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(The Conversation) – Modern medicine is remarkable.

Conditions like HIV/AIDS and hepatitis C were once virtual death sentences. Both can now be treated easily and effectively.

But for Americans, the wonders of modern medicine come at a steep cost: Total U.S. health spending exceeded US$4.1 trillion in 2020, or $12,000 per person. How those trillions of dollars are spent can seem like a mystery.

The biggest portion of that – hospital care, which makes up 31% of total spending – is now subject to transparency rules that are supposed to make it easier for patients to understand what their treatments cost. But so far hospitals’ compliance has been minimal.

Things are both more transparent and murkier when it comes to the second-biggest chunk of America’s annual medical bill: payments to physicians and for clinical services, which account for 20% of total health care spending, or $810 billion. How much a patient is charged for a hip replacement or a flu shot is the result of a highly technical process involving secretive committee meetings, doctor surveys and federal regulations.

A few decades ago, the federal government developed a seemingly scientific approach to solve these questions. As an expert on health care policy, I’ve learned that the formula is simple. But coming up with numbers for that formula is far more complex.

Physician free-for-all

For the longest time, the federal government tried its best to stay out of the examination room. By and large, medical care was a private endeavor, and physicians and other providers charged what they wanted – or what they thought patients could pay.

Then, in 1965, Congress established Medicare and Medicaid, which are federal programs that provide health insurance for the elderly and poor, respectively. Practically overnight, they turned the government into the largest spender on health care. That meant the Johnson administration had to figure out how to compensate physicians who had long been opposed to government involvement in health care and derided it as “socialized medicine.”

To minimize opposition, an agreement was forged that seemed innocuous enough: Physicians would be allowed to charge Medicare “customary, prevailing and reasonable fees,” and the federal government would not question them.

Yet the inflationary nature of this approach became quickly apparent as many physicians happily took the federal government up on this offer. Doctors often charged Medicare two to four times more than what they charged commercial insurers. The need for changes seemed inevitable.

A new payment system

It took another two decades to create a more evidence-based approach that relied less on a doctor’s discretion and aimed to rein in spending.

After a comprehensive study conducted by Harvard researchers and the American Medical Association, the federal government developed a framework that paid providers based on the resources and skills required for various treatments. The formula, which its creators dubbed the resource-based relative value scale, includes three steps to calculate how much money a physician could charge for a procedure.

First, you have the “relative value unit” for each procedure, which in turn is divided into three components. The main part is a physician’s actual labor. To determine that, the researchers used physician surveys as well as historical payment data to determine how much time, effort and skill each of thousands of medical procedures required. Higher values are assigned to more resource-intensive procedures, such as placing a catheter – 6.29 relative value units – and lower values to procedures requiring fewer, like administering a COVID-19 shot – a fifth of a unit.

The Centers for Medicare and Medicaid Services has an updated list of relative value units for every procedure imaginable, from an allergy skin test that requires puncturing the skin, which has one of the lowest values, at 0.01 unit, to the repair of a diaphragm hernia, which is the most expensive one listed, at 108.91 units.

The other two components are for general expenses, such as rent and medical equipment, and malpractice insurance. They are also determined by a similar process involving the cost of resources.

The next step involves adjusting these relative value units for local cost differences. The government developed three geographic cost indexes for each component. These figures are multiplied by their corresponding component to get a relative value unit total for that category. These are updated regularly by the Centers for Medicare and Medicaid Services. Some states have one set of indexes for all cities, while others such as California have several.

Finally, to obtain a dollar value for a medical procedure, the location-adjusted relative value units for each category are added together and multiplied by what is known as a conversion factor to get a dollar amount. The figure is the same across the country and is updated annually, with slight changes from year to year. For 2022, this was set at $34.61.

And voila: You have the prices you’ll pay for thousands of medical procedures.

To give you an example of how this all fits together, imagine you had a 20- to 29-minute appointment with your doctor, known as an outpatient visit. If you live in Alabama, your cost would be $86.90. The physician arrives at that figure by multiplying the relative value units for each component by their geographic index, then converting the sum of 2.51 units times the conversion factor of $34.61. That same visit would cost $118.36 in Alaska and $107.99 in San Francisco.

Problems with the process

While on the whole I believe the current system represents an important step toward developing a more evidence-based approach to physician payments, it’s not without its problems.

One is how physicians themselves dominate the process, mostly owing to its highly technical nature.

committee made up of 32 physicians from different specialties from around the country meets multiple times a year and votes on recommended changes to the fees physicians are paid. While in theory these fees are set by federal regulators, in virtually all cases regulators accept the committee’s recommendations.

That means a handful of physicians are essentially deciding how the U.S. spends hundreds of billions of dollars annually. Besides potentially having their own personal and specialty interests to pursue, they may also lack the expertise and skills to judge the effectiveness or value of certain treatments over others. There is evidence that relative value units often do not adequately reflect the resources required for many procedures. And the overall process is highly opaque.

Last, the current approach mostly focuses on physician effort and not patient outcomes. This puts it in stark contrast to various efforts to implement pay-for-performance in health care.

Given the state of hyperpartisanship in Washington, D.C., and beyond, I believe it’s unlikely there’ll be any dramatic changes to the system any time soon. But incremental changes are possible and could make a meaningful difference – for example, by expanding the role of primary care physicians on the committee and by extending membership beyond physicians.


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HousingVancouver home to Canada's top two priciest neighbourhoods

Vancouver home to Canada’s top two priciest neighbourhoods

Related stories

Six single-family lots on West 41st to become 88 new homes

The development, known as The Bromley, will consist of two, four-storey wood frame buildings on West 41st Avenue and two townhouse blocks on the laneway, with a landscaped courtyard in between them.

47-storey Burrard & Davie tower one step closer

Prima Properties is moving forward with plans for a 47-storey, mixed-use tower at the corner of Davie and Burrard in Vancouver’s West End.

Reliance adds hotel rooms to workforce housing tower in bid for city approval

The CEO of Reliance Properties continues to push the City of Vancouver to relax its policy prohibiting residential development in the CBD.

Vancouver retail vacancy rates hit ‘extreme lows’

Despite taking a battering during the height of the COVID-19 pandemic, Vancouver retail vacancies are at extreme lows according to a new report from Colliers International.

Office space planned atop former Hollywood North on Seymour Street

A mid-block heritage building on Seymour Street in downtown Vancouver, most recently known as the Hollywood North building, will be restored and redeveloped by Bene Group, with a design by Arno Matis Architecture.

A new survey by CENTURY 21 has found that two of Canada’s top three most expensive neighbourhoods — calculated by price-per-square foot — are in Vancouver.

The nationwide study found that Vancouver’s posh westside was the priciest neighbourhood in the country, at $1,201 PPSF (price per square foot), with Vancouver Downtown coming in second at $962.75 PPSF, followed by Toronto Downtown at $818.86 PPSF.

It’s hardly news to anyone looking for a place in the Lower Mainland, but in reality, prices per square foot are even higher, with many recent presale condominium projects in downtown Vancouver selling for between $1,500-$2,000 PPSF.

To calculate the price-per-square-foot, CENTURY 21 franchisees were asked to help come up with the average price-per-square-foot in their market, and tracked average square footage in sales from January 1 to June 30, 2017.

Real estate markets across British Columbia

Average price-per-square foot

BC Most Expensive Real Estate markets
A look at several B.C. real estate markets. The percentages represent price growth since 1997. Credit: CENTURY 21 Canada

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  1. these numbers should not represent accurate ppsf values for single family houses in any region for the following reasons:

    -lot size is not represented here
    -building age and size is not represented

    This is important for a few reasons:

    -if you have a massive west side lot, and a 100 year old building on it that hasn’t been touched, the vast majority of this lot will be in land value. So to say that this house is $1,200 psf is very misleading, because the house is effectively worth zero.

    for condos, the century 21 analysis would work better (and is widely used by the industry). everyone can easily take the sale price of a condo and divide by the square footage. from the ppsf value, you can then make comments on:

    -the area
    -if the building was make of concrete or wood
    -if your condo has views (20th floor condo should be more expensive than one on the 10th, with everything being similar)
    -age of the building
    -amenities available in the building

    this is where the century 21 analysis falls short. you cannot simply divide the sale price of a house sitting on a piece of land by the size of the home. a home with a finished basement will be more than one without (with all other characteristics being the same). did century 21 study this?

    typically, to value a new single family house, you would:

    -calculate the lot value (which on the west side would be $2m+ for a 33 foot wide lot x 122)

    -estimate the price it would cost to build a house, which these days would probably start at around $300 psf.

