text:
Found 30 movies Civil War
Glory (1989)
Add date: 2018-01-29
Shaw was an officer in the Federal Army during the American Civil War who volunteered to lead the first company of black soldiers. Shaw was forced to deal with the prejudices of both the enemy (who had orders to kill commanding officers of blacks), and of his own fellow officers.
Availaible in:
Add date: 2018-01-26
Blondie (The Good) is a professional gunslinger who is out trying to earn a few dollars. Angel Eyes (The Bad) is a hit man who always commits to a task and sees it through, as long as he is paid to do so. And Tuco (The Ugly) is a wanted outlaw trying to take care of his own hide. Tuco and Blondie share a partnership together making money off Tuco's bounty, but when Blondie unties the partnership, Tuco tries to hunt down Blondie. When Blondie and Tuco come across a horse carriage loaded with dead bodies, they soon learn from the only survivor (Bill Carson) that he and a few other men have buried a stash of gold in a cemetery. Unfortunately Carson dies and Tuco only finds out the name of the cemetery, while Blondie finds out the name on the grave. Now the two must keep each other alive in order to find the gold. Angel Eyes (who had been looking for Bill Carson) discovers that Tuco and Blondie met with Carson and knows they know the location of the gold. All he needs is for the two to ...
Availaible in:
Bushwick (2017)
Add date: 2017-10-17
BUSHWICK tells the story of twenty-year- old Lucy (Snow) and war veteran Stupe (Bautista). Texas is trying to secede from the U.S., and NYC is being used as a negotiation tool. Lucy meets Stupe after coming up from the subway into the military invasion of Brooklyn. Together they decide to cross the treacherous five blocks of Bushwick - littered with looters, local militias, the invading forces, and one crazy cousin - in order to get home and be reunited with Lucy's grandmother.
Availaible in:
X-Men Origins: Wolverine (2009)
Add date: 2017-08-16
Two mutant brothers, Logan and Victor, born 200 years ago, suffer childhood trauma and have only each other to depend on. Basically, they're fighters and killers, living from war to war through U.S. history. In modern times, a U.S. colonel, Stryker, recruits them and other mutants as commandos. Logan quits and becomes a logger, falling in love with a local teacher. When Logan refuses to rejoin Stryker's crew, the colonel sends the murderous Victor. Logan now wants revenge.
Availaible in:
Fist Fight (2017)
Add date: 2017-06-09
Cold Mountain (2003)
Add date: 2017-01-31
This Civil War saga addresses romance, friendship, and the ravages of war--both in the field and on the home front. Captures the horrors of war for both those fighting it, and for those left behind. This is a tale of hope, longing, redemption, second chances, and faith.
Availaible in:
Free State of Jones (2016)
Add date: 2016-09-21
Set during the Civil War, Free State of Jones tells the story of defiant Southern farmer, Newt Knight, and his extraordinary armed rebellion against the Confederacy. Banding together with other small farmers and local slaves, Knight launched an uprising that led Jones County, Mississippi to secede from the Confederacy, creating a Free State of Jones. Knight continued his struggle into Reconstruction, distinguishing him as a compelling, if controversial, figure of defiance long beyond the War.
Availaible in:
Field of Lost Shoes (2014)
Add date: 2016-01-14
Based on a true story of the American Civil War, culminating at the Battle of New Market, May 1864. A group of teenage cadets sheltered from war at the Virginia Military Institute must confront the horrors of an adult world when they are called upon to defend the Shenandoah Valley. Leaving behind their youth, these cadets must decide what they are fighting for.
Availaible in:
Little Women (1995)
Add date: 2015-12-26
With their father away fighting in the Civil War, Jo, Meg, Beth and Amy grow up with their mother in somewhat reduced circumstances. They are a close family who inevitably have their squabbles and tragedies. But the bond holds even when, later, men friends start to become a part of the household.
Availaible in:
Beasts of No Nation (2015)
Add date: 2015-10-23
Follows the journey of a young boy, Agu, who is forced to join a group of soldiers in an unnamed West African country. While Agu fears his commander and many of the men around him, his fledgling childhood has been brutally shattered by the war raging through his country, and he is at first torn between conflicting revulsion and fascination Depicts the mechanics of war and does not shy away from explicit, visceral detail, and paints a complex, difficult picture of Agu as a child soldier.
Availaible in:
Free Movie Downloads
Didn't find what you want?
Pre-order it now and download the movie for free!

subset: commoncrawl


text:
This patch fixes the bug mentioned in T48250
Diff Detail
Diff Detail
Event Timeline
Comment Actions
Is this only with GCC? or does it effect Clang too? (http://stackoverflow.com/questions/4929255 references GCC specifically).
If this is the case, it should check the compiler is GCC: if(CMAKE_C_COMPILER_ID MATCHES "GNU")
Comment Actions
Clang shows the same warnings. I've seen these warnings on Mac since forever, nice to finally have a fix for them.
I'll go ahead and commit this, with tweaked comment and the code moved to the Apple specific section.


text:
I have a camellia with droopy green leaves and the buds have gone brown and haven't flowered. Could you please tell me what to treat it with? Also, I have a Swiss cheese plant with a bug on it which is stopping its growth, and the leaves are turning a very pale green.
Certified GKH Gardening Expert
It sounds like the camellia may have root rot. This article will help: https://www.gardeningknowhow.com/plant-problems/disease/treating-root-rot-gardening-tips-for-housplants.htm Treat the swiss cheese plant with neem oil. It is safe for people and pets and will treat both pests and fungus. Here is more information: https://www.gardeningknowhow.com/problems/pests/neem-oil-uses.htm
You must be logged into your account to answer a question.
If you don't have an account sign up for an account now.


text:
A rise in exports to Libya have driven an increase in the value of Egyptian exports in September 2012 on annual basis for the first time in six months.
According to the latest release from the Industry and Commerce on Monday said the increase in the value of construction materials from EGP2.8bn in September 2011 to EGP4.8bn in September 2012 drove the spike.
The total value of all Egyptian exports reached EGP11.7bn (US$1.9bn) in September 2012 versus EGP10.17bn in the same month last year.
An increase in construction materials to Libya, specifically impacted the hikes, said Ahmed El-Zeini, head of construction material division in Cairo's chamber of commerce.
"Libya started to import large quantities of Egyptian cement, taking advantage of the lower costs, since it is transported via trucks, unlike Turkey and other countries," Al Zeiny says. (Source: Ahram Online)


text:
Your cart is empty
Free Shipping on Orders over $100.00
Lune Resort
Iris Linen Black midi length linen dress featuring a low square neckline, adjustable spaghetti straps, wooden button up side detail, invisible zip enclosure with mid thigh side split.
100% Textured Luxury Linen
Please Note:
This is a general guide to sizing. The measurements provided are to give you a approximate idea of what size you will be against your own measurements.


text:
We are currently seeking a part time Latin teacher to teach our elementary students (grades K-5). The exact teaching load will be based on the final enrollment numbers at the school. In addition to the typical language / Latin teacher responsibilities of teaching the Florida Standards, we are looking for candidates who understand the concepts of a classical education, and will be a good fit at True North Classical Academy. Job Qualifications Bachelor's degree from a fully accredited college or university. Candidates must be familiar with and prescribe to the liberal arts / classical education model to be employed at True North Classical Academy. We are also offering a signing bonus of up to five thousand dollars for candidates with a strong classical education background.
How to Apply/Who to Contact
Please send a resume to firstname.lastname@example.com


text:
45-strong independent panel advising on High Speed 2 (HS2) criticised for being too 'London-centric' and lacking heritage expertise
Questions have also been raised about whether the eclectic mix of industry experts, who include Tate director Nicholas Serota and former AOC director Daisy Froud, will have any real influence on the design of the multibillion rail link.
Chaired by dRMM director Sadie Morgan, the panel features architects, landscape designers, sustainability specialists, business figures, academics, brand consultants, infrastructure experts and community engagement professionals (see full list here).
The panel, described as a 'pool' of talent which will be called on 'as required', includes architects Glenn Howells, Nathalie de Vries of MVRDV, Tom Holbrook of 5th Studio, Hiro Aso of Gensler and Beatrix Young of Farrells. However only nine of the 45 are based outside the capital.
Julie Laming of Bristol-based consultancy Planning Ventures said: '[The panel] is essentially a London-centric group. This makes very little sense. Surely with a government promoting the localism agenda and the Northern Powerhouse, this panel should incorporate the talent of many great professionals that work within the regions of HS2's route – those with local knowledge and an understanding of the rural and urban areas that the route will pass through.'
There is also concern at the lack of experts with conservation knowledge. Henry Russell, chair of The Heritage Alliance's Spatial Planning Advocacy Group said: 'We are concerned about the lack of representation of heritage specialists on the panel.
'Without this necessary expertise to call on, we are concerned how the panel will deliver good quality design in historic settings. It will be important that the panel has a positive relationship in the design process.'
Rab Bennetts of Bennetts Associates, who has worked on a number of Crossrail stations, questioned how much power the panel would have.
'Will the panel, which clearly has good intentions, have any teeth when it comes to design quality both within the HS2 camp and with the planning authorities who will have the final say?' he asked.
He added: 'It is also interesting to note how many prominent architects are not on the list.'
HS2 declined to respond to the criticisms. However speaking at the launch of the panel earlier this week, Morgan insisted the group would 'mentor and inspire HS2 to design a transformational railway system which will exceed all of our expectations'.
She added: 'The British creative and engineering industry is already delivering outstanding examples of design excellence around the world. HS2 is a huge opportunity to bring that brilliance home.'
The multibillion pound HS2 will be a Y-shaped rail network initially linking London and Birmingham (phase one) before joining up with Manchester and Leeds (phase two).
HS2's Independent Design Panel
Other comments
Mark Goldspink, chief executive, Purcell
'We're surprised and disappointed that such little consideration has been given regarding the heritage assets that will be affected by HS2, demonstrated by the design panel appointments.
'Given the unique nature of the environment, the number of heritage sites that are likely to be impacted by the plans, and the abundance of conservation expertise in the UK, the sector should be better represented.'
Christopher Costelloe, director, Victorian Society
'The omission of anyone directly representing a heritage body on HS2's large design panel is a concern. Important Grade I-listed sites like Birmingham's Victorian Curzon Street station should have members on the proposed 'site-specific design panels' fighting to ensure that any proposals recognise the importance of such historic buildings and seek to enhance them.'
Robert Bargery, director, Georgian Group
'Conservation of the natural and built world is something that anyone building a major infrastructure project through half of England needs to think about. They may as well think about it now rather than later at a public inquiry, which will cost a lot of money.'
'Clearly the route, particularly in London will need to be considered very carefully from a heritage point of view. There is a lot of anxiety about Nash's Park Village East in Camden, which isn't due for demolition but could be structurally affected by nearby works.'
Alan Dunlop of Alan Dunlop Architects
'The panel is London centric - I don't think anyone in Scotland or north of Watford would have expected anything else. At the recent AJ lunch in Glasgow,Laura Kidd, Head of Architecture at HS2 presented her teams proposals. The line from London to Birmingham was clearly and distinctively set out, phase two from Birmingham to Manchester was also clear but presented in a noticeably lighter tone with no date.
'The track running from Manchester to Glasgow and Edinburgh, supposedly phase 3 was a broken line, in 4B pencil. I doubt those present at the lunch believed phase 3 will happen, ever.'
Readers' comments (1)
Have your say
You must sign in to make a comment
Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions.
Links may be included in your comments but HTML is not permitted.


