zilongwang/ReadingBank huggingface dataset:
,. ' UNC HEAL'I'H CARE FAMILY MEDICAL HISTORY [] NO SIGNIFICANT FAMILY HISTORY IS KNOWN Q) ·.!J.I ...... SOCIAL HISTORY Occupation (or prior occupation): 0 Retired 0 Unemployed 0 LOAD Disabled -- -- Eil;iptoyer: . ·• Years qfEducation or '·Highest.t> gree: If employed, do you work the night shift? y N N/A MaritaiStatus(checkQne):OSingle 0 Partner 0 Married D r;>hiorced D\f\fide>wed 0 Other: Do you have children? y N If yes, how many? Reli i()ll: .
,'· HEALTH ISSUES ItltCALDWELL UNC HEALTH CARE TOBACCO Smoke Cigarettes? y N (If you never smoked, please move to Alcohol /Drug Use) · . · Current: Packs/day #of Years I Past: Quit Date: Packs/day #of Years Other Tobacco (check one): 0 Pipe 0 Cigar 0 Snuff OChew ALCOHOL/DRUG USE I Do you alcohol? y N .. 0 ··. Beer 0 vyine. O ·Liquqr I #of Dril1ks/week: Do you use marijuana or recreational drugs? y N Have you ey r_used needles to inject drugs? YN H ve you ever someone else's drugs? \'N S ?<UAL fiiSTORY I Sexually involved currently? y N (If you are a virgin, please move to Excercise) Sexual partner(s) is/are/have been: 0 Male 0 Female Birth control method:O None Ocondom 0 Piii/Ring/Patch/lnj/IUD 0 Vasectomy .. .. EXERCISE I · Do you exercise regularly? y N (If you answered no, please rnove tc;, Sjeep) What kind of exertise? .. Duration: How long (min.) : .. .. i-lowoften: LE,EP I How many on average, do you sleep at night (or during the day, if working night shift)? ·ottr' I How would you rate your diet? 0 GoodOFair 0 Poor I Wot..MVo li e advice on your diet? YN SAFETY I Do you use a bike helmet? y N Do you use seat consistently? y N Working smoke detector in home? YN If you have guns at home, are they locked up? YN Is violence at home a concern for you? YN Have you completed an Advance Directive for Health Care (ADHC), LivingWill, or Physical OrdersforlifeSustainingTherapy (POLST)? Y N OTHER PROVIDERS/SPECIALISTS SPECIALIST NAME LAST viSIT Cardiology Gastroenterologist (GI) OB/GYN Neurology Pulmonary ADDITIONAL INFORMATION Have you traveled outside of the country in the last 30 days? y N If yes, where? Have you served in the military? y N If yes, how long and whatbranth? Were you deployed? y N If yes, where?
Y O NO Discharge y o N 0 Change in periods Y O NO Lesions/sores Y O NO ', YO N ·D Itching ()r dr)ines y g NO lo s of sex drive y o NO Color changes O N 0 Pain with sex Y O NO Hernia [Y O NO Loss of s x drive 0 NO Lesions/sores List Other Problems Here:
information you would like to inform us of? DETAILS OF THE PERSON YOU CARE FOR: NAME ADDRESS (if different from above) POST CODE TEL NO DATE OF BIRTH RELATIONSHIP TO YOU Are they registered at The Old Dispensary? Would you like to be contacted by our ‘Carers Lead’? YES / NO SURGERY USE: SCAN and CODE 918G Nov 2017 The Old Dispensary – Patient Access Patient Access mobile app Free on Android and iOS With Patient Access you can now access your local GP service at home, work or on the move – wherever you can connect to the internet. What’s more, because Patient Access is a 24 hour online service you can do this in your own time, night or day. Book a GP appointment repeat prescriptions Change your personal details View certain aspects of your medical record For further details please visit If you would be interested in signing up for this service please complete your details below: NAME ADDRESS
Thank you for expressing interest in our on-line appointment booking and ordering service. We currently offer appointments for Doctors, nurses and health care assistants online as well as the facility to order medication from your repeat list, which is not requiring a planned review. If you like to be allocated a user name and password please fill in your details below and return the form to reception. Surname: Forename: Date of birth: First line of Address: Postcode: address: Mobile number: Signature: Date:
completing 3 AUDIT-C questions above) Your Score 0 1 2 3 4 How often during the last year have you found that you were not able to stop drinking once you had started? Never Less than monthly Monthly Weekly Daily or almost daily How often during the last year have you failed to do what was normally expected from you because of your drinking? Never Less than monthly Monthly Weekly Daily or almost daily How during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session? Never Less than monthly Monthly Weekly Daily or almost daily How often during the last year have you had a feeling of guilt or remorse after drinking? Never Less than monthly Monthly Weekly Daily or almost daily How often during the last year have you been unable to remember what happened the night before because you had been drinking? Never Less than monthly Monthly Weekly Daily or almost daily Have you or somebody else been injured as a result of your drinking? No Yes, but not in last year Yes, during last year Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down? No Yes, but not in last year Yes, during last year TOTAL: 3. Your Lifestyle - Continued Smoking Do you smoke? Never smoked Ex-smoker Yes Do you use an e-Cigarette? No Ex-User Yes How many cigarettes did/do you smoke a day? Less than one 1-9 10-19 20-39 40+ Would you like help to quit smoking? Yes No For further information, please see: Height & Weight Height Weight Women Only Do you use any contraception? Yes No If needed, please book appointment. Are you currently pregnant or think you may be? Yes No Expected due date: 4. Further Details Named Accountable GP The GP who has overall responsibility for your care is?
