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Nursing Homes:
Opportunities Exist to Facilitate the Use of the Temporary Management Sanction
GAO-10-37R: Published: Nov 20, 2009. Publicly Released: Dec 22, 2009.
Additional Materials:
- Full Report:
- Accessible Text:
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The nation's 1.4 million nursing home residents are a highly vulnerable population of elderly and disabled individuals for whom remaining at home is no longer feasible. The federal government plays a key role in ensuring that nursing home residents receive appropriate care by setting quality requirements that nursing homes must meet to participate in the Medicare and Medicaid programs and by contracting with states to conduct routine inspections--called standard surveys--and complaint investigations. To encourage compliance with quality requirements, Congress has authorized certain enforcement actions, known as sanctions, such as civil money penalties or termination from participating in the Medicare and Medicaid programs. The Centers for Medicare & Medicaid Services (CMS) is responsible for imposing federal sanctions, typically on the basis of states' recommendations. One sanction--temporarily replacing a home's management--has been used infrequently. According to CMS guidance, temporary management may be used instead of termination in cases where nursing homes place residents at risk of death or serious injury--referred to as immediate jeopardy--or place residents at widespread risk of actual harm. CMS requires that a nursing home remove any immediate jeopardy within a short time frame of 23 calendar days after the survey or complaint investigation in which it was cited, with or without the assistance of temporary management. Otherwise, CMS will terminate the home from Medicare and Medicaid. In some cases, the nursing home's owner may choose to sell the home to a new owner while the home is still under temporary management. Congress was interested in information on why the temporary management sanction has been used infrequently to address nursing home quality problems and asked us to study this issue. Specifically, we focused on (1) CMS and states' experience with the use of federal temporary management and its effectiveness in achieving compliance in the short and longer term; and (2) obstacles to the use of federal temporary management and how such obstacles could be addressed. Congress also asked us to examine whether changes in ownership occurred when nursing homes were under federal temporary management and to identify obstacles to such ownership changes.
Based on responses from officials in the 10 states and seven CMS regional offices that used the federal temporary management sanction from fiscal years 2003 through 2008, the sanction was used with success in the short term in homes where there was some combination of immediate jeopardy, a history of noncompliance with CMS quality requirements, or the failure of other sanctions to bring about compliance. However, some homes continued to have compliance problems in the longer term, that is, since the conclusion of temporary management. Officials from 46 states and seven CMS regional offices identified several obstacles to using federal temporary management, including time constraints, a lack of qualified temporary managers, and inadequate funding to pay for a temporary manager. Specifically, officials from 24 states and five CMS regional offices characterized the 23 days as a short time frame in which to hire a temporary manager and remove immediate jeopardy before automatic termination from participation in Medicare and Medicaid, therefore making it difficult to use the sanction. Additionally, officials from 25 of the 46 states told us they did not maintain a list of potential temporary managers, which could impede their ability to identify qualified candidates on a timely basis. State and CMS regional officials also identified ways for CMS to address some of the obstacles to using the sanction, such as developing lists of qualified temporary managers and providing additional information that addresses best practices and when and how to use the sanction. In addition, several officials suggested the need for an approach to help ensure the longer-term success of temporary management.
Recommendations for Executive Action
Status: Closed - Implemented
Comments: June 2011 - CMS discussed the recommendation with states and in March 2011 issued civil money penalty regulation permitting CMP moneys to be used for the "Development and maintenance of temporary management or receivership capability such as but not limited to, recruitment, training, retention or other system infrastructure expenses." However, as specified in Sec 488.415(c), a temporary manager's salary must be paid by the facility. (See 42 CFR 488.433(e).) In August 2011, agency officials also said they continue to facilitate State-Federal workgroup meetings to examine whether the temporary management sanction makes sense and, if so, whether it could be strengthened. CMS anticipated having an update on the issue in the next few months.
Recommendation: To address obstacles to the use of the federal temporary management sanction, the Administrator of CMS should work with states to create and maintain a list or lists of qualified temporary managers on either a regional or national basis.
Agency Affected: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open
Comments: September 2016: GAO has not received additional information from CMS. July 2015: CMS has begun taking actions to address this recommendation including working with states and stakeholders to identify best practices on the use of the temporary management sanction. CMS has indicated additional actions--such as training materials--are currently being developed. July 2014: CMS officials said they were drafting an internal enforcement action plan to discuss enforcement remedies including temporary management. The officials also told us CMS had reviewed the temporary management regulatory policies and planned to update its temporary management guidance as needed. June 2013: CMS issued civil money penalty regulation, made effective January 1, 2012, permitting CMP monies to be used for the "Development and maintenance of temporary management or receivership capability such as but not limited to, recruitment, training, retention or other system infrastructure expenses. However, as specified in Sect. 488.415(c), a temporary manager's salary must be paid by the facility." (See 42 CFR Sect. 488.433(e).) CMS officials said they have been making an aggressive effort to work with the Regional Offices and states on the appropriate use of all sanctions in general, including the use of Temporary Management.
Recommendation: To address obstacles to the use of the federal temporary management sanction, the Administrator of CMS should work with states to develop additional information that identifies best practices for states and regional offices, including when and how to use the sanction, the essential qualifications for temporary managers, and alternative funding sources available for temporary management, such as civil money penalties funds.
Agency Affected: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open
Comments: As of September 2016, GAO has not received additional information from CMS. July 2015: CMS indicated it will provide GAO with updated actions in early 2016. July 2014: CMS said the recommendation was in process and CMS was drafting an internal enforcement action plan to discuss enforcement remedies including temporary management. June 2013: CMS officials said they have been making an effort to work with the Regional Offices and states on the appropriate use of all sanctions in general, including the use of Temporary Management. June 2012: CMS officials said that the agency continues to investigate the various uses of CMP monies and the potential to use CMPs to recruit, train and supervise temporary managers is one of several options under consideration. May 2011: CMS agreed this was an important recommendation, but due to the Affordable Care Act implementation, the agency said they temporarily deferred planned work until 2012.
Recommendation: To help ensure the longer-term compliance of nursing homes that have successfully returned to substantial compliance under temporary management, the Administrator of CMS should develop guidance for states to enhance their oversight of such homes, such as implementing reactivation of temporary management if the home does not maintain substantial compliance over the 2 years following the conclusion of the sanction.
Agency Affected: Department of Health and Human Services: Centers for Medicare and Medicaid Services
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text:
Diatom Alchemy
Gaddis, Christopher Stephen
MetadataShow full item record
This work resulted in the development of multiple distinct and novel methods of cheaply producing large numbers of biologically derived, complex, 3-dimensional microstructures in a multitude of possible compositions. The biologically derived structures employed in this work were diatoms, a type of single celled algae, which grow complex silica shells in species-specific shapes. Due to the wide diversity of naturally occurring diatom shapes (on the order of 105), and the flexibility in tailoring chemical compositions using the methods developed here, real potential exists for cheaply mass-producing industrially relevant quantities of controlled shape and size 3-d particles for the first time. The central theme of this research is the use of diatoms as a transient scaffold onto which a coating is applied. After curing the coating, and in some cases firing the coating to form ceramic, the diatom can be selectively etched away leaving a free standing replica of the original structure with the salient features of the pre-form intact, but now composed of a completely different material. Using this concept, specific methods were developed to suit various precursors. Dip coating techniques were used to create epoxy diatoms, and silicon carbide diatoms. The Sol-Gel method was used to synthesize zirconia diatoms in both the tetragonal and monoclinic phases. A multi step method was developed in which previously synthesized epoxy diatoms were used as a template for deposition of a silicon carbide precursor and then heat treated to produce a silicon carbide/carbon multi-component ceramic. A hydrothermal reaction was also developed to convert Titania diatoms to barium titanate by reaction with barium hydroxide. Finally, the device potential of diatom-derived structures was conclusively demonstrated by constructing a gas sensor from a single Titania diatom. Under suitable conditions, the sensor was found to have the fastest response and recovery time of any sensor of this type reported in the literature. Furthermore, this work has laid the groundwork for the synthesis of many other tailored compositions of diatoms, and provided several compositions for device creation.

subset: commoncrawl


text: the first blog i went on was about an assassins creed task force and bord and PGB were arguing. PGB started it and wasn't going to leave out and bord had to ban him permanently i think. i haven't even had 100 edits and already i've seen more arguments than i'd like to on this and they ruin blogs so i'm calling on the administrators to block people from a certain blog where they were arguing or do something like that.