text:
From cleansing lower energy vibrations and crossing over spirits, to blessing, balancing and harmonizing your house, Kim does it all. Making a house, YOUR HOME is one of the most important things we can do. Our home is meant to be our sanctuary.
- Clear Old Negative Energy
- Learn to smudge and clear your home
- Learn about energy portals in your home
- Where are the energy lines in your home?
- Do Electromagnetics affect your home and the people living in it?
- Learn about Crystals, Salt and other Natural items to help align or balance the energies in your home.
- Balance the ions
- And any other questions you may have.
House Clearing or House Harmonization Session via Skype/Facebook Video
$200* / 2-3 hours
145€ / 2-3 hours
Book SKYPE/FACEBOOK House Clearing/Worldwide
Please make sure that you receive a confirmation email from the online booking system. If for some reason, you do not receive a confirmation email, please contact us by email at firstname.lastname@example.com to let us know and we will manually reserve your spot.


text:
Indian Postal Circle announces the job vacancies for the posting of MV Mechanic (Skilled Artisan) Job Posts by the year 2019. Interested and eligible candidates should apply Offline in official website. Also the link for apply and How to apply Read More →
Tag: mechanic shop
HQ Northern Command Jobs Recruitment for 71 Sub Area: 40 Civilian Motor Driver, Vehicle Mechanic & Other Post
The Indian Army jobs of Army Recruitment Rally Posts there is a job opening for 2019. The army rally location for the above jobs is in punjab. Interested and eligible peoples should apply Offline. The link for the details and Read More →


text:
Plagiari For sale Detached house of 370sq.m, in a plot of 3,300sqm, with panoramic sea and mountain views. It consists of a basement: Living room, separate kitchen, 1 bedroom and bathroom. GROUND FLOOR: Living room with fireplace, 1 bedroom and bathroom. 1st FLOOR: 3 bedrooms, bathroom, storage room and a 20sqm veranda enclosed as a living room overlooking Thessaloniki. It has oil heating, a tennis court and a swimming pool. . Loft: 50sqm, single room and small WC with oil heating. Close to transport. It was built in 1985. Price 300.000 € Property code: # 724450 cozy
Non dimenticate di seguirci su social media.


text:
technology and its role as a transformer of the future economy. We also offer prototypes, gadgets, projects and real-life applications that are already helping businesses grow.
SATISLOH Satis 1200 – highest performance and unbeatable lens cost, one of the most efficient, productive and cost-effective on the market. Designed for mass production of classic lenses.
The Perkin Elmer Clarus 500 With faster scan speeds, this mass spectrometer opens new and attractive opportunities in fast GC applications. Extremely narrow chromatographic peaks, which were previously unresolvable using full-scan quadrupole mass spectrometry.
HEINO ILSEMANN A robust and efficient machine design ensures flexible, reliable and economical automation of the packaging process. Horizontal product flow continues after filling, thereby allowing easy processing of different products.
KUKA ROBOT Panel production At Adinsol we carefully select your turnkey solar panel machine in accordance with the capacity and quality of all your chosen production line components.
Leybold Optics Syrus KTC Designed for large batches and mass and Rx production. Great cost/benefit ratio thanks to intelligent and modular design solutions.
Powered by themekiller.com anime4online.com animextoon.com apk4phone.com tengag.com moviekillers.com


