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From toys and games to flashlights and smoke alarms, Rayovac Alkaline batteries power the devices that you use each and every day.
Reusable power for your digital cameras, handheld games, portable media players, and other high-drain devices.
Rayovac, the #1 Manufacturer of Hearing Aid Batteries, now brings you Clear Sound Technology. Raising the benchmark of product innovation and providing consistent, quality performance through the whole life of the battery.
High performance with a long life.
Power for key FOBs, garage door openers, car alarms, and watches.
Rayovac Lantern batteries have a long-standing reputation for durability.
Provides up to 7 hours of instant mobile power using Rayovac Alkaline or Recharge Batteries!
Charge your smart phone or rechargeable device at home or in your car.
Running, walking to your car, a night out with friends - Stay charged and safe doing the things you love. Additional Colors COMING SOON!
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Our battery operated LED flashlights, lanterns and headlights light up even the darkest areas.
Get out there - and see where you're going!
Value. Quality. Performance.
By joining you, you agree to our Terms & Conditions
Stay tuned for great deals
& specials on your favorite products!
Shipping options are provided at the time of checkout. Standard and express shipping rates are provided in the chart. You will always have the opportunity to see the full amount of your purchase with shipping charges before you confirm your order.
Orders can only be shipped within the U.S.
Items will be shipped within 3 business days of placing your order. To ensure express shipments, orders must be submitted online by 12pm EST. Shipments are sent via Fedex. Please allow additional time for orders placed on a weekend or Holiday.
Standard Shipping: This method is ground shipping. You should receive your product within 5-10 business days from your order date.
Express Shipping: Orders are sent via Fedex 2nd-day delivery. You should receive your product within 2 business days from your order date. Please note: orders need to be submitted online by 12pm EST to ensure 2nd day delivery.
Rayovac ships to both Alaska and Hawaii. Express shipping is not available for Alaska or Hawaii. Orders shipped to Alaska or Hawaii may take longer for delivery.
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To the Editor.
—In the article on gender differences in promotion, Dr Tesch and colleagues1 state that there was no evidence that women had less academic preparation. We wonder if the assessment of academic preparation was too superficial to detect differences in preparation. For example, a study of graduates of family medicine fellowships found six variables that discriminated between graduates who published and those who did not. The six predictive variables were, in rank order, program affiliation (institution), training emphasis in fellowship on how data should be analyzed, time spent in research, encouragement to attend regional and national meetings (networking), current position (tenured vs nontenured), influence over own activities, and organization.2 In the study by Tesch et al, given that sufficient detail to detect differences in preparation may not have been gathered, perhaps the true measure of the effectiveness of fellowship training and socialization were the significant differences
Ruffin MT, Bland CJ. Promotion of Women Physicians in Academic Medicine. JAMA. 1995;274(14):1133-1134. doi:10.1001/jama.1995.03530140045025
© 2017

subset: commoncrawl


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Is Amy Schulz - Professional Wedding Photography, Wellington incorrect or missing key business information? Update your Hotfrog listing today.
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AMY SCHULZ - Professional Wedding Photography, Wellington.
Graduating with a BFA, hons in Photomedia from Massey University in 2003, Amy has been photographing weddings since 2006. Amy has a relaxed nature which will immediately put you at ease in front of the camera. She specialises in capturing the spontaneity and beauty of your day, capturing the small intimate moments that may occur in a split second, gone with a glance. She works in a documentary style, unobtrusively collating a record of your day before, during and after the ceremony, then working with the bridal party to create portraits that are contemporary, beautiful and unique to your style. Based in Wellington, she travels regularly for wedding destinations around New Zealand.
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39 Johnston Street 89 Willis Street Wellington
7 Glover Street Ngauranga 132B Marua Road, Ellerslie, Auckland Wellington 6037
Unit 29 Adelaide Business Centre 369 Adelaide Road Wellington 6002
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Mars In Situ Oxygen Production, 18-9065
Principal Investigators
Danny M. Deffenbaugh
Michael A. Miller
Steven T. Green
Inclusive Dates: 01/01/98 - 01/01/99
Background - The discovery of evidence of life
in meteoritic rocks from Mars has renewed interest in sample return missions and in a
manned mission to Mars. Although initial plans for a Mars mission were formulated during
the Apollo program, no funding was provided to implement those ambitious plans. More
recently, a number of studies have rekindled interest in a Mars mission. NASA plans an
extensive exploration of Mars, including manned missions, in the early 21st century. One
of the main goals of NASAs Human Exploration and Development of Space enterprise is
to establish a long-term human presence on Mars at a reasonable cost. To meet this
objective, the launch mass of the Mars spacecraft must be significantly reduced. The
initial propellant load of todays spacecraft is over 90 percent of the total launch
mass. If the fuel for the return trip were produced on Mars, the spacecrafts mass
could be reduced to one-sixth of its previous mass, enabling a launch with current
technology. The challenge is to produce the needed return fuel on Mars using Martian
Approach - The objective of this project is to
develop and demonstrate in the laboratory a simple, reliable, low-power catalytic process
for converting carbon dioxide (CO2)
into carbon monoxide (CO) and oxygen. The conceptual approach is based on the
electrochemical reduction of CO2 at
a catalytic surface under potentiostatic conditions with selective separation of product
gases. This approach involves developing an electrochemical cell (shown in the
illustration) that comprises a solid electrolyte for oxygen conduction sandwiched between
porous working and counter electrodes. The working electrode affects the electrochemical
reaction that is facilitated by the catalytic properties of the electrode material and by
the potential applied between this electrode and a counter electrode. From an
electrochemical viewpoint, the reduction of CO2
is the reverse endoenergetic reaction that occurs in a low-temperature CO/O2
fuel cell. The reverse reaction is to be exploited in the present effort through careful
choice of a catalytic surface for which only a slightly cathodic potential is needed to
drive the electrochemical reduction.
Accomplishments - The energy burden for the
electrochemical reduction of CO2
to oxygen and carbon monoxide may be reduced to a practical level through the appropriate
design and selection of catalytic electrode materials and solid electrolytes. A number of
electrocatalytic materials have been synthesized, and a select few have been shown by
thermal desorption and recoiling mass spectrometry to be active in the heterogeneous
reduction of CO2 at relatively low
temperatures (ca. 150°C). These catalysts have been combined with electrically conductive
support materials to form a porous working electrode. Support materials containing a
proprietary mixture of an actinide oxide have remarkably efficient charge-transfer
properties and low interfacial impedance. Ceramic electrolytes have been prepared as solid
wafers through a pressing and sintering process that yields an oxygen-deficient
microstructure for selective conduction of oxygen ions.
SwRI-developed electrochemical cell is designed to produce
fuel-grade oxygen from carbon dioxide.
Chemistry and Chemical
Engineering Program
1999 IR&D Home
SwRI Home


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Windchimes Education
No. of Franchise Outlets: none
Investment: Rs. 5lac - Rs. 10lac
All our kids are unique, so we are. Come and join hands with Wind Chimes & be a part of India's leading preschool chain
Grab the fantastic opportunity to take a franchise of Wind Chimes - an innovative preschool, nursery & activity center for the children of ages 18 months (1 ½ years ) to 54 months ( 4 ½ years) nurturing the potential in every child & ensuring a smooth transition into primary school .
Programs Offered by Wind Chimes:
- Mother Toddler
- Play School
- Nursery
- Junior KG
- Evening Activities
Openness & vastness is the USP of Wind Chimes as it includes:
- A garden surrounding the lovely doll house like cottage on all sides
- Cross ventilation & a private garden for children makes Wind Chimes a dream world in its own.
- Large play area with world class toys, indoor puzzles, alphabet blocks and tents.
- Using child safe furniture
- Sunlit roof providing a sense of openness for the children which is a rarity in this concrete jungle
- Last but not the least –immense love for children
Why to invest with Wind Chimes?
- Proven business model
- Uses interactive discussions and "hands-on" learning to help students learn and apply concepts in various subjects
- Based on flexible approach to accommodate the creative needs of both students and teachers
Franchisor Support:
- Branch design support
- Branch opening support
- On-going operational support
- Training & Support
- Advertisement & promotion support
Wind Chimes Franchisee Benefits:
- Access to a proven business model
- Benefit from school curriculum, books, study material, prospectuses, advertisements etc.
- Strength of a leading brand in the preschool education sector.
- Benefit from renewable franchise agreement of 10 years
"So, if you are interested in the above preschool franchise concepts then contact us today".
Thanks & Regards
Wind Chimes Team
Windchimes Education Investment Details
Windchimes Education Property Details
Windchimes Education Training Details
Windchimes Education Agreement & Term Details
Wow Momo targets to earn Rs500 crore...
Although primarily a QSR start-up selling fresh momos and other products from its outlets, Wow Momo isn't planning to open restaurants
Barbeque Nation ranked one of the top...
Salon beauty and wellness businesses...
Tapping the growth story of the salon, beauty and wellness industry in India, Vickram Sethi, MD, Trade & Technology Expositions. Co
What made this startup deliver 5 star...


