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Medical innovations, particularly those that clinicians can readily apply to the diagnostic process, generally receive considerable attention at the time of their introduction into the health care arena. This attention is often focused on the technical breakthrough achieved by the innovation. Indeed, incremental improvement in technical characteristics or performance in itself is considered by many radiologists to be an innovation, and the radiology community generally accepts or discards such innovation on the basis of measurable improvements in key technical characteristics, for example, resolution or zoom fidelity. After the excitement of a new innovation abates, it is generally adopted into the mainstream of diagnostic practice or discarded. More accurately, local or regional adoption follows and some radiologists embrace and utilize the innovation wholly or incrementally depending on many varied factors.
Some innovations continue to draw significant attention from radiologists and clinicians long after their introduction. These are generally major technological breakthroughs such as positron emission tomography (PET), computed tomography (CT) and magnetic resonance imaging (MRI). These major breakthroughs represent technical leaps that are easily combined with new clinical opportunities. Major innovations are not left unchanged; they are tweaked and continuously refined to further enhance their utility. Such continued refinement often leads to secondary and tertiary innovations centered about the initial breakthrough, as in the example of MRI. Not a week or month goes by without the introduction of a new acquisition sequence or regional coil. Many such innovations enhance our ability to detect disease but even more represent individual or institutional directives that are not widely applicable. From the technical and scientific perspective, these small innovations represent a version of the scientific method as it is applied to clinical conundrums. Those who continue to push the limits of existing technology with new technical refinements are basically asking and building more and more refined hypotheses concerning the technology. Is one sequence better than another? The hypothesis here is that one sequence is better, and data are collected to support the hypothesis. Similarly, is one surface coil better than another for detecting hepatic lesions? The hypothesis renders that one is better. And so back and forth goes the MR community until one best sequence or coil is defined and widely applicable for a specific problem for a set period of time. There is nothing wrong with this process, and it has served the radiology community well.
Although many new innovations have emerged from this process of refining and extending the use of imaging technology, the current economic environment begs a question: When do payors stop reimbursement for the incremental improvement in a major imaging technology? Or, put another way, does a 0.1-mm resolution enhancement justify an extra $200 for an imaging study, and should Blue Cross/Blue Shield or the Health Care Financing Administration (HCFA) reimburse it? This is a daunting question for the radiology community at large, and for those specifically involved in innovation. It focuses the need for technical clarity against the requirement of limited resources and budget neutrality.
MultiSlice CT Scanners
One of the latest entries in the radiology marketplace is the multislice CT scanner, introduced by a number of manufacturers in 1998. A multislice, multidetector system reduces body imaging times to less than 20 seconds while achieving multiplanar imaging resolution of 0.25 mm. With further enhancements such as zoom upgrades, multislice, slip-ring CT scanning can be completed 8 to 24 times faster than helical CT, resulting in acquisition times of 0.25 to 0.5 seconds. Using adaptive array detector systems also permits the acquisition of thinner slices, down to 0.5 mm, and the ability to simultaneously reconstruct images to produce real-time imaging that is useful for interventional procedures.
The potential applications of this innovation abound. Some early proponents of the technology have emphasized its application in trauma and with critically ill patients. Any imaging tool that offers useful imaging characteristics and rapid acquisition clearly will benefit patients who cannot cooperate. Life-threatening injuries can be identified more quickly by emergency department physicians as a result of swifter image acquisition. Internal injuries in trauma patients that are identified and treated within the initial golden hour following injury are more likely to result in improved survival and lessened disability. Although patients brought to trauma centers during this interval may also be diagnosed, it is the high resolution and ability to perform repeated slicing that is an especially useful feature of multislice CT. A typical motor vehicle accident patient requires images of the chest/abdomen/pelvis, which a single-slice CT scanner can perform in 2 to 3 minutes. The same examination can be performed by a multislice CT scanner in less than 20 seconds, and multiple images can be acquired of areas of interest in an equally short interval. The additional images may yield valuable information, which can be quickly acted on by the clinical team. Early adopters of this innovation consequently have seen many uses for it in trauma and emergency situations.
Early adopters also are intrigued by the three-dimensional images rendered by the multislice CT because of their potential application in surgical planning. Surgeons are able to review anatomic associations, for example, vessel architecture, in great detail before surgery. This is especially important in organ transplantation and interventional procedures such as cryoablation. Some multislice CT protocols are also being evaluated for their use in the early detection of colorectal carcinoma. Colonoscopy remains the gold standard for visualizing suspicious polyps early in their development or malignant transformation, but it is quite uncomfortable for patients and requires 15 to 30 minutes to perform. Multislice CT can eliminate the discomfort and reduce the examination to a few minutes. These features are particularly important in high-risk patients who require regular examinations.
Other applications include the diagnosis of life-threatening pulmonary embolism. Current scintigraphic techniques are highly accurate but require at least one hour to complete. Direct visualization of anatomic detail concerning the size and location of an embolism cannot be achieved by scintigraphy, so a need exists for a rapid, high-resolution imaging technique in this setting. Despite some improvement in lesion localization offered by helical CT, most peripheral emboli cannot be detected by this latter technique. Consequently, careful attention will have to be given to multislice CT for the diagnosis of pulmonary embolic disease. Virtually any pulmonary or cardiac condition that is accompanied by specific windowing or gating limitations due to organ motion will likely be imaged more clearly with multislice CT because of the extremely short acquisition times involved. Cardiac applications have focused on the technique’s ability to detect coronary artery calcifications better than electron beam CT. The imaging of particularly small structures, for instance, inner ear or spinal cord abnormalities, likewise could be performed more accurately with multislice CT.
From the patient perspective, multislice scanners boast increased comfort as well as accuracy. Patients require less time in the scanning suite and breath holds can be curtailed. In addition, technicians likely will find the new scanners easier to operate because their system architecture permits thinner or thicker slice acquisition without the need for patient rescanning. The CT scanner tubes also have a longer half-life, thereby reducing scanner downtime and patient rescheduling. For emergency department requirements, the rapidity of scanning results in more opportunities for add-on cases during the day or evening without disruption of the workflow in the radiology department.
Once again, multislice CT scanners appear to follow the classical path of innovation in that they represent tertiary innovations associated with the introduction of CT some 30 years ago. There is little doubt that multislice CT is in its infancy and will require additional investigation to prove its diagnostic utility with some certainty. However, there is also little doubt that the scanner will be more expensive or that the imaging studies generated will cost more to attempt to recoup some of the hardware investment associated with the purchase of such a scanner or upgrade. Multislice CT scanners cost an estimated one third to one half more than single-slice CT scanners. But will payors appreciate and assign value to the contribution of this innovation enough to pay more for it? Will enhanced patient throughput, owing to faster acquisition time, augment revenue sufficiently enough to pay for the capital purchase? Will this innovation be unique enough to require its own HCPCS (HCFA Common Procedures Coding System) or other revenue code?
The decisive question here clearly is whether or not the information garnered from the multislice CT scanner reduces short- and long-term downstream costs to the payor. If it does, it will likely be viewed as a valuable technology; if it does not, it will be reimbursed at the same level as single-slice or helical CT. The accompanying schema outlines the path necessary to illustrate the value of multislice CT from a payor perspective (figure 1).
Value exists in health care delivery where an unmet need is served. Consequently, if multislice CT is to continue to emerge, it will have to be investigated from an outcomes and technology perspective. In other words, did the use of multislice CT improve patient outcomes? Did it do so cost-effectively? The tools and techniques of outcomes and technology assessment should be followed in the design of prospective trials that aim to address the following hypothesis: Multislice CT cost-effectively improves net health outcomes (in appropriate disease settings). Only in this way, by constructing clinical trials with these ends in sight, can such a new innovation begin to gain wide acceptance and reimbursement.
The current health care marketplace is extremely competitive and eager to criticize innovation because of the perception that innovation translates into increased spending. As widely espoused by health care policymakers, the increase in health care spending in the past 3 decades has been disproportionately attributed to the introduction and utilization of medical technology. Consequently, proponents of a new innovation must address this fact and seek to corroborate the value of their technology by demonstrating its cost-effective clinical utility in emerging disease management paradigms. By following such conventions and addressing such concerns, proponents of an innovation are much more likely to witness the adoption and diffusion of their technology on a broad basis. By ignoring such a perspective and payor requirements for establishing coverage and reimbursement guidelines, it is more likely that an innovation will face scrutiny that requires a high level of justification. Early in the life of an innovation, then, key stakeholders must determine whether their product is intended for wide or limited adoption. In doing so, they will answer their own concerns regarding the future of their technology.
Frank J. Papatheofanis, MD, PhD, is assistant professor, Department of Radiology, and The Advanced Medical Technology Assessment and Policy Program, University of California, San Diego.