text:
Many Soultenders Psychologists provide both Psychological testing and psychotherapy. Please contact our admin department to see if your benefits cover Psychological Testing and to find out our cash-pay rates.
Vanui Giltaji, PsyD
My approach is rooted in the belief that healing and positive change are possible in a nurturing therapeutic environment. I specialize in working with individuals to overcome depression, anxiety, and stress in an integrative and holistic manner. Utilizing a variety of techniques, I am able to create an individualized experience designed to tap into the unique internal resources of each client. I incorporate mindfulness and meditative practices into my work with families, couples, and individuals. My goal is to help clients achieve a life rich with joy and fulfillment.
After graduating from UC San Diego with a B.S. in Psychology, I completed a doctorate in Clinical Psychology at Alliant International University. I am a Licensed Psychologist with the Ca Board of Psychology (PSY26826). I am able to offer therapy and psychodiagnostic assessment services in English and Armenian to children and adults presenting with a wide range of issues. I am located at the Arcadia office.
Site Supervisor
Ray Hwang, PsyD
I completed my Bachelor's Degree in Biological Sciences at the University of Southern California, and a Master of Arts in Clinical Psychology at Antioch University Los Angeles. I graduated from Antioch University Santa Barbara with a Doctorate of Psychology Degree in Clinical Psychology with emphases on family systems and family forensics. I am a member of the American Psychological Association (APA) and a licensed psychologist (PSY 27910) with the California Board of Psychology.
I have a keen interest in facilitating my clients' understanding ofthe potential issues adversely affecting their mental health byexploring the dynamics involved in the interplay between theirinternal forces and factors in their external environments. My goal is to promote the well-being of my clients by encouraging and supporting their development of coping skills, perspective taking, confidence and competence, acknowledgment and acceptance of self, mindfulness, and insights as they engage fully and actively in the therapeutic endeavors. I have experience working with clients from a diverse ethnic, racial and cultural backgrounds. I have conducted individual, couples, family, and group sessions using a wide array of interventions from a range of therapeutic modalities to address issues related to adjustment, acculturation, anxiety, depression, life transitions, loss and grief, trauma, self-esteem, communication, intergenerational/parent-child/relational difficulties, and other behavioral or mental health problems.
I am a therapist with an integrative style and trained in a scholar-practitioner model in the field of clinical psychology. I am particularly sensitive and attuned to the multifaceted influences that shape, reinforce, or perpetuate the individuals' physical, psychological and emotional experiences. I feel treatments must be individually focused and take into account all relevant content and contextual aspects affecting the individuals in order to be most effective, even though manualized or standardized protocols may afford the clients well intended guidance and structure to address the targeted issues at hand. I strive to work with my clients to identify constructive meanings or narratives of their personal experiences. My goal is to provide support and nurturance on their paths for self discovery and healing, and to encourage their taking the important and pertinent steps to affect positive and sustained change and growth. This may include the transformation and transcendence, not only within the context or scope of their respective selves, but also in the extent of their interpersonal relationships as well.
Kaitlyn Kuo, PsyD
"Good relationships keep us happier and healthier." The conclusion of 75 year-long Harvard study has revealed the secret to living a happy life. I believe everyone, if given a warm, supportive, and secure space, can discover their inner-self and learn to appreciate who they genuinely are, which leads to improved relationships.
I am a licensed clinical psychologist in California and Taiwan with over 10 years of practice experience. I have helped diverse patient populations with a wide range of issues in a variety of settings, including a community mental health center, a college counseling center, a domestic violence women's shelter, a re-entry program, an outpatient opiate treatment clinic, skilled nursing homes, a youth correctional counseling program, and an elementary school district. My training and experience have allowed me to help clients with depression, anxiety, trauma, and relationship issues, among many others.
While I have enjoying treating patients in all of these areas, my specialties are working with Asian-American children, as well as pre-teens and teenagers, women, and families. Emphasizing compassion, I assist my clients with their acculturation, ethnic identify, self-identify, family relationships, and issues facing immigrant families, including cross-cultural adjustment. My approach to psychotherapy is both integrative and collaborative. I can provide therapy in English, Mandarin, and Taiwanese.
My overarching mission with each client is help them to obtain a deeper insight into their interpersonal behaviors, to heal wounded relationships, and to bring positive changes into their lives.
Kelvin Ore, PsyD
I am a clinical psychologist licensed with the Board of Psychology in California. I graduated with a Bachelor of Arts in Psychology from the University of California, Los Angeles, and received both my Master of Arts and Doctor of Psychology in Clinical Psychology from the California School of Professional Psychology at Alliant International University, Los Angeles. I have clinical experience providing individual, couples, collateral, family, and group psychotherapy to children, adolescents, adults, and seniors in private practice, inpatient and outpatient psychiatric hospital, elementary to high schools, and community mental health clinics. I have treated and worked with issues related to depression, anxiety, psychosis, substance use and dual diagnosis, grief and loss, trauma and abuse, adjustment and other life transitions, and various identity crises. I have also been an adjunct faculty member teaching master's level psychology courses and am currently in a management position in part providing administrative and clinical supervision to pre- and post-doctoral mental health professionals at a community mental health agency. I am a bilingual therapist fluent in spoken Chinese Cantonese and a limited understanding in spoken Chinese Mandarin. I am a culturally-competent clinician who enjoys working with clients from various cultural, ethnic, or religious backgrounds or sexual orientations.
My style and approach to therapy is a collaborative process to explore and enhance your strengths and areas of improvements, fulfill unmet needs, and overcome barriers to higher functioning in order to maximize your potential. We will work together to create short- and long- term treatment goals specific to your needs, recognize emotional and behavioral triggers, improve family and social relationships, and practice more appropriate and healthy coping, communication, anger management, social, problem-solving, and other skills to reduce symptoms. To understand you and help with your journey, I look at both the past and the present, and while my primary theoretical orientations are psychodynamic and cognitive-behavioral, I integrate therapeutic interventions from various theoretical approaches and evidence-based practices to individualize treatment.
I am currently based out of the new Claremont location, and I look forward to hearing from you. I can be reached at (909) 296-7328.
Cynthia Manguba, PsyD
Therapy can be an opportunity for individuals to grow, understand themselves better and find an overall balance in life. I believe that all individuals are resilient, capable of healing, and can overcome difficult periods in their lives. As a therapist, I provide my clients with a safe, nurturing environment while working to explore and guide them to gain insight, improve coping skills and establish healthy relationships.
I practice mostly from a psychodynamic, non-directive approach that can be tailored to meet my client's individual needs. Through a supportive and collaborative therapeutic relationship, I will work with my clients to help them through whatever struggles they may be facing and to make long-lasting, positive changes to become their best selves. I have extensive training and experience working with adults, adolescents, children as well as families who are dealing with depression and anxiety, life transitions, trauma, attachment issues, and loss and grief. I also have a special interest in multiculturalism and chronic illness.
Dr. Manguba is a licensed Clinical Psychologist with the California Board of Psychology (PSY26929). She completed her Bachelor of Arts degree at Chestnut Hill College in Pennsylvania, then went on to complete her Doctor of Psychology in Clinical Psychology degree at California School of Professional Psychology in Los Angeles, CA.
Armine Ovasapyan, PsyD
The purpose of therapy isn't to eliminate, but to transform.
Each part, impulse, behavior, symptoms within us have a story to tell and have the capacity to become something positive and helpful to a person's life.
For me, an integral role of any therapist is to guide a person to begin an inner dialogue – a conversation with the parts of self that are uncomfortable and unpleasant in thought and feeling. These include fragments of depression and anxiety; fragments left in limbo from traumatic experience(s) or attachment injury(s). Parts of self that we may not like or understand; that we struggle to keep at bay in our relationships and daily interactions. To give each part a voice is to gain appreciation for it. Only through gaining clarity about who we are – the makings of us – can we arrive onto a path of compassion and calmness for all those fragments that essentially make us whole.
We are all capable of healing; I believe that. As such, we will embark on a journey of building trust – both within and with each other – to navigate through this path toward healing, together. In a safe, calm space of acceptance, you can begin to explore self; to gain insight. You are the only expert of your life and I am here as your therapist, merely to be your soundboard.
With the above-mentioned school of thought, I have worked with individuals and families alike from all walks of life, from every age beginning with the birth-5 population all the way to adulthood. Heretofore, the pinnacle of my career , undoubtedly, has been witnessing tremendous emotional and psychological maturity in individuals, dedicated to the transformation of self.
I completed my undergraduate studies at the University of California, Los Angeles. Thereafter, I went on to receive my Doctorate in Psychology from California School of Professional Psychology in 2009. Since becoming a Licensed Clinical Psychologist I have been trained in a myriad of therapeutic models. Depression, anxiety, trauma, substance abuse, attachment issues, physical, emotional and other abuse and life transitions are on the top of my professional experiences. I offer sessions both in English and Armenian.
Jennifer Stinson, Ph.D.
For me, therapy is a balance of art and science. The science includes understanding research about mental health, human development, and how the brain works. The art is finding creative ways to make use of the research in the context of each new and different therapy experience. For example, as a therapist, I might ask myself, "How can I use my understanding of treatments for anxiety disorders to help this particular person in my office in a way that makes sense in their life right now?" The answer to that question lies in the therapeutic relationship. I take great care to learn about each client's unique experiences, feelings, beliefs, values and goals. My favorite thing about being a therapist is when the art and science come together in a way that is both illuminating and emotionally meaningful for the person I am working with. This is the process by which, I believe, positive change occurs.
After graduating from the University of Oregon, I earned my Ph.D. in Clinical Psychology in 2004 from the California School of Professional Psychology at Alliant University. Since then, I have provided therapy to children, adolescents and adults who have sought help for various issues, including anxiety, depression, family conflict, anger problems and recovering from trauma. I have also provided supervision to many therapists as they worked toward obtaining their licenses. I am licensed with the California Board of Psychology (PSY 20997) and am an active member of the San Gabriel Valley Psychological Association. Additionally, I have a background in working with adults with developmental disabilities, such as mental retardation and autism. I have conducted research, given presentations and co-authored several articles related to issues for women with disabilities.
Emily Dalton
Everyone needs to be seen and heard. Sometimes, therapy is just that–a place where we are seen and heard. Other times, therapy delves deeper into our lives, our past, and our emotions. Therapy can also be a place to obtain skills, tools, and resources. Therapy has many shapes and forms. Each client has specific needs and it is my job to work alongside my clients in order to help meet those needs. I provide a therapeutic relationship that works to support clients in the best way possible and build upon client strengths. Along with therapy, I am also trained in psychological testing. This can be an excellent enhancement to therapy by providing further insight into a client's challenges and strengths.
I am a licensed psychologist with training in multicultural and community psychology. I obtained my bachelor's degree in psychology from Scripps College and both my master's and doctoral degrees in clinical psychology from California School of Professional Psychology at Alliant International University. I have experience working with children, adolescents, parents and families in an intensive setting and have also worked with adult clients in various settings. I have experience treating anxiety, depression, ADHD, anger issues, personality disorders, crisis, and trauma. I have worked with many clients on behavioral difficulties, grief and loss, school difficulties, and parenting. I have research and treatment experience with gender diversity and have worked with many LGBTQ clients.
A good fit is important in therapy. Developing a safe and comfortable relationship with my clients is of utmost importance. I am here to help my clients be seen and heard and to become their best selves.
Phone:(626) 313-4334


text:
| 8.9°C Dublin
Some 191 Irish academics in third-level colleges are on fat-cat salaries in excess of €150,000, with three earning over €250,000, the Sunday Independent can reveal.
For the first time, the full extent of the hefty salaries across all third-level colleges has emerged.
According to official figures released by the Department of Education and obtained by this newspaper, in total 91 professors and lecturers are currently being paid between €150,000 and €200,000; a further 97 are being paid between €200,000 and €250,000 and three are being paid over €250,000.
Over 75 per cent of the €8.59bn education budget is absorbed by pay and pensions. This means that all other education services must be funded from the €2.14bn non-pay element of the budget.
The number of extravagant salaries is a major embarrassment to the Government, and shows the difficulty it faces in bringing "reality" to salary levels, as promised by Minister for Public Expenditure Brendan Howlin.
A large proportion of those earning the highest salaries are medical professors, who are also paid separately by the HSE, and can earn several hundreds of thousands of euro from their private practices.
The Department of Education has confirmed that all of the salaries quoted are "based on current contracts of employment".
All of those who are earning more than €200,000 are currently employed Ireland's seven universities. The figures were released to Limerick TD Patrick O'Donovan who supplied them to the Sunday Independent.
University College Cork, (UCC), has the highest number of highly paid academics. Some 46 earn over €150,000, with 34, including president Dr Michael Murphy (€232,151), earning between €200,000 and €250,000.
Ireland's leading university, Trinity College Dublin, has a total of 35 professors and lecturers being paid in excess of €150,000. Apart from newly appointed Provost Phil Prendergast's salary of €201,492, two of the three being paid in excess of €250,000 are based in TCD.
At Ireland's largest university, UCD, alongside president Hugh Brady, whose salary is €202,116, there are 31 academics earning in excess of €150,000. At €263,602, Prof Des Fitzgerald may be Ireland's highest-paid academic but he has actually seen his salary fall from €409,000 in the past year.
Head-hunted from the College of Surgeons, UCD says research income has more than tripled under Prof Fitzgerald's watch.
Critics say his salary level is inappropriate in a university facing severe budgetary cuts and one with debts of more than €12m.
Of the 17 academics in UCD in the €200,000 to €250,000 pay bracket, 14 are medical professors and three are non-medical staff. They are Dr Brady, biology professor Boris Kholodenko (€234,000) and vice president Eamon Drea (€202,000).
NUI Galway disputed the figures saying they were "grossed up" and were not reflective of the situation.
"NUI Galway only have three people who earn more than €200,000, the president (€202,117) and two medics (these salaries are composed of two elements partly from the university and partly from the HSE, in respect of their work as doctors outside of the university) and four who earn more than €150,000," a spokeswoman said.
In response to the figures, a spokeswoman for Mr Howlin said: "Some 89 personnel listed as having salaries in excess of €200,000 are academic medical consultants. Academic consultants represent about 3.5 per cent of the approximately 2,500 medical consultants employed in the Health Service.
"Since January, all new appointees to medical consultant posts are subject to a 10 per cent reduction.
She added that Health Minister James Reilly was currently engaged in a process to reduce the salaries of medical professors.
Sunday Independent


text:
Price range
Bath preference
Furnish preference
Best Match
Rent: low to high
Rent: high to low
Distance: closest
Distance: furthest
Date: latest
Date: oldest
No results
Misha thinks to get more results, you can try adjusting your search criteria.
Found top 153 rooms for rent in porter, tx
Roomdock is the best source to find cheap rooms for rent in porter area. Beautiful scenery and great city amenities in porter make it appealing for roommates looking for rooms to rent in porter. Our concierge services in porter will make you feel right at home.
Best Rooms for rent in nearby cities


text:
Social Etiquette that talks about casual business
Enterprise informal apparel could be applicable to place on at some profession festivals and job gala's – apparel should be specified on the net site or other promotional supplies for every sincere. You are able to be further inventive together with your gear when dressing in business casual, but never be excessive; your 15 bracelets really should not clank collectively each time you move your arms, as an example. Jeans, sweatpants and shorts, nevertheless, ought to not
be worn inside the legislation workplace.
Stay away from sporting polo shirts to an interview, even when they're acceptable for the job in query. Listed below are strategies for each men and women for what to put on to perform and job interviews when there is no gown code in any respect. Find o
ut on for pointers that may help outline acceptable enterprise informal apparel for men and females, in addition to fundamental guidance on what to wear, and what to not put on, within the office and through job interviews.
Your casual Friday outfit ought to still be formal enough that you could comfortably visit a surprise meeting together with your boss or custome
r. See what distinctive folks within your workplace are wearing to obtain a clearer idea of what is acceptable. Throughout job interviews, all the time go for the a lot more formal model of business casual.
Throughout a job interview, you need to make a great impression, and also a a part of that is dressing professionally Listed beneath are outfits you shouldn't wear to a job interview , whatever the costume code. Law firms, even "white-shoe" providers, have modified dress codes to replicate the instances.
If your organization is further business" than informal", tailor-made pants along with a sport coat or perhaps a sweater is proper That is not as formal as a suit, but dressier than khakis. When the dress code is business casual, it really is not applicable to place on your favor
ed outdated t-shirt, ripped denims, ratty sneakers, or flip-flops.


