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Access and Health Equity
Gilead’s Focus on Ending the HIV Epidemic for Children Everywhere
Stories@Gilead - July 31, 2023 - 4 min read
"I am tired, so tired. When will this end?" That’s the refrain that Dr. Eva Natukunda, a pediatric HIV specialist at the Joint Clinical Research Center in Kampala, Uganda says she often hears from adolescents and young adults living with HIV.
Eva has been following many of these patients since birth and finds that by the time they reach adolescence, children who have grown up living with HIV are weary of having to take 4 to 6 pills every day, since single-tablet regimens are not accessible everywhere for children. Some who stop taking their pills experience a resurgence of the virus and risk one day having children with HIV – “and then the epidemic continues with another generation of babies,” she says.
But Eva wants to break this cycle. She’s one of many clinicians around the globe partnering with Gilead scientists to help find more advanced and accessible therapies for the estimated 1.7 million children globally who are living with HIV – 9 out of 10 of whom are in sub-Saharan Africa.
“Medications for children have historically lagged behind those for adults,” says Kathryn Kersey, Executive Director of Gilead’s Virology Clinical Development. “I think it’s fair to say that children living with HIV have been left behind and there’s a need to close the gap between treatment options available for adults and children.”
In fact, according to the World Health Organization’s 2020 figures, only 54% of children with HIV are on antiretroviral therapy compared to 74% of adults.
There are many reasons for gaps in medications for children, according to Eva. Limited studies in the young result in limited drug options, and there can be a lack of adherence due to regimens that require multiple doses of different therapies. Other times, medications can be unpalatable and just plain difficult for children to take.
“In some parts of the world, drug availability is the obstacle,” says Kathryn. “And stigma also still deters some parents from seeking care for their children.”
Gilead has been at the forefront of helping transform the treatment and prevention of HIV for decades, and it is also focused on helping speed the development and accessibility of new medications for children. Last year, it opened the global Pediatric Centre of Excellence in Dublin to coordinate and optimize the execution of pediatric clinical trials.
“The goal is to develop innovative therapies and have them approved sooner so they can reach children across the globe that much faster,” explains Kathryn.
At the center, more than 100 employees are devising and studying new therapies for HIV, hepatitis and COVID-19. Scientists have also begun investigating new pediatric cancer treatments and will soon begin studies on treatments for childhood inflammatory conditions.
Medication Challenges in Children
“It’s the old cliché – children are not mini-adults,” says Kathryn. “There are many different considerations in terms of how their bodies respond to medication – issues of metabolism and the impact on developing organs.”
There are practicalities in terms of how to perform clinical studies in children, including informed consent and seemingly routine matters, such as how to draw a blood sample from a child. In addition, children can struggle taking large and bitter-tasting pills. To help overcome this last challenge, Gilead is collaborating with the Clinton Health Access Initiative and the Penta ID network to devise dispersible medications that can be dissolved in water in order to make medications more palatable for children. The partnership, which was announced earlier this month, especially aims to improve treatment and adherence rates among children living with HIV in low- and middle-income countries.
Kathryn notes that new single-pill regimens can also help with adherence but are not approved for the pediatric population in most low- and middle-income countries. In the future, she envisions medications being tested for children in parallel with the testing for adults to help prevent delays in availability for adolescents. But one of the most promising approaches is long-acting injectable medications, which could help youngsters and their caregivers with their medication routines.
“Injections could potentially make a big difference in the lives of teenagers. They are clamoring for this,” says Eva.
Young people are a key piece of the long-term strategy to end the HIV epidemic for everyone, everywhere. “If the HIV treatment gap between children and adolescents can be closed, we can stop the cycle,” adds Kathryn.


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Stephen Calkins was the speaker at the inaugural American Bar Association Antitrust Section Global Seminar, a networking event held in Brussels, Belgium. His talk was "A Review of Both Sides of the Pond."
Peter Hammer was honored by the ACLU of Michigan for his "work improving access to true justice for all members of society."
Nicholas Schroeck has been asked by the National Oceanic and Atmospheric Administration to serve on a site review team for the National Sea Grant Law Center. The National Sea Grant College Program periodically reviews all of their colleges and centers for management and collaboration. He'll serve as an external panelist to help ensure that the program is well run and well connected. The site review will take place Feb. 10-11 at the center's offices at the University of Mississippi Law School.
Laura Bartell presented "Detroit's Bankruptcy - A Primer for the Non-Lawyer" to the Grosse Pointe League of Women Voters.
Blanche Cook presented "Implicit Bias and the Inevitablity of Michael Brown" at Vanderbilt Divinity School, Tennessee, as part of the Social Justice Forum program, an activity of the Kelly Miller Smith Institute on African American Church Studies.
Julia Qin presented "State Ownership and Market Benchmarks: WTO Subsidy Jurisprudence and Its Implications for Developmental Policy Space" to the American Society of International Law International Economic Law Interest Group, University of Denver Sturm College of Law, Denver, Colorado.
Jocelyn Benson gave a presentation at the annual Veterans Day and Remembrance Service of the Episcopal Cathedral Church of St. Paul in Detroit.
Stephen Calkins presented the closing roundtable session, "The Future of the Federal Trade Commission," at George Washington Law Review's The FTC at 100: Centennial Commemorations and Proposals for Progress in Washington, D.C.
Kathryn Smolinski has been elected to distinguished fellowship in the National Academies of Practice and the Social Work Academy as a distinguished practitioner and fellow. The honor acknowledges outstanding achievement and recognized leaders in their profession. Induction will take place in April at the organization's annual meeting and forum.
Katherine White was re-elected to a third eight-year term on the University of Michigan Board of Regents. She was previously elected to the Board of Regents in 1998 and 2006, and serves as the board chair.
Stephen Calkins presented "Amalgamation of Competences v Specialization, Integration v Bifurcation, Administrative v Judicial" at the College of Europe's 10th Global Competition Law Centre Annual Conference, 10 Years of Regulation 1/2003: Challenges and Reform in Brussels, Belgium.
Charles Brower presented "Arbitrations Involving States" at the Atlanta International Arbitration Society's third annual conference.
Peter Henning presented "Bitcoin & White Collar Crimes" at the Investigative Techniques Fraud Conference of the International Association of Financial Crimes Investigators held at VistaTech in Livonia.
Peter Hammer presented "Connecting the Dots: A Humanitarian-Based Approach to the Renewal of Detroit" at the Ewald Branch Public Library in Grosse Pointe Park. The events was sponsored by Pointes for Peace, Metropolitan Organizing Strategy Enabling Strength (MOSES) and Michigan Legal Services.
Brad Roth presented "The Neglected Virtues of Bright Lines: International Law in the 2014 Ukraine Crises" during International Law Weekend at the annual meeting of the International Law Association, American Branch.
Peter Hammer will be honored Oct. 30 at The American-Arab Anti-Discrimination Committee Michigan Office's 12th annual Guardian of Justice Judges Night Dinner. ADC-Michigan Director Attorney Fatina Abdrabboh said, "We are honored to present an award to Peter Hammer for being a tireless advocate for the voiceless and the marginalized and for constantly advancing constitutional values of justice, equality and tolerance for all. Peter Hammer is an excellent example of a leader dedicated to empowering and serving others."
Jocelyn Benson spoke on the state of Michigan's campaign finance law in the aftermath of the U.S. Supreme Court decision in McCutheon v. Federal Election Commission. Her talk was at the University of Michigan Law School in Ann Arbor, where she was a guest of the Michigan Election Law Project.
Peter Hammer presented "Structural Racism Initiative," a talk about the Damon J. Keith Center's new Detroit Equity Action Lab, at Henry Ford Hospital in Detroit as part of the Henry Ford Health System's Health Disparities Research Collaborative at its annual reception.
Stephen Calkins presented "Top Tips: Your Business and Competition Law" at Taking Care of Business held at Dublin Castle, Ireland.
Julia Qin Julia Qin gave a presentation at the World Trade Organization in Geneva, Switzerland, commenting on its Appellate Body's recent decision in the China - Rare Earths case. The event, attended by about 70 people including government representatives from major countries and World Trade Organization legal staff, was part of the "Talking Disputes" program organized by World Trade Institute Advisors and the International Centre for Trade and Sustainable Development.
Jocelyn Benson was selected as one of 27 Esteemed Women of Michigan 2014. The Esteemed Women of Michigan program recognizes women who have excelled in their professions, risen above intolerable circumstances, developed the means to help others or have become inspirational figures for the younger generation, according to the program.
Anthony Dillof presented a paper at the Buffalo Criminal Law Colloquium. The paper was "Possession, Child Pornography and Proportionality: Criminal Liability for Aggregate Harm Offenses."
Peter Hammer presented "Connecting the Dots in Detroit: Water Shutoffs, Emergency Management, Bankruptcy & Beyond" for the 2014-15 Humanities Center Brown Bag Colloquium Series at Wayne State University. The lecture explored the common roots of the problems facing Detroit, grounding the analysis in the convergent influences of structural racism and fiscal austerity, and explored alternative approaches to the plans for the city to move forward.
Peter Hammer spoke at Marygrove College in a talk sponsored by the Michigan Coalition for Human Rights. He addressed fundamental problems and suggested improvements in the city of Detroit's post-bankruptcy plan of adjustment, and also addressed the regional water plan, Detroit's water shut-off crisis, the proposed Ilitch hockey arena complex and ongoing developments regarding emergency financial manager situations in Michigan cities and school districts.
Nicholas Schroeck presented a seminar, "Hydraulic Fracturing and Great Lakes Water Resource Management," for Water@Wayne in the WSU Welcome Center auditorium.
Blanche Cook presented "Prostitutes, Pimps, Prosecutors and Politicians: Navigating the Dangerous World of Hegemony, Pseudospeciation and Patriarchy" at Vanderbilt Divinity School in Nashville, Tenn. The lecture was based on an upcoming law review article Cook is preparing.
Katherine White presented "Patent Eligibility: Alice Corp. v. CLS Bank - What It Reveals: Past, Present and Future" at the seventh annual Information Technology Law Seminar in Plymouth.
Robert Sedler presented a program at Wayne Law for a delegation from the Republic of Georgia visiting the United States under the U.S. State Department's Open World Program. Delegates included a judge of Tbilsi Civil Court; the deputy head of the republic's Legal Department in the Office of the Chief Prosecutor of Georgia; a criminal defense lawyer who is a member of the Georgian Ethics Committee and Georgian Bar Association; the parliamentary secretary of the Georgian Young Lawyers Association; and the chief of staff for the Criminal Chamber of the Supreme Court of Georgia. Sedler compared constitutional governance under the U.S. Constitution and the Georgian Constitution, and also discussed judicial independence, transparency in the legal system and differences in the protection of press freedom.
Stephen Calkins presented "Varied Structures for Competition and Consumer Protection" at the Canadian Bar Association National Competition Law Section's 2014 annual Competition Law Fall Conference in Ottawa, Ontario, Canada.
Nicholas Schroeck has been appointed as vice chair for the Water Resources Committee for the American Bar Association's 2014-15 The Year in Review publication of the Section of Envrionment, Energy and Resources. The Year in Review provides broad coverage of the changes in law and current events in the section's areas of practice. All substantive committees have the opportunity to submit a chapter, and the vice chair oversees the chapter's preparation.
D'lorah Hughes was co-presenter of "Currrent Issues in Law Practice: Externships" with Hannah Brenner at the Midwest Clinic Teachers Conference held at Michigan State University in Lansing.
Rachel Settlage was a panelist discussing "Does Success Really Matter? Accepting or Continuing Representation of Clients who have Little Hope of Winning their Cases" for the Midwest Clinic Teachers Conference at Michigan State University in Lansing.
Stephen Calkins presented "Enhancing Compeition Law in Asia with a Focus on Procedural Law: A Non-Asian Perspective" at the 18th International Workshop on Competition Policy held in Seoul, South Korea.
Charles Brower will be listed for the first time in the global edition of Who's Who Legal: Arbitration. He is one of only 120 in the United States and two from Michigan to be accorded the honor.
Charles Brower was elected and invited to become a Fellow of the American Bar Foundation. No more than one-third of 1 percent of lawyers registered in any jurisdiction may be Fellows at any given time.
Stephen Calkins presented "Thoughts and Observations on Case Handling Procedures" at the 2014 Seoul National University, Korea University and Sookmyung Women's University Mini-Conference in Seoul, South Korea.
Thomas Helmholdt spoke about the Wayne Law Patent Procurement Law Clinic at the Aug. 19 Macomb-OU INCubator event titled "Get Out of the Garage: Patent Your Idea!" and held in Sterling Heights. Patent attorney Bonnie Smith, a Wayne Law alumna who particpated in the clinic during law school, also spoke.
Nicholas Schroeck presented "Water Quality: Great Lakes Water Levels and Requests for Water Withdrawal" on Aug. 16 at the national summit of the National Caucus of Environmental Legislators held in Minneapolis. The group comprises more than 1,000 legislators from all 50 states and the Canadian province of Ontario.

