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Selling Junk Cars
Establish Possession
Obtain the title to the car (if you don't already have it). Scrap yards and salvage lots can not acquire the vehicle from anybody yet the proprietor of the vehicle. Establish ownership in your name before handling these companies.
Examine the Value
Evaluate the damages to the car and identify heaven Book value of the car. Arm on your own with as much details as you can about the problem of the vehicle. When you search for costs, you might be asked a lot of concerns regarding the car, including exactly what damage it has, does it run, just what is wrong with it as well as much more. If possible, think about fixing some damage to the car making it road worthy. Automobiles that drive deserve even more compared to automobiles that do not, and also some junkyards might bill you to pick it up from your area.
Get Rates
Call all the junkyards in your area but also see to it to call those in neighboring cities. You might discover considerably different rates, making a longer drive worth the money. Some lawns don't pay anything for cars that they have to grab, while others will certainly pay a significant amount depending on the make, model and just what is wrong with the car. It's best to call numerous junkyards and contrast costs. Having a list of damages could make this process smoother also.
Supply Your car
Since you have a cost, you should deliver your car. Ideally, tow or drive the car in yourself. Most salvage backyards will certainly pay more for cars and trucks that they don't need to bring in, as it saves them both time and money. See to it you bring the title with you when you go, as you can't market the car without confirming you are the lawful owner.
4 Lemon Rules to Abide
When it concerns aiming to sell a junk car stock to consumers, there are laws that you need to comply with. The country has actually set exactly what are described as Lemon Regulation to shield customers from unreasonable therapy. Some of these regulations typically aren't way too much of an issue, but numerous can return to haunt you. Right here are some that you should certainly follow.
- State lemon laws.The first thing you must do is study the lemon laws for the state where you plan to market your vehicle, making sure that you are covered. Numerous state lemon regulations do not prolong defense to those who get used lorries, or cars that come "as is." Find out just what your state needs to claim. Most states do allow you to market restored car title cars with a different set of legislations, so this may assist as well
- Mileage tampering laws. Mileage roll back is discussed in a lot of Lemon Law files and is one of the widest well-known ways for a vendor to trick a customer. You are not permitted to tamper with the gas mileage on an automobile whatsoever. Doing so is culpable by legislation. If the odometer stops working with no fault of your own, which has been known to happen, you must inform the customer and also it need to be shown on the title
- Personal seller laws. In most states, made use of car lemon legislations are enacted in a different way on personal owners that offer their very own vehicle versus dealers. It is essential to understand exactly what specifies a dealer in your state. In the state of Massachusetts as an example, any person that has sold four lorries within a 12 month time period is considered a dealership. This person is held to the same legislations as a dealership, which can be slightly harsher compared to those guided at private parties
- Rate maximums. Lot of times state lemon regulations can be avoided by remaining within a particular price range. Numerous states will just release reimbursements under lemon regulations if a car is cost more than $700. Similar constraints are used for gas mileage as well as age of the car

subset: commoncrawl


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Service tools
Navigation path
|Has the Services Directive been implemented?
|Yes. The Services Directive was fully implemented in the Czech Republic by 28 December 2009. In the case of the Czech Republic, the screening resulted in the adoption of two new acts – the so-called "Framework" Act 222/2009 Coll. on the free movement of services and the so-called "Amendment" Act 223/2009 Coll.
|Has the Unfair Commercial Practices Directive been implemented?
|Yes. The direction was transported by the Act no. 36/2008 Sb.
|Has the Telecoms Framework been implemented?
|The Telecom Framework has been transposed into the Czech national legislation by Act No. 127/2005 Coll. on Electronic Communications and on Amendment to Certain Related Acts, as subsequently amended. This legislation implementing the EU regulatory framework came into force on 1st January 2012.
|Has the Audiovisual Media Services Directive been implemented?
|The Telecoms Framework has been implemented. AVMS directive was transposed by the laws n. 132/2010 and n. 302/2011
|Have infringements been filed against the Member State relating to this Action?
External contributions are more than welcome. If you would like to share with us a country, regional or local-level initiative relevant for this DAE action, you can do it via the online form.


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19 May 2015
I've been using Grails v.2.5.0 and tried to debug Grails app via traditional Intellij IDEA 14 Debug with no success.
To be short: using IDEA Debug allows us debug Grails build system only. Why?
Forked execution is configured via the
grails-app/conf/BuildConfig.groovyfile. The following is the default configuration:
grails.project.fork = [
run: [maxMemory: 768, minMemory: 64, debug: false, maxPerm: 256], // configure settings for the run-app JVM
Based on this we should create two IDEA Run/Debug Configurations:
--debug-fork parameter:
run-app --debug-fork.
And run this Configuration. We should get the next output
Listening for transport dt_socket at address: 5005
|Server running. Browse to http://localhost:8080/TekDays
This socket address will be used for Remote connection.
Remote Configuration (Run/Debug Configuration -> Remote)
And run this Configuation. Now, we are able to debug our application.
The main idea is that we should have two running Configurations!


