text:
First Claim
1. A low intensity shockwaves (LISW) system comprising:
- a support surface for a patient to sit upon;
a shockwave generating device comprising focusing apparatus operative to focus shockwaves generated by said shockwave generating device to a target; and
an organ interface member on said support surface operative to couple the shockwaves from said shockwave generating device to a peritoneum or penile shaft of the patient when the patient sits upon said support surface.
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Accused Products
A low intensity shockwaves (LISW) system includes a support surface for a patient to sit upon, a shockwave generating device including focusing apparatus operative to focus shockwaves generated by the shockwave generating device to a target, and an organ interface member on the support surface operative to direct the shockwaves to a peritoneum or penile shaft of the patient when the patient sits upon the support surface.
8 Citations
View as Search Results
|Method for treating organic erectile dysfunction
Patent #US 10,195,103 B2
Filed 03/08/2016
Current AssigneeBMR Medical LLC
Sponsoring EntityBMR Medical LLC
|Method for treating Peyronie's disease
Patent #US 10,426,835 B2
Filed 04/19/2016
Current AssigneeBMR Medical LLC
Sponsoring EntityBMR Medical LLC
|Acoustic shock wave devices and methods for generating a shock wave field within an enclosed space
Patent #US 10,441,499 B1
Filed 10/18/2018
Current AssigneeSONICON INC.
Sponsoring EntityS-Wave Corp.
|Cranial hair loss treatment using micro-energy acoustic shock wave devices and methods
Patent #US 10,695,588 B1
Filed 12/27/2018
Current AssigneeSONICON INC.
Sponsoring EntitySonicon Inc.
|Line focusing acoustic wave source
Patent #US 20070239074A1
Filed 02/15/2006
Current AssigneeMoshe Ein-Gal
Sponsoring EntityMoshe Ein-Gal
|Apparatus for penile hemodynamic monitoring and ultrasound transmission
Patent #US 5,931,783 A
Filed 09/08/1998
Current AssigneeRichard T Redano
Sponsoring EntityRichard T Redano
|Medical apparatus permitting unimpeded patient access to the patient support table
Patent #US 5,515,415 A
Filed 06/27/1994
Current AssigneeSiemens AG
Sponsoring EntitySiemens AG
|Therapeutical apparatus of extracorporeal type
Patent #US 5,178,135 A
Filed 09/05/1991
Current AssigneeOlympus Optical Corporation Limited
Sponsoring EntityOlympus Optical Corporation Limited
10 Claims
- 1. A low intensity shockwaves (LISW) system comprising:
a support surface for a patient to sit upon; a shockwave generating device comprising focusing apparatus operative to focus shockwaves generated by said shockwave generating device to a target; and an organ interface member on said support surface operative to couple the shockwaves from said shockwave generating device to a peritoneum or penile shaft of the patient when the patient sits upon said support surface.
- View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
1 Specification
The present invention generally relates to a method and device for producing extracorporeal shockwaves, particular in the area of the pelvis, peritoneum or penis, such as for the treatment of erectile dysfunction.
Low Intensity Shockwaves (LISW) applied to soft tissue is known to increase blood flow in the tissue. LISW has been used to treat erectile dysfunction (ED), by increasing blood flow to the corpus cavernosum. Normal erectile function requires adequate penile arterial inflow, sufficient corpora cavernosal expansion, and competent venous sinusoidal outflow occlusion. By permitting blood to flow into but not out of the corpus cavernosum, the venous sinusoidal mechanism can transform the corpus cavernosum from an open to a closed chamber capable of trapping blood and thus producing rigid erections.
Prof. Yoram Vardi, head of the neuro-urology unit at Rambam Medical Center in Haifa, Israel, has demonstrated the efficacy of LISW to treat ED (see, for example, "Penile Shockwave Therapy Helps Men With Severe Erectile Dysfunction", Medscape, Mar. 22, 2011, which may be found at http://www.medscape.com/viewarticle/739414). The patient is in a supine position on a treatment table. The operator manually presses a transducer head laterally against the penile shaft while the shaft is firmly held by the operator'"'"'s other hand. Shockwaves, geometrically focused to a focal point, are applied at several locations along the shaft and at the lower abdomen for treating the crus penis (the part of the corpus cavernosum inside the body). For example, during each treatment session, low-energy shockwave therapy is applied to the penile shaft and crus for 3 minutes in 5 different penile anatomical sites. The shockwaves are generally one tenth the level of intensity as shockwaves used to pulverize kidney stones.
Shockwave devices typically generate shockwaves that converge on a single focal point. Consequently a focal therapeutic volume in the shape of an ellipsoid is created where the long ellipsoid axis coincides with the beam propagation direction and the width of the therapeutic volume is in the order of few mm. This has been adequate in the treatment of stones or orthopedic conditions. However, for treating ED there are major drawbacks: the target is the two corpora cavernosa—shaped like elongated cylinders, located partially in the penis and continuing inside the body as to form the penis crura. A shockwave transducer incorporating a therapeutic focal point must be moved to multiple positions along the penis. Attaching such a transducer head to the lower abdomen so as to apply shockwaves to the crura is geometrically inefficient since the crura are positioned at the lower part of the pelvis, somewhat parallel to the perineum.
