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MyLucky123.com Overview :
MyLucky123.com is deemed as a meta search engine which created on 1st August 2016 at T08:42:30Z by Godaddy.com registrar. The registry domain ID of this site is 2048278221_DOMAIN_COM-VRSN.
This site claims user to provide the capability of multiple search in the one interface. It promises user to save their time and effort to find an appropriate or the desired search result. But in reality, it is completely different from its promises. Actually MyLucky123.com is labeled by security experts as a notorious browser hijacker that mainly hijacks users all startup page, default homepage, new tab and search engine without asking for their permission. It claims user to enhance their browsing experience but actually it causes redirection problem and display tons of annoying ads. It has been created by cyber offenders for promotional and commercial purposes. What's worse, it has ability to gather your all crucial and confidential data for illegal purposes. My Lucky Search name of this site is completely scam because it is not lucky at all for you.
Causes :
Generally, MyLucky123.com uses Bundling method to intrudes into your PC. If you install any program by using the default installation option then it automatically intrudes into your Computer and cause serious damages. Besides this, it uses other tricky things to penetrates into your Computer including Torrent files, online games, hacked sites, infected devices, file sharing network and so on. Its distribution channels are different but the main source for the infiltration is Internet.
Symptoms :
My Lucky Search replaces your homepage, new tab search, default search engine to MyLucky123.com. This browser hijacker will bombards you with tons of irritating ads and misleads you. It opens up the System backdoor and injects several malicious infections. The worst things about this hijacker is that it steals your all personal data and release your privacy. For the sake of privacy and to avoid PC from further damages, it is very necessary to delete My Lucky Search quickly.
Prevention Tips :
To avoid PC from being affected by MyLucky123.com, it is very necessary to pay attention carefully while surfing the Internet and performing any online work. You should always opt Custom or Advanced installation modes in place of Default installation, stay away from the insecure download sites, read carefully all terms and conditions, do not open any mail attachments that arrived from the unknown senders. Your little attention can avoid you from being affected by My Lucky Search.
How To Delete MyLucky123.com From Google Chrome?
MyLucky123.com is really very unsafe site which does not only annoyed you but also keeps your Computer at high risk. Thus it is very necessary to delete it as soon as possible without any delay. You can easily eradicate MyLucky123.com manually by following the procedures which described below.
Step 1 : Delete undesired or unwanted search engine and homepage from Chrome
- Start the Google Chrome.
- Hit on the three stripe icon which located at the right side of the Chrome and choose the Settings option.
- Now you will get the configuration page. Under this page select "Open a specific page or set of pages" option and hit on its Set Pages.
- A window will come up on your screen in which a bunch of URL's appeared. Delete them all and enter the only one that you want to use as your default homepage.
- Hit on the Manage search engine button in the same configuration page and delete all search engine except www.google.com.
Step 2: Delete unwanted extension from your Chrome browser
- Start your Chrome browser and hit on the three stripe icons which appeared at the top right side. Go to the Tools menu and select Extensions sub-menu.
- Now you will get the configuration page in which all installed extensions are listed. From the list you have to delete MyLucky123.com. To delete it hit on the recycle bin icon.
Step 3: After deleting MyLucky123.com reset Google Chrome to default setting
- Launch Chrome browser.
- Move your Cursor towards the three stripes which located at the right corner.
- Hit on the Settings and then find out the Advanced settings options.
- Now go for the Reset Browser Setting button which located at the end of the page.
- To delete MyLucky123.com from your Chrome hit on the Reset button.
Note :- If you are unable to get rid of MyLucky123.com manually then go for the automatic removal option.


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Gluecode launches open-source platform for Java developers
Infrastructure software developer Gluecode has released a new Java application development platform that ties together a number...
Infrastructure software developer Gluecode has released a new Java application development platform that ties together a number of open-source components into one integrated system.
Gluecode's Joe platform uses Apache technologies, including its portal, its Geronimo application server, its Derby database (formerly known as IBM Cloudscape) and its Agila business process management engine.
Joe is aimed at developers interested in using open-source technology but reluctant to tackle their own integration of the components. Gluecode's package offers product support services and add-ons such as a management console.
Gluecode chief executive Winston Damarillo said the aim was to marry the flexibility of Java with the usability of Microsoft's rival development tools. He expects Joe to compete with Microsoft's .net line-up. Damarillo said Gluecode had two customers running pilot deployments of Joe, but declined to name them.
Forrester Research analyst John Rymer said he saw a market for Joe among companies without the expertise to do deep development work pulling together an open-source technology stack. In its current version, Joe was most suitable for projects such as web applications, he said. He expects Gluecode to deliver a subsequent enterprise version with clustering support and other high-end features necessary for more robust, scalable applications.
Gluecode is a start-up company that plans to build its entire software line around open-source technologies. Joe is available for free at its website, http://www.gluecode.com/. Technical support and access to source code and updates are available to subscribers for an annual fee starting at $3,500 (£1,900). The software runs on the Red Hat Linux, Windows 2000 and XP.
Stacy Cowley writes for IDG News Service

subset: commoncrawl


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5 Health Tips To Maintain Good Health. Who doesn't want to lead healthy life? Every one of us hopes to maintain a balanced and healthy life. But sometimes our health condition may be hampered for various reason such as-irregular eating, improper sleeping, laziness, unhealthy diet. All of this conditions lead to develop disease process in our body. That's why we have to follow some Health Tips to prevent our health from being diseased.
Let's discuss how a balanced health can be maintained. Here I have shared 5 Health Tips to maintain a healthy life.
Health Tips 1: Take Proper Sleep Regularly
An healthy adult person needs at least 7-8 hours of sleep regularly. This period of sleeping varies from person to person. For someone 6 hrs is more than enough while someone requires 9 hrs of sleep. The number of hours is not so important as the time you go to bed. You will feel a big difference if you sleep from 10 pm to 6 am versus if you sleep from 12 am to 8 am.
Health Tips 2: Drink Plenty Of Clean Water Regularly
Water is the most fundamental need for proper functioning of our entire organ of bodies. Without water our bodies will become sluggish and slow both inside and out. So you have to drink at least 10 full glasses of water (2-3 Liters) a day. more if you plan on drinking caffeinated beverages or plan on being outside in warm or hot weather.
Regular physical exercise lets your heart pumping properly.Cardiovascular exercise as well as strength training of any kind is a necessary factor in maintaining health as it keeps the body strong, fit and flexible to take on any challenges you throw at it. Aim for a grand total of 30 minutes minimum of exercise each day, either in one bout or spread throughout the day.
Health Tips 4: Eat Some Seasonal Fruits And Vegetables Every day
Keep seasonal fruits and vegetables in your daily meal. Fruits and vegetables are rich in vitamins and minerals. Vitamins and minerals will improve your immune system which keeps your body apart from dises. Give emphasize on the dark, leafy greens especially for heart health, digestive system fluidity and for plentiful energy.
Health Tips 5: Take Adequate Amount Of Carbohydrate Protein And Lipid
In your everyday meal the ratio of carbohydrate protein and lipid will should be 2:1:1. Some of the protein and lipid should come from animal sources. Carbohydrate should be taken for 130 gm/day which is must for energy production. Protein should be taken for 45-60 grams per day. Egg, meat, fish are the examples of some first class protein. Avoid taking low density lipo-protein.


text: CHOLSEY is sprawly, so the prices here are lower. Its main feature, a pretty village green edged with listed cottages, has to face down the parade of modern shops on the other side. The shops and post office are useful and there is a good primary school. The parish magazine carries six pages of clubs and activities to join, including the busy horticultural society, the Cholsey Silver band, and the Cholsey and Wallingford Steam Railway, which is run by volunteers. Agatha Christie is buried here. A three-bedroom house on a modern development would cost from £200,000.


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We've started an online map for the Sheltowee Trace, because it keeps getting longer with each new season. This month, it is 319 miles (and some change) long.
This map is mobile compatible and will locate you on the trail if your device has GPS. Try it out and tell us what you think.
The map includes the new extension from Leatherwood Ford to Honey Creek.


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Tempe approves ASU food waste-to-energy study
The city of Tempe and Arizona State University's Global Institute of Sustainability are teaming up on a study that will analyze food waste and fats, oils and grease (FOG) from large Tempe food industries, Tempe restaurants, and institutional dining halls to determine the feasibility of turning this material into renewable energy.
The study will focus on a process called anaerobic digestion, which occurs when oxygen is removed from food waste, allowing digestive bacteria to break it down. This natural process produces a biogas that can be harnessed and used for energy. Anaerobic digestion is commonly used to break down sewage sludge at wastewater treatment plants, but can also be used to generate gas through the decomposition of any organically-rich material. The study will provide Tempe with:
- An inventory of food waste available from Tempe restaurants, food industries, institutions, and food distribution centers to understand the amount of food waste available and to map out where it is being generated
- A full-scale analysis of the individual and combined energy potential of available food wastes using the City's staff and laboratory facilities to analyze food sources identified
- Research results for comparable cities with successful food waste-to-energy solutions
- A tool to model the biogas output of food waste sources and to identify optimal combinations and optimal AD technology for those combinations
- Planning and siting options, financial analyses and rates of return for different AD alternatives, and a final report summarizing recommendations and a blueprint for implementation
The study, called the Food Feedstock Source Mapping and Anaerobic Digestion Project Development Considerations was approved by Council on Feb. 12 and research planning will begin in March.
For more information, visit www.tempe.gov/green.