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Hailing mostly from the Garden on England, these six newcomers from Kent named Story Books have enlightened the music scene of recent, with their lovely acoustics and lyrical prose. Hence the name.
'All Those Arrows' was released 5th March, and featured above is the B-side titled 'Glory and Growth'. The photos here are of their sold-out show at Hoxton Hall.
Photos by Colin Poore


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Click To View
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Rope toys that are braided with knotted ends, are fine when new but should be discarded when they're worn and chewed.
I always keep an eye on my puppies when they are playing with squeaker toys because beagle pups often feel the need to rip these toys apart looking for the squeaker.
Children's soft toys should not be used by dogs – the filling can be dangerous.
What frustrates you about choosing dog toys? Which in your opinion are the right toys for Beagle puppies. Which are your dogs favorites? Let us know in the comment box below this post.
Thanks For Reading
Richard S


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Finbarr Corr
Motivated to write about subjects for which I feel geniune passion.
I grew up in Ireland during the forties and fifties in a large middle class Irish Catholic family, and I am left with many pleasant memories. During the same time period Pulitzer Prize winning author Frank McCourt had a very different experience, which he reported in a painful dramatic fashion in Angela's Ashes. Several Irish-born friends, disgusted with Frank's story, said to me, "Finbarr, you are a good story teller, why don't you write an upbeat story of your childhood in Ireland?" That is how it all began. Nobody has a made a movie of my story A Kid from Legaginney, although a few people suggested it. Over 3,000 have read it and several have asked, "When are you going to tell the rest of the story Finbarr?"
My sixth book Broken Promises: Whatever happened to Vatican Council II? is an objective report written by me, a resigned priest, who passionately loves and respects the Catholic Church. The two plus years of research on the Church worldwide reveals a missed opportunity by the Catholic hierarchy to bring their Church forward to the twenty first century. By ignoring the dictates that they themselves, and their predecessors, passed at Vatican II and covering up the crimes of pedophile priests, our beloved Church is struggling to survive worldwide.
"Finbarr Corr has written a book from the passion of his life and the depth of his pastoral experience with people. Many readers committed to Church reform, will find themselves and their hopes in these pages."
Dr. Anthony T. Padovano,
Catholic Theologian
"Power corrupts and absolute power corrupts absolutely."
Baron Emerich Acton,
historian and moralist,
The complete list of the books I've written:
A Kid from Legaginney
Bridges from Legaginney
Living Laughing and Loving thru Marriage
The Many Loves of Joe Carroll
Up Close and Personal: Talking to Teens and Parents.
Broken Promises: Whatever Happened to Vatican Council II?
To read about all my books, or for more information, please visit my web site by clicking on this link: www.finbarrcorr.com.
And you may email me at: finbarrcorr(at)comcast.net – I'd like to hear from you!


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Beer Bucket Promo
Make your own special beer bucket by choosing from a wide selection of beer. Just 500 baht for 5 bottles of your choice! While stock lasts!
Terms and Conditions:
This promotion is available daily from 11am to 2am.
This promotion cannot be used in conjunction with any vouchers or drink offers.


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Featured Review: Different doses, durations and modes of delivery of nicotine replacement therapy for smoking cessationNew evidence published today in the Cochrane Library provides high quality evidence that people who use a combination of nicotine replacement therapies (a patch plus a short acting form, such as gum or lozenge) are more likely to successfully quit smoking than people who use a single form of the medicine.Nicotine replacement therapy (NRT) is a...18 년 4월 2019
Cochrane's annual Colloquium in Chile hosts some of the world's most influential health researchersScientists, academics, opinion leaders, clinicians, and patients join together to promote evidence-informed decision-making in Santiago, October 2019.Lea esta Nota de Prensa en EspañolCochrane Chile is hosting Cochrane's Colloquium at CasaPiedra in...17 년 4월 2019
Specifications: 12 months Fixed Term contract, Part Time (0.6 FTE)
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Location: Flexible location - London, Freiburg or Copenhagen preferred
Application Closing Date: 16th May 2019This role is an exciting opportunity to use your experience as a Project Manager to make a difference in the field of health care...17 년 4월 2019
Specifications: Full time
Salary: Competitive
Location: London
Application Closing Date: 1st May 2019This role is an exciting opportunity to use your experience as an Assistant Editor to make a difference in the field of healthcare research.
The Assistant Editor will assist with the development and implementation...17 년 4월 2019
A new WHO guideline on Digital Interventions for Health System Strengthening published on April 17th, 2019. The main objective of this new guideline is to provide evidence-informed recommendations to policy makers on key digital health interventions, to inform country investment plans. The guideline also describes potentially important...17 년 4월 2019
Reminder: We are now inviting expressions of interest to host the Global Evidence Summit in 2021Following the success of the inaugural Global Evidence Summit (GES) in Cape Town in 2017, four global leaders in evidence-based policy and practice will again join forces to deliver the second Global Evidence Summit in 2021.The GES is a quadrennial...17 년 4월 2019
Cochrane is made up of 13,000 members and over 50,000 supporters come from more than 130 countries, worldwide. Our volunteers and contributors are researchers, health professionals, patients, carers, people passionate about improving health outcomes for everyone, everywhere.Cochrane is an incredible community of people who all play their part in...16 년 4월 2019
The Governing Board is delighted to announce that, with effect from 1 June 2019, Dr. Karla Soares-Weiser will become the new Editor in Chief of the Cochrane Library. Karla will replace current Editor in Chief Dr. David Tovey, who is stepping down from the role at the end of May following ten years of distinguished service.Karla Soares-Weiser was...15 년 4월 2019
Featured Review: Barriers and facilitators to the implementation of doctor‐nurse substitution strategies in primary careWhat factors influence implementation of doctor-nurse substitution strategies in primary care?Nurses as substitutes for doctors in primary care: evidence from 66 qualitative studiesPatients may accept the use of nurses to deliver services that are usually delivered by doctorImplementation prompts have been developed to help programme managers who...15 년 4월 2019
The Cochrane Library App presents the latest up-to-date evidence from the Cochrane Library in a convenient, easy to navigate format which provides you with relevant, accessible research, when you need it, from the world's leading experts in evidence-informed health care.All content in the app is free and new issues will download regularly.Download...15 년 4월 2019


