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Reform of government bureaucracy is a way to achieve "good governance", which can be the beginning of a state of advanced and modern. With the reform of governance systems more effectively and efficiently, is expected to materialize the impact of governance "Service" to the community is more precise, fast, and professional. In this bureaucratic reform role of the central government to provide guidance and assistance to local governments so that reforms can be run in accordance with community expectations. Indonesia has been reformed since 1998 and showed a positive development from the aspects of development accelerated implementation. However, there are still many problems arise because of the varied regional capabilities, the need for appropriate measures in dealing with problems that hinder the implementation of bureaucratic reform in the region. http://www.scirj.org/jul-2014-paper.php?rp=P0714151
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How to write a CV for an Experienced Physician Seeking a New Permanent Position or Locum Tenens job Mark Stanton, m.D. 12 James street, Barton, VA, 00001 • (000) 555-2345 • Email: Mark.Stanton@ABC.XYZ Objective Education To obtain a locum tenens pediatrics position in a children’s hospital Bareston College of Medicine Doctor of Medicine, Magna Cum Laude Honors: Alpha Omega Alpha Medical Honor Society Bareston, TX May 1988 College of Illinois Chicago, IL Bachelor of Science in Biology, Magna Cum Laude May 1984 Honors: Pre-Medical Student Association, President (1983-1984); Golden Key National Honor Society; Phi Beta Kappa National Honor Society Internship and Residency Portville, PA Pediatric Hospital of Portville Pediatric Resident 1988 – 1991 The Pediatric Hospital is a 270-bed pediatric hospital with a Level II Pediatric Regional Resource Trauma Center. As a senior resident, responsibilities included supervising medical students and interns in the pediatric intensive care unit.
The extent or stage of cancer at the time of diagnosis is a key factor that deﬁnes prognosis and is a critical element in deter mining appropriate treatment based on the experience and outcomes of groups of prior patients with similar stage. In addition, accurate staging is necessary to evaluate the results of treatments and clinical trials, to facilitate the exchange and comparison of information among treatment centers, and to serve as a basis for clinical and translational cancer research. At a national and international level, the agreement on classi ﬁcations of cancer cases provides a method of clearly convey ing clinical experience to others without ambiguity. Several cancer staging systems are used worldwide. Dif ferences among these systems stem from the needs and objectives of users in clinical medicine and in population surveillance. The most clinically useful staging system is the tumor node metastasis (TNM) system maintained collabor atively by the American Joint Committee on Cancer (AJCC) and the International Union for Cancer Control (UICC). The TNM system classiﬁes cancers by the size and extent of the primary tumor (T), involvement of regional lymph node (N), and the presence or absence of distant metasta ses (M), supplemented in recent years by carefully selected nonanatomic prognostic factors. There is a TNM staging algorithm for cancers of virtually every anatomic site and histology, with the primary exception in this manual being staging of pediatric cancers.
The progression steps of a cancer listed on this slide are mostly theoretical. No one has been able to microscopically examine the progression of breast cancer, but observations over time suggest this is the typical progression. Treatment decisions are based on it. However, ductal carcinoma has appeared in lymph nodes when the primary tumor is still microinvasive. Certainly tumors can metastasize before they become palpable—good reasons for getting regular mammograms. There is some doubt that every cancer starts as an in situ lesion. And there is a suspicion that some cancer cells move through sentinel lymph nodes without involving them, and go on to involve other regional nodes. But the sequence of progression on the slide may represent most cancers. Imagine a cancer developing and moving through these steps. At some point, the cancer gets diagnosed and staged. That’s why stage at diagnosis is so important. The stage indicates how far along the path of progression the cancer managed to get before it was identified. The earlier the diagnosis, the lower the stage. Entire public health initiatives have been launched because cancer registry data demonstrated that certain segments of the population were diagnosed at higher stages than average.
