be geared towards those with little or no experience of making funding applications to Arts Council England, but will also suit those who have applied before and been unsuccessful, or wish to develop their fundraising skills. Participants can be individual artists or artists representing companies from a range of live arts disciplines, including theatre, dance, music, producing, writers, directors and choreographers etc.
When applying, you should give the judges a clear sense of what work you would like to get Grants for the Arts funding for, and some articulation of how undertaking this work will develop your career and craft.
You must be able to commit to the whole two hours.
You can be at any stage of career.
You must be willing to talk openly about your work and funding ambitions during the masterclass.
See ideastap.com/briefterms for general terms and conditions that apply to all IdeasTap briefs.


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Zipmex Secures Over $41M USD in Series B Funding
Marcus Lim
We are proud to announce that Zipmex has secured over $41M USD in Series B funding to continue our rapid growth and product innovation. Through this period, we have provided industry-leading services which seek to transform the way people buy, sell and hold digital assets. To date, we have helped process over US$4 Billion in gross transaction volume since our launch in 2019.
This marks a highly anticipated milestone for Zipmex that has seen multiple companies taking a keen interest and commitment during this investment round. These investors not only provide funding but also strategic partnerships to enable Zipmex to continue to bridge digital assets with real world experiences.
We welcome our new investors with the Bank of Ayudhya's corporate venture capital arm, Krungsi Finnovate, who has joined as an investor. Plan B Media Public Company Limited and Master Ad Public Company Limited have also announced their commitment to the company in the Series B fundraising.
"This commitment from Krungsri Finnovate is a huge step forward for us. It represents not only the validation of our business model and approach to innovation but also of the potential for digital assets to become a core part of our lifestyle," said Zipmex CEO, Marcus Lim.
"A marriage of digital assets and traditional banking can provide new innovative use cases for money, which we have demonstrated through ZipWorld. Further use cases of Zlaunch and ZipNFT are just the starting point of our banking-forward, lifestyle-focused product suite"
Spend, save, and earn with products made for digital asset holders.
Aside from being a fast, liquid and secure digital asset platform, Zipmex has focused on expanding the number of ways in which its users can earn, spend and earn rewards, underpinned by their own token – ZMT (Zipmex Token).
The "earn" products include ZipUp — a flexible earnings account with daily payouts of up to 8% APY, and ZipLock – a fixed-term earnings account with yields up to 14% per annum with bonus APY for ZMT holders.
ZipSpend, a digital asset payment solution for businesses looking to accept cryptocurrency as payment, has already facilitated several regional firsts in luxury vehicles, art, and property transactions.
Earlier this month, we announced Zipmex Card, a new Visa-backed payment card to be launched later this year. This will give Zipmex users the freedom to spend their digital assets at any of the more than 70 million merchants in Visa's global payments network.
On top of these core offerings, ZipWorld will enable users to redeem exclusive lifestyle products and access one-of-a-kind experiences and rewards using the Zipmex Token. Zlaunch will give users early access to new investment tokens exclusively on the Zipmex Exchange.
"As digital assets have become increasingly popular, so has the demand for earn and spend products. ZipSpend and the Zipmex Card aim to revolutionise payments across the region by offering users greater flexibility, while ZipUp, ZipLock, ZipWorld, and ZLaunch provide unprecedented earning opportunities," added Mr. Lim. "It is also important to note that any product we release will have to be approved by the relevant regulatory bodies first."
We would like to thank the almost 1 million registered users who have joined us so far. This funding injection will allow us to continue to build out the Zipmex Ecosystem to bring more value, experiences, and innovative products to our Zipmex community.


Because I'm hot. I like to have fun, love new things and I am an independent woman with goals and dreams that are gonna happen.
Going to eat a candle-lit dinner. Jacuzzi with red roses so that we can mingle a little with wine.
A nice, clean-looking man with goals and dreams who is honest and outgoing.
Ask Cashmere out! E-mail cashmerer@tocpersonals.com.


Dan Martino farms oysters and sugar kelp in this two acre plot of sea, off Eastville Beach in Oak Bluffs, MA with his brother Greg. The name of their farm is Cottage City Oysters.
Dan Martino stood in front of his farm off Eastville Beach in Oak Bluffs. It's two acres of grey-green cold seawater. Ducks were flying around and waves break on the shore. Everything that he's growing was invisible from the land. You wouldn't know this was a farm unless you dove under to see it.
Dan and his brother Greg cultivate oysters out here in the summer and are now testing a new crop that they planted in December: Sugar Kelp.
Boats were coming in and out of the harbor, and there was an on-going construction project happening behind us on Beach Road. This was about as urban as the Vineyard gets. But looking out you could imagine the kelp waving, oblivious to the rest of us, like flags under the sea, being moved by the winds, tides and currents of Vineyard Sound. Farming like this takes early-adopters, innovation and some chutzpah. The Martino brothers will harvest their first crop while the water is still cold.
Kelp grows naturally in these waters. You can find it washed up on shore and use it in soups or salads if you wanted to. But when you collect it off a beach, you never know how long it's been out of water and starting to rot.
Martino told me that there are farmers in Maine who've ditched growing oysters for kelp and seaweed instead, and are now shipping it all over the states.
The brothers are farming kelp under a research project with the Martha's Vineyard Shellfish Group. The project not only includes how to seed, grow, harvest and process the kelp, but also how to market it. And, how to get people to eat it. Dan and Greg plan on connecting with local chefs, to taste-test and cook with the kelp. Dan is enthusiastic.
I always add a piece of kelp (also called kombu) to my pot of beans, because it helps make beans more digestible, and I also like the ocean water foggy-salty-subtle flavor it adds.
Americans already eat plenty of seaweed when you consider how ubiquitous sushi is now. Dan Martino would love to grow nori – the dark green seaweed sushi is wrapped in and you can find different seaweeds in stores – as salad or packaged as snacks. They're often made with seaweed imported from Korea or the Pacific Ocean. Hopefully that can change.
Gia Winsryg-Ulmer grew up between Martha's Vineyard and New York City. As a young American woman traveling the world, she met the man who would become her husband in his hometown of Essaouria, Morocco and then moved there in 2010. That's where she learned how to cook Moroccan food side-by-side with her mother-in-law.
Today, most people throw away the skeletons and innards of our fish. But in Ancient Rome, these parts weren't trash—they were food. This week on The Local Food Report, Elspeth talks with a chef from Wellfleet who's using the fermented skeletons and innards of small, oily local fish to make a popular sauce from Roman times.