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September 11, 2010
The Ritz-Carlton Hotel
St. Louis, Missouri
Contact Us
Guest Faculty
Host Faculty
Registration Form
Course Director :
Banke Agarwal, MD
Associate Professor of Internal Medicine
Director of Therapeutic Endoscopy
Division of Gastroenterology & Hepatology
Saint Louis University School of Medicine
Saint Louis, Missouri
Guest Faculty :
John Allen, M.D., M.B.A.
Minnesota Gastroenterology, PA
St. Paul, Minnesota
Luis A. Balart, M.D.
Professor of Medicine
Chief, Gastroenterology and Hepatology
Tulane University Medical Center
New Orleans, Louisiana
Carlos Fernandez-del-castillo, M.D.
Associate Professor of Surgery
Director, Pancreas & Biliary Surgery Program
Massachussetts General Hospital
Harvard University
Boston, Massachusetts
Robert R. Cima, M.D.
Associate Professor of Surgery
Department of Colon & Rectal Surgery
Mayo Clinic School of Medicine
Rochester, Minnesota
Pierre A. Clavien, M.D., Ph.D.,
Professor and Chairman
Department of Visceral & Transplant Surgery
University of Zurich
Zurich, Switzerland
Glenn M. Eisen, M.D., M.P.H.
Professor of Medicine
Center for Health & Healing
Oregon Health Science University
Portland, Oregon
Elliott Fishman, M.D.
Professor of Radiology and Oncology,
Director, Diagnostic Imaging,
Johns Hopkins University,
Baltimore, Maryland
Martin Freeman, M.D.
Professor of Medicine
Interim Director, Division of Gastroenterology & Hepatology
University of Minnesota Medical Center
Minneapolis, Minnesota
Lauren Gerson, M.D.
Associate Professor of Medicine
Division of Gastroenterology
Stanford University Medical Center
Stanford, California
Robert H. Hawes, M.D.
Professor of MedicineDivision of Gastroenterology
Medical University of South Carolina
Charleston, South Carolina
Lawrence R. Huntoon, M.D., Ph.D.,
American Physicians and Surgeons
Private Neurology
Derby, New York
John Matthew Inadomi, M.D.
Dean M. Craig Endowed Chair
in Gastrointestinal medicine
Head, Division of Gastroenterology
University of Washington
Seattle, Washington
Jeffrey H. Peters, M.D.
Chairman and Professor, Department of Surgery
University of Rochester
Rochester, New York
Charles B. Rosen, M.D.
Professor of Surgery
Mayo Clinic Transplant Center
Mayo Clinic Medical Center
Rochester, Minnesota
Andrew Schlafly, J.D.
General Counsel
Association of American Physicians and Surgeons
New York
Nicholas Shaheen, M.D.
Professor of Medicine & Epidemiology
University of North Carolina School of Medicine
Chapel Hill, North Carolina
Paul Suhocki, M.D.
Associate Professor of Radiology
Division of Vascular & Interventional Radiology
Duke University Medical Center
Durham, North Carolina
Kenneth Wang, M.D.
Director of Advanced Endoscopy Group
Professor of Internal Medicine
Division of Gastroenterology & Hepatology
Mayo School of Medicine
Rochester, Minnesota
Robert A. Wolff, M.D.
Professor of Internal Medicine
The University of Texas MD Anderson Cancer Center
Houston, Texas
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Host Faculty :
David Aplington, JD
BJC Health Care
St. Louis, Missouri
Paul Buse, MD
Digestive Disease Medical Consultants
St. Louis, Missouri
Shaun M. Falvey, JD
Brown & Crouppen
St. Louis, Missouri
Steven Fern, DO
Specialists in
St. Louis, Missouri
Sreenivasa Jonnalagadda, M.D.
Professor of Medicine
Director, Biliary and Pancreatic Endoscopy
Washington University School of Medicine
St. Louis, Missouri
Ira Kodner, MD
Solon & Bettie Gershman Professor of Surgery
Section of Colon & Rectal Surgery
Washington University School of Medicine
St. Louis, Missouri
David Linehan, MD
Professor and Chief, Section of Hepatobiliary-Pancreatic and Gastrointestinal Surgery Washington University
School of Medicine
St. Louis, Missouri
Keith Naunheim, MD
Professor of Surgery
Chief, Thoracic Surgery
Saint Louis University School of Medicine
St. Louis, Missouri
Janet Elizabeth Tuttle-Newhall, MD
Professor of Surgery
Chief of Abdominal Transplant Services
Department of Surgery
Saint Louis University School of Medicine St. Louis, Missouri
Charlene Prather, MD, MPH
Professor of Medicine
Director of Motility
Saint Louis University
School of Medicine
St. Louis, Missouri
Michael Presti, MD
Clinical Professor of Internal Medicine
Saint Louis University Shool of Medicine
Midwest Gastroenterology & Hepatology
St. Louis, Missouri
Top »
ASGE designates this activity for a maximum of 8.25 AMA PRA Category 1 Credits.
For additional information, call 314-977-7401.
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The Music Festival Choir Festival
Choir | Friday 29th June | 7.30pm | St John's Church |
We welcome back to the Festival the popular Keynsham Good Afternoon Choir led by Bath's Mr Music, Grenville Jones will join together with the Yate and Chipping Sodbury Good Afternoon Choir for an evening of popular music to suit all tastes. There will also be plenty of opportunities to "join in".
This concert will also include a section devoted to the commemoration of WW1 – this year 2018 – about which there will be more news later in the year.
This is a free entry event with a retiring collection to be split between the Music Festival and a charity of currently supported by Grenville Jones and the choirs