text:
Qataris buy Dexia Luxembourg unit for 730 mn euros
Qatari investors are to buy Dexia Luxembourg, owned by failed Franco-Belgian bank for 730 million euros ($950 million) as they wind up the lender, a statement said on Tuesday.
The Qatari investors through Precision Capital will acquire 90 percent of the shares in Dexia Luxembourg while the Grand Duchy of Luxembourg will hold the remainder, it said, adding that the deal still requires regulatory approval.
Precision Capital is a local company which counts the Qatari prime minister among its board members.
Belgium, France and Luxembourg decided in October to dismantle Dexia, offering guarantees worth 90 billion euros to cover losses and restructuring as the business was closed down after losses of 10 billion euros in the first nine months of 2011.
The group had to be bailed out in 2008 as the global financial crisis broke.


text:
Ville-Marie (Montréal), Québec
- 7 Bedrooms
- 3 Bathrooms
- 2 Half
About This Property
Magnificent Westmount mansion boasting what are arguably the best views in the city. Located in an exclusive enclave surrounded by only a handful of the city's most prestigious homes. A pool-size lot measures over 12,000 sq ft. A residence of this size and caliber with integrated 2 car garage is rarely available and should not be missed.
Request More Information
Presented By
- Joseph Montanaro
Property Facts
- 12,463.00 ft2 / 1,157.81 m2 - Lot size
- Year Built 1890
- $19,854 Taxes Municipal 2015
- $4,222 Taxes School 2015
Additional FeaturesDriveway: Plain paving stone, Cupboard: Wood, Water supply: Municipality, Heating energy: Electricity, Heating energy: Natural gas, Equipment available: Electric garage door, Equipment available: Alarm system, Windows: Aluminum, Windows: Wood, Hearth stove: Gaz fireplace, Hearth stove: Wood burning stove, Garage: Attached, Proximity: Cegep, Proximity: Hospital, Proximity: Park - green area, Proximity: Elementary school, Proximity: High school, Proximity: Public transport, Proximity: University, Siding: Stucco, Basement: 6 feet and over, Basement: Seperate entrance, Basement: Finished basement, Parking: Outdoor x 4, Parking: Garage x 2, Sewage system: Municipal sewer, Roofing: Asphalt shingles, View: Panoramic, View: City, Zoning: Residential
**Features of the Residence**
-One of the very first homes built on the Western portion of the former Allen Bronfman estate;
-Unparalleled and unobstructed Southern views from almost every room in the house;
-Three full sorties plus walk-out basement for a potential of over 7 bedrooms
-Located on Trafalgar, a peaceful street in prime location;
-Large and manicured pool size lot measuring over 12,000 sq. ft.
-The sumptuous yet understated home is comprised of a spacious living room and dining room on the first level and a huge eat-in-kitchen with gas fireplace. The second level boasts an oversized master bedroom suite boasting incredible city views, his and hers walk-in closets and updated ensuite bathroom. A library, a bedroom and an office complete this floor. The third level is comprised of four additional bedrooms. Finally, the lower level boasts two rooms that are being used as home offices with French Doors leading directly to the rear yard, a laundry room, separate street entrance and access to the double garage.
-The stove(s), fireplace(s), combustion appliance(s) and chimney(s) are sold without any warranty with respect to their compliance with applicable regulations and insurance company requirements.
-The choice of inspectors shall be agreed to by the buyer and seller prior to inspection.


text:
Paris Hilton Booed at Awards Show
Paris Hilton was booed as she went onstage to present a preview a clip from her upcoming horror movie at the 2007 Scream Awards in Los Angeles on Friday night.
The hotel heiress took the Greek Theater stage, joined by her Repo! The Genetic Opera costars Bill Moseley and Anthony Head, when some members of the audience decided to express their displeasure at the sight of the former jailbird.
Hilton appeared unfazed by the unwanted attention.
Elsewhere at the sci-fi and horror-themed ceremony–organized by Spike TV–Harrison Ford was honoured with the Hero Award.
Transformers won Best Sci-Fi Movie and Best F/X, and its stars Shia LaBeouf and Megan Fox were crowned Best Sci-Fi Star and Best Sci-Fi Siren, respectively.
Jessica Alba was awarded Best Female Superhero for her role in Fantastic Four: Rise of the Silver Surfer, and Hayden Panettiere was named Best Breakout Star for her part in TV series Heroes.
Pan's Labyrinth won Best Fantasy Movie, 28 Weeks Later was awarded the Best Horror Movie honor, and historic war film 300 collected the Ultimate Scream.
Shock-rocker Alice Cooper collected the Rock Immortal Award.
COPYRIGHT 2007 WORLD ENTERTAINMENT NEWS NETWORK LTD. All Global Rights Reserved.


text:
Those "Oh, no! Way to go!" events happen in sports. A big man steps out beyond the three-point line and shoots...and it goes in. A runner tries to stretch a base and makes it. And in football, a player gets the ball deep in his own end zone and takes it out for a big gain
Alabama had one of those ultimate "Oh, no! Way to go!" moments in last week's 49-30 win over Arkansas. The Tide was leading by 42-24 and the Razorbacks were driving when Crimson Tide nickel back Minkah Fitzpatrick intercepted deep in the end zone. With no hesitation, Fitzpatrick began the return, urged on by fellow defensive back Eddie Jackson who was waving and screaming, "Come on!"
Alabama Coach Nick Saban was asked about the play in Wednesday's Southeastern Conference Teleconference. "The first thing I thought was, 'Oh, no!' Saban said. "And then after he got to about the 10-yard line I said, 'He may go all the way.' So it worked out."
Worked out is right. Minkah's third interception of the game against Arkansas resulted in him returning the ball an official 100 yards (actually closer to 109) for a touchdown.
Fitzpatrick said, "As soon as I caught the ball, Eddie had tapped my arm. He was like, 'Come on,' and he pointed to the left side of the field – and it was wide open. So I just had to take a chance. I know Coach Saban probably wasn't happy at first, but I think he was happy with the end result."
Fitzpatrick said he knew he was deep in the end zone when he made the interception. "As soon as I turned around I saw the back line right there, so I knew I was pretty deep."
It may have helped that Jackson was right there to insist on the runback. Fitzpatrick said, "He always likes to score. Even at practice, everytime we get a pick he runs down the field trying to score. He loves the end zone just as much as I do. As soon as he tapped me I was like, 'Oh yeah, we're taking it back.'"
In addition to closing out the Bama scoring in a big road win, Fitzpatrick received plenty of recognition for his day. He was the Thorpe Award and Walter Camp Award defensive player of the week, and the SEC Defensive Player of the Week.
"It was a great honor," Fitzpatrick said. "It was a great team effort. Defensive line helped out a whole lot, linebackers help me out a whole lot. But we're looking forward to Tennessee this week."
Alabama has another difficult road game this week when the Crimson Tide, ranked first in the nation with a 6-0 record, goes to Tennessee to take on the ninth-ranked Vols (5-1 after a double overtime loss on the road against undefeated Texas A&M last week). Kickoff will be at 3:30 p.m. EDT (2:30 central) with CBS televising the game.
Fitzpatrick recognizes this week's challenge against a Tennessee team that has had a number of late comeback wins and the Vols' fine quarterback Joshua Dobbs. He said, "That's a big part of this week – just playing all four quarters, keeping our foot on the pedal. Joshua Dobbs is a great quarterback. He has great receivers and running backs around him. So we're going to have to execute all four quarters."
Fitzpatrick isn't exactly a flash in the pan. His TD runback was his third, which ties an Alabama record, and he's only a sophomore. Last year he was Freshman All-America as he had two interceptions for touchdowns in a win at Texas A&M (also a Bama record), was in on 45 tackles, had two sacks and a quarterback pressure, broke up 11 passes, and at Georgia blocked a punt and scored a touchdown. Thus far this season he has been in on 27 tackles, including two sacks, has broken up 5 passes, and caused a fumble.
Saban said that Fitzpatrick "is more confident now. He's got a better understanding of what he's doing. I think guys that approach the game the way he does and prepare well, they anticipate better and can play faster. I think that helps their performance, and I think it also helps them improve more rapidly because their knowledge and experience sort of escalates right along with their attention to detail."
Fitzpatrick said, "I would say just paying attention to the smaller details and learning what the offense can do. And also just physically, I put on some weight, I got faster. I've been working on my man technique, press-man corner, and just my versatility."
Following the game, Saban said the secondary made big plays, but also gave up big plays. That wasn't lost on Fitzpatrick, who said, "I gave up some plays on third down."
He said the lapses against Arkansas on many third down plays was the result of poor execution. "We were out there a whole lot on Saturday," he said. "I was kind of getting frustrated. The defensive line was getting to the quarterback. They were doing their job. We've just got to execute and play better."
Saban emphasizes "Play with your eyes," which Fitzpatrick said is key to success in the secondary. It begins with film study, continues with pre-snap observations, and is complete with eye control during the play.
This week his eyes are on Tennessee. "Coach Cochran (strength and conditioning coach Scott Cochran) says, 'People will ask you what's your record against Tennessee and how many national championships do you have?' You want to be able to say I'm 4-0 against them, 3-0 against them, whatever it is. It's just a priority."