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The US government seeks to intervene in Apple's appeal against a European Union order to pay up to €13bn (£11.4bn) in Irish tax.
In September 2016, Apple CEO Tim Cook said he would appeal against the European Commission's ruling that claims the company received a €13bn subsidy when Ireland gave the company preferential tax deals.
Following this, Apple filed a court appeal in the General Court in Luxembourg in December after the European Commission issued a tax demand saying Apple won the tax deal from the Irish government, Reuters reports.
Criticising the decision the Obama administration said the European Union was helping itself to cash that should have been in the US.
"I can confirm the United States filed an application with the European Union General Court to intervene in the case involving the retroactive application of state aid rules to Apple," a source told Reuters.
The court is expected to hear the case in late 2018.
Apple said it was a convenient target and the EU competition regulators used an "absurd theory" to come up with a punitive figure.
The EU is also after Amazon and McDonald's over their tax deals with Luxembourg.
Ireland, the Netherlands, Luxembourg, Starbucks, Fiat Chrysler Automobiles and several other companies that were ordered to pay taxes to EU countries have also challenged their EU rulings.


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Like all of our items, this hat is hand printed in Detroit at our Headquarters for Global Domination and retail store on Fort Street near Cass.
- 80/20 acrylic/wool
- Structured, high-profile, six-panel
- Two-tone camos have a black undervisor
- 3 1/2" crown
- Flat bill with green undervisor
- Snapback closure
- Large white front logo
Free shipping on all orders over $50!
The Authentic IAD Guarantee: It's your hard-earned money and we want you to proudly wear a product that was designed and printed in the city of Detroit. If, for any reason, you are not completely satisfied with your purchase, we will take it back and give you a full refund NO QUESTIONS ASKED.


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Effective folk remedies treatment
Medicinal plants can not only cure, but also to maintain our body in good tone, increase efficiency, free up resources that spend our bodies to fight diseases, improve quality of life. But I also want to say that this is not salvation from all troubles.
Yes, herbs have successfully treated most of the diseases, but not all, and it must be understood. In some cases, more effective than herbal medicine, and some traditional medicine and some have quite a few sessions of psychotherapy…
Among the many methods of treatment of humans, perhaps the most pleasant and natural, and to the same and one of the most ancient medicinal herbs .
Malawi – naturopathic product designed for outdoor use (including the treatment of the skin and mucous membranes). Reviews about Malawi approved this information.
Malawi has antipruritic, deodorizing, analgesic and anti-edematous action, effective in infectious diseases caused by aerobic and anaerobic microbes. Continue reading
Than to treat the throat.
Traditional medicine with SARS
SARS is the common name for several infectious diseases that cause viruses and occurs with lesions of the throat, bronchi, trachea and nose. In some cases, affects the mucous membrane of the eye. Most often the disease affects young children. This group consists of infections of adenovirus infection, influenza, rhinoviruses, parainfluenza and many others.
Infection accompanied by elevated body temperature, runny nose, watery. Lesions of the mucous membranes of the eyes and respiratory system.
Diseases spread from one person to another, in some cases from the virus carrier, the virus is released during sneezing, coughing, and talking. In addition you can become infected with the virus carrier using one utensil, towel and the like. It is better to prevent illness than then long to be treated — prevention of SARS with the help of breathing exercises Pranayama are effective enough.
So, what to treat the throat – knows traditional medicine:
Adults and children with SARS have as much to drink cranberry juice or iced lemon tea. They help to reduce body temperature and normalizes the General condition of the patient's body. Continue reading
Physical therapy in Ekaterinburg: galvanization, galvanogryazelecheniya, medicinal electrophoresis, amplipulse therapy, SMT-therapy, electrical stimulation, darsonvalization
The area of clinical medicine studying medical properties of physical factors and develops methods of their use for the treatment and prevention of diseases and medical rehabilitation is called physical therapy . We invite you to the complex of physio-therapeutic procedures in the Ekaterinburg medical centre of Vitamedica.
Physiotherapy treatments have multiple effects on the human body. As a result of their application diminished pain syndromes, normalizes secretory and motor functions of the organs, decreases activity of inflammatory processes, improves trophism of organs and tissues, intensifies reparative processes. The basis of these clinical effects is a normalizing effect of physiotherapeutic procedures on metabolism, redox processes, neurohumoral regulation of functions of internal organs, blood and lymph circulation in them. In General, they exert a powerful sanogenetic effect, promote the mobilization of protective forces of an organism.
Physical therapy included in complex treatment of some diseases. Indications for physical therapy are dictated not so much by name of disease as the focus of their pathogenesis and prevalence of inflammatory processes, degenerative or functional in nature — this determines the wide range of indications for the use of physical factors.
Galvanization is a method of application for therapeutic purposes of DC, not changing its size.
Indications for use of galvanization:
vertebrogenic diseases of the nervous system; Continue reading


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Price: AUD $15.50
Sacred Cow Ghee is an ancient Ayurvedic oil with its roots deeply engraved in traditional healing and spiritual growth, literally worshiped by its followers and passed down through the lineages.
- Calms the mind, balances all 3 doshas
- Increases the digestive fire & the ability to absorb food.
- Supports your immune system (Ojas) as well as life force (Prana), while nourishing all tissue (Dhatus).
- Increases intelligence and improves memory while lubricating the organs & connective tissues.
- Ghee increases strength, lustre & beauty of the body, slows the aging process to improve longevity!
Sacred Cow Ghee is unlike any other ghee on the market.
Made from possibly the finest butter in the world, we take great care in the traditionalpreparation methods. Our commitment to quality and attention to detail is reflected in this product.
Ghee is predominantly a saturated fat, with a smoke point of 252C, that makes it the perfect cooking oil that resists rancidity.
Any Cooking, baking or frying. Add to smoothies, cakes, coffee. B creative!
Certified organic New Zealand pasture raised butter.
*This product contains dairy*
Welcome to our hub of holistic healing and living. Located in the heart of Byron Bay, we offer a wide range of premium health remedies for everyday life.
Including Chinese herbal supplements, tonic herbs, probiotic foods, eco friendly homeware and more.