Questions about your Alcohol Consumption Scoring System 0 1 2 3 4 How do you have a drink containing alcohol? or less 2 - 4 times per 2 - 3 per 4+ times per week How many units of alcohol do you drink on a typical day when you are drinking? 1 -2 3 - 4 5 - 6 7 - 9 10+ How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? Less than Daily or daily If your total score for the above 3 questions is 4 or less, then you do not need to complete the questions below How often during the last year have you found that you were not able to stop drinking once you had started? Less than Daily or daily How often during the last year have you failed to do what was normally expected from you because of your drinking? Less than or daily How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session? Less than Daily or daily How often during the last year have you had a feeling of guilt or remorse after drinking? Less than Daily or daily How often during the last year have you been unable to remember what happened the night before because you had been drinking? Less than or daily Have you or somebody else been injured as a result of your drinking? No Yes, but not in Yes, the
Are you allergic to any medication or do you have any other allergies? Yes No If yes please list: Please list any medication you are currently taking: Name and address of previous doctor: Are you a carer or being cared for? Yes No If yes please give details: Lifestyle Height Weight Do you smoke? Yes No If yes, how many per day? Have you ever smoked? Yes No Would you like help to stop smoking? Yes No Do you take regular exercise? Yes No If yes, how many time a week? Alcohol scoring system 0 1 2 3 4 Total How often do you have a drink containing alcohol? Never Monthly or less 2 – 4 times per month 2 – 3 times per week 4+ times per week How many units of alcohol do you drink on a typical day? 1 – 2 3 – 4 5 – 6 7 – 8 10+ How often have you had 6 or more units (female) 8 or more units (male) on a single occasion in the last year? Less than monthly Monthly Weekly or almost daily Signed: Date:
– C Questions Scoring system Your score 0 1 2 3 4 How do you have a drink containing alcohol? Never Monthly or less 2 - 4 per month 2 - 3 times per week 4+ times per week How many units of alcohol do you drink on a typical day when you are drinking? 1 -2 3 - 4 5 - 6 7 - 9 10+ How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? Never Less than monthly Monthly Weekly Daily or almost daily Scoring: A total of 5+ indicates increasing or higher risk drinking. An overall total score of 5 or above is AUDIT-C positive. Score from AUDIT- C (other side) Remaining AUDIT questions Questions Scoring system Your score 0 1 2 3 4 How often during the last year have you found that you were not able to stop drinking once you had started? Less than monthly Monthly Weekly Daily or almost daily How often during the last year have you failed to do what was normally expected from you because of your drinking? Never Less than monthly Monthly Weekly or almost daily
How during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session? Never Less than monthly Monthly Weekly Daily or almost daily How often during the last year have you had a feeling of guilt or remorse after drinking? Never Less than monthly Monthly Weekly Daily or almost daily How during the last year have you been unable to remember what happened the night before because you had been drinking? Never Less than monthly Monthly Weekly Daily or almost daily Have you or somebody else been injured as a result of your drinking? No Yes, but not in the last year Yes, during the last year Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down? No Yes, but not in the last year Yes, during the last year Scoring: 0 – 7 Lower risk, 8 – 15 Increasing risk, 16 – 19 Higher risk, 20+ Possible dependence TOTAL Score equals AUDIT C Score (above) + of remaining questions ACCESSIBLE INFORMATION If you require information in a different format such as large print, braille or audio to name but a few please let us know.
Across health care settings, including urgent care, community care and outpatient departments With GPs, and with NHS clinicians employed by Gloucestershire Hospitals NHS Foundation Gloucestershire Care Services NHS Trust (Community hospitals and community-based services, such as district nursing), 2gether NHS Foundation Trust (mental health services), South Western Ambulance Service NHS Foundation Trust. With Gloucestershire County Council social care. Across health care settings, including urgent care, community care and outpatient departments With GPs, and with clinicians employed by any NHS Trust or organisation involved in your care across England Information source GP record Other medical records held by different NHS organisations in Gloucestershire Gloucestershire County Council social care GP record Content Your current medications Any allergies you have Any bad reactions you have had to medicines Your medical history and diagnoses Test results and X-ray reports Your vaccination history General health readings such as blood pressure Your appointments, hospital admissions, GP out-of-hours attendances and ambulance calls Care / management plans Correspondence such as referral letters and discharge summaries. Your current medications Any allergies you have Any bad reactions you have had to medicines **SCR with Additional information can be added (upon request to your GP practice) includes: - Significant problems (past and present) - Significant procedures (past and present) - Anticipatory care information - End of life care information – as per EOLC dataset ISB 1580 - Immunisations