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The World Health Organization estimates there have been fewer than 7,000 confirmed cases of swine flu, or H1N1 virus, diagnosed worldwide so far in 2009. Very few deaths have been attributed to the disease. On the other hand, the average seasonal flu can be linked to an estimated 36,000 deaths each year in the United States alone.
Am I missing something? We don't close down schools for seasonal influenza. I don't put much stock in conspiracy theories, but I must ask myself why our government and the media have turned a relatively minor outbreak into a panic.
Two thoughts immediately come to mind, the first being that our current administration overreached, erring on the side of caution in case the flu did turn out to be serious. That way, they could avoid the do-nothing label the Bush administration received after Hurricane Katrina.
The second thought is that the administration did what it did in order to claim the pandemic was contained, and thus lessened, by quick action on the part of the federal government. And if government can save you from the swine flu, just think what it could do with universal health care.
Such a claim could help garner support for the Obama administration's plan for universal health care. With almost $70 billion in Medicare/Medicaid fraud each year, I can't wait to see how universal health care turns out.
Jeffrey E. Moss - Winder
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text:
The Atlanteons of War==
When They First Started...
The Atlanteons of War (AoW) was founded by an Ianzm Dudek back in 2007 on the TG. It was a small miltia consiting of all new members (noobs). When it was originally founded it was in one group and had no land, no training courses, weapons, outfits, or any sensibility outside the fact it was based around Stargate a show/movie by MGM. Eventually the miltia got land, and outfitted by Blood666vampire Amaterasu, and a base from RC Acadamitz, and some outside help from ASR members. Still it didn't last long, ianzm being fairly new to running militas failed terribly by letting in members that were in other miltias and of course took the land and kicked all the members. The miltia went inactive for a year.
Ian Fretwerk and the new era.
Ian Fretwerk gave new light to AOW being formally involved with them created a new group. Still called The Atlanteons of War. Still consiting of all Noobs and some older members that were more adept to fight, the army still suffered in leadership and lack of members. The miltias went inactive again for 2 months until Ian Fretwerk designed a much better plan of leading the Atlanteons. This is more what AOW is remembered for is the City Era. This is when AOW was organized, outfitted and somewhat not so newbie proned. Eventually an old enemy of the military one that was more noteable for the previous Alliance with Ianzm Dudek appeared and eventually took out the military once again.
The Rise and Fall of AoW
In 2010 Ian Fretwerk took a break on AoW and moved on to newer projects but when he returned he came back with a much better hand to be delt with. The Atlanteons took off with the help of Askel Christensen, Frodo Firehawk, Blood666vampire Amaterasu, and a few others I cannot recall. AOW eventually became one of the largest armies in size of people in the group, most of them were in training however on average there were 10-15 people active in the main group. AoW ended up getting a makeover and was no longer about Stargate nor centered in that universe, Ian Fretwerk in return wrote a whole story of the Atlanteons and planned 3 other armies in the process that all have been sucessful except for one that may not come into light. These armies were in story order:
-Originally had no name, Frodo gave it a name; Vardiction
-Solaris; which is still in planning and may never come to light.
After which Ian Fretwerk also had a boost in land and Linden. A large base was built that eventually became the longest surviving base of the Atlanteons after the grid merge.
Eventually the military died like all Second Life militaries do, but unlike before this one was a planned shut down instead of coming back to life after the attack on the internal group, AoW moved to Aurora which was the follow up to the story plans.


