text:
Unipolar major depression in adults: Choosing initial treatment
- Author
- Gregory Simon, MD, MPH
Gregory Simon, MD, MPH
- Kaiser Permanente Washington Health Research Institute
- University of Washington Department of Psychiatry and Behaviorial Sciences
- Section Editor
- Peter P Roy-Byrne, MD
Peter P Roy-Byrne, MD
- Editor-in-Chief — Psychiatry
- Section Editor — Depressive Disorders
- Professor of Psychiatry and Behavioral Sciences
- University of Washington School of Medicine
- Deputy Editor
- David Solomon, MD
David Solomon, MD
- Deputy Editor — Psychiatry
- Clinical Associate Professor
- Brown University School of Medicine
Unipolar depression is highly prevalent and disabling. Community surveys in 14 countries have estimated that the lifetime prevalence of unipolar depressive disorders is 12 percent [1], and the World Health Organization ranks unipolar major depression as the 11th greatest cause of disability and mortality in the world [2]. In the United States, major depression ranks second among all diseases and injuries as a cause of disability, and persistent depressive disorder (dysthymia) ranks 20th [3].
In addition, major depression is highly recurrent. Following recovery from one episode, the estimated rate of recurrence over two years is greater than 40 percent; after two episodes, the risk of recurrence within five years is approximately 75 percent [4].
This topic reviews the choice of therapy for the initial treatment of depression. Other aspects of the initial treatment of depression are discussed separately, as are continuation and maintenance treatment of major depression, the treatment of resistant depression, and the clinical manifestations and diagnosis of depression.
●(See "Unipolar depression in adults and initial treatment: General principles and prognosis".)
●(See "Unipolar depression in adult primary care patients and general medical illness: Evidence for the efficacy of initial treatments".)
Subscribers log in hereTo continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: Jul 2017. | This topic last updated: Dec 23, 2015.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References
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- Kriston L, von Wolff A, Westphal A, et al. Efficacy and acceptability of acute treatments for persistent depressive disorder: a network meta-analysis. Depress Anxiety 2014; 31:621.
- Nemeroff CB, Heim CM, Thase ME, et al. Differential responses to psychotherapy versus pharmacotherapy in patients with chronic forms of major depression and childhood trauma. Proc Natl Acad Sci U S A 2003; 100:14293.
- Suppes T, Silva R, Cucchiaro J, et al. Lurasidone for the Treatment of Major Depressive Disorder With Mixed Features: A Randomized, Double-Blind, Placebo-Controlled Study. Am J Psychiatry 2016; 173:400.
- Choosing a treatment regimen
- - Efficacy of antidepressants plus psychotherapy
- - Efficacy of antidepressants
- - Efficacy of psychotherapy
- - Efficacy of antidepressants compared with psychotherapy
- Treatment options
- Selecting a specific antidepressant
- Side effects
- Dose
- - Pharmacogenetics
- Early improvement and response
- Duration of an adequate trial
- Anxiety and insomnia
- Primary care patients
- Treatment options
- Selecting a specific psychotherapy
- Adherence
- Clinician-guided self-help
- Relaxation and positive activities
- Exercise
- Older adults
- Pregnancy
- Choosing a treatment regimen
- - Choosing an antidepressant
- Choosing a treatment regimen
- Efficacy of treatment


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After the work is complete, return to the site and rate your tradesman based on their quality of work, reliability and value for money.
Heating Engineer
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Service gas appliance and issue safety certificate 1 x boiler Make of boiler: Baxi Additional...
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Excellent worker. Certainly knows his trade. Answered any questions I had straight away. Very cheerful man. Clean, very efficient worker who had my comfort and my wife's in mind at all times. I would give him 10/10 and certainly recommend him to anybody.
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subset: commoncrawl


text:
ORLANDO, Fla. -- Orlando Magic center Darko Milicic has a
right mid-foot sprain and could miss the start of the playoffs.
Milicic had tests Wednesday and was ruled out of the Magic's
regular-season finale against defending NBA champion Miami.
He was listed day-to-day, and his return depended on how he
responded to treatment.
Milicic injured his foot against Washington on Tuesday night.
His right leg was sandwiched between Wizards players DeShawn Stevenson and Brendan Haywood as the three players fought for a
Milicic was placed in a protective boot and left the arena on
Milicic is averaging 8.0 points and 5.5 rebounds this season.