If so, who: Please let us know if your child is looking after someone who is ill, frail, disabled, has mental health/emotional support needs, or substance misuse problems. No If so, do you think they would like additional support as a young carer? Yes No Is your child known to services such as young carers? Yes No Is your child being looked after by a friend, neighbour in their home? Private Fostering If yes how long have they been living Yes No Is someone looking after your child at home? Please let us know if a family member, friend or neighbour to look after your child. Yes No Carer’s name and address: Relationship to you: Carer’s Tel. number: 5 Your Child’s Medical Background. Please give information any serious illnesses, operations, or injuries your child has had in the past? Condition Year Diagnosed Ongoing Yes / No Is your registered with a dentist? To find a dentist NHS Choices www.nhs.uk Yes No Please provide details of any medication your child takes (including the contraceptive pill): Name: Dosage: Frequency: Please give details of any allergies or sensitivities your child may have to medication/food: Family History
What feedback from relevant community groups, employer groups, and professional organizations was incorporated into the proposed PhD program? If the PhD degree relates to a regulated profession, what feedback did the regulatory or licensing bodies and the responsible Ministry provide? SYSTEM COORDINATION / DEGREE DUPLICATION STANDARD: The institution must establish that the proposed PhD degree fills a need within the post-secondary system and that there is no unnecessary duplication with existing programs. CRITERIA: A. System Context What differentiates the proposed PhD degree from all other related programs in the province? B. Consultation
CHEMICAL HAZARDS: COMPARISON OF NEW AND OLD LABELS NEW CLP Pictogram Number Hazard Class (CLP) OLD ‘CHIP’ Symbol PHYSICAL HAZARDS GHS-01 Explosives Self-reactive substances and mixtures, types A, B Organic peroxides, types A,B Explosive GHS-02 Flammable gases, aerosols, liquids or solids Self reactive substances and mixtures Pyrophoric liquids and solids Self-heating substances and mixtures Substances and mixtures, which in contact with water emit flammable gases Organic peroxides Highly/Extremely flammable GHS-03 Oxidising gases, liquids and solids Oxidising GHS-04 NEW Compressed gases, liquids and solids Liquefied gases Refrigerated liquefied Dissolved gases No current symbol GHS-05 Corrosive to metals Corrosive HEALTH HAZARDS GHS-06 Acute toxicity (Cat 1 - 3) Toxic/Very Toxic Harmful GHS-07 NEW Acute toxicity (Cat 4) Skin and eye irritation Skin sensitisation Specific target organ toxicity Respiratory tract irritation Narcotic effects Harmful/Irritant GHS-08 NEW Respiratory sensitisation Germ cell mutagenicity Carcinogenicity Reproductive toxicity Specific target organ toxicity No current specific symbol (Use either)
Alabama Public Service Commission Gas Pipeline Safety Plastic Fusion Qualification Form Revision 11-5-17 Please Complete all the Personal, Class and Company Information Below Personal Information Class Information Name Date Signature Class Location Home Telephone Company Information Address Name City Telephone State Zip Address Date of Birth City You Must Provide The Last 4 Digits of Your Social Security Number State SSN XXX-XX- Everything Below This Line To Be Completed by Instructor Butt Fusion Pipe Material Procedure MDPE* 2708 HDPE** 4710 Polyethylene Medium and High Density Resins Compatible with PPI MS-2 and ATSM D2513 and Manufacturers Approval (must meet requirements of 192.59) UNV PPI TR-33 ( and TR-13 ) Generic Butt Fusion Joining Procedure for Polyethylene Gas Pipe and General Guidelines for Butt, Saddle, and Socket Fusion of Unlike Polyethylene and Fittings (MDPE to HDPE fusion will follow exact procedure specifications, unless another APPROVED procedure is provided) Passed Passed Passed Other: Other: Polyamide Compatible Resins PPI MS-4 and ATSM F2945 and Manufacturers Approval (must meet requirements of 192.59) UNV-PA PPI TR-45 Butt Fusion Joining Procedures for Field Joining of Polyamide 11 Other: Passed Passed Passed Saddle Fusion Pipe Material Procedure MDPE* 2708 HDPE** 4710 Polyethylene Medium and High Density Resins Compatible with PPI MS-2 and ATSM D2513 and Manufacturers Approval (must meet requirements of 192.59) UNV PPI TR-41 Generic Saddle Fusion Joining Procedure for Polyethylene Gas Piping Passed Passed Other: Socket Fusion Pipe Manufacturer Coupling Manufacturer Procedure MDPE* 2708 HDPE** 4710 Driscoplex Performance Driscoplex Poly Pipe Passed Passed Poly Pipe Uponor UNV ASTM F2620 Standard Practice for Heat Fusion Joining of Polyethylene Pipe and Fittings Other: Central Electrofusion Pipe Material Fitting/ Coupling Processor Polyethylene Medium and High Density Resins Compatible with PPI MS-2 and ATSM D2513 and Manufacturers Approval (must meet requirements of 192.59) Central Passed Friatec Passed Fusamatic Passed Friatec- Central- Trifusion- Polyamide Compatible Resins Under PPI MS-4 and ATSM F2945 and Manufacturers Approval (must meet requirements of 192.59) Innogaz Passed MTD Trifusion Passed OTHER: OTHER-
RULES FOR OUT OF SCHOOL CLUB OTHERS HOW YOU WANT TO BE TREATED. BE RESPECTFUL NO RUNNING INDOORS. NO CLIMBING INDOORS NO SHOUTING AT ONE ANOTHER. IF YOU HAVE A DISAGREEMENT, WORK IT OUT SENSIBLY AND CALMLY, SOMETIMES WE DISAGREE ON THINGS BUT THAT’S OK. NO MAKING FUN OF ONE ANOTHER. BE THOUGHFUL SIT WHEN EATING DO NOT RUN WITH SCISSORS SAY SORRY WHEN YOU MAKE MISTAKES USE KIND WORDS NO SWEARING NO WRITING ON THE WALLS RESPECT & LISTEN TO STAFF NO PUSHING NO FIGHTING ALWAYS TELL STAFF WHEN THERE’S A PROBLEM. DO NOT GO UPSTAIRS WITHOUT TELLING A STAFF MEMBER DO NOT THE BUILDING TO GO HOME WITHOUT TELLING A STAFF MEMBER. & TAKE TURNS DON’T LEAVE PEOPLE OUT BE HONEST TALK TO STAFF ABOUT YOUR FEELINGS DO NOT THROW EQUIPMENT DO NOT ON CHAIRS OR TABLES DO NOT TOUCH ELECTRICAL EQUIPMENT OR PLUG SOCKETS DO NOT OPEN THE FRIDGE ALWAYS TRY THE FOOD PROVIDED. WATER DAILY WASH HANDS AFTER GOING TO THE TOILET WASH BEFORE FOOD TIDY UP AFTER YOURSELVES PUT ACTIVITY PIECES IN THE CORRECT BOX YOU MAY BRING YOUR DEVICES BUT CANNOT STAY ON THEM ALL DAY NO BALL GAMES INDOORS ALWAYS WEAR AN APRON WHEN PAINTING PUT ARTS AND AWAY IN CORRECT LABELLED CONTAINERS WHEN FINISHED.
