When Dorothea Mackeller wrote of Australia’s sunburnt country and sweeping plains she imprinted her words upon the nation’s heart.
Evocative and powerful, her poetry has been appreciated by generations of Australians.
And so it should be.
It captures the beauty of our often harsh and remote rural areas where for many the fierce red of the sun setting over paddocks is a constant.
But for the majority of Australia’s population living in our cities, sighting a sliver of dusty pink peering between buildings is the closest we get to Mackeller’s graphic portrayal of the outback.
And as the nation that still dreams of a four bedroom house with a backyard at the end of a cul de sac, it’s time we face a somewhat uncomfortable realisation.
We’ve become a nation at odds with our image.
Urbanisation has changed our way of life.
Four out of every five Australians live in cities.
By 2031 our four largest capitals – Sydney, Melbourne, Brisbane and Perth – will have increased by 46 per cent.
The other capital cities – Adelaide, Canberra, Hobart and Darwin – are expected to grow by nearly 30 per cent.
If our cities are left unchecked then the productivity, sustainability and liveability of our nation will languish.
Danish architect Jan Gehl said, “first life, then spaces, then buildings: the other way around never works.”
He has a point.
The creep of urban sprawl has become a costly, unhealthy exercise.
And it’s eating into the wellbeing of neighbourhoods in the outer regions of our cities.
I am concerned that our communities are paying too high a price for long commutes and increasingly limited access to the opportunities they need to reach their full potential.
To guarantee healthy cities well into Australia’s future, governments must ensure suburban communities do not succumb to the tyranny of distance.
This starts by putting people first.
If the members of a community are healthy, it follows that the community as a whole will be healthy.
It’s important that we do not underestimate the role that urban design has in shaping our communities.
Even more so as we face the impact of climate change.
And while we must look at ways to encourage active living through cycle ways and connected neighbourhoods, this is only one part of the solution.
To improve the health of our communities, we must also tackle the growing phenomenon of drive in drive out suburbs.
If we fail to consider this then we put at risk our faith in the concept of ‘a fair go’.
I’ve long admired that ingrained in the Australian psyche, is the firm belief in being able to achieve anything.
Regardless of your postcode.
But urbanisation can rightly be considered in two ways: it either undermines this long-held view, or wholeheartedly embraces it and reaffirms it.
Which view prevails will be determined by whether we plan and invest adequately in our cities.
And if we fail to recognise the contribution healthy communities make to the productivity of our cities, then we are squandering the nation’s best resource.
Labor has always focused on policies that strengthen communities.
That’s because we believe society requires investment.
When I was Minister for Infrastructure and Transport we did exactly this by lifting infrastructure spending to record levels.
When we took office, Australia was 20th among OECD nations when it came to infrastructure investment as a proportion of GDP.
When we left office, Australia was first.
We doubled the roads budget and we allocated more investment to public transport than all other governments combined since Federation.
We established Infrastructure Australia, which conducted an audit and identified a national infrastructure priority list.
We set up the Major Cities Unit and the Urban Policy Forum.
We produced the annual State of Australian Cities report, which was downloaded more than three million times in 2013 and we released Australia’s first national urban policy, “Our Cities Our Future.”
By contrast, in his first week as Prime Minister, Tony Abbott took it upon himself to abolish the Major Cities Unit.
He disbanded the Urban Policy Forum and marginalised Infrastructure Australia.
Infrastructure spending stagnated.
Australian Bureau of Statistics figures show that infrastructure work conducted for the public sector has declined by more than 20 per cent since the 2013 election.
20 per cent.
And this year’s Budget included a $2 billion cut in infrastructure spending over the next two years – cut from their own figures in the 2014 Budget.
It just makes no sense.
Interest rates are at record lows.
Private sector investors are looking for opportunities.
The amount of money held by superannuation funds in this country is approaching $2 trillion.
Yet despite these factors, investment is not happening at the pace required.
Because of these infrastructure decisions, Australia is staring down the barrel of a significant infrastructure deficit.
There has been a change in direction in recent weeks and I congratulate the Prime Minister and the Government on their appointment of a Minister for Cities and the Built Environment.
But there’s a lot of catching up to do.
I’m concerned that the Minister for Cities is working within the Department of Environment, rather than the department that actually drives infrastructure spending – the Department of Infrastructure and Regional Development.
I’m not surprised the Coalition is confused too.
At least five of Mr Turnbull’s Ministers claim to have some level of responsibility in this policy area.
First, there is the Minister for Cities, Jamie Briggs.
Then there’s the Minister for the Environment, Greg Hunt, who is the senior Minister to whom Mr Briggs reports.
There is the Minister for Major Projects, Paul Fletcher, who reports to the Deputy Prime Minister and the actual Infrastructure Minister, Warren Truss.
Off to the side is Josh Frydenburg, who as the Minister for Northern Development, is also talking about infrastructure.
And while I welcome this renewed interest in cities, I would prefer to see Malcolm Turnbull funding buses and trains, not just riding them.
LABOR’S NEXT STEPS
Labor understands that the cost of inaction is too high.
We also know the traditional Commonwealth funding approach simply cannot deliver the infrastructure our nation needs.
This is why we’ve put forward a plan to secure private sector investment.
In October Bill Shorten announced that a Labor Government will create a $10 billion infrastructure financing facility.
This will unlock the billions of dollars of investment available in the private sector, elevating Infrastructure Australia to an active participant in the infrastructure market.
It will mobilise private sector finance, Australia’s superannuation industry and international investors.
We will use a mixture of loan guarantees, loans and seed money to mitigate risk.
This will give the private sector the confidence it needs to be involved and opens the door to accessing superannuation investment.
It will bring a national pipeline of investment online.
Infrastructure Australia will operate as a catalyst for private sector investment, with the strictest financial discipline, commercial rigour, credit risk assessment capacities and a commitment to nation building.
We’ll make sure we get good projects up and going by working with the private sector to overcome market failures.
We’re committed to working in new creative ways with all levels of government, the public and private sectors because we want to make sure communities get the level of investment they need.
Working together makes sense.
Creating healthy and sustainable communities benefits all of us.
URBAN DESIGN & HEALTH
But there’s no time for the Federal Government to take its foot off the pedal.
We can’t be reactive when it comes to population growth in our cities.
We have to be proactive.
Otherwise our suburbs will be stuck in a perpetual game of catch up.
There is currently a diabetes epidemic in Western Sydney.
We don’t hear it talked about enough but it’s a problem.
Figures published by Medicare Local and NSW Health estimate that by 2025 the prevalence of diabetes within Western Sydney will be 204 percent higher in men and 147 per cent higher in women.
Of course we can calculate the cost of this to our health system.
But our primary concern should be the direct impact on the quality of life of families affected by this condition.
And while, of course, we can’t put these statistics down to urban design, we do need to consider the role that planning plays in shaping our neighbourhoods.
I think we can accept that if there’s no footpath down your street and no park just around the corner, there’s less incentive to get out and about.
This goes to more than just a person’s physical health.
It impacts a community’s social health.
When you aren’t walking down your street and when you aren’t at your local park then you’re missing out on those casual interactions with other people that transform a collection of streets on a map into a community.
And when you don’t know your neighbours, then you don’t know to look out for each other.
You also lose out on the vibrancy and sense of belonging that comes with being connected to the people around you.
In the next 25 years there will be a 65 per cent increase in single person households.
This means that there will be approximately 3.4 million people living alone.
Many of these will be older as a result of our ageing population.
The latest projections by the ABS show that within a generation the proportion of people aged 65 years and over will increase from 14.2 per cent in 2012 to 20 per cent in 2041.
Over the same period, the proportion of very old people, those aged 85 years and over, will double from 1.8 per cent to 3.6 per cent.
The ideal community is one that supports ageing in place for those who want it.
That means easy access to health services, groceries and social opportunities through public and community transport options.
But not everyone can afford to live in a suburb that has all these things.
And sometimes, even when you live in a suburb that has all these things, it still isn’t enough.
Last year the tragic story of Natalie Wood came to the nation’s attention.
She lived in Surry Hills in the heart of Sydney.
Yet despite living in one of Sydney’s most bustling and vibrant suburbs, it wasn’t until eight years after her death that anyone noticed.
I don’t say this to speculate on the reasons why this occurred.
I say this to highlight how important it is that we know something of the people living close to us, particularly those most vulnerable such as the elderly.
We are now in summer with the hottest days ahead of us.
Heatwaves are Australia’s biggest natural killer.
The Heat Island Effect means city residents, particularly the very young and the elderly, are more susceptible.
In the outer suburbs of cities, this can be even more pronounced as a consequence of poorly considered urban design.
With co-operation from all levels of government, as well as the development and urban design industries, we can reduce the heat in our cities, improving our levels of personal comfort and making them safer for all.
Many councils are already on the case, having accepted that the situation can only become worse because of the effects of climate change.
They know cooler cities are not only more comfortable, but more efficient.
For example, the City of Melbourne has estimated that during a four day heatwave in January 2014, business across the city suffered a $37 million decline in revenue due to lost commerce and increased operating costs.
That’s why the Council is working to lift its tree canopy from its current level of 22 percent in all public areas to 40 per cent by 2040. The City of Sydney is working to lift its canopy in public areas from the existing 15.5 per cent to 23.5 per cent by 2030.
These councils and others across the nation are implementing simple and sensible measures including planting more trees and providing more parks, open space and water features.
These measures not only address issues associated with climate change, but they also create more neighbour-friendly and liveable places.
I’ve always believed liveability and sustainability go hand in hand.
When Labor was in Government we invested in cycling infrastructure through our National Bike Paths fund.
We also launched our active transport policy, “Walking, riding and access to public transport.”
We did this because we recognised Federal Government should be involved in identifying ways to reduce the community’s high dependence on the car, including better planning, new infrastructure and lifestyle changes.
We also wanted to encourage more Australians to consider greener, healthier ways of getting around.
The simple fact is when cardiovascular disease kills one Australian every twelve minutes; I don’t think we can say it’s not a Federal Government issue.
This is everybody’s business.
The Federal Government has a role to play in identifying best practice, then facilitating and investing in its replication where appropriate across the nation.
For instance, in Perth as part of the Citylink project, you can leave your bike at a u-rail on the platform. Bike hubs and lockers are also provided at a number of stations.
Victoria’s Regional Rail Link, which was funded by the former Labor Government, offers secure bike parking at new stations including Tarneit and Wyndham Vale.
And many workplaces now offer end of trip facilities like showers and bike racks.
By encouraging people to cycle and use public transport we’re promoting active living, while also tackling issues of congestion and sustainability.
DRIVE IN DRIVE OUT SUBURBS
Australia is in a state of change when it comes to where people work.
Australia’s transformation to a knowledge intensive economy has seen the CBDs of our cities become the heart of the nation’s productivity.
According to research from the Grattan Institute, the CBDs of Sydney, Melbourne, Brisbane and Perth generated almost 15 per cent of all economic activity in Australia in 2011-2012.
Similar findings from PwC show that just ten Statistical Area 2s produce almost $1 of every $5 of national income in Australia.
But for the average worker this simply means longer commuting journeys.
The tragedy of this is that many working parents spend more time travelling to and from work than they do at home with their kids.
Suburbs in middle Australia are being transformed from lively communities where people lived, worked and played into drive-in, drive-out suburbs where people can afford a home but can’t find a job.
The national government must commit to tackling congestion.
It’s not just about a wasted $53 billion in productivity because of congestion.
It’s also about the wellbeing of people in our communities.
Nobody wins when they’re stuck in a traffic jam.
We need to do much more than commit to extra toll roads before there is any business case.
We must attack this problem at multiple levels to give all Australians the time and space they deserve to be more than just numbers on someone’s payroll, more than just cogs in a machine.
It’s one of the reasons why I support High Speed Rail.
The proposed High Speed Rail Link between Brisbane and Melbourne via Sydney and Canberra shows how carefully targeted investment and commonwealth leadership could make a real difference when it comes to strengthening links between cities and regions and, in the process, lifting productivity and livability for both.
The vision of having a four bedroom house with a backyard is no longer appropriate for everyone.
Some people need to live closer to town and the fact is, while our population grows our detached dwellings in the inner and middle rings of cities cannot.
This is where government comes in.
The Commonwealth has a role to play in providing policy leadership and direct investment to make our cities more productive, sustainable and liveable.
Now that we’ve moved on from debating whether there should be national involvement at all in our cities, we’ve arrived at another, more important, crossroad.
Creating and maintaining great cities is not just about quality of life.
It’s also about equity.
Successful cities are inclusive cities.
We should be aiming to make our cities places that provide people with opportunities to be the best they can be – whether this is through education, employment and training; or whether we’re making sure that whatever an individual’s circumstance, their environment provides them with the opportunity to live a healthy life.
Government must rise to this challenge, and Labor has a plan and a commitment to do just that.
I said earlier that if the members of a community are healthy, it follows that the community as a whole will be healthy.
It also follows that if the community as a whole is healthy, then as a nation we can be productive, sustainable and liveable well into the future.


