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Men of Munster on a mission. It is an essential part of Heineken Cup folklore that Munster are one of the mightiest forces in Europe on their own Thomond Park patch. But to believe that they are no more than a side who only thrive in front of their raw- throated fans would be to ignore evidence that shows just why they are a threat to Leicester's hopes of progressing to the Heineken Cup semi- final tomorrow afternoon at Welford Road. Munster have proved themselves time and again on the road. In the semi- final three years ago they rode their luck and Toulouse's slack- handed carelessness to triumph in Bordeaux. The following year in Lille against Stade Franais, they were denied a place in the final only by the short- sightedness of the officials and the absence of a video referee when a legitimate touchdown by wing John O'Neill was ruled out of court. Last year Munster had their revenge when, in perhaps the tournament's most impressive performance, they resisted the elements and a ferocious Stade Franais assault to clinch a quarter- final victory in Paris. Munster are a hard- nut side: tough of mind and smart in delivery. Like the national side, they have become far more than a rag- tag bundle of passion that will blow hard for an hour and then subside. They may not overwhelm but nor are they are overwhelmed themselves. In three major Heineken Cup games away from home in the last three years - two finals, against Northampton and last year Leicester, and the Lille semi- final - their combined points deficit in three losing causes is only eight points. Leicester, tread carefully. The sneaky and calculated flick of the ball at a scrum by Neil Back from the grasp of Peter Stringer helped win the day for Leicester in last year's final. There was a minute to go, the Munster scrum was under the Leicester posts and Tigers were ahead by just six points. Leicester took the trophy and Back took the stick. He initially took exception to claims that he might have cheated. And he got away with it. Munster will not be harking back to age- old grievances. Sure, we were all aggrieved at the time. It was replayed on the big screen at the Millennium so we all knew what had gone on. But, look, who's to say one of us wouldn't have done the same thing. There may have been a bit of animosity at the time. They needed to win by 2. They succeeded only with Ronan O'Gara's last conversion to trigger a wild night in Limerick. As for Henderson himself, he has been bugged by injury for the last couple of seasons. CUSTOM WRITING SERVICE. The web's leading provider of quality and professional academic writing. Academic level: Type of paper. Quickbooks Repair Pro is the leading Quickbooks File Repair, Mac Repair, QB Data Recovery. Quickbooks Repair Pro is the leading Quickbooks File Repair and Data. Western clothing and accessories are a BIG hit this season. Australia; Austria; Belgium; China; France; Germany; Hong Kong; India; Ireland. It looks like the return of Austin Healey has given them a lift. He was firing 4. 0- metre passes out to Freddie Tuilagi against Sale. And then there was Geordan Murphy. He was Ireland's player of the season and is on fire. But the one thing you know for absolute certain about Munster is that they'll be there right to the last peep of the final whistle. Of that there's no doubt. It looks set to be the game of the season. 9781844130085 1844130088 The next big thing is really small, Jack Uldrich, Deb Newberry. What about scouting in France. I think we can't serve our next correctly without good. Amazon.ca - Buy Enter the Dragon (Sous-titres franais) at a low price; free shipping on qualified orders. See reviews & details on a wide selection of Blu-ray & DVDs. The Jedi Sage's Handbook. Force Armor can be looked at as either the single fastest big. Resplendence allows any of these criticals to cause your next. Cartas Desde El Interior - John Marsden Sinopsis. Cartas desde el interior.PDF Compresi. Comentarios (0) Actualmente no hay comentarios sobre este libro, an! Contando con el enorme. Hola :) La verdad es que casi ni recuerdo el libro porque la rese Descargar libros gratis en PDF y DOC - Cartas. Descargar libros ePub y PDF Gratis Libros Electr. Descargar el libro Cartas desde el interior de John Marsden. Todos los libros pertenecen a dichos autores. Libro Cartas Desde El Interior Pdf DownloadBooks Are Our Heaven : Cartas Desde El Interior. Sinopsis: Una tarde, Mandy decide contestar el anuncio que otra chica —Tracey— publica en una revista, y las j. Poco a poco, Tracey y Mandy comparten no s. Sin embargo, tras algunos meses de escribirse, Mandy detecta ciertas inconsistencias en las cartas de su amiga, y comienza a sospechar que Tracey no es quien dice ser. Libro Cartas Desde El Interior Pdf995Krakatoa MY - bluegfx - leading supplier of 3d solutions - 3ds Max . Note that the release number matches the Krakatoa core renderer version shared with Krakatoa MX and Krakatoa SR. All Krakatoa implementations share the same rendering core and should produce identical, pixel- exact output given the same particle data and settings. Krakatoa MY is fully integrated in the Maya User Interface and operates not unlike Krakatoa MX for Autodesk 3ds Max. It implements various dedicated scene objects like the PRT Loader for loading particles from external file sequences, and the PRT Volume for converting geometry volumes to point clouds. Waterfall particle set courtesy of Adam Guzowski/Evermotion. Krakatoa MY requires its own separate workstation license when used interactively inside the Autodesk Maya User Interface. This includes rendering and running Maya Batch from inside of Maya. When rendering on the network, all Krakatoa implementations use the same “krakatoa- render” license. This means you can network render with Krakatoa MX, Krakatoa MY or Krakatoa SR as needed without the need to purchase separate render licenses for each. Note that Krakatoa MY running in network rendering mode will also check for the existence of a workstation license, but will not check it out. In other words, at least one Krakatoa MY workstation