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On January 30, 2020, the World Health Organization (WHO) declared the viagra represents a public health emergency of international generic viagra online concern, and on January 31, 2020, the U.S. Department of Health and Human Services declared it to be a health emergency for the United States.President-elect Joe Biden campaigned on supporting and building upon the Affordable Care Act (ACA), better managing the erectile dysfunction viagra and lowering prescription drug costs. However, with the political balance of the Senate uncertain, some Biden proposals, like creating a new generic viagra online public option and lowering the Medicare age to 60, are less likely to be enacted. Even so, as president, Biden could exercise executive branch authority to move forward on a variety of policy changes he has advocated through administrative action without Congress.The table below includes potential administrative actions under the incoming Biden Administration, based on campaign pledges, and actions that would reverse or modify controversial regulations or guidance issued by the Trump Administration.

The table also describes actions Biden could take as president that have received a great deal of attention from other prominent Democrats or are generally consistent with his campaign proposals, and that may therefore be priorities in Biden’s Administration. This table is not an exhaustive list of possible generic viagra online Biden Administration actions and does not include potential administrative actions pertaining to all health policy areas, including Medicare and prescription drug costs, where there is no clear indication of whether or how the Biden Administration would modify Trump Administration policies. If Biden’s health proposals are stymied by a divided Congress, he may look to use administrative actions beyond what’s detailed here to advance his health care agenda.In this table, we note whether executive actions require regulatory change, as an indication of how much time it may take the Biden Administration to implement these changes. For some regulatory changes, the Biden Administration will need to issue generic viagra online a new Notice of Proposed Rule Making (NPRM) and allow a public comment period before revising the regulation.

Rules made through annual payment notices, such as the Notice of Benefit and Payment Parameters (NBPP) may be revised annually.By contrast, the Biden Administration may more quickly be able to reverse Trump Administration regulations that are proposed but not yet final as well as policies made through sub-regulatory agency guidance or executive order. Some sub-regulatory generic viagra online actions, such as renewing the erectile dysfunction treatment Public Health Emergency Declaration that is currently set to expire on Inauguration Day, will require attention on Biden’s first day in office. Biden would also likely rescind pending rules that would sunset HHS regulations if not reviewed every 10 years (which could increase administrative burden for the agency and result in regulations with beneficiary protections expiring). Issue Brief.

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A drive to the nearest hospital may take dozens of minutes rather than a handful. The trickle-down effect of such distances can impact many aspects of health care, but especially maternal care and delivery, says Mark Deutchman, MD, a professor of family medicine and associate dean for rural health at the University of Colorado School of Medicine.As principal investigator of a study recently published in the journal Birth analyzing the impact of family physicians in rural maternity care, Deutchman and his co-investigators found that of the 185 rural hospitals surveyed in 10 states, family physicians delivered babies in 67% of the hospitals and were the only physicians who delivered babies in 27% of them.Further, the study found that if family physicians stopped delivering babies in these rural hospitals, patients would have to drive an average of 86 miles round-trip to access maternal care."The purpose of this study was, number one, to understand the extent of family physicians providing maternity over the counter viagra substitute care in rural areas," Deutchman explains. "Number two, and even more important, was to understand what would happen to women if family practitioners did not practice maternity care, and that's the real take-home message.

Family physicians are really, really important."Study highlights importance over the counter viagra substitute of family physicians providing maternity careOn this topic, Deutchman speaks from experience. For more than 12 years he practiced family medicine in White Salmon, Washington, a town of 2,000 residents on the Columbia River. The local hospital is federally designated over the counter viagra substitute critical access, which means it has fewer than 20 beds, among other standards."One of the major things I was involved in was maternity care," he says.

"I had a lot of OB patients and did a lot of deliveries. I was also one of the major providers of surgical OB, of C-sections when they were needed."I'm an advocate for and student of the quality of outcomes in areas where over the counter viagra substitute family physicians are a woman's provider of obstetric and gynecologic care. I think that women deserve to have excellent care no matter where they are and no matter who provides it." After leaving rural practice, Deutchman became a faculty member at the University of Tennessee-Memphis, where he helped train family medicine residents for rural practice.

He continued that over the counter viagra substitute focus after joining the University of Colorado School of Medicine in 1995. In 2005, he founded the school's rural track, which this year became a full-fledged program.His recently published research evolved from previous, similar studies he conducted in Colorado and Montana with medical students."It wasn't a study of quality—we weren't looking at individual cases and weren't looking at outcomes—but we wanted to better understand how much and the sort of maternal care family physicians are providing at rural hospitals," he explains.After refining the survey tool used in the previous studies, Deutchman reached out to colleagues across the country. Those who responded over the counter viagra substitute represented 10 states and collected data about rural and frontier hospitals in their states.

They gathered data about the hospitals' obstetrics capacity, who delivers babies at the hospitals and what their specialty is, and other data."Ultimately, we were looking at how important is it for family physicians to provide maternity my site care and what would access be if they didn't?. " Deutchman says.Rural program provides specialized training needed for medical students and residentsThe study's results, Deutchman says, highlight the importance of comprehensive, specialized training for medical students and residents who are interested in practicing in rural communities."Basically, the rural program is a way to over the counter viagra substitute attract, admit and support medical students and physician assistant students who want to live and work in rural areas when they finish their training," he explains. "We need to have a program so that people who are interested in rural practice will have their aspirations supported and also have a way to test their assumptions about rural practice and see if it's really right for them."The last thing we want is for students to have romanticized ideas, and then they show up in a small town and it wasn't what they had in mind.

We also don't want to over the counter viagra substitute have that revolving door where physicians go to a small community for only two or three years, which fosters distrust and a lack of attachment between doctors and the community."Through the rural program, students not only receive on-campus experience in the classroom and clinical training, but they get significant rural clinic experience with partners throughout Colorado. That aspect of the training is vital, Deutchman says, because students learn in-person about rural health care systems and economics, community engagement, health care ethics, and how to practice in a community where physicians might regularly see patients at the grocery store.Since 2005, Deutchman says, 191 students in the CU School of Medicine have graduated in the rural track, 40% of whom concentrated on family medicine."A common question is, 'How do you get people interested in rural practice and providing care like delivering babies?. '" Deutchman over the counter viagra substitute says.

"Partly, we start out with people who are initially interested, then we help nurture that interest with real facts and real practical experience."Basically, the whole state of Colorado is short of primary care, especially in rural areas, which cannot support one of every kind of sub-specialist. Rural communities over the counter viagra substitute need versatile, broadly-trained and skilled physicians who can share clinical responsibilities with each other to avoid burnout. Family physicians can provide acute care, chronic care, end of life care, deliver babies, put on casts, repair lacerations—in the most accessible, cost-effective fashion.

It's vital we over the counter viagra substitute train and support these physicians who go out and support these rural communities." Explore further Finding a doctor is tough and getting tougher in rural America More information. Mark Deutchman et al, The impact of family physicians in rural maternity care, Birth (2021). DOI.

10.1111/birt.12591 Provided by CU Anschutz Medical Campus Citation. Study finds family physicians deliver babies in majority of rural hospitals (2021, October 19) retrieved 24 October 2021 from https://medicalxpress.com/news/2021-10-family-physicians-babies-majority-rural.html This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission.