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Last week I wrote about the differences between the Gears of War games and the books. The latter succeed with characterization because we're allowed inside the characters' heads. In the games, we only see their tough, impersonal personas, which makes it hard to care about them.
But this is not to say that the books are above any criticism. In fact, they're missing a very important element of the Gears universe: action (something which the games happen to excel at). The fact that both pieces of media complement each other so well makes me wonder if this is just a coincidence or some kind of expertly planned transmedia formula.


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Pretoria (Tshwane) Holiday HomesEnjoy the space, freedom and flexibility of a holiday home. Ideal for those special occasions, family reunions and much needed weekend breaks. You're spoilt for choice with 44 holiday homes in Pretoria (Tshwane).
Affordable holiday homes for everyone, from cheap and cheerful cottages to luxury villas. Don't miss out on our great deals from R175 per person sharing and keep an eye out for specials .
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Book your perfect getaway today & get going!
Still considering another weekend on the couch instead?
- Find out more about Pretoria (Tshwane),South Africa
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- Find inspiration from 119 Reviews of Pretoria (Tshwane)
- Plan your escape using our Pretoria (Tshwane) Map
Did you know? Pretoria (Tshwane) Accommodation is often misspelt. Here are some variations:
Tshwane Holiday home, Pretoria(Tshwane) Holiday home, Pretoria Holiday home,


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Roasted Pumpkin Cheesecake
By andria tejada Leave a Comment
After all the heat of the summer, the BBQ, and beach sunburns a much needed cooler weather is well appreciated. As the temperature drops the colors of the leaves start to change into an amazing panorama picture. The foliage is an awesome thing to watch; it is really beautiful and is the best advantage of living in a city with four seasons. Another advantage of the fall is that cooler weather motivates us to turn on the oven. Here in the United States October is all about pumpkin, roasted pumpkin seeds, squash soups and Halloween. We love our pumpkin seeds in this household. So … [Read more...]
Green Herb Salad with Beet and Feta Cheese
By andria tejada Leave a Comment
There are many ways to prepare a salad, eat it and love it too. The most delicious is freshly made with a variety of mix greens and herbs. A piece of advice is to buy your greens … [Read more...]
Spaghetti with Meatballs
By andria tejada Leave a Comment
A favorite bowl of comfort food to me is spaghetti; with anything, butter, olive oil-garlic, meatballs or red tomatoes sauce. Spaghetti and Meatballs was an adapted culinary taste … [Read more...]
Beet and Feta Cheese Tacos with Tomatillo Salsa
I have eaten many good tacos in my lifetime, but this beet and feta cheese taco with tomatillo salsa and a bunch of other deliciousness is very special. What make them special are … [Read more...]
Spaghetti with Ramps and Breadcrumbs-Pistachio Gremolata
By andria tejada Leave a Comment
Eating seasonally is a refreshing thing. Every time I go to the green market I hope to find something new and different. This time I found Ramps. If you have never heard of ramps … [Read more...]
Berbere potatoes and carrots stew
Cooking this vegetable stew is not difficult, but requires a little bit of patience. In order to obtain a creamy sauce, a good quantity of onions is to be sautéed for at least … [Read more...]
Ras-Mint Meatballs in Pita's Pockets
There is no rule yet in my book on how one makes fantastic meatballs. My own rule is determined by the kind of seasoning I have on hand, a picture in a book or magazine or an … [Read more...]
Short Pasta with cauliflower and anchovies
By andria tejada Leave a Comment
Pasta is one of my favorite things and one of the easiest recipes to cook during a busy week or a lazy weekend. It is any home cook's pantry staple friend. As a rule of thumb I … [Read more...]
Parihuela-Peruvian Style Seafood Soup
By andria tejada Leave a Comment
Parihuela is a popular Peruvian soup which I have been eating for years in restaurants, but never took the courage to make at home. For one reason or another I was under the … [Read more...]
Roasted butternut-kabocha squash
By andria tejada Leave a Comment
More squash and few ingredients recipes this year. I just can't get enough of this simple dish. I ended up serving it for Thanksgivings and even brought it as a side dish to my … [Read more...]
Green Tomatillo Salsa
By andria tejada Leave a Comment
My Mexican friend and neighbor served this delicious Tomatillo salsa at her house a while ago. I have been making a batch of this tasty salsa each week. This salsa is wonderful … [Read more...]


text:
Save the products you like here
This product is out of stock. Customers interested in it also viewed these products
Finished with embroidered brand logo and blue stripes, this black sweater from PUMA will definitely see you season after season. Tailored from soft cotton fabric, this regular-fit sweater promises utmost comfort all day long. Team it with blue jeans and leather boots.
- Regular fit
- Cotton fabric
- V-neckline
- Full sleeves
- Embroidered brand logo
- Blue stripes on hem and cuffs
- FabricCotton
- LengthWaist Length
- SleevesFull Sleeves
- NeckV Neck
- FitRegular
- ColorBlack
- Fabric DetailsCotton
- StyleSolid
- Model StatsThis model has height 5'11",Chest 40",Waist 32"and is Wearing Size XL.
- REVIEWSREVIEWS FOR Long Sleeve 1 Black V Neck Sweater
Be the first to write a review about this product


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Amazing Acoustic-electric Dreadnought for Stage and Studio!
The Guild D-40 Bluegrass Jubilee acoustic-electric guitar gives you the rich and full-bodied sound you want both onstage and in the studio. Sporting back and sides made from quality mahogany and topped with solid red spruce, you'll enjoy a tone with a rich and powerful bass register balanced with high-end sparkle and smooth mids. It's ideal for singer-songwriters! When you need the full, balanced sound only a dreadnought can provide, no matter where you play, then the Guild D-40 Bluegrass Jubilee with D-TAR Multi-Source pickup system is the acoustic-electric guitar for you.Guild D-40 Bluegrass Jubilee Acoustic-electric Guitar at a Glance:
- Spruce-topped mahogany is a singer-songwriter's ideal tonewood combo
- Dreadnought body style is a flatpicker's favorite
- Innovative electronics for fantastic plugged-in performance
Whether you lean towards indie rock, alt country, traditional folk, or any other style you can think of, if your acoustic guitar is frequently your entire backing band, then you're going to feel right at home with a Guild D-40 Bluegrass Jubilee acoustic guitar. Its mahogany back and sides provide exceptional warmth and powerful bass, whereas its spruce top adds air to its treble. This leaves the midrange open for your voice, so you aren't constantly fighting to sing over your guitar. Even if you don't play solo, you can't help but appreciate the D-40 Bluegrass Jubilee's incredible tonal balance.Dreadnought body style is a flatpicker's favorite
The powerful voice and unrivaled projection of the traditional Dreadnought body style has made it the choice of strummers and flatpickers throughout history. The naturally deep lows and crisp highs of Guild's Dreadnought body help to balance the D-40 Bluegrass Jubilee's tone across the full sonic spectrum, giving you a sound that lends itself equally well to traditional bluegrass and folk as it does to modern acoustic rock. If you're looking for a guitar that can handle aggressive picking and driving rhythms, you're going to love the D-40 Bluegrass Jubilee.Innovative electronics for fantastic plugged-in performance
The D-TAR Multi-Source pickup system on the Guild D-40 Bluegrass Jubilee combines an under-saddle transducer, a miniature microphone, and an 18-volt low-noise preamp, to give the D-40 Bluegrass Jubilee superior onstage sound with exceptional headroom. Controls inside the soundhole make it easy to dial in your sound. Sweetwater knows that getting a great amplified acoustic sound is important to you, and we're confident that you'll love the sound of the Guild D-40 Bluegrass Jubilee with the D-TAR Multi-Source pickup system.Guild D-40 Bluegrass Jubilee Acoustic-electric Guitar Features:
- Beautiful acoustic-electric dreadnought guitar with premium tonewoods and electronics
- D-TAR pickup system combines a mini mic and an undersaddle pickup for great plugged-in tone
- Mahogany back and sides produce rich and glowing bass
- Solid red spruce top balances powerful and warm lows with sparkling and expressive highs
- 3-piece mahogany/walnut/mahogany neck with slim profile provides fast, smooth playability
- Real bone nut, saddles, and bridgepins for reliable performance


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Click here.
And click here for info on the new documentary "Tiny: A Story About Living Small," by Christopher Smith and Merete Mueller.
Lloyd Kahn is the editor-in-chief
of Shelter Publications,
an independent California publisher. Shelter Publications specializes
in books on building and architecture, as well as health and fitness.
Lloyds latest book is Tiny Homes on the Move: Wheels and Water.
For more info, see: www.shelterpub.com Lloyd Kahn is the editor-in-chief of Shelter Publications, an independent California publisher. Shelter Publications specializes in books on building and architecture, as well as health and fitness. Lloyd's latest book is Builders of the Pacific Coast. For more info, see: www.shelterpub.com Twitter: www.twitter.com/lloydkahn
"…Tiny houses aren't just houses – they are a movement"
So, I had to look up what a movement actually was and so I am still not sure. There are political and social movements described as a coordinated group action as a response to a particular issue in those realms. So a movement is different from a trend? It's coordinated because there are online communities?
Or are tiny houses the denouement of the McMansion era? and therefore more of a continuum than a movement. Is it a conscious response to the pressures humankind places on the environment, a counter-culture to consumerism or is it a necessary adjustment to a new normal of economic inequalities, under-employment and jobs shifting overseas?
Will we be reading about Tiny Housism in the early 21st century in history books a hundred years hence?
What are people's thoughts?
Tiny reminds me of the book "God of Small Things". thanks for sharing such nice stuff.
- Herman Swan
to daltxguy...
back in high school my Physics teacher talked a bit about the phenomenon of two, or sometimes more, persons making the same scientific discovery at the same time… He gave us several incidents of such… and how each would "expand" to make connections….some of us were taken with the idea
--- maybe a Tiny House Movement is something similar? something of such quality, value, need, beauty that many are individually inspired to create Tiny Homes… and eventually they start to connect.
@Anonymous. I see what you are saying. Perhaps the conditions are right for many to see this at the same time.
It's my opinion that the 'tiny house movement' is not a movement. It's always been there. It's been dormant for a while but always lurking in the background because it is as old as mankind. It's more of a reawakening. The connections being made now are perhaps, simply more visible and more accessible. The idea of a 'tiny' house is in each one of us.
At some point, I also trust that we will move away from the tiny house on a trailer and the monolithic design which has come to dominate as we will rediscover our human creativity and demolish the laws which have designed us into a corner.