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First, let us start by saying that Jump Send runs Promotions by each individual ASIN so the system does not allow shoppers to request your product more than once, whether they were approved or not. This is to ensure buyers cannot request the same ASIN twice or abuse the system.
But, it's also important to note that if you run different promotions for multiple variations, then shoppers can request one code for each of those individually promoted variations since they all have different ASINs.
Because you are limited to listing one ASIN for each promotion, when your product has multiple variations you have two options:
- Create a different promotion for each variation you want to promote (we recommend this!).
- Promote just one of your product's variations, adding codes that can be used on any child ASIN.
We have to caution you about issuing codes that work for any variations at the same time! Because buyers can get any number of units from you with a single discount code.
This is why we came up with the Inventory Protection feature BUT when you add this protection to a promotion, it will only work on the main ASIN linked to the discount in Jump Send.
That means only that particular variation will be protected and all the other ones are at risk (unless you change the quantity manually on the listing directly).
If you understand the risk of listing a Promotion with codes that work on multiple variations, you can indeed issue a batch of coupons that will work on any of the variations for the parent ASIN...however, if you go this route, we STRONGLY recommend restricting each ASIN manually!
To issue coupon codes that will work for all of your ASIN's variations, add all of the individual child ASINs on the 'ASIN List' box when creating your codes and then click Submit.
It should look like this:
That way the codes issued will work on any variation or size of your product, as long as they all share the same price.
Then, after the codes are created remember to limit the quantity buyers can order. Go to the 'Offer' tab and when you click on the Advanced View, you should see a 'Max Order Quantity' box at the bottom. It should look like this:
That should set a limit on the number of products that a Buyer can purchase for each variation...which is why we suggest you set the Max Order quantity to '1' during your promotion.
While it's true that your full-price Amazon buyers will also be subject to this limit per order, we believe it's more important to protect your inventory when you have percentage-off discount codes out there for your promotion.


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Carver (CHS) Class of 1955 Alumni List
Help us Update the Carver 1955 Class List by adding any names missing from the list below:
Registered Alumni
1955 Class List
Know Carver Class of 1955 graduates that are NOT on this List? Help us Update the 1955 Class List by adding missing names.
The top movie in theaters during 1955 was Lady and the Tramp, grossing over $93,600,000 in its lifetime. The most popular television series for 1955 was I Love Lucy
Reunions and Carver High School News
More 1955 alumni from Carver HS Rockville, MD have posted profiles on Classmates.com®. Click here to register for free at Classmates.com® and view other 1955 alumni.
The students that went to school at the Rockville high school called Carver High School and graduated in '55 are on this page. Register to add your name to the class of 1955 graduates list.
You can share memories of those activities that you were involved with at Carver HS and you can view other alumni and read what other former students have posted about the time they spent at Carver.


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By Peggy Morehouse
I was five or six years old when I first heard Puff the Magic Dragon in the early sixties sung by the epic folk band Peter, Paul and Mary. The melancholy song about the loss of innocence as we age became one of my favorites along with another one of their greats, The Marvelous Toy. In my early teens I came to realize that Peter, Paul and Mary didn't just sing songs that delighted children, but were part of an historic movement to bring peace and justice to a troubled world with songs like Blowin in the Wind and Where Have All the Flowers Gone. This trio stayed with me as I introduced their music and stories of social change to my own sons in the 1990s. Peter, Paul and Mary continue to be part of my world today as I read and sing Puff the Magic Dragon to my kindergarten students, not to mention the gig space they occupy on my iPod.
You can imagine my excitement when I met two of the three musicians at an intimate gathering at Northshire Bookstore in Manchester, Vermont on November 24. Peter Yarrow and Noel Paul Stookey told stories, sang, goofed around, and talked about their new book, Peter, Paul and Mary-Fifty Years of Music and Life. A crowd that seemed to range from 6-months to ninety-years-old enthusiastically greeted the musicians as they entered the children's section on the second floor. Peter and Paul started the evening by singing Garden Song with a simple yet compelling message: "…Mother Earth will make you strong if you give her love and care…"
It wasn't long before Mary Travers, who passed away in 2009, was recognized. Peter and Paul expressed how much they miss her, yet always feel her presence when they perform. Paul relayed, "Mary is here as much as she's not here." Peter added, "We hear her voice and know it's real because audience members have told us they hear her too." Although Mary wasn't involved in writing their new book, Peter said, "The three of us blended as we walked through the pages." They then paid tribute to her by asking the audience to sing Leaving on a Jet Plane with them.
As the evening progressed, Peter and Paul entertained with passion and conviction in their strong, flavorful voices. Still committed to social justice, Peter sang Listen Mr. Bigot with the reprise, "The foreigners that you hate are the very same people that made America great." He made a point of saying, "The root cause of all these issues is lack of empathy; compassion." They both continue to back up their words with support for initiatives related to the environment, farming, race and religious freedom, just to name a few. Peter also founded Operation Respect, a nonprofit that develops non-bullying curriculum. Paul assigned all royalties from The Wedding Song to the Public Domain Foundation (Music2Life), which has donated millions to charities around the world. According to their book, Peter, Paul and Mary-Fifty Years in Music and Life, their commitment to social justice ignited as they performed at Dr. King's March on Washington in 1963:
"As for our participation, we were three young people in our twenties who had known popularity for less than two years, but when we sang 'Blowin in the Wind' and 'If I Had a Hammer' that day, it changed the way we saw the world…and our role in it."
A highlight of their performance at Northshire was when they invited the children to come up front and sing Puff the Magic Dragon. It was evident that this song is still alive and well as the children sang the lyrics flawlessly when it was their turn at the microphone.
Peter asked one young girl where she had learned the words and she simply replied, "I just know it." With a look of satisfaction Peter said, "You just made me so proud."
After a hand-clapping, sing along of If I Had a Hammar, it was downstairs for the book signing where fans enjoyed some conversation and laughs with Peter and Paul.
I can't leave this post without sharing a video of Puff the Magic Dragon with you. Have a wonderful Thanksgiving! ~ Peggy and Susanne