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Deficiencies in Global Health Training for Cardiovascular Fellows
Author + information
- Published online March 27, 2017.
Author Information
- Sumit Som, MD∗ (SSom{at}hackensackumc.org)
- Interventional Cardiology Fellowship Program, Rutgers New Jersey Medical School, Hackensack University Medical Center, Hackensack, New Jersey
- ↵∗Address for correspondence:
Dr. Sumit Som, Interventional Cardiology Fellowship Program, Rutgers New Jersey Medical School, Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, New Jersey 07601.
By 2020, 7 of 10 deaths in developing countries are predicted to be due to noncommunicable diseases—the majority of which would be due to preventable cardiovascular diseases (CVDs) (1). Section IV.A.5 (a) of the Accreditation Council for Graduate Medical Education's Program requirements for graduate medical education (GME) in cardiovascular disease recommends that fellows-in-training (FITs) must demonstrate competence in the practice of health promotion, disease prevention, diagnosis, care, and treatment of patients of each sex, from adolescence to old age, during health and all stages of illness (2). However, there is an unmet and unrecognized need for U.S. cardiology fellowship programs to offer an opportunity to incorporate global health training in cardiology during the 36 months of core training (2).
A unique aspect of the U.S. GME program is the systematic integration of physicians trained outside of the United States (international medical graduates) into the post-graduate medical training programs alongside American medical graduates, often creating a melting pot of shared knowledge. More than 25% of the 797 positions for cardiovascular disease in the 2014 match were filled by non-U.S. international medical graduates (3). This tremendous pool of shared cultures and diversities is an asset that can be tapped when formulating and implementing a national global health training policy.
As an international medical graduate, I have witnessed the tremendous burden of cardiovascular disease on the socioeconomics of a developing nation. I spent most of my time during my internship in rural India treating coronary heart disease, hypertension, diabetes, and heart failure. As I began my post-graduate medical training in the United States, I realized that in many ways, medical graduates during their residencies and fellowships are sheltered from global (international) health. This is mostly a function of the social, economic, and geographic position of the United States; a part of it, however, might be due to the current underappreciation of the importance of global health. The recent Ebola pandemic in West Africa (2014 to 2015) and several others (severe acute respiratory syndrome, Middle East respiratory syndrome, and H1N1 influenza) have caused periodic rise in interest in global health as it relates to infectious diseases. However, the burden of chronic noncommunicable diseases on global health and its international effect is more difficult to conceptualize, as its effect is less dramatic in the short term. The World Health Organization estimates that cardiovascular diseases are, and will remain, the leading cause of death globally at least until 2030 (4,5); >80% of these CVD deaths take place in low- and middle-income countries (6). This has a crippling effect on these fragile economies (7). In the last 10 years, China and India have lost $558 billion and $237 billion, respectively, compared with the United Kingdom's loss of $33 billion, in domestic income from CVD, partly because of reduced economic productivity per WHO estimates (8). This has a more direct and faster economic effect on the United States. Recognizing this urgency, the U.S. Institute of Medicine committee in 2010 provided 12 concrete recommendations (9). These recommendations included ways to reduce global CVD burden by improving access to CVD diagnostics. This recommendation might be a place to start for FITs who have an interest in pursuing a career in global health.
How Can U.S. Cardiovascular FITs Take Part?
Improving access of low- and middle- income countries to CVD diagnostics
U.S. cardiology FITs (senior and subspecialty fellows) are uniquely positioned to take their technical and procedural skills to the proverbial "bedside" of the patients in low- and middle-income countries where there is still significant physician shortage (e.g., in India: 6.5 physicians/10,000 population vs. 14.2/10,000 population worldwide) (10). This will require partnership and collaborations among nongovernmental organizations, member associations, and academic institutions. There are examples of this sort of partnership on a smaller scale. For instance, the American Association of Physicians of Indian Origin and World Heart Federation has conducted several medical camps enlisting U.S.-trained physicians for voluntary work in Southeast Asia and Africa involving medical education, echocardiography scans, rural medical/health camps, and vaccinations. This strategy has the potential to recruit a much larger number of physicians if the pool of cardiology FITs can be recruited. If senior and subspecialty FITs were given the opportunity to pursue a foreign elective rotation for global cardiovascular care during their fellowship, it would not only open up a huge pool of competent physicians for global health endeavors, but would also be a tremendous learning experience for FITs to expand their horizons.
Current Options
There are enormous benefits to global health cardiovascular training, such as those recently summarized by Abdalla et al. (11) in the Journal. They described the new ACC International Cardiovascular Exchange Database, which houses contact information for >50 host institutions from 24 countries that can serve as the starting point of an exchange program.
Clinical and research fellowships in global health are obtainable, and many traditional residencies (surgical specialties, internal medicine, and emergency medicine GME) now offer global health tracks (12). The International Healthcare Opportunities Clearinghouse maintained by the University of Massachusetts Medical School indexes all major international opportunities, including: the Fogarty International Clinical Research Fellows Program, Fogarty International Research Scientist Development (National Institutes of Health K-level Awards), Fulbright Fellowship, Lancet International Fellowship, Bill and Melinda Gates Grand Challenges, Doris Duke Charitable Foundation, Foundation LeDucq, and Icahn School of Medicine at Mount Sinai.
However, specific opportunities for U.S. cardiovascular FITs are still lacking. The availability of an international elective for cardiovascular FITs would arguably be beneficial to the fellow (providing career directionality and clinical expertise, and expanding his or her clinical viewpoint), as well as to the home institution in fostering cultural sensitivity and developing models of high-quality cost-effective cardiovascular care (13), international cooperation, global health, and economic integration in an increasingly globalized world. This merits a discussion among GME policy makers.
There are several personal barriers to pursuing a global health elective rotation in a foreign country, including finances and medico-legal considerations. However, the most important barriers may be external, including the lack of institutional recognition of the importance of this rotation and the lack of clear guidelines pertaining to training in global cardiovascular disease.
1. Financial constraints. Surveys have shown that one of the primary concerns of trainees and early career physicians is repayment of student loans (14). This is complicated by the fact that global health initiatives as an employment opportunity does not compare with the current compensations and expectations of U.S.-based physicians. For instance, the median salary of U.S cardiologists is $425,000 (15), compared with the annual salary of $72,390 to $130,800 for an overseas medical officer of the Centers for Disease Control and Prevention or the $1,913 per month (tax deductible) paid by the Doctors Without Borders/Médecins Sans Frontières (16). This disparity in remuneration will inevitably result in serious repercussions. Novel federal initiative programs for student loan forgiveness, such as the Global Health Service Partnership (17), which is a public-private collaboration among Seed Global Health, the Peace Corps, and the U.S. President's Emergency Plan for AIDS Relief, can be very helpful in this regard. The Global Health Service Partnership program provides $30,000 of loan repayment per year of service along with travel and lodging expenses. However, it would be unrealistic to expect that voluntarily working in an economically underdeveloped country would demand comparable remuneration to working full time in the United States. Thus, a certain amount of altruism and sacrifice would need to fill this gap.
2. Lack of dedicated time during training. The absence of a dedicated "elective" rotation in certain post-graduate training programs can be a significant deterrent for some. I would recommend that the professional cardiovascular community, the Accreditation Council for Graduate Medical Education, and universities come together to create a global health institute addressing deficiencies in global cardiovascular health curriculum. There are some successful examples: The American Academy of Family Physicians, for example, has a Curriculum Guideline (18) that formally defines the recommended training strategy for family medicine residents. Northwestern University Feinberg School of Medicine has its own online curriculum (19) for physicians volunteering abroad and to precept students during global health rotations. One of the best examples of residency-level global health experience is the pediatric residency program at University of California (UC) Davis (20). All pediatric residents at UC Davis participate in a core global health curriculum (epidemiology, child survival), which is built into the 36 months of residency training (including dedicated time for international experiences for second- and third-year residents).
3. Medico-legal challenges. Arranging for a foreign visa and foreign medical license (if needed), and taking care of relevant safety issues would require going through the appropriate diplomatic channels. American citizens can enter 174 countries and territories visa-free or with visa on arrival (21). India, China, Russia, Iran, Vietnam, Belarus, Azerbaijan, and Brazil require a visa. However, this matter is complicated by the fact that many international medical graduates are not U.S. citizens and would be restricted from certain international travel based on their native passport.
In the end, if the passion to pursue a career dedicated to global health is what motivates an FIT, he or she can find ways to overcome these challenges.
- Mark D. Huffman, MD, MPH (m-huffman{at}northwestern.edu)
RESPONSE: Global Health Has Not Yet Risen to a Core Training Competency
Dr. Som advocates for greater opportunities and infrastructure for greater global health training during cardiovascular fellowship. He calls on fellowship training programs and the Accreditation Council of Graduate Medical Education to offer more flexibility and guidance to incorporate global health activities within the core training of a cardiovascular medicine fellowship.
Despite my own career path, I do not think that global health training has risen to "core" status within U.S. cardiovascular medicine training programs. However, I agree with Dr. Som that greater clarity would be useful for trainees to understand how different opportunities might be incorporated into their fellowship. In 2015, the American College of Cardiology published its fourth Core Cardiovascular Training Statement, with 15 task forces to guide training programs and fellows on core competencies and milestones on general and subspecialty cardiology fellowship training (1). The statements align with the core competencies outlined by the Accreditation Council of Graduate Medical Education, which are also endorsed by the American Board of Internal Medicine: 1) medical knowledge; 2) patient care and procedural skills; 3) practice-based learning and improvement; 4) systems-based practice; 5) interpersonal and communication skills; and 6) professionalism. If a fellow can demonstrate how and why a potential global health elective fits into his/her overall training plan and program by strengthening progress toward 1 of these competencies, then he or she will have made a strong case.
But fellowship, like other parts of one's career, is a series of trade-offs. By pursuing one elective, there is less time for another. Yes, there may be logistical hurdles for global health electives, but the larger questions are: what is your passion and what are you uniquely qualified to do? I have been told that global health is not for dabblers, and I might challenge fellows considering global health experiences during fellowship to think bigger—how can you build a career in global health?
One place to start might be to imagine the type of training and mentors needed to work on the 12 National Academy of Medicine's recommendations to improve global cardiovascular health, to which Dr. Som alluded (Table 1) (2). The skills and experience needed for epidemiological surveillance, health systems strengthening, and improving access to diagnostics, medicines, and technology are diverse and distinct from most other aspects of cardiology training. The mentors—both in the United States and abroad—will also differ. Advanced training offers the opportunity for deeper understanding and expertise, and global health training is no different.
For fellows or programs interested in participating in or developing global health training programs, the Working Group on Ethics Guidelines for Global Health Training were published to guide sending and host institutions, trainees, and sponsors on ethics and best practices (3). Key principles include: 1) developing well-structured, longitudinal programs that meet local needs and provide safe, effective environments for trainees; 2) creating training experiences that are mutually beneficial; 3) ensuring that trainees are "cognizant and respectful of their current capability and level of training"; and 4) ensuring that programs are regularly monitored and evaluated, among others. The time spent developing partnerships that are grounded in trust, respect, and excellence will usually be rewarded on all sides.
- ↵
- Halperin J.L.,
- Williams E.S.,
- Fuster V.
- ↵
- Fuster V.,
- Kelly B.B.
- ↵
- Crump J.A.,
- Sugarman J.,
- for the Working Group on Ethics Guidelines for Global Health Training (WEIGHT)
Dr. Som has reported that he has no relationships relevant to the contents of this paper to disclose.
- 2017 American College of Cardiology Foundation
- ↵
- ↵Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Cardiovascular Disease (Internal Medicine). Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/141_cardiovascular_disease_int_med_2016.pdf. Accessed February 27, 2017.
- ↵National Resident Matching Program. Results and data: specialties matching service. 2014 appointment year. Table 2. Available at: http://www.nrmp.org/wp-content/uploads/2013/08/National-Resident-Matching-Program-NRMP-Results-and-Data-SMS-2014-Final.pdf. Accessed February 27, 2017.
- ↵
- World Health Organization
- ↵
- ↵
- ↵
- ↵
- World Health Organization
- ↵
- Institute of Medicine
- ↵
- Fuster V.,
- Narula J.,
- Vedantahan R.,
- Kelly B.B.
- ↵
- Abdalla M.,
- Kovach N.,
- Liu C.,
- et al.
- ↵
- Chase J.,
- Evert J.
- ↵Govindarajan V, Ramamurti, R. Delivering world-class health care, affordably. Harvard Business Review. November 2013. Available at: http://hbr.org/2013/11/delivering-world-class-health-care-affordably. Accessed February 27, 2016.
- ↵
- ↵Becker's Hospital Review. 200 statistics on physician compensation | 2015. January 2015. Available at: http://www.beckershospitalreview.com/compensation-issues/200-statistics-on-physician-compensation-2015.html. Accessed March 8, 2017.
- ↵Médecins Sans Frontières. Benefits & opportunities. Available at: http://www.doctorswithoutborders.org/work-us/work-field/benefits-opportunities. Accessed February 27, 2017.
- ↵
- ↵American Academy of Family Physicians. AAFP Reprint No. 287. Recommended curriculum guidelines for family medicine residents: global health. Available at: http://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint287_Global.pdf?cmpid=_van_722). Accessed February 27, 2017.
- ↵Northwestern Medicine, Feinberg School of Medicine. Center for Global Health. Global health online curriculum. Available at: http://globalhealth.northwestern.edu/education/online-curriculum/index.html. Accessed February 27, 2017.
- ↵UC Davis Health: Department of Pediatrics. Global health education. Available at: https://www.ucdmc.ucdavis.edu/pediatrics/ourteam/Global-Health/curriculum.html. Accessed February 27, 2017.
- ↵Global Ranking—Visa Restriction Index 2016. Henley & Partners. February 2016. Available at: https://www.henleyglobal.com/files/download/HP/hvri/HP%20Visa%20Restrictions%20Index%20160223.pdf. Accessed February 23, 2017.


