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Director, Integrated Research Facility (IRF)
Director, Integrated Research Facility at Fort Detrick, Maryland
Senior Scientific Officer
Division of Clinical Research (DCR)
National Institute of Allergy and Infectious Diseases (NIAID)
National Institutes of Health (NIH)
The National Institute of Allergy and Infectious Diseases (NIAID), one of the largest Institutes of NIH, is seeking an exceptional and visionary leader for the position of director, Integrated Research Facility (IRF) within the Division of Clinical Research (DCR). The IRF is located at Fort Detrick, in Frederick, Maryland. NIAID plays a key role in the national strategy to counter emerging and reemerging infectious diseases—whether those diseases emerge naturally and create public health crises or are deliberately introduced as an act of bioterrorism—and conducts and supports basic and clinical research to better understand viruses, bacteria, and other infectious agents that cause diseases of public health concern.
NIAID has a comprehensive research infrastructure with extensive resources that support all levels of emerging infectious diseases and biodefense research and pursuit of multiple broad-spectrum concepts. A key component of this research infrastructure is the IRF, whose mission is to manage, coordinate, and facilitate the conduct of emerging/reemerging infectious disease and biodefense research with the aim of discovering new knowledge for development of improved medical outcomes for patients. With one of the largest maximum high-containment biosafety level 4 (BSL-4) laboratories in the world, the IRF provides researchers access to resources for conducting critical high-biocontainment research on high-consequence pathogens such as Ebola, Marburg, and Lassa viruses. The IRF has seven core laboratory groups that support scientific studies undertaken at the facility: Clinical Pathology, Anatomic Pathology, Virology, Immunology, Aerobiology, Comparative Medicine, and Medical Imaging. The IRF also supports clinical research in West Africa.
DCR seeks exceptional candidates for the IRF director position.
The position provides direction, leadership, and vision to the state-of-the-art IRF as an expert in BSL-3/4 high- containment management and operations and in infectious diseases/pathogens and biodefense research of national and international prominence. The IRF director oversees a complex scientific program spanning a wide variety of highly sensitive and confidential research areas that have become increasingly politically charged. The incumbent is responsible for developing and articulating BSL-3/4 research strategies, goals, and priorities within a landscape that is constantly changing due to new/reemerging threats and shifting regulatory environments. The IRF director analyzes and interprets current/new legislation for its effect on IRF activities and establishes new or modified operational procedures. The IRF director also exercises scientific expertise and scientific/management judgment in facilitating state-of-the-art research; developing effective measures to support clinical trials and Food and Drug Administration (FDA) approval; and leading and coordinating all scientific and management initiatives to direct and manage IRF operations, including identification of resources to meet existing and anticipated infrastructure requirements.
The IRF director continually develops, refines, and executes the IRF strategic plan with a primary focus on fostering collaborative relationships with government agencies, academia, and industry, as well as sustaining a research program that is directly aligned with NIAID’s priorities and goals for infectious diseases and biodefense research. The incumbent also provides authoritative leadership in managing a complex program that stimulates basic, translational, and clinical research and advances product development to support NIAID’s key role in tackling these challenging public health concerns.
- M.D. or Ph.D. in a biomedical science who has demonstrated a broad range of expertise in infectious diseases disciplines, dual use research of concern (DURC), potential pandemic pathogens (PPP), and select agents and toxins that are included in the biodefense research agenda
- In-depth knowledge of the federal research enterprise, including basic and translational research and the regulatory environment; evidence of successful implementation of biomedical research programs and management of a complex, multifaceted research portfolio that addresses high-priority pathogens; and experience supervising a broad range of individuals engaged in multi-faceted, complex scientific programs
- Expertise in the needs, possibilities, and limitations of high-containment pathogen research; current BSL requirements and regulations; BSL-3/4 pathogens and BSL-2 surrogate technologies; and new techniques and methodologies that may have a direct benefit on BSL research
- Expertise in imaging technologies and the safest, most efficient ways to maximize their potential in infectious disease research
- U.S. citizen who is eligible for a Top Secret security clearance with eligibility for sensitive compartmented information (SCI)
Submit your curriculum vitae and bibliography by email to NIAID-DCR-IRFDirector-Apply@niaid.nih.gov. Applications will be accepted from February 18, 2019 to February 27, 2019. Up to three letters of professional reference may be required as the recruitment process progresses.
Email NIAIDDCRIRFDirector@niaid.nih.gov with questions or for more information about the position.
All information provided by applicants will remain confidential and will be reviewed only by authorized officials. The successful candidate will be appointed under the Title 42(f) authority at a salary commensurate with experience based on a salary range of $164,200 to $244,000. A full package of benefits is also available, including retirement; health, life, and long-term care insurance; annual and sick leave; and a thrift savings plan (401K equivalent).
Visit NIAID Careers to learn more about NIAID and how you can play a role in this exciting and dynamic research organization.
HHS, NIH, and NIAID are equal opportunity employers.


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SPLIT DECISION: In Circle Theatre’s God of Carnage, two sets of parents meet to discuss a fight between their kids. But as the discussion unfolds, it’s the adults who find themselves acting like children. Worth your time? The critics are split. Arguing in the affirmative is Punch Shaw. “This production has absolutely everything going for it: fine script, great acting and outstanding direction,” he writes on dfw.com. Arguing against is Jimmy Fowler. “Ticketbuyers will leave this show confirmed in their suspicion that we all have a breaking point and, when we reach it, are capable of fairly brutish behavior,” he writes on fwweekly.com. “But audiences can be reminded of the same thing by watching any random 10 minutes of cable news. Surely theater should aspire to a little more than that.” You can decide for yourself through Feb. 23.
BROADWAY BOUND: Congratulations to the young performers at Ohlook Performing Arts Center in Grapevine, who earned an outstanding ensemble award at the 2013 Junior Theater Festival in Atlanta. The group performed selections from Honk! Jr., prompting judge Bryan Batt to write, “I have not seen such a talented group of young people ever. It’s at the level of young performers on Broadway.”
AT THE MODERN: The Modern Art Museum of Fort Worth is hosting a pair of FOCUS exhibitions: one featuring Gary Simmons’ work and the other featuring work by Yinka Shonibare MBE. Shonibare is British and Nigerian, and his diverse background makes its way into his art. The folks over at Art This Week stopped by the museum to speak with curator Andrea Karnes about the show; you can see their conversation below:

domain: entertainment


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Childhood community-acquired pneumonia (CAP) is usually treated with 10 days of antibiotics. Shorter courses may be effective with fewer adverse effects and decreased potential for antibiotic resistance.
Objective To compare a short (5-day) vs standard (10-day) antibiotic treatment strategy for CAP in young children.
Design, Setting, and Participants Randomized double-blind placebo-controlled clinical trial in outpatient clinic, urgent care, or emergency settings in 8 US cities. A total of 380 healthy children aged 6 to 71 months with nonsevere CAP demonstrating early clinical improvement were enrolled from December 2, 2016, to December 16, 2019. Data were analyzed from January to September 2020.
Intervention On day 6 of their originally prescribed therapy, participants were randomized 1:1 to receive 5 days of matching placebo or 5 additional days of the same antibiotic.
Main Outcomes and Measures The primary end point was the end-of-treatment response adjusted for duration of antibiotic risk (RADAR), a composite end point that ranks each child’s clinical response, resolution of symptoms, and antibiotic-associated adverse effects in an ordinal desirability of outcome ranking (DOOR). Within each DOOR rank, participants were further ranked by the number of antibiotic days, assuming that shorter antibiotic durations were more desirable. Using RADAR, the probability of a more desirable outcome was estimated for the short- vs standard-course strategy. In a subset of children, throat swabs were collected between study days 19 and 25 to quantify antibiotic resistance genes in oropharyngeal flora.
Results A total of 380 children (189 randomized to short course and 191 randomized to standard course) made up the study population. The mean (SD) age was 35.7 (17.2) months, and 194 participants (51%) were male. Of the included children, 8 were Asian, 99 were Black or African American, 234 were White, 32 were multiracial, and 7 were of unknown or unreported race; 33 were Hispanic or Latino, 344 were not Hispanic or Latino, and 3 were of unknown or unreported ethnicity. There were no differences between strategies in the DOOR or its individual components. Fewer than 10% of children in either strategy had an inadequate clinical response. The short-course strategy had a 69% (95% CI, 63-75) probability of a more desirable RADAR outcome compared with the standard-course strategy. A total of 171 children were included in the resistome analysis. The median (range) number of antibiotic resistance genes per prokaryotic cell (RGPC) was significantly lower in the short-course strategy compared with the standard-course strategy for total RGPC (1.17 [0.35-2.43] vs 1.33 [0.46-11.08]; P = .01) and β-lactamase RGPC (0.55 [0.18-1.24] vs 0.60 [0.21-2.45]; P = .03).
Conclusions and Relevance In this study, among children responding to initial treatment for outpatient CAP, a 5-day antibiotic strategy was superior to a 10-day strategy. The shortened approach resulted in similar clinical response and antibiotic-associated adverse effects, while reducing antibiotic exposure and resistance.

domain: medical


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CHANHASSEN, Minn. (AP) – Pop music superstar Prince has been found dead at his home in suburban Minneapolis. His publicist, Yvette Noel-Schure, told The Associated Press the music icon was found dead at his home Thursday in Chanhassen. The singer, songwriter, arranger and instrumentalist was widely acclaimed as one of the most inventive musicians of […]
Spreading the Christian word through song and music is what the Reed Brothers are all about. The group won the International Country Gospel Music Association Vocal Group of the Year Award earlier this year.