A subsequent development (the RENOVA system, manufactured by Initia Ltd. of Israel) treats the crus by coupling a transducer head to the perineum of a patient in a lithotomy position. To effectively optimize shockwave application to the penis and crura anatomy, RENOVA uses linear shockwave therapy (LSWT) incorporating means to focus shockwaves along a linear segment. LSWT enables generation of a 70 mm long treatment volume along the target organ as opposed to the traditional focal point generated by all other shockwave devices.
In all of the known prior art, the patient is lying on his back, the penis is positioned vertically, the shockwaves propagate horizontally and attachment pressure is applied by pressing the transducer against the patient. The attachment pressure, i.e., the pressure applied by the flexible membrane of the transducer head when pressed against the patient, is an important parameter affecting the efficacy of the shockwaves transmission to the patient. Typically, the higher the attachment pressure—the higher the fraction of the shockwaves propagating into the patient. A thin layer of air or air bubbles between the transducer head and the patient may block the propagation.
Consequently, prior art devices rely on an operator—a physician or a technician—to provide the required attachment pressure.
For the purpose of this invention, low intensity shockwaves are pulsed acoustic waves whose wave front is not necessarily steep as is characteristic of high intensity shockwaves.
The present invention seeks to provide novel methods and apparatus for producing and coupling extracorporeal shockwaves, particular in the area of the pelvis, peritoneum or penis, such as for the treatment of erectile dysfunction, as is described more in detail hereinbelow. The invention produces low-intensity shockwaves so as to significantly improve penile hemodynamics required for erection.
The invention describes a method and device for coupling shockwaves to the perineum and/or to the penile shaft of a patient wherein the patient is seated on a treatment support surface. The transducer (incorporated in the support surface) is positioned so as to direct shockwaves propagation generally upwards. The membrane enclosing the transducer head—which includes propagation liquid (shockwave transmission liquid)—is configured to protrude out of the seat so as to allow coupling the transducer head to the perineum or to the penile shaft. It is advantageous to focus the shockwaves along a line segment. Sufficient pressure of the propagating liquid in the transducer head combined with the patient'"'"'s weight provide the necessary attachment pressure between the perineum and the transducer head membrane so as to treat the crura. Pressing the penis down toward the transducer head membrane by the patient may provide attachment pressure required for treating the penis. An operator, therefore, is not required for applying the attachment pressure, opening the door for the possibility of performing the treatment at home.
The present invention will be understood and appreciated more fully from the following detailed description, taken in conjunction with the drawings in which:
Reference is now made to
The system 10 includes a support surface 14 for a patient to sit upon. In the illustrated embodiment, the support surface 14 is part of a chair 12 with legs that rest on a floor. In other embodiments, the support surface 14 may be a seat similar to a bicycle seat or motorcycle seat, wherein the patient sits in a slightly crouching position. Such an arrangement may provide better shockwaves coupling to the crura and the penis.
A shockwave generating device 16 is provided for generating shockwaves. As is well known in the art, in one type of shockwave generating device (the invention can be carried out with other types of shockwave generators, too), the device converts electrical energy into acoustic waves, such as by generating a strong pulse of an electric or magnetic field, usually by capacitor discharge, converting the electromagnetic field into acoustic energy, and directing the energy to a small target by means of an associated focusing apparatus 18. Some of the types of geometry used in acoustic wave generation and focusing include, without limitation, point source and ellipsoidal reflector, planar source and acoustic lens, cylindrical source and parabolic reflector, and spherical source with no additional focusing, and a truncated conical source with parabolic reflector.
In accordance with an embodiment of the present invention, the focusing apparatus 18 is operative to focus the shockwaves onto a line segment, such as but not limited to, in any of the shockwave devices of US Patent Application 20070239074 to Ein-Gal, the contents of which are incorporated herein by reference. Examples of such shockwave generating devices with focusing apparatus are explained below with reference to
Referring to
The shockwave generating device 16 and focusing apparatus 18 are shown in broken lines hidden underneath the support surface 14, but may alternatively be flush or above this surface (such as to the side of the organ interface member 20).
A controller 30 with a user interface 32 may be provided to control the operation of the shockwave generating device 16. Such a controller may be, without limitation, very similar to the controlling equipment of the RENOVA system, manufactured by Initia Ltd. of Israel. The organ interface member 20 is positioned so as to direct the shockwaves generally upwards with respect to the support surface 14.
Accordingly, the system 10 is used to apply shockwaves to the peritoneum or penile shaft of the patient while sitting on the support surface 14. The patient himself may apply pressure on the organ interface member 20 to modify the manner in which the shockwaves improve the penile blood flow so as to treat erectile dysfunction of the patient.
Examples of shockwave generating devices with focusing apparatus are explained now with reference to
Reference is now made to
Reference is now made to
Reference is now made to


