zilongwang/ReadingBank huggingface dataset:
End of ASYE Development for PDP over next 12 months: 11. Organisational context Operate successfully in a wide range of organisational contexts, including settings undertaking statutory activity, understanding that the success or failure of the social worker depends on the operation of organisations and also in spite of it; that checks and balances within local and national systems are a necessity which must be complied with as a condition of employment, and that learning is used to assist in practice development; that quality of relationships and reputation management with peers, managers and leaders both within the profession, throughout multi-agency partnerships and public bodies, including the family courts, is an essential component of successful support to families and protection of children. Time of review Scaling by NQSW Scaling by line manager Baseline 3 month review 6 month review End of ASYE Be able to manage the specific set of tasks relating to statutory case responsibility for children in need and children in public care, with the support of an appropriately qualified supervisor; and ensuring that the leadership of the multi-agency support network is properly utilised and effective, taking necessary steps to safeguard children’s welfare, where this is not the case. Time of review Scaling by NQSW Scaling by line manager Baseline 3 month review 6 month review End of ASYE Development areas for PDP over next 12 months:
YOUR PATHWAY PLAN Desired goal / Outcome (WHAT?) Next step – what action needs to be taken to achieve the identified Goal / Outcome (HOW?) Who is going to take this action (WHO?) What is the date set for when this action / outcome will be completed or reviewed (WHEN?)
b.) Social and personal service to be provided for the best welfare of the ward: (The guardian must detail all services provided to or for the ward, including any services provided by friends, family, paid caregivers or facility staff.) c.) Place and kind of residential setting best suited for the needs of the ward: (Please list the ward’s address, name and type of facility, if applicable, and describe why this is the best, least restrictive, living arrangement for the ward) d.) Description of health and accident insurance and any other private or governmental benefits to which the ward may be entitled to meet any part of the costs of medical, mental health or related services provided to the ward (list all types of income/benefits received by or for the ward, for example, Social Security, pensions, Medicare, Medicaid, etc…): e.) Physical and mental examinations necessary to determine the ward’s medical and mental health treatment needs, including names of those who will provide examinations and approximate dates for examinations (Do NOT include examining committee physicians or reports. What care providers does the guardian intend to have the ward see in the coming reporting period?):
RESEARCH INVOLVING THE INTERNET (refer to Supplement K submission) NA Is the proposed use of the internet appropriate taking into consideration the following factors (as applicable)? Yes No NA The Terms of Use or other rules or standards governing the use of the website or tool The mechanisms to ensure that only eligible subjects participate The privacy of subjects The mechanisms to protect the confidentiality of subject data The materials, information, messages, scripts, etc. that will be presented to or will guide interactions with subjects The technical expertise available on the research team or supplemented via consultation with experts Comments:
Proceed to the JSVRO for initial processing with the following documentation: ID card and SOFA license (Kadena issued SOFA License: Sponsor must provide a copy of all dependent’s SOFA ID and SOFA License for eligibility), Original deregistered title, Japanese bill of sale, Property Damage Insurance (PDI), and Japanese Compulsory Insurance (JCI). Apply for temporary plates and complete two vehicle registration worksheets and a Statement of Responsibility. (See temporary plates) Proceed to double check counter. Pay transaction fees at ALPA. Temporary plates: ¥1,500 Weight Tax: ¥11,600-¥24,300 Initial Registration Fee: ¥2,000-¥2,100 Pick up temporary plates (next business day), then proceed to the GOJ Inspection line. Pay inspection fee $25 at AAFES Inspection Door 6 If you fail inspection all items need to be fixed. If repairs are completed on the same day and car is re-inspected before 15:30, there is no additional fee. However, if they return the next day there will be a re-inspection fee of ¥1,300 due to the ALPA counter prior to returning to the inspection lane. The AAFES fee $25 is valid for 2 weeks after purchase. After 2 weeks, the customer is required to pay the AAFES fee $25 and revenue stamp fee ¥1,800 again. Proceed to inspection lane 5 Once you have passed the final inspection, then go Land Transportation Office (LTO) for regular POV & MC 251cc and above, or Mini Car Center for mini cars and motorcycles 126cc-250cc, or City Hall for (125cc and below): LTO 512-4 Minatogawa Urasoe City: Main Building SOFA Window 2 will issue a new title. Window D will issue new Y plates, ¥1, 880. Window 9 will charge for Road Tax (Varies by month) and issue a receipt. Prorate from April to March. ¥7, 500 - ¥32,000 Mini-car Center 512-12 Minatogawa Urasoe City: Mini-car center Window 0 will issue new title and plates ¥1, 880. City Hall: Customer service window varies between locations Return to JSVRO drive thru lane 1 or 2 for a Military Registration and Road Tax sticker.
General Instructions Page 1 – Application Face Sheet The Application Face Sheet provides the SCO’s identifying information and serves as the cover sheet for submitting the required qualification documents to . Face Sheet Items: Organization’s Legal Entity Name – the legally incorporated name of the SCO. Address and Phone Number – the SCO’s complete administrative office mailing address, including the nine-digit zip code, and the phone number for the administrative office. Master Provider Index (MPI) and National Provider Identifier (NPI) Numbers Federal Employer Identification Number (FEIN) County (ies) where the organization currently provides s Coordination services – please list. County (ies) where you would like to provide services in the future may also be listed. Any other state office that the organization currently provides Supports Coordination services – please answer Yes or No and list the offices that you provide service to. Contact person – Please designate one contact for the SCO, provide that person’s email address, and ensure that that person coordinates the preparation, review and submission of all required documents associated with the Application. Executive Director and Board President – the name, title, signature and date are required for both positions. Non-governmental entities should provide the names and signatures of the SCO Executive and the President of the SCO’s governing board. Governmental entities should provide: as the “SCO Executive”, the name and signature of: The county MH/MR Administrator or the Services Director; and in lieu of the chair of its governing board, the name and signature of the or the Chair of the or the Chair of the County Council.
