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cadc6ac6-6d02-4c73-81c6-0d563d7664a8
|
— “Virtual Bid” Periods
Where an offeree is in an offer period on the implementation date and if it was in talks with or had received an approach from an offeror at the beginning of the offer period, the identity of the potential offeror will need to be announced by 5 p.m. on the implementation date.
Separately, any potential offeror identified in an announcement made on or before the implementation date must, by not later than 5 p.m. on the 28th day after the implementation date, either:
- Announce a firm intention to make an offer;
- Announce it does not intend to make an offer; or
- Together with the offeree company, obtain Panel consent to an extension of the deadline.
— Deal Protection Measures
Inducement fees or other offer-related arrangements entered into before the implementation date will not be subject to the new prohibition.
— Offer Documents & Offeree Board Circulars
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://about.bloomberglaw.com/practitioner-contributions/uk-takeover-code-amendments-come-into-effect/"}
|
c0f25b71-1960-4a73-a026-8fdf61e4632b
|
Inducement fees or other offer-related arrangements entered into before the implementation date will not be subject to the new prohibition.
— Offer Documents & Offeree Board Circulars
Where the offeror publishes the initial offer document before the implementation date, all subsequent offer-related documents must comply with the City Code’s provisions as they were before the implementation date, irrespective of when those documents are published.
— Employee Involvement
Offeree companies will be required to publish employee representatives’ opinions on a website and announce having done so with effect from the implementation date, even if the offer document to which the employee representatives’ opinion relates was published before the implementation date.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://about.bloomberglaw.com/practitioner-contributions/uk-takeover-code-amendments-come-into-effect/"}
|
16e137e6-95c9-42b2-98ce-fe77f4936365
|
Despite the extensive nature of these changes, the Code Committee has already flagged future areas of amendment, such as imposing an ongoing obligation to update material information as it changes, and not only when the next offer-related document is published.
Alasdair Steele is a corporate partner at Nabarro LLP, specialising in UK and cross-border corporate finance, including public and private M&A, strategic investments and primary and secondary equity issues, as well as regularly advising on consortia and corporate joint venture arrangements, particularly in the infrastructure sector. He regularly advises quoted companies and financial intermediaries on the UKLA Listing Rules and Disclosure Rules, the Prospectus Rules, the AIM Rules, the Takeover Code, corporate governance matters and general company law. Telephone: +44 (0) 20 7524 6422; E-mail firstname.lastname@example.org.
|
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{"data_source": "http://about.bloomberglaw.com/practitioner-contributions/uk-takeover-code-amendments-come-into-effect/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
917248b7-af4d-4fdc-8002-61d4198c3570
|
This document and any discussions set forth herein are for informational purposes only, and should not be construed as legal advice, which has to be addressed to particular facts and circumstances involved in any given situation. Review or use of the document and any discussions does not create an attorney-client relationship with the author or publisher. To the extent that this document may contain suggested provisions, they will require modification to suit a particular transaction, jurisdiction or situation. Please consult with an attorney with the appropriate level of experience if you have any questions. Any tax information contained in the document or discussions is not intended to be used, and cannot be used, for purposes of avoiding penalties imposed under the United States Internal Revenue Code. Any opinions expressed are those of the author. Bloomberg Finance L.P. and its affiliated entities do not take responsibility for the content in this document or discussions and do
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{"data_source": "http://about.bloomberglaw.com/practitioner-contributions/uk-takeover-code-amendments-come-into-effect/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
6ffa9391-50c5-4fb0-9208-35cb05457e86
|
Revenue Code. Any opinions expressed are those of the author. Bloomberg Finance L.P. and its affiliated entities do not take responsibility for the content in this document or discussions and do not make any representation or warranty as to their completeness or accuracy.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://about.bloomberglaw.com/practitioner-contributions/uk-takeover-code-amendments-come-into-effect/"}
|
c0c006f6-3d80-4cc1-9cef-45e323f40e5d
|
© 2011 Bloomberg Finance L.P. All rights reserved. Bloomberg Law Reports ® is a registered trademark and service mark of Bloomberg Finance L.P.
|
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{"data_source": "http://about.bloomberglaw.com/practitioner-contributions/uk-takeover-code-amendments-come-into-effect/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
85bb001d-bcdc-4a7d-8fd8-ca0fa903e047
|
|HOME SCHEDULE AUTHOR INDEX SUBJECT INDEX|
Partitioning of carbon, water, and energy fluxes between understory and canopy in a North Central Florida mature uneven aged pine flatwoods forest.
Starr, Gregory*,1, Powell, Thomas1, Martin, Timothy1, Gholz, Henry1,2, 1 School of Forestry Resources and Conservation, Gainesville, FL2 National Science Foundation, Arlington, VA
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://abstracts.co.allenpress.com/pweb/esa2002/document/17486"}
|
821c580e-e7bd-4fb5-baf9-8aa8a65aea91
|
ABSTRACT- Of the 5.93 million ha of timberland within the state of Florida, only 19% are maintained under conditions classified as "natural" pine forest. While considerable attention has been focused on the carbon and water dynamics of managed pine plantations in the region, little attention has been given to these natural forests, which are an integral part of the complex mosaic of lands in the region. Based on this importance, it was our intention to quantify how environmental conditions affect ecosystem carbon, water, and energy exchange within a mature pine flatwoods forest and determine how specific components of the system, (i.e. leaf physiology, soil respiration, understory composition and canopy structure), contribute to these exchange rates. During the 2000-2001 field season, the natural pine flatwoods was a carbon sink with an annual net ecosystem exchange (NEE) of 183 g C m-2. The largest portion of this carbon was sequestered during the winter and spring when temperatures
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://abstracts.co.allenpress.com/pweb/esa2002/document/17486"}
|
59596d98-29a8-46eb-b20d-36572a7c9e48
|
natural pine flatwoods was a carbon sink with an annual net ecosystem exchange (NEE) of 183 g C m-2. The largest portion of this carbon was sequestered during the winter and spring when temperatures were cooler and canopy LAI was lowest. This could be attributed to a reduction in ecosystem respiration losses and a slight increase in understory photosynthetic rates caused by a larger portion of total radiation reaching the understory. Approximately 90% of the respiratory losses from the system could be accounted through soil respiration, which is highly correlated to soil water potential (r2=0.77, p<0.001). Comparison of eddy covariance measurements above and below the pine canopy indicated that 37% of the ecosystemís carbon, 51 % of its latent energy, and 56% of its sensible heat fluxes could be attributed to the understory. Preliminary results show that two species, Serenoa repens and Ilex glabra, comprise 95% of the understory vascular and both have relatively high leaf nitrogen
|
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{"data_source": "http://abstracts.co.allenpress.com/pweb/esa2002/document/17486", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
7e867dd1-4f03-4637-93ca-65e112dac568
|
could be attributed to the understory. Preliminary results show that two species, Serenoa repens and Ilex glabra, comprise 95% of the understory vascular and both have relatively high leaf nitrogen concentration and photosynthetic capacities (~1.4% nitrogen and Amax ~ 4.0 mmol m-2 s-1) and account for ~ 90% of the carbon sequestered by the understory community. These initial assessments provide evidence that natural pine flatwood forest of Florida may be a small regional carbon sink.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://abstracts.co.allenpress.com/pweb/esa2002/document/17486"}
|
ce61d48a-f3de-4741-b098-78ba0b78e333
|
KEY WORDS: pine flatwoods, carbon and water exchange, eddy covariance
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://abstracts.co.allenpress.com/pweb/esa2002/document/17486"}
|
27673d65-2c02-4c0c-a16d-bc910ff11d60
|
Pneumonia is a common cause for ED visits. How do you decide on whether the patient can be managed as an outpatient or inpatient? To supplement your clinical judgment, many clinicians use the Pneumonia Severity Index (PSI) score.
Have you heard of CURB-65, supported by the British Thoracic Society? What about SMART-COP, which is meant to help you predict if your patient will need Intensive Respiratory or Vasopressor Support (IRVS)?
It's worth a quick review.
Feel free to download this card and print on a 4'' x 6'' index card.
Presentations are traditionally given using Powerpoint. Keynote is prettier alternative to Powerpoint but is only Macintosh-compatible. Both have the same antiquated structure such that content is presented only linearly.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
9f5ac859-8da7-4c3d-a302-165a6e9f742c
|
The hottest presentation tool now is Prezi, a web-based tool, which allows the viewer to zoom in and out of sections. The visuals are more of a conceptual map of the content, where the viewer or speaker can zoom around any desired topic. Because it's online, you can easily embed YouTube videos.
Take a look at this Prezi demo advocating it as a tool for teaching.
To navigate, you can click on the gray arrows at the bottom to advance forward or backward, as pre-programmed. Alternatively, you can drag the display using your mouse. Or you can zoom in/out using the + or - tools on the right.
Google Docs is constantly improving and growing. One of the cool features is that you can embed any document within your blog. Whenever you edit the Google Docs document, it automatically updates in your blog.
How do I do this?
Within your document in Google Docs, click on the upper right "Share" button and select "Publish to Web".
In the pop-up screen, select "Start Publishing".
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
3cc206c1-958f-46a1-9055-46067d82d01d
|
How do I do this?
Within your document in Google Docs, click on the upper right "Share" button and select "Publish to Web".
In the pop-up screen, select "Start Publishing".
Copy and paste the provided HTML code in your blog.