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Podcast: Play in new window | Download | Embed
Subscribe: Apple Podcasts | Android | Email | RSS | More
Today, Joe Sanok speaks with Cupla Media on how to use video to grow a practice.
In This Podcast
Examples of Cupla Media Videos
Visit www.practiceofthepractice.com/slowdownvideo to view:
- Slowing down to spark innovation
- How to plan achieve and outsource goals
- One big thing you can do this year to move the needle forward
Tips For Videos
- Make sure you are in a silent place
- Frame your video nicely with natural light
- Connect emotionally with your viewer through your physical position
- Have someone you trust watch you film so that they can provide feedback and answer the following:
- What part really connected with you?
- Where did I lose you?
Equipment Suggestions
Click on the images below to view the products Cupla suggests on Amazon, or visit cuplamedia.com/store:
Canon EOS 80D DSLR Camera Body + Canon EF-S 18-55mm IS STM & Canon EF-S 55-250mm IS STM Lens + 58mm 2x Lens + Wide Angle Lens + 32GB Memory Card + Auto Power Flash + UV Filter Kit + Accessory Bundle – $1399.95
Canon EF 50mm f/1.4 USM Standard Lens for Canon SLR Cameras – $349.00
Meet Brendan & Connor
We are Connor and Brendan McClenahan, identical twin brothers. We formed Cúpla Media because we recognized how difficult it is for therapists to connect with clients online with only a picture and a list of specialties. Video is the tool we use to help them overcome the initial barrier of reaching out to give you a phone call. This venture started when Connor, a psychologist at Sync Counseling Center, used his passion for videography to help his team grow their online presence. They began to wonder, what if instead of head shots everyone had a profile video? What if clients could get a sense of the warmth and care of each therapist? We soon decided to partner together to make the most creative and engaging videos we can… after all, we've always done our best work as a team. Since then, our goal is helping clinicians like you change lives by connecting you to your ideal clients.
Meet Joe Sanok
Joe Sanok helps counselors to create thriving practices that are the envy of other counselors. He has helped counselors to grow their businesses by 50-500% and is proud of all the private practice owners that are growing their income, influence, and impact on the world. Click here to explore consulting with Joe.


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Spring Fruit Pizza (Cookie Mix)
Be the first to review
READY IN: 20mins
Recipe by SkinnyMinnie
A sweet pizza! This sounds good and looks good. Would be great for a party.
See Discussion:
Ingredients Nutrition
- 1 (18 ounce) envelope sugar cookie mix
- 1⁄2 cup butter, melted
- 1 egg
- 1 cup whipping cream
- 1⁄2 cup cream cheese frosting
- 3 1⁄2 cups fresh sliced strawberries or 3 1⁄2 cups blueberries or 3 1⁄2 cups raspberries or 3 1⁄2 cups kiwi, etc
Directions See How It's Made
- Heat oven to 375 degrees. Lightly spray a 14" pizza pan or 15x10" baking pan with cooking spray.
- In medium bowl, stir cookie mix, melted butter and egg until soft dough forms.
- Press dough in bottom of pan.
- Bake 10-15 minutes or until light golden brown. Cool completely, about 45 minutes.
- In a chilled medium bowl, beat whipping cream with electric mixer on high until soft peaks form. Gently stir frosting into whipped cream.
- Spread over cookie pizza. Arrange fruit on top.
- **NOTE: You can use thawed whipped topping instead of whipping cream, but I find it makes it a little too sweet.


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Delicious Soup Recipes
With all this cold weather we've been having, there is nothing better than a delicious hot bowl of soup. Here some to die for delicious soup recipes that will satisfy any soup craving! Come check them out! To Pin the recipes please go to the source of that recipe. You may Pin the photo above… Read More »


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It did va have received the first version of the map below. Not a miracle, but it is what it is.
Faster, more my maps, this is nothing will restrict ourselves thereby. In the future, we will have to see the map below V2 version, but it is far in the future. By: ModMens


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I would probably kill myself.
Most Helpful Girl
Kill the guy that gave it to me.11|00|0
Probably not but I would be real pissed.
Have an opinion?
I would be a nervous wreck thinking everything I touched has been contaminated (eventho I'm well aware of how it can spread) it would trigger uncontrolable ocd and I would become a neurotic mess
Sell everything I have and see the world. Then before it get to bad have someone put me out of my misery.
I'd flip out.
I would commit to a life of abstinence haha
Same. Hello, death.
Well my blood and my junk would be natural hazards to anyone else... it'd be quite scary to live like that. But I have loans to pay back. I certainly would not have a family, though. Sad.
Aids from what? I'm a virgin.. xD
If I did somehow get it, then I'd probably do every drug there is because I'm gonna die anyway. Why not die happy?
i'd try 2 stay alive 8)
try to discover magic johnson's secret.
I'd try to figure out how I got it and seek treatment.
You cannot undo this action. The opinion owner is going to be notified and earn 7 XPER points.


