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Universal access: making health systems work for women
Selected articles from Universal Coverage: Can We Guarantee Health For All?
Universal Coverage: Can We Guarantee Health For All?
Universal coverage by health services is one of the core obligations that any legitimate government should fulfil vis-à-vis its citizens. However, universal coverage may not in itself ensure universal access to health care. Among the many challenges to ensuring universal coverage as well as access to health care are structural inequalities by caste, race, ethnicity and gender. Based on a review of published literature and applying a gender-analysis framework, this paper highlights ways in which the policies aimed at promoting universal coverage may not benefit women to the same extent as men because of gender-based differentials and inequalities in societies. It also explores how 'gender-blind' organisation and delivery of health care services may deny universal access to women even when universal coverage has been nominally achieved. The paper then makes recommendations for addressing these.
Universal coverage is a term defined and understood differently by different people. In this paper, we use the term 'universal coverage' to mean that '
Figure 1
Three dimensions to consider when moving towards universal coverage
Three dimensions to consider when moving towards universal coverage Source: World Health Report 2010, p.12
Universal access is a concept that includes but goes beyond universal coverage. It implies '
Among the many challenges to ensuring universal coverage as well as access to health care are structural inequalities by caste, race, ethnicity and gender. This paper, based on a review of published literature, highlights ways in which policies aimed at promoting universal coverage may not benefit women to the same extent as men because of health system's failure to recognise and address gender-based differentials and inequalities in societies. It also illustrates how, while universal coverage that factors in-gender may be a step in the right direction, universal access may still delude women because of gender-blind organisation and delivery of health care services. The paper then makes recommendations for addressing these.
This paper draws on a larger publication prepared by this author for the World Health Organization on "Gender, Women and Primary Health Care Renewal"
Gendered impact of Universal Coverage Reforms
This section queries universal coverage reforms from a gender lens and presents evidence that suggests that
• Women, especially those from vulnerable population groups, are more likely to be excluded in terms of population coverage
• Essential and routine health needs of women often do not find a place in the package of services covered
• As a consequence of both the above, women are more at risk of having unmet need for health care and/or less likely to receive adequate financial protection
Coverage of women
In order to achieve universal coverage, health financing mechanisms in a country would have to reduce the proportion of out-of-pocket payment and increase the share of health expenditure financed by health insurance or other prepayment mechanisms
In many countries
Adolescent girls and older women are among subgroups of women often excluded from coverage. This is because of the almost exclusive focus on maternal health needs in services covered by prepayment schemes and Essential Service Packages (discussed in the next section).
Coverage of health services essential for most women
"Essential Services Package" (ESP) consists of publicly funded services available at no cost or subsidised cost to those with 'coverage'. An assessment of publicly financed Essential Services packages in about 152 countries during 1993-99, found that only 20 of 152 countries included within their ESPs all of the following: family planning, prenatal and delivery care, clean/safe delivery by trained attendants, post partum care and essential emergency obstetric care. Delivery care and emergency obstetric care were missing in a large number of Essential Services packages. Only 44 of the 152 included prevention of HIV/AIDS through condom promotion
Safe abortion services are rarely part of the Essential Services Packages, although abortion is legal in almost all countries in specific circumstances, e.g. when the pregnancy is the result of rape or endangers the mother's life. ESPs also rarely include services for reproductive health needs of men, older women and young women and men, and treatment for chronic diseases which affect a large proportion of women (and men).
Micro-insurance schemes are too small to achieve effective risk pooling and cross-subsidising to cover routine sexual and reproductive health services. They are "uninsurable" as stand-alone benefits because they are non-random and/or high probability events. Many micro-insurance schemes in South Asia and Latin America have been found to either not cover pregnancy; exclude coverage for the first pregnancy which has a higher risk of complications, or require a mandatory waiting period of 9 months before enrolling in the Scheme to prevent women from joining when they are pregnant
Financial protection
The extent of financial protection is linked to who is covered or excluded and for what services. In many countries, the uninsured have to pay out of pocket for health care services. Where there is a basic package of services financed by tax revenue and free at the point of service delivery, costs of other health services have to be met by out-of-pocket payment (OOP), or through a combination of different types of health insurance.
Women's out-of-pocket payments has been found to be systematically higher than that of men
The extent of financial protection provided by Social Protection Health Schemes and Conditional Cash Transfers depends on the extent to which they cover associated non-medical expenses such as drugs and transportation. In the Safe Delivery Incentive Programme (SDIP) in Nepal payments, the cash incentive amount of NRP 1000 covered at most 25% of the cost of a normal delivery and only 5% of the cost of a caesarean section, not providing effective protection against catastrophic health expenditures
Achieving universal coverage of women: examples of Mexico and Thailand
Mexico introduced the
Thailand adopted Universal Health Care Coverage in 2001 to expand coverage to those who were not covered by existing insurance schemes. Financing is from tax revenue. Entire households are covered. The Benefits package is comprehensive and includes preventive, promotive, curative and rehabilitative services with a small number of exceptions. In 2006, ARV for HIV was included in the Benefits package and in 2008 renal replacement therapy was added on
Universal coverage successfully reduced incidence of catastrophic health expenditure from 5.4% in 2000 to 2% in 2006. Not a single household had experienced impoverishment due health expenditure in 21 of 76 provinces in 2008
Moving from universal coverage to universal access
Even when universal coverage has been achieved, universal access remains a challenge for many reasons including resource constraints, unequal distribution of existing health resources and organisational and managerial bottle-necks. Studies have also shown that in the absence of specific efforts to prioritise inclusion of those from marginalized sections of society, measures to achieve universal coverage could in fact widen inequities in health because access increases first in the better-off groups and then trickles down to the rest
Gender-power inequalities which underlie women's limited access to resources and lack of decision-making power are an important barrier to moving from universal coverage to universal access. For example, in six countries of the WHO-Western Pacific Region (Cambodia, Nauru, Philippines, Samoa, Solomon Islands and Tuvalu), 78- 97% of women aged 15-19 years had one or more problems in accessing health care when they were sick, many of these not related to affordability. About a fifth had problems in getting permission for treatment, 30-66% was not willing to go alone, and a majority in all countries except the Philippines were concerned that no female provider may be available
Location and timing of services and modalities of delivery
Services available closer to home or workplace and at times of the day suitable to women are more likely to be utilised, and could make a big difference to identification of morbidity and effective treatment and cure. For example, studies from Bangladesh and Vietnam indicate the possibility of under-diagnosis and under-notification of women with tuberculosis, contributing to a lower-than-actual reported prevalence of tuberculosis in women
Another example of the need for alternative strategies in order to be able to reach women is in the case of cataract-blindness. A much smaller proportion of women than men access cataract surgery, although the prevalence of cataract is found to be similar in men and women. In Southern China, an intervention providing free cataract testing in the community followed by low-cost and high quality surgery found that after five years of exposure to these interventions (2001-06), women were as familiar as men about cataract surgery and as willing to pay for surgery an amount of 500 Renminbi (RMB) or US$ 65. The gender differences found in the base-line had been reversed at the end of the five years
Services that are much-needed and often unavailable at the primary care level are child-delivery services. The proportion of institutional deliveries in Tamil Nadu, India, increased from about 80% to 98% between 2004 and 2008. Almost all the increase in institutional deliveries was accounted for by deliveries in the newly operationalised 24x7 Primary Health Centres. The new users of institutional delivery services were from the poorest and most marginalised communities
Simple changes in the organisation of services at the health facility level could also enhance access to care. In Nepal, the availability of DOTS services for tuberculosis in the same facility as maternal and child health care has been found to have increased case finding and successful treatment
Patient-provider interactions
For most patients, providers represent powerful authorities that are by training and social position far removed from their own lives and realities
Availability of a woman provider could make the difference between seeking and not seeking care for many women
There is a large literature on the physical and verbal abuse of women in labour and women seeking abortion and STI services by women health workers. A number of possible reasons for the abuse have been identified: the overworked health worker may be passing on her frustrations to patients; it may a case of discrimination against women from low-income or marginalised communities; and in the case of services such as contraception, abortion or STI/HIV care, the health worker may be judging the patient as having transgressed gender norms
Evidence examined in this paper, while not conclusive, indicates that universal coverage is likely to exclude more women than men, and even when achieved unlikely to translate into universal access to health care for women unless factors contributing to inequalities in affordability, availability and access to health care by women are systematically addressed. Based on the findings about the nature of barriers that women face, the following is a tentative agenda for action to make health systems work for women.
• When implementing insurance reforms, such as introduction of Social Health Insurance /Micro-Insurance, special attention is to be paid to coverage of women. Partially or fully subsidising premium payments for those who cannot afford to pay, and being aware that women, even when they belong to better-off households may fall within this category, would be important. Making households as the unit of enrolment in insurance schemes would help extend insurance coverage to women and other household members with low decision-making making power and financial resources.
• Social Protection Health Schemes and Conditional Cash Transfers should be free of conditionality and administrative procedures which may exclude the most marginalized women. Cash incentives made available as part of CCTs should be adequate to protect women from catastrophic health expenditures.
• For expanding 'health care' coverage to adequately cover women's health needs, the range and content of services provided need to address differences between women and men in terms of conditions that occur exclusively in women or men; that are more common; manifest differently; more severe or with more serious consequences; and with different risk factors, for women or men.
• The range of reproductive health services in the Essential Services Package need to go beyond antenatal care and family planning, to include, at the least, skilled attendance at delivery and essential gynaecological services.
• Expanding health care coverage also calls for insurance schemes that are large enough to ensure effective risk pooling and cross-subsidising. Micro-insurance schemes will have to be subsidised to be able to include sexual and reproductive health services in the benefits package.
• Attention to gender differences in factors affecting health seeking behaviour should inform the location and timing of services. Services available closer to home or workplace and at times suitable to women or men are more likely to be utilised, and could make a big difference to identification of morbidity and effective treatment and cure.
• Changes towards more democratic and gender-sensitive provider-patient interactions are needed in the service -delivery setting. At the minimum, there should be no physical or verbal abuse of any patient by any member of the health team.
All of these are feasible given the political will. For, gender inequality is not a problem without a solution. What is needed is the political will and determination amidst policy makers at the highest level in international agencies and national governments
Competing interests
The author declares that she has no competing interests.
This paper is based on work done by this author towards a publication entitled "Gender, women and primary health care renewal" prepared for the Department of Gender, Women and Health, World Health Organization, Geneva, in 2010. Preparing a short article for publication in a journal was part of my contractual agreement.
This article has been published as part of
Renewing Primary Health Care in the Americas: A Position Paper of the Pan American Health Organization/World Health Organization (PAHO/WHO)
Health systems financing: The path to universal coverage
Gender, women and primary health care renewal
Beyond fragmentation and towards universal coverage: Insights from Ghana, South Africa and United Republic of Tanzania
Health-financing reforms in southeast Asia: challenges in achieving universal coverage
Reaching universal coverage via social health insurance: Key design features in the transition period
The World's Women 2010: Trends and Statistics
Health financing reforms
Women and health: Today's evidence, tomorrow's agenda
Social protection for health schemes for mother and child population: Lessons learned from the Latin American Region
Universal Child and Mother Insurance (Bolivia)
China's social protection schemes and access to health services: A critical review
Conditional cash transfers for improving uptake of health interventions in low and middle-income countries: A systematic review
Utilisation of health services for reproductive health care: A case study from rural Tamil Nadu, India
Pro-Poor Maternity Benefit Schemes beyond the reach of rural women – Findings from a cross-sectional survey of five Districts of Tamil Nadu
Investing in the best buys. A review of the health, nutrition and population portfolio, FY 1993-99
Microinsurance that works for women: Making gender-sensitive micro-insurance programs
Who's got the power? Transforming health systems for women and children
The hidden cost of 'free' maternity care in Dhaka, Bangladesh
Financing reproductive and child health care in Rajasthan
Lessons from cost recovery in health
The financing and organization of health services in poor rural China: A case study of Donglan County
The impact of government programs on reproductive health disparities: Three case studies
Access to health acre and the financial burden of out-of-pocket health payments in Latvia
Paying for reproductive health services in Bangladesh: intersections between cost, quality and culture
Encouraging women to use professional care at birth
Health insurance in Mexico: Achieving universal coverage through structural reform
Benchmarking of performance of Mexican states with effective coverage
Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico
Household impoverishment by health payment in Thailand: An analysis of national time trend and provincial variation 1996-2008
Equity in maternal and child health in Thailand
Universal health coverage: Friend or foe of health equity?
Women and health in the Western Pacific Region: remaining challenges and new opportunities
Tuberculosis epidemiology from a gender perspective
Tuberculosis and patient gender in Bangladesh: sex differences in diagnosis and treatment outcome
Do women with tuberculosis have a lower likelihood of getting diagnosed? Prevalence and case detection of sputum smear positive pulmonary TB, a population-based study from Vietnam
Expanding tuberculosis case-detection by screening household contacts
Reversal in gender valuations of cataract surgery after the implementation of free-screening and low-priced, high-quality surgery in a rural population of Southern China
Gender and TB: Perspectives from Nepal
Challenging gender in patient-provider interactions
Patient preference for genders of health professionals
UN Millennium Project: Taking action: Achieving gender equality and empowering women