PERSIMUNE offers its infrastructure in form of data from the Data Warehouse (DWH), and specimens from the biobank for research purposes. We emphasize that this is a collaborative research infrastructure, not just a service for researchers. We hope you will take advantage of the great opportunities and shortcuts to obtain enriched datasets for research that the infrastructure allows, but in return PERSIMUNE expect you to engage in the feedback loop contributing to the cleaning and validation of data in the Data Warehouse. For details on data access, see below.
Finally, if your department is not already part of the formal PERSIMUNE collaboration for collection of data from prospective patients, please email mail to receive guidance on how to get involved.
The DWH contains prospective and historic data derived from patients treated at clinical departments at Rigshospitalet including data from para-clinical departments, laboratories and imaging. An interactive description of data in the DWH will be available; see this illustration of available data.
Please observe that the below procedures will ensure the easiest possible access to data while keeping in mind that all regulations and data protection requirements must be adhered to.
Access to data for research purposes is based on a research proposal being submitted to PERSIMUNE.
Before submission of a proposal we ask researchers to request a feasibility analysis to evaluate if the sample size and requested data is available in the DWH. This can be done by writing to PERSIMUNE IT at persimuneit.rigshospitalet@regionh.dk. State the purpose of your project, which group of patients, which departments are involved, which variables in which time interval. You may be asked to complete this form to allow us to do an analysis to identify the number of patients with specific conditions and specified data that are found in the DWH.
Projects seeking funding from the DNRF grant or requesting biological material from the biobank will be reviewed by the Scientific Advisory Committee (SAC).
Please observe, that proposals must comply with general rules of transparency as defined in The PERSIMUNE principles.
When your project has been reviewed, you will be asked to complete a data request form. Besides defining all the data elements you request, the form has to indicate the project approvals obtained from the Data Protection Agency, Danish Health and Medicines Agency and Ethics Committee where relevant – copies of approvals have to be submitted with the form unless PERSIMUNE already received the approvals.
2) as a pseudonymised dataset stored in the LabKey software portal that ensures that only you and named researchers in your team will have access to the data.
If you manage SAS-datasets for research yourself, it is your responsibility to safely store data in accordance with the data protection approval – we will ask you to sign off on this condition when requesting data. Naturally you are not allowed to share data with researchers not named in your approval.
Collecting data from the long list of data sources in PERSIMUNE also means that data on the same variable from different sources might have different names, normal values and reference values. An enormous standardization and validation work is ongoing and we rely on all collaborators to contribute to the process – either prospectively by cleaning specific parameters of their interest or retrospectively, when using the data and thereby identifying standardization and validation issues, then feeding this information back to PERSIMUNE.
When you receive data, we ask you to acknowledge that you will return all results of data cleaning and or standardization procedure the data might undergo while you use the data and that you will return or destroy all data after completion of your project. Also, we ask you to return all statistical and/or bioinformatics coding produce used during data analysis for PERSIMUNE to be able to re-run analyses should journals or funding agencies ask for such analyses.
PERSIMUNE wants to establish access to data at patient level in order for departments to treat, manage and monitor patients – this will be operationalized via a web-interface for clinics to view data of their own choice for their own patients – this web-platform will be implemented as step 2 in the DWH development.


Conveniently located in Golden, Lakewood, Colorado. Coast to Coast Compounding provides compounded pharmacy services. We are known for our unwavering commitment to quality and service in our delivery of customized compounded medications.
Dr. Wendi Medved opened Coast to Coast Compounding for patients who seek a compounding pharmacist as a resource for their health and well-being.
Coast to Coast Compounding is a locally-owned, women-owned business. In this very special community role, Dr. Medved is dedicated to the service of patient's healthcare needs as they move through the different phases of their lives.
Conveniently located in Golden/Lakewood (near the intersection of Sims and 6th Avenue), Colorado, Coast to Coast Compounding provides compounded pharmacy services. We are known for our unwavering commitment to quality and service in our delivery of customized compounded medications.
In addition to compounded solutions, Coast to Coast Compounding carries a wide variety of vitamins and supplements. In all of our products, we strive to meet the specific individual needs of each patient by working with their physician and other healthcare providers.
Coast to Coast Compounding was founded by Dr. Wendi Medved. Dr. Medved earned both a bachelors and doctorate degree (with additional post-graduate work) to specialize in compounding pharmacy. Her education and experience provides Dr. Medved's patients with the latest knowledge and best practices in pharmacy compounding.
Our Mission | To provide personalized compounding medications and superior products to our patients, with understanding and compassion.
Our Vision | To be the compounding pharmacy choice through the well-being of all we serve.