Food and Groceries and Land Mark but it increased for Dominick’s. The higher Contract Index must have had an impact on the sales of our juices. However, penalties increased and this affected our profits. Who did I consult with on my team: I consulted with our purchasing manager over facebook, and met up with the operations and supply chain manager to work together on making decisions. What did I learn from the decisions and processes in this round:
Appendix 30: Weekly Summary Six Fresh Connection – Summary Round 6 Our Mission: to deliver qualitative products to our customer OUTCOME FROM PREVIOUS ROUND Return on Investment: 5.3 Penalties: (-46,344) PURCHASING Changes in supplier have been made. Pack supplier changes from English supplier to German Supplier. Change has been made based on high rejection rate of English supplier. The German supplier has 10 days’ lead time compare to 5 days’ lead time. By doing this changes, we are hoping to take advantage of making products more available as English supplier has not performed well (see picture below) when comparing reliability performance with the rejection rate. Product Supplier Agreed Reliability (%) Rejection Agreed Reliability / Rejection Rate Pack Brit 99.1 2.6 38.1 Pet Philip 98.9 2.9 34.1 Vitamin C Syi 99.1 3.7 26.8 Mango Mango 98.8 1.7 58.1 Orange Arancia 97.8 1 97.8 Orange Medina 100 0 #DIV/0! Vitamin C supplier from the Netherlands changes to a French supplier with certification as the current dutch supplier has no certification. This change is due as all current supplier are performing under certification and have excellent supplier performance based on the firm's strict policies in 99% delivery rate and 4 hours delivery windows. By choosing a supplier with certification, we can reduce cost in the reduction of quality inspection in the operation section while taking advantage of time reduction for the inspection. A French supplier in the PET segment has been compared to the current Dutch supplier which has low performance (illustrates in the table above). Comparing both contract index to each other, the Dutch supplier's contract index would indicate a value of 0.988 while the current supplier would perform better with an index of 1.03. Taking this into consideration, no changes in supply has been made. A similar decision has been made in the Vitamin C by changing from the current Dutch supplier to a French competitor in order to take advantage of the certification while reducing cost in the quality inspection cost in the operations sector. OPERATIONS
CHECKLIST Has the following information been provided? Anaesthesia Fasting Induction - drug, dose, route Maintenance - drug, dose, route Methods of monitoring anaesthesia and recovery Additional support during anaesthesia and recovery (eg heat, intravenous fluids) Location of induction and recovery areas Restraint Expertise of personnel Behaviour modification Stimulus (type, duration, frequency) Blood/body fluid collection Volume Route Frequency Anaesthesia or analgesia Restraint Animal monitoring (methods, frequency) modifications Type Amount Effects Measurement of intake Animal monitoring Drug treatments Substance Volume/dose Route number per animals Local and systemic effects Anaesthesia or analgesia Possible side effects Restraint Expertise of personnel Euthanasia Method Location (where procedure will be performed) Expertise of personnel Genetic manipulation Methods Potential effects Teaching Source of animals Housing Duration held Method of disposal In-vitro studies Source of animals Duration held Euthanasia Surgery Anaesthesia Location of pre-operative preparation area Pre-operative preparation Surgical procedure (site, technique) Sterile technique (instruments, drapes, surgeon) Location of and housing in post-operative recovery area Post-operative management Post-operative monitoring (methods, frequency, duration) Use of analgesics (type, dose, frequency, means of determining necessity for use) Expertise of personnel Tumour/neoplasia induction Method Site Endpoint Animal monitoring (methods, frequency) Toxicology Substance Volume/dose Route Frequency of treatment/total no per animals Local and systemic effects Anaesthesia or analgesia Restraint Animal monitoring (methods, frequency) Endpoint/duration Wildlife studies Location Methods Capture methods Handling/restraint Housing Monitoring Release Effects on population Transport Type Duration Confinement Numbers of animals Airconditioning Housing Location Isolation Group housing (stocking rates, sexes) Shelter Bedding Hiding Environmental enrichment Duration held Conditioning period
application are a true and accurate account of services performed. I further confirm that no costs included in this application that were invoiced by my consulting company are ineligible as listed in Minnesota Rules, Chapter 2890. / Consultant Signature Title Date **Attach additional certification page(s) if more than one consultant signature is required. Applicant signature and notarization not required on additional pages. APPLICATION PREPARER CONTACT INFORMATION (Preparer’s name) (Representing) Number Please send this application and accompanying documents to: Minnesota Department of Commerce – Petrofund 85 280 ST. PAUL, MN 651-539-1515 or 800-638-0418 This application form is effective JULY 1, 2018 – JUNE 30, 2019
DCA 2015); Beauchamp v. Bank of New N.Y., 150 So.3d 827 (Fla. 4th DCA 2014); SAS v. Federal National Mortgage Ass’n., 112 So.3d 778 (Fla. 2d DCA 2006); see also Septimus v. Christiana Trust, 183 So.2d 471 (Fla. 4th DCA 2016)(bank failed to submit evidence of “FDIC’s assignment of the note and mortgage to its predecessor before the complaint was filed”). But even if this Court recognizes there was a series of transfers of the servicing of the mortgage, Ocwen failed to present any evidence of authorization to Financial Freedom to file the lawsuit. A successor plaintiff is required to prove that the original plaintiff had the authorization to file the initial complaint. Here, the successor plaintiff, which was the real party in interest, failed to present any evidence demonstrating that it granted the original plaintiff/servicer the authority to enforce the note at the time the original plaintiff/servicer filed the foreclosure action. Thus, the successor plaintiff did not prove that the original plaintiff/servicer had standing to commence the foreclosure action. See (reversing final judgment of foreclosure for servicer where servicer filed foreclosure action in its own name but introduced no evidence showing that the real party in interest authorized it to bring the action); (reversing final judgment of foreclosure for servicer where the servicer “failed to provide sufficient proof that it was authorized at any time to prosecute the foreclosure action on behalf of [the note owner] ... or was otherwise ... entitled to enforce the Note at the time it filed the action”). Alfonso v. JP Morgan Chase Bank, N.A., 182 So.3d 930, 931-932 (Fla. 4th DCA 2016).