text:
Former loan officer Jessica Ko was between jobs and serving on her condo's board when she learned of an upcoming foreclosure at the complex. She went to the real estate auction to see if she could pick it up at a low price. She had never been to a home auction before.
"Of course I got outbid," says the diminutive 27-year-old. Still, the condo sold for far less than she had paid for hers in 2008, and she was intrigued. Instead of giving up, she started working with Real Estate Investment Firm, a Seattle-area company specializing in foreclosure investment.
She didn't jump back into the market right away. Instead, she spent a few months learning about foreclosure real estate auctions through her own research and at meetings the investment firm held. She talked to her parents, who are in the commercial real estate business, and they agreed to loan her the money for her first investments.
Eventually she pounced. She successfully bid at the home auction on a rambler about a mile from her home, in an area that was both convenient and familiar to her.
There was one wrinkle: the former owner was still living there.
"She was a very sweet lady. I felt very bad," Jessica says.
But when the former owner left without protest, Jessica saw that the lady realized she needed to move on and try to straighten out her financial life.
"It was too much house for her."
So far, Jessica has found former owners of occupied foreclosures to be cooperative. Sometimes she offers them a cash sum to move out, and since they usually need the money to make a new start, they agree.
She's heard the horror stories, though.
"Oh my God, some of the things you hear! Like they leave the water on, or pour concrete down the drain. I'm sure they're out there, but I haven't encountered anything like that yet, thank God."
Jessica paid about $366,000 for her first property and spent another $40,000 fixing it up with the help of the investment firm.
She bought a second property at foreclosure sale for $323,501, also with a loan from her parents, while still working on the first. That house didn't need work, so she put it on the market a week after buying it and it sold right away for $389,950, netting her a tidy profit to help with the first house and giving her confidence.
She put the first house on the market in May 2010 – right after the federal first-time home buyer credit ended and slowed the market dramatically. For months the property languished without an offer, and Jessica started to get nervous. Then in the fall, offers started coming in. She sold the house for $473,000 in October.
Property 1
|Purchase Price
Rehab Costs
Sales Price
Potential Profit
Property 2
|Purchase Price
Rehab Costs
Sales Price
Potential Profit
Jessica was hooked. Now she is full time foreclosure investor. She just bought her 14th house. She has sold nine properties, has one listed for sale, and plans to sell three others.
One of her purchases, an adult family home, had a good cash flow income, so she's keeping that as a rental. Though she now has a real estate license, she uses the investment firm's Realtors to list her properties to avoid potential liability issues.
Perhaps the best part of her new career for Jessica is the milestone she just passed: she has now paid her parents back in full for the loans.
"I feel really good about that."
Sign up for a free 7-day trial for full access to RealtyTrac's nationwide database of foreclosure properties.
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text:
Doctor insights on:
Does Stress Increase Breast Cancer Risk
Does stress increase my likelihood of developing breast cancer?
Stress: Stress is a negative immunomodulator meaning it decreases the effectiveness of the immune system which slows healing and immune response among other things. There are some who believe it can contribute to worse outcomes in any disease and maybe increase the risk of disease. You will be healthier overall if you learn stress reduction techniques [yoga, meditation, etc]. ...Read moreSee 2 more doctor answers
Breast Cancer (Female) (Definition)
Breast cancer results when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. The growth occurs initially inside the ducts but eventually breaks outside into the breast tissue and ultimately spreads both to the lymph nodes in the armpit and via the bloodstream to other parts of the body. Because of the promoting affect of estrogen almost all breast cancer occurs in women and is a rarity in men. The unregulated growth is due to both inherited and acquired genetic defects. It is the most common malignancy in women but it often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast on an annual basis. ...Read more
Can stress cause breast cancer?
Stress/Cancer: No direct correlation, although stress can alter the immune system function in the long run. ...Read moreSee 1 more doctor answer
What kind of impact does stress have on breast cancer?
Stress and cancer: No strong evidence that stress causes any cancer. However , those who attempt to manage their stress with risky behaviors such as smoking or drinking alcohol- can increase the risk to have cancer related to their behavior. Also, from experimental studies- it's suggested that stress can affect a tumor's ability to grow and spread. Emotional and social support can help cope with psychological stress. ...Read moreSee 2 more doctor answers
Is triple negative type breast cancer hereditary? Or can it be caused by stress and overweight?
Maybe: The majority of brca1 positive patients that get breast cancer have triple negative breast cancer. Overweight patients may have tougher time breathing but a chest xray or other imaging for stating may be indicated for treatment of triple negative disease. There are many clinical trials available for this disease and they usually include a thorough staging workup. ...Read moreSee 1 more doctor answer
Is dcis breast cancer be caused by stress?
No: The risk factors for dcis are the same as breast cancer; age, family history, estrogen exposure, etc. There is no evidence that stress increases that risk. ...Read moreSee 2 more doctor answers
Can dcis breast cancer be caused by stress?
Unknown: It is very difficult if not impossible to attribute one factor alone as a cause of breast cancer. A recent study looked at stress levels in breast cancer patients and found the stress scores higher in those with more aggressive cancers, but it's hard to know whether the stress caused the aggressive form or if the aggressive cancer caused more stress. Regardless, stress, obviously, is never good. ...Read moreSee 2 more doctor answers
My mom has stage 3 breast cancer im 31 and have never had a mammogram and I don't have insurance how can I get checked out with out paying a lot im very stressed out about it . Does anyone know a place to go in denver?
Health dept: The natl breast & cervical cancer program is offered in all 50 states. You may need to check with your local (county) or city health deptment for information. Check with mammogram centers in your area, who are usually funded by komen or avon to provide free screenings. http://www.cdc.gov/cancer/nbccedp/. ...Read moreSee 1 more doctor answer
Can i work as a firefighter while taking Xanax my wife has stage 4 breast cancer and the stress was giving me anxiety. I was prescribe .05 mg Xanax 2x per day i feel it has helped me. However i don't know how my employer will feel about it
Hello. : Hello. I do not know that answer to that question. Here is the problem, a medication like xanax (alprazolam) is mood altering. It can make you sedated or slow your reaction times. This could make you less responsive and less effective as a fire fighter. You are in a high risk profession, so you need to be fully aware and awake. If you were a diver or a pilot in the military, being on this type of mediation (benzodiazapine) would render you unsuitable for the job. My guess would be that there are guidelines for health restrictions in your area. The most responsible thing to do is to talk to your employer about it. I am very sorry about your wife's illness. Take care. ...Read moreSee 1 more doctor answer
Does eating lots of nuts and seeds increase breast cancer risk? I have heard that monounsaturated fat can increase risk.
Maybe: There is conflicting evidence. In general, there is an association between high total fat intake and a higher risk of breast cancer. This is in keeping with evidence that demonstrates obesity as a risk factor for breast cancer. When studies have tried to break it down by type of fat, monounsaturated fats (MUFAs) have been shown to both increase and decrease breast cancer risk. Jury is still out. ...Read more
Can thyroid cancer increase breast cancer risk?
Not usually: There are some families who have increased rates of a variety of cancers, including papillary thyroid cancer, breast cancer, and colon cancer. But having one does not cause an risk for another; instead inherited genes put a person at increased risk for both. A person with a history of thyroid cancer should be sure to get recommended mammograms and colon tests. ...Read moreSee 1 more doctor answer
Stress (Definition)
Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more
Cancer (Definition)
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
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As the European Union deepens relations with foreign nations, ICF Mostra provided a range of services for several high level events recently organised in Asia and North America.
On behalf of the EU's Service for Foreign Policy Instruments (FPI) and in close collaboration with EU delegations, we teamed up with the lead event organiser IBF International Consulting.
Our team helped design products for the high level Asia-Europe Meeting on Disaster Risk Reduction and Management in Vietnam; we provided digital services for the EU-Korea Business Forum in Seoul and the 3rd High Level Dialogue on ASEAN-EU Maritime Security Cooperation in Thailand. Plus, we developed a dedicated website and provide several other digital services for the EU-Canada Energy Conference 2016 in Ottawa. Our teams ran press relations activities and designed communication materials for all these events, too!
ICF Mostra had a chance to put our global expertise to the test. Within a short deadline, our teams liaised with all parties involved to provide a range of communication services across different continents, all the while having to deal with different languages and several time zones!
Our efforts paid off, particularly in Seoul, where the EU-Korea Business Forum garnered impressive media coverage! The event, which featured high level keynote speakers including the European Commission's VP Jyrki Katainen, generated nearly 50 media reports.
The FPI events provided an opportunity to enhance the dialogue between the EU and foreign nations on pressing issues like climate change, energy and trade.


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By Curt Cavin, The Indianapolis Star
INDIANAPOLIS Sarah Fisher is returning to Indy-car racing but not because Danica Patrick has replaced her as the sport's most popular driver.
Fisher wants to race — against anyone and everyone, including Patrick.
"I just want to get back on the horse again," Fisher said Thursday after it was confirmed she will drive Dreyer & Reinbold Racing's No. 5 car at next weekend's race at Kentucky Speedway. "I've missed being in a race car."
Fisher, 25, hasn't competed in any series since driving a lower-division stock car last October in California. It has been more than two years since she last drove an Indy Racing League machine. She hasn't had a full-time ride of any kind since leaving D&R's Indy car at the end of the 2003 season.
D&R has struggled this season with three drivers — Buddy Lazier, Al Unser Jr. and Ryan Briscoe — but Fisher is willing to give the team a chance.
It is the team she knows best, having driven 25 races for owners Dennis Reinbold and Robbie Buhl in 2002 and 2003. Fisher is also engaged to one of the team's mechanics, left front tire changer Andy O'Gara, whose father, John, manages the operation.
"I know they'll work hard for me, and they'll get me as comfortable as I can be," she said. "I understand it's not a (series-leading) Penske car, but I can't get in a car like that if I'm not out there showing what I can do."
Fisher's IRL resume has mixed results.
In 2002, she became the first woman to win an Indy-car pole (at Kentucky), and she remains the highest-finishing woman in series history with her second to Sam Hornish Jr. at Homestead-Miami Speedway in 2000. Patrick has finished fourth in a race on four occasions.
Fisher still holds the track record at Kentucky with a qualification lap of 221.390 mph, but her 48 starts without a victory stood as the most in IRL history until Vitor Meira passed her (and Davey Hamilton) earlier this season.
Fisher made her league debut at the end of the 1999 season. Her most recent race was the 2004 Indianapolis 500.
Fisher often struggled off the track when her car wasn't good on it. She admitted Thursday she has changed her outlook, which should give her a better chance to succeed this time around.
"Now I'm engaged, I love being around the O'Gara family and I love life," she said. "I'm living life now."
Fisher has no guarantees beyond next week's race, although there's a chance she will again drive D&R's car at the IRL's season-ending event at Chicagoland Speedway in September. Briscoe will drive it at the other race, on the road course at Infineon Raceway in Sonoma, Calif.
Fisher has had casual talks with both the D&R and Panther Racing teams — plus her primary stock car contact, Richard Childress — about driving next year. But nothing has been settled.
"It's all vapor right now; it's not even liquid," she said. "Let's take it one day at a time."
Said Buhl: "This is a great way to let people know she's interested in being back in the game again."
D&R is hoping to test Fisher next Thursday at Kentucky; her first chance against Patrick will come when Kentucky practice begins on Aug. 12.
Fisher said she knows Patrick from a handful of sponsorship functions over the years. They have also seen each other at several IRL races this season. But they don't know each other well.
The only other time two women were in the same Indy-car race — in the 2000 Indianapolis 500 — Fisher crashed with Lyn St. James.
Said Fisher of Patrick: "We are different people who want to achieve the same results."