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Credit http://www.em-petit-prince-geispolsheim.ac-strasbourg.fr/bourse-a-la-puericulture-annulee/ generic viagra online. Pixabay/CC0 Public Domain In the heart of a city, the distances in rural communities may be difficult to envision. The space between neighbors can sometimes generic viagra online be measured in miles rather than blocks. A drive to the nearest hospital may take dozens of minutes rather than a handful. The trickle-down effect of such distances can impact many aspects of health care, but especially maternal care and delivery, says Mark Deutchman, MD, a professor of family medicine and associate dean for rural health at the University of Colorado School of Medicine.As principal investigator of a study recently published in the journal Birth analyzing the impact of family physicians in rural maternity care, Deutchman and his co-investigators found that of generic viagra online the 185 rural hospitals surveyed in 10 states, family physicians delivered babies in 67% of the hospitals and were the only physicians who delivered babies in 27% of them.Further, the study found that if family physicians stopped delivering babies in these rural hospitals, patients would have to drive an average of 86 miles round-trip to access maternal care."The purpose of this study was, number one, to understand the extent of family physicians providing maternity care in rural areas," Deutchman explains.

"Number two, and even more important, was to understand what would happen to women if family practitioners did not practice maternity care, and that's the real take-home message. Family physicians are really, really important."Study highlights importance of family physicians providing maternity careOn this topic, generic viagra online Deutchman speaks from experience. For more than 12 years he practiced family medicine in White Salmon, Washington, a town of 2,000 residents on the Columbia River. The local hospital is federally designated critical access, which means it generic viagra online has fewer than 20 beds, among other standards."One of the major things I was involved in was maternity care," he says. "I had a lot of OB patients and did a lot of deliveries.

I was also one of the major providers of surgical OB, of C-sections when they were needed."I'm an advocate for and student of the quality generic viagra online of outcomes in areas where family physicians are a woman's provider of obstetric and gynecologic care. I think that women deserve to have excellent care no matter where they are and no matter who provides it." After leaving rural practice, Deutchman became a faculty member at the University of Tennessee-Memphis, where he helped train family medicine residents for rural practice. He continued that focus after joining the University of Colorado School generic viagra online of Medicine in 1995. In 2005, he founded the school's rural track, which this year became a full-fledged program.His recently published research evolved from previous, similar studies he conducted in Colorado and Montana with medical students."It wasn't a study of quality—we weren't looking at individual cases and weren't looking at outcomes—but we wanted to better understand how much and the sort of maternal care family physicians are providing at rural hospitals," he explains.After refining the survey tool used in the previous studies, Deutchman reached out to colleagues across the country. Those who responded represented 10 states and collected generic viagra online data about rural and frontier hospitals in their states.

They gathered data about the hospitals' obstetrics capacity, who delivers babies at the hospitals and what their specialty is, and other data."Ultimately, we were looking at how http://www.rsflowerdesign.co.uk/product/rose-and-lily/ important is it for family physicians to provide maternity care and what would access be if they didn't?. " Deutchman says.Rural program provides specialized training needed for medical students and residentsThe study's results, Deutchman generic viagra online says, highlight the importance of comprehensive, specialized training for medical students and residents who are interested in practicing in rural communities."Basically, the rural program is a way to attract, admit and support medical students and physician assistant students who want to live and work in rural areas when they finish their training," he explains. "We need to have a program so that people who are interested in rural practice will have their aspirations supported and also have a way to test their assumptions about rural practice and see if it's really right for them."The last thing we want is for students to have romanticized ideas, and then they show up in a small town and it wasn't what they had in mind. We also don't want to have that revolving door where physicians go to a small community for only two or three years, which fosters distrust and a lack of attachment between doctors and the community."Through the generic viagra online rural program, students not only receive on-campus experience in the classroom and clinical training, but they get significant rural clinic experience with partners throughout Colorado. That aspect of the training is vital, Deutchman says, because students learn in-person about rural health care systems and economics, community engagement, health care ethics, and how to practice in a community where physicians might regularly see patients at the grocery store.Since 2005, Deutchman says, 191 students in the CU School of Medicine have graduated in the rural track, 40% of whom concentrated on family medicine."A common question is, 'How do you get people interested in rural practice and providing care like delivering babies?.

'" Deutchman says generic viagra online. "Partly, we start out with people who are initially interested, then we help nurture that interest with real facts and real practical experience."Basically, the whole state of Colorado is short of primary care, especially in rural areas, which cannot support one of every kind of sub-specialist. Rural communities need versatile, broadly-trained and skilled physicians who can share clinical generic viagra online responsibilities with each other to avoid burnout. Family physicians can provide acute care, chronic care, end of life care, deliver babies, put on casts, repair lacerations—in the most accessible, cost-effective fashion. It's vital we train and support these physicians who go out and support these rural communities." Explore further Finding a doctor is tough and getting tougher in rural America More information generic viagra online.

Mark Deutchman et al, The impact of family physicians in rural maternity care, Birth (2021). DOI. 10.1111/birt.12591 Provided by CU Anschutz Medical Campus Citation. Study finds family physicians deliver babies in majority of rural hospitals (2021, October 19) retrieved 24 October 2021 from https://medicalxpress.com/news/2021-10-family-physicians-babies-majority-rural.html This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission.

The content is provided for information purposes only..

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This service specification will become the nationally mandated specification describing in detail the services and service approaches required of DHBs and providers. This National Service Specification will be implemented by July 2022, in line with DHB service commissioning timetables. This approach aims to can i buy viagra at cvs achieve the best balance between national consistency and flexibility for DHBs in meeting the needs of their populations.

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The National Framework for HCSS generic viagra online covers DHB-funded services for. people aged 65 years and over who have an assessed need in response to an interRAI assessment and meet criteria for funding people considered to be alike in age and interest – for example, Pacific peoples and Māori, aged over 55 years, and others aged over 60 years, with age-related disabilities older people receiving HCSS who require increased support following an acute health episode who have required hospitalisation HCSS that may continue concurrently with short-term Accident Compensation Corporation (ACC) services. Three additional initiatives are linked with developing the National Framework to help achieve consistency in service commissioning, provision and resource allocation. First, a National Service generic viagra online Specification for HCSS. This service specification will become the nationally mandated specification describing in detail the services and service approaches required of DHBs and providers.

This National Service Specification will be implemented by July 2022, in line with DHB service commissioning timetables. This approach aims to achieve the best balance between national consistency and flexibility for generic viagra online DHBs in meeting the needs of their populations. Second, a nationally consistent case-mix methodology will be developed for all DHBs to use as a way of improving targeting of resources according to need. Some DHBs are already applying case-mix methods to resource allocation or use. However, different versions of generic viagra online the methodology are being used, resulting in some inconsistency in resource allocation and lack of transparency across DHBs.

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All cancer Ischaemic heart disease generic viagra online Cerebrovascular disease Chronic lower respiratory diseases Other forms of heart disease Influenza and Pneumonia Diabetes mellitus Motor vehicle accidents Intentional self-harm Assault All deaths. The full data set presented in the web tool is available for you to download in text file format. A technical document accompanies the web tool. This document contains information about the data generic viagra online source and analytical methods used to produce summary data, and a data dictionary for variables used in the web tool. About the data used in this edition Data from 1948 to 1995 presented in these tables was sourced from publications in the Ministry of Health Mortality data and stats series.

Data from 1996 to 2016 was extracted from the New Zealand Mortality Collection records on 07 June 2019. At the time of extraction, there were 606,450 generic viagra online deaths registered from 1996 to 2016. Included in this data were 641 deaths provisionally coded awaiting coroners’ findings and 41 deaths awaiting coroners’ findings with no known cause. Ethnic breakdowns of mortality data are only shown from 1996 onwards because there was a significant change in the way ethnicity was defined, and in the way ethnicity data was collected in 1995. For more information please refer to generic viagra online the Ministry of Health report, Mortality and Demographic Data 1996.

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About This TrackerThis tracker provides the number of confirmed cases and deaths from novel erectile dysfunction by country, the http://www.em-sources-saverne.ac-strasbourg.fr/?page_id=2 trend in confirmed case and death counts by country, and a global map showing which countries have can girls take viagra confirmed cases and deaths. The data are can girls take viagra drawn from the Johns Hopkins University (JHU) erectile dysfunction Resource Center’s erectile dysfunction treatment Map and the World Health Organization’s (WHO) erectile dysfunction Disease (erectile dysfunction treatment-2019) situation reports.This tracker will be updated regularly, as new data are released.Related Content. About erectile dysfunction treatment erectile dysfunctionIn late 2019, a new erectile dysfunction emerged can girls take viagra in central China to cause disease in humans.

