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Model Andreja Pejic cuddles up to Jean Paul Gaultier at his new exhibition in her first public appearance since transitioning into a woman
Earlier this year supermodel Andreja Pejic underwent gender reassignment surgery to become a woman.
And now the 23-year-old stunner has made her first public appearance following the operation, marking a new chapter in her life.
The Serbian-born, Australian raised clotheshorse was cosying up to iconic French fashion designer Jean Paul Gaultier at the National Gallery of Victoria in Melbourne on Wednesday.
Scroll down for video
Trio: Andreja Pejic (far right) posed with designer Jean Paul Gaultier and fellow model Alexandra Agoston (far left) at the National Gallery of Victoria in Melbourne on Wednesday
Celebrate: The 23-year-old supermodel flaunted her pins during the first preview of The Fashion World of Jean Paul Gaultier: From the Sidewalk to the Catwalk
Andreja, who was born a male named Andrej, showed off her bright smile during the first preview of The Fashion World of Jean Paul Gaultier: From the Sidewalk to the Catwalk.
She flaunted her pins in a short but sweet black, beige and turquoise frock, featuring a small cut-out panel.
Her golden tresses were styled in voluminous curls, highlighting her soft face and signature eyebrows.
Pointed nude heels kept the model's feet looking stylish and served as her only accessory, with no jewellery to be seen.
Jean Paul looked cool in black as he celebrated the preview of his new exhibition which features more than 140 superbly crafted garments spanning his lengthy career.
Some of the works of art include incredibly intricate leopard print frocks and white, tasselled floor length skirts.
New chapter: This is her first public appearance since she underwent gender reassignment surgery earlier this year to become a woman
Stylish: Iconic French designer Jean Paul looked cool in black as he celebrated the first preview of his new exhibition
History: His show features more than 140 superbly crafted garments spanning his lengthy career
It's set to be a big year for the former creative director of Hermès with a new role on Australia's Next Top Model.
It was announced on Tuesday that the 62-year-old would appear as a celebrity judge on the popular reality program hosted by Jennifer Hawkins.
The respected designer has a close friendship with Andreja and helped throw her into the spotlight.
At Paris Fashion Week in 2011, Andreja walked the catwalk for Jean Paul's men's collection as well as his women's collection.
At the time she publicly identified as androgynous but since transitioning earlier this year she plans to focus solely on womenswear.
Cheeky smile: Andreja appeared to be enjoying herself from the front row as she sat with Alexandra
Chic: The Blonde beauty donned a black, beige and turquoise frock, featuring a small cut-out panel
Oh dear: She pulled a funny expression, possibly showing distaste for an outfit
In a Reddit AMA last month she told one of her fans she 'definitely had fun with androgyny' but 'will only be modelling as a female.'
Then she added: 'But if the shoot is really creative and amazing, and they want to put me in a suit, I would be open to it if it's tasteful. But I probably won't be doing it on a scale like before.'
In a touching response to another admirer the cover girl revealed what she thinks people misunderstand most about transgender people today.
'I would say the fact that we are human beings like anyone else, and we strive to have happy and fulfilling lives, like anyone else,' she wrote.
'And that we are like everybody else.'
Andreja is just one of many individuals paving the way for acceptance and change with Orange Is The New Black's Laverne Cox and RuPaul's Drag Race star Carmen Carrera just some of the transgender stars in the spotlight.
Zoolander: Andreja gave her best blue steel impression as she stood with Thierry-Maxime Loriot (far right) and Tony Elwood (far left)
But first: Everyone said cheese for a fun selfie with a white and blue surfboard
Friends: Jean Paul has a close friendship with Andreja and helped throw her into the spotlight in 2011 when he used her as a model during Paris Fashion Week
Gothic style: His exquisite garments are like works of art
Andreja is currently working on a Kickstarter campaign for her documentary Andrej(A).
As of Thursday it has 260 backers and has raised over $44,000 with a new goal of $100,000 by Sunday.
The film is about the supermodel and her 'transformative journey to womanhood and her mission to pass courage on to the next generation.'
In a promo video the blonde beauty introduces herself by saying: 'at birth I was assigned a gender, they told me I was a boy, I am a woman.'
Fiery: This colourful piece features intricate beading and patterns
Incredible: These two heavy frocks are different in style but both have the wow factor
Dazzling: Jean Paul's stunning black and red frock served as an eye catching piece

domain: celebrity


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This spider likes to build its webs on vegetation but can often be found on garden sheds. The colouring of this spider is quite variable, some of them have red markings some have no markings and are just pale green.
Above: the spider above is being eaten by the crab spider Synaema globosum. The crab spider is unfortunately out of focus in this image.
Back to Nick's Spiders page 1
|Thankyou for visiting my site. If you have any comments or questions please e-mail Nick Loven.|

domain: biology


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Circadian rhythm disorders involve disruptions in the circadian rhythm, the internal clock that regulates the sleep-wake cycle and other bodily functions over a 24-hour period. These disorders occur when there is a misalignment between a person's internal clock and the external environment, leading to difficulties in sleeping and waking at appropriate times. This misalignment can significantly impact an individual’s sleep quality, mood, and overall health.
The human circadian rhythm is influenced by various external cues, the most significant being light exposure. Light exposure, especially natural light, helps to regulate the sleep-wake cycle by signaling the brain to produce melatonin, a hormone that induces sleep. Disruptions to this rhythm can occur due to a variety of factors, including shift work, jet lag, irregular sleep schedules, and exposure to light at night, such as from electronic devices.
Common types of circadian rhythm disorders include Delayed Sleep-Wake Phase Disorder, where individuals have difficulty falling asleep until late at night and trouble waking up in time for work or school; Advanced Sleep-Wake Phase Disorder, characterized by falling asleep and waking up unusually early; and Irregular Sleep-Wake Rhythm, where sleep is fragmented into several periods throughout the day. Another type, Shift Work Disorder, affects people who work nontraditional hours, disrupting their internal clock.
Symptoms of circadian rhythm disorders vary but often include difficulty falling asleep or waking up, excessive daytime sleepiness, insomnia, and a general feeling of malaise or mood disturbances due to sleep deprivation. These symptoms can impact daily functioning, work performance, and quality of life.
Diagnosing circadian rhythm disorders involves a thorough assessment of sleep habits and patterns, often requiring a sleep diary or actigraphy (a device that monitors sleep cycles). In some cases, a sleep study might be conducted to rule out other sleep disorders.
Treatment for circadian rhythm disorders focuses on realigning the internal sleep-wake clock with the external environment. This can include light therapy, where exposure to bright light at specific times helps reset the circadian rhythm. Melatonin supplements can also be effective, particularly for disorders like Delayed Sleep-Wake Phase Disorder. Behavioral strategies, such as maintaining a consistent sleep schedule, avoiding caffeine and electronic devices before bedtime, and creating a sleep-conducive environment, are crucial components of treatment.
In more challenging cases, chronotherapy, which involves gradually shifting sleep times, may be recommended. This approach requires careful planning and monitoring, often with the assistance of a sleep specialist.
At Sonoran Sleep Center, we specialize in diagnosing and treating circadian rhythm disorders. Our team of experts works closely with each patient to develop personalized treatment plans that consider their specific needs and lifestyles. We understand the complexities of these disorders and are committed to helping our patients achieve balanced, restful sleep patterns to improve their overall health and well-being. With our comprehensive approach, patients can find relief from the disruptive symptoms of circadian rhythm disorders and regain control over their sleep and daily lives.