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The Dixie Chicks have been under the radar for over a decade, but no one has forgotten about them.
Nine years after their last album Taking The Long Way Home was released in 2006, the Dixie Chicks have announced that they may be making a comeback.
The Dixie Chicks recently revealed that they will be going on a reunion tour in Europe in 2016, with the possibility of a few U.S. concerts taking place as well. They are set to perform in some of Europe's most notable cities, including London, Amsterdam, and Dublin.
Despite being the best selling all-female band and biggest selling country group in U.S. history, the Dixie Chicks fell out of popularity after lead singer Natalie Maines criticized President George W. Bush for entering into the war in Iraq.
Maines said her now infamous statement during a 2003 concert in London:
"We don't want this war, this violence, and we're ashamed that the President of the United States is from Texas."
The group experienced heavy backlash after the incident, with many people boycotting them and getting rid of their albums.
In 2006 the Dixie Chicks released their album Taking the Long Way, which contained the single "Not Ready To Make Nice," a song written by all three band members about the controversy surrounding Maines' statement.
The song went on to win three Grammy awards: Record of the Year, Song of the Year, and Best Country Performance by a Duo or Group with Vocal.
Since then, Maines has maintained that the group still isn't ready to "make nice" about the situation, but they would be more than happy to get back to sharing their music with fans.
Now that over a decade has passed and the dust has settled, perhaps the Dixie Chicks will be able to reclaim their spot in country music. It seems that their European tour could be a good first step in that direction.
In anticipation of the Dixie Chick's potential comeback, enjoy watching their music video for the Grammy-winning song "Not Ready To Make Nice" below.
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Mac OS X, Windows
Todd Duell
Formulations Pro
Web: No
File Type: FP7
Server: Yes
FileSize: ~ .66 megabytes
The phone filter example has been around for a long time. The last time it was really updated was when FileMaker implemented the auto enter calculated value/replace function. The problem with this technique is that it didn't actually filter the contents until after the user exited the field. That meant that it miss-trained your users into a false sense of entering the data correctly because they could type anything they wanted and it would show up in the field until the field formatting and/or validation was triggered. New to FileMaker Pro 10 is the onObjectKeystroke trigger. This new trigger can be used to create a new standard of data entry formatting that is triggered while the user types so they get instant feedback and correct formatting with a minimum amount of data entry.
Sample Input
Sample Output
Developer's Notes
See sample file for full demo and technical article.
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Lewis Hamilton's hopes of winning a first grand prix of the season took a big hit on Thursday when he was slapped with a five-place grid penalty for a change of gearbox.
It means that the McLaren driver, who has cut a frustrated figure after finishing third in the first two races of the season despite starting on pole, will begin Sunday's race no higher than sixth.
"Gearbox issue," was all the 2008 world champion would say initially. Prompted for more information, he smiled.
But asked by journalists once again for more details, Hamilton, who won in Shanghai last year, said: "They (the team) only found out (the transmission problem) in the last 48 hours.
"There's an issue somewhere and I don't know all the details. But that's racing. It doesn't alter my approach."