Cases of this disease, known as erectile dysfunction treatment, have since been reported across around can girls take viagra the globe. On January 30, 2020, the World Health Organization (WHO) declared the viagra represents a public health emergency of international concern, and on January 31, 2020, the U.S. Department of Health and Human Services declared it to be a health emergency can girls take viagra for the United States.With schools nationwide preparing for fall and the federal government encouraging in-person classes, key concerns for school officials, teachers and parents include the risks that erectile dysfunction poses to children and their role in transmission of the disease.A new KFF brief examines the latest available data and evidence about the issues around erectile dysfunction treatment and children and what they suggest about the risks posed for reopening classrooms.

The review concludes that while children can girls take viagra are much less likely than adults to become severely ill, they can transmit the viagra. Key findings include:Disease severity is significantly less in can girls take viagra children, though rarely some do get very sick. Children under age 18 account for 22% of the can girls take viagra population but account for just 7% of the more than 4 million erectile dysfunction treatment cases and less than 1% of deaths.The evidence is mixed about whether children are less likely than adults to become infected when exposed.

While one prominent study estimates children and teenagers are half as likely as adults over age 20 to catch the viagra, other studies find children and adults are about equally likely to have antibodies that develop after a erectile dysfunction treatment .While children do transmit to others, more evidence is needed on the frequency and extent of that transmission. A number of studies find children are less likely than adults to be the source of s in households and buy generic viagra other settings, though this could occur because of differences in testing, the severity of the disease, and the impact of earlier school closures.Most countries that have reopened schools have not experienced outbreaks, but almost all had significantly lower rates can girls take viagra of community transmission. Some countries, including Canada, Chile, France, and Israel did experience school-based outbreaks, sometimes significant ones, that required schools to close a second time.The analysis concludes that there is a risk of spread associated with reopening schools, particularly in states and communities where there is already widespread community transmission, that should be weighed carefully against the benefits of in-person education.Hundreds of people queue can girls take viagra outside an Australian government welfare centre, Centrelink, in Melbourne on March 23, 2020.William West | AFP via Getty ImagesAustralia on Wednesday became the latest country to officially enter a recession as the erectile dysfunction viagra continues to devastate economies worldwide.Data released Wednesday by the Australian Bureau of Statistics showed its economy shrank 7% in the June quarter, following the 0.3% decline seen in the March quarter.

It was "the largest quarterly fall on record" and plunged the country's economy into a technical recession, defined as two consecutive quarters can girls take viagra of quarter-on-quarter contraction.The GDP print for the June quarter fell below economists' expectations of a 5.9% decline, according to a Reuters poll."Our record run of 28 consecutive years of economic growth has now officially come to an end," Australian Treasurer Josh Frydenberg told reporters on Wednesday."Today's devastating numbers confirmed what every Australian knows. That erectile dysfunction treatment has wreaked havoc on our can girls take viagra economy and our lives like nothing we have ever experienced before. But there is hope and there is a road out," Frydenberg said.In response to the economic contraction, HSBC's Paul Bloxham said the bank was forecasting a "more downbeat" fall of 7.5%."A lot of what we had in mind was that services consumption was gonna be particularly weak," said Bloxham, the British bank's chief economist for Australia, New Zealand and global commodities told CNBC's "Street Signs" on Wednesday.

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In lockdown." can girls take viagra Stricter social distancing measures were put in place in Victoria, one of Australia's most populous states, following a spike in cases in recent months.Accounting for the impact of the blow to Victoria's economy, Bloxham said HSBC expects a "small rise" in Australia's GDP in the third quarter."We're expecting a much strong recovery to get going from (the fourth quarter) onwards, which is when we're assuming that the Victorian economy will then start to be reopened," he said."What we're working on is an assumption here that GDP is very, very weak but just slightly positive in Q3, driven by the rest of the economy outside of Victoria," he added. "By the time we get to Q4, the whole economy is on some sort of recovery path and that revival that we're expecting into the fourth quarter … particularly in Victoria, is set to give us a much stronger … recovery path.""That gives Australia what we've been describing as a U-shaped recovery," Bloxham said..

About This TrackerThis tracker provides the number of confirmed cases and deaths from novel erectile dysfunction by country, the trend in confirmed case buy generic viagra and death generic viagra online counts by country, and a global map showing which countries have confirmed cases and deaths. The data are drawn generic viagra online from the Johns Hopkins University (JHU) erectile dysfunction Resource Center’s erectile dysfunction treatment Map and the World Health Organization’s (WHO) erectile dysfunction Disease (erectile dysfunction treatment-2019) situation reports.This tracker will be updated regularly, as new data are released.Related Content. About erectile dysfunction treatment erectile dysfunctionIn late 2019, a generic viagra online new erectile dysfunction emerged in central China to cause disease in humans. Cases of this disease, known as erectile dysfunction treatment, have since been reported across around the globe generic viagra online. On January 30, 2020, the World Health Organization (WHO) declared the viagra represents a public health emergency of international concern, and on January 31, 2020, the U.S.

Department of Health and Human Services declared it to be a health emergency for the United States.With schools nationwide preparing for fall and the federal government encouraging in-person classes, key concerns for school officials, teachers and parents include the risks that erectile dysfunction poses to children and generic viagra online their role in transmission of the disease.A new KFF brief examines the latest available data and evidence about the issues around erectile dysfunction treatment and children and what they suggest about the risks posed for reopening classrooms. The review concludes that while children are much less likely than adults to become severely ill, they can transmit generic viagra online the viagra. Key findings include:Disease severity is significantly less in children, generic viagra online though rarely some do get very sick. Children under age 18 account for 22% of the population but account for just generic viagra online 7% of the more than 4 million erectile dysfunction treatment cases and less than 1% of deaths.The evidence is mixed about whether children are less likely than adults to become infected when exposed. While one prominent study estimates children and teenagers are half as likely as adults over age 20 to catch the viagra, other studies find children and adults are about equally likely to have antibodies that develop after a erectile dysfunction treatment .While children do transmit to others, more evidence is needed on the frequency and extent of that transmission.

A number of studies find children are less likely than adults to be the source of s how to get viagra or cialis in households and other settings, though this could occur because of differences in testing, the severity of the disease, and the impact of earlier school closures.Most generic viagra online countries that have reopened schools have not experienced outbreaks, but almost all had significantly lower rates of community transmission. Some countries, including Canada, Chile, France, and Israel did experience school-based outbreaks, sometimes significant ones, that required schools to close a second time.The analysis concludes that there is a risk of spread associated with reopening schools, particularly in states and communities where there is already widespread community transmission, that should be weighed carefully against the benefits of in-person education.Hundreds of people queue outside an Australian government welfare centre, Centrelink, in generic viagra online Melbourne on March 23, 2020.William West | AFP via Getty ImagesAustralia on Wednesday became the latest country to officially enter a recession as the erectile dysfunction viagra continues to devastate economies worldwide.Data released Wednesday by the Australian Bureau of Statistics showed its economy shrank 7% in the June quarter, following the 0.3% decline seen in the March quarter. It was "the largest quarterly fall on record" and plunged the country's economy into a technical recession, defined as two consecutive quarters of quarter-on-quarter contraction.The GDP print for the June quarter fell below economists' expectations of a 5.9% decline, generic viagra online according to a Reuters poll."Our record run of 28 consecutive years of economic growth has now officially come to an end," Australian Treasurer Josh Frydenberg told reporters on Wednesday."Today's devastating numbers confirmed what every Australian knows. That erectile dysfunction treatment has wreaked havoc on our economy and our lives like nothing we have generic viagra online ever experienced before. But there is hope and there is a road out," Frydenberg said.In response to the economic contraction, HSBC's Paul Bloxham said the bank was forecasting a "more downbeat" fall of 7.5%."A lot of what we had in mind was that services consumption was gonna be particularly weak," said Bloxham, the British bank's chief economist for Australia, New Zealand and global commodities told CNBC's "Street Signs" on Wednesday.