text:
Bradgate Park
Bradgate Park dog policy not changing
Bradgate Park Trust was looking into a 'dog on lead' policy after around 20 to 30 deer died as a result of dog chases at the beauty spot.
Zoe Higgins
Bradgate Park will not force dog owners to keep their dogs on a lead following a drop in deer attacks.
BRADGATE Park will not force dog owners to keep their dogs on a lead following a steep drop in deer attacks.
Back in May, the Echo reported that the Bradgate Park Trust was looking into a 'dog on lead' policy after around 20 to 30 deer died as a result of dog chases at the beauty spot.
Five of these took place over just one weekend.
But Peter Tyldesley, director at Bradgate Park Trust, says that the warning has worked, with only one new recorded incident, and the policy is now not being considered, although he could not rule out the possibility in the future.
He told the Echo: "We have decided, because of the response we have had from the public to our appeals for more responsible dog ownership, the urgency has gone away for the time being.
"It is something we may have to consider in the future but we have been encouraged by the way people have responded. If they keep doing what they are doing, we should be fine.
"It has dropped off fairly dramatically now but what brought it to a head were the five incidents over the Bank Holiday weekend in May.
"Thankfully, it has gone right down now.
"It does still happen but we haven't had a severe one for a number of weeks.
"The message really is thanks to people listening and changes to behaviour, the urgency has gone out of the situation which is very good news."
Mr Tyldesley also said he was pleased with the way the police had been handling the situation.
Earlier this week, the Trust received a cheque for £200 in restorative justice following a nasty incident in May where a deer died after being chased into a wall by a dog.
"I have now had compensation from the owner in lieu of prosecution," said Mr Tyldesley.
"They are faced with a choice in that situation; either prosecution or restorative justice.
"The police have been great, there are various options that they explore and we are delighted."


text:
Statistiche

Presenze e reti nei club
Statistiche aggiornate all'8 gennaio 2017.

Palmarès

Club

Olympiakos: 2010-2011, 2011-2012, 2012-2013

Olympiakos: 2011-2012, 2012-2013
AEK Atene: 2015-2016

APOEL Nicosia: 2014-2015

APOEL Nicosia: 2014-2015

Individuale
 Capocannoniere della Souper Ligka Ellada: 1
2012-2013 (20 gol)

Note

Altri progetti

Collegamenti esterni

Calciatori della Nazionale algerina

redpajama_set_name: RedPajamaWikipedia


Today, Progress Toronto volunteers are calling and texting to get out the vote for progressive candidates in key school board and city council races across the city. You can see our full action plan here.
We've been running a strong and effective grassroots campaign that mobilized hundreds of volunteers in swing polls across Toronto, focused on unseating some of Toronto's worst councillors and getting a dozen progressive candidates elected to the school board and city council.
We will send a round up of all of our work after Election Day. For now, we want to make sure you have what you need to vote!
Visit myvote.toronto.ca and enter your address. Under the where to vote section scroll down to Election Day to find your local polling location.
The city requires one piece of identification showing your name and address. They suggest a driver's licence, or an Ontario photo card, and many other options. You can see a full list of acceptable identification here. Note that your Voter Information Card (mailed by the city) cannot be use as ID.
If you live in Toronto and are citizen over 18, you can vote in this election. You do not need to be on the voters list. Go to myvote.toronto.ca to find out where to vote and head over to the polls before 8pm.
This election is our chance to elect a school board and city council that will stand up to Doug Ford and in tight races across the city, every single vote counts!


With NewTruckDrivingJobs.com finding Owner/Operator Reefer Trucking Jobs in MD is easy. All CDL Truck Drivers and Owner Operators can apply free for Owner/Operator Reefer Trucking Jobs in MD and Nationwide!
$10,000 BONUS OTR CLASS A CDL TRUCK DRIVER.
Owner Operators in MD who are looking for truck driving jobs. With NewTruckDrivingJobs.com cdl truck drivers have the ability to search for trucking jobs one at a time or they can search for 100's trucking jobs at a time by letting our comprehensive website do the search for them. Our comprehensive system will sort through every trucking job that matches your experience and skills and our system of 100's of trucking jobs will do the rest. It couldn't be easier! No more filling out multiple applications for individual carriers. Drivers can now fill out our E-Z Online Truck Driver Application and we will put it into the hands of MD trucking companies and MD trucking recruiters who need to hire owner operators. Our system will match your exact truck driving skills to all the jobs in our database. All you have to do is sit back, relax and wait for the trucking companies to contact you with multiple offers!


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text:
Liszt - Via crucis; Part - Choral Works
Despatch Information
This despatch estimate is based on information from both our own stock and the UK supplier's stock.
If ordering multiple items, we will aim to send everything together so the longest despatch estimate will apply to the complete order.
If you would rather receive certain items more quickly, please place them on a separate order.
If any unexpected delays occur, we will keep you informed of progress via email and not allow other items on the order to be held up.
If you would prefer to receive everything together regardless of any delay, please let us know via email.
Pre-orders will be despatched as close as possible to the release date.
Label: Ondine
Cat No: ODE13372
Genre: Vocal/Choral
Release Date: 13th September 2019
Via Crucis (The 14 Stations of the Cross), S53
The woman with the alabaster box
Zwei Beter
Estonian Philharmonic Chamber Choir
Kalle Randalu (piano)
Kaspars Putnins
This release by the award-winning Estonian Philharmonic Chamber Choir under the direction of its artistic director and chief conductor Kaspars Putniņ� includes Franz Liszt�s (1881�1886) mystery-filled religious vocal work Via Crucis as well as four enigmatic and spiritual choral works by Estonian composer Arvo P�rt (b. 1935).
Liszt�s Via Crucis is one of his religious masterpieces and represents his late modern and somewhat austere style. Liszt joined the Franciscan Order in Rome in 1865 and remained as a devout Catholic until the end of his life. Through the process Liszt became deeply interested in the Gregorian chant and the works of Palestrina. His stay in Rome inside the Vatican walls inspired him to write several religious works, including the Via Crucis. During Liszt�s lifetime, and even today, his religious works were somewhat neglected: Via Crucis was completed in 1879 but not premiered until 1929. The version in this recording is for choir and piano and features Kalle Randalu, one of Estonia�s internationally most well-known pianists.
This album also includes Arvo P�rt�s first choral work, Solfeggio, from the 1960s, which already looks towards his later style. P�rt has described his Summa from 1977 as his �most strict and enigmatic work� in his series of works in his now famous tintinnabuli style. The two other choral works are based on biblical narratives from the Gospels of Luke and Matthew.
Error on this page? Let us know here
Need more information on this product? Click here