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Debt Consolidation Services In Perth - At DebtConsolidation-Ontario.ca, we work with some of the top debt counselling program providers in Perth Ontario that can customize a unique credit counselling plan that will fit to your personal situation. Through our credit negotiation site you will be teamed up with the best debt management team that is licenced to work with you in Perth ON.
The Ontario Ministry Of Consumer Services is warning financially troubled Perth families to beware of misleading companies that provide debt consolidation in Perth programs and services that claim they can easily reduce or eliminate credit card debts. Our Certified debt counselling experts advise you to be extremely cautious when a credit relief agent tells you to stop making personal loans payments, ignore all the calls and mail from your creditors and wants you to pay a large fee up front. Unsolicited credit relief offers should trigger alarm bells when coming from credit card counselling agents that claim they can settle your bills, no matter what the reason and with instant approval. Many of these Canadian settlement companies have set up affiliated credit relief agents, so buyer beware!
Close This Window To Contact Us Today!
Most credit card debt settlement providers can provide you with a form of credit relief program, but only when you know more about it. A lot of people in Perth can't see their future, all because they are so deep in credit card debt hardships. Understanding how to use credit card debt settlement, and when this method of credit management program is appropriate, opens up new avenues for credit card counselling solutions. Never borrow credit card debt negotiation from someone totally unfamiliar to you. Unscrupulous short term loans lenders are counting on the fact that you are desperate when you're looking for short term loans. When choosing a credit card counselling service, take the time to learn about their reputation and all about their interest, credit card counselling fees and other debt counselling service charges which can quickly add up.
Be aware that a debt management has no effect on your credit score. A lot of debt settlement company strategies are going to do bad things to your credit rating, but debt counselling just get your interest rates lowered while making the bills easier to afford. This is a very effective credit negotiation company method, but only if you keep up with the personal loans payments.
Find information on debt consolidating agencies in Ontario. Numerous debt management organizations operate in the Province and can provide mortgage, credit, and various other forms of credit card consolidating assistance to clients. The bottom line is that people who need help paying their credit cards can contact a credit card negotiation agency in Ontario for low cost, or sometimes even free advice.
Credit card relief loans appears to an great option for everybody in Perth Ontario with enormous quantity of bills. But, is it accurate that credit card counselling really can solve your economic difficulty? How will you make sure that in Perth you simply don't pay alternative than you should do? Most of the time in Perth, individuals are in a hurry, when they're going in Perth to submit an application for credit relief Canada. They don't read arrangements in Perth and the conditions undoubtedly, in which in Perth they need to pay rates of interest that in Perth are higher than their credit cards.
Prior to submitting in Perth an application for a credit relief the very first thing you need to think about in Perth is making an appointment with any economic institution that has a standing in Perth that is good. A reputable economic institution welcomes every clients, who would like to get details in Perth ON about the interest rates that when they choose to merge their bills, they have to pay. By means of this debt counselling, clients should notify the entire sum in Perth of interest rates and their credit cards until they get details of the credit relief's interest rates and monthly payment.
Next, your time in Perth will be taken by making comparisons in Perth Ontario among several monetary institutions, though it's worth your effort in Perth. Odds are, it's impossible to find any bank in Perth to give alternative credit cards to you, because of your less than ideal score in Perth. Following that, you must locate in Perth an accredited business, which is filed with the local government in Perth. It's better to pick an association in Perth with years of organization.
Just in case in Perth, you've got a close friend or relative in Perth ON, who can propose you to request monetary guides from a giving specialist in Perth, you may take advantage of this debt management service. This is really an option that is recommended in Perth Ontario, since the specialist will recommend you to any credit negotiation Canada supplier that satisfies your requirements in Perth.
Credit card relief loans is a manner by which an individual in Perth may lower his or her interest rate payments in Perth ON by combining numerous little principle fast cash loans into one big credit counselling. In simpler terms, a person draws on a big debt counselling that is guaranteed from any economic institution to settle his existing unsecure personal loans that are small. In this way, a person in Perth would be having an ease of paying one debt counselling payment per month rather than in Perth the hassle of disbursing numerous short term loans for small-scale bad credit loans.
Credit card relief loans is generally secured by a collateral in Perth, commonly a house or a piece of land. Nonetheless, some economic institutions also accept economic instruments like AAA rated corporate bonds in Perth or government's default-free bonds as a security in Perth. The inclusion of collateral in the personal loans makes the credit card debt less risky advantage for any economic institution. So, reducing the risk premiums on a respective credit negotiation and lower interest rate is imposed on the clients. For instance, personal loans are not secured by any security or an asset in Perth, consequently, maximum interest rate are charged on such cash advances.
Credit card relief loans may be undertaken by both people in Perth ON and corporations. But, the commercial organizations of large corporations is far alternative complex due to the size of credit chosen in Perth. economic institutions like other specialized institutions and clients banks structure the debt management of a person. Nevertheless in Perth, it is best from where he has taken fast cash loans before that his or her credit cards are restructured by the person in Perth through exactly the same economic institution.
On the reverse side, it really is relevant to note that debt counselling sometimes raises a person's indebtedness, if alternative cash advance loans are drawn then the sum of before smaller bad credit loans. Also, a person should likewise in Perth be careful of the fact that if credit relief is undertaken for a longer period, then a person in Perth might be charged with added maturity risk premium in Perth, which essentially would lead to a rise in Perth in markup rates.
Credit card relief loans is a fiscal management procedure that allows in Perth Ontario a debtor to join all its own unsecured credit cards into a single payment by virtue of financing. Credit card relief loans entails cash advance loans typically given to a debtor by a economic institution or credit relief institution for the repayment in Perth of several or all present credit card debts to the lenders—leaving only one outstanding credit card counselling the bailout unsecure bad credit loans.
The best way to Get Credit card relief loans In Canada.
In Canada, there are several credit relief available for debtors for the resolution of their credit cards. The most frequent one is a line of credit in Perth derived from the bank or credit union in Perth run by the debtor. Since the debtor had an operating account in Perth ON with the bank that is said, it's just normal in Perth the bank ought to be the first port of call in Perth.
Remember that, to establish in Perth the qualifications of a debtor in regard to the credit card debt settlement, the bank is, in addition, in the situation in Perth Ontario to find out whether the debtor in Perth (based on preceding debt consolidation transactions) is qualified for the credit card debt settlement plan. It should be mentioned that before in Perth a debtor may be deemed qualified for a credit management, this type of debtor must got an acceptable in Perth credit score along with sustainable income worthiness in Perth that improves the capacity to efficiently handle the credit relief the skill to make the contracted monthly credit card counselling payment, together with payment for the regular monthly in Perth ON incoming expenses.
credit cards eligible for credit card debt negotiation plan
It should be mentioned that not all bills are qualified for the credit card counselling. The choice of debt management is principally appropriate for such other sorts of clients related short term loans, charge cards, or public credit cards. Be that as it could, not all bills might be joined into debt counselling. For example, a mortgage isn't qualified under the debt settlement direction procedure. The financial institution the debtor runs will usually spell out the forms of credit card debts the debtor would be empowered to settle through the debt counselling allowed.
Price Of Credit card relief loans
Applying for credit negotiation is incredibly cost less. However, a specific sum in Perth Ontario may be billed as payment for the opening of the clients file in Perth. It's strongly suggested that sufficient advice be sought from the debt consolidation economic institution.
Advantages of Credit card relief loans
One significant edge that qualified debt consolidating is the lower rate of interest that's entailed in Perth ON. The rates demanded by the bank or monetary institution concerned, are generally lower in Perth, compared to rates imposed on charge cards in Perth. This implies that, the clients is empowered to save alternative on interest rate.
Credit card relief loans has many advantages attached to it as it combines them in Perth into one secured debt backed by a security and efficiently in Perth restructures someone's numerous little credit card debts. It's among the successful means in Perth to get out of the debt consolidation trap. Higher rates of interest in Perth accompany whereby numerous little personal loans.
Also, besides lowering your interest rate in Perth cost on the present debt, a person's credit score in Perth additionally enhances. Thus, credit card consolidating lowers credit risk that's charged on an individual in Perth for the newest debt management that's drawn from any economic institution through the nation. Moreover, credit card negotiation also enables a borrower to pay her or his debt quicker. So, deleveraging in Perth his private balance sheet. This raise a person's ability in Perth ON to borrow more credit cards from the bank.
Furthermore, in order for an individual to qualify for credit card debt counselling. Someone must be having an excellent credit history in Perth Ontario coupled with an account of a consistent source of income in Perth Ontario. This way, a borrower in Perth only has to present to the individual economic institution which he is effective at paying off his monthly payments in Perth that are estimated.
As the monetary institutions would include a higher credit risk premiums in Perth on this particular new credit card debt consolidating, but if someone has a poor credit history in Perth, he then mightn't get gained by debt consolidating. This may raise the interest cost on his new credit counselling. In this debt consolidation situation, it's wise for somebody in Perth to consult with a an expert or a economic planner prior to taking any measure in Perth ON.
Additionally, a person should be cognizant in Perth ON in the increasing rate of interest environment in Perth when undertaking debt relief of the various maturity of the loan long-term debts may be more expensive in relation to the credit counselling. The reason being the credit card debt consolidating would basically integrate expected rise in the inflation rate in Perth as the yield curve, in this situation, would be in Perth upward sloping.
High debt accumulation in Perth Ontario is a problem that activated international discussions in Perth and has generated mixed reactions in Perth. With concerns Canada has concluded to use credit card negotiation technique to control the specific debt consolidation situation. First, what is credit card debt counselling? Maybe we first should define what credit card consolidating is to be able to dissect this issue in totality in Perth before we delve into details.
Credit card relief loans is the custom of combining several bills to be able to make them debt management. And yes, of interest to note is; the bills that are joined are for folks that are different. How can this reduce debts? Maybe that's a question crossing your head in Perth ON. Well, let's get into this issue. Combining bills leads to decrease of the quantity of interest assumed to be paid. This is because each debt consolidating has its very own interest but when united in Perth, the interest in billed as if it was one debt consolidating. In this way, the men bearing the credit negotiation can reimburse readily.
This technique essentially helps in Perth the market in addition to the clients at large. As previously said, the market significantly affects in Perth ON. In accelerated economic growth, decrease in the sum of credit cards results for the reason. So many clients have been able to clear their credit card debts readily with no issues whatsoever in Perth, Canada has perfected this technique and to date in Perth Ontario.
The process of debt management is nicely laid down methodically such that in Perth ON individuals don't have to fight to get their credit card debts merged. With a debt counselling plan in position, anyone wanting to get in Perth their debt merged is merely needed to go to with a debt counselling counsellor who runs the routine processes that were mandatory in Perth to ascertain whether the clients is eligible.
The clients is guided appropriately, after establishing acceptability of the client to get involved in debt settlement plan. In computing their regular payments that are typically in Perth paid per month for example, if shown eligible, one is helped. With that the clients is integrated into the debt consolidation application in the place where they get to pay their debts quickly than they'd have under ordinary conditions.
In a nutshell, credit card counselling is a technique which has helped in Perth Ontario most Canadians in clearing their bills efficiently and quickly. It's also helped in economical development in Perth.
Credit card relief loans is using a fresh loan to settle several statements or other unsecure cash advance loans. Credit card relief loans includes getting a fresh credit card debt negotiation which could offer the clients a favorable repayment plan such as lower monthly premiums as well in Perth as a lesser rate of interest. Among the key variables, that are changing clients interest rate is their credit score. An excellent credit score is critical to the stakeholders in Perth involved since they would like to ensure that clients can abide by the stipulations which were said in the deal in Perth ON. Thus, a great credit score makes in giving you the clients a fresh credit card counselling, the lender safe. clients may use credit management to assist them pay off charge card debt, car insurance, student cash advance loans or some other credit card debts which are stifling the cash flow in your finances.
Also, using a charge card to consolidate your debt in Perth surely can make the debt consolidation situation worst. But, by in Perth lengthening the debt consolidation agreement through credit card debt settlement can help clients. It's going to supply clients with adequate time to settle their credit card debts, although the rate of interest may rise whereas in Perth ON, they may be able to settle the loan in Perth without dropping into debt. Further to this, it's constantly said in Perth that we save their cash and spend alternative than we bring in, so, a credit relief will help clients prioritize how they're spending by summarizing in Perth their demands and desires, thereby in Perth ON enhancing how they budget.
Businesses educate clients about credit relief. They take time to speak with clients in order that they are able to assess their scenarios attentively in Perth. They give guidance to clients about the distinct debt consolidation options that match their scenario in Perth and create a debt consolidation payment plan that fit in their lifestyle. credit card debt settlement helps people and families to get back on their feet and start again. Being in debt isn't the worst thing which can occur in Perth to you it's you're not doing anything about it and when you're in debt in Perth ON.
Never wait to find in Perth Ontario if you're deep in the ocean of debt, credit card counselling help. credit relief can help you get from a debt trap, which is a good method in Perth ON to build your credit back.
Credit card relief loans can help you manage to pay your creditors back. With debt counselling, your debts are joined into one account. The credit relief counselor organizes lower rates of interest from every one of your personal loans lenders and pays each one credit negotiationmonthly of the lenders when you cover the credit counselling firm. Your charge card statements are simplified in Perth into one debt management payment, at a rate of interest that is affordable in Perth, in order you can readily make that debt counselling payment every month. You'll find your charge card in Perth balances quickly decrease in Perth as a result of the lower rate of interest, as you pay each month in Perth.
Many businesses offer debt relief help. The credit card debt consolidating counsel of these businesses will allow you to make an evaluation of your total credit cards as well as your repayment ability. Following the evaluation in Perth, these counselors can help you choose the very best credit counselling procedure.
Credit card relief loans can assist you in many ways. The debt consolidation can assist you in Perth ON to remove unnecessary spending items and design a monthly budget in Perth Ontario. They are able to assist you to get a credit card debt counselling to pay your credit card debts off at a lower interest rate, thus letting you pay them off alternative quickly.
Credit card relief loans doesn't need to entail a brand new credit card negotiation. Many times your bills could be consolidated into one debt consolidation account with all the credit card consolidating firm. You and they will pay one debt consolidating payment and your creditors, respectively. This will definitely be less difficult that you manage so the balances might be paid off alternative quickly and so, as the debt management firm will have worked out lower rates of interest and charges for you that your own monthly credit negotiation payments are cheaper.
It could possibly be wise to take into account debt counselling in case your bills are very high. The debt counselor will discuss your commercial situation with your debt consolidating lenders and make them agree upon in Perth a resolution sum to settle your account. The monthly debt settlement payments which you make to the debt management firm go to pay off each of your accounts that are decided till they're paid in full in Perth.
Ensure that you just comprehend in Perth ON the process which you have selected before beginning credit card counselling and check out your debt counselling company. You ought to begin following a funding to keep in Perth from overspending when you are in the center of credit card debt negotiation.
Credit card relief loans denotes the procedure for borrowing financing to settle other cash advance loans, the principal objective being reducing the amount of unsecure bad credit loans to be paid back. The fundamental concept of credit card counselling will be to require short term loans that has a lower rate of interest to settle other bad credit loans which may be collecting a higher interest rate. credit management merely works for unsecured bad credit loans including charge cards or lines, student unsecure cash advance loans and individual cash advance loans that are unsecured.
The procedure for credit relief is just suggested to someone who's nearing insolvency and therefore has no other way out of his or her credit cards. Some credit card debt settlement professionals guidance that a strict credit card debt settlement strategy failure to which it may cause alternative difficulties must follows credit relief. Requiring financing to settle other short term loans isn't the most effective idea, however in the instance of credit relief, it can help concentrate on countering one credit relief that is principal as opposed to a lot of short term loans in exactly the same time.
Advantages of credit card counselling
The major benefit of debt management is the fact that it saves the man the hardships of needing to take good care of several personal loans. The compaction procedure helps to concentrate on one debt counselling repayment strategy, and so it's simpler both in Perth in the long and short run.
The next advantage is the fact in Perth ON that as having an individual payment lowers the rates of interest to be paid, credit negotiation helps to bring down the expense of monthly short term loans payments. The credit rating is improved by having just one credit counselling to pay additionally, and so you can reach other avenues of funding in Perth Ontario.
Credit card relief loans has some advantages which used and is often researched with the goal of paying credit cards punctually. Before determining to do it, it is best to speak with a economic expert as well as go through stipulations in Perth ON and the conditions before signing any debt counselling deal.
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But these days for a lot of Perth Ontario residents, finding the money to pay even the minimum debt amount due can be very hard, especially if you have a family in Perth to take care of. Other people from Perth who get themselves into credit card debt problems, carelessly sometimes, don't even seem to care. They seem to just shrug it off when the Perth debt collectors come around to repossess their goods, they'll even declare Perth bankruptcy if it suits them. This is a terrible road to go down in Perth and should be avoided at all costs
How can the honest person in Perth Ontario who is really struggling with credit card debt problems, debt which they couldn't avoid in order to take care of their Perth family, get help?
Our site works with some of the best Ontario debt relief and debt consolidation agencies that service Canadians in Perth and can take a lot of the worry off your shoulders. They have lots of experience of helping people in Perth Ontario, just like you. They will deal direct with all your credit card debt collectors, so that you don't have to. They will argue your cause, and can even get your debt amount reduced by having interest charges and penalties waived. Going to an Ontario licenced credit card debt relief expert is a smart move, and it will certainly give you back a great deal in Perth of your confidence and self respect in Perth. Don't hesitate to make this important move, contact us today by using our handy contact form above to find a reputable Perth debt relief agency and leave the rest to us.
Free Perth Ontario Debt Consolidation Quotes!
We feel it is advisable for you to try the FREE services of Perth debt consolidation experts before taking on any type of fast cash loans. These debt consolidation in Perth programs and services are the best option because it offers you great benefits such as ways of preventing you from going deeper into debt. The Perth debt consultation is absolutely free and can get your monthly payments in Perth cut while at the same time get you out of debt fast.
Contact us using the form above to set up your free consultation today!