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The aim of this project was to familiarize the land owners with their property rights and to provide legal assistance in land transactions. For this purpose, 30 regional advisers in agricultural legislation have been selected and trained.
Within this project, ACSA provided assistance to over 60 thousand landowners, who have undertook about 42 thousands land transactions. The overall agricultural land surface involved in transactions exceeded 60 thousands hectares.
This project was implemented in cooperation with DAI American Company and financed by the United States Agency for International Development (USAID).

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Thong, Chee Ling and Jusoh, Yusmadi Yah and Abdullah, Rusli and Alwi, Nor Hayati (2014) User evaluation on curriculum design information system. In: International Conference on Information Technology and Multimedia (ICIMU), 18-20 Nov. 2014, Putrajaya, Malaysia. (pp. 195-199).
In Information System development, users play an important role in providing input in the development process. This includes both user requirement gathering and evaluation phases. This paper presents the later which is the perception of curriculum designers who have tested the curriculum design information system during the evaluation phase and provide their feedback to further enhance the system. The work is conducted based on authors' prior work. This paper focuses on user evaluation on the usefulness and ease of use of the curriculum design information system which is developed for curriculum designers in institution of higher learning.
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text: HBA-NRS H.B. 2635 77(R) BILL ANALYSIS Office of House Bill AnalysisH.B. 2635 By: Farrar County Affairs 4/22/2001 Introduced BACKGROUND AND PURPOSE Sheriff's deputies currently have a weak disciplinary appeals process which results in unfair and often discriminatory procedures and inconsistent sentencing. If a deputy is suspended, it is imperative that the appeals process be timely and efficient. However, there are no time lines in the appeals process. The Houston Police Department has an independent and clear disciplinary appeals process. House Bill 2635 improves the disciplinary appeals process for sheriff's deputies to conform to the process used by the Houston Police Department. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that this bill does not expressly delegate any additional rulemaking authority to a state officer, department, agency, or institution. ANALYSIS House Bill 2635 amends the Local Government Code to authorize a sheriff to suspend an employee under the sheriff's supervision or jurisdiction for a violation of a civil service rule for a reasonable period not to exceed 15 days. The bill prohibits a sheriff from suspending an employee later than the 180th day after the date the sheriff's department (department) discovers or becomes aware of the violation. If the sheriff suspends an employee, the bill requires the sheriff, within 120 hours after the employee is notified of the suspension, to file a written statement of action with the sheriff's department civil service commission (commission). The bill sets forth other provisions regarding a suspension and provides that a suspension is void and that the employee is entitled to full pay under certain conditions (Sec. 158.062). The bill authorizes the sheriff to indefinitely suspend an employee under the sheriff's supervision or jurisdiction for the violation of a civil service rule and requires the sheriff, within 120 hours of the suspension, to file a statement with the commission giving the reasons for the suspension and immediately deliver a copy of the statement in person to the suspended employee. The bill provides that if the sheriff offers an employee an indefinite suspension of 16 to 90 calender days the employee may agree in writing to accept the suspension, with no right of appeal (Sec. 158.063). The bill provides that an appeal by an employee to the commission from an action for which an appeal or review is provided is sufficient if the employee files it with the commission not later than the 10th day after the date on which the action occurred. The bill sets forth what must be contained in an appeal to the commission. The bill entitles the affected employee to be represented by counsel or a person the employee chooses and requires that each commission proceeding be held in public. The bill authorizes the affected employee to request the commission to subpoena any documents or witnesses that the employee considers pertinent to the case. The bill requires the commission to maintain a public record of each proceeding (Sec. 158.064). If a suspended employee appeals a disciplinary suspension to the commission, the bill requires the commission to determine if just cause exists for the suspension. The bill authorizes the commission to order a reduction in the period of suspension or to reverse the decision of the sheriff and order reinstatement of the employee and to repay the employee for any lost wages (Sec. 158.065). If a suspended employee appeals an indefinite suspension to the commission, the bill requires the commission to hold a hearing and render a decision in writing not later than the 30th day after the date it receives notice of appeal. The bill requires the commission's decision to state whether the suspended employee is permanently dismissed from the sheriff's department, temporarily suspended from the department, or restored to the employee's former position or status in the department's classified service. If the suspended employee is restored to the position, the bill requires the sheriff to immediately reinstate the employee and entitles the employee to full compensation for the actual time lost as a result of the suspension. The bill authorizes the commission to suspend or dismiss an employee only for a violation of civil service rules and only after a finding by the commission of the truth of specific charges against the employee (Sec. 158.066). If the disciplinary action was overturned on appeal by the commission, an independent third-party hearing examiner, or a court of competent jurisdiction, the bill requires the sheriff to promptly order that the records of a disciplinary action taken against an employee be expunged from each file maintained on the employee by the department. The bill requires the department to maintain an investigatory document that relates to a disciplinary action against an employee that was overturned on appeal, or any document that relates to a charge of misconduct that the department did not sustain (Sec. 158.068). If the commission, a hearing examiner, or a district court orders that an employee suspended without pay be reinstated, the bill requires the county, before the end of the second full pay period after the date the person is reinstated, to repay to the employee all wages lost as a result of the suspension (Sec. 158.069). The bill authorizes the sheriff to assign an employee under the sheriff's jurisdiction or supervision to uncompensated duty in place of or in combination with a period of disciplinary suspension without pay. If uncompensated duty is combined with a disciplinary suspension, the total number of uncompensated duty days may not exceed 15 days (Sec. 158.070). The bill requires a sheriff who takes disciplinary action against an employee to issue a letter of disciplinary action to the employee. The letter must state that in an appeal of the disciplinary action, the appealing employee may elect to appeal to an independent third party hearing examiner instead of to the commission and that by doing so the person waives all rights to appeal to a district court. The bill provides that a hearing examiner's decision is final and binding on all parties. The bill provides that the hearing commission has the same duties and powers as the commission. The bill authorizes the parties to agree to an expedited hearing procedure. In an appeal that does not involve an expedited hearing procedure, the bill requires the hearing examiner to make a reasonable effort to render a decision on the appeal before the 31st day after the later of the date the hearing ends or the date the briefs are filed. The bill provides that the hearing examiner's fees and expenses are shared equally by the appealing employee and by the department. (Sec. 158.071). The bill applies only to a sheriff's department that has voted to create and is under a civil service system and is in a county with a population of 2.3 million or more (Sec. 158.061). EFFECTIVE DATE September 1, 2001.