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Nemesis Security LLC
security, Security services, military
Specialist Security is an essential service for both businesses and individuals in the 21st century due to the increase in threat level from criminals, terrorists and even the general public. Nemesis clients range from businessmen and celebrities working in the public eye, to corporate companies and media crews operating in hostile environments. Nemesis has developed its Close Protection, Private Security Detail and Asset Recovery & Surveillance Services to meet the growing threat in all theatres of operation on an international basis. Nemesis Security Operatives are recruited from elite military units who have vast experience from many theatres of both military and civilian operations. Military experience combined with civilian training enables our Specialist Security Personnel to operate to a much higher level of professionalism than our competitors. Nemesis provides professional Security solutions including:• Security Planning & Threat Risk Assessment• Corporate Close Protection for International Business and high profile Dignitaries• VIP Close Protection for Film, Television and the Media• Residential Security Teams to protect homes and places of business• Private Security Details for protection for High Risk Environments• Asset Recovery & Surveillance for intelligence gathering and the recovery of missing assets.
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San Jose is located in Santa Clara county and has a population of 894,943.
For California residents, the average tuition for all San Jose private investigator schools for the 2009 - 2010 school year was $3,379.00. For non-residents, the average tuition for San Jose private investigator schools was $7,750.00.
The cost, on average, for books and supplies needed for private investigator schools in San Jose is $1,409.00. Students living on campus at private investigator schools in San Jose paid an average of $10,438.00 for room and board during the 2009 - 2010 school year. Students living at home incurred costs of $5,170.00. Students have a choice of two private investigator colleges in San Jose to attend. Private Investigator programs in San Jose reportedly graduated 44 students in the 2008 - 2009 school year.
|Average Salary
|Number Employed in City
|Private Detectives and Investigators


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Advert Description
14.3 cob for part loan in canvey island
I have a very talented 10 year old cob for part loan.
He must stay at his present home in Canvey Island.
I am flexible on days ideally 3-4 days a week.
Over 18's only and you must be a competent rider as he can be strong at times.
You can have the chance to go out to local shows as we have a nice big lorry along side our other horse and pony.
He is a brilliant jumper ,loves xc and also does a lovely novice dressage test gaining lots of red ribbons scoring 69% in his last novice test.
A small financial contribution is required. Message me for more info


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|Fun Factor
Anno Online – Create your own Island Empire
Strategy Browser Game – Found a new civilisation and become the leader of your own world. The free-to-play strategy game Anno Online, the new browser version of the much loved Anno game series, certainly does not need to hide behind its predecessors. There's a ton to discover and strategic thinking is still of upmost importance. Reckon that Anno Online could be a game for you? We have put it under the microscope so that you can make an informed decision…
Official Anno Online Trailer
Game Description
Anno Online is one of those game, which is hard not to love. The free-to-play economic strategy game Anno Online is, of course, similar to its PC predecessors in its premise and objectives. However, there are noticeably a lot of new touches, in no small part thanks to the multiplayer mode. Read on to find out what Anno Online has to offer.
Never-ending Possibilities
Like in every other Anno game, the goal of Anno Online is to create an empire with a flourishing economy and countless inhabitants, who have been properly cared for. How you reach these objectives and which aspects of the game you focus on are completely up to you. Setting and collecting taxes should only be considered based on the needs of the population, which should increase gradually over the course of the game. At the beginning, your population will consist of farmers but as the game progresses this will change and you can even attract influential aristocrats, who want to establish themselves in an up-and-coming empire. You can even change the appearance of your city by moving buildings to create room for unlockable upgrades. This has the advantage of making the game exciting throughout, as there'll always be things to change.
Build with Pride
A particularly importantly aspect of Anno Online is time management. Yes, in this game you need to have time and patience, as the construction of buildings, ships as well as ship voyages take a while. And by a while, we mean hours or days. The same goes for the 'fog,' or in other words, the part of the island which is hidden and can only be uncovered with particular tools and over a long period of time. But why shouldn't that put you off? Simple. Every time you complete a task requiring a long period of time, the triumphant feeling is without comparison. No matter if it's the anticipation you feel waiting for the completion of a trade ship or the uncovering of a hidden part of your island, Anno Online is a game, where you can be proud of what you have achieved and this is something to be appreciated.
Friendly Players
If you think that military campaigns in the Anno games are the most important objective, then you're in for a shock. If you want to play this game well, then you need to think strategically and build up a flourishing trade empire without focusing on fighting over civilisations. And of course there are other civilisations, or rather, those of other players. Of course this game can be mainly played alone, especially when building up your own economy. However, it's also possible in this browser game to form a guild and to create alliances. You are then able to visit your allies, view their cities and speed up their construction times by sending them appropriate materials. In addition, there is a helpful chat function where you can advise and help your allies, something that is viewed as particularly important in Anno Online, due to the large emphasis put on helping and assisting allies.
Special Features
- Create an Empire: Plan the construction of your own civilisation and erect your own giant cities
- Find Resources: Build ships, forge trade links and explore other islands to expand your empire
- Found Guilds: Befriend, visit, help and support other players
- Upgrade Buildings: Improve and replace buildings to change the face of your city
- Care for your Population: Care for your inhabitants and create living space to welcome more people to your empire
- Detailed Graphics: Enjoy an authentic and compelling game experience with top quality graphics, which leave nothing to the imagination
The Bottom Line
One thing needs to be cleared up: The free-to-play strategy game Anno Online is not a military game, nor is it fast-paced. The game, however, draws you in with its unlimited freedom, room to make your own decisions, the feeling you get having created something great and a friendly community where you'll never have to worry about getting help. If you want to get the most out of Anno Online, you need to invest a lot of time and passion into the game, but you'll be rewarded with an exciting world with countless things to see and explore. This game is definitely worth playing!
Pictures from Anno Online


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Salary Reduction Contribution is a contribution (from the salary) done directly by an employer to a specific selected plan. The employee would not get the contributed portion in his salary.
Net Salary (in cash or cheque)=Total Salary-Salary Reduction Component.
Total salary anyways is not reduced and remains same but the reduction component is not available as disposable income, it rather becomes part of a specific plan.
Related Business Content


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Dear Albanian CommunityDoes anyone know someone in Tirana that can translate from either English or German to Albanian on November 16 & 17 with a special skill in construction engineering language. The main purpose will be to support me in communicating with a real estate developer, constrction companies or other providers in the sector. The simple background is that I am in the process of constructing a holiday house in Albania and will be there during those days in order to monitor the progress and make some decisions for the final touches.Dear Administrator: thank you for redirecting this request to the risght forum in case I did not post it in the correct one.Thanks in advanceLuis