domain: health


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This paper discusses the need for social scientists to not only react to events, but to follow a four-step model to ensure the effectiveness of their roles. The discussion centers around the case of the Rumah Panjang KTM, one of the most badly affected areas during the ethnic clash in Kampung Medan. Adopting the PINTAS model, it is imperative that concerned social scientists follow through a four-step model to achieve an integrated nation and to reduce conflict between its members. Furthermore, these two elements were intricately linked to the survival and displacement of elites within the ruling system. However, there has recently been a transformation of the government and its policies. The Malaysia’s 2008 12thgeneral election witnessed a major political transformation and the rise of political blogging and other manifestations of the non-mainstream media in Malaysia. The Malay, Chinese and Indian tended to stick within their beneath the tranquility surface of Malaysian society, tensions of the potential for violence still lurks. The data regarding the socio-political tension plays significant impact and tremendous changes in Malaysia reflect relative political hegemony of the Malaysian democracy.
Key words: Ethnic clash, social conflict, hegemony, new media.
Copyright © 2022 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

domain: sociology


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Difference between revisions of "User:KarinaRischbieth"
(Created page with "Hi, everybody! My name is Lan.
It is a little about myself: I live in Austria, my city of Wiesen.
It's called often Northern or cultural capital of UPPER AUSTRIA. I've...")
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Hello from United States. I'm glad to came across you. My first name is Georgetta.
I live in a city called Baltimore in south United States.
I was also born in Baltimore 35 years ago. Married in April 2001. I'm working at the backery.

domain: geography


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Middletown Police Chief Rodney Muterspaw said he was “overwhelmed” by the response to a video his department created as part of a national lip sync challenge among police departments.
MORE: Police lip sync battle: Which Butler County officers did it better?
Since its posting at noon Wednesday, the video has been viewed more than 2 million times, shared more than 56,000 times and has generated more than 6,000 comments.
“Incredible,” Muterspaw told the Journal-News this morning.
The video also attracted the attention of country music group Lady Antebellum, whose song “Need You Now” is lip synced by Middletown Police.
The group tweeted the video was “amazing.”
Muterspaw said it took about one hour to shoot the video, and while some officers were reluctant at first, he said everyone seemed to enjoy the experience.
He said it’s important to show police officers are human.
“If we brought out some smiles, then we did our job,” Muterspaw said.
MORE: Police officers across the country compete in viral lip sync battle
In the video, officers are seen craving doughnuts, and once the empty boxes in the office are replenished, stuffing their faces with doughnuts.
Muterspaw said police officers truly “love” their doughnuts.
“We always have them in the break room,” he said.

domain: news


HVAC is usually one of the biggest energy consumers in any home or business. So with technology constantly evolving to help these systems become more effective and less wasteful, knowledge is power (literally). So check out the latest HVAC technology trends worth following for a smarter, more efficient home.
Say goodbye to the days of household rivalries started by “who turned up the thermostat?!” Now, one system can be controlled by multiple thermostats in individual areas of a home or building. With a Zoning System, the ductwork features a series of dampers to provide various temperature zones throughout your home. So instead of heating or cooling the entire space at all times, you can adjust only the rooms you’re using to meet your comfort needs, while reducing energy use from 20-40%.
Dual Fuel Heat Pumps
Heat pumps are a much more energy-efficient alternative to a traditional AC. By using electricity to move the heat between your home and outside, Dual Fuel Heat Pumps allow you to take advantage of two types of energy in order to maximize the benefits of each. For cooler settings, the pump will use low-cost gas for power, and when temperatures rise, it switches to electricity, generating up to 4x the energy it uses to save you significantly in the long run.
Geothermal Heat Pumps
While not exactly a new technology to the HVAC scene, Geothermal Heat Pumps are being used by more and more homeowners because of the energy-saving benefits they provide. By utilizing the consistent heat from the ground through underground tubing, the unit transforms cold air into heat during the winter months. In the summer, the ground is used as a heat sink to remove the heat to produce cold air. It can also produce hot water, which makes it a pretty all-in-one piece of technology – a quality that’s very consistent with today’s technology trends.
Thermally Driven AC
With a shift toward renewable energy leading the latest trends, Thermally Driven AC is at the forefront, operating on solar energy and incorporating natural gas whenever more power is needed. During the summer months, electricity costs peak for homeowners while traditional AC units are running their hardest. Since Thermally Driven chillers are fueled by natural resources, you’ll reduce this demand on your Power-Grid and avoid costly spikes. And since this system features fewer moving parts, it tends to have longer lifespans than most electric AC units.
When your air conditioning runs constantly, it’s most likely cooling when you don’t need it to. By eliminating this unnecessary output, you’ll save energy and reduce your carbon footprint. But you can’t constantly adjust the thermostat all day long. So a Movement-Activated AC system does it for you. Through the use of sensors hung from the ceiling, the system can detect when someone is in the room and know to kick on. When the room is empty, the air shuts off automatically, saving you big on utility bills.
There was a time when we could only dream of our popcorn making itself, so you didn’t have to miss your favorite part of the movie. Now, home automation is making it all a reality. Through apps and remotes, we can control our security, lighting, appliances and more from anywhere to make our lives easier and more efficient. Engineers are working overtime to get HVACs into the home automation game in a big way, so we may not be far from managing our units with a tap of our mobile device.
To learn more about the newest HVAC technology or find out which systems are best for your home, contact our expert technicians today.
Even if being eco-friendly isn’t your top priority, we have a feeling you like to save money on your home utilities. And the truth is, they’re usually one in the same. A few simple switches in your home’s plumbing, heating, and cooling, can help you eliminate the anxiety of your upcoming monthly utility bills while also helping you save the environment. Here are five easy, eco-friendly solutions for your home to get you started.
1. Upgrade Your Thermostat
If you’re still using an older thermostat, you could be wasting a lot of excess energy. It’s time to consider a programmable thermostat. They’re fairly easy to replace on your own, and make life much easier once you have one. Forget about making yourself notes to lower the temperature setting before you leave the home or getting frustrated when you forget. Instead, you can pre-set your ideal temperatures on a timer, so you can just adjust it once and then forget about it, saving you energy and keeping you comfortable all season long.
2. Review Your Weather Stripping
Did you know that 7-12% of your home’s heat is lost due to insufficient weather stripping? This process of sealing the cracks and openings in your windows and doors can eliminate unwanted drafts from leaking into your home. Weather stripping is easy to do very inexpensively. Pay a little now to make sure everything is sealed and save a lot in energy costs in the long run.
3. Eco-friendly Bathroom Fixtures
Not all bathroom upgrades have to be super costly; especially eco-friendly ones. Start with an aerator – an inexpensive gadget that restricts water flow from faucets and shower heads to help reduce your water use. For perspective, an 8min shower uses an average of 136 liters of water each time, so making the switch to an aerating head will use far less water and energy, while still maintaining the power of your shower. Automatic faucets are also a great way to reduce your water consumption. While it seems like an easy task to turn off the water while brushing our teeth, most of us don’t. For the kids’ nightly bedtime routines and your pre-work morning rituals, automatic faucets help force you to be eco-friendly without having to think about it.
4. Clean Your Drains with Different Products
Drainage pipes are an essential part of your home, consistently working all day long to maintain smooth water flow and remove waste. Because of this reason, they need to be cleaned every 4-8 weeks. While most homeowners will rely on off-the-shelf cleaning products, many of these conventional drainage solutions will contain sodium hydroxide, a toxic man-made chemical that’s harmful to the environment. The good news is that there are a number of eco-friendly cleaning products out there that cost just about the same as conventional cleaners. Check out Unique Natural, Biokleen or Home Solv at your local stores.
5. Schedule Regular Maintenance
Regular HVAC tune-ups are one of the most important things you can do for your heating system. Dust and debris, as well as leaves and dirt, can clog up both indoor and outdoor units, increasing friction and inhibiting the ability to run efficiently. It also makes it more prone to operational issues that require costly repairs or replacements. During a routine maintenance check, a certified HVAC technician can advise you on the necessary actions to help minimize your energy consumption and heat your home inexpensively.
For more tips on how to make your home’s plumbing, heating and cooling systems more eco-friendly or to learn more about our solutions, contact our experts to discuss your specific needs today!