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High quality beauty products shipped directly from Japan
Japanese skincare products are high quality and gentle on your skin even with daily use. Get the beautiful skin you have always longed for.
Cleansing is the first and most basic step of your skincare routine. Choose a product that is not harsh on your skin.See more
A staple for your beauty collection -- this series is intended for every day use and will help brighten and beautify your skin.See more
These cosmetics were developed with a doctor's advice. The Gran Grace series is popular for it's anti-aging features.See more
Say goodbye to your weight problems.
Popular in Japan, use this body roller every day to massage your butt, legs and arms.See more
Popular among young ladies in Japan, your legs will look slimmer when you put these on. They can also get rid of edema if worn while sleeping.See more
Beauty lies in the details.
A beauty treatment that you can do at home. Recommended for people who are worried about spots and freckles.See more
Beauty comes from within -- what you eat and drink will affect your appearance too.
Green smoothies are a simple and convenient way to add more veggies to your diet and create more radiant skin.See more
Super Food Alert! Chia seeds have a good nutritional balance and have few calories.See more


text: Episode 155: Rising Sun, Assault of the Giants and The Founders Feud 3: The Grudge Match Episode released on Tuesday, March 20, 2018 Hey Now Cabalists! Today is the big day! The day in which The Overdeer Family (Steve and Tony) take on the Limb Family (Chris and Brian) to see how is the greatest Founder duo in history in The Founders Feud 3: The Grudge Match! But first, Chris gives us another Gaming Movie Review, this time he takes a look at Zero Charisma. Then Tony, Steve and Jamie give you a feature review of Rising Sun followed by a look back at Assault of the Giants, the Dungeons and Dragons board game based on the Storm King's Thunder campaign. As always Tony T gives us the best damned gaming news rundown in the history of gaming news rundowns. And then, the royal rumble... It's time for The Founders Feud! Right-click to Download Episode Now! Chris' Movie Corner Zero Charisma Opening Banter and Reviews GKR Heavy Hitters Lisboa Mystic Vale Dice Throne Glen More Explorers of the North Sea Feature Review: Rising Sun Rising Sun is a spiritual successor in the same mythic big box series as Blood Rage: same designer, same artist, same studio and same sculptors. Rising Sun is a game about honor, negotiation, and warfare in a feudal Japan where the ancient gods (kami) have returned to rebuild the empire. Whereas the distant ancestor of Blood Rage was Risk, Rising Sun claims Diplomacy as its distant ancestor. Tackle negotiations, alliances, and war. Capture hostages and commit seppuku. The game features an honor track, which rises and falls based on your actions. Designed by Eric Lang Published by CMON BoardGameGeek.com Entry Lookback Review: Assault of the Giants Based on the story first presented in the Storm King's Thunder adventure from Dungeons & Dragons, Assault of the Giants is a new board game designed by Andrew Parks for 3-6 players. Players will need to command armies of giants as they wage war throughout northwest Faerûn. Order your giants to assault small folk villages and cities to score points and secure resources including food, artifacts, ore, and runes. Each player issues commands to his or her giants in the form of command cards (recruit, move, attack, pillage, and so on). This allows players to recruit new giants, send them out to attack settlements and other giants, and also to pursue special agendas based upon their race. Each player represents a different giant race (hill giants, stone giants, frost giants, fire giants, cloud giants, or storm giants), each with a different agenda. For example, the Storm Giants seek to restore their lost monarch, King Hekaton. The Cloud Giants seek an ancient dragon treasure trove, and the Hill Giants seek an abundance of food with which to feed their massive monarch, Chief Guh. Designed by Andrew Parks Published by Wizkids BoardGameGeek.com Entry Gaming News by Tony T Community Info Ancient d20 Found Judges for Crystal Brush Announced Crowd Funded Projects Zombicide Invaders Deck Box Dungeons Pacific Rim Miniatures Game AuZtralia Cartel Daedalus Productions Quick-start Game Inserts Mysthea Sorcerer City Werewords Deluxe Upcoming Product Ultimate Werewolf Legacy Whistlestop: Rocky Mountain Expansion Details on The Rise of Fenris Revealed Z-Man Games Announces Handful of Mini-expansions Entertainment Weekly Exclusive Board Games: Thanos Rising Privateer Press Announces Monsterpocalypse Returns Details on Transformers TCG Revealed Forcebane Vermintide II Star Trek: Galactic Enterprise Please Checkout Our Sponsor Stronghold Games! The Secret Cabal Gaming Podcast couldn't be happier to be sponsored by a great publisher and close personal friend Stephen Buonocore of Stronghold Games. We have been partnered with Stronghold games for over 4 years and we continue because we respect their the quality and integrity and feel good about promoting their products. Please take some time to check out their website at StrongholdGames.com. Previous Article Lords of the Dungeon 13: Bender's End of the World Game, Repairing a Fractured RPG Group and Dark Earth 1899 Update Next Article Dungeon Masters Ludus 03: When You Screw Up and Building Memorable NPCs


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Warm Holiday wishes Punch needle Pattern #377
Item Description
Warm Holiday wishes to you! This sweet snowman is putting the star on the tree.
This is a printed/mailed pattern of: Warm Holiday wishes Punch needle Pattern, #377
Celebrate this beautiful winter season...this punch needle design is perfect for your holiday & home decor or great as a gift! Variegated floss is used to give great texture and depth.
What a cute box topper & handy to store little supplies, Gum balls or treats. This punches up fast & is very easy. The box is paper mache (1 Dollar at jo ann fabrics). The white trim is lovely.
Finished punched design measures: 3 1/8" x 3 1/8"
» Share:
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- All Holidays & everyday patterns
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- My book- Lovely little hand embroidery
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On Tue, Jun 12, 2012 at 3:48 AM, Odin Hørthe Omdal <firstname.lastname@example.com> wrote: > If you're on a page on your phone, on a Wifi connection, you go away from > your home and take the bus. After one hour you get to work, there you get a > new Wifi connection and the web page on your phone starts doing what it was > up to before - even though the web page author never really thought about > that. > What's the rationale behind the spec saying not to reconnect at all? If the API makes each app individually handle reconnects, then not only does it push more work on web developers, it'll create two problems: apps that attempt reconnects too rapidly, and ones that--as Odin points out--don't reconnect at all because the developer didn't know he had to. Too rapid reconnects will probably be a common problem. A naive implementation will just retry on a period, eg. every 30 seconds, which will cause the usual problems: a server goes down, and every client begins its 30-second delay at the same time, causing the server to be hammered with requests every 30 seconds. The usual solution to this is using a random factor in the delay, plus an exponential (or at least increasing) delay time. It would also make sense for the web app to be able to tell that it's in a retrying state. That is, it's not connected and according to the current spec would have received an error, but it's not in an error state either (retries are still ongoing), so the app can display that it's offline. This also lets the app know that some messages may have been missed (though that can be done at the application level with a sequence number). On the other hand, for rockstar web page authors, it's nicer to control > that yourself. However, doing that, the browser doesn't know what you're > doing in your setInterval calls, and thus it's a bit harder to be smart > about it. If it is doing the reconnections itself, it can have different > heuristics and algorithms to control the behaviour. There are a lot of these. For example, the browser knows when a connection becomes available. If you're on mobile it'll know when a wifi or cell data connection becomes available, and can open a new connection right away instead of waiting unnecessarily. It knows if there's no connection at all, so it can go to sleep and not waste battery with retries. On desktop browsers, it knows when a network cable is plugged in, and if the machine's IP address changes. This is all information that can be used to adjust the reconnect timing. -- Glenn MaynardReceived on Tuesday, 12 June 2012 13:08:44 UTC
This archive was generated by hypermail 2.4.0 : Friday, 17 January 2020 18:13:34 UTC