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BBC Great Barrier Reef with David Attenborough 1of3 Builders - HD
- published: 21 Dec 2018
- views: 269571
BBC – Great Barrier Reef with David Attenborough (2016) 1080p David Attenborough returns in this landmark series to his most magical place on earth exploring the Great Barrier Reef aboard the research vessel Alucia. Part 1: Builders David descends beneath the waves at night in the state-of-the-art Triton submersible, the first of its kind to visit the reef. He meets some of the tiny coral animals that built the reef and helped to turn it into an underwater wonderland. He then takes to the skies to witness the vast scale of their endeavour, a living structure that provides a home for thousands of species. Using cutting-edge technology to generate computer scans of the sea floor, David learns that the Great Barrier Reef we know today is much younger than scientists ever imagined. He meets some of the people that have lived alongside it and who have told stories of its origins for thousands of years....


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The article is based on our 3rd place winner's proof of concept presented at Generation Blockchain Challenge.
In general, healthcare and clinical trials are complex business environments mainly due to its direct impact on the human lives and various regulations built around them. There are various stakeholders in the entire ecosystem, and the need to improve on how these stakeholders collaborate and communicate with each other is ever increasing. Technological advancements from time to time have made significant improvements, but due to slow adoption of these technological advancements in healthcare in general, there is a great potential for newer technologies like blockchain to bring significant improvements in the overall systems.
Healthcare organizations have made significant improvements through technological and process innovations that have benefitted and improved the entire customer experience. The most important customer in the ecosystem is a patient, and the entire healthcare business is centered around this customer. The ultimate aim of the various players like physicians, clinics/hospitals, pharmacies, drug manufacturers (pharmaceutical companies) is to bring value to a patient and enhance the overall customer experience. Then there are regulatory bodies like Food and Drug Administration (FDA), that oversees all these players, ensure the rights of a patient are protected and that they not misused in any way. A patient is the end consumer of the benefits in the entire value chain.
On the other hand, in clinical trials, the drug manufacturer companies actually partners with human subjects aka patients to try their trial drugs on them before they bring the new drug to the market. Some of the key players in the clinical trials process are the Pharmaceutical company or the drug manufacturer, Contract Research Organisation (CRO) and Site Investigators (Physicians). Institutional Review Board (IRB) act as a regulatory body under the FDA. Since the other actors in the ecosystem are organizations that have their own technological infrastructure, the subjects remain at the receiving end. They have a limited role to play in the entire process and is limited by the technological capabilities of other's systems. Regulatory requirements make Organizations business systems slow, complex and inflexible. Generally, both healthcare and clinical trials partners have greater needs to collaborate and share the information through these complex systems.
Attempts are made from time to time to come up with centralized systems that can facilitate greater collaboration and quick information sharing, but such systems pose their own challenges of ownership of data. Integrating data from different systems owned by different parties is a challenge. One alternative way could be to try to connect the trusted parties that are known to each other on a common platform. Blockchain technology has the potential to play that role. It may be too early to predict what role blockchain can play since there are not enough use cases that are being tried upon. It is difficult to say if Blockchain can displace the existing systems completely or complement them for some time before it actually does that. The objective here is not to speculate that possibility of whether Blockchain is a replacement for traditional Clinical Trial Management Systems but to explore the possibilities of small use cases that can actually bring value to the entire ecosystem.
Before we discuss how Blockchain can play an important role in clinical trials, it is important to understand the current challenges in the healthcare and clinical trials.
Few of the challenges in clinical trials are:
1. Subject Recruitment: To ask and convince a healthy subject to try a new trial drug is a challenge. There could be different motives for a healthy person to take that risk for monetary or personal reasons. Sponsor's find it very difficult to identify and recruit ideal subjects. A lot of times, the self-reported information provided by subjects cannot be authenticated leading to issues like dual enrollment, false disclosures, higher screen failures, a potential risk of severe adverse events (SAE's), and lawsuits leading to increased cost and bad quality of clinical research trial data.
2. Conducting trials: Sponsors make changes to the study protocols modifying inclusion and exclusion criteria mentioned in the study protocol after the study has started. At certain times the changes are genuine but sometimes the changes are made to widen the inclusion criteria or narrow down the exclusion criteria so that more subjects can be recruited easily.
3. Lack of trust and transparency.
4. Challenges in collaboration and communications.
Blockchain will increase and establish the trust in clinical research by the fact that tempering and manipulating the research data in blockchain is very difficult and easily traced. Self-reported data by the subjects generally lacks trust, which ultimately impacts the quality and cost of the drug trial. There is lack of trust in the way clinical research data is gathered, analyzed, and reported. Trust is further decreased because of unethical and unprofessional practices such as altering and not reporting the inclusion and exclusion criteria in a protocol to suit the interests of drug manufacturers. The timestamped block transactions can be easily traced and verified, making it less prone to manipulation and tempering. It would be worth reading the article about blockchain timestamped protocols here.
Blockchain will increase the transparency, collaboration, and communication in clinical trials. There are many partners in the clinical research ecosystem like Pharmaceutical companies(sponsors), CRO's, study investigators (Physicians), hospitals, laboratories, insurance providers and patients, and there is a great need for all partners to collaborate and communicate effectively because human health is at stake. The challenge is that every partner has their own technology systems which limit their ability to communicate effectively and efficiently. A lot of time and money is wasted in requesting, transferring, and communicating the information between different systems.
Blockchain brings all the trusted parties in the ecosystem to a common platform enabling them to see the clinical health records flowing through the system in real time and make timely decisions.
Not only that, Once the identity of a subject is established in the blockchain network, blockchain also addresses the issues related to subject's dual enrollment in multiple studies at the same time saving the subject from being misused and exploitation. It is very difficult to find if a subject has enrolled in other studies. Ed Miseta, in his article, has highlighted the issue of dual enrollment in great detail here.
From sponsor's perspective, it saves them lot of efforts wasted in subject recruitment causing higher screen failures.
Blockchain brings all the trusted parties in the ecosystem to a common platform enabling them to see the clinical health records flowing through the system in real time and make timely decisions.
Not only that, Once the identity of a subject is established in the blockchain network, blockchain also addresses the issues related to subject's dual enrollment in multiple studies at the same time saving the subject from being misused and exploitation. It is very difficult to find if a subject has enrolled in other studies. Ed Miseta, in his article, has highlighted the issue of dual enrollment in great detail here.
From sponsor's perspective, it saves them lot of efforts wasted in subject recruitment causing higher screen failures.
Another important aspect of blockchain is that it enables a patient to play an important role as a participant. Currently, a subject is always at the receiving end of the value chain and has very limited or no access to his information. For example, in case of an adverse event, once a patient's adverse event is notified to the physician, the patient has no idea how his case is followed up by a physician with other stakeholders. Blockchain system facilitates a patient to become an important participant in the whole ecosystem.
The inherent architecture and advantages of blockchain will make various processes and systems irrelevant and unnecessary, making the overall process of clinical research simple and cost-effective. The direct impact of this will be that it will help in bringing down the overall cost of bringing a new drug to the market, which ultimately will be passed on to the patients. More importantly, a subject would become a key participant in the clinical trial process and would be saved from misuse and exploitation.
Blockchain technology has the potential to bring disruptive changes in healthcare and clinical trials, that would make many of the current processes and businesses obsolete. It's in the best interest of the entire industry to explore the opportunities blockchain provides to remain sustainable in the longer run.