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17 Jan 2024
Raising awareness for Stroke Prevention Day
A stroke is what happens when the blood supply to part of the brain is cut off, killing brain cells or damaging the brain to the point it effects how the body works. Strokes can also change how people may think and feel, and the effects can differ on both where it takes place in the brain, and how big the damaged area is.
What is the purpose of Stroke Prevention Day?
The Stroke Association believe everyone deserves to live the best life they can after a stroke, and so provide specialist support, fund critical research and campaign to make sure people affected by stroke get the very best care and support to rebuild their lives.
When is Stroke Prevention Day?
Stroke Prevention Day 2024 will be held on Thursday 25th January, with this year’s theme being to teach people how to check for atrial fibrillation (AF).
AF is a heart condition, and it’s when your heart beats with an irregular rhythm. When this happens, the heart will not empty all of the blood out of its chambers with every beat, and as result, the leftover blood can form clots which travel from the heart into the brain, blocking off blood flow and causing a stroke.
Atrial fibrillation can happen to anyone at any age, and in actual fact, many people live with it and may not even know about it, so Stroke Prevention Day 2024 will be a worthwhile resource to help raise awareness of what to look out for.
Are all strokes the same?
No, there are three main types of stroke:
- An ischaemic stroke is the most common type, and it is caused by a blockage cutting off the blood supply to the brain
- A haemorrhagic stroke is caused by bleeding in or around the brain
- And a transient ischaemic attack (TIA), which is also known as a mini stroke. This is the same as a stroke, except that the symptoms only last for a short amount of time because the blockage that stops the blood getting to the brain is temporary.
What are the most common causes of a stroke?
As we age, our arteries become harder and narrower, therefore making them more likely to become blocked. However, certain medical conditions and lifestyle factors can speed up this process and increase the risk of having a stroke, such as diabetes, heavy smoking, high alcohol consumption and hormonal birth control pills, as well as high blood pressure, which is the biggest single risk factor above all else.
Do all strokes occur naturally?
No, not always.
Strokes can sometimes occur following severe trauma or injury, for example, those sustained following a road traffic accident or fall. With this, head trauma specifically can increase the chances of having a stroke by weakening the blood vessels and or disrupting blood clotting function in the brain, and neck injuries can cause arteries in the neck to get cut or torn, leading to abnormal blood flow and clotting and therefore a higher stoke risk too.
Unfortunately, a stroke may also occur due to clinical negligence, where an opportunity to prevent a stroke is missed altogether. For example, where someone has expressed to their GP hospital that they have suffered symptoms of a TIA, but have not been prescribed aspirin or referred for further investigation, therefore resulting in a major stroke shortly afterwards.
How might suffering a stroke affect a person's life?
For some people, the effects of a stroke may be relatively minor and may not last long at all, whereas others may be left with more serious problems that make them dependent on other people for the rest of their lives.
Today, strokes are increasingly survivable thanks to advances in treatment and public health campaigns targeted at early diagnosis, but according to the Heart Disease and Stroke Statistics – 2022, up to 50% of survivors experience chronic disability, with many needing assistance with daily activities, and even higher for those who have suffered a stroke as a result of an accident in the first place.
Stroke is in fact a leading cause of long-term disability, but it’s important to recognise that not everyone who has a stroke will experience paralysis or weakness. According to the Centers for Disease Control and Prevention (CDC), whilst strokes lead to reduced mobility in over half of stroke survivors aged 65 and over, the long-term impacts of a stroke vary on various factors, such as the amount of brain tissue affected, and the area affected. Damage to the left brain, for example, will affect the right side of the body and vice versa.
If the stroke occurs in the left side of the brain, effects may include:
- Paralysis on the right side of the body
- Speech and language problems
- Slow and cautious behaviour
- And memory loss
Whereas if it affects the right side of the brain may include:
- Paralysis on the left side of the body
- Vision problems
- Or quick and inquisitive behaviour
However, whilst modern medicine and technology continues to advance, a new emerging form of treatment for various neurological conditions, including Alzheimer’s disease, Parkinson’s disease and now strokes, has come to light as an effective option for the particular aftercare of motor issues: deep brain stimulation.
Deep brain stimulation in stroke rehabilitation
Deep brain stimulation (DBS) is a surgical procedure where a device is implanted under a persons’ skin and sends electrical impulses into specific brain parts. This pulses works to disrupt existing brain signals in a way that can influence more normal brain activity to be restored, therefore helping to restore a persons’ motor functions and control of their own body.
As deep brain stimulation has already been explored as a possible treatment for a number of conditions, a research team has now tested a deep brain stimulation device on human stroke survivors in a first-of-its-kind phase 1 clinical trial.
The researchers discovered that this is a safe intervention, and that upper limb movement in affected stroke survivors improved after a regime combining deep brain stimulation with physiotherapy.
And whilst no serious adverse events were reported during the trial, which does suggest that the process is safe for patients, the study authors do point out that they cannot determine at this stage if the improvements observed in upper limb movement were due to deep brain stimulation or physiotherapy conclusively.
As a result, progressing to a multi-center phase 2 trial has been proposed.
A bespoke post-rehabilitation service for all clients
As the UK’s leading independent medical reporting and rehabilitation provider, we’re proud to deliver service excellence at every touchpoint, and we understand the importance of ensuring your client receives the treatment they need at the utmost convenience for them.
By instructing Speed Medical, your client will have a streamlined recovery journey and feel at ease throughout their treatment.


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Complete Idiot’s Guide to Stepparenting, The
You’re no idiot, of course. You know how to push a toddler on a swing, the recipe for the best gooey chocolate chip cookies, and even how to get teens to confide in you. Your own kids think you’re hip, too (although they’d never admit to it). But when it comes to figuring out how not to come across as the wicked stepparent, you feel like you need a magical potion. Don’t reach for the garlic yet! The Complete Idiot’s Guide ® to Stepparenting gives you sanity-saving advice for dealing with the stepfamily, getting to know your stepchildren, and feeling confident in your role. In this Complete Idiot’s Guide ® you get: –Tips for dealing with the dreaded first meeting. –The top 10 complaints of stepmoms and stepdads ”and how to deal with them. –Disciplining do’s and don’ts. –Practical suggestions for dealing with the Ex. –Expert advice on making time for romance!
Out of stock

domain: literature


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Hey all, wiper here (pc down back in 1 week).
If u live in the North East of England, and ur stugglin to find a tour venue for alicia, well the bus comapy, ‘Arriva,’ are doing a 48£ deal to go to Manchester on the 24th October, the price includes tickets and travel! cool,! Later all love wiper!
Alicia tours in Europe
SHE EMAILED THIS TO PEOPLE I THINK A FAN CLUB OR SOMETHIN READ IT
Even ‘Unplugged,’ Alicia Keys’ talents are electric
New Diary Entry!
New Blog Post from Alicia
You can leave a response,


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Zankli Medical Centre is a 45 bed hospital located in Utako district of Abuja in the Federal Capital Territory of Nigeria. It was established in Abuja in 1997 growing over the years to one of the leading private hospitals in Nigeria. It is a group practice which provides excellent care in various specialties of Medicine and Surgery.
It has approximately 180 members of staff committed to delivering high-quality clinical care using systems and procedures that are safe and effective, both for staff and patients. There are 45 beds for in-patient admission with trained nurses in attendance.
It is patronised by many Nigerians and their families and is the retained hospital for several private organizations, banks, foreign diplomats and government parastatals. It is a healthcare provider for NHIS and other Private health management organisations.
Our Vision And Mission
The vision of the founder of the hospital is to provide excellent health care to the people around and beyond. Hence the motto of the hospital is “STRIVING FOR EXCELLENCE IN HEALTHCARE”.
The vision of the Directors and Management of the hospital therefore is to ensure that the hospital renders the best healthcare services that can compete with any first class rated hospital anywhere in the world. In this regard a patient is a king.
Our Core Values
Efficient and reliable routine and research laboratories.
Efficient X-Ray services with modern X-Ray machines & ultrasound scan.
Highly friendly nursing care.
Very clean environment.
Well equipped emergency wards and theatres.
Unsurpassed Paediatric services that endears the hospital to the hearts of many families
Our Services Include:
Our Patient consultations for general practice, Paediatrics, Gynaecology and Obstetrics, Internal Medicine, Surgery, Dentistry, Ophthalmology, Dermatology, Physiotherapy, Pharmacy, ENT Departments, Trauma & Orthopaedic Surgery.
The hospital is open 24 hours for emergency services.
In patient admission
Medical Imaging and Radiology
General outpatient clinics run every day of the week. Emergencies are attended to 24hrs a […]
There are three full time consultants who ensure optimal outpatient and inpatient management of children […]
Obstetrics and Gynaecology
Consultation Hours: 8am-3pm Daily Mondays-Friday 6pm-8pm Daily Monday-Friday There is a resident consultant Obstetrician and […]
This dental unit is run by Dr. Ameer Badi on the first floor of the […]
There is a full time physiotherapist who can offer effective treatment in relief and prevention […]
Emmanuel Eye Clinic We run out patient and inpatient services, optical services, Ophthalmic services including […]
There is a full time consultant radiologist and three radiographers that work in close collaboration […]
Include Haematology, Serology, Immunology, Chemical Pathology, Microbiology, TB Research Laboratory with a Bactec Culture Machine.
Dirin ENT is run by Dr. Raymond Okujaiye. He graduated in June, 1968 from university […]
The Pharmacy at Zankli Medical Center, like that other departments in the hospital committed to […]
For the health and safety of all patients and staff, smoking is not allowed within the hospital environment.
Security staff ensure the safety of patients and staff within the hospital and its grounds. All staff should wear an identity badge. If you don’t know who someone is, please ask. Zankli Medical Center is equipped with both internal and external closed circuit TV cameras which are monitored. Security staff patrol the hospital, grounds and car parks.
Fire policy for patients and visitors
All staff are trained in fire and evacuation procedures. In the unlikely event of a fire, nursing staff will take control of the situation and co-ordinate any necessary action. Patients and their visitors are requested to follow instructions given to them by staff in the event of any emergency.
Please do not bring your valuables with you, Zankli Medical Centre would not be held liable for missing items.
What to bring with you.
The hospital staff will already have details about your condition, but please bring the following with you:
Your appointment card or appointment letter
Your personal details, such as your address and a contact number
Details of any medicines or tablets you are taking (if possible please bring these in their original containers).
Proof of exemption from payment of prescription charges, where applicable e.g. Letter of authorisation from health management organisation.
Proof of exemption from payment of prescription charges, where applicable e.g. Letter of authorisation from Company and Company ID Card
Rating and Reviews,
Rated 4.0 out of 5
4.0 out of 5 stars (based on 2 reviews)
Nephrology Care at Zankli Hospital
Rated 4.0 out of 5
April 1, 2024
My experience with nephrology care at Zankli Hospital was truly exceptional. Firstly, the hospital’s comprehensive doctor list includes highly skilled nephrologists who provided me with expert medical attention and personalized care. Their expertise instilled confidence in me from the very beginning, knowing I was in capable hands. Moreover, the hospital’s transparent approach extended to surgery costs, with clear and upfront pricing ensuring there were no surprises along the way. This transparency allowed me to focus on my treatment without worrying about financial burdens.
Furthermore, Zankli Hospital’s commitment to patient satisfaction was evident in their accessibility and dedication to quality care. The provided contact number made it easy for me to reach out with any concerns or questions, and the staff was always prompt and helpful in their responses. Additionally, the availability of photos showcasing the hospital’s facilities and amenities reassured me of the high standard of care I would receive. Overall, my journey with nephrology care at Zankli Hospital was marked by professionalism, transparency, and compassion, making it a top choice for anyone in need of kidney-related medical attention.
Outstanding Orthopedic surgery at Zankli Hospital
Rated 4.0 out of 5
April 1, 2024
I recently underwent orthopedic surgery at Zankli Hospital, and I couldn’t be more impressed with the level of care I received. Scheduling an appointment was a breeze, thanks to their efficient system, and the staff were accommodating in finding a suitable time for my surgery. What stood out to me was their transparency regarding surgery costs; they provided a detailed breakdown upfront, which helped me plan my finances accordingly and alleviated any financial stress.
Throughout my entire experience, the staff at Zankli Hospital were incredibly supportive and attentive. Their contact number was readily available, and whenever I had questions or concerns, they were just a call away, providing reassurance and guidance. The orthopedic team demonstrated expertise and professionalism, making me feel comfortable and confident in their care. Thanks to Zankli Hospital, I am now on the road to recovery with a newfound appreciation for their exceptional orthopedic services.