"There was a huge amount of uncertainty about what was gonna happen to services consumption given large sways of the economy were closed and we haven't really had that event before."We're expecting a generic viagra online much strong recovery to get going from (the fourth quarter) onwards, which is when we're assuming that the Victorian economy will then start to be reopened. Paul BloxhamHSBCOutbreak in VictoriaLooking ahead, Bloxham said the "big debate" is now over whether Australia will see a pick up in economic growth into the third quarter — especially with the recent flare-up of generic viagra online erectile dysfunction cases in Victoria state."75% of the national economy, all of the states outside of Victoria, are on some sort of recovery path," Bloxham said. "Victoria is generic viagra online going the other direction, of course, cause it's still ... In lockdown." Stricter social distancing measures were put in place in Victoria, one generic viagra online of Australia's most populous states, following a spike in cases in recent months.Accounting for the impact of the blow to Victoria's economy, Bloxham said HSBC expects a "small rise" in Australia's GDP in the third quarter."We're expecting a much strong recovery to get going from (the fourth quarter) onwards, which is when we're assuming that the Victorian economy will then start to be reopened," he said."What we're working on is an assumption here that GDP is very, very weak but just slightly positive in Q3, driven by the rest of the economy outside of Victoria," he added. "By the time we get to Q4, the whole economy is on some sort of recovery path and that revival that we're expecting into the fourth quarter … particularly in Victoria, is set to give us a much stronger … recovery path.""That gives Australia what we've been describing as a U-shaped recovery," Bloxham said..

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Enlarge this image The Oneida Indian Nation unveiled a cultural art installation called "Passage of Peace," which features nine illuminated tipis seen off viagra directions the New York State Thruway to raise awareness of the impact of erectile dysfunction treatment on Native Americans. Oneida Indian Nation hide caption toggle caption Oneida Indian Nation The past year and a half have been stressful on many fronts for Chris Aragon, a caregiver for his older brother who has cerebral palsy. "The left side of his body is atrophied and smaller than his right side, and he has trouble viagra directions getting around. He's kind of like a big teenager," says Aragon, 60, who is part Apache and lives with his brother on the Fort Berthold Reservation of the Mandan, Hidatsa and Arikara Nation, in North Dakota.

His main goal throughout the viagra has been to keep his brother safe from erectile dysfunction treatment, and "it's really been a struggle," he says. The viagra has been a financial viagra directions stressor, too, says Aragon. He worked reduced hours last year, and had periods with no work recently. "I'd wake up at night to go to the restroom, and then I wouldn't be able to go back to sleep." Aragon is among the 74% of American Indian and Alaska Natives who said someone viagra directions in their household has struggled with depression, anxiety, stress and problems with sleeping, in a recent poll by NPR, the Robert Wood Johnson Foundation and the Harvard T.H.

Chan School of Public Health. Only 52% of white people said the same. Loading.. viagra directions. erectile dysfunction treatment exacerbated long standing stresses created by historic inequities, says Spero Manson, who's Pembina Chippewa from North Dakota, and directs the University of Colorado's Centers for American Indian and Alaska Native Health.

Native communities in the United States have had higher rates of , are 3.3 times more likely to be hospitalized and more than twice as likely to die from the disease than whites. And half of Native Americans in NPR's poll said they're facing serious financial viagra directions problems. "As we struggle to address the sudden and precipitous added stresses posed by the hour by the viagra, it heightens that sense of pain, suffering of helplessness and hopelessness," says Manson. And it's manifesting in higher rates viagra directions of anxiety, depression, post-traumatic stress disorder, he adds.

"I think the viagra has definitely triggered this historical trauma that Native people do experience," says Adrianne Maddux, the executive director at Denver Indian Health and Family Services, which runs a primary care clinic. She's witnessed a higher demand for behavioral health services, including addiction treatment. "Our therapists were inundated," says viagra directions Maddux. Responding to collective grief with collective support But native communities also have unique strengths that have helped them approach the erectile dysfunction treatment crisis with resilience, says Manson.

Tribes have responded to the viagra with new initiatives viagra directions to stay connected and support one another. "American and Alaska Native people, we are very social and collective in our understanding of who we are, how we reaffirm this sense of personhood and self," says Manson. "Some of the strength and resilience is in how collective and social these communities are." Part of the struggle in the viagra has been "having a limited ability to get together and gather for things like powwows and ceremonies and other events that really keep us connected," says Victoria O'Keefe, a member of the Cherokee and Seminole Nations, and a psychologist at the Center for American Indian Health at Johns Hopkins University. And she adds, there's "collective grief, especially grief around losing elders and cultural keepers." But that collective mindset viagra directions has also brought people together to heal.

"We really see so many communities mobilizing and are really determined to protect each other," says O'Keefe. "This is driven by shared values across tribes such as connectedness, and living in relation to each other, living in relation to all living beings and our lands. And we protect our families, our communities, our elders, our cultural keepers." That was evident in the Navajo Nation, says O'Keefe's colleague, Joshuaa Allison-Burbank, a viagra directions member of the Navajo Nation and a speech language pathologist at the Center for American Indian Health. "This concept of Navajo of K'é," he says.

"It means family kinship ties." Enlarge this image Native tribes have responded to the viagra with creative ways to stay viagra directions connected. Veronica Concho and Raymond Concho Jr. Grew traditional Pueblo foods and Navajo crops with their grandchildren Kaleb and Kateri Allison-Burbank in Waterflow, N.M. Joshuaa Allison-Burbank hide caption toggle caption Joshuaa Allison-Burbank Allison-Burbank spent viagra directions the early months of the viagra working on the frontlines at a erectile dysfunction treatment care clinic of the Indian Health Services in Shiprock, N.M.

He says people were quick to start masking and social distancing. "That's what was so important for getting a grasp and controlling viral spread across the Navajo Nation was going back to this concept with respect to other humans, respect to elders," says Allison-Burbank. "It's also the concept of taking care of one another, taking care of the land." It also helped communities find creative solutions to other viagra-related crises, like food shortages, viagra directions he adds. Enlarge this image Left.

Josiah Concho and his nephew Kaleb Allison-Burbank helped grow produce in Waterflow, N.M., during the summer of last year viagra directions. They then gave the crops to native families in need. Right. Joshuaa Allison-Burbank and his family hung viagra directions red chiles to dehydrate.

The excess produce helped combat food shortages in their communities. Joshuaa Allison-Burbank hide caption toggle caption Joshuaa Allison-Burbank Many people, including his own family, started farming and cooking traditional crops like corn and squash, which they previously ate only during traditional ceremonies. "My whole family, we were able to farm traditional Pueblo Foods and Navajo crops," says Allison-Burbank. "And not just have enough for ourselves, but we had an abundance of to share with our extended family, our neighbors and to contribute to various mutual aid organizations." He says farming also allowed community members to spend more time together safely — which helped buffer some of the stress.

Helping kids and elders navigate erectile dysfunction treatment fears Families also had more time to speak their native language and practice certain cultural routines, which he thinks helped people emotionally. Allison-Burbank, O'Keefe and their colleagues at the Center for American Indian Health also spearheaded an effort to help American Indian and Alaska Native children cope during the viagra. They wrote, published and distributed a children's story book called Our Smallest Warriors, Our Strongest Medicine. Overcoming erectile dysfunction treatment.