    -so for a 4,026 sf lot (33 x 122 sf, which is one of the most typical lot sizes in Vancouver), to build a 2,400 sf house (which is typically what is allowable in an RS-1 zoned lot or 0.6 floor space ratio), that structure should cost you around $720,000.00 (before GST).

    -so this is how we get our value: lot price + building cost

    -in this scenario, this west side house should cost: $2,000,000 + $720,000 = $2,720,000.

    -then when the developer goes to list the house, they would probably tack on at least 15% to this total cost, and then the realtor’s fee.

    if I worked for century 21 and wanted to redo their PPSF analysis, I would:

    -calculate land lot values only for each region (which is straightforward and can be found by sales data and assume if the house was a tear down or not). so this is just to calculate the land values. because lot sizes will vary in many different ways (exposure, size), we would just have to make assumptions and figure out the lot value for the most abundant sized lot, which in Vancouver would be 33 x 122 feet

    -then I would find the sales data for home sales (land with the house) and divide into different age categories: lets say 5, 10, 25, 40+ years. again, house sizes will vary depending on many things, but we may be able to find out what the the ‘average’ house size and price would be if we were to make other assumptions. maybe we could find a correlation between 2,000 sf house sizes and 5,000 sf sizes..

    -so we would have two figures:

    -average land lot value (A)
    -‘corrected’ average building size and the price (using assumptions)

    -once you make these corrections and adjustments, you would get a more accurate PPSF, and you could divided it into different age categories

    What I think was done here, is that century 21 simply took each sale price, and divided it by the building size, which doesn’t make sense.

    there are condos in coal harbour that cost over $2,000 psf. so if you compare this to a west side home from century 21’s analysis at $1,200 psf, does that mean that we should all consider a west side home a bargain comparatively speaking? no..

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Delegation played a part in this issue

  3 Download     📄   2 Pages / 499 Words

Reflect on what you observed in the video as you answer the following:

  1. Based on what you observed, what leadership skills should you, as Masaya’s preceptor, model for your fellow coworkers to promote his acceptance into the work-group or team.
  2. Does incivility seem to be an issue in the scenario?
  3. Describe any common themes you discovered among the article, the video and the Civility Index
  4. Do you think delegation played a part in this issue.

As Masaya’s preceptor, off the bat, I would advocate for his acceptance and comfort in the workplace. I would make sure to introduce him to all of our coworkers and make sure he was being treated with respect and kindness. I would also make sure to ask him about his background and learn as much about his culture as possible. The coworkers relentlessly trying to set Masaya up on dates with the knowledge he is married is extremely inappropriate in any workplace situation, let alone with a new coworker who is clearly against the idea. If I was continuously witnessing Masaya not being treated with the kindness and respect he deserved, I would have no choice but to escalate it to management. “Furthermore, nurses are expected to express their concern to the per-sons observed with the question-able practice and, if needed to resolve the situation, direct their concern to an administrator” (Lachman, p.40, 2015). “Nurse-to-nurse workplace incivility (WI) continues to hamper professional nursing practice, patient care, and the overall health of nurses who encounter this phenomenon in their workplace” (Khadjehturian, p. 638, 2012). I believe that incivility, or a lack of respect for others, is very apparent in this situation. Masaya’s coworkers are blatantly disrespecting his culture, and his wishes. Masaya made it apparent that the issues he brought up were truly making him uncomfortable, and it is not fair at all for any coworker to ever feel that way in the workplace. The article, video and worksheet all give a good insight into incivility in the nursing workplace. Yes, I think that delegation absolutely played a part in this issue. In my opinion, the preceptor who was chosen for Masaya wasn’t the best fit. Someone with a stronger authority or ability to address issues right as they occurred would have been a better fit for someone with from a diverse background.

Khadjehturian, R. E. (2012). Stopping the Culture of Workplace Incivility in Nursing. Clinical Journal of Oncology Nursing, 16(6), 638–639.

Lachman, V. D. (2015). Ethical Issues in the Disruptive Behaviors of Incivility, Bullying, And Horizontal/Lateral Violence. Urologic Nursing, 35(1), 39–42. Retrieved from

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Pakistani women demand more Islamic rights

PressTV 12 views

"Not on my name anymore", the chant that echoed across Karachi against what many women in Pakistan call the West-funded and defined feminism in their country. These black-clad Muslim women are on the streets of Karachi to demand their Islamic-rights in the face of distorted definition of freedom, disseminated from the West.

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Captain shares love of cooking with fellow Soldiers during public affairs training
Capt. Long Pham, a training and readiness public affairs officer with U.S. Army Reserve Command, cracks an egg for a creme brulee dessert in a tactical operations center at Fort McCoy, Wisconsin, July 20, 2019. (U.S. Army Reserve photo by Sgt. David Graves)


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NEWS | Nov. 1, 2019

Third time's a charm: Twin brothers deploy together again

By Spc. Dakota Vanidestine 103rd Sustainment Command (Expeditionary)

From working at McDonalds to attending Army Junior Reserve Officer Training Corps (JROTC) to serving more than 18 years each in the U.S. Army Reserve – identical twin master sergeants are mobilized together for the third time.

Master Sgt. Bryant Howard and his identical twin brother, Master Sgt. Joseph Howard, motor transport operators, 450th Movement Control Battalion (MCB), are currently deployed together to Kuwait – marking the third time they have deployed together.

Bryant decided to join first.

“I was in high school, (and) I was also working at McDonalds, and my mom called me lazy.” he said. “I figured I wasn’t, so I was going to get her mad and join the Army.”

For Joseph, the decision to join the Army was much easier after he found out that his brother was joining.

“I tried joining the National Guard. The recruiter didn’t take me seriously.” Joseph said. “I was going to back out, then I found out my brother was joining the Reserve, so I went ahead and joined too.”

Once their decision to join was finalized, Bryant and Joseph needed to pass through Military Entrance Processing Stations (MEPS) before leaving for basic training.

“We were still in high school, just turned 18. We were trying to get on the battle buddy system, but something happened at MEPS and Bryant wasn’t able to join the same time I did.” Joseph said. “He had to go back four months later. Because of that, they couldn’t get us to Basic (Training) together, even though we went at the same time. I went to Fort Jackson; he went to Fort Sill.”

Although the buddy system was not possible for Basic Training, the brothers were reunited at Advanced Individual Training (AIT).

“We did go to AIT together at Fort Leonard Wood though. It took the drill sergeants a month to realize there was twins in the unit. They threw a fit because they thought we were just one super high-speed person” Joseph said.

Confusion on the brothers’ identities, like at AIT, has allowed them to play pranks all of their life.

“Our last day of high school, we switched classes.” Bryant said. “We had a different style uniforms in school – I had a pullover, and he had a button up shirt. Joseph’s teacher could tell us apart, even though she didn’t know me – but my teacher didn’t recognize him.”

After high school, the military was not the only time that Bryant and Joseph’s paths have crossed.

“We both worked at one time at Direct TV” Joseph said. “Also, we both had some sort of experience in law enforcement. I became a police officer, he worked in a jail – he was a corrections officer. The weird part about that was if I dropped somebody off at jail, they might run into him and think he was me. We don’t necessarily try to follow each other – that’s just the way things happen. It really is a small world.”

Even today their civilian careers have brought them not only to the same state, but the same location.

“Now we're both MILTECHs. Joseph works in the RPAC (Reserve Personnel Action Center), and I work for a unit” Bryant said.

“We actually work in the same building – two different units. I work for the 88th Readiness Division, he works for the 383rd Military Intelligence Battalion” Joseph added.

When Bryant and Joseph heard about an opportunity to deploy together with the 450th MCB, they took full advantage.

“We deployed together in 2003 and 2009 to Iraq” Bryant said.

“He deployed to Afghanistan at the end of 2013, and I deployed there in the beginning of 2014 – so we were actually at the same place” Joseph added. “Our older brother actually deployed with me.”

Currently, Bryant is the Trans Arabian Network Noncommissioned Officer in Charge (NCOIC).

“I am the NCOIC over all the movement within Kuwait, Jordan, Oman, and the surrounding locations.” Bryant said.

While Joseph serves as the S-3 (operations) NCOIC by taking care of “the personnel, administrative, and operational aspects.”