With a little HTML editing, you can make the optimize the margins bigger than the teeny preset dimensions. To change the margins to 440-pixel width and 500-pixel height, add the extra text (in bold) into your code as follows:
And ta-da! Embedded is my handout from a recent talk on mobile apps in Medicine.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
78be112c-5cfe-4263-81f2-e646e6093984
|
And ta-da! Embedded is my handout from a recent talk on mobile apps in Medicine.
A new CME publication has emerged from the publishers of Emergency Medicine Practice and Pediatric Emergency Medicine Practice called EM Critical Care. This new publication is specifically geared towards manging critically ill patients in the ED. There will be 6 issues per year with each issue offering 3 AMA PRA Category 1 credits. Although it has not yet been released, it appears to have an impressive editorial board including Emanuel Rivers, Michael Gibbs, Benjamin Abella and Robert Arntfield. Oh, and did I not mention Scott Weingart from the EMCrit Blog? If it is anything similar to it's predecessors, it is guaranteed to be a hit!
In a Research Letter in JAMA, Dr. Chretien et al describe the profile of physicians in the Twitter universe, specifically focusing on professionalism.
Self identified physician
At least 500 followers during May 1-31, 2010 (Whew, I only have 309 followers.)
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
1a434e8b-e966-40e1-9078-4e471bea344b
|
Self identified physician
At least 500 followers during May 1-31, 2010 (Whew, I only have 309 followers.)
Posted a tweet within last 6 months
A total of 260 physicians were studied.
6.2% were from Emergency Medicine.
15% (most) were from Surgery and its subspecialties.
76% were from the United States.
Three physicians independently coded the 20 most recent tweets from each account (total n= 5,156) for unprofessional content. There were 144 (3%) unprofessional tweets from 27 users:
55 (1%) - possible conflict of interest, advocating for non-standard therapies
38 (0.7%) - potentially violation of patient privacy
33 (0.6%) - profanity
14 (0.3%) - sexually explicit material
4 (0.1%) - discriminatory statement
25 of 27 (92%) of users were identifiable
The authors conclude that, although rare, there should be more physician accountability and guidelines in the age of social media. This is even more true, since I just discovered that all tweets are archived by the Library of Congress!
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
43768f31-82f0-4026-8b17-bb673bc9d658
|
Take a look at your most recent tweets. How would they have performed if you were included in this study?
Reference Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA: The journal of the American Medical Association. 2011. 305(6), 566-8. PMID: 21304081 .
Dr. Rob Orman of ERCast blog fame emailed me last week about creating a pocket card on Suicide Risk Stratification. In many community ED's, risk assessment is done by the emergency physician. I'm lucky where I work, because we have a 24/7 psychiatric ED, which consults on suicidal patients in the "medical ED".
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
152c578b-d8de-4cb2-95b6-4dab88ef740b
|
In the end, assessment is primarily based on physician judgment, because there's no great clinical decision tool, rules, or scores to assess risk. Rob has created his own mnemonic to help you ask the right questions in assessing a suicidal patient. This is a sneak peak into a larger article that Rob is planning to unleash on the world on suicide assessment. Based on his review of the literature and own clinical experience, the mnemonic is: TRAAPPED SILO SAFE.
"Risk factors" which increase a patient's risk for committing suicide in the near future.
"Protective factors"which decrease a patient's risk for committing suicide in the near future.
Feel free to download this card and print on a 4'' x 6'' index card.
* Updated 3/8/11: Added extra "A" to include "Access to Means" as a risk factor.
Ever since my post about the top medical apps, I have been inundated with people asking me to review their apps.
One has stood out.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
18c3e417-54ee-4ae1-ae50-88b6fc43f1ad
|
Ever since my post about the top medical apps, I have been inundated with people asking me to review their apps.
One has stood out.
Medibabble is a real-time medical translation app and is now available for FREE. It was created by two innovative UCSF medical school graduates, Dr. Alex Blau and Dr. Brad Cohn. This app contains an extensive preset list of history questions and physical exam commands. When you click on a sentence, the app will translate and speak the sentence in one of 5 languages (Spanish, Cantonese, Mandarin, Russian, and Haitian Creole).
Take a few minutes to download all of the free languages onto your device. It only comes with Spanish pre-installed. There is a FAQ page at www.medibabble.com. The app is only available for the iOS platform currently.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
32ba1352-21bf-4941-9dff-4733e78168f5
|
Does your Emergency Department have computerized spectrophotometric catheters to measure continuous central venous oxygen saturation (ScvO2) in early goal directed therapy (EGDT) for severe sepsis? That's what was used in the original Rivers' EGDT study.
I've never even seen one before.
Many emergency physicians are getting around not having the specialized equipment issue by obtaining intermittent venous blood gas measurements off of a central venous line.
But what if you had a 30 y/o woman with early pyelonephritis/urosepsis who has severe sepsis by definition? She's got 10 peripheral lines (I'm exaggerating, of course), a normalized blood pressure with early IV fluids, and appears non-toxic. Her lactate, however, is 9! Do you really need a central line? My gut says no, but the EGDT protocol says yes -- for the purpose of CVP and ScvO2 measurements.
Trick of the Trade:
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
267f9971-bf37-496b-ac83-d98c1311a2dd
|
Trick of the Trade:
Use a less-invasive approach where bedside ultrasound and serial venous lactate levels replace central venous lines and ScvO2 measurements, respectively.
Last year, JAMA published a landmark study showing that lactate clearance of ≥10% over the first 2 hours is "not a worse measurement" than ScvO2≥70%. This double-negative statistical speak came about because it was a non-inferiority study.
So how does this affect the original Rivers protocol? To review, here's the original protocol, which I posted about earlier:
(click to view larger image)
In the less invasive model:
Fluid resuscitate through peripheral IV access instead of a central line.
Follow volume status either with a bedside ultrasound or urine output.
Follow venous lactate levels at time 0 and 2 hours. If the lactate clearance is ≥10% over these 2 hours, you should follow the algorithm as if the ScvO2≥70%. That means no need for immediate transfusion or vasopressor agents.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
b54088f5-ec85-49b5-acce-21a16871e9a9
|
How do you know when you have adequately volume-resuscitated a patient using bedside ultrasound? Measure the IVC diameter about 1-2 cm from the right atrium junction.
If the IVC diameter ≤1.5 cm and has ≥50% collapse with inspiration, the patient has a very low CVP.
If the IVC diameter is at least 1.5 cm and has minimal collapse with inspiration, the patient is euvolemic. Move to the next step -- assessing the MAP.
This doesn't mean that all EGDT patient should have ONLY peripheral lines. Persistent hypotension, a non-clearing lactate level, and/or clinical toxicity warrant more invasive monitoring and management.
Scott Weingart has an in-depth, 21-minute podcast about the JAMA article and noninvasive approach to sepsis: Podcast link. Scott also briefly interviews Dr. Alan Jones (Carolinas Medical Center), the first author of the study, in the podcast.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
cee04c39-28d8-450c-8ca9-5b13ace43690
|
Reference Jones AE, et al; Emergency Medicine Shock Research Network (EMShockNet) Investigators. Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. JAMA : the journal of the American Medical Association.2010, 303(8), 739-46. PMID: 20179283 .
In its third official year, the Clerkship Directors in Emergency Medicine (CDEM) organization is still growing strong. It all started with six of us at an informal dinner in Boston about 5 years ago. And now the organization has grown so large that it is now for the first time offering annual awards to its members.
Know an award-worthy educator? Nominate him or her!
CDEM Clerkship Director of the Year Award
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
01fd3849-0c89-4700-9b7a-8262be7a0c3e
|
Know an award-worthy educator? Nominate him or her!
CDEM Clerkship Director of the Year Award
This award recognizes an Emergency Medicine Clerkship Director that has made significant contributions to either a 3rd or 4th year EM rotation. To be eligible for this award, the nominee must currently be a Clerkship Director of a mandatory, selective or elective rotation and have served in that role for a minimum of 5 years. This award is presented at the annual CDEM meeting.
CDEM Young Educator of the Year Award
This award recognizes a medical student educator at the Clinical Instructor or Assistant Professor level and less than 10 year from residency completion who has made significant contributions to teaching and educating medical students. This award is presented at the annual CDEM meeting.
CDEM Distinguished Educator Award
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
ac8d91a6-bafb-4573-8f7a-d69a8d4988ba
|
CDEM Distinguished Educator Award
This award recognizes a medical student educator at the Associate Professor or Professor level who has made significant contributions to and has demonstrated sustained excellence in teaching and educating medical students for 10 or more years. This award is not presented annually; rather, it is bestowed on special occasions.
CDEM Award for Innovation in Medical Education
This award recognizes a medical student educator at any faculty rank who has made a significant and innovative contribution to undergraduate medical education. This award is presented at the annual CDEM meeting.
By learning about our differences, we can learn to appreciate and better communicate with those who are different from us.
The same falls true for working with residents and faculty from different "generations", as defined as traditionalists, baby boomers, generation Xers, and millennials.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
a3068027-78ff-4920-bbb2-c150a0e3a702
|
The same falls true for working with residents and faculty from different "generations", as defined as traditionalists, baby boomers, generation Xers, and millennials.
This literature review and consensus document is quite extensive and even comes in 2 parts in Academic Emergency Medicine. There is a great summary table of the generational differences in personal, work, and educational characteristics, communication styles, and technology.
Think of faculty who fit in these age groups. Do they fit their generational stereotype?