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A key challenge for the Australian health care system is ensuring that the numbers, distribution and skill set of the health care workforce are adequate to meet the emerging health needs of an ageing population with increasingly high expectations of health care.
Professional and government responses have given priority to increasing the overall numbers of practising clinicians by investment in additional training places.
Another approach is to enhance productivity of the existing workforce by activating strategies of professional enablement that remove constraints imposed on clinicians by inefficient work practices and inappropriate training programs, maladaptive organisational attributes, misdirected financial and non-financial incentives, and adverse sociopolitical influences.
The Australian health care system is currently struggling to ensure that the numbers, distribution and skill set of the health care workforce meet the health needs of an ageing population with increasingly high expectations of health care.
The Australian health care workforce (excluding community service workers) grew by 12% from 1996 to 2001, and by 23% from 2001 to 2006 — more than double the growth in population.1 The “ideal” workforce size is often represented as a number per capita for each health profession, based on historical precedent with adjustment according to simulation modelling for anticipated changes in demographics; disease patterns; health care technology; and workforce entry and exit based on global competition, earlier retirement and shorter working hours.
An ageing population that increases service demand, coupled with an ageing workforce that decreases service capacity, is seen as the key equation in estimating workforce shortfalls.2 This view has led to an increase in the number of Australian-trained medical graduates from 1348 in 2005 to 2442 in 2012, adding to the current massive influx of overseas-trained doctors, who accounted for 48% of medical practitioners in 2006.1 Employers and training bodies obliged to provide postgraduate medical training to this vastly increased number of graduates are now under pressure.3 The same challenges are even more acute for the nursing profession, with current shortages estimated at 10 000–12 000 nurses.4
Some net increase in health care workforce is clearly required, if only to catch up with net losses incurred between 1994 and 2002.5 However, does an increase in overall clinician numbers necessarily equate with improved health care and outcomes? Studies in the United States suggest a weak link between population health and doctor supply; primary care is a possible exception.6 Geographical regions with 60% more doctors than regions with the lowest per-capita supply perform no better in measures of mortality, quality of care, or patient satisfaction with care or perceptions of access.7 If more doctors are needed, more primary care doctors than specialists are likely to yield better outcomes at lower cost.6 These findings have implications for the diminishing proportion (currently 27%) of Australian medical graduates entering general practice.1 Finally, previous supply increases in the US8 and Australia2 have not led to more doctors working in under-served communities with clearly documented unmet health needs.
Increasing productivity of individual clinicians could considerably lessen our need to train or import large numbers of extra clinicians. The absence of reliable measures of productivity hampers robust assessments of health workforce output over time.5 However, in a Canadian simulation model based on population health needs, increasing nurse productivity by just 0.5% per year and compounding it over 15 years would reduce the nursing shortfall by 20%, compared with a reduction of less than 3% if current training positions were increased by 20% or nurse exit from workforce was decreased by 20%.9 As a practical example, the Releasing Time to Care program in the United Kingdom has freed up considerable numbers of hours of hospital nurse time for direct patient care.10
Rather than asking “How many more doctors, nurses, allied health professionals and other craft groups are required, other things being equal?”, a better question may be “How many clinicians are required to do what, and how, for whom, under what circumstances?”.9 Intrinsic to this broader question are considerations of improving clinician productivity by various means of professional enablement that relate not only to clinicians, but to current and future patients and wider society.
A considerable portion of clinician time — as much as 30%11 — is siphoned away from direct, value-added patient care because of inefficiencies embedded in current work practices.
First and foremost, clinical interventions that are ineffective or of very marginal value should be discouraged, thus diverting time to more effective interventions. Funding for interventions should be linked with proven, evidence-based indications as determined by formal processes of health care technology assessment conducted under the auspices of a central government agency, using methods recently articulated for the Australian context.12 Health care technology assessment has exerted considerable influence on clinician and policymaker behaviour in the UK13 and Canada.14
Second, dysfunctional non-electronic clinical information systems, which create duplication and waste time, must be digitally reformed. Electronic personal health records stored on patient-authorised web-based portals or patient-held “smart cards” would allow rapid access to patient data from different providers across multiple sites, thus improving patient safety and saving time and resources. Viable forms of electronic personal health records that have been received favourably in the UK15 and the US16 can be easily replicated here and serve as a forerunner to centralised data repositories accessible to all clinicians. The “holy grail” of fully integrated electronic health records might need to be abandoned for modular systems comprising an operating platform to which functionalities are progressively added with clinician involvement and appreciation of workflow issues.17 A staggered approach to implementing, in succession, order entry, automated notes and records, and clinical decision support is capable of realising better care with reduced complications, mortality and costs.18 Moreover, telemedicine applications ranging from patient–clinician messaging19 to long-distance interclinician videoconferencing20 enhance clinician productivity. For too long, such innovations have been thwarted by commercial interests, privacy lobbies, and government tardiness in developing e-health standards and governance frameworks.
Third, health care organisations, both small and large, should re-engineer current models of care that constrain clinician productivity. Recent large-scale service redesign projects in the UK21 and Australia22 have achieved modest success in making better use of clinics, operating theatres, hospital beds, and community services. Countless examples of small-scale innovations, both successful and unsuccessful, remain unreported and thus are not disseminated. Despite the profiling of exemplary case studies by organisations such as the Australian Resource Centre for Healthcare Innovation and the National Institute of Clinical Studies, widespread uptake of much of what has been learned about improving productivity occurs serendipitously (if at all), leading to wasteful re-invention and re-learning of past initiatives. A national registry or clearinghouse of service innovations, similar to clinical trial registries, could be established in which service improvement projects sponsored by government or organisations would be obliged to be registered and their results reported. A sophisticated search function would allow clinicians to quickly access field-tested ideas and strategies; consulting this resource could be considered mandatory for any business proposal for new or expanded services. In turn, managerial decision making needs to more proactively seek evidence and translate it into performance enhancement, using methods such as the Informed Decisions Toolbox.23
Fourth, current role delineations, job descriptions and award structures may be impeding the efficient alignment of skill sets with clinical tasks and thus require change. Appropriate delegation of medically supervised, protocol-led, lower-complexity tasks to newly defined positions of nurse practitioners and physician assistants has the potential to free up doctors for more higher-complexity tasks in settings where research suggests dividends in service enhancement, such as clinics24 and nursing homes.25 Nurse assistants and clinical support officers might achieve similar outcomes for senior nurses.
Finally, university medical courses and college training programs must provide flexible, streamlined, competency-based training paths that better equip graduates to deal with current and future “real world” health care needs.26 Vertical training models (eg, junior doctors taught by specialists in training, medical students taught by junior doctors with better transitioning from undergraduate to postgraduate curricula), scenario analysis and role-playing, simulation training,27 which includes acquisition of clinical reasoning skills,28 student and trainee immersions in supervised “work experience” roles, and sophisticated performance assessment29 are all required. Training also needs to emphasise the right balance between “generalist” and “specialist” skills within disciplines.30
Clinician productivity is being sapped by bureaucratic imposts and inertia, poor human resource management, and failed systems of organisational governance.31 This is despite a 50% increase in administrative staff between 2001 and 2006, including an 80% increase in nurse managers.1 Unproductive tension remains between clinicians acting according to professional standards and managers driven by budget and policy imperatives. As recommended by the recent Garling Inquiry,31 clinical councils headed by clinically trained chief executive officers should have equal standing with non-clinical managerial teams in evolving public hospital bureaucratic and clinical work practices and organisational culture. The same model could apply to private hospitals, Divisions of General Practice and residential aged care facilities.
At the coalface, clinicians should be spared time-wasting administrative intrusions devoid of capacity to demonstrably improve quality or efficiency of care, which, for the average general practitioner, consumes up to 9 hours per week.32 Although clinicians must remain accountable, many bureaucratic tasks that are either patient-related (eg, applications for residential care, aged care assessment, and home care; authority Pharmaceutical Benefit Scheme prescriptions; work certificates; medicolegal reports) or organisation-related (eg, financial reports, rostering, credentialling and accreditation, service plans, corporate training programs) could be streamlined, harmonised, or, in some cases, eliminated without increasing the potential for misuse.