license must be purchased for network render licenses to operate correctly. Features. Renderer. The Krakatoa renderer is CPU- based, highly optimized and heavily multi- threaded. It does not require the presence of a GPU and can be used successfully on any hardware running Windows or Linux including laptops and render nodes without dedicated high- end graphics accelerators. Krakatoa's memory footprint adapts dynamically to the requested features, with a minimum memory usage of 2. Krakatoa supports volumetric and additive particle shading and allows the mixing of the two modes. The volumetric shading includes per- particle control over Color, Density, Emission and Absorption. The Density controls for the lighting and shading calculations can be decoupled to provide higher control over the final results. Krakatoa features both Particle (aka Point) rendering and Voxel rendering modes. Thinkbox Krakatoa MX for Autodesk 3ds Max Workstation License Thinkbox Krakatoa MX for Autodesk 3ds Max Workstation License PRODUCT HIGHLIGHTS Plugin Host 3ds Max. ThinkBox Krakatoa MX 2.2.0.51807 3ds Max 2014 Win64 Plugin . It provides a pipeline for. A weird effect, achieved thanks to Thinkbox's Krakatoa Particle managaer and SitniSati's Fumefx for 3ds max 2013. Collection of some widely used powerful and handy plugins for 3ds max to get the most out of it. 3ds max is one of the powerful 3d packages with lots of great functionalities of modeling, animation, particles-dynamics and more. But everyone is not able to utilize. Pipeline Plugin Developer Deadline Software Developer Vero Software Developer Webinars The Big Picture Webinar << Back to Using Krakatoa 3ds Max Integration. Krakatoa MX 2.1.8 for 3ds Max 2014 Plugin Self- shadowing and shadow casting from and onto matte (holdout) geometry objects are supported, including mesh and DTEX- based holdouts. The basic Maya light sources (Point, Spot, Directional) are supported. Krakatoa features integrated Motion Blur and Depth Of Field camera effects. Render- time particle multiplication allows the creation of more particles than the original source provided. Thinkbox Krakatoa MX 2.5.2 for 3ds Max . It provides a pipeline for acquiring, caching, transforming, modifying. Particle Sources. Krakatoa MY supports both native Maya Particles and n. Particles; external particle sources loaded from disk via the PRT Loader object; procedurally generated particles from geometry volumes via the PRT Volume object; and fractal- based distributions via the PRT Fractal object. Currently supported external particle file formats are Thinkbox' PRT file sequences, Real. Flow BIN file sequences, and ASCII Comma- Separated Values CSV sequences. Krakatoa MY includes a function for saving particle data to PRT files that can be used in custom scripts. It ships with a dedicated PRT Saving/Partitioning scripted tool for generating multiple wedges of the same particle system to increase the final particle count or for sharing data with the other implementations of Krakatoa. PRT Objects. Krakatoa MY provides several dedicated scene objects: PRT Loader The PRT Loader object can be used to load one or more external file sequences. It exposes controls to define which sequences will be used at render time and which will be shown in the viewports, as well as particle percentage and particle limit controls, various loading and display methods. The PRT Loader allows for particle retiming using offset and animation curve controls. It can clamp the frame range using custom start and end frame and edge behaviors. The position interpolation can be performed either linearly using the current frame's velocity, or using cubic interpolation from the two nearest surrounding frames. PRT Volume. The PRT Volume object can be used to fill the volume of a polygon mesh with particles. This happens dynamically at render time and can also be previewed interactively in the viewports. The PRT Volume provides the option to distribute particles within a range from the geometry surface. Normal vectors are automatically generated for all particles from the nearest geometry surface. PRT Fractal. The PRT Fractal object can be used to create procedural fractal particle distributions based on a random seed, iterations control and several animatable parameters. Particle Channel Modifiers. Using Maya's Extra Attributes, Krakatoa exposes several . A full- featured node- based channel editor is in the works and will be available in a point release in the future. Specifications. Additional Info. Get a basic guide to program evaluation in this topic from the Free Management Library.Program evaluation - Wikipedia, the free encyclopedia. Program evaluation is a systematic method for collecting, analyzing, and using information to answer questions about projects, policies and programs. In both the public and private sectors, stakeholders often want to know whether the programs they are funding, implementing, voting for, receiving or objecting to are producing the intended effect. While program evaluation first focuses around this definition, important considerations often include how much the program costs per participant, how the program could be improved, whether the program is worthwhile, whether there are better alternatives, if there are unintended outcomes, and whether the program goals are appropriate and useful. However, planned social evaluation has been documented as dating as far back as 2. BC. People who do program evaluation come from many different backgrounds, such as sociology, psychology, economics, social work, and public policy. Some graduate schools also have specific training programs for program evaluation. Doing an evaluation. Each of these stages raises different questions to be answered by the evaluator, and correspondingly different evaluation approaches are needed. Rossi, Lipsey and Freeman (2. Assessment of the need for the program. Using Case Studies to do Program Evaluation valuation of any kind is designed to. Preparing an Evaluation Report. Sacramento, CA: California Department of Health Services. This guide will help evaluators assess whether to. Program evaluation is