Heres how many minutes the average doctor actually spends with each patient Erin Brodwin and Dragan Radovanovic Apr 6 2016 112 PM Some doctors visits seem to last hours but have you ever wondered how much of that time you actually spend talking with your physician The online medical resource Medscape which is owned by WebMD recently released its 2016 Physician Compensation Report which features data from more than 19200 doctors in 26 specialties All the data is selfreported and based on information collected for Medscapes yearly survey Part of the report includes information on how many minutes doctors say they spend with each patient with 1316 minutes being the most commonlyreported estimate Take a look Business Insider Dragan Radovanovic While it can seem like the time you actually spend with your doctor is getting slimmer and slimmer every year the results of this years survey with 1316 minutes being the mostcommonly reported figure were pretty consistent with previous annual surveys since 2011 The data was further broken down by gender Previous Medscape studies have suggested that female doctors spend more time per patient on average than their male counterparts and this study shows the same pattern with 49 of female physicians and 41 of male physicians spending 17 or more minutes with each patient As the report notes though this is also influenced by the fact that the specialties themselves are gendered with very few female physicians working in the fields of critical and emergency care which tend to have the shortest doctors visits Health Compensation Medical Care

O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


A nutritionist reveals the exact amount of wine you should be drinking every single day Sarah Schmalbruch Oct 12 2016 222 PM Leonid Mamchenkov Flickr The INSIDER Summary Nutritionist Karen Ansel considers wine to be the healthiest alcohol Its best to drink five ounces of wine per day Wine contains polyphenols which help protect the heart and brain The good news is you should be drinking wine every day The bad news is you should only be drinking five ounces of it thats a little under two thirds of a cup not a large wine glass but a standard eightounce cup Thats according to nutritionist Karen Ansel MS RDN who says that moderate alcohol consumption one drink per day for women and two drinks per day for men has been linked to improved heart health Shutterstock Although this goes for all kinds of alcohol Ansel points to wine as being the healthiest booze She says that compared with those who dont drink at all people who drink a moderate amount of wine every day are less likely to die of Alzheimers or heart disease According to Ansel this is because wine both red and white contains compounds called polyphenols which help protect the heart and brain Ken Hawkins Flickr Ansel also makes the point that wine is often drunk with a meal a healthier way to consume alcohol than knocking back shots on an empty stomach for example In a more general sense Ansel says alcohol helps raise HDL cholesterol the kind of cholesterol thats healthy for the human body and very hard to raise Plus she adds that alcohol is a blood thinner and therefore helps to prevent blood clots Health Wine Booze

O B O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Meanwhile Maya Descendants Face Discrimination And Poverty Henry Morales Agence France Presse Dec 19 2012 814 AM A man in Mayan costume plays with a ball of fire at Xcaret Park in Playa del Carmen Mexico on December 18 2012 At its peak the Maya civilization had one of the richest cultures in the Americas Today ethnic Mayas in central America and Mexico suffer from discrimination exploitation and poverty Pedro PardoAFP At its peak the Maya civilization had one of the richest cultures in the Americas Today ethnic Mayas in central America and Mexico suffer from discrimination exploitation and poverty In Guatemala where nearly half of the population is indigenous descendants of the oncemighty ancient civilization have even fallen victims to genocide The rich Mayan culture will be in the global spotlight Friday when revelers and doomsday watchers will mark the end of a 5200year era as sketched out in the elaborate Mayan calendar But the plight of indigenous Mayas in the region will likely go undiscussed The indigenous population was always seen as cheap labor and this persists to this day said Guatemalan anthropologist Alvaro Pop a member of the United Nations Permanent Forum on Indigenous Issues They are seen as a tool and are not the focus of public policies The Maya civilization reached its peak between the years 250 and 900 but then slipped into decline around 1200 Three centuries later during Spanish colonization the Mayas were dispossessed of their lands and reduced to poverty as well as servitude Today there are currently an estimated 20 to 30 million direct descendants of the ancient civilization living in southern Mexico Belize Honduras El Salvador and Guatemala where the indigenous group is most prevalent In Guatemala ethnic Mayas often find themselves on the margins of society with limited access to education health care and other basic services Their native languages are not officially recognized Within the indigenous community which accounts for 42 percent of Guatemalas 143millionstrong population the poverty rate is 80 percent Nearly six in 10 indigenous children suffer from chronic malnutrition and the infant mortality rate has hit an alarming rate of 40 per 1000 live births according to the United Nations Development Program UNDP In Mexico social misery and exploitation led to the creation in 1994 in Chiapas state of the mediasavvy but later weakened Zapatista National Liberation Army which drew attention to the communitys plight But ethnic Mayas paid perhaps the heaviest price during Guatemalas civil war that pitted the army against leftist guerrillas from 1960 to 1996 There were external reasons which exacerbated the populations poverty and led to a stigmatization of indigenous people according to Pop More than 600 massacres of indigenous communities were recorded during that period and tens of thousands of Indians sought refuge in southern Mexico from the brutal counterinsurgency by the military according to a 1999 UN report Under the scorched earth policy conducted by the regime of exdictator Efrain Rios Montt 198283 entire villages were wiped out In the midst of this systematic repression indigenous activist Rigoberta Menchu rose to prominence Her strong condemnation of the massacres earned her the Nobel Peace Prize in 1992 The armed conflict was used as a pretext to exterminate the indigenous population physically and spiritually Menchu told AFP As part of an apparent bid to root out Mayan spirituality security forces targeted indigenous priests Menchu said the scorched earth policy also aimed to push the indigenous population deeper into poverty Today areas that are home to indigenous peoples have seen an influx of troops as part of the governments war on drugs And once again Mayan descendants are being expelled from their lands this time to make way for hydroelectric mining or farming projects In Honduras the growing demand for African palm oil a key ingredient in cosmetics and processed foods is fueling deadly land disputes pitting large landowners against landless peasants Copyright 2012 AFP All rights reserved Read the original article on Agence France Presse Copyright 2019 Follow Agence France Presse on Mayan Prophecy Doomsday Scenarios Discrimination

O O O B I O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


This shocking elevation map shows just how screwed New Orleans will be Kevin Loria Gus Lubin and Mike Nudelman Jun 5 2015 1026 AM Per estimates by the National Oceanic and Atmospheric Administration New Orleans will most likely be 85 below sea level by the end of the century and only levees and floodwalls are keeping the city dry Mike NudelmanBusiness Insider Things could get very very bad and New Orleans has only one hope NOW WATCH Animated map shows what the US would look like if all the Earths ice melted New Orleans Sea Levels Global Warming

O O B I O O O O B I O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O B I O O O O