domain: celebrity


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STORE COMMUNITY ABOUT SUPPORT
Sort by Top Rated All Time
Showing 1-18 of 26 entries
The Incredible Machine 3 ContraptionsCollection by Minions Are Bæ
This is my attempt at rebuilding the puzzles & contraptions found in The Incredible Machine 3. I'll do my best to recreate replicas from the original game, but I imagine there will be times where some tweaking will be required. As I'm writing this, the gam
StrangeLittleCreationsCollection by StrangeLittleMan
A collection of my own creations. Nothing special... yet xD Please comment on any puzzles being broken, confusing or just plain bad. Also keep in mind the game is still under development and some puzzles may stop working when the game updates. As of
T.I.M. CLASSICSCollection by aztimh
Recreating the levels from The Incredible Machine and The Even More Incredible Machine. Some are not possible with the new physics of conveyor belts and lack of gravity/air pressure options at present. I'm trying my best to represent the puzzles from
The Incredible Machine: Even More Contraptions portsCollection by Q3DM6
A collection of puzzles based on contraptions from The Incredible Machine: Even More Contraptions. I did my best to recreate them in Contraption Maker. Obviously, since CM uses much more advanced physics simulation, the puzzles won't look and act exactly l
ShinDigPig's Contraption Maker PuzzlesCollection by ShinDigPig
My created Contraption Maker puzzles.
Incredibly Easy PackCollection by RAB-4-BIT
user madeCollection by sirkai007
Makies's Okami's Favorite PuzzlesCollection by Makies Okami
A collection of my favorite puzzles! Updated often if I have more favorites. (which I will.) If a puzzle was created before the release of Contraption Maker it might not work properly. I'll be sure to not add too many of those outdated puzzles to this c
WGS's Contraption Maker PuzzlesCollection by wildgoosespeeder
These are just my puzzle designs. They will have some challenge to them. Check back periodically to see if there are new puzzles to solve! I encourage finding alternate solutions to my puzzles and them being reported to me!
The Kettle Boil CollectionCollection by Conundrum
The entire Kettle Boil Collection! Features multiple contraptions involving boiling a kettle! Enjoy!
My Contraptions and PuzzlesCollection by CalamityCannon
Contraptions and Puzzles made by Me in Contraption Maker.
Extazy Contraptions and PuzzlesCollection by Extazy Test N°2
My contraptions and puzzles. Only the best ones.
The Best of Contraption MakerCollection by MajorPecan
Just a collection of very cool and/or nostalgic puzzles.
Laser Challenge PuzzlesCollection by Rogue Shark
Each of these puzzles include lasers and are designed to be challenging.
UserMadeCollection by duenisch
andriCollection by JoMa
ExraCollection by JoMa
WORKSHOPCollection by zdhallock

domain: hobby


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She had the heart of a hippie, the spirit of fairy, and the soul of gypsy. She wore flowers in her hair and carried magic secrets in her eyes.
Wedding Boutonniere Boutineer Rustic Sunflower More
Hey, I found this really awesome Etsy listing at https://www.etsy.com/listing/185144756/rustic-sunflower-wedding-invitation-and
Diy Sunflower Wedding Decorations. ♥ For more rustic wedding colors, themes and inspiration see http://www.pinterest.com/WeddingCharm/rustic-wedding/ ♥
Charming Rustic Wedding Ideas - Twinkling lights, sunflowers, lace and burlap goes perfectly with sweet watercolor sunflower wedding invitations - www.mospensstudio.com
navy and burlap sunflower wedding ideas / http://www.deerpearlflowers.com/rustic-wedding-ideas-with-burlap-touches/2/
Country Sunflower Wedding Invitations. Order 100+ Invites and get 40% OFF. | www.RusticCountryWeddingInvitations.com
I may have just changed my mind about not having a veil. I'd make my own short sunflower veil though. But still, how cute!
Hey, I found this really awesome Etsy listing at https://www.etsy.com/listing/184218134/wedding-signs-receptionseating
18 Brilliant Sunflower Wedding Bouquets For Happy Wedding ❤ Here you find ideas…

domain: artistic


MONTE Carlo is a tiny principality with a big public image.
It's famous for its casino, beaches, royal family, minimal tax – and its round of the World Rally Championship series.
The latter is the reason Skoda brought out a Monte Carlo version of its button-cute Fabia: it celebrates 100 years of Rally Monte Carlo.
Apart from the neat little rally badge above the indicator on its front mudguards and a few token sporty items, it's mechanically identical to the base Fabia, which costs $3000 less.
The Fabia has the same 1.2litre engine and five-speed gearbox as VW's Polo Trendline.
It also has a higher price tag and the main difference between them is the styling.
There are many more Polos than Fabias in Oz, so I guess Fabia wins on the basis of exclusivity.
Compared to the base model, the Monte Carlo has a black head-and-foglight surround, grille, wing mirrors, roof and spoiler, plus black 16-inch alloy wheels, privacy side glass, unique front door sill plates, alloy sports pedals and sports seats in front.
The small motor has direct injection and turbocharging to whack out 77kW and torque of 175Nm. But since the car has a mass of just over 1100kg, performance is better than brisk.
It responds to a stab on the accelerator like a dieting fatso to a steak and clears 100km/h in 10 seconds flat.
It's also surprisingly smooth powerful and its five-speed synchronised manual transmission worked a treat.
Economy is another attraction, with an official rating of 5.5litres/100km. Best we could get on our usual run was 7.1. Still good.
The surprisingly spacious four-seater comes with standard Bluetooth, steering wheel phone and audio controls and a socket for MP3 devices.
We liked the daytime running lights too.
People who really care about safety will be interested in things like the car's electro-hydraulic power steering with reach and rake adjustable column, its excellent handling and balance, stopping power and visibility.
We loved it and think the extra loot for the Monte Carlo is (almost) worth it.


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If you’re here, you probably suspect you have a hernia, or are concerned about someone who might. Today, we’ll go over the different types of hernias. You’ll notice that many of them have similar symptoms and descriptors. That’s because hernias are all similar in nature, and many of the defining characteristics come down to their location on the body.
A quick disclaimer
If you believe have a hernia, you should seek medical advice immediately. This article provides a short overview of each hernia variety — and we hope you’ll find it informative — but can’t be used to self-diagnose. There is no substitute for personalised, specialist medical advice on hernias. If you’re based in Perth, we can provide just that.
There are six common types of hernia — each occurs at the weaker points of the abdominal muscles and has the potential to cause serious complications if left undiagnosed and untreated. Making yourself familiar with the different types — and meeting with a medical professional as soon as possible — will help you stay on top of your health and wellbeing.
The different types of hernia
An incisional hernia is linked to a weakness at the site of a surgical scar in the abdomen area (for example, a cesarean scar). Most people assume this happens when the scar is recent and the tissue is compromised, but an incisional hernia often appears long after the initial surgery take places.
Incisional hernias vary in size, but once it becomes large, it may be harder to repair and there is a risk that the hernia might trap part of your intestine. When this happens, the risks are serious — even life-threatening if blood supply is cut off. In this case, emergency surgery is required.
A femoral hernia is named after the femoral artery, in the lower part of the groin. Sometimes during pregnancy, this area is weakened, so women who have given birth are more likely to suffer from this type of hernia. If you have a femoral hernia, you’ll notice a bulge in the groin or thigh area — this is intestine or fat that has pushed through a weak spot of the abdominal wall.
The bulge can be the size of a grape, which is why many patients don't experience any symptoms. However, a femoral hernia may contain intestine, and in that case an emergency can be triggered when the intestine becomes strangulated (the blood flow is cute off).
An umbilical hernia occurs when fat or intestine protrudes through the abdominal wall in the naval (belly button) area. An umbilical hernia will not resolve through natural healing, and may lead to complications if left untreated. Repair surgery involves pushing back the intestine and abdominal lining, and repairing the hole in the abdominal wall. Often, surgeons also insert a synthetic mesh to strengthen the area.
This hernia is caused by a weakness of the abdominal wall between the belly button and the sternum of the rib cage. An epigastric hernia is quite common in children and adults, and may even occur in infants. It appears as a small bump (which is a mass of fat) near the base of the ribcage. Similar to other hernia types, an epigastric hernia will not resolve on its own and requires surgery.
A spigelian hernia is a rare form of hernia that develops between the rectus muscles (six packs) and the lateral muscles of the abdomen. Some people unintentionally prolong their experience with a spigelian hernia because the pain associated with it temporarily improves for an extended period. They believe the issue to be self-resolving, but eventually, the pain will come back because the hernia is still there. The occurrence of this type of hernia is higher in men than in women, and surgery is the only treatment option.
An inguinal hernia is a bulge caused by a weakness in the abdominal wall in the groin area. It can occur on both sides of the lower abdomen in an area called the “inguinal canal”. In men, this is where the testicles descend before birth. In women, there is a round ligament in this area instead. In both sexes, this point in the abdominal wall is naturally weaker, which makes inguinal hernias a common type.
A hiatal hernia is a condition where the muscles of the hiatus become weakened and stretched. The hiatus (which is just another word for “opening”) separates the chest from the abdomen. When this opening gets larger, organs (namely stomach, spleen or intestines) can slip upwards, through the hiatus, and into the chest cavity. In serious cases, the entire stomach slips into the chest. It can then cause “gastric volvulus”, otherwise known as severe twisting — a rare but dangerous condition that requires emergency surgery.
What to look for
Although each type of hernia is slightly different, they share many of the same causes. If you suspect you have a hernia, consider whether any of these circumstances could have contributed to it:
- A chronic cough.
- Frequently straining to have a bowel movement.
- Trauma to the abdomen (e.g. from surgery or a major injury).
- Frequently straining to lift heavy objects (e.g. at the gym or in labour-based industries).
- Being overweight.
Overarching signs & symptoms
With any hernia, you may have no symptoms at all, mild discomfort, or extreme and unbearable pain. Because all hernias are similar in nature, they share many of the same symptoms, which mean it’s impossible to diagnose a hernia from the symptoms alone. However, if you suspect you may have a hernia, you could be experiencing:
- A bulge at the hernia site (can be small or large).
- Chest, stomach, or groin pain (depending on where your hernia is). The pain might be short and sharp, dull over a longer period, or both.
- Vomiting and/or nausea.
- Difficulty swallowing.
- Burping, reflux, and/or heartburn.
- Shortness of breath.
- Redness & swelling of the area.
- Sudden changes in bowel movements, such as diarrhoea or constipation.
- Blood in stools.
The primary concern with a hernia is a portion of intestine becoming trapped and strangulated within the hernia. When it happens, the blood flow to the intestine can be completely cut off, and this becomes a life-threatening situation which calls for emergency surgery.
During the diagnosis of any hernia, your doctor will take a complete medical history and rule out any other medical issues. As we said before, different hernia types share many of the same symptoms, which mean it’s impossible to diagnose a hernia from the symptoms alone. To ensure an accurate diagnosis, your doctor will likely run some tests and procedures before resolving the hernia itself. These might include:
- A CT scan or ultrasound.
- A colonoscopy.
- Exploratory surgery (in which case the hernia will be treated upon discovery).
- Removing a bowel obstruction or blockage (the hernia will be treated after the obstruction has been cleared).
Hernias are repaired using either open abdominal surgery or laparoscopic surgery. The surgery used will depend on the kind of hernia you have and its severity. Both methods follow the same basic steps (these steps have been extremely oversimplified for the sake of the article):
- Your surgeon will dissect and define the hernia.
- The content of the hernia is pushed back into the abdominal cavity.
- A technique, such as a surgical mesh, is used to repair the hernia opening. This reduces the risk of the hernia recurring.
- The abdomen is closed again.
Open surgery is preferable when more access to the hernia is critical for the surgical outcomes. Here, the surgeon makes an incision into your skin and the abdominal muscles, and exposes the area where the surgery will be performed. The exact size and shape of the incision depends on the details of your hernia, and there may be some scarring.
Laparascopic surgery is commonly referred to as keyhole surgery. It’s a minimally invasive technique that involves making several small incisions in your abdomen. Then, gas is used to gently distend (or “inflate”) the abdomen area, creating space for the operation. Finally, a surgical tool called a laparoscope, with a camera attached, is inserted to examine the area so the surgeon can act accordingly. The laparoscope also has specialised keyhole instruments attached to it, to perform the operation.
Which is better?
There isn’t one distinctly “better” than the other, so try not to think of it in these terms. Both methods of surgery are equally safe, reliable, and successful; it’s just a matter of determining which type is the most suitable for your circumstances.
In saying that, laparascopic surgery is favoured where possible. Again, this is not because it’s “better” or “more effective”, but simply comes down to patient comfort. Compared to open surgery, the incisions are much smaller, and that allows you to recover faster after your surgery. You’ll also experience less pain and discomfort, compared to an open surgery, and enjoy a shorter hospital stay.
“I’m think I have a hernia. What now?”
All hernias have the potential to be life-threatening. This happens if a part of the intestine becomes trapped in the hernia, cutting off blood flow.
This article isn’t meant to be a scare-campaign, but it’s better to be on the cautious side. If you think you have a hernia of any kind — even a mild one with no pain or major symptoms — you must get it checked by a medical professional as soon as possible.
If you’re based in Perth, or can easily travel here from a rural location, our specialist surgeons are available to diagnose, treat, and support you. Contact The Hernia & Gallbladder Centre WA to make an appointment.