I n spite of public controversy and warnings from regulators, a few national and regional banks are routinely making payday loans, marketed under more appealing names. As shown by previous research and discussed here, these loans are promoted as a short-term solution to a financial shortfall, but in fact they keep borrowers trapped in extremely high-cost debt for a significant portion of the year. Bank payday loans are structured in the same way as other payday loans. The bank deposits the loan amount directly into the customer’s account and then repays itself in full, plus a very high fee, directly from the customer’s next incoming direct deposit of wages or funds such as Social Security checks. If the customer’s direct deposits are not sufficient to repay the loan, the bank typically repays itself anyway within 35 days, even if the repayment overdraws the consumer’s account, triggering high overdraft fees for subsequent transactions. The great majority of banks do not offer payday loans, but as of August 2013 we are aware of at least six that do: Wells Fargo Bank, U.S. Bank, Regions Bank, Fifth Third Bank, Bank of Oklahoma and its bank affiliates,1 and Guaranty Bank. The federal prudential banking regulators—who have long expressed concern about payday lending and who stopped banks from partnering with non-bank payday lenders years ago—have recently expressed serious concern about bank payday lending and proposed guidance that would put in place important protections. In addition, the Consumer Financial Protection Bureau (CFPB) recently released initial findings based on its analysis of bank payday data, expressed concern based on those findings, and indicated that it will take further action to address those concerns. CFPB’s findings are noted throughout this chapter, and the supervisory developments are discussed in the Legislation and Regulation section at the end.
A three-year firm/fixed contract for the repair and maintenance of Hi-Lo/Forklifts at all SMART facilities. All labor and materials necessary must be included in the submitted quote. Quote award: Quote will be awarded to the lowest responsive and responsible vendor meeting all the listed specifications. No deviations will be accepted. All prices shall include shipping costs and labor. Total Price The undersigned hereby offers to furnish to SMART all materials and labor at the prices quoted herein, in conformance with all of SMART’s stated requirements. Signing and submitting this offer incorporates all pages, including attachments.The Suburban Mobility Authority for Regional Transportation (SMART) is soliciting bids for a firmfixed requirements contract for Hi-Lo/Forklift Preventative Maintenance and Repair Services at the three (3) terminals specified in Section: 4. Repairs are projected to be $15,000.00 per location, $45,000.00 total annually. SMART intends to award a three (3) year contract with two (2) additional one year options to renew. SMART reserves the right to make an award for a one (1), two (2), or three (3) year period with or without renewal options.
ASEAN Economic Community 2015 will be contributing to the high competition in Indonesia. The agreement which has been settled to bring the single market in ASEAN, with free flow of investment, services and even human resources in the region, should be considered by every enterprise both national and entity who does business in regional area. Intelligence Business is a right step to gather relevant information in order to manage into knowledge. Managing knowledge can be catalyzed as a Knowledge Management; aims to encourage every enterprise doing a value creation through new and unique knowledge as a form of innovation that can deliver a competitive advantage for the enterprise. Therefore, innovation is the competitiveness that deserves to be developed in order to bring the enterprise continuing to stand strong amid the competition itself. http://www.scirj.org/january-2014-paper.php?rp=P011486