Reasons

Why

Your

Image

Is

Everything

Judith

Aquino

and

Kim

Bhasin

Dec

PM

Dan

Goodman

Business

Insider

Branding

matters

and

that

rings

true

for

both

companies

and

individuals

The

way

you

present

yourself

has

a

profound

impact

on

your

career

And

its

not

just

your

body

language

or

how

you

dress

the

Internet

has

presented

folks

with

countless

new

ways

to

bolster

their

personal

brand

or

completely

ruin

it

Social

networks

blogs

and

other

online

tools

help

us

project

things

out

into

the

world

with

ease

but

putting

yourself

out

there

so

prominently

makes

it

easier

for

people

and

potential

employers

to

judge

you

by

your

cover

Weve

compiled

nine

reasons

why

your

image

is

incredibly

important

Take

a

look

It

takes

seconds

to

form

a

lasting

impression

of

a

stranger

a

First

impressions

matter

A

series

of

experiments

by

Princeton

psychologists

Janine

Willis

and

Alexander

Todorov

reveal

that

it

takes

less

than

a

second

to

form

an

impression

of

a

stranger

from

their

face

and

that

longer

exposures

dont

significantly

alter

those

impressions

To

make

sure

you

put

your

best

foot

forward

know

these

statisticallydriven

ways

to

nail

a

first

impression

of

employers

more

than

double

from

the

previous

year

said

they

use

social

networks

to

screen

job

candidates

More

employers

are

turning

to

the

Internet

when

making

hiring

decisions

In

a

recent

survey

percent

of

supervisors

said

they

use

social

networks

like

LinkedIn

Facebook

and

Twitter

to

screen

job

candidates

The

year

prior

that

number

was

significantly

lower

just

percent

says

The

New

York

Times

of

companies

have

fired

employees

for

their

behavior

on

Facebook

and

LinkedIn

a

via

Flickr

A

poor

image

could

also

get

you

fired

study

by

Proofpoint

an

Internet

security

firm

found

that

at

companies

with

or

more

employees

percent

reported

having

issues

with

employees

use

of

social

media

Eight

percent

of

those

companies

report

having

actually

dismissed

someone

for

their

behavior

on

sites

like

Facebook

and

LinkedIn

Thats

double

from

last

year

where

just

percent

reported

having

to

fire

someone

over

social

media

misuse

of

divorces

involve

Facebook

of

attorneys

say

they

are

seeing

social

networking

evidence

in

their

cases

If

you

are

getting

a

divorce

Facebook

profile

pictures

could

be

used

against

you

Divorce

lawyers

openly

admit

to

searching

social

networking

sites

for

evidence

of

infidelity

or

wrongdoing

in

an

effort

to

strengthen

their

case

against

an

errant

spouse

A

survey

of

top

colleges

found

that

of

admissions

officers

acknowledged

looking

at

socialnetworking

sites

to

evaluate

applicants

Jeramey

Jannene

via

Flickr

Your

online

reputation

could

determine

whether

or

not

you

get

into

college

According

to

a

survey

by

education

company

Kaplan

of

those

colleges

making

use

of

the

online

information

percent

said

that

what

they

saw

negatively

affected

their

views

of

the

applicant

Only

one

quarter

of

the

schools

checking

the

sites

said

their

views

were

improved

Your

reputation

could

affect

those

who

share

your

last

name

The

families

of

celebrities

highprofile

criminals

and

many

others

whose

names

are

splashed

across

headlines

often

become

media

targets

as

well

If

the

association

is

positive

great

However

it

could

take

years

before

a

negative

association

dies

down

if

ever

percent

of

hiring

managers

say

qualified

but

unattractive

candidates

are

likely

to

have

a

harder

time

landing

a

job

Printed

with

permission

Glenn

Francis

wwwPacificProDigitalcom

Studies

show

making

the

effort

to

look

attractive

could

also

boost

your

chances

of

being

hired

Fiftyseven

percent

of

hiring

managers

told

Newsweek

that

qualified

but

unattractive

candidates

are

likely

to

have

a

harder

time

landing

a

job

while

more

than

half

advised

spending

as

much

time

and

money

on

making

sure

they

look

attractive

as

on

perfecting

a

résumé

When

ranking

employee

attributes

in

order

of

importance

managers

placed

looks

above

education

of

nine

character

traits

it

came

in

third

below

experience

No

and

confidence

No

but

above

where

a

candidate

went

to

school

No

Beautiful

people

make

more

than

their

homely

counterparts

You

might

not

be

able

to

do

anything

about

your

height

but

you

may

still

get

paid

more

for

looking

good

Goodlooking

slim

tall

people

tend

to

make

more

money

than

their

plainJane

counterparts

reported

CNN

Money

Researchers

found

that

beautiful

people

tend

to

earn

five

percent

more

an

hour

than

their

less

comely

colleagues

Remember

if

its

on

the

Internet

it

could

be

there

forever

What

you

say

or

do

online

even

behind

privacy

walls

could

end

up

living

for

decades

on

the

Internet

The

Internet

never

forgets

Unfortunately

deleting

an

embarrassing

video

or

photo

might

not

be

enough

if

the

file

has

gone

viral

Dont

screw

up

like

this

either

By

on

Flickr

Ways

To

Get

Fired

From

McDonalds

Features

Personal

Branding

Branding

Career

O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


11 Productive Ways To Spend Your Downtime By Erica Florentine Jan 14 2016 If youre anything like me when youre done with work youre on the hunt for productive ways to spend your downtime No matter how exhausted I am I try really hard to avoid doing absolutely nothing when I have free time to kill For the most part when I completely waste my downtime I tend to feel really guilty about it We only have one life to live right Why spend all of our free moments with our butts implanted into the couch Being productive during downtime though doesnt mean forcing ourselves to do things we wont enjoy If youre someone who isnt particularly creative theres no need to force yourself to attend an afterwork art class Consider the things you do enjoy and focus on those This article hopefully will serve to inspire you to come up with unique ways to spend your time that are molded to your personal likes and interests What I always like to do is start by making a todo list for my downtime I used to think the point of having free time was to avoid having a todo list However Ive found that as with my job Im far more productive if I set out goals for myself at the start of the day Even if an item on my downtime list is as simple as Read for an hour at least I know Ill feel accomplished when I get to cross it off I tend to fill my personal list with some of the items below and perhaps youll enjoy some of these too Here are 11 examples of productive ways to spend your downtime for those looking to keep themselves busy and fulfilled 1 Plan A Winter Party Ive been thinking a lot about this lately Its so unfair that the holidays are filled to the brim with parties and gatherings and then once we hit January its all over Yeah in a few weeks comes Valentines Day and then St Patricks Day but what are we left to do in the bitter cold weeks from now until then Why not organize a winter party If you have ample space to host a gathering consider using your downtime to organize something fun for you and your friends Try making it extra special by making it invitationofficial For some great winter party ideas on Celebrationscom 2 Explore Your Neighborhood I recently moved back to my hometown and youd think by age 29 Id already have frequented every place imaginable in this area The cool thing Ive noticed is that I actually havent Im so used to going to the same restaurants bars and stores over and over that I often forget to open my eyes and see what other things are around me For example I feel really strongly about shopping local and have always purchased items from the same handful of stores here Then one day I opened my eyes and realized there were so many other great shops right in front of me like dmonaco designs which has awesome clothes Totally obsessed now Ive also managed to check out some outdoor spots Id never gone to like the Edgar Felix Bike Path a great spot for me to now visit with my dog A great trick is to enter your town on Yelpcom and sort by what youre hoping to find whether its a great new restaurant to try a cute clothing store or a local museum If youre specifically interested in events in your area try Eventfulcom its super easy to navigate and a perfect tool for finding things to do during any given week Trust me just when you think you dont have anything else to see in your neighborhood visit one of these sites or break out a map and something will pop up 3 Read A Book I prefer hard copy books but if tablets are your thing by all means do you Reading is great for endless reasons According to Real Simple reading can increase intelligence boost brainpower make you more empathetic and more According to a study out of the journal PNAS reading might even be helpful in fighting against Alzheimers 4 Learn A New Skill Thatll Be Handy At Work Think of how proud your boss will be when you take it upon yourself to learn a new skill for your job It could be as simple as taking a course online For example edXorg offers a variety of online course to advance you career all of which are instructed by professionals in the field If youre someone is doesnt fully enjoy the kinds of work you do during the 95 then try learning a new skill thats unrelated to your job Learning a new language for instance might be the extra bit of motivation you need to one day plan that trip to Europe you and your SO have always wanted to take 5 Call Your LongDistance Friend I rarely go a day without talking to my best friend who lives a few miles from me but its really easy for time to fly by without speaking to some of my friends who live many states away Its not that I dont love them so much its simply that I dont feel like I have the time to sit down and catch up with them on the phone for an hour or more If you can relate to this try using you down time to catch up on these calls Try my goto tactic and set up a phone date It will be a fun way to spend your time and youll feel a sense of accomplishment when you hang up knowing youve gotten to fully discuss the things that are happening in your friends life versus just seeing her pictures on social media 6 Prep Your Meals For The Next Day There are many benefits of preparing your meals in advance For one youll have more time to think carefully about what youre making rather than rushing around the morning of or being forced to eat a potentially highcalorie meal from the cafeteria Also according to Activecom meal prepping can also help you learn portion control as youll be fully in control of how much youre packing in your lunch versus letting the cafeteria or a restaurant determine your portion for you 7 Join A Volunteer Group Lets say you know for sure that every Wednesday night your schedule is consistently free Why not devote this time to giving back to your community Its a great opportunity to meet new people and to do something positive with your time Additionally according to Corporation For National Community Service theres a strong relationship between volunteering and physical health There you have it volunteer is good for your soul and for your body 8 Write A Letter To A Loved One Not an email I mean a real oldschool letter using a pen and a piece of paper Your elderly relative will likely shed a tear of joy when they pull your handwritten letter out of their mailbox Ive done this with my Nana and for every letter shes called me at least five times to say how much it meant to her 9 Organize Your Inbox Back to the thought of email for a moment Im an advocate for shutting off email in my downtime when possible however I recently bit the bullet and used my free time to organize my inbox and I couldnt be happier I had seriously thousands of unread emails mostly promotional ones but ones I sorted through everything properly I honestly felt like a new woman 10 Learn Some New Recipes For me this would be more like Learn any recipes at all but hey whos keeping track Ive read a lot about companies like Blue Apron that deliver you recipes and fresh ingredients right to your door According to my friends that have tried it its an awesome and simple way to learn new tasty recipes 11 Get Your Butt To The Gym I bet you were waiting with bated breath for me to get to this one Really though working out is the perfect way to spend those extra hours in your week Its recommended by the American Heart Association that people strive to get 40 minutes of aerobic exercise in three or four times a week If you can manage this in your free time go for it Also think of how good youll feel when youre walking out of the gym after an awesome workout knowing that you bettered your body instead of wasting away on the couch Now that youre armed with some suggestions on ways to spend your downtime you can start making that extra time feel as productive as possible Remember Drake didnt coin YOLO for no reason lets make that most of that one shot we have