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Publications Index | Encyclopedia of Trotskyism | Marxists's Internet Archive
Socialist Review Index (1993–1996) | Socialist Review 170 Contents
From Socialist Review, No. 170, December 1993.
Copyright © Socialist Review.
Copied with thanks from the Socialist Review Archive.
Marked up by Einde O'Callaghan for ETOL.
'Ian Paisley will never vote to put VAT on the Bible'. The comment of one minister neatly sums up the Tory dilemma. They depend on the votes of Ulster Unionists to force through unpopular measures, but they cannot even rely on that band of bigots. Their room for manoeuvre is extremely limited. Both the budget and public spending are largely constrained by the previous decisions announced by Norman Lamont.
Whatever Clarke's claims about inflation and interest rates, 85 percent of the increase in tax revenues comes from workers and the poor – the freeze on tax allowances, VAT on fuel and increased National Insurance rates.
But the Tory strategy is a very high risk one. The assault on welfare and public sector pay will coincide with an increase in inflation. While the 'headline' rate of inflation may not rise above 4 percent, the impact of increases in rents and the cost of fuel and transport will be much heavier. Attacks on living standards and welfare right across the board make the possibility of widespread resistance much more likely now than this time last year.
Workers have already faced a massive attack on their living standards with pay freezes in industry and the 1.5 percent pay limit in the public sector during the past 12 months. Yet resistance so far has been muted – and the official statistics for strikes in September are the lowest on record.
However there are several reasons why this is likely to change. First, every pay policy or freeze introduced in the past has always met with little resistance in the first year. That was as true of the Tory 'pay pause' in 1957 as Labour's Social Contract two decades later in 1975.
Second, inflation has fallen steeply in the past year or so. In April 1992 the inflation rate was 4.3 percent; recently it has been less than 1.5 percent. These figures reflect the experience of millions of workers: the cost of people's mortgages has come down rapidly, supermarkets have been discounting food prices, clothes shops have had permanent sales.
Third, earnings still rose faster than prices despite the attack on pay. In some cases much faster. According to the official earnings figures for the 12 months to April 1993, the earnings of British Rail workers went up by more than 10 percent. Council staff had increases of between 7 percent and 9 percent. Civil servants had pay rises of between 8 percent and 11 percent.
These statistics reflect the fact that these workers received two pay increases in 12 months because their previous pay rise was delayed. Teachers' pay, by contrast, only rose by 3 or 4 percent because they only had one increase in the period (though this is still more than inflation). But the point is that many workers in the public sector did not feel particularly hard pressed over pay. Despite this there were still large minorities prepared to vote for strike action, for example in the councils and the ambulance service.
Things are quite different now. Their last increase was 1.5 percent or less. Now public sector workers are being told to accept no increase at all at a time of rising costs and thumping tax increases.
The problem for the Tories is that this is not just risky – it doesn't solve their problems. If they get away with a pay freeze it may save them £2-3 billion, at least for a time. But in the current financial year alone, the interest the government pays on public sector debt will be more than £19 billion. Its spending plans are so tight that, on one estimate, if inflation were to rise to 4 percent the government would have to spend an extra £20 billion to maintain the current level of services.
The Tories can cover their debts if the economy grows fast enough, but this year the recovery of British capitalism is both fragile and feverish, constrained by the slump in the rest of Europe and very low investment levels. British capitalism does not have the capacity to grow rapidly without sucking in imports and stoking inflation. Investment has been low for a long time, but the last recession depressed it much further. The official figures show the value of public sector investment fell by more than half between 1988 and 1992. Manufacturing investment, measured as a proportion of output, is at its lowest level for more than 30 years. A recent National Opinion Poll survey of 450 companies shows only one in seven of them increased investment last year, despite the introduction of special 40 percent tax breaks.
As an article by Financial Times economist Sam Brittan argues, 'The productivity of workers using existing capacity is increasing rapidly, but at the same time there is inadequate capacity to support a true recovery.'
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Last updated: 1 March 2017