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Wednesday, October 8, 2014
The pros and cons of geographic rounding
A major debate taking place in the hospital medicine community over the last several years concerns the way in which we cohort patients on the medical floors. The traditional way is to have patients belonging to each doctor scattered across the hospital on several different floors. This is in contrast to designing a geographical system where all the patients for any 1 doctor are located on a single floor.
On the surface, it seems like a good idea to have this latter model, which is why it's being advocated by some people. Theoretically, rounding in this manner will be more efficient and the amount of pages and calls from nurses should be reduced. As someone who has worked in both extremes as an attending physician, I've got to experience the pros and cons of both types of rounding, which I'm going to call geographical versus traditional. I believe that both have their own advantages, and I've witnessed some interesting quirks to each one. Here is my informal and honest summary of the geographic model of rounding, with 5 pros and 5 cons:
1. Having all patients located on one floor saves both time and energy, and reduces the amount of walking we do in-between floors
2. Doctors are always closer to their patients and will be quick to get to them if and when the need arises
3. It's easy for nurses to locate doctors if they have a question. The same applies to any other staff who may need to speak with the doctor
4. It fosters more of a "team-based" environment, where doctors get to know the floor staff including the nurses and case managers
5. May be easier to assign patients to each doctor within the group when making the list
1. Reduces the amount that doctors walk at work (I deliberately listed this as a con as well as a pro, because walking a lot at work may not necessarily be a bad thing for our cardiovascular health according to some studies!)
2. It can cause a feeling of monotony and "being stuck on one floor for the whole day"
3. Doctors are more inclined to leave things waiting that don't seem urgent, and then get to them later in the day. When rounding on different floors, the inclination is to try to finish everything before moving on to the next floor
4. Loss of continuity. If a patient who a doctor knows very well is readmitted to another floor, they will not see them in a strict geographic system
5. Will likely need to incorporate "floor rotations" into the program, which could complicate scheduling. On each particular floor, e.g. cardiac, neurological, the hospital doctor may see less variety of patients and interact with fewer specialists
Supposedly, geographical rounding is supposed to reduce the number of pages and workflow interruptions, but in my experience this may not always be the case. Doctors are very easy to find as soon as a question arises! Questions that may have been thought about more carefully by the nurse or case manager if the doctor wasn't geographically present.
That's my 10 cents having worked in both types of systems. I've heard colleagues vouch for each model, with its fans and detractors. I've also heard some members of the hospital medicine community advocating for standardization of a floor-based system as an "ideal state" for hospital physicians and groups to aspire to. This needs to be thought through very carefully. Unlike nurses, typically hospital doctors (including specialists) do not work on one particular floor only, unless of course they are emergency room or ICU physicians. Should the gold standard future hospital medicine physician be located on one floor for the whole day? I'm not so sure. For me personally, the ideal is somewhere in between the 2. Maybe 2 or 3 floors a day—not just one, but not more than a half dozen either!
Suneel Dhand, MD, ACP Member, is a practicing physician in Massachusetts. He has published numerous articles in clinical medicine, covering a wide range of specialty areas including; pulmonology, cardiology, endocrinology, hematology, and infectious disease. He has also authored chapters in the prestigious "5-Minute Clinical Consult" medical textbook. His other clinical interests include quality improvement, hospital safety, hospital utilization, and the use of technology in health care. This post originally appeared at his blog.
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Run by three ACP Fellows, this blog ponders vexing issues in infection prevention and control, inside and outside the hospital. Daniel J Diekema, MD, FACP, practices infectious diseases, clinical microbiology, and hospital epidemiology in Iowa City, Iowa, splitting time between seeing patients with infectious diseases, diagnosing infections in the microbiology laboratory, and trying to prevent infections in the hospital. Michael B. Edmond, MD, FACP, is a hospital epidemiologist in Iowa City, IA, with a focus on understanding why infections occur in the hospital and ways to prevent these infections, and sees patients in the inpatient and outpatient settings. Eli N. Perencevich, MD, ACP Member, is an infectious disease physician and epidemiologist in Iowa City, Iowa, who studies methods to halt the spread of resistant bacteria in our hospitals (including novel ways to get everyone to wash their hands).
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Robert M. Centor, MD, FACP, contributes short essays contemplating medicine and the health care system.
Suneel Dhand, MD, ACP Member
Suneel Dhand, MD, ACP Member, is a practicing physician in Massachusetts. He has published numerous articles in clinical medicine, covering a wide range of specialty areas including; pulmonology, cardiology, endocrinology, hematology, and infectious disease. He has also authored chapters in the prestigious "5-Minute Clinical Consult" medical textbook. His other clinical interests include quality improvement, hospital safety, hospital utilization, and the use of technology in health care.
Juliet K. Mavromatis, MD, FACP, provides a conversation about health topics for patients and health professionals.
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Matthew Mintz, MD, FACP, has practiced internal medicine for more than a decade and is an Associate Professor of Medicine at an academic medical center on the East Coast. His time is split between teaching medical students and residents, and caring for patients.
Toni Brayer, MD, FACP, blogs about the rapid changes in science, medicine, health and healing in the 21st century.
Vineet Arora, MD, FACP, is Associate Program Director for the Internal Medicine Residency and Assistant Dean of Scholarship & Discovery at the Pritzker School of Medicine for the University of Chicago. Her education and research focus is on resident duty hours, patient handoffs, medical professionalism, and quality of hospital care. She is also an academic hospitalist.
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Ryan Madanick, MD, ACP Member, is a gastroenterologist at the University of North Carolina School of Medicine, and the Program Director for the GI & Hepatology Fellowship Program. He specializes in diseases of the esophagus, with a strong interest in the diagnosis and treatment of patients who have difficult-to-manage esophageal problems such as refractory GERD, heartburn, and chest pain.
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David L. Katz, MD, MPH, FACP, is an internationally renowned authority on nutrition, weight management, and the prevention of chronic disease, and an internationally recognized leader in integrative medicine and patient-centered care.
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Richard Just, MD, ACP Member, has 36 years in clinical practice of hematology and medical oncology. His blog is a joint publication with Gregg Masters, MPH.
Kevin Pho, MD, ACP Member, offers one of the Web's definitive sites for influential health commentary.
Michael Kirsch, MD, FACP, addresses the joys and challenges of medical practice, including controversies in the doctor-patient relationship, medical ethics and measuring medical quality. When he's not writing, he's performing colonoscopies.
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Elaine Schattner, MD, FACP, shares her ideas on education, ethics in medicine, health care news and culture. Her views on medicine are informed by her past experiences in caring for patients, as a researcher in cancer immunology, and as a patient who's had breast cancer.
Mired in MedEd
Alexander M. Djuricich, MD, FACP, is the Associate Dean for Continuing Medical Education (CME), and a Program Director in Medicine-Pediatrics at the Indiana University School of Medicine in Indianapolis, where he blogs about medical education.
More Musings
Rob Lamberts, MD, ACP Member, a med-peds and general practice internist, returns with "volume 2" of his personal musings about medicine, life, armadillos and Sasquatch at More Musings (of a Distractible Kind).
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Reflections of a Grady
Kimberly Manning, MD, FACP, reflects on the personal side of being a doctor in a community hospital in Atlanta.
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Paul Sufka, MD, ACP Member, is a board certified rheumatologist in St. Paul, Minn. He was a chief resident in internal medicine with the University of Minnesota and then completed his fellowship training in rheumatology in June 2011 at the University of Minnesota Department of Rheumatology. His interests include the use of technology in medicine.
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Neil Mehta, MBBS, MS, FACP, is interested in use of technology in education, social media and networking, practice management and evidence-based medicine tools, personal information and knowledge management.
Peter A. Lipson,
Peter A. Lipson, MD, ACP Member, is a practicing internist and teaching physician in Southeast Michigan. The blog, which has been around in various forms since 2007, offers musings on the intersection of science, medicine, and culture.
Why is American Health Care So Expensive?
Janice Boughton, MD, FACP, practiced internal medicine for 20 years before adopting a career in hospital and primary care medicine as a locum tenens physician. She lives in Idaho when not traveling.
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Daniel Ginsberg, MD, FACP, is an internal medicine physician who has avidly applied computers to medicine since 1986, when he first wrote medically oriented computer programs. He is in practice in Tacoma, Washington.
Other blogs of note:
American Journal of
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A collaborative medical blog started by Neil Shapiro, MD, ACP Member, associate program director at New York University Medical Center's internal medicine residency program. Faculty, residents and students contribute case studies, mystery quizzes, news, commentary and more.
Interact MD
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PLoS Blog
The Public Library of Science's open access materials include a blog.
White Coat
One of the most popular anonymous blogs written by an emergency room physician.