O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Is Jack Reacher On Netflix Heres How To Catch Up With The Tom Cruise Franchise Before Never Go Back By Sage Young Oct 17 2016 Movies are escapism so Im here to tell you that its just fine if your favorite film genre of all the genres is Tom Cruise kicking ass Hell be doing that again in Jack Reacher Never Go Back in theaters Oct 21 Cruise is reprising his role as the former Army criminal investigator in this sequel to the 2012 thriller Jack Reacher The character was adapted for the screen from a series of actionpacked novels by author Lee Childs starting with 1997s The Killing Floor The 21st novel to feature Reacher as a protagonist is due out in November so this guy has been around At the movies Reacher will be teaming up with Major Susan Turner Cobie Smulders a colleague whos been accused of spying against the US If Never Go Back follows the path set by the original movie youre looking at a stern Cruise lots of gun play and explosions and corrupt government operatives getting their due You may be looking to catch up on the consultants adventures before you see this new movie So is Jack Reacher on Netflix Sorry Netflix subscribers Jack Reacher is not currently available to stream But if you still receive DVDs from the service you can rent the disc There are some other options if you want to access the movie right away Amazon has the HD version to rent at 399 and to purchase for 799 You can also download the film from iTunes for that same 799 price The physical DVD will only set you back 599 on Amazon and if youre a Prime member you can have it in two days There are several cheaper used copies on sale by other sellers as well The first Jack Reacher movie costarred Gone Girl s Rosamund Pike as a defense attorney who seeks out Reacher when her client a former Army sniper on trial for his life demands that he get on the case Any comparisons to Jason Bourne are reasonable since Reacher also doles out his own brand of justice when law and order get in his way 2012s Jack Reacher only holds a 62 on review aggregation site Rotten Tomatoes its a mildly exciting popcorn movie that lets Cruise lean into his current career position as a reliable action hero with a past I havent seen the new Jack Reacher yet but I assume that it stands completely on its own Reacher is the only main character who carries over from the first movie and the plot is completely separate but for him Netflix doesnt have Jack Reacher but you can stream some action movies that will get you in the mood for Never Go Back Check out Gerard Butler and Aaron Eckhart in 2016s London Has Fallen watch Ben Affleck take on Reachers fellow literary spy hero Jack Ryan in The Sum Of All Fears or get a Cruise fix with Top Gun or Mission Impossible III Rest assured the Tom Cruise kicking ass genre will never leave you hanging Image Paramount Pictures

O B I O B O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O B O B O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O


You Can Now Eat Marijuana Edibles That Dont Taste Like Weed Thanks To A Genius Chef From San Francisco VIDEO By Beca Grimm Apr 1 2015 Justin SullivanGetty Images NewsGetty Images As the marijuana decriminalization and legalization marvelously and widely sweeps the US more entrepreneurs are on the grind seeking new ways to get high What a time to be alive Gone are the days when options to get stony were limited to only those that involved a lot of smoke that would gunk up your lungs make your apartment smell andor get you busted by your parents Among the boom of vaporizers and THCinfused lube edibles are growing in popularity too Edibles even when professionally made and purchased storefront almost always taste like you licked the resinlined bowl of a frat house bong regardless of how many pink star sprinkles decorate the top of the pastry Such is the struggle of trying to eat your pot At least such was the struggle San Franciscobased mastermind Jeff the 420 Chef claims to be offering to the world marijuana edibles that neither taste nor smell like weed presumably his pot butter doesnt contain stems or seeds either thatll send you soaring without the weird mouthfeel Going DIY on weedbased treats can be tricky As a person who tried and spectacularly failed at making weed butter just once years ago please trust me when I say it isnt as easy as you may think My attempt resulted in gritty halfpastehalfformed brownies I then spread across wheat bread added peanut butter and tried to pawn off to festival friends as a legit sandwich They worked in the sense that we all flew to outerspace postconsumption but you guys Space travel is way less fun when youre picking stems and seeds from your stoned mouth and teeth Id trust that guy One of the best parts He day job is as an underwear salesperson Basically he has you covered on all necessary areas of life Anyway he passes along his brilliance in making 99 percent smell and tastefree cannabis butter by way of an actual workshop that you can attend The initial steps involved 1 Get the good shit Imgur If youre lucky enough to live in a state where medicinal marijuana is legal visit your local dispensary and scope out whats available Consult the resident expert inhouse and determine what kind of high youre looking for 2 Get water boiling and gather your supplies Imgur Im beginning now to understand where I went wrong in my brief stint of sandwich artistry 3 Blanch your bud Imgur Very into this dudes appreciation for both weed and alliteration Also this involves a tea strainer and in the Beat Generation days tea was slang for pot FULL CIRCLE Ill let the expert take it from here Elite Daily on YouTube Wooow I have a stoner friend who used to wax hard and heavy on the idea of creating a THClaced spaghetti dinner of legendary proportions but it never happened to my knowledge Jeff is a true magician Images Getty Images YouTube 4