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There grows in the desert of North America a lowly shrub that scientists say may save the sperm whale from extinction.
The shrub, which may be a source for a whale‐oil substitute, goes by the name of jojoba (pronounced ho‐Ho‐ba). A hardy evergreen, commonly found in the Sonoran Desert of Arizona, in California and in northern Mexico, the jojoba has thick, leathery, graygreen leaves and—more to the point—peanut‐size seeds that hold the promise of lubricating oil for industry and jobs for Indians.
The colorless, odorless oil of the jojoba seed is like no other known plant‐seed oil. It is not a fat, but a liquid wax. It has virtually the same chemistry as does sperm whale oil whose commercial value accounts in large part for that mammal's place on the endangered‐species list.
After evaluating recent research into the jojoba, the National Research Council the National Academy of Sciences released a report yesterday that recommended the widespread cultivation of the plant and the extraction of its oil as a substitute for sperm whale oil.
Sperm Oil Banned
The United States banned the importation of sperm oil, in late 1971, a move aimed at protecting the sperm whale. Stockpiles are now reaching, depletion, and no satisfactory synthetic substitutes have been found. Only last month, officials of the General Motors Corporation complained that removal of sperm oil from its automatic transmission fluids has led to serious corrosion problems.
The research council said that, evidence “has shown conclusively that jojoba oil can duplicate sperm oil performance as a high‐pressure lubricant.”
“As this is the major use for sperm oil, it is strong evidence that, technically, jojoba is a marketable commodity,” the council added.
If the council's recommendations are followed, the jojoba could become the nation's newest crop plant—“an important national materials resource,” the report said.
Although jojoba grows wild, with some plants living up to 200 years, the council said “the vagaries of weather and the remote, steep terrain, unkempt bushes and extreme heat during harvest time make it uneconomic to exploit” the natural stands.
Small experimental plantations have been established in southern California and Israel, the council said.
It takes five years for bushy jojoba plant to mature and bear harvestable quantities of seed. The plant at full growth, stands 7 to 10 feet high.
On the female plants are pods, the size and shape of acorns, that contain the seed. Under cultivation, an average annual yield of five pounds of seed can be obtained from each bush. Since most jojoba seeds are 50 per cent oil, a plantation could yield 1,000 to 2,000 pounds of oil an acre each year.
The council scientists said that plans should “begin immediately” for starting 2,000 acres of plantation to be developed over five years by establishing 400 acres a year.
In time, jojoba plantations could stretch across previously untillable arid lands in the South‐western United States, many of them providing income for impoverished Indians. It was estimated that 17 Indian reservations in California and nine in Arizona were situated where they could own and operate jojoba plantations.
“This unique agricultural product,” the council said, “is well worth subsidizing. The country's need for extremepressure lubricants, for renewable resources and for Indian economic development would be alleviated if jojoba were developed into a crop plant.”
The National Research Council's report was based on a study supported by the Department of Health, Education and Welfare. Dr. Milton Harris, chemist, was chairman of the committee that undertook the study.
The unusual chemistry of the jojoba seed was discovered in 1933. Until then, there had been only a casual interest in the plant.
A traveler to Baja California in 1789 reported that the “berries” were used to facilitate childbirth and as “an excellent remedy for cancer.” Some Spaniards in the area applied the oil as a pomade for their mustaches. Indians occasionally ate the seed raw or roasted. It has a slightly bitter, but not unpleasant, taste. In large amounts, it is reported to act as a strong laxative.
Few Details Recalled
Scientists at the Boyce Thompson Arboretum at Superior, Ariz., became interested in the jojoba in the nineteentwenties. They pressed oil from the seeds and used it for years to lubricate an office fan. Some of the oil was given to a dentist for use on high‐speed instruments where taste of other oils had been objectionable.
Then it wa decided to send some seed to the University of Arizona College of Agriculture for chemical analysis. Dr. Robert A. Greene, a chemist at the college, and Elbert O. Foster, a student, began the tests.
Dr. Greene can recall few details of what he did 42 years ago. He is not even sure whether he still has a copy of his research paper. In a telephone interview, he recalled using a hydraulic press to squeeze the oil out of the seeds. He ran a series of standard chemical tests to learn the molecular structure of the oil.
Fats are composed of a molecule of glycerine to which three molecules of fatty acids are attached. Waxes are composed of one molecule of a long‐chain alcohol to which a molecule of a fatty acid is attached.
Dr. Greene compared the jojoba oil's chemical structure with other known structures and finally noticed the similarity with the sperm oil. He reported, “The constants of this oil are practically identical with those of sperm oil.”
In the years that followed. other scientists confirmed and refined Dr. Greene's findings. But as long as the supply of sperm oil seemed plentiful. there was no great rush to capitalize on the discovery.
The jojoba attracted many advocates, however. The University of Arizona Office of Arid Lands Studies has begun publishing a periodical called “Jojoba Happenings.” There has been an international scientific conference on the jojoba, and another is planned for next year.
Some advocates, like Dr. Thomas K. Miwa of the Department of Agriculture, are lyrical about the jojoba. “I have looked at it as a noble oil, like liquid gold,” he said.

domain: chemistry


How to Check Your Tire Pressure in Hot or Cold Weather
It’s easy to forget about tire pressure unless there’s a problem. You might not think about it when you’re driving, but your tires are the only part of your car that touch the ground. That’s why it’s important to check their pressure regularly.
The question is, though, should you check the pressure when the tires are hot or cold?
When it comes to checking your tire pressure, there is no right or wrong time – as long as you do it regularly. Some people prefer to check their tires when they’re cold since that’s when they’re most inflated. Others like to wait until the tires are hot since that gives a more accurate reading.
So which is the best way to go? Ultimately, it doesn’t matter too much. Make sure you’re checking your tire pressure regularly, and adjust accordingly based on the reading.
If your tires are consistently low, you may want to consider adjusting the air pressure in your tires (either up or down). One thing to keep in mind is that if you check your tire pressure when the tires are hot, let them cool down before making any adjustments. Otherwise, you could end up overinflating or underinflating your tires, leading to serious problems down the road.
Do I Need to Put Air in My Tires When It’S Cold?
Tire pressure can drop about 1 PSI for every 10 degrees Fahrenheit decrease in temperature. So if it’s 70 degrees outside and your tire pressure is 30 PSI, once the temperature falls to 60 degrees, your tire pressure will be 29 PSI. You should check your tires’ pressure at least once a month and before long trips.
You can read this post: When checking tire pressure?
Many gas stations have air pumps you can use for free or a small fee. If it’s really cold outside, say below freezing, you may need to add a little more air to your tires than usual. That’s because cold weather makes the air inside your tires contract, lowering the pressure.
Inflating your tires when it’s cold outside helps keep them properly inflated when the temperature warms up again.
Does Tire Pressure Go Up When Hot?
When the temperature outside rises, so does the pressure inside your tires. As the air inside your tires heats up, it expands and causes the tire pressure to increase. You’ll typically see a 1-2 PSI increase for every 10 degrees of temperature change.
So, if it’s 70 degrees outside and your tire pressure is 30 PSI, it would be 32 PSI when it’s 80 degrees out. It’s important to check your tire pressure regularly – especially during extreme weather changes – to ensure that it is inflated to the proper level. Overinflated tires can lead to a bumpy ride, while underinflated tires can cause premature wear and tear.
What is the Best Time to Check Tire Pressure?
It is best to check your tire pressure when the tires are cold. This means you should check your tire pressure first thing in the morning, or after the car has been parked for a few hours. Checking your tire pressure when the tires are hot can give you an inaccurate reading.
How Long Should I Let My Tires Cool before Checking the Pressure?
You should generally wait at least three hours after driving before checking your tire pressure. This allows the tires to cool down so that you can get an accurate reading. If you must check your tire pressure sooner, make sure to do so when the tires are cold.
Tire Pressure Basics Part One: Cold Inflation Pressure
Checking Tyre Pressure When Hot
It’s important to check your tire pressure when hot, as this is when they are at its highest. You can do this by using a digital tire pressure gauge or visiting a garage with an air compressor. If you’re checking your tires at home, make sure to do it in a cool, shaded area so that the tires aren’t too hot.
Once you’ve checked and inflated your tires to the correct pressure, drive around for a few miles so that they can cool down again. It’s also worth noting that different types of tires will have different optimum pressures when hot. So, if you have any questions, consult your vehicle’s manual or speak to a professional.
It’s important to check your tire pressure regularly, but did you know that the temperature can affect it? Cold weather can cause your tires to lose pressure, while hot weather can make them gain pressure. That’s why it’s best to check your tire pressure when the tires are cold.


In our news cycle, tax reform has been many times over eclipsed by Comey, attempts to gut the Affordable Care Act, and any number of other shenanigans. I’m not going to play attention police and tell you any of those things aren’t important, but I want to come back to tax reform for a moment, because the narratives driving the current administration/GOP tax proposals well pre-date the current president, will live on no matter how/when he leaves, and are incredibly damaging to any attempts at economic fairness.
A couple of weeks ago I attended a forum on tax reform and the racial wealth gap on Capitol Hill. Jeremie Greer of CFED (recently rebranded Prosperity Now) opened the forum with a really important point about the way the Republicans talk about our federal budget. Their narrative goes like this: Spending is bad and we can’t do more and we’re doing it for people who are undeserving. Tax breaks are good, everyone wants one, and the people who get them are deserving. However, Greer noted, they are both spending, and the tax breaks are actually the larger amount by far, and they are extremely regressive—as in they are mostly spending on wealthy individuals and corporations.
The panelists argued that to consistently reframe the narrative we need to stop talking about tax breaks and start talking about tax expenditures, and when it comes to the beneficiaries, actually name them as the subsidies that they are. The mortgage interest deduction, for example, is as much a housing subsidy as a housing choice voucher (and indeed in total costs the federal government far more).
Frank Clemente of Americans for Tax Fairness noted that advocates for various progressive causes ask for budgetary spending all the time, defending programs under threat, supporting expansions, even sometimes talking about redistribution from military to domestic spending. But the left rarely lobbies on tax reform, while the right is “religious” about it. “Whatever your issue is,” Alexandra Bastien of PolicyLink agreed, “it’s a tax code issue.” (And whatever your issue is, we could probably pay to fix a lot of it with the taxes on the $2.6 trillion in corporate profits currently being hidden off shore. Which is a matter of tax reform.)
The panel didn’t get into this part, but it made me think of OMB Director Mike Mulvaney’s attempt to claim that the administration’s massive proposed tax cuts wouldn’t add to the deficit because of something called “dynamic scoring.” In other words, the tax cuts would stimulate so much economic growth that they would “pay for themselves.”
This is ideological wishful thinking, with no empirical evidence behind it, and was rightly scoffed at by many. If all of the data following the federal tax cuts don’t convince you, the disaster unfolding in Kansas after it implemented drastic tax cuts that were right out of the no-tax playbook should. Putting money in the hands of people who will spend it (i.e. not the super rich), not sock it away in a tax-sheltered account, is what stimulates the economy.
However, the problem is in the assumptions that went into the “dynamic scoring,” not the concept itself. Though it’s clearly very susceptible to starting assumptions (as all economic models are, and they are often fed some very bizarre ones), the idea behind dynamic scoring is that you should be feeding changes that happen as a result of your initial policy change back into the model year after year. (When this is done more responsibly with the GOP and admin tax cuts they turn out to maybe be a little cheaper than face value, maybe not, but nowhere near paying for themselves.)
But you can’t do that for tax expenditures and not do it for the whole budget. After all, if the Republicans want to get credit for putative economic stimulus from tax expenditures, they sure as hell shouldn’t get to avoid the much less speculative budgetary consequences of, for example, repealing opioid addiction coverage under Medicaid—i.e. massive increases in costs for crisis care, law enforcement and incarceration, and foster care systems.
Housing the homeless (really housing, not just sheltering) has been repeatedly shown to be cheaper than allowing them to stay homeless. Infrastructure investment now will support economic growth in the future. Eviction and displacement cause massive health crises. And on and on. Often we don’t talk about these programs being budget neutral because the savings show up in different buckets from the one from which the spending happened—but that is a fixable problem.
There would be fights about the assumptions that go into modeling those consequences as well of course (though again, many of them are well-proven, and follow much more direct and predictable mechanisms than tax-expenditure stimulus). And we shouldn’t do anything to give credence to Mulvaney’s unfounded models about the effects of tax cuts.
But nonetheless, it would actually be a great benefit to the political discussion around budgets and public spending and deficits if we didn’t cede the broad idea behind “dynamic scoring” to the fiscal hawks, and didn’t cede the tax reform fight to people who hate the very idea of government.