text:
Search For "ajay bisaria"
Veteran journalist Prem Prakash's book is story of evolution of In
Updated : 3 months ago IST
New Delhi [India], October 16 (ANI): The book by veteran journalist Prem Prakash on his seventy-year journey as a journalist is the story of the evolution of India and is the juxtaposition of an eye-witness account with an assessment of what the country was at different phases of time, Indi
Indian Envoy Ajay Bisaria, other diplomats pay homage to victims o
Updated : 6 months, 4 weeks ago IST
Ottawa [Canada], June 25 (ANI): India's High Commissioner Ajay Bisaria paid tribute at the Air India Memorial in Ottawa to the victims of the largest terrorist attack in Canadian history.
Indian High Commission celebrates 72nd Republic Day in Canada
Updated : 11 months, 3 weeks ago IST
Ottawa [Canada], January 27 (ANI): Indian High Commission in Canada on Tuesday celebrated the 72nd Republic Day in Ottawa. Ajay Bisaria, India's High Commissioner here read President Ram Nath Kovind's message to mark the day.
After Canada, Britain rejects 'Punjab Referendum 2020'
Updated : 1 year, 5 months ago IST
New Delhi [India], July 31 (ANI): Days after the Canadian government discarded the call for 'Punjab Referendum 2020', the United Kingdom has now rejected the US-based Khalistani extremist group's idea of a referendum to seek the separation of Punjab from the rest of India.
Thousands Indians to be repatriated from Canada under Vande Bharat
New Delhi [India], May 14 (ANI): Thousands of Indians stranded in Canada will be repatriated in the next phase of Vande Bharat Mission in flights from Vancouver and Toronto, High Commissioner of India to Canada, Ajay Bisaria, on Thursday.
Ajay Bisaria appointed India's next High Commissioner to Canada
Updated : 1 year, 11 months ago IST
New Delhi [India], Jan 31 (ANI): India's High Commissioner to Pakistan, Ajay Bisaria has been appointed as the next High Commissioner of India to Canada, Ministry of External Affairs (MEA) announced on Friday.
Pak summons Indian envoy following ceasefire violation along LoC
Updated : 2 years, 3 months ago IST
Islamabad [Pakistan], Oct 02 (ANI): Pakistan on Wednesday summoned Indian Deputy High Commissioner Gaurav Ahluwalia following ceasefire violations along the Line of Control (LoC).
India-Pak set to fight it out over Kashmir at UNHRC session
Geneva [Switzerland], Sept 10 (ANI): India and Pakistan are set to battle it out over Kashmir during the ongoing 42nd UN Human Rights Council (UNHRC) session here on Tuesday.
India, Pak to make statements on J-K at UNHRC session tomorrow
Geneva [Switzerland], Sept 9 (ANI): India and Pakistan are slated to make statements on the situation in Jammu and Kashmir during the ongoing 42nd UN Human Rights Session on September 10.
Indian delegation in Geneva to counter Pak's claims of human right
Geneva [Switzerland], Sept 9 (ANI): A high-level Indian delegation is in Geneva to hold meetings with groups and representatives of various countries to counter Pakistan's allegations of human rights violations in Kashmir.
Pakistan summons India's Deputy High Commissioner over Kashmir iss
Islamabad [Pakistan], Sept 8 (ANI): Pakistan on Sunday summoned India's Deputy High Commissioner Gaurav Ahluwalia over recent developments in Jammu and Kashmir following the abrogation of Article 370.
Ajay Bisaria's wife reaches Pakistan for final pack up
New Delhi [India], Aug 21 (ANI): Bharati Chaturvedi, spouse of the Indian High Commissioner to Pakistan, Ajay Bisaria, reached the neighbouring nation through the Wagah-Attari border on Wednesday.