Traditionalists (born 1925-1945)
Personal characteristics: Loyal, reluctant to change, dedicated, value honor and duty, patriotic
Work characteristics: Value hierarchy, loyal "company man", job security
Education characteristics: Process oriented
Communication style: Formal
Technology: Tend not to understand
Baby Boomers(born 1945-1964)
Personal characteristics: Optimistic, desire for personal gratification, highly competitive
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
d6029e26-a2c9-4b82-b737-690f2f76bd10
|
Communication style: Formal
Technology: Tend not to understand
Baby Boomers(born 1945-1964)
Personal characteristics: Optimistic, desire for personal gratification, highly competitive
Work characteristics: Workaholic, competitive, consensus builder, mentor
Education characteristics: Learner depends on educator, lecture format, process-oriented
Communication style: Diplomatic
Technology: Not particularly techno-saavy
Generation Xers (born 1964-1980)
Personal characteristics: Independent, self-directed, skeptical, resilient, more accepting of diversity, self-reliant
Work characteristics: Value work-life balance, comfortable with change, question authority
Education characteristics: Independent learners, problem-solvers, desire to learn on the job, outcome-oriented
Communication style: Blunt
Technology: Interested and facile
Millennials (born 1980-1999)
Personal characteristics: Optimistic, need for praise, collaborative, global outlook
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
a7da0324-7d16-4a61-8196-a00875ec70a1
|
Communication style: Blunt
Technology: Interested and facile
Millennials (born 1980-1999)
Personal characteristics: Optimistic, need for praise, collaborative, global outlook
Work characteristics: Team-oriented, follows rules and likes having structured time, career changes
Education characteristics: Team-based learning environment, turn to Internet for answers, outcome-oriented
Communication style: Polite
Technology: Very saavy, technology is a necessity
The authors give multiple examples where generational differences come to light but none more so than in mentorship within the academic department.
Traditionalists view mentorship as a more formal process, where feedback is necessary only to provide criticism or suggestions for improvement.
Baby boomers also view mentorship as a "top down" process. They are ok with infrequent interactions.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
dc3f786b-e9a8-4095-afc9-d49e3927dfde
|
Baby boomers also view mentorship as a "top down" process. They are ok with infrequent interactions.
Generation Xers and Millennialsprefer mentorship as a more "peer to peer" process with more frequent interactions. They value the personal relationships and the opportunity to collaborate in creative solutions. Because of their stereotypical distrust of authority, however, they may inadvertently sabotage their relationship with their mentors. Distrust sometimes is misinterpreted as a general lack of respect.
To overcome these differences, mentor-mentee pairings should take into consideration gender and shared views about goals, work/life balance, and experiences. Early discussions in a mentorship relationship should discuss generational differences and how each envisions the ideal mentor-mentee relationship to be. The pair should agree upon and adopt a collaborative, shared communication approach with frequent feedback.
So much more in this article... Take a read.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
6a382061-1c9a-49cb-9eee-f98db621b8d0
|
So much more in this article... Take a read.
Mohr NM, Moreno-Walton L, Mills AM, et al. Generational Influences in Academic Emergency Medicine: Teaching and Learning, Mentoring, and Technology (Part I). Acad Emerg Med. 2011, 18:190-9, 10.1111/j.1553-2712.2010.00985.x .
A 50 year-old woman, who presented to the ENT clinic for followup check of a facial fracture, has a blood pressure of 210/100. She is asymptomatic and in no pain. She gets referred immediately to the ED for care.
Now you see her in your ED. What next?
There is a lot of controversy whether you should treat or not treat asymptomatic hypertension in the ED. The ACEP Clinical Policy says that there is no need to immediately reduce an asymptomatic patient's blood pressure. With "close followup", they can be referred to their primary care physician.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
a8196de2-a480-4d50-8587-30448c0f3560
|
With so many patients being uninsured or unable to access their primary care physician on short notice, many emergency physicians like myself are slowly moving towards starting antihypertensive medications for them.
If you do decide to start an antihypertensive, which medication do you choose? This Paucis Verbis card is based on a 2009 Cochrane Review, and summarized in American Family Physician in 2010. The blue numbers denote a Risk Ratio (RR) which cross 1, meaning that there is no benefit. The red numbers denote a RR < 1, meaning that there IS a benefit.
A low-dose thiazide, such as hydrochlorothiazide 12.5-25 mg po daily, is a safe and effective choice.
Feel free to download this card and print on a 4'' x 6'' index card.
References Quynh B. Cochrane for clinicians. First-line treatment for hypertension. Amer Fam Phys. 2010, 81(11), 1333-5. Mensah G, Bakris G. Treatment and Control of High Blood Pressure in Adults. Cardiology Clinics. 2010, 28(4), 609-22. ..
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
93e61ec1-5adb-4b92-af51-f1a69eaca273
|
EMCast - Monthly podcast interviews with Dr. Amal Mattu through Emedhome.com ($99 annual subscription)
CDEM Curriculum - Resource put together by CDEM for medical students which includes essentially an online textbook in EM (free). Rob even put in a plug for my Digital Instruction in Emergency Medicine (DIEM) online simulation cases. I'm not actually done with all the cases, as Rob suggests! Only the first case on Chest Pain is done thus far... Ack! I better get crackin' now.
Spend a high-yield 25 minutes listening to Rob's take on need-to-know educational resources in EM.
A health care worker hurried in to the ED after being poked with a needle.
'It was an old 18G needle with dried blood', she said. Her puncture had drawn blood. You discussed the very low risk of contacting HIV and the side effects of postexposure prophylaxis (PEP). She asked, 'What does very low risk mean?'
Is there another way to covery risk for patients?
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
67b19509-cac2-4c7f-a234-5e7894fcb53b
|
Is there another way to covery risk for patients?
Trick of the Trade: Convey probabilities with everyday risks.
This article uses a risk stratifying tool to convey probabilities that compare to everyday risks such as flying, cancer diagnosis, having an MI, etc. Below is the calculation tool from the paper.
Using this tool, the risk of contacting HIV for this patient would be:
5/ (1000 x 100 x 100) = 1/ 2,000,000
According to the everyday risk table in the article, this is similar to the risk of dying in the next 12 months from lightning. You left her to decide on PEP.
As the author pointed out, the risks cited are probabilities instead of exact measurements. This is an important caveat.
I find this helpful to provide context, especially for those who have difficulty deciding on PEP.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
3f72e910-6a0c-4689-9f50-91492d28b19b
|
I find this helpful to provide context, especially for those who have difficulty deciding on PEP.
Vertesi L. Risk Assessment Stratification Protocol (RASP) to help patients decide on the use of postexposure prophylaxis for HIV exposure. CJEM : Canadian journal of emergency medical care. 2003, 5(1), 46-8. PMID: 17659153
Many academic Emergency Departments are staffed by non-EM residents. Dr. Amer Aldeen and his super-star team from Northwestern created NURRC Modules (Northwestern University Rotating Resident Curriculum). These modules allow the off-service residents, who all have different schedules, to learn key EM-based topics at their own leisure and convenience.
The positive effect of the curriculum on the off-service residents' medical knowledge was recently published in Academic Emergency Medicine: Read my review.
NURRC Video Modules:
ENT and Ophthalmology Emergencies
Obstetrics and Gynecology Emergencies
Trauma and Wound Care
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
b11d0d38-3103-47da-8a39-1f659c1b9d40
|
NURRC Video Modules:
ENT and Ophthalmology Emergencies
Obstetrics and Gynecology Emergencies
Trauma and Wound Care
Thanks to the team for agreeing to make these videos free for everyone to use.
I hope I wasn't too pushy or forward in asking for the videos... and then asking if I could post then all on YouTube! Such a great resource shouldn't live behind closed doors. I'll post the other 3 videos once I receive them from Amer.
It is 2 a.m. You, the resident, have just spoken to your staff/attending, who told you to do a task. You have seen one, but don't feel comfortable doing one independently.
Will you tell your staff/attending about how you feel?
What if the patient did poorly after that?
This study examines the perception of EM trainees of their competence and adverse events and how they feel about reporting them.
Anonymous web-based survey sent to all trainees from 9 EM programs in Canada outside Quebec.
37.3% trainees responded.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
fad4cf51-8ca4-433f-bc34-bdfafd509871
|
Anonymous web-based survey sent to all trainees from 9 EM programs in Canada outside Quebec.
37.3% trainees responded.
40% trainees felt they had minimal supervision when doing a task that they did not feel safe about.
Most 'unsafe' tasks included providing care overnight, admission decision or procedures.
When feeling incompetent, a third of trainees will not report this to their staff.
Barriers include worry about loss of trust, automony or respect.
64% trainees felt responsible for contributing to adverse events.
Most relate to procedures - chest tubes, central lines, paracentesis.
Majority, but not all, reported the most serious events to the staff.
Barriers include fear of appearing incompetent and humiliation.
How would I change my teaching practice
Ensure trainees feel safe. Maybe do a dry run of central line insertion/break bad news prior.
Encourage trainees to voice their discomfort. They are learning, not just working.
Discuss adverse events and medical errors with trainees.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
74554b88-e4d4-44ab-93c5-81fe40f54dce
|
Encourage trainees to voice their discomfort. They are learning, not just working.
Discuss adverse events and medical errors with trainees.
Reference Friedman S, Sowerby R, Guo R, Bandiera G. Perceptions of emergency medicine residents and fellows regarding competence, adverse events and reporting to supervisors: a national survey. CJEM: Canadian journal of emergency medical care. 2010, 12(6), 491-9. PMID: 21073775
Medgadget annually hosts a contest for the best medical blogs. It's the Superbowl of blogs.