O O O O B I O O O O B O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Will The Killers Tour The UK In 2019 The Band Just Celebrated A Pretty Major Anniversary By Emily Dixon Sept 30 2018 Kevin WinterGetty Images EntertainmentGetty Images September 29 was a momentous anniversary for anyone who ever attended a school disco or went to a club during freshers week or went to a club at any subsequent point during their university career Yes The Killers Mr Brightside turned an entire 15 years old because youth is fleeting but rowdy lads bouncing rhythmlessly up and down on a dancefloor are immortal And with the band on your mind you might begin to wonder will The Killers tour the UK in 2019 Lets take a look at the evidence to date Firstly some confirmation for the Mr Brightside fans Brandon Flowers loves that song as much as you In an interview with Rolling Stone to mark the songs fifteenth anniversary Flowers said I still remember the hairs on my arm standing up when I heard our demo for the first time And according to Rolling Stone Brits cherish Mr Brightside even more than The Killers home fans the single went double platinum in the US but triple platinum in the UK In fact Brits have always been among The Killers most devoted fans their latest album 2017s Wonderful Wonderful went to number one in the UK their fifth album to do so No other international act ever has managed an untarnished career streak of five number one studio albums from their debut Official Charts says So if the band do tour in 2019 it seems pretty certain theyll be making several stops in the UK Rob LoudShutterstock Heres one snag The Killers have only just finished the Wonderful Wonderful World Tour The UK and Ireland leg launched in November 2017 according to NME when the band played at Birminghams Genting Arena Fansite The Killers News reports that they proceeded to tour North America Europe Latin America Australia and New Zealand For the final leg The Killers toured Asia beginning in Tokyo Japan on September 12 and ending in Hong Kong on September 19 Thats a pretty lengthy tour and it seems unlikely that the band will tour again before releasing a sixth album About that sixth album its on the way according to Brandon Flowers but it sounds like the band are in the very early stages Discussing his next musical project Flowers told the Irish Independent in May The plan is for it to be a sixth Killers record Theres some logistical issues in the way though band members Dave Keuning and Mark Stoermer both recently resigned from live duties the newspaper reports though Flowers confirmed theyre still full members of The Killers We have to figure out how to make it work he said Theo WargoGetty Images EntertainmentGetty Images So a sixth album is coming and when it arrives it seems pretty safe to assume that The Killers will launch a pretty extensive UK tour But with so little about that impending album established and with such a lengthy tour just behind them fans might have to wait a little while for the band to cross the Atlantic again A 2019 UK tour Not impossible but perhaps not all that likely either

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Research BVCA Research Reports Industry Activity Industry Performance Academic Research Portal BVCA Report on Investment Activity 2017 What research are you looking for The BVCAs inhouse Research team provides statistics and analysis on the private equity and venture capital industry and the role that it plays in the wider economy Drawing both on annual surveys of our members to map their activity and performance as well as working closely with the academic and research community we aim to build a comprehensive picture of private equity and venture capital within the UK To help get you started take a look at the brief overview of the research areas we provide Simply select the area most relevant to what youre looking for and youll be shown relevant reports and statistics covering the industry ready for you to download BVCA Research Reports BVCA inhouse published reports ranging from academic and empirical studies to fund performance analyses and more Industry Activity Annually published benchmark investment activity data for the private equity and venture capital industry Industry Performance Annually published benchmark performance data for the private equity and venture capital industry Academic Research Portal A compiled impartial and comprehensive research literature database Research BVCA Research Reports Industry Activity Industry Performance Academic Research Portal JOURNALS BVCA Journal Summer 2018 Further information FOR FURTHER INFORMATION PLEASE CONTACT THE BVCA 44 020 7492 0400 researchbvcacouk

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Why BVS We are one of the few training providers endorsed by Skills for Care Accredited by Continuing Professional Development CPD Specialists in videobased training for staff working in Care Homes Home Care Childcare and Health Care Full range of health and social care training courses for care training All Care Certificate Standards covered as well as standards in Scotland Wales and Northern Ireland Why video training Lower cost than using external trainers Higher levels of engagement and learning retention than text based elearning or classroom training Greater flexibility High quality training from the best experts in the field Faster inductions for new staff Our videos are available on DVD online or as downloads onto your own computer Blog Optimum Nutrition Standards In The Care Home Fire Safety Advice For Care Home Managers 5 Signs Of Potential Abuse In The Care Home AWIFHSC Guide To Compliance Qualifications Induction Training Managing Coping With Pressure As A Care Worker Whats Changed At BVS Training In 2018 BVS Training endorsed by Skills for Care of blog posts on blog page here See Our Featured Products New Fire Safety 1 Hazards Prevention 9500 New Fire Safety 2 Drills Evacuation 9500 New Dementia Care 1 Understanding Dementia 9500 New Dementia Care 2 Person Centred Dementia Care 9500 New New for 2018 Home Care 4 Video Bundle 28500 Add to Basket New New for 2018 Care Home 10Video Bundle 75000 Add to Basket New Dementia Care Bundle 17000 Add to Basket New Fire Safety Bundle 19500 Add to Basket New Home Care 5 Video PreRelease Bundle 47500 Add to Basket New Home Care 7 Food Safety 12500 Add to Basket Online Training Product Bundles Accreditations BROCHURES Download here LICENSING Find out more here Testimonials View our testimonials here

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OhioBWC Employer Service Successorship Successorship liability When a business owner thinks about purchasing another business he or she probably considers workforce changes tax implications and other common areas of concern A lesserknown or often overlooked consideration is the impact the purchase could have on workers compensation costs When these transactions occur the purchaser or successor inherits the rate and liability of the business it has acquired Thats because BWC combines the workers compensation history also known as the experience of the acquired business with the purchasers experience to determine the premium rate it charges to the purchaser Potential for workers compensation impacts This transfer of experience can have a major sometimes negative impact on the purchasers current and future premium rates It can also jeopardize a purchasers ability to participate in certain BWC employer programs and grouprating plans offered by group sponsors The successor also acquires any outstanding liability associated with the business it has purchased This includes Any unpaid premiums fees or assessments owed to BWC The dollarfordollar costs of any claims that occurred during any uncovered periods the purchased business had Determining successorship Effective Jan 1 2016 BWC implemented a new method to determine successorship The link below provides a detailed description of the new decisionmaking process and the factors BWC uses to determine if the purchase acquisition or merger will result in a successorship Fact sheet BWCs New Method for Determining Successorship How to request information from BWC At BWC we want to help business successors avoid unpleasant surprises when it comes to the workers compensation history of a business it may acquire At the request of the acquiring business we will provide a limited release of information about the business that may be transferred To help facilitate these requests we created the Request for Business Transfer Information AC4 form This form which both parties must sign allows us to release information about the entity that may be purchased including Demographic information Accounts receivable balance Payroll and experience modification history Mostrecent quarterly claims costs Pending audits Download and print the AC4 Please send questions via email to BWC policy processing or contact your local customer service office

