Thursday
Senior Financial Control Assistant, Controller's Department [ADB-HR-11-0769]
Find out the current job opportunities in Asian Development Bank.
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Vendor Spotlight: Melissa Arlena Photography
В I’ve previously spoken about Melissa Arlena Photography we’ve appeared on her blog for an interview and guest blogging feature, we shared a space at the Stevenson Ridge Open House and most recently we collaborated with several amazing wedding pros for an Alice in Wonderland themed photo shoot.
Let’s meet Melissa -
В
В When did you start Melissa Arlena Photography?
I started my business during the summer of 2008, right after I got married.В Ironically I wanted nothing to do with photographing weddings though!!В I thought portraits would be more my speed.
What made you want to start your own business?
After 10 years in the IT field I wanted to be my own boss.В I wanted to do something that really interested me.В I started finding myself spending too much «work» time looking at photography sites.В I would rather take a photo cla*s then get the latest IT certification and that is when I knew I had to change something.В В
What is your favorite part about owning your own business?
Never being late to work in the mornings!!
What is your favorite session?
Engagements!В I love when couples incorporate something about themselves in their shoot.В I just did a session last month where we included the couple’s boat and finished the session with photos of them fishing because that is what they love to do together!
What gives you inspiration?
Film photographers like Jose Villa and Elizabeth Messina.В I am in love with their work and they make me think more and more about going back to my film roots!
What advice can you give to a current bride-to-be?
Don’t leave your wedding photos languishing on a disc in a drawer somewhere.В The traditional first anniversary gift is paper!It is a great time to have a wedding album created if you couldn’t afford one before the wedding.В I still remember looking through my parents wedding album every year on their anniversary!В В В
So I have loved working with Melissa and cannot wait to work with her again!Now head on over to her website, blog В (I got the 101 in 1001 day idea from her!) and fanpage!
xoxo, Ashley
В
Recetas para salvar el SNS - DiarioMedico.com
WikiLeaks: Iraqi Children in U.S. Raid Shot in Head, U.N. Says
A U.S.diplomatic cable made public by WikiLeaks provides evidence that U.S.troops executed at least 10 Iraqi civilians, including a woman in her 70s and a 5-month-old infant, then called in an airstrike to destroy the evidence, during a controversial 2006 incident in the central Iraqi town of Ishaqi.
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Drugs That Lower Plasma Cholesterol, Lipids and Triglycerides, Their Mechanisms and Therapeutic Uses
This is the content Summary.Click on the Title To read full article on my website.Regards.
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Can you get pregnant when you did it on a fertile day using withdrawal and emergency contraceptives?I had sex twice on a fertile day.My partner pulled out and I took emergency contraceptives right after.Ive been drinking Ibuprofen and aspirins because my body is aching all over and I got my period today, which is 8 days earlier.Its just my 21st day of the cycle.Could i be pregnant or is it just the pills and medicines that I've been taking?
Answer by ce_ben1
its becasue u took emergency contraception.U r not pregnant
Answer by ginagirl4259
It is probably the pills and medicine you have been taking. You do know that aspirin can cause bleeding. It isn't recommended for you to take it around the time of the month. It could be a reason why you started earlier than normal I think. I say you need to go down to your city's clinic and lie about your income if you have to and get on some birth control. by the rate you are going, you'll be pregnant anyway within 6 months. Trust me, I know. I'm 34 weeks pregnant now.
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K and the days of summer
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Major Break Via in Skin color Cancer Medication - The length of time Until it Gets to Market?