Our blog was nominated for the Best New Medical Blog last year, but got our butt kicked.
This year, we're honored to be a finalist in the Best Clinical Sciences Blog category. That's the great news. Unlucky for us, we are in the same category as the juggernauts EMCrit (also nominated in the overall Best Medical Blog category) and Resus.M.E. I do love the fact that the EM specialty is dominating with 3 finalists in this list of 5.
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
8473d862-14a4-4204-80b4-86ebbb80f470
|
With all of the amazing, sunny weather here in California, I feel (briefly) terrible for all those braving the snowpocalyptic conditions across the United States. So, in honor of all those bundled up and shivering, I wanted to review the management of accidental hypothermia.
Tip: Avoid jostling the hypothermic patient too much because of myocardial irritability. Don't send your patient into an arrhythmia.
Feel free to download this card and print on a 4'' x 6'' index card.
In his talk (subtitled "School Sucks"), Northwestern University Physics Professor Dr. Tae describes how he would improve math and science education. While this is directed at college studies, some of the concepts are applicable to teaching Emergency Medicine.
He shares a lot of great insight, but I wanted to focus on one concept in particular:
The secret to learning = "Work your ass off until you figure it out."
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
29c5caf3-31ce-48b7-be92-d2a6cbc2b3d1
|
He shares a lot of great insight, but I wanted to focus on one concept in particular:
The secret to learning = "Work your ass off until you figure it out."
Dr. Tae demonstrates this as we watch him make 57 failed attempts trying to learn a new skateboarding trick before finally being able to successfully complete it on the 58th. In order to master this new skill, he had to actively struggle with it until he succeeded. He contrasts this with lectures where students "just sit there" passively, learning very little.
Clinical decision making is a skill, much like skateboarding, and our job in teaching this may be to let the students do most of the work. We're only there to offer guidance and point them in the right direction when necessary. So how can we challenge our students to struggle and fail until they ultimately figure it out?
Share your thoughts and ideas in the comments. Thanks!
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
af92e0cb-c790-4b9a-afef-ba30d93d6e84
|
Share your thoughts and ideas in the comments. Thanks!
Patients with a hairy chest may require little patches of hair to be shaved when applying EKG leads. This allows the leads to stick firmly to the chest. Loose leads will result in either an artifactual signal or no signal at all on the EKG machine.
How can you obtain an EKG without shaving little patches on the patient's chest?
Trick of the Trade: Cover EKG leads with damp gauze
Water maximes the contact surface area between the EKG lead and the patient's skin. The water easily conducts the cardiac electrical signal.
Generously soak gauze with water.
Apply gauze over each EKG lead where it contacts hairy skin.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
af29a314-a955-4005-95e2-184e07ede68f
|
Generously soak gauze with water.
Apply gauze over each EKG lead where it contacts hairy skin.
He is an Assistant Professor of Emergency Medicine and Clerkship Director at Rush University Medical Center in Chicago, IL. Rahul has led the charge in building CDEM's educational site at www.cdemcurriculum.org, which essentially is a free online textbook for students on their EM rotation. His amazing technological saavy and passion for education in EM make him a perfect fit on our blogging team. I've been begging him to join us for over a year. We're lucky to have him!
Wednesday's post is his first (of hopefully many).
Well I finally took the leap and am primarily relying on my iPhone to look up medication doses, which I don't know off the top of my head. Gone are the days of purchasing Tarascon's pocket Pharmacopoeia every few years or so.
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
7671eb83-0fdf-4dec-b9b2-01a097fd2319
|
I still haven't settled on which I like more. Both are free. Both are available on multiple platforms, including iOS, Blackberry, and Android. Both have some unique features which I find useful.
Common strengths for both apps:
Easy to find drug you are looking for. Epocrates has a Search screen as the home page. Micromedex has a Search screen and alphabetical list of medications as the home page.
Dosing adjustments based on renal and hepatic function
Adult and pediatric dosing recommendations
Safety information with preganancy and lactation
Unique strengths of the apps:
Includes toxicology information for all the medications (what to do in case of an overdose)
I have heard that this Thomson Reuters app has been more peer-reviewed and accepted as a very reliable resource, especially for pediatric dosing.
Free from obvious advertisements (which is sometimes seen in Epocrates via the Doc Alerts)
Has pricing information
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html"}
|
c5d33276-9dab-4584-b140-fc96d33720f6
|
Free from obvious advertisements (which is sometimes seen in Epocrates via the Doc Alerts)
Has pricing information
Allows user to identify unknown pill based on pill characteristics (color, shape, etc)
Ability for you to take notes on the app
They both will likely answer 99% of what you are looking for from a drug-prescribing perspective. So, which do you prefer and why?
|
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{"data_source": "http://academiclifeinem.blogspot.com.au/2011_02_01_archive.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
1d2d4565-6cdd-4f79-8865-d4866fb72ad7
|
RUSTON – Services for Dr. Milton Johnson, Jr., former head of the La. Tech Electrical Engineering Department, will be Wednesday. He died July 27.
He was on the La. Tech faculty for forty years and formerly served on the Ruston Planning and Zoning Commission.
Survivors include a son and two daughters.
Arrangements are by Owens, Lewisville, Texas.
U.S. Navy vets of World War II
NEW ORLEANS -- Services are this week for three decorated U.S. Navy veterans of World War II who died over the weekend.
William Cade, Sr., died July 29 at age 86. Services will be Thursday.
He was a landing craft engineman who transported countless American soldiers to Omaha Beach on D-Day. He retired from the Navy after 20 years service.
Survivors include his wife Rosemary, five sons and a daughter.
Arrangements are by Leitz-Eagan.
Dr. John R. Bond died July 29 at age 94. Services will be Saturday.
He was a submariner (USS Redfin) in World War II and a long-time dental surgeon.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acadiaparishtoday.com/pages/full_story/push?article-Deaths+Elsewhere%20&id=19633566&instance=secondary_sports_left_column"}
|
4f712f0a-64f3-4552-b238-de7fccda0d78
|
Arrangements are by Leitz-Eagan.
Dr. John R. Bond died July 29 at age 94. Services will be Saturday.
He was a submariner (USS Redfin) in World War II and a long-time dental surgeon.
Survivors include his wife Ramona and three children.
Arrangements are by Lakelawn, Metairie.
Dr. John Michell, 90, also a Navyt vet, died July 27. Services will be Saturday.
Survivors include his wife Muriel and three children.
Arrangements are by Lakelawn.
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acadiaparishtoday.com/pages/full_story/push?article-Deaths+Elsewhere%20&id=19633566&instance=secondary_sports_left_column"}
|
a45312a7-59c2-467c-a189-870577b29629
|
It’s probably the height of arrogance for me to write a post about how one should taste whiskey. There are loads of people out there who have already covered this base, and they are far more knowledgeable on the subject. For me, whiskey is first and foremost about stories and anecdotes. The tasting of the alcohol is simply the fuel that allows the stories to flow more freely (oo.. how poetic! I’ll have to remember that bit).
But, for the sake of those out there who have never thought about “tasting” whiskey, it’s good to put this information out there. And since I will be posting various tastings on this here site, it’s a good idea to give you all the process I will be using.
|
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{"data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
2e41cab6-37d6-4433-8a10-949f33b545bc
|
First and foremost, let’s get one thing out of the way. There’s a huge chasm between the idea of tasting whiskey and the idea of enjoying whiskey. One activity does not necessarily have to include the other. If you enjoy making cocktails out of the various whiskeys available on the market, then have at it. But it’s impossible to get a clear taste of whiskey once you adulterate it with bitters, ginger ale, or sour mix.
Additionally, tasting a whiskey involves more than simply putting it into your mouth and swallowing. It’s an encompassing experience, using the same amount of our senses as we use when consuming any other food or drink. So let’s define tasting as the act of learning the characteristics of the flavor of whiskey through the use of the senses. But which senses? The same ones used for tasting wine and judging food – seeing, smelling, and tasting.
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/"}
|
9b964cf7-331f-46a9-b80b-c87a1571a444
|
The eyes gives us insight into the drink. It can tell us how young it is, or the kind of barrel in which it was aged. Generally speaking, the lighter the whiskey, the younger it will be. Whiskey straight from the still is often white, while there are some whiskeys out there that have been aged so long than they have a deep red to them. Bourbon gets it amber red color from the new and freshly charred oak barrels used in its aging process. If bourbon did not use new barrels, or if they didn’t char the new barrels they did use, the Kentucky spirit would have a completely different color.