text:
An amended budget for the 2021-22 school year now has the stamp of approval of School Trustees.
Secretary-Treasurer Jennifer Woollends explains.
“Every year we do a preliminary budget based on expected enrollment for the following year, and then in February of the school year we do an amended budget based on the actual enrollment that we have in the school district. The amended budget reflects the actual outcome that we know.”
The difference this year was actually quite small, somewhere around 48-hundred dollars.
Woollends says work has now begun on the 2022-23 school budget.
“We, at the Board meeting last night, set the budget planning process and meetings that will occur. The first event that happens is in mid-March when the Ministry announces the preliminary funding levels, and then April 6th is our first Administration team meeting to kick off budget discussions. Then we have various meetings that occur after that with District leaders and community partners where we review the budget and look for feedback.”
Woollends says the Board participates throughout the process and will then vote on a preliminary budget at the May Board meeting.

domain: news


text:
5 copy price £13.59
10 copy price £12.78
From Genesis to Revelation, the Bible reveals a God whose creative power and loving care embrace all that exists, from earth and sky and sea to every creeping, crawling, swimming, and flying creature. Yet the significance of the Bible’s extensive teaching about the natural world is easily overlooked by Christians accustomed to focusing only on what the Bible says about God’s interaction with human beings.
In Creation Care, part of the Biblical Theology for Life series, father and son team Douglas and Jonathan Moo invite readers to open their Bibles afresh to explore the place of the natural world within God’s purposes and to celebrate God’s love as displayed in creation and new creation. Following the contours of the biblical storyline, they uncover answers to questions such as:
In addition to providing a comprehensive biblical theology of creation care, they probe behind the headlines and politicized rhetoric about an ‘environmental crisis’ and climate change to provide a careful and judicious analysis of the most up-to-date scientific data about the state of our world. They conclude by setting forth a bold framework and practical suggestions for an effective and faithful Christian response to the scriptural teaching about the created world.
No reviews have been added for this product.
Total Price: £1.99

domain: library


KHARKIV, UKRAINE – NOVEMBER 22: An aerial view of the Saltivka tower block housing estate, that suffered the fiercest fighting when Russian forces attempted to occupy the city, on November 22, 2022 in Kharkiv, Ukraine.
3840X2160 25fps footage © Jason N. Parkinson
These videos are for viewing only and may not be embedded or otherwise published without permission. www.jasonnparkinson.com
For licensing contact: firstname.lastname@example.org


What is AutoCAD used for?
As an architectural CAD program, AutoCAD is used to create drawings, 2D and 3D designs for the building and construction industries. This drawing software can also be used to create construction documentation. AutoCAD is a top-rated CAD program for architects, contractors, structural engineers, interior designers, plumbing, mechanical, electrical and civil engineers, landscape architects, interior designers, developers, construction and building management companies. AutoCAD is also used to perform 2D drafting, measuring, and blueprinting.
The design process begins with a client, project manager, and/or designer entering specifications for the project and various drawings and other documentation. Clients can quickly create a project plan, manage schedules, and track progress, using the program’s tools, modules, and templates.
Licensing of AutoCAD
AutoCAD is licensed to companies and individuals. The program can be used for educational purposes or at a company’s own price. It’s inexpensive for companies to purchase, but those who own the software can sell and trade it. To find out more about licensing, pricing, and to purchase AutoCAD online, visit the Autodesk store.
Is AutoCAD available for free?
AutoCAD can be downloaded for free. The trial version of the program installs quickly and allows the user to create a few drawings. The trial version does not have any features enabled and is limited to drawing simple shapes and creating simple 3D objects. You cannot edit drawings in the trial version.
What is AutoCAD compatible with?
AutoCAD is a desktop, Windows-based application that works with a computer’s internal or external monitor. It does not run in a web browser. Therefore, a dedicated computer with the operating system Windows 7, Windows 8, or Windows 10 is required.
To use AutoCAD, the following computing requirements should be met:
Windows 7, Windows 8, or Windows 10;
2GB free disk space;
100MB free hard drive space;
Access to the Internet;
A solid-state drive (SSD) or high-speed hard drive to store AutoCAD data;
Powerful processor with advanced graphics capability;
1024-by-768-pixel screen resolution;
An internal or external monitor.
AutoCAD Crack + Product Key Free Download
Other CAD software
Autodesk also provides AutoCAD Activation Code for Freehand, which has a similar interface, and was based on FreeHand and Freehand MAX, and Freehand SketchBook, an online drawing editor, plus Vectorworks and Modo. AutoCAD Serial Key LT and AutoCAD Architecture has a similar interface.
AutoCAD originally incorporated many parts of Autodesk’s other products such as AutoCAD Mechanical, Alias-PowerAnimator and PowerAnimator, AutoCAD Map 3D and Subdivision Surf, and PowerSurf. AutoCAD was initially designed to work with the new AutoLISP language, which was initially supported only by the 1993 version. In 1995 Autodesk brought the underlying architecture of AutoCAD to its Inventor product. Later, the company extended the underlying architecture to its other products like Autodesk Alias-PowerAnimator, Autodesk Map 3D, and Subdivision Surf, and Autodesk FDS (automation framework for Autodesk software).
In 1999 Autodesk introduced AutoLISP version 2, the current version of AutoLISP, to provide a flexible and robust programming language. It supports both object-oriented programming and procedural programming. It is the core programming language of AutoCAD.
The system has been delivered in multiple editions, which include the core and additional features: AutoCAD was initially available in three editions: AutoCAD LT, AutoCAD 2000 and AutoCAD LT NT. AutoCAD LT NT was a regular commercial license that included all of the product’s functionality and updates. AutoCAD 2000, a series that included the ability to add plugins and complete functionality, was available for about six months. The LT NT editions have been discontinued, and AutoCAD LT is available as a single edition.
AutoCAD LT is the version of AutoCAD specifically designed for personal use. It was replaced by AutoCAD 2009, and AutoCAD LT was discontinued. AutoCAD LT 2010 was based on AutoCAD 2010. AutoCAD LT 2011 was based on AutoCAD 2011. AutoCAD LT 2012 was based on AutoCAD 2012. AutoCAD LT 2013 was based on AutoCAD 2013. AutoCAD LT 2014 was based on AutoCAD 2014. AutoCAD LT 2015 was based on AutoCAD 2015. AutoCAD LT 2016 was based on AutoC
Open the Autocad keygen tool.
Open the input file.
If you have already made a source model, the keygen will direct you through the process.
Otherwise, type in the path to the *.gdd file that you just extracted, and hit Enter.
If the script asks to extract an exe and place it somewhere, press Enter and move the file to
If the script asks to generate a project, press Enter.
The keygen will generate an Autocad project file that you can open in Autocad.
To create an Autocad project file:
Open the command prompt in the folder where the *.gdd file is located.
Type “acadkeygen.exe” /project: /makefile
where is the name of the *.gdd file you just created.
As already mentioned in the comments, the answer you provided is correct. But I hope that the next user does not have the same problem as you, since I just spent half a day to finally find the answer (the keygen executable is not in the installation directory of AutoCAD). You can easily find it yourself, but I will try to simplify the process, so that it might be used for future reference:
Download the Autocad 2016 64 bit download page.
Download the Autocad 2016 64 bit icon image.
Copy the image to your Windows Desktop, open the Windows Explorer, navigate to the folder where you want to put the *.gdd file, copy the *.gdd file to this folder.
In Windows Explorer, right click on the *.gdd file and select Copy from: My Computer.
In the command prompt, navigate to the folder where the *.gdd file is located.
Type “acadkeygen.exe /project:” and press Enter.
You will have to put the path to the Autocad installation folder as shown in the command prompt.
The script will generate a *.gdd project file.
PFAW and 37 percent of Americans oppose the new immigration law, and 42 percent say they have a favorable opinion of it, the poll finds.
Support for the law is strongest among whites, especially whites without
Geometry-based Part and Connection Recognition (GPCR) technology helps AutoCAD to identify parts and their geometry for design intent analysis and the creation of assembly models (video: 3:30 min.)
Re-format and complete your designs with a new Clipboard. Now, you can maintain your design intent in every view and every drawing (video: 1:40 min.)
3D Preview and Markup:
A new 3D preview feature helps you to quickly check the integrity of your model, whether you are creating a 3D model for Autodesk Live Rendering or generating a rendering of your model (video: 3:16 min.)
Improved Vector View:
Redesigned Vector View shows all layers and objects at the same time, letting you keep your drawing organized while working. You can easily add and delete layers, while also printing the document without duplicating your layers. (video: 1:10 min.)
Help you to see the structure of your model and display simple drawing lines on your surfaces.
Use them to quickly change the appearance of text and lines. (video: 2:00 min.)
New workflow enhancements:
Easy data management and a flexible drawing environment to make you more productive and productive.
Get feedback on your drawings while editing shared files. Compare versions, and chat with colleagues about changes and comments in the drawing at the same time. In the cloud, use the Autodesk Design Review tool to discuss, comment and revise on your designs together.
Draw and manage your designs anywhere — in both AutoCAD and AutoCAD LT.
Embed dimensions and materials into your model, print parts, generate photorealistic rendering, and generate a stereolithographic file. It’s also easier to make modifications to a part in the STL file than in the drawing. (video: 2:42 min.)
Revisit and Print:
Revisit and print your designs to virtually any format, whether it’s paper, whiteboard, blueprint, and so on. Use revised designs to:
Print interactive models for no setup time. (video: 3:40 min.)
Import reusable views and automatically revisit for change review
System Requirements For AutoCAD:
It seems you’ve forgotten something.
You need to give your notice.
Your Boss has asked you.
Your Significance is becoming a liability.
This is the story about Job Counselling, a man who had been employed by a corporate firm for over ten years. He was an employee who was ready to retire and start a new chapter of his life. At an age when most people would look forward to the prospect of a carefree life, he’d become jobless and had to struggle to keep himself going. It was painful