text:
Job Scheme Hailed A Success
Chesterfield Borough Council has received praise for its handling of a scheme to get people back into work.
The Council ran the Working Neighborhoods Fund (WNF) programme over four years to help the long term unemployed, particularly those from deprived areas, to get back into work or start their own business.
An independent evaluator has found the scheme to be a great success despite the increasingly challenging economic climate.
The scheme included an apprenticeship programme and a number of external projects to engage local unemployed people into a number of back to work training initiatives.
The apprenticeship scheme supported 30 young people (aged 18-25) by providing paid work and training for up to 18 months.
Twenty five of these young people gained qualifications at level 2 or equivalent and five of these went on to gain level 3 qualifications. By the end of the scheme only three people had dropped out and 50% gained employment as a direct result of their apprenticeships.
This number is likely to have increased in the months following completion due to the work experience and qualifications gained while on the scheme.
The success of the external projects was also highlighted in the report, which confirmed that 3,170 people have received support in various forms.
Of this number, 735 people moved directly into paid work and 40 trading businesses were established. Importantly, with youth unemployment running high in the Borough, over 1,300 16-18 year olds were assisted back into employment, education or training.
The Council worked with partner agencies such as Jobcentre Plus, Connexions and the Skills Funding Agency and others to deliver the WNF programme.
Councillor John Burrows, Leader of Chesterfield Borough Council (left) said: "We're delighted that the WNF programme has been able to have such a positive impact on unemployment locally and we are working hard to ensure that programme has an effective legacy.
"It's disappointing that government funding for the programme has now ended, as it puts a stop on future activities for such local initiatives."
NATASCHA ENGEL MP VISITS ONE OF SMALLEST SCHOOLS IN CONSTITUENCY -
Natascha Engel MP spent time answering questions about her life as an MP from pupils and parents in the morning family assembly, when she visited Penny Acres Primary School More...
TEENAGE KICKS GIVES A FICTION FIX -
Authors interested in writing for young adults, Teachers looking for new ideas to capture student interest, keen teen readers or budding young writers, Teenage Kicks will spark your interest and spur your creativity. More...
KILLAMARSH BENEFIT CHEAT SENTENCED -
A Killamarsh man has a jail sentence hanging over his head after illegally claiming over £12,000 worth of benefits. More...
BLUE BADGE CONTROVERSY QUESTIONED BY LOCAL MP -
NE Derbyshire MP, Natascha Engel, has picked up the mantle on behalf of Blue Badge holders over mobility being assessed by a brief phone call. More...
HAVE YOUR SAY IN 'NAME THAT STREET' COMPETITION -
Supporters of Chesterfield FC and residents of Chesterfield are being asked to make their final vote in the 'Name That Street' competition. More...
NATASCHA ENGEL MP VISITS TWO LOCAL JUNIOR SCHOOLS -
MP for North East Derbyshire Natascha Engel took part in a different sort of Question time on Friday 12th October when she visited two of the constituency's local schools More...
PM PRESSED ON EU VOTE BY LOCAL MP NATASCHA ENGEL -
PM's Questions this week saw Natascha Engel, MP for N E Derbyshire, question David Cameron on how he would vote in a referendum on Britain's continued membership of the EU. More...
WE WILL FIND YOU AND WE WILL FINE YOU! -
Chesterfield Borough Council has collected nearly £4,000 in fixed penalty notices for dog fouling and littering during the past 3 months (June - Sept 2012). More...
NEW REGISTER OF FIREWORK SELLERS LAUNCHED FOR SAFER CELEBRATIONS -
A public register of authorised firework stores has been launched by Derbyshire County Council ahead of this year's bonfire night celebrations. More...
OPEN DAY INVITE TO DRONFIELD JOBSEEKERS -
Jobseekers are being urged to find out more about free, independent and confidential help which is available as part of a project running in North East Derbyshire. More...
DEALING WITH FLOODING IN DERBYSHIRE -
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MARKET HALL TRADERS SET UP TEMPORARY SHOP -
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SKYDIVING 'SUPERGRAN' RAISES £430 FOR COUNCIL APPEAL -
Supergran' Pam Evans has raised £430 for North East Derbyshire District Council's Chair's Appeal, after taking part in an indoor skydive. More...
DO YOU KNOW 'KIZZY' THE DOG? -
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CHESTERFIELD TOWN CENTRE GETS A HEALTH CHECK -
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LOCAL SPORTING TALENT RECEIVES TOP AWARDS -
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SCOUTS PREPARED FOR CHESTERFIELD MP TOBY PERKINS -
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CHESTERFIELD NEW BUILD SEEKS SUPPLIERS AND SUBCONTRACTORS -
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SEARCH IS ON FOR DERBYSHIRE'S YOUNG ACHIEVERS 2012 -
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EGG CRACKDOWN LAUNCHED TO PROTECT LOCAL CONSUMERS -
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text:
Legislator Admits Some Governments' Unofficial Debt Exceeds Limit on Official Borrowing
By Wang Mengyao and Liu Jiefei
A bank clerk counts cash at a bank in Nantong, East China's Jiangsu province. Photo: IC
Some local governments have borrowed more money off-the-books than the total legal amount the Ministry of Finance allows them to borrow through official channels, a senior lawmaker has said.
The Standing Committee of the National People's Congress (NPC), China's top legislature, surveyed of local governments' "hidden debt" to confirm the exact extent of such borrowing, said Zhu Mingchun, a vice chairman of the committee's Budgetary Affairs Commission.
Local governments' off-the-books borrowing, or hidden debt, refers to liabilities they take via local government financing vehicles, public-private partnerships and government procurement contracts, and that they promise to pay back with fiscal revenues. Since the new budget law took effect in 2015, taking on such debt violates the rule that local governments can only raise money by issuing bonds.
Hidden debt is considered to be riskier than officially reported borrowing due to the lack of clarity.
"The size of some local governments' hidden debt is rather big and the rate of increase is quite fast. The value of the hidden debt of some local governments has exceeded the legal quota of their official debt," Zhu said at a press conference on Sunday. "The risks of some regions are quite outstanding."
The results of the survey haven't been finalized as some of the data still need to be verified, he said.
Curbing excessive borrowing by local governments, as well as by financial institutions, businesses and individuals, has been a key issue in China's deleveraging campaign, which started in 2015.
To control hidden debt, the banking and insurance regulator has been working with the Ministry of Finance to establish a data system to monitor local government debt, including their off-the-book borrowing. Initial figures obtained by the authorities while preparing for the system showed the hidden debt of most provinces was 1.5 to 2 times larger than their reported budgets, people close to the regulators told Caixin previously.
As of December, outstanding official local government debt totaled 18.39 trillion yuan ($2.73 trillion), within a quota of 20.1 trillion yuan by the end of last year approved the NPC.
Last week, the Ministry of Finance proposed allowing local governments to issue 3.08 trillion yuan worth of bonds in 2019.
Contact reporter Liu Jiefei (jiefeiliu@caixin.com)
You've accessed an article available only to subscribers
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China Seeks Handle on Local Government Debt
Banking regulator and Finance Ministry are developing data system to track hidden borrowing totaling trillions of dollars
Regulators Offer Remedies for Local Government Debt Hangover
Zhenjiang is one of China's most indebted cities, but help is on the way, say financial regulators
China Hits Deleveraging Goals but Work Remains: Regulator
Ratio of total debt-to-GDP has stabilized since last year, reversing previous growth trend, following years-long national deleveraging campaign
Gallery: Signing Ceremony
1Power To The People: Pintec Serves A Booming Consumer Class
2Largest hotel group in Europe accepts UnionPay
3UnionPay mobile QuickPass debuts in Hong Kong
4UnionPay International launches premium catering privilege U Dining Collection
5UnionPay International's U Plan has covered over 1600 stores overseas


text:
package com.njwd.rpc.monitor.core.services;