Finding the nose of the whiskey is even more important than the look of it. Some would say that the aromas of the whiskey is more important than the taste. From my reading, I’ve found that it’s not uncommon for blenders to base their recipes primarily on aromas. But if you’re not a blender, the nose is of secondary importance, behind taste.
|
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{"data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
c874d9fa-da3e-4fee-b933-eb8a800ce3c1
|
To release the aromas of whiskey, a little water may be necessary. The best way to think of this is that a bit of water wakes up the whiskey that has been asleep from anywhere from 3 to 25 years. But how much water? According to Michael Jackson, you want to add just enough water dilute to around 30% alcohol by volume. Roughly speaking, this translates to a .5 to 1 water to whiskey ratio if your drinking 80 proof whiskey, or a 1 to 1 water to whiskey ratio if you’ve found yourself a whiskey that’s 100 proof. This is simply a rule of thumb, and one should expect many exceptions to this, especially in the older whiskeys.
|
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{"data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
b5c61315-652b-4e67-a1ea-6c69cc2ab44a
|
A quick side note – ice should be avoided, as well as chilled water, as they close down the aromatics of the whiskey. The water added should lack any obvious characteristics of its own. For example, you wouldn’t add mineral water to your whiskey. It is said that the best water to add to the whiskey is the water found at the site where the whiskey was distilled. Since I’ll assume that the vast majority of you out there are not millionaires, and cannot fly off to Kentucky or Speyside simply for a drink of whiskey, let’s just stick to bland water.
|
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{"data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
4da8e74b-ae05-4fc3-a7b8-edffdf4338b6
|
So what are you looking for when you smell a whiskey? That I’ll leave up to you to decide. From my point of view, there are no wrong answers to this question, because tasting is a very personal experience. If you place your snoot in a dram and the aromas remind you of Newark, then by god, that’s what you experienced. Yes, there is a vocabulary used by professional tasters, and usually they are simply variations of more broad terms (woody, fruitful, medicine, smoky, citrus-like). The aromas you find will likely trigger some sort of sense memory. The skill of a professional taster is to put a very specific and accurate word to describe their own sense memory. Or to put it another way, an amateur taster may say that a drink smells a bit fruity and a bit woody. A good taster will say that a whiskey carries a strong oak smell with an undercurrent of raisins. A great taster will say that the whiskey had been in two different casks, one that used in bourbon and the more recent one used in
|
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] |
{"data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
5bd95863-5847-4427-93eb-1a70e19ef961
|
whiskey carries a strong oak smell with an undercurrent of raisins. A great taster will say that the whiskey had been in two different casks, one that used in bourbon and the more recent one used in the making of sherry; additionally, there are hints of currants and peaches, as well as a little bit of vanilla.
|
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{"data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
c54ce84c-59ca-4b18-b21d-ffbd0781a3f2
|
All of these answers are right. The reason the last taster was able to put more words to the aromas was because they do this activity more often.
That’s the end of part 1. Tomorrow, I’ll post about whiskey glasses, and what to do once you actually put the whiskey in your mouth. And, as always, feel free to correct any of my mistakes by addressing them in the comments of this post.
|
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{"data_source": "http://accidentalhedonist.com/how-to-taste-whiskey-pt-1/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
5e3dacbd-b8d6-4119-a561-5912c6229e2d
|
Acem Meditation is easy to learn. Personal instruction and guidance ensure that you get a good start. Group discussions help you to deal with beginner’s problems and to establish a meditation habit.
A beginner's course usually consists of 2-4 sessions, each providing ample opportunity for personal practice followed by guidance and discussion. Groups of 5-15 participants meet for altogether 7-12 hours. Topics covered include:
- Brief introduction and personal instruction
- Applying the basic principles to your own practice
- From stress relief to personal process
- Scientific research and the psychology of meditation
You learn how to use Acem Meditation for relaxation and stress management, and you lay the foundation for a fascinating process of personality development and self-understanding.
|
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{"data_source": "http://acem.com/allobjects/acemcourse/curso_de_principiantes23", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
b048f194-2e5b-48f8-9a15-7bbd7b7758c6
|
You learn how to use Acem Meditation for relaxation and stress management, and you lay the foundation for a fascinating process of personality development and self-understanding.
The book Acem Meditation - An Introductory Companion is included in the course fee. While you cannot learn the technique from a book, a CD, or the Internet, the psychology of meditation stimulates your practice and provides a fuller understanding of the process.
After the course, you can practise the technique on your own, whether you choose to become a regular meditator or to meditate whenever you feel the need.
If you wish, you may continue to discuss your meditation practice with a qualified guide after the course. You may also choose between a number of follow-up activities, such as group meditations, talks and lectures, the follow-up courses M1 and M2, as well as weekend retreats where you can get away for a while and recharge your batteries.
|
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{"data_source": "http://acem.com/allobjects/acemcourse/curso_de_principiantes23", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
ff59e058-81a8-4a9b-9c20-242b59c3c71f
|
All instructors have been through several years of training and have long teaching experience.
See details for each course in the right sidebar.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acem.com/allobjects/acemcourse/curso_de_principiantes23"}
|
b40d2023-11ae-46a9-8d80-9db209091001
|
Making the Case for Action
This fact sheet(pdf) and slide deck provide essential state-specific information that addresses the economic imperative, the equity imperative, and the expectations imperative of the college- and career-ready agenda. These resources can be used on their own or serve as the foundation for a personalized presentation or fact sheet(word), which can be customized with state-specific details and examples. The PowerPoint, in particular, was developed with various users in mind and offers a wide range of case-making data that can be drawn from to support your own advocacy efforts.
Advancing the Agenda
As states continue their efforts to promote college and career readiness, Achieve regularly surveys the states to identify their progress in adopting critical college- and career-ready policies. Below is a summary of Idaho's progress to date:
See Closing the Expectations Gap for more information
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://achieve.org/Idaho"}
|
3cd047f5-8ca2-4f90-965a-a4ad956b2753
|
See Closing the Expectations Gap for more information
State accountability systems focus the efforts of teachers, students, parents, administrators and policymakers to ensure that students and schools meet the established goals, including the goal of ensuring all students graduate ready for college and careers. Idaho has yet to begin to use any of the key college- and career-ready indicators in their accountability system.
|Annual School-level Public Reporting||Statewide Performance Goals||School-level Incentives||Accountability Formula|
|Earning a college- and career-ready diploma|
|Scoring college-ready on a high school assessment|
|Earning college credit while in high school|
|Requiring remedial courses in college|
For an explanation of the indicators, their uses and Achieve’s minimum criteria for college- and career-ready accountability, see here.
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://achieve.org/Idaho"}
|
9fe56111-f65f-4f10-a99d-7d24242b86f4
|
We have a Winner!!It was a small little group for this Giveaway! But that meant better chance for all.
Congrats to Sherry. I will email you. Your book will be mailed from Hachette.
Thanks everyone for stopping by and participating.
Thank you Anna from Hachette for providing books for this giveaway.
***** please check back soon for my Review on this beautiful book ******
There were 3 items in your list. Here they are in random order:
Timestamp: 2008-11-15 19:27:05 UTC
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acircleofbooks.blogspot.com/2008/11/winner.html?showComment=1226783460000"}
|
b0184a6b-d218-41de-bab4-90073fa699f4
|
Well, these are still some
difficult questions to answer with pin-point accuracy, and at this point I don't
believe anyone has the exact answer to all 3 of these questions. What I offer
below is a mix of what I Think, What I know and what Appears to be....
Anyone currently attempting to
answer these questions with some type of "Universal Knowledge" on the
subject--is Full of BS--BEWARE! Yes, that includes Me. I don't have the
Complete answer to these questions--and neither does anyone else. This is
a subject that needs to be studied in-depth by someone that has all the
resources to carry it out: Lab, veterinary knowledge/skills, Acrochordus snakes,
What is it:
At this point--I don't know, but here
is what I believe based on experience, observation and research: The skin of the
Acrochordus javanicus and arafurae is very impermeable. So, that makes it a very
protective mechanism against the outside world. It is commonly understood that
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acrochordus.com/whitespot.htm"}
|
82046b7c-6468-4dd1-b02e-ff10f3eb933e
|
Acrochordus javanicus and arafurae is very impermeable. So, that makes it a very
protective mechanism against the outside world. It is commonly understood that
"Stress" causes a reduction in the ability of the immune system to do its
job--in humans and other animals--including Acrochordus snakes. Stress appears
to cause a decline in the immune system of Acrochordus snakes causing a decline
in the effectiveness of the skin as a protective barrier against the outside
world. This loss of effectiveness increases until Secondary Infections set in and
ultimately kill the animal.
Where does it come from:
See the paragraph above and add:
Improper Husbandry. Yes, it really is that simple. In the Wild, these animals
have the ability to move from Habitat to Habitat--Microenvironment to
Microenvironment. Even though the White Spot Fungus appears to be a "Captivity"
Problem--the snakes in the Wild maybe be able to prevent it--not by some
"Magical Bacteria", but, rather: by simply selecting
|
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] |
{"data_source": "http://acrochordus.com/whitespot.htm", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
493883bf-03d5-40e1-8bb5-224da0b1f8a7
|
Problem--the snakes in the Wild maybe be able to prevent it--not by some
"Magical Bacteria", but, rather: by simply selecting
Environments/Microenvironments that they are "Happy" with--i.e., minimum
sustained stress level. In Captivity--the snakes don't have that choice. Plain
and Simple. Additionally, it appears that the more acclimated to captivity that
these snakes get--the more secretive and stress prone they become.
How do We get rid of it:
Proper Husbandry--Yes, it really is
that simple. Reduction of "Stress" will reduce the Progression of the White Spot
Fungus. I have seen it myself. Elimination of Stress will Halt the progression
of White Spot Fungus. Note: I did not say anything about chemicals, medications,
etc.--just eliminate the Stress and the progression of the White Spot will stop.
What is there will remain until the next shed. After the next shed--the animal
will be clean and remain that way--as long as all of the husbandry parameters
|
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] |
{"data_source": "http://acrochordus.com/whitespot.htm", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
4181de2e-23f4-42b6-97c6-e74ad376dc29
|
What is there will remain until the next shed. After the next shed--the animal
will be clean and remain that way--as long as all of the husbandry parameters
are and remain in order. Its just that Simple. A new animal going through the
acclimation process may need to shed 2, 3 or even 4 times before the White Spot
relents completely. However, its progress should be visibly reduced with each
So, what is "Proper
Husbandry"? Well, that's what this website is about. No, I don't have all the
answers right now, but I've come a long way in the last couple of yrs dedicated
to these snakes.