Once this deployment is complete, the brothers may finally part ways. Joseph is considering retirement from the Reserve.

“I do want to hit my 20 year mark.” Joseph said. “It’s really hard to keep up with the changing Army – the trends and everything. Depending on what happens when I get to the States, I may stick it out longer, or I may get out.”

“I’m just going to stay in until I can’t stand it anymore” Bryant added.

Together, Bryant and Joseph have dedicated over 37 years of service to the U.S. Army Reserve – both wearing the rank of master sergeant and have seven combined deployments to show for it.


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USCRA’S 2022 Annual Convention

October 7-10, 2022
Jacquard Hotel, Denver, CO

(Registration closes September 29, 5:00 PM CDT)
Board Meeting:
Friday, October 7, 2022, 9:00 a.m. in the Chanel Room

The Jacquard Hotel is located in the Cherry Creek area of Denver where you can
enjoy shopping and restaurants within walking distance of the hotel. See details below.

The Jacquard Hotel room rate is $179 per night plus taxes and fees.

Jacquard Hotel
222 Milwaukee Street
Denver, Colorado
(303) 515-2000
Click here to reserve your room.

About the Hotel
The Jacquard Hotel is a Marriott Autograph Collection® hotel located in Denver’s
Cherry Creek neighborhood. The hotel is named for French inventor Joseph Marie
Jacquard, who played an important role in the development of the earliest
programmable loom, known as the Jacquard loom, which led to the development
of other programmable machines, including early versions of a digital compiler
used by IBM to develop the modern-day computer.

You will enjoy walking through the tree-lined streets of boutiques, galleries, and
restaurants located just 15 minutes from downtown Denver. You can also choose
to dine in at Narrative, the Jacquard’s signature restaurant. Your stay won’t be
complete without a visit to take in the panoramic views of Denver from Kisbee on
the Roof, Jacquard’s rooftop patio and bar.

About the Neighborhood
Cherry Creek North is a premier outdoor destination in Denver. There are 16
charming blocks of retail, dining, art, spas, and salons. The neighborhood is also
home to the Cherry Creek Shopping Center, which houses 160 stores. The 22-mile
Cherry Creek Bike Path connects you to downtown and beyond, so you can get out
and enjoy the Mile High City.

The room block is made up of standard king rooms for $179 plus tax per night.
Reservations may be made by using the link on the USCRA website at You can also call the Jacquard central reservations department at
(844)598-6667 or call the hotel directly at (303)515-2000. Attendees should
identify themselves as members of USCRA attending the convention in order to
receive the convention rate. If you would like to request a room with queen beds,
you will need to call the hotel. In order for attendees to receive the USCRA room
rate, reservations must be received no later than 09/15/2022.

Check-in time is 3:00 p.m. Guests arriving before 3:00 p.m. will be accommodated
as rooms become available. Checkout time is 11:00 a.m.

Hotel parking is currently $49 overnight but will be discounted to $35 for the
USCRA group. Day parking for the event is $15. If you make your reservation
online, you will automatically be charged the $49 overnight rate. The reduced rate
will need to be requested in person. There are also nearby parking garages

The Denver International Airport is less than 25 miles from the hotel.

Friday – October 7, 2022

9:00 a.m. Board Meeting in the Chanel Room

4:30 – 5:00 The Honorable John R. Tunheim Realtime Speed Contest
(Minimum of four contestants required.)

5:00 – 6:00 FOCR Trivia
Start the weekend off with some fun and join hosts Laura Robinson and Nikki Peters for an exciting and competitive evening of trivia. (.1 CEU)

Saturday – October 8, 2022

7:30 – 9:00 FCRR Examination

9:00 – 11:00 Managing Multidistrict Litigation: Katherine Cornell and Tom Pirtle,
Pulaski Kherkher, PLLC, Houston, Texas.

Katherine and Tom will speak about their experience as trial lawyers in multidistrict litigation. Throughout their careers, they have been involved in several MDLs, including, most recently, the 3M Combat Arms Earplug litigation with over 280,000 claims pending in the Northern District of Florida. Katherine and Tom will explain the nuances of the trial process from their perspective, the challenges of learning the terminology involved with each new MDL, especially when you have Tom’s accent, and stories from their trials. (.2 CEU)

11:00 – 11:15 Break

11:15 – 12:15 Cryptocurrency 101: Matt Millen, Denver Crypto Group.

Many new, revolutionary technologies are often misunderstood initially and require quite a bit of
effort to fully grasp. Bitcoin, cryptocurrency, blockchain technology and Web3 are no
exception, and because they encompass such a vast ecosystem, learning about them
can feel challenging or intimidating. For this talk we will be staying “out of the weeds”
and focusing on a high-level overview of the cryptocurrency ecosystem so that
attendees leave with an understanding of cryptocurrency that will make it easier to write
the terms in the courtroom. The talk will start with a brief history of Bitcoin, the very first
cryptocurrency ever, move on to the industry terms and definitions you ought to know
and following this an explanation of how these new technologies actually work. To
conclude we will discuss the amazing, global potential cryptocurrency and Web3 have
to shape our world for the better. (.1 CEU)

12:15 – 12:30 Business Meeting in the Prada Ballroom

12:30 – 1:30 Luncheon

1:45 – 3:15 Reporting A High-Profile Trial: Joyce Martin, RPR, CRR.

Joyce is the Managing Court Reporter for the 18th Judicial District. She was the reporter for the
Honorable Judge Carlos A. Samour Jr., during the Aurora theater shooting trial,
People v. Holmes. James Holmes killed 12 people and wounded 70 in a shooting
rampage in Aurora, Colorado in 2012. Joyce will talk about her experience as the
reporter in the trial. (.15 CEU)

3:15 – 3:30 Break

3:30 – 5:00 USCRA Panel: Brenda Fauber, FAPR, RDR, CRR, FCRR; Jana
McKinney, RMR, CRR; Kelli Mulcahy, RDR, CRR; and Joe Rickhoff, RMR, CRR.

Past and present officers of the United States Court Reporters Association make up the
panel that will present an educational overview of the official court reporter’s position in
the federal court system, federal court governance, the functions of the Judicial
Conference of the U.S. Courts, and some of the aspects of the inner workings of the
Association. Material covered will include sections from The Guide to Judiciary Policies
and Procedures, the duties of the Court Reporter Advisory Group, how to track the work
of Judicial Conference committees as it affects reporters, and ways for members to get
involved with USCRA to advocate for all Federal Official Court Reporters. (.15 CEU)

5:30 – 6:30 President’s Reception and Awards Presentation

Sunday – October 9, 2022

7:15 – 8:15 Race Scriptores Walk.
Join us for an early morning walk and get your heart pumping for a day of learning, networking, and laughter with your USCRA colleagues.

9:00 – 10:30 Total Eclipse of the Heart: A Search for Answers with Kevin Carlin, RMR,
A training on what is new in the latest version of Eclipse, how to find
answers in a pinch and tips to save time on editing. We will explore the new AI Boost
feature and make sure we know how to tweak our settings just right so that it does not
go Skynet. Bring your questions, your curiosity, and lots of coffee. (.15 CEU)

– OR –

9:00 – 10:30 Edit By Design: Stenograph Training with Pam Szczecinski.

Save time editing by using fast and effective edit shortcuts. Explore the global options,
punctuation shortcuts and the transcript correction tools the software offers. Knowing
what the software has available to cut that time down is as important as writing. It’s
easy to overlook common words that you misstroke. Learn how Mistranminder
can quickly find and fix (if needed) all occurrences of your personal mistranslates.
Personal mistranslates are usually words that are valid words but not the word you
want. (.15 CEU)

10:30 – 10:45 Break

10:45 – 12:15 Tech Gadgets & Online Tips: Pam Szczecinski.
Having the right laptop with the right accessories can make the process of producing the transcript faster and less stressful. In this session, we’ll take a closer look at hardware and software products available in the market, along with some cool tech gadgets you can use in this ever-changing fast-paced world of technology. We’ll also take a closer look at Online Cloud Services – Dropbox vs Google Drive vs OneDrive: Comparing the Big Three. Microsoft OneDrive, Google Drive and Dropbox are the three most popular online cloud storage providers. Discover what other online services they offer. Learn the pros, cons and differences between the three and which one is right for you.
(.15 CEU )

12:15 – 12:30
Closing remarks and 50/50 Raffle winner announcement.