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Homeland Security Secretary Michael Chertoff says his agency will fall short of a congressional mandate to scan every incoming shipping container by 2012. Instead, Chertoff wants to require shippers to provide more information, allowing TSA to target suspect cargo. But that compromise appears to please no one: The chairman of the House Homeland Security Committee continues to insist that the 100% target is "vital to our nation's security," while the National Association of Manufacturers says even Chertoff's scaled-back requirements could delay shipments by up to five days.
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百校大联考 全国名校联盟 2016 届高三联考试卷(一)
英 语
考 生 注 意 :
1.本试卷分第一卷(选择题)和第二卷(非选择题)两部分。满分 1 50 分,考试时间 1 20 分钟。 2.答题前,考生务必用直径 0. 5 毫 米 黑 色 墨 水 签 字 笔 将 密 封 线 内 项 目 填 写 清 楚 。 3.考生作答时,请将答案答在
第 一 卷 ( 共100 分 )
1.How does the woman know about the weather tomorrow?
A. She checked the weather forecast on the Internet. B. She watched the weather forecast on television. C. She listened to the weather report on the radio.
2.Who does the woman want to call? A. Daniel. B. Drake.
C. James. C. At about 3:20
3.When can the man meet Professor White this afternoon? A. At about 2:10. B. At about 2:40.
4.Where did the man go last weekend? A. The nature reserve. B. The forest park.
C. The beach.
5.How will the speakers go home? A. By subway. B. By taxi.
C. By bus.
6.What is the man's occupation? A. A doctor. B. A policeman. C. A firefighter.
7.Which of the following subjects is mentioned in the dialogue? A. Physics. B. Geography. C. Architecture.
听第 7 段材料,回答第 8 、9 题。
8.When will the plane take off? A. Before noon. 9.What will Mrs. Jones have? A. Coffee. B. Cakes. C. Breakfast.
听第 8 段材料,回答第 1 0 至 1 2 题。
A. Its brand and material.
B. In the afternoon.
C. In the evening.
10.What does the man consider first when choosing a suitcase?
B. Its size and style. C. Its price and color.
11.Why does the woman recommend the wallet? A.Because it's on sale these days. B.Because it's made of real leather. D.Because it's popular and can be folded. 12.How much will the man pay for what he has bought in total? A. 580 yuan. B. 620 yuan. C. 700 yuan.
听第 9 段材料,回答第 13 至 16 题。
13.What does NPR refer to? A. A TV station. B. A newspaper. C. A radio station. 14.Where does the man mostly get the news from? A.The radio or the newspaper. B.The radio or the Internet. C.The Internet or the newspaper. 15.Which news is the man most interested in? A.Sports and economic news. B.Scientific and educational news. C.Entertainment and social news. 16.Where is Carey now? A. In Britain. B. In Japan, C. In America.
听第 10 段材料,回答第 17 至 20 题。
17.When was the Hope Diamond discovered in India? A.In the 16th century. B.In the 17th century. C.In the 18thcentury. 18.Who bought the Hope Diamond in 1911? A.A rich American woman. B.A man called Henry Phillip Hope. C.A wealthy businessman from France. 19.How is the Hope Diamond being shown in the museum? A.Without its usual setting. B.On a long diamond chain. C.Among 16 small diamonds. 20.Why does the museum show the Hope Diamond? A.To try to sell it to someone. B.To let some experts to assess its value. C.To mark its fiftieth anniversary in the museum.
A An overdue(逾期未还的)copy of "Gone -with the Wind " has been returned to a high school library in Washington State, 65 years past its due date, and the grateful school said on Tuesday it was waiving(免除)late fees that at 2 cents a day added up to about $ 475. The long-overdue book was checked out of the library of a high school in the city of Spokane in 1949, and seemingly disappeared until it was found in Maine by a resident who offered to send it back to the school. "We, re delighted to have the book back, but we wonder where it has been, " Lori Wyborney, principal of John R. Rogers High School, said of the 1946 reprint of "Gone With the Wind, " which she estimates to be worth about $ 350. Wyborney got wind of the long-overdue library book in October, after Maine resident Wayne Hachey found it in his father's cellar, with the library paperwork still in the cover. "Not sure how the book ended up on the East Coast, "Hachey wrote in a letter addressed to the school. "I,d be willing to ship the book back if this is the same school. " Wyborney wrote back, promising to waive late fees. When the book arrived, school officials tried to look into how it had traveled across the country. A slip (小纸片)inside the cover said it was'checked out on Jan. 4, 1949, to Betty Mandershied, whose name is listed in the school's 1949 yearbook. The school has two newer copies of the Civil War epic in its library, and several students have expressed interest in reading the novel since the older edition was returned, Wyborney said. 21.Why was the high school in Spokane grateful ? A. Because the overdue book was returned to its library. B.Because someone donated some books to its library. C.Because someone bought some old books for its library. D.Because one of its students helped find the overdue book. 22.How did Hachey know what place the book belongs to? A.From the notes the reader wrote in the book. B.From what the seller of the book said to him. C.From a graduation photo put in the book. D.From the library paperwork in the cover of the book. 23.As for the book, what was Hachey confused about? A.What the price of the book was. B.When the book was published. C.How it ended up on the East Coast. D.Why the book wasn't returned on time. 24.Who once borrowed the book from the school library? A. Lori Wyborney. B. Betty Mandershied. C. Wayne Hachey. D. Wayne Hachey's father. B Taj Mahal, Agra, India As many as 28 different varieties of semi-precious and precious stones were used to decorate the outside of the Taj Mahal. Construction of the Taj Mahal took around 20 years. The building,which was made from white marble from
the quarries(采石场〉of Rajasthan,appears pink in the morning, white in the day and golden in the moonlight. Completion time: 1653. Regular bus and train services connect New Delhi with Agra. Akashi Kaikyo Bridge, Akashi Strait, Japan It took 2 million workers 10 years to construct the Akashi Kaikyo Bridge. It connects the city of Kobe, on Japan ' s mainland, with Iwaya on Awaji Island. Before it opened, the only way to get between the two cities was by ferry. However, severe storms often struck the waterway and when two ferries capsized ( 倾覆)in 1955, killing 168 people, public anger convinced the government of the need for a bridge. It's the longest suspension bridge in the world, with a length of 1,991 meters. Completion time : April 5, 1998. The bridge is a short drive from Kobe Airport, Panama Canal, Panama More than 4. 5 million cubic yards of concrete were used in the construction of this canal's locks and dams. The Panama Canal is a 77-kilometer (47-mile) long waterway that connects the Atlantic and Pacific Oceans. The earth and rubble excavated to make way for it was enough to bury Manhattan to a depth of four meters. A series of locks allows ships to pass through the water. And each of the moveable lock doors weighs 750 tons. Completion time: January 7, 1914. The Panama Canal is best explored by organized boat tour. Panama City 's Tocumen International Airport is the nearest airport. Grand Canyon Skywalk, Arizona The Skywalk's foundation is strong enough to support 71 million pounds , Located 1,219 meters above the Colorado River, the Grand Canyon's Sky Walk consists of one million pounds of steel and 83,000 pounds of glass. It was the creation of Las Vegas businessman David Jin, who approached the Hualapai Tribe with the idea of a glass walkway over the Grand Canyon in 1996. The Sky walk was assembled on site, with the drilling alone taking over a year to complete. Completion time: March 28, 2007. The nearest airports are Phoenix Sky Harbor Airport or the Las Vegas Airport. It takes around two hours to drive to the Sky walk from Las Vegas, but organized
tours from the city are also available. 25.Which of the following is in Asia and took about 20 years to build? A. The Taj Mahal. B. The Panama Canal. C. The Akashi Kaikyo Bridge. D. The Grand Canyon Skywalk. 26.How can tourists get to the Grand Canyon Skywalk? A.They can drive there from Agra. B.They can take a train from Panama City. C.They can drive there from Las Vegas. D.They can take a bus from Kobe Airport. 27.We learn from the passage that . A.the Taj Mahal looks golden in the morning and white in the day. B.the Grand Canyon Skywalk is mainly made of stone and steel. C.the Panama Canal is a 77-mile-long waterway connecting two oceans. D.the Akashi Kaikyo Bridge is the longest suspension bridge in the world. C We all know that exercise is good for your health. But some kinds of exercise may be better than others. Running, for example, may help to protect against heart disease and other health problems. Running may also help you live longer. Researchers say it is not important how far you run. It also does not matter how fast or even how often you run. As advertisements for the running shoe Nike say, "just do it., ' Recently, researchers studied more than 55,000 adults. About one-fourth of the adults reported
they ran regularly. The study found these runners were considerably less likely than non-runners to die of any form of disease, including heart disease. In fact, the runners lived, on average, three years longer than the non-runners. This study lasted 15 years. During that time, more than 3, 400 of the individuals died. About 1,200 of the deaths were linked to heart disease,a heart attack or stroke(中 风). One of the researchers is a man named D. C. Lee. He is an assistant professor of kinesiology, or the science of movement, at Iowa State University. Compared to non-runners, he says, runners showed a much lower risk of dying from some diseases. "Compared to nonrunners, runners showed 30 percent lower risk of death by any causes, including heart attack, stroke or cancer. Also, runners compared to non-runners showed 45 percent lower risk of death by cardiovascular(心血管的) disease, including heart attack and stroke. " D. C. Lee and the other researchers found that speed, distance and how often one runs made little difference in reducing the risk of death. The runners in the study averaged between 10 and 16 kilometers per hour. Mr. Lee says slower runners, and those who only ran once or twice a week, were helped nearly as much as those who ran faster and further. "And also we looked at the running over time and we found that persistent runners―over I think six years― they showed the biggest benefits, as well. " To stay healthy, doctors suggest that adults up to age 65 do 150 minutes of moderate exercise every week. They say these individuals need 75 minutes of vigorous exercise, like running, every week for good health. 28.What can be the best title for the passage? A. The secrets to living healthily C. The causes of some diseases B. Let's run faster and further D. For a longer life, go running