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Act I
A voice "not unlike God's" recalls a time when the human race "suddenly encountered a deadly threat to its very existence". A trio of 1960s Street urchins named Crystal, Ronette and Chiffon set the scene ("Little Shop of Horrors") and comment on the action throughout the Show.
Act II
("Suppertime II"). Mushnik arrives and attacks the plant while Seymour saves Audrey just in time. Mushnik explained to her what happened. When Seymour mentions that he though she liked him because of the plant and his fame, Audrey reveals that she liked him the day she started working at Mushnik's. Mushnik himself forgives Seymour and told them that they'll have a more wonderful life together ("Suddenly, Seymour (reprise)"). They fall asleep as Audrey II grows small red flower buds.
The next day, as they share this moment together about planning a nice home, they are interrupted by Patrick Martin, a salesman from World Botanical Enterprises. He offers Seymour and Mushnik a contract to breed Audrey II and make a fortune by selling the plant to families around the world. Seymour and Mushnik, shocked, realizes that Audrey II planned for this all along and that it's planning for world domination. Seymour confronts and fights the gigantic plant, which by now has little offspring red flower buds. Audrey II bursts out of its pot and reveals to Seymour that it is an Alien from Outer Space ("Mean Green Creature from Outer Space"). After a brawl with Seymour that destroys the entire shop, Audrey II manages to latch onto the store's support beams and completely yank the shop to pieces, seemingly killing Seymour in the process. However, Seymour's arm bursts through the rubble and he grabs a broken exposed electrical wire, using it to electrocute the massive plant and its buds, blowing them all up.
Seymour, having miraculously survived the collapse and explosion, safely reunites with Audrey and Mushnik. They wed and move to the suburbs that Audrey dreamed of ("Somewhere That's Green (Reprise)"). However, Audrey II's face appears on the stage and tells the Heros that he will be back.
Musical Numbers
Act 1


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This documentation is archived and is not being maintained.
Queue.Clear Method
Visual Studio 2010
Namespace: System.Collections
Removes all objects from the Queue.
Assembly: mscorlib (in mscorlib.dll)
Count is set to zero, and references to other objects from elements of the collection are also released.
The capacity remains unchanged. To reset the capacity of the Queue, call TrimToSize. Trimming an empty Queue sets the capacity of the Queue to the default capacity.
This method is an O(n) operation, where n is Count.
The following example shows how to clear the values of the Queue.
using System; using System.Collections; public class SamplesQueue { public static void Main() { // Creates and initializes a new Queue. Queue myQ = new Queue(); myQ.Enqueue( "The" ); myQ.Enqueue( "quick" ); myQ.Enqueue( "brown" ); myQ.Enqueue( "fox" ); myQ.Enqueue( "jumped" ); // Displays the count and values of the Queue. Console.WriteLine( "Initially," ); Console.WriteLine( " Count : {0}", myQ.Count ); Console.Write( " Values:" ); PrintValues( myQ ); // Clears the Queue. myQ.Clear(); // Displays the count and values of the Queue. Console.WriteLine( "After Clear," ); Console.WriteLine( " Count : {0}", myQ.Count ); Console.Write( " Values:" ); PrintValues( myQ ); } public static void PrintValues( Queue myQ ) { foreach ( Object myObj in myQ ) { Console.Write( " {0}", myObj ); } Console.WriteLine(); } } /* This code produces the following output. Initially, Count : 5 Values: The quick brown fox jumped After Clear, Count : 0 Values: */
Windows 7, Windows Vista SP1 or later, Windows XP SP3, Windows XP SP2 x64 Edition, Windows Server 2008 (Server Core not supported), Windows Server 2008 R2 (Server Core supported with SP1 or later), Windows Server 2003 SP2
The .NET Framework does not support all versions of every platform. For a list of the supported versions, see .NET Framework System Requirements.


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Since April 24, 2013
Located in the trendy City Creek Center, ALEX AND ANI Salt Lake City is known for their staff's outgoing and exceptional client service as well as introducing our signature Charmed by Charity in-store events to the spiritually-centric community. No visit is complete without stopping by ALEX AND ANI Salt Lake City for your positive energy fix!
Clickhere to check out the Store Spotlight on Salt Lake City, UT.
Join Our Family
Whether it's behind the bar or in our shops, we'd love for you to join us!
We're always looking for believers in positive energy. Click here to see if there are openings in your area. If we're not currently hiring near you, keep your eye out for future opportunities.
Shop, socialize and give back to your favorite non-profit by participating in CHARMED BY CHARITY events. Created by our CHARITY BY DESIGN team, these special nights are a fun, unique way to get involved with ALEX AND ANI while supporting your community. 15% of total sales from a CHARMED BY CHARITY event go directly to the hosting non-profit organization. Learn more about CHARMED BY CHARITY events by getting in touch with your local ALEX AND ANI store.