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Watch: Kartik Aaryan, Deepika Padukone perform Dheeme Dheeme hook step at Star Screen Awards 2019
Mumbai : Only when we thought Kartik Aaryan and Deepika Padukone's 'Dheeme Dheeme' could not get better after the two were seen dancing on it at the Mumbai airport, they decided to surprise the fans with the hook step at the Star Screen Awards 2019.
The award ceremony was held in Mumbai on Sunday night.
A fan page of Deepika Padukone posted the short video clip from the award night where both the actors can be seen performing it in front of the audiences.
In the video, Deepika can be seen dressed in a black Alex Perry gown and Kartik can be seen wearing a tuxedo.
In case you have missed their dance practice video on the hook step at Mumbai airport then click HERE
On the work front, Deepika will next be seen in Meghna Gulzar's Chhapaak, the trailer of which is slated to release on Tuesday. While, Kartik Aaryan's Pati Patni Aur Woh, co-starring Ananya Panday and Bhumi Pednekar, which released on Friday, has managed to collect Rs 35.94 crore as of now.


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Before AUGUSTUS N. HAND, CHASE and FRANK, Circuit Judges.
The question which must be answered on this appeal is whether the wife of an American soldier who is a war bride within the purview of Public Law 271 of 1945, 59 Stat. 659, 8 U.S.C.A. § 232, may be denied admission to the United States without a hearing before a Board of Special Inquiry.
The relator-appellant is the lawful wife of Kurt W. Knauff who is a naturalized American citizen now employed in a civilian capacity by the American Army of Occupation in Germany. Mr. Knauff served as a soldier in the armed forces of the United States from November 21, 1942 until he was honorably discharged on January 17, 1946. He married the appellant in Germany on February 28, 1948 after having obtained consent so to do from the Office of the Advocate General of the United States Army at Frankfort-on-the-Main. The appellant, born on January 1, 1915, is a native of Germany who is now stateless and who served in England in the Royal Air Force as a flight sergeant from January 1, 1943 to May 30, 1946 and later was employed in Germany in the Civil Censorship Division and the Signal Division of the United States Army. Her official record in so far as appears is excellent.
She obtained temporary leave from her employment in Germany in June 1948 to enter the United States to apply for naturalization as an American citizen under the provisions of Sec. 312 of the Nationality Act of 1940, 8 U.S.C.A. § 712, and arrived at the Port of New York on an American Army transport on August 14, 1948. After examination she was temporarily excluded by an immigration inspector. Thereafter she was denied further hearing and the exclusion order was made permanent by action of the Attorney General pursuant to the provisions of Sec. 175.57(a) of Title 8 of the Code of Federal Regulations. She has since been detained at Ellis Island for return to Germany. The writ was issued on the application of her husband who came here for that purpose and who has since returned to Germany. It was dismissed after hearing and upon a rehearing the order of dismissal was left unchanged.
Sec. 223 of Title 22 U.S.C.A., 40 Stat. 559, as amended, 55 Stat. 252, provides that: "When the United States is at war or during the existence of the national emergency proclaimed by the President on May 27, 1941 [No. 2487, 50 U.S.C.A.Appendix, note preceding § 1], or as to aliens whenever there exists a state of war between, or among, two or more states, and the President shall find that the interests of the United States require that restricttions and prohibitions in addition to those provided otherwise than by sections 223-226(b) of this title be imposed upon the departure of persons from and their entry into the United States, and shall make public proclamation thereof, it shall, until otherwise ordered by the President or Congress, be unlawful -
"(a) For any alien to depart from or enter or attempt to depart from or enter the United States except under such reasonable rules, regulations, and orders, and subject to such limitations and exceptions as the President shall prescribe; * * *."
On November 14, 1941 the President did, by Proclamation No. 2523, 55 Stat. 1696, impose restrictions and prohibitions in addition to those otherwise provided by law upon the departure of persons from and their entry into the United States which were to remain in force and effect until he otherwise ordered. This proclamation, insofar as now pertinent, provided that, "No alien shall be permitted to enter the United States if it appears to the satisfaction of the Secretary of State that such entry would be prejudicial to the interests of the United States as provided in the rules and regulations hereinbefore authorized to be prescribed by the Secretary of State, with the concurrence of the Attorney General."
Pursuant to the authority thus given them the officials just named did prescribe the rules and regulations which apply to the entry of the appellant and which are to be found in Title 8 of the Code of Federal Regulations Secs. 173.53 and 175.57. In Sec. 175.53 aliens who are excludable are classified in some detail and in Sec. 175.57 it is provided that, "(a) Any alien, even though in possession of a permit to enter, or exempted under §§ 175.41 to 175.63, inclusive, from obtaining a permit to enter, may be excluded temporarily if at the time he applies for admission at a port of entry it appears that he is or may be excludable under one of the categories set forth in § 173.53. The official excluding the alien shall immediately report the facts to the head of his department, who will communicate such report to the Secretary of State. Any alien so temporarily excluded by an official of the Department of Justice shall not be admitted and shall be excluded and deported unless the Attorney General, after consultation with the Secretary of State, is satisfied that the admission of the alien would not be prejudicial to the interests of the United States. Any alien so temporarily excluded by any other official shall not be admitted and shall be excluded and deported unless the Secretary of State is satisfied that the admission of the alien would not be prejudicial to the interests of the United States.
(b) In the case of an alien temporarily excluded by an official of the Department of Justice on the ground that he is, or may be excludable under one or more of the categories set forth in § 175.53, no hearing by a board of special inquiry shall be held until after the case is reported to the Attorney General and such a hearing is directed by the Attorney General or his representative. In any special case the alien may be denied a hearing before a board of special inquiry and an appeal from the decision of that board if the Attorney General determines that he is excludable under one of the categories set forth in § 173.53 on the basis of information of a confidential nature, the disclosure of which would be prejudicial to the public interest."
It was as a result of following the procedure thus provided and the exercise of the authority thus given to the Attorney General that the appellant was excluded and ordered deported to Germany.
Passing for the moment any rights she or her husband may have under the socalled War Brides Act, supra, we hold that the action taken in respect to her was lawful. Sec. 223 of Title 22 U.S.C.A. together with the President's Proclamation pursuant thereto and the rules and regulations promulgated thereunder set up a basis, and the applicable procedure, for the exclusion of aliens in addition to that found in Secs. 136 and 137 of Title 8 U.S.C.A. and the procedure prescribed in Sec. 152 of that Title. It is not claimed, and the claim would clearly be untenable if made, that either Sec. 136 or 137 applies and neither does Sec. 152, either by statute or by the President's Proclamation, where, as here, the exclusion is "on the basis of information of a confidential nature, the disclosure of which would be prejudicial to the public interest."
Thus it was provided that, as was done in this instance, an alien who sought entry to the United States could be temporarily excluded by any official of the Department of Justice and could not be admitted but must be excluded permanently and deported unless after the temporary action had been reported to the Secretary of State the Attorney General was satisfied that the admission of the alien would not be prejudicial to the interests of the United States. And the Attorney General could reach the conclusion that he was satisfied that the alien should be admitted only after he had consulted the Secretary of State. There is no requirement, however, that the Attorney General need consult the Secretary of State in the event that he is not satisfied that the alien may be admitted without prejudice to the public interest. In this instance it does not appear whether the Attorney General did consult the Secretary of State and though the appellant raises that point it is of no consequence for the reasons just stated.
The appellant's other contentions to the effect that the basis of her exclusion and the procedure followed were unlawful are that Sec. 223 of Title 22 U.S.C.A. is too vague in its attempted delegation of legislative power; that the regulations do not conform to the President's Proclamation and that the ...

domain: law


What you see above is a leaked press image of the Nokia Lumia 929, a device heading to the Verizon network in USA, exclusively. The image comes via @evleaks who has a good track record of getting it right. So, assuming the name is right, the Lumia 929 sports a 20 Megapixel PureView Camera on its back, which is purportedly the same one that is coming up on the Lumia 1520 too. The device also looks to have a polycarbonate matte body, which looks similar to the one on the Lumia 720.
With three columns of medium sized tiles, it reiterates the fact that it is going to run on Windows Phone 8 with GDR3. The cluttered mess of the UI is even more pronounced since the screen looks visibly smaller than the Lumia 1520’s press image. We are thinking around 5 inches would be a fair estimate. It also raises the question of a 1080p resolution, as GDR3 brings support for it, finally.
We have no other details of the device except that it will come in Black, White and Red. If the Lumia 928 as a 920 variant is to be considered, the Lumia 929 will also be similar with one of its USPs being the camera. The 20MP era has arrived and we think Nokia too will adopt the 1/2.3″ 20MP sensors made by Sony. We expect this trend to catch on with several other manufacturers soon. That said, we barely have enough details to whet your thirst for information, so stay tuned as we try to get information about the Lumia 929 when possible.