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"Sound of Scandinavia" is not the most evocative slogan, but far from being the Ikea of hi-fi, Audio Pro is actually a purveyor of slightly wacky but properly respected wireless speakers.
The Addon T10 immediately pleases with its trendy boxiness and fuss-free styling, not to mention the special edition orange finish.
As well as Bluetooth there are analogue sockets around the back, plus USB for charging your portable player of choice.
How's it sound?
This is the sort of delivery that's just begging to be cranked up. Lots of depth and weight gives V)5-like volume to the whole sound, and the punchy, attacking nature will immediately release your inner Andrew WK.
Strictly speaking there's actually a touch too much bass, but because it doesn't prevent the vocals emerging cleanly from the open, chunky soundstage, we're not going to over ly complain about that. We're going to play Party Hard instead.


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Inmates at the infamous Abu Ghraib prison in Iraq attacked guards after starting a fire Thursday night, causing prison authorities to call in Iraqi troops and American military forces to quell the uprising.
Three inmates set their cell ablaze and attempted to escape from the prison, attacking the guards on duty, U.S. military spokesman Master Sgt. Nicholas Conner said.
Prison authorities called in American helicopters and Iraqi military to stop the incident from growing out of control. It was unclear why the uprising began.
U.S. & World
Three Iraqi guards and three prisoners were injured before security forces regained control.
Read more: The Associated Press


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Rather than spoil this documentary, I will just link you to the newly released Documentary "BIOSLUDGED" produced by Natural New's Mike Adams.
2018 | 1h 10m
Biosludged uncovers the astonishing science fraud being carried out by the EPA to legalize the mass pollution of America's farm lands, school playgrounds and city parks with heavily contaminated industrial waste and human sewage.
Genres: Documentaries
Director: Mike Adams
You may download the original film and post it to other video sites, provided you give credit to BrighteonFilms.com and do not alter the film.
You may also burn this full film to DVDs or blu-rays and give to others, but you may not charge for it.
Please share the full film on popular file sharing sites and torrent sites with our blessing.


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Modern Neutrals has been available for purchase just over a month, and I thought it time to share a little more about the project! This book was different than my other two, in that I didn't look for collections of neutral fabrics (there aren't many), instead I looked for the neutral prints within fabric collections and went from there. I would guess that many of you have a nice collection of neutral fabrics already in your stash that would be great for these projects!
As I collected fabric, I began to classify it by depth of tone, in the book all the fabrics are labeled A-D, with A being the lightest. After classifying the fabrics, it was a matter of discerning the undertones of each, not all neutrals work well together – ha! – and making adjustments to my plans, as necessary. The quilts of Modern Neutrals are graphic, some simple, others more intricate, and designed to add sophistication and texture to living spaces.
The first quilt to share is Circuit Board :
As you can see, not all the fabrics are an exact match. I love the flecks of color and variety in each of the blocks, I think it adds interest, and at times movement, depending on the pattern. This is one block turned and alternated in color
Circuit Board measures 72″ x 96″ with fabric and block requirements for a throw size included.
Pieced by April Rosenthal of Prairie Grass Patterns
Quilted by Natalia Bonner – with all the quilts in Modern Neutrals, I asked Natalia to keep it simple, no frills, and I love the results!
Fabrics used in Modern Neutrals were supplied by AdornIt, Andover, Cloud 9, Dear Stella, Moda, Riley Blake, Robert Kaufman, and Windham – Many thanks to my friends at each of these companies.
Modern Neutrals is the featured book this month at Fat Quarter Shop, and I have autographed copies available in my book shop too.


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And I have all the answers!
While taking a quick look through Twitter, I saw that My Nintendo currently had a quest based around Donkey Kong Country: Tropical Freeze. Put on the website to celebrate the launch of the Switch port, this quest tasks you with finding all of the KONG letters on the site. While it is a fairly easy quest, I figured I would solve it and then post all the answers to help you guys nab some quick coins. You sadly won't have much to spend them on, but looking at the pretty stylish website is cool enough.
If you'd like to solve this without a guide, then don't scroll down any further. Just head on over to the Tropical Freeze website and get hunting. For everyone else, here we go!
Celebrate the release of #DonkeyKong Country: Tropical Freeze by earning #MyNintendo points with The Quest for Kong! Find the letters K-O-N-G throughout the website to earn 100 Platinum Points: https://t.co/CvUkakLI9l pic.twitter.com/gNTNisKztP— Nintendo of America (@NintendoAmerica) May 4, 2018
The first letter is on the very first page of the website. You'll probably have to be legally blind to miss it, but the K is sitting between a posing Funky Kong and some information about the co-op mode (which is a blast).
Next, you'll need to navigate to the top of the page and select "Save DK Island." If you're using a 1080p monitor, you'll probably see the O without having to scroll down. The letter is lodged into a frozen tree behind a portrait of the Snowmads. Just click the frozen letter a few times and you'll have two of the four letters down.
Next, scroll back up and select "Meet the Kongs." From here, you'll actually have to scroll down until you get to Diddy. Right next to DK's sidekick is a box that is jumping around a bit. Click it and your N will be ready for the taking.
Finally, scroll back up and click on "Buy Now" (how cheeky). This one I actually overlooked at first, but you'll see a barrel on top of the information box for the digital version. Click that and the G will get shot across the site. Nab that and the 100 coins are yours!
In typical Nintendo fashion, there isn't actually anything Donkey Kong related to spend your coins on. You can nab some 3DS themes with Mario and Luigi's mustaches, though. I know that is the next best thing to Donkey Kong...Anyway, this was a fun little diversion for five minutes and I'm hoping we'll eventually get some Switch related goodies to spend coins on. Maybe then these 100 coins will get put to use.
Nintendo of America [Twitter]
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One thing that many people find difficult to understand about the Catholic Church is the Church's emphasis on Mary. Why would we say "Hail Mary" and pray the Rosary when we could be talking to Jesus? Doesn't that go against the meaning of the Gospels, where we learn that we must love Jesus above all else? Why should we have such a prayer to Mary? [Read more…]
Common Catholic Prayers
There are many prayers that Catholics pray on a regular basis. Most Catholics learn these prayers from the time they are very young.
The Value of Memorized Prayer
To have a relationship with God it is necessary to pray. Prayer should always be a conversation with God, and learning to talk to God in our own words is vital. However, memorized prayers that we can recite are also valuable. If they were not, when his disciples asked Jesus how to pray, Jesus would not have given them a prayer (the Lord's Prayer or the Our Father) that they could memorize and recite (Matt 6:9-13). We do not repeat this formula mechanically; rather, the Holy Spirit enlivens our prayer as a true expression of our hearts.
There are several things that make memorized prayers a valuable tool in our spiritual life.
- Memorized prayers give us words to pray when we can't think of ways to pray on our own.
- Saying the same prayers as millions of other Christians allows us to pray together when we are gathered in Jesus' name (cf. Matt 18:20).
- Memorized prayers contain a theology within them that can teach us about God, the saints, and ourselves.
Common Catholic Prayers
Three of the most common Catholic prayers are:
- The Our Father
- The Hail Mary
- The Glory Be
The Our Father
The Our Father is the most important Christian prayer. It is the prayer that Jesus taught his disciples to pray, and they handed it on for millennia. Catholics pray this prayer at every Mass, and other Christians pray it as well. This means that the Our Father is a prayer that can unite Christians in prayer even when we have differences in our beliefs.
Whole books could be written about the Our Father. In fact, the Catechism of the Catholic Church includes over 100 paragraphs about this prayer. Even if you don't want to read whole books about the Lord's Prayer, it is valuable to know a little bit about its meaning.
Tertullian, an early Latin theologian, said that the Lord's Prayer "is truly the summary of the whole gospel."
Jesus tells us, "Ask and you will receive" (Matt 7:7). The Our Father contains a list of petitions, teaching us what to ask God for, and in what order we should ask. We start asking for things that glorify God: that God's name will be honored, that God's kingdom will come, that God's will will be done. Next, we pray for ourselves: that God will provide our daily needs, that he will forgive our sins, that he will preserve us from temptation, and that he will deliver us from evil.
In this prayer, Jesus not only teaches us to ask God for what we need, but also how to view God. We view him as the transcendent Being whose name is above all names, whose kingdom is above all kingdoms, whose will should be honored. Yet we also address him as "Father." We recognize that we are children of God, and that he has adopted us into his family (cf. Romans 8:14-17). We ask in a spirit of trust that God is powerful enough to supply our needs and that he is a loving Father who desires to give us all that we need.
There are many other things we can learn from this prayer. Just a few of them are:
- We are a community of believers (God is "Our Father", not "My Father")
- It is notable that this prayer also literally unites Christians in community, as it is not a prayer exclusive to Catholics
- We must forgive others
- Prayer is the way in which we overcome temptation
- Through Jesus, we experience victory over evil
The Hail Mary
The Hail Mary is another very popular Catholic prayer. For some, it may be hard to understand why we pray to Mary at all. Put simply, we pray to Mary to ask for her intercession, just as we would ask our family and friends on earth to pray for us. Mary is uniquely close to Jesus: she is his mother, after all! Asking for her prayers gives us a powerful intercessor.
The Hail Mary is a very biblical prayer. "Hail Mary, full of grace, the Lord is with thee" reflects the angel Gabriel's words to Mary when he greeted her and asked her to be the mother of Jesus (Luke 1:28). When we address her as "Mother of God," we echo the words of Elizabeth, Mary's cousin, who said, "Who am I that the mother of my Lord should come to me?" (Luke 1:43).
Next, we ask Mary for her intercession: "Pray for us sinners, now and at the hour of our death." The two most important times anyone can pray for us are now and at the hour of our death. Now is the moment in which we respond to God. We must not put off our response until some future date, and we must not rely on our past deeds to sustain our relationship with God. Rather, we must respond to God's call and grace in every moment as we live it. The other most important time for someone to pray for us is at the hour of our death. Where we spend eternity depends on whether we die in friendship with God.
The Glory Be
The final prayer we will look at today is the Glory Be. The Glory Be is a short, simple prayer. "Glory be to the Father and to the Son and to the Holy Spirit, as it was, is now, and ever shall be, world without end. Amen." Yet it contains a deep theology.
The Glory Be expresses our faith in the Trinity. This is one of the most important doctrines of the Christian faith, and tells us the secret of God's inner life. The goal of our life is to glorify God, and God deserves the glory.
Furthermore, God is unchanging in the past, present, and future. "Jesus Christ is the same yesterday, today, and forever" (Hebrews 13:8). Therefore, his glory is also unchanging.
The most confusing part of the Glory Be may be the last words: "world without end." Christians know that eventually God will bring an end to this world and we will live in "a new heaven and a new earth" (Rev 21:1). In the original Latin, the words are in saecula saeculorum. This literally means, "into the ages of ages." In the Mass, it is usually translated as "forever and ever." The words, therefore, mean that while this world lasts, the glory of God will never pass away. It endures into eternity, the world without end.
Mary in the Scriptures
Mary in the Old Testament
She appears as a prototype of the second Eve in the creation narrative. After human-kind sins in the Garden of Eden, God says to the serpent (Satan), "I will put enmity you and the woman and between your offspring and hers. He will strike at your head, while you strike at his heel," (Gen. 3:15). [Read more…]
Mary in the Bible
There are some that say that the Bible really says very little about Mary. However, that is quite contrary to the truth. There are actually a lot of references to Our Lady. For some of these references, you have to do a little bit of digging. [Read more…]