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UM Airlines == History == The airline was established by Lebanese businessmen in 1998 and began operations in June 2000. It was founded as an open-end joint stock company. In 2003 UM Air had over 500 employees and carried 210,000 passengers. The airline now has 640 staff.
from Wikipedia, the free encylopedia

domain: economics


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The Casual Vacancy, perhaps the most hotly anticipated book of the year, will be published on 27 September and is set in a small town called Pagford, described by her new publisher Little, Brown as an English idyll “with a cobbled market square and an ancient abbey”. The story is set in motion by the unexpected demise of Barry Fairweather, a stalwart of the town’s parish council who dies in his early forties. Pagford’s chocolate-box façade hides a town riven with strife, and the struggle to replace Fairweather “becomes the catalyst for the biggest war the town has yet seen”, with “teenagers at war with their parents, wives at war with their husbands, teachers at war with their pupils,” the publisher said.
As a J.K. Rowling connoisseurI am quite interested in her next steps into the adult oriented book scene. I doubt that she’ll make it a lust ridden toss away novel, but then again as the book is not for children, she will be able to investigate her full potential as an artist of the printed word. Rowling has won many hearts over the years with her classic Harry potter, and I believe that she will be able to win as many hearts with her next novel. I do not usually purchase books, but this one I will buy as my affirmation of support for this talented female artist. Read more : from The Guardian.

domain: literature


The Bear Mattress ranks No. 1 in our ratings of the Best Memory Foam Mattresses of 2021. Leesa Mattress Uk Reviews
Here are the current top mattresses of 2021.
As we enter 2021, the industry is strained with mattress brand names.
The below brands have been the top mattresses of 2021 thus far.
Remember, these are not listed in any particular order.
So, if you’re searching for the best mattress available, you can’t go wrong with any of the following brands. If you are looking to buy a mattress online, you can’t go wrong with any of these brands.
- Many individuals claim, that Puffy Mattress is without a doubt, one of the most comfortable mattresses available. They say it’s the equivalent of sleeping on a cloud.
- People suffering from back pain, say that they feel relief with Puffy’s Adaptive Flexible Cloud Technology.
- With Puffy, you receive both a 101 night sleep trial, alongside a lifetime warranty.
- Incredible mattress for your money. Very high quality mattress. It does take 2 days before the Puffy Mattress is sent; since the mattress is made to order.
- The top layer of Puffy is CertiPUR-US Certified, and is made of Cooling Cloud Relief Foam. The Cooling Cloud Relief foam layer is the layer that gives you the “sleeping on a cloud” sensation. The last layer, made up Firm Core Support Foam, is also CertiPUR-US Certified. Leesa Mattress Uk Reviews
- Dreamcloud is one of the best choices you could make for a mattress.
- Having a premium natural latex coat, DreamCloud provides a good bounce, and extra contour.
- Some of Dreamclouds highlights include: stitched handles across the sides, cashmere blends and flax yarns.
- As a luxury mattress, Dreamcloud comes with a full year sleep trial, compared to the industry average of 100 nights.
- Thanks to Pocket Coil Technology, the manufacturing costs are cheaper, so the savings are passed on to you. Leesa Mattress Uk Reviews
- Purple Mattress is one of the most known and popular mattress brands on the market.
- Purple uses hyper-elastic polymer in the construction of their mattresses, as opposed to memory foam.
- The feel of this bed mattress is considerably various than the feel of any other bed mattress.
- Purple mattress sleeps cool, all while responding well to motion transfer.
- The first layer of Purple is made of polyurethane foam, while its last layer is made of polyurethane foam. Leesa Mattress Uk Reviews
- Nolah’s flagship product, the Signature uses proprietary AirFoam”, along with high density polyfoam for a soft but supportive feel.
- The Nolah Signature 12 is a luxury flippable all-foam mattress that’s medium-firm on one side and medium-soft on the other.
- Fantastic mattress for couples due to its great motion transfer.
- Every Nolah mattress comes with a 120 night sleep trial, and free shipping. Leesa Mattress Uk Reviews
- Sweetnight offers a full line of mattresses and pillows, both. Most of their products are made up of gel memory foam.
- The company sells on Amazon, which is a convenient option for people who prefer to shop there. However, the company does not have a full range of sizes available for all of its beds.
- Sweetnight has been voted Best Budget mattress, and has a mattress for everyone, with 5 models to choose from.
- Includes a 100 night sleep trial and free shipping.
- Available in both memory foam and hybrid.Sweetnight carries both memory foam and hybrid mattress models. Leesa Mattress Uk Reviews
- Voted Best Memory Foam Mattress, Nectar Sleep is one of the world’s fastest-growing sleep companies.
- Having optimal levels of firmness, coolness, breathability, and comfort with their mattresses, Nectar Sleep guarantees ideal sleep.
- Nectar is made of high quality all foam, and uses multiple layers.
- If you are a back sleeper, and light or average in weight, you will not beat the pressure relief, comfort and support of Nectar.
- Nectar offers a Lifetime warranty and 365 night sleep trial for their mattresses. Leesa Mattress Uk Reviews
- Awara is a hybrid mattress model, combining innerspring support with a significant comfort system.
- A latex hybrid, Awara Mattress pairs a 4-inch layer of natural, Rainforest Alliance-certified Dunlop latex with a 9-inch support core of pocketed coils.
- The latex of the Awara is certified by the Rainforest Alliance. This means it meets the criteria on environmental sustainability, social and economic impact.
- It is also certified by GOLS (Global Organic Latex Standard), which indicates that the latex is organic. The plush Euro top cover is composed of New Zealand wool and organic cotton. Leesa Mattress Uk Reviews
- The If you are a side sleeper, not wanting to sacrifice the decadence of a luxury brand, then the Saatva Classic is for you.Saatva Classic mattress offers all the features side sleepers need without sacrificing the decadence of a luxury brand.
- The Saatva Classic is made with high-quality, eco-friendly materials, and is completely customizable. There are 3 firmness level, sizes and heights available.
- Saatva also provides at home setup, and removal of your old mattress at no charge.
- Every Saatva comes with a 180 night sleep trial and free shipping.
- The Idle Hybrid is flippable, offering 2 firmness levels, Medium and Firm.
- Firmness levels can be changed to Medium and Luxury Firm by request
- The Idle Hybrid is Idle Sleeps best selling mattress, offering just the right amount of bounce, with their blend of memory foam and latex.
- Idle Sleep has the longest sleep trial in the industry at 18 MONTHS. Every mattress also comes with a lifetime warranty. Leesa Mattress Uk Reviews
Support and Comfort
If you are looking to buy a new mattress, 2 of the biggest aspects will be comfort and support.
When you lie down, there are a few things that should take place.
For proper spine alignment, you want the sinkage and shape to be just right.
Also, you want a mattress that offers adequate support as you sleep.
Having proper body alignment is critical while you sleep.
This is important to make sure you are reducing neck and back pain, as well as have a healthy sleep.
While not only supporting your body, a mattress needs to be a good source of stress relief.
The stress points in your body are precisely what is in control of you thrashing during the evening.
Memory foam mattresses are a great option for being both supportive and comfortable. Leesa Mattress Uk Reviews
Should You Choose Firm or Soft?
This is pretty much the same as when we talk about comfort and support.
A new mattress should never be either too soft, or too firm.
What you want in a mattress, is one that ensures your spine and body stay in a neutral position.
Too much rigidity in a mattress will irritate the stress variables, making pinched nerves, in addition to the blood to stop flowing.
If you find that a lot of the times you awake, with the sensation of having pins and needles in your body, this is a sign of a mattress that is too rigid.
Then you have the issue of a mattress too soft, which creates a sagging effect.
When this happens, you can find yourself with back pain, due to your spine not being correctly aligned.
This is why we say you want a mattress that is neutral.
What you want is a mattress that is soft in all the right places, but not too soft overall.
You also need a mattress firm enough to be supportive; without being too rigid. Leesa Mattress Uk Reviews
One attribute of a mattress most people don’t think about, is the breathability of a mattress.
Possibly the most effective attribute of memory foam mattresses now, is their capacity to be able to conform to your body.
Irregardless, foam mattresses which have diminished layers are well known to cause what’s known as”the oven result”.
Which essentially just means your body heat gets caught inside the mattress, causing you to sleep hot.
Most mattress companies nowadays use modern technologies, to make special materials.
The goal of every mattress company is to offer breathability, allow you to sleep cool and also provide warmth where it should.
Some companies do a much better job at this, than a number of their competitors. Leesa Mattress Uk Reviews
To no surprise, when looking a high quality mattress, most of them come with a nice price tag also.
Since a mattress is a big investment, you certainly want to find one that will last for years to come.
You’ll want a mattress that uses premium materials and advanced technologies, with the goal of finding a mattress that can last you a lifetime.
Since you’re going to invest in a new mattress, make sure to pay attention to warranties. Find a brand with at least a 10 year warranty. Leesa Mattress Uk Reviews
Quick Links to Other Best Mattresses:


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The Oslo ring has a classic feel but with a unique touch. This 5mm band features hand engraved flowers with a matte background.
Item is made to order. Please allow 3-5 weeks to ship.
To choose your flower type and size please email email@example.com or write a comment in the note section at check out.
- Hand engraved flowers


Soft and flowy texture Dual Tone Sheer Satin Saree
- Product Code: SBDTSS07
- Color / Design: Margenta body + Maroon border
- Fabric: Satin
- Blouse Piece: Running Blouse. Blouse length: 75cm
- Length: 5.25 meter Width: 46 inches
Washing Instruction: Gentle hand wash. Dry clean advisable
Disclaimer: This product is hand crafted and there might be slight irregularities. These add to the unique charm of this exquisite piece. The pictures are taken in daylight. There might be color variation in the image(s) and the actual item due to photographic lighting sources or your device screen. Size measurement may vary + - 3 inches.


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Canon locates most of the camcorder's controls in convenient places. The only real victims of placement here are the two switches on the right side of the body that let you switch between auto or program modes, and MiniDV tape or MiniSD flash memory card media. Granted, you won't need to switch these while shooting, but they'd be easier to deal with if placed on the left side. Canon generally parcels out its menu-based controls well, making the most likely used items, such as exposure compensation and microphone level, quickly accessible by pressing the joystick. At the same time, other oft-accessed controls--program, shutter- and aperture-priority, cine, and scene modes, along with the white balance, image effects, and still-image mode--hide behind the function button. As usual, Canon puts four buttons below the camcorder's 2.7-inch, wide-screen LCD. These buttons let you zoom in or out, start and stop recording, access focus assist mode, and double as playback controls.
Unfortunately, Canon doesn't let you change white balance while shooting, so if you move from one type of lighting to another, you're forced either to stop then restart shooting or to accept the resulting color cast. This is surprising given that Canon tries to appeal to a more-advanced level of user with this model's 24p shooting mode. Meant to mimic the 24fps frame rate of film, the mode does a good job of that, though its slower frame rate may cause fast-moving subjects to get a bit choppy when compared to 30fps video. Also, don't expect the footage to have the same tonal characteristics as film. To address this, Canon includes cine mode, which can be combined with 24p mode if desired and tries to achieve a film-like look by changing the color and gamma performance. Purists likely won't be satisfied, but it's worth a try if you want a different, more-muted look to your footage.
Speaking of footage, we were very impressed with the video we shot with the HV20. Our footage was quite sharp, colors showed plenty of saturation, and we saw surprisingly little noise, especially in good lighting conditions. Like the HV10, the HV20 did tend to lose some information in highlights, though it preserves noticeably more highlight detail than most non-HD camcorders, and shadow detail was impressive. Since it's a single-chip design (as opposed to three-chip), low-light performance isn't amazing. Still, the graininess in low light was considerably better than you'd see in a camcorder with a smaller sensor, though in extremely dim conditions, color fidelity and overall dynamic range drop precipitously, leaving largely monochrome video with very little shadow detail. Canon's night mode does little to fix this, instead dropping the shutter to such a slow speed that you end up with video that looks like lazy stop-action animation.
Still images reminded us of what we saw with the HV10. While very impressive for a camcorder, you still won't want to print larger than snapshot size. But, if you don't print larger than 4x6 inches, you may be pleased with the results.
Despite our handful of gripes, the HV20 will likely be a big seller for Canon. We wouldn't be surprised if it's among the top-selling nonbudget camcorders this year, especially if retailers drop the price to less than $1,000. The HV20's stunning high-definition video and comfortable operation make it a great choice for nonprofessional, HD-happy videographers. However, if you often find yourself shooting in low light, don't mind a touch screen interface, and can stand to lay down a little extra cash, Sony's Handycam HDR-HC7 is definitely worth consideration.


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Management of allergy
Management of allergy in general includes avoidance of allergens, symptoms suppression and desensitisation:
Allergy covers a wide area in medical science from skin to gut. Allergic disorders includes asthma, bronchitis, hay fever (allergic rhinitis), chronic nasal allergies, conjunctivitis, eye allergies, skin allergy including eczema, urticaria, food allergies, diarrhoea,latex allergy, wasp and insect allergies, angioedema, drug allergies and anaphylaxis etc.
In general, the management of allergy includes the avoidance of the offending allergens and /or medical management. Although the avoidance is still the cornerstone of the treatment of allergy, often it is very difficult. One of the main reasons is an allergen could be anything and anywhere in the environment.
Detection of an allergen is vital for the management of allergy either for avoidance and/or medical management. Your doctors can give you some effective and up to date advices regarding how to avoid the allergens while it is identified. However, if the avoidance is successful still you might need to carry some emergency medication (e,g. Adrenaline Auto Injector) in order to deal with the accidental exposure to the allergen.Medical management includes pharmacotherapy and education to the patients and carer for example how to use an AAIs .
Avoidance: Allergens avoidance is still a recommended option for allergy management though research studies continues to investigate the role of exposure in the development of tolerance to the allergens. There are some strategies to avoid the specific allergens which your doctor can explain however, particularly in Bangladesh dump housing conditions in indoor and dust and exhausts in outdoor tends to have a high concentration of allergens for instance should be avoided.
The medical management includes the latest discovery of the disease modifying drugs ‘immunotherapy’ and 'Omalizumab'. However, the most commonly used medicine is Antihistamines and they can be purchased from pharmacy counter without any prescription. For better understanding the medicines used in treating allergy can be categorised as follows:
1. Antihistamines and leukotriene antagonist that block the activity of histamine and leukotriene which are released during allergic reactions.
2. Bronchodilators, decongestants and epinephrine which relax the airways of the lungs or shrink the congested tissue.
3. Anti-allergic drugs (sodium cromoglycate and nedocromil sodium) prevent the activation of cells that are taken part in the allergic reaction.
4. Corticosteroids: hold a more general action in reducing inflammatory symptoms.
5. Immunotherapy also called desensitisation: The most expensive and only disease modifying drug which teaches the immune system to get used to.
6. Omalizumab: It is a monoclonal antibody, which blocks a substance called IgE produced by the body.