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12 Rappers Performing at Bar and Bat Mitzvahs
Mazel tov!
Mazel tov!
Detroit and Flint teamed up for a new movie titled 'Count Time The Movie' featuring two legendary artists. Swifty McVay from D12 and Shotgun from Top Authority stopped through the Club 937 studio to talk to Artimis about the new film shot all in Michigan.
Eminem, Proof, and the rest of D12 ripped a 20 minute freestyle for Tim Westwood back in 2004, and the audio hit the internet today.
This is what made D12 such a legendary rap group. Your favorite rap group can't do 5 minutes of freestyle let alone 25.
Eminem's D12 continues to slim down in size. Group member Mr. Porter recently left the crew.
Porter Tweeted: "I love every moment I have shared on this planet and with the people I shared it with I will always love the legacy I was apart off#D12. So for my fans keep following and you will hear all the truth from me. No one on this earth speaks for Denaun. Period but God I got nothing but love for my crew I am growing and excelling as u should as a artist I hope you all support that!"
In February, Bizarre revealed he no longer was a part of D12.
After more than 15 years together, Bizarre of Eminem's D12 group has left because of "creative differences." Bizarre is the most recognized Detroit rapper outside of Eminem.
In an interview with HipHopDX, Bizarre said: "Yeah, I'm not in D12 no more. We just had creative differences and decided to go our separate ways.
Download all of the unreleased Eminem material on one EP. There are 9 tracks including colabs with Obie Trice and D12. Grab the download for free below.
It's always great to see something good come from a tragedy. That's why the announcement of the Proof Foundation Scholarship is such good news. Check out all the details below.


text:
Still House Silver Kai Ring
Still House Silver Kai Ring
The wider exterior of the sterling silver Still House Kai ring slopes into a much less wide interior edge. Layer the Kai ring or wear on its own. .6" width Sterling Silver Handcrafted in NYC
Hub Clothing
For 25 years, HUB Clothing has been Phoenix's go-to brick and mortar for discovering forward-thinking brands. The boutique prides themselves on always being one step ahead of the game and now that they've opened the doors to their online shop, all of their shelves (both concrete and virtual) are fully stocked with an even more impressive collection of new and exciting designers.
Do you have questions about this product? We're here to help!


text:
Question: Using the data in the ASSIGNMENT table write the SQL
Using the data in the ASSIGNMENT table, write the SQL code that will yield the total number of hours worked for each employee and the total charges stemming from those hours worked. The results of running that query are shown inFigure.
View Solution:
View Solution:
Answer to relevant QuestionsWrite the SQL code to generate the total hours worked and the total charges made by all employees. The results are shown in Figure.Modify the query in Problem 30 to include the number of individual product purchases made by each customer. (In other words, if the customer's invoice is based on three products, one per LINE_NUMBER, you would count three ...Write a query to display the employee number, last name, first name, and sum of invoice totals for all employees who completed an invoice. Sort the output by employee last name and then by firstname.Write a query to display a brand name and the number of products of that brand that are in the database. Sort the output by the brandname.What is a correlated subquery? Give an example.
Post your question


text:
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Software Engineer
Santa Clara , California
January 12, 2017
Job Description: Software Engineers conduct or participate in multidisciplinary research and collaborate with design, layout and/or hardware engineers in the design, development, and utilization of productivity enhancement layout tools and design rule checkers, electronic data processing systems software. Determines computer user needs, advises hardware designers on machine characteristics that affect software systems such as storage capacity, processing speed, and input/output requirements, designs and develops compilers and assemblers, utility programs, and operating systems. Responds to customer/client requests or events as they occur. Develops solutions to problems utilizing formal education, judgement and formal software process.
Candidates will be working on performance simulation, system modeling and development, workload characterization, and in-depth micro architectural studies for any upcoming IA features.
Candidates will need to use innovative techniques and investigations to enhance performance and verification analysis.
The ability to develop solutions to problems utilizing formal education, judgment and formal performance analysis process is a must.
You must possess the below minimum qualifications to be initially considered for this position. Preferred qualifications are in addition to the minimum requirements and are considered a plus factor in identifying top candidates. Experience listed below would be obtained through a combination of your school work/ classes/ research and/or relevant previous job and/or internship experiences.
Minimum qualifications:
- MS or BS in Computer Science or Engineering and related fields.
- Fluency in computer architecture, performance modeling, software engineering
- In depth knowledge in programming (C, C , C#)
- Excellent knowledge of x86 instruction set architecture
- Understanding of data science, statistics and data mining.
- Must have at least one scripting language experience (Python, Perl, Ruby)
Preferred qualifications:
- Background experience in HPC, deep learning, machine learning and artificial intelligence would be a plus.
- Ability to program in data science languages (R, Python, Shiny) would be a big plus.
- Experience in system level simulation and analysis (bandwidth, compute, throughput) would be a big plus.
- Experience in writing technical documents.
- Cross-site development and collaboration skills.
A little about us:
Our vision is simple and direct. If it computes, it does it best with Intel. We embrace all aspects of computing.
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text:
- Description
The multi functional Marcelo Collection will provide your home with the seating and sleep space you require. When the click mechanism sofa is adjusted to a fully reclined position, it is met with the pullout trundle that extends this multi functional sofa into a bed. Other features include cup holders and the black bi-cast vinyl with white contrast stitching cover.Includes
1 Futon Sofa BedDimensions
Sofa, 82.5 x 32 x 34.75H
Bed, 82.5 x 68 x 25.5H
More from this collection: Marcelo
- Additional Information
Additional Information
SKU 13490603 MPN 4838 GTIN UPC 782359208251, 782359208268 Brand Homelegance Collection Marcelo Assemble Length 82.5 Assemble Width 32 Assemble Height 34.75 Assembly Required Yes Material Bonded Leather Color Black Styles Contemporary Shipping Time 2-3 Weeks Free Shipping No
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Disclaimer: Pictures displayed may include optional products not included in the price. Computer monitors often display color variations. Color swatches are shown if alternative colors are available. Please call us or email us if you have any questions!