text:
Jeremy's Review: Tom O'Brien's 'Manhattan Romance' Is Fun But Hits Familiar Notes
It's no surprise that Tom O'Brien's Manhattan Romance feels like a Woody Allen film. Most of Allen's most successful romantic comedies take place in Manhattan and have a tremendous amount of dialogue so in this sense, Manhattan Romance emulates Allen. The circumstances befalling his protagonist, Danny (played by O'Brien himself), and the absence of the signature Allen comedic touches distinguish Read More →


text:
Vulnerability Assessment & Network Security Forums
If through a vulnerability assessment, a network security issue is detected for the vulnerability below, applying the appropriate security patches in a timely matter is very important. If you have detected that your system has already been compromised, following CERT's Network Security recovery document will assist with recommended steps for system recovery.
Home >> Browse Vulnerability Assessment Database >> CGI abuses >> Horde Default Admin Password Vulnerability
Vulnerability Assessment Details
Horde Default Admin Password Vulnerability
Checks for default admin password vulnerability in Horde
Detailed Explanation for this Vulnerability Assessment
Summary :
The remote web server contains a PHP application that uses a default
administrative password.
Description :
The remote installation of horde uses an administrative account with
no password. A possible hacker can leverage this issue to gain full control
over the affected application and to run arbitrary shell, PHP, and SQL
commands using the supplied admin utilities.
Note that while the advisory is from Debian, the flaw is not specific
to that distribution - any installation of Horde that has not been
completely configured is vulnerable.
See also :
Solution :
Either remove Horde or complete its configuration by configuring
an authentication backend.
Network Security Threat Level:
Critical / CVSS Base Score : 10.0
Networks Security ID: 15337
Vulnerability Assessment Copyright: This script is Copyright (C) 2005 Tenable Network Security
Cables, Connectors
No Discussions have been posted on this vulnerability.


text:
can you take excedrin with percocet
All You Can Eat
can you take excedrin with percocet
Excedrin Migraine - What can happen if.
Excedrin Migraine - What can happen if you take more than 2 pills in less than 24 hours? Posted: 7 Apr 2012 by muzikluvr10 Topics: migraine, generic
The way that I have learned is by doing a Cold Water Extraction. Percocet is most commonly prescribed with 5 mg of oxycodone and 325 mg of acetaminophen. Oxycodone is
Niedrige Preise, Riesen-Auswahl und kostenlose Lieferung ab nur € 20
can you take excedrin with percocetCan You - Amazon.de
How can you take the acetaminophen out of.
03.02.2008 � Best Answer: it depends on what type of Percocet you're taking. There are a few different varieties of it, all with varying amounts of narcotics and
Excedrin Migraine - What can happen if. Catch Me If You Can Can You - Amazon.de
I just had some bones fused in my foot. (Subtalor Arthrodesis). And I checked with my Doctor and my pharmacy which I urge you to do also, for total peace of mind. Yes
Can you take ibuprofen with percocet.
13.08.2010 � Best Answer: Yes unless you intend to drive. This is a question for your doctor. They are both for pain. Percocet for severe pain and tramadol for mild
Excedrin Migraine - What can happen if. .


text:
Olive Chalk Paint®
$10.99 – $37.99
This traditional green is found in fine classically painted and lacquered furniture, as well as rustic country pieces. Olive, a true deep olive green, an army green with depth. Lots of possibilities with this color, deepen it more with Dark Wax for a richness.
REMEMBER! When you buy Chalk Paint® from us, we offer SAME DAY DISPATCH, and Flat Rate Shipping. Ships Shipping Monday – Friday. Click here for shipping rates. Only within the 48 Contiguous United States.
Product Description
Buy Olive Chalk Paint®
Find a stockist near you.
Additional information
|Product Size
120ml, Liter


text:
Montréal, January 15, 2016 – It was with profound sadness that the whole team at the CHU Sainte-Justine Foundation learned of the passing of René Angélil.
"René Angélil was a great supporter of the children of Sainte-Justine," says Maud Cohen, President and Chief Executive Officer of the CHU Sainte-Justine Foundation. "He and Céline Dion were very involved with the hospital, particularly since children they know had received care here. They have always responded to the call, and they have always been available—even more than we could have expected."
René Angélil and Céline Dion played a great part in the success of the Growing Up Healthy campaign (2002–2005), which raised over $125 million in four years. They were very attached to this cause, and their generosity knew no bounds. During the campaign, they were named honorary lifetime patrons of Sainte-Justine.
Be it through visits to the children and families in the hospital, or through benefit events for the Foundation, René Angélil and Céline Dion were always there for Sainte-Justine. They had great confidence in the institution and were always fully devoted to the cause.
"René and I are convinced that the CHU Sainte-Justine has the capacity to provide the brightest possible future for children and mothers in Quebec," Céline Dion said on behalf of her and her husband, at the press conference launching the Healing More Better campaign in 2012." Our hope is to inspire Quebecers' tremendous generosity. And then we will continue to do everything in our power to help the CHU Sainte-Justine heal more and more children."
The CHU Sainte-Justine Foundation pays tribute to René Angélil and to his tremendous legacy to Quebec society, at the artistic, economic and charitable levels, and especially through his unfailing commitment to our institution, and his love and support for the children. Mr. Angélil, thank you!


text:
Streaming and Sharing our resources online?Yes, you can!
We designed these prayer stations to be part of Night 3 at Presence, Spring Harvest. The evening theme was 'Jesus was courageous, so we can be courageous'. We wanted to base each station on passages where people encounter Jesus, and their different experiences of courage, fear and faith.
Please sign in to add your comments - ask questions, disgaree, add your own perspective...
Third Sunday after the Epiphany (Year A)
Proper 11, Ordinary/Lectionary 16 (Year C)
Proper 13, Ordinary/Lectionary 18 (Year A)
Proper 14, Ordinary/Lectionary 19 (Year A)
Print-outs of the posters (download above)
Thanks for downloading this free resource.
Thank you for downloading one of our resources!
To show your appreciation and keep the bulk of our output free, could you give a one-off or regular gift through our Support page?
engageworship is a ministry of the Music and Worship Foundation, a registered charity, and taxpayers can gift-aid their donations.


text:
Chico State baseball wins on wild pitch in first CCAA tournament game
Austin Schreiber
May 11, 2018
The Chico State baseball team emerged victorious with a 4-3 walk-off win in the first round of the California Collegiate Athletic Association tournament against Cal Poly Pomona. With the score tied at three heading into the bottom of the ninth, the Wildcats were able to get the leadoff man on base. C...
Seniors finish strong as Wildcats baseball takes 3 of 4 from Toros
Austin Schreiber
April 23, 2018
After dropping the opener by a score of 5-6, the Chico State baseball team was able to get its series win against Cal State Dominguez Hills after winning three games in a row by scores of 13-0, 7-0, and 13-7 Saturday and Sunday. Starting pitcher Hilario Tovar got things rolling for the Wildcats in...
Wildcat of the Week: Senior Baseball Edition #1
Austin Schreiber
April 11, 2018
The Chico State baseball team brings in some of the top players from the state of California and these past four years were no different. This year's senior class has a mix of players who came to Chico straight from high school, transfers who came for two years, as well as a transfer who came...
Stellar relief pitching leads Chico State baseball past San Francisco State
Austin Schreiber
March 5, 2018
After rainouts on Friday and Saturday, the Chico State baseball team came out playing strong Sunday, winning both games of the double header against San Francisco State by scores of 5-3 and 3-2.Both games were highlighted by strong pitching performances, particularly from the bullpen.In game one, pitcher Case...
Wildcats offense shows up as power surge leads Wildcats past Seawolves
Austin Schreiber
February 25, 2018
The Chico State baseball team that had been struggling to hit for power brought their bats to Sonoma State, breaking out with three home runs in four games over the weekend. The Wildcats took three of four games from the Seawolves, winning 5-1 on Friday, 8-3 on Saturday, and 9-3 on Sunday. They are now 8...
Casey Costello continues to dominate on the mound
Austin Schreiber
February 16, 2018
Senior pitcher Casey Costello came out on top in a pitchers duel Friday as the Wildcats defeated Stanislaus State 1-0. Costello was able to keep the Warriors quiet for seven innings, limiting them to just three hits while striking out four.Costello is now 2-0 on the season, after setting the Chico State...
Making it to first in the nation
Patrick Pace
April 5, 2017
The Chico State men's baseball team is number one in the country for Division II. With a mix of savvy veterans and key newcomers, the Wildcats are a tough team to beat. The team is currently 27-5 and has only lost one game since Feb. 24. They used their stellar offense as well as a deep pitching...
'Cats win against the Toros
Marc Wilson
March 28, 2017
The Chico State Baseball team bounced back from its first and only loss of conference play in the last game with two big wins against Cal State Dominguez Hills. After winning the first game scoring 17-4, the Wildcats followed with a 7-2 win in the second game of the doubleheader. Top of the order batters and fellow outfielder...