Johns Hopkins Center for American Indian Health YouTube The book, which was illustrated by a native youth artist, tells the story of two kids whose mother is a health care worker treating people with erectile dysfunction treatment. So, the kids turn to their grandmother, who helps them navigate their fears and anxieties. "Storytelling is an important and long standing tradition for tribal communities," says O'Keefe. "And we found that this was a way that we could weave together our shared cultural values across tribes, as well as public health guidance and mental health coping strategies to help native children and families." Over 70,000 copies of the book have been distributed across 100 tribes, says O'Keefe.

In addition to the book, parent resources and children's activities are available for free on the center's website. On the Berthold Reservation, where Aragon lives, he says tribal leaders were "very proactive" about supporting people with erectile dysfunction treatment and their families. "All [people] had to do was pick up the phone and call to get extra help, or get groceries brought to their house," he says. Authorities also helped individuals with erectile dysfunction treatment isolate, using cabins at a local campground, so that they could minimize the risk of exposing other family members, he says.

And people took the time to help the elderly, he adds. "They definitely treat their elders well here, and they're not just forgotten and put in a nursing home somewhere." Tribal youth in Minneapolis had similar efforts to take care of elders in their community, assisting them with getting food, medicine and other tasks, says Manson. "This reflects an enormous sense of importance of elders in our communities as the repositories of cultural knowledge and our spiritual leaders," he says, as well as the importance of intergenerational relationships. Reaching across tribal boundaries The Oneida Indian Nation, which is located in upstate New York, recently unveiled an art installation to increase awareness about the disproportionate impact of the viagra on Native communities as well as resources around erectile dysfunction treatment.

Titled Passage of Peace, the installation features large tipis, which are traditional homes and gathering places. The installation is located just off of the New York State Thruway, about midway between Syracuse and Utica. "We hope the Passage of Peace will bring attention to continued hardship taking place in many parts of Indian country, while delivering a message of peace and remembrance with our neighboring communities here in Upstate New York," says Ray Halbritter, Oneida Indian Nation Representative. Native communities are also connecting and supporting each other online, with projects like the Social Distance Powwow Facebook group, founded in March 2020 to "foster a space for community and cultural preservation." People from many different tribes share songs, dance videos, conversations, stories, and fundraisers and sell arts and crafts.

It now has over 278,000 members. The sense of community and respect for elders were also behind American Indian and Alaska Native people being more willing to get vaccinated to protect their communities, says Jennifer Wolf, founder of Project Mosaic, a consulting group for indigenous communities. "We have so many reasons to be mistrustful of a government that has taken land away from us and broken so many promises," says Wolf, "and yet we have the highest (erectile dysfunction treatment) vaccination rates in the country." According to the U.S. Centers for Disease Control and Prevention, half of all American Indian and Alaska Native people have been fully vaccinated, and 60% have received at least one dose, as compared to only 42% and 47% respectively of all whites.Start Preamble Centers for Disease Control and Prevention, HHS.

Extension of public comment period. On September 27, 2021, the National Institute for Occupational Safety and Health (NIOSH), within the Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services (HHS), published a notice announcing an opportunity for the public to provide information and comments on current evidence-based, workplace and occupational safety and health interventions to prevent work-associated stress, support stress reduction, and foster positive mental health and well-being among the nation's health workers. Written and electronic comments were to be received on or before November 26, 2021. NIOSH has decided to extend the comment period to January 25, 2022.

Comments must be received on or before January 25, 2022. Comments may be submitted through either of the following two methods. • Federal eRulemaking Portal. Http://www.regulations.gov (follow the instructions for submitting comments), or • By Mail.

NIOSH Docket Office, Robert A. Taft Laboratories, MS C-34, 1090 Tusculum Avenue, Cincinnati, Ohio 45226-1998. Instructions. All written submissions received in response to this notice must include the agency name (Centers for Disease Control and Prevention, HHS) and docket number (CDC-2021-0106.

NIOSH-344) for this action. All relevant comments, including any personal information provided, will be posted without change to http://www.regulations.gov. Start Further Info Rachel Weiss, Program Analyst. 1090 Tusculum Ave., MS.

C-48, Cincinnati, OH 45226. Telephone (855) 818-1629 (this is a toll-free number). Email NIOSHregs@cdc.gov. End Further Info End Preamble Start Supplemental Information Under the American Rescue Plan Act of 2021 (Pub.

L. 117-2, sec. 2704), CDC is charged with educating health workers and first responders on primary prevention of mental health conditions and substance use disorders and encouraging these professionals to identify and seek support for their own mental health or substance use concerns. Accordingly, on September 27, 2021, CDC's National Institute for Occupational Safety and Health (NIOSH) announced an opportunity for the public to provide information and comments on evidence-based workplace and occupational safety and health interventions, policies, or other activities relevant to health care professionals and first responders, including those at the population, organizational, or individual levels (86 FR 53306).

Information and comments were requested on related interventions under development and research in progress. NIOSH also sought information on related best practices, promising practices, or successful programs related to providing stress prevention and mental health services Start Printed Page 64937 to health workers. The September 27, 2021 request for information is available in docket CDC-2021-0106, which can be found by searching www.regulations.gov. NIOSH believes it is appropriate to allow additional time for public comment.

Accordingly, the public comment period for the request for information is extended to January 25, 2022. Start Signature John J. Howard, Administrator, World Trade Center Health Program and Director, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Department of Health and Human Services. End Signature End Supplemental Information [FR Doc.

2021-25235 Filed 11-18-21. 8:45 am]BILLING CODE 4163-18-P.

Enlarge this image The Oneida Indian how to buy viagra Nation unveiled a cultural art installation called "Passage of Peace," which features nine illuminated tipis seen off the New York State Thruway to raise awareness of the impact of generic viagra online erectile dysfunction treatment on Native Americans. Oneida Indian Nation hide caption toggle caption Oneida Indian Nation The past year and a half have been stressful on many fronts for Chris Aragon, a caregiver for his older brother who has cerebral palsy. "The left side of his body is atrophied and generic viagra online smaller than his right side, and he has trouble getting around. He's kind of like a big teenager," says Aragon, 60, who is part Apache and lives with his brother on the Fort Berthold Reservation of the Mandan, Hidatsa and Arikara Nation, in North Dakota.

His main goal throughout the viagra has been to keep his brother safe from erectile dysfunction treatment, and "it's really been a struggle," he says. The viagra has generic viagra online been a financial stressor, too, says Aragon. He worked reduced hours last year, and had periods with no work recently. "I'd wake up at night to go to the restroom, and then I wouldn't be able to go generic viagra online back to sleep." Aragon is among the 74% of American Indian and Alaska Natives who said someone in their household has struggled with depression, anxiety, stress and problems with sleeping, in a recent poll by NPR, the Robert Wood Johnson Foundation and the Harvard T.H.

Chan School of Public Health. Only 52% of white people said the same. Loading.. generic viagra online. erectile dysfunction treatment exacerbated long standing stresses created by historic inequities, says Spero Manson, who's Pembina Chippewa from North Dakota, and directs the University of Colorado's Centers for American Indian and Alaska Native Health.

Native communities in the United States have had higher rates of , are 3.3 times more likely to be hospitalized and more than twice as likely to die from the disease than whites. And half of Native Americans in NPR's poll said they're facing serious generic viagra online financial problems. "As we struggle to address the sudden and precipitous added stresses posed by the hour by the viagra, it heightens that sense of pain, suffering of helplessness and hopelessness," says Manson. And it's manifesting in higher rates of anxiety, depression, post-traumatic stress generic viagra online disorder, he adds.