text:
|Main Article
|Theories about
Flash sideways world
|Main Discussion
|Theories may be removed if ...
See the Lostpedia theory policy for more details.
Why Ben choose to stay
- Benjamin choose to stay because he wanted to "move on" with his daughter (Alexandra Rousseau) and maybe with Danielle.
- Benjamin may of decided to stay because when he remembered his life, he realized all the bad he did, and felt he had to stay longer to account for his sins.
How Eloise become aware
- Eloise seems to resemble her old self in that she appears to know everything that is going to happen to a certain extent, suggesting that she is in tune with her life memories (it doesn't make sense that a time-traveller in the FST would give Eloise the important information again,) and these memories might have been awakened upon learning about Desmond, interacting with Daniel or Charles Widmore.
What happens to those who die again?
- They are sent to a form of 'Hell' instead of being allowed to move on.
- They cease to exist
- Characters who die again such as Mikhail Bakunin are not the souls of deceased individual, but rather stronger illusions of the general populace, potentially like David Shephard, who act as catalysts for the characters to awaken.
Why Jack had a son
- I don't know if this was explained or not but it possibly could be because the survivors were trying to overcome things that they regretted in the real world, and this was another way they could 'move on' from those things, or possibly provide closure around issues. So as a result they subconsciously changed their lives in different, sometimes significant or insignificant, ways. For example:
- Jack's son, David, was created because of his relationship with Christian, and the 'daddy issues' he had with him.
- Also Juliet was David's mother because of Jack and Juliet's relationship on island that they never had closure.
- Sun was shot in the stomach because she felt guilty over shooting Colleen in stomach.
- Jin had a good relationship with Sun because he regretted how he was before him and Sun came to the Island
- Kate didn't kill her father (although she killed someone else) because she felt guilty for her mother that she did murder her father in the real world, or maybe she regretted it all along
- Although she tried to kill her father in the Flash-Sideways, the explosion could have killed someone else because Kate felt guilty or regretful.
- Sawyer was a cop because of his time during Dharma, and that he regretted being a conman.
- Shannon never went on Oceanic 815 with Boone because she felt guilty over using Boone in the real world.
- Hurley was lucky and didn't use the numbers because he regretted doing so in the real world and didn't like that he was unlucky because of this.
- Libby was still in Santa Rosa because she never really overcame her issues, and also because Hurley never remembered where he knew her from.
- Ben didn't raise Alex because he regretted doing so as this lead to her death, and that she grew up without Danielle.


text:
Jet Aviation Hong Kong has received joint maintenance management approval from the Civil Aviation Administrations of China and Macau to work on aircraft registered by those respective authorities in Hong Kong. The facility, which recently won designation as an U.S. Federal Aviation Administration repair station, also has achieved approval by the Hong Kong and Cayman Island authorities during the past year. The approvals allow it to perform maintenance, airframe and engine repairs and avionics work on U.S.-registered aircraft, as well as scheduled maintenance work, line maintenance and AOG support for Hong Kong and Cayman Islands-registered equipment.
Meanwhile, Jet Aviation has added a number of new business aircraft to its Asia-Pacific managed fleet, including a Gulfstream G200 based in Taiwan. The company has announced that transaction here at the Singapore Airshow, as well as the addition of a new Gulfstream G550 to its charter fleet. Based in Switzerland, the G550 will be fully managed by Jet Aviation and flown under its Swiss Air Operators Certificate.
The aircraft offers ample space for 14 passengers. At night, Jet Aviation can adjust the cabin configuration to create five sleeping births. The ultra-long-range aircraft can fly for up to nearly 14 hours.