text:
Yes, the hate towards the US is justified
The term anti-Americanism, or anti-American sentiment, refers to opposition or hostility to the policies, culture, society, economics, international, or superpower role of the United States. Common contemporary negative stereotypes of Americans incl... ude that Americans are: aggressive, arrogant, ignorant, overweight, poorly dressed, materialistic, obsessed with making money, too moralistic, and generally obnoxious.
Political scientist Brendon O'Connor of the United States Studies Centre suggests that Anti-Americanism cannot be isolated as a consistent phenomenon and that the term originated as a rough composite of stereotypes, prejudices and criticisms towards Americans or the United States, evolving to more politically based criticism. French scholar Marie-France Toinet says use of the term "is only fully justified if it implies systematic opposition – a sort of allergic reaction – to America as a whole".
Discussions on anti-Americanism have in most cases lacked a precise definition of what the sentiment entails (other than a general disfavor), which has led to the term being used broadly and in an impressionistic manner, resulting in the inexact impressions of the many expressions described as anti-American

domain: sociology


text:
1.2 Explain the difference between sequence of development and rate of development and why the difference is important.
The main difference between the sequence and rate of development is that the sequence is the order in which development takes place, for example a baby has to hold its head up first before it can learn to sit up unaided. Some parts of the sequence may be missed not all children crawl and may roll instead to move before they learn to walk and learn to crawl later on.
The rate of development is the time frame given for the average development of a child expected at a certain age, i.e. at one has started to walk. All children are unique individuals and will develop at their own rate, so the rate of development is just a guideline. However it is important to understand that although the sequence remains generally the same, the development rate can change considerably and many other factors such as individual growth patterns, social background, health and nutrition, disability and learning difficulties can have an effect on the rate of development.
It is important to remember that development is often split into different areas but are connected and linked with one another. So when planning or working with a group of children the same age it has to be taken into account that some will be at the average stage, below average and above average stage of development and not be at the same sequence of development. Knowing this information it has to be taken into consideration when looking at the bigger picture of all the children’s needs and how this can be

domain: biology


text:
Please note the price shown does not
include EU VAT
. The required amount will be added at the checkout.Once you have completed your purchase through paypal you will be immediately taken to a download page where you can download your pattern.
This is an English language PDF instant download supplied in A4 and Letter sizes, select the correct size for your printer.
Geometric repeat pattern with flower motifs in purple, green and grey. Stitching on card paper embroidery pattern to make embroidered art for your home. You will need Anchor #8 single strand embroidery threads in purple, green and grey. Display in a frame to give as a homemade gift or to decorate your home. The finished pattern with border measures 18.5 cm / 7.3 inches square.
The design is printed onto card then embroidered. The print includes the pricking holes and stitch guides. If your printer can't print onto card you can print the design onto paper and stick the paper pattern onto a sheet of card using spray adhesive.
General instructions sheets in A4 and Letter sizes are provided with this download but they can also be downloaded for free from www.judithdrewdesigns.co.uk
before you make your purchase.
Terms and conditions - This pattern and instructions are for the personal use of the purchaser only. You may not copy, share, republish, sell, display, modify, adapt, rent, lease, loan or distribute this download. This pattern may not be used to create items for financial gain or self promotion or as a competition entry.
For full terms and conditions click here.
For up to date information on Stitching Pictures patterns you can find me on Twitter
.This pattern was first published 22/01/2019.