a systematic method for collecting, analyzing, and using information to answer questions about projects, policies and programs, particularly about their effectiveness and efficiency. Assessment of program design and logic/theory. Assessment of how the program is being implemented (i. Are the program's processes maximizing possible outcomes?)Assessment of the program's outcome or impact (i. Assessment of the program's cost and efficiency. Assessing needs. This includes identifying and diagnosing the actual problem the program is trying to address, who or what is affected by the problem, how widespread the problem is, and what are the measurable effects that are caused by the problem. For example, for a housing program aimed at mitigating homelessness, a program evaluator may want to find out how many people are homeless in a given geographic area and what their demographics are. Rossi, Lipsey and Freeman (2. Needs assessment involves the processes or methods used by evaluators to describe and diagnose social needs. Programs that do not do a needs assessment can have the illusion that they have eradicated the problem/need when in fact there was no need in the first place. Needs assessment involves research and regular consultation with community stakeholders and with the people that will benefit from the project before the program can be developed and implemented. Hence it should be a bottom- up approach. In this way potential problems can be realized early because the process would have involved the community in identifying the need and thereby allowed the opportunity to identify potential barriers. Employee Assistance Program Evaluation Report. Employee Assistance Program (EAP). The report outlines the objectives, evaluation methodology, evaluation. Program Evaluation Form At Anytown Public Library, we continually strive to improve our programs. Your input into the program you recently attended will assist us with this process. Program Location: Branch XXX. Evaluation Report Sample. Although students value the self-paced nature of the L2 Algebra I multimedia program, it is not always implemented. Self-paced learning is an academic ideal held forth by many, but few. The Special Olympics Community The important task of a program evaluator is thus to: First, construct a precise definition of what the problem is. This is most effectively done by collaboratively including all possible stakeholders, i. Including buy- in early on in the process reduces potential for push- back, miscommunication, and incomplete information later on. Second, assess the extent of the problem. They need to answer the . Evaluators need to work out where the problem is located and how big it is. Pointing out that a problem exists is much easier than having to specify where it is located and how rife it is. Rossi, Lipsey & Freeman (2. But indicating how many children it affects and where it is located geographically and socially would require knowledge about abused children, the characteristics of perpetrators and the impact of the problem throughout the political authority in question. This can be difficult considering that child abuse is not a public behavior, also keeping in mind that estimates of the rates on private behavior are usually not possible because of factors like unreported cases. In this case evaluators would have to use data from several sources and apply different approaches in order to estimate incidence rates. There are two more questions that need to be answered. Having identified the need and having familiarized oneself with the community evaluators should conduct a performance analysis to identify whether the proposed plan in the program will actually be able to eliminate the need. For example, whether the job performance standards are set by an organization or whether some governmental rules need to be considered when undertaking the task. There are three units of the population: population at risk, population in need and population in demand. The difference or the gap between the two situations will help identify the need, purpose and aims of the program. Identify priorities and importance. In the first step above, evaluators would have identified a number of interventions that could potentially address the need e. These must now be examined in view of their significance to the program. This must be done by considering the following factors: cost effectiveness (consider the budget of the program, assess cost/benefit ratio), executive pressure (whether top management expects a solution) and population (whether many key people are involved). Identify causes of performance problems and/or opportunities. When the needs have been prioritized the next step is to identify specific problem areas within the need to be addressed. And to also assess the skills of the people that will be carrying out the interventions. Identify possible solutions and growth opportunities. Compare the consequences of the interventions if it was to be implemented or not. Needs analysis is hence a very crucial step in evaluating programs because the effectiveness of a program cannot be assessed unless we know what the problem was in the first place. Assessing program theory. This 'logic model' is often not stated explicitly by people who run programs, it is simply assumed, and so an evaluator will need to draw out from the program staff how exactly the program is supposed to achieve its aims and assess whether this logic is plausible. For example, in an HIV prevention program, it may be assumed that educating people about HIV/AIDS transmission, risk and safe sex practices will result in safer sex being practiced. However, research in South Africa increasingly shows that in spite of increased education and knowledge, people still often do not practice safe sex. This is why it is important to read research that has been done in the area. Explicating this logic can also reveal unintended or unforeseen consequences of a program, both positive and negative. The program theory drives the hypotheses to test for impact evaluation. Developing a logic model can also build common understanding amongst