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October 30th, 2008 by sabrina
Wankwijo is the Pueblo Goddess of the wind. Also known as Old Wind Woman, she is said to live in the Sandia Mountains of New Mexico. Her hot breath whips through the mountains and can bring illness, but she can be appeased with offerings of cornmeal and turkey feathers. Wankwijo's name is also seen as Wakwiyo.
This entry was posted on Thursday, October 30th, 2008 at 5:38 pm and is filed under North American. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.


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From here, you just click on the link you want to follow and use your 'back' button to navigate around
For our JOTA pages click here
For our WEBCAM page click here
For our JOTI pages click here
For our PHOTO pages click here
To read our current JOTA report (in .pdf) click here
Latest News from Andy, the GBØBWS Licensee
Good heavens, it's that time of year already, and here we are at 13th October 2012, with barely a week to go and I haven't even written the intro up ! Sorry. This year's been really bonkers busy, and with very little time for anything fun !
This year's theme in our HQ is "How Big Is Your World" as a follow-on from last year's Emergency Communications theme, with the Scouts and Cubs having survived a natural disaster (an earthquake in East Scoutonia) and having managed to get themselves to their HQ building as they know that's a place of food and shelter. NOW, they have to try and find out how many other groups have managed to survive around the globe, using radio and the internet (which is very flakey, but such as it is) and set up links with them.
We shall be operating from the Scout HQ building in Bishop's Waltham, upstairs as usual, suitably decked out, so we'll most likely be on 80m late Friday evening, and then on various bands during the daytime Saturday, back to 80m Saturday evening and then back to various bands during the daytime Sunday. HF will be our major mainstay radio this year, with a few local contacts on VHF 2m.
This year, our JOTA and JOTI registrations are both complete, I have the licence NoV, and we will be running the HF and VHF radios, just as we have done in the past. There will be no 6m or 4m activity this year. Nor will we have any Satcomms or Echolink this year, due to non-availability of personnel and equipment - sorry. Our Echolink system was not good last year, and we relied on getting onto a proxy, none of which was very clever.
I am also hoping that there will be a few more licenced Scout operators around this year too, so that I can drop back into more of a management role and take some photos of the event for uploading onto the website. This year we'll try a better camera or two.
Best 73, Andy, GØJLX


text:
Probe of Maricopa Board
September 23, 2009
An outside panel is investigating the board of the Maricopa Community Colleges, following anonymous allegations sent to its accreditor about alleged micromanaging, The Arizona Republic reported. The complaint charged that the board makes decisions without adequately consulting the educators charged with daily management of the colleges. The outside committee has held individual meetings with board members and administrators and will also hold a public meeting.
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text: The opening day for NBAA´s 61st Annual Meeting & Convention concluded with 29,350 Attendees on-site in Orlando for the show. At the Media Kickoff Breakfast that began the day, NBAA Chairman Jeff Lee noted that the turnout underscored the opportunities the show provides to companies of all sizes whose products and services span the general aviation industry. "This year´s show comes amidst spikes in the cost of fuel, tightening credit markets a challenging economy and even the devastating impact of Hurricane Ike on Houston, a city with an economy that is heavily dependent on aviation," said Lee. The day was filled with news-making events by a number of Exhibitors, and a host of valuable Information Sessions on aviation safety, security, taxation and other issues. Noteworthy speakers were also on hand, including International Civil Aviation Organization President Roberto Kobeh Gonzalez, famed political commentators James Carville and Mary Matalin and Acting FAA Administrator Bobby Sturgell.