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SG is wrong: checks and balances are important

Many members of the Student Government senate don’t like having their authority questioned.

On Nov. 8, The Oracle detailed a controversial bill that included “a rewrite to Section 902 of the SG constitution in its entirety, creating a division between SG Administrative Services (SGAS) and the business comptroller.” The bill would have “reclassified” the comptroller’s job to fall more under the purview of SG. Essentially, student body president Frank Harrison was to be given the ability to “appoint and fire” his own comptroller, as well as other employees of the comptroller’s office.

Since one of the primary duties of SGAS and the comptroller is to “review funding requests from SG,” and since such reviews include the right to overrule such expenditure requests, it’s understandable that Comptroller Thomas King was upset about the proposed change.

“They are taking away our office’s ability to be independent,” he told The Oracle.

In fact, the senate not only wanted the ability to spend money with no oversight from the comptroller or SGAS, it attempted to gain that power in a very questionable way. The senate had to suspend Rules of Procedure in order to propose the controversial bill at an unscheduled time during the meeting. Some even motioned to move the bill to a second reading – in an apparent attempt to pass it immediately – the very same night.

Senate President Pro Tempore Nathan Davison denied this request. He later said, “I was concerned about the aggressive tactic that was implemented to get this bill to pass tonight.”

It’s a good thing Davison was concerned. Monday night, Vice President of Student Affairs Jennifer Meningall called a meeting to discuss the possible ramifications of the bill that SG tried to hurry through. In addition to Meningall, Chief Financial Officer Carl Carlucci, Assistant Vice President of Student Affairs Guy Conway, Dean of Students Kevin Banks and other high-ranking USF administrators attended. Clearly, there was a problem in the eyes of USF.

Given the method by which the original bill was proposed – rushed, untraditional and bordering on deceitful – it’s not terribly surprising there was a problem. Increasing the power of the executive branch so much that it can escape the regulation of checks and balances is best done like any other suspicious behavior – as quickly as possible.

If the bill was worth passing, the senate could have adhered to the Rules of Procedure. If the bill was worth passing, high-ranking USF administrators wouldn’t have raised their eyebrows at its ramifications. Senators in student government, not being fools, surely knew all of this – and that is the worst problem of all.


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LT John-Rex Spivey '13, USN

 '10s Classes Trustee

A native of Rogers, Arkansas, John-Rex graduated from the United States Naval Academy and received his commission in the Navy in 2013.

While at the Naval Academy, he was a member of the Sprint Football team and elected Class President.

John-Rex is currently a MH-60S Pilot with HSC-22 in Norfolk, Virginia, while continuing to serve as 2013 Class President and 2010’s Decade Representative.


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Prevent the Flu: It’s Not Too Late to Get Your Flu Shot

Influenza (the flu) is a contagious viral disease and spreads by tiny droplets created when people infected with the flu cough or sneeze. Someone with flu can spread it to other people from as far as six feet away. People can spread the flu one day before they complain of flu symptoms and up to a week (sometimes longer in children) after becoming ill. Flu symptoms may include fever, chills, cough, sore throat, muscle aches, stuffy nose, headache or fatigue, but not everyone gets all the symptoms. Sometimes people wonder if it is a cold or the flu, and the National Institutes of Health publishes some helpful distinctions.

What’s the worry? It’s only the flu, right?

Although some people may think “It’s just the flu,” more than 200,000 people are hospitalized in the U.S. each year with flu-related complications. These may include pneumonia, sinus or ear infections, or the flu contributing to worsening health in people with chronic conditions such as certain heart conditions or asthma. Some people are at higher risk of flu complications: people over age 65 or with chronic health conditions, pregnant women, and young children. And people do die from the flu: over the past 30 years, annual flu deaths have ranged from 3,000 to 49,000.

Types of Influenza viruses

There are two major types, A and B, causing seasonal flu epidemics in humans. Influenza A viruses have different strains, such as A (H1N1) and A (H3N2) and different subtypes based on hemagglutinin (H) neuraminidase (N) proteins on their surface. Influenza B viruses have different strains (called lineages) – B/Yamagata and B/Victoria.

How do we know when the flu is here?

The Centers for Disease Control and Prevention (CDC) tracks influenza in the United States and updates a publicly available map each week. Like more detail? (Or want to become a disease detective?) Check out the CDC’s Key Flu Indicators and weekly Flu View report. Regular updates are available in Vermont through the Department of Health’s website.

Why should I get a vaccine each year to prevent the flu?

Flu viruses change, sometimes in a minor way, called “antigenic drift,” and other times through major changes called “antigenic shift.” Because flu viruses are always changing, each year vaccine components are reviewed and updated as needed. In addition, people’s immunity may decrease over time, so for both of these reasons, an annual flu vaccine is recommended. Flu vaccination works by helping the body to make antibodies against the specific vaccine components, and usually takes about two weeks. Different types of vaccines are available.

It takes about 4-6 months to make an influenza vaccine in preparation for each year’s flu season, so decisions about what to include are made the previous winter, when experts study what types of flu viruses are causing disease and how well the vaccine actually protects against the flu. How well the vaccine works depends on both the age and health of the person receiving it, as well as the “match” between the types of flu virus circulating and what’s in the vaccine.

Who should get a flu vaccine?

The short answer is everyone 6 months of age and older, with a few exceptions. People should talk with their primary care provider if they have questions.

Benefits of flu vaccine include preventing influenza, especially in those with higher risk of complications; it may prevent more severe illness and lower the risk of being hospitalized, even if you do get the flu. Many studies demonstrate these benefits among people of all ages, older adults, people with chronic illness, and pregnant women and their infants.

Can I get the flu from the flu shot? No. Injectable flu vaccines are made from an “inactivated” virus or without virus (called recombinant vaccine). The flu nasal spray is made from a weakened virus, and cannot cause the flu.

Isn’t it too late to get a flu shot this year?

No. CDC reports low levels of flu across the United States, increasing in some locations, and it is still not too late to get a flu shot. Most illness occurs between December and February, but can start as early as October and last until May. Flu peaks are often seen sometime in December, so getting a flu shot now, if you haven’t already, is a good idea.

I also hear this year’s flu vaccine isn’t a great match, so should I bother?

Yes, get a flu shot if you haven’t already. The CDC reported on December 3 that about half of the influenza A (H3N2) viruses from October to November of this year were a good match to the vaccine, while about half were not, as a result of virus “drifting.” The H3N2 strains have also been associated with more severe flu seasons in previous years and more hospitalizations. So in addition to the glass half-full vs. half-empty perspective, the current vaccine may still provide some level of protection, even when not a perfect match, reducing more serious complications and deaths. This year’s vaccine also protects against other flu strains – H1N1 flu and B strains. See Vaccine Match for a detailed description of these benefits.

The flu is familiar, but familiar doesn’t mean harmless, even in healthy people. CDC reminds us that “The most important thing is for all people 6 months and older to get a flu vaccine every year.”

National Influenza Vaccination Week is December 7-13, 2014. Need to find a flu vaccine? Check with your primary care office or see the Flu Vaccine Finder at Put in your zip code and you will see a list of nearby locations offering flu vaccine.

Jan Carney, M.D., M.P.H., is associate dean for public health at the University of Vermont. She is director of the UVM Master of Public Health Program.

Ready to Get Started?

Contact Us Today!

We’re here to answer any questions you may have about public health.


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Clinton, Sanders caucuses pick delegates for national convention in Philly

Wendy Leung
Ventura County Star
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Democrat voters, split into Hillary and Bernie camps, cast their ballots in Ventura and Westlake Village on Sunday, a month before the California primary.

They were picking from a field of 84 hopefuls wanting to represent Rep. Julia Brownley's district at the Democratic National Convention in Philadelphia.

'Look at this process here,' said Eric Bender, a delegate to the convention in 2008 and a prospective delegate for Hillary Clinton in July. 'This is the most basic form of democracy.'

The voting in Ventura County was part of caucuses held in congressional districts up and down the state. Starting 2 p.m. registered Democrat voters made their picks on who they want to represent them at the July convention.

This process, known to most political junkies but unknown to most voters, is unique to the Democratic Party.

Republican delegate hopefuls apply for the opportunity and are selected by the presidential candidate.

In Westlake Village, a line wrapped around Cisco's, a Mexican restaurant, where Bernie Sanders supporters hoping to be delegates handed out pamphlets and buttons.