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Blocking someone on instagram?
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Ava is a firebug and she can start fires with her mind. However, she's caught in a deadly contract with the Coterie, a magical mafia. She's one of its main hitmen and she doesn't like it one bit. Especially because her mother's death was ordered by Venus and Ava's boss. When Venus asks Ava to kill a family friend, Ava rebels and flees.
©2014 Lish McBride (P)2014 Recorded Books
"Firebug has it all - power-hungry villains, cool magic powers, foxy boys, and even vicious were-bunnies, all fueled by Lish McBride's signature non-stop wit. I love every moment spent in this oft-quirky, always spellbinding world, and can't wait to see what trouble Ava, Lock, and Ezra land themselves in next!" (Marissa Meyer, New York Times best-selling author of The Lunar Chronicles)
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I loved Lish McBride's necromancer books, but this one fell short for me. The narration was definitely working against a favorable rating. I would buy the next book if the narrator were different.
Definitely not. There was very little to differentiate between the characters in the performance and most of the time I felt like I was listening to Mr. and Mrs. Howell from Gilligan's Island. She did not make me like Ava, at all.
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At the Bangor Auditorium, the Trojans outscored the Crusaders 15-7 in the fourth quarter to claim the victory.
Ben Walls sparked Mount Desert Island (1-1) with 18 points, including five in the fourth quarter. Jon Phelps added seven points.
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The newest issue of BC Christian News is now online, and with it, my film column, which is mostly a revised version of my review of The Chronicles of Narnia: The Lion, the Witch and the Wardrobe but also includes a brief preview (but not a review) of Hoodwinked!.
BC Christian News — January 2006
January 2, 2006 by Peter T. Chattaway 1 Comment
Filed Under: Uncategorized 1 Comment
Related posts from FilmChat:
Watch: The people of Joppa sing and dance in a clip from Jonah: On Stage! -- returning to theatres June 3
About Peter T. Chattaway
Peter T. Chattaway was the regular film critic for BC Christian News from 1992 to 2011. In addition to his award-winning film column for that paper, his news and opinion pieces have appeared in such publications as Books & Culture, Christianity Today, Bible Review and the Vancouver Sun. He has also contributed essays to the books Re-Viewing The Passion: Mel Gibson's Film and Its Critics (Palgrave Macmillan, 2004), Scandalizing Jesus?: Kazantzakis's The Last Temptation of Christ Fifty Years on (Continuum, 2005) and The Bible in Motion: A Handbook of the Bible and Its Reception in Film (De Gruyter, 2016).
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Claire Hooper: Show Girl
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Tucson, Arizona. Land of saguaro cactus, red desert and the yearly gathering of the Gastellum clan for Christmas. For as far back as I can remember, we would make the annual fourteen hour drive from Colorado to Arizona to spend one or two weeks with family in a continuous celebration that centered on the Faith, family and food. But before …Read More »
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A Pro-Life Source for Poinsettias
A while back I mentioned that the largest supplier of poinsettias in the United States likes to give lots of money to Planned Parenthood. A commenter pointed us to a company that does good with their business. Thanks Kristin!Read More »
Poinsettias at Christmas? Think Again
I like poinsettias decorating my church just as much as the next person but it has just come to my attention that doing so will most likely contribute to the betterment of Planned Parenthood. 70% of the country's poinsettias come from the farm of the Eckes family in California. This family has given a quarter of a million dollars to …Read More »


