![]() ![]() Physicians are obligated not to disclose confidential information given by a patient to another party without the patient’s authorization. They suggest the surrogate use “substituted interests,” that is, the patient’s authentic values and interests, to base the decision. Snyder and Sulmasy, in their thoughtful article, provide a practical and useful option when the surrogate is uncertain of the patient’s preference(s), or when patient’s preferences have not kept abreast of scientific advances. In a non-autonomous patient, the surrogate can use either a substituted judgment standard (i.e., what the patient would wish in this circumstance and not what the surrogate would wish), or a best interests standard (i.e., what would bring the highest net benefit to the patient by weighing risks and benefits). Incompetent (non-autonomous) patients and previously competent (autonomous), but presently incompetent patients would need a surrogate decision-maker. In a previously autonomous, but presently incompetent patient, his/her previously expressed preferences (i.e., prior autonomous judgments) are to be respected. This needed examination can be accomplished by research that includes well-structured surveys on demographics, patient preferences on informed consent, truth-telling, and role in decision-making. Therefore, a critical examination of paternalistic medical practice is needed for reasons that include technological and economic progress, improved educational and socioeconomic status of the populace, globalization, and societal movement towards emphasis on the patient as an individual, than as a member of a group. It is presumptuous to assume that the patterns and roles in physician-patient relationships that have been in place for a half a century and more still hold true. However, culture (a composite of the customary beliefs, social forms, and material traits of a racial, religious or social group) is not static and autonomous, and changes with other trends over passing years. In countries with ancient civilizations, rooted beliefs and traditions, the practice of paternalism ( this term will be used in this article, as it is well-entrenched in ethics literature, although parentalism is the proper term) by physicians emanates mostly from beneficence. ![]() Resistance to the principle of patient autonomy and its derivatives (informed consent, truth-telling) in non-western cultures is not unexpected. A physician’s obligation and intention to relieve the suffering (e.g., refractory pain or dyspnea) of a patient by the use of appropriate drugs including opioids override the foreseen but unintended harmful effects or outcome (doctrine of double effect). This is particularly important and pertinent in difficult end-of-life care decisions on withholding and withdrawing life-sustaining treatment, medically administered nutrition and hydration, and in pain and other symptom control. The practical application of nonmaleficence is for the physician to weigh the benefits against burdens of all interventions and treatments, to eschew those that are inappropriately burdensome, and to choose the best course of action for the patient. This simply stated principle supports several moral rules – do not kill, do not cause pain or suffering, do not incapacitate, do not cause offense, and do not deprive others of the goods of life. Nonmaleficence is the obligation of a physician not to harm the patient. However, complying with these standards, it should be understood, may not always fulfill the moral norms as the codes have “often appeared to protect the profession’s interests more than to offer a broad and impartial moral viewpoint or to address issues of importance to patients and society”. To reduce the vagueness of “accepted role,” physician organizations (local, state, and national) have codified their standards. A pertinent example of particular morality is the physician’s “accepted role” to provide competent and trustworthy service to their patients. Particular morality refers to norms that bind groups because of their culture, religion, profession and include responsibilities, ideals, professional standards, and so on. Some moral norms for right conduct are common to human kind as they transcend cultures, regions, religions, and other group identities and constitute common morality (e.g., not to kill, or harm, or cause suffering to others, not to steal, not to punish the innocent, to be truthful, to obey the law, to nurture the young and dependent, to help the suffering, and rescue those in danger). Normative ethics attempts to answer the question, “Which general moral norms for the guidance and evaluation of conduct should we accept, and why?”. Ethics is a broad term that covers the study of the nature of morals and the specific moral choices to be made. ![]()
