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Dr. Grossi's Blog
Suicide is a leading cause of death in the United States. It typically ranks about tenth with women attempting it about three times more often than men although men's attempts are more lethal. Firearms are involved in slightly more than half of all cases.
The risks for suicide can be divided into fixed risks and changeable risks. The fixed risks are mostly historical or environmental. They would include history of suicide attempts, history of substance abuse, history of mood disorder, family history of suicide, family history of abuse, history of losses such as deaths, loss of money, self-esteem etc., unwillingness or inability to secure mental health care, social isolation, and very severe stress. The changeable risks are the mental states a person experiences which can be modified with treatment.
What are some of the factors that can reduce or modify the above risks? First and foremost is effective treatment for psychiatric and substance abuse disorders. A close second is the support of family, close friends, and community structures such as churches or temples. In addition, development of problem solving skills to resolve interpersonal conflicts or other disputes is also important. Finally, assimilating cultural values that promote life-preserving values and discourage suicide.
In 1977 Avery and Winokur published the results of their study on the prevalence of suicide in depression and estimated 15% of people with unipolar depression committed suicide. In 1990 Goodwin and Jamison published their review of the literature showing that 19% of people with bipolar disorder committed suicide. The higher rate for bipolar patients is likely related to the clinical finding that they are more likely to have co-morbid panic disorder, obsessive-compulsive disorder, social phobia and posttraumatic stress disorder than those with unipolar depression. This clinical finding has been studied, supported, and reported by Dilsaver, Akiskal, and colleagues in 2006. The relationship between the amount of anxiety and probability of an attempted suicide is well established. Another factor affecting the probability of attempting or completing suicide is the amount of time that a person spends in a depressed state. In 2002 Judd, Akiskal and colleagues published the results of their study of the weekly symptomatic presentation of bipolar I patients over a period of almost 13 years. They found that the patients were depressed 31.9% of the weeks, in a cycling or mixed state 5.9% of the time, and manic or hypomanic only 8.9% of the time. In another paper by the same authors, they found that bipolar II patients spent 51.9% of the year depressed and only 1.9% hypomanic. The mixed states are the most dangerous and lethal. Mixed states are ones that have the features of depression but are contaminated by hypomania or mania.


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report on 'the politics of the Lebanon Tribunal'. It is not entirely apparent what the ICG is proposing, but its take on the Tribunal suggests that priority be given to politics over law. The catch-line on its website says: 'An intra-Lebanese deal on how to respond to forthcoming indictments by the Special Tribunal for Lebanon (STL) is necessary to avoid a breakdown of the country's precarious balance of power, even as the STL pursues its work.'
The report discusses the tensions associated with the work of the Tribunal - which, by the way, has to date been essentially confidential, the subject of rumor rather than anything official. ICG refers to attempts by Syria and Saudi Arabia to negotiate 'a compromise' by which Lebanon would 'request the Security Council to halt STL activities once indictments have been issued, for the sake of domestic stability. It could condition further cooperation with the tribunal on its taking certain steps (eg, foregoing the option of trials in absentia; agreeing to look into the so-called false witnesses affair). Or cooperation could continue even as Lebanon expressed serious doubts as to the basis of its findings. A compromise should be accompanied by a collective agreement to allow the prime minister to govern more effectively – something he systematically has been prevented from doing.'
The ICG is a prestigious body with a lot of influence, and its speculation on the future of the Tribunal is not to be taken lightly.
Although an 'international tribunal' in a technical sense, because it is created by the Security Council of the United Nations and resembles, in a structural sense, the international criminal tribunals for the former Yugoslavia, Rwanda and Sierra Leone, the Special Tribunal for Lebanon's jurisdiction is confined to 'ordinary' terrorist crimes. The imperative to put justice before politics is certainly weaker under the circumstances.
Thanks to Rick Lorenz.

subset: commoncrawl


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SSC Combined Recruitment for the post of Engineering Assistant and Technician in Prasar Bharati Examination - 2013 SSC Prasar Bharati recruitment 2013 SSC Prasar Bharati recruitment 2013 for 1630 Technician & Engineering Assistant Jobs Vacancies Exam
SSC Recruitment 2013
The Prasar Bharati (PB), is a statutory autonomous body established under the Prasar Bharati (Broadcasting Corporation of India) Act 1990. The Prasar Bharati (PB) Invites Applications from the eligible candidates who fulfill the eligibility criteria for filling up the vacancies given below
Detail of Vacancies :-
CLICK HERE List of All Government Sector Jobs and Result
Educational Qualifications :- Please Download advertisement detail given below for more information.
Application Fee :- Candidates should pay the application fee of Rs. 200/- (Rupees Two Hundred) only through State Bank of India (SBI) either in the form of Challan or net banking. Application fee is not required for SC/ST /Ex-Servicemen and PH and all women candidates, subject to submission of Caste/Disability/Discharge Certificate in the prescribed form from Appropriate Authority in support of his/her claim.
How To Apply :- Application can be made only online. Online applications may be filed at http://ssconline2.gov.in Candidates are required to submit only one application irrespective of the number of posts opted .
LAST DATE :- 22 March 2013
Published at www.rogationblog.com
For More Information Please - View Source !


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The Broan 761BN Decorative Ventilation Fan with Light has the ability to remove humidity from the bathroom quickly and operates with very low noise. It is rated with 2.5 Sones and gives great flexibility in installation. The contemporary style of the fan/light combination means it can easily complement the look of most shower or bath rooms. Plus, it can easily operate as a light alone when it isn't necessary to use the ventilating feature.
Features You'll Value
Lovely fan/light combination, the Broan 761BN Ventilation Fan with Light is a great addition to the home and instantly improves the comfort of the bathroom. Here are a few of its most pleasing features:
Contemporary style
The Broan 761BN has a contemporary style that is beautifully finished to give a great look to the home. Its neutral colors (brushed nickel) means it has the ability to easily blend with the existing home décor. The total coverage area of the fan is in the region of 75 square feet.
Replaceable lights
The built-in light fixture is designed to be removable and easily accepts 2 60-watt bulbs (or less if preferred) to give a decent amount of illumination in the bathroom. The fan/light comb is finished with a stylish frosted glass globe.
Solidly built
The motor is solidly built to give long-term performance. It is thermally protected and permanently lubricated, while the actual polymeric blower wheel is made to be durable and quiet. It is further able to withstand the moist environment of a bathroom with its corrosion-resistant base and exhaust fan with vent openings.
The dimensions of the Broan 761BN Ventilation Fan/Light are 8.25 Inch in length by 8 Inch in width by 5.75 Inch height. Also, the grill is 13.38 Inch in length by 13.38 Inch in width. The housing is made of galvanized steel to give long-term strength. Also, the installation is intended for the flat ceiling only.
Easy to install
Great quality look and a significant improvement on the plastic alternatives
The fan operates quietly
Great air movement to eliminate steam issues
The bulbs included aren't the most powerful, so not a reliable main light source (although better bulbs may be an option)
Stylish and reasonably priced, the Broan 761BN Decorative Ventilation Fan with Light has the ability to provide a very efficient and classy unit, but is not too loud compared to most other alternatives in the market. A great quality is the ease of installation and perfect for those with basic do-it-yourself skills interested in renovating the bath or shower room. It is a reliable light source with the option to replace the bulbs to give the desired strength and illumination. Use this ventilation fan in a small to medium-sized room to get the most efficient performance. The finish of the fan/light combo is quite neutral which means it is easily able to blend with other accessories or décor in the bathroom. So, for those that want a simple solution to clear steam after the shower, the Broan 761BN is certain to be a worthwhile candidate.


text: I love and embrace my career as a realtor in the city I adore! My long standing connections and past endeavors make it a natural and enjoyable pursuit. A previous career in interior design allows me to use that knowledge to help both buyers and sellers optimize the value of their homes. I take pride in truly listening to my customers and understanding their goals. Buying and selling can be stressful and I work hard to keep the process stress free and enjoyable for you.