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Code Execution Process In this article you will learn about Code Execution Process Mahesh Alle Oct 19 2014 5 0 1362k facebook twitter linkedIn google Plus Email Bookmark Other Artcile Expand Code Execution Process The Code Execution Process involves the following two stages Compiler time process Runtime process 1 Compiler time process The Net framework has one or more language compliers such as Visual Basic C Visual C JScript or one of many thirdparty compilers such as an Eiffel Perl or COBOL compiler Any one of the compilers translate your source code into Microsoft Intermediate Language MSIL code For example if you are using the C programming language to develop an application when you compile the application the C language compiler will convert your source code into Microsoft Intermediate Language MSIL code In short VBNET C and other language compilers generate MSIL code In other words compiling translates your source code into MSIL and generates the required metadata Currently Microsoft Intermediate Language MSIL code is also known as Intermediate Language IL Code or Common Intermediate Language CIL Code SOURCE CODE NET COMLIPER BYTE CODE MSIL META DATA 2 Runtime process The Common Language Runtime CLR includes a JIT compiler for converting MSIL to native code The JIT Compiler in CLR converts the MSIL code into native machine code that is then executed by the OS During the runtime of a program the Just in Time JIT compiler of the Common Language Runtime CLR uses the Metadata and converts Microsoft Intermediate Language MSIL into native code BYTE CODE MSIL META DATA JustInTime JIT compiler NATIVE CODE Notes When you compile a C application or any application written in a CLScompliant language the application is compiled into MSIL This MSIL is then further compiled into native CPU instructions when the application is executed for the first time by the CLR Actually only the called functions are compiled the first time they are invoked You write source code in C You then compile it using the C compiler cscexe into an EXE The C compiler outputs the MSIL code and a manifest into a readonly part of the EXE that has a standard PE Win32portable executable header When the compiler creates the output it also imports a function named _CorExeMain from the NET runtime When the application is executed the operating system loads the PE as well as any dependent dynamiclink libraries DLLs such as the one that exports the _CorExeMain function mscoreedll just as it does with any valid PE However since the operating system obviously cant execute the MSIL code the entry point is just a small stub that jumps to the _CorExeMain function in mscoreedll The _CorExeMain function starts the execution of the MSIL code that was placed in the PE Since MSIL code can not be executed directly because its not in a machineexecutable format the CLR compiles the MSIL using the JustInTime JIT compiler or JITter into native CPU instructions as it processes the MSIL The JIT compiling occurs only as methods in the program are called The compiled executable code is cached on the machine and is recompiled only if theres some change to the source code net framework Compiler time process MSIL Runtime process

B I I O O O O O O O B I I O O O O O O O O O O O O O O O O O O B I I O B I I O O O O O B I I B I O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B I

code execution process
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We only provide premium hardware that passes our rigorous quality standards Enjoy cabinets you can trust for a lifetime Standard of Excellence Drawers and cabinet doors are optimized to provide 15 more storage space than standard cabinets Flush frames passed the advantages on to you Full Access Frame When buying solid wood strength is everything Full cabinet box and back panel are 58 high quality plywood that you can rely on 58 Premium Plywood Box QUALITY CABINETS We are the manufacturer of FINEST CABINET SELECTION Absolutely Stunning Design Functionality OUR PRODUCTS By coming to our showroom you can find your desired kitchen and bathroom cabinets countertops sinks range hoods and handles all in one stop OUR SERVICES Best service in town Starting from the Measuring Making Style Choices Design and Installation of Cabinets Countertops Finishing up your new kitchen is all on us PROFESSIONAL DISCOUNT There are different programs for contractors designers dealers and builders We are eager to talk to you we will make sure our products work for you Cabinet Feature Highlights PERFECT COMBINATION OF QUALITY AND APPEARANCE Great Value At Affordable Price DOOR Our one piece door construction creates a clean and seamless door and we guarantee no cracks ever FINISH Multiple coats of highquality finish create a silky smooth finish that protects for many years OVERLAY We set the standard high in perfecting a true full overlay style cabinetry that is unmatched in our industry BOX The durability and quality we offer in our cabinet box are unparalleled among imported stock cabinetry HARDWARE The hardware we use is long lasting and has great functionality and applicability STYLE Offer many selections of Euro Style Shaker Style that will make your kitchen contemporary and elegant 12 Colors In Stock 10000 Sqft Showroom 70000 Sqft Warehouse 32000 Kitchens Serviced FINEST CABINET SELECTION Absolutely Stunning Design Functionality OUR CUSTOMER If youre thinking about remodeling your kitchen or bathroom Cabinet City should be your first stop We will work with you to choose your new cabinets andor countertops design the layout of your new kitchen and provide installation if necessary All the products and services we offer leave us particularly well suited to save you time and money OUR VISION Here at Cabinet City we care about your kitchen Thats the bottom line We aim to offer you beautiful and sturdy cabinets with quality that exceeds that of our industry peers Cabinet City customers are satisfied knowing that they got MORE than what they paid for We make cabinet shopping into an easy and straightforward experience PEOPLE LIKE US ON YELP Absolutely Stunning Design Functionality Cabinet City has such a large and beautiful showroom Lots of beautiful live plants and orchids with a big pond of cute fishes in it Super fridenly staff Jack N Mary Z They are always flexible they make things happen The cabinets are of excellent quality The finish choices are of superb quality Noea H The staffs were very helpful patient and informative The price is very reasonable compare to any other places you can ever think of I highly recommended them if you are looking for one Evelyn L

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


CADBIM Library of blocks mobile crane Free CADBIM Blocks Models Symbols and Details Free CAD and BIM blocks library content for AutoCAD AutoCAD LT Revit Inventor Fusion 360 and other 2D and 3D CAD applications by Autodesk CAD blocks and files can be downloaded in the formats DWG RFA IPT F3D You can exchange useful blocks and symbols with other CAD and BIM users See popular blocks and top brands Insert new block you have to be logged in Help Catalog Architecture Generic Electrical Mapping Mechanical Piping PID Transportation Vendor Architecture Generic 9276 Electrical 1315 Mapping 406 Mechanical 1876 Piping PID 1699 Transportation 274 Selected blocks choose category on the left block Total found 154 records KALMAR_DRF450 KALMAR_DRF450dwg MOBILE CRANE FOR CONTAINERS cat Industrial DWG2010 Downloaded 6661 x Size 4773kB from 642017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer KALMAR KRUPP_KMK8350 KRUPP_KMK8350dwg MOBILE CRANE KRUPP KMK 8350 cat Industrial DWG2010 Downloaded 3243 x Size 204MB from 642017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer KRUPP TADANO_TG500E TADANO_TG500Edwg MOBILE CRANE TADANO TG500E cat Industrial DWG2010 Downloaded 2899 x Size 8815kB from 642017 Uploader philippe JOSEPH Author Philippe JOSEPH TADANO Manufacturer TADANO AH9530 AH9530dwg MOBILE CRANE AMERICAN HOIST cat Industrial DWG2010 Downloaded 2439 x Size 1423kB from 642017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer AMERICAN HOIST DEMAG_AC300 DEMAG_AC300dwg MOBILE CRANE DEMAG AC300 cat Industrial DWG2010 Downloaded 2143 x Size 7046kB from 642017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer DEMAG DEMAG_AC5002 DEMAG_AC5002dwg MOBILE CRANE DEMAG AC5002 cat Industrial DWG2010 Downloaded 1982 x Size 203MB from 642017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer DEMAG GROVE_GMK5170 GROVE_GMK5170dwg MOBILE CRANE GROVE GMK5170 cat Industrial DWG2010 Downloaded 1700 x Size 267kB from 542017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer MANITOWOC GROVE PPM_A380 PPM_A380dwg MOBILE CRANE PPM A380 cat Industrial DWG2010 Downloaded 1540 x Size 4556kB from 642017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer PPM GROVE_GMK3055 GROVE_GMK3055dwg MOBILE CRANE GROVE GMK3055 cat Industrial DWG2010 Downloaded 1468 x Size 268kB from 542017 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer MANITOWOC GROVE LIEBHERR_LTM130061_3D LIEBHERR_LTM130061_3Ddwg 2D 3D MOBILE CRANE AUTOCAD BLOCKS DIAGRAMS cat _Other DWG2010 Downloaded 7039 x Size 785kB from 13112013 Uploader philippe JOSEPH Author Philippe JOSEPH Manufacturer LIEBHERR pages 1 2 3 4 5 6 7 8 9 10 CAD blocks libraries dwg blocks bloques blocos blocchi blocco blocs blöcke family families symbols details parts models modellen geometry elements entourage cell cells drawing bibliotheque theme category collections content kostenlos insert scale We appreciate all your comments and input to the functionality of CAD Catalog to the category tree etc Please report possible bugs to webmastercadstudiocz Nous apprécions tous vos commentaires et suggestions sur la fonctionnalité du catalogue CAO sur larborescence des catégories etc ainsi que sur les bogues éventuellement rencontrés Merci de transmettre vos remarques a webmastercadstudiocz Want to download the whole library Télécharger lensemble du catalogue You can download all CAD blocks directly from your AutoCAD without logins and any limitations See the addon application Block Catalog for AutoCAD 2013 and higher and the addon application BIMFamilies for Revit 2015 and higher CAD blocks can be downloaded and used for your own personal or company design use only Any distribution of the Catalog content to other catalogs web download CDDVD media etc is prohibited see Terms of use The DWGversion problem not valid file invalid file drawing not valid can not open can be solved by the Tip 2869 See also blockstatistics and the latest 100 blocks