Remuneration methods and non-financial professional inducements strongly influence workforce distribution and skill set. The current Medicare Benefits Schedule (MBS) overpays procedural specialists and other narrowly scoped practitioners involved in one-off operations or consultations, and underpays cognitive, generalist clinicians dealing with chronic disease over the long term. Despite the collapse of the federal government Relative Values Study initiative in the 1990s, fundamental revaluation of the MBS remains paramount. Blended payment schemes that combine simplified fee-for-service schedules for individual clinicians with “bundle of care” funding for multidisciplinary teams would encourage more comprehensive, coordinated care with improved outcomes at potentially lower cost.33
Ameliorating the shortage of clinician supply in under-served communities requires a composite of incentives34 that are both financial: relocation bonuses, higher Medicare rebates, skill-based allowances, rural-bonded scholarship schemes; and non-financial: professional development (videoconferencing, distance learning packages), locum support, allied health availability, and well integrated “hub and spoke” health service networks.
Finally, mass introduction of a bevy of publicly reportable performance measures linked with accreditation and pay-for-quality schemes should be reconsidered, given their limited evidence of effectiveness and opportunity costs associated with administration, data collection and analysis.35 Indeed, inefficient use of clinician time and net harm may result if inappropriate adherence to guideline-derived performance measures evokes over-diagnosis and over-treatment in populations to which guidelines do not apply.36 A better alternative is a more limited set of internally reported key measures linked with collaborative quality improvement initiatives that have improved care in both general and hospital practice.37,38
The value of medical advice to patients and the public is limited by the inability of many to understand and engage in rational clinical discourse. Clinician time is also misappropriated by increasing numbers of the “worried well” presenting with somatisation disorder.39 Introducing health literacy and promotion programs into schools,40 universities and workplaces,41 jointly funded by government health and education departments, can enhance physical and mental wellbeing, and foster disease screening and prevention, especially if didactic instruction is combined with family or community involvement and changes to local health culture.
Self-management and coaching strategies directed at selected populations with established chronic disease encourage patients to be more proactive in their own disease management, with better outcomes and more effective interaction with clinicians.42,43 In cases of advanced or terminal illness, wider use of advance care plans would facilitate avoidance of care that is clinically futile and/or incompatible with personal preferences.
Finally, societal expectations of modern health care at an affordable cost are becoming unrealistic, and many parties are to blame — politicians, health executives, clinical opinion leaders, commercial interests, medical researchers and the media. Society is too insensitive to the narrowing nexus between benefit, harm and costs of many clinical interventions. Formal complaint or litigation is too readily used to compensate for unfavourable outcomes despite appropriate care, promoting the practice of “defensive medicine”, which, by over-servicing, merely exacerbates the problem of iatrogenesis. Public involvement in efforts to rationalise and prioritise health services is possible,44 and should be encouraged in guaranteeing a more sustainable health care system.
In maintaining an accessible, safe, efficient and affordable health care system, simply increasing the health care workforce may not be the only or even pre-eminent solution. Strategies for increasing workforce productivity deserve more consideration to avoid consigning the next generation of clinicians to the same performance constraints that bedevil the well intentioned labours of the current generation.
- 1. Australian Institute of Health and Welfare. Health and community services labour force 2006. Canberra: AIHW, 2009. (AIHW Cat. No. HWL 43.)
- 2. Joyce CM, McNeil JJ, Stoelwinder JU. More doctors, but not enough: Australian medical workforce supply 2001–2012. Med J Aust 2006; 184: 441-446. <MJA full text>
- 3. Fox GJ, Arnold SJ. The rising tide of medical graduates: how will postgraduate training be affected? Med J Aust 2008; 189: 515-518. <MJA full text>
- 4. Australian Health Workforce Advisory Committee. Nursing workforce planning in Australia. AHWAC Report 2004.1. Sydney: AHWAC, 2004.
- 5. Australian Medical Workforce Advisory Committee. Annual report 2001–2002. Sydney: AMWAC, 2002: 9.
- 6. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q 2005; 83: 457-502.
- 7. Goodman DC, Fisher ES. Physician workforce crisis? Wrong diagnosis, wrong prescription. N Engl J Med 2008; 358: 1658-1661.
- 8. Goodman DC. Twenty-year trends in regional variations in the US physician workforce. Health Aff (Millwood) 2004; Suppl Web Exclusives: VAR90-VAR97.
- 9. Birch S, Kephart G, Tomblin-Murphy G, et al. Human resources planning and the production of health: a needs-based analytical framework. Can Public Policy 2007; 33 Suppl 1: S1-S16.
- 10. UK National Health Service Institute for Innovation and Improvement. The Productivity Series. http://www.institute.nhs.uk/quality_and_value/productivity_series.html (accessed Apr 2009).
- 11. Dresselhaus TR, Luck J, Wright BC, et al. Analysing the time and value of housestaff inpatient work. J Gen Intern Med 1998; 13: 534-540.
- 12. Elshaug AG, Moss JR, Littlejohns P, et al. Identifying existing health care services that do not provide value for money. Med J Aust 2009; 190: 269-273. <MJA full text>
- 13. Hanney S, Buxton M, Green C, et al. An assessment of the impact of the NHS Health Technology Assessment Programme. Health Technol Assess 2007; 11 (53): iii-iv, ix-xi, 1-180.
- 14. Jacob R, McGregor M. Assessing the impact of health technology assessment. Int J Technol Assess Health Care 1997; 13: 68-80.
- 15. Pagliari C, Detmer D, Singleton P. Potential of electronic personal health records. BMJ 2007; 335: 330-333.
- 16. Halamka JD, Mandl KD, Tang PC. Early experiences with personal health records. J Am Med Inform Assoc 2008; 15: 1-7.
- 17. Kawamoto K, Houlihan CA, Balas EA, Lobach DF. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ 2005; 330: 765.
- 18. Amarasingham R, Plantinga L, Diener-West M, et al. Clinical information technologies and inpatient outcomes. A multiple hospital study. Arch Intern Med 2009; 169: 108-114.
- 19. Liederman EM, Lee JC, Baquero VH, Seites PG. The impact of patient–physician web messaging on provider productivity. J Healthc Inf Manag 2005; 19: 81-86.
- 20. Smith AC, Gray LC. Telemedicine across the ages. Med J Aust 2009; 190: 15-19. <MJA full text>
- 21. Leatherman S, Sutherland K. Section two. A chartbook on quality of care in the UK. In: The quest for quality in the NHS: refining the NHS reforms. London: Nuffield Trust, 2005.
- 22. Ben-Tovim DI, Bassham JE, Bennett DM, et al. Redesigning care at the Flinders Medical Centre: clinical process redesign using “lean thinking”. Med J Aust 2008; 188 (6 Suppl): S27-S31. <MJA full text>
- 23. Rundall TG, Martelli PF, Arroyo L, et al. The Informed Decisions Toolbox: tools for knowledge transfer and performance improvement. J Healthc Manag 2007; 52: 325-341.
- 24. Morgan PA, Shah ND, Kaufman JS, Albanese MA. Impact of physician assistant care on office visit resource use in the United States. Health Serv Res 2008; 43: 1906-1922.
- 25. Aigner MJ, Drew S, Phipps J. A comparative study of nursing home resident outcomes between care provided by nurse practitioners/physicians versus physicians only. J Am Med Dir Assoc 2004; 5: 16-23.
- 26. Hilmer SN, Seale JP, le Couteur DG, et al. Do medical courses adequately prepare interns for safe and effective prescribing in New South Wales public hospitals? Intern Med J 2009. In press.
- 27. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med 2008; 23 Suppl 1: 46-49.
- 28. Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ 2009. In press.
- 29. Wilkinson TJ. Assessment of clinical performance: gathering evidence. Intern Med J 2007 ; 37 : 631-636.
- 30. Scott IA, Poole PJ, Sewell J. Restoring the balance. An action plan for ensuring the equitable delivery of consultant services in general medicine in Australia and New Zealand 2005–2008. Joint position statement of the Internal Medicine Society of Australia and New Zealand and the Royal Australasian College of Physicians. Sydney: IMSANZ and RACP, 2005.
- 31. Garling P. Final report of the Special Commission of Inquiry: Acute Care Services in NSW Public Hospitals. Sydney: NSW Government, 27 Nov 2008. http://www.lawlink.nsw.gov.au/lawlink/Special_Projects/ll_splprojects.nsf/pages/acsi_finalreport (accessed Feb 2009).
- 32. Australian Medical Association. AMA Submission on Red Tape to the Productivity Commission. Canberra: AMA, 2009. http://www.ama.com.au/node/4518 (accessed Mar 2009).
- 33. Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium. Health Aff (Millwood) 2009; 28: 75-85.
- 34. May J, Jones PD, Cooper RJ, et al. GP perceptions of workforce shortage in a rural setting. Rural Remote Health 2007; 7: 720.
- 35. Scott IA. Pay for performance in health care — strategic issues for Australian experiments. Med J Aust 2007; 187: 31-35. <MJA full text>
- 36. Gubb J, Li G. Checking-up on doctors: a review of the quality and outcomes framework for general practitioners. London: Civitas, 2008.
- 37. Farmer L, Knight A, Ford D. Systems change in Australian general practice. Early impact of the National Primary Care Collaboratives. Aust Fam Physician 2005; 34: 44-46.
- 38. Scott IA, Darwin IC, Harvey KH, et al; for the CHI Cardiac Collaborative. Multisite, quality-improvement collaboration to optimise cardiac care in Queensland public hospitals. Med J Aust 2004; 180: 392-397. <MJA full text>
- 39. Clarke DM, Piterman L, Byrne CJ, Austin DW. Somatic symptoms, hypochondriasis and psychological distress: a study of somatisation in Australian general practice. Med J Aust 2008; 189: 560-564. <MJA full text>
- 40. Lister-Sharp D, Chapman S, Stewart-Brown S, Sowden A. Health promoting schools and health promotion in schools: two systematic reviews. Health Technol Assess 1999; 3 (22): 1-207.
- 41. Hersey J, Williams-Piehota P, Sparling PB, et al. Promising practices in promotion of healthy weight at small and medium-sized US worksites. Prev Chronic Dis 2008; 5: A122.
- 42. Siebenhofer A, Rakovac I, Kleespies C, et al; SPOG 60+ Study Group. Self-management of oral anticoagulation reduces major outcomes in the elderly. A randomized controlled trial. Thromb Haemost 2008; 100: 1089-1098.
- 43. Warsi A, Wang PS, LaValley MP, et al. Self-management education programs in chronic diseases: a systematic review and methodological critique of the literature. Arch Intern Med 2004; 164: 1641-1649.
- 44. Wiseman V, Mooney G, Berry G, Tang KC. Involving the public in priority setting: experiences from Australia. Soc Sci Med 2003; 56: 1001-1012.
Publication of your online response is subject to the Medical Journal of Australia's editorial discretion. You will be notified by email within five working days should your response be accepted.