Wednesday
was preeclamptic during my pregnancy and still have high blood
Daily Devotional Saturday 9th July
DOES GREEN TEA HELP YOU LOSE WEIGHT
Turning the Corner
Tuesday
C-Section Births Significantly Raise Blood Clot Risk - HealthNews
News: Xbox 360 Wireless Microphone
Verteporfin Injection
Verteporfin injection is used in combination with photodynamic therapy (PDT; treatment with a laser light) to treat abnormal growth of leaky blood vessels in the eye caused by wet age-related macular degeneration (AMD; an ongoing disease of the eye that causes loss of the ability to see straight ahead and may make it more difficult to read, drive, or perform other daily activities), pathologic myopia (a serious form of nearsightedness that worsens with time), or histoplasmosis (a fungal infection) of the eye.Verteporfin is in a cla*s of medications called photosensitizing agents.When verteporfin is activated by light, it closes up the leaking blood vessels.
How should this medication be used?
Verteporfin injection comes as a solid powder cake to be made into a solution to be injected intravenously (into a vein) by a doctor.Verteporfin is usually infused over 10 minutes.Fifteen minutes after the start of the verteporfin infusion, your doctor will administer a special laser light to your eye.If both of your eyes need treatment, the doctor will administer the laser light to your second eye immediately after the first eye.If you have never used verteporfin before and both your eyes need treatment, the doctor will treat only one eye with the laser light on your first visit.If you do not have any serious problems due to the treatment, the doctor will treat your second eye 1 week later with another verteporfin infusion and laser light treatment.
Your doctor will examine your eyes 3 months after verteporfin and PDT treatment to decide whether you need another treatment.
Are there other uses for this medicine?
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Other names
VisudyneВ
Research Activities, September 2011: Feature Story: The challenge of prioritizing care for complex patients
The challenge of prioritizing care for complex patientsA patient with only one chronic condition walks into an exam room. This is becoming less common than it used to be. Optimizing health care and ultimately the health of Americans is getting harder as patients increasingly have more than one chronic condition: diabetes, depression, heart disease, and more."We're not surprised to have patients with five or more chronic conditions anymore," says Cynthia Boyd, M.D., of the Johns Hopkins University School of Medicine's Division of Geriatric Medicine and Gerontology, who is studying how complex health status is a*sociated with treatment burden."We face enormous challenges trying to figure out which things are most important," says Dr.Boyd. Researchers are looking at how to prioritize treatment and preventive care for these patients.For example, how do you decide which medications to prescribe when treating patients with multiple conditions when the medicines may have dangerous interactions?And, what are the harms and benefits of preventive tests that may unnecessarily burden patients with multiple chronic conditions who are already juggling numerous drugs and doctors' visits? The care costs for these patients are also a concern.Treating patients with several chronic conditions can cost as much as seven times more than treating patients with only one chronic illness.Among Medicare beneficiaries, 66 percent of spending is for those with five or more chronic conditions.Since 2008, the Agency for Healthcare Research and Quality (AHRQ) has awarded 47 grants to researchers looking for better ways to study and provide care for complex patients. The perfect stormMaureen Smith, M.D., refers to the growing number of complex patients as "a perfect storm." And it's a fast moving one."We don't have time to look for the perfect answer, but we do have the opportunity to look into treatments that will work in the real world," says Dr.Smith, director of the Health Innovation Program at the University of Wisconsin School of Medicine and Public Health.Dr.Smith is examining how tight adherence to diabetes treatments may affect patients with diabetes who also have chronic kidney disease and congestive heart failure. Her work aims to help clinicians prioritize which of these issues to address first in caring for complex patients."Our project examined whether tight adherence to diabetes guidelines, particularly tight control of blood sugar, is indicated for all patients with diabetes," Dr.Smith told Research Activities."We found that diabetes patients with very tight control of their blood sugar (hemoglobin A1c <5.5%) had a higher risk of hospitalization, emergency department visits, or death, and this risk was significantly increased in more complex