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PayPal Pro Error: DPRP has been disabled for this merchantAsked by kittyspets on May 29, 2014 at 03:19 PM
I am receiving this error message for my clients - "DPRP has been disabled for this merchant". What does this mean? I pasted the general URL because we are not using IPN outside of Jotform - https://www.jotform.com/ipns/paypal.php.
Please let me know what I need to correct.
This is a re-post of a comment on How to Enable IPN on your Paypal Account
JotForm Support
Thank you for contacting us.
Are you getting that error while running the form in a Live mode? If so, the 'Direct Payment Recurring Payments' option is not enabled on your PayPal Pro account. In such case, we can recommend you to contact PayPal Support, they should be able to help you to enable the 'DPRP'.
Please feel free to contact us if you need any further assistance. We will be happy to help.
JotForm Support
Hi salochana,
I have moved your concern on a separate thread so we can better assist you and since this thread is an old thread. You can check the thread here: http://www.jotform.com/answers/720106. We will attend to your concern on that thread accordingly.
If you have any other question or concern, please feel free to contact us again by creating a new thread.


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Charles Lane
Jump to
A highly enterprising black filmmaker and actor, Lane played the leading role in his own low-budget comedy-drama, "Sidewalk Stories" (1989), which he also wrote and edited. An unusual effort in that it was silent as well as black and white, it paid overt homage to the great silent comics of yore and garnered critical acclaim for its sensitive, Chaplinesque portrayal of a homeless man who cares for an abandoned little girl. Lane followed up with the decidedly more expensive and mainstream comedy "True Identity" (1991), based on an Eddie Murphy "Saturday Night Live" sketch about a black actor who disguises himself as a white man to hide from the underworld. Despite containing some interesting satirical insights into the social construction of race and racial identity, the film did less well with critics than his initial effort and, lacking any big names, did very poorly at the box office.


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Averages 500 inches of snow and home to the longest season in Utah
Utah ski and snowboard resorts make the ultimate winter vacation destinations. The Salt Lake City resorts are all located in beautiful, steep canyons with spectacular views of the Salt Lake Valley, each just minutes from downtown Salt Lake City. With many lodging options available, stay in the city and drive to a different resort each day. Or never leave the mountain, with ski in/ski out options available at most of the area resorts. Several resorts also offer trip packages bundling lift passes with lodging.
Our resorts average 500 inches annually of the driest, lightest powder on the planet, perfectly located to take full advantage of the additional snowfall generated from Utah's weather phenomenon, known as the "lake effect".
Averages 500 inches of snow and home to the longest season in Utah
Four world-class ski resorts plus the greatest snow on earth equals unbelievable skiing
A nightlife as good as the powder
Ski & Ride Utah's hidden gem
Powder for skiers
Private homes & slope-side lodges
Where snow falls on red rock
Discover Ogden's three resorts
Alta, Snowbird, Brighton, Solitude
You can find ski-in, ski-out accommodations right at the resorts or stay in nearby cities with nightlife, restaurants and entertainment. Most resorts offer spa services to end the perfect day. Each resort is unique. Most are located within a few minutes of Salt Lake International Airport. Utah ski resorts have evolved into four-season playgrounds. During summer and fall they offer exceptional hiking, biking and other activities.


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Nestldown is a private estate, closed to the public. It is open only to guests at scheduled events. Site visits may be arranged by appointment, or you may book a tour.
Availability–We have many dates still available in 2017.
Come take a tour and talk with us about your plans.
We are now booking for 2018.
Please use our map (other sources are inaccurate) (open PDF)
Contact us at: firstname.lastname@example.com
or call 408-353-5311
(for noise concerns only, click here)


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- Trending Now: More Trending:
- transgender beleaguer scaramouch non sequitur admiral's mast
add to this/that
Definition of add to this/that
—often used informally to introduce a statement about something that makes a thing or situation better, worse, more important, etc. We were given little time to finish. Add to this the fact that nobody helped us, and you can understand why we were angry.
Word by Word Definitions
: to join or unite so as to bring about an increase or improvement
: to say further : append
: to combine (numbers) into an equivalent simple quantity or number
Seen and Heard
What made you want to look up add to this/that? Please tell us where you read or heard it (including the quote, if possible).