import java.util.ArrayList;
import java.util.Collections;
import java.util.HashMap;
import java.util.HashSet;
import java.util.Iterator;
import java.util.List;
import java.util.Map;
import java.util.Set;
import java.util.Map.Entry;
import java.util.concurrent.ConcurrentMap;
import java.util.concurrent.atomic.AtomicBoolean;

import javax.annotation.PostConstruct;

import org.apache.commons.lang3.StringUtils;
import org.springframework.aop.framework.DefaultAopProxyFactory;
import org.springframework.beans.factory.annotation.Autowired;
import org.springframework.stereotype.Component;

import com.alibaba.dubbo.common.Constants;
import com.alibaba.dubbo.common.URL;
import com.alibaba.dubbo.common.utils.Log;
import com.alibaba.dubbo.registry.RegistryService;
import com.google.common.base.Function;
import com.google.common.collect.Lists;
import com.google.common.collect.Maps;
import com.njwd.rpc.monitor.core.domain.AutoMockConfig;
import com.njwd.rpc.monitor.core.domain.Consumer;
import com.njwd.rpc.monitor.core.domain.Method;
import com.njwd.rpc.monitor.core.domain.Provider;
import com.njwd.rpc.monitor.core.domain.StatisticsInfo;
import com.njwd.rpc.monitor.core.services.api.ConsumerServicesManager;
import com.njwd.rpc.monitor.core.services.api.DubboCoreServicesHandler;
import com.njwd.rpc.monitor.core.services.api.DubboMonitorHandler;
import com.njwd.rpc.monitor.core.services.api.DubboServiceHandler;
import com.njwd.rpc.monitor.core.services.api.DefaultMonitorHandler;
import com.njwd.rpc.monitor.core.util.Pair;
import com.njwd.rpc.monitor.core.util.Tool;

/**
 * fuck!!!!
 * 这里还要实现DubboCoreServicesHandler 完全是因为spring 在选择代理上的判断!!,如果发现targetClass 有接口的话,默认使用jdkproxy
 * 而且jdk proxy 无法代理多个接口!!
 * @see DefaultAopProxyFactory
 *
 */
@Component("ConsumerService")
public class ConsumerService extends DefaultMonitorHandler implements DubboCoreServicesHandler<Consumer>,ConsumerServicesManager{

	private static ConcurrentMap<String, Set<Consumer>> inMemoryServices = Maps.newConcurrentMap();

	@Autowired
	private MockServices mockServices;
	@Autowired
	private ConfigServices configServices;

	@Override
	public void actionService(URL url) {

		if(handlerMockPro(url)){
			return;
		}

		String servicesKey = url.getServiceKey();
		Set<Consumer> consumerLists =inMemoryServices.get(servicesKey);
		 if(consumerLists == null){
			 consumerLists = Collections.synchronizedSet(new HashSet<Consumer>());
			 inMemoryServices.put(servicesKey, consumerLists);
		 }
		 consumerLists.add(new Consumer(url));

	}

	private boolean handlerMockPro(URL url){
		boolean hander=false;
		if(url.getProtocol().equals(Constants.OVERRIDE_PROTOCOL)){
			hander=true;
			String mockKey=url.getParameter(Constants.MOCK_KEY);
			String appName=url.getParameter(Constants.APPLICATION_KEY);
			String services = url.getPath();
			for(Entry<String, Set<Consumer>> entry:inMemoryServices.entrySet()){
				if(Tool.getInterface(entry.getKey()).equals(services)){

					for(Consumer c:entry.getValue()){
						if(c.getAppName().equals(appName)){

						//	c.setMockDown(StringUtils.isNotBlank(mockKey)?true:false);
						}
					}

				}
			}
		}
		return hander;

	}

	@Override
	public void removeService(URL url) {

		String group = url.getParameter(Constants.GROUP_KEY);
		String version = url.getParameter(Constants.VERSION_KEY);
		// 注意:empty协议的group和version为*
		//TODO 这里目前为删除,这样就会导致下线的服务不能记录,未来可以考虑修正这部分情况
		if (!Constants.ANY_VALUE.equals(group)
				&& !Constants.ANY_VALUE.equals(version)) {
			inMemoryServices.remove(url.getServiceKey());
		} else {
			//这里是为了兼容不同版本的consumer
			for (Map.Entry<String, Set<Consumer>> serviceEntry : inMemoryServices
					.entrySet()) {
				String service = serviceEntry.getKey();
				if (Tool.getInterface(service).equals(
						url.getServiceInterface())
						&& (Constants.ANY_VALUE.equals(group) || com.alibaba.dubbo.common.utils.StringUtils
								.isEquals(group,
										Tool.getGroup(service)))
						&& (Constants.ANY_VALUE.equals(version) || com.alibaba.dubbo.common.utils.StringUtils
								.isEquals(version,
										Tool.getVersion(service)))) {
					inMemoryServices.remove(service);
				}
			}
		}

	}

	@Override
	public boolean support(String category) {

		return StringUtils.isNotBlank(category)?(category.equals(Constants.CONSUMERS_CATEGORY)?true:false):false;
	}

	public List<Consumer> findAll(){
		List<Consumer> lists = Lists.newLinkedList();
		for(Set<Consumer> v: inMemoryServices.values()){
			lists.addAll(Collections.unmodifiableCollection(v));
		}
		return lists;

	}

	@Override
	public boolean isSupportHandlerMonitor(StatisticsInfo info) {

		return StringUtils.isNotBlank(info.getClient());
	}

	@Override
	public void updateServiceStaInfo(SKey skey, SValue sv) {

		Set<Consumer> _l=	inMemoryServices.get(skey.serviceKey);
		if(_l == null){
			return;
		}

		for(Consumer c:_l){
			//定位 Ip port method
			if(c.getIp().equals(skey.ip) && c.getPort()==skey.port){
				for(Method m: c.getMethods()){
					if(m.getmName().equalsIgnoreCase(skey.methodName)){