"I think the viagra has definitely triggered this historical trauma that Native people do experience," says Adrianne Maddux, the executive director at Denver Indian Health and Family Services, which runs a primary care clinic. She's witnessed a higher demand for behavioral health services, including addiction treatment. "Our therapists were inundated," says generic viagra online Maddux. Responding to collective grief with collective support But native communities also have unique strengths that have helped them approach the erectile dysfunction treatment crisis with resilience, says Manson.

Tribes have responded to the viagra with new initiatives to stay connected and support one generic viagra online another. "American and Alaska Native people, we are very social and collective in our understanding of who we are, how we reaffirm this sense of personhood and self," says Manson. "Some of the strength and resilience is in how collective and social these communities are." Part of the struggle in the viagra has been "having a limited ability to get together and gather for things like powwows and ceremonies and other events that really keep us connected," says Victoria O'Keefe, a member of the Cherokee and Seminole Nations, and a psychologist at the Center for American Indian Health at Johns Hopkins University. And she adds, there's "collective grief, especially grief around losing elders and cultural keepers." But that collective mindset has also generic viagra online brought people together to heal.

"We really see so many communities mobilizing and are really determined to protect each other," says O'Keefe. "This is driven by shared values across tribes such as connectedness, and living in relation to each other, living in relation to all living beings and our lands. And we protect our families, our communities, our elders, our cultural keepers." That was evident in the Navajo Nation, says O'Keefe's colleague, Joshuaa Allison-Burbank, a member of the Navajo Nation generic viagra online and a speech language pathologist at the Center for American Indian Health. "This concept of Navajo of K'é," he says.

"It means family kinship ties." Enlarge this image Native tribes have responded to the viagra with generic viagra online creative ways to stay connected. Veronica Concho and Raymond Concho Jr. Grew traditional Pueblo foods and Navajo crops with their grandchildren Kaleb and Kateri Allison-Burbank in Waterflow, N.M. Joshuaa Allison-Burbank hide caption toggle generic viagra online caption Joshuaa Allison-Burbank Allison-Burbank spent the early months of the viagra working on the frontlines at a erectile dysfunction treatment care clinic of the Indian Health Services in Shiprock, N.M.

He says people were quick to start masking and social distancing. "That's what was so important for getting a grasp and controlling viral spread across the Navajo Nation was going back to this concept with respect to other humans, respect to elders," says Allison-Burbank. "It's also the concept of taking care of one another, taking care of the land." It generic viagra online also helped communities find creative solutions to other viagra-related crises, like food shortages, he adds. Enlarge this image Left.

Josiah Concho generic viagra online and his nephew Kaleb Allison-Burbank helped grow produce in Waterflow, N.M., during the summer of last year. They then gave the crops to native families in need. Right. Joshuaa Allison-Burbank and his family generic viagra online hung red chiles to dehydrate.

The excess produce helped combat food shortages in their communities. Joshuaa Allison-Burbank hide caption toggle caption Joshuaa Allison-Burbank Many people, including his generic viagra online own family, started farming and cooking traditional crops like corn and squash, which they previously ate only during traditional ceremonies. "My whole family, we were able to farm traditional Pueblo Foods and Navajo crops," says Allison-Burbank. "And not just have enough for ourselves, but we had an abundance of to share with our extended family, our neighbors and to contribute to various mutual aid organizations." He says farming also allowed community members to spend more time together safely — which helped buffer some of the stress.

Helping kids and elders navigate erectile dysfunction treatment fears Families also had more time to speak their native language generic viagra online and practice certain cultural routines, which he thinks helped people emotionally. Allison-Burbank, O'Keefe and their colleagues at the Center for American Indian Health also spearheaded an effort to help American Indian and Alaska Native children cope during the viagra. They wrote, published and distributed a children's story book called Our Smallest Warriors, Our Strongest Medicine. Overcoming erectile dysfunction treatment generic viagra online.

Johns Hopkins Center for American Indian Health YouTube The book, which was illustrated by a native youth artist, tells the story of two kids whose mother is a health care worker treating people with erectile dysfunction treatment. So, the kids turn to their grandmother, who helps generic viagra online them navigate their fears and anxieties. "Storytelling is an important and long standing tradition for tribal communities," says O'Keefe. "And we found that this was a way that we could weave together our shared cultural values across tribes, as well as public health guidance and http://dsdtips.com/de6-de9-de9c-california-quarterly-unemployment-filing-with-mas-90-mas-200/ mental health coping strategies to help native children and families." Over 70,000 copies of the book have been distributed across 100 tribes, says O'Keefe.

In addition to the book, parent resources and generic viagra online children's activities are available for free on the center's website. On the Berthold Reservation, where Aragon lives, he says tribal leaders were "very proactive" about supporting people with erectile dysfunction treatment and their families. "All [people] generic viagra online had to do was pick up the phone and call to get extra help, or get groceries brought to their house," he says. Authorities also helped individuals with erectile dysfunction treatment isolate, using cabins at a local campground, so that they could minimize the risk of exposing other family members, he says.

And people took the time to help the elderly, he adds. "They definitely treat their elders well here, and they're not just forgotten and put in a nursing home somewhere." Tribal youth in Minneapolis had similar efforts to take care of elders in their community, assisting them with getting food, medicine and other generic viagra online tasks, says Manson. "This reflects an enormous sense of importance of elders in our communities as the repositories of cultural knowledge and our spiritual leaders," he says, as well as the importance of intergenerational relationships. Reaching across tribal boundaries The Oneida Indian Nation, which is located in upstate New York, recently unveiled an art installation to increase awareness about the disproportionate impact of the viagra on Native communities as well as resources around erectile dysfunction treatment.

Titled Passage generic viagra online of Peace, the installation features large tipis, which are traditional homes and gathering places. The installation is located just off of the New York State Thruway, about midway between Syracuse and Utica. "We hope the Passage of Peace will bring attention to continued hardship taking place in many parts of Indian country, while delivering a message of peace and remembrance with our neighboring communities here in Upstate generic viagra online New York," says Ray Halbritter, Oneida Indian Nation Representative. Native communities are also connecting and supporting each other online, with projects like the Social Distance Powwow Facebook group, founded in March 2020 to "foster a space for community and cultural preservation." People from many different tribes share songs, dance videos, conversations, stories, and fundraisers and sell arts and crafts.

It now has over 278,000 members. The sense of community and respect for elders were also behind American generic viagra online Indian and Alaska Native people being more willing to get vaccinated to protect their communities, says Jennifer Wolf, founder of Project Mosaic, a consulting group for indigenous communities. "We have so many reasons to be mistrustful of a government that has taken land away from us and broken so many promises," says Wolf, "and yet we have the highest (erectile dysfunction treatment) vaccination rates in the country." According to the U.S. Centers for Disease Control and Prevention, half of all American Indian and Alaska Native people have been fully vaccinated, and 60% generic viagra online have received at least one dose, as compared to only 42% and 47% respectively of all whites.Start Preamble Centers for Disease Control and Prevention, HHS.

Extension of public comment period. On September 27, 2021, the National Institute for Occupational Safety and Health (NIOSH), within the Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services (HHS), published a notice announcing an opportunity for the public to provide information and comments on current evidence-based, workplace and occupational safety and health interventions to prevent work-associated stress, support stress reduction, and foster positive mental health and well-being among the nation's health workers. Written and electronic comments were generic viagra online to be received on or before November 26, 2021. NIOSH has decided to extend the comment period to January 25, 2022.

Comments must be received on or before January 25, 2022. Comments may be submitted through either of the following two generic viagra online methods. • Federal eRulemaking Portal. Http://www.regulations.gov (follow the instructions for generic viagra online submitting comments), or • By Mail.

NIOSH Docket Office, Robert A. Taft Laboratories, MS C-34, 1090 Tusculum Avenue, Cincinnati, Ohio 45226-1998. Instructions generic viagra online. All written submissions received in response to this notice must include the agency name (Centers for Disease Control and Prevention, HHS) and docket number (CDC-2021-0106.