domain: artistic


text:
Friendly’s is a restaurant company that started on the East Coast of the United States of America. It was founded by two brothers S. Prestley Blake and Curtis Blake in 1935 at their humble abode in Springfield, Massachusetts. Right now, Friendly’s is employing more than 10,000 people.
These employees are working spread among 380 branches around the US including in the following states – Virginia, Vermont, South Carolina, Rhode Island, Pennsylvania, North Carolina, New York, New Jersey, New Hampshire, Massachusetts, Maryland, Maine, Florida, Delaware, and Connecticut.
It was founded during the progression of the Great Depression in the US. The two brothers started by selling ice creams in a small shop that they named Friendly. Back then, they were selling double-dip cones at the amount of 5 cents each. At the end of WWII, they restarted the company and opened 10 branches. By 1974, the success aimed high until they already opened over 500 branches. The big bulk of orders made them open a food processing plant in Troy, Ohio.
Related Other Restaurant Menu and Reviews Hardee’s Menu
After five years, the two brothers decided to retire and sell the whole company to Hershey Foods Corporation. It only took 9 years until another man in the name of Donald N. Smith purchased Friendly. It now became part of Tennessee Foods and Smith added up the apostrophe-s in the name of the restaurant.
Friendly’s opened to be an ice cream shop and now it has fully grown to be a restaurant. It serves people with lunch, dinner, ice cream choices. Breakfast, and children’s menu. Their ice cream choices include Friend-z which is a homemade ice cream topped with different nuts, the traditional Sundaes, and their Fribble milkshake. Matter-of-factly, Friendly’s was awarded by the Guinness Book of World Records as the World’s Largest Dessert Party. This event happened in their headquarters at Wilbraham, Massachusetts.