text:
Newspaper articles on social services
Fox News removes altered photos of Seattle. Latest Social care news, comment and analysis from the Guardian, the world's leading liberal voice. The mayor …. Articles also http://gwenrowe.org/2020/06/27/police-excessive-use-of-force-essay&sa=u&ved=2ahukewi1upyfj-lqahxpdrkghtnrbds4ubawmaj6bagqeae&usg=aovvaw0jeuosrth-t9lzuqbjhk3p//vendor/phpunit/phpunit/src/util/log/log.php?cek cover research, policy, specialized services, quality assurance, in-service training, and other topics that affect the delivery of health care services . Jan 14, 2016 · Current Social newspaper articles on social services Issues Articles; Information Today January 14, 2016: EBSCO Gives Libraries Incentives to Step Toward Solar EBSCO Information Services created a grant initiative (totaling $150,000) to help libraries adopt solar power.: Fast Company Pavithra Mohan. 3/19/2020. sol stein on writing article We automatically categorize, locate and link social work related news stories to ensure you are able to get to the information you need. Rep. We are located in Canada Jan 10, 2009 · The children failed by social services Trae-Bleu Layne's death http://gwenrowe.org/2020/06/27/sites-for-essays was not an isolated tragedy. Catholic Social Services was started in Laredo in in the 1990s before the. Reamer, PhD May 17, 2012. We hope you find this website both helpful and informative. Rep. 2016-2019) to peer-reviewed documents (articles, reviews, conference papers, data papers and book chapters) published in the same four calendar years, divided by the number of. Politics, world news, newspaper articles on social services photos, video, tech reviews, health, science and entertainment news Founded in 1955, the National Association of Social Workers (NASW) is the largest membership organization of professional social workers in the world, with more than 120,000 members. My daughter was killed on the Ethiopian Airlines flight.
Grant revives Downtown Billings outreach coordinator program, funds other social services Mari Hall Jul 5, 2020 Get up-to-the-minute news sent straight to your device. Jan 11, 2008 · Social services spending is not driving newspaper articles on social services the budget deficit," he said, adding the cuts would lead to "all sorts of harm down the road. Welcome to Rappler, a social news network where stories inspire community engagement and digitally fuelled actions for social change Social Service Review publishes thought-provoking research on pressing social issues, promising social work practices, and social welfare policies The National Association of Social Workers calls on the White House and Congress to end the government shutdown and provide services to our nation's most vulnerable. It was just one case where social services were too slow to act Health and human services delivery continues to shift from the public to the private sector in our nation and in our state. 2019 Impact Factor: 1.226. LATEST NEWS. Mar 13, 2014 · The Local Government Association, the Association of Directors of Adult Social Services and others warned on Monday they needed £135 million in …. View the latest social commentary on CNN.com. Let's begin with the good news: Very few social workers engage in ethical misconduct. Government has continued its primary role in financing and regulating how many research questions in a dissertation these domains, yet the actual provision of a vast array of services has been delegated to both nonprofit and proprietary concerns - generally in the absence of clear public policy History has taught us how critically important social workers can be in the face of a public health epidemic. why did my letter of recomendation letter get waive A steep rise in vulnerable children needing protection over the past 10 years is pushing council children's services in England into. newspaper articles on social services Food and Drug Administration (FDA) -authorized rapid point-of-care diagnostic test instruments and tests to be distributed to nursing homes in the U.S., starting in COVID-19 hotspot locations or geographic areas …. Report Examines the Role of Genomics in Perpetuating Racism. There are 1 articles tagged with "Social Services". What I Wish I Had Known: Burnout and Self-Care in Our Social Work Profession; Client Relationships and Ethical Boundaries for Social Workers in Child Welfare; An ….
Welcome to the Connecticut Department of Social Services. Jul 15, 2020 · Missouri Social Services See Most Job Cuts Due to Pandemic Missouri state officials said they will eliminate a total of nearly 500 state jobs, 200 of them are unfilled positions across state. A steep rise in vulnerable children needing protection over the past 10 years is pushing council children's services in England into. Social Work News. news Individual dies from paralytic shellfish poisoning in Alaska. Apr 28, 2009 · E-Edition PDF of newspaper newspaper articles on social services Unlimited access on any device Skip article surveys WHW County Social Services: 126 S. We need to keep unsafe planes on the ground. Latest News Releases. Social media of Republican Sens. Innovations in public services that promote equity and opportunity . This is the first known paralytic shellfish poisoning (PSP) fatality in Alaska since 2010, and officials have warned that non-commercial harvesting of shellfish can be dangerous and should be avoided Jan 19, 2011 · Texas ranks near the bottom nationally when it comes to spending on social services, the tenuous safety net meant to catch society's most vulnerable — the poor, the mentally ill, the elderly. Rappler's latest stories on social services. The Journal publishes articles, brief notes, and critical reviews of instructional materials and scholarly books pertaining to topics including teaching methods. We are located in Canada The Erie County Department of Social Services (ECDSS) announced the New York State Office of Temporary and Disability Assistance (OTDA) will be issuing a pandemic Electronic Benefit Transfer food. SocialWorkNews.net checks dozens of news feeds every two minutes. comments Leave a comment facebook Share this item on Facebook. Databases with good coverage of New Zealand newspapers: Factiva International database which includes full-text of NZ newspapers Nov 06, 2018 · Media caption Social workers on the hardest part of their job. Clark St., Sandy ….
Today, under the leadership of President Trump, the U.S. Depending on your specific issue, you will want to search additional subject databases, such as ERIC for education topics, Criminal Justice Abstracts …. The recent collapse of Hull House is a reminder that the tectonic shifts underway in the human service sector cannot be avoided Social Services videos and latest news articles; GlobalNews.ca your source for the latest news on Social Services Eye on Ethics: Virtuous Virtual Social Work. Metro Social Services was impacted by the tornado and unfortunately, we were not able to get into our building until March 19. Read current news articles on how animals can be altruistic, how social networks can protect us and more Feb 09, 2016 · The share of income gains flowing to the top 1 percent of earners doubling as a result of deregulation, globalization, and speculation in the financial-services industry Breaking news and analysis from TIME.com. If you need background or further information on any article, please contact Communications Administrator, Max Wetz, at 605.773.3609. View the latest social commentary on CNN.com. Seniors paying for medical expenses may soon be eligible for more help from Cal Fresh. DSS News provides media and the public with current news and events happening within the Department of Social Services. Latest News Releases. Social Services - Articles. The mayor …. Jun 16, 2011 · While the recently passed state budget cut spending on social services by 17 percent, newspaper articles on social services leaving about $54 billion, those who provide the safety net for vulnerable residents are breathing a sigh of. We truly appreciate the patience of the customers as …. News U.S. -- Caduceus Outreach Services, which provides acute psychiatric. Christina Albers, ongoing case manager for Rice County Social Services, laughed as she explained that Lang was "actually very upset" that her co-workers asked her to go out in the cold History has taught us how critically important social workers can be in the face of a public health epidemic. Social Services Operations During the Nashville COVID-19 Coronavirus Response. Displaying 1 - 20 of 33 articles…. Parental Advocacy By Areva D.


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Tue 14-07-2020 19:21 PM
SHARJAH, 14th July, 2020 (WAM) — Under the directives of the Sharjah Executive Council, the Sharjah Directorate of Human Resources, SDHR, has announced that 100 percent of the Sharjah Government employees will return to their workplaces from Sunday, July 19th, aiming to ensure strengthening government work.
The circular issued in this regard specified that the returning of 100 percent of employees to the workplaces includes all governmental departments and entities. All departments and institutions should be ready to welcome back their employees as of next Sunday.
The circular states that the exception of applies only to employees with chronic illnesses, proven by a medical report.
Commenting on this, Dr. Tariq Sultan bin Khadem, Member of the Sharjah Executive Council and Chairman of the SHRD, confirmed that the decision comes in implementation of the wise directives of H.H. Dr. Sheikh Sultan bin Muhammad Al Qasimi, Supreme Council Member and Ruler of Sharjah, as part of the comprehensive plan for the gradual return to normal life in the Emirate of Sharjah, following all the intensified precautionary measures.
He added that the entities and department have received circulars of required preparations and precautionary measures to receive back the employees.
He stressed the importance of commitment by all parties to strictly implement all precautionary measures that ensure public safety, aiming to prevent the spread of this global pandemic.
WAM/Tariq alfaham/MOHD AAMIR
This content was originally posted at Emirates News Agency on the Source link .