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Choose from some superb hotel accommodation in Bowness-on-Windermere, Cumbria. Our directory gives you a huge choice of hotels to consider in Bowness-on-Windermere ideal for an overnight stay, short break or a holiday.
There are 3 hotels listed below in Bowness-on-Windermere that can be booked for room only or bed and breakfast. Many of the hotels are discounted so whatever your budget and party size you are sure to find something to suit.
Enjoying beautiful views of Lake Windemere, the charming Fayrer Garden House Hotel also boasts 5 acres of gardens and grounds, individually styled rooms and an award-winning restaurant.... read more
A one-minute walk from Bowness Bay, Laurel Cottage is a few minutes' walk from Lake Windermere and offers free Wi-Fi and free parking. Each bedroom has its own character with Victorian or Cottage decoration. Most of them are en suite.... read more
In the heart of Bowness, Ruskin's is a traditional English inn near Lake Windermere. Each room has a flat-screen TV with a DVD player, and traditional-style décor.... read more
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Last week my little family and I went on a weeks holiday to the seaside town of Weymouth. We have wanted to take our little boy, Little Mr, on a Great British seaside holiday and was keen for him to experience a few of the things both my hubby and I did when we were of a similar age to our son. We wanted to build sandcastles on the beach, we wanted to enjoy fish and chips on the sea front and have a paddle in the cold British sea. We also wanted to explore the South coast as it's part of the country we haven't visited in many years and was keen to see it with a fresh pair of family orientated eyes.
Travelling by Car
Like most families with young children, we do a lot of exploring using our car. It's great to fill the roomy boot up with essentials for a day trip out and set off on our adventures. The best thing about exploring in your own car is that it saves time (no waiting around for buses or trains), it's comfortable (you can take your own cushions or blankets) your little ones will be safe in their car seats and you can fill the foot wells with magazines, books and car-friendly activities you can do in the car just in case you get stuck in any traffic.
Essentials to keep in the car on holiday
– Baby wipes (they aren't just for babies)
– Bottle of water or two
– Picnic blanket
– Snacks that won't go off quickly
– Magazines
– Notebook and a pencils
– In car phone charger
– Loose change for coastal car parks
Wish you were here!
We were based in Weymouth and decided to explore the coast to the east towards Bournemouth and west towards West Bay. We knew roughly where we wanted to go but just followed our noses and stopped at random places along the way. It was brilliant, we had such a fun week. Here are a few snaps from our favourite places from our adventures;
We are hoping to upgrade our car for next years adventures and have my eye on a very family friend Volkswagen Tiguan Diesel car. It's all kinds of awesome! If you're looking for a new family car, check out Parkway Contracts for new Volkswagen cars to suit your budget.
Do you like to travel around the UK by car? Where are your favourite places to visit? Would love to hear about your adventures.