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September 2014
Does Anyone Know How You Are Getting Paid?
Complex consulting contracts can make it unclear how to comply with a company's invoicing requirements.
By Steven J. Cagnetta, Esq, and Steven K. Ladd
It seems that all companies have their own unique way of compensating the physicians who advise them during collaborative activities. At Primacea, we have reviewed payment schemes used by more than 100 pharmaceutical and medical device suppliers, ranging from multinational giants to startups. The complexities of tracking and ultimately complying with each company's creative legal terms and invoicing requirements can be nearly impossible for a busy physician and can ultimately lead to lost dollars (or worse).
This article describes some of the typical yet complex provisions in medical consulting agreements and provides guidance to physicians on structuring and implementing successful invoicing systems.
Please be aware that this article is not intended to provide legal advice or to replace a review by counsel, which we would advise in every situation.
Most agreements pay consulting physicians on an hourly basis, sometimes with limits. A typical agreement might pay $400 per hour, not to exceed $4,000 per day. Other agreements take some reading. Here is a sample of language we recently saw:
Consulting fees:
$2,500.00 per one full day
$1,250.00 per half day
$313.00 per hour
The Company will pay the Consultant at the hourly rate if the Consultant works less than 4 hours in a day, at half-day rate if Consultant works between 4 and 6 hours, and at full day rate if Consultant works more than 6 hours in a day.
If an event cancels, prior to 48 hours of the designated start date, the Consultant shall be paid 50% of the agreed fee. If the Consultant has already started his/her travel for an event that cancels, then the full amount agreed upon will be honored.
Not every agreement has a linear relationship between hours worked and compensation earned. In the example just mentioned, working a few minutes more than 6 hours doubles the compensation (which then remains unchanged for even more than 6 hours of additional work).
Some assignments guarantee a minimum payment over a specified time period, usually to compensate physicians for setting aside time for the company's projects. In such cases, the contract can call for invoicing "at the rate of $400 per hour with a minimum annual charge per year of $10,000." Although this may seem like a good deal, physicians need to be sure to track their time accurately to prove that they have actually provided services (otherwise, there are regulatory risks).
Startup companies frequently compensate physicians with a combination of cash and stock options. At times, the understanding is that the stock options are in return for services up to a certain number of hours per month or per year. This results in invoicing terms like "$300 per hour for all hours in excess of 4 per month." Again, accurate time tracking is critical.
Some clauses use nonstandard terms. Here is an example of compensation for travel time outside of the United States:
$1,800 per day for each travel day for outside-the-US travel exceeding 8 hours of travel time; $1,200 per day for travel outside the US in which the travel includes a nonworking weekend.
Given this clause, does travel originating in Chicago on a Sunday night and arriving in Tel Aviv on Monday morning meet the definition of including "a nonworking weekend"?
Most physicians have a performance aspect to their primary compensation (such as relative value units), so time spent traveling to labs, trials, presentations, or advisory board meetings costs physicians real money. The good news is that more and more companies are willing to pay physicians for travel time, as long as the travel is just for the company-related activity, and the physician is not going to the location for another event.
The structure of these payments varies widely. Many companies pay for travel at an hourly rate (such as half the consulting rate). This is ideal because it allows physicians to track time and invoice using the same structure as their consulting services. One company pays only when the duration of travel exceeds 5 hours, in which case they pay for 4 hours of consulting.
Some companies require monitoring the distance to be traveled and provide a tiered fee. Although we can appreciate the idea in theory, in practice, it is difficult. For instance, what happens if the company books a flight from Cincinnati to Provo through Dallas? Does the connection distance count?
Companies operating under a corporate integrity agreement can specify payment classifications that bring to mind the complexities of ICD-10. Let's examine a real agreement for consulting services and compensated travel time. All consulting services are paid at the rate of $500 per hour. There are nine categories of travel time:
- Flight time up to 2 hours
- Flight time of 2 hours to up to 5 hours
- Flight time of 5 hours up to 7 hours
- Flight time of 7 hours up to 9 hours
- Flight time of 9 hours up to 12 hours
- Flight time of 12 or more hours
- Flight time from Western Hemisphere to Europe
- Flight time to Asia, Australia, or Africa
- Driving time
Driving time is the easy option:
"Travel time by car as determined in accordance with the estimated drive time as documented by using a commercially available Internet mapping tool."
Flight time" is determined by adding all in-flight hours for both inbound and outbound flight segments. We assume that adding the flight times on the airline itinerary is sufficient, as most physicians do not know the breakdown of scheduled flight times in terms of taxi time and in-air time.
Once flight time has been determined, it is mapped to a specified "travel time allotment." In the case of a flight time of 7 to 9 hours, the travel time allotment is 10 hours.
The invoice is then calculated as the travel time allotment (10 hours in this case) times 80% of the $500 hourly consulting rate ($400 per hour) for a total of $4,000.
Companies can impose a time limit on invoicing, often stating that they need to close their books on a periodic basis. The standard time period is between 60 and 120 days. However, we have seen requirements for invoicing as short as 30 days. For expense reimbursements, one company required submission within 10 days.
The penalty for failing to submit a proper, timely invoice is losing any right to payment. This is an obvious but remarkably harsh remedy, given that most physicians are doing this work outside of their day job. In the case of contracts with guaranteed annual payments (often timed with the anniversary of the contract's effective date), delays in invoicing for the guaranteed payment would result in substantial financial losses to the physician.
Physician contracts are drafted by lawyers who are focused on issues other than the complexity of generating invoices. Although complex structures may solve a particular internal issue, they are counterproductive because they create unneeded complexities and result in excess costs to manage the questions and inevitable errors. The best companies we see keep their pay and reimbursement structures simple, which makes it easier for both the companies and the physicians to comply with the terms. For their own personal interests, physicians need to understand the financial provisions of their contracts and negotiate to simplify those that are overly complex or burdensome to implement.
Primacea provides tools to physicians and leading hospitals to facilitate transparency in innovation and manage compliance obligations. For more information, please follow @Primacea on Twitter or www.primacea.com.
Steven J. Cagnetta, Esq, is Founder and Chief Counsel at Primacea, Inc. in Andover, Massachusetts. He may be reached at (781) 369-2900; email@example.com.
Steven K. Ladd is Founder and President at Primacea, Inc. in Andover, Massachusetts. He may be reached at (617) 901-3140; email@example.com.