Male Female Do not wish to answer Prefer to use my own term, write in: Gender identity is the same as the gender assigned at birth Gender identity is different to the gender assigned at birth Do not wish to answer I Sexual Orientation J Disability Gay Man Heterosexual/Straight Lesbian/Gay Woman Bisexual Do not wish to answer Prefer to use my own term, write in: Physical Impairment Please describe: Sensory Impairment Learning Disability Long term illness or health condition Please describe: Mental Health condition Do not wish to answer Any other disability, write in: Accessibility/Communication Needs Do you have any support affecting your access of our service or special communication requirements that you would like us to be aware of? How do you prefer to be contacted? Would you like to be on our mailing list? Support Network GP
Constitution of the Royal New Zealand Foundation of the Blind Incorporated These rules were first adopted by a special resolution of the Foundation on 11 February 2003, and came into force on the date that Part 3 of the Royal New Zealand Foundation of the Blind Act 2002 came into force, in accordance with section 2(2) of the Act. The rules were amended by a special resolution adopted by a meeting of Members on 5 November 2011 and later amended by a resolution adopted by a meeting on 18 September 2014 and later amended by a resolution adopted by a meeting on [∙]. Date
My pets 1. Look at the picture and choose the correct option. It's a ___________ mouse. Options: yellow, purple 2. Match the pets. a) 1) Dog b) 2) Fish c) 3) Mouse 3. Write the names of the animals for the correct places. a) __________ b) __________ c) __________ d) ___________ e) __________ Options: fish, dog, turtle, bird, cat, mouse 4. Order the words in the sentence. a) are b) the door. c) The cats d) near. 5. Look at the picture and choose the correct option. It's an ___________ cat.
1. It’s a brown mouse. 2. a) – 2) Fish b) – 3) Mouse c) – 1) Dog 3. a) dog b) bird c) cat d) mouse e) turtle 4. c); a); d); b) – The cats are near the door. 5) It's an orange cat. 6. a) T b) T c) F d) F
e) T 7. has got a dog, a mouse and a bird. 8. a) parrot b) dog c) fish d) turtle 9. a) cat b) bird c) fish 10. a) – 3) b) – 1) c) – 2) 11. a) T b) F c) T d) F e) F 12. a) – 2) b) – 3) c) – 1) 13. a) F b) T c) F d) F 14. The fish is in the bowl. 15. a) The cat is the box. b) The fish is in the bowl. c) They are near the chair.
Schools may disclose, without consent, "directory" information such as a student's name, address, telephone number, date and place of birth, honors and awards, and dates of attendance. However, schools must tell eligible students about directory information and allow eligible students a reasonable amount of time to request that the school not disclose directory information about them. Schools must notify eligible students annually of their rights under FERPA. The actual means of notification (special letter, inclusion in a student handbook, or newspaper article) is left to the discretion of each school. For additional information, you may contact the Registrar at the following address: VTCSOM Office of the Registrar 2 Riverside Circle, Suite M140 Roanoke, VA 24016 (540) 526-2512 SCHEV Phone: (804) 225-2600 Fax: (804) 225-2604 TDD: (804) 371-8017 Web: www.schev.edu Instructor Qualification Personnel Data Full Name: Date: Last First M.I. Phone: ( ) Work Cell #: ( ) Work Fax: ( ) E-mail Address: Date of Initial Employment: Full Time: Part Time: Name of School (Employer): Virginia Tech Carilion School of Medicine Courses that will be taught: Problem-based learning curriculum: combination of lectures, facilitation of small team group discussions and/or clinical skills throughout the four years Education Institution Attended (Name plus city & state of location) Graduated? Yes No Certificate, Diploma or Degree Earned Major Area of Study Attended From To (Mo./Yr.) (Mo./Yr.) Teaching and or Work Experience Employer Job Title: Address:
Patient Registration Please check and complete the following details First names Last name Home Work phone DOB Mobile address Street address Postal address Next of kin & Relationship Address Treatment area Family Doctor (Name & address) Physiotherapist (Name & Address) Occupation Private Health Fund Membership number Medicare Ref No Veterans Are you making a claim for compensation? Workers' Compensation CTP Personal Injury Public Liability Sports Insurance Insurer Date of injury Claim Number Billing Address Case Mangaer Declaration I have read the Privacy Amendment Act and give permission for correspondence to be sent to my referring doctor, general practitioner, physiotherapist and insurance company where appropriate. I undertake to pay all fees owing to my Surgeon, including in the event that liability is denied or any outstanding accounts that have not been paid in full by my insurer. I also understand that any outstanding monies requiring debt recovery will incur Debt Recovery fees and I will also be responsible for any legal costs incurred. Signed by patient or parent/guardian ________________________________Date ___________________ Name (Please Please complete the Medical History Form on following page Specialty Orthopaedics – Patient Registration Form - V4.6 14/19/15 (printed <datept> <Op
Preparing for Initial Visit, cont. Safety Issues 30 min Lecture, Discussion, Activity Large group shout out; Slides 24-25; Handouts 5-6 LUNCH 1 hour At the Door 30 min Dyad Activity Exercise in introductions 27; Handout 7 Gaining Access: Dos and Don’ts, Dealing with Resistance and Refusal of Access 30 minutes Lecture, Discussion, transfer of learning Lecture, Discussion, Handout 8 Slides 28-33 Beware/ Be Aware 15 min Activity Slide 34 Handout 9: Beware/Be aware BREAK 15 minutes Interviewing Alleged Abuser: Preparation, Dos and Don’ts 45 minutes Lecture, Discussion, Small Group Activity Slides 35-38 Handouts 10-11 Assessing Potential Danger & De-escalating Tense Situations 30 minutes Lecture, Discussion, Activity Slides 39-48 Handouts 12-14 Case Vignette Ethical Practice, Wrap-up, Q and A 15 minutes Slide 49-50