Our Security system only allows authorized persons in the setting. Management to set this up. All persons must check that the front door is closed securely behind you. Reviewed: April 2018 Review date: April 2019 RATIO POLICY 0- 2 1 staff: 3 children 2– 3 years 1 staff: 4 children 2– 7 years 1 staff: 8 children indoors 3 – 7 1 staff: 6 children (outdoors) 8 – 12 years 1 staff: 10 children Reviewed: April 2018 Review date: April 2019
Program/Course Outline Program: List all courses in the Program (below in Column A); Also complete a Course Syllabus for EACH course listed: Stand-Alone Course: List the subjects or units of learning to be covered: (below in Column A); Also complete a Course Syllabus for the course. Hrs. of Theory Hrs. of Lab (If applicable) Internship/ Externship Hrs. Contact Hrs. (B+C+D=E) (If applicable) Credit Semester or Quarter or Distance Ed Only: No. of Lessons Column A (Press “Enter” in each column below for more rows) B C D E F Subtotal Total Theory, Internship/Externship, & Lab
Directions: This table is designed to capture information about specific programs being implemented in your school and who is trained to deliver these interventions. Please complete the following table for each intervention/program/strategy you will be implementing during the school year. The table should be updated at least every year and also when changes occur throughout the school year. For “Dates/Semester Implemented” please put close approximations of when lessons will be taught. Strategy/Programs/ Interventions School Climate Domain(s)/ Addressed Intervention Strategy Tier 1, 2, 3 # Students to be Served by Grade Level Where the Intervention Will be Delivered # Who have been Trained # Who will Deliver the Intervention Length of Time the Intervention Will be Delivered Dates/Semester Implemented Additional Comments:
“Unrealistic expectation” [iii] Even by looking to same tangible entity not all of interpretation from it is similar. Number of different pictures is equal to number of people and when a good developer team leader is lacking to integrate the assumption there are colorful pictures of mixture of variety of colors in the system requirement design. Often users expect more from what they see in a prototype. The general assumption is to see a really different outcome from what a user has seen in a prototype. A professional developer team leader or representative needs to make sure that the requirements limit has been identified based on projects’ resources’ limitation and clarified for user when getting feedback on prototyping to avoid the creation of overwhelmed infeasible expectations.
Rally Booking Proforma 2015 Must be submitted to the Rally Sec by the end of September to ensure inclusion in the rally book Dates & Times of Rally Name of Rally Nearest Town: Max No of Vans: Venue Address: By Kind Permission of: Directions (30 words): Rally Details/Programme ( 25 words): . The Rally Fee is to cover: Printing, Photocopying, Postage, Stationery, Telephone Calls, Sweets for Children, Sundries, etc.. The Social charge is to Tea/Coffee/entertainment/catering etc.. and MUST be self-funding The Fee is the required return and must not be used to pay for any part of the rally. Fee (Plus VAT) Admin Fee (Plus VAT) Social Charges Adult (Plus VAT) Social Charges Child (Plus VAT) **see above Site Fee per night – powered Site Fee per night - unpowered Is VAT included in this/these figures? Will We Get A VAT Receipt? Dogs Allowed? Toilets/Showers? Assistants’ Names: Stewards’ Names: Address (address not required) Postcode: Land line: Mobile: Any Other Relevant Information:
Enrollment Goals and Progress: Target Randomization Goal for the Site 10 Expected Conversion Ratio (# Identified to # Randomized) 11 to 1 Patient Enrolled Date: Anticipated End of Enrollment Date: # of Months Remaining to Enroll: 6 Actual Last Patient Enrolled Date: As of Date: Current # (Cumulative) Current # Consented (Enrolled) (Cumulative) Current # Randomized (Cumulative) Overall Conversion Ratio (# Identified to Randomized) Remaining Number to Be Randomized % of Target Goal Achieved 8/1/14 10 1 0 10 to 0 10 0% 9/1/14 15 4 1 15 to 1 9 10% 10/1/14 40 8 3 13 to 1 7 30% 11/1/14 61 11 3 20 to 1 7 30% 12/1/14 70 12 5 14 to 1 5 50% 1/1/15 84 14 7 12 to 1 3 70% 2/1/15 3/1/15 4/1/15 Action Plan for “Filling the Funnel” of Patients: (Add to list of activities as needed and update at least monthly): Date Site Specific Actions (Who will Implement and by When) Materials Needed Action Required by CRA Status, Issues, Outcome or Follow-up Required Oct 6 Example: PI will organize 2-hour educational session with GPs on October 6th from 11 – 1 PM Coordinator will send invite and follow-up on RSVP’s Research coordinator will schedule lecture PowerPoint presentation 20 Copies of Inclusion / exclusion cards 20 Study Brochures Mailing List of Physicians CRA to Follow-up on outcome of event Issues 20-Sept-11: Initial Shipment of Materials to site was lost. CRA with CRA and a new set of materials was sent via express mail to site. Update 24-Sept-11: All materials have been shipped to site Site confirms that 8 GPs will be attending
3. Principal Investigator on funding 4. Grant Number(s) 5. Title if different from REB File 6. Funding Period Start Date: End Date : Section D – Research Study Progress 1. The study was If you selected “Other”, please specify: Section E – Participant Information 1. When did the last participant complete the study? 2. Number of participants initially planned for the study 3. Number of participants recruited into the study 4. Number of participants that completed the study 5. Number of participants that voluntarily withdrew or were removed by the researcher from the study: 6. Please provide their reasons for withdrawal or removal. Section F – Risks and Benefits 1. Has anything changed in the last twelve months that may impact the original risk/benefit ratio? Yes No If yes, please explain: 2. Has new information in literature or evolved from this or similar studies affected the risk/benefit ratio? Yes No If yes, please explain and address whether this new information changes the original rationale or risk/benefit ratio for this study: 3. Is there any new information available about the study that needs to be communicated to participants? Yes No If yes, please explain and address whether this new information changes the original rationale or risk/benefit ratio for this study: 4. During this study, have there been any indications that potential benefits to participants could be increased? Yes No If yes, please explain: 5. Since the last research ethics clearance for this study, has there been any changes in the conflict of interest information provided to the UREB? Yes No If yes, please explain:
Individual Rights May practice any religion Not required to pay church taxes No established church Civil rights of Protestants protected Only Protestants may be elected to office No established church Right to free religion, speech, press, assembly and petition No religious qualifications for office than U.S. Constitution. established religion. to free religion, speech, press, assembly and petition. discrimination or segregation in militia or public schools. to organize regarding employment. Electorate Inhabitants over 21 50 pounds who resided in county for one year White men over 21, residents of state for one year and the county for five months citizen of U.S. over 18, resident of State and county for 30 days Legislature Elected annually Elects the Governor The Legislative Council serves with the Governor as the Court of Appeals of last resort Appoints Judges for seven years Appoints Attorney General for five years Appoints Treasurer for one year Elected annually May override gubernatorial veto by simple majority of both houses Appoints judges of courts of common Appoints the Treasurer State Senators elected for four-year terms Member of State Assembly elected for two-year terms Veto by governor must be overridden by 2/3 vote by both Houses of the Legislature Governor Elected by Legislature for one year Commander-in-chief of militia Serves with Legislative Council as Court of Appeals of last resort Elected by voters for three years May not hold office for two consecutive terms Appoints justices of the Supreme Court, Attorney General, and Secretary of State, with the advice and consent of the Senate. Elected by voters for four year term May serve two consecutive terms May line item veto an appropriation of money Appoints all executive offices, Secretary of State, Attorney General, with advice and consent of the Senate, to serve during term of the Governor Appoints the members of the Supreme Court, Appellate Courts and the Superior Courts with the advice and consent of the Senate Closure/Assessment
Participants can only withdraw during the study session Special withdrawal procedures are in place Describe the procedures for a participant to withdraw. What will happen to the data from a participant if they withdraw? Describe any deadlines and/or limitations on withdrawal from the Note: Ensure that all information letters, informed consent, informed assent, etc. are appended and clearly labeled Section L – Privacy, Confidentiality and Anonymity Will participants be anonymous? (Anonymous means that no link can be established between he participant and the research and that no one, including the researcher(s) know(s) who participated in the research study.) Yes No Will the confidentiality of participants and their data be protected? (Confidentiality: An ethical and/or legal responsibility of individuals or organizations to safeguard information entrusted to them, from unauthorized access, use, disclosure, modification, loss or theft - TCPS) Yes No Will data be stripped of identifying information? Yes No If yes, please explain how and when. Are there any limits to confidentiality? (select all that apply) Limits due to the nature of the research activity (e.g., focus groups – the researcher cannot guarantee confidentiality) Limits due to context – individual participants be identified because of the nature or size of the sample or because of their relationship with the researcher Limits due to selection – procedures for recruiting or selecting participants may compromise the confidentiality of participants (e.g., participants are referred to the study by someone outside the research team) Duty to report (e.g., participant self-harm, harm to others, child or elder abuse) Other – specify - Please describe how you will manage limits to confidentiality and ensure that this is also addressed in the informed consent. Are you collecting any identifying information which would permit specific research participants to be identified through identifiers (e.g., name, address, social insurance number, personal health number, date of birth, place of residence, unique personal characteristic)? Yes No If yes, what identifying information will be collected? Please describe how the identity of the individuals will be safeguarded. If using pseudonyms or codes to remove identifiers, please describe who will have access to codes or pseudonyms to link data
Address: Email: Mobile Phone Number: I confirm I am the patient named above/OR I have parental responsibility for patient named above (please delete where appropriate). I would like to request a password and login to enable me to access SystmOnline to book appointments, request repeat prescriptions, view my coded medical record and my summary care record. I understand the importance of keeping my log in and password details safe for security purposes. Please note that if you are requesting a password and login for a young person under the age of 11 years (this will make you a “Proxy” user). Once this young person reaches 11 years of age, for the purpose of patient confidentiality your access to their SystmOnline account will automatically be disabled. If you are registering for your own online services you will need to complete this form and return it with photographic ID. If you are registering for a “proxy” user you will need to supply photographic ID and proof that you have parental responsibility for the young person (i.e. their birth certificate) I wish to have access to the following online services (please tick all that Booking appointments Requesting repeat medications Accessing my Summary Care Record I consent to my username and password for accessing my online services be sent to me by post once the registration process is complete (please tick this box to show your consent) Signature Patient Signature/Signature on behalf of patient If you are not the patient please state your relationship to the patient Date SHARING YOUR NHS PATIENT DATA Information sharing in the NHS is subject to rigorous regulation and governance to ensure your full identifiable and personal medical data is kept confidential and only ever seen by carefully vetted doctors, nurses and administrative staff responsible for overseeing your care. With the development of information technology the NHS will increasingly be sharing key information from your GP medical notes with Out of Hours GP Services, Hospital A&E Units, Community Hospitals, and Community Nurses all of whom may at various times in your life be looking after you.