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Three decades and more ago, the Indian cricket team did not have a great reputation as visitors. Not much has changed since then, but that is another story. Their record in England was particularly bad, coz they had lost all their previous outings from as early as 1952. The Indians had traveled to English soil 6 times before the 7th team ventured to play the game, that over the years had grown into the Indian way of life.
The earlier series that India had participated in had no memories or positives to take back home, save embarrassment and a harsh realization, that they came nowhere close to the cricketing talent of the English teams that they were up against. There was no reputation to protect, but the 1971 Indian squad had to create one. There were young men in the side, for instance the 22-year-old Sunil Gavaskar, who was the find of the West Indies series that they had just completed, earlier in the year. The Indians won the 5-match Test series, 1-0 and therefore had that winning feeling, before arriving in England. Gavaskar had a particularly good series scoring 774 in 4 of the Tests that he played in, with a double hundred in the final Test and three tonnes to add to his kitty of centuries. So, for young Sunil Gavaskar, this West Indies series of 1970-71 would be one he"d cherish.
Nothing was expected from this team of 1971 as they arrived in England. Despite the good showing that they had in the Caribbean, the English were quick to size them up, as just another poor quality Indian team. But they soon realized that this was perhaps not the case. One had heard of the superlative 'spin trio' and in the practice games, their strengths were exposed. They showed glimpses of the new attitude and talent that they had in the team. The Indians knew that they had to prove that they were indeed a unit to be taken seriously.
In the three Test series, the first two Tests had their moments. In the first Test at the mecca of cricket – Lord"s the English found themselves bowled over quite literally, when on the first day, they were reduced to 71/5 with Bedi and Chandrasekhar spinning them into problems. But the hosts fought back. With bad weather not withstanding in the end it was a balanced battle with England setting India a target of 183 to win the Test. In their 2nd innings, the Indians started well but the middle order collapsed. They were struggling at 142/8 but the weather Gods intervened and saved India what would have been a defeat.
The second Test at Old Trafford, Manchester saw the hosts build up a total of 386 with Abid Ali and Venkat sharing a large part of the spoils. To win the match, the hosts set the visitors a target of 420. There was a whole day to get the Indians out and at stumps on the 4th day, they were not comfortable at 65/3. But as luck would have it, rain intervened yet again and saved India some blushes that they could do without.
Now it all boiled down to the third and final Test, at the Oval. The Indians were hungry and knew that if they wanted to they could try and get the rearguard of the English side out in a quicker fashion. As for the English, they realized that this Indian team was no pushover. This final Test was poised well and both teams had a lot to gain from it, more so for the Indians. The English won the toss and elected to bat and in their first innings they put up a total of 355. There were no centurions and for the Indians, Eknath Solkar that prolific fielder, captured 3 wickets. While the 'spinning trio' gaining 2 wickets each. Rain made an appearance yet again and there was no play on day two of the Test. This must have been frustrating for both sides. On day three the Indians managed to get to a score of 234/7! But it was day four that will remain extra special for one and all who witnessed the action, and even today, when we look back at what happened on that golden day! The Indians added 50 runs to the over night score of 234 and England commenced their innings. And before they could say Bhagwat Subramanya Chandrasekhar, he had gone through the entire batting line up and ended with figures of 6/38. A superlative performance that reduced the hosts to a mere 101. Chandra ( as he was affectionately called) had created an unforeseen situation for his country. They needed only 173 to get and had 4 sessions in which to achieve that target. The hosts could not believe the predicament that they were in. They just had to get the Indians out. They struck early. Young Gavaskar – was out with the score on 2! And at 76/3, things were not looking good. But the Indians fought hard and thanks to a sizeable 4th wicket partnership between Dilip Sardesai and GR Vishwanath, India achieved that elusive win. They won not only the match but the first ever series on English soil. Celebrations were the order of the day, the 7th team to visit England had accomplished what they had set out to get.
A heroic welcome awaited the team and they were specially flown in to meet the President and Prime Minister in the capital Delhi. As for the welcome in Bombay ( now Mumbai) fans lined the roads all the way as the motorcade went on it"s journey, with the heroes on board. All the way from the airport to the Cricket Club of India the fans cheered on their champions. It must have been a sight to behold. As most of us were not there on that historic day, the best that we can do is relive that fantastic 4th day of the final Test and salute the team that made it all happen!
Cheers to the Team 1971!!