Most waited 20 to 30 minutes to get into a dining room at the back of Cisco's, where they could pick up a ballot and vote right away or stay and listen to candidates' rapid-fire speeches before making a choice. Shortly after 3 p.m. the ballots were tallied and results announced.

The 41 delegates running represented cities throughout the district and all ages, from a Vietnam War-era activist to a 17-year-old planning to vote in his first election this November.

'This is exciting,' said volunteer Lisa-Ann Galati, as she helped people navigate the crowded room.

Some ordered food, others drinks. Families and friends sat around tables and many others crowded in the standing-room only space.

The Sanders and Clinton caucuses selected the top three male and top three female vote getters as well as an alternate, but whether they get to attend the convention depends on the results of the June primary. A presidential candidate winning at least 15 percent of the vote will be able to send a delegate to the convention.

Once chosen, the delegates pay their own way for travel and lodging, which can be $3,000 to $5,000.

'It's not cheap,' said Mike Osborn, chairman of the Ventura County Republican Party and a 2008 delegate for Mitt Romney.

But for a political junkie, Osborn said the convention is akin to a 'giant weeklong party.'

Lately many Republican party events and dinners have been sold out and interest to be a delegate has been high due to speculation of a contested convention.

'Everybody wants to be a delegate,' Osborn said.

Republican delegates apply to their congressional districts and after the June primary, the winning presidential candidate of each district will select the delegates. The presidential candidate with a plurality of the vote also gets to pick at-large delegates and party members.

The investment of time and money to be a delegate seemed worth it to Thousand Oaks resident Phyllis Belisle, a Clinton supporter.

'I'm passionate about Hillary,' said Belisle, who tried out to be a delegate for the first time but came up short. 'She's a woman, and I'm not playing the woman card, but she's more qualified than anyone who has run for president in my lifetime.'

Belisle may not be among the top three vote getters but like other delegate hopefuls, she can apply to be an at-large delegate.

Voters can only participate in one caucus, which is why Clinton's event was on the other side of the county at an AFL-CIO office in Ventura.

At that hourlong caucus, 239 voters picked their favorites among 43 candidates.

Gail McAnulty, 59, was one of the voters. It was the Oxnard resident's first event as a Democrat.

McAnulty had been a registered Republican since she was 18 but she switched her registration on the day of the caucuses.

'I've been listening to Hillary during the debates,' McAnulty said. 'I like what she says.'

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Introduction: As the tax year ends in these uncertain times (5/4/2021). We are presenting you with tax planning opportunities and pitfalls advices (written or verbal) for both individuals and businesses as well as dealing with issues around COVID-19 in modules as follows: Ta...
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Top Attraction Points in Nepal: Sightseeing Guide for India’s Neighbour in the North

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The mystical land of Nepal holds mysteries of nature, mankind and mountains! This tiny land-locked nation between Tibet and India, encompasses a healthy mix of cultures from its neighbouring countries, making it one of the most heart throbbing encounters one can experience. Above all, Nepal is a travel experience for anyone and everyone! Be it snow-capped Himalayan mountain peaks or centuries-old ancient Hindu temples, lush green rainforests or quaint Buddhist monasteries; Nepal is a distinctive choice and preferred destination for all kinds of travellers. Such is the vibrant beauty of the country that it leaves every visitor spellbound! Most noteworthy, it is known as the Abode of Mt. Everest – where life begins and where life comes full circle.

Some of the best Nepal tour packages reflect its true identity which is known by many wonderful names such as ‘Devbhoomi’, ‘Roof of the World’, ‘Hiker’s Paradise’ and ‘Birthplace of Gautama Buddha’. Furthermore, each of these names has a profound meaning that truly describes the essence of this land! Let’s have a look at some of the best places you can visit in Nepal, to fall even further head over heels with this Himalayan beauty,

1.) Kathmandu Durbar Square

Kathmandu Durbar Square
Image Courtesy – anilblon.wordpress.com

The heart of Kathmandu city is adorned by an illustrious Durbar Square! During ancient times, this square was used for the coronation of kings. It was from here that they ruled over their kingdom! Also known as Basantapur Durbar Square, this UNESCO world heritage site consists of temples, shrines, palaces and courtyards belonging to the Malla and Shah Dynasty. Many temples date back to the 16th century and some of the older royal palaces have been around since the 3rd century. Even more, the square is a remarkable specimen of traditional Newari architecture! The popular square still remains one of the best places to visit in Nepal in spite of several temples and towers being destroyed in the fateful earthquake of 2015.

2.) Swayambhunath Stupa

 Swayambhunath Stupa

Perhaps the most ancient and prominent of all sacred shrines in the Kathmandu Valley! Swayambhunath Temple is placed on a hillock overlooking Kathmandu city and comprises of a white-washed dome topped with an ornate spire. The four sides of the structure resemble the four iconic faces of Buddha as he looks over the valley and protects the city. The white dome is said to represent the earth and the 13-tiered gilded spire stands for the 13 stages to Nirvana. It is also known as the ‘Monkey Temple’ owing to a large number of monkeys that are found at this temple. Locals swear by it and travellers often recommend this remarkable site that is certainly a must-visit as part of your Nepal tour packages.

3.) Boudhanath Stupa

Boudhanath Stupa
Boudhanath Stupa at sunset – the largest stupa in Nepal, Kathmandu

Also known as ‘The Great Stupa’, Boudhanath is the most prominent landmark of Kathmandu and easily one of the largest stupas in South Asia! The stupa is 36-metre-high and is clearly visible as soon as you land at the Nepal International Airport (almost as if it is an icon representing the country). The Stupa represents the Mind of all Buddhas (Past, Present & Future). It is believed that those who pray at the Stupa with a pure heart, create good karma for themselves. As a result, it is said that their wishes are fulfilled!

Having said that, Boudhanath is a very popular pilgrimage site for Buddhists from all over the world and one of the most popular Nepal places to visit! The Stupa is surrounded by several monasteries making it the centre of Tibetan Buddhism in Nepal. Be it morning or evening, the huge white dome buzzes with energy and worshippers go around the Stupa in reverence often lighting butter lamps and or simply praying in complete devotion. A sight you must definitely not miss if you want to experience one of the best Nepal tour packages!

4.) Pashupatinath Temple

Pashupatinath Temple
Image Courtesy – wikimediacommons.com

Your Nepal vacation is incomplete without including the iconic Pashupatinath Temple as part of your Nepal holiday package! Located in Kathmandu Valley, Pashupatinath Temple is a UNESCO world heritage site that serves as the abode of Nepal’s national deity, Lord Pashupatinath (commonly known as Lord Shiva). Apart from being religiously significant, the temple is also historically prominent and a fine masterpiece of Hindu temple architecture that dates back to 400 A.D. The Shiva Lingam at this temple is unique in such a way that it faces all four directions. Much like the Swayambhunath Stupa (talk about God being one). Such is the beauty and uniqueness of this temple, that it is easily one of the most popular and must-visit Nepal points of interest!

5.) Budhanilkantha Temple

Budhanilkantha Temple
Image Courtesy – wikipedia.com

A unique temple situated at the foot of Shivpuri Hills in Kathmandu Valley! Budhanilkantha is a holy shrine consisting of the largest stone statue of Lord Vishnu reclining on a bed of Nagas (snakes). The 5-metre long statue has been carved out of a single granite rock and dates back to the 5th century Licchavi kingdom. Visit this temple to witness a unique specimen of intricate artwork and a magnificent Vishnu sculpture that almost resembles the image of the Buddha! Interestingly enough, the temple is called ‘Budhanilkantha’ but the name is not derived from Buddha. It means ‘Old Blue Throat’ which actually refers to Lord Shiva (‘God is One’ vibes again!). With such allure and spiritual significance, this temple should definitely be a part of your Nepal holiday packages from India!

6.) Bhaktapur Durbar Square

Bhaktapur Durbar Square
The Golden Gate and the Palace of Fifty-five Windows at Bhaktapur Durbar Square, Image Courtesy – age fotostock/robertharding.com

Along with Kathmandu Durbar Square in Nepal, the historical square that finds its place in the list of UNESCO’s world heritage sites is, Bhaktapur Durbar Square! It is a well-known plaza located in front of the royal palace of the erstwhile Bhaktapur kingdom. Easily one of the best places to visit in Nepal due to its historic and architectural importance, the plaza boasts of attractions such as Palace of Fifty Five Windows (Pachpanna Jhyale Durbar), Vatsala Temple (only the huge bell remains intact after the 2015 earthquake), Statue of Bhupatindra Malla, Bhairava Nath Temple, Lion’s Gate and the world-famous ‘Golden Gate’ (Lu Dhowka). The Golden Gate is said to be the most magnificent, intricately decorated and one-of-its-kind specimen in the entire world. When you do plan your Nepal travel packages from India, make sure to include the Bhaktapur Durbar Square as part of your itinerary!