text:
Hi, Guys!
America's Independence Day, the 4th of July, is one of my favorite holidays. Yesterday, our family celebrated in the standard variety of ways. Dragonfly's family sponsored a Church picnic breakfast and invited me to speak on "What Liberty Means to Me." The Carlsons (pere) and Carlsons (fils) joined the Leesburg Gang for a late afternoon barbeque and birthday party for America, then most went to the fireworks in the local park. The Honeybee's family had all the kids together for shaving cream fights, fireworks, Wii contests, made to order lunches and a barbeque dinner with more fireworks and a slide show of the day's activities. The Digital Architect and his family were in San Diego, celebrating with the family of Mindelicious. They will join us next week.
So where was President Obama? He had time for a brief appearance in his yard and a helicopter flight (!) to distant Fort McNair (maybe 4 miles away) to be seen with the troops.
Other than that, no statement, no rousing holiday speeches, no parades. I suspect he must have been working hard on getting the teleprompter right for his next set of speeches during this week's extension of the "Apologize for America Tour"which will take him to Russia, Italy and Ghana. You can be sure that there will be lots to apologize for in each place.
While he's gone, the local paper will keep up the Obama drumbeat. My favorite fish wrap, the Washington Compost (rapidly becoming the Washington Ghost) viscerally hates Independence Day. Our nation's birthday involves celebrating those things which the liberal press finds abhorrent - independence, liberty, patriotism, celebration of our fallen heroes, recollection of our glorious history as the world leader in support of freedom.
Here are some excerpts from the Compost's front page article this AM. The full article is available at Washington Post.com (WARNING -HAVE A BARF BAG HANDY):
"Washingtonians gathered yesterday to celebrate Independence Day in a country transformed by recession, war and a shift in political winds, events that have affected their outlook on the nation's fate and their own..."
"Until yesterday, Helen Ingallis had never wanted to wave an American flag.
She felt that the country was too aggressive in its foreign policy, that its leaders were irrational and self serving. This year, adorned in patriotic red, white and blue, the District native...paraded flag in hand. 'I feel like there is finally hope..."
"Surviving Marines also gathered, about 80 of them, some still close shaven, others wearing their hair long. They remembered their fallen, 21 young men, 17 of whom were killed in the 2004 battle for Fallujah, Iraq... Karen Cox started by pointing out that the hotel staff had provided a box of tissues for each row of chairs in the room. 'It's okay to let the tears fall -
don't fight it too hard...."
" Vera Nathan and her (same sex) partner, Sheneva Willingham, sat in the park, drinking Schlitz High Gravity Lagers, sharing cigarettes and taking in their new neighborhood...On the table was the couple's wallet, along with a picture of the president and the first lady on election night... Neither Nathan nor Willingham has a job. Recession has made their hard lives harder. 'I've had to fight for everything, Nathan said. Just got me a place
and I'm still scrambling to get to eat.' "
In my view, this Administration and its sycophant liberal press hate Independence Day -
after all, they are rapidly trying to make Americans more dependent. More dependent on
international approval, more dependent on foreign oil, more dependent on junk science climate change policies and - most of all - more dependent on the government for everything from banking to automobile manufacture to healthcare to temperature control in our homes, and on and on... And this sudden dependence on the government to run every aspect of our lives must happen immediately! Don't read the warning labels on any of these bills...
Now I understand what Candidate Teleprompter meant when he said as he accepted his party's nomination on June 3rd of last year:
"This was the moment – this was the time – when we came together to remake this great nation so that it may always reflect our very best selves, and our highest ideals."
Whose very best selves? Whose highest ideals? Not mine, that's for sure.
"Extreme Makeover", indeed. I want the TV rights.
Fortifying the high ground, I remain sincerely yours...


text:
The meet this year moved to Meredith Middle School in northwest Des Moines. It's definitely a better venue than we've had lately, with plenty of room for vendors, the silent auction, etc. I checked out a presentation on meat packing by one of my former high school students, Doug Harding. Doug will do this presentation again at the RITS national meet in Cedar Falls this year. I also got a few shots at the model contest, a boxcab motor, CB&Q 317, Belt RR 605 and a speeder shed. There were quite a few entries, and some very fine model work.
In the school's gym, the vendors were set up for the "swap meet". Des Moines' NTrak club had a modular layout going. A few more of these would give the meet greater appeal to the general public, but it still seemed to be very well attended this year. The N scale layout included a module by Drew Cannon with some "proof of concept" temporary structures.
I set up on the north side of the BNSF line at the Tralee St. crossing. It was early enough that the sun was just getting down into the valley where the tiny community lies, and the light was still on the north side of the rails. At 6:20 the first of the two coal loads arrived. I'd heard the Russell detector count this one at 480 axles. Leading the distributed power set of UCEX hoppers was BN 9792. They rolled off into the fog approaching the CTC at Halpin and were followed by BNSF 5656 on the rear.
The second train was only a few minutes behind, the detector announced them at 6:25, with 542 axles - a fairly long load. I'd read on an Iowa rail list that there were some longer coal loads being run now. There've also been some incidents of "buckled" cars, but I don't know if that's related. The train came through Melrose at 6:35, with BNSF 5840 and 9872 on the point and BN 9811 behind. The 131 car consist, mixed BN/BNSF hoppers, was slowing for an approach signal as it came through town.
I left Melrose and headed on east to Albia on Hwy. 34. At 6:55 I heard the detector east of Maxon report a westbound 514 axle train. I decided hurry through town and try to catch this one at the west end of the yard on Main 1. As it turned out, I needn't have rushed. This train, the GALLIN, had stopped out at old Maxon and cut off some power in order to come into town, pick up the helper units parked there, and drop off a unit headed to Des Moines for a grain train.
The GALLIN crew left their lead unit east of town (I believe) and came in with a pair of GE's and an ex-SP tunnel motor. They picked up the helpers, BNSF 8244 and 8901, (and initially the plow, which was quickly returned) and jockeyed the NREX 9328 into position on the run-around track. While the switching was going on, I had a nice visit with the conductor, John Campbell. They then took their original two units, BNSF 4778 and 4459, and followed the helpers back east to get their train.
By the scanner, I knew that one eastbound, BNSF 9903, had come up the hill while all this was going on, and I also heard the DMOWQM report itself out of Des Moines at 8:25. Westbounds were starting to line up east of Maxon behind the GALLIN, so I decided to head out to old Maxon to wait on traffic. I called "Julie" and learned that the California Zephyr was expected in Ottumwa just before 1:00.
It took the GALLIN, a "7500 foot train", quite a while to pump the brake line back up, but they finally were moving again around 9:00. Shortly, one of the waiting westbounds rolled by, MPWX hoppers with BNSF 9964 and 9545. I knew from the radio that a load was working its way up the hill and this train, BN tub gondolas with BNSF 9941 leading and a new GE unit, BNSF 5774 in the rear, came by at 9:15.
The MPWX train had stopped to pick up fuel oil tank cars and was on the move again about 10:15. At 10:25 the next empty arrived, CEFX tubs with BNSF 8868 in front and BNSF 9858 on the rear end. This train had registered 528 axles on the detector. The Main 1 detector came on again with 528 axles and, fifteen minutes behind the CEFX empty, I had another with BNSF 8894 and BN 9662.
At this point, I was aware from the scanner that I had trains coming very soon from both directions, so it was time to play the "Which side?" game. I decided that the load coming up the hill was going to beat the empty by a minute or two, so I went to the north side of the rails in hope of catching both of them, even though the light might not be the best. The load did indeed win, arriving at 10:50 with BNSF 9963 and 9408, and COLX tub gondolas. Next was the westbound, the camera clock shows two minutes between head end shots, a distributed power train with BNSF 9666 leading, BN cars, and BNSF 9649 behind.
The COLX load ran into some signal trouble east of Maxon and caused the detector to complain, "train too slow". At 11:12 the next eastbound, the DENGAL, came up the hill with BNSF 4362, 4734 and 8637. They stopped for a minute, but managed to keep moving on approach signals. I was getting concerned about what dispatcher KRS was going to do with the Zephyr, since I knew there was another eastbound coming up the hill behind the DENGAL. I didn't want to get caught on the south side of the mains with the CZ coming around traffic on Main 1, so I decided to drive back to the first grade crossing west of Maxon.
Bad move - the head end of the next train beat me to the crossing, and it turned out to be a piggyback train, an uncommon sight along here. Another "buff", at the Des Moines meet (above), had told me about seeing one of these in Creston a while back. I had to settle for a couple of windshield shots - BNSF 6370 and 7339 led the short (292 axle) all-pig train. They stopped and waited for a signal at Maxon, but soon were on the move. Kevin had decided that everyone would line up at the ICE crossover for the passenger train today.
The Zephyr came up the hill on Main 2 at 12:17. AMTK 134 and 91 pulled a short consist with no freight on the rear. Engineer Ogundipe read their warrant to the conductor (apparently copied from the dispatcher earlier) at Maxon and they were on their way to Ottumwa after crossing over to Main 1.
I got some lunch and returned to Maxon in time to catch the Des Moines train, who estimated their Burlington arrival for 3:00. This manifest was led by BNSF 579, 924 and 4223. The detector counted 326 axles on the DMOWQM today.
I waited around for about an hour with no traffic and then started back to the west. I missed an eastbound, BNSF 8922, that I heard changing warrants as I was leaving town, but managed to catch one load in Melrose and a couple in Chariton on the way home. The first, at 2:30 in Melrose, was a CEFX train with BNSF 9904 and 8883. In Chariton at 3:15 I heard "We're on top, bring 'em on" and at the west end of the Chariton yard around 3:20, intercepted BNSF 9883 with a set of PNJX "NRG" cars and low-emissions BNSF 5953 on the rear. The last train of the day came through the same spot at 3:35, BNSF 5813 with a mix of older hoppers, including some black BN ones. The rear end of the consist was handled by BNSF 8839.
That's It!