domain: medical


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Mariners Bay Resort, Mandrem is a traveler’s paradise. Sprawling across an extensive area, it is a Luxury Boutique Resort that spells splendor and grandeur. It offers the fun and frolic of the beach yet promises seclusion and privacy.With just 2.5 km away from Mandrem Beach & 21 km from the Capital City Panaji, it is easily accessible from major locations like Thivim railway Station & Dabolim International airport.
Free parking on premises
Unavailable: Carbon monoxide detector
Things to keep in mind
- No pets
- Smoking is allowed
- Parties and events are allowed

domain: travel


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U.S. stocks are rebounding from a seven-day decline that erased $1 trillion from equity prices and coincided with a 15% drop in West Texas Intermediate crude between Dec. 5 and Dec. 16. S&P 500 energy producers tumbled 8% over the stretch.
The chairman of the committee is Public Safety Deputy Minister Francois Guimont, and it includes the heads of Canada’s two spy agencies as well as Prime Minister Stephen Harper’s National Security Adviser Stephen Rigby, according to one of the people, who asked not to be identified.
Since early December, silver has bottomed just under $19 numerous times, indicating a pretty solid level of support. Last week silver traded above the 50-day moving average of $19.58 as well as the 200-day moving average of $20.52.
Oil is falling after tropical storm Karen and now faces the stormy seas of U.S. politics. Production is now coming back on-line and except for being oversold the bulls are finding it hard to find much to hang their hat on.

domain: economics


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Sheriff’s Office News Releases Available through E-Mail
(Harford County, MD) — Residents of Harford County who want more information about police activities may now subscribe to receive press releases from the Sheriff’s Office by e-mail. Those who register will receive the same news releases that are distributed to the media including those that contain information about crimes, arrests, public safety warnings and lookouts for wanted subjects.
Sheriff R. Thomas Golding said his office works closely with the local media who do a very good job of including Sheriff’s Office releases in their publications. “But we understand they have limitations and must address the needs of all agencies who send them news releases,” Golding said. By using our e-mail system we can create a distribution list allowing the public to be informed of a number of law enforcement related issues. Golding said an added benefit is the potential for the apprehension of wanted suspects. “Police can’t do the job alone or be everywhere at once,” Golding said. If the public has our news release, complete with the descriptive information of the suspects we are searching for, then there is a possibility someone will see the suspect and call in a tip. “Our society likes to be kept informed and we believe this is another tool we can use to keep lines of communication to the community open,” Golding said.
To register your e-mail address log on to the Sheriff’s Office website at www.harfordsheriff.org and look for the registration link under the Public Affairs Section. Those registering their addresses will receive news releases at the same time as the media.
For more information contact the Sheriff’s Office - Office of Media and Public Relations at 410-836-5403 or 410-836-5463.


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Set in the vibrant community of Port Moody, only three two-bedroom condos are available in Platform. The condo and townhouse development by Aragon Properties features 104 units that range in size from 560 square feet to 1,570 square feet.
Ideally located at Clarke and Moody Street, Platform was inspired by the community’s charming characteristics. Platform is around the corner from a variety of amenities and the new Evergreen transit line.
Platform’s architecture is modern, yet traditional with intricate details that pay homage to the neighbourhood. The development offers residences with commercial spaces at street level and the exteriors boast a union of grey brick and glass panels. Thoughtfully-designed for convenience and functionality, the interiors are spacious and comfortable. The homes exude a unique character with an exposed brick feature wall and stylish finishes.
Situated in a central, yet quiet neighbourhood, residents will have access to the best of Port Moody’s recreational activities and amenities. Rocky Point Park is around the corner and offers a rugged landscape of trails, parkland and waterfront. Residents can also go for a dip at the park’s swimming pool or enjoy the waters by renting a kayak. Known for its delicious eateries, Port Moody boasts a variety of restaurants and cafes. The Port Moody Brewery Row is steps away from Platform, along with Pajo’s finest fish ‘n’ chips. In the summer, Port Moody is a dynamic arts community with a variety of artists showcasing their talent.
Homes start from $663,900. Interested buyers are encouraged to visit the sales centre at 2708 St. Johns Street in Port Moody.

domain: design


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- Man United set to be sold for £7.2 billion to £7.3 billion.
- Sun reports has evaluated Club cost at £6 billion, while other sources suggest a world record £7.2 billion to £7.3 billion.
- Sheikh Jassim bin Hamad Al Thani and Sir Jim Ratcliffe’s bids remain as potential buyers of the club.
Man United will be sold for between £7.2billion and £7.3billion, it has been claimed by various reports.
Nine months after Manchester United’s controversial owners the Glazers announced they were exploring “strategic alternatives” that could result in a sale of the club, a resolution seems imminent .
Bids from Qatari banker Sheikh Jassim bin Hamad Al Thani and British petrochemicals billionaire Sir Jim Ratcliffe have remained on the table as the American owners prepare to reach a decision on the future of the Club, Manchester United.
After a protracted process, reports indicate that Sheikh Jassim is poised to be revealed as the incoming owner of Man United. Just this month, The Sun reported that the Qatari figure had achieved a significant breakthrough, positioning him as the frontrunner in the takeover of the club.
Meanwhile, while the Sun reported the takeover of the club would cost £6billion, another party has reported that the price will reach a world record £7.2million to £7.3million.
Meanwhile, Cardiff City chairman Mehmet Dalman cited the higher valuation while discussing the escalating expenses associated with Premier League football clubs.
Manchester United takeover:
While speaking about the price of English Premier League clubs, Mehmet Dalman claimed that Man United’s sale is on the verge of being announced for an enormous figure.
Speaking to the BBC, Mehmet Dalman said:
“I’ve been meeting a lot with US private equity funds and the valuation of football clubs is going through the roof.
“Americans are determined to come into this market quite heavily.
“I spoke to the owners of Leeds when we were there, and Championship clubs are valued at three times their revenue, give or take.
“Manchester United are going to announce their sale at £7.2bn-7.3bn, which is roughly 10 times their revenue.
“Two or three years ago, we might have been talking about selling Cardiff for about £20m or £30m but now you’re going to have to look at £90m or £100m.
“Valuations [of Championship clubs] have all stretched. In terms of the money burned, you have a better chance of getting it back in this environment than you ever have before.”Mehmet Dalman