domain: literature


- Checking Physical Connections
- Updating Drivers
- Resetting Network Settings
- Testing Network Connectivity
- Additional Considerations
In this digital era where everything is interconnected, experiencing internet connection issues can be immensely frustrating. Nothing stops your daily activities, work, or gaming session faster than seeing the dreaded 'No Internet Connection' warning. Often, the culprit might be the humble Ethernet adapter of the Ethernet Hub of your laptop. Now, don't worry! You don't need a degree in computer science to troubleshoot this. In this article, we'll walk you through some straightforward steps to help you identify and solve connection issues related to your laptop's Ethernet adapter. Ready? Let's dive in!
Checking Physical Connections
First things first. Before diving into more complex troubleshooting, we must ensure all physical connections are intact and functioning. Ethernet connectivity issues often arise from loose cables, damaged ports, or faulty connectors. Therefore, ensure your Ethernet cable is securely plugged into your laptop's Ethernet port and your modem or router. Check the cable for any signs of damage or wear and tear. If you notice any physical damage or the connection seems loose, it might be time to replace the cable.
Still no luck? Try a different Ethernet port on your router if one is available. This can help you determine if the issue is with the Ethernet port on your router or the cable itself.
If the physical aspects are good, it's time to dive deeper and check the Ethernet adapter's drivers. Drivers are software that helps your operating system interact with the hardware, and sometimes, they can become outdated or corrupt, leading to connectivity issues.
To update your Ethernet adapter driver, open the Device Manager on your laptop (type 'Device Manager' in your search bar and hit Enter). Here, you'll see a list of all the hardware components. Click on the arrow next to 'Network Adapters' to expand the list, and then right-click on the Ethernet adapter and select 'Update Driver.'
Follow the prompts to search automatically for updated driver software. If a newer version is available, your system will download and install it. After updating, restart your laptop to ensure the changes take effect.
Resetting Network Settings
If updating the drivers doesn't get you back online, diving deeper into the computer's network settings is the next step. This step includes resetting the Transmission Control Protocol/Internet Protocol (TCP/IP) and Domain Name System (DNS) settings, which may have unknowingly altered.
Let's start with resetting TCP/IP. First, press the Windows Key + X and select "Command Prompt (Admin)." Here, type "netsh int ip reset" and hit enter. This command resets your IP settings to their default state.
Now, onto DNS. DNS translates website names into IP addresses. If the DNS settings are corrupted, you cannot access websites. To flush your DNS, type "ipconfig /flushdns" in the Command Prompt and press Enter. You should see a confirmation that says, "Successfully flushed the DNS Resolver Cache."
Once both these steps are done, restart your laptop to ensure the changes take effect. Remember, these operations should be done with administrative rights to work effectively.
Testing Network Connectivity
After going through the steps above, it's time to test the network connectivity of your Ethernet Hub. First, open your web browser and try to load a webpage. If it loads without issue, congratulations! Your problem is likely solved. However, don't lose your patience if you still can't connect. There's still one more technique you can use: the Network Troubleshooter tool.
In your laptop's settings, navigate to 'Update & Security,' then select 'Troubleshoot,' and click 'Internet Connections.' Next, follow the prompts given by the Network Troubleshooter tool. This tool can help identify and resolve any remaining connectivity issues.
A quick way to check your network connectivity is by conducting ping tests and running network diagnostics.
Open your Command Prompt again and type "ping google.com." This command sends packets to the Google server. If your Ethernet connection fails, you'll see responses from the server.
For a more thorough examination, use the built-in Windows Network Diagnostics tool. Type "Network Troubleshooter" in the search bar, then select "Identify and repair network problems." The device will then scan your network for any issues and suggest possible solutions.
Remember that troubleshooting is a process of elimination. If you're still experiencing issues after trying everything above, it might be a problem with your router or internet service provider (ISP).
Try connecting another device to your router via Ethernet. If it can connect without any problems, the issue might lie within your laptop's Ethernet adapter and may need replacing.
Regularly updating your Ethernet adapter's drivers and keeping the cable and Ethernet port dust-free can enhance its lifespan and performance. A high-quality Ethernet cable and adapter are also worth considering if you face recurring issues.
If troubleshooting starts to feel like you're chasing your tail, it's time to seek professional help. There's no shame in it! Tech professionals are there for this exact reason. If the device is under warranty, contact the manufacturer's customer service. Alternatively, a trusted local technician can also assist.
Remember, persistence is critical in troubleshooting, but sometimes, professional expertise is needed to set things right. In any case, staying informed about your system and learning to troubleshoot minor issues can save you time and prevent unnecessary stress.
People like being in the dark with a faulty internet connection. However, with some patience and these steps at your disposal, troubleshooting your laptop's Ethernet adapter or Ethernet Hub doesn't have to be daunting. Whether checking physical connections, updating drivers, or resetting network settings, each step brings you closer to restoring your internet connection and getting back online.
We hope this guide has empowered you to tackle your Ethernet adapter issues head-on. So, here's to fewer connection problems and more uninterrupted browsing, working, and gaming sessions! Stay connected, and stay productive!
- What is a USB-C to Ethernet adapter, and How It Work – Dockteck
- Is Ethernet Adapter Better Than Wi-Fi? Here's What You Need to Know – Dockteck
- The Complete Guide to Connecting an Ethernet Adapter to Your MacBook – Dockteck
- Can I Use Any USB-C Cable for My Steam Deck? – Dockteck
- USB-C HUB – A Traveler's Best Friend – Dockteck