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I have listed a new property at 13745 114 AVE in Surrey.
This is your chance to become the 2nd ever owner of one of the hidden gems on the market. This rancher with a basement home is one of the most affordable places currently listed with all the characteristics you would want with a more pricey home, including updated appliances. It is centrally located in the quiet & peaceful Bolivar Heights neighbourhood, close to major shopping malls and James Ardiel elementary. Set on a beautiful lot with a private creek beside the home. Featuring an enormous basement area that is easy to add a 2 bedroom suite to or use the space to your creative desire. Check out the listing agents website for additional photos, floor plan and the exclusive 3D Tour. If this is what your looking for, you've found it! NOTE: Seller offering $1500 credit to repair front fence


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Esther has over 20 years working experience with top management. She is currently attached with a Multi-national HR consulting firm covering business and administration. Her work scope oversees the entire operations in Asia Pacific, which business practices leads in Executive Search, HR Consulting, Career Transition & Global Managed Services across the region.Esther was previously attached with the largest telecom provider in Malaysia, in the function of Personal Assistant to the CEO. She moved on to championing the Corporate Social Responsibility program and crafted policies and guidelines in the fields of community engagements involving communications and risk management. Esther also managed various social responsibility initiatives across the States in Malaysia, liaising with the Ministry of Education and selected special needs schools.Esther served as the Vice-President of the Malaysian Association of Professional Secretaries and Administrators. She sat in a professional panel to help develop the Administrative Framework formulated by the National Occupational Skills Standards endorsed by the Ministry of Human Resources, Malaysia.
Esther has an English Language certification from the University of Cambridge. She has participated in training programs in the area of Project Management, Business Writing and Public Relations and gained the Professional Train the Trainer Certificate from the Malaysian Institute of Management. Esther is an accredited Career Transition Consultant by the Career Partners International, USA, and is currently pursuing the Society of Human Resources Management (SHRM) global accreditation as a Certified Professional plus an MBA with concentration on Human Resources.


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Nora O'Malley
Westerly News
Now chefs can serve delicious West Coast cedar-planked salmon with a healthy side of transparency thanks to an inaugural sustainability progress report released by the B.C. Salmon Farmers Association (BCSFA).
The report, which highlights the environmental, social, and economic impact of B.C. salmon farming, was first revealed to an international audience at the global aquaculture conference held in Vancouver on Oct. 27.
"Our report was referenced by a number of speakers throughout the week as an example of transparency in salmon farming and aquaculture and an example of progressive communications in sharing with people what happens in aquaculture," said BCSFA executive director Jeremy Dunn.
The 32-page colour document includes photography, quick facts, infographics, and details everything from farming technology and fish health to conservation and First Nations economies.
According to the report, B.C. salmon farmers have engaged in 19 economic and social partnerships with coastal First Nations, and are working on many more.
"First Nations are a big part of the conversation. Our members are looking to work with First Nations who would like to have salmon aquaculture as part of the development in their territory and look to overall have B.C. produce more farm raised salmon," Dunn told the Westerly News.
"We're never going to be one of those countries that is producing in the hundreds of thousands of tonnes of fish, but we think we can produce great fish. We can produce high-quality fish and we can set an example in terms of environmental management and pre-competitive co-operation on the environment front and provide long-term stable economy and jobs in rural coastal communities," he said.
Anyone interested in reading BCSFA's sustainability progress report is encouraged to visit: bcsalmonfarmers.ca. You'll find the link under the first section on the home page titled Growing the World's Best Fish.


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Ok, looked through other topics and nothing has worked. I have calibrated my screens with a spyder (yes, 2 computers, same issue) and my images look great in Lightroom, been using lightroom and the same preset for over 4 years. but come out terrible once I export them the last few months and I'm going insane trying to edit and make up for the desaturation I keep running in to. Any help would be greatly appreciated.
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Lightroom is color managed, and uses the monitor profile to display correct colors. The colors are converted from the document profile (for instance sRGB) to the monitor profile.
When you calibrate your monitor, a custom monitor profile is created and installed, and this profile contains an accurate description of the color response of your monitor. This ensures that color managed software will display correct colors.
The Photos app is not color managed, does not use the monitor profile, and will display uncorrected, wrong colors.
Windows does not come with any color managed software, except the Edge browser.
You can use Adobe Bridge (included in your subscription) to view exported images, or use a third party, color managed image viewer, like
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Thank you. The problem is, the photos after being exported look fine in the adobe products, like bridge and what not, but I use windows explorer to look at the photos and that is also how they look when I upload them to pixieset. They didn't used to look completely different from lightroom to windows, but now they do.
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Your screenshot shows that you are viewing the image in Photos, I guess you mean that you double-click the file in the File Explorer.
that is also how they look when I upload them to pixieset. They didn't used to look completely different from lightroom to windows, but now they do.
By @avatararies
Are you viewing the uploaded images in a web browser? Which one?
Did you calibrate your monitor recently, or a long time ago?
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What application are you using to view your images outside of Lightroom? As Per Bernsten discussed, some applications are not color managed and unable to display colors accurately.
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I use windows explorer to view the images outside of adobe products, which they look fine in the like bridge, photo shop and lightroom, but not windows explorer, and that is how they would upload as well, what I see in windows explorer.
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Windows File Explorer also is NOT color managed as explained concerning Windows Photo app as well. Why would you even use Explorer for judging image quality? LrC and Bridge have far more capability for that purpose.
Concering uploading images to the Web make sure you are exporting them with the LrC Export module File Settings> Color Space is set to sRGB. Then you need to use a fully color mangaged Web Browser that has been properly setup to use the display profile.
Save time with Adobe Express quick actions


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Media reform and freedom of expression in the spotlight in Myanmar
In the context of increasing mistrust between journalists and Myanmar authorities, UNESCO in collaboration with the Ministry of Information, local and international media organizations, and civil-society organizations held the 7th Myanmar Media Development Conference on 5 December, 2018. The annual forum opened a dialogue on media reforms for new national stakeholders, including the Supreme Court, the police, the Ministry of Defence and the National Human Rights Commission.
Under the title 'Building effective partnerships for Myanmar's Media Development', the forum served as a call to all stakeholders to work together to reform legislation that restricts freedom of expression, set up mechanisms to ensure the safety of journalists, speed up the implementation of the Broadcasting Law and support independent media's sustainability. More than 250 representatives from the media, CSOs, government, military, judiciary and Parliament participated in the conference in Nay Pyi Taw.
Authorities have faced strong criticism for their treatment of journalists, especially since the arrest and prison sentences of the two Reuters reporters, who were arrested in December 2017, for violating the colonial-era law Official Secrets Act. Union Minister of Information HE Dr Pe Myint acknowledged in his opening remarks the 'lack of effective collaboration between the media and the government during the last two years'.
It is in this environment that the 7th Media Development Conference was held, aiming at building bridges between media and authorities and initiating a dialogue with sectors of the government besides the Ministry of Information, with the purpose of pushing forward the media reform agenda and advancing freedom of expression and access to information.
UNESCO Myanmar's Head of Office, Min Jeong Kim, reminded stakeholders of the vital role that media play in Myanmar's transition 'as the fourth pillar of democracy, the media, which ensures that people are kept informed and ensures transparency in the working of all the other three pillars. When any of these pillars fails to work properly, democracy is not fully functional.'
Speakers in the four panel discussions at the conference included local journalists, members of the Press Council, media owners, police, military officers, lawyers, media owners and international experts. The debates led to a series of proposals to establish regular mechanisms of collaboration to overcome the challenges that are hampering the advancement of freedom of expression in Myanmar. Partners involved in the conference will continue the discussion in coming months to work towards the realization of those proposals.
'The starting point for a democratic society must be that journalists can do their job without the risk of being harassed, threatened or prosecuted,' said Staffan Herrstrom, Ambassador of the Kingdom of Sweden to Myanmar.
The event was supported by the Swedish International Development Cooperation, the EU, USAID, the Japan International Cooperation Agency, UKAID, the government of Germany, BBC Media Action, DW Akademie, International Media Support, Fojo Media Institute, FHI 360, Internews and the police reform project MYPOL.
By Mikel Aguirre Idiaquez
Main photo: Shutterstock.com


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Yreka Miners Freshman Volleyball: Miners open year with win
The Yreka Miners freshman volleyball team kicked off the 2012 season versus the Weed JV squad at home Wednesday night with a victory. Yreka started off the first set with lots of energy, going up 6-0. Weed closed the gap at 12-12, with multiple lead changes coming thereafter. The Lady Miners took the set 25-23. In the second set, it was Weed who took the early lead, scoring seven straight to lead 7-0. The advantage was up to 12 at one point as the Cougars took the second set 25-16. In the final set, Bailey Jasmer started Yreka off with six excellent serves, one of which was an ace, to give Yreka a 6-0 lead. Weed was unable to come back as Yreka took the set 15-7, as well as the game 2-1. "This was a great learning experience for us," Yreka head coach John Andrus said. "It was a tremendous opportunity for the girls to come together and play against a team of this skill level. This was a great win for us."