patients." David M.Kent, M.D., of Tufts Medical Center, has spent the past 10 years studying this real world as he explores better ways to do subgroup analysis."Because patients have too many different characteristics that can potentially alter the risks and benefits of therapy to consider each one separately, we advocate a risk-modeling approach to the interpretation of clinical trials," Dr.Kent told Research Activities."In contrast to the conventional one-variable-at-a-time approach to subgroup analysis, this approach seeks to describe the dimensions that determine the likelihood that a patient might benefit or be harmed by therapy." The role of preventionBy studying the benefits and harms of preventive interventions in elderly patients with cognitive impairment, Greg A.Sachs, M.D., hopes to improve decisionmaking.All of his patients are by definition "complex patients."Early in Dr.Sachs's career, he received a fax from a pharmacist wondering why a woman with diabetes in the nursing home wasn't on a statin for her ch*lesterol.The patient was 95 and had advanced dementia, among other conditions."She was dead by the time the fax arrived," says Dr.Sachs, of the Indiana University Division of General Internal Medicine and Geriatrics and Regenstrief Institute, Inc. He's even had to explain why an 85-year-old patient with dementia and multiple other conditions shouldn't be subject to a colonoscopy."When patients don't benefit from screenings, it's not good medicine and it's not smart spending," he told Research Activities. For clinicians like Dr.Boyd of Johns Hopkins University, who work with complex patients every day, one of the most difficult things to convey can be uncertainty.Yet, she says, "I have to communicate what I know and don't know.We need to balance both patient-centered care and evidence-based guidelines.We can't think about one without the other." In an article published in the Journal of the American Medical Association in 2005, Dr.Boyd and her coauthors applied evidence-based guidelines to a hypothetical elderly woman with five common chronic diseases.They found she would need at least 12 medications (costing her $406 per month) and a complicated nonpharmacological regimen to manage her conditions.Creating a care management plan that is achievable and not burdensome requires a large dose of reality."If we try to do everything, it will be overwhelming for our patients and not even in line with their goals," says Dr.Boyd."I'm constantly trying to figure out the best way to energize and motivate my patients for the self-management, treatment, and interventions that are the highest priorities for their well-being." Caring for the wh*le patient"We need to shift from caring for each of a patient's conditions to caring for the patient as a wh*le," says Dr.Victor Montori of the Mayo Clinic.His AHRQ grant focuses on how to optimize prevention and health care management for patients with diabetes.On average, patients with diabetes often have coexisting medical conditions, with depression, hypertension, and hyperlipidemia (high levels of ch*lesterol or other lipids) being most common."When patients aren't achieving guideline-recommended levels of control of sugar or ch*lesterol, our reflex is to intensify care by offering more treatment.This intensification leads to more visits, tests, side effects, and costs. Some end up being superfluous," says Dr.Montori. "They don't fit with the patient's goals.Sometimes, the solution is minimally disruptive medicine that allows patients to pursue their dreams," he explains.For an elderly man with diabetes, depression, and a disability who desperately wants to maintain his independence, Dr. Montori is working to reduce the man's workload as a patient and simplify his routine to focus on preventing another stroke."We need more care that fits the patient," Dr.Montori a*serts.AHRQ's investments in exploratory research projects like these, as well as projects that develop new methods and data resources, will help researchers improve our understanding of complex patients and help personalize care for better results. |
Pavitra Rishta 14th July 2011 | Zee Tv drama Pavitra Rishta 14-07-2011
The Gillard/Brown plan to flush $650 billion away, for nothing
Turning the Corner
Monday
Building Blocks
Sahadev Pradhan, 27, had a dream.He wanted to build a home, get married, and help his younger brother finish his education.But with a monthly salary of just Rs 3,500which he earned as a draftsman in Rourkela, Orissahis dreams remained unfulfilled.All that changed when he got in touch with Pipal Tree Ventures in 2009.The organisation got him a job as a steel fixer and bar bender.Today, Pradhan trains others in this construction process and earns a monthly salary of Rs 11,000.He has a guaranteed job in an industry where one usually has to scout for work at the end of every project.