7.) Chitwan National Park

Chitwan National Park

The word ‘Chitwan’ means ‘Heart of the Jungle’! One word is enough to get us acquainted with this beautiful national park that lies at the Himalayan foothills. Chitwan National Park is a protected area in south-central Nepal that is well-known for its Terai landscapes and amazing biodiversity. The very first national park of the country and one of the most interesting places to visit in Nepal, it is home to a large and diverse variety of mammals, amphibians, reptiles, fish and birds. The park is also well-known for its conservation efforts of the one-horned rhinoceros, royal Bengal tiger and the Gharial crocodile. You can enjoy an elephant ride through the grassy plains and enjoy animal sightings at this park. You can also take advantage of an exciting canoe ride in the Narayani River which is considered to be amongst the best things to do in Nepal!

8.) Annapurna Mountain Ranges

Annapurna Mountain Ranges
Image Courtesy – my.nepalembassy.gov.np

Pokhara is the base of the mighty Annapurna ranges and a city which deserves to be on your list of Nepal places to visit! The second largest city in Nepal after Kathmandu (in terms of population), it is often regarded as one of the tourism capitals of the country. This could be attributed to the proximity of Pokhara to the Annapurna mountain ranges; also why most trekkers and mountaineers use Pokhara as the base for undertaking the Annapurna Circuit (trek within the Annapurna mountain ranges).

Even if you do not scale the mighty mountain, you are greeted by its magnificent sight from many vantage points in Pokhara. One of the best places to view the Annapurna ranges is Sarangkot. A popular sighting amongst the mountain peaks is Mount Fishtail (locally known as Machapuchare) whose shape resembles that of a fishtail. This mountain is considered to be sacred by the locals and therefore, climbing here is prohibited. Keep your eyes open and your mind clear for one of the best mountain sightings that you can experience as part of your Nepal holiday package!

9.) Phewa Lake

Phewa Lake

This freshwater lake is one of the major reasons why tourists love travelling to Pokhara! Phewa Tal or Phewa Lake, located in the southern part of Pokhara Valley, is the second largest lake in the country. It is the most popular of all Nepal points of interest and the most visited lake in the country by locals as well as tourists. The lake is well-known for the reflection of Mount Fishtail (Machapuchare) and several other peaks of the Annapurna and Dhaulagiri ranges, on its surface. Besides being a popular tourist attraction, the lake water is also used for generation of electricity. The popular Tal Barahi Temple, a prominent Hindu shrine dedicated to Lord Vishnu, is located in the middle of the lake. Boating at Phewa Lake is also considered to be one of the most peaceful and exciting things to do in Nepal.

10.) Lumbini

Mayadevi Mandir at Lumbini, Image Courtesy – wikipedia.com

The Birthplace of Gautama Buddha! Need we say more? Lumbini is a well-known Buddhist pilgrimage site in Nepal where Queen Mayadevi gave birth to Siddhartha Gautama in 563 BC. After achieving enlightenment in 528 BC, Gautama Buddha founded the religion of Buddhism! Today, there are over 25 international monasteries in Lumbini where you can study Buddhism and meditation. According to many historians and archaeologists, Mayadevi Temple in Lumbini Gardens is considered to be the exact birthplace of Gautama Buddha. It is believed that Siddhartha Gautama is believed to have taken his first seven steps and given his message of peace to humanity. A place that solves the very question of what to do in Nepal, Lumbini is where you can find your inner peace and sense of fulfilment!

11.) Sagarmatha National Park

Sagarmatha National Park
Gokyo Ri Lake at Sagarmatha National Park, Image Courtesy – khumbunangpala.net

If you are someone who seeks adventure and believe that mountains are your calling, then you must visit the Sagarmatha National Park. Dominated by the mighty, Mount Everest, it is the first national park in the country to have obtained the status of a natural world heritage site. The park is also an important bird area, protected and recognized by the BirdLife International global organization. There are several tourist trails, mountain gorges, rivers, lake, rare flora and fauna that dot the landscape of the national park and increase its natural beauty manifold. A beautiful world in itself, the Sagarmatha National Park can surely be one of the extraordinary Nepal places to visit as part of your Nepal tour package from India.

12.) Everest Base Camp

Admit it… You have always been fascinated by Mount Everest! Even if you are not a mountaineer by heart, the mere mention of Mount Everest fills your heart with wonder and makes your eyes sparkle. Now imagine that feeling multiplied a thousand times and you can maybe begin to imagine what it’s like trekking to the base of the highest mountain in the world! Nepal offers you the chance to be on top of the world with the Everest South Base Camp.

 Everest Base Camp

The trek begins from Lukla (a small town in Khumbu valley) towards the Sherpa capital, Namche Bazaar and onwards along the Dudh Kosi River Valley. It further goes up to Dingboche (a small Sherpa village), Gorakshep (another small settlement) and finally ends at the flat field below Mt Kala Patthar and Mt Pumori. This is the Everest South Base Camp!

What you encounter here are spectacular close-up sights of Mount Everest from the opposite side. That is the entire purpose of this trek; to be able to stare in amazement at something which you thought was once impossible but now, within easy reach! That is the magic and allure of the Himalayas and Mount Everest! The complete trek to the base camp (and back again) takes about 2 weeks depending on your speed and energy. It is highly advised that you plan such Nepal travel packages with complete care, information and absolute preparation.

*Physical as well as mental capability and stamina is of prime importance when you undertake such treks. It is highly recommended that you consult your doctor/physician before the trek and make sure that you are fit to climb such high altitudes.

Nepal is an alluring mystery waiting to be discovered and lived! Peace, culture, devotion, mountains and nature, all come together in perfect harmony to create a rhythm that stays in your heart forever. A travel experience unlike any other, India’s neighbour in the North extends its warm welcome and awaits to embrace you in the lap of Himalayas…

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List Of Disabilities

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Assistants may be able to advance to medical office manager with more profitable pay. It provides to pay for one hundred pc of the price of tuition for college students who are pursuing knowledgeable degree as a physician, a specialist, a nurse or a wide range of other medical occupations including psychiatrist. They hit upon the idea of medical faculties, primarily for US college students who were being shut out of medical faculties within the United States. Summer time jobs are an ideal help in deciding your careers are it hones your industrial and managerial skills.

This section provides several simple and educational articles for teenagers and high school college students. Many faculties provide several different entrance instances through the 12 months giving flexibility for college students who need to begin their medical schooling instantly. They are important within the efficient accomplishment of the doctor’s tasks to give proper healthcare to the affected person. Electronic Medical Billing Software additionally allows the insurance coverage companies to trace payments by way of this system and all of their further charges.


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Driving Lesson Day 1

Sunday, August 04, 2019

July 17, 2019, Monday, my first day on learning how to drive... I am actually nervous. I'm scared, what if I mess up and make a mistake that will result to an accident... That's how freak out I am to driving.
When I arrived at Oddysey Driving School office they let me watch a video on the basic terms use in driving,  and the controls of the car which is essential to know when driving, and Oddysey teaching technique (which I actually don't understand what). 🤔
After 30 minutes, im off to meet my instructor. He drove me to Taguanao while telling me the controls and what to do. For a newbie with no background on cars and driving, I'm so confuse on everything he said because his so fast and he was driving so his not really pointing on the controls he just mentioned.
When I sat on the drivers seat and start driving I was really scared. I was expecting we will practice the basics of driving (like what I saw in the YouTube tutorials) at a quiet residential street, but no I am going to drive at a slope, downhill, and uphill road. Imagine my terror! 😱 Good thing I watched some manual driving tutorials in YouTube beforehand so I was able to have an idea what I should do.
I struggled on the curves and staying on my lane. The drivers car seat is giving me hard time to look on the road in the side mirrors. I don't like my instructors reaction every time I made a mistake...  I need to tell him what to teach me, his not really mindful of his student feelings and learning progress. He only starts to mind when I already made a mistake or we almost met accident.
Thankfully, amidst the struggle on learning and trying to understand my un-organized instructor I survived day one. As expected, I'm not excited on the next session because of my instructor. He seem to be the bigger source of my fear and pressure in driving. I don't think I will get my money worth having him as an instructor. I requested the office for a replacement but sadly they said they have no available driver to replace him.