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Paul George agrees to re-sign with Thunder on four-year, $137 million deal
The Russell Westbrook house party turned out to be a Paul George celebration after all.
George has agreed to re-sign with the Oklahoma City Thunder on a four-year, $137 million deal, a person with knowledge of the deal told USA TODAY Sports. The person spoke under the condition of anonymity because the contract can't officially be signed until the NBA's moratorium period ends on July 6.
The deal includes a player option for the fourth season, according to the person.
The five-time All-Star small forward was expected to attend a Westbrook party on Saturday night, when his Thunder teammate hosted hundreds of people and, according to ESPN, even had an appearance from the famous rapper, Nas. But it wasn't clear until just before the free agency period arrived at 12:01 a.m. ET whether this was a welcome back affair or one last goodbye. And with that, the Thunder – who landed George via trade from Indiana last summer just one year after losing Kevin Durant to Golden State via free agency in 2016 – somehow staved off the pull of the Los Angeles Lakers.
The Thunder had every reason to worry about George leaving to play for his hometown team after underperforming during the regular season (48-34; two games away from missing the playoffs) and postseason (falling in the first round to Utah in six games). And while the rumblings have grown louder in recent days that LeBron James might be on the verge of donning the purple and gold, the prospect of George joining him loomed large.
George, who grew up in Palmdale, California and attended Fresno State, had been open about his affinity for Laker Land. In August, the Lakers were even fined $500,000 for tampering when the NBA discovered that George's agent, Aaron Mintz, had improper communication with Lakers general manager Rob Pelinka. But from beginning to end, George raved about the Thunder organization, and he was bullish on the long-term possibilities.
"It's Year One, and (the Thunder have) proven - and I haven't even gone through a season yet - and they've already proven everything on my check list (that) I can check off," George, who averaged 21.9 points, 5.7 rebounds, 3.3 assists and two steals per game last season, said in late September. "That's what feels good. That's what makes me feel like, 'Hey, this can be a landing spot for me, and somewhere I can call home for years.'"
By the time the season was over, George's tone and his tune hadn't changed.
"They honestly check the boxes where I needed those boxes to be checked from what a player wants and needs," he said of the Thunder. "Out of a front office, out of a medical group, out of teammates, out of coaching staff."
In the end, Thunder general manager Sam Presti deserves immense credit for his bold approach in the post-Durant landscape. Not long after Durant was gone, Westbrook signed a three-year, $85.7 million extension that made it clear he wasn't about to head for the exits. A year later, he was re-upping yet again in the form of a five-year, $205 million deal with Oklahoma City that cemented his place within the franchise yet again.
Follow USA TODAY Sports' Sam Amick on Twitter @Sam_Amick


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Advancing Patient-Centered Approaches to Value Assessment
Health care value is being defined through new payment incentives and value standards proposed and implemented by health care payers, policy-makers and providers - which can have a significant impact in how patients are treated. PIPC supports assessing value to the patient using tools that are consistent with the goals of shared decision-making and personalized medicine. By implementing the reforms described below, policy-makers can ensure that value assessment frameworks support value that matters to patients.
- Develop a transparent process through which frameworks are developed, implemented and validated. Value frameworks and assessments should be transparent and available to patients to fully understand the assumptions that serve as their foundation. Value framework developers should also be transparent about the feedback they receive from patients and other stakeholders, noting where the framework incorporates the feedback received or their rationale for doing or not doing so.
- Meaningfully engage with patient and provider organizations. Value framework developers should engage with organizations representing the impacted patient communities and clinical experts in the specific treatment area under consideration in advance of scoping their projects to ensure that both frameworks and assessments are achieving consensus on the assumptions, definitions and underlying questions. Engagement should continue throughout the process of developing and updating value frameworks.
- Rely on a range of sound, patient-centered sources of evidence. Value assessment frameworks should rely on high-quality, rigorously developed methods of evidence that fully capture value that matters to patients. Value frameworks should also be completely transparent about the evidence on which the assessments are based, as well as the limitations of the evidence. By better articulating the limitations of the data that informs value frameworks, it will be clear where evidence gaps exist to inform future research efforts. For example, PCORI was called upon by Congress to articulate the limits of its research and could provide a useful model for consideration.
- Reflect patient-centered outcomes. Quantifying value in a way that is useful and meaningful to patients and people with disabilities requires a basic understanding of their values and preferences. Doing so will benefit both patient and payer as they identify and integrate the appropriate patient-centered criteria in assessing the value of treatments for a particular condition.
- Address costs holistically, including costs that matter to patients. Value frameworks and assessments should have a holistic perspective on the economic component of value, and include long-term, personal and societal costs, such as risk of disability and the potential need for caregiving. Broader costs should be considered rather than focusing only on short-term costs so that value assessments are relevant to decision-making by patients, people with disabilities and their providers.
- Support shared decision-making. Focus efforts on advancing shared decision-making between patients and physicians. Well-informed decisions by patients and consumers are foundational to advancing value in ways that are patient-centered.
- Acknowledge diversity and differences among patients, and avoid the "one-size-fits-all" mentality of value. Value frameworks should ensure that their models and methods account for important differences in patient preferences, characteristics and treatment goals.
- Preserve protections in the Affordable Care Act against use of comparative or cost effectiveness research to make centralized value judgements. Value frameworks have the potential to support informed treatment decision-making between patients and their physicians. However, if used in appropriately to make centralized value judgements, value assessments could also limit patient access to necessary medical treatments.
White Paper: A Roadmap to Increased Patient Engagement in Value Assessments
Health care stakeholders – ranging from patients, providers, and innovators – understand that patients must have a seat at the table in defining value through the development of value frameworks and tools in order for the transition to a value-based health system to achieve outcomes that matter to patients. In this White Paper, PIPC builds on existing calls for patient engagement by providing a guide to developers seeking to create value frameworks and tools that can become the foundation of a truly patient-centered health system.
PIPC Submits Letter to HHS on Oregon Medicaid Waiver
PIPC Chairman Tony Coelho recently sent a letter to the Department of Health and Human Services (HHS) expressing concerns with a proposed extension of Oregon's Medicaid Health Plan Extension. Currently, Oregon has a unique waiver from "EPSDT" – a foundational principle of Medicaid that makes health care for children a national priority, and specifically requires coverage of "all medically necessary diagnostic and treatment services." The system underlying the Oregon Health Plan is a prioritized list of services, that uses quality-adjusted life-years (QALYs) to help rank treatments in order of importance. High ranked treatments are funded; low ranked treatments are automatically denied regardless of medical necessity.
PIPC Letter to ICER on Value Assessment Process
PIPC and over 40 organizations representing patients, people with disabilities and providers submitted a letter to the Institute for Clinical and Economic Review (ICER) in response to their request for input on their value assessment process. In the letter, the organizations stated, "Simply put, if we aren't paying for care that patients' value, we aren't really paying for value-based care." Following the release, PIPC Chairman Tony Coelho stated, "It is my hope that ICER will give sincere and careful consideration to the input of all organizations representing patients and people with disabilities, many of which have direct experiences with ICER's process and whose input would be very constructive. It is my hope that our concerns will not be dismissed as myths, but instead be given the consideration they deserve."
PIPC Roundtable: Assessing Value to the Patient
PIPC convened a roundtable on May 6, 2016, to discuss the challenges of value frameworks in determining patient access. PIPC has continuously advocated that value should first and foremost be considered through the lens of patients and people with disabilities who are the ultimate beneficiaries of health care. Participants agreed to advocate for value framework developers to use the National Health Council's Patient-Centered Value Model Rubric, and to work to advance alternatives to existing value frameworks. By engaging patients and people with disabilities, assessments of treatment value would support the effectiveness of shared decision-making and personalized medicine, instead of driving one-size-fits-all coverage decisions.
National Health Council's (NHC) Patient-Centered Value Model
Private payers are already relying on one-size-fits-all assessments of value, often making it difficult for patients to access the care they want and need. Therefore, PIPC and its partners support the use of the National Health Council's (NHC) Patient-Centered Value Model Rubric by developers of value assessments to mitigate the existing shortcomings of value assessments and tools. The NHC's rubric already provides a guide to evaluate the patient-centeredness of value models and to guide value model developers on the meaningful incorporation of patient engagement throughout their processes.
'Patient Voices' on Value Frameworks
In response to CMS' recently proposed Medicare Part B drug demonstration, dozens of individual patients and patient advocacy groups have mobilized to voice their concerns with the model's use of "comparative effectiveness" research and "cost-effectiveness" data to make coverage decisions. Indeed, patients have expressed a wide range of concerns – from the reliance on assessments such as those generated by the Institute for Clinical and Economic Review (ICER), to the lack of patient engagement in the development of the new reimbursement model.