Initial Transition Meeting Discussion Document Assessment Date: Plan Date: Plan Participants: Demographics and Services Individual Information Last Name First Name Middle Name DOB Street City State ID SSN Medicaid # Medicare # Guardian Information Guardian Last Name Guardian Name Guardianship Type Phone Street City State Agency Info Receiving Agency (Regional Office) POC (Service Coordinator) City Transferring Agency (Regional Office) POC (Service Coordinator) City Phone Regulatory Compliance To be completed within 30 days See Attached See Attached See Attached To be Completed within 30 Days Annual Personal Plan Choice of Provider / Waiver Choice ICF-MR of Care Health Inventory Nursing Review Services Service Requested / Identified Provider UR Approved Requested Start Date Authorized Date YES NO
Choking Risk - Yes, No Dietary/Meals Teeth - Natural, Natural – Poor Repair/Teeth Missing, Dentures, Edentulous Is there a history of polydipsia/excessive fluid intake - Yes, No Current Physician Ordered Diet: Independent, Set-up Assistance Required, Requires Prompts, Requires Encouragement, Client must be fed by staff, Tube Feeding, Eating Drinking Meal Requires special utensils, Requires special positioning/unique instructions Describe protocol, concerns and precautions Independent, Requires prompting/reminders, Requires assistance, Requires special cup or Requires special positioning/unique instructions, Tube feeding Describe protocol, concerns and precautions Independently and safely prepares meals requiring cooking Independently and safely prepares basic meals not requiring cooking Requires assistance with meal planning/making healthy choices Requires assistance when cooking Requires assistance to prepare simple meals Totally Dependent on staff for meal preparation Food Likes Food Dislikes Comments: Bladder Bowel Toileting Continent, Occasional Incontinence, Incontinent, Wears Depends, Catheter, Urostomy, Describe protocols, concerns, precautions Continent, Occasional Incontinence, Incontinent, Wears Depends Ileostomy, Colostomy, Describe protocols, concerns, precautions
TASK TASK DESCRIPTION GRADING CRITERIA Submission date ASSESSOR 1 You must produce an informative leaflet for the following Public Services: Police Service Fire Service British Army (officer and soldier) Each leaflet must describe the fitness test (a set of instructions) and fitness requirements (pass standard). You must also identify the component of fitness that it tested e.g. strength, power, stamina. P6 First BTEC Public Services lesson VAC Evidence you must produce for this task. Three leaflets (either on PowerPoint, Publisher, Word or hand written) with pictures Criteria covered by this task: Identify components of and testing methods for fitness P6 If you experience any difficulties with this of work please email Vicky ()
Attendance List O If applicable. HUD Loan Documents Note (Multistate) HUD-94001M & state addendum C State-specific provisions and/or addenda may be required. Security Instrument HUD-94000M & state addendum O State-specific provisions and/or addenda may be required. Regulatory Agreement HUD-92466M O UCC Financing Statements & County) C Building Loan Agreement HUD-92441M O Lender’s Certificate HUD-92434M O With all applicable exhibits and attachments. Lender’s Assurance of Permanent Financing O Certified Closing Statement O Agreement and Certification HUD-93305M O Operating Deficit Escrow HUD-92476a-M O Escrow Agreement for Working Capital HUD-92412M O Other escrow agreements, if applicable O List as required, see Closing Guide § 2.8. Borrower’s Oath HUD-92478M O Construction Documents Agreement (B108) & HUD Amendment C Certification of Architectural / Engineering Fees O See sample language in Closing Guide § 5.6. Mortgagor’s and Architect’s Certificate of Payment HUD-92403.1 O Architect’s Insurance Agent’s Certificate C For both design and supervisory architects, if different. Building Permit(s) Construction Contract and HUD Supplementary Conditions HUD-92442M HUD-92554M O Include all appropriate exhibits. Assurance of Completion for Project Either bonds or completion assurance agreement. a. Bonds i. Performance Bond HUD-92454M C ii. Payment Bond HUD-92452A-M C
A DESCRIPTION OF THE CHILD Please underline the characteristics that best describe your child Good-humoured Confident Shy Curious Lively Independent Sensitive Calm Persistent Reclusive Brave Strong-willed Timid Compassionate Social Hasty Active Prudent Eager Creative In what other ways would you describe your child? What are your child's strengths? PARENTING POLICIES What of things do you consider important in parenting your child? How do you deal with conflict situations with your EXPECTATIONS REGARDING COOPERATION In what way do you want to collaborate with the staff? What kind of things do you wish that the tells you about your child's everyday day care? What else do you want to bring up? Date ____ . ____ . 20____ Signatures of both parents _________________________ _________________________ Childhood Education Plan Initial conversation NAME OF THE CHILD: Details of the childhood education centre: Name of the centre Name of the group / Private childminder Address Telephone number An individual early education childhood plan is made for every child in early childhood education. This form is the first part of the plan. The plan supports the child's individual growth, development and learning. High-quality early childhood education is built on the expertise of the family regarding the child as well as on the experience and skills of the day care staff. We call this collaboration upbringing partnership. Common agreements are registered in the early childhood education plan so that both parties undertake to follow the agreed practices. The plan is kept at the child's care centre and it accompanies the child if he or she moves to another care group or centre. The agreement is confidential and the staff is be bound by professional secrecy. CHILD'S INFORMATION Name and nickname of the Date of birth Child's address Native language Previous day care centre Other languages spoken at home Physical condition