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Fall 2007 Issue
Nursing's Next Crisis
While the media focuses on the national nursing shortage, little attention has been paid to an equally severe shortage of nursing faculty
By Mike Laderman
Mary Margaret Collins could easily be a spokesperson for the nursing profession. During the course of her 50-year career, the Barry University Division of Nursing graduate has worked as a staff nurse in medical and surgical units, served as a staff nurse at a construction site and worked in home care, both as a nurse and as an area supervisor.
Collins, 72, now volunteers at a senior center in Midland, Michigan. She takes blood pressures, works as a part-time replacement for the regular dementia daycare center nurse and is a volunteer teacher of a caregiver class.
But within today's nursing profession, people such as Collins — nurses who have both continued on within their profession and also taught at universities and colleges — are few and far between. This shortage is one part of a three-pronged problem plaguing the nursing profession and, consequently, the health care industry as a whole: not only is there a shortage of nurses within hospitals and medical offices, but there is also a lack of qualified faculty within the nation's higher education system to teach a new wave of students. The faculty shortage, in turn, is growing as fewer nurses choose to pursue advanced academic degrees.
While media stories tend to focus on the overall nursing shortage, what is lost in translation is the age-old "chicken and egg" question: If there are no teachers to educate the nursing students, how can there be nursing students graduating into health care careers? And if there are no educated nurses with bachelor's, master's and doctoral degrees, then who will be teachers in the future?
"You can't talk about one issue without talking about the other issues," said Barry University's Dean of the Division of Nursing Dr. Pegge Bell. "There is little interest in becoming a nurse educator nowadays, either because it's not emphasized during one's nursing program, or because the appeal of working in community settings or hospitals with hi-tech environments is much greater."
Bell recently addressed the issue as a featured speaker at the 5th Annual Conference of State Nursing Workforce Centers in San Francisco in June. "We are not producing a significant number of future faculty, so we can't meet the current or projected demands of the health care industry. This faculty shortage is fueling a health care crisis. Projections for supply-and-demand are way off the mark," she said.
It is, as Bell calls it, a vicious cycle within health care. Organizations across the country, from the Florida Hospital Association to the American Association of Colleges of Nursing, are asking schools of nursing to produce more nurses to meet the shortage. At the same time, state legislators are being asked to fund initiatives that, Bell says, will lead to the expansion of nursing programs. Yet the colleges and universities maintain that they can't adequately meet that demand, unless they have more qualified faculty.
"[The faculty shortage] is clearly a significant problem in the state," said Mary Lou Brunell, executive director of the Florida Center for Nursing. "Just a few months ago, [the FCN] conducted a survey of nurse education programs where we asked three questions: how many vacancies they have; how many faculty are retiring this year; and what additional number of faculty would they need just to attend to the current student population. The responses were telling. Approximately 240 faculty positions are vacant. Now, obviously, that's far less than the amount of vacancies that many hospitals are experiencing. But there will not be a production of new nurses without replacement of the faculty."
According to the American Association of Colleges of Nursing's report on 2006-2007 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, almost three quarters (71 percent) of the nursing schools responding to a 2006 survey pointed to faculty shortages as a reason for not accepting all qualified applicants into entry-level nursing programs. The report went on to state that "U.S. nursing schools turned away 42,866 qualified applicants from baccalaureate and graduate nursing programs in 2006 due to insufficient number of faculty, clinical sites, classroom space, clinical preceptors and budget constraints."
"All efforts to address the national shortage of registered nurses will fail unless solutions to the nurse faculty shortage can be found," said AACN's Executive Director Geraldine "Polly" Bednash, Ph.D. "Faculty shortages at nursing schools across the country are limiting student capacity at a time when the need for professional registered nurses continues to grow. Budget constraints at schools of nursing, an aging faculty, and increasing job competition from clinical sites have contributed to this crisis." The growth of nursing programs at two-year community colleges has helped to alleviate the nursing shortage in many states, according to Bell. However, very few of those nurses ever go on to achieve graduate education and become nursing faculty. So while community colleges appear to be reducing the nursing shortage by producing large numbers of graduates, they are actually creating a situation where more faculty is needed, she said. "It's all tied in together," Bell said. "The state wants and needs more students to enter the programs, but we can't realistically do that. Every time a school does expand, or a new school is created, to meet the demand, they are literally taking from the small pool of faculty that exists."
The shortage also puts an added pressure on existing nursing faculty who may delay retirement, knowing there is no one to replace them. "I love what I do, but I also realize that I need to try to stay working because there's such a shortage," said Dr. Sandra Walsh, a professor at BU's Division of Nursing. "I'm still in it for all the right reasons, but I also have a sense of urgency, because I am 69 years old… I'm trying to mentor new faculty, to encourage people to go back to school, to be nursing teachers, or to teach and take my place. And I'm also trying to keep others my age from leaving until we have people who can replace us."
Although Walsh, and those like her, remain the best hope of alleviating the problem in the short-term, they still represent a stop-gap measure rather than a long-term solution, according to Brunell. "We need to look at how we facilitate associate degree nurses; so that they want to seek the baccalaureate, so they'll want to seek a doctorate, so they can eventually teach," she said.
The AACN cites Nursing Outlook magazine, stating the average age of nurse faculty at retirement is 62.5 years. With the average age of doctorally-prepared faculty currently 52.5 years, a wave of retirements is expected within the next 10 years, which poses the continuous question: Who is there to replace those who retire?
The answer, according to Bell, is right in front of them.
"The boomers have all these years of experience working anywhere and everywhere. They have moved around from position to position and can bring all of that wealth of knowledge into the classroom," Bell said. "[They] have much to give nursing education, and they would be very valued by eager nursing students who want to hear about the world of nursing."
"We have to make a career as a nurse educator as crucial to health care as a nurse who works on an organ transplant team," she added.

domain: news


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Home » Skin Care
Category Archives: Skin Care
I was raised with 6 sisters, which meant my entire life I was surrounded by them and they taught me everything about the world of feminine. From the very beginning I saw my sisters having a certain day when they would pamper themselves by taking care of their skin, hair, nails etc. I was no less, they would make me sit and try everything on me as well. I took care of my skin me entire life and I was much concerned about how I looked. When I started aging and was reaching my 40’s I realized one day that I look old now. Especially my skin was no more the same. I came home and did my research and found out about a product called “BIOREPEELCL3” with good reviews, you can also check on the below given link.
How its Formulated:
At first I was also concerned about how will it make me look younger than I started reading about how is it formulated and what are the ingredients in it. It’s an innovative product due to its bio-stimulating, regenerating and rejuvenating effect on the skin. It is composed of acids i.e. exemplary gamma-aminobutaryic acid, lactobionic acid, salicyclic acid, tartaric acid, trichloroacctic acid, proline, isoproline, sodium ascorbate, arginine, and riboflavin. However, the standard of BIOREPEELCL3, due to its natural composition of acids, makes its unique and competitive in the market.
Once I did my research I decided to look for a dermatologist who I can trust with the procedures and would safely inject it into my skin. To be honest, I am a little scared of the needles but I had to take risk as I was very much particular about how I looked and appeared to people. I found a dermatologist after a research of a couple of hours and booked my session. It had to be done between 6 to 7 sessions and each session would happen in a day. The needles were injected and there was no such thing as pain really. Mild redness occurred but that was it. After a couple of sessions I could clearly feel the difference in my skin.
Thanks to everyone who wrote about BIOREPEELCL3. As we age, our body produces less of collagens and cells that help us look young. These injections are only remedies to inject those cells into your skin. It is no magic to be honest. It is just simple science and creativity that exists due to technology. I highly recommend BIOREPEELCL3 to any person out there who is trying to look young while they age. And any man, who thinks skin-care is just for woman, YOU ARE WRONG.