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Surprisingly Jenna's sr. blood brother against your better judgment accepted of her removal once he saw her win $500 from her archetypical wet t-shirt swordfight. In so doing he apparently allowed her to flog her spirit.
The autumnal 29 year-old Jenna told E that then again she was outwardly boylike and beautiful inside she fabric as if she was 60 years-old. It was a deeply juicy unearth of the creative activity commercial enterprise so. Lonely women looking for worship repeatedly bequeath sex in bargain for concentration. This is nil new. However to perceive specified a prosperous female in the industry go state-supported and say it as it is was extraordinarily tonic. I anticipation abundant childish ladies cross-town the nation will comprehend and give somebody a lift bosom.
God doubtless has more for us than making possessions of our bodies. The organic structure minus the vital principle is assassinated (James 2:26). Jenna's devout musing on her own duration leaves the younger age group next to by a long way to ponder. Certainly sex is not admiration. Neither is can adulation be obtained by bounteous sex in chemical phenomenon.Post ads:
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Love is an precious trade goods that cannot be bought. It just can be specified away, felt, and disclosed ended time once one's sincerity is tested. Jenna really saved crude respect in her law enforcement agency officer father, who treasured Jenna scorn her impoverished choices.
Our pleasurable Father loves us all unconditionally, but His blessings are conditional upon our giving in. The payoff of sin is death, but the contribution of God is endless life through Jesus Christ (Romans 6:23). Sin sure as shooting has its outcome.