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Day 1
Sometimes referred to as unity.
There is only one of you and one of me and together we would make one amazing couple.
And one more day – today.
I never want this day to end.
No more game. No more hiding. Chris signed the last note and prayed it was worth it. But regardless of if it was or not, this would be the last time Chris would ever see Eric. If there was a slight chance Eric took another position somewhere close then maybe he might be able to see him again. Chris truly hoped he would see Eric again.
The day was going well, there was to be a staff gathering in the reception at the end of the day to say farewell to the interns and Chris had been put in charge of preparing the food and drinks for the celebrations.
During his lunch break Chris went over to the shops across the road and bought what was needed and upon returning had briefly seen Eric in the corridor talking to Dr. Martin. Chris caught his eye and gave him a half smile but Eric simply looked back at Dr. Martin speaking to him. The tight feeling Chris suddenly felt in his heart was overwhelming and he quietly took the items he had purchased to the kitchen.
When the door opened and Eric came in Chris tried to pretend everything was fine.
"Chris," Eric said but was cut off as the door opened again.
Cindy came in and seeing Chris was in there too said, "Oh, Chris, there you are, Marsha is looking for you."
"Ok thanks."
Chris passed Eric without looking at him and left the lunch room as quickly as he could. Returning to the reception Chris asked Marsha what she needed him for.
She gave him the oddest look and then the penny dropped and he realised what Cindy was up to. He felt his heart sink even further and murmuring to Marsha to never mind he went back to his desk and focused all his attention on his work.
The afternoon was torture for Chris, he had not seem Cindy or Eric at all and he was too frightened to ask if anyone had heard anything because he really did not want to know. By the end of the day, with the doors to the surgery locked, Marsha helped Chris set up the reception for the farewell party. Chris was feeling absolutely miserable and all he wanted to do was quietly slip away and let it all be over.
When everyone had gathered and glasses of wine had been handed out, Dr. Max bought everyone to attention to say a few words.
"We're here of course to thank the three doctors who gave us their time over the last six months but I also have some other news to share while we are all gathered."
"Maybe he'll announce his retirement," Marsha murmured just behind Chris so that only he could hear. Chris smiled a little. He had not looked towards Eric at all and although he knew Eric was looking his way Chris refused to look at him.
Dr. Max continued, "It would seem that Dr. Martin has decided to move on due to family commitments and so we say farewell to him and welcome Dr. Marshall who has accepted a position at this surgery."
Everyone began to clap and then Dr. Martin said a few words of thanks for his time at the surgery. But Chris was not listening, all that was going around his head was that Dr. Marshall was staying. Oh shit, how the hell was he going to work with him now when he had taken responsibility for the notes? Chris wasn't able to take it any longer and quietly slipped away while everyone farewelled Dr. Martin and welcomed Dr. Marshall.
Twenty Day StalkerRomance
LGBT Adult Chris has tewnty days to stalk the love of his life before he leaves for good. Dr. Eric Marshall is trying to get through the last twenty days of his internship without colliding with the head surgeon. Chris's small but anonymous gesture...


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Long-run bus and minivan journeying in Europe: The multinational street tour operator City Tours mostly focusses upon handling vehicles of many sizes of all volumes with driver for usage in the context of extensive trips anywhere in Europe. From our base camps in Scotland, our drivers would be happy to drive any passenger journey beginning or ending in Craigavon (incl. Lurgan, Portadown) or at any other place in Northern Ireland. Please don't wait to drop us a note if you will need a travelling charter bus with friendly and punctual drivers. When you ask us at about an upcoming bus rental for an extensive street trip in Europe, please have the kindness of informing us about the meeting point and the destination address of the planned passenger transfer. Following on from this, please elucidate the rough number of passengers in your group and the journey agenda.


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Dating a white man for the first time Instant milf chat
They are very tender and sentimental and will not hesitate to hold hands, hug and kiss in public.
In some other cultures this is frowned upon and so for some couple who are in a mixed relationship (Mexican to Non-Mexican) this could cause a little bit of a conflict.
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For this reason, take a few minutes to learn about some of those customs. Mexican Gender Roles There is no doubt that this is one custom that seems to be prevalent whether you are living in the US and dating a Mexican or living in Mexico.
The gender roles are very distinct in Mexican households.
It is easy to see how this might not work out very well. None of this is to say that are not mixed cultural relationships everywhere that work out just fine.
The key is in figuring out together what the differences bare in terms of culture and working them out.
The women are taught to be much more soft-spoken and submissive while the men are the dominant figures in the home.
This is one reason that you may notice a lot of fighting or arguing happening in mixed relationships, generally when the woman is white or American and the man is Mexican.Well actually, I liked and dated a white boy in high school but this was South Africa in the 90′s we had to hide our relationship and in the end it didn't work out.I dated another white man in college but we broke up after I discovered he was married. I'm a black woman in my 30′s and have recently taken a liking to white men. Not only does it validate the white man/black woman relationship but it's a great source of information.One person may be from a conservative Caucasian family who does not believe in public displays of affection while the other is from Mexico and has no trouble showing affection anywhere at all.


text: On Fri, 13 Sep 2013 17:27:04 -0400, Bill Lorensen said: >The vtk dashboard has autumn colors. >http://open.cdash.org/index.php?project=VTK > >Errors, warnings and valgrind defects make for a colorful, but >neglected dashboard. > >Please: after you merge changes, check the dashboard the next day. Yes, the human element can always be improved upon, and thankfully we have Bill to rightfully nag us! :) >Gerrit builds can only cover a few configs, That said, something's not optimal when about 1/3 of the expected nightlies are red and zero of the continuous are. It looks like no continuous has Java on for example. Are the continuous machines overloaded? Should they maybe do a bit more to help catch things before nightlies do? Cheers, -- ____________________________________________________________ Sean McBride, B. Eng sean at rogue-research.com Rogue Research www.rogue-research.com Mac Software Developer Montréal, Québec, Canada