						//处理
						m.setAveETime(sv.avgElasped);
						m.setFail(sv.error);
						m.setMaxETime(sv.maxElapsed);
						m.setSuccess(sv.success);
						m.seteTime(sv.elapsed);

					}
				}
			}
		}

	}

	@Override
	public boolean mock(String services, String appName,String ip, String mockParam) {
		for(Entry<String, Set<Consumer>> entry:inMemoryServices.entrySet()){
			if(Tool.getInterface(entry.getKey()).equals(services)){

				for(Consumer c:entry.getValue()){
					if(c.getAppName().equals(appName)){
						mockServices.executeMock(services, appName, ip, mockParam,null);

						//c.setMockDown(StringUtils.isNotBlank(mockParam)?true:false);
					}
				}

			}
		}
		return true;
	}

	@PostConstruct
	public void runnAutoDown(){
		System.out.println(this);
		//主要是为了统计一段时间的,后期扩展可以修正该段,先简单处理。
				new Thread(new AutoDownThread(),"scanner-runnAutoDown").start();

	}

	class AutoDownThread implements Runnable{

		@Override
		public void run() {
			while(true){
				actRun();
				try {
					Thread.sleep(60*1000l);
				} catch (InterruptedException e) {

				}
			}
		}
	   private void actRun(){

		List<AutoMockConfig> configs=	configServices.loadConfigs();
   		for(AutoMockConfig c:configs){

   			for(Entry<String, Set<Consumer>> entry:inMemoryServices.entrySet()){
   				if(Tool.getInterface(entry.getKey()).equals(c.getServiceName())){

   					for(Consumer cu:entry.getValue()){
   						//if(cu.getAppName().equals(c.getAppName())&& !cu.isMockDown()){
   							if(c.getIp().equals(Constants.ANYHOST_VALUE)||c.getIp().equals(cu.getIp())){
   								if(scale(cu)>=c.getErrorScale()){
   									//执行降级
   									mock(cu.getServiceName(), cu.getAppName(), cu.getIp(), MockServices.MOCK_UPDOWN_VALUE);
   								}
   							}

   						//}
   					}

   				}
   			}
   		}

	   }

		/**
		 * 这里是针对所有METHOD进行统计,如果有必要也可以分METHOD 但是降级面向的是服务!!切记
		 * @param c
		 * @return
		 */
		private float scale(Consumer c){
			int allFails=0;
			int all=0;
			for(Method d:c.getMethods()){
				allFails +=d.getFail();
				all +=(d.getFail()+d.getSuccess());
			}

		  return all==0?0.0f:(allFails/all);

		}

	}
}


A new Incense Perfume: A rather dark and complex angelic scent, with a sweet incense/ honey like note, implementing the elements of Earth, Ether and Air. Made with love.
This scent is infused with clear crystal and Herkimer diamond.


text:
The awesome founders of Belize Online and Belize.com – M.A. Romero and Susan Guberman
Experience, Expertise, Authority and Trust
Belize.com Ltd. was established in 1995 by M.A. Romero Chief Information Officer of Belize and Susan Guberman U.S. attorney-at-law and Belize tourism investor. Our founders bring to the table a wealth of expertise and knowledge on Belize based on years of education, training and experience in their respective fields.
Manolo started his career in 1975 at Radio Belize as broadcaster, eventually moving up to become news editor. He then worked as assistant editor of The Reporter newspaper, contributing editor of the Amandala newspaper, and later editor of the Belize Times newspaper in 1979. He studied Mass Communications at the University of the West Indies Mona. He was appointed Chief Information Officer of Belize to the Belize Government in 1985. In 1995 he left the government service to serve as an immigration consultant with the Belize Economic Citizenship Investment Program, a parastatal established by the Government of Belize. In recent years he served as Communications Advisor in the Office of the Deputy Prime Minister and the Ministry of National Security 2018-2020. Manolo founded the first Bulletin Board System (BBS) in the country, BelizeOnline. The BBS eventually evolved to become the first Internet Service Provider (ISP) in Belize.
Susan Guberman, a native of New York, read law at the University of San Fernando Valley College of Law and was admitted to the bar California and the United States in 1975. She practiced general and family law in central and northern district California. Susan recognised the tourism and retirement potential of Belize in the early nineties and became a real estate investor in the tourism sector in Corozal and Ambergris Caye, Belize to where she eventually retired.
Contributors To Belize.com
Since its establishment a number of trusted writers and advisors have contributed articles to Belize.com These include but are not limited to writer and Belize investor Emory King, noted travel writer Lan Sluder and Sylvana Udz (Woods) broadcaster at Great Belize Television and Professor University of Belize. Since 2014 UB hosts the annual Silvana Udz Lecture Series which aims at encouraging students to take up interest in reading and engaging in the literary arts by exposing them to noteworthy Belizean intellectuals, writers, and other artists in the field.
Why You Can Trust Us And Our Promise To You
We operate the only independent portal devoted to Belize. We are the very first web site, Belize Online, established in this country. We live and work in Belize and are incredibly passionate about this jewel in Central America's Caribbean coast. We are not birds of passage. We do not accept funding or comps from government tourism authorities. We do not write fluff or sponsored pieces in exchange for free trips to Belize. We are not beholden to any government, tourism board, hotel, resort or any multinational company. We are fiercely independent. Our support comes solely from private sector advertising partners.
We feature original articles covering all districts of the country with original pictures, videos, information and maps on what to see and do in Belize. Useful for visitors and tourists looking for a splendid vacation destination. For retirees and investors, we have information on what you may need to make up your mind if Belize is for you. We deliver the latest news on Belize and cover all major news outlets. And we blog where we share important news and current affairs. We love Belize and this will always be reflected here. But we will always strive to give you truthful and independently researched information – The Straight Dope On Belize.
Share Your Story, Pictures Or Rants With Our Readers!
Would you like to submit content for our consideration? If you have an interesting picture, travel adventure or cultural experience, you may submit it for sharing with our readers. We welcome educational, adventure, scientific, or research material relating to our country. We welcome submissions for inclusion on this web site and will credit you if you wish. Belize.com is widely used as educational reference material by schools, teachers and researchers. Contact us.
We are always looking for guest posts and photo contributions from individuals who have expertise or a unique experience or view to share with our readers. Belizeans, expats, visitors, Belizean-Americans – you are all welcomed.
Please do not ask us to post you brochures, pictures etc. We exist only in cyberspace and all the information we have is here!
Intellectual Property, Copyright and DMCA Policy
Some of the articles and pictures come as contributions from travelers to Belize and members of the public for which we are very grateful.
As an internet service provider, we ask others to respect our intellectual property rights, as we respect the intellectual property rights of others. We ask our contributor community to adhere to the DMCA Act. If you believe that material shared on or linked to by Belize.com violates your copyright, you are encouraged to notify us in accordance with the Digital Millennium Copyright Act ("DMCA") Policy. We will respond to all such notices, as required or appropriate by removing the infringing material or disabling all links to the infringing material.