Pandemi HIV/AIDS yang mengancam penduduk dunia saat ini telah nyata menunjukkan berbagai dampak sosial dan ekonomi bahkan keamanan negara disamping dampak kesehatan. AIDS ditemukan di Amerika 20 tahun yang lalu (1981) merupakan penyakit yang relatif baru tapi telah menyita perhatian masyarakat global. AIDS adalah sekumpulan gejala yang terjadi akibat menurun atau hilangnya daya tahan tubuh seseorang. Karena itu disebut Acquired Immuno Deficiency Syndrome (AIDS). Penyebabnya sejenis virus yang disebut Human Immunodeficiency Virus yang dapat berada dalam tubuh seseorang tanpa menimbulkan gejala sakit yang berarti, selama bertahun tahun bahkan 10 – 11 tahun. Sulit bagi kita secara kasat mata mengetahui seseorang mengidap virus HIV atau tidak. Saat ini belum ditemukan obat yang dapat menyembuhkan dan vaksin yang dapat mencegah/menangkalnya. Epidemi HIV/AIDS di Indonesia telah bergerak dari suatu tingkat epidemi yang rendah yaitu prevalensi < 1 % ke arah tingkat epidemi terkonsentrasi dimana pada kelompok risiko tinggi tertentu telah melebihi angka 5% seperti di Sorong, Merauke, Riau untuk kelompok Wanita Penjaja Seks (WPS) dan Jakarta, Jabar, Bali untuk kelompok Injecting Drug User (IDU). Laporan HIV/AIDS di Indonesia secara Kumulatif tahun 2001 tercatat AIDS 671, HIV 1904 namun berdasarkan perkiraan para ahli saat ini kemungkinan di Indonesia terdapat 80.000 – 120.000 Orang yang Hidup Dengan HIV/AIDS (ODHA) artinya bahwa dalam 10 tahun mendatang kemungkinan akan ditemukan 100.000 orang yang sakit dan meninggal karena AIDS. Sidang kabinet khusus HIV/ AIDS ini memberi peluang terwujudnya komitmen politik yang tinggi dan berbagai kebijakan, strategi baru.
Menguak Risiko, Menggagas Makna Baru Pembangunan Rangkuman dan Temuan-Temuan Utama United Nations UNISDR berterima kasih kepada organisasi-organisasi yang logonya tercantum di bawah ini atas sumbangan finansial dan berarti mereka ntuk penyusunan Laporan Pengkajian Global tentang Pengurangan Risiko Bencana 2011 ini. Selain itu, sumber daya finansial juga telah secara berlimpah disumbangkan oleh, antara lain, Komisi Eropa, dan Pemerintah Jepang, Norwegia, dan Amerika Serikat. Daftar ucapan terima kasih yang lengkap ada di laporan utama. Judul asli: 2011 Global Assessment Report on Disaster Risk Reduction Revealing Risk, Redefining Development © United Nations 2011. Hak cipta dilindungi. Disclaimer: Pandangan-pandangan yang diungkapkan di dalam publikasi ini tidak dengan sendirinya mencerminkan pandangan-pandangan Sekretariat Perserikatan Bangsa-Bangsa (PBB). Penggunaan penyebutan dan penyajian bahan tidak menunjukkan ungkapan pendapat apapun dari Sekretariat PBB tentang status hukum satu negara, teritori, kota atau wilayah, atau pihak-pihak berwenangnya, atau tentang delinenasi garis depan atau perbatasan. Gambar sampul depan: iStockphoto®, © arindambanerjee Penyuntingan, desain, tata letak, dan produksi: Green Ink, Devon, UK Konsep desain: Parsons New School for Design, New York, USA Dicetak oleh: Information Press, Oxford, UK Laporan Pengkajian Global tentang Pengurangan Risiko Bencana 2011 Menguak Risiko, Menggagas Makna Baru Pembangunan Rangkuman dan Temuan-Temuan Utama United Nations Laporan Pengkajian Global tentang Pengurangan Risiko Bencana 2011 (2011 Global Assessment Report on Disaster Risk Reduction) disusun ketika bencana-bencana terus menyapu bersih hidup dan penghidupan jutaan penduduk di dunia. Dampak gempa bumi yang dahsyat di Haiti pada Januari 2010 dan banjir di Pakistan pada Juli 2010 menunjukkan betapa risiko bencana dan kemiskinan saling berkaitan erat. Sementara itu, pada 2011, banjir di Australia, gempa bumi di Christchurch, Selandia Baru, dan bencana gempa bumi, tsunami dan nuklir di Jepang timur laut yang meluluhlantakkan yang terjadi ketika laporan ini dikirim ke percetakan merupakan pengingat yang sangat tidak menggembirakan betapa negara-negara maju juga sangat terpapar.