program staff and stakeholders about what the program is actually supposed to do and how it is supposed to do it, which is often lacking (see Participatory impact pathways analysis). Of course, it is also possible that during the process of trying to elicit the logic model behind a program the evaluators may discover that such a model is either incompletely developed, internally contradictory, or (in worst cases) essentially nonexisistent. This decidedly limits the effectiveness of the evaluation, although it does not necessarily reduce or eliminate the program. An evaluator should create a logic model with input from many different stake holders. Logic Models have 5 major components: Resources or Inputs, Activities, Outputs, Short- term outcomes, and Long- term outcomes . Looking at the different components of a program in relation to the overall short- term and long- term goals allows for illumination of potential misalignments. Creating an actual logic model is particularly important because it helps clarify for all stakeholders: the definition of the problem, the overarching goals, and the capacity and outputs of the program. If the program theory fails to address the needs of the target population it will be rendered ineffective even when if it is well implemented. Rutman (1. 98. 0), Smith (1. Wholly (1. 99. 4) suggested the questions listed below to assist with the review process. The evaluator can assess whether the program theory is congruent with research evidence and practical experiences of programs with similar concepts. This evaluation determines whether the components identified as critical to the success of the program are being implemented. The evaluation determines whether target populations are being reached, people are receiving the intended services, staff are adequately qualified. Process evaluation is an ongoing process in which repeated measures may be used to evaluate whether the program is being implemented effectively. This problem is particularly critical because many innovations, particularly in areas like education and public policy, consist of fairly complex chains of action. Many of which these elements rely on the prior correct implementation of other elements, and will fail if the prior implementation was not done correctly. This was conclusively demonstrated by Gene V. Glass and many others during the 1. Since incorrect or ineffective implementation will produce the same kind of neutral or negative results that would be produced by correct implementation of a poor innovation, it is essential that evaluation research assess the implementation process itself. This involves trying to measure if the program has achieved its intended outcomes, i. Thus the concept of an outcome does not necessarily mean that the program targets have actually changed or that the program has caused them to change in any way. It further helps you to clarify your understanding of your program. But the most important reason for undertaking the effort is to understand the impacts of your work on the people you serve. More information about impact evaluation is found under the heading 'Determining Causation'. Assessing efficiency. Evaluators outline the benefits and cost of the program for comparison. An efficient program has a lower cost- benefit ratio. Determining causation. Beidel, Ph. D., ABPP is Pegasus Professor of Psychology and Medical Education and Director of UCF RESTORES at the University of Central Florida. She received her Ph. D. Beidel holds Diplomates in Clinical Psychology and Behavioral Psychology from the American Board of Professional Psychology and is a Fellow of the American Psychological Association and the Association for Psychological Science. She is the author of over 2. Her recent work focuses on utilizing technology to translate and disseminate efficacious treatments for anxiety disorders and post- traumatic stress disorder into standard clinical practice. Currently, she is the principal investigator of a Department of Defense funded research program conducting a randomized controlled trial for the treatment of combat- related posttraumatic stress disorders, a Department of Defense funded research program examining familial stress during military deployment, and an NIMH funded randomized trial to develop artificially intelligent avatars to assist in the treatment of children with social anxiety disorders. Clint Bowers, she is developing a new multi- disciplinary center devoted to using technology to enhance and disseminate empirically supported treatments for anxiety, stress and trauma- related disorders. UCF RESTORESWebsite. Beidel directs the RESearch and Treatment On Response to Extreme Stressors (UCF RESTORES), a clinical research center dedicated to the study of all facets of anxiety, trauma and posttraumatic stress disorder (PTSD) including etiology, psychopathology, treatment, resilience and prevention. A unique feature of UCF RESTORES is the development and use of established and emerging technologies to enhance prevention and intervention efforts. Current federally funded research programs include: Beidel, D. The operational definition of an empirical term (i.e., a descriptor of some element of physical experience) is the description of a specific process, or set of. Because of the pervasiveness of computers in the workplace, teaching people to use and program computers has become a major category of training. C., Frueh, B. C., & Uhde, T. W. Trauma Management Therapy for OIF/OEF Veterans (Award 0. Army Medical Research & Materiel Command- Military Operational Medicine Research Program (USAMRMC- MOMRP), 2. This randomized controlled trial examines the effectiveness of two different treatments for warriors of the Iraq and Afghanistan conflicts who are suffering from combat- related PTSD. When Parents Go To War: Psychosocial Adjustment Among the Families of Deployed OEF/OIF Service Members (Award Number W8. XWH- 1. 3- 1- 0. 