1) If You are genuinely
interested in these snakes--then read this website: Every page, every word, look
at every picture. This website is not setup for those who are just mildly
curious at best. Those folks are more then welcome here. But a lot of
information is "Hidden" within the text for those who are serious about these
animals. Nothing is truly "Hidden", but even this explanation is not sitting on
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acrochordus.com/whitespot.htm"}
|
3fd5caad-13ba-47f6-b81f-1a7035cd2c97
|
information is "Hidden" within the text for those who are serious about these
animals. Nothing is truly "Hidden", but even this explanation is not sitting on
the Front Page for the "Scanners" to see.
2) Spend the hours necessary
researching these animals for Yourself. Right now, the more people that reach
the same conclusions--based upon knowledge and experience--the Better. The
Online Bibliography at the
link is a Good place to start.
3) Acidic water (pH~6.0), Low
TDSs (~200ppm), Low light--especially in the hide, Lack of vibrations, etc are
Good key elements to the reduction of Stress and the furtherance of "Proper
Recently (4/2007) I have seen
a couple of "For Sale" ads for Acrochordus javanicus for one vendor that are
wrought with misinformation--therefore: Misguidance on the keeping of these
snakes. One ad was for CB Babies basically stating to put them in acidic water
and because they are CB and White Spot free--You (the buyer) don't need to worry
|
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] |
{"data_source": "http://acrochordus.com/whitespot.htm", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
20249dd7-5a93-444e-9078-e42bc489608e
|
snakes. One ad was for CB Babies basically stating to put them in acidic water
and because they are CB and White Spot free--You (the buyer) don't need to worry
about any future "Bacterial Infections". Sorry, it just doesn't work that way.
The current ad states:
"I have adult specimens of Acrochordus javanicus, about 4' in
length. Perfect specimens with no scrapes, scar, and most importantly NO SKIN
BLISTERS! As many people know WC adult Acrochordus javanicus are very rarely
offered for sale, primarily because of the high mortality rates due to improper
packaging during transport which causes skin blisters (Pseudomonas bacteria
which cause septicemia, aka "Blood Poisoning").
You won't have to worry about that here. These adults came in perfectly and
there were transported correctly. I am only able to offer unsexed specimens.
This species is usually female heavy. There are many reports of this species
being able to be parthogenetic, with LTC females "cloning" themselves. A great
|
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{"data_source": "http://acrochordus.com/whitespot.htm", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
d924f932-7f73-4244-89d5-297d65b29433
|
This species is usually female heavy. There are many reports of this species
being able to be parthogenetic, with LTC females "cloning" themselves. A great
display snake, they feed on fish. As with all Acrochordids, I reccomend great
filtration and the regular addition of a product called "koi zyme."
I am asking $250.00 per a specimen, quanities are limitied. Once
these are gone I will be a few more years until such nice large animals come
Information. Improper packaging/shipping is only one factor and most importantly:
"You won't have to worry about that here." That's Pure
Non-Sense. I am familiar with
this particular individual. He claims to have "...many years of Experience with
Aquatic Snakes." and apparently did a stint at a local zoo which I guess makes
him a Guru in his own mind. His website is and has remained void of his Great
claims of "accomplishments" (suddenly that's changing 6/07 LoL) and has been up for a few yrs now. Buy the
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acrochordus.com/whitespot.htm"}
|
da7f3a94-6b07-4869-98a7-98e97875f635
|
him a Guru in his own mind. His website is and has remained void of his Great
claims of "accomplishments" (suddenly that's changing 6/07 LoL) and has been up for a few yrs now. Buy the
snakes--just don't buy into the BS claims. Apparently this person thinks that
you just need to buy the "Clean" animal from him, toss it into "acidic water"
via peat moss, add Koizyme and Wha-La: Instant Acrochordus! Again, Sorry, it
doesn't work that way. If it were that simple: Someone would have
figured it out a Looong time ago. I have used Salt, Koizyme, Melafix and
Pimafix. I have also researched those products and contacted the manufactures
with any specific questions that I had. One thing that I can tell you is:
None. Not One of those products are necessary to successfully
keep an Acrochordus javanicus or arafurae, Or halt the White Spot Fungus. More
importantly, in reference to the Ads,--Just because You receive a clean
animal--doesn't mean that it is going to stay that way. That whole
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acrochordus.com/whitespot.htm"}
|
e320aa8d-7117-43d1-937e-04d955a43c70
|
importantly, in reference to the Ads,--Just because You receive a clean
animal--doesn't mean that it is going to stay that way. That whole
thought process is coming from a Total lack of Experience. If that
were True--Plenty of people would be successfully keeping
Javanicus. Am I being
Hardcore: Maybe. But I don't think that I am. I am tired of seeing these snakes
die--that's why I am working with them with the dedication that I am. That's why
I put up this website--including all of the hours and hours of putting it
together and the added expense. That's why I am willing to Openly call these
so-called "Gurus" out here--and on the Forums. Sadly, they don't go
"heads-up" with me in public any more. They just continue to hold onto their
erroneous beliefs and pass along their Bad Information. These
animals will always go to the skin trade. But let's get it together and get them
established in captivity, so they will always be around, and so people will be
|
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{"data_source": "http://acrochordus.com/whitespot.htm", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
8cd665b9-1040-42e8-8710-779aad35394b
|
animals will always go to the skin trade. But let's get it together and get them
established in captivity, so they will always be around, and so people will be
able to experience and enjoy their unique presence. I'm no rocket scientist, but
I am a guy that can do research and think my way through most problems. If
Acrochordus husbandry was as simple as some make it sound: This website would
not be here. And You can tell from reading this website that A) its not that
simple, and B) its a lot more involved than the "Gurus" want You to believe. I
have come across a number of individuals that all claim that they have kept
Acrochordus snakes long-term. Notice: the Past tense of: HAVE!
Strangely, None of them happen to be "Currently" keeping
them. Always--Past Tense! Hmmm, I'll leave You to Your Own
Conclusions on that one. Just Beware of the "Claims" out there.
Follow the path that You feel is Best--but base it upon Research and,
White Spot Fungus? Its caused
|
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] |
{"data_source": "http://acrochordus.com/whitespot.htm", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
8686f214-cbc1-4613-b772-c3fa26392fac
|
Conclusions on that one. Just Beware of the "Claims" out there.
Follow the path that You feel is Best--but base it upon Research and,
White Spot Fungus? Its caused
by Stress and, basically, it appears to be a break-down in the skins ability to
protect the animal from the Outside World, eventually leading to Secondary
Infections that lead to the demise of the snake. There is No "Magical" Bacteria
that Your snake was or was not exposed to in the wild--these snakes die in captivity
from White spot all over the world--including captivity in Asia that contains
water from their own natural environments. Improper Shipping is not the sole
source of White Spot, Skin Blister, Whatever. Animals that Arrive in Your hands
"Clean" Will develop White Spot if Housed Improperly and
Will die from it if the Husbandry Parameters are not Corrected.
Wild-caught, Captive Born, Captive Bred and Born--doesn't matter. Tolerance is
the only difference between these animals--Environmental Imprints on their
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acrochordus.com/whitespot.htm"}
|
3224bca7-bf21-468d-a4da-ab4d6d893a89
|
Wild-caught, Captive Born, Captive Bred and Born--doesn't matter. Tolerance is
the only difference between these animals--Environmental Imprints on their
brain. Captive Bred and Born babies are always at least a bit easier then
Captive Born babies. Captive Born babies are always a bit easier than
Wild-Caught babies. Wild-Caught babies are always easier then Wild-Caught
adults. Acrochordus snakes are no different.
If You see White Spot fungus
on Your animal--the First question is: Is it Progressing? If it is, then
You probably need to fix something. If not, then the animal may just be
acclimating (If new or just put into a new setup), or the source of stress was
temporary and has already been corrected. Is it a "Death Sentence"? No,
definitely Not. So, don't Freak-out and start adding Salt or any of that
other stuff. Don't start ripping the snake out for Salt Baths, Melafix Dips or
any of that non-sense. You will just be ADDING stress. Just
|
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] |
{"data_source": "http://acrochordus.com/whitespot.htm", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
319e9c04-c741-4fe3-a3b6-48c60bbf4f04
|
other stuff. Don't start ripping the snake out for Salt Baths, Melafix Dips or
any of that non-sense. You will just be ADDING stress. Just
step back and look at the Big Picture. Observe the snake's behavior. Try to
calmly sort out what may be wrong. As stated in the
Javanicus Caresheet: It could be something as simple as Your kid(s) or 150lbs
Rottweiler bouncing around on the wood floor, or the Thumping from Your too cool
Home Entertainment System. White Spot Fungus is just an indicator that let's You
know that the snake is stressing about something. But it can kill
Your snake--if You don't do Your Job.
This Information is offered on the Acrochordus
javanicus and Acrochordus arafurae Filesnakes as is. This Information
is not offered in reference to any snakes other than the Acrochordus
javanicus and Acrochordus arafurae Filesnakes and even so:
use at You Own Risk!
Additionally, this caresheet is obviously based upon admittedly limited
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acrochordus.com/whitespot.htm"}
|
f92598ed-3cab-474b-95ba-99b387a77d01
|
javanicus and Acrochordus arafurae Filesnakes and even so:
use at You Own Risk!