29.Which of the following is true about the research? A.The runners lived, on average, four years longer than the non-runners. B.Runners showed 30 percent lower risk of death by any causes than non-runners. C.Among over 55,000 adults,about one-third of the adults ran regularly. D.During the 15 years of study, more than 3,400 of the individuals died of heart disease. 30.What does the fourth paragraph mainly tell us? A.How can people improve their speed of running ? B.How can people increase their distance of running? C.What ways of running can benefit people's health? D.What surroundings should people run in for their health? 31.What is most likely to be talked about in the paragraph that follows? A. Measures to cure heart disease. B. Some tips for safe running. C. Ways to build up one's body. D. How to participate in a match. D The recent capsizing(倾 覆 )of Eastern Star,with 454 people on board, will not affect cruise(乘 船 游 览 )ship tourism in China in the long term,but may have an immediate fallout (附 带 影 _),an analyst says. On June 1,the ship sank in the Yangtze River in Central China's Hubei province, in the face of a fierce storm, killing all but 12 people aboard. According to Zhang Lingyun, the deputy dean of tourism college at Beijing Union University, the ship capsized owing "mainly to rare weather conditions". "But the public needs time to put the tragedy behind, so there might be a short-term fallout from it. "
Ctrip, a major Chinese online travel agency, has received some requests from customers seeking to cancel their bookings on cruise ships after the incident. More than 50 tourists canceled their planned cruises, says Huang He, general manager of Xiyanghong Travel Agency in Suzhou in eastern China's Jiangsu province. His company expects more people to withdraw (撤 销 )from such trips in the coming days. The Nanjing branch of Shanghai Xiehe Travel Agency, which organized the river excursion (游 览 ) of the capsized Eastern Star, canceled its next cruise, which was to start on June 15. The private company said another trip, set for June 17,might also be canceled. The cruise business in China is developing very fast as more Chinese take to this mode of luxury travel. Last year, more than 220 cruise ships set sail from Shanghai alone, with approximately 1. 2 million passengers, according to the annual report on China 's cruise industry, prepared by Shanghai Center for International Cruise Economic Research, an industry body. Most river cruise routes are between Hubei province 's Yichang to Chongqing on the Yangtze River, says Chen Caiyin,public affairs manager of Ctrip's Beijing office. "We still have guests signing up for the cruise trip at the moment," Chen says, adding that Ctrip has a procedure to refund money if their customers wish to cancel their cruise trip. Many travel agencies still offer tourism products on the Yangtze River. A five-day cruise on the river costs around 2,000 yuan ($ 322) at present―the usual price has not been changed after the tragedy, Chen says. 32.What can be the main idea of the news report? A.Cruise ship tourism in China is increasing rapidly. B.Long-term cruise business unlikely upset by Eastern Star tragedy. C.Tourism products offered by travel agencies on the Yangtze River. D.Eastern Star sank in the Yangtze River in Central China's Hubei province. 33.The ship overturned mainly due to . A. unusual weather conditions B. its hitting something in the river C. its traveling at too fast a speed D. the overload of too many passengersWhich of the 34.Which of the following phrases can replace the underlined word "refund " in Para. 5? A. Put out. B. Take on. C. Turn over. . D. Give back. 35.The passage tells us that
A.Ctrip is a major Chinese shipping company B.there were 466 people on board when the ship capsized C.Most river cruise routes are between Wuhan to Chongqing D.A travel agency in Nanjing organized the cruise of the Eastern Star 第二节(共 5 小题;每小题 2 分,满分 10 分) 根据短文内容,从短文后的选项中选出能填人空白处的最佳选项。选项中有两项为多余选项。 We all get 24 hours in a day. 36 Its because they know how to optimize(最优化) their day for better performance. There are five things the most productive people are willing to follow and they think they are important. 1. 37 Just take a look at how Steve Jobs and Mark Zuckerberg almost wear the same shirts everyday. They will not waste their willpower(意志力)and time in deciding what clothing to wear. They know it won't matter in the long term. Focus on the things that will actually help you in the long term as soon as possible. 2.They see the hardest tasks as top priority. They know their willpower is at it's highest as soon as they wake up and they use that to their advantage by dealing with the toughest tasks first. Productive people also know that putting off the
hardest things for last will become a habit and carry over to other areas of their life. Don 't do the easy things first. 38 3.They see learning how to learn as an important skill to master. The most productive people know that continual learning is important for their own personal success. Highly productive people take learning a step further and implement( 执行) memorization techniques to help them retain more information. 4.They see even the worst days as days to make the right choices. Productive people find ways to get their work done regardless of whether they feel like doing it or their circumstances. 39 Highly productive people stay focused on the longterm result and not on short-term relief. 5.They see the value in getting help from other people. 40 Bill Gates said he never did anything alone. You can't do everything yourself. Put as much focus as you can on the high priority tasks that generate the most results. A.They recognize the limits of their knowledge. B.Yet some people seem to accomplish so much more. C.They see the long-term effect of every little thing they do through the day. D.Save the easy tasks for last when your willpower has gone down and you are tired. E.The process of getting where you want to be or finishing work will not always be smooth sailing. F.Highly productive people don't waste time doing things they could get someone else to do. G.They see the benefits of thinking deeply and seriously everyday and routine breaks. 第三部分英语知识运用(共两节,满分 45 分) 第一节完形填空(共 20 小题;每小题 1.5 分,满分 30 分) 阅读下面短文,从短文后各题所给的四个选项(A、B、C 和 D)中, 选出可以填入空白处的最 佳选项。 When Benjamin LaBrot was in second grade in Southern California, he told his class that when he grew up, he wanted to be both a doctor and a marine( 海洋的)biologist. His teacher told him he had to 41 one,but he was determined to 42 his love of the ocean with his desire to help people. He started achieving his 43 in junior high school, when he worked on sport and commercial fishing boats and the Marine Science Floating Laboratory vessel (船)as a research diver. This led him to become certified as an emergency medical technician and a scuba dive buddy (伙伴)for divers with paraplegia, quadriplegia (四肢瘫痪)or blindness. 44 his schooling 9 he and his peers went on with personal medical missions in the developing countries. After college he moved to Ireland and joined in the global medicine program at the Royal College of Surgeons(爱尔兰皇家外科医学院). It was on one particular mission to Tanzania in 2006 that he 45 found his calling(天 职). With a backpack full of 46 , he set up a clinic under a tree in a lonely and poor village in the Serengeti, A line of 50 patients 47 , all of them with 48 illnesses from tuberculosis to malaria to common colds. . It was not long, however, 49 the supplies in his backpack were used up and the line had only grown longer. 50 and driven to tears by the 51 that he would have to leave patients untreated, he 52 then and there that he would never leave a patient untreated, no matter what the 53 In 2008, the group Floating Doctors was established with the 54 to bring medical relief to 55 coastal communities around the world With the realization that approximately 80 percent of the world 's population live within 5 miles of the coast and that 56 to the poorest communities is often best attained by waterways, the group decided to buy a 76-foot sailboat, called "The Southern Wind. " LaBrot now had "a much bigger backpack" and would never 57 supplies again. With his sister Sky LaBrot ― then a Hollywood restaurant and club opener ― and a handful of
volunteers, they 58 "The Southern Wind" with 25, 000 pounds of medical supplies and set sail for their first medical mission in 2010 : Part of the coast of Haiti was affected by the cholera epidemic (传染病)that 59 the tragic earthquake. In roughly three months they set up 35 mobile 60 and treated 2,500 patients. 41.A, order B. fetch C.choose 42.A. press B.refuse C. interrupt 43. A, goals B. rights C. signs 44. A. Throughout B. Upon C. Against 45. A. abstractly B. bravely C. nervously 46. A. food B. instruments C. medicine 47. A. remarked B. formed C. complained 48. A. various B, primary C. active 49. A. if B. since C, unless 50. A. Thrilled B. Curious C. Heartbroken 51. A. law B. reform C. strength 52. A. decided B. regretted C. wondered 53. A. occupation B. circumstance C. tradition 54. A. mission B. instruction C. accumulation 55. A. wealthy B. lively C. valid 56. A. risk B. pride C. control 57. A. hold on to B. run out of C. make up for 58. A. loaded B. counted C. advocated 59. A. broke down B. appealed to C. made for 60. A. stores B.restaurants C. clinics
D. deliver D. combine D. theories D. Below D. truly D. documents I), left D. deadly D. before D. Confused D. fact D. forgot D, secret D. explanation D. remote D. access D. put up with D. compared D. resulted from D. garages
第二卷(共 50 分)
第二节(共 10 小题;每小题 1.5 分 , 满 分15 分) 阅读下列材料:在空白处填人适当的内容(1 个单同)或用括号内单词的正确形式。 As I was making my way to the coffee shop,I noticed an old man 61 was poorly dressed sitting on a bench nearby. I knew from first sight that he was in need of some kind of help. He had a little lunch stretched out in front of him and was wholeheartedly enjoying it. Then I joined the line and waited 62 (serve) . There was a young man in front of me. He handed the waitress a twenty-dollar bill and requested a glass of orange juice as well 63 a favour . The 64 (puzzle) waitress looked at the young man, not 65 (complete) understanding the request. The young man asked her to give the juice and the change to 66 old man eating his lunch outside on the bench. The waitress said she 67 (give ) them to the old man as he had told her to. Afterwards, there was a wonderful exchange between the waitress and the old man in need of some attention. I only wish I had a photo 68 (take) to record the smiles on both of their faces. As I was thinking about this event later on, I wondered 69 the young man didn't just perform this act of kindness 70 (he) . I suspect that it is because in his heart he hoped that this act of kindness might inspire others to do something for this old man, too. 第四部分写作(共两节,满分 35 分) 第一节短文改错(共 10 小题;每小题 1 分,满分 10 分) 假定英语课上老师要求同学们交换修改作文, 请你修改你同桌写的以下作文。 文中共有 10 处语言错误, 每句中最多有两处。 错误涉及一个单词的增加、删除或修改。 增加:在缺词处加一个漏字符号(A ),并在其下面写上该加的词。 删除:把多余的词用斜线(\)划掉。 修改:在错的词下划一横线,并在该词下面写上修改后的词。 注意:1.每处错误及其修改均仅限一词; 2.只允许修改 10 处,多者(从第 11 处起)不计分。 Last Saturday, I went to the museum with some of my classmate. We got up early and started at 8 o'clock. We went there by bike because the museum was only five kilometers away from our school. It was sunny and warm that day.About 20 minutes late, we arrived at the