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(The Hosting News) – The eagerly awaited next generation of Europe's first cloud platform, FlexiScale 2.0, launches today. FlexiScale 2.0 is a complete, bottom-up re-write of market leading FlexiScale, a dominant player in public cloud platforms since 2007. FlexiScale 2.0's leading-edge technology enables start-ups and SMEs to grow from one server to one thousand servers in seconds – critical for organisations offering streaming video, social networking or SaaS, and ideal for a wealth of other applications.
FlexiScale 2.0's pay-as-you-go virtual dedicated servers can be up and running, or taken down in less than 60 seconds, ensuring businesses can rapidly shape their IT resources in response to dynamic market conditions. With no long-term commitment or capital expenditure, FlexiScale 2.0 facilitates clear focus on core business activities by reducing time, energy and effort spent on IT provisioning and investment.
Powered by Flexiant's flagship technology "Extility", FlexiScale 2.0 has a very user-friendly look and feel making operating the functionally enriched FlexiScale 2.0 an empowering experience. Current users of FlexiScale will see immediately that Flexiant has responded to market demand and remain clear leaders in provisioning viable, business enabling technology.
Key new features include:
A completely revised graphical user interface;
A richer API for programmatic server control;
Substantially reduced charges;
Highly accelerated initial boot times;
Virtual Data Centres to enable customers to organise their own array of servers;
Ability for customers to attach, detach, resize, snapshot, image and clone virtual disks;
Ability for customers to create their own servers from uploaded images; and
VNC console support to diagnose boot or connectivity issues.
Customers can fire up as many servers as they want. These can be based upon either an OS or appliance images from Flexiant's own library, a customer uploaded image, or a clone of an existing customer server. Flexiant's advanced storage system means there is no long OS installation cycle; however the server is built, it will be available in seconds. Servers in the virtual data centre can be built either through Flexiant's intuitive web-based user interface or using its comprehensive API, allowing users to control the servers programmatically.
Tony Lucas, Founder of Flexiant explains: "Our existing FlexiScale customers are very important to us and we know they will love the improvements and new features of FlexiScale 2.0 that the Extility technology suite has enabled."
The OS agnostic FlexiScale 2.0 supports MS Windows Server and all common versions of Linux. Each customer has their own VLAN and their own virtual disks giving security and network QoS. Flexiant provides a fully monitored system, fully automated hardware recovery and instantaneous backup and restore capabilities through disk snapshots.
Reseller opportunity
Since FlexiScale was first launched in 2007 it has built up a strong customer base and now Flexiant is offering the opportunity to the web-hosting reseller market and to IT service delivery companies.
Flexiant's FlexiScale 2.0 Resellers and Affiliates will be able to rapidly leverage their existing customer base to take advantage of FlexiScale's platform independent infrastructure, bringing immediate improvement to bottom-line performance, whilst delivering highly dependable world-class services to their customers.
Tony Lucas comments: "FlexiScale 2.0 delivers an excellent commercial opportunity for technology resellers to deploy wide ranging high quality services to their existing customers, whilst enabling them to compete more effectively in this very challenging industry. We are very proud of bringing this innovative, leading edge technology to market"


text:
Ahri Build Guide by Torred
Not Updated For Current Season
This guide has not yet been updated for the current season. Please keep this in mind while reading. You can see the most recently updated guides on the browse guides page.
Ahri AP carry MidLane Guido
Ahri Build
Starting Items
if you need some more manas
my pref Core Items (decide your prefd order)
Ability Sequence
Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
A video will be linked here soon....
Visit my other Mobafire guides: http://www.mobafire.com/profile/torred-578129/content/builds
and check out these links :D
Youtbe: TorredYT
Facebook: TorredFB
Twitch: TorredTV
Twitter: TorredTW


text:
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Finely detailed, authentic prop replica. Measures approximately 11" in height. Not to be used as drinkware.
Pro Price
PowerUp Rewards Pro members get 10% off pre-owned games and accessories. Enter your rewards number in the cart to see discounts.


text:
This Beaverton hotel offers business travelers access to copy and fax services, large work desks, voice mail and competitive corporate rates. All spacious guest rooms feature coffee makers, hair dryers, irons, ironing boards and cable television. In addition to standard amenities, some rooms have microwaves, refrigerators, hot tubs and wet bars. Two-room suites and business class rooms are available. Coin-operated laundry facilities are located on the property for guest convenience. Whether traveling to the Beaverton area for business or pleasure, the friendly staff at the Comfort Inn & Suites West will ensure your stay is a relaxing experience.
Welcome to the Comfort Inn & Suites West, a Beaverton hotel near the Sunset Corridor The Comfort Inn & Suites West is ideally located in the Sunset Corridor business district, only minutes from the vibrant downtown area of Portland. This Beaverton hotel is convenient to the Oregon Museum of Science and Industry, Oregon Zoo, Tualatin Hills Recreation Center, World Forestry Center and Portland State University. The Portland International Airport is 22 miles away. Visitors will enjoy browsing local shopping centers, including Washington Square Mall, Tanasbourne Shopping Center and Cedar Hills Crossing. Golf courses are also nearby. Be sure to take advantage of the many dining options in the surrounding area. Black Bear Diner is located on the premises. Full-service features and amenities include: Free high-speed Internet access Free Sunshine continental breakfast Free local calls Pets welcome; stay fee required Guests are invited to enjoy the on-site recreational activities, including the seasonal outdoor heated pool, fitness center and game room.
Pet Accommodation: 15.00/stay. Pet Limit: up to 50 lbs., 2 pets in room. Shuttle service available for 5.00 a trip within a five mile radius for corporate and Choice Privilege guests.
Room Facilities:
Satellite cable TV
Wheelchair accessible


text:
Before servicing the vehicle, refer to the precautions in the beginning of this Section.
NOTERecord the radio anti-theft code before removing the radio!
- Insert radio removal tool 000 589 88 63 00, into the radio release slots at the bottom of the radio unit.
Pull the radio unit back unit the electrical connectors can be reached. Detach the connectors, then pull the radio unit out.
- Remove the center trim panel; use a plastic wedge to prevent damage to the trim when disengaging the clips. The clips can be accessed at the top through the radio hole, and at the bottom through the rotary dial holes. Unplug the electrical connectors and remove the panel.
- Remove the screws securing the control panel, then unplug the electrical connectors and disengage the control cables from the unit.
- Installation is the reverse of removal.