How to expand your CAD-CAM Orthotic manufacturing capabilities
PU (Polyurethane) is a resilient, comfortable and durable material making it ideal for use in producing orthotics.
The PU material has excellent abrasion and tear resistance and demonstrates very high impact resistance and toughness while providing comfort and stability for your patient.
The PU material is ideal for patients requiring superior shock absorption, comfort and cushioning.
PU is proven to reduce and transfer unwanted pressure from prominent bony structures.
PU is 50% more shock absorbing than EVA and the low compression adds to the shock absorbing durability of the material.
PU material can be ordered in any colour to suit your needs. Contact us to discuss your requirements (Minimum order quantities apply).
PU CAD-CAM Blocks Features and Benefits:
- Comfortable for patient compliance
- Resilient and durable
- Excellent tear resistance
- Excellent abrasion resistance
- Superior shock absorption
Size: 398mm x 298mm
Raw material requirements for CAD-CAM differ from traditional manufacture. The need for foams and plastics in different formats, dimensions and densities has forced material manufacturers to adapt their offerings, and is the catalyst behind the development of the Aortha CAD-CAM range Aortha CAD-CAM material provide the orthotic lab largest number of appliance options available.
Materials sold with some CAD-CAM systems (some under contract) can be very expensive and restrictive in hindering your design flexibility. Aortha materials provide you with full design flexibility, a vast choice of material combinations and most importantly: major cost savings.
Other materials in the Aortha range include:
Shaped EVA and PU Blanks


text:
Biophysics jobs in Academia
Broaden your search
Refine your search
Found 6 Postdoc, Employer jobs
Postdoc positions to develop novel therapies using low/high oxygen. Or to study effects of varying vitamin levels on disease states.
Develop mathematical modeling-based framework to derive in situ molecular interactions from single-molecule microscopy data
Postdoctoral Research Positions available to study molecular mechanisms of autophagy and its biological roles in mammalian physiology and disease. ...
Protein-Protein/-Lipid Interactions and Signal Transduction using NMR/crystallography with opportunity to train in cryo-EM / computational biophysics
Seeking a motivated Postdoctoral Researcher to do research in Quantitative Systems Pharmacology (QSP) Modeling of Immuno-Oncology
For excellent academics who are at the beginning of their independent research career, Bielefeld University offers 2 "ERC preparative Fellowships"

domain: medical


text:
Best Qualified Retirement Plan - Keep You Financially Secure
Global Trade Investment Solutions Having a solid retirement plan is the best keep you financially secure as you age. Read our article on the 7 best retirement plan options to learn more.
A qualified retirement plan meets the requirements of Internal Revenue Code Section 401(a) of the Internal Revenue Service (IRS) and is therefore eligible to receive certain tax benefits, unlike a non-qualified plan. An employer establishes such a retirement plan on behalf of and for the benefit of the company's employees. It is one tool that can help employers attract and retain good employees.
Understanding Qualified Retirement Plans
Qualified plans (https://myglobalinvests.com/
Best Qualified Retirement Plan https://myglobalinvests.com/
Qualified retirement plan example
If you work for a company that offers a qualified retirement plan, especially a defined-contribution plan, you'll likely get to choose a certain percentage of your income to contribute to the plan.
For instance, if your employer offers a 401(k) plan, you can decide how much of your income you want to contribute to that 401(k). Contributions are tax-free, and are made during each pay period.
In addition, many employers also match employee contributions up to a certain percentage. If your employer matches 3 percent of your contributions, it is in your best interest to contribute at least that much to take advantage of the full employer contribution.
Looking for more retirement plan information?

domain: finance


text:
Secret House Theatre brings THE SEAGULL to the Depot Theatre.
A bunch of bohemians gather on a country estate to talk about art and love and fishing. Relationships crisscross and unravel, and regardless of how messy things get, no one seems to get what they want. Yet love and the burning need to create drive them all to keep on striving.
In a letter to his friend, the publisher Alexie Suvorin, Chekhov wrote that he was flagrantly disregarding the basic tenets of the stage to write a play that has four female roles, six male roles, four acts, a view of a lake, much conversation about literature, little action and five tons of love.
Seagull is Chekhov’s celebration of art and love and life.
Directed by Anthony Skuse with Jane Angharad, Matt Bartlett, Charmaine Bingwa, Matthew Cheetham, Alan Faulkner, Deborah Galanos, Tony Goh, Leilani Loau, Abe Mitchell, James Smithers and Shan-Ree Tan.
Founded in 2015, Secret House is a Sydney based theatre company. Our focus is the language of performance. They collaborate to create a shared experience, exploring the relationship between artist and audience.
For information about Secret House or THE SEAGULL visit:
Reviews of other Secret House productions THE WINTER'S TALE CYMBELINE http://www.sydneyartsguide.com.au/secret-house-presents-cymbeline-depot-theatre-marrickville/ ANTONY AND CLEOPATRA http://www.sydneyartsguide.com.au/secret-house-presents-antony-and-cleopatra-at-depot-theatre/


Rescuers who removed 150 feet of rope from a humpback whale entangled in fishing gear off the California coast said Saturday that they hoped to remove the rest of the netting but weren’t sure if the animal would resurface close enough to shore.
A rescue team with the National Oceanic and Atmospheric Administration was able to cut away some of the line late Friday after hours of trying, but about 100 feet of rope is still trailing from the whale. Rescuers are especially concerned because the rope appears to be stuck in the whale’s mouth, which will make it hard for it to eat, Jim Milbury, a NOAA spokesman, said Saturday.
The whale dove deep after the team did its work, and authorities aren’t sure where it will show up again — if at all.
A whale watching vessel reported the entangled whale Friday morning.
Rescuers are asking boaters to notify authorities if they spot the whale over the weekend.


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On average, 66% of respondents to ECI’s opinion polling stated that economic development is important to them, making the economy the single highest priority of the Congolese people, even higher than security concerns. And though 45% of respondents believe that the situation will improve, there was a clear regional disparity in economic confidence. People polled in the eastern provinces were more than twice as likely to be pessimistic about their personal economic future as their counterparts in the west of the country.
The DRC has posted consistent macroeconomic gains in the past few years, however few Congolese felt any resulting positive impact, leading 63% of survey respondents to believe that these gains are not shared by all. Sustainable economic growth needs to include all segments of the population to contribute to a lasting peace in eastern Congo, especially women, who have traditionally been left out from many parts of the economy.
Kabare, a farming community in South Kivu, has faced an increase in poverty and malnutrition rates in recent years. Regional instability has reduced the amount of land that can be farmed, which has in turn lowered household incomes. Women have been disproportionately affected – many women’s access to land is still limited by traditional customs, meaning that their already limited economic autonomy has been further reduced by recent events.
In December 2013, ECI began working with Action for Hope (Action d’Espoir, ADE) to reduce poverty, improve health, and empower women in Kabare. Our joint project began by training 300 women farmers in good agricultural practices, including soil management, irrigation and seed preparation. The women have now organized ten Farmer Business Associations (FBAs) to find local markets for their produce. The FBAs have also established accounts with local microfinance institutions, allowing the women to obtain small loans for investment in their businesses.

domain: news


text:
Family gathers to mourn Carrie and Debbie at private service
The people who knew and loved Carrie Fisher and Debbie Reynolds the most — as mother, daughter and sister — gathered to say goodbye to them Thursday at a private memorial service at the Beverly Hills compound where the movie-star mother-daughter duo had long lived next door to each other.
Reporters and photographers staked out the gates leading to the two homes but weren't allowed in for the invitation-only joint memorial for close family and friends.
The two are to be buried Friday at famed Forest Lawn Memorial Park in the Hollywood Hills, side-by-side and among scores of other famous figures, according to People. (That location is the resting place of actors like Bette Davis, Paul Walker, Florence Henderson and writer/director Garry Marshall.)
A grand memorial celebration for the public is expected later but details about that have not yet been released.
Meanwhile, theaters in New York announced Thursday their traditional ritual to mark the passing of a theater luminary: The Broadway League said theaters will dim their marquee lights Friday for one minute at 7:45 p.m. ET, in memory of Fisher and Reynolds.
Fisher and Reynolds both made their Broadway debuts in 1973 in the musical comedy revival of Irene, which earned Reynolds a Tony Award nomination. Reynolds also appeared on Broadway in Woman of the Year and the musical revue Debbie, and toured with Annie Get Your Gun and The Unsinkable Molly Brown. Fisher wrote and most recently appeared on Broadway in her solo show Wishful Drinking, and also appeared in Agnes of God.
Those expected at the Thursday service included Todd Fisher, 58, Carrie's brother and Debbie's son; and Billie Lourd, 24, Carrie's daughter and Debbie's granddaughter. Joely Fisher and Trisha Fisher, Todd's and Carrie's half-sisters, also were expected.
Meryl Streep, who starred in the movie version of Fisher's first memoir, Postcards From the Edge, turned up carrying flowers. Gwyneth Paltrow, Meg Ryan, Ed Begley Jr., Candice Bergen, Penny Marshall and Courtney Love were all photographed arriving or leaving the service.
Deaths of Carrie Fisher and Debbie Reynolds: What we know now
Fisher, who died Dec. 27 at age 60, has been cremated as per her wishes, according to TMZ and Entertainment Tonight, but a portion of her ashes was to be placed in a coffin alongside Reynolds' coffin for the service.
Fisher died at a hospital four days after suffering a heart-related medical emergency on a flight from London to Los Angeles on Dec. 23.
Carrie Fisher, Debbie Reynolds’ bond highlighted in full ‘Bright Lights’ trailer
One day later, Reynolds, 84, died at a hospital after an apparent stroke at Todd's home while discussing funeral plans for her daughter. She had suffered several smaller strokes in recent years, but Todd said he believes his mother could not bear to lose Carrie, having said in the past she did not want to outlive her daughter.
The official cause of death for Fisher has not been established and it's not clear when that might be available because a temporary "security hold" has been placed on the autopsy results, according to Ed Winter, spokesman for the Los Angeles County Medical Examiner's office.
Winter wouldn't say who ordered the security hold or why but it's not uncommon in high-profile celebrity deaths. After Whitney Houston was found dead in a bathtub in a Beverly Hills hotel on Feb. 11, 2012, the Beverly Hills police placed a security hold on her autopsy results.
The full report wasn't released until weeks later, on April 4, 2012; it found the cause of death was accidental drowning plus heart disease due to long-term cocaine use. Fisher also had a history of drug use, which could have damaged her heart.

domain: celebrity


text:
Unions are not the cause of the country's economic woes, Vice President Biden said Wednesday.
“Public employees are not the problem. The problem is much deeper,” Biden said during a fundraiser in New York for Rep. Carolyn Maloney (D-N.Y.).
Rather, Biden said, unions are part of the reason the country has a middle class.
Biden said the Republicans are trying to use the bad economy that their policies created to push a conservative social agenda.
“We are going to see the economic conditions they created used as an excuse to fundamentally go after the social agenda that the far right has been trying to accomplish for a long time,” Biden said.
Biden's comments in New York are the most direct pro-union statements he has made since protests broke out in Wisconsin in response to a bill which would curtail collective bargaining rights of public employees in that state.
The bill, pushed by Wisconsin Gov. Scott Walker (R), has resulted in strong resistance on the left, as demonstrations gripped the state capital of Madison and Wisconsin Senate Democrats fled the state so that Walker’s bill cannot be voted on.
The absentee Democrats say they won't return until the bill is permanently killed. Gov. Walker is threatening massive layoffs if the Democrats do not return and permit the legislature to function.
Last week President Obama came out against the Wisconsin proposal.
"Some of what I've heard coming out of Wisconsin, where you're just making it harder for public employees to collectively bargain, generally seems like more of an assault on unions," Obama said last week.