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Rice is a popular and tasty side dish that goes with many different main dishes. Cooking white rice in the microwave with a rice cooker can simplify the rice-cooking process. By measuring and pouring the water and rice into a special rice cooker designed for microwave use, a chef can have tasty rice done to perfection in a short amount of time.
Things You'll Need
- Rice cooker
- Colander
- White rice
- Water
- Measuring cups
- Microwave oven
Measure the rice needed and pour it into the colander. Use 3/4 cup rice to make 1 cup of cooked rice. Use 1 1/2 cups rice to make 2 cups of cooked rice. Use 2 1/3 cups rice to make 4 cups of cooked rice. Rinse the raw rice well under cold running water and shake the colander to remove excess water.
Assemble the rice cooker according to any specific instructions or recommendations from the manufacturer.
Pour the rice from the colander into the rice cooker. To make 1 cup of cooked rice, add 1 1/3 cups water and 1/8 tsp. salt. To make 2 cups of cooked rice, add 2 1/2 cups water and 1/4 tsp. salt. To make 4 cups of cooked rice, add 3 1/2 cups water and 1/2 tsp. salt.
Place the lid onto the rice cooker. If there is more than one lid, place the inner lid on securely, then the outer lid. Put it in the microwave.
Set the microwave timer to 11 minutes to cook 1 cup of rice. Set the microwave timer to 13 minutes to cook 2 cups of rice. Set the microwave timer to 15 minutes to cook 4 cups of rice. If your microwave is 1,000 watts or more, cook the rice at 70 percent power. If your microwave is less than 1,000 watts, cook the rice at 100 percent power.
Allow the rice to stand for 5 minutes after the cooking time elapses and then check to see if the liquid has absorbed. If there is still unabsorbed liquid, microwave for an additional minute or two. Allow the rice to stand for 2 to 3 minutes and then check again.
Tips & Warnings
- Use broth instead of water to add extra flavor to the rice. For best results, use converted white rice when preparing rice in the microwave.
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- Photo Credit Alvimann/morguefile.com
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Medicaid Outpatient Prescription Drugs:
Second Quarter 2008 Federal Upper Limits for Reimbursement Compared with Average Retail Pharmacy Acquisition Costs
GAO-10-118R: Published: Nov 30, 2009. Publicly Released: Dec 28, 2009.
Additional Materials:
- Full Report:
- Accessible Text:
(202) 512-7043
Office of Public Affairs
(202) 512-4800
Medicaid--the joint federal-state program that finances medical services for certain low-income adults and children--spent $15.0 billion on outpatient prescription drugs in fiscal year 2007. Instead of directly purchasing drugs, state Medicaid programs reimburse retail pharmacies for dispensing them to Medicaid beneficiaries. The federal government provides matching funds to states to help cover the costs of their Medicaid programs, and states must pay the remaining costs to qualify for these federal funds. For certain outpatient prescription drugs, state Medicaid programs may only receive federal matching funds for reimbursements up to a maximum amount known as a federal upper limit (FUL). Designed to control drug spending, FULs are currently calculated as 150 percent of a drug's lowest published price in three national drug pricing compendia. State Medicaid programs can determine reimbursements to retail pharmacies for each drug, but the federal government will only provide matching funds to the extent that reimbursements for all drugs subject to FULs do not exceed established FULs in the aggregate. A 2005 report by the Department of Health and Human Services' (HHS) Office of Inspector General (OIG) found that FULs were ineffective at controlling outpatient Medicaid prescription drug spending. The Deficit Reduction Act of 2005 (DRA) included provisions--the implementation of which has been delayed by judicial and legislative action--that would change the methodology for calculating FULs. Under the DRA, FULs would be calculated as 250 percent of the average manufacturer price (AMP) for a drug's least costly therapeutically equivalent version. In 2006, the Congressional Budget Office estimated that the implementation of AMP-based FULs would reduce total Medicaid spending for prescription drugs by $11.8 billion from 2007 through 2015. However, retail pharmacies have raised concerns that AMP-based FULs would not be sufficient to cover their costs of acquiring drugs dispensed to Medicaid beneficiaries. Two retail pharmacy industry groups, the National Association of Chain Drug Stores (NACDS) and the National Community Pharmacists Association (NCPA), have claimed that AMP-based FULs would make some retail pharmacies unprofitable and thus limit certain Medicaid beneficiaries' access to retail pharmacies. A 2006 GAO report and a 2007 report by the HHS OIG both found that AMP-based FULs would have been lower than average pharmacy acquisition costs, on a drug-by-drug basis, for most drugs included in the respective samples. To implement the DRA provisions pertaining to prescription drugs in Medicaid, CMS published a final rule in July 2007. This rule includes provisions regarding the calculation of AMP-based FULs that might also affect how they compare to pharmacy acquisition costs. For example, FULs apply only to certain outpatient prescription drugs--known as multiple-source drugs--and the rule changed the definition of multiple-source drugs. Additionally, to minimize the effect of outliers, the final rule included a provision which would use the second-lowest AMP for a multiple-source drug to set the FUL if the lowest AMP is less than 40 percent of the second-lowest AMP. The final rule requires drug manufacturers to report AMP data on a monthly basis, and drug manufacturers and state Medicaid programs were expected to begin complying with the provisions of the final rule by October 1, 2007.