domain: health


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WTO set to pick new leader
WTO set to pick new leader
Brazil’s WTO ambassador Roberto Azevedo and his rival Herminio Blanco, Mexico’s former trade minister, are expected to learn as early as tomorrow whether they have won a contest that is seen as too close to call.
All concerned are keenly aware that the successor to two-term director general Pascal Lamy from France must act fast to revive the WTO’s moribund global trade talks.
Both men have pitched a similar vision for a negotiating process which they say needs overhauling.
“The multilateral trading system is weakened by a complete paralysis in the negotiations,” Azevedo said, explaining it was time to “unclog the system.”
Blanco, meanwhile, said it was time to reboot the 159-nation WTO.
“The main challenge is the ‘W’ in ‘WTO’,” he said, underlining that the logjam had pushed members into negotiating bilateral and regional deals.
“You have to transfer this energy back to Geneva,” where the WTO is based, to prove the point and reach of the organization, he said.
Supporters of a WTO-wide deal warn that other accords can create a “spaghetti bowl” of conflicting rules, thereby failing to serve global commerce.
Created in 1995, the WTO aims to spur growth by opening markets and removing trade barriers, including subsidies, excessive taxes and regulations.
The stated goal of its “Doha Round,” launched at a summit in Qatar in 2001, is to deploy trade to develop poorer economies.
But members repeatedly have clashed over the give and take needed to reach a deal, with deep splits notably between China, the European Union, India and the United States.
Some have blamed Lamy, a former EU trade chief, who raised hackles with an alleged name-and-shame drive to break the deadlock after he won a second term in 2009.
Amid fears that December’s WTO summit in Bali could fail, the new director general will have to act fast after taking over on September 1.
“The new DG obviously will come in at a rather precarious time for the WTO,” said Sergio Marchi, Canada’s former trade minister and ex-WTO ambassador.
Besides working the diplomatic circuit, Marchi told AFP, the new leader must repair ties with the business community — the hub of global commerce.
“The business community has taken the view, ‘Call me when you’re serious’... Obviously getting Doha together is a challenge, but if the institution is seen as irrelevant, it is irrelevant,” he said.
“You don’t have to have an agreement in your first six months, but there’s got to be movement and momentum,” he added.
Against that background, Blanco seems to have the advantage.
The 62-year-old economist was Mexico’s negotiator for the 1994 North American Free Trade Agreement and has solid private sector credentials, running an international trade consultancy and sitting on US, Asia and European company boards.
“My candidacy is a package of skills, experience, ambition and creativity,” he said.
But Azevedo’s insider status could be key.
The 55-year-old career diplomat was Brazil’s chief litigator in a raft of WTO disputes before becoming ambassador in 2008.
“In the WTO today, you don’t have any low-hanging fruit. You have to go up the tree, grab the fruit and bring it down. And if you don’t know the system, and don’t know the trees, you’re not going to get the fruit,” he said.
Marchi underlined the symbolism of a Latin American WTO leader.
“It’s the emerging economies that are now the economic locomotive globally, and both Brazil and Mexico have done tremendously well thanks to trade,” he said.
The WTO’s leader is not formally elected, but picked by consensus, with senior diplomats sounding out the member states to see who has most support.
The rules were set after an ugly 1999 race which led to New Zealand and Thailand splitting the job, before Lamy won in 2005.
The WTO’s two previous chiefs were Irish and Italian, and with France following Thailand, developing nations have been keen to claim the top post.
An unprecedented nine candidates ran this time around.
Those who fell at the first fence in mid-April were from Kenya, Ghana, Jordan and Costa Rica, while Indonesia, South Korea and New Zealand stumbled at the end of the month.
Both Azevedo and Blanco underline their broad support from rich, emerging and poor nations.
But a range of diplomats told AFP they were unhappy with a final choice between two Latin Americans, while Kenya and South Korea raised concerns at WTO meetings.
Kenya’s WTO ambassador Anthony Andanje told AFP, however, that it was a matter of making the disquiet known, rather than aiming to block the process.
Gulf companies challenged by debt and rising interest rates
- Debt restructurings on the rise, but below crisis levels
- Central Bank of the UAE has raised interest rates four times since last March
There has been an uptick in recent months in heavily-borrowed companies in the Gulf seeking to restructure their debts with lenders. Although the pressure on companies is not comparable to levels witnessed in the region following the 2008 global financial crisis, rising interest rates will eventually begin to have a greater impact, say experts.
Speaking exclusively to Arab news, Matthew Wilde, a partner at consultancy PwC in Dubai, said: “We do expect that interest rate increases will gradually start to impact companies over the next 12 months, but to date the impact of hedging and the runoff of older fixed rate deals has meant the impact is fairly muted so far.”
The Central Bank of the UAE has raised interest rates four times since the start of last year, in line with action taken by the US Federal Reserve. The Fed has signalled that it will raise interest rates at least twice more before the end of the year.
Wilde added that there had been a little more pressure on company balance sheets of late, although “this shouldn’t be overplayed”.
Nevertheless, just last week, Stanford Marine Group — majority owned by a fund managed by private equity firm Abraaj Group — was reported by the New York Times to be in talks with banks to restructure a $325 million Islamic loan. The newspaper cited a Reuters report that relied on “banking sources”.
The Dubai-based oil and gas services firm, which has struggled as a result of the downturn in the hydrocarbons market since 2014, has reportedly asked banks to consider extending the maturity of its debt and restructuring repayments, after it breached certain loan covenants.
A fund managed by Abraaj owns 51 percent of Stanford Marine, with the remaining stake held by Abu Dhabi-based investment firm Waha Capital. Abraaj declined to comment.
Dubai-based theme parks operator DXB Entertainments struck a deal last month with creditors to restructure 4.2 billion dirhams ($1.1 billion) of borrowings, with visitor numbers to attractions such as Legoland Dubai and Bollywood Parks Dubai struggling to meet visitor targets.
Earlier this month, Reuters reported that Sharjah-based Gulf General Investment Company was in talks with banks to restructure loan and credit facilities after defaulting on a payment linked to 2.1 billion dirhams of debt at the end of last year.
Dubai International Capital, according to a Bloomberg report from December, has restructured its debt for the second time, reaching an agreement with banks to roll over a loan of about $1 billion. At the height of the emirate’s boom years, DIC amassed assets worth about $13 billion, including the owner of London’s Madame Tussauds waxworks museum, as well as stakes in Sony and Daimler. The firm was later forced to sell most of these assets and reschedule $2.5 billion of debt after the global financial crisis.
Wilde told Arab News: “We have seen an increasing number of listed companies restructuring or planning to restructure their capital recently — including using tools such as capital reductions and raising capital by using quasi equity instruments such as perpetual bonds.”
This has happened across the region and PwC expected this to accelerate a little as companies “respond to legislative pressures and become more familiar with the options available to fix their problems,” said Wilde.
He added that the trend was being driven by oil prices remaining below historical highs, soft economic conditions, and continued caution in the UAE’s banking sector.
On the debt restructuring side, Wilde said there had been a “reasonably steady flow of cases of debts being restructured”.
However, the volume of firms seeking to renegotiate debt remains small compared to the level of restructurings witnessed in the aftermath of Dubai’s debt crisis.
Several big name firms in the emirate were caught out by the onset of the global financial crisis, which saw the emirate’s booming economy and real estate market go into reverse.
State-owned conglomerate Dubai World, whose companies included real-estate firm Nakheel and ports operator DP World, stunned global markets in November 2009 when it asked creditors for a six-month standstill on its obligations. Dubai World restructured around $25 billion of debt in 2011, followed by a $15 billion restructuring deal in 2015.
“We would not expect it to become (comparable to 2008-9) so barring some form of sharp external impetus such as global political instability or a protectionist trade war,” said Wilde.
Nor did he see the introduction of VAT as particularly driving this trend, but rather as just one more factor impacting some already strained sectors (e.g. some sub sectors of retail) “which were already pressured by other macro factors.”

domain: politics


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Patmon v. State of Nebraska Department of Correctional Services et al
MEMORANDUM AND ORDER that the Plaintiff must either file a new request for leave to proceed in forma pauperis or pay the court's $400.00 filing and administrative fees within 30 days. Failure to take either action will result in dismissal o f this matter without further notice to Plaintiff. The clerk of the court is directed to send to Plaintiff the Form AO 240, "Application to Proceed Without Prepayment of Fees and Affidavit." The clerk of the court is directed to set a pro se case management deadline with the following text: March 2, 2015: deadline for Plaintiff to file new IFP application or pay filing fee. Ordered by Judge John M. Gerrard. (Copy mailed to pro se party as directed) (JSF)
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?

domain: law


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At least 12 persons, including NSUI general secretary Nikhil Savani, were injured in a clash between NSUI and ABVP workers here on Tuesday.
Mr. Savani sustained serious head injuries and was admitted to V.S. Hospital in the city. Late at night, the Ahmedabad police registered a First Information Report (FIR) naming Bharatiya Janata Yuva Morcha president Rutvij Patel, former president Pradipsinh Vaghela and 70 others.
“We have filed an FIR and launched a probe,” a police officer from Zone I said.
The clash occurred when the NSUI workers tried to stage a protest in front of the ABVP office against the violence at Jawaharlal Nehru University (JNU) in New Delhi. ABVP members, armed with sticks, allegedly came down heavily on the NSUI workers.
As the clashes continued, the police resorted to a baton-charge to disperse the crowd at Paldi.
NSUI national president Neeraj Kundan condemned the incident. The ABVP maintained that NSUI members came to its office and turned violent.
Gujarat Congress president Amit Chavda demanded that an attempt to murder case be filed against ABVP and Bharatiya Janata Yuva Morcha workers as Mr. Savani was brutally assaulted.


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Ibiza has a reputation as one of the most popular party locations in the world. Known for having some of the best clubs and nightlife, countless people flock there during the summer season for endless parties.
But, is there more than meets the eye? Ibiza also plays host to some of the Mediterranean’s most incredible beaches, there’s good food, treks, lots of water activities and a number of top hotels. For the return of the Short Motivation, ‘we want to go to’ series, our next stop will be Ibiza!
We want to stay at Pure House and Ca Na Xica
Pure House is situated right in the heart of the island. Close enough to Ibiza town, while also being convenient for the top beach spot of Las Salinas, everyone should find something to do here. The small hotel is surrounded by pine forests and olive groves and sits on a huge 12-hectare site. In terms of the services and facilities, Pure House makes you feel right at home to include all the great amenities and then there is staff when you need them to look after you and to treat you to freshly made cocktails should you need them. You can also utilise the fitness session and wellness treatments they have available. All rooms follow the Mediterranean theme of white and ivory keeping in with a theme of relaxation.
Another place we’d like to stay at is the Ca Na Xica. Located in the middle of the Ibiza countryside, this really is a retreat for relaxation. Located at the north of the island and only minutes away from the beach of Benirràs, yet only 30 minutes from the airport, it’s ideal if you are seeking downtime on your Ibiza trip. There is plenty of space to lounge around the huge pool and an on-site spa for special treatments. The 20 rooms vary from double and superior, all white and neutrally coloured with well-filled minibars and Nespresso machines. Terraces from the room overlook olive and fig trees so you can really feel at one with nature.
We want to eat and drink at Meke Coffee Roasters and Plaisir
As you all know by now we are huge coffee fans, especially third wave. Meke is a small batch roaster with the aim of extracting the best coffee from their beans. They also offer barista training in order to make sure their beans are being served properly across the island. It’s worth noting that the opening hours are limited to Monday to Friday 9.30 to 1.30pm, so get there early if you want a great coffee.
Plaisir is another interesting option we’d like to explore. Serving great food and coffee, Plaisir also serves great breakfast which is always one of our favourite ways to start the day. Most of the produce is sourced from the owner’s farm so you know everything is completely fresh! Coupled with a light setting and some outdoor seating makes this a great place for grabbing a coffee and a light bite.
We want to work out at Cotton Fitness Club
This place is next level, as you’d in Ibiza. Cotton Fitness Club is a brand new concept situated on the beaches of San Antonio and is not your average gym. Although expect to find standard workout equipment and similar options, there is also a wellness centre with a pool and the entire location functions as a beach club so you can get a gruelling work out in at the gym which has great facilities, then grab your post workout food in from their Michelin-starred Peruvian chef! You can use the drop in day passes or pick up monthly membership if you’re staying for longer.
We want to hang around at El Chiringuito and find hire a catamaran from La Bella Verde
Ibiza is about the beach clubs and there’s few better than El Chiringuito located at the southern tip of the island, below the old town. This beach club is about getting away from the madding crowd. Good music, delicious food, a valet waiter service so you don’t need to leave your sunbed, makes this an essential visit. Open from 10am through 8pm (get there early for a sunbed), you can relax during the day and enjoy an evening meal before leaving.
Bored sitting on a beach all day? It’s easy to get itchy feet and we want to be out on the ocean. Further around the same peninsula, on the Salinas Beach, is La Bella Verde. You can find one of their catamaran’s for hire. Either join an existing trip or choose to hire an entire boat for the day. The choice is yours.