05. Office of the Assistant Secretary of Defense for Health Affairs, Defense Health Program, $3,1. Incorporating technology into the treatment of a 1. Clinical Case Studies,1. Bunnell, B. A randomized trial of attention training for generalized social phobia: Does attention training change social behavior? Ragsdale, K. A., Neer, S. M., Beidel, D. C., Frueh, B. C., & *Stout, J. W. Posttraumatic stress disorder in OEF/OIF veterans with and without traumatic brain injury. Journal of Anxiety Disorders, 2. Wong Sarver, N., Beidel, D. C., & Spitalnick, J. Journal of Clinical Child and Adolescent Psychology,4. Mesa, F., Beidel, D. C., & Bunnell, B. E. An examination of psychopathology and daily impairment in adolescents with social anxiety disorder. Doi: 1. 0. 1. 37. Beidel, D. C., Alfano, C. A., Kofler, M. J., Rao, P. A., *Scharfstein, L., & *Wong- Sarver, N. The impact of social skills training for social anxiety disorder: A randomized controlled trial. Journal of Anxiety Disorders, 2. Owens, M., & Beidel, D. C. 3. 7, 2. 96- 3. Scharfstein, L., & Beidel, D. C. The SPAIC- 1. 1 and SPAICP- 1. Two brief child- and parent- rated measures of social anxiety. The impact of military deployment on children: Placing developmental risk in context. Clinical Psychology Review. The home page of Rutgers Unversity's Douglass Psychology Child Study Center, a day care center and preschool. Beidel, Ph.D., ABPP is Pegasus Professor of Psychology and Medical Education and Director of UCF RESTORES at the University of Central Florida. Developmental psychology is the scientific study of how and why human beings change over the course of their life. Originally concerned with infants and children, the. Bachelor of Science in Human Factors Psychology. Anyone who has pondered how to make a DVD player easier to use, how to make a smartphone more user-friendly, or how. A public university in Evansville, Indiana offering over 60 majors that lead to associate and baccalaureate degrees, as well as masters programs. The Program has three broad goals: To train competent researchers in clinical psychology; To train competent clinicians in the professional practice of clinical. 2015 Minerva Meeting Resources. The 2015 Minerva Meeting was held 9-10 September 2015 in downtown DC. Nearly 300 participants were in attendance, around half. Military psychology is the research, design and application of psychological theories and empirical data towards understanding, predicting, and countering behaviours. Program in Family Medicine at Weill Medical College of Cornell University; Tri-Institutional MD-PhD Program; Travelers Summer Research Fellowship Program; Global Health Program; MD/MBA Program; PhD/MBA Program; Program in.Cornell University Summer College . In addition to taking classes, all pupils participate in a career exploration seminar that allows them to learn more about a particular field. Extracurricular activities include intramural sports, musical and dance groups, the Summer College newspaper and yearbook, community service projects and weekend dances. Weill-Bugando Summer Program, Student Stories. Cornell University Search. During his free time. Cornell Law School; Motto 'Lawyers in the Best Sense' Parent school: Cornell University: Established: 1887: School type: Private: Parent endowment: $6.2 billion: Dean: Eduardo M. In 1993, the Weill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program became the first MD-PhD Program in the country to establish a summer program for underrepresented minority and disadvantaged college. Summer Program For High School Students At Cornell University May 03 2016. Summer Program For High School Students At Cornell. MD-PhD Program in the country to establish a summer program read more. In depth summer program focused on fundamentals of architecture. Available to high school and college students. Johnson at Cornell University offers full-time MBA programs. Work side by side with accomplished faculty and senior business practitioners in our intense, collaborative community. How not to remove Fentanyl from patches. We get great letters at Heroin Helper. A lot of them are. Such is the case for the. But you are correct- -there is. Or poison, because even 2. Fentanyl could kill you. The largest ampule of which I. Fentanyl: 1. 00 doses, to be exact. I would think that rinsing the patch in. Fentanyl dissolve into the rinse. More likely. whatever you rinsed with would cause the Fentanyl to become. Fentanyl- something and the something would then need to be. Or that Fentanyl- something might be one of those. Fentanyl derivatives that are 1. Fentanyl: 1. 00. times as potent as morphine. Note also. that Fentanyl has a very short half- life (a half hour as. H. Dear HEROIN Helper. I saw the article about Fentanyl, etc.. I get the patches. Don't want advice for. NGs . He did not have the answer to. I will add here. The main thing on his mind was. Fentanyl in the patches is in a glisserine base. I know that the problem could be. I had an Uncle Fester work on the. A big issue is. that minor chemical changes to Fentanyl can turn its normal. I worked on it, I could come up with a. Fentanyl from patches. But there are. various problems. First, I've never come up with a. I'm not that. good a theoretical chemist, but mostly I just think that's. I don't have. Fentanyl patches to test any theories I developed. But even. if I did, the testing would be so dangerous that I don't. I'd be willing to do it. And to be honest, in that case I would. And in the end. Uncle Fester may end up in jail because of his drug books. We live in strange times.). Third, Fentanyl terrifies me. A milligram is a very small. Fentanyl patches (Durogesic) for chronic pain Consumer menu + Consumer Medicinewise Living Medicine Update Health professional menu + Health professionals Health News & Evidence. Now, the fentanyl patch will bubble, this is quite normal. But as it burns he'll see the plastic shrivel up, and those raised bubbles that he can see are the fentanyl. Tell him as he holds the flame beneath the foil to move it further away from the underside of the foil. The fentanyl patch is one of a small number of drugs that may be especially harmful, and in some cases fatal. The examples and perspective in this section deal primarily with the United States and do not represent a worldwide view of the