NIOSH-344) for this action. All relevant comments, including any generic viagra online personal information provided, will be posted without change to http://www.regulations.gov. Start Further Info Rachel Weiss, Program Analyst. 1090 Tusculum generic viagra online Ave., MS.

C-48, Cincinnati, OH 45226. Telephone (855) 818-1629 (this is a toll-free number). Email NIOSHregs@cdc.gov. End Further Info End Preamble Start Supplemental Information Under the American Rescue Plan Act of 2021 (Pub.

L. 117-2, sec. 2704), CDC is charged with educating health workers and first responders on primary prevention of mental health conditions and substance use disorders and encouraging these professionals to identify and seek support for their own mental health or substance use concerns. Accordingly, on September 27, 2021, CDC's National Institute for Occupational Safety and Health (NIOSH) announced an opportunity for the public to provide information and comments on evidence-based workplace and occupational safety and health interventions, policies, or other activities relevant to health care professionals and first responders, including those at the population, organizational, or individual levels (86 FR 53306).

Information and comments were requested on related interventions under development and research in progress. NIOSH also sought information on related best practices, promising practices, or successful programs related to providing stress prevention and mental health services Start Printed Page 64937 to health workers. The September 27, 2021 request for information is available in docket CDC-2021-0106, which can be found by searching www.regulations.gov. NIOSH believes it is appropriate to allow additional time for public comment.

Accordingly, the public comment period for the request for information is extended to January 25, 2022. Start Signature John J. Howard, Administrator, World Trade Center Health Program and Director, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Department of Health and Human Services. End Signature End Supplemental Information [FR Doc.

2021-25235 Filed 11-18-21. 8:45 am]BILLING CODE 4163-18-P.

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Autodesk deployed it’s Octo-Copter in Africa for high resolution reality capture.  This was done in support of Louis Leakey in Kenya in search of our ancestral trails


Additonally, they deployed it on their head quarters in San Rafael.

From the Gizmag Website:

The Mikrokopter Octocopter is an 8-rotor flying platform which has a 2 kg (4.4 lbs) capacity to carry cameras. It can be flown using an internal camera to give the operator a copter-based vantage point on video glasses, or can be programmed to follow a GPS-controlled flight path. An Octocopter can fly autonomously at altitudes up to 1000 meters (3280 feet), or can be manually flown as high as 3500 meters (11,480 feet). In the Autodesk tests video was captured using a GOPro Hero 2 camera, and the still pictures from which the 3D model was later built were taken by a remotely triggered Canon SLR camera.

Autodesk 123D is a suite of programs which allow a user to create, manipulate, and construct 3D objects using a 3D printer. Catch is part of the 123D suite, and offers a standalone software package that helps you create 3D models from a series of 2D digital images of an object or a scene. The spatial resolution available using 123D Catch is about 1 part in 600, or 0.167% of the total size of the object pictured, so you would be able to accurately place individual windows on a 3D model of a Boeing 747.

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Get to the Beach and then Treat Yourself

Cranes Beach & Wingaersheek Beech, Head north on 128.  Enjoy the water, and then take the short drive to Essex and go get fried clams and soft serve, call in your fried clam order if you can.  Try Woodman’s, Farnham’s (they got picnic tables over looking the tidal marsh) or try the Village, and Essex Seafood, which has always been a solid go to.

Horseneck Beach, terrific beach going south on 24, Westport, MA almost always less traffic, then go to the Back Eddy for something to cold to drink and a snack.

You’re in and around the city.

Find a Roof Deck and/or Pool, a variety of posts on the subject from Boston.com, but it seems the Colonade for a pool stop is always mentioned. And outside of the city, Indigo in Newton is pretty nice stop.

Walk the Greenway, play in the fountains, get gelatto, try the Gelateria  in the North End.

Have a cold drink in a well air conditioned bar by the Garden, then walk over the river, across the locks into Charlestown and do the same thing there.  Your choice for locations, there are many.  But go ahead and stop at Emack and Bolio’s on the walk back.

Play in the Fountain at the Christian Science Center, walk into the Pru and Copley to soak in the air conditioning, play “how much are these shoes” at Nordstrom.  Have a friend stand back from the shoe tables, have them guess.  Most likely off by a factor of 10, go get a coolata at Dunkin.

If you are feeling particularly flush and it’s after 5, go get a martini at the Oak Room, used to come with side car sitting in ice.  That will frame the rest of your day.  Air Conditioning set on igloo.

Take your dog for a walk at the Middlesex Fells Reservation, or bring him/her to a pond, throw a stick. Jamaica Pond, Spy Pond, Fresh Pond, etc.  You might not get cool, but look at the dog, so happy.  And now I’ve seen Canoe and Kayak Rentals at Spy Pond.

So there’s a start, generally, a cold drink, cone or a slush, water, you get the idea.

 

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With Microsoft’s announcement of Windows 8, and the unveiling of the Surface Tablet, it finally appears there will be a tablet form factor that will run Revit in the field.  According to the press release there will be two versions, one based on the ARM chip and another based on the Intel i5 chip running Windows 8 Pro.  The iPad, as much it is great for so many tasks, simply does not have the horsepower to run Revit in the field, and delivering the type of user experience one would want with heavyweight programs is a real limitation in the ‘cloud.’  I understand Autodesk is now counting solely on Citrix to provide its remote platform but even if you are driving Revit remotely would you want to rely on whatever internet connection you have?  That’s just not a funnel I would want to count on in the field.

At first glance you might say so what, not a big deal.  However, if I can have a device that toggles between my heavyweight AEC programs, and delivers content the way my my iPad does then I might have an iPad to sell you; because frankly I am sick of devices, I live between the Mac and Windows camp, I’m tired of it.  I used to be an Apple fanatic, even being the only kid in business school with a Mac, the disastrous PowerPC model, but what was not to like about Apple.  Now, how did we get to the point where Microsoft is the little guy, relatively speaking.  Now if they could get their content management into a spot that works the way you want.  Imagine the central Revit model up on the sky drive, you check it out in the field, do your work, update it, booyah.

I think single purpose, highly specific apps are great to digest data,  not for the creation of it so I am real interested in the melding of tablet like functionality with horsepower.  I’m rooting for the little guy, I’m rooting for Microsoft.

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BTW anyone else bother to notice the blending and vertical integration of software/hardware.  Apple, obviously.  Google buys Motorola. Microsoft with multiple attempts, Zune, XBox, etc.  and now Surface. And more germane to AEC Trimble buys Tekla and SketchUp.  Seems to be the biz strategy du jour, watch for more.

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Tweet about PKNail Pro’s Proven Field to BIM Technology, Get Entered Automatically

PointKnown is giving away a free Apple iPad to one lucky Twitterer…er, tweeter, i.e.  one who uses the service twitter to disseminate clever, witty, informative text burst in 140 characters or less.  PointKnown does not claim to be clever, witty or informative, but will claim producing kick ahh…whup ahh…Excellent productivity software tools for documenting existing buildings.

 

 

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To participate, simply tweet using the hash tags below:

#pknail #revit #bim and mention ‘PKNail Pro’

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PKNail Pro turbo charges Revit and modeling existing buildings #pknail #revit #bim

or “Capture Existing Buildings Directly In Revit with PKNail Pro, 5x-10x faster #pknail #revit #bim

less pertinent but still acceptable “We came, we saw, we conquered with PKNail Pro, #pknail, #bim , #revit

less pertinent verging to the non-sequitur but still acceptable…

beautiful software for happy people PKNail Pro, #pknail, #bim, #revit

or certainly and you are most welcome and encouraged to tweet your own stuff; as we will have a separate drawing of $100 VISA Card for best/most creative tweet as judged by anyone at our next BBQ.