domain: travel


Malawian born, Botswana raise artists Anything With Yusef recently released a sultry Afrobeat inspired single titled “BABYGONE”. Anything WIth Yusef is an artist that is known for versatility and willingness to push the boundaries of his creative expressions and he does just that on this single.
I could describe Anything WIth Yused as somewhat of a chameleon, being able to morph and blend into almost any genre without sounding out of place. “BABYGONE” genuinely feels and sounds like something that could have seamlessly fitted into Rema’s “Rave & Roses” album, from his cadence to the harmonising of his vocals.
In its construction, the song feels as though it is one fluid but solid thought. What I mean by that is, I cannot differentiate between the verse and the chorus because they are equally enchanting. This single is easily one of the best songs to close off the summer. Listen to “BABYGONE” below;


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ECOWAS to introduce common policy on aviation taxes, charges and fees
ECOWAS is in consultation with governments of member states to develop a sub-regional policy on taxes, in a bid to bring down the high aviation taxes that stakeholders say is hampering the growth of the sector in West Africa.
The consultations follow a study commissioned by the Economic Community of West African States (ECOWAS) and undertaken by the International Air Transport Association (IATA) on charges, taxes and fees in aviation in the sub-region, and will lead to the adoption of a common policy on aviation charges and fees.
Mr Simon Allotey, Director-General of the GCAA, said consultations were still ongoing, with a meeting held in Accra about a month ago to review the report of the study.
“Comments have gone back to the ECOWAS Commission and this will be finalized very soon,” he said.
Mr. Allotey explained that charges and fees at airports were necessary in order to help finance the provision of infrastructure and this tended to be high where the aviation in a particular country was smaller than those where it was large.
He explained that this was because the cost of the infrastructure, when spread across larger numbers of passengers would be lower than when spread among a smaller number.
“The disadvantage is that if your taxes are higher, it goes on the passenger ticket and it becomes unattractive for people to fly to your country and if they are too low, you will not attract the financing for projects. It is a vicious cycle, and we need to create a balance,” he stated.
Mr. Raphael Kuuchi, IATA Vice President for Africa, in an interview at the Routes Africa 2018 conference, said the ECOWAS commissioned study compared charges, taxes and fees in the West African sub-region to other regions of Africa, and other regions of the world.
It found, among other things, that the ECOWAS region had the highest taxes and charges of all the regions in Africa.
“Something needs to be done about it and it is our hope that once the report is finally availed, governments around West Africa will try to bring down the taxes particularly, to make the industry more competitive,” he said.
He said IATA was concerned because high taxes added to the high cost of the airfare, which repelled passengers, especially tourists from coming to your country, especially if they could get lower fares at another destination.
“We don’t want west Africa to continue to lose out on air connectivity just because of high costs, so we will want to see governments in Africa begin to reduce their taxes to comparable global levels so that the industry can benefit and more passengers can travel; then we can have more tourism around the continent.”
Mr. Kuuchi commended the government of Ghana for the decision to allow the airport and civil aviation authorities to keep all the taxes that previously went to central government to be reinvested in aviation, for use in development and maintenance of infrastructure, in line with ICAO policy.
“That is something very commendable. So even though the taxes are high in Ghana, at least, they are being reinvested in aviation. In many other parts of Africa, and also in Europe, Asia and Americas, it is not the case,” he noted.
He said the increase in air traffic when Ghana removed VAT on domestic flights was testament to the fact that Africa truly managed taxes and brought down fares, travel will increase.
“It’s always IATA’s recommendation that if you bring down the fares and make travel more competitive, you’re going to attract more traffic into your market; so why do we constrain traffic growth?”
Mr. John Attafuah, Managing Director of the Ghana Airports Company Limited, the hosts of this year’s Routes Africa conference, explained that the company for instance, borrowed for the construction of the new Terminal three (3) on its balance sheet, and will have to finance by its charges and fees, which he said was very competitive.
He, however, assured that the GACL was also working to increase its non-aeronautical revenue as it did with the Airport City project.
“We hope that Airport City II, which is on the drawing board, when it comes up, will also help us to improve the proportion of non-aeronautical revenue to GACL,” he said.


GBT BODY KIT FOR MERCEDES-BENZ V CLASS – Installation Video
Following these steps you can install the body kit easily.
1. Prepare all the accessories;
2. Install the grille: install the grille on the front bumper then tighten it;
3. Install the chrome: install the chrome on the front bumper, tighten it; and line up the DRL wire harness beneath chrome;
4. Tighten the screws, tighten the grille and bright chrome; remove radar and radar wires of the original car , and get them installed on the new bumper;
5. Install the grille: install the grille on the upper part of the front bumper;
6. Install the front bumper plate: install the front bumper plate net beneath the lower part of the front bumper;
7. Install the license board: Install the license board to the middle of the front bumper with screws;
8. Install the front bumper assembly: Install the assembled bumper assembly on the car, connect the radar plug, and then connect the DRL wire harness (one connected to ACC, one to the ground);
9. Install the exhaust pipe: tighten the screws;
10. Install the rear bumper: Remove the radar of the original car and get it installed on the new rear bumper. Then install the rear bumper assembly onto the car and connect the radar plug.
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: Installation , GBT BODY KIT FOR MERCEDES BENZ V CLASS — Installation Video


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The Sunrise Theater’s annual variety show fundraiser returns with local talent this Saturday. It started 17 years ago as a way to literally raise the theater’s new roof. It has continued under the same name because, well, raising the roof is still cool. Right?
This year’s lineup includes a barbershop quartet, a 90s cover band, a shag-dancing duo, a bluegrass group, a soloist, and an appearance by the Sardine Queen (crowned every year at the Sardine Festival in Aberdeen. Yes, she carries a fishnet). All performers are donating their time to the cause.
The show begins at 7:30. Tickets start at $15.


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MultiChoice’s Showmax video streaming platform has set its sights on relaunching its offerings in partnership with Peacock, a subsidiary of US-based streaming services giant NBCUniversal.
So says Yolisa Phahle, CEO of Showmax, in an e-mail interview with ITWeb, as the streaming platform readies to mark its eighth birthday on Saturday.
In March, MultiChoice partnered with Comcast’s NBCUniversal and Sky to launch a streaming service targeting the African continent.
With this partnership, Showmax is looking to take US-based streaming service Netflix head-on.
Under the deal, the new Showmax group will be 70% owned by MultiChoice and 30% by NBCUniversal. In Nigeria, NBCUniversal will hold an indirect 23.7% stake in the local subsidiary.
Powered by Peacock’s technology, “Showmax subscribers will have access to an extensive premium content portfolio, bringing African audiences the best of local and international programming,” says MultiChoice.
MultiChoice, which used to enjoy the lion’s share in the local pay-TV space, continues to face mounting competition from international streaming services, such as Netflix, Disney+ and Amazon Prime, among others.
The pay-TV operator has also seen its premium subscriber base dwindling over the years, amid growth of video-on-demand players on the African continent.
MultiChoice is also enticing customers to its streaming services after hiking the prices of its DStv packages.
Over the years, the video entertainment company has called for a “level playing field” with the international video-on-demand players it competes with on South African turf.
The number of African video-on-demand subscribers will grow to reach a total of 18 million by 2029, according to a new report by Digital TV Research.
It adds that Netflix is predicted to have 7.55 million subscribers by 2029, adding 3.4 million from the number anticipated by the end of 2023. Second-placed Showmax is expected to have 4.4 million paying subscribers by 2029 – nearly three million more than in 2023.
“We’re very excited about our upcoming Showmax relaunch on the Peacock streaming platform, which will happen before the end of the financial year. This is a big change that is going to bring many benefits to our customers,” Phahle says.
In its financial results for the year ended 31 March, MultiChoice said paying Showmax subscribers increased by an average growth rate of 26% year-on-year for the last four years.
Phahle notes streaming is on the rise across the continent and Showmax’s audience continues to show strong growth in all its key markets.
“Showmax Originals is growing exponentially, in addition to a wealth of local programming from MultiChoice. When you add the English Premier League, brought to Showmax by SuperSport, and international shows from the likes of NBC, Sky, HBO, Sony and many others, it’s a world-leading streaming offering,” she comments.
Showmax Pro streams SuperSport content in Africa, including the most watched football league in the world, England’s Premier League.
“This is a key selling point on a football-mad continent and helped Showmax Pro more than double its subscriber base in the last financial year, according to the June 2023 MultiChoice results,” Phahle says.
Data costs have been cited as one of the reasons for the slow uptake of video streaming services in South Africa.
To address this challenge, Phahle says: “We have focused on features like data-saving settings and the ability to download shows to watch offline.”
According to Phahle, Showmax was the first streaming service in Africa to launch a mobile-only plan. “This has been well-received by our audience. We believe that as internet costs become more affordable, streaming will continue to rise.”
Beyond data, Phahle states that electrification and smartphone penetration are both still challenges but there is real growth in all these areas.
“The price of data is falling, access to electricity is increasing. Being able to take payments in the way our customers want to pay has also been a massive focus area, and we will continue to make sure more people can pay in more ways that suit them.
“Showmax is clearly differentiated from the international streamers by our local content and football, a strategy which has seen Showmax consistently deliver subscriber growth ahead of target.
“Africa’s population is growing at three times the global average – an unrivalled growth opportunity – and is expected to double in size by 2050 to around 2.5 billion; likely to be a quarter of the world’s population. Combined with growing internet connectivity off the lowest base in the world, this gives us an incredible opportunity,” she concludes.