Torbay planners are today considering two major applications at either ends of the Bay.
First on the agenda at the development management committee meeting at Torquay Town Hall is major regeneration of the former Nortel/Bookham site off Brixham Road in Paignton.
Planners are being asked to approve changes which would allow another food supermarket on the Torbay Ring Road amid concerns about the impact on the town centres of Paignton and Brixham.
Councillors are also being asked to give their go ahead to a block of 75 one and two bedroom apartments with 92 parking spaces in Torre Marine, at the gateway to Torquay.
There is a long planning history to the site, but the latest proposals are not for old people's flats but for residential apartments, on a similar site footprint and size as previous proposals which were approved.
This is an outline application.
Follow the debate live here:
It was agreed with one vote against by Cllr Nick Pentney and Ian Doggett abstained.
Cllr Nick Pentney said parking was one of the biggest issues and the problems cannot be understated. Welcome the upping of the amount of parking, but it will not provide more parking for other residents. Even if each household only had 1.5 cars, that car park would still overflow and have a detrimental impact on the troubled parking elsewhere.
Cllr Jane Barnby said the parking is appalling but said the site was an eyesore, hideous and dangerous so she supported the application.
Cllr Ian Doggett had sympathy with the parking problems.
Cllr David Thomas said there is a current plan on site with 72 flats with 32 spaces, a material start has been made on the site it could be argued, or 75 flats with 92 spaces is a huge increase in the spaces on site. He did appreciate 92 aren’t going to answer the previous situation at Torre Marine.
He moved approval, subject to conditions, seconded byt Cllr Jane Barnby.
Cllr Terry Manning asked about fire safety in a seven storey building and the number of staircases. Mr Jones said that would be subject to building regulations, the current application is outline only.
Cllr Ian Doggett, questioned about the provision of disabled parking and electric car charging points.
Mr Jones said these would be covered by conditions.
Cllr David Thomas asked what the current parking policy is in this location. Mr Pickhaver said the local plan policy for town centres would not cover this site, it would normally be one space per flat. It’s in an accessible situation, close to the town station, and railway station. It would be acceptable to take that into account. He did appreciate there are problems with Torre Marine at the moment, but he advised the parking requirements are within the scope of the local plan.
Cllr Ray Hill said he wanted to be assured the spaces were allocated to the flats. Mr Jones said they wanted to maximise the parking on the site, there is a condition for a parking management plan for submission to the council.
He said this area was renowned for drainage problems and flooding and not just fresh water flooding. He asked if officers were confident the issues had been resolved for this application, but for the site as a whole.
Mr Jones said it was important the proposals did not increase the flood risk and that surface drainage was adequately dealt with and after negotiations they believed the solution was acceptable for this application.
Cllr Terry Manning said with the increase in parking provision is appreciated.
Agent for the application
Mr Tom Whild from Kenpark Planning Consultants said he represented active developers with work under way elsewhere.
The site has become something of a blot on the landscape. The current application is on the same footprint and of the same scale or slightly lower in parts than the previous. Extra attention water storage has been introduced for drainage, the parking numbers increased.
The scheme will have benefits including 75 homes, the investment in jobs, but also regeneration of this brownfield site which has become rather unattractive over the years.
Mrs Margaret Forbes Hamilton objecting
Mrs Forbes Hamilton is chair of the Torrre and Upton community partnership, she said this has been a ‘purely speculative’.
The community partnership has been involved in the development. The abandoned site has been a grave concern, but they have serious misgiving about the applicaitions.
The 75 flats could house up to four adults each, compared with the extra care units and a retirement block. This will put a strain on local services. Even if the cars were limited to one per unit, the access is narrow and crowded and could be dangerous. There have been problems with traffic on the site and emergency services have problems with access.
The extra traffic created in this area will ‘create chaos’ she said. There are family houses next to the site and children play in the area. Children will cross the road to access the new play park, straight across the entrance to the new development.
I recommend you refused the application but although we object to this we would generally support a retirement provision as originally proposed.
Mr Jones said this is a stalled site, and the application could unlock a brownfield site which has stood untouched for several years.
On balance following the amendments to access and bin and cycle storage, and increased parking the officers are recommending conditional approval.
Jobs could be created
The officers say the build cost could be between £5m and £10m and produce around 60 to 130 construction jobs. The incomes of the occupants could represent a combined income of £1.73m a year being added to the economy, says the report.
Planning officer Mr Scott Jones
Presenting the outline application Mr Jones pointed out this is the last undeveloped piece of the former Torquay Technical College/South Devon College site off Barton Road/Newton Road.
The drawings are indicative only, that show a ‘fairly modern building with large elements of glazing and some panelling’, he said.
He said revisions negotiated including creating 92 spaces for the 75 units, officers had concerns about pressure on parking in the area so the applicants have increased the basement level so there are now 17 extra spaces. There is also cycle parking.
In the southern corner there is now a lobby for pedestrian access from the footpath. The play area currently being built is outside the application area.
Officers wanted some connectivity to the town and seafront and rail station with pedestrian access through the site.
There have been several letters of objection from residents already living in Torre Marine, principally concerned about the lack of parking spaces and traffic generated. They say providing one parking space per flat and five visitor spaces is ‘totally inadequate’. Emergency vehicles already struggle to access McKay Avenue and cars already park on pavements because of a lack of space.
Now the proposals for a new flats block at Torre Marine at the gateway to Torquay
This is another high visibility site just off Newton Road, at the gateway to Torquay. There have been previous plans but previous developers have pulled out.
Now instead of retirement flats the proposals are for market residential flats, 75 one and two bedroom flats, with 92 car parking spaces and amended cycle and waste storage.
Permission was originally given for 61 sheltered flats and some office space. A start had been made on site but it was mothballed due to the state of the housing market at the time, councillors have been told.
The officers say the new proposals are essentialy similar in footprint and size as the previous proposals.
Cllr Ray Hill
The site is contaminated and if this proposal is needed to allow it to be decontaminated. Get that done and they can get on with the rest of the development.
Cllr Terry Manning said it would make it look nicer for people going into Brixham, and will benefit the town at the end of the day. He supports it.
Cllr Mike Morey
Cllr Morey said they all had the desire to regenerate the town centres, but Crossways is in private hands and they have no influence on when any application comes forward. It is clear through another part of the council that is going to take some time, if not a long time he said.
Brixham town centre is probably the same distance from the site, unfortunately now appears the council is not pushing the town centre site for ‘some unknown reasons’ and putting other sites ahead.
“If it was on it’s own I might be a bit more iffy about it, but this is an opportunity to kickstart the whole development and we all want to see that eyesore developed.”
Cllr david Thomas
Said it was a plan for regeneration in a future growth area, on a contaminated site and a development which had stalled.
It is a brownfield site and an eyesore and thankfully it was flattened some more some months ago and boarding put up to improve its appearance.
We have already heard about the number of jobs, employment space and ultimately brings forward a housing site which will be massively important for our five year plans. It helps bring forward the previous permission the council gave. if this one unit doesn’t have the benefit of the pre-let then the whole site will not be brought forward, he said.
The housing cannot be built until the retail is complete. He said he supported the application.
Cllr David Thomas
He said they have a delicate balancing act to perform, between the impact on other sites. He said the larger sites in Paignton and Brixham currently don’t benefit from a live planning application or permission. Mr David Pickhaver, senior officers, says the sites have to be suitable and available to be in the sequences, but neither have planning permission and Crossways would need redeveloping. On balance neither site is available to the developer at the moment so are not subject to the sequential test of best site.
Mr Scott said they expect the new store to have a similar financial impact than the previously agreed scheme.
Cllr Mike Morey said between Tweenaway and the site there are three stores, Aldi, Sainsbury’s and Asda and Morrison’s nearby. He asked if there was a precedent.
Mr Jones said those stores already impacted the town centre. By introducing a further one, the impact would be on those existing stores on the ring road. If there was food retail there already the findings would probably be different.
Cllr Jane Barnby
She asked how its size compares with other stores along the Torbay Ring Road. Mr Jones said it would be slightly larger than the Aldi at Yannons Farm.
She said in the news M&S recently said they were reviewing their food stores. It’s all very well agreeing it, but it concerns me when they said in the news they will not be opening a new store.
Mrs Helen Addison, team leader, said they could not impose any conditions on what retailer goes in the unit. “You could just as easily end up with Famr Foods there,” she said.
Jeremy Heath from Devonshire Park, the developers says M&S want to be in Paignton
Mr Heath said he was delighted to confirm the application is to secure a fourth pre-let unit, Marks sand Spencer for a food store.
The White Rock is committed to Lidl. So the White Rock site is not available to any other food retailer. We consider therefore it is no longer available in the retail impact test. The overall impact is similar to that originally proposed. Concern has been raised about the impact on the town centre, most of the diversion to M&S will be from existing stores . The retail impact is at an acceptable level, he said.
The development expected to provide 140 to 170 on site, M&S 55-60 jobs in that single unit, the vast majority from the local population, so more jobs will be available.
The approval of this application is the springboard to the much needed development, meaning they could start early in the new year on site.
Groundworks would be carried out first before construction.
Mr Jones said they are recommending approval but with some conditions including securing remediation of the entire site to make it more attractive to housing providers, and subject to previous conditions in the application, as the food retail unit will generated slightly more traffic, the application should secure additional funding for improvements to the Torbay Ring Road some £36,000.
The impact on shopping patterns
The impact on shopping patterns has to be considered. The retail advice includes a degree of concern about the impact on Paignton town centre while it is losing market and is very sensitive to small changes. The proposal would introduce competition for food retailers in the town centre.
On the positive side Mr Jones said the floor space was not being increased and the council’s retail adviser has agreed including the food sales is not likely to worsen the impact.
There would be a reduced bulky goods area and so competition in this line of goods.
Recapping, Mr Jones said they felt it failed the sequential test, but it is the one identified site which is preferable and it is not considered it will demonstrably fail the retail impact test.
The site is in an identified future growth area for employment and housing, the previous Nortel/Bookham said had left contamination which this scheme would resolve. The applicant has confirmed he is prepared to remediate the site for the future use proposed.
The amendments could secure the regeneration of this ‘eyesore’ site sat on major roads. If it can help bring the site forward it will take away it’s negative visual impact on the area. It could also deliver further housing.
Some 55/60 retail jobs could be created with a food store, an extra 17 full time over the current proposals.
There could be alternatives sites but Crossways in Paignton but it was advised it would be difficult to deliver that site within a definite time period. At this moment in time the redevelopment could be discounted of this site.
Middle Street Brixham has slightly more potential but the likelihood of this coming forward was even more remote.
White Rock has permission for a similar scheme, an is considered suitable and available site. But there is a degree of uncertainty of whether delivering it at White Rock would have any greater benefit and support the town centre any better.
What was allowed before
Th are was a list of items the centre could sell and the application is to include convenience food in one unit. This is an alternative use rather than for an additional unit, said Mr Jones.
The applicant has said there has been difficulty getting the required level of interest from retailers to get the scheme started and this change would help.
The members have to consider the impact on other town centres and whether there is a preferable location for this use.
The former Nortel site off Brixham Road is up first
Senior planning officer Scott Jones explained this application is to amend a condition on the planning approval already existing.
The application is for up to 255 dwellings, bulky good retail, employment space and garden centre and cafe restaurant.
The land is currently derelict off Torbay Ring Road/Brixham Road opposite the new White Rock development.
Mr Jones said the majority of buildings on the southern half of the site were demolished and it has sat like that for some time. The site is generally in poor repair and sat idle.
There is a master plan with housing on the northern side of the site, and the retail to the south and employment space next to it.
The outline consent was finely balanced because of the degree of adverse impact on the town centres.
Permission was granted with four retail based conditions with a total limited floorspace, the range of goods to be sold which the applicant wants to ammend, the minimum size of units and restrictions on concessions.
Cllr Roger Stringer
The councillors started with a minute’s silence for the late Cllr Roger Stringer who had been a long standing member of the committee.