domain: finance


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For the past 50 years, he has prowled embassy receptions with his camera always ready to capture ambassadors smiling at wine-and-cheese soirees or looking serious on somber commemorations of one international tragedy or another.
Most of the regulars on Washington's diplomatic scene know him only as "Albert." Many did not know his last name, although he has taken their pictures countless times with ambassadors. (For the record, his last name is Mogzec.)
Albert — the photographer from Poland with the broad grin and neatly parted full head of white hair — turned 80 earlier this month, and more than 100 of his friends, including ambassadors and other embassy officials, threw him a birthday party last week.
The diplomatic shutterbug found himself on the other end of the camera at White Oaks, the stately home of Judith Terra, who hosted the party. Photographers snapped his picture, standing in the receiving line or sitting in front of the grand piano in the salon, as friends sang his praises and Washington's famed operatic baritone, Jerome Barry, sang an aria from Mozart's "Don Giovanni," comparing the sexual conquests of the opera's central character to Albert's flirtatious habits with the ladies at embassy receptions.
"He is a real legend in this city. We know him. We love him. There is only one Albert," said Mrs. Terra, the widow of Daniel Terra, who served as ambassador for cultural affairs under President Reagan.
Patricia Elwood of the Office of the Secretary of the District of Columbia presented a proclamation from Mayor Adrian M. Fenty.
Ivan Kiselev, vice-consul at the Russian Embassy and president of the Consular Corps of Washington, noted, "Over the last 50 years, the political landscape of Washington has change a lot. New countries have opened embassies, and old countries have faded away. But Albert remained the same."
Anne Howard Tristani, niece of Vice President Hubert Humphrey, recalled that Albert photographed her wedding at the National Cathedral 25 years ago to the day of the reception.
"He is part of the historic legacy of this city," she said. "His photos should be part of the Smithsonian."
His son, Albert Jr., could only add, "What do you say about the best dad in D.C.?"
Albert, born Sept. 7, 1928, arrived in the United States in 1950, joined the Army and fought in the Korean War as a member of the 101st Airborne Division.
He later served with the military police at Fort Bragg, N.C., where he met his future wife, Alice, as she was driving through the base. He issued her a traffic ticket and asked her for a date. They married in 1955 and had three sons and two daughters.
As he sat listening to praise from his friends, Albert claimed to be speechless.
"I don't know what to say," he said, as he added, "All of you are beautiful people. I am very proud to have such friends. I'll be sure to invite all of you to my next birthday. I'll be younger then."
VOTING IN MEXICO
The U.S. ambassador to Mexico is urging Americans living south of the border to register and vote in the November presidential and congressional elections.
"Time is short," Ambassador Antonio O. Garza Jr. said on the U.S. Embassy's Web site (http://mexico.usembassy.gov). He added that different states have different voter registration requirements, but most states will keep their voter books open until 30 days before an election.
"Participation in our great democracy is a sacred trust," he said. "Of course, with the privilege of voting in the U.S. election also comes an awesome responsibility: to be well informed and know where the candidates state on issues that are important to you and to our great country."
• Call Embassy Row at 202/636-3297, fax 202/832-7278 or e-mail email@example.com.


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While the summer may be wrapping up soon, when it comes to neons, we’re not ready to let go just yet. The bond between nails and bright colors is just too strong to break, so instead it’s being embraced while the summer is still here. Whether lime green or electric blue, these in-your-face hues can’t be hidden (and that’s just the way we like it).
This week, Instagram users grabbed our attention as they turned the brightness up a full notch. From glitter to stripes, cheetah print to confetti, and every vibrant color in between, our eyes couldn’t miss all the over the top nail art. Throw on your best pair of shades, take a look, and let us know which look you’re loving. If you create any amazing nail art of your own, be sure to take a picture and upload it to Instagram with the hashtag #NailCall and tag us @BeautyHigh for the chance to be featured in next week’s #NailCall!

domain: artistic


Industrial Truck Association National Forklift Safety Day goes virtual
On June 9th the Industrial Truck Association (ITA) will host our 7th National Forklift Safety Day.
The impact of COVID-19 remains to pose challenges for our nation. Due to these challenges, this year ITA’s National Forklift Safety Day (NFSD) 2020 will be held as a virtual event on the same date and time: June 9, 2020, starting at 9:00 AM (east coast time) and can be viewed by visiting the ITA’s web site www.indtrk.org.
COVID-19 continues to have a major impact on our country and on the safety and health of the nation’s workforce. ITA members, as manufacturers, employers, and members of their communities, are doing their part to help the country through these unprecedented times. The use of forklifts and other powered industrial trucks (PITs) is integral to virtually every supply chain in every industry. ITA members’ products operate in all 50 states in over 300 industries. The top industries include warehousing, grocery wholesaling, and general freight trucking. Every critically needed supply category (medicine, medical devices, personal protective equipment, food & beverage, etc.) is moved by a forklift at one or more points in the supply chain. Therefore, it has never been more important to highlight and reinforce the message of forklift safety and operator training.
Safety remains one of ITA’s top priorities as a national trade association. ITA works closely with OSHA, through our alliance partnership, in conducting ITA’s popular compliance officer training seminars on forklift safety. The OSHA-ITA Alliance is now in its 16th year and our training program is in its 14th year. We have trained hundreds of OSHA compliance officers and consultation personnel on the safe use of our products, supplying them with workplace safety materials, and communicating specialized forklift safety information. In the area of safety standards, ITA has for many years partnered with the American National Standards Institute, the Industrial Truck Standards Development Foundation, and the International Organization for Standardization to develop critical safety standards and work towards harmonizing those standards for the global marketplace.
What is National Forklift Safety Day
Creating awareness regarding safety and the need for operator training has been one of the fundamental pillars of National Forklift Safety Day and that remains true today. In fact, the number of forklift accidents each year is about one-half of what it was 20 years ago, even though the number of forklifts in use has increased. Most of that decline followed OSHA’s adoption of a vastly improved operator training regulation in 1998. After completing forklift operator training, operator performance scores improved by 61 percent, according to OSHA. We are working to continue that progress with National Forklift Safety Day (NFSD) by.
- Holding (NFSD) annually, on the second Tuesday of June, to serve as a focal point for manufacturers to highlight the safe use of forklifts and the importance of operator training.
- Providing an opportunity for the industry to educate customers, policymakers, and the Administration on forklift safe operating practices.
- Addressing critical priorities concerning forklift operator safety through improved education and training.
COVID – 19 and the Essential Business of Forklift Manufacturers and Suppliers
Powered industrial trucks play an indispensable role in virtually every production facility, warehouse, and distribution facility used to get products to the market for sale. Powered industrial trucks, both new and old, are essential to ensure that the public can get food, hospitals their medical supplies and other necessities of life continue to move through the supply chain. The continued production, sale, rental, replacement parts distribution, component suppliers, and servicing of powered industrial trucks are essential to enabling the nation’s economy to continue to meet the demand for products and services that the public relies on upon their day-to-day life.
The Department of Homeland Security (DHS) has identified several “Critical Infrastructure Sectors,” including the Critical Manufacturing Sector, of which Machinery Manufacture is a sub-sector, Food and Agriculture Sector, Healthcare and Public Health. As DHS notes, the sectors are often interdependent for “continuity of operations and service delivery.” For example, aspects of the Food and Agriculture, Defense Industrial Base, Government Facilities, Healthcare, and Transportation sectors are dependent on products in the Critical Manufacturing Sector, specifically powered industrial trucks.
The industry at large has played a vital role in maintaining the continuity of operations during the coronavirus outbreak and also an integral component in keeping the economy moving. The industry has been able to respond to the challenges associated with COVID-19 through the dedication and commitment of all of the employees throughout the supply chain.
COVID – 19 has forced the industry to evaluate existing business practices and adopt protocols that ensure safety. How the industry incorporates some of these new practices in the future remains to be seen, however, efficiencies in operations, enhanced communications strategies and further embracing technology will no doubt find a way to make permanent improvements.
ITA’s 26 Regular Members manufacture PITs and its 38 Associate Members manufacture PIT components, attachments, and accessories. ITA’s membership accounts for approximately 90% of the PITs sold in America. We stand ready to support the continuity of operations and service delivery for essential products and services this country needs during the COVID-19 outbreak.
I hope that you can join us virtually on June 9, 2020. Thank you and stay safe.
Be sure to listen to Brian with Kevin Lawton on the June Cover Story podcast. Click here to listen.
Brian J. Feehan the president of the Industrial Truck Association (ITA) in Washington D.C. E-mail firstname.lastname@example.org to contact Brian


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Cast your voice into the mic and start walking, as your words become color, sound, and music at Discovery Green’s Hello, Trees!, on stage nightly for free through Sunday, February 25, 2018.
Created specifically for Discovery Green’s stunning Brown Promenade by Montreal art collective Daily tous les jours, the winter light installation transforms your voice messages into light and music.
The installation is inspired by the inaudible connections and processes that exist in nature, and the century old live oaks lining the walkway.
A series of connected arches leap across the promenade, grounded at each end by a large microphone encouraging visitors to speak their mind and greetings to nature.
Once spoken, the word turn to light and begin their journey through the arches. If you keep up with the light, you’ll get to hear your words repeated through the ground-level speakers at the bottom of each arc. Gradually, they’ll turn to music, creating an organic, pleasant, ethereal, musical score.
Turning Your Voice Into Light & Sound
Motivated by the 100-year old live oaks that dominate Discovery Green, Daily tous les jours conceived Hello, Trees! as a metaphor for the way trees use nonverbal cues to communicate complex information.
As visitors utter their greetings into the microphones at each end of the walkway, their voices turn into light and sound, traversing through the series of arches. As they intersect, they create new sounds, music, and tones.
The result is an immersive experience that Daily tous les jours likens to a “crowd-sourced concerto,” changing gradually as visitors walk underneath the installation and mimicking the way trees create pathways of communication.
New scientific discoveries of trees as social beings have found that, to increase their resilience, trees utilize communication in many forms to share needs and provide mutual assistance.
Visiting Hello, Trees!
The perfect time to visit Hello, Trees! is at dusk, or after the sun has gone down.
Busier weekend nights will make the display more colorful and musical, while visiting on a calmer weekday night means that you and yours can more easily track your vocal contribution through the loops.
Hello, Trees! A Walking Serenade Winter Lighting Installation at Discovery Green
- Dates: Daily through Sunday, February 25, 2018
- Hours: 6am to 11pm daily, but sunset and after is the optimum visitation time.
- Location: Discovery Green, 1500 McKinney Street, Houston, TX 77010
- Admission: Free. Click here for more information.