domain: economics


text:
|Year : 2022 | Volume
| Issue : 1 | Page : 33-40
Georeferencing of current dental service locations in the Jazan Region, Saudi Arabia: A geographical information system-based approach
Mosa A Shubayr1, Estie Kruger2, Marc Tennant2
1 International Research Collaborative - Oral Health and Equity, School of Human Sciences, The University of Western Australia, Nedlands, Australia; Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
2 International Research Collaborative - Oral Health and Equity, School of Human Sciences, The University of Western Australia, Nedlands, Australia
|Date of Submission||03-Mar-2022|
|Date of Acceptance||01-May-2022|
|Date of Web Publication||27-Jul-2022|
Dr. Mosa A Shubayr
International Research Collaborative - Oral Health and Equity, School of Human Sciences, The University of Western Australia, Nedlands, Australia; Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
Source of Support: None, Conflict of Interest: None
Background: This study focused on the Jazan region, Kingdom of Saudi Arabia. To date, there has not been any documented evidence about geographical distribution of dental health-care services in the region. The study aimed to assess the geographical accessibility of dental health-care services in Jazan. Materials and Methods: Most recent, openly accessible, nonidentifiable data and information were used in this study. The location of health facilities was obtained from the Ministry of Health (MOH) Statistical Yearbook 2020 and interactive map of the MOH, which was converted to longitude and latitude, using Google Maps with 90% of the level building. The study data to be analyzed were imported from the integrated database in Quantum Geographic Information Systems into Microsoft Excel software, where the ratios of health-care facilities to the study population were computed. Results: There were 145 primary health cares (PHCs) and 19 hospitals with a dental component in the Jazan region of 17 governorates with a total of 1,726,739 residents. The overall PHC-, hospital-, and dentist-to-population ratios were 1 PHC to 114,365 residents, 1 hospital to 90,881 residents, and 1 dentist to 9136 residents. Only 14.5% of PHCs and 5.6% of the hospitals served 70% of the population who are living within 20 km from the governorate's center. Conclusion: This study shows that irregular distribution of health services has led to decreased access to services in the region. Further research is needed focusing in mapping MOH, private and other health facilities, and the burden of oral disease in the region.
Keywords: Dental health-care services, dental workforce, Geographical Information System, Jazan, Saudi Arabia
|How to cite this article:|
Shubayr MA, Kruger E, Tennant M. Georeferencing of current dental service locations in the Jazan Region, Saudi Arabia: A geographical information system-based approach. King Khalid Univ J Health Sci 2022;7:33-40
|How to cite this URL:|
Shubayr MA, Kruger E, Tennant M. Georeferencing of current dental service locations in the Jazan Region, Saudi Arabia: A geographical information system-based approach. King Khalid Univ J Health Sci [serial online] 2022 [cited 2022 Nov 28];7:33-40. Available from: https://www.kkujhs.org/text.asp?2022/7/1/33/352518
| Introduction|| |
One of the most critical quality of life measures is the accessibility to health-care service. Everyone should have the same access to such services. However, due to many constraints such as economic and geographical challenges, achieving such equity is difficult. Millman defines access to health care as the “timely use of personal health services to achieve the best possible health outcomes.” Millman further explained the term “access” as the extent to which an individual or group can receive the much-needed health services. In most cases, access is used interchangeably with terms such as utilization or coverage. According to Al Agili and Farsi, accessibility to oral health services emphasizes both the availability and use of care.
According to Penchansky and Thomas, access means “the degree of fit between the system and the patient.” Access to health care has various dimensions, which help provide an overview of it. The first dimension is availability, which refers to the relationship between the quantity and type of existing services such as health providers and facilities and the quantity and types of patient needs. The relationship between the location of health service and the location of a patient is a referee to accessibility. Accommodation is determined by the relationship between how supply resources are organized to accommodate clients, such as appointment systems and hours of operation. Another dimension mentioned by Penchansky and Thomas is affordability, which is defined as the relationship between a patient's ability to pay through their income or insurance and the prices of treatments. Acceptability is defined as the relationship between patients' attitudes toward personal and practice characteristics of providers and the actual features of current providers, as well as provider attitudes toward acceptable personal characteristics.
Several studies have employed different methods of examining access to health-care services, such as Geographical Information System (GIS). According to Alsharif, GIS uses different scales to estimate and measure various associations between spatial and temporal trends of health-care-related variables, population, and risk factors related to the population and environment.
Alonge and Peters indicated that understanding health-care service distribution is a vital factor in addressing health-care inequality and access to health-care services. In the Jazan region, several factors hinder the growth and development of dental health-care services. The most notable among these is the distribution of dental service providers and practitioners, which partly explains the Jazan region's lower accessibility and quality of dental treatment compared to other parts of the country. In addition, the insufficient number of dental service practitioners further explains the limited dental disease preventive activities in this region.
There is a lack of studies about the geographical access or distribution factors (such as travel distance and time) of dental health-care services within regions of Saudi Arabia. Studies,,, using GIS to measure accessibility to primary and private health-care services in the region of Jeddah revealed that some areas of the region, such as the northern and central districts, had limited or poor accessibility to the available health-care facilities. In addition, a study by Alsharif, which examined a sample of primary and private dental practice in Al Madina, Saudi Arabia, found that there were more dental services in the city center but few in the peripheral areas in the city.
To the best of the researcher's knowledge, there are no similar published studies of spatial health-care characteristics in the same region (Jazan). Therefore, this study examines the distribution of dental health-care centers and services offered by the Ministry of Health (MOH) facilities in the Jazan region. In addition, this study provides vital recommendations which can be used to enhance future dental health-care services in the region. The current study aimed to fill a gap in the currently available literature on the dental health-care system in Jazan. Furthermore, the study examined the spatial distribution of health-care services and the health-care facility-to-population ratios in the region.
| Materials and Methods|| |
Data for the current study were collected between July 1, 2021, and October 31, 2021. The researcher used openly accessible, nonidentifiable data and information. Therefore, ethics approval was not required.
Dental clinic locations
The location of health facilities was obtained from the MOH Statistical Yearbook 2020 and an interactive Map of the MOH. Data on university dental schools, mobile clinics, private clinics, and duplicated addresses were identified and excluded. Only MOH primary health cares (PHCs) and hospitals were included in this study. Each health facility location was converted to longitude and latitude, using Google Maps with 90% of the level building.
All population data were obtained from the most recently available data at the General Authority website and the World Population website. Administrative governorates were chosen as the geographical region, as this is the only available data source in the file format that matched the population data files.
For this study, the researcher used Quantum Geographic Information Systems (QGIS) (version 3.20, Essen, Germany) to carry out geographical mapping. To coordinate referencing, this study used World Geodetic System 1984 (WGS 84), and all the generated data (geographical data and linked population data) were imported and analyzed in Microsoft Excel (version 14.0; Microsoft, Redmond, WA, USA).
The researcher used random points in the QGIS to display the area of coverage for the identified health facilities (PHCs and hospitals) in relation to the target Jazan population. Population dots and locations of PHCs and hospitals were placed on the study map using QGIS. Using four levels (radius), the study examined different accessibility levels of 145 PHCs and 19 hospitals. The most significant factor distinguishing these levels (radius) of accessibility was their distance from the governorate's center. The various buffer zones (5, 10, 15, and 20 km) from the governorate's center were identified and investigated. The ratios of health centers and dentists to population were determined using the available census data.
The data for this study were analyzed both descriptively (such as the number of dentists in each district) and by calculation. The data were analyzed using Microsoft Excel (2016 version 14.0). The study data to be analyzed were imported from the integrated database in QGIS into Microsoft Excel software, where the ratios of health-care facilities to the study population were computed.
| Results|| |
The Jazan region (also spelled Jizan, Gizan, or Gazan) consisted of 17 governorates (mohafadat in Arabic) with a total of 1,726,739 residents as of 2020 [Figure 1]. Most of the region's residents lived in the major cities of Sabya, Abu Arish, and Jazan with 290,244, 248,654, and 172,269 residents, respectively. One hundred and forty-five PHCs and 18 general hospitals were geocoded by QGIS [Figure 2] and [Figure 3].
|Figure 2: A high-resolution image showing the distribution of population per governorate and primary health-care centers based on accessibility areas in the Jazan region, KSA|
Click here to view
|Figure 3: A high-resolution image showing the distribution of population per governorate and hospitals based on accessibility areas in the Jazan region, KSA|
Click here to view
Sabya had the highest number of PHC clinics (14.5%) and about 5.3% of dental clinics in the general hospitals. However, with a population of about 36,068 people, Harub only had 4.1% of the PHCs without dental clinics in the general hospital that served the governorate population. General hospitals were more evenly distributed throughout the region, with the percentage ranging from 5.3% to 10.5% [Table 1].
|Table 1: Primary health-care center-, hospital-, and dentist-to-population ratios in the Jazan Region, Kingdom of Saudi Arabia|
Click here to view
The region showed an overall practice–population ratio of 1 PHC to 114,365 residents and 1 hospital to 90,881 residents. Sabya, Abu Arish, and Jazan governorates had the highest PHC-to-population ratio (1:13,000) and were the most-populated governorates. On the other hand, the mountain areas such as Al Harth and Al Rayth had the lowest PHC-to-population ratios with 1:5768 and 1:5885, respectively. The general hospital-to-population ratio was the highest in Sabya (1:290,244) and the lowest in Farasan with 1:22,556 [Table 1].
The result showed that the dentist-to-population ratio in the Jazan region was 1:9136. Out of the 37 (17.7%) dentists who worked in Jazan city, most worked in the government dental center. These providers served 172,269 people, which represents 1 provider per 4655 people. Abu Arish had 26 (12.4%) dentists serving 248,654 people (representing 1 provider per 9563 individuals), followed by Sabya with 24 (11.5%) dentists serving 290,244, which represents 1 provider per almost 12,093 people [Table 1].
The majority of the PHCs (39.3%) in the Jazan region were located 15 km from the center of each governorate and 26.9% were located within 10 km. The results also showed that only 17.7% and 9.4% of the population had access to health-care services at a distance of 15 km and 10 km, respectively. Only 14.5% of the primary dental practices, which served approximately 70% of the population, were located more than 20 km away. Regarding the general hospitals, 36.8% were within 15 km, followed by 31.6% of the hospitals being within 5 km [Table 2].
|Table 2: Population distribution based on buffer zone in the Jazan region|
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The result found that Sabya, Abu Arish, Jazan, and Samtah had the highest number of health facilities and the most-populated governorates. Only 5% and 12.3% of the Sabya and Abu Arish populations had access to more than half of the PHCs within 15 km. More than half (53.8%) of the PHCs were located within 5 km from the Jazan governorate center, which provides dental services to only 7% of the population. Two-thirds (33.3%) of the PHCs in Samtah were located with 10 km for 20% of the population. The result also explained that 72.4% of Al Harth population lived within 15 km serviced by only one PHCs and almost 99% of the population in Al Ryath who lived in the area located more than 20 km from the center had no access to PHCs. Only a single general hospital in each governorate served a population located within 5 km from the governorate center compared to Jazan, Abu Arish, and Al At Tuwal, which had 2 hospitals each and no general hospital in Harub governorate [Table 2].
| Discussion|| |
This study examined the PHC centers and hospitals which included dental clinics in the Jazan region of Saudi Arabia using GIS-based methods. This study helps interested researchers and policymakers to explore dental service and geographical accessibility issues in the region. This study's findings are consistent with the hypothesis that dentists and population distribution is positively related. This was not the case with the health facilities distribution in the study region, which had uneven distribution. These observations were similar to those of Bohari et al. More than a third of the region's residents live in the major governorates such as Sabya, Jazan, and Abu Arish, where most of them live in less accessible areas and align with the result in this study – PHC-, hospital-, and dentist-to-population ratio in the region being 1:11,435, 1:90,881, and 1:9,136, respectively. These results are consistent with the observation from the study carried out by Alsharif.
The shortage of dental health-care services indicates that many people in the region might not receive preventive, basic, or advanced dental treatments, which would affect their oral health status. Moreover, this study found that governorates in the Jazan region, such as Al Harth, Fayfa, and Atwal, have a low percentage of dental providers and facilities. This could lead the residents to travel to the closest area and overload some of the MOH facilities, thus causing low quality of service. These findings suggest that these areas should be given attention for future health-care facilities' expansion.
Approximately 70% of the population who are living 20 km from the governorate's center had less access to health facilities than in the other areas. This result is similar to the result of the study conducted in Riyadh, which found that people who live far from the governorate's center have less access to public health facilities. These findings show that the outlying areas will be crowded more than the other area, which could cause other consequences such as long waiting times. This will decrease the patients' satisfaction and will eventually impact their oral health and increase the burden of oral-related diseases.,,
Over time, the traditional dental health-care system has proven to be insufficient and ineffective. The solution to the old system's shortcoming is a shift in dental policy toward a modern dental health-care system. To achieve this and make significant improvements in the dental health-care system, there needs to be a direct consultation between the major stakeholders (dentists and patients), plus improved data collection, storing, and sharing, especially for the population in remote areas.
Improvements in technology have enhanced the development of health-care services. In the case of dentistry, the development and use of applications such as teledentistry that enables a dental service provider to remotely interact with a patient for diagnosis, treatments, and recommendation have proven very effective., Such technological advancement eliminates geographical barriers, especially for the remote population. In Saudi Arabia, several studies have been carried out to assess the country's readiness to embrace teledentistry to improve dental health-care services in remote areas., For the continued progress and development of dental health-care services, policymakers and other stakeholders should embrace the use of technology. In addition, increasing the number of medical referral from the health providers, compulsory internship programs for graduated dental students in rural or underserved area in the region and support for rural area residents to be treated in closest private dental clinics should be considered to improve the access to dental health-care services.
To the researcher's knowledge, the current study was the first to make an effort to describe public dental health-care service distribution in the Jazan region of Saudi Arabia (using QGIS). However, the study faced several limitations that should be considered before using its results. At the time of the study, there was an absence of data regarding oral health services and oral health providers in the Jazan region regarding type of service offered, accessibility to dental services, and characteristics of dental providers such as gender and type of specialty as well as oral health providers (dentists, dental hygienists, and assistants, per population at district level). Due to the rapid advancement of the dental health system and general health-care system, previously collected data used in this study might not reflect recent developments.
| Conclusion|| |
This study sought to analyze variations in access to MOH PHCs and hospitals using the spatial distribution in relation to the population density in the Jazan region of Saudi Arabia. The study shows that there is a shortage in dental health-care services due to an irregular distribution of the health facilities, which leads to a decrease in the quality of service in the region. Many of the region's residents might not receive preventive, basic, or advanced dental treatments, which would negatively affect their oral health status. To combat the effects of poor dental service distribution, it is vital to consider the type of health-care facilities (PHCs or hospitals) since different facilities have different functions within the health-care service system. More efforts are needed in mapping MOH, private and other health facilities, and the burden of oral disease in the region to validate the findings.
The authors would like to acknowledge Jazan University, which has supported this study at the University of Western Australia. This support is highly acknowledged and appreciated. The authors would also like to extend their sincere gratitude to the school authorities at the University of Western Australia for their continuous support throughout the paper.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
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[Figure 1], [Figure 2], [Figure 3]
[Table 1], [Table 2]