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Copyright 2000-2020 RJ Wilner, All Rights Reserved
Location: Camdenton, MO, USA
Date/Time Captured: 09/01/2017 @ 10:25
Echos Across Time.........
I'd had a trip to this MO state park on the ToDo list for some time and finally made the trip over the recent Labor Day weekend. Though it's a sizable park with numerous reasons to visit, it was the ruins of a large early 1900's built mansion styled after 16th century European castles that prompted my interest.
A rather stately mansion it must have been in it's prime that had, unfortunately, been destroyed by fire in 1942. And the fire like sensibility in the clouds gave me the sense of having captured an echo of what the scene may have looked like 75 years prior during the original destructive event.
Location: Camdenton, MO, USA
Date/Time Captured: 09/01/2017 @ 09:59
Location: Jefferson County, MO, USA
Date/Time Captured: 08/21/2017 @ 13:35


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PARADISE — The cold and the rain made a somber backdrop to the hundreds of families who were allowed back into Paradise on Wednesday as a portion of the town along Pentz Road reopened.
Hundreds of cars were funneled through the parking lot of the Paradise Evangelical Free Church where Paradise police and Butte County Sheriff's deputies checked addresses of the returning evacuees and the Butte County Health Department doled out free booties and hazmat suits to assist in digging through the potentially dangerous wreckage.
Only people with addresses in zones 3, 8 and 14 were being allowed back in, said Paradise police Sgt. Robert Pickering. They were checking driver's licenses when possible, but some only had a bill in their name at the address in question. After the first 24 hours, the area will be open to the general public.
"We just ask that people be patient with the process," Pickering said. "Even though we're letting people in, that doesn't mean there's not a lot of danger still inherent in the area."
Every car through the checkpoint was also warned of the 8 p.m. curfew.
The evacuation order in the South Pines Zone, near Magalia and the old Paradise Pines Golf Course were also rescinded Wednesday.
Off Pentz Road, Angie and Jeff Dodge, as well as their adult sons Chad and Josh, returned to their home to survey the damage for the first time since they fled on Nov. 8. Angie Dodge shared an emotional moment with her neighbor Tama Czarnecki, who had also returned with her family to see her ruined home.
Dodge grasped Czarnecki tightly and hugged for a long time, and speaking through tears, she shared with her friend and neighbor what it was like to evacuate that morning as the Camp Fire roared through their rural street near Feather River Canyon.
"It took us 8 hours to get out of here" she told Czarnecki, holding her tightly and sobbing. It was the first time the two women had seen each other since before the disaster.
Czarnecki had been on a flight to Israel the morning of Nov. 8, and only her son and his girlfriend were home next door in their neighborhood off Merrill Road.
"It was three hours to go half a mile," Dodge told her friend through tears. "Things were exploding around us. It was black as night."
When the two women finally broke their embrace, rain had started falling again, and her family had begun digging through the ash and piles of their former two-story home.
Of particular importance to them, Chad Dodge said, were his father's fire helmet and badges from 27 years with the Paradise Fire Department, and his own medals and memorabilia from time in the military.
"It's the little things that would make me happy," said Angie Dodge, who used to work for the Paradise Police Department. She hoped to find a piece of ceramic artwork by her father that had been inside a fish tank. The Dodges did eventually find a veteran's medal beneath the rubble, but it had melted into the concrete pad of their former home.
Next door to the Dodges, Czarnecki was having a little better luck. Her son Aaron Ropp and his girlfriend Bethany Abt were picking through the debris of the home they had evacuated a little less than a month ago. Their first warning of the fire had been flames engulfing a house at the end of their street. Ropp had run down the street — toward the fire — knocking on doors and warning neighbors. Today, he jogged down the same street to see if a neighbor needed help looking through the wreckage.
Czarnecki was looking for a box of her mother's jewelry and a vase that contained several thousand dollars worth of gold coins. She found both, and gently wiped wet ashes off their exteriors with a mittened hand.
"I expected nothing, so anything is just a gift. It's sentimental," she said, watching her ex-husband sift through the remains along with Ropp and Abt. Ropp was looking for his football state championship ring, using a sifter box to shake loose rubble.
What they did find was almost abstract, and put together a strange and incomplete story of their four years in the home: a piece of pottery here, a burnt and broken saucer there. The burnt husk of a piano sat at an odd angle just inside the living room.
"How do you even begin to recognize this stuff?" she whispered to Abt, who had brought her over a small vase with burnt knickknacks inside.
"You don't," Abt replied.
Strangely, untouched in the middle of the home's ruins were two small busts Czarnecki's aunt had made years before. And, as though it was any another December day, Ropp suddenly found a ceramic Christmas manger scene, broken in two, but otherwise unhurt.
"That is my sign!" Czarnecki cried. "Faith and strength. Nothing else matters."


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BERWYN, Ill. (WLS) -- A man was arrested and released Tuesday after a woman's call to 911 for help led to a massive police response on the Stevenson Expressway.
Illinois State Police were investigating an abduction and sexual assault that occurred around 2 a.m. in Dwight, Ill., which is about 80 miles southwest of Chicago.
The woman claimed to have been abducted and said she was being driven northbound on I-55, according to a source close to the investigation. She gave police a description of the car and stayed on the phone with them.
A state trooper out of southwest suburban Joliet spotted the car near County Line Road and followed, calling for backup, state police said.
Troopers stopped the car on I-55 near Harlem Avenue and took the alleged attacker into custody, ISP said. The victim was taken to MacNeal Hospital in west suburban Berwyn.
The relationship between the victim and the attacker is unknown.
The man was charged with traffic-related offenses.


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text: I am a graduate student working on a masters in Reproductive Physiology. After completing my masters I plan to go to Veterinary School. It is my dream to specialize in large animals and reproduction. When I am not studying or working I enjoy spending my time reading and watching crime shows with my mom.