text:
A Turn of Events
April 30, 2017
About eight months ago I found my life changing forever(and I'm not exaggerating ha-ha). I was accepted into a teaching program overseas, packed my future into two suitcases, a backpack, and a briefcase, and moved to South Korea. I wasn't sure if I had made the right decision, but once my dad pulled out of … More A Turn of Events


text:
Areas of Practice:
Real Estate and Wills.
Ms. Samadhi Gajaweera is an expert in the conveyancing and real estate sectors of the country. She has extensive experience in advising clients on a range of transactions such as domestic land transfers and all other types of deeds and notarially executed documents, including deeds of gift, declarations, rectifications, agreements, leases, licenses, mortgages, caveats, wills and is also in charge of handling all land related matters in due diligence work undertaken by the Firm.
With over 20 years of experience in the conveyancing and estate sector, she has fostered strong relationships with all related government institutions across the country, including amongst others; the Urban Development Authority, registry institutions and provincial councils. As such, she has been able to significantly enhance the efficiency of the Firm in dealing with conveyancing disputes and clearances, which has developed the Firm to its position as a Tier 1 entity in the Conveyancing and Real Estate segment.
With a strong reputation based on ethics and efficiency, her expertise has been sought on many large-scale commercial, residential and agricultural property development projects within the country and she continues to act for several large property developers by clearing title and negotiating for and on behalf of her clients. Her client base consists of local and foreign banks, corporations, private companies and non-governmental organizations spanning a multitude of sectors which include hospitality, healthcare, media, retail, manufacturing and exports.
Ms. Gajaweera was admitted to the Bar as an Attorney at Law in 1998 having completed her professional education at the Sri Lanka Law College. She joined the Conveyancing and Real Estate Department of Nithya Partners in 2001 and subsequently was made the Partner heading the Conveyancing and Real Estate Department in 2008.Back to Partners


text:
|The impact of peer relations on academic progress in junior high
|Tipo de publicación
|Journal Article
|Año de publicación
|Lubbers, MJ
|Autores secundarios
|Van Der Werf, MPC
|Tertiary Authors
|Kuyper, H
|Subsidiary Authors
|Offringa, GJ
|Journal of Early Adolescence
|4- 35
|Palabras clave
|Peer relations; Peer acceptance; Secondary school; Classroom; Academic progress
The purpose of this study is to examine whether peer relations within classrooms were related to students' academic progress, and if so, whether this can be explained by students' relatedness and engagement, in line with Connell and Wellborn's self-system model. We analyzed data of 18,735 students in 796 school classes in Dutch junior high schools, using multilevel analysis. Academic progress, conceptualized as regular promotion to the next year versus grade retention, moving upward, and moving downward in the track system, was measured at the time of transition between Grades 1 and 2 (equivalent to US Grades 7 and 8). The results indicated that students who were accepted by their peers had lower probabilities to retain a grade or to move downward in the track system. Although peer acceptance was associated with relatedness and engagement, these variables did not explain why peer acceptance was associated to academic progress. Furthermore, peer acceptance and relatedness were more strongly related in classes with more negative class climates.


text:
Lilah Linen Headboard King (Grey) - FREE SHIPPING
Regular price $499.00
or make 4 interest-free payments of $124.75 AUD fortnightly with More info
Contemporary design headboard upholstered in premium linen fabric with stunning tuft detail and richly padded with high density foam. Designed to be free standing with anti-scratch metal legs, this headboard is both elegant and sturdy and will transform any bedroom.
* Premium linen fabric
Package Contents
* Premium linen fabric
* Padded with high density foam
* Tufted headboard
* Breathable non-woven fabric
* Sturdy framework
* Anti-scratch metal legs
* Free standing
* Colour: Dark Grey
* Size: King
* Overall dimensions: 190 x 120.5 x 9cm
Package Contents
1 x Bed Headboard


text: HEAR OUR INTERVIEW: MT. HELIX ACTIVISTS WHO LED SUCCESSFUL EFFORT TO STOP A PAROLE OFFICE FROM OPENING IN COMMUNITY parole office La MesaBrian JonesMt. HelixLa MesaDaniel BoethinStephanie BoethinSenator Brian JonesEast County Magazine Live! Radio ShowListen to PodcastsNewsCommunitiesLa Mesa/Mt. Helix By Miriam Raftery The Boethin family with State Senator Brian Jones February 3, 2019 (Mt. Helix) – When Daniel and Stephanie Boethin learned that the state planned to open a parole office near their Mt. Helix home in La Mesa, they took action As government contractors, they knew how to get the attention of bureaucrats and public officials. In just a few short weeks, they organized their community to successfully halt the parole office near homes, schools and businesses in their neighborhood. We interviewed the Boethins on our East County Magazine Radio Show, originally aired on KNSJ 89.1 FM Radio. The Boethins offered advice for people in other communities on how to successfully organize to stand up against projects with negative impacts on neighborhoods. Audio: Interview with Daniel and Stephanie BoethinDownload: Interview with Daniel and Stephanie Boethin Read more about HEAR OUR INTERVIEW: MT. HELIX ACTIVISTS WHO LED SUCCESSFUL EFFORT TO STOP A PAROLE OFFICE FROM OPENING IN COMMUNITYLog in or register to post comments


text:
Dear Snackbar people, I can't figure out why in the height of summer, you can't hire at least one other person to run the snack shack. You see that line stretching out down near the beach? We're all hungry. We want ice cream. We want chips. A hotdog! It's like this every day and it is already August. Don't you think you'd learn by now that you need one more person in the snack shack?
Dear Friends, Please stop trying to set me up with single men you know. Just because they are single and I am single, doesn't mean we are right for each other. You know that guy you mentioned to me today? You described him and he sounds interesting and all but I can't get past the fact that he has a ponytail. Um. Yeah. No. Would it be controlling if say, I did meet him, like him enough, started dating him and then asked him to cut the thing off? Probably.
Dear Apple help desk people, I paid three hundred and something to have free full reign of help desk help. When I called for help with my email set up because my mac address was sending but not receiving, you weren't able to help me and sent me to online help. When I went to online help, the wait was 30 minutes. For my first time on a help system that is costing me over three hundred dollars, you suck. (but I still love my Mac!) My problem is still unresolved because I didn't have 30 minutes to wait online. Maybe in the Fall.
Dear Dateman, I had a good time and appreciate that you don't call me all the time and don't push me into another date. Because of that, I want to see you again so I can laugh as hard as I did before.
Dear Ohio, I think about you every day. I have had to try to separate from what I felt for you and see the reality. And then I go back to feeling the same thing and know there is nothing I can do and just leave it there and move on with my day. Right now is really hard for you, I'll bet, and that inside you are trying to be still and silent and breathing and perhaps you can hear it in your chest. I hope there is something that helps you or someone you are comfortable enough with to reach out to that will help or add some comfort. Know I am thinking about you every day and hear you in music, more than you know.
Dear Chef, I have no room and can't think of talking to you because it will draw me back in to a place I don't want to be. You were one of the greatest loves of my life and I adored you and wanted you. I learned the greatest things in being with you and find now, I am learning even more by not being with you. You didn't love me, and I fell out of love with you in the end because of that. I can't talk to you now.
Dear neighbors, Would you please stop letting your friends park in my parking spot? Give them yours. When I come home from the beach at the end of the day, I would like to park my car in the place that I pay for.
Dear Peet's Coffee, I need you to go back on sale at the market this week so I can stock up again. Otherwise, I'll have to go with a bag of Starbucks.


text:
SEA LIFE San Antonio offers an interactive, hands-on visit for school field trips! In addition to our amazing sea creatures, we provide educational talks, feeding demonstrations and the opportunity to touch sea anemones, sea stars and more at the Rockpool Experience! Plus, add a workshop on to your field trip for the extra educational component!
Special School Group Rates available for 10+ students.
E-mail firstname.lastname@example.com for more information. School Group Bookings will be available soon!
Student Pricing School Price Free Teacher/Chaperone Tickets
Workshop + Admission $12.00 1 per 5 students
Admission Only $9.00 1 per 5 students
Additional Chaperones $9.00 1 per 5 students
School group visits will be available to book beginning Spring 2020.
Please note: School field trip bookings must be paid in full at least 2 weeks prior to visit date. Tickets are non-refundable, non-transferable and we are unable to provide complimentary tickets for individuals who do not attend the field trip.
Through engaging storytelling and visual props, these young children will enjoy learning about our key creatures and favorite facts.
Children learn about the world through their 5 senses. This workshop explores which sea creatures are best at each of the senses and how these senses aid them in their environment.
Through whole group and small groups, the learner will identify four different cephalopods and identify adaptions that help cephalopods to eat, hunt, and protect themselves.
Through whole group instruction and small groups, the learner will identify simple shark anatomy, what kind of teeth they have and why, identify adaptions that help them to survive, and identify ways to help shark conservation.
Students will become aware of marine careers (specifically an aquarist career) and all of the required duties to thrive within the field. They also will get to see photos of what it's like to be an Aquarist here at SEA LIFE.
Policies & Procedures
Please note: This form does not book your field trip. The SEA LIFE San Antonio Groups team will reach out within 3 business days to discuss your inquiry. Prices listed will be updated shortly, sorry for the inconvenience. Prices listed under the "Pricing" tab are accurate.


text:
'Wonderful' plans ahead for pier's 150th anniversary as archives to be revealed
PUBLISHED: 07:00 14 February 2019
(c) copyright newzulu.com
A grade-I listed pier will display its archives for the first time to mark a landmark date.
A pier-branded beer, a new stage and awning and a bid for £25,000-worth of lighting will also mark the landmark anniversary.
Clevedon Pier, in The Beach, will celebrate 150 years since it opened with a special weekend of entertainment on May 27 bank holiday.
The celebration will also mark 30 years since its reopening in 1989 after a bad storm damaged the pier.
It will also see the pier's artefacts put on display to the public for the first time.
Storm approaching Clevedon Sea Front on 29/01/2014 and the pier
There will be an exhibition showing the pier through the ages to give visitors the opportunity to reflect on their own memories of the town's landmark.
Phil Curme, chairman of the Clevedon Pier and Heritage Trust which runs the pier, said: "We have always had a wonderful collection of documents and artefacts and to be honest they're stuck in a side room.
"With a big bang we will swing the doors open and show them to the world.
"We are also working with the National Archive so the collection will be going live on Discovery.
"This is a massive feather in the cap for Clevedon for them to have partnered up with us – it really is very exciting."
The celebrations, which will also fall in line with schools' May half-term, will see a week of events being held.
Mr Curme said: "Community activity is a big deal for us and is at the heart of what and why we do things.
"We will be bringing a week of events in the hope of engaging tourists and residents."
The pier has also announced other exciting developments which will take place over the coming year.
The trust is exploring purchasing a collapsible stage for the event which can then be used for future occasions as well as an awning around the pagoda at the end of the pier.
The pier team has partnered with Twisted Oak Breweries, in Clevedon, to create a beer to raise the profile of the 150th anniversary.
And it has also bid for £25,000 to light up the pagoda.
It is hoped, if the funding is granted, the trust will be able to install some lighting which will be in keeping with the traditional look of the grade-I building.