text:
Livingston Sunrise Rotary Club honoring member with Peace Pole installation, Howell, Michigan-USA
By May Peace Prevail On Earth | June 17, 2022
June 17, 2022 The Livingston Sunrise Rotary Club installed a Peace Pole, the most prominent international symbol and monument to peace, in a ceremony that started at 8 a.m., Friday,…
Rotary Peace Pole at the International Convention in Houston, Texas – USA
By May Peace Prevail On Earth | June 4, 2022
June 4 – 8, 2022 President of Rotary International 2021-2022 Shekhar Mehta of India, his wife Rashi Mehta, former President of the Rotary Club of International Peace, Ray Matsumiya and…
One More Peace Pole planted – Staples High School, Westport, Connecticut – USA
June 1, 2022 This project was a collaborative effort. Funds from four generous sources (three Rotary clubs and UNA-USA), the Peace Pole from www.worldpeace.org (Ann Marie) and the site at Staples High…
Montgomery High School plants Peace Pole, Santa Rosa, California -USA
By May Peace Prevail On Earth | May 13, 2022
May 13, 2022 The many recent Peace Pole dedications have each been quite different, and this morning's event at Montgomery High School unfolded splendidly. One of the differences was that…
Peace Pole Trail Maps: Rotary International, Rotary Clubs in Newberg & Dundee, Oregon – USA
2022 The quest for world understanding and peace has been a cornerstone of Rotary since its earliest days. The quest is very much alive and well in the Newberg Noon…
Peace Pole donated to The Preuss School, La Jolla, California – USA
By May Peace Prevail On Earth | May 3, 2022
May 3, 2022 To help promote the concept of peace, the La Jolla Golden Triangle Rotary Club, through its Peace Committee, donated a Peace Pole last month for a newly…
Southam College plants Peace Pole in solidarity with Ukraine – UNITED KINGDOM
By May Peace Prevail On Earth | April 21, 2022
April 21, 2022 A Peace Pole has been unveiled at Southam College to raise awareness of human rights. The Peace Pole was presented to the school by Warwick Rotary and…
Town Lake Rotary installs benches and Peace Pole at Woofstock Park, Woodstock, Georgia – USA
April 14, 2022 Visitors to Woofstock Park may notice two new benches and a Peace Pole at the park's trailhead, a recent project by the Rotary Club of Towne Lake Rotary…
Lewis Early Learning Academy, Peace Pole Dedication Ceremony, Santa Rosa, California – USA
By May Peace Prevail On Earth | April 8, 2022
April 8, 2022 The Peace Poles for Schools project fits beautifully with our school's positive beliefs and our wish to provide a safe and peaceful world in which all of…
Peace Pole Project in Dallas, Oregon – USA
By May Peace Prevail On Earth | February 25, 2022
February 25, 2022 With a desire to strengthen relationships and build goodwill and peace throughout our community and the world, the City of Dallas City Council was proud to announce…


text:
GOSSIPONTHIS.COM Celebs Migos Rapper Takeoff Sued by Woman Who Says He Raped Her at...
Migos Rapper Takeoff Sued by Woman Who Says He Raped Her at a Party, LAPD Investigating
GOT Hip-Hop
Published August 5th, 2020 at 6:09 pm
Takeoff is the subject of a lawsuit and LAPD investigation after a woman claimed the Migos rapper sexually assaulted her at a party in Los Angeles.
The woman, who filed the lawsuit under the name Jane Doe, claims Takeoff made her feel extremely uncomfortable at an L.A. party back in June before raping her in the bedroom of the person she says invited her to the gathering.
TMZ reports:
According to legal docs … the woman claims Takeoff stared at her while at the party and that made her extremely uncomfortable. She also claims he offered her weed later in the evening, but she snubbed him.
In the suit, she says things went south after that — she claims she was going upstairs with the man who invited her to the party when Takeoff, who was coming down the steps, got pissed. She says Takeoff and the man got into an argument, prompting her to go into the man's bedroom to wait it out.
She alleges that's when Takeoff entered the bedroom and started touching her buttocks. She claims she very clearly refused his advances, but Takeoff then flipped her over face-down, pulled down her clothing and raped her. She claims after he finished he immediately left the room.
After getting over the initial shock, the woman claims she went to a nearby hospital the same day where she claims hospital staff observed physical evidence of forceful rape. She claims hospital staff notified LAPD.
She's suing for sexual battery, assault, emotional distress and more and wants damages.
And here we thought Takeoff was the LEAST problematic of the three Migos.
Louisiana Man Takes 11-Year-Old Girl He Raped to Hospital & Flees After Finding Out She's Pregnant
Trey Songz Posts "Receipts" to Deny Sexual Assault Allegations, Gets Dragged for Allowing White Woman to Call Him N-Word
Singer Jaguar Wright Accuses Common of Sexual Assault: "This N***a Tryna Stick His D**k in My Mouth While I'm Sleep"