domain: sociology


American popstar, Justin Bieber, has released an afro-fusion remix of his smash hit ‘Peaches,’ featuring Nigerian wonder kids Omah Lay and
The remix, which came as a complete surprise, was released on June 25th, 2021, and was produced by Masterkraft, a veteran Nigerian producer and instrumentalist. As expected, the tune was ridden with enough afro fusion that would have you dancing in no time, probably why it was tagged “Masterkraft remix” as the producer gave the pop song a different identity entirely. Nigerian sensational singing stars Omah Lay and Alpha P gave their best with their verses and it was perfect
peaches by justin bieber
What do you think about this song?
We want to hear from you all.
Drop your comments


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Packaging: 20kg / 25kg / 30kg per barrel Color: grey black Application: 1, cemented carbide 2, diamond tool 3, superalloy; 4, magnetic materials, etc. 5, producing chemical products such as rechargeable batteries, industrial explosives, rocket fuel and drug. Category: Cobalt DescriptionDescription High-purity cobalt powder Co., Ltd. Tieyou Aluminum Silicon Calcium Magnesium
Soluble in acid, insoluble in water, alcohol, ammonia. Easily reduced by carbon monoxide to metal cobalt. High temperature and easy to react with silica, alumina or zinc oxide to produce a variety of pigments. Store in a cool, ventilated warehouse. Away from fire, heat. Should be with the reductant, acid separate storage, should not be mixed storage. The storage area should be equipped with suitable materials to contain spills.
It is mainly used to manufature magnetic materials, electronic components materials, carbide materials, ceramic glaze, coloring ceramics and glass. It can also be used to manufacture other cobalt salts and catalysts.
lead-acid storage batteries.
Ammunition, cable sheathing and building construction materials
Counterweights, bettery clamps
Cast products such as: bearing, ballast, gaskets, type metal etc.
Hebei Enmin Metal Material Import and Export Co. , Ltd. located in xingtai city,China is a company integrating production,development and trade.The company's main products include copper, aluminum, zinc, , magnesium and other products, a full range of products to meet the needs of customers in many ways.The company has a strong production capacity and has exported to many foreign countries such as southeast Asia,Europe,the United States and global for more than 10 years.

domain: chemistry


BGP Flowspec (Border Gateway Protocol Flow Specification) is a type of network protocol that uses the Border Gateway Protocol (BGP) to provide more granular control over traffic flows within a routed domain.
It is designed to improve the scalability and security of distributed networks by allowing administrators to selectively route or deny traffic based on specified criteria, such as source or destination IP address, ports, packet-size and protocol.
By leveraging BGP Flowspec, network administrators have the ability to quickly respond to changing network demands with policies that can be applied globally or locally. This helps them reduce latency and improve security by blocking malicious traffic before it reaches its destination.
I strongly recommend checking the BGP Course for those who want to learn more about this topic.
BGP Flowspec Role in Network Security
BGP Flowspec is a powerful tool for network security. It is a specialized extension of the Border Gateway Protocol (BGP) that allows quick and efficient communication between routers in order to identify and control traffic flows.
BGP Flowspec can be used to filter out malicious traffic and protect networks from attacks, as well as to strengthen their overall security posture. It also enables organizations to quickly respond to threats by pushing rules out to their routers in a matter of milliseconds.
With BGP Flowspec, organizations can leverage the speed and agility of the protocol to defend against malicious actors and increase network security.
BGP Flowspec Role in Network Performance
BGP Flowspec (Border Gateway Protocol) is an extension to the BGP protocol, which allows for the dynamic specification and propagation of network routing policies. This allows network administrators to be able to control the flow of data traffic at any given point in their network infrastructure.
BGP Flowspec can be used for a variety of purposes, such as managing congestion, enforcing Quality-of-Service (QoS) requirements, or mitigating distributed denial-of-service (DDoS) attacks.
In addition to its role in improving overall network performance, BGP Flowspec can also help reduce operational costs by automating key routing and traffic management tasks.
BGP Flowspec is a powerful tool used in network optimization and bandwidth management. It allows network operators to specify and propagate rules to enforce traffic flow. It helps reduce congestion and improves network performance by allowing users to define their own policies, such as rate-limiting, or dropping certain types of traffic.
BGP Flowspec can also be used for better security as it can be configured to drop malicious packets before they reach their destination. Furthermore, it can be used for data prioritization, ensuring that critical applications get the bandwidth they need without negatively affecting other services. This way, users can maximize their available resources while providing better quality of service (QoS).
BGP Flowspec is a powerful tool that helps to reduce latency in networks of all sizes. It allows network administrators to specify and enforce specific rules on the traffic flows going through their infrastructure.
With these rules, it is possible to prioritize certain types of traffic and ensure that they are transmitted faster than others. This can be used in scenarios where latency reduction is essential, such as for gaming or streaming services.
BGP Flowspec also enables networks to detect and respond quickly to malicious traffic, making it an important security tool as well.
Traffic Engineering Capabilities
Traffic engineering is an important part of network engineering, which helps manage and optimize the flow of traffic across networks. One of the key tools for traffic engineering is BGP Flowspec, which enables network administrators to control routing decisions based on packet header information. BGP Flowspec can be used to block malicious traffic, prioritize different types of traffic, or redistribute traffic among different paths. It also helps improve the efficiency and reliability of a network by allowing it to react quickly to changing conditions. By utilizing BGP Flowspec capabilities, network administrators can ensure that their networks are running smoothly and efficiently.
How BGP Flowspec Helps Secure Your Network from DDoS Attacks
BGP Flowspec is a powerful tool used to help protect networks from Distributed Denial of Service (DDoS) attacks. It allows routers to share attack mitigation rules with each other in near real-time. This helps ensure that the network is constantly up-to-date and protected from malicious traffic.
BGP Flowspec also allows for more granular control of network traffic, which can be used to reduce the impact of DDoS attacks on your organization's critical resources.
With its ability to quickly detect and mitigate these threats, BGP Flowspec is an essential part of any organization's security strategy.


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Do you feel self-conscious about the appearance of your submental region? Do you wish there was something you could do to improve the appearance of your chin and jawline? Do you cover your neck in turtlenecks and scarves? If so, Kybella (deoxycholic acid) injections at Premier Dermatology and Mohs Surgery of Atlanta in Alpharetta, GA may be appropriate for you. Today, we’re taking a closer look at this treatment, including the longevity of the results.
How Long Does Kybella Last?
One of the most significant advantages of Kybella injections is that the fat removal results of the treatment will last a lifetime. Individual physiologies vary, but most adults stop being able to grow new fat cells when they reach the age of 25. The deoxycholic acid in the formula destroys a large percentage of the fat cells in the treatment areas. Over time, your lymphatic system flushes out the dead fat cells and they are gone for good.
How Soon Will I See My Treatment Results?
Generally, you can expect to see your ideal results in one to seven months. During your initial consultation, we will discuss your cosmetic goals, evaluate your current aesthetic, and advise you on how many treatment sessions you will need to achieve your results. To give you a general idea, you can expect to need around one or two treatment sessions if poor posture or sagging skin is causing your submental fullness.
You can expect to need three or four treatment sessions if your submental fullness can be attributed to a mild or moderate amount of excess fat. If the cause of your submental fullness is a severe amount of excess fat, you should expect to need five or six treatment sessions. Each treatment session is scheduled approximately four to six weeks apart, and it may take between four and six weeks after each session for all of the fat to be flushed out.
How Can I See My Final Results Faster?
The only way to see your final results faster is to boost the efficiency of your lymphatic system. If you’re dehydrated, you can accomplish this by consuming enough hydrating fluids that your urine becomes pale. You may not feel thirsty, but until your urine is pale, you have not consumed enough fluids to be hydrated. If you’re struggling to drink enough water, you can get hydrating fluids from other sources, like:
- Sparkling water
- Fruit-infused water
- Broth-based soup
- Coconut water without added sugar
Eating nutritiously can also help you boost the efficiency of your lymphatic system. Just like every other system in your body, your lymphatic system needs clean fuel to burn so it has the energy to do what it needs to do. At the same time as you’re making sure to get your RDA of micronutrients, you should make a conscious effort to minimize the amount of processed foods and beverages you consume. Processed products will slow your lymphatic system.
Am I a Good Candidate for This Treatment?
To verify that Kybella injections are appropriate for you, it is imperative that you attend an initial consultation. Several steps must be taken to ensure this treatment will be safe and effective for you. One such step is verifying you are generally healthy enough to receive this treatment safely. For example, we need to know about any bleeding or chronic skin disorders you suffer from. Be prepared to discuss your medical history in detail.
Also, we need to verify that you are currently healthy enough to receive these injections. For instance, it is crucial that you have not been ill within two weeks of your scheduled injection session. Furthermore, regardless of your health, you will not be considered a good candidate for this treatment if you are nursing or with child. If you are currently trying to become pregnant, you should postpone this treatment.
How Should I Prepare for My Treatment?
Another step we must take to verify your candidacy for this treatment is ensuring that you can follow all preparation steps required of you before your injections are administered. One of the most important preparation steps is wearing protective sunscreen diligently in the 14 days leading up to your scheduled injection session. You should be prepared to wear sunscreen diligently until your final results are achieved.
It is imperative that you wear sunscreen diligently in the two weeks leading up to your appointment because your skin can’t be irritated at the time of your appointment. You need to wear sunscreen diligently in the two weeks following each session because you need to protect your skin from sun damage and irritation as it heals from the dozens of injections.
The Bottom Line
Once the deoxycholic acid in the Kybella injections destroys your fat cells, your body will not be able to replace them with new fat cells. Therefore, the results of this treatment are considered permanent. However, it is possible to need touch-up sessions in the future if your submental fullness is caused by poor posture, bad genes, or the natural aging process. Schedule an appointment at Premier Dermatology and Mohs Surgery of Atlanta in Alpharetta, GA to learn more.