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![]() The winner has yet to come forward, said Carolyn Becker, a spokesperson for the California lottery, adding, “Somebody is holding on to a very important piece of paper this morning.” In fact, the jackpot was so large that California lottery officials didn’t have the appropriate signage: At the gas station where the winning ticket was sold, just northeast of Los Angeles, they taped a “B” onto signs that read, “Millionaire made here,” so they would instead read, “Billionaire made here.” The jackpot was a record $1.9 billion but grew to $2.04 billion by the time of the drawing, the association said in a statement, “making it the world’s largest lottery prize” – just as its organizers intended when they changed the odds in 2015. How a chance encounter years ago saved their future A single mom’s 4 kids had to fend for themselves when tragedy struck.From modest chains to the ‘Hope Diamond of hip-hop,’ these photos map the evolution of rappers’ jewelry.Meet the true believer racing to prove a grand American bird is still out there.The man who’s been arrested worked at the local CVS They spent years waiting for a break after 2 girls were killed.How a small herd of bison and a small Texas city are helping each other survive.The winning numbers, which were announced Tuesday morning after Monday night’s drawing was delayed, were 10-33-41-47-56 and the Powerball was 10, according to the association.Īnd while you likely weren’t the jackpot winner, lotteries are urging players to check their tickets on the chance you won one of the other – albeit smaller – prizes: Per the Multi-State Lottery Association, more than 11.2 million tickets won cash prizes totaling $98.1 million, including 22 tickets that won $1 million prizes for matching the five white numbers but not the Powerball. Results posted to similarly said there was one winner who matched all six numbers in California – the odds of which were 1 in 292.2 million, according to the Multi-State Lottery Association. The ticket was sold at a Joe’s Service Center, the California Lottery said on Twitter. If you win the jackpot, sign your ticket, put it somewhere very safe, and reach out to your local lottery.A lone winning ticket for the record $2.04 billion Powerball lottery jackpot was sold in Altadena, California, lottery officials said Tuesday, making the lucky ticket holder the winner of the largest lottery prize ever. "It only takes one ticket to win this massive jackpot or any of Powerball's other cash prizes. "This has turned into a historic jackpot run this is only the third time in Powerball's 31-year history that a jackpot has reached the billion-dollar threshold," said Drew Svitko, Powerball product group chair and Pennsylvania Lottery executive director. The winner has the choice between annual payments over 30 years, which increase by 5% each year, or a lump sum payment. The Powerball, which was last hit on April 19, had 38 consecutive drawings without a winner. RELATED: What to consider if you win the lottery The Powerball jackpot is now reset to $20 million. There were also several Match 5 winners in California (seven), Connecticut, Florida (four), Illinois, Indiana, Kentucky, Massachusetts (three), Maryland (two), Missouri, New Hampshire, New Jersey (two), New York (five), Ohio, Texas (four), Wisconsin and West Virginia. Three tickets sold in Florida, Pennsylvania and Rhode Island won $2 million, Powerball said. ![]() ![]() ![]() Open JustStream and expand it from the menu bar. Make sure your devices are connected to the same Wi-Fi network. Download and install JustStream on your Mac. Here’s how to stream Mac to TV using JustStream: The app works well with all big TV manufacturers like Samsung, LG, Sony, and others. That means you don’t need any cables, other hardware, and complicated configurations to connect your devices. Using JustStream, you can easily stream videos, audio, pictures, and software from Mac to the devices connected to the same WiFi network. With tons of useful features, JustStream allows building playlists, provides full subtitles support, and plays embedded/external audio tracks in sync with the video. When it comes to how to stream from Mac to Apple TV, it’s worth mentioning JustStream – a lightweight app designed to mirror a Mac and stream video files to TV, Apple TV, or Chromecast wirelessly. How to Stream from Mac to Apple TV with JustStream ![]()
![]() ![]() ![]() So I gotta be better in every single way possible. Games like Enter the Gungeon used this to find a lot of success and following in those footsteps is Dead End Job.The main appeal is less the dynamic nature of the game and more the ‘90s Ren and Stimpy art style. There’s no way to look at this and say I did any kind of a good job and got the result that we did in the second half of the season. Procedurally generated games are popular, since they’re a relatively low effort way to add a lot of replayability. “You may lose a close one here and there where it’s just right there one play here and there,” Trojans coach Lincoln Riley said, “but to not give yourself a chance like today, it’s unacceptable. Dead End Job sends you into a madcap, whacky world to bust up ghosts. Williams rolled up 384 passing yards but managed one touchdown while failing to sustain a rhythm as USC (7-5, 5-4) lost for the fifth time in six games. For example, if you want to get Dead End Job Steam key and activate it on Steam, pick the shop that has a Steam icon. Well I’d hoped that maybe this was the diamond in the rough. You’re looking for the Poultrygeist, which is a chicken. 