KSP5: Key Supplier Profile Percent of supplier’s sales PP1: Procurement Profile User requirements (e.g. quality and inspection requirements) PP2: Procurement Profile Procurement methods PP3: Procurement Profile Technology enablers PP4: Procurement Profile Process performance measures PP5: Procurement Profile User satisfaction PP6: Procurement Profile Inventory management approach KPP1: Key Personnel Profile Key stakeholders KPP2: Key Personnel Profile Subject matter experts CHECKLIST Attach and Reference All Collected Data Summarise Findings Ensure all Project Team participants are provided with a copy of the Initial Data Package - prior to discussing Tender Opportunity & Strategy
PROPOSED OPERATING BUDGET AND BUSINESS PLAN INSTRUCTIONS - SUBMIT THE FOLLOWING IMMEDIATELY BEHIND TAB 13 OF YOUR APPLICATION: Proposed Operating Budget – The proposed budget should cover the initial licensing year. It should be broken down monthly, and include all known anticipated expenses and realistic expected income or loss during the initial year of operation. Business Plan – the anticipated start-up costs and projected on-going cost, describe the school’s plan for obtaining necessary funds to initiate and maintain a viable program over a three-year period. Indicate sources of revenue equivalent to the summary of costs that will be used to support the proposed program. See business plan examples at the US Small Business Administration: . NOTE: Mark any information that is proprietary, trade secret or otherwise in nature “CONFIDENTIAL.” Failure to do so may subject such information to the North Carolina Public Records Act and shall be disclosed to third parties when required by Chapter 132 of the North Carolina General Statutes. CHECKLIST ITEM #14
Initial Management of Concussion and Head Injury You or your child are/is suspected of having sustained a concussion. In compliance with 2011 Wisconsin Act 172, any athlete suspected of sustaining a concussion must be removed from participation in youth athletics and be evaluated by an appropriate health care provider. What is a Concussion? A concussion is an injury to the brain that impairs normal brain function. Any disruption normal brain function Caused by forceful bump, blow, jolt to head, neck, face, or body; Or through collision, fall, or whiplash injury Evolving injury - Symptoms may not appear for several hours or even days post-injury Many concussions do not involve a loss of consciousness Functional disturbance, NOT structural injury Signs and Symptoms of a Concussion Headache Nausea Vomiting Balance Problems Dizziness Fatigue Trouble Falling Asleep Waking At Night Sleeping More Than Irritability Sadness Nervousness Sleeping Less Than Usual Numbness/Tingling Drowsiness Difficulty Concentrating Sensitivity to Light Sensitivity to Noise Feeling Slowed Down Difficulty Remembering Feeling More Emotional (or a change in emotions) Does not “feel right” Confusion Feeling Mentally “Foggy”, “Sluggish”, “Hazy”, “Groggy” Visual Problems (double vision, blurring, lines, spots) Symptoms may present within minutes of sustaining a head injury, but may also not appear until 1-2 days after an injury occurs. Symptoms may take 72 hour to peak so it is important to monitor possible concussions or head injuries for a minimum of 72 hours. Symptoms may appear to improve or worsen throughout the course of the day or over the period of a few days. Recovery When properly for and managed, most concussions resolve well within 2-3 weeks. Best practices for concussion management include: Immediate removal from play or if an injury is suspected. Early initiation and continued compliance with recommendations for symptom management. Early evaluation and management by a healthcare provider trained and experienced in concussions. Avoidance of a second hit, impact, or jostling to the head or body. This can worsen the actual injury. Monitored and stepwise progression into physical activity and other activities that are symptom-provoking. Each head injury is different. Symptoms and general length of recovery time are dependent upon the level of force applied to the brain, the location(s) of the brain by which the force is absorbed, age, gender, previous concussions, conditions and medical histories, and more. Initial Management
LPHA completing IMN Form, must check the appropriate box below: LPHA met with the beneficiary LPHA met with the SUD counselor that conducted the intake SUD ICD-10 Code: SUD DSM-5 Name: ICD-10 Code: Name: Codes: Written Basis for Diagnosis (Must be completed by LPHA & include specific criteria of Medi-Cal included primary SUD diagnosis): Indicate all ASAM Levels of Care recommended: LPHA ASAM of Care: LPHA ASAM Level of Care: LPHA ASAM Level of Care: Is this level of care recommendation different than the previously assessed ALOC? Yes No Explain if yes: Client Information that has been considered includes the following: • The beneficiary’s personal, medical and substance use history; review of information with the client and/or LPHA • *Physical Exam (when available)
___/____/____ /____ IN THE COURT OF QUEEN’S BENCH OF NEW BRUNSWICK TRIAL DIVISION JUDICIAL DISTRICT OF __________________________ IN THE MATTER OF THE COMPANIES’ CREDITORS ARRANGEMENT ACT, R.S.C. 1985, c.C-36, AS AMENDED AND IN THE MATTER OF A PLAN OF COMPROMISE OR ARRANGEMENT OF [APPLICANT’S NAME] (the "Applicant") INITIAL ORDER THIS APPLICATION, made by the Applicant, pursuant to the Companies' Creditors Arrangement Act, R.S.C. 1985, c. C-36, as amended (the "CCAA") was heard this day at (address), (City), New Brunswick. ON READING the affidavit of [NAME] sworn [DATE] and the Exhibits thereto, and the affidavit of [NAME] dated [DATE] in the capacity of proposed Monitor of the Applicant; AND UPON IT APPEARING from the affidavit of service of [NAME] sworn [DATE] that the following persons [identify secured creditors and others served] received notice of this Application; AND ON READING the consent of [MONITOR'S NAME] to act as the Monitor, and hearing the submissions of counsel for [NAMES]. IT IS ORDERED AND DECLARED