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In 140 characters (or more, if you're feeling chatty!
Was there a 'light bulb' moment - or was it a slow-rolling sustained exploration over time?
Being able to take video footage of a student engaged in an activity, show it to a colleague or parent who wasn't present at the time (either by sitting down with them or posting it in a shared spaces using Voicethread) and chat about what is happening and possible next steps.
Every day there is a "light bulb" moment. But recently watching my 20month old grand daughter flicking through the i Pad and wondering how on earth we are going to cater for these students in schools and as teachers!
My most powerful e-learning took place in 1982 when I was a student on the Diploma in Special Education course. We visited a local school where we had the privilege of observing a young boy with cerebral palsy use a computer-assisted device for the first time; a wand operated by his cheek muscle, which was the only muscle over which he had full voluntary control. This allowed him to communicate via the computer and meant that he could finally demonstrate the extent of his wonderful intelligence and imagination. I was immediately captured by the potential of technology as a catalyst for meaningful learning for all children but especially for those who learn at a different pace and level to others and/or require significant adaptation to their learning environment in order for them to thrive as learners. It is wonderful to see assistive technology used to help students access learning and also to see e-Learning tools used to extend students in their learning (i.e. differentiation).
For me personally, one of my light bulb moments was attending a Natcoll course on video editing using Final Cut. I had signed up to the intermediate level class as it was the only one available before I needed to use the software to edit videos from a conference. I had thought that I would cope OK being relatively quick to pick up new tools but the class was just me and two professional video editors that were comparing Final Cut to another tool they normally used. There was a lot of editing jargon used and assumptions about what people knew and I have never had to concentrate so hard in my life to keep up. I was exhausted at the end of each day. I realised that this is how teachers have probably felt that I have worked with to support them in using ICT when this is not an area that they have any confidence in and it was completely outside of their comfort zone. It was a humbling and illuminating experience.
Great points Suzie Maybe the most powerful part of the learning is the 'hard bits' where we challenged the most?
For me it was finding out about twitter and all the great connections I've had from that!
I agree twitter has helped me, challenged me and absolutely delighted me with professional learning. It would be without a doubt my most powerful experience professionally.
There has certainly been plenty of discussion online about how Twitter is an excellent tool for professional learning. How do we reconcile this kind of 'dipping one's toes in the water' kind of learning, with the deep, sustained processes that are described by Timperely et al. in the Best Evidence Synthesis on Teacher PLD?
I blogged about this dilemma recently...but I guess the devil's advocate question is: does micro-blogging 'count' as effective teacher learning?
I think it depends. If you have a Twitter network of a couple of dozen people, rarely check your Twitter stream and rarely tweet yourself you are not going to get a lot out of it but if you build a network and make connections it can be a great source of knowledge and interaction.
Few of those reading this will be interested or have the
time to read much further because it is more than what twitter offers of 140
characters or less. Twitter actually introduced me to the VLN and because those
on twitter were talking about it I had to get my feet wet and try it. Is the
VLN considered effective teacher learning?
Your question sent me to my pit of confusion, very annoying, but got me thinking. I work in a small rural school with a great bunch of technophobes and without an ICT cluster to
help me with developing my effective eLearning practice. When my ICT Cluster Facilitator left, due to a lack of funding, she engaged the Lead Teachers in Twitter. The idea was to help all of us to stay connected and interact with individuals in the world of education.
Twitter has helped my students and I connect with and collaborate with schools in England e.g. mapping each other's classroom, have ongoing learning conversations with a school in Auckland, Skype a school in Hamilton to help with our mihi mihi's, discover how blogging has increased the writing skills of a school in England, connected me to world leaders in education I can read their blogs and interact with them, I can ask a question and get it
answered from people around the globe when those around me can't help me, the
list is endless. I have felt safe enough and supported enough through my twitter community to reflect publically on my teaching practice. I have engaged in webinars and bought professional readings written by my twitter PLN that are relevant to what my goals are in my professional learning. In which space can I have the Prime Minister
of New Zealand want to follow what I have to say or perhaps check that I am not
a threat to the nation's security, either way it excited me. Perhaps not
effective PD but great for the ego. I have been introduced to eLearning Tools
and given great examples and models of how they can engage thinking, creativity
and collaboration within my classroom on numerous occasions. I liken it to
ULearn except in this instance it is FREE! I don't consider this to be dipping
my toes in; I see it as up to my neck in it!
I am a full time Yr 5/6 Teacher, Deputy Principal and ICT Lead Teacher (I get no release time for any of these responsibilities). More importantly I am a mother and partner.
My spare time is very limited and to go and read novels you refer to by
Timperely et al, in my limited spare time is not very appealing at all. If I
had professional release time to do this then I would say thank you and enjoy
every minute. To read 140 characters or less in my spare time and gain what I
have listed above and more in my practice definitely counts as effective
teacher learning.
Thanks for the pit of confusion I can honestly say in the past I would have shrunk
away from your devils advocates question and thought I was wrong about twitter
but today my confidence has grown and I believe I can say twitter has helped
that confidence greatly because I don't feel like I am on my own in my small
rural school surrounded with Technophobes whom I adore.
I applaud you, Melanie, for putting your thoughts out there and responding so honestly to my (deliberately provocative!) question. It is an issue I myself have grappled with - what counts as effective, blended PD? - but I think increasingly that a variety of activities (such as online in the VLN/Twitter and F2F) that challenge our thinking and keep us inquiring about how well how students are engaging with the curriculum are essentail.
You paint a powerful picture of the importance of being connected to our colleagues, especially when we are isolated or very busy. The aim of a space like this is to help teachers to connect and begin to engage in a variety of learning opportunities to support/extend their learning in schools. The community relies on people like yourself being brave enough to share their thinking in public.
Your post reflects a fierce desire to keep going with your own learning - a competency that not everyone develops - so good on you.
Your contributions are highly valued in our community - do keep sharing. We all benefit when each of us is confident enough to participate in these spaces.
The most powerful professional learning experience for me, was a couple of years ago when I attended a whole day hands-on workshop at an Apple Innovations conference in Rotorua. It was about creating digital content (gaming) by writing writing code using Adobe Flash. We were presented with a scenario and we had to work collaboratively in a group to solve creative and artistic problems together. At the end of the day, presented our 'games' to the other groups.
It was insightful - how people communicate, problem-solve and work together. The technology posed a high-end challenge and the whole experience took us all out of our comfort zone. It was challenging, engaging, funny and memorable.
For me it was not necessarily about elearning. Discovering constructivism, learning using Processes and formative practice was the big change. It just turns out that ICT's are excellent tools for this kind of learning. Looking back now I realise that to have this kind of classroom it takes a fundamental shift in thinking. A shift in thinking that I don't think everyone is prepared or have the inclination to make.
I agree that there is a nice synergy between the effective pedagogy approches in the NZC and the opportunities offered by 'web 2.0' technologies. In fact, the powerful shift for many with e-learning is understanding when you do and don't need technology, if that makes sense. Developing an inquiring approach to teaching, so that technology is used deliberately, can be a huge shift for all of us.
Our data suggests that our cluster walkthroughs have been powerful, the responses also clearly outline other initiatives and the variety of opportunities we have provided, including having Tony Ryan work in our schools with us for a day each. I feel that variety may be the key, as we are all at different stages and think differently. Therefore no one thing sticks out as being any more powerful than the other.
Deidre, Nigel and Isaac - thanks for sharing your experiences. You all touch on the value of seeing others work, something that is often really hard to manage in our busy lives, especially for those schools so geographically isolated.
Walkthroughs in your own school, though, can be just as powerful - sometimes we can feel very cut off in the walls of our own classroom.
What are your views on videoing each other?! - would that be as powerful as actually being there?
Most powerful e-learning experience - where do I start? Online study (Post Grad Dip Tchg endorsed in ICT) through Otago, ICT Clusters, Conferences over the past ten years, online 'buddies' and their blogs, time by myself trawling sites and resources, time with students exploring uses of sites and resources, talking with colleagues, visiting other schools . . . . the list is endless . . . but all VERY valuable in creating a picture for me of what I need to be doing and where I need to be heading . . .
Visiting other schools to see the wonderful stuff happening. Pt England really stands out.
Also the stuff we are achieving in our PD Cluster is amazing too. Check out our Photography Exhibition from this term!
Thanks for sharing your comments, Innes and Stephanie - and for being the first 'off the block'.
I think with technology, in particular, the pace of change is so fast that it's always a focus for our own learning, as well as thinking about the oportunities for students' learning, too.


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Ayahuasca is a sacred plant that is native to South America, it's been used for centuries, maybe even millennia by Shamans to heal people and traditionally protect them against black magic and evil spirits. Recently, the western world has taken a great interest in the use of Ayahuasca as a powerful medicine, it has been proven to help cure people with serious substance abuse problems such as heroin addictions as well as help combat depression. From the very first time I heard about the ancient medicine of Ayahuasca I knew that it was something that I would be partaking in. I felt immediately drawn to it.
My main reasons for wanting to try ayahuasca were:
1. To be able to connect to Source, God, The Divine, All That IS (whichever you prefer.)
2. To combat my addictive personality and need to escape.
3. To be able to have my beliefs confirmed.
4. To come face to face with and get over minor depression within my life.
5. To have a trippy psychedelic adventure.
So, it was just a matter of time before I had my retreat picked out and my flights booked! Being that Peru has a huge Ayahuasca culture I was able to do two things that my heart was longing for, as Peru had been one of my most desired travel destinations for a few years. Before I had booked anything my friend approached me and basically said that she was coming and also felt drawn to this experience, which was fine with me! Shortly after that another friend joined us, and then another. We were all headed for an amazing adventure. From what we saw of Lima, Cusco, Huaraz and Machu Pichu, Peru is a beautiful country with a lot to explore.
Now, let's move onto the Ayahuasca. If you are thinking of participating in an Ayahuasca ceremony or retreat there are a few things that I should tell you.
- Ayahuasca will not fix any of your problems for you
- It will not guarantee instant enlightenment
- There is a lot of work involved in the whole process
- Many people do not see any psychedelic images or hallucinate;
- Some people do not even feel the effects of the medicine at all
- Drop ANY expectations about what the experience will be like based on what other people have told you based on their own experiences. Ayahuasca works entirely different with each person who takes it.
- I believe Ayahuasca is not for people who are looking for new ways to get high. It is not a drug, it is a medicine
With all that being said, Ayahuasca is an amazing tool that can assist you with clearing your innermost demons, bringing clarity and joy to your everyday life, helping you to let go of any fear, showing you what unconditional love feels like, showing you your soul purpose and many other wonderful things. If you feel drawn to these things and are OK with what was mentioned above then Ayahuasca is certainly for you. Ayahuasca can be a great tool for anybody who finds it, or should I say those who accept it. Ayahuasca will find you or attract your attention if you are ready for it.
The retreat that my friends and I picked out was called Ayahuasca Satsangha at The Way Inn Lodge close to the city of Huaraz, Peru. This retreat has a donation based philosophy which I thought was absolutely wonderful and really shows where the intentions lie. Over the past few years the sacred plant Ayahuasca has actually blown up into somewhat of an industry for tourists travelling to Peru, not all of the retreats available have your best interest at heart. Please do your own research thoroughly before choosing any retreat. The Way Inn is nestled right near the Andean mountains in an absolutely stunning location with a glacier fed pond and a canal that runs around the whole place. The staff were very knowledgeable, friendly, caring, loving and extremely helpful. I am so grateful to have had this experience with such amazing people! I would certainly go back there again and recommend this place to anyone who is interested. There is also a really friendly adorable cat there named Chateau! I absolutely adored him. Here are some pictures taken from the retreat at The Way Inn.
Overall, I am very glad to have had the opportunity to take part in attending and Ayahuasca Retreat. It definitely provided assistance for me on my journey and it was a great learning process, I gained some powerful insights about myself. Ayahuasca is definitely something that I would recommend to anyone who is serious about taking some steps forward and making some changes within their lives.