domain: medical


text:
Author(s): Stewart Foster
'Funny and heartfelt with a cunning twist. Stewart Foster is a grandmaster.' - ROSS WELFORD 'An inspirational underdog story and a chilling mystery! A winning combination.' - DAVID SOLOMONS Some people think that I'm a problem child, that I'm lazy and never pay attention in lessons. But the thing is, I'm not a problem child at all. I'm just a child with a problem. Felix is struggling at school. His ADHD makes it hard for him to concentrate and his grades are slipping. Everyone keeps telling him to try harder, but no one seems to understand just how hard he finds it. When Mum suggests Felix spends time with his grandfather, Felix can't think of anything worse. Granddad hasn't been the same since Grandma died. Plus he's always trying to teach Felix boring chess. But sometimes the best lessons come in the most unexpected of places, and Granddad soon shows Felix that there's everything to play for.
Some people think that I'm a problem child, that I'm lazy and never pay attention in lessons. But the thing is, I'm not a problem child at all. I'm just a child with a problem...
11 year old Felix Schopp’s ADHD is making school difficult. He doesn’t mean to be disruptive, his imagination gets the better of him and his grades are slipping. After being called about his behaviour yet again, Felix’s mum has a plan - for him to go spend the weekend with his reclusive grandpa, who just hasn’t been the same since grandma died.
Grandpa is weird. He keeps his curtains drawn, rips up all his mail and never answers his telephone. Plus he’s always trying to teach Felix about chess. Boring! He’d much rather be playing with his best friend, Jake. What starts as a dull weekend doing chores, ends up opening Felix’s eyes to a whole new world. Chess helps him learn to concentrate, build friendships (and rivalries) and help his grandpa open up about his experiences in East Germany.
Check Mates is heartwarming and funny. A wonderful story about the relationship between a boy and his grandfather, and opening up about the past. Felix is super relatable, he’s a typical kid doing the best he can trying to navigate school and his parents' money worries. While his best friend Jake borders on being a bad influence, he also steps up and supports Felix when it matters most.
Felix and his relationship with his grandfather is lovely. They grow, learn to trust one another, and begin healing their shared grief. Stewart Foster has written a charming book filled with heart and humour, along with a surprising twist at the end.
Praise for ALL THE THINGS THAT COULD GO WRONG
'A moving, humane, funny portrait of two very different boys discovering what connects us all.' Kiran Milwood Hargrave, author ofThe Girl of Ink and Stars
‘It’s amazing!’ Ross Welford, author of Time Travelling with a Hamster
'I loved it.' Lisa Thompson, author of The Goldfish Boy
'A touching, funny, gripping read that tackles important issues in a sensitive and thoroughly enjoyable way. Highly recommended.' Stuart Robinson, author of If Ever I Fall
'A timely story of courage and reminder of what we all share.' Christopher Edge, author ofThe Many Worlds of Albie Bright
'Powerful and warm ... this will linger long in the mind.' Guardian
Praise for THE BUBBLE BOY, winner of the Sainsbury's Children's Book Award in 2016
‘Poignant, hopeful and heartbreaking.’ Fiona Noble – Children’s Editor, The Bookseller
'Deeply moving and utterly gripping . . . Stewart Foster carries off an astonishing feat of storytelling in this exceptional book' Julia Eccleshare, lovereading.co.uk
‘A gripping and deeply moving book.’ Jamila Gavin, author of Coram Boy
'One thing we know about good books is their amazing ability to inspire empathy in the reader; to explore ideas and viewpoints that arise from experiences that are out of our own realm. The Bubble Boy does this with warmth, quirkiness and a light-hearted touch.' Guardian
- : 9781471172236
- : Simon & Schuster, Limited
- : Simon & Schuster Childrens Books
- : July 2019
- : .831 Inches X 5.118 Inches X 7.795 Inches
- : books
- : Stewart Foster
- : Paperback
- : Aug-19
- : English
- : 823.92
- : 352

domain: library


text:
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text:
The characters of othello and iago are tangled in the deception between love and hate othello comes to venice to lead them against the turks othello and. Romeo and juliet vs othello comparison essay ill at ease with circumstance and public pomp the plot of the play paces up swiftly when iago, othello’s. Thematic essay outline geography questions and answers yale entrance essay short essay on mathematics in daily life essay essay on natural beauty of assam in hindi. Othello and iago, the two main characters in shakespeare's 'othello,' are one of the most dynamic pairs in all of literature the ways in which. The tragedy of othello: the moor of venice is william shakespeare's play, written around 1604 shakespeare borrowed the plot of the tragedy of othello from.
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text:
FCGT understand each group is different and that we require a serious understanding of your unique travel purpose. We endeavor to get to know your purpose, business and participants to provide the most appropriate service at the best price.
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domain: travel


text:
There's nothing like coming home from a long day and enjoying a glass of Guinness beer.
With this Guinness Pint Glass Set, you can do just that but with three of your dearest friends!
Each glass in this 4-pack set shows off a lovely tulip-shaped sillhouette that is accented with fine scultping details on the front and back.
These beautiful glasses proudly display the Guinness logo on the front and an embossed harp on the back.
This glass set makes a great gift, especially a housewarming present!


text:
- About Us
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Holston Art Students Enjoy Capstone Tie-Dying Project
As an end of the year incentive for a job well done, Holston Art Teacher Jessie Smith allowed her students to experience the colorful world of tie-dying. Students were permitted to use the associated coloring materials to freehand designs on tee shirts, socks, and other articles of clothing.
The practice of using free hand dying methods to create colorful bold patterns on clothing began in the first decade of the 20th century. The practice was relatively isolated until the 1960s when it was renamed tie-dye and became associated with the youth that came of age in that decade. Musical artists such as John Lennon and Jimi Hendricks were photographed in colorful tie-dyed garments. The students enjoyed the projects and the items they created---particularly shirts---will no doubt be seen in the hallways of Holston when school re-opens this fall.

domain: design


text:
Paint over this wallpaper to enjoy the best of both worlds - a beautiful design in the perfect color for your space! This pretty paintable wallpaper is embossed with a cultured and chic floral tile motif that transforms walls while allowing you the creative freedom to customize the color. Paintable solutions are also an affordable way to solve common wall and ceiling imperfection issues.
Product Type: Regular Wallcovering
Double Roll Coverage: About 56.4 square feet
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text:
The fruit of intensive research, this book was written by Yigal Arkin, a collector and researcher of means of payments and was published by the Currency Department of the Bank of Israel.
The book details the entire series of banknotes and coins issued during the period covered. Each note and coin is presented pictorially, and accompanying text describes both the design of motif and the choice behind it. The publication is unique in its technical detail of the notes and coins – size, cover, security measures against counterfeiting, designers and periods of circulation – as well additional background material including the original photographs which provided the source of the designs of the banknotes and coins. Next to the photos of each coin is an example of the original coin – usually an ancient Hebrew coin – upon which the modern coin was based.


text:
York City have won the race for Blyth Spartans’ 25-goal Dan Maguire.
Mike Williamson has been confirmed as Gateshead’s new manager.
Gloucester City have announced the signing of attacker Marlon Jackson.
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domain: news