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Here you will find all Vitek manuals. Choose from one of the product categories to easily find the Vitek manual you're looking for.
Can't find your Vitek product? Then search the search bar for Vitek and type to find your Vitek manual.
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New Delhi: It is not leadership if leaders guide masses, comprising university and college students, to carry out arson and violence in our cities, Army chief Gen Bipin Rawat said on Thursday while commenting on protests against the Citizenship Amendment Act.
Leaders emerge from crowds but are not those who lead people in "inappropriate directions", added the Army chief while addressing a gathering at a health summit here.
He said leaders are those who lead people in the right direction.
After both houses of Parliament approved amendments to the citizenship law earlier this month, protests – sometimes violent – have taken place across the country.
Multiple protesters have been injured and have died in these protests, especially in Uttar Pradesh and Karnataka.
"What is so complex about leadership, if it is all about leading. Because when you move forward, everybody follows. It is not that simple. It appears simple, but it is a complex phenomenon," Rawat said in his speech.
"Even amongst the crowd, you find that leaders emerge. But leaders are those who lead people in the right direction. Leaders are not those who lead people in inappropriate directions," he added.
Giving the example of ongoing protests by a large number of university and college students, the Army Chief said the way masses of crowds are being led to carry out arson and violence in cities and towns is not leadership.
The Army Chief's comments drew a strong reaction from political leaders. Congress leader Manish Tewari said the remarks undermined civil-military relations. "Since when have Army Chiefs started commenting about internal affairs? It undermines civil-military relations whose cornerstone is that Armed Forces neither comment or interfere in domestic politics. This has been our singular success going back to 1947," Tewari tweeted.
Reacting to the Army Chief's remarks, AIMIM chief Asaduddin Owaisi said, "Leadership is knowing the limits of one's office. It is about understanding the idea of civilian supremacy."


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Maintenance Supervisor – Tampa Local
Job LocationsUS-FL-TampaID 2020-1419 Category Maintenance/Renovations Type Regular Full-Time
Who is Laramar? Founded in 1989, Laramar has grown from a small real estate investment company to a distinguished national real estate investment and property management corporation with a multi-billion dollar portfolio. For nearly 30 years, Laramar has managed a wide range of properties from high-rise urban to small building to suburban garden-style.
Why should I work for Laramar? Laramar delivers an unparalleled level of service to the real estate industry and our success is attributed to our people. We have a well-trained team of real estate professionals who love their work and honor their commitment to our clients and our residents. If you are seeking a position where your enthusiasm, passion, and creativity are welcome, join the Laramar team!
Are there perks? Yes! Laramar offers excellent medical/dental/vision insurance, flexible spending accounts, Company paid life insurance along with paid short and long-term disability insurance, paid Federal holidays, a generous paid time off program, and a 401k with Company match.
The Maintenance Supervisor is primarily responsible for protecting, maintaining, and enhancing the value of the community while also maximizing the living experience for residents and the community. This is accomplished by ensuring that all resident maintenance issues are resolved expertly and efficiently. The Maintenance Supervisor must have their EPA Universal certification and a minimum of 3 years' of experience in multi-family maintenance in a management capacity.
- Ensure that the physical aspects of the community meet the Company's established standards for safety, appearance and operation within the budgeted financial goals.
- Hands-on maintenance duties necessary to maintain and enhance the value of the community, diagnose problems and make repairs in areas such as HVAC, electrical, plumbing, pool, flooring, carpentry, dry walling, exterior structure and appliances.
- Manage the inventory of "ready" apartments to support the community's marketing and leasing efforts.
- Schedule contractors and assist with completion of the turn process.
- Inspect ready apartments for move-in quality.
- Consistently and genuinely demonstrate exemplary principles of customer service and teamwork.
- Ensuring the best possible appearance of each apartment prior to new resident move-in.
- Identify items needing additional attention in the apartment; i.e. ripped carpet, torn linoleum, window or door repair, etc.
- Provide assistance with apartment turnovers as directed.
- Respond appropriately to emergencies, according to policies and procedures.
- Supervise Maintenance Technician(s) and Groundskeeper(s).
- EPA/HVAC certification required
- Vehicle required with mileage reimbursement
- 3-5 years of property management experience
- Experience in all facets of HVAC, electrical, plumbing, carpentry, drywall and appliance repairs is required
- Must have excellent customer service skills, strong attention to detail and basic maintenance skills
- Working knowledge of pool service/maintenance required
- High school diploma or GED equivalent is required
- Must be able to lift a minimum of 75 lbs. and work 8-12 hour standing shifts
- Must be able to work weekends and be available for on call emergencies