Additionally, this caresheet is obviously based upon admittedly limited
experience! It is not intend to be a recipe of do this, do this, do this---Bam!
You have a cake. It's intent is to offer more of a conceptual understanding of
these fascinating creatures and their apparent needs both in the wild and in
|
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] |
{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acrochordus.com/whitespot.htm"}
|
757a6be3-f899-4341-8906-201920f33c88
|
Society of Consumer Protection S.O.S. Poprad from Slovakia is organisation fighting for straitening citizen, consumer and patients´ rights.
In order to make basic European rules of consumer and patients ´protection more accessible to blind and purblind people Society of Consumer Protection S.O.S. Poprad has published in cooperation with Slovak Library for Purblind People first Consumer Protection Dictionary in Braille. This unique publication is now available in thirty libraries and eleven regional branches of Union of Blind and Partially Sighted Slovakia.
This would be the wished outcome of a project fulfilled by a joint venture of Pain Alliance Europe (PAE), Active Citizen Network (ACN) and Grünenthal. A project designed to show the community how chronic pain patients experience the help they receive for the government and the healthcare professionals. But it is more than this.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://activecitizenship.net/network-news.html"}
|
e779c4b0-e601-438b-b7c3-dc6e8289d875
|
After the presentation to the Senate of our dossier in terms of fuel poverty, "Energy and chronically ill", made with Acquirente Unico, the Authority for Electricity and Gas has shown not only to be able to act very quickly on important issues, but also to carefully consider the "civic" information produced by the associations.
- FUTURE ACTIVE CITIZENS: VOLUNTEERING AS AN EXERCISE OF DEMOCRACY
- The patients’ involvement on Health policies in Europe: the citizens voice in Cancer Care decision making process
- PAIN PATIENT PATHWAY RECOMMENDATIONS
- Summer School for civic leader in HTA: the Italian experience
- The Engagement of Cittadinanzattiva in the Fight against Useless Pain
- Programme - 6th European Patients' Rights Day
- 6th EUROPEAN PATIENT'S RIGHTS DAY
- 5th EUROPEAN PATIENTS’ RIGHTS DAY
- 4th EUROPEAN PATIENTS’ RIGHTS DAY
- 3rd EUROPEAN PATIENTS’ RIGHTS DAY
- 2nd EUROPEAN PATIENTS’ RIGHTS DAY
- 1st EUROPEAN PATIENTS’ RIGHTS DAY
- ASSESSING PATIENTS' RIGHTS IN EUROPE
|
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{"data_source": "http://activecitizenship.net/network-news.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
550c8ef0-1b5d-4b13-a034-e902e912a700
|
- 4th EUROPEAN PATIENTS’ RIGHTS DAY
- 3rd EUROPEAN PATIENTS’ RIGHTS DAY
- 2nd EUROPEAN PATIENTS’ RIGHTS DAY
- 1st EUROPEAN PATIENTS’ RIGHTS DAY
- ASSESSING PATIENTS' RIGHTS IN EUROPE
- MONITORING PATIENTS' RIGHTS IN EUROPE
- EUROPEN CHARTER OF PATIENTS' RIGHTS
Read all >
|
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{"data_source": "http://activecitizenship.net/network-news.html", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
3380faa2-46d6-4266-92f1-58d50d9d1222
|
Groups are smaller communities within the larger ActiveRain. Join groups created by others. or start your own and
get others to join
This is the place to view the past and present contests put on by ActiveRain and its members. Everyone can join the
group and help encourage each other. Current contest will be highlighted posts so it's easy for you all to see. Let it
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Leave a review yourself for others to benefit from
Add new products as you use them and gain points for doing so
ActiveRain University (ARU) provides free on-line training. We coach, consult and support real estate professionals about real estate trends, technology and social media.
|
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{"data_source": "http://activerain.com/fcarver", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
affa4ccb-b92c-4b18-8f5a-7d1d66407201
|
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{"data_source": "http://activerain.com/fcarver", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
372bde21-5104-44c6-822a-b703153db732
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://activerain.com/fcarver"}
|
2576b575-8b8a-4c15-9bd2-ded97dd9f541
|
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|
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{"data_source": "http://activerain.com/fcarver", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
3509bf09-ebb9-459f-b922-3e13cfeb5444
|
A very high achiever who settles for nothing less than the best, Fred has excelled in selling all types of real estate throughout Victoria, from bare land and acreages to new and existing homes, and prime luxury and waterfront properties.He also has expertise locating and selling land for condominium projects in which he’s involved from start to finish, as well as new and existing apartment buildings in Victoria, Oak Bay, James Bay, Fairfield, Rockland, Saanich and the West Shore.
This native Victorian, a rare breed in his field, possesses an unparalleled understanding of his market, which he considers “Canada’s Best Kept Secret.”Fred maintains a wealth of knowledge, resources and connections that help streamline deals and ensure that the job always gets done right.
|
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{"data_source": "http://activerain.com/fcarver", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
e2510b5d-6180-4f36-a84b-259ab8345954
|
Whether you are looking to buy or sell a home in the Greater Victoria area, with Fred on your side you’ll always enjoy a win-win situation thanks to his eye for value, thorough service, proven marketing, and no-nonsense negotiating.
It’s no wonder that Fred is rewarded with 100% referrals – because he gives back 100% to pleasing all his clients.“As my client you’ll receive my undivided attention when it comes to providing the level of service you deserve, and tending to each detail so your transaction closes smoothly.”
In the course of his career, Fred has served on many committees on the Victoria Real Estate Board. Fred sat on the MLS Committee’s sub-committee to develop a NEW Live Open House website for consumers in Victoria and beyond.Fred is also a founding member of the original IC&I Division of the Victoria Real Estate Board, now known as the Commercial Division.
Yes, experience counts, so call the professional who puts his experience to work for you –
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://activerain.com/fcarver"}
|
92d3153f-6d80-4767-8d11-525318ca57a8
|
Yes, experience counts, so call the professional who puts his experience to work for you –
Call Fred CarverDirect 250-598-2963. Toll-Free 1-800-663-2121.
Fred is a high achiever and settles for nothing less than selling your home fast and for the right price and believes in a win-win relationship!
Fred is also a past member of the Oak Bay Lions Club and has held many positions, including President.
If you're serious about selling your Victoria home or property , meet with Fred. He is a true real estate professional interested in getting your property sold fast and for the most amount of money! Fred has been an award winner many times and uses his vast experience to consult his clients on buying and selling real estate in Victoria. After all these years, Fred does what he has done most of his life...sell real estate successfully, honestly and effectively.
|
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{"data_source": "http://activerain.com/fcarver", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
a8b11f2f-c3ea-40b2-97ed-535b03cb213f
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In this rapidly changing world of computers and technology, we have found that positive thinking continuous education, teamwork and adaptability are the keys to providing excellent customer service and success in this decade.
Our vision is to be the Real Estate company of choice for a new generation of professional real estate agents and owners.
Our belief is real estate buying and selling to the public is best served when the real estate industry is viewed as a local service business driven by individual real estate agents...such as a Victoria Realtor like Fred.....
100% Referral... means,
A 100% of my time and energies to servicing my clients.While most agents are spending the vast majority of time, energy and money seeking new clients and promoting themselves to the general public, I approach my business differently. You will receive my undivided attention to providing you with the level of service and attention to detail you have come to expect from me.
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://activerain.com/fcarver"}
|
a21af83b-12a6-40cb-9a44-3ea333c0b74b
|
What that means to you is the highest level of service from me. And in response to this I require your heartfelt endorsement of family, friends, and work associates who would appreciate being served by a Re/Max Camosun Realtor whose commitment to them is for life.
Our Victoria Real Estate Services
Fred Carver Associate Brokerwith Re/Max Camosun Accredited Consultant in Real Estate® 40 years selling all aspects of residential real estate throughout Greater Victoria, including commercial real estate selling apartment buildings and land assembly's for projects.
Fred has served on many committees on the Victoria Real Estate Board and the MLS Committee's Sub committee to develop a NEW Live Open House web site for Consumers in Victoria and beyond.
Fred is a founding member of the original IC&I Division of the Victoria Real Estate Board, now known as the Commercial Divison.
|
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{"data_source": "http://activerain.com/fcarver", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
4789cfa4-be88-4679-af0d-816da4686b87
|
Fred is a founding member of the original IC&I Division of the Victoria Real Estate Board, now known as the Commercial Divison.
Fred has a passion helping his clients sell and buy the right victoria home or property to meet their needs. If it is important to a client, Fred makes sure it happens and is focused on making the business of buying and selling a home or property a plesant and success transaction for everyone.
Experience does count, use an agent that can Sell your home with a proven marketing program that works!
Disclaimer: ActiveRain Corp. does not necessarily endorse the real estate agents, loan officers and brokers listed on this site. These real estate profiles, blogs and blog entries are provided here as a courtesy to our visitors to help them make an informed decision when buying or selling a house. ActiveRain Corp. takes no responsibility for the content in these profiles, that are written by the members of this community.
|
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{"data_source": "http://activerain.com/fcarver", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
f4b8779a-58cc-4570-a4f5-20bbec18ddbd
|
Are your communication skills
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achieving your goals?
Welcome! If you are checking out this website it is probably because you want to make a change in some aspect of your business or personal life. Are you dissatisfied with your communication skills and the impact it has been having on your relationships? Do you love your job, but your personal life is non-existent? Are you good at setting goals but have difficulty taking action? Do you want to manage life transitions with greater ease and develop positive business and personal relationships?