domain: health


View Full Version : New Cheetah woks Great!
06-25-2010, 06:35 AM
I just picked up my new Cheetah and set it up with a new Apache drop away I installed my Limb savers, and s coil stabilizer and the bow shoots great. I look forward to hunting with it this year. Thanks guys for your advise on the matter.:D:
06-25-2010, 02:57 PM
Oman - are you sure that's not my bow? You have exactly the same stuff as I do on it. That Apache rest is great. I have 2 of them. And if it would have enough adjustment to go on my Firecat I would have 3.
06-25-2010, 03:37 PM
Was that your bow I found?:D I do like the the Apache rests. Its a good bang for the buck.Hey, You don't happen to have a TruGlo Xtrem sight and TruGlo Quiver on yours by chance? :p
Congrats! Very nice bow I'm sure you will enjoy it!
06-26-2010, 03:51 PM
good luck with the new bow dude !:D wanna trade rotf
06-27-2010, 05:11 PM
Actually Oman, no I have the Truglo Boomslanger sight. Is tough, and easily adjusted. As for the quiver, I have a Kwikee bow quiver that just holds 3 arrows. In about 45 yrs of archery hunting I can't remember shooting more than 2 arrows in a day.
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Garett Rogers at Googling Google reported on Saturday that he found signs in the new source code of Google Talk of voicemail features. The voicemail features are hinted to in a line of code for filtering Google Mail and Talk results.
Rogers also found a line suggesting evite.com integration, however someone commenting on his blog downplays this as new, explaining it seems designed to prevent Gmail invite links from appearing on email sent from the evite.com domain.
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Ceol’s Comhrá is a group aimed at secondary school students offering them an opportunity to use whatever Irish they may have while trying out different activities.
This year Ceol’s Comhrá will be behind the camera, getting involved in every stage of film making. The group will meet up every Monday from 6pm to 7.30pm in the Neighbourhood Youth Project in Castlebar.
There is a €5 registration fee, and a €2 attendance fee per week. This project is funded by Foras na Gaeilge.


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Established in 2017, Quabbin Hill Farms is a diversified family farm located in the heart of the Quabbin-Swift River Valley. Situated on 17 acres of sustainable farm land just a half of a mile from one of the many beautiful trails leading to the legendary Quabbin Reservoir, its fertile soil and naturally green pastures provide the perfect setting for growing nutritious fruits and vegetables and raising healthy, happy chickens.
Our farm fresh produce, handcrafted CBD prodcuts, and pasture-raised eggs are sold at our seasonal farm stand, and as of 2019, at farmers markets throughout Western Massachusetts.
What We Grow
Dairy + EggsEggs (chicken)
FruitCherries, Melons, Peaches
SpecialtyLip Balm, Lotion, Oil
VegetablesBeets, Broccoli, Carrots, Cucumbers, Garlic (cured), Kale, Lettuce, Microgreens, Peas (snap), Peppers, Potatoes, Pumpkins, Salad Greens, Shallots, Spinach, Swiss Chard, Tomatoes, Winter Squash, Zucchini
Community Supported Agriculture
Summer CSA Memberships: Pick up a box of farm-fresh produce and organically grown microgreens from farm every week from June 6 – October 10.
Monthly Subscription Boxes : A monthly box of CBD products delivered right to your door! Over $100 worth of high quality, hand-crafted CBD products for just $75 a month.
Detailed descriptions can be found on Quabbin Hill Farms website.

domain: agronomy


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Murder on Birchleaf Drive: The True Story of the Michelle Young Murder Case
Was Jason the monster who bludgeoned his beautiful wife to death, leaving his toddler alone for hours to walk through her blood? If so—would he get away with it?
To the outside world, Jason and Michelle Young lived a storybook life—an attractive couple with great jobs, a beautiful home, a precocious two-year-old daughter, and a baby boy on the way.
Soon after the 29-year-old pregnant mother’s brutally beaten body was discovered on their bedroom floor, a very different picture emerged. Of a marriage crumbling at its foundation. Of a meddlesome New York mother-in-law whose running critique left Jason frustrated and angry. Of a 32-year-old man who behaved like a frat boy rebelling against adult responsibilities.
MURDER ON BIRCHLEAF DRIVE documents the gripping tale of a family’s marathon quest for justice, confounding crime scene evidence, persistence of law enforcement officers, and riveting courtroom combat.


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Home > eBooks > Ray Gordon eBooks
Gorgeous young Helen Hunter embarks on an incredible sexual journey to satisfy her cravings.
Jackie is enticed to a basement den where her repressed sexual desires are dramatically set free...
Sent to a convent by her stepfather, Mary is forced to endure the hardest of regimes.
With her desires out of control is Annabelle possessed by a sex hungry entity...?
Journalist Samantha finds herself in all manner of sexy situations, experiencing a feast of sexual delights.
Reverend Entercock enjoys distinctly worldly relationships with a range of the parish's young ladies.
Depravicus - The Sequel£3.99
Father Entercock resumes preaching, drinking, and sleeping with every young lady he can.
Professor Snide has been working in his laboratory to find ways of increasing the female libido...
Marianne finds herself in dangerous areas of sensuality she'd never dreamed of...
Bellend Independent Boarding School for Girls is a hotbed of sexual excess and erotic activity.
Haunting Lust£3.99 £1.99
Tina moves into an old house and becomes aware of a haunting sexuality flooding her being.
Trouble awaits when Mike's sex enterprise is infiltrated by an attractive undercover policewoman...
House of Lust£3.99
'Breaking in' Lady Hadleigh's two teenage daughters is just a part of Tom's rapacious sexual prowess...
Sarah's steamy affair with her gardener escalates into a full-blown addiction for depravity.
'Uncle' Arthur instils obedience into Emily with stringent discipline and his leather belt.
Instilling Obedience & Maid to Serve£7.99
Originally published individually, here are two Ray Gordon BDSM stories in one volume.
Legacy of Sin£3.99 £0.99
Sally always ridiculed the idea of ghosts - until she visits a derelict house with her best friend.
Jade must set out to explore the limits of human sexual behaviour - and experience them for herself...
Join our newsletter for updates on special offers and new releases - and receive a free erotic ebook...
Get your ebook now...


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These decadent Paleo Carrot Cake Cookies taste like carrot cake and take just 15 minutes to make! Made with almond flour, carrots, coconut and cinnamon and no no refined oil or sugar these cookies are grain free, gluten free, Paleo and Vegan with a low calorie option too.
You GUYS it's FRIDAY! That means the weekend is here for baking and making ALL THE COOKIES and boy do I have delicious Carrot Cake Cookie for you today!
For me, Friday means I actually get a weekend. After being in certification trainings the last two weekends, I feel like I've had zero down time. Rewind that. I have had zero down time. Between that, blogging, taxes and school which has gotten increasingly harder, I've been on the go, go, go for three weeks straight. I need this weekend and maybe a lot of wine too. 🙂
I must admit I freaked a little when I looked at the calendar last week and realized it was Easter already and didn't have my Easter recipes made and shot yet. It's March! Isn't Easter in April? My Mom mentioned to me on the phone that Easter was early this year, but I didn't put it together.
Apparently I'm on the slow bus this month. Either that or I'm on the fast bus speeding by not paying attention. Probably the later! The blogging and life struggle is real.
Speaking of struggle, my obsession with carrot cake is real. If you saw the carrot cake from earlier this week, then you know what I mean. I hope you don't mind two carrot cake recipes in one week and I'm going to go out on a limb here and guess you won't mind either because these Paleo Carrot Cake Cookies are like no others!
Now I know you're wondering how Paleo Carrot Cake Cookies could taste like cake. Well, they do! Don't judge a food until you try it!
For these, it's all about the cinnamon, almond extract and shredded coconut that make the flavors come together in that traditional carrot cake flavor.
The almond flour gives them an added decadent texture too. I topped my Paleo Carrot Cake Cookies with Reddi-whip and it was such a delicious treat.
I could eat them everyday and honestly, I wouldn't have gotten through the last few busy weeks without them!
Paleo Carrot Cake Cookies
- Preheat oven to 350 F and prepare a baking sheet with parchment paper.
- Using a standing mixer or hand mixer, add maple syrup, almond extract, salt, baking soda and cinnamon and mix to combine.
- Add 1/2 cup of almond flour to the mixer and combine. Once combined add another 1/2 cup. Repeat the process until 2 cups are combined.
- Next add 1 tbsp coconut oil and mix slowly. Repeat for the next 2 tbsp of oil. Last fold in the shredded coconut and carrots to the mixture by hand.
- Using a medium sized ice cream scooper to scoop out 12 cookies onto the baking sheet.
- Gently press cookies down with the palm of you hand onto the baking sheet to flatten as these will not spread.
- Bake 12 minutes at 350 degrees F. Remove from oven and allow cookies to cool on baking sheet 10 minutes prior to remove and placing on a cooling rack.
- Top with Reddi-whip or coconut whip for a tasty and healthy treat!
- Store in the refrigerator so that cookies maintain their structure.
- Makes 12 cookies, 178 calories (with almond flour) or 147 calories (with oat flour)
- For a lower calorie option, substitute the almond flour with oat flour.
- For the shredded carrots, I pulsed carrots in my food processor until lightly shredded.
- My Amazon shop has more products similar to those used for this recipe and that I recommend to my nutrition clients.