subject. Drug Update: Fentanyl Patch Abuse Products Veinlite LED Vein Finder Demo Careers/Personnel Video Discusses Dangers Fentanyl Poses to Responders Patient Care Ohio Dispatcher Walks Parent Through CPR After Child Found Unconscious in Pool. Fentanyl Abuse Abuse of High-Potency Fentanyl Skin Patches Linked to Hundreds of Deaths By Hugh C. McBride A synthetic drug with a significantly greater potency than morphine has been linked to hundreds of overdoses and deaths among individuals who. Learn about Fentanyl addiction symptoms, signs, side effects, statistics and causes of Fentanyl abuse and withdrawal. Valerie Mcbryan January 7, 2015 at 4:01 am I had battled drug addiction for many years, starting as a teenager, among other. NIH Clinical Trials and You - NIH site that helps explain about clinical trials and why people participate. National Institute on Drug Abuse. Fentanyl Retrieved from https://www.drugabuse.gov/drugs-abuse/fentanyl press ctrl+c to copy Receive Emerging Trends. Effects of Fentanyl Abuse Opiate and opiate-type synthetic drugs (called opioids) are measured against morphine when calculating their strength. The painkiller fentanyl is calculated at 50 to 100 times stronger than morphine. This means that this drug must be. Fentanyl dose is about 1/2. Even with pharmaceuticals, you need to be. Fentanyl Transdermal Patch: learn about side effects, dosage, special precautions, and more on MedlinePlus. Wash your hands well with water after throwing away fentanyl patches. Do not put unneeded or used fentanyl patches in a garbage can.Did you ever see the. Drugstore Cowboy? Dilaudid is only 1/1. Fentanyl. I'm sure you see my point. And if you've read my. I worry a lot. I'm sick of people dying just because. I suppose that's. I just don't think the risk- benefit. But he is a. and his logic is a lot like the logic: . In each case, when they succeeded in getting. I don't want to know the answer. I did, I wouldn't want to pass it around. But. if I did have the information and I was sure it was correct. I could be clear and detailed in the problems, I. But this is a near impossibility because I don't see. But if I do go back to using opioids, I'm sure. I'm not going to be doing anything even close to the. Fentanyl. Drugs like that really don't seem. Like true. methamphetamine, I understand that Fentanyl has no rush. A. lot of my fear may be hysteria- -the same kind of fear that I. I. was really pushing mine when I put the heroin purification. Providing an untested recipe to. Fentanyl is past my limits. A relative of mine works for an in- home. When they die, the nurses confiscate. Needless. to say, I have gotten my hands on some pretty heavy stuff. Oxy. Contin. In other words, huge. I have cut any number of these open, and ran a q- tip. After all the juice. I would cut the remaining empty. The solution inside Duragesic. My enzymes were over 1. This was not the result of the Fentanyl; it was the. Use them as directed. Fentanyl from the glycerine and the alcohol. Even then. who would be ballsy enough to test your first draft? Fentanyl - Wikipedia, the free encyclopedia. Fentanyl. Systematic (IUPAC) name. N- (1- (2- Phenylethyl)- 4- piperidinyl)- N- phenylpropanamide. Clinical data. Trade names. Actiq, Duragesic, Fentora, others. AHFS/Drugs. com. Monograph. Pregnancycategory. AU: CUS: C (Risk not ruled out)Dependenceliability. Very high. Routes ofadministration. TD, IM, IV, oral transmucosal, sublingual, buccal. Legal status. Legal status. Pharmacokinetic data. Bioavailability. 92% (transdermal)8. Protein binding. 80. Fentanyl is estimated to have about 8. Janssen developed fentanyl by assaying analogues of the structurally related drug pethidine for opioid activity. Following this, many other fentanyl analogues were developed and introduced into medical practice, including sufentanil, alfentanil, remifentanil, and lofentanil. In the mid- 1. 99. During anaesthesia it is often used along with a hypnotic agent like propofol. Fentanyl may be included in a solution along with local anesthetic for neuraxial administration (epidural or intrathecal/spinal). It is also administered in combination with a benzodiazepine, such as midazolam, to produce sedation for procedures such as endoscopy, cardiac catheterization, and oral surgery. It is often used in the management of chronic pain including cancer pain. The patches work by slowly releasing fentanyl through the skin into the bloodstream over 4. Body temperature, skin type, amount of body fat, and placement of the patch can have major effects. The different delivery systems used by different makers will also affect individual rates of absorption. Under normal circumstances, the patch will reach its full effect within 1. On Jan 2. 8, 2. 00. U. S. Food and Drug Administration approved first- time generic formulations of 2. In some cases, physicians instruct patients to apply more than one patch at a time, giving a much wider range of possible dosages. For example, a patient may be prescribed a 3. Although the commonly referred to dosage rates are 1. During the period of June 2. June 2. 00. 3, Duragesic sales totaled over one billion. As of July 2. 00. Duragesic patch had been changed from the gel pouch and membrane design to . Janssen also later recalled additional lots; a series of Class II Recalls were then initiated in March 2. For both emergency and palliative use, intranasal fentanyl is available in doses of 5. In emergency medicine, safe administration of intranasal fentanyl with a low rate of side effects and a promising pain reducing effect was demonstrated in a prospective observational study in around 9. These lozenges are intended for opioid- tolerant individuals and are effective in treating breakthrough cancer pain. It is most effective when the lozenge is consumed within 1. About 2. 