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2017 was a good time. Good days, when I can say I grew by good arithmetic comparing to where and what I was on this day the previous year. I unlearned quite a few things and notions while learning several new ones.
But, there were quite a few lessons which I was greatly successful in imbibing into my soul, and practising as my true nature. And, here are five of those lessons which I learned, imbibed and reaped from this year:
You need to start to do things to get better at them, and not really be better at something first and then start doing it. You learn by doing and not by just reading, listening, and watching or thinking or planning or whatever else.
Until you do actually do something, you just won't ever know what its for real. It's a nugget mined out of my own experiences.
With great power may come great responsibility. But with great responsibility definitely comes great power. Because by taking responsibility for your life and owning up for everything good and bad about it, you instantly gain authority to make it better as well, without leaving any case for excuses or for blaming your miseries on others.
You might be suffering because of someone else, but how you choose to respond and react to that is your own deal and responsibility. I learned this lesson long back, but I stopped complaining altogether only recently after reading The Subtle Art of Not Giving a F*ck by Mark Manson.
Networking is important. And also, it is not that easy. But, in the long run, a robust and diverse network of people is the best asset one can own. It's not easy to go to people, connect with them and build a bond. And, networking is even tougher as it for me involves winning trust and respect of the other person, to call it a real and worthy connection.
And, more the count of people from variegated backgrounds and lifestyles, the better your network is. Though one thing to be kept in mind is that networking means building connections and not building friendships, which consumes a lot more of one's time and energy. It's a lesson I learned last year but implemented entirely this year.
Best way to decide if you should say yes or not to any person, a job or some kind of opportunity in life is to ask yourself this question: "If I were to die the very next moment engaged doing this thing, will I die a happy person?" If the answer to that question is negative, then you know what needs to be done. Easy peasy.
No confusions, deliberations and doubts. This one lesson has completely transformed and simplified my life, gulping away a lot of tensions. I learned this very valuable lesson from one of my favourite comedian and very inspirational human being, Jeeveshu Ahluwalia.
Don't follow all quotes blindly. They might read and seem very wise, enlightening and soothing. But, their outcome may not always prove to be that rosy. So use your brain, it's there for a reason.
Today, any nincompoop can write a quote. I can and so can you. And, most of us (including me), are not experienced and wise enough to contemplate the realities that following a particular way of life preached in a quote may lead one into. No more explanations for this one. If you get it, you get it. I may be wrong here. It's a lesson learned by collating a lot of my personal experiences.
Those were the five lessons which had the greatest and most transformative impact over me this year. Wishing the reader happy, happening and progressive 2018 ahead. Bliss!


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More than a year after Khloe Kardashian filed for divorce from Lamar Odom, fresh rumours are abound that the couple are getting back together. US OK! magazine reports that they've been hooking up at a quiet hotel, and a source alleges that Lamar is hoping she'll agree to renew their vows.
We were saddened when Khloe confirmed that she was splitting from Lamar, and in the months that followed, she appeared heartbroken on Keeping Up With the Kardashians. However, their breakup came amidst allegations of drug use and infidelity on Lamar's part, and the professional basketball player has since been keeping a low profile.
A source told US OK! magazine: "They've spent many nights together in the past couple of months.
"Lamar is so sorry for everything and is begging Khloe to take him back. He's been sober for six months and is determined to prove that he's a changed man.
"He wants them to renew their vows! He's so convincing Khloe's seriously considering ripping up the divorce papers and walking back down the aisle with him."
The source added: "Khloe's spent months being furious with Lamar. But now she's falling back in love with him. Little by little, Lamar's working his way back into her life."


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Think of it as a union of unions.
A number of New York City's labor organizations are pooling their resources to campaign for "responsible development" by drawing attention to developers who employ non-union labor and — according to the workers' representatives — drive down incomes and standards of living across the city's workforce.
"Everybody loves talking about the shrinking middle class, and it's about time to do something about it," said William Hohlfeld, a labor management representative with Local 46 and member of the Build Up NYC coalition.
The premise of the coalition is that developers have an influence over the city that continues even after construction is complete.
"What our research shows — and this should come as no surprise to no one — is developers who come into New York, if they decided to develop non-union, they go on and own, operate and maintain non-union," Hohlfeld said.
Build Up NYC is headed by Gary LaBarbera, president of the Building and Construction Trades Council of Greater New York, and it's ranks are made up representatives of the various council member unions as well as the Service Employees International Union and the Hotel Workers' Union.
Building Trades is made up of unions representing workers in a variety of construction trades, while SEIU represents service workers, including janitors, security guards and doormen.
"It's a coalition of working people, and we certainly hope that it's going to grow even larger," Hohlfeld said.
In February the group organized a protest near 237 West 54th Street, where Starwood Capital and the Moinian Group are developing a Hilton Hotel using non-union labor. Later this month, they plan another street action tied to Starwood's planed development in Brooklyn Bridge Park.
"There's a lot of public money involved there," Hohlfeld said of the project.
A video on the Build Up NYC website features union members who described their working lives before they joined their unions. They describe working off the books, being paid in cash, receiving no benefits, working multiple jobs, and being unable to buy Christmas presents for their children.
"Nobody's saying that developers are not entitled to a profit," Hohlfeld said. "Profit is a wonderful thing. It's just a question of how are we going to spread this profit around."


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Prostate cancer is the cancer most often diagnosed in Canadian men. It is second only to lung cancer as a cause of cancer death in Canadian men aged 65 years and over. Every year, about 20,000 Canadian men are diagnosed with prostate cancer.
The walnut-shaped prostate gland is an important part of the male reproductive system: it produces liquid that moves sperm. It is located between the rectum and the pubic bone.
Causes and risk factors
Cancer tumours grow from cells that have undergone genetic mutations. In some people, the genetic mutation is inherited. However, most cancer-causing genetic changes occur after birth. Some genes don't directly cause cancer, but may make cells more vulnerable to carcinogens (cancer-causing agents) found outside the cell.
The following factors are believed to increase the risk of prostate cancer:
- age - especially over 65
- family history - having a father or brother who has or has had prostate cancer doubles your risk
- race - men of African descent are more likely to get prostate cancer and men of East Asian descent are at a lower risk
- geography - prostate cancer is rarer in Asia and South America
- weight and physical inactivity - overweight and inactive men tend to have higher rates of prostate cancer, but the exact link between being overweight or inactive and prostate cancer is not clear
- diet - saturated fats and a lack of fruit and vegetables can increase the risk; tomatoes, grapefruit, and watermelon contain lycopene, a chemical that may lower prostate cancer risk
Usually prostate tumours are small and cause no symptoms. It is a slow growing cancer so men might not experience symptoms, especially in the early stages. That's why most of them are only discovered during blood screening tests or surgery for benign prostatic hyperplasia, a condition which often does cause noticeable symptoms. Occasionally, digital rectal exams (DRE) performed by a doctor will indicate a need for further tests.
Large, advanced tumours can press on other organs such as the bladder, causing:
- incontinence (reduced bladder control)
- difficult urination (peeing)
- burning or pain when urinating
- erectile dysfunction
- pain when ejaculating
- blood in the urine or semen
- pain or stiffness in the lower back, hips, or upper thighs
If cells from a tumour break off and move into the bloodstream, they can settle in distant parts of the body and start dividing to form new tumours. This is called metastasis, and the new tumours are called metastases. You may experience pain in distant parts of the body if the cancer has metastasized.
Loose cancerous cells can also be carried through the lymphatic system, a network of tubes that carry lymph (a clear liquid containing waste products and immune cells). From there, it can spread to lymph nodes and other organs. The lymphatic system is the main carrier of metastases in prostate cancer. Prostate cancer can spread to the lungs, brain, bones, lymph nodes, or almost anywhere else.