About The Look....

There was a restrictions on what to wear during the session. No wearing of slippers, sandals, high heels, short pants and sando. And so I opted for a casual comfy style.

Top: SM Department Store
Pants: Uniqlo
Shoes: Converse

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Bean Crafters works hard to ensure you are getting the most delicious, nutritious and sustainably-sourced foods we can create. When sourcing ingredients, we start as close to home as possible, then move to regional growers and producers (New England), and only source outside our region when local options aren't available.

A big thank you to all the farmers and producers who we work with. We wouldn't be us without you.

Percent regional (defined as within 300 miles) of ingredients in our products:

Harvest Veggie Burger- 70%

Black Bean Burger-  86%

Mockingbird Nuggets- 87%

Falafel Burger and Fritters- 43%

We are always looking for more bean growers. If you are interested in growing beans at any scale please contact us!


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13 Dec 2017

Yes We Did!
Last night, women came together as a community and made something great happen: We scored an upset victory in Alabama for a candidate who stands for equality, decency and respect for women and for all people. And black women led the way—98% voted for Jones. But Alabama is just the latest thing that’s got me worshipping and rooting for women recently. We are brilliant, we are powerful,...


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1934 Mrs. 2013

Mrs. Vernon L. Dean

July 3, 1934 — November 12, 2013

Mrs. Vernon Bradford DeanFuneral services for Vernon Lachunce Dean will be held at 1:00 p.m., Wednesday, November 20, 2013 at Kilgore Baptist Church with Rev. Gary L. Walker officiating. Burial will follow at Kilgore Baptist Cemetery. Arrangements are under the direction of Victory Funeral Services. Vernon was born in Dallas, Texas on Friday, July 3, 1934 to the parentage of Henry and Frankie Bradford. On Tuesday, November 12, 2013 she departed this life at Good Shepherd Medical Center. She united with the Bates Memorial Christian Methodist Episcopal Church at an early age and later at Kilgore Baptist Church where she was an active lead songstress in the adult choir, member of the Women’s Missionary Society, an awesome financial supporter and served as a deaconess for more than 50 years.  Having been blessed with a beautiful soprano voice she was often a featured vocalist during her school days at Kilgore Colored High School where she graduated in the Class of 1952. Her love for her alma mater led her to work and hold offices in the alumni and ex-student associations for Kilgore Colored High School/C. B. Dansby High School. After graduation she attended Texas College and Modern Beauty School in Tyler, Texas. She worked for 50 plus years as a hairdresser. She was also a former member of the Fannie Rausaw Garden Club. Her gracious giving spirit allowed her to act as a caretaker for many including her late sister, Mercedes, her mother-in-law, Geneva Dean Henderson and her husband, Willie. She was a natural nurturer and was known to prepare and deliver meals to the sick and shut-in even on Sundays before attending church. Her good friend, Phyllis Fisher stated, “She will be sadly missed by our entire community; Kilgore Baptist Church family; every charitable organization in Gregg County; remote families whose elderly parents she nurtured (mine especially, for many years), all the young people she counseled and supported, and her amazing soprano that must be pealing throughout the celestial universe.” On June 7, 1953, Vernon united in holy matrimony with Willie D. Dean. Later in 1968, Willie Antonio Dean was added to the family as their son. Her parents, her sister, Mercedes Bradford, brother, Henry Bradford and chosen brother, Alonzo Jernigan all preceded her in death.She leaves to cherish her husband of 60 years, Willie D. Dean of Kilgore, TX; son, Willie Antonio Dean of Palestine, TX; three nieces and their spouses, Pat Miles of Kansas City, MO; Millicent and Joshua Thompson, III and Nikea and Travis McGee all  of Houston, TX; two nephews, Henry and Stacy Bradford, Jr. and Claude and Thea Bradford all of Houston, TX; sister-in-law, Inez Dean of Grand Prairie, TX; special cousins, Janice Puryear of St. Louis, MO and Ruby Pegues of Kilgore, TX; special friends, Ruby Manning of Kilgore, TX and Dr. Phyllis Dansby Fisher of Copiague, NY and many more relatives and friends. Public viewing will be Tuesday, November 19, 2013, starting at noon until 6:00 p.m. at Victory Funeral Services.
To order memorial trees or send flowers to the family in memory of Mrs. Vernon L. Dean, please visit our flower store.

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How Kivelstadt’s Sam Baron Brought The Orchard Into The Winery

Kivelstadt Cellars & Weingarten Winemaker Sam Baron said he’s never been one who’s afraid to experiment.

When he’s not making wine, the potter, painter and woodworker said he can be found working in his backyard studio and said his penchant for creative pursuits has always encouraged him to bend the rules and go places some may find uncomfortable.

If you’ve read the dossier, his latest wine experiment — co-fermenting Sauvignon Blanc with Gravenstein Apple — sounds pretty on brand.

“It seemed exciting to try this new project, it’s the kind of thing where in your mind it sounds like it would work,” said Kivelstadt’s winemaker, who joined the Sonoma-based winery in 2017. “We love heritage varietals at Kivelstadt, and what’s a more heritage varietal in California than Gravenstein apple?

“Fermentation-wise, I love co-ferments and I love ambient yeast, so the way I did it was to have the ambient yeast take off in the Sauvignon Blanc, and then I added in the Gravenstein apple when they were around the same brix, so I got this really clean ferment.

“If I have one issue with cider, it’s that there isn’t enough acid, and the tartar we get from wine grapes can really elevate a cider.”

The end result was a 50% Sauvignon Blanc, 50% Gravenstein apple hybrid Kivelstadt calls its Gravignon Blanc. With an ABV between 9-10%, it has a lower alcohol content than a majority of wines that come out of Sonoma County and Napa Valley, he said, but that was the goal.

“For a long time, there’s been this sort of race to the top with alcohol (concentration) and now it seems like that race is going in the other direction,” Baron said. “People are becoming more interested in low alcohol, low ABV wines. And it makes sense — it works with the high-end restaurants around here that have tasting menus, and you don’t really want to start the night with a drink like a Manhattan, you want something more like an Aperol Spritz.”

The challenge of making the wine was just part of the fun, Baron said. Adding nutrients for the yeast to take off was part of the process.

“Nutrient-wise apple cider just has no yeast, or any yeast assimilable nitrogen, and YAN is a huge thing for fermentation because it’s what yeast consumes,” Baron said. “So I ran the panel and was like, ‘We really need some nutrients here.’

“But because we’re so sophisticated on winemaking now, I can apply those techniques to almost any fermentation and make it work. It was exciting to troubleshoot like that.”

It was a departure from making traditional wine, Baron noted.

“I usually incentivize myself to be pretty formulaic with my fermentations because I want them to represent terroir, so I try to do the same things to wine year after year so that the variations come from the vintage,” Baron explained. “It was so fun to get out of the standard formula and think critically. It was like being in school again. It was really fun and I’m really happy with the product.”

It’s been a hit. Baron said he made 300 cases and sold out of all of the wine marked for wholesale in under three weeks, though some remains available for tasting at Kivelstedt’s weingarten. He’s enjoyed the positive feedback he’s received from customers and the food pairings they’ve tried it with, which have included Foie Gras Tofu.

Baron said he looked forward to further experiments with other fruit.

“I think I would love to try pears, or break out into blueberries and blackberries — that could be very interesting as well,” he said. “I’m taking it one step at a time, and at Kivelstadt I have free range to experiment. That’s an unusual thing in Napa and Sonoma — people are pretty focused on what they do and once they get it right, the get it right. That’s not the mentality for us. There are myriad possibilities.”

This article originally ran in the May/June issue of Vintner Magazine.

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Restroom Trailer Rentals in Boston

Phone:   (877) 564-6977

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 HomeRestroom Trailer Rentals in Boston

With VIP To Go restroom trailer rentals Boston benefits from experience

VIP To Go stocks restroom trailer rentals in Boston - the trailers you need right away!