O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


5 Star Readings Horoscopes Features Charts Support Guide to the Future Personal Charts Tarot I Ching Love Signs Buy a Gift Redeem a Voucher Year Ahead 2019 Daily Horoscope WeeklyLove Focus Month Ahead Decade Ahead Yesterday Archive Dial a Prediction More about my sign Your Sign The Truth Born to Be Elements of love The 13th Sign About Your Friend About your Child Todays Planets Inspirational Quotes Order Online Charts Order Printed Charts English Japanese Español Site Map Email Oscar Chart FAQs 5 Star FAQs Sun Sign FAQs Studying Astrology Privacy Media Cookies by Oscar Cainer Cancer The monthly forecasts are usually published on the first Saturday of each month If youd like to read yours up to 2 weeks in advance then why not take a free trial of the 5 Star Service Your January Monthly Forecast Even though Cancerians are affected by lunar variations more than any other sign its not quite as simple as Super Moon super you Theres no need to rush out into the sales shopping for undergarments to wear over your clothes and a superhero mask Yet as the January Eclipses take shape with a swoop of activity youll be able to turn parts of your life around and reconfigure an important relationship If that sounds a little more like the IT department than The Avengers as youll soon prove heroes dont always wear capes Finally if you want some really great Guide to the Future Horoscope Chart now Read your 2019 General Money and Love Forecasts here Today Yesterday Week Month Year More Aries Taurus Gemini Cancer Leo Virgo Libra Scorpio Sagittarius Capricorn Aquarius Pisces Personal Charts 30 OFF Join the 5 Star Service Sign into 5 Star Tarot I Ching Gifts iPhone Android 5 Star Free Trial The Royal Wedding Whats in the stars Prince Louis The New Royal Baby Ask the Tarot And listen to profound advice for a pressing question Consult the I Ching And hear a special interpetation Your Sign the Truth Debunk the myths surrounding your Sun Sign Born to Be What were you born to be The Elements of Love Discover Astrological Compatibilities Ophiuchus the 13th Sign Is there a 13th zodiac sign About your Friend Find out something amazing about your friend About Your Child About Your Child Your 2019 Guide to the Future Your Personal Profile Android App iPhone App Home Page Daily Horoscopes Weekly Horoscopes Monthly Horoscopes Daily Planets Yesterdays Horoscopes

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Other Calculators Mass Calculator This is a basic mass calculator based on density and volume This calculator takes and generates results of many common units What is mass Mass is typically defined as the amount of matter within an object It is most commonly measured as inertial mass involving an objects resistance to acceleration given some net force Matter however is somewhat loosely defined in science and can not be precisely measured In classical physics matter is any substance that has mass and volume The amount of mass that an object has is often correlated with its size but objects with larger volumes do not always have more mass An inflated balloon for example would have significantly less mass than a golf ball made of silver While many different units are used to describe mass throughout the world the standard unit of mass under the International System of Units SI is the kilogram kg There exist other common definitions of mass including active gravitational mass and passive gravitational mass Active gravitational mass is the measure of how much gravitational force an object exerts while passive gravitational mass is the measure of gravitational force exerted on an object within a known gravitational field While these are conceptually distinct there have not been conclusive unambiguous experiments that have demonstrated significant differences between gravitational and inertial mass Mass vs Weight The words mass and weight are frequently used interchangeably but even though mass is often expressed by measuring the weight of an object using a spring scale they are not equivalent The mass of an object remains constant regardless of where the object is and is therefore an intrinsic property of an object Weight on the other hand changes based on gravity as it is a measure of on objects resistance to its natural state of freefall The force of gravity on the moon for example is approximately onesixth that on earth due to its smaller mass This means that F Gm 1 m 2 r 2 In the equation above F is force G is the gravitational constant m 1 and m 2 are the mass of the moon and the object it is acting upon and r is the moons radius In circumstances where the gravitational field is constant the weight of an object is proportional to its mass and there is no issue with using the same units to express both In the metric system weight is measured in Newtons following the equation W mg where W is weight m is mass and g is the acceleration due to gravitational field On earth this value is approximately 98 ms 2 It is important to note that regardless how strong a gravitational field may be an object that is in free fall is weightless In cases where objects undergo acceleration through other forces such as a centrifuge weight is determined by multiplying the objects mass by the total acceleration away from free fall known as proper acceleration While mass is defined by F ma in situations where density and volume of the object are known mass is also commonly calculated using the following equation as in the calculator provided m ρ V In the above equation m is mass ρ is density and V is volume The SI unit for density is kilogram per cubic meter or kgm 3 while volume is expressed in m 3 and mass in kg This is a rearrangement of the density equation Further details are available on the density calculator

O O B O O O O O B O O O O O O O O O O O O O O O O O O B B O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O O O O O O O O B O O O O O O O B O O O O O O O O O O O O O O O O O B O O O B O O O B O O B O O O O O O O O O O O O O O B O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O B B O O O O B O O O O O O O O O B O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O B I O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O


Kauai Home Hot Tubs Paradise Kauai Kauai Seats 3 Adults 7 x 55 x 295 31 Jets Named for an island popular among vacationers the Kauai redefines easy living The Kauai hot tub seats 3 adults and features the UltraMassage lounge and EcstaSeat Powerful spa jets and conversation seating makes the Kauai a popular 3 person hot tub With 20 Euro jets 5 VersaSsage jets and a powerful ReliaFlo 20 HP pump the Kauai is a powerhouse of pleasure STYLE SELECTOR Click the swatch icons below to view color combinations Cabinets Coastal Gray Espresso Teak Shells White Pearl Tuscan Sun Sterling Marble Desert Midnight Canyon 44 5 Read all 120 reviews Write a review Get a personal quote Actual colors may differ from on screen representation Please see your local dealer to verify Your browser does not currently recognize any of the video formats available Click here to visit our frequently asked questions about HTML5 video Joyce and I just love our Kauai Spa We use twice every day Best investment weve had Go Kauai Spa Vadja Kolombatovic Jr La Mesa CA This tub is a perfect size for my deck and me Very easy to maintain and clean The jets for the back are awesome Feel like I just had a massage DonnaNH Manchester NH Joyce and I just love our Kauai Spa We use twice every day Best investment weve had Go Kauai Spa Vadja Kolombatovic Jr La Mesa CA This tub is a perfect size for my deck and me Very easy to maintain and clean The jets for the back are awesome Feel like I just had a massage DonnaNH Manchester NH Kauai Jet Systems