museum. There were lots of people at the gate,most of whom were students. After wait for ten minutes, the museum opened. Then we learned a lot. I took the entered the museum, in that we saw so much old and interesting things. And there was aguide explaining us those things . We all listened carefully but we number of photos there, and it was really an unforgettably day. The visit to the museum was lasted for about two and a half hours and we benefited a lot from it. 第二节书面表达(满分 25 分) 假如你是高三学生李华,你的美国网友 John 想知道你是否有熟悉的学生参加今年的高考。 他想了解该生今年 的高考的情况和其想法。请根据下列要点给 John 回复一封电子邮件,介绍 你的朋友吴磊的情况。要点如下: 1.在高考中发挥出色,取得了很高的分数,他的付出终于得到了回报;2.已经被北京一所重 点大学录取,9 月 3 日或 4 日到学校报到注册。9 月 5 日开始军训,持续大约半个月;3.吴磊对 他的大学生涯的看法:①考上大学 是人生一个新的起点,他将珍惜这段时光,继续努力,获取更 多知识,掌握更多的技能;②积极参加学校组织 的活动和一些有益的社会实践活动;5.你对未 来大学生涯的看法
注意:1.词数 100 左右,开头和结尾已给出,不计入总同数; 2.可适当增加细节,以使行文连贯; 3.参考词汇:报到注册 register。
Dear John, I have received your email. In it you want to know about a student who attended this year 's college entrance examination. Well, I would like to tell you something about Wu Lei, who is familiar to me and who is also my good friend. All the best to you!
Yours, Li Hua
全国名校联盟 2016 届高三联考试卷(一)?英语 参考答案、提示及评分细则
(Text 1) M: I hope it'll be fine tomorrovv. rm going boating with Bill. W: Oh, I think it will be fine. M: Did you watch the weather forecast on TV or listened to it on the radio?
W : Neither. I checked it on the Internet. (Text. 2) W: Hi, James! It's me, Diane. Oh, Im so glad I caught you. I was just talking to Drake, and ... M: I,m sorry. But I think you dialed the wrong number. My name is Daniel, (Text 3) Ms Can I see you at ten past two this afternoon, Professor White? I would like to discuss something with you. W: I will be giving a lecture to the students then so I can meet you around half an hour later , at about twenty to three. (Text 4) W :Did you pay a visit to the forest park last weekend? M: No. We were supposed to go to the beach but eventually we went to the nature reserve instead. (Text 5) W : The last bus left five minutes ago. Call a taxi? M: A taxi? Don't know how far away our home is? But I don't want to wait,either. Let,s take the subway instead. W:AI1 right. (Text 6) W : What do you do and where do you work? M: a firefighter. I work in North Carolina of the US. W : What time does your workday begin and end? M: I start at 8:00 in the morning and work until 8:00 the next morning. Then I have a clay off. If I get a call early or late. Then I work overtime. W : What kind of clothes do you wear to work? M : I wear a blue work uniform. I also have a dress uniform that is for special occasions. W : How about your training? M: I do a lot of training together with other firefighters, W : What subjects are important to your job? M: Just about everything, including chemistry, math, physical education, social skills, geography and computer skills. (Text 7) W: It's really kind of you to come to see me off,Mr. Wang. M; With pleasure,Mrs. Jones. I'm sorry you can't stay in China a little while longer. W: I,m sorry, too. I'm very grateful for your kindness during my stay here. M: It was nothing at all. What's your flight number? W: It's Flight No. 104, China Eastern Airlines. My plane is scheduled to take off at 2 : 30 pm. M: Then you still have a couple of hours left. How about having some refreshmentvs in this coffee bar? W : That would be nice. M: What would you like to have, Mrs. Jones? W: Coffee, please. M: And how about some cakes? W : No 9 thanks. I had a very late breakfast. (Text 8) W : Anything I can do for you, sir?
M: Yes. I am looking for a suitcase. First of all, I am concerned about its size and style. W : What style do you like? Do you want a large size or a medium size? M: This style,medium size, please. Are they all made of real leather? W: No. Some of them are made of artificial leather, and some are made of real leather. How about this one? It's made of real leather, M: Oh, no. It's too small. W : And how about this one? M: Er ? ? ? Let me see if it can hold all the stuff in the two bags. A single suitcase is easier to handle than two bags. W: Yes, please try. M: Oh! It's so great. I'll take it. How much is it? W : 580 yuan. M: And I d like to buy a wallet. W : What size? What about this one? It is very popular. M: Have you got a smaller one? W: Actually, it can be folded in this way. It,s small now . M: That's great. What's the price of it? W: 120 yuan each. M: OK. I'll take both the suitcase and the wallet. (Text 9) W: Hi, Carey, do you follow the news every day? M: Sometimes. W : How do you follow the news? M: Well, here in Japan, mostly on the radio or the Internet. W: Oh, really? OK, what radio station? M: NPR,which is short for National Public Radio. W : OK. And what Internet website do you listen to? M: Well,usually it is just AP news,BBC news or whatever. W : What kind of news do you like best? M: I like all kinds of news but my favourite news is about sports and economics. W: OK. How much of the news do you think is true? M: I don,t know. That's a tough question because there are so many journalists. The stories made into papers tend to be accurate 9,but unfortunately some people leak information that is untrue to influence public opinions. So you have to consider why that news story is made public. W : Yeah. How do most people in the States get news? M: I think most people in the States get news from TV and from the main broadcasting stations, the evening news and so on. W : OK. Thanks Carey. (Text 10 ) The Hope Diamond is one of the largest and most famous jewels in the world. For fifty years, it has been in the collection of the Smithsonian National Museum of Natural History in Washington,D. C. To mark this anniversary,the museum is showing the forty-five-carat blue diamond for the first time without its usual setting. Visitors can now see the Hope Diamond in all its natural beauty. The Hope Diamond has a long and rich history. It was formed over a billion years ago far beneath the
Earth's surface. Its rare blue color comes from small amounts of the element boron. The stone was discovered in a mine in India during the 17th century. It was more than one hundred carats in weight. In 1668, the stone was sold to the ruler of France, King Louis the Fourteenth* A few years later, the king's jeweler recut the stone to a weight of about sixty-seven carats. The stone was later iost during the French Revolution. A recut version of this blue diamond later reappeared in England. Different families and jewelry experts have owned the stone over the years. The diamond received its name from one of its 19th century owners, Henry Phillip Hope. A wealthy American woman named Evalyn Walsh McLean bought the Hope Diamond in 1911. During her ownership the stone was placed in a setting surrounded by 16 small white diamonds on a long diamond chain. 参考答案 1 -5 ACBAA 6 -10 CBBAB 11 -15 CCCBA 16 -20 BBAAC 21.A 事实判断题。根据第一段:Am overdue copy of "Gome with the Wind" has been returned to a high school library? ? ? , and the grateful school said on Tuesday it was waiving(免除)late fees that at 2 cents a day added up to about $ 475 可知答案。 22.D 推理判断题。根据第三段: ? ? ? after Maine resident Wayne Hachey found it in his father's cellar, with the library paperwork still in the cover 和 I'd be willing to ship the book back if this is the same school 可推 出答案。 23.C 事实判断题。根据第三段: "Not sure how the book ended up on the East Coast," Hachey wrote in a letter addressed to the school 可知答案。 24.B 细节理解题。根据第四段:A slip (小纸片)inside the cover said it was checked out on Jan. 4,1949, to Betty Mandershied, whose name is listed in the school's 1949 yearbook 可知答案。 24.A 事实判断题。根据第一个广告第二段第一句可知答案。 25.C 事实判断题。根据第四个广告:It takes around two hours to drive to the Skywalk from Las Vegas 可知 答案。 26.D 事实判断题。根据第二个广告:It's the longest suspension bridge in the world 可知答案。 28.D 标题猜测题。根据全文如开头:Running,for example, may help to protect against heart disease and other health problems 以及后文叙述跑步研究的方式和过程以及结论等可知答案。 29.B 细节理解题。根据第三段:Compared to non-runners, runners showed 30 percent lower risk of death by any causes 可得答案。 30.C 段落大意题。根据第四段针对跑步者跑步的速度、距离:时间和持续性对健康的作用和益处可知答案。 31.B 篇章结构题。根据 B 项前文没有提到,而且与文章主旨紧密相连,可知答案。其佘三项与文章主旨关系 不大。 32.B 主旨大意题。根据全文如开头:The recent capsizing of Eastern Star,with 454 people on board, will not affect cruise ship (游轮)tourism in China in the long term 可知答案。 33.A 事实判断题。根据第二段:the ship capsized owing "mainly to rare weather conditions"可得答 案。 34.D 词意猜测题。根据发生的沉船事故,可知"如果顾客期望取消他们的游轮之旅,可以退款给他们",所以 此 处应该是"退还"的意思。 35.D 事实判断题。根据第三段:The Nanjing branch of Shanghai Xiehe Travel Agency, which organized the river excursion(游览)of the capsized Eastern Star 可得答案。 36 -40 BCDEF 41.C 他的老师告诉他他不得不选择其一。 42.D 但是他决心把对海洋的爱和渴望帮助人们结合起来。
43.A 在上初中的时候,他就开始实现他的目标。 44.A 自始至终在他接受教育期间,他和他的同龄人在发展中国家继续他们个人的医疗使命。 45.D 是一次在 2006 年到坦桑尼亚执行特殊的使命时,让他真正发现了他的天职。 46.C 双肩背包里装满了药品,他在塞伦盖蒂平原的一个荒凉和贫穷的村庄的树下建起了一个诊所。 47.B 50 个病人排成了一队。 48.A 他们都患有从肺结核到疟疾再到普通的感冒等各种各样的病。 49.D 然而,不久背包里的药品供给就被用光了,而且排的队变得更长了。 50.C 他将不得不留下一些没有治疗的病人的这个事实让他心碎,并被逼留下了眼泪。 51.D 解析见上文。 52.A 当场,他决定不论发生什么倩况,他将不留下一位未经治疗的病入。 53.B 解析见上文。 54.A 在 2008 年,带着把医疗救助带到世界上遥远的沿海社区的使命,Floating Doctors 这个团队建立了。 55.D 解析见上文。 56.D 经常是通过水路最容易进入最贫穷的社区。 57.B 现在 LaBrot 有"一个大得多的背包了",而且再也不会用完医药用品的供给了。 58.A 他们给 The Southern Wind 这条帆船装上了 25,000 磅医药用品的供给。 59.D 海地沿岸部分地区受到地震灾难引起的霍乱传染病的影响。 60.C 在大约三个月内,他们建立了 35 个移动诊所。 61.who/that 62. to be served 63. as 64. puzzled 65. completely 66, the 67. would give 68. taken 69. why 70. himself 短文改错 Last Saturday, I went to the museum with some of my classmate. We got up early and started at 8 classmates o'clock. We went there by bike because the museum was only five kilometers away from our school. It was sunny and warm that day. About 20 minutes late,we arrived at the museum. There were lots of people at the gate, most of later whom were students. After wait for ten minutes, the museum opened. Then we entered the museum in waiting that we saw so much old and interesting things. And there was a guide explaining 八 us those things . which many and really an unforgettably day. The and unforgettable we benefited a lot from it. 书面表达 One possible version : Dear John, I have received your email. In it you want to know about a student who attended this year 's college entrance examination. Well,I would like to tell you something about Wu Lei, who is familiar to me and who is also my good friend. Wu Lei did quite well in the examination and he got a very high score in it. His efforts paid off in the end. He has been admitted to a key university in Beijing. According to the admission notice , he will a visit to the museum lasted for about two and a half hours and to We all listened carefully but we learned a lot. I took the number of photos there, and it was
get to the university to register on September 3 or 4. Then he will participate in military training, which will last about half a month. Wu Lei thinks entering college is a new start of his life and he will treasure this period of time and keep on working hard to acquire more knowledge and master more skills^ Also, he will take part in both the activities organized by the university and some beneficial social practical activities. In my opinion,the college career is a period when students should not only concentrate on their studies but also learn how to get on well and cooperate with others. During the time they should also build up their correct outlook on the world and life. All the best to you! Yours' hi H ua