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Look what I got in the mail:-)
It's Issue #68 of the wonderful magazine of horror and suspense, Cemetery Dance, and it's got a glowing review of Urban Cthulhu: Nightmare Cities (hplmythos.com Vol. 2) edited and published by me. The review is written by Brian Sammons.
It is a treat to see a publication of mine reviewed in a magazine such as this, one of the finest. I am thrilled whenever I see the authors get the due they deserve. Thank you!
You can buy the book in several online stores, for instance these:


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The GoMOSES Conference is happy to host the following workshops as part of the program. Most workshops require an RSVP; please contact the organizers as instructed in each description.
Please note: Workshop attendance is covered as part of the conference registration. If you are only attending a workshop and not remaining for the conference, there is a one-day registration fee of $75.
Oil Spill Preparedness and Response Workshop: Tradeoff Decisions in the Gulf of Mexico
Stakeholder Engagement to Identify Monitoring and Adaptive Management Data Needs for the Deepwater Horizon NRDA Open Ocean TIG's Restoration Program
Framing Indicators for an Ecosystem Assessment of Barataria Basin, LA
Responding to Future Deep Water Oil Spills in the Gulf of Mexico
An Introduction to the Environmental Unit's Role and Responsibilities During an Oil Spill
How to Use Social Media to Meet Your Goals
GRIIDC Training Workshops
There is still limited space available for Monday workshops. If you are interested in organizing a workshop, please contact the conference planners.
Oil Spill Preparedness and Response Workshop: Tradeoff Decisions in the Gulf of MexicoMonday, February 4, 7:30 AM - 5:30 PMCelestin HOrganized by Coastal Waters Consortium
US regional policies were developed in the 1990s following the Ixtoc I blowout in the Gulf of Mexico (3 June 1979 – 23 March 1980), the Exxon Valdez oil spill (March 24, 1989), the passage of the Oil Pollution Act of 1990 (OPA 90), and the 1994 update of the US National Oil and Hazardous Substances Pollution Contingency Plan (NCP). The NCP requires the development of regional policies about the use of dispersants, other chemicals and in-situ burning. In many regional policies, dispersant use was authorized as a viable response option to mitigate the impacts of oil on vulnerable/sensitive/productive coastal environments (especially marshes) and water surface wildlife (especially birds), when applied in open waters with good circulation and potential for rapid dispersed oil dilution, e.g., > 3 miles from shore and > 30 feet.
The goal of this workshop is to begin a conversation between GOMRI researchers and their user community, i.e., oil spill planners and responders, about applying past and recent scientific findings to produce shared knowledge that will help inform tradeoff decisions during oil spill planning and response in the Gulf of Mexico. The scenario will involve a blowout that threatens the coast, with choices about response options that include dispersant use.
Participants will be able to hear decision
makers from the Region 6 Regional Response Team consider dispersant use for a
blowout scenario. Participation is by invitation, but if interested please contact Ann Hayward Walker.
Stakeholder Engagement to Identify Monitoring and Adaptive Management Data Needs for the Deepwater Horizon NRDA Open Ocean TIG's Restoration ProgramMonday, February 4, 1:00 PM - 5:00 PMCelestin AOrganized by the NRDA Open Ocean TIG
The Deepwater Horizon (DWH) Natural Resource Damage Assessment (NRDA) Open Ocean Trustee Implementation Group (TIG) is seeking input from stakeholders on the identification and prioritization of information needed to facilitate restoration for injured resources within the Open Ocean TIG. This workshop will include an overview of the Open Ocean TIG's restoration goals, current restoration priorities, and potential approaches for evaluating Open Ocean TIG restoration outcomes. Participants will be asked to provide input on the data needed to best inform planning, implementation, and evaluation of Open Ocean TIG restoration activities for fish and water column invertebrates, mesophotic and deep benthic communities, sea turtles, marine mammals, birds, and sturgeon injured by the DWH Oil Spill, as well as data needed to inform restoration at the ecosystem level.
More information and a draft agenda are available here. Seating for this workshop is limited. Please RSVP at the Eventbrite link by January 21 if you would like to attend.
Framing Indicators for an Ecosystem Assessment of Barataria Basin, LA [CANCELED]Monday, February 4, 1:00 PM – 5:00 PMCelestin EOrganized by Shannon Martin and Suzana Blake, University of Miami, and Rebecca Allee, NOAA
Many of the Gulf of Mexico's ecosystems have undergone significant degradation (from both man-made and natural disturbances) with negative impacts on natural resources and human wellbeing. Therefore, ecosystem-level restoration is a necessary component of management and sustainable development programs to ensure that the livelihoods of Gulf communities depending on these degraded ecosystems can be sustained and improved. Given the large investments in ecosystem restoration expected over the next 20+ years through Deepwater Horizon-funded programs, there is a need to explore ways to evaluate the outcomes of restoration at the ecosystem scale. Integrated Ecosystem Assessments provide a potential framework to assess holistic ecosystem status relative to management or restoration objectives, assess the socio-ecological trade-offs associated with management scenarios, and inform evaluations for adaptive management in complex systems, such as those in the Gulf of Mexico.
NOAA's Gulf of Mexico Integrated Ecosystem Assessment (IEA) team will be holding a half day workshop that will target Natural Resource Managers in Southeast Louisiana (particularly Barataria Basin). As part of a project to inform management decisions regarding the planned Mid-Barataria Sediment Diversion (MBSD) at Myrtle Grove, LA, we will be rolling out our suite of biophysical, ecological, and human dimension indicators to exhibit the status and trends in Barataria Basin. We will be asking for the managers' feedback on how best/most effectively present these indicators in a product (Barataria Basin Ecosystem Status Report) they will be more likely to use.
Please RSVP with the organizers to attend.
Responding to Future Deep Water Oil Spills in the Gulf of Mexico Monday, February 4, 9:00 AM - 5:00 PMCelestin BOrganized by C-IMAGE
Research stemming from the Deepwater Horizon (DWH) oil spill has resulted in a considerable body of work specific to ambient conditions at that 1,500 m deep site in the northern Gulf of Mexico (GoM). Should another mega-blowout occur in the GoM, it surely will occur at sites deeper and more remote to the coast, as the industry has moved to well locations in depths approaching 3,000 m. Data mined from the BOEM website is used to forecast how exploration and production has and will evolve over time. Using simulations of deep blowout scenarios combined with accumulated information on realistic processes extant at various sites as well as resources potentially at risk, this session considers how future scenarios may differ from DWH. The DWH scenario resulted in a considerable quantity of oil reaching the bottom as a result of marine oil snow aggregation processes. Will the conditions required for such a scenario be achieved farther offshore and away from riverine sources of clay particles and in areas of lower primary productivity? How will future spills impact the exclusive economic zones of the three Gulf countries? In particular, the use of mitigation measures such as traditional clean up technologies (booming, straining, controlled burns, surface-applied dispersants, and mitigation measures novel to DWH (SSDI, berming, freshwater releases) will be considered. This workshop will also highlight the relative environmental sensitivity of offshore Gulf regions, critical information gaps, and policy implications of offshore spill scenarios.
View the agenda here.
An Introduction to the Environmental Unit's Role and Responsibilities During an Oil SpillMonday, February 4, 1:00 PM - 5:00 PMImperial 9Organized by OBG
The Environmental Unit (EU) is established within hours of a spill and is responsible for all environmental issues during the response. This course aims to educate participants on what the EU does and does not do. One of the primary roles of the EU is to minimize inadvertent damage from response activities to natural and cultural resources. During the MC252 response, this minimization was accomplished via the Natural Resource Advisor (NRA) program. The NRA program was managed by the organizers of this course and will be discussed thoroughly during this workshop. Additional EU responsibilities include identifying resources at risk; managing the Shoreline Cleanup Assessment Technique (SCAT) program; managing waste streams; and coordinating internal and external environmental stakeholder issues as they pertain to response activities. The main function that the EU does not perform is to assess injury or damage from the release. This is addressed via the Natural Resource Damage Assessment (NRDA) process. The workshop will provide an overview of the NRDA process, as well as, discuss areas of overlap between response activities and NRDA. This is a discussion-based, 4-hour workshop taught by experienced spill response consultants who have worked on the MC 252 Deepwater Horizon; Texas City Y; LaPorte, TX MTBE release; and Bay Long responses in the Gulf recently and many other spills.
To attend, please RSVP with the workshop organizers.
How to Use Social Media to Meet Your GoalsWednesday, February 6, 12:15 PM - 1:15 PMCelestin GOrganized by Virginia Schutte, Louisiana Universities Marine Consortium
Many scientists feel that they 'should' be on social media to tell 'the public' about their work. But social media is simply one of many communications tools available for scientists to fulfill their goals. This is not a standard introductory social media workshop. There are many blog posts and how-to advice articles already online that instruct beginners on the technical aspects of using social media. This workshop will talk attendees through goal-setting exercises and demonstrate, with real examples, how any social media network is a Swiss Army knife that can be used to fulfill a variety of needs. Participants will leave with a written profile of themselves and an action plan for how they will use social media to meet their goals, including how to successfully use social media if they want to spend no time on the network at all.
Gulf of Mexico Research Initiative Information and Data Cooperative (GRIIDC) Data Management Training Workshops
Workshops will be held during breaks to allow attendees to participate in scientific sessions. Workshops will be approximately 25 minutes long and held in Imperial 9 on the 4th floor.
Organizing Data – Best Practices and GRIIDC SubmissionTuesday, February 5, 10:00 AMWednesday, February 6, 3:30 PM
The Gulf of Mexico Research Initiative Information Data
Cooperative (GRIIDC) is a leading resource for researchers to manage and share
data about the Gulf of Mexico. Proper data management during the course of a
project can facilitate data sharing through GRIIDC or a national data archive.
If data are not properly managed, they may be lost or improperly documented,
preventing the researcher from sharing and getting credit for work completed.
This workshop will provide information about data management best practices.
Submitting Cruise Data to GRIIDCTuesday, February 5, 3:30 PMWednesday, February 6, 10:00 AM
The Gulf of Mexico Research Initiative Information &
Data Cooperative (GRIIDC) submits data generated from research cruises to the
National Oceanic and Atmospheric Administration (NOAA) National Centers for
Environmental Information (NCEI) for long-term archival. NCEI requires data be
submitted with specific documentation and file structure. This workshop will
provide information about the types of cruise data to submit to GRIIDC,
supporting documentation that is required, and the file structure required for
data submission to GRIIDC.
Submitting a Dataset to GRIIDCWednesday, February 6, 8:00 AMThursday, February 7, 10:00 AM
The Gulf of Mexico Research Initiative Information Data
Cooperative (GRIIDC) operates a data management system that stores datasets and
related information collected and generated by Gulf of Mexico Research
Initiative (GoMRI) funded researchers. Datasets are submitted to the GRIIDC
data management system directly or by providing a link to the dataset if housed
at a National Data Archive. Digital Object Identifiers (DOIs) are automatically
assigned when a dataset is submitted to GRIIDC. This workshop will demonstrate
how to submit data to GRIIDC and obtain a DOI for the dataset.
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1 comment:
Hi. Howie from Norway It`s heartbraking to hear your story of Evanna, and still inspiring. I`ve looked for a long time for a family with a child having a similiar heart sickness as my boy Olai (8 months).ReplyDelete
Our journey is also a nightmare and is still uncertain, I guess as long as Olai lives.
He also has MAPCA`s with pulmonary atresia, two collaterals going left lung, and one collateral to right lung. Starting with ccTGA, he got mitral atresia, so he only has one atrium (right one, on his left side), so he also has mixed blood. They did Rashkind surgery to secure the hole(kept it open) in the heart, from his disfunctional right atrium to his functionary left atrium. Hes has gotten several AV blocks, arrythmics, so now he has a pacemaker, puting his pulse on 90 :) Hes spO2 levels are 65-80 all the time. We are at home nursing him and giving all life quality we can. The doctors have no option for surgery at the time. This is because of the complexity of the MAPCA`s mainly, but also rest of the heart. We never give up though. He`s 8 months now, and going strong. May the MAPCA`s live strong for the rest of his life - though the odds are bad.
Write back if you want :) Thanks for the inspiring blog.