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The basis of this dessert, Apple Mousse a la Chantilly (ah lah SHON-tee-yee), is apple ‘marmalade’ or ‘butter’ flavoured with vanilla essence rather than with the usual cinnamon, cloves and lemon. The apples should be of a well-flavoured dessert variety.
2 lb. apples
16 fl. oz. cider granulated sugar
1 teaspoon vanilla essence
10 fl. oz. double cream
Wash the apples, cut them in quarters, but do not core them. Place the apples in a medium-sized saucepan with the cider and simmer over low heat until soft.
With the back of a wooden spoon, push the apple and cider mixture through a sieve. Measure the pulp in a measuring jug and to every 8 fluid ounces add 4 ounces of granulated sugar.
Return the apple pulp to the pan. Over low heat, stirring all the time with a wooden spoon, dissolve the sugar. When the sugar is dissolved raise the heat to high and boil the mixture rapidly until it is very thick and a small drop will not fall from the spoon.
Put the apple mixture in a bowl. When it is cool place the bowl in a basin with ice in it and whisk the apple mixture.
In a small mixing bowl, beat half the cream until it is thick but not stiff. Fold it into the apple mixture with the vanilla essence. Pile the mixture into individual glass dishes. Top with the rest of the cream, stiffly whipped.

domain: food


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Celebrate the vibrant history of transgender political activism with our captivating greeting card featuring the iconic artwork "Rücken-Akt" by Hugo von Habermann. Step back in time to Germany's Weimar Republic, where cross-dressing took on new meanings and sparked a movement of self-expression and identity.
Immerse yourself in the rich tapestry of this historical period as we pay homage to the pioneers who bravely embraced their true selves. "Rücken-Akt" beautifully captures the essence of this era, showcasing a cross-dressing man whose silhouette boldly challenges societal norms.
Cross-dressing took on new political meanings in Germany's Weimar Republic, with the emergence of organizations and periodicals aimed at promoting the interests of self-identified "transvestites." This new sexological category, developed by Magnus Hirschfeld in 1910, formed the basis for a shared sense of identity and belonging among individuals who identified as members of the "opposite" sex. Drawing on the experiences of the homosexual emancipation movement and discourses of bourgeois respectability, middle-class transvestites came together to demand legal and social recognition, including acknowledgment of "transsexual" desires. Their efforts represent a critical but forgotten moment in the history of transgender political activism.
Share this remarkable piece of art and history with your loved ones, honoring the resilience and determination of those who paved the way. Send a heartfelt message of acceptance, support, and appreciation for individuality with this extraordinary greeting card.
These luxurious greeting cards are giclee printed on the brightest, most velvety greeting card paper available on the market today. Blank inside.
• Quantity: 1 card, 1 elegant gold foil striped envelope
• Size: 5" x 7" (A7), (74mm x 105mm)
• Substrate: Premium, acid-free cardstock
• Finish: Luxurious matte finish on both sides with absolutely no sheen, very easy to write on.
• Message: None; Interior is blank
©2023 Ebon et Noir, LLC. All Rights Reserved

domain: history


A change that will transfer senior Philadelphia Firefighters to new assignments will receive a review in Philadelphia City Council.
Firefighters came out in force to support the resolution to hold a hearing mass transfers of veteran Philadelphia firefighters.
Firefighters Union Recording Secretary Michael Bresnan said the transfers will hurt their ability to protect residents and businesses.
“Some of these guys have been together 20 years and ultimately who is going to suffer is the citizens of Philadelphia,” Bresnan said, “because these guys would die for each other, they would die for the citizens of Philadelphia because they trust each other.”
Read the rest of this story and see video of Councilman Bobby Henon, D-6th, who co-sponsored the resolution, from our partners at NewsWorks.


Wire nuts, those small but mighty electrical connectors, have become an indispensable part of the electrical industry. These compact devices have revolutionized the way wires are joined, providing a safe and efficient method of connecting electrical conductors. In this article, we will take a journey through the history of wire nuts, exploring their evolution, advancements, and the role they play in modern electrical systems.
Origins and Early Development
The story of wire nuts dates back to the early 20th century when electrical installations were becoming more prevalent. Prior to the invention of wire nuts, electricians relied on time-consuming and potentially hazardous techniques such as soldering, taping, or using twist-on connectors.
The first iterations of wire nuts were simple, cone-shaped devices made of porcelain or ceramic. These early designs were manually twisted onto the stripped ends of wires to create a secure electrical connection. Although effective, they were limited in their capacity and had the potential for loosening over time.
Introduction of Plastic Wire Nuts
In the mid-20th century, a significant breakthrough occurred with the introduction of plastic wire nuts. This marked a turning point in the history of wire nuts, as plastic materials offered numerous advantages over their ceramic predecessors.
Plastic wire nuts provided improved insulation, better resistance to heat and moisture, and greater compatibility with a variety of wire sizes. Additionally, plastic wire nuts were easier to handle and install, speeding up electrical connections and reducing installation time.
Advancements in Design and Functionality
Over the years, wire nut manufacturers have continually improved the design and functionality of these connectors. The development of innovative features has enhanced their performance and made them even more reliable and convenient for electricians.
One notable advancement is the incorporation of internal spring mechanisms within wire nuts. These springs apply continuous pressure on the wires, ensuring a secure and long-lasting connection even in challenging environments. Moreover, the introduction of color-coded wire nuts has simplified identification, enabling electricians to quickly select the appropriate connector for specific wire combinations.
Modern Wire Nuts and Industry Standards
Today, wire nuts are manufactured using high-quality, flame-retardant materials that comply with industry standards and electrical codes. These standards ensure the safety and reliability of electrical connections in various applications.
Leading manufacturers produce wire nuts that can accommodate a wide range of wire sizes and types, including solid, stranded, and combinations of copper and aluminum conductors. Additionally, modern wire nuts incorporate features such as gel-filled capsules for moisture resistance and increased durability in outdoor or damp environments.
The history of wire nuts reflects the ongoing evolution and innovation in the electrical industry. From their humble beginnings as ceramic connectors to the modern, plastic counterparts with advanced features, wire nuts have transformed the way electrical connections are made.
These small but crucial devices provide electricians with a safe, efficient, and reliable method for joining wires. With their improved insulation, compatibility, and ease of installation, wire nuts have become a staple in electrical installations across residential, commercial, and industrial settings.
As technology continues to advance, we can expect further enhancements in wire nut design, materials, and functionality. The history of wire nuts serves as a testament to the importance of continuous improvement in electrical connectors, ensuring the safety and efficiency of our modern electrical systems.


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A few days ago we witnessed the announcement of the launch date of Marvel's Spider-Man Miles Morales on PC, definitively marking the release of another important exclusive PlayStation also on PC. Spider-Man fans, though, are still waiting to find out more about Marvel's Spider-Man 2, the sequel to the main line of the saga that has already shown itself to the general public with a trailer, which had confirmed the presence in the title of one of the most loved characters by fans: Venom.
We haven't seen anything other than that first trailer for Marvel's Spider-Man 2, and it's already been a year since that moment. These days, however, Insomniac Games has returned to talk about the next adventure of the two Spider-Man on PlayStation consoles. It all started on Twitter, where a handful of users began asking ea doubt the launch window of Insomniac's new Marvel title (you can buy the first chapter on Amazon). Specifically, there are those who say strange that they have not yet seen anything new about the game after the announcement had been declared that the title would be released in 2023.
She came directly to answer the doubts of these enthusiasts Insomniac Games, who stated the following: “Don't worry. We are making good progress and the game is still scheduled for 2023. Getting to show the games takes time, effort, resources and coordination”. This communication suggests that things are going well in the development of the game, but for various reasons we have not yet had the opportunity to receive and see news in this regard.
Don't. We're making good progress and it's still slated for 2023. Showing games takes time, effort, resources, and coordination.
- Insomniac Games (@insomniacgames) October 17, 2022
These recent posts published on Twitter confirm that, at least for the moment, Marvel's Spider-Man 2, officially, is still expected for 2023. We don't know, however, how and how much things will change, just as we don't know in what period the game will be able to show itself again and how it will do it.
⭐Latest News and Tricks⭐
- Just Cause 4 free: tips and tricks to start playing
- Death Stranding: Guide to the Central Region Map
- Spyro Reignited Trilogy Guide: all the tricks and secret codes
- News + Ubisoft puts transgender dialogue in check in Assassin's Creed: Valhalla
- Guides Complete guide and solution [100%] - Bravely Default II

domain: game


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Megastar Chiranjeevi starer Sye Raa Narasimha Reddy is one of the biggest releases this year. Made on a budget of more than 200 crores, Sye Raa was one of the most-awaited films of this year. Moreover, it is the first film in Chiru's 40-year-old career, which featured him in a period role.
The film released worldwide on October 2nd, in Telugu, Tamil, Kannada, Malayalam, and Hindi. Apart from the Hindi version, all the other versions are now available on the Amazon Prime Video for streaming. The Hindi version will be streaming on the same platform from the 29th of this month.
Sye Raa is the story of an unsung warrior, Uyyalawada Narasimha Reddy, who fought against the Britishers, way before the Sepoy moment started. Chiranjeevi gave an impeccable performance as Narasimha Reddy even at the age of 65. The film was a super hit in Telugu and has done a reasonably good business in the other languages.
The film also featured the stalwarts of other languages, like, Amitabh Bachchan, Sudeep, Vijay Sethupathi, Jagapathi Babu and Ravi Kishan. Nayanthara and Tamannaah played the female leads in the movie. People who missed watching the film in theatres can now stream it on Amazon Prime.

