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Africa used to be a continent of kings, home to the ancient Egyptian civilization which lasted the longest of all civilizations on earth, and created numerous world wonders. Now, Africa is a haven for corruption, disease and death. How do we get Africa back to her former glory?

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I want to be a singer. I haven’t had any vocal lessons. Beyonce is a really great singer. I know that she has had vocal lessons but what does she do before a show to warm up her voice. I have never heard her go out of tune. Thank you!

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In episode 83, Carrie loses her shoes at a party. She registers for the same pair at Manolo Blahnik because the host of the party won’t pay Carrie back for the lost shoes. What specific pair of shoes are they?

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Terra med Alliance News Doctors and experts are in uproar over new recommendations to raise the age of breast cancer screening, warning more women will die from the disease which already claims some 40,000 lives each year.

Terra med Alliance News : Doctors and experts are in uproar over new recommendations to raise the age of breast cancer screening, warning more women will die from the disease which already claims some 40,000 lives each year.

The high-level United States Preventative Services Task Force of scientists and researchers Monday recommended that breast cancer screening in women should now start at the age of 50 as opposed to 40.

And it further said that women between the ages of 50 to 74 should be screened every two years instead of annually.

“Screening saves lives, and cutting back on screening would cost lives,” said Dr. Timothy Johnson, an oncologist at Holyoke Medical Center in Massachusetts.

“I’m against the proposals to cut back the screening on women between the age of 40 and 50, absolutely,” he told AFP.

Some 210,000 American women are affected by the disease each year, and breast tumors are the most common cancer in women patients at Holyoke.

The task force’s findings came two years after the panel issued a report which looked at the same issue, but did not recommend raising the screening age.

Some wondered whether the recommendations issued Monday were part of a cost-cutting effort as the United States wrestles to reform its health care system, something it wasn’t doing two years ago.

Terra med Alliance News: But if that was the idea, cutting mammograms for younger women was not the way to go, said Dr Christine Pellegrino of the Montefiore-Einstein Center for Cancer Care in New York.

“Are they going to not reimburse mammograms for younger women versus potentially having to absorb the case of a woman who presents years later with advanced breast cancer where you’re talking chemotherapy, surgery, more chemo, radiation and a great potential for recurrence?” Pellegrino, who is director of Montefiore-Einstein’s breast clinic, wondered.

“Not only does that have a huge financial cost but also a devastating psychological impact,” said Pellegrino, who was also opposed to hiking the starting age for breast cancer screening.

“If a woman shows up at 50 for her first screening and they find out she has this big cancer, and you know that if you had screened her a few years earlier you would have found it… whether you’re the patient or the provider, if you have to say, ‘Well, if we had done this two years earlier,’ nobody will recover from that.”

Mammograms currently cost the US public health system, Medicare, between three and five billion dollars a year.

One reason the task force gave for phasing out mammograms for younger women was the higher incidence of false-positive results in the group. These caused significant stress and led to unnecessary biopsies and treatment.

But cancer survivor Debbie Guardian said a false-positive was a small price to pay for catching the real thing in time.

“What’s worse? A lot of stress only to find out it was plain old calcification or a lot of stress to discover you’ve got breast cancer but it’s treatable because you were screened on time?” Guardian, whose doctors confirmed she had breast cancer days after her 50th birthday last year, told AFP.

“I went every single year (for a mammogram) starting at 40. Had I not gone when I was still 49, I wouldn’t have known I had cancer because it wasn’t big enough for me to feel, but it was big enough to be serious,” she said.

“What this esteemed panel of experts is recommending is not wise, to put it politely. Based on personal experience, I wholeheartedly disagree with them,” she said.

Pellegrino said the panel’s recommendations went against years of efforts to raise awareness of breast cancer.

“To start telling women, ‘I know you just turned 40 but we’re not going to do your baseline mammogram’ — the reaction is going to be one of complete visceral disbelief like, ‘What do you mean I’m not going to have my mammogram’?”

According to this year’s report, one life is saved for every 1,900 women aged 40-49 screened for breast cancer, compared to one life for every 1,300 in the 50-59 year age group.

“You may have to screen 1,900 women a year to save one life, but that’s part of cancer screening,” said Johnson. “We see a lot of women in their 40s with breast cancer, and by screening younger women, we save lives.”