When it comes to Restroom Trailer rentals Boston turns to VIP To Go time and again to ensure that the bathroom trailer rentals for their largest events go off without a hitch. In fact, VIP To Go does so much work with bathroom trailer rentals at the Boston Convention Center that workers there have told us that we might as well move into the parking lot! That means that VIP To Go knows the ins and outs of port of potty luxury rentals in the greater Boston area. From executive portable toilets rentals in Boston to bargain units, VIP To Go has you covered, and here are 3 ways how:

VIP To Go Understands Big Property Issues

While VIP To Go has a lot of experience with issues related to events and restroom trailers in tight city spaces, we also understand that in and around Boston large properties can present challenges to bathroom trailer rentals. That’s why whether you have a heritage home in town or a sweeping estate in the country, we can give you a site walk through to help plan out where to place your luxury portable restrooms in Boston yards, how to ensure that no one will be tripping over cords and hoses, and how to ensure that your restroom trailer is not too far away but also not in the way.

VIP To Go offers Amazingly Reliable in Restroom Trailer Rentals in Boston

The number one thing that our customers tell us about their restroom trailer experience is that they love VIP To Go’s reliability. We are a premier provider of the restroom trailer rental in Boston MA and all around Massachusetts. In fact, most of our bathroom trailer rentals business comes from repeat clients and referrals. When you choose VIP To Go for your restroom trailer, you get a company who knows the Boston area, who knows how to work in town and outside of town, and who is reliable, dependable and helpful. We ensure that every interaction with our bathroom trailer rentals is a positive and satisfying one.

Huge Restroom Trailer Selection at VIP To Go New England Storage Yard

A luxury porta potty rental in Boston MA needs to include good service. But it also needs to meet your equipment needs. That’s why VIP To Go maintains a restroom trailer storage yard in Connecticut, with bathroom trailer rentals delivered and set-up for one low price, ensuring that we have the restroom or shower trailer that you need, available fast, for a reasonable price. Other companies might limit your selection of restroom trailer rentals in Boston, forcing you to settle for something that doesn’t meet your needs, but with our extensive selection right here in New England, we can meet all your needs, from a large public event to a small but luxurious wedding – VIP To Go has it all in Boston and throughout Massachusetts. When Boston needs restroom trailer rentals Boston calls VIP To Go.

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A Bathroom Shower Trailer Takes It To The Limit

A Bathroom Shower Trailer Takes It To The Limit

A bathroom shower trailer can be an affordable solution to your additional shower needs, with even long term rentals less expensive than giant bathroom renovations.

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A Bathroom Trailer Offers Safe Harbor After Any Storm

A Bathroom Trailer Offers Safe Harbor After Any Storm

There are three important reasons why a VIP To Go bathroom trailer should be part of your city or organization’s disaster planning.

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Considering Cataract Surgery? Here’s What You Should Know

June 9, 2022

Long recovery periods are a thing of the past with the advanced cataract removal procedures of today. Major advances in medicine have turned the process into a single trip, and you’ll be ready to get back to your everyday life in no time. The chances of a complication are rare, and your ophthalmologist will make sure you understand your best treatment plan using the latest practices and technology available. Here is what to know about cataract surgery.

Should I Be Worried About Cataracts?

There’s nothing unusual about developing cataracts. It’s often a normal side-effect of aging, and you’ll become far more likely to experience the development of cataracts in your golden years. One out of every two people has cataracts by the time they retire. It’s caused by the normal aging of the lenses in your eyes, and it can significantly affect your vision. If you have cataracts, it’s important to know that it’s normal and treatable.

Do I Need to Get Cataract Surgery?

Some people can function perfectly fine without surgery, but the condition almost always tends to worsen with time. It can start with a slight case of nearsightedness, so you could end up needing reading glasses before long. After that, it can develop into a form of night-blindness. Eventually, bright colors will appear bland and dull. The good news is that you don’t have to worry about worsening symptoms when you elect to have cataract surgery in the earlier stages of development.

What is Cataract Surgery?

Cataract surgery isn’t as intimidating as it sounds. It’s a very delicate procedure, but it’s very simple, quick, and safe. Cataracts cause abnormalities within the lenses of your eyes, and your lenses become thicker or misshapen. That’s what creates the distortion in your vision over time. Surgery removes the clouded lenses and restores your vision. You’ll be given a local anesthetic during your surgery, and the damaged lens will be replaced with an artificial one that won’t be susceptible to clouding or abnormalities. It’s an outpatient procedure, so you’ll be able to go home afterward, and you’ll be able to see better within just a few days of recovery.

Are there any other options?

Currently, there’s no other way to cure cataracts aside from undergoing a lens replacement procedure. If your lens is damaged from cataracts, then the body has no way of repairing it on its own. Thankfully, cataracts are not a life-threatening condition, and it does not make you more susceptible to other eye diseases. However, cataracts may make it much more difficult to properly treat other eye conditions you may develop in the future. That’s why it’s important to talk with your ophthalmologist about your options.

Schedule a Consultation

Cataract surgery is a low-hassle way to restore your vision for the long term. To meet with our team and learn more about your options, we invite you to contact our Falls Church, VA office by calling or filling out our online form.

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Clear Creek Trail

Romance is the air on the beautiful Kitsap Peninsula

Ready for a weekend break from the crowded city scene? Good news, there's still time to make plans for a romantic getaway with someone special to the beautiful Kitsap Peninsula. Wide-open spaces, sandy beaches, and relaxing little waterfront towns are all just a short scenic WA State Ferry ride or bridge away from downtown Seattle [...]

Pet Friendly Hikes around the Kitsap Peninsula

There are so many paths to explore on the Kitsap Peninsula - tranquil trails and salt-water scented beach walks with stunning views of distant mountains. Charming waterfront communities offer pet-friendly places to stay for you and your furry friend. There are some great pet-friendly places to stay so you can hike all weekend. There’s more, so much [...]

2021-01-07T11:55:30-08:00January 17th, 2019|Lodging, Nature, Outdoors, Pets, Recreation|

Celebrate Dad with a Kitsap Peninsula Weekend Getaway

Show Dad how much you appreciate him with a Father's Day overnight getaway to the Kitsap Peninsula. With world-class golf courses, amazing craft beverages and miles and miles of family-friendly trails and beaches, there's something here to make every Dad smile. Get away from the big-city crowds, relax and enjoy stress-free family time on the Natural [...]

Forests, beaches & views wow Kitsap Peninsula hikers

With lush forests abloom with rhododendrons, hundreds of miles of publicly accessible beaches and breathtaking views of Mt. Rainier and the Olympics, the Kitsap Peninsula is the perfect place to take a hike this weekend or any time, according to Craig Romano, author of Urban Trails: Kitsap. “The trails scene on the Kitsap Peninsula has been [...]

2019-08-10T04:54:25-07:00May 26th, 2017|Families, Nature, Outdoors, Pets, Recreation|

Clear Creek Trail: Kitsap Peninsula’s Secret Urban Oasis

Psst! Want to know a secret? Tucked into the heart of the Kitsap Peninsula’s commercial hub, the Clear Creek Trail in Silverdale is a family- and pet-friendly oasis that’s close to hotels, shopping, restaurants and craft breweries, but feels like it’s a world away. Picnic areas abound Perfect for walking, running or biking, most of [...]

10 Reasons Families Love Spring on the Kitsap Peninsula

You’re going to love spring on the Kitsap Peninsula! In fact, there are so many family-friendly parks, trails, museums and adventures awaiting you, it’s tough to know where to begin. So here’s our insider’s guide to 10 absolutely awesome activities. We promise, you’re going to have a blast! Touch a bug or snake Bremerton's Bug [...]

Kitsap Peninsula Winter Break Family Fun

Headed for cabin fever? We’ve got the cure! Family time on the Kitsap Peninsula is the perfect way to head off winter break laments of, “We’re bored!” In fact, there’s so much to do, you’ll want to stay a couple of days. Here’s a suggested itinerary: Spend a day in Bremerton – Weather permitting, explore [...]

2017-03-03T22:56:26-08:00December 12th, 2016|Attractions, Entertainment, Events, Families, Lodging, Outdoors, Recreation|
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Guided Cruises on board the Ljubljana tourist boat

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The tourist boat named Ljubljana, departing from the pier below the Ribji trg square, offers both cruises without a guide and guided river tours.

Departure point

The Ribji trg pier

45 minutes

Language options

Slovenian, English

  • €15.00 for adults
  • €7.00 for children aged between 4 and 12
  • free for children up to 3 years old

  • The tour may be cancelled due to adverse river conditions.
  • In winter the boat is heated.

Tour/trip organizer

Rečni transport Ljubljana