WASHINGTON — New Jersey's U.S. senators say they voted against the deficit reduction deal because they believe it's unfair to working families.
Democrats Frank Lautenberg and Robert Menendez were among 26 senators opposing the compromise deal that coupled an increase in the government's borrowing limit with the promise of more than $2 trillion in budget cuts over the next decade.
Lautenberg called the legislation "a shakedown" and accused tea party Republicans of holding the country hostage to their ideological demands.
Menendez said the measure lowers the deficit "on the backs of working class Americans" and does not require corporations and the wealthy to pay their fair share.
On Monday, four of New Jersey's 13 House members voted against the bill. Republican Scott Garrett joined Democrats Frank Pallone, Rush Holt and Donald Payne in voting no.
After the House passed the measure Monday night, the Senate emphatically passed emergency legislation today to avoid a first-ever government default, rushing the bill to President Barack Obama for his signature just hours before the deadline. The vote in the Senate was 74-26.
Obama signed the bill little more than an hour later.
Today's vote capped an extraordinarily difficult Washington battle pitting tea party Republican forces in the House against Obama and Democrats controlling the Senate. The resulting compromise paired an essential increase in the government's borrowing cap with promises of more than $2 trillion of budget cuts over the next decade.


text:
How to Make Buttercream Tulips - Learn how to make tulips in buttercream using Wilton decorating tips 12, 3, and 123. A buttercream flower is always in style and adds beauty to any cake or cupcake.
Buttercream Ruffle Cake Tutorial More
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text:
Growing up in Central Texas, the summers were hot and dry. I experienced my fair share of summer heat, given that my first job (one that I held for many years) was cutting grass. While I have many memorable experiences from mowing and trimming lawns – one might be surprised at the type of stuff lawn maintenance workers run into – one thing I never understood was certain customers’ obsession with weeding out every last dandelion, spurge, and purslane (pun entirely intended). And no, I’m not saying this just because it was extra work for me!
Weeds, generally speaking, can be used to benefit one’s lawn or garden. While there exists the stereotype of weeds being “invasive” and “aggressive” (think of a lawn overrun by weeds that outcompeted the Saint Augustine or Bermuda grass), I believe this notion is overblown. Consider the following: many weeds are pioneer species, meaning they are the first to erupt from soils previously burned, charred, or otherwise harmed. Weeds add nutrients to the topsoil, and allow other plants to grow. This also helps reduce erosion.
When weeds die naturally, they decompose into something called humus (one “m” short of a tasty dip). This organic matter becomes a vital component to the soil, making it denser, and thus healthier in the beginning stages of soil development.
Some weeds also provide shelter and food to animals like pollinating insects. Butterflies are known to lay eggs on different weed species, while bees make frequent stops. In a world where insect populations are in decline, weeds fulfill an important ecological niche in helping to maintain environmental homeostasis. These effects are felt throughout the ecosystem, all the way on up to humans.
Lastly, do weeds really look that bad on a lawn? I understand it is difficult to measure aesthetics, as everyone has their own preferences. However, I would encourage lawn enthusiasts to think about weeds in terms of adding character lawn, not devaluing it. I would also encourage compromises when it comes to weeds. For example, if you want to show off your front lawn to neighbors, then keep weeds rooted in your backyard.
Written by Dax Emerson, Class of 2021
Photo by Viridi Green on Unsplash

domain: agronomy


Right-hander Chris Volstad, who was demoted to Class AAA New Orleans after Friday’s game, could return to the Marlins in less than two weeks.
New Orleans’ season ends Sept. 7. And Volstad will likely join the Marlins shortly after that.
Manager Fredi Gonzalez said Volstad will make at least one start for the Zephyrs. And he might not start before Wednesday, which was his Marlins slot.
“Maybe not even two starts,” Gonzalez said. “Maybe give him a breather and start one game or two three-inning stints.”
Gonzalez wasn’t ready yet to name a starter for Wednesday. Options include minor leaguers Andrew Miller and Rick VandenHurk and Burke Badenhop, who could be activated from the disabled list (neck strain)…
Right-handers Luis Ayala and Tim Wood were called up from New Orleans to replace Volstad and first baseman Gaby Sanchez on the roster. Both relievers are likely to see action tonight if needed.
Gonzalez said he will try to avoid using Brian Sanches the rest of the weekend and Cristhian Martinez at least until Sunday…
With the Marlins in need of pitching help, there were plenty of jokes this afternoon about activating 18-year-old Chad James, Florida’s top draft pick, who was introduced to the media.
“I hope we didn’t overwork him,” Gonzalez said after watching James throw in the bullpen.
“We might need him tonight.”
James, a lefty, could face live hitters later this month at a minor league mini camp. James’ older brother Justin pitched against Marlins ace Josh Johnson in high school in Oklahoma in 2001 and 2002.
Josh Johnson, who’s 13-3 this year, was a fourth-round pick in 2002.
“Stan (Meek, Marlins scouting director) told me I was right about Josh Johnson and I’ll be right about this kid,” said Larry Beinfest, the Marlins’ baseball operations president.
James, who already throws an impressive breaking ball and changeup, went 8-2 with a 1.28 ERA and 100 strikeouts in 63 1/3 innings for Yukon (Okla.) High this spring.
“You hate to put comparisons on guys but we think there’s some Jon Lester, that kind of guy in what we’re getting,” Meek said. “We think this guy has a chance to be real force down the way.”
James, the 18th overall selection. signed a deal Aug. 17 that included a $1.7 million bonus. The Marlins gave him a one-day locker, above which someone wrote the nameplate “Bonus Baby 1.”
“I knew a lot about the Marlins,” James said. “All the high school pitchers they draft they have all the chances in the world to make it to the top. It’s a great organization to be with.”
Today’s starting lineups
LF Chris Coghlan
3B Wes Helms
SS Hanley Ramirez
1B Jorge Cantu
2B Dan Uggla
RF Cody Ross
C Ronny Paulino
CF Emilio Bonifacio
RHP Ricky Nolasco
SS Everth Cabrera
2B David Eckstein
RF Will Venable
3B Kevin Kouzmanoff
LF Chase Headley
1B Oscar Salazar
C Nick Hundley
CF Tony Gwynn
LHP Wade LeBlanc


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Thunder Bay National Marine Sanctuary (TBNMS) Wayfinding
Designated in 2000, Thunder Bay National Marine Sanctuary (TBNMS), headquartered in Alpena, Michigan, is one of 14 sites managed by NOAA’s Office of National Marine Sanctuaries, and the only one in the Great Lakes. In 2014, the boundaries of Thunder Bay National Marine Sanctuary in Lake Huron were expanded from 448 square miles to 4,300 square miles. The new boundaries include the waters of Lake Huron adjacent to Michigan’s Alcona, Alpena and Presque Isle counties to the Canadian border.
In collaboration with the Center's Education and Outreach Coordinator and Facility/Exhibits Manager we developed a project management plan to produce informational signage in the new designated boundaries of the TBNMS. I helped design over 100 wayfinding signs for a five-county expansion campaign that will engage the public with historical and cultural resources. More than 1000 interpretive signs from as far south as Tawas to Hammond Bay highlight shipwrecks, lighthouses, and other significant maritime and geographical features.