domain: entertainment


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When Joel Turner looks out over the calm waters of the Mississippi Sound, his mind drifts to another body of water, the Indian Ocean the day after Christmas.
"The ocean was calm just like we see here and all of a sudden this unimaginable fury that the ocean released, and I can't help but think about how startling that was for the people who survived it and endured through it," he says.
Turner will soon get to see for himself. He is taking a leave of absence from his nursing job to travel to India, the country of his birth, and where he spent his childhood.
"It does put a very personal touch on it. I have been contacted by people who have been directly affected, who have lost their family members, who have lost many relatives and they are requesting any help that they can give."
Turner says the graphic images of the tsunami's devastation we've seen over and over both frustrate him and drive him to help.
"That is really the purpose of my trip there, so that some way I can do some hands on work. Like I say, all of my emergency nurse's skills will be tested to the limit. Just to help them, and particularly the children who have been orphaned by this tragedy."
Turner says he will spend at least a month in India and perhaps longer. He traveled to the Indian consulate in Houston to get a visa and he's caught up on his innoculations. Turner says he's finalizing his travel plans and will leave in about two weeks.


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- Do dogs know when you cry?
- Can your dog be mad at you?
- Do dogs get sad when you cry?
- Should you let your dog sleep on your bed?
- Do dogs feel sad when you leave them?
- Why does my dog come to me when I cry?
- Is my dog sad or relaxed?
- Can animals sense when you’re sad?
- Should you hug your dog?
- Do dogs think we are dogs?
- Why do dogs lick you?
- How do dogs act when sad?
- Can dogs smell depression?
- How do dogs choose their favorite person?
- Do Dogs worry about their owners?
- How do I tell my dog I love him?
- How do you cheer up a sad dog?
- How do you tell if your dog loves you?
Do dogs know when you cry?
Studies have found that dogs can actually recognise human emotions.
They can even guess what their human’s emotion will be when they see the hole in the backyard (cue the guilty look)..
Can your dog be mad at you?
This is one of the most common questions new dog owners ask. Very simply, the answer is no. Anger is a human emotion. Dogs live in the moment and don’t connect their destructive behavior as payback for your absence.
Do dogs get sad when you cry?
Previous research has shown that when humans cry, their dogs also feel distress. … Now, the new study finds that dogs not only feel distress when they see that their owners are sad but will also try to do something to help.
Should you let your dog sleep on your bed?
Of course, if you want to sleep with your dog there are benefits, as well. Having your dog in the bed can help you relax, and also strengthen the bond between you and your pup.
Do dogs feel sad when you leave them?
It’s normal for your dog to miss you when you leave. Separation anxiety is different – because the response is more extreme. Symptoms of separation anxiety in dogs include: Barking, whining, howling or crying (the sort that neighbours will notice)
Why does my dog come to me when I cry?
According to a new study, published in the journal Learning & Behavior, dogs want to comfort their owners when they’re upset, and they will overcome barriers to do it. Previous research has shown how dogs are responsive to the sound of humans crying.
Is my dog sad or relaxed?
Pricked upright ears are a sign of alertness – they tell you if your dog is happy or sad, just focused. Their body’s relaxed. If your dog seems relaxed in their posture and not tense or stiff, this is a good indication they are feeling good.
Can animals sense when you’re sad?
Compared to our devoted dogs, cats seem pretty unconcerned with human affairs. But it looks like our feline companions pay more attention than we give them credit for. They seem to be able to tell when we are happy. New research has found the first strong evidence that cats are sensitive to human emotional gestures.
Should you hug your dog?
While it’s only natural to want to embrace your loved ones, it’s not always a good idea to hug your canine friends. “Hugging is a form of handling, and handling can lead to fear, anxiety, and stress in some dogs,” says Dr. Vanessa Spano, DVM at Behavior Vets.
Do dogs think we are dogs?
The short answer to “do dogs think humans are dogs?” is no. Sometimes, they’d probably like us to roll in the mud with them and get as excited about the dog park. Beyond that, they probably don’t think of us as tall hairless doggos with a source of dog treats.
Why do dogs lick you?
One of the most common reasons why dogs love to lick their owners is simply to show their affection. Since you’re the one taking care of them, you’re essentially their world! When dogs lick, pleasurable endorphins are released into their blood which makes them feel calm and comforted.
How do dogs act when sad?
Here are some physical signs your dog might be sad: Vocalizations like whines or whimpers. Mopey behavior around things they typically enjoy. Lowered energy.
Can dogs smell depression?
Dogs can sense depression, and many of them can respond in a loving way to their humans in order to cheer them up. Dogs use their powerful sense of smell to take in their surroundings. They can also smell hormone production and the rise and fall of different brain chemicals.
How do dogs choose their favorite person?
Dogs often choose a favorite person who matches their own energy level and personality. … In addition, some dog breeds are more likely to bond with a single person, making it more likely that their favorite person will be their only person. Breeds that tend to bond strongly to one person include: Basenji.
Do Dogs worry about their owners?
Doggy don’t worry, don’t worry, no more. For a long time, cynics have argued that dogs don’t really love their Owners. The truth, they posit, is that dogs are simply adept at manipulating humans – their chief food source. … In other words, dogs feel a love for their humans that has nothing to do with meal time.
How do I tell my dog I love him?
5 Ways to Tell Your Dog You Love HimRub His Ears. Instead of patting your pup on the top of the head, try giving him a gentle rub behind the ears. … Lean on Him. Has your dog ever pressed up against your legs or leaned into you while you were sitting together? … Gaze Softy Into His Eyes. … Have Fun Together. … Snuggle.Jul 5, 2020
How do you cheer up a sad dog?
Try to engage in fun activities with your dog, like games, fun tricks, and general training. Take some time to bond with your dog. You may also consider letting your dog play with other dogs or go to doggie daycare. It’s natural that you will want to pay more attention to your dog when he is depressed.
How do you tell if your dog loves you?
If your dog shows any of the following behaviors, signs point to his or her unwavering love for you:He Goes Crazy When You Come Home. We’ve all seen it. … Specific Facial Expressions. A dog’s love isn’t all about tail wagging, it’s also about facial expressions. … She Really Looks at You. … He Yawns With You. … True Love.

domain: pet


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Sinead Kennedy has wished The Today Show team well as they return to screens for another this afternoon.
Sinead is currently on maternity leave after welcoming her first child, baby Indie, with her husband Conor Kirwan back in March.
The Cork star will return to the RTÉ magazine show once again in the New Year.
Sinead's seat is being kept warm by teacher turned broadcaster Emer O'Neill.
Emer will link up with regular presenter Dáithí O'Sé every Monday and Tuesday and Maura Derrane will continue to front the show three days as well, Wednesday to Friday, as normal.
Sinead simply said: "Break a leg ya'll."
Emer was a big hit with viewers on the last season for the show when she filled in for Sinead for two days. She was one of a number of big names, including Nuala Carey, Una Healy, Blathnaid Treacy and Rachel Allen.
This season will mark 10 years of Today on RTÉ One.
To mark the milestone year, there is a brand new set in Cork as well as fun new branding and logos.
Maura Derrane opened up about the new member of the team and she said Emer was a great addition to the line-up.
"Emer is stepping in and she is a great choice. Emer is warm, which is important on a show like this as well as being competent and confident," she told RSVP Magazine.
"Even though I don't know her I believe she will not be afraid to say what she feels."
Television and broadcasting is often a fickle industry, but Maura says she doesn't worry that the person who fills in might be better at her job than her.
She said: "There is always an element of that, but if you believed that you would never take a day off. If there is someone newer or fresher behind you that the audience prefers then you could be obsolete! But there isn't a job in the world where that can't happen and you can't go around worrying about it."