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Yen Santos gets a great surprise
Yen Santos had one of the most amazing surprises in her life when she was told that she will be the leading actress opposite Gerald Anderson and Jake Cuenca for a TV show at ABS-CBN.
"Hindi ko po talaga in-expect. Ang inisip ko parang mag-guest lang ako [sa show]. Nung na-present po sa akin, nanginginig po talaga ako at nanlalamig. Siguro kasi hindi pa po talaga ako sanay. Hindi pa po nagsi-sink in. Talagang masaya ako na sunud-sunod ang projects," she said to ABS-CBN News on Wednesday.
(I really didn't expect it. I thought I was just going to be a guest on a show. When they presented it to me, I had chills. Maybe it's because I'm still not used to it. I'm really happy for having projects one after the other.)
Santos was really happy to have yet another big break after successful "All of Me" stint. She considers working with both Cuenca and Anderson on this project a very big privilege as Santos views them to be great actors of their time.
"As actors, siyempre napapanood ko na po sila. Effective sila sa mga roles nila kasi alam mo na binibigay nila yung 110% nila sa role nila. Kaya kapag pinapanood mo sila, kapit ka. Talagang ino-own nila yung character," she shared.
(As actors, of course I already watched them. You can see how effective they are at portraying their roles because they give their 110%. That's why when you watch them, you get hooked. They really own their character.)
The new TV show will be titled "Because You Love Me" where Santos will be playing as a triathlete. She shared that she's not that sporty in real life but she is hoping to give justice to her character with the help of her co-starts and the director Dan Villegas.
Source: KAMI.com.gh


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Nov 13, 2014, 04:01 ET
CHICAGO, Nov. 13, 2014 /PRNewswire/ -- Textura Corporation (NYSE:TXTR) today announced it ranked number 118 on Deloitte's Technology Fast 500™, a ranking of the 500 fastest growing technology, media, telecommunications, life sciences and clean technology companies in North America. Textura's ranking was based on revenue growth of 1,022 percent from 2009 to 2013.
Chairman and Chief Executive Officer Patrick Allin credits Textura's focus on developing transformational collaboration solutions for the construction industry and delivering world-class client service with the company's revenue growth.
"Our focus from the start has been on creating technology solutions that address the unique and complex challenges construction companies face. The growth we have experienced stems from the incredible need and rising demand for such tools, which help construction companies improve productivity and mitigate risks across the entire lifecycle of a project. And as proud as we are of this growth, we are even more proud of its real underlying driver, namely, delivering significant value to all of our clients," Allin said.
"The companies ranked on the 2014 Deloitte Technology Fast 500 continue to set the bar for their industry higher each year," said Eric Openshaw, vice chairman, Deloitte LLP and U.S. technology, media and telecommunications leader. "There are so many exciting products and smart thought leaders driving this list. We congratulate the Fast 500 companies and look forward to seeing them continue their momentum into 2015."
"For 20 years, the Deloitte Fast 500 rankings have honored the innovation that is part of these companies' DNA," added Jim Atwell, national managing partner of the emerging growth company practice, Deloitte & Touche LLP. "We're glad to be serving these high-growth companies, and helping the technology sector recognize the great strides and transformation these companies are making in their respective areas."
About Deloitte's 2014 Technology Fast 500™
Technology Fast 500, conducted by Deloitte LLP, provides a ranking of the fastest growing technology, media, telecommunications, life sciences and clean technology companies – both public and private – in North America. Technology Fast 500 award winners are selected based on percentage fiscal year revenue growth from 2009 to 2013.
In order to be eligible for Technology Fast 500 recognition, companies must own proprietary intellectual property or technology that is sold to customers in products that contribute to a majority of the company's operating revenues. Companies must have base-year operating revenues of at least $50,000 USD or CD, and current-year operating revenues of at least $5 million USD or CD. Additionally, companies must be in business for a minimum of five years and be headquartered within North America.
About Textura
Textura is the leading provider of collaboration and productivity tools for the construction industry. Our solutions serve all construction industry professionals across the project lifecycle – from takeoff, estimating, design and pre-qualification to bid management, field management, submittals, LEED® management and payment.
The Textura® collaboration platform and online product suite represent the first time the industry has all the tools needed to manage their business in an integrated fashion to save time and money and reduce exposure to risks. With award winning technology, world-class customer support and consistent growth, Textura is leading the construction industry's technology transformation. www.texturacorp.com
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SOURCE Textura Corporation


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A Blush Maui WeddingWords by Kate Darnell
Photos courtesy of Tamiz Photography
A girl walks into a bar…only the punch line this time is, "They lived happily ever after."
That's what happened when Ashley met Paul at the Ivy Pool Bar in Sydney. While visiting her best friend, the two of them went out for cocktails and spotted some handsome gents at the bar and gestured them over. "The first thing he ever said to me was 'You're not Australian are you? No Australian girl would call a guy over.' I responded with, 'No sir, I am an American.' We've been inseparable ever since," recalls the bride.
Having loved ones spread all over the world helped solidify the decision for a destination wedding in Maui. Her family's visits over the years also had Ashley dreaming of the destination from the age of 18.
An idyllic ceremony with the traditional blowing of the conch shell, the blue ocean in the distance and all their special loved ones there to witness was just what the couple was after. They added a special Christian dedication for their one-year-old daughter to make sure she was involved. "It was a beautiful moment and a way to share our love and commitment not only as husband and wife, but as parents."
The reception included all the details the bride had envisioned during her planning: a floating chandelier over the dance floor, canopies over bare wood tables, lounge furniture and even gold-rimmed glassware.
One bit of advice the bride has for others, "Just let it go and enjoy this time with the people who love you and your fiancée the most."
Vendors: Photographer: Tamiz Photography, Wedding Planning and Design: Belle Destination Weddings and Events, Ceremony/Reception Site: Olowalu Plantation House, Floral: Mandy Grace, Stationery: Erica Keuter, Bride's Dress: Custom Couture gown from Pallas Couture Sydney, Groom's Suit: Custom Suit from The Suit Shop Sydney, Bride's Shoes: Emmy London, Catering: Aloha Events Catering, Calligraphy: Miss B Calligraphy, Bar Service: Garnish Events, Tableware: Set Collections, DJ: DJ Del Sol, Cake + Treats: Maui Sweet Cakes, Ribbon: Adorn Company, Videography: Cinemaui, Minister: Tino Rosete, Music: Vance Koenig, Bride's Hair and Makeup: Maui Mira, Bridesmaids' Hair and Makeup: Maui Makeup Artistry, Rentals: Signature Rentals, Pacific Isle Rentals, and Winters Events.
This article first appeared in Destination I Do's Spring/Summer 2016 issue. You can order a copy here.
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Startups in translation: South Korea meets Silicon Valley
It's hard for any startup to catch some media attention or get a meeting with a VC in Silicon Valley. Think about how much harder it is if you're from South Korea.
Last night, I spoke at an event for Korean entrepreneurs who are visiting the Bay Area as part of a government-sponsored accelerator program called KoFounder Labs, put on in conjunction with YouNoodle. The six-week program started on October 6 and involves a drawn-out pitch competition that will ultimately produce a handful of finalists from an initial 15 teams. A panel of five Korean investment firms, which is judging the competition, has promised to commit funds to the winners. This is the program's second year.
I spent a couple of hours with the entrepreneurs, who asked how to pitch to reporters, what sorts of stories Pando looks for, and other broad media-related questions. Some asked how to talk to American VCs and how to attract funding. At the end of the session, most of them came up to show me their products, which ranged from note-taking apps to social games to media synching tools. Mobile was a very strong theme, which isn't surprising, given Korea's advanced mobile connectivity – 14 percent of the country is already on LTE – and high smartphone penetration. Most of the apps, too, were built first for Android, which is the dominant operating system in Korea.
Some of the technology was very impressive, and some of the startups are already counting their users in the millions. I'll write about the most interesting ones in the weeks ahead. But when I asked if anyone had been covered by the tech press, no-one raised their hands. I was taken aback. Why would that be?
The answer, I figured, was that the two parties – foreign entrepreneurs and American media – don't know how to talk to each other. There's so much going on within the US's own borders that it's easy to pretend that startups don't happen in other countries. Instead, we tech reporters tend to stick with the familiar and the local. Indeed, most don't cover much beyond New York and San Francisco.
That's why Y Combinator-backed startups get a whole lot more attention than equivalent startups from other countries. Case in point is the YC-backed Pair, which has attracted investment from SV Angels, Path's Dave Morin, and Crunchfund, and grabbed headlines back in March for getting 50,000 downloads in the space of four days. Over in Seoul, meanwhile, a comparable app called Between, made by VCNC, has received far less attention (proof: compare the Google search results of the major blogs for each Pair and Between) from the blogs, despite launching around the same time and attracting more than 1 million downloads to date.
It seems like this situation has to change, eventually, whether it's Valley-based publications leading the charge or homegrown ones. It wasn't too long ago that Silicon Valley VCs wouldn't invest in a company that was farther than a day's drive or an hour flight, and now most of them have an office or at least deals in another country. Just as startup communities are sprouting throughout Middle America, they're also emerging in Seoul, Beijing, Tel Aviv, Helsinki, and wherever else there is a concentration of software engineering talent and ambitious entrepreneurs. That's a large part of the reason I reported from China and South Korea in the summer, and why I'm heading next to Sweden and Finland (by the way, please hit me up if you have any intel on tech communities those locales).
At the same time, thanks to programs like KoFounders Labs, foreign entrepreneurs are learning how the Silicon Valley system works. In short, they're getting more globally savvy. Today, few people in the room seemed to have any idea of how to approach a reporter, what to say, or how much to say – and that has been reflected in the total lack of US coverage their companies have got. Now, however, I'm expecting a bunch of emails with smart, tailored pitches, and I'm certain to write about a few.
Most of the startups at the event today are focused on global markets, with the US as a very high priority. The cultural difference between the two countries is very big and real, and many of these companies will ultimately struggle to adapt their products for the unfamiliar Western markets. But that doesn't mean it's not worth a shot. I saw enough evidence in a short time today to know that at least some of the startups coming out of Korea have enough talent to challenge Y Combinator graduates. Getting commensurate media attention and meetings with VCs is going to be the hard part.
PandoDaily, at least, will be watching closely.