text:
What To Expect During Pregnancy
Pregnancy is divided into three trimesters:
- First trimester – up to week 12
- Second trimester – week 13 to week 28
- Third trimester – week 29 to week 4
First Trimester
During the first trimester of your pregnancy, you will start to experience many symptoms due to hormonal changes happening in your body.
- Bloating
- Body aches
- Constipation
- Cravings or distaste for certain foods
- Fatigue
- Frequent urination
- Gas
- Headaches
- Nausea
- Missed period (some spotting is normal during the first few weeks)
- Mood swings
- Morning sickness
- Sensitivity to smells
- Swollen or tender breasts
- Upset stomach
- Weight gain or loss
Second Trimester
During the second trimester of your pregnancy, some of the initial symptoms you experienced in the first trimester like morning sickness will subside. During this second stage, you will really start to see the visible changes happening to your body.
- Belly button starts to poke out
- Breathlessness
- Constipation
- Darkening of the skin around your nipples
- Mood swings
- Nose or gum bleeds
- Numbness in your hands and fingers
- Stretch marks on your stomach, butt, thighs or breasts
- Uneven skin tone on your face
- Urinary tract infection or vaginal infection
- Visible line from belly button to pubic area
- Weight gain (between 1-2 pounds per week)
- You'll feel the baby move (around 18-20 weeks)
Third Trimester
- A backache
- Breathlessness
- Fatigue
- Frequent urination
- Heartburn
- Irregular contractions (Braxton Hicks Contractions)
- Spider veins or varicose veins
- Swollen and tender breasts
- Vaginal discharge
- Weight gain
During the third trimester, your baby is experiencing rapid growth. The waxy coating covering your baby's body gets thicker and the fine hair begins to disappear. The hair on your baby's head and fat begin to form. They can open and close your eyes. The brain continues to develop to get ready for life on the outside. Lungs develop and weight increases to about 7 lbs.
FIND A Top10MD OBSTETRICIAN NEAR YOU
It's important that you trust your Obstetrician because the health of you and your child are in their hands during pregnancy, labor, and delivery. There are thousands of Obstetricians to choose from; however, not all doctors are created equal. That's why we've selected your city's best Obstetricians – to make the decision process easier for you and your family.
For your peace of mind, Top10MD Obstetricians' credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.


text:
A common space for harmonic peacemakers
11 members8 Comments 2 Likes
22 members69 Comments 5 Likes
21 members19 Comments 3 Likes
61 members36 Comments 10 Likes
Thank you for joining Rumi group, Ilkka. Let's inspire...
another new year ...;
My best wishes to you for your birthday !
May happiness and fulfilment be always be a part of your life.
Happy Birthday Ilkka!
© 2020 Created by Eva Libre. Powered by