text:
Bangalore, Sep 23: New Zealand, placed in Group D, are playing their last group match against Pakistan on Sunday and look to keep up their momentum after thrashing Bangladesh at Pallekele on Friday.
Here is a look at New Zealand team's statistics in World T20 ahead of their clash against Paksitan at Pallekele.
World T20 Stats: Pakistan: Watch out for Ajmal, Kamran Akmal
# New Zealand has played three matches against Pakistan so far in World T20 while they have won only one match and lost two in World T20
# New Zealand's highest total in World T20 has been 198/5 against Ireland in June 2009
# They have recorded their lowest total (99) against Pakistan in June 2009
# Interestingly, Kiwis recorded their highest and lowest T20 totals in the second edition of World T20 at England.
# Brendon McCullum has scored 463 runs off 17 matches, with a highest score of 123, best by a New Zealand batsman in World T20
# Daniel Vettori has claimed the most wickets (18) in World T20 for New Zealand with 4/20 being his best
# None of the New Zealand bowlers have claimed a five wicket haul so far in World T20
# Only Mark Gillespie and Daniel Vettori have claimed a four-wicket haul in World T20 so far
# Brendon McCullum is the only New Zealand cricketer to have scored a ton in World T20
# Craig McMillan holds the record for more sixes for New Zealand with 13, while Ross Taylor, Scott Styris have recorded 12 sixes, Brendon McCullum needs three more sixes to surpass McMillan's record
# Brendon McCullum has played 17 matches in World T20, the most by any New Zealand cricketer
# The highest partnership has been 94 runs for the second wicket between James Franklin and Brendon McCullum against Bangladesh in 2012
# Kane Williamson and Nathan McCullum jointly hold the record for maximum catches in an innings, as they have recorded 3 so far in 2012 and 2010 respectively
# Daniel Vettori8 has led his team on 11 occasions in World T20, the most by any New Zealand captain
# Under Vettori's captaincy, New Zealand have won 6 off the 13 matches


text:
New investments, partnerships, transaction processing services and mobile applications highlight recent health information technology vendor announcements. Among them:
* Medicare/Medicaid transactions processor ABILITY Network Inc., formerly VisionShare, has received $27 million in capital investments from Bain Capital Ventures and existing investor Lemhi Ventures. In addition to handling claims submission, eligibility, claim status and other transactions, the vendor offers a master patient index assessment service to identify duplicate records. It also resells records cleanup and verification services from consulting firm Just Associates.
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text:
The Obama administration has labeled Texas as a "hostile state" as military training operations take place at various places across the country.
The U.S. Army Special Operations Command has filed a "Request to Conduct Realistic Military Training" to local officials in six states in which military personnel like Navy Seals will simulate to responding to domestic "insurgents" in an exercise known as JADE HELM 15.
"JH is a challenging eight-week joint military and interagency (IA) unconventional warfare (UW) exercise conducted throughout Texas, New Mexico, Arizona, California, Nevada, Utah and Colorado," says a PowerPoint proposal posted online by the Defense Department, adding that its aim is "to improve the Special Operations Forces' UW capability as part of the national security strategy."
The powerpoint also describes states like Texas and most of Utah as "hostile." A portion of Southern California along the Mexico border is also described as "hostile," and the powerpoint also says that this area contains an "insurgent pocket."
It just so happens that each one of these states and areas are very much anti-Obama.
Meanwhile, Arizona is marked as "Uncertain: Leaning Friendly" while California, Nevada and Colorado are listed as "Permissive." These states, of course, all support Obama.
The military trainings and labeling of conservative states as "hostile" has caused many to become suspicious of Obama's motives. Some have even suggested that the military could be training for an imposition of martial law.
"A couple months ago the DHS (Department of Homeland Security) and FBI (Federal Bureau of Investigation) stated that the number one threat to the United States is none other than its own citizenry," Joe McMaster wrote on his Freedom Outpost blog.
The military has denied this, however.
"This exercise is routine training to maintain a high level of readiness for Army Special Operations Forces because they must be ready to support potential missions anywhere in the world on a moment's notice," said Army Lt. Col. Mark Lastoria, a spokesman for SOC, before he confirmed the planned exercises.
What do you think about this? Let us know your thoughts in the comments section.