Whatever your challenge “Actualize Your Goals” is dedicated to helping you live the life you desire through expanding your communication skills, developing positive business and personal relationships and creating more life balance. We work collaboratively to overcome obstacles, eliminate negativity, develop solutions and move forward in the direction YOU want to go.
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://actualizeyourgoals.com/home/"}
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2b1a9e84-207c-4030-a84d-3f5eb8f8c6bc
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Why remain static? Executive and Life Coaching helps you discover what’s missing or what may be overloading you. Together we create the environments which support and nurture you. Using the Peoplemap™ system you will identify your personality type, your strengths and weaknesses, what you need from others and how to communicate more effectively. It is a tremendous tool for solving problems, expanding and improving relationships, becoming more adept at your job and creating a system for achieving your goals.
Contact me today and let’s take that first step!
Gail was very helpful in terms of validating my experience and increasing my hope and desire to move forward with my chosen goal area. She was particularly helpful in terms of clarifying my own thinking, promoting and encouraging the development of realistic plan and respecting my own pace with this process.
~ Roberta F., Self-Employed
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{"data_source": "http://actualizeyourgoals.com/home/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
92b1484a-c761-4225-a05a-4ebdbe201cdc
|
Does Turkey offer a model that the Mideast can emulate? avril 13, 2012Posted by Acturca in Moyen Orient, Turquie.
Tags: AKP, Arab Spring, foreign policy, Middle East, Neo-Ottomanism, Nora Fisher Onar, Turkey, Turquie
The Daily Star (Lebanon) April 13, 2012, p. 7 Türkçe
By Nora Fisher Onar *
Turkey is often touted as an inspiration for the countries of the rest of the Middle East – a characterization it accepts and pursues. In recent years, Turkish policymakers have worked hard to establish “Turkey Inc.” as the model of a relatively free, stable and increasingly prosperous Muslim-majority country with great economic and foreign policy leverage. But what does the Turkish experience actually represent for the states of the Arab Middle East? How convincing is Turkey, Inc. – and as a model can it really be emulated?
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/"}
|
7833aedb-877b-476f-8997-8e7e09b49da7
|
Perhaps the most attention has been paid to the free and fair rise to power of Turkey’s Justice and Development Party (AKP), which Islamist movements in Egypt, Tunisia, Morocco and Syria have heralded as a symbol of Muslim majoritarian democracy – even explicitly referencing it in the names and platforms of their own parties, movements and factions. To both domestic and international observers, this might signal that, like the AKP in Turkey, Islamist parties elsewhere do not seek to dismantle their states’ secular framework – at least for the time being.
|
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{"data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
29406631-099a-4092-839c-881e1c36c711
|
But in spite of its appeal to both traditional Islamists and “post-Islamists” – that is, those who fully reconcile their particular politico-religious commitments with globalization – the Turkish formula may not be replicable. Civil-military relations in Turkey have undergone a double-sided transformation over recent decades. As a consequence of the intermittent censure by the army, political Islamists had to moderate their demands and practices; simultaneously, the Turkish army – accustomed to the barracks and aware that interference in government hurt Turkey’s international standing – increasingly relied on civilian allies to pursue its agenda vis-à-vis the AKP.
|
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{"data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
bbd93020-b7ba-4d24-aa8c-30763c3e7361
|
Eventually, the military relinquished control of crucial institutions (such as the National Security Council), and the final showdown over control of the presidency in 2007 was fought not with bullets and tanks, but with Web declarations, public rallies and court cases. A similar tipping point regarding civilian control of the state is hardly a foregone conclusion in countries still under transition, where national militaries continue to exert a dominant presence in political life.
Other countries in the Middle East also lack the trajectory that Turkey has followed with regard to its economic development. This is particularly true of the export-driven rise of the middle class that has been experienced by religious constituencies across the Anatolian periphery. Such a trend has underpinned the AKP’s moderation, political success and interregional presence. Indeed, Turkey’s recent economic trajectory is a central component of its appeal in the Arab world.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/"}
|
5dd43e9a-e9a2-4c81-98a3-f9146bef178e
|
Over the past decade, Turkey has tripled its Gross Domestic Product and – excluding a dip to minus-4 percent real growth in 2009 – has managed to ride out the global economic crisis with relative equanimity. Commentators have argued that Turkey may be part of a second tier of rising economic powers (alongside such countries as South Korea, Mexico and Indonesia) that is hot on the heels of the Big Four (Brazil, Russia, India and China).
This holds two implications: On a symbolic level, the Turkish experience (along with that of Indonesia and Malaysia) has dramatically undermined theories of Islam’s incompatibility with modernization, especially in the arena of economic governance. More tangibly, over the past decade Turkey has actively sought out partners for sustainable trade-driven growth in a region that has been long addled by the heady cocktail of oil wealth and chronic underdevelopment.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/"}
|
1cf05574-d3da-473d-a0ef-c8d9673271d1
|
Although economic partnerships were in no way guided by Turkish concerns for democratic governance – a reality that was attested to by Turkey’s once cozy ties with authoritarian leaders – they have had unintended consequences with positive implications for political reform. For example, the influx of cheaper, better quality Turkish goods in Syrian markets may have undermined a backbone of President Bashar Assad’s regime: namely the interests of the regime’s business cronies.
To understand the parameters of Turkey’s role in the region, we should also acknowledge the sensitivities that have arisen from the Ottoman legacy. Some believe that Ankara seeks to reclaim its historical leadership of the Middle East, the Caucasus and the Balkans, something that can rub interlocutors the wrong way. Hence, Turkish foreign policymakers’ reluctance to employ Ottomanist frames of reference.
|
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{"data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
f3137949-0bc6-458b-8fa8-98d1b10ba05c
|
However, at the domestic social level in Turkey, there remains a growing receptiveness to self-depiction as the benign heir to the Ottoman Empire. This is evident in the proliferation of cultural commodities that employ Ottoman referents. That is the case of the recent record-grossing film “Conquest 1453,” about what Western historiography calls the “fall” of Constantinople. In the film, Mehmet the Conqueror – played by an actor who bears a remarkable resemblance to a young Recep Tayyip Erdogan – is shown to be a forceful and compassionate protector of Muslims and Christians alike (though there is no mention in the film of Jews). The image of Turkey as a “big brother” to downtrodden Muslims in such places as Palestine, Nagorno-Karabakh, Kosovo, and Bosnia-Herzegovina – characterizes an emerging “neo-Ottomanist” national image that seems to drive Turkish aspirations of regional leadership within the country and amplify Erdogan’s profile abroad. Whether this is a matter of hubris or of
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/"}
|
43b4b6b6-5a8d-45db-9e98-a27c9f6e54fd
|
“neo-Ottomanist” national image that seems to drive Turkish aspirations of regional leadership within the country and amplify Erdogan’s profile abroad. Whether this is a matter of hubris or of genuine capacity remains to be seen.
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/"}
|
13624f28-9f5a-4b76-b229-e1789f601020
|
A final component that is crucial for evaluating Turkey’s example is that the country has yet to develop a framework for meaningful multiethnic, multisectarian co-habitation. Mounting violence on the part of militant Kurds and the Turkish state’s heavy-handed response has fueled hostility between ordinary citizens.
For instance, recent court rulings suggest that vigilante terror toward prominent members of the Armenian and Alevi communities is permissible and will go unpunished. Disturbing numbers of journalists, scholars, and students who have expressed critical views on these fronts have been jailed. There is also deep concern in constituencies that embrace secular lifestyles that recent reforms in fields such as education will yield an ever more restricted Turkish society.
|
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{"data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
242cf3bc-2f0b-497e-af37-79f7294c5495
|
Given the need to put its own house in order and the fact that inter-communal tensions across the Middle East are likely to become worse before becoming better, Turkey’s AKP government must take very seriously its mandate to write a new and inclusive Constitution. In the longer tem, Turkey must confront the standing challenge of the region – learning to live together despite differences – a challenge which also happens to be Turkey’s own.
|
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{"data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
0601a986-d3ee-43e7-a7ba-a83f2d27959e
|
At the end of the day, the export of Turkey, Inc. needs stable and predictable conditions in which trade and investment can thrive; hence, the commitment to the “zero problems” policy that Turkey employed with neighbors in its economic and foreign agendas over the past decade. Due to last year’s upheavals in the Arab world, however, this policy is unsustainable. Once well-placed to broker a dialogue between Iran and Israel, Turkey is now more alienated from both countries than before as the two nemeses lock horns in what Graham Allison has called the “Cuban missile crisis in slow motion.”
|
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{"source": "dataset:HuggingFaceFW/fineweb/train", "data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/"}
|
fe447cbf-a2fa-4c5d-9658-eb23cc14feae
|
Should Israeli-Iranian antagonism spill over into war, the delicate balance in Iraq may unravel into protracted sectarian and ethnic conflict, just as Syria’s brewing civil war may spill over into neighboring Lebanon. But even without an Israeli-Iranian showdown and an intensified conflagration in Iraq and Syria, Turkey’s Kurdish question is, quite literally, kindling awaiting a flame, as attested to by recent clashes during Nevruz, or Nowruz, celebrations. All of this suggests that Turkey’s aspirations to regional leadership are tactically dependent on forestalling an Iranian-Israeli showdown – an end to which it should leverage all its diminished diplomatic capital in the two countries and in partnership with the United States.
|
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{"data_source": "http://acturca.wordpress.com/2012/04/13/turkey-model-mideast/", "source": "dataset:HuggingFaceFW/fineweb/train"}
|
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