Where do people live in New Jersey? New Jersey is the most densely populated state in the United States. Population density is determined by dividing the number of people living in an area (New Jersey’s population is 8.865 million) by the size of the state (7,417 square miles). Why do you think so many people live in New Jersey? The population is not evenly spread out across the state. See a map of NJ’s major cities at (Handout 5). Do you see any connections between New Jersey’s physical geography—where the rivers and mountains are—and where its cities have developed? What do urban, suburban, and rural mean? 1) Urban—means a city. The U.S. Census Bureau defined “urban” in 2010 as an area having more than 50,000 people. 2) Suburban—indicates those population clusters that grew up around cities. The U.S. Census Bureau defined “suburban” population clusters in 2010 as areas with populations greater than 2,500 but less than 50,000. 3) Rural--means countryside. We think of farms and New Jersey has plenty of rural areas and farms. This would include all the areas with less than 2,500 people. Using the Population Density Map (Handout 6) ask students to identify rural, urban and suburban areas of New Jersey, and to compare the Population Density Map with the map of New Jersey’s major cities. Identify the town where you live on the map with New Jersey’s major cities. Do you live in an urban, suburban or rural area? Take a Virtual class trip at Why might some areas of New Jersey be more suited for people to live than others? Project: Make a Travel brochure Distribute the directions for the New Jersey Regions Project (Handout 7) Ask each student to pick one region for their brochure. Students will use research links online to create their rough copy. Once finished, they will submit the rough copy for teacher approval before completing the final copy. Students will complete their final copies (at home) and share them with the class Assessment: Use rough copy as formative assessment to monitor progress Final project brochure graded using the following project rubric: Requirement Does not meet expectations Meets required expectations Goes above and beyond expectations
AI A patient with Marfan;s syndrome is involved in a high speed MVA. Why might her BP=90/25? How would you evaluate the severity of AI? Does a preop EF of 60% in a patient with AI offer you any reassurance? How is acute AI differ from chronic AI? 5.What anesthetic technique would you use in a patient with a significant AI? 6.If decreasing afterload with AI is good, would you consider a spinal? 7.Do you need an AL to perform a spinal in a pt with AI? 8.The BP drops with your spinal. What do you do? 9.All you have is phenylephrine. Would you give it? MR A patient with an MI develops hypotension. Is it important to auscultate the chest? What does a preop EF of 65% in a patient with MR tell you? What does a EF of 35% in a patient with MR tell you? Would you premedicate the anxious patient with MR? 5.What a transesophageal echocardiogram be useful during a MV replacement?
NEW ROUTES Start December 31, 2017 Route 1: Was: (INBOUND) Congress > Mason > State Change to: (INBOUND) Congress > Bay > State Route 211 becomes Route 112: Was: Perkins > Outer > Woodbridge Change to: Woodbridge > > Perkins Adding: Ricker Center Route 3: on Michigan to Superior - No bridge crossing Removed: YMCA (YMCA on Route 7) Route 54: Removed: Ricker Center (Ricker Center added to Route 112) Route 6: Changed to Fashion Sq and SVSU Express Was: > Bay > SVSU > Tittabawassee > I-675 Change to: I-675 > Fashion Sq > SVSU > Fashion Sq > I-675 adds a WalMart stop Route 737 becomes Route 7: Adds: Ruffin Clinic, YMCA, MI Works, DaVita Dialysis Removed: Michigan Ave (added to Route 3) 8 becomes Route 82: Was: Vets > Jefferson > Warren Change to: Jefferson > Warren > Vets Will take Jefferson to Williamson (Removed Holland, Webber, Hess) Route 9: Adds: Southbound Bay Removed: Inbound WalMart stop (Route 6 adds a WalMart stop) Route 106 - Big Changes: Will now Depart at top of hour (:55) instead of bottom (:25) Was: I-675 > Tittabawassee > Fashion Sq > Weiss Change to: > Covenant Mackinaw > Tittabawassee Adds: Covenant Mackinaw, Fresnius Dialysis Removed: Bay Pointe Apts, Southbound Bay
*If different from above Email Address: J. PRIMARY SCHOOL CONTACT *If Different from, or in addition to above Name: Phone Number: Email Address: K. DESIGNATED AGENT INFORMATION *Name and Colorado address of designated agent upon whom any process, notice or demand may be served, this address must be separate than that of the school Name: Address: Phone Number: Email Address: L. TYPE OF BUSINESS Sole Proprietorship Name: Address: Phone Number: Email Address: Partnership Name: Attach a list of the name, home address, phone number and title of positions of each partner/owner. Indicate which, if any, maintains controlling interest in the school. If applicable, attach a copy of the Articles of Incorporation and Certificate of Good Standing from the Office of the Secretary of State Corporation Name: Attach a list of the name, home address, phone number and title of each corporate officer/member. Also, attach a list showing the same information on any stockholder(s) having controlling interest in the school. Attach a copy of the Articles of Incorporation and Certificate of Good Standing from the Office of the Secretary of State If an out-of-state corporation, include Statement of Foreign Entity Authority to transact business in Colorado. LLC (Limited Liability Company) Name: Attach a list of the name, home address, phone number and title of each corporate officer/member. Also, attach a list showing the same
Contractor Information Company Name: Contact Name: Contact Phone #: Contact Email: Date of Work: Time Required: __________________________________________ Description of Work: Crane Information: Is a crane required for ramps or loading? Yes No If yes- Maximum height of crane is Item Description Y N N/A 1 Emergency Spill Kit 2 Aid 3 General Liability Insurance 4 Tidal Checks 5 No Thrust Zone 6 Lighting 7 Communications 8 Navigational Lighting 9 Site Clean 10 Work Plan 11 Barge Securing 12 Gate Lock Out 13 Notam 14 Worksafe Date Request Submitted: Tides on Work Date: Barge Information Barge Name: Barge Dimensions: Barge Owner: Tug Information Tug Name: Tug Dimensions: Tug Call Number: Skipper Name: Skipper Cell #: Site Supervisor Information Name: Signature: _____________________________ Date: Victoria Airport Authority-Approval Name: Signature: _____________________________ Date: Email completed form to: seaplanebase@victoriaairport.com NOTE: You are NOT authorized to use the seaplane base until you receive approval.
Section E and F: OUTCOMES AND PROVISION Educational Outcomes and Provision to meet identified Need (From Section B, e.g. X needs to develop…) Outcomes Sought ( e.g. X will be able to Educational Provision to be made (e.g. type/frequency/time, of expertise) Total / week (minutes) Cost * Please attach ‘Individual SEN Support Offer’ grid and ‘EY / School Age Progress’ grid to evidence the above.