1st off you need to unlock the Restaurant Area which you do by earning £250,000 in jobs. To accomplish this Hector will need a lot of cash, but luckily there is no shortage of people willing to pay him to shoot ghosts with his plasma blaster before sucking up the pesky spirits in a vacuum pack. A lot of them are actually pretty decent. How to unlock the Winner Winner achievement. Dead End Job is a twin-stick shooter where players take control of Hector Plasm, a ghost exterminator on a mission to save his mentor’s soul. You will find this information on the game card in the form of a launcher icon. It’s a Games With Gold almost certainly not. Putting USC’s running game on lockdown while keeping quarterback Caleb Williams on the run in what might have been his final game as a Trojan, UCLA’s defense gave up only three rushing yards and sacked Williams four times. When checking the offers for Dead End Job, make sure that the key is activated through the DRM of your choice. Harden also ran for the game’s first score on a one-yard touchdown out of the T formation and finished with a career-high 142 yards rushing in 22 carries. the Ghost Dimension is a level with 5 floors, 4 with 5 rooms & a fifth. Harden helped make them come true, snagging a seven-yard touchdown pass early in the third quarter to extend the Bruins’ advantage to 21-10. The Secret Achievement achievement in Dead End Job worth 1146 points Continue playing to unlock this secret achievement. “Had some dreams about this as a little kid.” Dead End Job is a shooter video game that was developed and published by Headup Games for various platforms. “Today was probably one of the better days of my life for, sure,” Garbers said shortly after a smiling Kelly waved at him through a hole in the back of the media tent. ![]() ![]() ![]() If you have signed up for our newsletter or sent us an e-mail query, you have given us your email address and possibly your name as well. We are committed to protecting your privacy whenever you visit and use our website. We do not allow any advertiser or third party to place pop-ups, pop-unders or anything else that will enable them to use cookies on your computer. 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Measuring website usage (Google Analytics) How we use Cookiesīest Years uses cookies for several purposes, we've listed each of them below with more details about why we use them and how long they'll last. Or please read on to find out more about how and where we use cookies. To learn more about cookies and how to manage them visit. You can even decide to stop any site from using them. You can manage and/or delete these small files as you wish. keep track of the items in your shopping basket.measuring how you use the website so we can make sure it meets your needs.remembering how you like things displayed.They're just used to make the site work better for you. Our cookies aren't used to identify you personally. To help improve this site we may place small data files, known as cookies, onto your computer. ![]() ![]() ![]() With a brushed copper lid and base, this elegant hummingbird feeder from Perky Pet will make a stylish addition to your yard. Size: 10 ounces | Shape: Inverted | Material: Plastic This feeder may attract bees, which isn’t a big surprise, considering there aren’t any bee guards on the feeding ports. The smaller capacity also means that you will likely have to refill it more frequently. Note that this feeder is on the smaller side, so it’s best suited for a couple of birds at a time. As an added convenience, this feeder comes with two hanging options: a metal S hook and a tie-wrap. A tight seal prevents the feeder from leaking, even when it’s turned upside down. The wide-mouth reservoir allows for easy filling, and the two-part bases twist apart for a thorough cleaning. Another welcome feature is the built-in ant guard at the top, which prevents insects from contaminating the nectar. With five flower-shaped feeding ports and a circular preach below each one, several birds can comfortably feed at one time. It has a 10-ounce clear reservoir so you can easily keep an eye on the nectar level. This plastic hummingbird feeder from Sewanta is lightweight, well-designed, and affordably priced. Size: 16 ounces | Shape: Inverted | Material: Plastic Though, on the bright side, the base is equipped with latches and a sealing ring, which prevent the feeder from leaking when it’s fully assembled. Just note that we did find it a bit tricky to open the two pieces on the base, and some nectar spilled out during the cleaning process. It also comes with an S hook, which slips easily onto a tree. Plus, the feeder's wide mouth made it super easy to fill and clean. The First Nature feeder holds 16 ounces of nectar, and we liked that the clear bottle allowed us to see how much nectar remains. The feeder is made of plastic, and while it doesn't feel as nice as glass and metal, it’s less likely to break or rust. There's a ring at the bottom where birds can perch, as well as ten flower-shaped feeding ports. While testing