text:
Wisconsin bills would mandate heart disease screening on newborns
Inexpensive pulse oximetry can quickly reveal life-threatening problems
Hope Patchak thought maybe she was just being overzealous when she kept telling doctors something was wrong with her baby.
"When he was born, he was very blue — crazy blue," said Patchak, 33, of Oak Creek. "I asked, 'Why is he so blue?' and the nurse said, 'Oh, he'll pink up.'"
Patchak took her baby, Simon, to the pediatrician three or four times over the next two weeks. Finally, the pediatrician put a pulse oximeter on his hand and foot to measure the oxygen saturation in his blood.
A healthy saturation is 95% or greater. His was 65%.
Simon's parents rushed him to Children's Hospital of Wisconsin in Wauwatosa, where doctors discovered through additional testing that Simon had a rare critical congenital heart defect.
"If we had waited 12 more hours, he would be dead," Patchak said.
The simple test saved Simon's life, but Patchak still wonders whether that life would be any different if doctors had used a pulse oximeter on Simon when he was born — as more than 25 states have passed mandates to do these days.
Wisconsin doesn't require the test. But that could change.
The American Heart Association, March of Dimes, the American Academy of Pediatrics and other infant health advocates in Wisconsin are pressuring the Wisconsin Legislature to pass companion bills that would force hospitals to screen all newborns born in the state for critical congenital heart disease.
The bills, SB 104 and AB 111, introduced by Sen. Jerry Petrowski (R-Marathon) and Rep. Joel Kleefisch (R-Oconomowoc) in March and April, respectively, are both at the committee level.
Advocates estimate the cost of screening at $4 per infant, and insurance usually covers the procedure. Because all hospitals already have pulse oximeters, advocates argue the mandate will not add a financial burden on hospitals.
Maureen Kartheiser, state director of program services, advocacy and government affairs for March of Dimes, a nonprofit that helps lead the fight against premature babies, said:
"It may cost more for that baby — obviously it's going to cost more. But that's how you save babies."
Congenital heart defects account for nearly 30% of infant deaths due to birth defects, according to the U.S. Centers for Disease Control and Prevention. In the United States, about 7,200 babies are born every year with critical congenital heart defects — an incidence rate of 18 per 10,000.
Babies with CCHDs usually require surgery or catheter intervention in the first year of life.
Despite the lack of a mandate, many hospitals in Wisconsin and the Milwaukee area started to use pulse oximetry on newborns over the past couple of years — both the Aurora and Wheaton Franciscan health care systems recently made it a standard to do the screening. Advocates estimate that 80% of the state's hospitals currently use the test on newborns.
Wisconsin also has a $3 million federal grant to educate hospitals across the state and help implement pulse oximetry screening through a pilot project run by the University of Wisconsin School of Medicine and Public Health, the Medical College of Wisconsin, the Wisconsin Department of Health Services and the Wisconsin State Lab of Hygiene.
Still, "not every hospital is voluntarily doing it and some that are might not be following the protocols quite properly," said Jay Matz, southeastern Wisconsin communications director for the American Heart Association.
A study, published last Monday in the journal Pediatrics, found screening newborns for CCHDs was effective in New Jersey. Within the first nine months of testing, the screening mandate detected CCHDs in three infants and identified 17 more infants with other conditions, including pneumonia and sepsis. About 73,000 newborns were tested for the disease.
The law in New Jersey, the first state to implement CCHD testing in August 2011, requires all licensed birthing facilities to perform a pulse oximetry screening a minimum of 24 hours after birth, but before the newborn leaves the hospital.
"Once you have an abnormal screening, a baby could be referred immediately to a pediatric cardiologist," said Stuart Berger, medical director of the Herma Heart Center at Children's Hospital and chief of pediatric cardiology at the Medical College of Wisconsin. "That would allow you to intervene sooner rather than later."
Simon's defect was transposition of the great arteries, in which the heart's two main arteries are reversed — meaning Simon's lungs were being flooded with oxygenated blood while most of his body was getting deoxygenated blood. Doctors at Children's essentially repaired the transposition in surgery by performing an arterial switch procedure to correct the way his blood circulates.
Simon, now 2, leads as healthy a life as he can. He has some speech delays and has to go to the developmental clinic at Children's, but it is all "stuff we can work with," his mother says. It's likely that the two-week delay in his diagnosis was a contributing factor in his health issues.
"He'll always need a cardiologist. That will always be something that he needs to have," Patchak said. "Either way he's still going to need things down the road, but he is considered repaired, which is awesome."
But not all babies with defects like Simon's are as lucky. The later a defect is discovered, the more damage can be done.
When Melanie Moody gave birth to her third son, Aiden, 61/2 years ago, five weeks passed before anyone even thought of checking his blood saturation. Like Simon, Aiden was rushed to Children's, where the echocardiogram revealed he had one of the critical congenital heart defects that can be detected through pulse oximetry 24 hours after birth.
Today, Aiden uses a feeding tube for 50% of his daily intake and is on seven daily medications. He has weekly therapy visits for physical, occupational and speech therapy.
"He requires a lot more care than the other kids," said Moody, 34, of Oconomowoc. "He can't keep up with kids his age."
Moody says she worries about how Aiden's defect will affect him as he gets older. He won't ever be able to play sports like his brothers and will have to take some number of medications daily.
"You always wonder if it would have been detected earlier on could things have changed," Moody said. "Things could be very different for Aiden."
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