GRADE 7 FIRST TERM ENGLISH UNIT COMPETENCY COMPETENCY LEVEL SUBJECT CONTENT NO.OF PERIODS PROPOSED DATE ACTUAL DATE OF COMMENCEMENT DATE OF COMPLETION REMARKS 1.What You See 5 5.2 Act 1 3 3.3, 3.4 Act 2 4 4.3 Act 3,4,5 1,8 1.2, 8.3, 8.4, 8.13 Act 6 7 7.3 Act 7 8,7 8.4, 7.5 Act 8 3,5 5.2, 3.2 Act 9 3,7 3.2, 7.4 Act 10 4 4.6 Act 11 4,7,8 4.6, 7.2, 8.9 Act 12 5 5.3 Act 13 7 7.5, 7.1 Act 14 6 6.1 Act 15 5 5.4 Act 16 Assignment 1 2. Friends Indeed 4,5 5.2, 4.3, 5.3 Act 1 7 7.4 Act 2 5 5.3 Act 3 5 5.4 Act 4 4,5 4.3,5.5 Act 5 2 2.4 Act 6 1 1.1 Act 7 3 3.3 Act 8 3,5,7 5.4, 7.6, 3.3 Act 9 Assignment 2
UNIT COMPETENCY COMPETENCY LEVEL SUBJECT CONTENT NO.OF PERIODS PROPOSED DATE ACTUAL DATE OF COMMENCEMENT DATE OF COMPLETION REMARKS 1. Our Responsibilities 1 1.1, 1.2, 1.3, 1.4 Act 1 2 2.2,2.3,2.4,2.5, 2.6, 2.7 Act 2 8 8.2,8.6,8.8 Act 3 1,5,6 1.3,5.2,5.6, 5.7,6.2 Act 4 7 7.7 Act 5 4 4.4 Act 6 6 6.3 Act 7 6,8 6.6,6.7,8.9 Act 8 3,5,7 3.2,5.3,7.4 Act 9 5 5.3 Act 10 7 7.4 Act 11 7 7.3 Act 12 8 8.13 Act 13 Assignment 01 2.Facing Challenges 5,8 5.1, 8.9,8.13 8.14 Act 1 5 5.1 Act 2 4.3, 5.2, 6.2, 6.6, 6.9 8.14 Act 3 1,5 1.2,5.6 Act 4 5,8 5.7,7.5,8.13 Act 5 3,7 3.1,7.7 Act 6 7 7.5,7.8 Act 7 6 6.3 Act 8 5,6 5.1,6.1,6.3 Act 9
GRADE 11 SECOND TERM ENGLISH UNIT COMPETENCY COMPETENCY LEVEL SUBJECT CONTENT NO.OF PERIODS PROPOSED DATE ACTUAL DATE OF COMMENCEMENT DATE OF COMPLETION REMARKS 5.Best Use Of Time 5,7,8 5.1, 7.2, 8.3, 8.4, 8.9, 8.13 Act 1 1,8 1.2,1.3,8.2 Act 2 8 8.4 Act 3 3 3.7, 3.8 Act 4 8 8.7 Act 5 5 5.3,5.4 Act 6 2,4,8 2.3,2.7,4.7,8.2 Act 7 7 7.7 Act 8 5 5.2,5.3 Act 9 7 7.1,.7.8 Act 10 5 5.2,.5.3,5.6 Act 11 4,6 4.7,.6.9 Act 12 5 5.7 Act 13 5 5.7 Act 14 Assignment 01 6.A Moment of Fun 1 1.1, 1.2 Act 1 5 5.2 Act 2 6 6.4 Act 3,4 6 6.1 Act 5 5 5.3 Act 6 7 7.3 Act 7 5,7 5.2, 7.5 Act 8 1,4,5 4.3,1.1,.1.3,5.6 Act 9
Number of form places 150 Number of boarding places N/A SEN unit / Resource provision N/A Land arrangements (Version 1-7 or other) Version 1 Address and number of Land South Nottinghamshire Academy, Glebe Lane (off Cropwell Road), Radcliffe-on-Trent, Nottinghamshire, NG12 2FQ Title number: [TBC] Clause No. Descriptor Applied Not used 1.I Only applies to free schools and new provision academies X 2.A.1 Clause applies where an academy was previously a VC or foundation school designated with a religious character X 2.C, 2.D Only applies the academy has an SEN unit X 2.E Only applies there was a predecessor independent school X 2.G Clause does not apply to free schools (unless there was a predecessor independent school), or new provision academies X 2.M Clause applies only to academies and free schools designated with a religious character X 2.N Clause applies only to academies that were formerly wholly selective grammar schools X
Option Not used. Option Notice Not used. Property Notices If the Academy Trust receives a Property Notice, it must: send a copy of it to the Secretary of State within 14 days, stating how the Academy Trust intends to respond to it; promptly give the Secretary of State all the information he asks for about it; the Secretary of State to take all necessary action, with or instead of the Academy Trust, to comply with it, and use its best endeavours to help the Secretary of State in connection with it. Breach of Lease If the Academy Trust is, or if it is reasonably foreseeable that it will be, in material breach of the Lease, the Academy Trust must immediately give written notice to the Secretary of State stating what the breach is and what action the Academy Trust has taken or proposes to take to remedy it, including timescales where appropriate. After notifying the Secretary of State under clause 4.H, the Academy Trust must: promptly give the Secretary of State all the information he asks for about the breach; the Secretary of State to take all necessary action, with or instead of the Academy Trust, to remedy or prevent the breach, and
Termination of this Agreement will not affect the accrued rights, remedies, obligations or liabilities of the parties existing at termination. This Agreement may be executed in any number of counterparts, each of which when executed and delivered shall constitute a duplicate original, but all of which will together constitute the same agreement. This Agreement and any dispute or claim arising out of or in connection with it or its subject matter or formation (including non-contractual disputes or claims) shall be governed by and construed in accordance with the law of England and Wales, and submitted to the exclusive jurisdiction of the courts of England and Wales. Not used. ANNEXES PUPILS WITH SPECIAL EDUCATION NEEDS (SEN) AND DISABILITIES “Statement of SEN” a statement made under section 324 of the Education Act 1996. “EHC plan” an Education, Health and Care plan made under sections 37(2) of the Children and Families Act 2014. Except as set out in clause 8 the Children and Families Act 2014 imposes duties directly on Academies in respect of pupils with special educational needs, including the admission of pupils with EHC plans. If an Academy Trust considers that a LA should not have named the Academy in an EHC plan, it may ask the Secretary of State to determine whether the LA has acted unreasonably, and to make an order directing the LA to reconsider. The Secretary of State’s determination will be final, subject to any right of appeal which a parent of the child may have to the First Tier Tribunal (Special