this feeder in one of our own backyards, we noted that the bright red color drew regular visitors. The First Nature Hummingbird Feeder features a simple yet effective design, and it comes at a very affordable price. Size: 20 ounces | Shape: Inverted | Material: Glass On a positive note, this minor flaw doesn’t seem to discourage regular visitors. The metal ring at the top of the feeder doesn’t fit snugly, causing it to tilt a bit when hanging. The only hiccup to the otherwise solid design is the hanging mechanism. We found that the bottle and the base come apart, so the feeder is easy to clean with a brush in warm, soapy water. The wide-mouth bottle is removable for easy filling and cleaning. With a 20-ounce capacity (the second largest on our list) and five flower-shaped feeding ports (each with its own perch), this feeder offers plenty of room for multiple birds to feed comfortably. And speaking of the glass, we tested the aqua-mint version and suspect that a red hue would likely attract more birds. Plus, the transparent glass made it easy to monitor the nectar glass. While testing, we especially appreciated that the detachable base is not plastic (many on the market are), but metal with an elegant burnt penny finish. You can also choose among four different colors: blue, purple, aqua-mint, and red. Our favorite glass option, the More Birds Hummingbird Feeder, has a vintage-inspired design and is available in several antique bottle shapes, including an elixir bottle and a mason jar. More Birds Vintage Hummingbird Feeder Review Size: 8 ounces | Shape: Inverted, Hourglass | Material: Glass The bottle is made of clear glass, however, allowing you to monitor the nectar levels. Despite their small size, hummingbirds have a good appetite, so you’ll likely have to refill the feeder frequently. The only potential downside to this hummingbird feeder is its relatively small reservoir, which holds up to 8 ounces of nectar (the least on our list, along with our best window-mounted pick). ![]() All of the parts-even the built-in bee guards–can be disassembled for a thorough cleaning. Thanks to the wide-mouth bottle, it’s easy to pour the nectar in without spilling it. This feeder is conveniently designed for easy filling and cleaning. This feeder also has a built-in ant moat at the top of the lid to further deter insects. There is also a perch below every port so multiple birds can feed at once. Each feeding port has a built-in bee guard to prevent insects from poaching the nectar. This glass feeder comes in two colors-red or clear-and it features four flower-shaped feeding ports to draw in hummingbirds. With its appealing and user-friendly design, the Perky-Pet Pinchwaist Hummingbird Feeder is our top choice for attracting backyard birds. The Spruce Home Improvement Review Board. ![]() ![]() ![]() Finally, your personal shopper will explain our Privacy Policy and Terms of Service, and help you place an order if you so desire.Ĭopyright © 2023 Miami Mattress | Powered by Davteks Enterprises. Wake up ready to take on the day with a full nights sleep with Dynasty Mattresss CoolBreeze Gel Memory Foam Mattress. Considering a DynastyMattress Cool Breeze mattress Our unbiased review breaks down its pros, cons, and sleep benefits. There is no charge for the help of this personal shopper for any American with a disability. ![]() Please call our disability services phone line at 78 during regular business hours and one of our kind and friendly personal shoppers will help you navigate through our web site, help conduct advanced searches, help you choose the item you are looking for with the specifications you are seeking, read you the specifications of any item and consult with you about the products themselves. SmartClimate Cover: A patented removable, machine-washable and cool-to-the-touch cover, with heat-absorbing fibers that draw heat away from the body for. Best overall: Casper Nova Hybrid Mattress - See at Casper. 1 in this year’s Best Mattresses rating, and the Tempur-Pedic Tempur-Cloud, which ties for No. However, if you are an American with a disability we are here to help you. (USN&WR) The Saatva Classic, which places at No. Type: Foam or hybrid Key features: Cool to the touch, washable cover, motion isolating and pressure relieving, choice of firmness. ![]() Welcome to our website! As we have the ability to list several hundred items on our web site (our selection changes all of the time), it is not feasible for a company our size to record and playback the descriptions on every item on our web site. ![]() ![]() ![]() It's okay to not be universally appealing to everyone-no one can do that. Think about who will be and is buying your products, then tailor the way you present yourself to be as welcoming as possible for that crowd. If you want to appeal to a younger crowd, you may want to use up-to-the-minute or pop culture references including emojis and memes. Who are you selling to? Women? Men? Baby boomers? Generation X or younger? Narrowing down the core group of individuals you think your handmade jewelry will appeal to helps direct your marketing efforts. ''Boost Your Beaded Jewelry Sales Part 4: Take