5% of the drug is absorbed through the oral mucosa, resulting in a fast onset of action, and the rest is swallowed and absorbed in the small intestine, acting more slowly. The lozenge is less effective and acts more slowly if swallowed as a whole, as despite good absorbance from the small intestine there is extensive first- pass metabolism, leading to an oral bioavailability of about 3. In addition, medical personnel are unable to document how much of a lozenge has been used by a person, making drug records inaccurate. An Actiq lozenge contains 2 grams of sugar. Actiq has been linked to dental decay, with some users who previously had no dental issues, having had teeth loss and in the U. S many users have started their own Facebook page in educating users to the severe dental issues caused by the so called fentanyl lollipops. CBS News reported the issue 2. September 2. 00. 9. The status of a sugar- free version, called Actiq- SF, is unclear. Since the release of Fentora. The lollipop is taped to the casualty's finger and inserted in between the teeth and cheek (buccal area) of the patient. When enough of the medication has been absorbed the finger will generally fall from the patient's mouth, thereby indicating that the medication has become effectively administered. A wide range of fentanyl preparations are available, including buccal tablets or patches, nasal sprays, inhalers, and active transdermal patches (heat or electrical). In addition, the expense of some of these appliances may greatly reduce their cost- effectiveness. In children it is unclear if intranasal fentanyl is as good as or the same as morphine. Because of fentanyl's high lipid solubility, its effects are more localized than morphine, and some clinicians prefer to use morphine to get a wider spread of analgesia. The war documentary Armadillo (2. Danish medic who tells of using fentanyl on a severely wounded soldier in Afghanistan. Fentanyl use has also been associated with aphasia. Food and Drug Administration (FDA) began investigating several respiratory deaths, but doctors in the United Kingdom were not warned of the risks with fentanyl until September 2. The patches should be kept away from children, who are most at risk from fentanyl overdose. The drug was among many identified in counterfeit pills recovered from his home, especially some that were mislabeled as Watson 3. Its strong potency in relation to that of morphine is largely due to its high lipophilicity, per the Meyer- Overton correlation. Because of this, it can more easily penetrate the CNS. After a set of successful clinical trials, Duragesic fentanyl patches were introduced into medical practice. Following the patch, a flavored lollipop of fentanyl citrate mixed with inert fillers was introduced under the brand name of Actiq, becoming the first quick- acting formation of fentanyl for use with chronic breakthrough pain. More recently, fentanyl has been developed into an effervescent tab for buccal absorption much like the Actiq lollipop, followed by a buccal spray device for fast- acting relief and other delivery methods currently in development. A fentanyl product has been approved by the US Food and Drug Administration (FDA) for breakthrough cancer pain called Onsolis. It uses a drug delivery technology called BEMA (fentanyl buccal soluble film) on a small disc placed in the mouth. Unlike many other fentanyl products, the drug cannot be abused by crushing and inhaling. Fentanyl has a US DEA ACSCN of 9. Society and culture. In the U. S., fentanyl is a Schedule II controlled substance per the Controlled Substance Act. Distributors of Abstral are required to implement an FDA- approved risk evaluation and mitigation strategy (REMS) program. This case, the first Federal trial involving the Duragesic fentanyl patch, was tried in the Federal District Court for the Southern District of Florida, West Palm Beach Division. J& J has filed an opposition . The litigation has been ongoing since 2. The trial has been completed. The parties are now drafting and filing their final briefs. J& J's main argument is that the Dermogesic mark dilutes their Durogesic brand and adds confusion in the marketplace. Obviously, Minnesota High Tech Resources, LLC disagrees with this position. Minnesota High Tech Resources, LLC is a very small biomedical research company owned by two individuals in Red Wing, MN. Public Health Advisories. Food and Drug Administration (FDA) has issued public health advisories related to fentanyl patch dangers. Among these, in July 2. US Food and Drug Administration (FDA) issued a Public Health Advisory. The reports indicate that doctors have inappropriately prescribed the fentanyl patch.. In addition, the reports indicate that patients are continuing to incorrectly use the fentanyl patch.. United States authorities classify fentanyl as a narcotic and an opioid. To date, more than 1. U. S. The biological effects of the fentanyl analogues are similar to those of heroin, with the exception that many users report a noticeably less euphoric . Fentanyl is used orally, smoked, snorted, or injected. Fentanyl is sometimes sold as heroin, often leading to overdoses. Many fentanyl overdoses are initially classified as heroin overdoses. The gel from inside the patches may be ingested or injected. The pharmacy retail price ranges from US$1. US$5. 0 per unit (based on strength of lozenge), with the black market cost ranging from $5. Once the fentanyl is in the user's system, it is extremely difficult to stop its course because of the nature of absorption. Illicitly synthesized fentanyl powder has also appeared on the United States market. Because of the extremely high strength of pure fentanyl powder, it is very difficult to dilute appropriately, and often the resulting mixture may be far too strong and, therefore, very dangerous. In 2. 00. 6, illegally manufactured, non- pharmaceutical fentanyl often mixed with cocaine or heroin caused an outbreak of overdose deaths in the United States and Canada, heavily concentrated in the cities of Dayton, Ohio; Chicago; Detroit; and Philadelphia. In June 2. 00. 