If AMP-based FULs had been in place in the second quarter of 2008, they would have been lower than average retail pharmacy acquisition costs, in general, for most of the drugs in our sample and in the national aggregate. The median AMP-based FULs for the second quarter of 2008 would have been lower than average retail pharmacy acquisition costs for 54 of the 83 drugs in our sample; 44 drugs had FULs that would have been at least 25 percent below acquisition costs. In the aggregate, the FULs would have been 17 percent lower than acquisition costs, though the difference varied significantly by state, from 57 percent lower to 49 percent higher. However, 64 drugs had at least one therapeutically equivalent version with acquisition costs below the FUL, indicating that pharmacies may be able to substitute lower-priced therapeutic equivalents to bring their costs below the FUL. AMP-based FULs also varied significantly throughout 2008 for 38 drugs, in some cases exceeding the average retail pharmacy acquisition cost one month and falling below it in another month. While partly due to monthly increases or decreases in AMPs, variation also occurred because manufacturers did not report AMP data each month for 11 percent of the therapeutically equivalent versions of the drugs in our sample. If a manufacturer reports the AMP for the lowest-priced therapeutically equivalent version of a drug one month but does not report it the next month, the FUL may change. In its written comments on a draft of this report, CMS disagreed with our finding that if AMP-based FULs had been in place in the second quarter of 2008, they would have been lower than average retail pharmacy acquisition costs for most of the 83 drugs in our sample and in the national aggregate. In particular, CMS expressed concerns about our data source used to estimate average retail pharmacy acquisition costs, including that it does not take into account discounts and rebates that drug manufacturers may provide to retail pharmacies. CMS also expressed concerns about our methodology and inconsistencies between our finding and the findings of an HHS-OIG report, which the OIG shared with us because it has not been publicly issued as of November 2009. However, as we indicate in this report, data on discounts and rebates pharmacies receive are not readily available. We used the most complete, accurate, and verifiable data sources available at the time of our analysis to estimate average retail pharmacy acquisition costs. We believe that these data are sufficiently accurate to achieve the objective of our work. Furthermore, our methodology is sound and any inconsistencies between our finding and the findings of the HHS-OIG report, which was based on data from the fourth quarter of 2007, are largely due to significant fluctuations in drug prices over time.
Aug 10, 2017
World Trade Center Health Program:Improved Oversight Needed to Ensure Clinics Fully Address Mandated Quality Assurance ElementsGAO-17-676: Published: Aug 10, 2017. Publicly Released: Aug 10, 2017.
Jul 27, 2017
Air Ambulance:Data Collection and Transparency Needed to Enhance DOT OversightGAO-17-637: Published: Jul 27, 2017. Publicly Released: Jul 27, 2017.
Jul 21, 2017
Medicaid Expansion:Behavioral Health Treatment Use in Selected States in 2014GAO-17-529: Published: Jun 22, 2017. Publicly Released: Jul 21, 2017.
Jul 20, 2017
Telehealth:Use in Medicare and MedicaidGAO-17-760T: Published: Jul 20, 2017. Publicly Released: Jul 20, 2017.
Jul 19, 2017
Medicare Advantage Program Integrity:CMS's Efforts to Ensure Proper Payments and Identify and Recover Improper PaymentsGAO-17-761T: Published: Jul 19, 2017. Publicly Released: Jul 19, 2017.
Jul 18, 2017
Drug Discount Program:Update on Agency Efforts to Improve 340B Program OversightGAO-17-749T: Published: Jul 18, 2017. Publicly Released: Jul 18, 2017.
Jul 17, 2017
Medicare:CMS Should Evaluate Providing Coverage for Disposable Medical Devices That Could Substitute for Durable Medical EquipmentGAO-17-600: Published: Jul 17, 2017. Publicly Released: Jul 17, 2017.
Jul 11, 2017
Investigational New Drugs:FDA Has Taken Steps to Improve the Expanded Access Program but Should Further Clarify How Adverse Events Data Are UsedGAO-17-564: Published: Jul 11, 2017. Publicly Released: Jul 11, 2017.
Jun 30, 2017
Hospital Value-Based Purchasing:CMS Should Take Steps to Ensure Lower Quality Hospitals Do Not Qualify for BonusesGAO-17-551: Published: Jun 30, 2017. Publicly Released: Jun 30, 2017.
Jun 26, 2017
Generic Drug User Fees:Application Review Times Declined, but FDA Should Develop a Plan for Administering Its Unobligated User FeesGAO-17-452: Published: May 25, 2017. Publicly Released: Jun 26, 2017.
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JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
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North Bay Oak Widescreen TV Unit with Mounting Bracket
Finance from £14.31 a month*
Stock and Delivery Information
In Stock
Delivery: Within 7-14 Days
Oakworld product code
Metric H45 x W146 x D39 cm
Imperial H17.7'' x W57.5'' x D15.4''
Product Information
The North Bay Oak Furniture Collection
Oak Widescreen TV Unit with Mounting Bracket
- Brand new contemporary widescreen solid oak TV cabinet
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- The overall dimensions of the TV unit are H45 x W146 x D39 cm
- The cabinet is designed to hold large (LCD, Plasma or LED) televisions up to 60"
- Two drawers in the cabinet are designed to hold all your extras such as remote controls, spare wires and leads etc, or they each hold two rows of DVD's. The drawer dimensions are H15 x W41 x D30 cm
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