Terra med Alliance is a non-profit charity organization dedicated to research, education and advocacy of breast cancer. One of the vision of Terramed Alliance is to provide this community and Internet users with a charity based research and education entity. Advocacy of breast cancer through education is vital to the reduction of this disease.  For any requests and enquiries, please contact at us: cancer@terramedalliance.us www.terramedalliance.us

I live in San Francisco and pay California’s (in my opinion) outrageous 9.3% tax rate. In looking around I notice that Oregon has a 9% top rate while Nevada and Washington have no income tax. I know that Oregon has no sales tax, so that sort of explains things there. But can someone explain for me the basics of why California appears to be so much more expensive than Nevada and Washington? Is there some way as a California resident I can take advantage of something to avoid paying what appears to be thousands of dollars more than I would pay if I moved to Seattle? Alternately, is there some tax that they pay in Washington that I’m not considering? Finally, is it just that the California government is stupid and inefficient, or are they lacking sources of taxes that Washington state gets?

Why are unarmored cables the stronger choice?

When a conduit or metal clad cable once faces mechanical impact that breaks the consistence of the armor or conduit, the approved mechanical ruggedness at the point of impact is no more given. While TC-ER approved cables with pure polymer construction bounce back like a shock absorber and rebuild the strength of where the impact happened and protect the underlying conductors in a case of another impact. By the requirements of UL the same crush impact test is applied to TC-ER approved and Metal Clad cables. The choice is yours, for us the options are clear: NOBELTM i Cables: tray and crush impact approved cables for exposed runs.

How to find the right cable solution?

Cables rated TC-ER are physically rugged instrumentation and control & power tray cables, using high a construction that they withstand the same crush and impact test as an armored cable. Exposed Run approvals (ER) come into play at type TC tray cables (power and control)  as ITC: instrumentation tray cables and PLTC: power limited tray cables. What to look for as an installer to make the right choice of an approved cable?

Installing cables in horizontal and vertical runs without the usage of conduit requires two approvals:  

a) Tray Approval, which is based on surpassing standardized flame test and expressed in TC, ITC, PLTC, CT tray cable approvals b) ER rating -Exposed Run Approval-. ER is a supplemental rating for Cables identifying that they surpass a specified crush-impact test and with that qualify for vertical runs without the usage of mechanical protection like armor or conduit.

 What is an Expose Run (ER) ?

To comply with the ER requirements the UL cable types need to meet certain additional crush and impact test requirements, UL permits the manufacturer to add an  -ER  suffix to the basic Listing printed on the cable, i.e.,  TC-ER ,  ITC-ER  or  PLTC-ER . The  -ER  signifies that the cable is sufficiently rugged to permit its use as exposed wiring.

 Why does NOBEL Service Supply  Promote ER Rated Cables?

NOBEL i Cables with TC-ER approval provide fairly lower total coast installed !

To follow the requirements of the NEC: TC-ER rated cables have to be fixated to a mechanical support every 1.8 meters (6 feet). NOBELTM Tray Cable Systems offer and ideal solution for the mechanical backing where the NOBEL cables can be adhered to with cable ties.

How to find the  ER-Rating  on a Cable?

Here I would casually say: look at the NOBEL Catalog (www.nobelcatalog.com),  but at the end of the day the jacket of ER rated tray cables must be marked (printed) with the letters  TC-ER ,  ITC-ER  or  PLTC-ER  as appropriate for the specific cable. Industry codes and standards require the markings so the electrical inspector at the job site can confirm that the cable meets applicable requirements.

How to ground an  ER-Cable ?

With type TC-ER cables, the NEC requires that an equipment grounding conductor be provided within the cable (NEC Article 336.10(7). However, in 6 AWG and smaller cables any insulated conductor in the cable is permitted to be identified as the equipment grounding conductor at the time of installation. This can be accomplished by stripping the insulation from the entire exposed length, coloring the exposed insulation green, or marking the exposed insulation with green tape or green labels ( NEC Article 250.119(B)).Cable types ITC-ER and PLTC-ER are not required to have an equipment grounding conductor (Articles 725.61(D)(4) and 727.4(6).

Other ER-Requirements

The NEC has several additional requirements that must also be met before ER rated cables can be used in exposed runs. These include:

Exposed runs are permitted only in industrial establishments where the conditions of maintenance and supervision ensure that qualified persons service the installation. The exposed run must be between a cable tray and equipment such as a motor. Type ITC cables are limited to 15 m (50 ft) in length between tray and equipment. Type TC and type PLTC cables have no length restrictions. Cables must be supported and protected against physical damage using mechanical protection such as struts, angles or channels. Cables must be secured at least every 1.8 m (6 ft).

 The choice is yours and we from NOBEL Service Supply promote and propose TC-ER approved cable and help our customers to reduce overall electrical installation costs up to 47%.

When costs matter: contact NOBEL Service Supply for TC-ER-Solutions