THAT: SERVICE
__Heat sensation in feet, chest __night sweats __ catch colds easily __shortness of breath __sweat easily __ general weakness __ feel worse after exercise __dizziness __ see floating black spots __palpitations __restlessness __anxiety __chest pain __ insomnia __mental confusion __cough __nasal discharge __nose bleeds __sinus congestion __dry mouth, throat, nose, or skin __allergies __chills alternating with fever __sneezing __headache __feel achy __stiff neck/shoulders __sore throat __difficult breathing __low appetite __loose stools __constipation __abdominal bloating or gas after eating __fatigue after eating __prolapsed organs (previously diagnosed) __bruise easily __general feeling of heaviness in body __mental heaviness, sluggishness or fogginess __swollen hands __burning sensation after eating __large appetite __bad breath __mouth (canker) sores __bleeding, swollen or painful gums __heartburn __belching __vomiting __swollen feet __chest congestion __nausea __diarrhea __diarrhea alternating with constipation __feel better after exercise __pain in ribs or side __ tight feeling in chest __bitter taste in mouth __blood shot eyes __anger easily __skin rashes __headache at top of head __hot flashes __dry eyes __numbness of hands and feet __muscle spasms, twitching, cramping __seizures __sore, cold or weak knees __low back pain __frequent urination __do you get up at to urinate? __lack of bladder control __memory problems __hair loss __ringing in ears Urine is: __clear __light yellow __dark yellow __reddish yellow __ cloudy __scanty _ has odor __ burning __painful __ difficult __urgent Libido (sex is: Low1 2 3 4 5 6 7 8 9 10 High Please list 1-3 health goals that you have for the next 6 months: For the next year? For those with the applicable anatomy
Please answer each question or check the appropriate response. Are you currently pregnant? __yes __ no 2. The approximate date of your last menstrual period? 3. Number of children _____ 4. Number of pregnancies______ 5. Age of first period _______ 6. Age of Menopause (if applicable)___________ 7. Is your menstrual cycle regular?_________ a. Number of days from the start of one period to the start of the next________________ b. Average number of days of flow ________ c. the flow is: light1 2 3 4 5 6 7 8 9 10 heavy d. The color is: __ red __dark red __ pale red __bright red __ brown e. are there blood clots ? __ yes __ no h. Do you have pain/cramps? i. Do you have nausea or vomiting before or during period? __ yes __ no __before __during j. Do you experience any of the following before your period? __ water retention __ breast tenderness or swelling __ depression __ irritability __food cravings __ migraines k. Do you have bleeding between periods? l. Do you have any discharge between periods? Please put a check mark by the symptoms that pertain to you. __ coldness or numbness in the external genitalia __pain or swelling of the testicles __ premature ejaculation __ erectile dysfunction __ prostate enlargement g. issues __ before period __ during period __ period
CareDeliveryOrganization Relationships Type Source Parent Association is operated by CareDeliveryFacility CareDeliveryOrganization Association is operated by ElectronicMedicalRecordSystem CareDeliveryOrganization Attributes Attribute Attribute Detail name Conformance ID: 2210-72; 2210-85 Default Source Mapping: 12: Facility Name telecomAddress Conformance ID: 2210-73; 2210-86 Default Value: Source Mapping: 14: Facility ElectronicMedicalRecordSystem Relationships Type Source Parent Association is operated by ElectronicMedicalRecordSystem CareDeliveryOrganization Association generates ReportSubmission ElectronicMedicalRecordSystem Attributes Attribute Attribute Detail name Conformance ID: 2210-78 Default Source Mapping: 3: Sending Application 04: Provider Provider - (Class diagram) Detail: Created on 10/13/2015. Last modified on 10/18/2015 Figure: 19
The Durham is the lead site The Durham PI is the lead investigator or study chair. for all sites. The Durham VA PI is the local site investigator. Duke is the only other site This is a non-VA sponsored multi-site study. The DVAHCS is the coordinating center Other: 2. If the DVAHCS is the coordinating center or lead site, the following must be assured by the DVAHCS Principal Investigator: N/A I understand that the DVAHCS IRB must determine if other sites are engaged in research. If they are engaged, then that site’s IRB must approve the study. I will provide copies of IRB approvals from other sites determined to be engaged in research as they are available. I will ensure that the study is not initiated at other sites prior to approval or exemption by their IRB. 4. A local site-specific protocol or the Durham VAHCS Local Protocol Addendum is included: YES NO Note: A local site protocol or Durham VAHCS Local Protocol Addendum is required for multisite studies that use a centralized protocol or for multisite trials for which DVAHCS is not the lead site. L. Study Staff 1. This study will include Co-investigators at the DVAHCS? If yes, Submit a Conflict of Interest form for each DVAHCS investigator YES NO 2. Each research staff member has an appropriate Research Scope of Practice on file, or appropriate Research Scope of Practice documents are included with this application. YES NO 3. Does the involve initial clinical evaluation or ongoing clinical monitoring during the study? YES NO If yes, check all that apply: Study staff or participant’s health care provider will be responsible for the initial clinical evaluation. Study staff or participant’s health care provider will be responsible for monitoring clinical status. All study staff who will provide clinical procedures or monitoring as part of this study are trained and qualified with appropriate credentials and privileges within DVAHCS. M. Research Data Information 1. Indicate the type of data will be obtained and recorded study team? Check all that apply: De-identified – Data does not contain any identifiers that could link the data to a specific participant. Identifiable– Data contains direct identifiers, including the 18 HIPAA identifiers, sufficient to identify participants. Coded – A unique code will be assigned to a set of otherwise de-identified health information to permit re-identification. The code will not be derived from or related to information about the