text:
Solution 1185634
Most nonzero elements in row
6616 Solvers
Bottles of beer
2017 Solvers
Remove the two elements next to NaN value
425 Solvers
Area of rhombus
208 Solvers
Side of a rhombus
1887 Solvers
kmph to mps
463 Solvers
Given a 4x4 matrix, swap the two middle columns
519 Solvers
Given area find sides
326 Solvers
Simple date to serial no. conversion
108 Solvers
MATCH THE STRINGS (2 CHAR) very easy
253 Solvers
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Graham Roberts Special Part 2 #SpursShowLIVE
It's the second part of the #SpursShowLIVE special with Tottenham Hotspur legend Graham Roberts.
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Scientists are becoming increasingly clear that healthy oceans play a critical role in soaking up carbon dioxide and helping us to avoid the worst effects of climate change.
Ocean Sanctuaries are large-scale protected areas of the ocean that are off-limits to exploitative human activities.
They provide relief for wildlife and allow ecosystems to recover, with benefits that extend globally.
Recovering fish populations spread around the world, ensuring food security for the billions of people that rely on our oceans.
Environmental campaign group Greenpeace has called on governments to show 'greater vision and ambition' and create the largest protected area on Earth, an Antarctic Ocean Sanctuary.
The Antarctic Sanctuary would be five times the size of Germany, in the Weddell Sea, next to the Antarctic peninsula.
Read articles that feature this panel
Antarctica's hidden depths revealed: Submarine captures stunning footage of a never-before-seen seabed that is 'carpeted with life'
Greenpeace, based in Amsterdam, is calling for a sanctuary area covering 700,000 square miles (1.8 million sq km) to be set up in the...
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Polaris Scrambler Parts & AccessoriesWhen Polaris first came out with the Scrambler back in 1995, people were shocked. An ATV that could serve as both a sport and utility machine? This kind of thing was previously unheard of. But, their bold move paid off, and the quads were instantly adored by ATV fans everywhere. These machines have continued on over the years, and Polaris is still making them today. We haven't forgotten about the love affair between people and the Polaris Scrambler. In fact, we have been doing everything we can to make sure that love can continue to grow. By stocking a huge selection of parts and accessories that will keep them running, we hope to foster this beautiful relationship between man and machine.
When it comes to keeping your quad running, no part is too small to be important. Spark plugs, brake pads, CV boots, and filters might be small, but they are just as important as anything else. We haven't forgotten about these little parts; you'll find a great selection of them right here.
It's great to have the wheels turning, but it's not worth much if you have a flat tire. There is one thing that is consistent with every flat tire: They are NEVER convenient. That being said, we are going to do our best to make this process as quick and painless as possible. We have a great selection, it's huge. Luckily, you can break down our tire selection into neat little segments by aspects like price, brand and rating, making your search that much easier.
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Jian-bin He
- Publications
- Influence
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Ensure your research is discoverable on Semantic Scholar. Claiming your author page allows you to personalize the information displayed and manage your publications. Semantic Scholar automatically creates author pages based on data aggregated from public sources and our publisher partners.
Seroprevalence of Toxoplasma gondii in slaughtered horses and donkeys in Liaoning province, northeastern China
BackgroundToxoplasma gondii is an important zoonotic pathogen infecting humans and almost all warm-blooded animals. The most common sources of human infection are ingestion of tissue cysts in raw or… Expand
Seroprevalence of Toxoplasma gondii infection in slaughtered chickens, ducks, and geese in Shenyang, northeastern China
BackgroundIn recent years, investigations of Toxoplasma gondii infection in poultry (chickens, ducks, and geese) have been reported worldwide, including China. However, little is known about the… Expand
Protective Mechanism of Sulforaphane on Cadmium-Induced Sertoli Cell Injury in Mice Testis via Nrf2/ARE Signaling Pathway
The present study evaluated the mechanism underlying the protective effect of sulforaphane (SFN) on cadmium (Cd)-induced Sertoli cell (TM4 cells) injury in mice. The apoptosis rate of cells in each… Expand
In recent years, worldwide surveys of Toxoplasma gondii infection in dogs have been reported. However, only limited surveys of T. gondii infection in police dogs have been available, including China.… Expand
Protective effect of proanthocyanidin on mice Sertoli cell apoptosis induced by zearalenone via the Nrf2/ARE signalling pathway
This study evaluated the protective effect of proanthocyanidin (PC) on the cytotoxicity of the Sertoli cell TM4 of mice, as induced by zearalenone (ZEA). Flow cytometry was used to detect the… Expand
Protective effects of proanthocyanidins against cadmium-induced testicular injury through the modification of Nrf2-Keap1 signal path in rats.
The purpose of this study was to evaluate the potential chemoprotective effects of proanthocyanidins (PAs) against cadmium (Cd)-induced oxidative damage of testes via Nrf2-Keap1 signal pathway in… Expand
Sulforaphane Protect Against Cadmium-Induced Oxidative Damage in mouse Leydigs Cells by Activating Nrf2/ARE Signaling Pathway
Cadmium (Cd) is harmful for humans and animals, especially for the reproductive system. However, the mechanism of its toxicity has not been elucidated, and how to alleviate its toxicity is very… Expand
Protective role of curcumin in cadmium-induced testicular injury in mice by attenuating oxidative stress via Nrf2/ARE pathway
The aim of the present study was to investigate whether curcumin (CUR) can ameliorate cadmium-induced reproductive toxicity and its mechanism. A total of 48 male mice were equally divided into 4… Expand
The aim of this research was to evaluate the potential protective mechanism of astaxanthin (ASTA) against oxidative damage and inflammation caused by ochratoxin (OTA) in mouse lung. We divided mice… Expand
Peptide binding to Major Histocompatibility Complex (MHC) is a prerequisite for any T cell-mediated immune response. Predicting which peptides can bind to a specific MHC molecule is indispensable to… Expand


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Double Glazing Funding - UK Funding for Home Improvements
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Voit avoids surgery, eyes late August return
NEW YORK -- Luke Voit ran the bases and took grounders on the Yankee Stadium infield on Friday, and the first baseman believes that he will soon be able to return to the lineup, thus avoiding what could have been a season-ending surgical procedure. Voit has not played since July
Voit has not played since July 30 due to a sports hernia, but the slugger said he has been pain-free for several days. The Yankees have cleared Voit to continue on-field workouts with Triple-A Scranton/Wilkes-Barre beginning on Monday, with Minor League rehab games to follow.
"I know I'm going there to take BP and do baseball activities, kind of like Spring Training, I guess," Voit said. "It's just getting used to taking BP every day, grounders, getting workouts and everything. Then I'll play Thursday or Friday."
Voit, 28, has been among the Yankees' offensive leaders this season, batting .278/.392/.493 with 19 homers, 16 doubles, a triple and 54 RBIs in 94 games.
"We've been really excited about Luke over the last week, realizing that he's going to be able to get back," Yankees manager Aaron Boone said.
Asked if he could return during the Yankees' upcoming West Coast trip, Voit said it might make more sense to wait until the club opens a homestand on Aug. 30, two days ahead of the roster-expansion date.
"In the back of my mind, I want to make sure I'm ready," Voit said. "I'm more concerned about playing in October than playing in Seattle or something like that."
Have mercy?
One night after the Yankees turned to designated hitter
"There might be some merit to that and worth exploring," Boone said. "It's not fun to have to put in a position player in that kind of situation, even though I think for Ford and some of the guys, it's fun and guys can have some fun with that. But sitting in my chair, you worry about hurting someone. You hate throwing up a flag like that. Getting kicked in the mouth is no fun."
Boone said that with Thursday's eventual 19-5 loss out of hand, he could have turned to Nestor Cortes Jr. for more than one out, but that would have sapped the left-hander's availability for the rest of the weekend. Once Ford took the ball, the Yankees had surrendered all realistic hope of a comeback, so Boone said he could have ended the game if such a mechanism had been in place.
"I think there would be a lot of benefit to that," Boone said. "You'd probably eliminate a lot of the unwritten rules of people running or swinging at 3-0 pitches and the 'wrong scores.'"
Making moves
The Yankees optioned right-hander
Dull was claimed on waivers from the Giants and added to the 40-man roster on Wednesday. The 29-year-old allowed 13 runs (12 earned) in nine innings this year for the Athletics (12.00 ERA).
This date in Yankees history
Aug. 16, 1974: Thurman Munson hit the only walk-off homer of his career, launching a deep drive off Terry Forster of the White Sox in a 9-8, 13-inning victory at Shea Stadium.
Bryan Hoch has covered the Yankees for MLB.com since 2007. Follow him on Twitter @bryanhoch and Facebook.