B O O O O B B O O O O O O O O O O O O O O O O O O B O O O O B B I O O O O O O O O O O O O O O O O O O B O O O O B I O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O


Todd Renfrew Broker Owner ALC BRE 01727574 Office Phone 707 4554444 Fax Phone 707 4550455 Todd grew up in a family of avid outdoorsmen He enjoys everything from surfing abalone diving and fishing in the ocean to duck and pheasant hunting deer hunting pig hunting fly fishing and river rafting in the country He was raised in San Francisco and was a star athlete in multiple sports at Washington High View Todds Listings Contact Todd Marty Renfrew Agent Owner BRE 01873959 Office Phone 707 4554444 Fax Phone 707 4550455 Marty grew up on a farm in McLeansville North Carolina She graduated from the University of North Carolina at Chapel Hill with a BS degree in Radiology and continued her education with degree in Diagnostic Medical Sonography and Vascular Technology She has been working as an ultrasound and vascular medical technologist for 25 years In View Martys Listings Contact Marty Chris Bailey Territory Manager Broker Associate BRE 01911018 Cell Phone 831 2778344 Office Phone 831 3240174 Moving back to the California central coast community of Carmel Valley in 2008 Chris quickly entered into the equestrian community and lifestyle in which his wife and her family are deeply connected With family ranch land and horse property in Monterey and Napa Counties Chris has firsthand experience in both the economical and emotional impact View Chriss Listings Contact Chris Sandy Ballou Territory Manager BRE 01926586 Cell Phone 916 2618192 Sandy Ballou has led an exciting life of various professions grounded by his respect and belief in agriculture and the benefits of an outdoor lifestyle Growing up horseback Sandy incorporated his love of the outdoors in every step of life While attending Cal Poly San Luis Obispo Sandy would leave for Wyoming the day school View Sandys Listings Contact Sandy Marlene Boggs Broker Associate BRE 01139616 Cell Phone 530 4122897 Office Phone 530 9943050 Fax Phone 800 9943056 Moving to the mountains a number of years ago from the family ranch outside of Colusa I wake up each morning to the wonders and grandeur of these amazing Sierras While teaching elementary school in Truckee I earned a Realtor license in 1992 and a Broker license in 1996 Long hours and hard work have _ more View Marlenes Listings Contact Marlene Rich Callison Real Estate Agent BRE 01845632 Cell Phone 530 3553352 Office Phone 530 3366869 Fax Phone 530 3366226 Rich Callison was raised on a 5th generation cattle and hay ranch in the Fall River Valley Fishing and hunting is in his blood as the ranch sat along several miles of the beautiful Fall RiverAfter graduating from high school his family decided to sell the ranch Rich then leaned toward the auto repair industry _ more View Richs Listings Contact Rich Ceci DaleCesmat Farm Ranch Specialist Certified Range Consultant BRE 01265671 Cell Phone 530 2517857 Office Phone 707 4554444 Fax Phone 866 8703340 Ceci DaleCesmat grew up in the Sacramento Valley and Lassen County in the agriculture community In 1983 she received a degree in Range and Wildlands Science from University of California at Davis and in 1987 received a degree in Rangeland Hydrology from University of Nevada Reno She has worked as a Rangeland Management Specialist for View Cecis Listings Contact Ceci Glenn Demuth Broker Associate BRE 01007084 Cell Phone 7073728103 Office Phone 7074554444 Glenn was born and raised in Solano County California and has over 30 years of experience in selling all types of Agricultural Recreational and Hunting properties in California As a Broker Associate Glenn enjoys spending time with buyers and sellers whether it be searching and matching buyers with their dream property or helping sellers achieve _ more View Glenns Listings Contact Glenn Todd Dye Real Estate Agent BRE 01319547 Cell Phone 707 3305544 Office Phone 707 4554444 Fax Phone 707 4550455 Todd grew up beside his grandfather helping with the dairy farm in Idaho The farm was a perfect opportunity to spark Todds interest in bird hunting and Idaho offered good opportunities for big game hunting Migrating to California Todd obtained a Bachelor of Arts degree in Sociology from CSUS with an emphasis in deviant behavior _ more View Todds Listings Contact Todd Charlie Engs Real Estate Agent BRE 01904065 Cell Phone 415 6016330 Fax Phone 925 8850491 View Charlies SOLD listings Charlie Engs was born and raised in Reno Nevada With the influence of his mother and father Charlie grew up fishing and hunting throughout Nevada and Northern California After attending The Cate High School in Carpinteria CA he was recruited and enrolled at The University of California at Berkeley where he View Charlies Listings Contact Charlie Amy Friend Real Estate Agent BRE 01328922 Cell Phone 530 5186416 Office Phone 530 6431336 Amy was raised as the fifth generation on a cattle ranch in northern California and has loved the outdoors all of her life She is a lifelong equestrian who started riding at the age of 3 and never outgrew her love of horses She rides every chance she gets and currently has a Quarter Horse _ more View Amys Listings Contact Amy Nicole Harris Real Estate Agent BRE 02033451 Office Phone 530 6431336 Nicole grew up in Oregon until moving to Yreka in 2007 where she quickly fell in love with the small town everyoneknowseveryone feel of Siskiyou County She has always had an affinity for the outdoors enjoying Harris Family campouts since she was a baby fishing since before she could hold a pole and spending countless hours on View Nicoles Listings Contact Nicole Kathy Hayden Ranch Agent Territory Manager BRE 01081339 Cell Phone 530 5985336 Office Phone 530 6431336 Fax Phone 530 9376273 Kathy Hayden has been a licensed real estate agent since 1990 Her lifelong ranching background and love of the outdoors has led her to specialize in land and ranch sales A resident of Siskiyou County northern California for nearly 40 years she is excited about sharing her knowledge of the area with those who are View Kathys Listings Contact Kathy Jim Martin Ranch Agent BRE 01245738 Cell Phone 707 2725507 From the earliest of age Jim Martin was immersed in the great outdoors accompanying his father on land and timber scouting trips through California and beyond The value of what constituted a good ranch and what it took to make an otherwise marginal one better was instilled in Jim very early on Furthering this knowledge View Jims Listings Contact Jim Doren Morgan Broker Associate MBA BRE 01391989 Cell Phone 916 2163003 Office Phone 707 8225510 Fax Phone 888 8930321 Doren is the Territory Manager for Humboldt and Trinity Counties and has been licensed for 10 years and spent a lifetime around real estate with his dad being a broker in Arcata for decades He grew up playing all three major sports in high school and baseball in college and now an avid golfer Doren View Dorens Listings Contact Doren Bruce Renfrew Real Estate Agent BRE 01995642 Cell Phone 650 7731863 Office Phone 707 4554444 Bruce was born in San Francisco and grew up in Palo Alto California Bruces love for the outdoors was developed over a lifetime of skiing windsurfing surfing scuba diving mountain biking mountaineering and camping In his youth Bruce was introduced to horseback riding in hunterjumper and equitation classes but he enjoyed his summers on his View Bruces Listings Contact Bruce Nikki Rodriguez Real Estate Agent BRE 01971589 Cell Phone 530 9216540 Fax Phone 530 3310165 As a child growing up in San Diego Nikki spent most of her time outdoors Her parents nurtured her passion for nature and for animals by supporting her horse showing career allowing her to save an abandoned calf at the local fairgrounds and take care of every type of animal imaginable Her wide array of View Nikkis Listings Contact Nikki CeCe Short Territory Manager BRE 00783985 Cell Phone 707 3370224 Fax Phone 707 9669142 CeCe is the Territory Manager for Napa Valley County and has been in the Real Estate industry fulltime since 1980 starting off when interest rates hovered in the challenging 18 range Born raised in the California Central Valley on a dairy farm cattle ranch CeCe knows about working round the clock through _ more View CeCes Listings Contact CeCe Robin Short Branch Manager BRE 01890377 Cell Phone 707 7383006 Office Phone 707 2576772 Fax Phone 707 2576772 A Napa Valley California native Robin is no stranger to country living or to the real estate industry as her Mother has been an agent in the Valley for over 30 years Her quest for adventure led her to over 7 years of residence in both Costa Rica and Panama where she graduated from the View Robins Listings Contact Robin Scott Soder Territory Manager BRE 00984623 Cell Phone 530 7277572 As someone who loves the outdoors and agriculture Scott is excited to be part of the California Outdoor Properties team Born and raised until his teen years in Santa Cruz County Scott started his lifelong interest in farming and ranching at age 11 through participation in a 4H Beef project During high school in Ojai View Scotts Listings Contact Scott David Swartzendruber Real Estate Agent BRE 00644060 Cell Phone 530 5750416 Office Phone 530 4771540 Fax Phone 530 4772014 David grew up on a farm in an Amish community in Iowa where his family raised cattle hogs corn and soybeans An avid outdoorsman from an early age he hunted pheasant and quail in the area enjoying some of the best wild bird hunting in the US During his high school years he raised horses _ more View Davids Listings Contact David Scott Ulch Territory Manager BRE 01382010 Cell Phone 775 2403668 Office Phone 775 4241952 Fax Phone 707 4550455 Scott Ulch grew up on his familys cattle ranch just outside of Susanville California the son of a pioneer family that has been in Lassen and Plumas Counties for 5 generations Growing up Scott loved the outdoors ranching logging hunting and fishing After graduating from Lassen High School he went to work for the US _ more View Scotts Listings Contact Scott Donna Utterback Territory ManagerBranch Manager BRE 01199200 Cell Phone 530 6040700 Office Phone 530 3366869 Fax Phone 530 3366226 Born and raised in the beautiful Fall River Valley in Northern California Donna has been in real estate since 1995 helping others find their piece of paradise She knows the area the rivers farms ranches and recreational properties as well as where to hunt fish or to just relax in your new found home or View Donnas Listings Contact Donna John Ward Real Estate Agent BRE 01333736 Cell Phone 415 2158728 A native of Northern California John grew up on a rice tomato and asparagus farm in Woodland CA He went on to boarding school at Robert Louis Stevenson in Pebble Beach and then graduated in 1993 from Cal Poly San Luis Obispo with a bachelors degree in Agriculture Business with an emphasis in Marketing After View Johns Listings Contact John Caitlin Antle Wilson Real Estate Agent BRE 02045075 Cell Phone 831 2297246 Office Phone 707 4554444 Caitlin is a fifth generation native Californian born and raised on the Monterey Peninsula with deep family roots in farming and ranching Her passion for the beautiful and diverse landscape of her home state and her love of the rural western lifestyle are well suited to the art of helping others find their dream property View Caitlins Listings Contact Caitlin Donna Osburn Agent BRE 02066664 Cell Phone 7076284091 Office Phone 7074554444 Donna was born into a military family setting roots in the Vacaville area from high school to the present A graduate of the University of California Davis she majored in Biological Sciences and worked in the biotechnology industry for a number of years As the daughter of a Nebraska farmer and rancher Donna spent every _ more View Donnas Listings Contact Donna Yvonne Boone BRE 02047047 Cell Phone 6504007439 Office Phone 7074554444 Yvonne lives on a 160 acre ranch in the Santa Cruz Mountains that has been in her family since 1941 where they had cattle horses and the First California Native Plant Nursery Yerba Buena She knows what real countryminimal living is like first hand as her home is a cabin completely off the grid Prior View Yvonnes Listings Contact Yvonne