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domain: travel


text:
Saturday, April 2, 2022
4:00 pm – 6:30 pm
Celebrate the ‘Festival of Colors’ at New York City’s best family Holi event. Mark the beginning of spring at an unforgettable day of Bollywood dancing, delicious food, and live music. Each session culminates in color powder play in the park. Be sure to wear WHITE!
The Story of Holi & Bollywood Dance with Ajna Dance Company
4:30 pm–5:00 pm
Hear the story of Holi and move to the rhythms of Bollywood dance with Ajna Dance Company. This 30-minute program consists of storytelling, a dance performance, and a dance workshop that showcases the traditions and rituals of Holi.
Bharatnatyam Dance Program with Jiva Performing Arts
5:30 pm–6:00 pm
Join Jiva Performing Arts and discover the beauty of Bharatnatyam dance, one of the eight classical dance forms of India. This 30-minute interactive program consists of a live dance performance with a variety of dancers of all ages.
Dhol Drum Procession
6:00 pm–6:10 pm
Meet us on our rooftop and follow the beat of the Dhol drum as we’re guided to neighboring Brower Park where color powder play will begin.
Color Powder Play
6:10 pm–6:30 pm
Let the party begin! Pick up your powder and get ready as DJ Dynamite plays dance music and counts down to the start of color powder play.