text: Seller: midwest-sellitnowstore (10,198) 100%, Location: Waukesha, WI, Ships to: Worldwide, Item: 230836162553 Description Up for auction is this Chinese Government bond, from the gold reorganization loan of 1913, when a foreign consortium of banks made a loan of gold to the Chinese government. This is a 20 British Pound note. Don't miss out on the chance to own a piece of financial history! This example is framed and in excellent condition, but please study the many photos below to judge the condition yourself. Also included is a sheet of bond coupons. There are 43 of them, ranging from 1939 to 1960. The coupon sheet is lightly glued at the top to a white sheet of framing paper. We have not removed it for fear of damage but it looks like it can be removed safely. The bond sheet measures approximately 18" from top to bottom, and is 13" across. Please remember to scroll down the web-page to view all of the photos. This item is a No Reserve, no buy-it-now auction, simply put- the highest bidder takes the item. Bidders located in North Dakota, South Dakota, Nebraska, Minnesota, Iowa, Illinois (EXCEPT the Chicago metro area) , Wisconsin, and the St. Louis metro area qualify for special discounted shipping rates. Please inquire if you live in these areas. International bidders, please contact us for a shipping quote. We routinely ship outside the U.S.A and are happy to do so. Local pick ups are also welcome at our store in Wauwatosa, Wisconsin, USA. If you have any questions, please email us and we will be glad to assist you. Bid with confidence in a trusted and honest eBay seller. Thank you for your interest and good luck bidding! Would you like us to sell your items? Discover why our experience, reputation, and education makes The Sell It Now Store© the premiere consignment shop selling on eBay©. It takes more than an eBay© account to sell successfully at or above market value. Creating the right environment to maximize value includes: Access to global niche markets for specialty items Item valuation and online research High quality digital photography in our state-of-the art studio Convenient location for item drop-off Secured and insured storage facilities Turn-key corporate training and liquidation services Auction Terms and Payment Information Due to the age and no control over the future use of this item, it is sold strictly as-is as-shown without warranty expressed or implied. You are welcome to inspect this item in person while the auction is running. We are not responsible for any small detail left out of the description as we are a consignment store and not experts on the items we list. Please e-mail us with shipping questions or concerns prior to bidding. We require that buyers notify us of shipping damage to the item during handling before leaving feedback. Foreign bidders: e-mail us before bidding to determine the cost of shipping and to see if we will ship to your country. Shipping quoted to the United States is for the lower 48 states only. Shipping to Alaska, Hawaii, Puerto Rico, etc. is extra and will be quoted if requested. Foreign Bidders- import duties, taxes and charges are not included in the item price or shipping cost. These charges are the buyer's responsibility. Please check with your country's customs office to determine what these additional costs will be prior to bidding or buying. In addition, it is against the law to falsify customs documents. Please do not ask us to do so. We need to mark the customs form with the item sold and amount paid for the item at auction end. For items sold to Wisconsin residents or picked up locally we are required to collect Wisconsin sales tax. Any item needs to be paid in full within 3 days if paying by PayPal. We also reserve the right to cancel bids from bidders with excessive negative feedback. Please read our Legal Terms and Conditions. Circulated/Uncirculated: Unknown


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A Dangerous Woman (1929 film)
From Wikipedia, the free encyclopedia
|A Dangerous Woman
|Directed by
|Gerald Grove
Rowland V. Lee
|Screenplay by
|John Farrow
Edward E. Paramore Jr.
|Based on
|"A Woman Who Needed Killing"
by Margery Lawrence
Clive Brook
|Distributed by
|Paramount Pictures
Release date
A Dangerous Woman is a 1929 American Pre-Code film released by Paramount, based on the Margery Lawrence story, A Woman Who Needed Killing. It was directed by Gerald Grove and Rowland V. Lee from a script by John Farrow and Edward E. Paramore Jr.[1][2]
Olga Baclanova (billed as Baclanova) stars as Tania Gregory and Clive Brook plays her husband Frank Gregory. The film is set at an outpost in British East Africa.[3]
Other actors include Neil Hamilton as Bobby Gregory, Clyde Cook as Tubbs, Leslie Fenton as Peter Allerton and Snitz Edwards as Chief Macheria.
- ^ Staff report (May 14, 1929). Grauman Will Introduce New Color-Talkie. Los Angeles Times
- ^ Hall, Mordaunt (May 20, 1929). The Sbreen; The Five Who Fell. A Russian Vampire. Stagey Bits In This Film. "Eleven Who Were Loyal" a Picture With Mary Nolan. A Movie Filmed In Tripoli; "Kif Tebbi" Is A Commendable Picture Subsidized by Mussolini. Other Photoplays. New York Times
- ^ Busby, Marquis (May 18, 1929). Drama of Africa at Paramount. "Dangerous Woman" Tells Tense Story of Existence at Outposts. Los Angeles Times
External links[edit]
|This 1920s drama film–related article is a stub. You can help Wikipedia by expanding it.


text:
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Restek DI Liners for Agilent GCs (0.25/0.32/0.53mm ID)
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Manufacturer: Restek 21055213.5
SpecificationsDescription & Specifications
- Trace, active samples, high recovery and linearity
- Geometry: Drilled uniliner (hole near top)
- Material: Borosilicate Glass
- Packing: Deactivated Wool
- Liner ID: 4mm
- OD: 6.3mm
- Length: 78.5mm
|IP drilled Uniliner™ inlet liner
|Deactivated Wool
|Agilent GCs equipped with split/splitless inlets
|Hole near top
|Borosilicate Glass
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text:
Pinyin Trainer by trainchinese
By Molatra
Open iTunes to buy and download apps.
Master the sounds of Mandarin Chinese with ease!
No matter if you're a beginner or a long-time student of Chinese, its tonal nature can catch you out and even cause some serious embarrassment...
Pinyin Trainer will help you master those tones using Pinyin, the standard romanization system for Mandarin Chinese. With almost 2,000 individual audio recordings and a variety of question-and-answer methods, it'll keep you on your toes and improve your Chinese listening skills like nothing else. Plus, it's got a complete guide to reading Chinese with the Pinyin system built right in.
- Score by tapping the words that you hear
- Train both Chinese tones and Pinyin "initials" sounds, to help you distinguish between commonly-confused words
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- In tone sketching mode, answer tone questions by drawing Pinyin tones with your fingers!
- Almost 2,000 high quality original audio recordings
- Free guide to reading Pinyin, with a complete index of one-syllable Chinese sounds
What's New in Version 4.1
— email yourself test results!
— support for iOS 10
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Customers Also Bought
- Free
- Category: Education
- Updated: 18 October 2016
- Version: 4.1
- Size: 30.9 MB
- Languages: English, Russian, Spanish
- Developer: Molatra Limited
- © 2016 Molatra Limited
Compatibility: Requires iOS 8.0 or later. Compatible with iPhone, iPad and iPod touch.
Top In-App Purchases
- Pinyin Tutor UpgradeNIS 11.90