text: Over his 22-year career at Sony Music, Doug Wygal had a front-row seat for trends in the industry. The writing on the wall was clear: Vinyl would make a comeback. As a lifelong musician with a history in record retail, Wygal welcomed this news. "I always wanted to have a record store of my own. Ten years ago, I saw licensing and manufacturing of vinyl picking up," he says. So in 2014, he took the leap and purchased Wright Gallery Records in Uptown Kingston. After a month of renovations, he reopened as Rocket Number Nine Records. "I have a lot of people that come in weekly, and a handful that come in daily because I am constantly looking for records and updating the selection," Wygal says. "It's always a challenge to keep used inventory fresh and bring in new titles, but I do it every day." While he does go to record shows and flea markets, Wygal primarily buys from individuals. "I really believe in being fair as a buyer and paying people what records are worth." Rocket Number Nine sells every format across all genres from soul to psychedelic to classical, from $1 up. "You never know what will turn up, so record stores become a meeting place for like-minded people looking for that next thing. Being a collector myself, finding a great record is like hitting gold. I can't wait to get it back to the store."


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Instagram's blue tick has become one of those most coveted symbols in the social world. The badge, placed next to the user's name, establishes that the account is an 'authentic presence of a notable public figure, celebrity, or global brand'. Designed to sort the real from the fakes, it was first used by celebrities so fans could be sure they had found the correct profile they were searching for.
For influencers and businesses, verification proves to followers you are accredited, helping to build your personal brand, while displaying credibility and authenticity.
How can I apply?
Before 2018, you had no way of requesting the little blue tick, you simply had to hope that your account would be chosen… or be as famous as Kylie Jenner, but now users have the ability to apply. Here's how:
Step 1: Head to your settings and click on "Account"
Step 2: Then click on "Request Verification" check this site out
Step 3: You will then be directed to the application request page where you need to fill out the following:
– Username
– Full name
– Known as (either just put your actual name or the name people know you by)
– Account category
– Upload a picture of your government-issued photo ID (i.e. passport, license or photo/identity card)
Step 4: The final step is to press send and hope for the best!
Your application will then be reviewed by Instagram, who will later notify you if your request has been successful or not. Don't expect a response right away and remember Instagram will never ask you to pay for this or send you an email about it. If you do receive something of the sort, it's likely a scam.
Want to join Vamp's global community of creators? Download our app to apply.
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How do I ensure my application is successful?
Not everyone who requests verification will get it. However following these tips will give you the best chance in achieving that all important blue tick:
1. Don't be a rule breaker
You must live and breath the app's Terms of Use and Community Guidelines. If Instagram is going to hand you a verification badge, they are going to want you to follow their rules.
2. Be authentic
Instagram also obviously wants you to be who you really say you are; that includes being a real person (no bots allowed), a registered business or notable brand.
3. Be public
If you're yearning for that verification badge surely your account is already visible to everyone, right? Great! Otherwise Instagram will reject your request, so ensure your account is on public.
4. Be complete
Make sure you completely finish setting up your Instagram profile, this includes having a catchy bio that helps users understand what you're all about, a profile photo that showcases who you are and of course at least one post (which we're sure is easy to fulfil).
5. Be a notable presence
Instagram is only going to verify you if you 'represent a well-known, highly searched for person, brand or entity' so being a notable presence in and outside the app is important. It also helps if you've gained some external press apart from your own website, this will allow instagram to recognise your credibility. If you're just starting out in your career, it might be best to wait a while until you have these things before you apply.
6. No cross-promoting
Don't put any other links in your bio, directing people to your other social media accounts for people to follow or add you. Only link things such as your website, store, blog etc for people to discover.
I was rejected! What now?
If your request gets denied, don't give up! You can reapply after 30 days. There is plenty of time during that period to improve your profile, grow your audience and enhance your profile.
If you are successful and you get your Instagram blue tick, make sure you don't lose it, you worked hard to earn it. Continue to follow Instagrams Terms of Use and Community Guidelines, don't disable your account, go private or start using your profile photo or name to promote any other services. Remember Instagram verified you based on the information in your initial application.


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As soon as Ramadan starts, the devil gets locked and everyone seems to turn holy and religious. Same goes for Pakistani celebrities, they too switch from item numbers to Ramadan transmissions and from mini skirts to dupatta clad outfits. It's the season to be pious and everyone seems to put up their best display!
Have a look at some of the A-list Pakistani celebrities in their holier than thou avatars during Ramadan and compare them to their normal days:
Glam Girl Ayesha Khan switches to a dupatta clad and pious look for Ramadan.
Ayesha Omer, from bold shoots to item numbers, the diva makes a complete plain jane kinda transformation for the holy month!
Taking a dive with hot girls in a swimming pool is totally haram for Hamza Ali Abbasi! "Jawani Phir Nahi Aani" so keep it halal and do all the good while you can!
Hira Mani ditches the jeans and sticks to the shalwars!
Juggan Kazmi too flaunts her desi, holy and innocent avatar! Looking hot is for later!
The sweet Maya Ali too keeps the seductiveness for after Ramadan!
Actress and model Sadia Imam De-glams herself for Ramadan!
Famous morning show host Shaista Lodhi adopts the no-makeup look with eyes that are ready to pour waterfalls for her sins!
Give us your feedback on what you think about their poles apart avatars and stay tuned for more news and updates on VeryFilmi.


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The Town of Red Hook Planning Board hopes to assist prospective applicants in selecting appropriate landscaping for their projects. Please visit Invasive Exotics of the Eastern Forest for a list of trees, shrubs/smaller trees, annuals, biennials, vines and ground cover, and aquatics recommended for the northeast.
Additional information on landscape plants rated by deer resistance may be found at Deer Resistant Plants


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Rediscovering the Demo Tapes
A new George Harrison album dropped last week called "Early Takes, Volume 1" and, for the first time, you can hear the demo versions of some great Harrison songs. "My Sweet Lord" is clean and clear and vibrant. "All Things Must Pass" still has the genuine sting of reality and acceptance that came to define the ultimate end of his life.