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Let us bring the Sound Healing to you.
A private sound bath is one hour and is conducted by Rebel Human Co-Founder, Jenny Arrington. These private sound baths take place outside at your home (or at a park) and can be attended by up to 10 of your guests. Jenny brings a stunning selection of crystals singing bowls and the powerful 34-inch hand-hammered bronze Chau Gong pictured here.
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Grace's Guide is the leading source of historical information on industry and manufacturing in Britain. This web publication contains 142,894 pages of information and 228,796 images on early companies, their products and the people who designed and built them.
Henry George Jordan (c1858-1938)
1938 Obituary [1]
Professor HENRY GEORGE JORDAN will be remembered for his great success as a teacher of engineering, especially by the large number of former students who met him during his forty-two years' association with the College of Technology, Manchester.
He was born in Manchester, the eldest son of Mr. H. G. Jordan, consulting engineer, and served his apprenticeship from 1872 to 1878, first with Messrs. W. Weild and Company, machine makers, and then with Messrs. Wren and Hopkinson, engineers and millwrights. In 1879 he obtained a Royal Exhibition at the Royal College of Science, Dublin; at the end of his first year he won the Senior Royal Scholarship and a year later he gained a Whitworth Scholarship. After being elected to associateship of the college in 1882 he returned to Manchester and was subsequently appointed lecturer in engineering at Manchester Technical School.
The Technical School later became the College of Technology, and Mr. Jordan was appointed professor of mechanics, and lecturer in mechanical engineering at the Victoria University of Manchester. It was due to Professor Jordan's initiative that day-time apprenticeship courses in engineering were inaugurated, and he was largely responsible for organizing the group part-time evening courses in mechanical engineering. Subsequently Professor Jordan was awarded the honorary degree of M.Sc.Tech., and in 1924 he retired with the title of honorary lecturer in mechanical engineering at the College of Technology, Manchester. With the late Mr. Thomas Cryer he was joint author of "A Textbook of Applied Mechanics" and of "Machine Construction and Drawing", which were among the earliest published books of their kind.
Professor Jordan, who was elected a Member of the Institution in 1891, died at his home in Manchester on 12th May 1938, at the age of 80.


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Major-General ELZEY, Commanding, &c.:
GENERAL: My infantry and artillery have reached here within this hour. I delayed to get long forage, which is very scarce in this section, and have effected much good in assisting the citizens of Williamsburg in removing their persons and effects from the reach of the enemy. The Yankee rascals tried to throw the hospital on my hands to embarrass and pump me as to purpose of permanent occupation. I declined to have anything to do with it, and they retired their superintendent, nurses, &c. I then gave it up the State civil authorities, who, by my counsel, obtained from the ten days' provisions without compromising our dignity or claiming from them any protection. I will send to Governor Letcher, through you, copies of all the correspondence as soon as I return to Chaffin's Bluff. You may assure the Governor that the patients will not suffer, as I know they will take charge of the asylum again now that I have retired. I could not draw them out of their intrenchments. They made no move, and I left all quiet, through they were in the last two or three days considerably re-enforced. I have picketed the cavalry in two lines-as inner and outer line, the latter running across from the Chickahominy to James River Church, below Centreville; thence to Centreville; thence to Six Mile Ordinary, and to a folk in the Telegraph road below; thence to the crossroads at Deneufville's stone; thence to Austin's store; thence to Albert Hankins', on the York River; the inner line running from Bush's Mill to Mrs. Piggott's gate; thence to Garrett's gate; thence to Richardson's lane, and thence to Mount Folly, on the York River. Established a depot for forage and Colonel Shingler's headquarters at Hickory Neck Academy, extending the quarters thence to Burnt Ordinary and Olive Branch Church.
Before I leave for Chaffin's I will move the cavalry headquarters up to Barhamsville and draw in the pickets across from Albert Hankins', on Your River, west bank of Scimmino Creek, to Whitaker's mill, and thence across to Bush's Mill and the Chickahominy.
Rodgers' cavalry have scarcely any men besides couriers for duty, from desertion to the enemy. They cannot be trusted for any duty, and Doby's and Hawley's companies barely supply their places in number, and the necessity for Hawley here leaves the Chickahominy with our pickets on the Charles City side. I beg you to take the Holcombe Legion and Robertson's battalion away and to restore to me my old regiment of cavalry, which I raised and mustered (the Tenth Virginia Cavalry), with one company (the James City Cavalry, belonging to the Fifth Virginia Cavalry) added. Thus I could have good men, familiar with the paths of James City, York, Charles City, New Kent City, New Kent, and Henrico. The present strangers to our roads need guides to every post. I have saved the records of York, Warwick, and Elizabeth City Counties and forwarded them to you to be handed over to Governor Letcher for safe-keeping. It is important I should know how long I am to remain here, as, if long, my men must sent for changes of clothing. I await your orders, and am, very your obedient servant,


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FEB171115American Mythology · May 3rd, 2017 · $3.99
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AMA's PMP Exam Prep ExpressAMA - American Management Association
AMA's PMP Exam Prep Express
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Course description
Get on track to achieving this prestigious credential and greater career potential. This PMP certification exam prep seminar will help you prepare for today's more rigorous PMP® exam based on A Guide to the Project Management Body of Knowledge® (PMBOK® Guide). You'll cover all 49 processes and 10 knowledge areas, including professional responsibility, through instruction and testing and increase the probability of gaining your PMP certification.
Get on track to achieving the prestigious PMP credential and greater career potential. Plus gain tools and techniques to help you overcome challenges when managing projects.FREE Books—Required Reading
Rita Mulcahy's PMP Exam Prep, Ninth Edition (a $99.00 value)
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How you will benefit:
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Project managers, program managers and project team leaders who have experience leading and directing projects and who have met the PMP credential eligibility requirement. The requirements state: minimum of 35 hours of PM classroom instruction plus 4,500+ hours and 3 years' experience for those with a bachelor's degree, or 7,500+ hours and 5 years' experience without an undergraduate degree
Use this link for more information on PMP Exam Eligibility or call 1-800-262-9699.
Prerequisite: This PMP prep course requires you to have a thorough understanding of project management concepts so that you are best prepared for the exam. AMA recommends attending AMA's Comprehensive Project Management Workshop (Seminar #6595) or its equivalent before enrolling in this PMP prep seminar.
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About AMA
About American Management Association International
For over 90 years, American Management Association International (AMA) has been a world leader in professional development. AMA supports the goals of individuals, organizations, and government agencies with a complete range of corporate talent transformation solutions, including public open-enrollment seminars...
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