Custom Orders'' article.''What Makes Your Jewelry Line Different?'' article.''Using Models to Sell Jewelry Designs'' article.Find something that makes you stand out, whether that's how you present your products, what's in your designs or even something as simple as offering custom orders for customers. Any packaging twist you can add, like a decorative label, pretty tissue paper or even a bed of potpourri, can make a big impression on the buyer and gift recipients. Offering gift boxes can make you a go-to seller, too. Offering a free gift is another way some businesses add a little something to the buying experience in order to keep their name in your mind. Customers love seeing everyday people wearing the gorgeous pieces. One way Fire Mountain Gems has done this is by choosing to use our employees, or friends and family members, in our model shots. ''How to Build Customer Loyalty by Creating the Perfect Shopping Experience'' articleĭo something fun, unique or entertaining.How you deal with problems that arise can actually end up boosting the reputation of your business if you handle them professionally and expeditiously. Listen to what customers have to say and work to rectify any problems as quickly as possible. People enjoy interacting with a person, not an anonymous brand, so make it personal and try to avoid jargon or technical terms that could make the customer feel as though you're talking down to them. Reply quickly to questions, concerns and even positive feedback on all your social platforms. Great! Now what? Here are eight tips, with some helpful links on related resources to have you selling like a pro online in no time.īe accommodating. ![]() They may have Fire Mountain Gems coupons available for you to use when you place an order at Leslie, Exclusively for Fire Mountain Gems and Beads® Giving Assistant is dedicated to helping consumers save money. ![]() However, finding Fire Mountain Gems promo codes online isn’t always easy. Whether you’re making items for yourself or for resale, you want to save money on your supplies. You can also turn to for resources like jewelry making instructions. Visit them for all of your packaging needs to take your jewelry selling business to the next level. Whether you want to make a headband or a tassle for your shoe, they have the supplies you need. In addition to the beads, they also carry all the findings you need for making earrings, bracelets, necklaces, anklets and more. Their materials range from glass and metal to porcelain and wood. You can find everything from colored acrylic beads for arts and crafts to Swarovski Crystal for making attractive custom jewelry. ![]() They offer an incredible range of jewelry supplies and beads so that you can make your own custom jewelry for yourself or your friends. Fire Mountain Gems is a wholesale gem and bead company offering an ironclad guarantee. ![]() ![]() ![]() ![]() The labs start from ground-zero and work through the Data - Design - Develop process. NOTE: If you are brand new to ArcGIS, we recommend that you use your developer account to sign into to familiarize yourself with the site and then sign into to learn how to create your first map. A simple guide for setting up a local web server (optional).ArcGIS Online Help - Documentation and Tutorials.ArcGIS Online Maps and Apps - Map Viewer, My Content, Item Management.Esri Open Source Projects - More source code.ArcGIS for Developers - Account, Documentation, Samples, Apps, Downloads.Here are the resources you will use for the labs. Share your work - This is 100% optional, but as you are going through, feel free to share your work with others in this ArcGIS Online Group! The labs marked with an * are the minimum labs you need to complete to build your own custom app from ground zero. It will be easiest to use the data provided (Portland open data), but you feel free to substitute with your own data and augment the steps where necessary. Start the labs - You can complete the labs in order or just pick and choose the ones you want to do. If you already have an ArcGIS Organization subscription (with at least publisher level permission) or access to ArcGIS Enterprise, that will work too.įree public accounts and Organizational 'User' accounts are not sufficient to complete the Hackerlabs. Sign up for a free ArcGIS Developer subscription - Your subscription allows you to download software, register apps, import data, create new services, store maps, perform spatial analysis and more.Develop - Use maps and layers in your apps with ArcGIS templates, builders and APIs.Design - Style maps and layers for your apps with the ArcGIS Online Map and Scene Viewer.Data - Prepare data for your apps with ArcGIS Online. ![]() A handful have been reworked as ArcGIS DevLabs. The process described here uses ArcGIS Online and ArcGIS for Developers accounts, tools and services, and does not require the installation of desktop software for most labs. This repository contains short labs that step you through the process of developing applications with ArcGIS. A place to learn how to build geo apps with the ArcGIS platform. ![]() |
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