Is the funding dependent on offering accredited education and training? If YES, please insert details 3.2 Insert Public Liability Insurance Details Evidence must be submitted with this Application Form - supply policy details 3.3 Current Tax Clearance Certificate Evidence must be submitted with this Application Form - supply a copy of current tax clearance certificate Section 4: Scope of Providers Proposed Provision 4.1 Proposed Education and Training Provision. Programmes leading to QQI awards Programme 1 NFQ Level Award Class ISCED field of learning Professional Domain (If applicable, please provide details) Detail of specific award name including code were appropriate Principal teaching and learning modes Profile of target learner groups Minimum number of learners planned for each programme Maximum number of learners planned for each programme
Evidence of Registration with the National Vetting Bureau of An Garda Síochána (if applicable) (1.2) RBN1s for each trading name intended to be used by the applicant (1.2) Organisation (2.3) Documentation on Collaboration and Partnerships e.g. contracts, memorandum of understanding (2.5) Documentation relevant to financial viability and resources (3.1) Public Liability Insurance Details (3.2) Current Tax Clearance Certificate (3.3) The statutory declaration has been signed by the Owner, Director or Principal Executive Officer of the Applicant and witnessed by an authorised person (5) Self-assessment document QA procedures I understand that an application submitted without the required documentation and payment of the appropriate fee will be considered incomplete and returned to me. Signature: __________________________________________ Title: __________________________________________ Date: __________________________________________
Site Checklist for NCCIH Initiation Visit Scheduling/Logistics Query PI and relevant study staff regarding the monitor’s proposed visit dates Confirm mutually-agreeable visit date with the monitor and study staff Reserve meeting room, computer, projector, screen, and teleconference line, as needed Reserve work for the monitor Provide logistics information to the monitor for visit day: directions to site/room, time to meet, emergency contact/backup number as requested Notes: Preparing the Agenda Review the draft initiation visit agenda provided by the monitor, and make necessary modifications to reflect the specifics of the protocol and study team Identify and confirm which staff will be presenters and/or facilitators during the meeting Determine a due date for presenters to submit slides, talking points, or handouts, as applicable Finalize the agenda and all presentation materials to the visit date Meeting Materials Identify if meeting materials will be needed for the initiation For example, would meeting participants benefit from a copy of the final protocol, final CRFs, other documents, and/or copies of slides from presenters during the discussion? Determine if meeting materials will be distributed in hardcopy or electronically, and when Prepare and distribute meeting materials per plan Notes: Regulatory/Essential Documents NCCIH approval of protocol, CRFs, ICF, and DSMP File visit confirmation letter received from the monitor with the regulatory/essential documents Per the NCCIH regulatory summary sheet and checklist at , all required IRB and NCCIH approvals, documents of staff qualification and training, lab certifications, tracking and other logs are complete, up to date, and organized for review Notes: Study Data Confirm that source documents, CRFs, and database are finalized and available for review and discussion Notes: Post-Visit Follow-up
3. Findings of the Assessment 1: Evidence Table Freshstart Study Details design Outcome measures Main findings Results Evidence Grading Include? Reason for exclusion 1. King KA et al,, 2003 Intervention Reviewed/ Studied A secondhand smoke media campaign on adult smokers' willingness to protect children from secondhand smoke. A random sample of 390 adult smokers was surveyed via telephone. Perceptions of secondhand Secondhand-smoke media campaigns can positively affect smokers' knowledge of the dangers of secondhand smoke and future intentions to protect others from secondhand smoke. Seeing or hearing the ads was significantly associated with intentions to personally smoke outside of the home and to ask visitors to smoke outside. Most smokers were committed to protecting children from secondhand smoke. Exclude – not related to vehicles 2. Netemeyer RG et al, 2005 Intervention Reviewed/ Studied Analyses of smokers' responses to a telephone survey conducted after Adult smokers’ consideration of quitting Creating advertisements that target specific antismoking beliefs may be the most effective approach to enhancing Results indicated that advertising-based beliefs regarding smoking addictiveness and the dangers of environmental tobacco smoke were associated Exclude – not related to ETS/ vehicles
3. If any water is spilled, team must begin again. 4. If ground contact, within the circle, is made by any of the participants, ropes, can, or water the problem begins from the start. Trolley Activity: To move a of 4 people over a poisoned yogurt area as efficiently as possible utilizing the given props, without anyone in the group touching this noxious substance with any part of their body (including clothes, shoes, etc.) Materials: 2 – 4" x 4" x 1.5 m long planks with ropes attached for hand holds Instructions: 1. If someone falls off the trolley the team must go back to the start of the poisoned yogurt area. 2. Trolley sections may be placed end to end or on top of one another. 3. Trying to maneuver the trolley around or over an obstacle adds a different dimension to the problem. There is obviously more than one way to make forward progress on the trolley!