domain: food


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US cooperative Dairy Farmers of America has purchased Cumberland Dairy as part of a strategy to increase commercial investments and ownership in extended shelf-life processing.
Cumberland Dairy, based in Bridgeton, New Jersey, is a processor of ultra-pasteurised dairy products owned by the Catalana family. Its sister company Innovation Foods, which makes high-acid beverage products, will be unaffected by the transaction and will remain independent.
Financial details of the deal were not disclosed in a statement from DFA yesterday (2 November). Cumberland Dairy will retain its name, and the family and existing management will continue to conduct operations, including milk procurement and production.
DFA’s president and chief executive, Rick Smith, said: “This acquisition represents a commitment by our farmer-owners to expand our investments in processing and to continue to grow the US dairy industry.
“The Catalanas’ values and passion for the industry align closely with those of our cooperative, and we believe this is a tremendous opportunity to expand upon the foundation of quality products and superior service already in place at Cumberland Dairy.”
Founded in 1933, Cumberland Dairy supplies convenience and grocery outlets, wholesale food distributors and restaurants. Many of its products are produced under licensing or co-packaging arrangements. Innovation Foods provides products to the dairy company’s partner firm NextFoods under their GoodBelly brand.
Company president Carmine Catalana IV said “a future with DFA means that we can continue to focus on our values as a company while accelerating our opportunities for growth”.


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It’s been one year since the U.S. Department of Agriculture took out the long standing Food Pyramid and replaced it with the colorful plate you see pictured above. In a country where obesity is an epidemic, this is a positive visual change that will only enhance the educational efforts of those trying to reverse this problem through education, and for those parents trying to find an easy way to communicate to their children what proper portions look like for each food group.
What you’ll notice is that vegetables and fruits make up half of the plate’s surface area, which is a key point to make with your kids when talking with them about a balanced meal.
Additionally, you’ll notice that the vegetable portion is slightly larger than the fruit portion – this is not by mistake – this is to visually show that we should all be eating a larger portion of vegetables compared to fruits.Â Grains and proteins make up the rest of the plate in smaller portions and then there is a glass of milk off to the side as your dairy.
What I like about this new visual representation is that it gives a more concrete look at how we should be portioning out specific food groups for each meal and as a parent, it offers an easier model to teach with when attempting to educate my children about balancing their diet so they can live a healthy life.
What I also love about the ChooseMyPlate.gov site is the ease of use and the great takeaways they offer in short, quick bits. Some of the information includes:
- A recommendation to make half of your plate fruits and vegetables
- A recommendation to make at least half of your grains whole grains
- Information on the difference between refined and whole grains and why whole grains are preferred
- A list of selection tips for proteins
- A list of selection tips for dairy products
- Answers to common questions for each food group on portion sizes, health benefits and/or implications, and the importance of consuming certain items.
Overall, the change from the traditional pyramid to the plate is a positive change. It’s a better method for communicating healthy eating and it’s something that will resonate in the minds of many as they sit inÂ restaurantsÂ or make their plates at home.
Interested in learning more or using this as a tool for learning in your home? Head to www.ChooseMyPlate.gov
What do you think about this change – is it a positive one? Will you use this as a tool in your home?


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Jennifer Lopez Outbids Puff Daddy to Acquire Fuse TV
Posted by Jeremy Thomas on 04.04.2014
Beating out her ex for the channel...
Jennifer Lopez topped her ex-boyfriend in bidding for cable music channel Fuse TV. Billboard reports that NuvoTV, which counts Lopez as a minority owner, reached an agreement with the Madison Square Garden Company to acquire the channel. NuvoTV had initially offered cash and equity valued at more than $200 million. Sean "Puff Daddy" Combs had made a similar offer. According to once source, "It's getting done."
A spokesperson for Combs referred questions to MSG Company spokeswoman Kimberly Kerns, who said, "As we have stated, we are exploring strategic alternatives for Fuse and will have no further comment."
It is believed that both Lopez and Combs planned to convert Fuse to their own respective programming formats (Combs owns Revolt TV) and gain the 74 million cable households that Fuse reaches. NuvoTV and Revolt reportedly reach around 34 million households. Lopez's manager, however, said that if Nuvo wins the bidding, there will be no immediate plans to change Fuse's format.


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Have you ever noticed the way you start your day sets the tone for the rest of the day?
If you wake up late, skip breakfast, and rush out the door, you feel discombobulated all day long. There’s also something psychological about getting off on the wrong foot. You just feel bad about yourself.
However, when you get up early, feeling relaxed and organized, you’re more confident, focused, and ready to seize the day. Your head is clear of the multitude of distractions and anxieties that come with a bad start in the morning.
How we begin our days isn’t an accident. It begins with choices that we repeat over and over until they become habitual. I have a habit of checking my email first thing in the morning. It wasn’t always this way, but over time it’s become an ingrained behavior that actually diminishes my productivity.
Our days are comprised of a series of habits. Some of our habits improve us, and some make life more difficult in the long run. However, if you start your day with habits that enhance your outlook, productivity, and motivation, you’ll find you’re inspired to upgrade your habits in every aspect of your life.
Here are 10 morning habits that will kickstart productivity and success.
10 Morning Habits That Will Make You More Successful and Productive
1. Wake up early
There are a host of benefits for early risers. They get better sleep, tend to eat fewer calories, and are less prone to depression.
Also, early risers are more productive and have time for exercise, eating breakfast, and other positive morning activities like reading, time with family, and reflection.
Start by getting up five minutes earlier a day for the first week. Slowly set your alarm back by a few minutes a week until you reach your optimal time.
2. Drink a full glass of water in the morning
Drinking a big glass of water immediately after you awaken has many health benefits. It purifies your colon and improves the stomach’s ability to absorb nutrients.
A healthy digestive system hydrated properly gives you glowing skin, as water removes the toxins from the blood. Drinking water also improves the creation of new blood cells and muscle cells, and helps you lose weight.
Before you go to bed at night, put a glass of water by your bed. After your alarm goes off, but before you get out of bed, drink the full glass.
3. Make your bed
According to a Navy Seal, Admiral William McRaven, making the bed may be the best way to start off your day. He says, “If you make your bed every morning you will have accomplished the first task of the day. It will give you a small sense of pride and it will encourage you to do another task and another and another. By the end of the day, that one task completed will have turned into many tasks completed. Making your bed will also reinforce the fact that little things in life matter.”
Making your bed every morning is correlated with better productivity and stronger skills at sticking with a budget.
4. Set 3-4 daily goals
Setting three to four big goals for your day first thing in the morning gives you benchmarks for daily productivity. It also helps you create specific tasks to address your bigger monthly or quarterly goals.
Three or four goals is a good number, as they can be spaced out during the day. You can do two in the morning before lunch and two in the afternoon, or complete one in the morning, one at midday, and one in the late afternoon.
Three or four goals isn’t overwhelming — it’s realistic. If you finish them early, you can always set more.
5. Eat breakfast with your family
Research shows eating breakfast as a family has a positive impact on the health of family members, particularly adolescents.
A University of Minnesota study found that eating together as a family improved diet quality and lowered the risk for becoming overweight. It’s also beneficial for your family relationships, as you begin your day with connection and communication.
6. Perform your hardest goal first
Mark Twain suggest, ““Eat a live frog first thing in the morning and nothing worse will happen to you the rest of the day.”
You don’t have to eat a frog, but getting that weighty, dreaded task or goal out of your way gives you energy for the rest of your day. Procrastination creates anxiety and makes you feel bad about yourself.
7. Exercise early
It’s not easy to get your body moving first thing in the morning, but research shows people who exercise in the morning stick to their workout plans better than those who wait until later.
Also, working out in the morning can actually increase the positive impact that exercise has on your heart, and morning exercise helps your body burn calories faster and more efficiently throughout the day.
8. Set a timer for productivity
To increase your productivity, set a timer for a period of time during which you work on a project or goal without stopping.
The timer motivates you to work harder without quitting, and it gives you the comfort of knowing you’ll have a break within a certain amount of time.
This is known as the Pomodoro Technique, developed by Francesco Cirillo in the late 1980’s, whereby you work in timed intervals of traditionally 25 minutes, separated by short breaks. This time management method is based on the idea that frequent breaks improve mental agility.
9. Remove distractions
Sustained focus is the cornerstone of productivity and success. The increasing number of distractions around us make in nearly impossible to focus unless we mindfully eliminate them.
Over 90% of (the US) population reports they multitask, performing one task while distracted with another. These distractions affect memory and performance, but resisting distractions builds a strong bond in your memory, allowing you to hold on to your original task.
10. Batch your tasks
Batching your tasks is a form of time management where you dedicate blocks of time to similar tasks so you can decrease distractions and improve productivity.
Batching helps you boost creativity and mental sharpness, as well as decrease fatigue, procrastination, and stress. After each batch of similar tasks, you take a planned break to recharge, and then move on to another batch of tasks.
Developing these morning habits will be life-changing. Over time you’ll notice you’re getting more done, you feel more relaxed and focused, and you feel happier and more motivated in general.
If you want to begin creating these morning habits, begin with one habit at a time. Work on it for six to eight weeks until it becomes automatic, and then begin another new habit.
Barrie Davenport is a personal coach, author of several self-improvement books, and founder of the top-ranked sites Live Bold and Bloom and Barrie Davenport.com. She is also the creator of Sticky Habits Course, teaching the simple formula for sustainable habits.
Photo by Anders Dalsgaard

domain: psychology