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People have used massage to take care of a wide variety of states since the early times. Now, therapeutic massage is useful for a variety of unique reasons, but it's still helpful as remedy for a wide number of diseases. When you receive a massage, you are undergoing a form of treatment which uses the human body's natural power to heal it self. You'll find a few items that massage therapists focus on during a therapeutic massage that is going to get an effect on how well you'll recover.
Some of those more general advantages of therapeutic massage may include: Allergic muscle tissue may flake out, that may end in diminished muscle tension, improved joint stiffness, and also higher range of flexibility, or increased joint stiffness. Moreover, this can cause less pain and better functioning. Therapeutic massage also improves blood supply, which boosts the delivery of oxygen and nutrients into muscle cells and assists expel waste elements out of the body. When muscles are strained they have been tightened, which results in high freedom and also can relieve pain. Therapeutic massage also raises the comfort response in your mind, which decreases pain sensitivity.
For a more specific case, let us take a look at continual backpain. One of the primary benefits of therapeutic massage is that it decreases pain and stiffness, enabling the patient to get improved , faster. To do this, a therapeutic massage therapist can use their fingers to work out certain joints in the spine and across the body. For instance, the reduce spine could possibly be aching due to lousy position or absence of exerciseand therapeutic massage will loosen the tissues and muscles. After the massage therapist exfoliates joints, tendons, or ligaments, signs to the mind are routed that the body is in check, and the affected person has the capability to proceed and function better. This can reduce persistent pain and make symptoms better to survive.
The following example is every time a massage therapist suggests that a client stretch or tighten her muscle tissue. After a very good session, your client might possibly feel tender, however may probably be amazed how much better she could run, lift, or even proceed after working outside for so longterm. During a session, the massage therapist may even help the customer relax by playing soft tunes, giving her a distraction in the own anxieties and ideas. It is likely that the masseuse will even placed on a few soft music to boost the comfort. The idea is the fact that the client will likely probably be distracted with the music also also by the experience of being soothed by a practitioner which she will undoubtedly be more open to just accept hints and do exactly what is indicated.
Trigger Point Therapy: This type of massage can be just a excellent way to ease tension any place in your system. It can also assist a client lessen or eliminate soreness. Such a massage is based on pressure, like that of a massage therapist employing pressure to a particular spot, to release anxiety and calm the body. For so a long time, it was thought that continual pain caused from overlooked blood cellsnonetheless, trigger point treatment proves that this is not the case. Trigger level therapy frequently assists with migraines, but nevertheless, it may also be employed for back pain, endometriosis, along with other illnesses also.
The following illustration of a massage therapy could possibly be a Shiatsu massage. Shiatsu is a Asian kind of massage therapy that arises from Japan. Within this technique of therapeutic massage, the pro employs finger pressure into specific regions of your human anatomy to replenish energy. This type of massage may work for several folks; however, due to the position and also procedure of finger pressure, it is not recommended for anyone that have heart conditions or hypertension. There are numerous health problems entailed, for example infections and permanent nerve damage.
One final illustration of how a therapeutic massage therapist implies relaxation is when they shoot a picture using a therapeutic massage session and also reveal it into the individual patient. This type of instructional movie might be quite powerful for your patient since they watch and learn just exactly what things to expect during a semester. The therapist may even enter greater detail about how to organize mentally and physically in front of a session. It may even talk about the value of breathing profoundly in front of a session.
Heal was proven to help with diverse sorts of ailments, plus it isn't any wonder that backpain is only one of them. When you see a movie of the massage session, you could observe how massage helps reduce soreness and is able to get the most from each and every session. Whether you have lower back pain or suffering from a car collision, the calming benefits of massage are all huge. You may find out the massage can eliminate pain, decrease redness, 서울출장마사지 and also strengthen the muscle tissue. This is simply 1 example of how massage might be beneficial; in the event that you're suffering from pain, see a therapist about myofascial pain alleviation.

domain: health


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The Study-Service Term program has received a lot of attention this year as Goshen College celebrates its 50th anniversary. In addition to celebrating, the college has also been re-evaluating how SST operates, a process that requires hearing the multitude of perspectives we have on our campus as we move forward.As part of this process, Jose Ortiz and I worked with Jan Bender Shetler, a history professor, this past summer on a Maple Scholars project to examine the perspective of Latino students who had been on SST.
Both of us found our own experiences on SST valuable, yet we understood that changes need to be made to create a more equitable program. When looking at the demographics of those who go on SST, significantly fewer Latino students participate in the program than are present on campus.
We began by breaking down the focus of our research into four main sections: the accessibility of the program, the experience of Latino students during SST, the value gained from these experiences, and recommended policy changes. These are questions that should be asked of all students on campus to understand why or why not they are going on SST.
From here, the two of us set about contacting Latino students and alumni to interview, and quickly realized that students are a bit slow at answering their email over the summer. In the end, we interviewed 24 participants about their experiences and later examined what common themes came up during the process. There’s not room to get into all the specifics here, so if you’re interested in hearing more, talk to one of us or read our research paper if you have the time.
What follows is essentially a condensed version of the findings we presented to alumni over Homecoming weekend:
As expected, one of the most common barriers to SST is cost. Oftentimes this means the additional cost of room and board ($5,325 per semester) that commuter students pay when going abroad. Currently, 68 percent of all Latino students at Goshen College are commuters, which means this cost more directly affects them.
Cost is also a major factor for students unable to fit SST into their regular schedules, requiring them to pay the cost of an additional semester to go during the summer. Other barriers that came up in addition to cost were family obligations, communication and immigrant status.
A key value we found during the study relates to the personal growth some Latino students experienced during and after SST. Traveling to a new culture allowed them to ask “who am I?” in a context beyond what they were familiar with. For example, students struggled to explain the differences between their culture and mainstream American culture. Through this experience, some felt a deeper Latino self-identity and appreciation for their own culture, often times resulting in a desire to understand more about their history.
One of the most important changes moving forward is effectively communicating what SST is to students unfamiliar with the program. For students who have friends and relatives that went on SST, they have been preparing to go for years. In recent years, however, the number of students unfamiliar with the idea of SST has grown.
Many Latino parents do not know what SST is, or why they should send their child on it. However, some parents who take time out of their schedules to attend meetings are met with another barrier — the meetings are in English. Students who were interviewed often brought up the need to communicate information about SST to their families in Spanish.
Another area where change is necessary is within the SST-alternative program. Although the college has traditionally given little attention to SST-alts out of a desire to encourage more students to go on SST, there are ultimately some students who cannot or choose not to participate for a variety of reasons.
The first step here should be changing the name. Calling the courses “SST-alternatives” causes students to think that what they are receiving is less-than. If international education remains a requirement at Goshen College, the school needs to figure out what it is that SST provides students so that these “alternative” courses can provide the same thing.
One area of improvement would be to incorporate more experiential learning through May Term style trips to indigenous or Appalachian communities, which could provide cross-cultural trips within the country without sacrificing large costs or time commitments.
In the end, Jose and I have felt inspired to hear students’ voices during this project and hope we can continue to be part of improving the program for future students. One of the most impactful parts of this study for us has simply been getting the message out there.
When we presented at Homecoming, a common reaction from alumni was that they were unaware of the need to improve the SST program to create more equity. We challenged them to spread the word about the need to improve the accessibility and value of SST and to get involved in the steps required to bring these goals to a reality. We challenge you to do the same.


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Devjyot and Uditha Jayasinghe
COLOMBO, (Reuters) -Sri Lanka was informed by China’s Export-Import Bank that it would work with Sri Lanka to resolve its debt situation. This is according to Reuters. The letter also reiterated a moratorium on debt payments due 2022 or 2023.
On Tuesday, the International Monetary Fund announced that Sri Lanka had received financing assurances from China and India. This set the scene for approval by the IMF of its $2.9 billion bailout package for Sri Lanka on March 20.
Sri Lanka faces its most severe economic crisis since more than 70 years. A shortage of dollars has hampered imports of essentials. However, the situation is improving this year compared to last year’s protests that ousted its president.
China’s expansion has been “firm support to Sri Lanka through a debt treatment”EXIM Bank addressed the letter on March 6 to the Sri Lankan government.
Zhang Wencai the bank’s Vice President stated that the loan principal and interest for two years would be paid back by the island nation in a letter. “so as to help relieve your short-term debt repayment pressure”.
“Meanwhile, we would like to expedite the negotiation process with your side regarding medium- and long-term debt treatment in this window period, with a view to finalising the specifics of a debt treatment in the coming months. We will make our best efforts to contribute to the debt sustainability of Sri Lanka.”
This letter is similar to the one EXIM Bank sent Sri Lankans in January. However, it does not mention the goal of completing debt-treatment details in the next months.
According to IMF data, Sri Lanka had EXIM 2.83 billion owed by the end of 2020, which is 3.5% of its total external debt.
China will call, the letter stated. “commercial creditors to provide debt treatment in an equally comparable manner, and encourage multilateral creditors to do their utmost to make contributions to help you better respond to the crisis and emerge from it”.
Spokespersons from China’s foreign ministries confirmed that the contents were true.
“It fully reflects our sincerity and efforts to support Sri Lanka in achieving debt sustainability, and we hope that relevant parties will respond positively to Sri Lanka’s loan application as soon as possible,” Mao Ning addressed a regularly scheduled news conference.
CHINA – LONG TALKS
The IMF agreement was possible only if China, Sri Lanka’s largest sovereign creditor, backed it.
Ranil Wickremesinghe, President of Sri Lanka told Parliament Tuesday that the government had received the China correspondence on Monday night. Soon afterward, the governor at the central bank sent an IMF letter of intent.
Wickremesinghe’s office sources said that Wickremesinghe had expected the letter from EXIM Bank on Thursday.
“Sri Lanka has been talking, discussing and negotiating with China EXIM Bank for weeks, mostly virtually, because that was what we were tasked with doing,” The source declined to identify himself as he wasn’t authorized to speak to media.
According to him, Sri Lanka was helped by the international community’s support, particularly Japan and the United States speaking with the Chinese government. The source said that Sri Lanka received support from India’s G20 summit last month.
Bandula Gunawardena was the spokesperson for Sri Lanka and transportation minister. He stated at a weekly news briefing, that the possibility of final IMF approval was imminent. “great achievement”.
“Sri Lanka has worked hard and spent months to fulfill requirements for the IMF programme, at certain times the president engaged at personal level to get support,” He stated.
“Without the IMF programme, Sri Lanka cannot turn around its economy.”
(Reporting by Uditha Jasinghe, Devjyot and Uditha Ghoshal; Additional reporting by Liz Lee at Beijing; Writing by Krishna N. Das. Editing by Kim Coghill. Muralikumar anantharaman.
“The views and opinions expressed here are solely those of the author of the article and not necessarily shared or endorsed by Conservative News Daily”
" Conservative News Daily does not always share or support the views and opinions expressed here; they are just those of the writer."