I-N-I-T-I-A-T-I-V-E P-L-A-N-N-E-R . Planner Last Updated Initiative Code Purpose Strat Objective Target Process(es) KPI Objectives Project Manager Unit Name Team Members Date Started Original Deadline Revised Deadline Completion Date Notes Work Plan # Major Activities # Sub-Tasks Days Who Resources Cost TOTAL TOTAL $ Add additional rows as required.
Non-Psychotropic Allergies/Adverse Reactions/ Sensitivities Check if Yes and List Food Drugs(Rx/OTC/ILLICT) Unknown Allergies Other: Date of last physical exam: Date of last dental exam: Referral made to primary care or specialty NO YES If yes, list: Additional Medical Information: Narrative continued in Addendum SUBSTANCE USE SUBSTANCE EXPOSURE, if ever used: Prenatal AGE AT FIRST USE CURRENT SUBSTANCE USE None/ Denies Current Use Current Abuse Current Dependence In Recovery Client-perceived Problem? ALCOHOL Y N AMPHETAMINES (SPEED/UPPERS, CRANK, ETC) Y N Y N OPIATES (HEROIN, OPIUM, METHADONE) Y N HALLUCIENOGENS (LSD, MUSHROOMS, PEYOTE, ECTASY) Y N SLEEPING PILLS, PAIN KILLERS, VALIUM, OR SIMILAR Y N PSP (PHENCYCLIDINE) OR DESIGNER DRUGS (GHB) Y N INHALANTS (PAINT, GAS, GLUE, AREOSOLS) Y N MARIJUANA/ HASHISH Y N TABACCO/ NICOTINE Y N CAFFEINE (ENGERY DRINKS, SODAS, COFFEE, ETC.) Y N OVER THE COUNDER: Y N OTHER SUBSTANCE: Y N COMPLIMENETARY ALTERNATIVE MEDICATION Y N Is beneficiary receiving alcohol and drug services? Yes, from this provider Yes, from a different provider No If yes, type of alcohol and drug services: Residential Outpatient Community/ Support Group SUSBSTANCE RISKS, USE, & ATTITUDES/EXPOSURE NO YES UNABLE TO ASSESS Were any risk factors identified based on clinical judgment? Does the client currently appear to be under the influence of alcohol or drugs?
Column A Column B Column C Column D Column E Names of Providers Serving Injecting Drug Users at or Above 90% Capacity During the Quarter Start Date of Being at 90% Capacity End Date of Being at 90% Capacity License Number Inventory of Behavioral Health Services Number (I-BHS #)
1861 Georgia Constitution, ARTICLE I. - DECLARATION OF FUNDAMENTAL PRINCIPLES - SECTION XXV. “No standing army shall, in time of peace, be quartered in any house without the consent of the Owner; nor in time of war, but in a manner prescribed by law.” Notice of Special Restricted Appearance First-Middle: Last, Living Beneficiary d/b/a FIRST MIDDLE LAST® ________________________________________________________________ IN THE SUPREME COURT FOR THE STATE OF YOUR STATE First-Middle: Last d/b/a MIDDLE LAST vs. STATE OF YOUR STATE PUBLIC OFFICIALS; Governor Name d/b/a GOVERNOR Attorney General Name d/b/a ATTORNEY GENERAL County Sheriff Name d/b/a YOUR COUNTY SHERIFF Chief Justice at Supreme Court d/b/a CHIEF JUSTICE Comptroller Name d/b/a COMPTROLLER ) ) ) ) ) ) ) NOTICE OF MOTION AND ) MOTION TO INTERVENE ) WITH AN INJUNCTION ) ) ) ) ) ) ) ) ) ) ) NOTICE OF ESTOPPEL AND STIPULATION OF CONSTITUTIONAL CHALLENGE TO ALL YOUR STATE STATUTES WHERE no bill of attainder, ex post facto law, law impairing the obligation of contracts shall ever be enacted; AND MOTION TO INTERVENE WITH AN INJUNCTION FOR First-Middle: Last d/b/a FIRST MIDDLE LAST. NOTICE THAT pursuant to the 1861 Georgia Constitution, ARTICLE I. – Declaration of Fundamental Principles – Section 10 - “No bill of attainder, ex post facto law, retroactive law, or laws impairing the obligation of contract or making irrevocable grant of special privileges or immunities shall be passed..” … Section 18: “Ex post facto laws, and laws impairing the obligation of contracts, and retroactive legislation injuriously affecting the right of the citizen, are prohibited.”
Ankle Muscle and tendon sprains and strains trips and falls Table 1 Use the grid below to: mark up the axes sketch a bar graph to represent the information in the % column of Table 1. Percentage of total Body part How might the following injuries have occurred? Needle stick injuries/punctures