Pipal Tree Ventures trains economically weaker sections from the hinterland in construction functions and helps them find jobs in the industry.The training curriculum covers areas like steel fixing, bar bending, surveying, toll collection and so on.
The venture was born when Santosh Parulekar, 42, a software engineer, visited Andhra Pradesh in 2006 to understand the microfinance systemhis employer provided SKS Finance operational solutions.During his tour, Parulekar came across many out of work, uneducated young men.He and his cla*smate from college, Shailendra Ghaste, MD of IDFC Capital, realised they could transform the lives of these disadvantaged folks.They got together with another friend, Vikram Reddy, Director of KMC Construction, to convert this unskilled labour pool into a skilled workforce.The founders invested Rs 50 lakh each of their own money.Andhra Pradesh-based BSCPL Infrastructure and KMC Construction poured in another Rs 7 crore.
With their agricultural background, it was clear the underemployed youth could take on the strenuous physical work involved in constructionan industry that is short of skilled workers even on a good day.And, one that will need more workers in the years to come as the number of infrastructure projects increase.However, in the early days, Pipal faced a number of challenges, particularly in getting companies to hire its workers.«Because of the unorganised nature of the sector, we had trouble convincing companies about the accountability of the workers,» recalls Reddy of KMC.They solved the problem by putting in standards and processes.«We had to be accountable for the quality of people we provided.»
В
On the other side, it was equally hard to attract workers, particularly because of the MGNREGS.«When they can earn Rs 120 per day in their own backyard, why would they want to go elsewhere?» says a rueful Reddy.
Nevertheless, they stuck to the task and eventually began to taste some success.Parulekar says the emphasis on training has today made Pipal Tree a reliable and reputed name among construction companies and potential trainees.The organisation has nine such centres now, in AP, UP, Bihar, Maharashtra and Rajasthan.It plans to open four more this year.
Pipal trains people between the ages of 18 and 30 in the cla*sroom and on site.Once employed, the cost of training (Rs 25,000) is recovered from them over 18 months.«We deduct anywhere between Rs 750 and Rs 2,000 a month, depending on how much they earn,» explains Parulekar, who is also Pipal’s Chief Operating Officer.Often, a worker gains enough experience to earn more.For instance, Anil Kumar from Rae Bareli saw his salary double to Rs 10,000 after two years of bar bending and steel fixing.«I have become so good at this job that I have time to supervise a team of 40,» he explains proudly.Thanks to the training, these workers earn about 30% more than their unskilled counterparts, says Sanjay Londhe, Director, Ashoka Buildcon.The standard wage for steel fixing and bar bending is Rs 3,000 whereas a Pipal Tree worker earns Rs 5,200.
High Attrition Rate
Despite the promise of better wages, Pipal Tree’s biggest problem is its dropout rate.Initially, it was as high as 80% but has since tapered to 30%, which is still a worry.The main causes for workers quitting are poor site conditions, remote locations and separation from family.
The company has brought down the attrition rate from its initial high level by improving conditions on site.Pipal provides food and accommodation and has tweaked its business model such that the workers are on its payroll.This gives a worker job security and a*sures him of steady pay despite working for different construction companies (the construction companies pay Pipal a lump sum).These measures have helped Pipal Tree recover its training costs to some extent.
In its efforts to improve retention, the company is also working to improve workers’ lifestyle by providing semi-permanent accommodation, school facilities for children, medical facilities and so on.Parulekar believes this will also bring profits.«Even if the cost per person increases, the dropout rate will reduce and cover those costs.Besides, the cost for all this is not too high,» he reveals.
Last year, Pipal Tree trained 3,500 people, of whom 2,500 are working now.This year, the plan is to train another 6,000 and achieve 90% retention.The company is also looking to increase the number of training centres to 13.These efforts got a shot in the arm last year when IDFC Foundation made an investment of Rs 2.25 crore in Pipal Tree, taking the total investment in the company to about Rs 11 crore.