domain: finance


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Pinnacle Investment Management director Adrian Whittingham has chosen to reduce his hours from full-time to part-time and is expected to step into a non-executive role.
In an announcement to the Australian Securities Exchange (ASX), the firm said Whittingham would continue to represent Pinnacle on the boards of several affiliated investment managers and act as director of Pinnacle.
He was expected to move into a non-executive role in 2021 following the firm’s annual general meeting.
He had already commenced a ‘role transition’ this February with his retail distribution functions having been passed to Ramsin Jajoo.
Whittingham’s remuneration in the reduced role would be $195,000 per annum with no eligibility for short or long-term incentives.
Pinnacle managing director, Ian Macoun, said: “We are very grateful to Adrian for his enormous contribution to the growth of Pinnacle over the past 13 years, from 2007 when he joined an early-stage Pinnacle as an equity partner to the current time. This will be a new phase but not by any means the end of a wonderful partnership journey between Adrian and Pinnacle”.


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15 Issues of Wine Spectator
Included with purchase ($10 value).
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Daily Harvest says investigators believe one ingredient is to blame for gastrointestinal issues thatof the food company’s French Lentil + Leek Crumbles in June.
“At this time, we have identified tara flour as the cause of the issue,” Rachel Drori, founder and CEO of the vegan meal-kit delivery service, said in a blog post.
Made from the seeds of tara trees grown in Peru, tara flour surfaced as the likely cause after weeks of investigation by microbiologists, toxicologists and three labs, Drori said. Work continues with the unidentified flour producer and the Food and Drug Administration to figure out what specifically made customers ill, she added.
“We have only used this Ingredient in French Lentil + Leek Crumbles and we are no longer sourcing from this producer, who does not provide any ingredients for our 140+ other items,” Drori wrote. “This was the first and only time we’ve used tara flour, which has been available and used in the North American market as a plant-based source of protein prior to our use.”
Daily Harvest said last month that it had received 470 complaints of illness, including potential liver damage. The New York-based company also announced that it was recalling 28,000 units of the dish shipped to customers across the U.S.
Influencers say they got sick
Additional reports of people falling ill surfaced on TikTok after online influencers were sent the product as part of a public relations campaign by Daily Harvest. In a video posted on TikTok, creative director Abigail Silverman described being hospitalized with severe gastrointestinal pain a day after consuming the crumbles.
Others also took their complaints to social media, with Facebook, Instagram, Reddit and Twitter users reporting symptoms including nausea, vomiting and liver damage after eating the dish. One Reddit user wrote that their spouse had experienced “extreme fatigue, dark urine, low-grade fever and whole-body itching with no rash.”
Daily Harvest advised people to throw out the product in an earlier notice posted on its website. The company also said it had reached out to customers that purchased it.
Started in 2015, Daily Harvest is a food subscription company that ships frozen, pre-made food products to parts of the U.S. Celebrity investors in the company include Serena Williams and Gwyneth Paltrow.
The French Lentil and Leek Crumbles were introduced in April as a food to cook and add to other dishes or products, according to the company.

domain: food


Could it be? Actress and Mother Paula Patton to get back with her ex husband Robin Thicke? She hinted a possibility with a post on her Instagram. What do you think? Maybe Robin learned his lesson and maybe Paula is ready to give her ex hubby a second chance.
Eveyln Lozada is now beefing with another Wife, not a Basketball Wife but a she probably could dunk a ball or two. Check out what’s got Evenlyn beefing with Wendy Williams.
Could things be getting better between Paula Patton and Robin Thicke? Well from the look of these photos, it looks like the two may have reunited as they’re photoed with their adorable son. Check out more of the couple and son Julian here.
Since the news of Paula Patton and Robin Thicke separating, the world has been wondering what the future of the two will be. Well, it may not be much since its been reported that Robin was parlaying in a Strip club the other night! For a man that is pleading for his estranged wife’s forgiveness, […]
What do you do when you are the world’s top female entertainer, beautiful and rich with no worries in the world? You go on a vacation with your family! Check out photos of Beyonce, Jay-Z and Baby Blue Ivy as they spend quality time on the islands during her Mrs. Carter Tour.
Well with all the rumors of Robin cheating looks like its all coming to light as the couple Paula Patton and Robin Thicke has publicly announced that they are separating. Check out the video here: Paula Patton and Robim Thicke Splits [VIDEO] Loved those two together. Definitely hoping for the best for the two […]
So on last night’s episode of Real Husband’s of Hollywood, HartFelt aka Kevin Hart kicked off his R&B singing career with his debut single called…


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Emerging-market junk bonds are selling off at a record pace as investors seek out more attractive yield-generating opportunities. Fixed-income ETF investors can also target these developing economies through high yield-related strategies.
Developing country companies have sold a record $118 billion in high-yield dollar bonds this year, or more than doubled from five years earlier, and the pace does not seem to be letting up any time soon, the Wall Street Journal reports.
Given the low yields on U.S. Treasury bonds and other ultra-safe instruments, fixed-income investors are looking for higher-yielding alternatives, such as those issued by emerging market corporates.
For example, average, Asian high-yield credit in dollars produced a yield of about 7.6% or over 2 percentage points above their equivalent U.S. high-yield debt counterpart, according to ICE BofAML indexes. The Asian bonds even tended to have shorter maturities and higher credit ratings on average.
Chen Yi, head of global capital markets at Haitong International Securities Co., argued that Asian borrowers could keep up the robust pace of bond sales next year as more international investors turn to emerging-market assets.
“The global liquidity is still there, and given the difficulties in Latin American economies, one of the few places where that money can go is Asia,” Chen told the WSJ. “So we’re bullish on dollar high-yield debt in Asia. Plus, demand for Chinese property is still hot.”
Central bank policies continue to support the outlook as well. The Federal Reserve has signaled its comfort with leaving rates as is through next year, so investors are looking for higher-yielding assets in this lower-for-longer yield environment.
Jean-Charles Sambor, deputy head of emerging-market fixed income at BNP Paribas Asset Management, also believed that debt from emerging market issuers was “still very cheap.”
Bond investors can access emerging markets junk bonds with exchange traded funds such as the VanEck Market Vectors EM High Yield Bond ETF (NYSEArca: HYEM) and iShares Emerging Markets High Yield Bond ETF (CBOE: EMHY).
The iShares Emerging Markets High Yield Bond ETF, which tracks the Morningstar Emerging Markets High Yield Bond Index, holds nearly 520 emerging markets junk bonds. The fund has an effective duration of 5.58 years and a 30-day SEC yield of 5.84%.
The VanEck Vectors Emerging Markets High Yield Bond ETF holds 625 emerging markets junk bonds with an effective duration of 3.38 years and a 30-day SEC yield of 5.75%.
For more information on the fixed-income market, visit our bond ETFs category.


A Lake Area Representative’s bill regarding abortions has almost cleared the House. Representative Rocky Miller has filed the bill three years in a row and says that he’s made it all the way to the Senate Floor before it failed. He says, however, it’s not so much an abortion bill as it is a parental rights bill.
Miller’s bill would require that both parents of a minor be notified before that minor has an abortion. It does however list specific exceptions that would require for only one parent to be notified, such as a parent whose parental rights have been taken away by the court. The bill is expected to be perfected on the House floor in the very near future.


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