domain: artistic


text:
Search All Research Studies
AHRQ Research Studies Date
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 25 of 247 Research Studies Displayed
Schnitzer K, Senft N, Tindle HA
Understanding engagement behaviors and rapport building in tobacco cessation telephone counseling: an analysis of audio-recorded counseling calls.
This study explored smokers’ and counselors’ engagement and rapport-building behaviors in telephone counseling for smoking cessation and patterns of these behaviors by smokers’ psychiatric symptoms. The study transcribed audio-recorded counseling calls among recently hospitalized participants enrolled in a smoking cessation randomized controlled trial (RCT). The study used baseline RCT data to explore frequencies of smokers’ behaviors among smokers who reported more symptoms of depression (PHQ8 ≥ 10) or anxiety (GAD7 ≥ 10) at study entry. A total of 37 participants were included, who were mostly female (23), White (26), with a median age of 58. At study entry many participants experienced moderate-to-severe symptoms of depression (18/37) and anxiety (22/37). Counselor-led behaviors included building off priority interaction, empathy, normalizing challenges, reframing and summarizing, validating achievements, and expressing shared experiences. Participant-led engagement behaviors occurred more often among patients with higher baseline depression and anxiety symptoms compared to those with lower symptom scores.
Citation: Schnitzer K, Senft N, Tindle HA . Understanding engagement behaviors and rapport building in tobacco cessation telephone counseling: an analysis of audio-recorded counseling calls. J Subst Abuse Treat 2022 Apr;135:108643. doi: 10.1016/j.jsat.2021.108643..
Keywords: Tobacco Use: Smoking Cessation, Tobacco Use, Patient and Family Engagement, Lifestyle Changes
Turvey CL, Fuhrmeister LA, Klein DM
Patient and provider experience of electronic patient portals and secure messaging in mental health treatment.
This study explored patient and provider experience of patient electronic access to the mental health treatment record and the use of secure messaging. Participants received online surveys with questions about their experiences. Researchers concluded that the implementation of electronic access to mental health notes requires a transition from viewing the medical record as the exclusive tool of providers to that of a collaborative tool for patients and providers to achieve treatment goals.
Citation: Turvey CL, Fuhrmeister LA, Klein DM . Patient and provider experience of electronic patient portals and secure messaging in mental health treatment. Telemed J E Health 2022 Feb;28(2):189-98. doi: 10.1089/tmj.2020.0395..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Patient Experience, Behavioral Health, Patient and Family Engagement
Schnock KO, Snyder JE, Gershanik E
Unique patient-reported hospital safety concerns with online tool: MySafeCare.
This study evaluated the MySafeCare (MSC) application at six acute care units for 18 months as part of a patient-centered health information technology intervention to promote engagement and safety in the acute care setting. This web-based application allowed hospitalized patients to submit safety concerns anonymously and in real time. The authors evaluated rates of submissions to MSC and compared them to the hospital’s submissions to the Patient Family Relations Department. They received 46 submissions to MSC, and 33% of them were received anonymously. The overall rate of submissions was 0.6 submissions per 1000 patient-days, which was considerably lower than the rate of submissions to the Patient Family Relations Department during the same time period (4.1 per 1000 patient-days). MSC did capture important content concerning unmet care needs and preferences, inadequate communication, and concerns about safety of care.
Citation: Schnock KO, Snyder JE, Gershanik E . Unique patient-reported hospital safety concerns with online tool: MySafeCare. J Patient Saf 2022 Jan;18(1):e33-e39. doi: 10.1097/pts.0000000000000697..
Keywords: Patient Safety, Health Information Technology (HIT), Hospitals, Patient-Centered Healthcare, Patient and Family Engagement
McAlearney AS, Sieck CJ, Gregory ME
Examining patients' capacity to use patient portals: insights for telehealth.
The objective of this study was to examine factors related to patients' capacity to use a patient portal and test the impact of these factors on patients' portal use. Using data from a large-scale randomized controlled trial of patient portal use, over one thousand hospitalized patients responded to survey items that were then mapped onto the 4 dimensions of the Engagement Capacity Framework. Findings showed that patients with fewer resources, fewer capabilities, lower willingness, and lower overall capacity to use patient portals used the portal less; in contrast, those with lower perceived self-efficacy used the portal more. These differences in patients' capacity to use patient portals provide an initial understanding of factors that may influence the use of telehealth and offer important guidance in efforts to support patients' telehealth use.
AHRQ-funded; HS024379; HS024091; HS024349.
Citation: McAlearney AS, Sieck CJ, Gregory ME . Examining patients' capacity to use patient portals: insights for telehealth. Med Care 2021 Dec;59(12):1067-74. doi: 10.1097/mlr.0000000000001639..
Keywords: Telehealth, Health Information Technology (HIT), Patient and Family Engagement
Brown TT, Hurley VB, Rodriguez HP
Association of patient engagement strategies with utilisation and spending for musculoskeletal problems in the USA: a cross-sectional analysis of Medicare patients and physician practices.
This cross-sectional study assessed the association of physician practice-level adoption of patient engagement strategies (PES), such as shared decision-making and motivational interviewing, with utilization and spending. The cohort included primary and secondary patients in 2190 practices who receiving treatment for hip (39,336), knee (48,362), and lower-back (67,940) issues who were Medicare beneficiaries that were matched to the 2017-2018 National Survey of Healthcare Organizations and Systems. Outcome measures were total knee replacement (TKR), total hip replacement (THR), 1-2 level posterior lumbar fusion (LF), total annual spending, and components of total annual spending. Spending was significantly lower in some categories for practices with relatively higher PES adoption, but did not differ for other practices. The odds of receiving THR were higher in independent practices for patients attributed to practices with moderate PES compared to patients in practices with low PES.
Citation: Brown TT, Hurley VB, Rodriguez HP . Association of patient engagement strategies with utilisation and spending for musculoskeletal problems in the USA: a cross-sectional analysis of Medicare patients and physician practices. BMJ Open 2021 Nov 26;11(11):e053121. doi: 10.1136/bmjopen-2021-053121..
Keywords: Patient and Family Engagement, Healthcare Utilization, Healthcare Costs, Arthritis, Orthopedics
Fuji KT, Abbott AA, Galt KA
A mixed-methods evaluation of standalone personal health record use by patients with type 2 diabetes.
The purpose of this study was to compare use of a standalone personal health records (PHRs) by patients with Type 2 diabetes to usual care through assessment of self-care behaviors, and short-term impact on social cognitive outcomes and hemoglobin A1c (HbA1c). Five themes emerged from the qualitative analysis describing participants' experiences with the PHR and identifying reasons for lack of engagement. Study findings revealed low PHR uptake and minimal impact on study outcomes, including lack of communication and information-sharing between patients and providers.
Citation: Fuji KT, Abbott AA, Galt KA . A mixed-methods evaluation of standalone personal health record use by patients with type 2 diabetes. Perspect Health Inf Manag 2021 Fall;18(4):1e..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Diabetes, Patient Self-Management, Chronic Conditions, Patient and Family Engagement
De Roo AC, Vitous CA, Rivard SJ
High-risk surgery among older adults: not-quite shared decision-making.
This study explored surgeons’ approaches to decision-making for surgery among adults ≥65 years at high-risk of postoperative complications or death. The authors conducted semistructured in-depth interviews with 46 practicing surgeons across Michigan. They found that although shared decision-making is strongly recommended, surgeons who perform high-risk operations among older adults predominantly focused on assessing risk and setting expectations with patients and families rather than inviting them to actively participate in the decision-making process. Surgeons were also influenced by quality metrics, referrals, and personal experiences.
AHRQ-funded; HS026772; HS000053.
Citation: De Roo AC, Vitous CA, Rivard SJ . High-risk surgery among older adults: not-quite shared decision-making. Surgery 2021 Sep;170(3):756-63. doi: 10.1016/j.surg.2021.02.005..
Keywords: Elderly, Surgery, Decision Making, Patient and Family Engagement
Smith BM, Sharma R, Das A
Patient and family engagement strategies for children and adolescents with chronic diseases: a review of systematic reviews.
Patient and family engagement is important for family-centered care, particularly for children and adolescents with chronic disease. In this study the investigators aimed to 1) identify available evidence from systematic reviews on engagement strategies used to help children, adolescents, and their caregivers manage chronic conditions, and 2) identify gaps in the literature. They searched PubMed and CINAHL from January 2015 to January 2020 for systematic reviews on patient and family engagement strategies in the pediatrics population (<18 years).
Citation: Smith BM, Sharma R, Das A . Patient and family engagement strategies for children and adolescents with chronic diseases: a review of systematic reviews. Patient Educ Couns 2021 Sep;104(9):2213-23. doi: 10.1016/j.pec.2021.02.026..
Keywords: Children/Adolescents, Patient and Family Engagement, Chronic Conditions, Patient-Centered Healthcare, Evidence-Based Practice, Patient Self-Management
Hershberger PJ, Pei Y, Bricker DA
Advancing motivational interviewing training with artificial intelligence: ReadMI.
The research team developed and tested a training tool, Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI), that uses natural language processing to provide immediate motivational interviewing (MI) metrics and thereby address the need for more effective MI training. They found that the more time a physician spent talking, the less likely the physician was engaging in MI-consistent interview behaviors, including open-ended questions, reflective statements, or use of a change ruler. They concluded that ReadMI produced specific metrics that a trainer can share with a student, resident, or clinician for immediate feedback.
Citation: Hershberger PJ, Pei Y, Bricker DA . Advancing motivational interviewing training with artificial intelligence: ReadMI. Adv Med Educ Pract 2021 Jun 4;12:613-18. doi: 10.2147/amep.S312373..
Keywords: Lifestyle Changes, Clinician-Patient Communication, Patient and Family Engagement
Willard-Grace R, Knox M, Huang B
Primary care clinician burnout and engagement association with clinical quality and patient experience.
Burnout and engagement are commonly conceptualized as opposite ends of a spectrum, and there is concern that high clinician burnout and lack of engagement may adversely impact patient care. In this study, the investigators matched self-reported data on burnout and engagement for 182 primary care clinicians with data on clinical quality (cancer screenings, hypertension and diabetes control) and patient experience (Clinician and Group Survey-Consumer Assessment of Healthcare Providers and Systems [CG-CAHPS] communication scores, overall rating, and likelihood to recommend the clinic).
Citation: Willard-Grace R, Knox M, Huang B . Primary care clinician burnout and engagement association with clinical quality and patient experience. J Am Board Fam Med 2021 May-Jun;34(3):542-52. doi: 10.3122/jabfm.2021.03.200515..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Burnout, Patient Experience, Patient and Family Engagement, Provider: Clinician, Provider: Physician, Quality of Care, Provider: Nurse, Provider: Health Personnel
Dalal AK, Piniella N, Fuller TE
Evaluation of electronic health record-integrated digital health tools to engage hospitalized patients in discharge preparation.
Researchers sought to evaluate the effect of electronic health record (EHR)-integrated digital health tools comprised of a checklist and video on transitions-of-care outcomes for patients preparing for discharge. They found that EHR-integrated digital health tools to prepare patients for discharge did not significantly increase patient activation and was associated with a longer length of stay.
Citation: Dalal AK, Piniella N, Fuller TE . Evaluation of electronic health record-integrated digital health tools to engage hospitalized patients in discharge preparation. J Am Med Inform Assoc 2021 Mar 18;28(4):704-12. doi: 10.1093/jamia/ocaa321..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Hospital Discharge, Patient and Family Engagement, Education: Patient and Caregiver
Feinberg E, Kuhn J, Eilenberg JS
Improving family navigation for children with autism: a comparison of two pilot randomized controlled trials.
This study looked at impacts of a modification to a pilot program called Family Navigation to help low-income, minority children needing autism-related diagnostic services receive those services. An advisory group recommended modifications to recruitment criteria and study conditions. 40 parent-child dyad participants were randomized between the two pilots to receive usual care (UC) or modified FN. Participant enrollment, satisfaction with clinical care, and timely completion of the diagnostic assessment were compared. Recruitment improved significantly with the modified protocol (4.8% vs. 19.5%) and no participants were excluded from study enrollment compared to the first pilot (43.6%). Families in the second pilot were more likely to complete diagnostic assessment and report greater satisfaction with clinical care.
AHRQ-funded; HS022155; HS022242.
Citation: Feinberg E, Kuhn J, Eilenberg JS . Improving family navigation for children with autism: a comparison of two pilot randomized controlled trials. Acad Pediatr 2021 Mar;21(2):265-71. doi: 10.1016/j.acap.2020.04.007..
Keywords: Children/Adolescents, Autism, Patient-Centered Healthcare, Care Coordination, Racial / Ethnic Minorities, Low-Income, Patient and Family Engagement, Chronic Conditions
Aronson PL, Politi MC, Schaeffer P
Development of an app to facilitate communication and shared decision-making with parents of febrile infants ≤ 60 days old.
This study’s aim was to develop and test a tool to engage parents of febrile infants 60 days or less of age evaluated in the emergency department (ED). The tool was designed to improve communication between parents and healthcare providers and to support shared decision-making (SDM) about whether to perform a lumbar puncture (LP) for infants 29 to 60 days of age. The authors conducted a multi-phase development and testing process including individual, semi-structured interviews with parents and clinicians; design of a “storyboard” of the tool with design impression testing; development of a software application prototype called e-Care; and usability testing of e-Care using qualitative assessment and the System Usability Scale (SUS). The authors interviewed 27 parents and 23 clinicians. After the interviews, they developed separate versions of e-Care for infants aged 28 days or less and 29 to 60 days of age in both English and Spanish. e-Care is divided into 4 sections: 1) homepage; 2) why testing is done; 3) what tests are done; and 4) what happens after testing. The mean SUS score given by parents and clinicians was 90.3 representing “excellent” usability.
Citation: Aronson PL, Politi MC, Schaeffer P . Development of an app to facilitate communication and shared decision-making with parents of febrile infants ≤ 60 days old. Acad Emerg Med 2021 Jan;28(1):46-59. doi: 10.1111/acem.14082..
Keywords: Clinician-Patient Communication, Communication, Newborns/Infants, Caregiving, Decision Making, Patient and Family Engagement, Emergency Department, Health Information Technology (HIT)
Holden RJ, Abebe E
Medication transitions: vulnerable periods of change in need of human factors and ergonomics.
The authors present a novel view of transitions from the lens of patient ergonomics which posits that patients and other nonprofessionals experience many changes during patient work transitions toward health-related goals. Medication transitions are particularly vulnerable. Two cases of medication transitions; new and medication deprescribing are described in which the patient work lens reveals many accompanying changes, vulnerabilities, and opportunities for human factors and ergonomics.
Citation: Holden RJ, Abebe E . Medication transitions: vulnerable periods of change in need of human factors and ergonomics. Appl Ergon 2021 Jan;90:103279. doi: 10.1016/j.apergo.2020.103279..
Keywords: Medication, Medication: Safety, Patient and Family Engagement, Transitions of Care, Patient Safety
Valentine KD, Mancini B, Vo H
Using standardized videos to examine the validity of the shared decision making process scale: results of a randomized online experiment.
The Shared Decision Making (SDM) Process scale is a brief, patient-reported measure of SDM with demonstrated validity in surgical decision-making studies. In this study, the investigators examined the validity of the scores in assessing SDM for cancer screening and medication decisions through standardized videos of good-quality and poor-quality SDM consultations. The investigators concluded that SDM process scores showed good evidence of validity in a hypothetical scenario but were lacking in ability to classify good-quality or poor-quality videos accurately.
Citation: Valentine KD, Mancini B, Vo H . Using standardized videos to examine the validity of the shared decision making process scale: results of a randomized online experiment. Med Decis Making 2022 Jan;42(1):105-13. doi: 10.1177/0272989x211029267..
Keywords: Decision Making, Patient and Family Engagement
Dykes PC, Burns Z, Adelman J
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.
The purpose of this study was to assess whether a fall-prevention tool kit that engages patients and families in the fall-prevention process throughout hospitalization is associated with reduced falls and injurious falls. Findings showed that, in this nonrandomized controlled trial, implementation of a fall-prevention tool kit was associated with a significant reduction in falls and related injuries. A patient-care team partnership appeared to be beneficial for prevention of falls and fall-related injuries.
Citation: Dykes PC, Burns Z, Adelman J . Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA Netw Open 2020 Nov 2;3(11):e2025889. doi: 10.1001/jamanetworkopen.2020.25889..
Keywords: Falls, Injuries and Wounds, Prevention, Tools & Toolkits, Patient and Family Engagement, Patient-Centered Healthcare, Clinical Decision Support (CDS), Hospitalization, Hospitals
Griesemer I, Staley BS, Lightfoot AF
Engaging community stakeholders in research on best practices for clinical genomic sequencing.
This paper describes the NCGENES2 study which explored the impact of engagement between clinicians and caregivers of children with undiagnosed conditions in the context of a diagnostic genomic sequencing study. A Community Consult Team (CCT) was formed with diverse parents and advocates for children with genetic and/or neurodevelopmental conditions. Early and consistent engagement with the CCT resulted in adaptations to study protocols relevant to this unique study population.
Citation: Griesemer I, Staley BS, Lightfoot AF . Engaging community stakeholders in research on best practices for clinical genomic sequencing. Per Med 2020 Nov;16(6):435-44. doi: 10.2217/pme-2020-0074..
Keywords: Children/Adolescents, Patient and Family Engagement, Genetics
Nijhawan AE, Bhattatiry M, Chansard M
HIV care cascade before and after hospitalization: impact of a multidisciplinary inpatient team in the US South.
Hospitalization represents an opportunity to re-engage out-of-care individuals, improve HIV outcomes, and reduce health disparities. The authors reviewed electronic health records of HIV-positive individuals hospitalized at an urban, public hospital between September 2013 and December 2015. They found that hospitalized patients with HIV had low rates of engagement in care, retention in care, and virologic suppression, though all three outcomes improved after hospitalization. A multidisciplinary transitions team improved care engagement and virologic suppression in those who received the intervention.
Citation: Nijhawan AE, Bhattatiry M, Chansard M . HIV care cascade before and after hospitalization: impact of a multidisciplinary inpatient team in the US South. AIDS Care 2020 Nov;32(11):1343-52. doi: 10.1080/09540121.2019.1698704.
Keywords: Human Immunodeficiency Virus (HIV), Transitions of Care, Inpatient Care, Teams, Hospitalization, Patient and Family Engagement, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Outcomes, Evidence-Based Practice
Ward TM, Skubic M, Rantz M
Human-centered approaches that integrate sensor technology across the lifespan: opportunities and challenges.
Children, parents, older adults, and caregivers routinely use sensor technology as a source of health information and health monitoring. The purpose of this paper was to describe three exemplars of research that used a human-centered approach to engage participants in the development, design, and usability of interventions that integrate technology to promote health. The exemplars were based on current research studies that integrated sensor technology into pediatric, adult, and older adult populations living with a chronic health condition.
Citation: Ward TM, Skubic M, Rantz M . Human-centered approaches that integrate sensor technology across the lifespan: opportunities and challenges. Nurs Outlook 2020 Nov-Dec;68(6):734-44. doi: 10.1016/j.outlook.2020.05.004..
Keywords: Health Information Technology (HIT), Patient and Family Engagement, Health Services Research (HSR), Research Methodologies
Carter E, Monane R, Peccoralo L
Missed opportunities to engage patients in collaborative care challenge program sustainability: a qualitative study.
The authors examined barriers and accompanying strategies to patient engagement in the context of collaborative care sustainability. They concluded that their research signals the need for improved patient engagement at the time of diagnosis and referral, and they suggested innovative areas for quality improvement in primary care settings, including e-handoffs, culturally-tailored preference-driven treatment, collaborative care vs. psychiatry referral algorithms, and community-based paraprofessionals.
Citation: Carter E, Monane R, Peccoralo L . Missed opportunities to engage patients in collaborative care challenge program sustainability: a qualitative study. Gen Hosp Psychiatry 2020 Nov-Dec;67:158-59. doi: 10.1016/j.genhosppsych.2020.05.007..
Keywords: Patient and Family Engagement, Primary Care: Models of Care, Primary Care, Behavioral Health, Patient-Centered Healthcare, Innovations and Emerging Issues
Armstrong MJ, Gamez N, Alliance S
Research priorities of caregivers and individuals with dementia with Lewy bodies: an interview study.
The authors investigated the research priorities of individuals and caregivers living with dementia with Lewy bodies (DLB). Through telephone interviews, they found that individuals with DLB and caregivers identified research needs and highlighted DLB symptoms needing additional research. They recommended that funding be informed by the priorities of all relevant stakeholders and support research investigating causes, natural history, biomarkers, and treatment in addition to research targeting themes regarding living with disease.
Citation: Armstrong MJ, Gamez N, Alliance S . Research priorities of caregivers and individuals with dementia with Lewy bodies: an interview study. PLoS One 2020 Oct 7;15(10):e0239279. doi: 10.1371/journal.pone.0239279..
Keywords: Caregiving, Dementia, Neurological Disorders, Patient and Family Engagement, Elderly, Research Methodologies
Ruhnke GW, Tak HJ, Meltzer DO
Association of preferences for participation in decision-making with care satisfaction among hospitalized patients.
The purpose of this study was to investigate the association of hospitalized patients' desire to delegate decisions to their physician with care dissatisfaction. The investigators indicated that the findings suggested that patient preferences to participate in medical decision-making were statistically significantly associated with dissatisfaction of hospitalized patients. The authors assert that clinicians should individualize their encouragement of patient participation in diagnostic and management decisions to maximize patient satisfaction.
Citation: Ruhnke GW, Tak HJ, Meltzer DO . Association of preferences for participation in decision-making with care satisfaction among hospitalized patients. JAMA Netw Open 2020 Oct;3(10):e2018766. doi: 10.1001/jamanetworkopen.2020.18766..
Keywords: Decision Making, Patient and Family Engagement, Patient Experience, Hospitalization, Hospitals
Yen PY, Lehmann LS, Snyder J
Development and validation of WeCares, a survey instrument to assess hospitalized patients' and family members' "Willingness to engage in your care and safety."
Patient engagement is recognized as a method to improve care quality and safety. A research team developed WeCares (Willingness to Engage in Your Care and Safety), a survey instrument assessing patients' and families' engagement in the safety of their care during their hospital stay. The objective of this study was to establish the preliminary construct validity and internal consistency of WeCares.
Citation: Yen PY, Lehmann LS, Snyder J . Development and validation of WeCares, a survey instrument to assess hospitalized patients' and family members' "Willingness to engage in your care and safety." Jt Comm J Qual Patient Saf 2020 Oct;46(10):565-72. doi: 10.1016/j.jcjq.2020.07.002..
Keywords: Patient and Family Engagement, Patient Safety, Inpatient Care, Hospitalization
Hargraves IG, Fournier AK, Montori VM
AHRQ Author: Fournier AK, Montori VM, Bierman AS.
Generalized shared decision making approaches and patient problems. adapting AHRQ's SHARE Approach for Purposeful SDM.
This article focuses on the AHRQ development of SHARE, which is a generalized shared decision making (SDM) approach for clinicians and patients to make decisions together. The authors hope to adapt SHARE to the different problems that patients face using a matrix to relate SHARE steps and use the Purposeful SDM schema published in 2019. They hope that SDM in education, practice, and tools may be supported by adapting generalized SDM approaches in patients’ problems.
Citation: Hargraves IG, Fournier AK, Montori VM . Generalized shared decision making approaches and patient problems. adapting AHRQ's SHARE Approach for Purposeful SDM. Patient Educ Couns 2020 Oct;103(10):2192-99. doi: 10.1016/j.pec.2020.06.022..
Keywords: Decision Making, Patient and Family Engagement
Baik D, Liu J, Cho H
Factors related to biological sex differences in engagement with healthcare providers in persons living with HIV.
Investigators conducted a secondary analysis of data collected from four projects focused on improving health outcomes in persons living with HIV (PLWH). They found that male patients displayed negative association between depression and engagement with healthcare providers and positive association between engagement with healthcare providers and medication adherence, while female patients showed no association between any of these factors. Anxiety and stigma were not significantly associated with medication adherence. They concluded that adherence interventions for PLWH should be tailored by biological sex.
Citation: Baik D, Liu J, Cho H . Factors related to biological sex differences in engagement with healthcare providers in persons living with HIV. AIDS Behav 2020 Sep;24(9):2656-65. doi: 10.1007/s10461-020-02823-3..
Keywords: Human Immunodeficiency Virus (HIV), Sex Factors, Patient and Family Engagement, Patient Adherence/Compliance, Depression, Behavioral Health, Medication