text:
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United States District Court, S.D. Indiana, Terre Haute Division
January 22, 2018
SHAMIR CHAPPELL, Plaintiff,v.WEXFORD MEDICAL SERV. in official capacity, SAMUEL BYRD MD, in official capacity, REGINA ROBINSON RN, in official capacity, BARBARA RIGGS in her official and individual capacity, Defendants.
William T. Lawrence, Judge
Shamir Chappell, an Indiana inmate incarcerated at the Wabash
Valley Correctional Facility (WVCF), filed this 42 U.S.C.
§ 1983 action on December 6, 2017. In forma
pauperis was granted and an initial partial filing
fee has been paid.
Screening of the Complaint
Legal Standard
Mr. Chappell is a prisoner, the complaint is subject to the
screening requirements of 28 U.S.C. § 1915A. This
statute directs that the Court shall dismiss a complaint or
any claim within a complaint which "(1) is frivolous,
malicious, or fails to state a claim upon which relief may be
granted; or (2) seeks monetary relief from a defendant who is
immune from such relief." Id. To satisfy the
notice-pleading standard of Rule 8 of the Federal Rules of
Civil Procedure, a complaint must provide a "short and
plain statement of the claim showing that the pleader is
entitled to relief, " which is sufficient to provide
the defendant with "fair notice" of the claim and
its basis. Erickson v. Pardus, 551 U.S. 89, 93
(2007) (per curiam) (citing Bell Atl. Corp. v.
Twombly, 550 U.S. 544, 555 (2007) and quoting
Fed.R.Civ.P. 8(a)(2)); see also Wade v. Hopper, 993
F.2d 1246, 1249 (7th Cir. 1993) (noting that the main purpose
of Rule 8 is rooted in fair notice: a complaint "must
be presented with intelligibility sufficient for a court or
opposing party to understand whether a valid claim is alleged
and if so what it is.") (quotation omitted)). The
complaint "must actually suggest that the plaintiff has
a right to relief, by providing allegations that raise a
right to relief above the speculative level." Windy
City Metal Fabricators & Supply, Inc. v. CIT Tech. Fin.
Servs., 536 F.3d 663, 668 (7th Cir. 2008) (quoting
Tamayo v. Blagojevich, 526 F.3d 1074, 1084 (7th Cir.
2008)). The Court construes pro se pleadings liberally, and
holds pro se pleadings to less stringent standards than
formal pleadings drafted by lawyers. Obriecht v.
Raemisch, 517 F.3d 489, 491 n.2 (7th Cir. 2008).
Plaintiff's Complaint
Chappell sets out three grounds for relief. First, he asserts
that his Eighth Amendment rights are being violated by
Wexford Medical Services, a contract provider of medical
services for the Indiana Department of Correction (IDOC), by
its failure to provide enough physicians to handle the
medical needs of over 2, 000 inmates. He also contends that
Wexford employs a nurse, Barbara Riggs, who interferes with
the inmates' access to medical care.
In his
second ground for relief, Mr. Chappell asserts that Dr.
Samuel Byrd failed to properly treat his serious pain,
choosing a less efficacious treatment rather than diagnosing
the cause of the pain.
third ground for relief asserts that Nurse Barbara Riggs
continually denied and delayed Mr. Chappell's access to
physicians and proper medical treatment.
Chappell's claim that Wexford fails to sufficiently staff
the medical providers at WVCF and hired and supervised Nurse
Riggs knowing she fails to provide adequate care shall
proceed as a claim that Wexford maintained a policy that
resulted in deliberate indifference to his serious medical
needs in violation of the Eighth Amendment. His deliberate
indifference to serious medical needs claims against Dr. Byrd
and Nurse Riggs shall also proceed. Although
named in the caption and identified in the complaint, Regina
Robinson is otherwise not mentioned. Because no claim is
asserted against Ms. Robinson, she is
dismissed from this action. "Where a
complaint alleges no specific act or conduct on the part of
the defendant and the complaint is silent as to the defendant
except for his name appearing in the caption, the complaint
is properly dismissed." Potter v. Clark, 497
F.2d 1206, 1207 (7th Cir. 1974). The clerk is
directed to update the docket to reflect Regina
Robinson's dismissal.
Opportunity to Show Cause
Court has identified the only viable claims and defendants
appearing in the complaint. Should Mr. Chappell believe the
Court has overlooked claims or defendants that appeared in
the complaint, he shall have through February 15,
2018, in which to identify those claims and
defendants and notify the Court.
Issuance and ...
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text:
"If you count God's blessings, you can never encompass them all.
Indeed, the human being is transgressing, unappreciative."
All good things that come our way, and that we often take for granted, come from God. This message is highly pronounced in the Quran. Consequently, one of the true channels of expressing our worship of our Creator is through the acts of "Appreciation" and "Gratitude" to God:
".....and be appreciative of God's blessings upon you if you truly worship Him." 16:114
The act of Appreciation and Gratitude is a threefold expression:
1- The realisation that all blessings come from God:
True believers are aware that all good things that happen to them in life surely come from God alone. This message is quite clear in the Quran.
"Any blessing you are given is from God." 16:53
Believers are also assured that no one other than God has any power to harm or benifit them, for nothing befalls them except what God has decreed:
"Say, "Nothing befalls us, save what GOD has decreed for us. He is our Lord and Master. In God the believers shall trust." 9:51
2- The expression of Appreciation and Gratitude:
The Quran stresses the importance of expressing Appreciation and Gratitude to God. This should be accompanied by a genuine content with ones fortunes. Those who are content with what they have are often the ones who find true happiness. It has been said that happiness is not having what you want, but wanting what you have. The following verse ascertains the importance of Appreciation, and its great reward :
"Your Lord has decreed : "The more you thank Me, the more I give you. But if you turn unappreciative, then My retribution is severe." 14:7
In the Quran we are told that God's blessings are so numerous that the human being can never count them all (see title verse).
Many of these God given blessings are taken for granted. Take for example our senses, to be able to hear and see, to be given a mind superior to all other creatures, and with which we are able to attain sovereignty on earth over all other creatures. All the wide variety of all types of foods and drink, the means to attain warmth and shelter .....etc ...etc .... How often do we thank God for such blessings?
"God has brought you out of your mother's stomachs knowing nothing, then He blessed you with your hearing, your eyesight and your brains, that you may be appreciative." 16:78
"It is God who designed the night so you can rest in it, and the day lighted. God bestows many blessings on people, but most people are not thankful." 40:61
3- Proclaiming God's blessings:
We are also encouraged in the Quran to constantly proclaim God's blessings. God is the most Gracious and as per the previous verses His blessings for us are too numerous to be counted. It is only fair that we should proclaim His blessings to those around us. By doing so we are expressing both our gratitude and our Worship of God.
"You shall proclaim the blessing your Lord has bestowed upon you." 93:11
"O people speak of God's blessing upon you. Is there any creator other than God who provides for you from the heaven and the earth? There is no God besides Him. How could you deviate?" 35:3
We are also enjoined in 18:39 to say "Ma Shaa Allah" (This is God's gift) in gratitude, proclamation of God's blessings and also to invoke God's protection for our beloved ones or possessions.