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A position in a group, series, sequence, or set. A slot is also the term used for a hole in an aircraft or spacecraft, especially when it’s part of a high-lift device or control surface. A slot can also refer to a specific location or job in an organization, such as a managerial or leadership role.
A slot is a type of dynamic content that can be filled either passively, where it waits for something to fill it (a passive slot), or actively, when someone calls out for it. A slot is a container for items that may be a mix of different types (media, documents, or other content), depending on how the slot is configured. Slots and scenarios work in tandem; slots act as containers while scenario actions (or targeters) fill them with content.
Until recently, all modern slot machines were powered by a random number generator to determine how the symbols would line up on the reels and what payout values they would hold. In fact, the original Sitman and Pitt slot machine had three mechanical reels with printed graphics, and it paid out only if all three symbols aligned on a pay line running vertically down the center of the machine. The reels were powered by a crank that spun them and the reel stops were held in place by metal levers. Charles Fey’s 1907 invention, which featured three reels and symbols like hearts, spades, diamonds, horseshoes, and Liberty Bells, made it much easier to win. The slot was such a success that Fey moved operations to New York City, where he built an empire.
The slots of a computer are the operation issue and data path machinery that surround a group of execution units, also known as functional units (FUs). A single FU can execute many operations simultaneously, but the operation issues and resources for each AU are tracked in separate slots. Each slot contains a list of available operations. A slot can also contain a queue that is used to queue up requests for multiple operations.
In baseball, a player’s “slot” is the position between the outfielders and shortstop, where he can be assigned to sprint to any base when needed. This position is often coveted by speedy players, such as primary WRs and tight-ends.
Virtual reality is a hot area of casino gaming, with slot machines among the most popular new innovations. These virtual slot games are not only more immersive and realistic, but they also offer a variety of unique features that can increase player engagement. They can include cutscenes and animations that make the game look more live-like, and they can also allow players to play several types of games at the same time. Some slots even offer bonus features such as mini-games that are activated when the player reaches certain milestones in the game. These features are helping to make VR slots a highly profitable and popular addition to the casino floor.


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Help the Nevada County Relief Fund reach their goal by July 4!
- Juliette Morris Williams -Jewelry, Mixed-media, Nevada City, $2,400
- The Washington Hotel, Washington, $5,000
- The Nest Family Resource, Grass Valley, $2,500
- The Nevada Theater, Nevada City, $5,000
- Coupe Sixty-One Hair Studio, Truckee, $2,500
- Dark Horse Coffee Roasters, Truckee, $5,000
- Grass Valley Crossfit, Grass Valley, $2,500
- Simply You Salon and Spa, Penn Valley, $2,500
- InnerRhythms, Inc., Truckee, $2,500
- Brad Henry Pottery, Truckee, $2,500
- Jack + Emmy, Truckee, $2,500
- Outside Inn, Nevada City, $5,000
- Word After Word Books, Truckee, $2,500
- Anew Day, Nevada City, $2,500
- North Columbia Schoolhouse Cultural Center, San Juan Ridge, $5,000
- Art Works Gallery, Grass Valley, $5,000
- Calla Lily Crepes, Nevada City, $3,600
- Alpenflow Studios, Truckee, $2,500
- Truckee Roundhouse Community Makerspace, Truckee, $2,500
- Penn Valley Community Rodeo Association, Penn Valley, $5,000
- The Earth Store, Nevada City, $5,000
- Off Broadstreet, Nevada City, $5,000
- CrumbunnyCoffee Roasters, Nevada City, $4,000
- Painted Pink, Grass Valley, $2,500
- The Station -A Truckee Eatery, Truckee, $5,000
- Lola and Jack, Grass Valley, $5000
- Aikido'Ka, Grass Valley, $2500
Like the rest of the country, Nevada County is hurting right now. Our small businesses and nonprofits are working hard to ensure that they can reopen in a way that keeps their customers and workers healthy and safe. But to do so, they need a little help from their friends. It was for this purpose that the Nevada County Relief Fund was started.
Now, you can help to ensure that our local economy can recover from the Covid-19 shutdown, which of course happened on the heels of the PSPS events last fall. These two events have wreaked havoc on small businesses and nonprofits, and now is the time to give back the community that we all love. The Nevada County Relief Fund has a goal to raise $500,000 by July 4, and they’re almost there! Donations are tax deductible.
Relief Fund Helps ENTIRE County
Penn Valley, a smaller community of Nevada County, is often overlooked for the larger areas of Grass Valley, Nevada City, and Truckee, but the Relief Fund helped to ensure that small businesses there, as well as the town’s signature event, received help.
Penn Valley Rodeo
Since the onset of COVID-19, numerous community events have evaporated, including the Penn Valley Rodeo, which has been a popular event for 63 years. The Penn Valley Rodeo Community Association was still reeling from last year’s rodeo getting rained out leaving them without the seed money needed to sustain the organization and put on the next rodeo. With grant funding awarded by the Nevada County Relief Fund, the Penn Valley Rodeo will be able to continue their support for the local community.
Teresa Dietrich, sponsorship chair and board member, shared, “Our organization supports keeping our great western heritage alive in our area and we provide for a number of scholarships for youth and also seed the scholarship fund for the Penn Valley Fire Protection District’s EMT scholarship. We have been making some really hard decisions and this grant has a huge impact on how we can pay for our obligations to the community. It feels like a 1200 lb. horse just got off my foot – it feels fantastic!”
Simply You Salon
Spas and salons have been particularly hard hit by the stay-at-home order. Ordered to shut down on March 20, they sat idle while awaiting the word that they could reopen, which came three months later.
Simply You Salon in Penn Valley was no exception. “I have eleven employees so it had a big impact on all of us,” said salon owner Jacki Olson. “We got $2500 from the Relief Fund, which I was very grateful for.”
Olson used the funds to make some changes in the salon to accommodate social distancing at stations for different services, including purchasing extra cleaning supplies and disinfectant, as well as plexiglass dividers which have been installed between places where people were typically close together, such as shampoo bowls and pedicure chairs, as well as for manicure tables so there is a divider between customer and manicurists. Wanting to make sure that the funds were helpful to the entire team, the ladies who have stations were given discounts on their rent so that they could get started again. Olson also purchased touchless hand sanitizers and is working on getting a touchless paper towel dispenser and garbage can, both of which are on back order due to high demand.
Olson and her team are taking the regulations very seriously, and have made extraordinary accommodations to ensure the health of their clients and themselves. In addition to the dividers, there are new protocols that are followed. People wait in their cars and either call or text when they arrive, and then the staff member they have an appointment with lets them know when they can come in. They have closed three of the four of the entrances so there is only one handicapped-accessible entrance and exit. Olson says that they have always done a lot of sanitation, but now even more is done between each client. “Our biggest fear is someone bringing the virus here. We are following all the protocols, everyone is wearing a mask and we are constantly wiping down doorknobs, handles, everything. It takes a lot of extra time and energy but we are getting into the flow and grateful to be open and serving our clients.”
Of course, both staff and customers must wear a mask at all times, which has not stopped a steady flow of business to the newly reopened salon. “Two clients would not book an appointment until they do not have to wear a mask. Another person had a client who tried to allow her to come in without a mask, but we let her know that by doing so we could be closed down,” Olson said. “We are really busy, and just can’t do as many clients as before and have people calling every day. I think we’re going to be fine; hopefully we won’t have to close down again. I have a fantastic team here and the clients have been wonderful. It is so great to see them again!”
The Nevada County Relief Fund
The Nevada County Relief Fund was launched on April 14, 2020. Backed by a $100,000 “challenge grant” from the Nevada County Board of Supervisors, the community quickly responded with donations to the Relief Fund. Half of the money raised will go to the frontline safety net nonprofits in western Nevada County, who are providing a life line to our neighbors most in need. The other half will support local small businesses and nonprofits countywide with micro-grants to help cover key expenses until they reopen or resume normal operations.
Due to the generosity of the community and the Board of Supervisors, the Nevada County Relief Fund announced the first round of grant awards on May 29, 2020, totaling $210,000 boosting eight “safety-net” nonprofits in western Nevada County as well as the Tahoe Truckee Community Foundation in eastern Nevada County, and twenty-eight small businesses from throughout the county heavily impacted by COVID-19. A portion of the first round of funding went to businesses and organizations focused on the arts, due to their great importance to Nevada County.
The Nevada County Relief Fund is currently seeking donations for the second round of grants to be distributed in July. Their goal is to raise $500,000 by July 4, and they are currently at $438,192. Help to make a difference in your community by visiting https://www.nevcorelief.org/ . A small donation goes a long way.
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Support Local Journalism
Readers around Grass Valley and Nevada County make The Union’s work possible. Your financial contribution supports our efforts to deliver quality, locally relevant journalism.
Now more than ever, your support is critical to help us keep our community informed about the evolving coronavirus pandemic and the impact it is having locally. Every contribution, however large or small, will make a difference.
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Someone can be dependent on alcohol but have a seemingly normal family and social life. They may also manage to do their job. They may not drink every day, but problems are still there.
If someone is dependent on alcohol, they may become defensive if someone suggests they have a problem.
Accepting there is a problem means accepting they may need to change.
How to manage better
When someone has an alcohol problem, family life can start to revolve around them.
Dealing with the problem can feel overwhelming. It can affect how the family works.
It can cause:
- strained relationships
- financial worries
- a lack of structure and routine
Things that can help you to manage better:
- Get some support.
- Recognise and understand the effect alcohol may be having on your family.
- Find ways to cope - to reduce the harm to you and your family.
Help them to accept there is a problem
Not accepting the problem is one of the main things that stops people from getting help. With a person who has an alcohol problem it can be even harder. They may not feel their drinking is causing them problems.
Let them know how their drinking behaviour is affecting you and your family.
You will probably need to keep doing this. It will make it harder for them to convince themselves that everything is OK.
Keep the lines of communication open. Try to be loving and supportive rather than accusing or blaming them.
Decide what action you want to take for your safety and quality of life.
- how this will affect them
- what changes you need from them
- what the consequences are if they do not take action

domain: psychology