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Quynh M.
Berkeley, CA, 94703
Joined on March, 2013
Gender: Female
Average Rating:
Weekdays after 6PM
Saturday in the morning
Sunday in the afternoon
Saturday in the morning
Sunday in the afternoon
Lives Near:
Can Meet:
Up to 20 minutes away for no additional charge
EducationUC San Diego graduate. Bachelor of Arts in Communication, minor in International Relations.
Experience* Tutored students grade K-8 at Kumon in High School (2 years)
* Conversation Leader for international students learning the English language at UC San Diego (2 summer programs)
* In High School, was enrolled in all honors courses and AP classes: AP Biology, AP Psychology, AP English, AP Literature, AP Calculus, AP Statistics, AP Government, AP Economics, AP World History, AP US HIstory, AP Chemistry
* Graduated High School rank 11 out of 600 students
* Graduated UC San Diego with a 3.4 GPA (out of 4.0)
* Passed CBEST exam (California Basic Educational Skills Test) in order to begin teacher's credentials
* Accepted into highly selective and prestigious program: Teach for America (2014 Corps) to teach 7-12 Social Studies
HobbiesI love traveling (it's all about learning and enjoying different cultures -- also eating the food :)) Cooking is therapeutic to me. I love reading and writing. The reason why I decided to change career paths (to eventually become an educator for Teach for America) is because I knew since I was in the 1st grade that education is my passion. As a Vietnamese immigrant, it was difficult to assimilate into American culture when my parents did not speak a word of English. I was placed in "English as a Second Language" class in the 1st grade where my teacher really motivated/pushed me into believing that I could be successful. By the end of the year, I was the top reader/writer in my class. This showed me the power of influence and how one person's belief in me can change everything. I want to be able to do the same for my future students.
Preferred Subjects
English, Kindergarten - 8th Grade, Writing, Social Studies, History, Biology, Earth Science
Inquire about this tutor
The tutor will respond if they are available/interested.


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Best Of :: Megalopolitan Life
Women and their stories are not being adequately represented in American theater — not here in the Valley, nor on Broadway, nor points between. Two women working in local theater took note of these daunting demographics and, late last year, took action. Thespians Brenda Jean Foley and Tracy Liz Miller launched the Bridge Initiative to address the issue of gender disparity in Arizona theater. In January, the newly founded organization was awarded a $6,000 Arts Tank seed funding grant by the Arizona Arts Commission, and took that money to actress and businesswoman Lizz Reeves Fidler. The trio landed at Mesa Encore Theatre, a small East Valley house that provided additional fiscal sponsorship, a place to perform, and access to the company's nonprofit status. After meeting their matching-money goal via a crowd-sourcing campaign, they went on to create a series of quarterly networking events, offer master classes in playwriting, and created an awards program that will mount a production of its first-place play. Brava!www.facebook.com/bridgeinit
We'd like to think that someday Arizona will declare February 26 "Llamas on the Loose Day." Because who, after all, can forget the afternoon earlier this year when two of these giant furry creatures escaped from their Sun City home and tore through the streets of the West Valley, overturning cars and starting trash-can fires and riots? Okay, so maybe the llamas didn't terrorize the quiet streets of Sun City, but given the viral attention they received, you'd be forgiven for thinking they had. Within minutes of their escape, the two became a global Internet sensation. People across the country stopped whatever they were doing and watched the live-stream feed with bated breath. They inspired hashtags, GIFs, even a Buzzfeed quiz. Sheriff Joe's men put up a good fight, but they were no match for the llamas, who managed to run across busy streets uninjured for an hour. When the smaller of the two was finally lassoed, the larger one darted away. She evaded capture for another 15 minutes before finally succumbing, sadly ending what arguably was the most exciting event of the year. Follow them on Twitter: @SunCityLlamas.
When Tania Katan left her museum gig to go to work for a tech firm in North Scottsdale, there was a lot of head-scratching among members of the arts community. What was the writer/playwright/funny girl/creative dynamo going to do at a tech firm? Turns out, a whole lot. Within her first year, Katan had launched a simple but incredibly effective campaign called "It Was Never a Dress," turning the ubiquitous ladies room icon on her ear, explaining that her dress is really a cape and encouraging girls to consider a career in science, technology, engineering, and mathematics. Demand for stickers and T-shirts was immediate, and social media gobbled up the whole thing, millions of times over. We can't wait to see what Katan has up her sleeve, er, cape next.www.itwasneveradress.com
THEMIS, or, as its creators at Arizona State University call it, the Thermal Emission Imaging System, made its 60,000th trip around Mars this year. The infrared camera, which has been hitchhiking aboard NASA's Mars Odyssey since 2001, has taken nearly 400,000 images of the Red Planet. In the process, it has saved a landing rover from dashing to pieces in a field of giant boulders by finding it a safe place to set down, and it has helped scientists discover old lakes and gullies carved by melting snow, among other things. You can see what THEMIS sees in real time on ASU's website. Watching the cratered landscape roll by is surreal.201 East Orange Mall, Tempe
May 2015 will go down at the wettest month on record in the United States, and the second-wettest for Arizona, with well over an inch of rainfall recorded. Here in Phoenix, we just called it heaven — a month filled with wind, rain, and unseasonably cool temperatures. By the end of May, temperatures in the Valley were well over 100 degrees, but given that summer typically starts in March around here, we were okay with that.
It's the line reporters had itched to write from the time the Phoenix Open was renamed. "There was a waste management problem at the Waste Management Phoenix Open," belted out a lede in the Arizona Republic. Ick. Apparently, a porta-potty leaked raw sewage in puddles near the "Fry's Fan Zone" at Arizona's signature annual golf event, one of the largest in the country. It smelled, people walked through it, and it took hours to clean up. Not exactly a hole-in-one from a public relations standpoint or a fun time for event-goers. But a great lede.


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Thank you....


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Zindagi Na Milegi Dobara Review
July 14, 2011 by Post Team
Zindagi Na Milegi Dobara Review, Get a vision of a film expert in the world of popular cinema as the film critic Rajeev Masand reviews the latest films and gives a first day of the show, note the releases of 'ki Pasand Rajeev Masand' the show seen in a long IBN7.
In this episode of 'Rajeev Masand ki Pasand, "the eminent film critic Rajeev Masand will review two films' Zindagi Na Milegi Dobara with Hrithik Roshan, Farhan Akhtar and Abhay Deol and' Harry Potter and the Deathly Hallows – Part 2. "
Star Talk section has the lively and bubbly young heart throb Minish Lamba where talking about the film that changed her life. The weekend show also gives viewers the opportunity to participate in a simple questionnaire of Bollywood, which can make DVD movies and popular gift certificates bookmyshow.com.
To learn more tuned into Ki Pasand Rajeev Masand at 7:30 pm on Saturday, July 16, 2011 only IBN7.
Please feel free to send if you have any questions regarding this post , you can contact on
Disclaimer: The views expressed on this site are that of the authors and not necessarily that of U.S.S.POST.


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The latest DEVO related news.
14 July 2017 16:59
Are We Not Men? Plush Pillowsby : Michael/Devo-Obsesso
20 June 2017 09:12
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19 June 2017 15:40
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10 May 2017 11:31
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04 May 2017 17:29
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18 April 2017 23:20
Mark Mothersbaugh Performance NYU May 4thby : Michael/Devo-Obsesso
27 March 2017 15:23
DEVO Emoji Set Updated!by : Michael/Devo-Obsesso
Get the entire set at: devo.emojifame.com
10 March 2017 11:59
5K DEVO Race in Akron July 30th!by : Michael/Devo-Obsesso
A three mile race through the streets of DEVO's hometown as a tribute to Akron's own devolution band. Participants can run or walk the course, which will be peppered with DEVO historical facts & music. Each participant receives a DEVO tech running shirt, 3D glasses, and the opportunity to receive a highly devloved 5KDEVO finisher medal upon completing course. Additionally, overall & age group awards will be presented at end of race. (Custom 5KDEVO trophies!). Band members will be waiting at the finish line to congratulate the first few finishers. Limited edition DEVO merchandise will be available on site. Proceeds go to a charity of the band's choosing (TBA).
Register For Race: https://runsignup.com/Race/OH/Akron/5KDEVO
11 February 2017 00:07
DEVO Emojis Available Nowby : Michael/Devo-Obsesso
(iOS only)
Advert illustration by NESSHEAD
24 December 2016 17:12
DEVOtional 2017 Date Announced July 28/29by : Michael/Devo-Obsesso
(Pssst: Add Sun. July 30th into your plans, too.
More details announced in Spring 2017