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Pay-Per-Minute Viewing
You can now enjoy this movie on your iPhone®, iPad®, or compatible Smart TV & Android devices.
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DRM-free downloads offer content that is not limited by standard Digital Rights Management (DRM) access technologies. These technologies allow hardware manufacturers, publishers, copyright holders and individuals to limit the usage of digital content.
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Running Time: 101 minutes
Released: 02/2011
Studio Name: Magnus Productions Wow Pictures
Series: MILF Files
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text:
The 12th-seeded Southern Regional High School girls volleyball team beat Edison, the No. 21 seed, 2-0 in the first round of the state Group IV tournament Thursday.
The scores in Stafford Township were 25-8 and 25-16.
Carly Dellavalle compiled 17 assists for Southern. Cece Hodgson contributed seven kills and six blocks. Emily Miglin added six kills.
The Rams (24-9) move on to face fifth-seeded Bridgewater-Raritan today in the Round of 16 at 4 p.m.


text:
Reducing workplace stress through meditation
19 Nov
Employees are stressed out. Forbes reported the average business person has between 30 and 100 projects to tackle at once. Balancing between these different projects and also attending meetings and dealing with burnout can be challenging. Additionally, 40 percent of adults say they can't sleep because of how stressed out they are.
The best ways for office workers to calm down is to reduce the distractions they deal with – this can include meetings if there are too many of them. Phone calls and instant messages are also distracting. They take away time when people could work. The best plan of action is to do a triage of what is important immediately, what can wait and what doesn't need to be dealt with at all. Some people go so far as to only answer messages during certain periods of the day.
Scheduling is a good idea because it allows people to take breaks when they need them. Breaks can actually reduce stress, and people will get more work done if they pause briefly during the day. One way to exercise during a break is to do meditative breath practices.
"Tony Schwartz of the Energy Project has shown that if we have intense concentration for about 90 minutes, followed by a brief period of recovery, we can clear the buildup of stress and rejuvenate ourselves," said business psychologist Sharon Melnick in an interview with Forbes.
Meditation one of many employee engagement ideas
Believe it or not, meditation really does help reduce stress. The Wall Street Journal cited that Dow Chemical brought mindfulness meditation training to its workers as a way of relieving some of the stress its workers feel. Every week for one hour, about 90 employees enter a Web conference, fill out a workbook and practice exercises. It really seems to be affective.
Additional approaches include ideas as varied as filling the office with potted plants and focusing on special cognitive-behavioral training.
The idea behind the "filter out the positive, focus on the negative" work is that ideally people will really begin to appreciate the sights and sounds around them without tying them to unhappy things. For example, if someone is in a traffic jam, he or she can focus on the blinking lights and the sound of the engines, which don't necessarily need to be associated with feeling unhappy.
Keep in mind there are limitations to stress management.
"These techniques aren't going to make up for having a jerk for a boss," says Patti Johnson, chief executive of PeopleResults, a human-resource consulting company. "When you're under major stress doing three projects at a time, the meadow and meditation aren't going to help with that."


text:
Saturday, Oct. 4, 2014 9 a.m. to 3 p.m.
Location: Rangeley Lakes Region Logging Museum's Apple Festival held at the Church of the Good Shepard, 2614 Main Street, Rangeley, ME
For more information: 207-864-3939; rlrlm.org
Saturday, October 4th – Rangeley Lakes Region Logging Museum's 20th Annual Apple Harvest Festival begins with a Breakfast bar from 9-11AM. Our famous beef stew luncheon will be available as well as vegetarian chili; both meals come complete with a Bakewell Cream biscuit (sponsored by New England Cupboard of Hermon, ME). The Festival includes a large raffle, the largest baked goods and food booth in Rangeley, indoor and outdoor vendors, produce farms and chainsaw carving demonstrations. Trask Orchard of Jay will have apples available for sale for folks who wish to partake in their own apple pressing available on premises. A children's pumpkin activity center and Mr. Moose photos round out the festival. Rangeley's 4th Annual OktoberFest also coincides with RLRLM's Apple Festival so head to Rangeley for some beautiful foliage and fun activities for the entire family! For more information, please contact us 207-864-3939 or through our website at www.rlrlm.org
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The pressure acting on a gas valve, combined with the gas's rate of flow, produces an energy differential across it. When no mechanical work occurs at the valve, this energy change manifests as a change in temperature. A high temperature drop can reduce a system's efficiency. Methods for reducing the temperature change across a valve include installing additional, separate pressure release valves and adding area from which heat can dissipate.
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Cool Rides Vol. 2
A Truck Photographer's Diary
by David A. Bontrager
About the Book
This book is the second in a series featuring photos of trucks that I categorize as Cool Rides. These are all working trucks with the photos taken in their working environment.
Features & Details
- Category Arts & Photography
Standard Landscape, 10×8 in, 25×20 cm
80 Pages
- Publish Date Oct 29, 2008
- Tags Western Star, Trucks, Truck, Kenworth, Peterbilt, Freightliner, International
See More
About the Creator
David A. Bontrager
Elnora, IN 47529 USA
Dave drove truck in the U.S. for 40 years with over 3-million safe miles. He started taking photos of trucks as a young boy in the 1950s, inspired by his mother who took photos of his dad's trucks beginning in the late 1940s. He continues to photograph trucks today.
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