text:
Filed under: Brain Health, Industry Standards, Telemedicine | Tags: AcuteCare Telemedicine, atlanta neurology, brain health, diagnose, healthcare news, mhealth, modern medicine, National Parkinson's Fooundation, neurologist, neurology, parkinson disease, parkinson's treatment, parkinson's virtual care, remote monitoring, stroke care, telehealth, telemedicine, teleneurology, telestroke
Ask any patient suffering from chronic disease and they often will tell a story of isolation, uncertainty and frustration over the debilitating effects of their disease. Many times the focus of their complaints is not being afforded easy access to specialized care and consultation with caregivers. While significant inroads have been made in the treatment options for chronic maladies like Diabetes and Parkinson's disease, gaining routine, daily access to those ground breaking discoveries is out of the reach of many sufferers.
Researchers are looking at how modern communication technology, coupled with the latest techniques in treating Parkinson disease, can revolutionize the quality of care for sufferers of the chronic neurological disorder. "We are looking at quality of life, quality of care and reducing the burden on healthcare providers", says Dr. Ray Dorsey, co-director of the Center for Human Experimental Therapeutics at the University of Rochester (N.Y.) Medical Center. "Imagine if you thought there was a possibility you had Parkinson's disease, but you lived 100 miles or more from the nearest medical center with a qualified neurologist. You're faced with at least a couple of hours of driving, of navigating an unfamiliar urban environment, of parking and walking—and that's assuming you're able to find a neurologist within driving distance to begin with. Now think about how easy it is to buy a book or a pair of shoes online. The two should not be so different."
Preliminary results of the Connect.Parkinson project, the nation's first randomized clinical trial of remote treatment of Parkinson's disease, indicate the benefits of virtual treatment for patients and caregivers alike. A recent report on the initial results of the 18-state, Connect.Parkinson project reported that 95 percent of Parkinson's patients completing telehealth visits have experienced an increased proportion of the time with a healthcare professional of 89 percent; up from 25 percent for those opting for traditional in-person encounters.
The National Parkinson Foundation is committed to supporting efforts to demonstrate how telemedicine can enhance the delivery of care to people with Parkinson's. Studies are indicating that telemedicine care, often delivered in the patients home, is just as good as care received at a brick and motor medical center. The fact that diagnosing and monitoring the progression of Parkinson's disease and other movement disorders is based almost entirely on visual observation makes Parkinson uniquely suited for virtual care technologies. Christopher Goetz, MD, a leading expert on movement disorders and director of the Parkinson's Disease and Movement Disorders Center at Rush University Medical Center says, "Ninety-five percent of the information I gather is visual. Thus, with telemedicine visits where I can see and hear my patient right in front of me on the computer screen, there is no decline in the quality of information I gather."
Rush is located in the state of Illinois which is among those states not yet mandating payers to provide payments for telemedical services. But according to Dr. Brian Patty, Rush's chief medical information office and chairman of Rush's Telemedicine Steering Committee, the Medical Center has several telemedicine pilot projects underway that can likely have significant impact on Parkinson patients.
In New York, researchers at The Rochester Center for Human Experimental Therapeutics, are developing and testing mobile apps that will help Parkinson's patients track metrics such as dexterity, balance, gait, voice patterns and cognition, then send readings to researchers.
After decades of promises, telemedicine is delivering on its promise to increase access to quality, specialty care to improve patient outcomes.
Filed under: Industry Standards, Telemedicine | Tags: acute stroke care, AcuteCare Telemedicine, american telemedicine association, Atlanta healthcare news, healthcare news, mhealth, modern medicine, neurology, payment parity, payment telelemdicine services, stroke care, Technology, telehealth, telemedicine, teleneurology, telestroke
Telemedicine is living up to its hype on revolutionizing the healthcare delivery model. With many of the most formidable barriers to increased expansion being overcome, virtual technology is quickly becoming a preferred method for patients when connecting with their care provider. New advances in hardware and software coupled with faster digital info structure, is driving more and more healthcare professionals to electronic communications. Patients are warming-up to using new devices to relay their blood pressure, heart rate and other vital signs to their doctors so they can manage chronic conditions in the comfort of their home.
Healthcare providers, payers and governmen supported healthcare programs are recognizing the potential cost savings of telemedicine technologies. However, payment policies for telehealth services, while expanding quickly, continue to be inconsistent and are discouraging the progress towards realizing the full potential of virtual healthcare. Providers are eager to embrace telehealth. A survey of more than 1,500 family physicians conducted for Anthem and the American Academy of Family Physicians (AAFP) found that "almost 90% of respondents would use telehealth to help treat their patients—if they were compensated for that care." Richard Bakalar, MD, managing director at KPMG and a member of the firm's Global Healthcare Center of Excellence says, "Healthcare providers need to figure out how to become more efficient and the technology behind telemedicine allows caregivers to connect with patients remotely, efficiently and effectively."
Currently payments for telehealth services are as far flung as the 50 states landscape. New rules for Medicaid managed care and MACRA are becoming telehealth-friendly, but Medicare and Medicaid reimbursements are spotty, with Medicaid payment varying greatly from state to state. Today, 48 states and the District of Columbia provide some form of Medicaid payment for telehealth services, according to the National Conference of State Legislatures. Commercial insurers seem to be embracing telehealth but consistency of payment policy remains elusive. In just over half of the states and the District of Columbia, private insurers are answering the call of parity laws that require them to pay for telehealth services. Payment parity is important for providers because it protects them against arbitrary cuts in reimbursement for telehealth services as compared to services provided in-person.
While expansion of virtual technology continues to progress at a steady pace, solutions to resolving remaining barriers like payment for services, multistate licensing, credentialing, and regulation are evolving at a deliberate pace.
Filed under: Industry Standards, News, Telemedicine | Tags: AcuteCare Telemedicine, american telemedicine association, fearing change in healthcare delivery, healthcare, healthcare industry, healthcare news, modern medicine, Technology, telehealth, telemedicine, teleneurology
Despite the promise of significant consumer benefits of access and costs and the overall growth of Telemedicine, many patients and physicians are slow to adopt new communication technologies in the delivery of healthcare. A recent article in Medical Economics News reported that "A HealthMine Survey of 500 consumers who use mobile/Internet-connected health applications finds that 39% still have not heard of telemedicine, and only one-third of respondents say their health plan offers telehealth as an option." And while many patients have not yet signed on to telehealth services, nearly three quarters of patients are interested in using it in place of in-person medical appointments. Could it be that the slow progression of patient participation may be due to resistance and lack of participation from care providers?
One of the most prolific reasons many providers resist the technology is the concern that patients would be unwilling to replace traditional face-to-face physician encounters with a virtual relationship and that many consumers would be fearful of the technology, particularly those among the growing number of "Baby Boomer" patients. But in a recent Georgetown University study, the results indicated that more than half of the aging generation preferred to use this technology. And among those 34 years of age and under, 60 percent desired a virtual interaction with their physician.
Some of the complaints from cautious physicians revolve around the complexity and cost of technology hardware and software and the difficulties in merging new platforms into existing operations, particularly syncing virtual experiences with current EHR systems. Ongoing design improvements in the technology and simpler user interfaces are driving down cost and simplifying required functions. The reality today is that telemedicine improves the bottom line for most medical practices while reducing appointment management and patient flow issues.
As legislatures across the country continue to make progress on modifying existing regulatory barriers and concerns involving payment parity, payer participation and individual state licensing and credentialing, many early telemedicine supporters are beginning to see the light at the end of the increased adoption tunnel. For those providers who continue to resist the trends of virtual medical technology, the time is nearing to overcome the natural tendency to resist and fear change. The simple truth is patients prefer and want telehealth choices and the technology is here to stay.
Filed under: Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: activity trackers, acute stroke, AcuteCare Telemedicine, american telemedicine association, Atlanta healthcare news, atlanta neurology, healthcare data, healthcare industry, healthcare news, integrated data, mhealth, smart watches, Technology, telehealth, telemedicine, teleneurology, wearables
The early implementers of telemedicine faced resistance, skepticism, and predicted peril from an industry that has followed a standard of care, governed by regulations. Those initial trailblazers have prevailed in their efforts to improve access to specialized care for patients living afar from major medical centers, enhancing patient's healthcare experiences and reducing the unnecessary cost of specialized treatment and ongoing chronic care. Their persistent efforts to merge the latest digital technologies in communication with modern medical care has spawned new terms to languages all around the world; Telepsychiatry, Telestroke, Telemedicine, TeleICU and Telehealth, just to name a few.
Technology is having a wider impact on how healthcare providers connect with their patients and dispense treatment. This connected health revolution is making everyone active participant's in their healthcare through an ever expanding network of devices and platforms. But as is often the case, development of new technology can outpace the ability of an industry and their consumers to accept and engage the new methods.
Consumers have demonstrated an impressive demand and utilization of digital healthcare tools like activity trackers, smart watches and their accompanying health apps, but nearly half of the users complain that their caregiver is failing to integrate the data into a personalized healthcare plan. A survey, conducted by HealthMine, called "The State and Impact of Digital Health Tools," found that "a significant amount of digital health data is not reaching doctors or health plans and that there appears to be a disconnect between where consumers would like their self-collected health data to go and how easy it is to share it."
Many physicians articulate an understandable concern about the accuracy of many of these devices and the process of collecting and transferring the data. In a recent article Vaughn Kauffman, a global practice leader in PwC's Health Industries Advisory, indicated that physicians have some apprehension around taking in data from mHealth devices and wearables. "Some providers are further down the road than others around utilizing these kinds of data for engagement. There's the potential to extend the doctor-patient relationship to beyond the direct doctor visit interaction. And obviously, this would involve individuals opting in, as opposed to kind of a Big Brother phenomenon."
While wearables continue to be popular, many once avid users are discontinuing their engagement with the technology. Some indicate their waning interest is due to not understanding how the data collection will benefit them or enhance their digital health plan. Education and better understanding of the technology and how it can benefit both providers and patients in improving the delivery of healthcare will solidify the acceptance and use of the technology. The early pioneers of telemedicine have opened the trail to a much larger spectrum of services but wider engagement is still dependent on the ability of technology to deliver on its promises.
Filed under: Industry Standards, News, Telemedicine | Tags: AcuteCare Telemedicine, american telemedicine association, Arkansas legislation, Atlanta healthcare news, atlanta neurology, brain health, healthcare news, neurology, patients, removing barriers, Technology, telehealth, telemedical services, telemedicine, teleneurology, telestroke
Until recently, the state of Arkansas was ranked last among all states in a recent report by the American Telemedicine Association on telemedicine practice standards. Like many other states, Arkansas's treatment of healthcare via telecommunication technologies included restrictions forbidding caregivers the opportunity to treat a patient remotely without first establishing a face to face relationship. While other regulations purposefully and effectively deal with commonly acceptable policies that hold virtual healthcare treatment to the same standards of care as traditional in-person encounters; control the prescription of certain drugs via telemedicine; require the responsible handling of medical recording; and doctor/patient transparency, the restrictions on non-pre service face to face encounters and the insistence on individual state licensing of physicians is arguably the two regulations which proponents of telemedicine feel are hindering the wider adoption of telemedical services across the country.
Recently issued proposed amendments to its existing regulations have been approved by the State Legislature. Arkansas Code 17-80-117, will allow a doctor to establish a valid relationship with a patient without the need for an in-person exam, if the doctor "performs a face to face examination using real time audio and visual telemedicine technology that provides information at least equal to such information as would have been obtained by an in-person examination." The rule also requires the doctor to establish a face to face follow-up visit when and if it is medically necessary.
The sound one hears from this action may just be the noise regulatory ice makes when it is breaking under the pressure of consumer demand and the application technological common sense. While the proposed changes do nothing to alleviate the cost and inconvenience of individual state physicians licensing requirements, the removal of the face-to-face, pre-telemedicine service requirement could open up the virtual care landscape in states where the face-to-face regulation still exists.
The Arkansas Board held a public hearing involving the proposed amendment to Regulation 2.8 and new Regulation 38 in June and encouraged telemedicine companies and healthcare providers looking to offer telemedicine services in Arkansas to review the proposed regulations and consider submitting comments.
Adoption of the proposed changes to Arkansas rules governing telehealth services may be seen as a water-shed action for healthcare professionals who believe consumers will benefit from both increased healthcare access and reduced cost when telemedicine is permitted to more freely expand across state lines.
Filed under: Brain Health, Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: acute stroke care, american telemedicine association, Atlanta healthcare news, atlanta neurology, Dr. Matthews Gwynn, healthcare news, James Kiely, Keith Sanders, measuring performance, mhealth, neurologist, neurology, stroke care, stroke prevention, Technology, telehealth, telemedicine, teleneurology, telestroke
Telestroke, the use of communication technology to remotely treat victims of acute stroke, continues to grow and has entered the mainstream of care in an ever evolving and increasingly disruptive healthcare delivery model. Like all medical innovations, telestroke must demonstrate successful outcomes to achieve sustained growth and acceptance. Merely asserting that telemedicine is faster, employs the latest technology, or promotes a better use of limited re-sources is laudable but insufficient.
AcuteCare Telemedicine (ACT), a leading practice-based provider of Telemedicine services for hospitals seeking around-the-clock stroke and other urgent Neurological care, understands the importance of evaluating and documenting telestroke performance. In their recently published study "Improving Telestroke Treatment Times in an Expanding Network of Hospitals" the authors reveal that a practice-based telemedicine system can produce meaningful improvement in markers of telestroke efficiency.
"Success in our business isn't just about adding new healthcare organizations to our client portfolio,' says Dr. Matthews Gwynn, co-author and ACT partner. "As clinicians, we measure our success on consistently providing the highest level of stroke care and improving patient outcomes. This study is representative of our ongoing commitment to serve as a leader in telestroke care, establishing a standard of care and a model that supports the positive growth of telestroke programs across the country."
As virtual health initiatives continue to move forward, new and valuable trends and telehealth technology solutions will continue to emerge. Traditional methods of delivering medical care will be challenged and disrupted at medical facilities, physicians' offices and hospitals. Dr. Keith Sanders, ACT Partner and co-author comments, "It is critical to prove that our business is able to create telestroke programs that are not only effective but sustainable."
For more information on how AcuteCare Telemedicine can assist you with acute stroke care, contact us!
Filed under: Industry Standards, News, Stroke Prevention & Care, Telemedicine | Tags: acute stroke care, AcuteCare Telemedicine, AMA, american telemedicine association, atlanta healthcare, healthcare industry, healthcare news, James Kiely, legislation, medicare, medicare reimbursement, mhealth, stroke care, Technology, telehealth, telemedicine, teleneurology, telestroke
Senator Roger Wicker, R-Mississippi has introduced legislation that seeks to remove barriers to telehealth services in Medicare. Medicare fee for service (FFS) does currently provide reimbursement for telehealth services to patients at rural area health clinics, however, current law limits telehealth reimbursement to rural areas, disallows the storage of information to physicians via electronic medical records, email and other communications technology and doesn't reimburse telehealth services provided by physical or occupational therapists or for physicians who treat patients within their own home.
The bill, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, attempts to broaden telehealth services across the country and offer an added opportunity to serve the needs of the elderly. The bill, which has broad bipartisan congressional support, would allow Medicare patients to use video conferencing, remote patient monitoring and technology to transfer patient data and will expand Medicare reimbursement of telehealth consultations and remote patient monitoring with fewer restrictions.
"This legislation has the potential to remove barriers to new healthcare delivery models that promote coordinated and patient-centered care. Importantly, the bill aims to maintain high standards whether a patient is seeing a physician in an office or via telemedicine," said American Medical Association (AMA) President Steven Stack. "Telemedicine can strengthen the patient-physician relationship and improve access for patients with chronic conditions and limited access to quality care. The AMA's guiding principles on telemedicine seek to foster innovation while promoting quality care."
According to an analysis by the health-care consulting firm Avalere, expanded Telehealth services could save $1.8 billion dollars in medical cost over the next ten years by removing the current restrictions, and would make healthcare more available for patients who often struggle with access to the latest high quality care.
"We strongly believe in the importance of implementing processes and procedures for telemedicine. Our experience working with regional hospitals as well as enterprise level healthcare systems, has demonstrated that effectively executed telemedicine programs can drive significant value," comments Dr. James Kiely, Partner, ACT. "In our most recent peer-reviewed article, we've proven that a telemedicine system can produce meaningful improvement in markers of telestroke efficiency in the face of rapid growth of a telestroke network."
With a vastly aging population, Federal and State legislators must continue to make improvements in access to quality healthcare for Medicare patients even if it means establishing new legislation designed to govern telemedicine responsibly.