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We are on the road with Microcad and have other excellent resellers including,  Seiler Instrument (ask for Harvey) and CADDFX

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1. This giveaway is offered by PointKnown LLC and is open to anyone with a Twitter account who is at least 16 years of age. Employees of PointKnown, LLC. and/or its affiliated companies and family members of such employees may enter the contest but are not eligible to win.

2. The giveaway will begin at the time of this post and end 62 days after initial post, a winner will be randomly chosen, much like the number 62, and announced via twitter through @pointknown

3. One giveaway will be available: a 16GB Wi-Fi Apple iPad or $499 Apple Store Credit, winner’s choice.

4. You must prove ownership of the winning entry and provide your email address to collect the prize.

5. To enter the giveaway you must send out a tweet from your own Twitter account that includes the #hash tags above in your message.

6. Entries using automated tweets will be disqualified, however there is no limit on the number of tweets you may enter.

7. PointKnown LLC will choose a winner randomly from all the entries within the specified period. The winner will be announced from our twitter account (@pointknown) once the contest ends.

8. Entrants agree to allow @pointknown to use their twitter handles and entry tweets for marketing purposes.

9. Neither PointKnown LLC. nor its affiliated companies shall have any liability for (i) any technical failures of any kind, including but not limited to malfunctions, interruptions or disconnections in phone lines or network hardware or software; (ii) technical or human error which may occur in the administration of the giveaway; (iii) any malfunction of or damage to the prize; (iv) any corruption, typos or hacking of prize winners email accounts; or (v) any restrictions or delays imposed by any customs authorities or any import or other taxes of any kind imposed by any taxation authority in respect of the prizes.

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Announced today, Autodesk Acquires Vela Systems.  If you are developing products within the Building Life Cycle somewhere between and including design to demolition, you are in play.  Trimble has been going on an acquisition rampage with its acquisition of Tekla and Sketch Up and Autodesk never one to be a wallflower has just acquired Vela.  This is almost 2 years to the date that Vela was unveiled publicly.  No idea of their market size but their own press releases state that they are more than ‘twice as big’ as any competitive Field BIM Systems.  Regardless, market penetration means little at this point now that the Autodesk marketing/sales system is behind it.  How big was Revit in 2006 when they were purchased.  A primer of Vela’s Key Features below.  Congrats Vela folks, job well done.

Vela Field Management Suite Key Features
The Vela Field Management Suite of Web, Mobile and Reports enables everyone throughout the enterprise to access documents, field activities and reports in the office and in the field. Since its release a year ago, and to further broaden the usability throughout the enterprise, Vela Systems has expanded upon the following features:

  • Field BIM® for commissioning and handover that ties BIM to the field for data and document exchange
  • Company-level checklist and issue template capabilities to implement and enforce quality and safety programs
  • Increased accessibility via the Internet on multiple devices like iPads and Smart Phones
  • Better web-based reporting that turns field data into powerful information for managing quality, safety and risk at the project and company level
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As reported by Industry Week, ‘The world’s most sophisticated malware had a ‘high interest in AutoCAD drawings,’ Kaspersky Lab said.  The Flame Virus, which mainly affected computers in the Middle East used a loophole in Microsoft software tricking computers into thinking they are downloading a legitimate Windows update.  This fact, being reported by Reuters, The Times, CNET, and others. CNN reported that Flame can turn on your microphone, webcam, log e-mails, etc.  I have not read if it can do anything malicious itself as the Stuxnet Virus did to Iran Uranium enrichment facilities by having centrifuges essentially tear themselves apart.  However, going after CAD, essentially engineering and building documents can let whoever is collecting this information know what you are designing and building, and possibly have the blueprints of the building you are designing and building in.  And you thought google knowing that you smoke cigars and eat ice cream on your back porch at 5:23 PM was intrusive.

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File under cool.   The City of New York has unveiled an initiative for the electronic submission of BIM safety plans; you can learn more here; and a  Turner Press Release yesterday stated they used both 2D and 3D BIM submissions to get approval for their construction project at the Energy Building at NYU Langone Medical Center.

“The digital submission of 3D, BIM-based site safety plans reduced the approval times from weeks to days,” said Di Fillipo, Turner Senior Vice President.

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The more demos I go on, the more I get asked about our field kit, so I wanted to post what’s in my bag and what we use on a day to day basis when surveying/modeling in the field with PKNail Pro.  Those of you not interested in the day-in day-out particulars of surveying buildings may want to hit your back button now… Anyway an individual equally equipped will be ready for knocking out BIM Building Surveys, and this kit, all in, costs a fraction of most other technology solutions, plus the added benefit of surveying/modeling directly in the platform you or your clients are most likely working in.  However, always choose the tool/service that fits your needs.  In fact, we’ll be posting shortly where we combined workflows of PKNail Pro and pointclouds.  But here you go, what’s in my bag or my complete kit.

So it might seem like a lot but all fits in the bag except for the tripods.  The laptop tripod is excellent when mobility/portability with your gear is at a premium but I will use a laptop cart with wheels if the space allows;  it is easier with wheels and has more surface area to put stuff.

The real minimum you need to have with you is a laptop/tablet PC running the appropriate software, a Disto D8 or 330i, a measuring tape, and something to use for a target when needed, like an outside corner.  Stickynotes (larger size) are excellent for shorter distances, a reflective Leica Target attached with Painter’s Tape is better for longer ones.  Rechargeable batteries for both the laptop and Disto.  I prefer an external battery pack for the laptop as it can be used on any laptop and it is self contained unlike an extra battery for a specific laptop.

I  like Eneloop rechargeables for devices, my preference, they come preloaded with a charge, and seem to carry it longer when not being used.  You need a measuring tape on occasion for distances to short or sometimes nice to hook something with a tape when finding a distance manually.  I like thick banded measuring tapes because they will extend longer without ‘breaking’ but find they are just as prone to wear down as any other so sometimes not worth the expense.  LED flashlight because they are bright and do not use as much juice as others, and are always nice to have.  I also have an LED light that you can wear on your head, which is my preferred.  Diameter tape is a luxury but one side is graduated the other will measure the diameter of any round column which is helpful.

The tripod attachment from Leica allows it to pivot properly on the its axis so the measurements stay as accurate as possible.  This is great to have for exterior work  when you might not have access to the interior of the building.  Building chalk or a marking crayon can be helpful but usually would want to mark with painters tape or sticky pad because they are easily removed, however, the former comes in handy sometimes, especially in basements.

And bring food and drink, nothing clouds your mind like being hungry, so eat.

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Interioreview, utilized PKNail Pro, an add in to Revit, combined with Leica Disto D8 laser range finders as the main surveying tool and software for capturing and modeling the 28 Story DuBois Library at UMass Amherst.  The structure designed by Durell Stone in 1966 is tallest library in the United States.  While intially considering combining LIDAR and creating a pointcloud for the exterior and utilizing PKNail Pro for the interior it turned out the exterior was the easiest part of the job and it was interior that was the most difficult.  Every 3rd floor contained  90+ rooms  with study carrels combined with classrooms where very few technologies would work well.  Nico Martinez, a Project Manager with Interioreview, commented,”Without PKNail the survey work could have taken  5 times, 10 times what it was.”

The project was completed to support the design and retrofitting a fire protection system.

Interioreview, an architecural surveying firm founded in 2003 specialzies in documenting the built environment in both 2D CAD and 3D Revit formats.

PointKnown, a software firm, founded in 2008 develops productivity tools for the built environment / AEC (Architectural, Engineering, and Construction) Industry

PKNail Pro, allows a user to measure and model objects in real time directly in Revit.

Autodesk® Revit® software is specifically built for Building Information Modeling (BIM), helping building professionals design, build, and maintain higher-quality, more energy-efficient buildings.

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