domain: medical


text:
Nollywood Celebrity Birthday: John Dumelo
Today (Feb. 3) is the birthday of popular Ghanaian actor, John Dumelo. He is the last born and only boy of three children. He attended Christ the King International School, Accra (Ghana) for his primary school education. He attended Achimota Secondary School, Accra for his secondary school education.
He attended Kwame Nkrumah University of Science and Technology, from where he graduated with a BSc in Civil Engineering. He was the lead character in the popular TV series,About to Wed. The very first movie in which he featured was The King is Mine (2009). Since then, the handsome chocolate dark actor has gone on to establish himself as a major actor and fan favourite.

domain: entertainment


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Oregon builder launches Crowley Fuels’ newest petroleum tank barge
Oregon shipbuilder Greenbrier Marine launched a new double-hull petroleum tank barge into the water at its Lake Oswego facilities on Monday, March 8.
Designed by Jensen Maritime, the shallow-draught Qamun will be operated in Alaskan waters by Crowley Fuels as part of an articulated tug and barge (ATB) unit. The ATB was specifically designed to meet ice class and polar code requirements to safely and effectively operate in Western Alaska year-round while providing protections for the environment using energy efficient, lower emission propulsion.
The vessel will be able to operate in winter ice conditions and temperatures as low as -28 degrees Celsius.
The 106-metre, 55,000-barrel Qamun is scheduled for delivery to Crowley in April 2021.
The best maritime site on the web. The sea's our scene!