6, 9. Border Patrol agents in California from a vehicle that had entered from Mexico. However, in April 2. Azusa, California. The lab was a source of counterfeit 8. Oxy. Contin tablets containing fentanyl instead of oxycodone, as well as bulk fentanyl and other drugs. This results in a drug with an increased duration. Authorities suspect that the drug is being imported from Asia to the western coast by organized crime groups in powder form and being pressed into pseudo- Oxy. Contin tablets. The drug has been implicated in multiple deaths from the homeless to young professionals, including multiple teens and young parents. The siege was ended, but about 1. The Russian Health Minister later stated that the gas was based on fentanyl. Its potency and short duration of action make it particularly useful in critically ill patients. In addition, it tends to cause less vomiting and regurgitation than other pure- opioid agonists (morphine, hydromorphone) when given as a continuous post- operative infusion. As with other pure opioids, fentanyl can be associated with dysphoria in both dogs and cats. Admission : Physician Assistant PA Program : Oklahoma City University. Note that the OCU Physician Assistant Program does not require the GRE or other standardized tests. The Program does not accept advanced standing/placement. Due to the challenges of the curriculum, students enrolled in the Program are strongly discouraged from attempting to maintain outside employment. Admissions decisions are based on evidence of academic preparation, a letter of recommendation, your curriculum vitae and if selected for final consideration, an on- campus interview and brief writing task. There are no exceptions to the posted deadline. Also, the deadline to provide the OCU Supplemental Application to the OCU Office of Graduate Admissions is August 1, 2. Graduate Admissions Website). APPLICATION FEEThe fee for using CASPA is based on the number of programs the applicant designates. INTERVIEW SELECTION FACTORS AND PREFERENCES The PA Program follows the OCU Graduate Admissions Policy as stated below: Admission to attend Oklahoma City University is considered to be a privilege rather than a right. Employee Assistance Program (EAP). Oklahoma City, and Tulsa campuses. Is University of Oklahoma the best health school for you? See if University of Oklahoma is ranked and get info on programs, admission, tuition. Welcome to the University of Oklahoma Health Sciences Center. University Development. Contact Public Affairs; Human Resources. OU Tulsa Physicians Assistant Program. University of Oklahoma-Tulsa Campus Physician Assistant Program. University Of Oklahoma, Tulsa PA Program Mission Statement. The mission of the Physician Assistant Program at the University of Oklahoma, Tulsa School of Community. Physician Associate Program . Accelerated BSN Program (ABSN) Academics. Tulsa; Length of Program: 14. University of Oklahoma Health Sciences Center are fully accredited by the Accreditation. University of Oklahoma. Physician Assistant Program. Copyright 2016 Inside PA Training . OU-Tulsa Physician Assistant Program, Tulsa. OU-Tulsa Physician Assistant Program shared Oklahoma Academy of. Community & Government Education College. College of Science & Health Professions. For PA information from the University of Oklahoma. The university does not discriminate against any individual because of age, sex, race, marital status, physical disability, or religious affiliation. Oklahoma City University is interested in graduate students who want to learn. The Admission staff will carefully consider each application. Important factors that will be considered are undergraduate records, recommendations from academic counselors or persons able to comment on your professional abilities, character and personality, as well as the interest and goals of the applicant in relation to the graduate programs offered by the university. The Office of Admissions reserves the right to request any additional information before making a decision of admission. All transcripts, test scores, correspondence or other materials submitted in conjunction with an application for admission become the permanent property of the university and will not be returned. Providing false or incomplete information on this application may result in a denial of admission or a cancellation of registration. In addition to this policy, the PA Program considers the following criteria in the selection of students for the PA Program. The Admissions Committee will evaluate the applicant’s academic record (overall GPA, science GPA, last 6. GPA, level of difficulty) as well as individual qualities that include interpersonal skills, maturity, life experiences, knowledge of the profession, community service and leadership skills. Also, the PA program will give preference in selecting qualified applicants for interview based on the following: Minimum GPA of 3. Completion of the requirements for application. Students attending Oklahoma City University who meet the above criteria and who are enrolled in, or finishing a degree program during the application cycle.**preference for an interview does not mean preference for selection into the program. Applicants must earn a bachelor’s degree prior to matriculation. A minimum undergraduate or graduate degree GPA of 3. A minimum of five biological science courses of three semester credits is required. Courses with labs are preferred, but not required. While any one biological science course is not specifically required, completing several upper- level science courses provides a good foundation for the study of medicine and high achievement in the sciences contributes to success in PA education. For candidates holding foreign degrees, a total of 6. U. S. No exceptions. ALL PREREQUISITES must be completed by August 1. Savages - Silence Yourself (Rough Trade Edition) (2013). Savages - Silence Yourself (Rough Trade Edition) (2013) http:// Artist: Savages Title: Silence Yourself Year Of Release. Savages Silence Yourself 20 rar from uploaded download Links - 106.2 MB. Download Savages Silence Yourself 20 rar from uploaded for free. Savages – Silence Yourself – CD – FLAC – 2. OUTERSPACESource : CDArtist : Savages. Album : Silence Yourself. Genre : Indie. Year : 2. Street date : 2. 01. Rip Date : 2. 01. Encoder : FLAC1. 2. Quality : 8. 88 kbps avg. Size : 2. 59. 9. 4 megs. Tracklist: 1. Waiting For A Sign 5: 2. Marshal Dear 4: 0. 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