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

marty renfrew
sandy ballou
rich callison


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O O B B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


The ethics of smart drugs Professor Barbara Sahakian Professor of Clinical Neuropsychology at the University of Cambridge has been researching cognitive enhancers for over a decade Here she discusses the emergence of smart drugs and the ethical and practical issues they raise If longterm safety and efficacy are proven in healthy people it may well be at least for certain segments of the population these drugs will prove lifesavers Professor Barbara Sahakian Professor of Clinical Neuropsychology at the University of Cambridge There is an increasing lifestyle use of cognitive enhancing drugs or smart drugs by healthy people Why might this be And how will it change our society Are people using these drugs just realize their potential or is it that pressures to perform in a globally competitive environment means that individuals feel that they can not afford an off day due to lack of sleep or stress This is perhaps particularly true of certain professions where there are issues of safety to oneself or others such as the military doctors etc Caffeine is the current stimulant of use for many people as it is widely available and effective however its wakefulnesspromoting effects are transient For doctors there is the undesirable sideeffect of tremors at the dose required for maximum effects 600mg which is common Therefore it is useful to examine whether there are more effective cognitive enhancers with fewer detrimental side effects for those whose failures in attention concentration and problem solving may lead to deleterious effects including jeopardy of safety in the military arena or serious adverse events during operations Although measures to reduce doctors working hours have been implemented in both the United Sates and Europe surgeons performing long arduous operations remain susceptible to the effects of fatigue and frequent transitions from day to night work expose junior doctors to the risk of impaired psychomotor performance Indeed fatigued doctors risk making poor judgements and committing serious medical errors Given the continued need for innovation in this area pharmacological methods could conceivably be used to combat fatigue at some time in the future In an exciting collaboration between the University of Cambridge Department of Psychiatry and the Imperial College London Division of Surgery it has recently been discovered that the smart drug Modafinil improves cognitive flexibility and reduces impulsivity in sleep deprived doctors These results have just been published in the journal Annals of Surgery In a proof of concept randomized placebo controlled study run by Charlotte Housden Cambridge and Dr Colin Sugden Imperial 39 doctors were deprived of sleep overnight and given a dose of 200mg of Modafinil or placebo The doctors taking Modafinil had cognitive improvements including flexibility of thinking and reduced impulsivity These executive functions are clearly important for conducting surgical operations under stress and time pressure However there was no change on their clinical psychomotor performance on a laparoscopic task which mimics and measures the dexterity necessary to perform surgery While a chronic Modafinil study is required to determine the long term effects of the drug as a safe and effective means of improving cognitive impairment due to sleep deprivation this acute study has demonstrated that benefits are obvious on at least the first occasion Given these important findings it is possible to speculate that doctors who take these drugs may be able to plan an intervention more effectively or show greater cognitive flexibility when approaching a challenging clinical problem However it is critical that the longterm safety of the use of these drugs in healthy people remains to be determined The many ethical discussions that I and Charlotte Housden have had with the public on the use of cognitive enhancing drugs by healthy people have been revealing A variety of views have emerged ranging from These drugs should only be used by people with neuropsychiatric disorders such as Attention Deficit Hyperactivity disorder or Alzheimers Disease to If they are safe why not use them to make up for fatigue to improve memory or other forms of cognition and Why not use them to get in an especially productive working day This increasing lifestyle use has to be balanced against other important facets of life such as a good worklife balance The possibility to accelerate into a 247 society for many people is a serious concern as are issues of cheating and coercion As a society we certainly need to be concerned about the use of these drugs by healthy children and adolescents where their brains are still in development Furthermore the purchasing of prescription medication over the internet is dangerous However if longterm safety and efficacy are proven in healthy people it may well be at least for certain segments of the population these drugs will prove lifesavers This work is licensed under a 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the ethics of smart drugs


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