With 10 large construction companies, including HCC, Ashoka Buildcon and KMC as customers, the venture can a*sure its trainees of jobs because of surplus orders.But the high level of demand for these skilled workers has meant that no project can get a large workforce from Pipal Tree.
For instance, only 5% of Ashoka Buildcon’s workforce is made up of Pipal’s students.Nevertheless, Satish Parakh, the company’s MD, says these workers have helped his company maintain project timelines.The company has donated space for Pipal Tree’s training centre in Nashik.Londhe explains that it isn’t a good idea to hire unskilled workers as they could compromise the quality of construction.«That is why we were enthusiastic to support a venture like Pipal Tree,» he declares.
It’s been four years and Pipal Tree is some way away from breaking even.However, the founders are bullish on its future prospects, given that India’s construction sector is estimated to require at least 33 million more skilled workers over the next 10 years, according to a projection by IDFC Foundation.«Pipal Tree aims to train and employ 100,000 rural youth over the next five years,» declares Reddy of KMC.Judging from the good work it has done so far, the company looks like it may well achieve that target.
Im fed up with my fiance being such a mama's boy! We keep
This is a Real Poll at THE TENNESSEAN
Here’s the deal.If you, in your own marriage want to practice any form of wifely submission, as long as everyone consents and everyone is healthy and happy and safe, I don’t care.Submit away.As far as I’m concerned, if it’s not abusive, then it’s a religiously-based power-exchange kink.And I am all for kinks of all sorts, if they bring you pleasure.Go forth into the privacy of your own home and do as you like.Shoot, do it in public.
Just don’t rope me into it.I do not want to submit to anyone and I don’t want that to be an expectation put on me by my fellow Tennesseans who mistake their religiously-based power-exchange kink for how the world is.And it pisses me off that The Tennessean is not more nuanced about this.
And the story!The story starts, «For the Bible’s authors, it was pretty clear how marriage works.Men lead.Women follow.» The Bible also says that men should take multiple wives and f**k their concubines if the wives aren’t working out.Is The Tennessean going to report on that as a legitimate marriage model?
The TennesseanRecetas para salvar el SNS - DiarioMedico.com
Spying in High Heels (High Heels Mysteries)
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Maddie's Guide to Essential Footwear for the Stylish Crime Fighter & "Behind the Book" Author Interview
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Sunday
The Great Purge of 2011<br><br>I moved to Little Blue three years ago
I moved to Little Blue three years ago and joined the ranks of the American Homeowner.The Suz and I lived in the same apartment in Brighton for eight years, and during that time we accumulated a lot of stuff.
The Suz moved in with The G-Man by varying stages, so she was able to sort through her stuff and discard as she went through the process over a number of weeks.I
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We CAN predict the future (a bit): Why the brain knows what's going to happen before it does
Each of us makes thousands of tiny predictions, such as contemplating when a bus will arrive, every day.Scientists are now beginning to unravel how the brain is such a surprisingly accurate fortune-tellerThey found that between 80 and 90 per cent of viewer predictions were correct, depending on when the footage was stopped. Lead researcher Jeffrey Zacks said predicting the near future is vital in guiding behaviour and is a key component of theories of perception, language processing and learning. He said: 'It's valuable to be able to run away when the lion lunges at you, but it's super-valuable to be able to hop out of the way before the lion jumps. The research will also help those in the early stages of neurological diseases such as schizophrenia, Alzheimer's and Parkinson's, Professor Zacks said.
The scientists tested healthy young volunteers who were shown films of everyday events such as washing a car, building a Lego model or washing clothes.The film would be watched for a while, and then it was stopped. Participants were then asked to predict what would happen five seconds later when the film was re-started by selecting a picture that showed what would happen.
Half of the time, the movie was stopped just before an event boundary, when a new event was just about to start.The other half of the time, the film was stopped in the middle of an event.