3:00pm – 5:00pm Best Practices – Alonzo Villarreal TDA Update – Angela Olige Ballroom ABCD – - 8:00am – 9:30am Financial Management Mike Edwards, HORNE (Advanced) Ballroom AB Applications: Module 1 Hannah Ver Valin (Beginner) Ballroom C Practical Strategies to Increase Summer Outcomes Christine Browder Texas Health Initiative (Beginner) Ballroom D Sponsor Level Documentation Nora Davis (Beginner and Advanced) Ballroom E Break 10:00am – 11:30am Site Types and Eligibility Sherri Gothart-Baron (Beginner and Advanced) Ballroom AB Applications: Module 2 Hannah Ver Valin (Beginner) Ballroom C Practical Strategies to Increase Summer Outcomes Christine Browder Health Initiative (Beginner) Ballroom D Site Level Documentation Cade (Beginner and Advanced) Ballroom E 11:30am – 1:00pm 1:00 pm – 2:30pm Applications: Module 3 Hannah VerValin (Beginners) Ballroom C Site Visits and Reviews Sherri (Beginner and Advanced) Ballroom D Financial Review Tool Bill Barousse (Beginner and Advanced) Ballroom E Break 3:00pm – 4:30pm Applications: Module 4 Hannah Ver Valin (Beginner) Ballroom C SFSP Budget Sherri (Advanced) Ballroom D Financial Review Tool Bill Barousse (Beginner and Advanced) Ballroom E
7. 8. Unit 4 Section 4.1 1. 2. 3. 0.776 4. 6.494 5. yes 6. A. This answer is for the question that is 12:30 PM instead of AM. B. 90.14 apart C. (West 37.5 miles, North 25 miles) 7. (4, 3) 8. (-4, 2.5) 9. (1988, 347) In 1988, the average daily jail population was 347 thousand people. 10. (1988, 2617.5) In 1988, the federal deficit was 2617.5 billion dollars. 11. (x – 8)2 + (y + 2)2 = 149 12. (x + 2)2 + (y + 2)2 = 34 Section 4.2 1. x12 2. x-2y11 3. 56 4. m3n3 5. d-2 6. h-10 13. x2y-9 14. 125x-2 15. 16. x4y-6 17. 72d-5 18. 64x6y9 7. 2c11 8. u4v 9. w18 10. x20 11. 27y3 12. -8x18y6 19. y 20. 21. 22. Section 4.3 1A. 2 B. 1/5 2A. 1 B. 1/9 3A. 2 B. not real 4A. 1/10 B. 81 5A. h1/3 B. p1/2 11A. B. 4 12A. x6y-10/3 B. 55/4x-14/3 13A. x6y-2 B. 125c3d-6/5 14A. 8x2y9 B. ½ x-1/6y-4/9 15A. B. ½ x-5/2y1/2
New Jersey’s First Constitution, 1776 Grade level: 4-8 Creator: New Jersey Center for Civic Education, Rutgers University, Piscataway Objectives: Students will be able to explain the content and impact of the provisions of New Jersey’s 1776 Constitution regarding the electorate, the branches of government, and the protection of individual rights. New Jersey Core Content Social Studies Standards 6.1.4.A.3 Determine how “fairness,” “equality,” and the “common good” have influence change at the local and national levels of U.S. government 6.1.4.A.9 Compare and contrast responses of individuals and groups, past and present, to violations of fundamental rights. 6.1.4.A.11 Explain how the fundamental rights of the individual and the common good of the country depend upon all citizens exercising their civic responsibilities at the community, state, national, and global levels. 6.1.4.D.4 Explain how key events that led to the creation of the United States and the state of New Jersey. 6.1.4.D.5 Relate key historical documents (i.e., the Declaration of Independence…) to present day government and citizenship. 6.1.8.A.2.a Determine the roles of religious freedom and participatory government… 6.1.8.A.2.b Explain how and why government structures developed, and determine the impact of these early structures on the evolution of American politics and institutions 6.1.8.A.2.c Explain how race, gender, and status affected… political opportunities Common Core ELA Standards RI.4.1 Refer to details and examples in a text when explaining what the text says explicitly and when drawing inferences from the text. RI.4.3 Explain events…ideas or concepts in a historical…text. RI.4.4 Determine the meaning of general academic and domain-specific words or phrases in a text RI.4.5 Describe the overall structure of events, ideas, concepts RI.4.8 Explain how an author uses reasons and evidence to support particular points in a text. RI.1.10 Read and comprehend informational texts, including history/social studies… W.4.1 Write opinion pieces on topics or texts, supporting a point of view with reasons and information. W.4.2 informative/explanatory texts to examine a topic and convey ideas and information clearly.
Lesson 11 Contractions that’s it’s let’s you’re they’re Last Week although saw walk called caught Lesson 12 Homophones there right too their Last Week that’s it’s let’s you’re they’re
Resources Designated employee parking Given a list of key contacts relevant to their position: Help Desk – ext. 53070 HROM (Human Resource Operations Manager) HR – ext. 54743 QSEOM (Quality Service & Efficiency Operations Manager) GWN (Get Well Network) Help Desk- ext. 76565 Training Opportunities and Sources Microsoft Office calendar) Power Point, Word Epic Training