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Image via WikipediaIt must be difficult to be a Christian extremist parent in 2009. First, those pesky public schools actually want to educate your children in science so they'll be able to compete in an increasingly complex job market. Second, some dare to teach method of sex education which have been shown to be...(gasp)...effective, instead of simply preaching "don't do it." And now, some schools have the nerve to realize that bullying detracts from the learning conducive environment they are trying to foster. What is a good Christian extremist parent to do? Oppose measures to reduce bullying, of course.
Evidently, last week's No Name-Calling Week was too much for some Christian extremist parents to swallow. Homosecular Gaytheist brings us the story of Linda Harvey from Mission America who is upset over efforts to reduce school bullying. The source of Ms. Harvey's displeasure is that reducing bullying interferes with the fundamental right of Christian children to spread anti-gay hatred and bigotry at their schools. You see, in Ms. Harvey's world, refraining from hurling homophobic insults at one's peers amounts to condoning the dreaded homosexual lifestyle.
Over at Friendly Atheist, Hemant shows us that Ms. Harvey has some company among the Christian extremist ranks. He brings us the story of Christian attorney, Brad Dacus, who echoes Ms. Harvey's fears about anti-bullying measures. In fact, Mr. Dacus is convinced that children prevented from bullying one another just might grow up tolerant. The horror!
They're promoting, all the way down to the first-grade level, children to read and be exposed to books and material that is pro-homosexual -- and it's all under the guise of opposing name-calling.The truly mind-blowing part of this is that both Ms. Harvey and Mr. Dacus believe that by trying to reduce anti-gay bigotry, the schools are actually denigrating their religion. According to Dacus:
The alleged homosexual kids are not the only ones being bullied. There's [sic] kids of faith being called 'homophobic' and 'homophobe,' and yet those words and that name-calling is not under attack and is not being addressed by this alleged week of tolerance that's being pushed.By labeling intolerance as intolerant, the schools are opposing Dacus and Harvey's brand of hate-based Christianity. Where is the outrage from Christians who do not want their religion equated with hatred and bigotry?
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We have been grimly chortling into our cornflakes over the poetic justice of it all. Michael Cullen--one of the most economically destructive politicians ever to slough off the warrants of government--has just been appointed chairman of NZ Post. Now there will be plenty of folk who will once again be wondering at the moral compass of the present government. Michael Cullen, an academic (history) turned politician, has almost single handedly skewered the New Zealand economy.
One will never forget his profligate waste of the citizen's money in a desperate political ploy to ensure re-election, and his self-serving political motivation to throw away our fiscal surplus to make it harder for the National Government. One can still here his chortling in Parliament, saying of the surplus, "I have spent it all". And don't get us started on his repurchase of NZ Rail, which against all commercial and Treasury advice, for sake of socialist ideology, blew off over one billion dollars in overpaying Toll Holdings--which the Aussies gleefully characterised as the "Sale of the Century".
One searches in vain for worse examples of a venal politician being willing to weaken and compromise the interests of a country for sake of personal political point scoring and gain. Public servant Dr Cullen is not. Yet, current Prime Minister John Key--seemingly oblivious to such malfeasance (and there is no other word for it)--has been more than willing to employ Dr Cullen in governance roles over government owned businesses. It's as if Key believes that politicians are all just playing a game. Everything is all a bit of fun, really. No hard feelings. Nothing personal. Destroy a country--who cares. We are all good old boys.
One grimly looks forward to the long shadow and influence of Dr Cullen swanning around continuing to shape and push New Zealand in left wing directions--in much the way another former Labour politician, Sir Geoffrey Palmer has done. New Zealanders vote these guys out, and they just hang around like bad smells, enjoying government perquisites, continuing their destructive ways from other vantage points.
But there is a grimly ironic side to all this. The offical notice of Cullen's appointment to NZ Post contained this sober warning:
State Owned Enterprises Minister Simon Power today announced . . . . (A)t New Zealand Post, Hon Michael Cullen has been appointed chair from November 1 to replace Rt Hon Jim Bolger. . . ."I look forward to working with Dr Cullen to develop NZ Post's strategy to accommodate declining mail volumes and a challenging financial environment."
NZ Post, like all government owned postal services around the world, is in trouble. It is a sunset industry. It is inevitably going to go the way of the dodo bird. It is a horse-and-buggy service. Moreover, NZ Post owns Kiwibank--another socialist initiative--which while Minister of Finance, Dr Cullen championed. Kiwibank is supposed to be the replacement gem in the crown. It will turn out to be a voracious gobbler of capital and in the longer run will weaken NZ Post still further.
It is inevitable that the entire business will be broken up and sold off in the end. We expect that Dr Cullen will have to bear the ignominy of gloomy annual public reporting. NZ Post's failure will reflect back on to him. Warren Buffett once remarked that when a business leader with a superb reputation takes charge of a bad business, it is usually the reputation of the business which survives intact. In this case, we have a leader with an exceedingly bad reputation taking public responsibility for an equally exceedingly bad business. Dr Cullen's reputation will now be irrevocable and irredemiable for posterity.