The researchers found that participants were more than 90 per cent correct in predicting activity within the event, but less than 80 per cent correct in predicting across the event boundary.They were also less confident in their predictions. Professor Zacks said: 'This is the point where they are trying hardest to predict the future.It's harder across the event boundary, and they know that they are having trouble.
'When the film is stopped, the participants are heading into the time when prediction error is starting to surge.That is, they are noting that a possible error is starting to happen.
'And that shakes their confidence.They're thinking, "Do I really know what's going to happen next?"' In the functional MRI experiment, the researchers saw significant activity in several mid-brain regions, among them the substantia nigra - 'ground zero for the dopamine signaling system' - and in a set of nuclei called the striatum. The substantia nigra is the part of the brain most affected by Parkinson's disease, and is important for controlling movement and making adaptive decisions. Professor Zacks said: 'When we watch everyday activity unfold around us, we make predictions about what will happen a few seconds out.Most of the time, our predictions are right. 'Successful predictions are a*sociated with the subjective experience of a smooth stream of consciousness.
{ * InsideFun * } Small Lake Courthouse Towers - Images & Detail
Comparative Quantification of Health Risks: Global and Regional Burden of Diseases Attributable to Selected Major Risks
During the last quarter of the twentieth century, a number of works have addressed both the methodological and empirical aspects of population-wide impacts of major causes of diseases.This gradual establishment of risk a*sessment, or risk quantification, has been driven partly by the academic curiosity of individual researchers and partly by the demands of regulatory agencies and public policy for better quantitative evidence on the health implications of certain risk exposures.These efforts nonetheless have generally been within the disciplinary and methodological traditions of individual risk factors and in a limited number of settings.As a result, the criteria for evaluating scientific evidence have varied greatly across risk factors resulting in lack of comparability across risk factors.This book provides a comprehensive a*sessment of the scientific evidence on prevalence and hazards, and the resulting health effects, of a range of exposures that are known to be hazardous to human health, including childhood and maternal undernutrition, nutritional and physiological risk factors for adult health, addictive substances, sexual and reproductive health, and risks in the physical environments of households and communities, as well as among workers.This book is the culmination of over 3 years of scientific enquiry and data collection, collectively known as the Comparative Risk Assessment (CRA) project, involving over 100 scientists, applying a common analytical framework and methods to ensure greater consistency and comparability in using and evaluating scientific evidence across risks.As a result, our understanding of the comparative extent of disease burden caused by various exposures worldwide has advanced, and key areas of scientific enquiry to better inform policy needs to reduce risks have been elucidated.As public health researchers and practitioners evaluate policy alternatives for improving population health, this book not only demonstrates the enormous potential for disease prevention but also provides a fundamental reference for the scientific evidence on some of the most important global risks to health.Volumes 1 and 2 are hardbound; Volume 3 is a CD-ROM.
Pavitra Rishta 14th July 2011 | Zee Tv drama Pavitra Rishta 14-07-2011
Three main benefits of Yoga during Pregnancy
Article by Pardhi SEO Content Developer
One of the best things that you can do for yourself as well as your baby is staying healthy as well as fit at the time of pregnancy.A very good thing that you can consider for this is going for yoga as this can be helpful for your mind, body as well as spirit.There are many benefits of opting for yoga at the time of pregnancy and here are three of them mentioned:It gives a holistic approach for fitness as well as health.When it comes to healthy and being fit not only your body is considered but at the same time
Read More on Fregnancy .
Turning the Corner
Why a rude colleague can disrupt your personal life so much that your partner then takes stress to THEIR workplace
A co-worker's rudeness can have a great impact on relationships far beyond the workplace, according to researchers. Researchers surveyed 190 workers and their partners.Workers were employed full time, had co-workers and had an employed partner who agreed to complete an online survey.Approximately 57 per cent of the employee sample was male with an average age of 36, while 43 per cent of the partner sample was male with an average age of 35.Of these couples, 75 per cent had children living with them.
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