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5 Insta-worthy bridges in Singapore
- Published on Oct 22, 2015 12:04 PM
- 0 comment
- 19 shares
Check out Singapore’s unique bridges to take some inspiring shots.
Instagram-worthy spots in Singapore are surprisingly endless, despite the size of the tiny archipelago. And of course, we’re talking about outdoor spots!
Forget posh restaurants or hipster-approved cafes. Instagram has more than enough photos of meticulously structured food and swirly latte arts. It’s time to be a little more adventurous and go for a walk outside, other than Orchard road.
One of the best places to take likeable panoramic and outfit photos is on top of a bridge. Trust us, it’s not as inconvenient as it sounds! You don’t have to go all the way to the Golden Gate or glass bridge in China to take some Instagram material pics. Our sunny island has a handful of unique bridges that could give you a whole new OOTD experience.
Check out our gallery to see 5 bridges in Singapore that are definitely Insta-worthy!
Rasti Annisa Iwan
Photo credit: Instagram @irikdenisenko


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- Mexican train carrying 1,300 migrants headed toward U.S. derails
- Secret Service begins regular K-9 patrols around White House
- Pentagon’s human memory-chip program moves forward
- Obama blasts GOP, ignores immigration crisis in Texas speech
- Marine Warfighting Lab tests the Godzilla of amphibious assault vehicles
- Harry Reid: Birth-control ruling the worst Supreme Court decision in 25 years
- Vet suicides ‘horrible human cost’ of VA dysfunction: lawmaker
- First marijuana customer in Spokane says he was fired
- Hagel: ‘Make no mistake,’ ISIL is an ‘imminent’ threat to U.S.
- Armed militia sets up Texas command center to ‘fight for national sovereignty’
Latest Nancy Powell Items
The American ambassador to India said she has resigned and will retire before the end of May, ending a two-year tenure after the strip-search of an Indian diplomat in New York City badly damaged U.S.-India ties.
India's ambassador to the United States is warning that trade barriers are a threat to developing nations such as her homeland, which has a strong economy but also vast poverty.


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First Thursday of the Month: Chosen Short Devo
Please join us for a short time of inspiration and prayer the first Thursday of each month. Our next meeting will be Thursday, Dec. 3rd, from 8:30 to 8:50 p.m. https://us02web.zoom.us/j/87432275097
We're so thankful for this year's successful Child to Family Connection held on November 14th! Please continue praying for the 19 featured kids, that God will provide adoptive families for them. Chosen is grateful to be part of this county-wide faith-based initiative to partner with CPS for recruiting. For more information on the event, click here: https://embracetexas.org/the-second-story/
Looking ahead to Christmas - Monetary donations are needed to support the holiday store for children served by the Collin County Children's Advocacy Center. We'll send more details as Christmas approaches, but if you'd like to go ahead and donate, click here
One goal of this ministry is raising awareness regarding the need for families in our area to serve as foster and adoptive parents to children locally and internationally.
There are a number of families currently in Prestonwood Baptist Church that have adopted or currently foster children or are pursing adoption and foster care. This ministry provides support for these families as well as education to deal with the unique nature of foster care and adoption.
As part of this ministry we pray for these families, in addition to, children that are currently awaiting adoption or are in foster care.
There are many families that support foster and adoptive children that are not connected to a local church. Through events, reach out to those families and connect them to the life of Prestonwood.
James 1:27 (ESV) “Religion that is pure and undefiled before God, the Father, is this: to visit orphans and widows in their affliction, and to keep oneself unstained from the world”

domain: sociology


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How to Read Kierkegaard (How to Read)
By: John D. Caputo (author)Paperback
1 - 2 weeks availability
Soren Kierkegaard is one of the prophets of the contemporary age, a man whose acute observations on life in 19th century. Copenhagen might have been written yesterday, whose work anticipated fundamental developments in psychoanalysis, philosophy, theology and the critique of mass culture by over a century. John Caputo offers a compelling account of Kierkegaard as a thinker of particular relevance in our postmodern times, who set off a revolution that numbers Martin Heidegger and Karl Barth among its heirs. His conceptions of truth as a self-transforming "deed" and his haunting account of the "single individual" seemed to have been written with us especially in mind. Extracts include Kierkegaard's classic reading of the story of Abraham and Isaac, the jolting theory that truth is subjectivity and his ground-breaking analysis of the concept of anxiety.
John D. Caputo is the Thomas J. Watson Professor of Religion and Humanities at Syracuse University and a specialist in the interface between postmodern thought and contemporary religion. His newest books are The Weakness of God: A Theology of the Event and Augustine and Postmodernism. He is also the author of On Religion.
Number Of Pages:
- ID: 9781862079151
- Saver Delivery: Yes
- 1st Class Delivery: Yes
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Prices are for internet purchases only. Prices and availability in WHSmith Stores may vary significantly
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This post is called Rivers Of California Map. You can download all the image about home and design for free. Below are the image gallery of Rivers Of California Map, if you like the image or like this post please contribute with us to share this post to your social media or save this post in your device.
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Don’t Forget the Tax Extension Deadline on October 17!
You might have more time to submit your taxes, but you wouldn’t have more time to pay them! Keep an eye on October 17 on the calendar to prevent further fines and penalties. However, the IRS received over 19 million requests for tax extensions this year.
If you were one of the people who submitted one, make sure to mark October 17 as the deadline. You have until then to file your tax return if you get a tax extension. It’s not a postponement of the tax payment deadline; that was still in April.
Here are some more details regarding the tax extension deadline from Your Part Time Accountant.
Do I Fall Under the Tax Extension Deadline?
You have until October 17, 2022, to file your tax return if you submitted IRS Form 4868 on time or before the due date. You must pay at least 90% of your tax debt by the regular filing deadline, even if you have an extension. If you don’t, the IRS may impose interest and penalties on you.
The IRS will likely consider your taxes to be extremely late if you failed to submit IRS Form 4868 by the April 18 due and your tax return as well. Your unpaid tax bill may be subject to interest, failure-to-file, and failure-to-pay penalties from the IRS.
Some people will receive a longer filing deadline. People affected by a qualifying calamity or members of the armed forces are frequently included.
What Happens if I Don’t File My Tax Extension by October 15th?
You will owe additional interest if you requested an extension but still missed the deadline. You are not given additional time to pay taxes; rather, you are given more time to file your return.
If you didn’t pay 90% of your tax bill by the April deadline, you can be responsible for a larger late-payment penalty. The IRS imposes a late payment penalty that is typically equal to 0.5% of the unpaid tax per month after the due date for filing. 25% is the maximum fine.
There could be a penalty for filing late. For each month or portion of a month that your tax return is late, the IRS has the right to slap you with a late filing penalty equal to 5% of the amount owed. 25% of the amount owed is the maximum fine.
How Do I Request a Tax Return for the Upcoming Year?
Make sure to submit IRS Form 4868 on or before the due date for your taxes in 2023. Especially if you already know that you’ll need more time to complete your taxes.
Once more, requesting an extension merely extends the deadline for filing your tax return. It does not extend the period you have to pay the taxes you owe. You can estimate how much you owe and include some or all of that with your request for an extension. If the predicted payment is less than what is owed, interest will probably have to be paid on the shortfall. The more interest you may accrue, the longer the balance is outstanding.
Just because you can’t afford the bill doesn’t mean you shouldn’t file. If you are having trouble paying your taxes, the IRS provides payment arrangements. Contact a professional and don’t think about this twice!

domain: finance


The opioid crisis continues to grow across the United States with increasingly devastating results. As local and national authorities struggle to find ways to educate users, their family and friends, medical practitioners, and first responders, eLearning is emerging as a vital tool.
Measuring the Depth of the Opioid Crisis
In 2015, 2% of deaths in the United States were connected to the opioid crisis. But deaths are only the most visible part of the crisis. A recent report published in the New York Times, reported that over 2 million Americans now have some problem with opioids and in 2015, over 97 million people took prescription painkillers (12 million without being directed by a doctor).
Reasons for the current opioid crisis range are difficult to tease out. Opioid addiction, of course, is not new but dates back centuries. Since the 1980s, however, prescriptions for pain have been on the rise. A recent report by Opioid Action found that on average, American doctors collectively write 650,000 prescriptions per day. With this, the pharmaceutical industry started to flood the market with new options, including OxyContin. Eventually, this would lead to an increase in pill mills. Along with the spread of prescription pain killers (acquired both legally and illegally), in recent years, the cost of heroine has plummeted and distribution networks have moved from urban centres to small towns nationwide. Finally, in 2014, yet another culprit, fentanyl, came on the scene, further deepening the crisis.
The Vital Role of Education
Opioid Action, among other organizations continue to emphasize that to address the nation’s current drug crisis, more education is needed. As the organization emphasizes, “It is said that an ounce of prevention is worth a pound of cure, and this certainly applies to our efforts to fight the opioid crisis…By approaching prevention and education efforts with the same urgency and determination with which we work to reverse overdoses and arrest drug traffickers, we can begin to create the cultural transformation needed to free our communities from the grip of the opioid crisis.” Notably, the education called for by Opioid Action and other groups is multifaceted and aims to target users, potential users, caregivers, and health care professionals. Some also believe herbal medicine has a role to play as well. Of course, meeting all these groups is a challenge, especially in a nation the size of the United States. This is where eLearning is emerging as part of the prevention strategy.
The American Society of Addiction Medicine’s eLearning Initiative
The American Society of Addiction Medicine (ASAM) was founded in 1954 and is a professional medical society representing over 5000 physicians, clinicians and other professionals working in the field of addiction medicine. As detailed in their mission statement: “ASAM is dedicated to increasing access and improving the quality of addiction treatment, educating physicians and the public, supporting research and prevention, and promoting the appropriate role of physicians in the care of patients with addiction.” To reach as many people has possible, ASAM has recently poured growing resources into its online education options.
ASAM’s eLearning Center offers over 300 hours of eLearning courses, some at no cost to participants, focused on all aspects of addiction medicine. Free eLearning courses include those on how to prescribe opioid’s in a safe way and transform lives, research-based clinical strategies, and how to educate the public about opioid addiction and its dangers. In addition to free courses targeting practitioners and the public, ASAM offers online courses preparing doctors for Addiction Board Prevention Medicine (ABPM) certification/re-certification. This online learning tool includes study materials, chapter overviews, definitions, and practice test questions and answers.
With education at the top of ASAM’s priority list, it is no surprise that their site also includes links to many other online educational tools related to screening, treatment and assessment, and prevention.