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G. Arokkh, M.B.A., M.B.B.S., M.H.S.

Associate Professor, Osteopathic Medical College of Wisconsin

Affirmative efforts may include the use of advertisements in publications directed to minority communities and other targeted recruitment efforts lotus herbals 3 in 1 matte review order himplasia 30 caps with mastercard, and using the services of available minority community and public organizations to perform outreach herbals during pregnancy discount 30caps himplasia overnight delivery. The foregoing provisions of this section shall be inserted in all subcontracts for the Work covered by this Agreement herbals hills himplasia 30caps otc. Failure to cooperate with such a request shall constitute a material breach of this Contract kan herbals quiet contemplative 30 caps himplasia mastercard. Disqualify the Consultant from bidding on or being awarded a Fire Department contract for a period of up to five (5) years; or 4. If a Consultant intends to subcontract out any part of a contract instead of performing the work itself, then the following requirement applies: Consultant shall use affirmative efforts to promote and encourage participation by women and minority businesses on subcontracting opportunities within the contract scope of work. Record-Keeping: the Consultant shall maintain, for at least 24 months after the expiration or earlier termination of this Agreement, relevant records and information necessary to document all Consultant solicitations to subconsultants and suppliers, all subconsultant and supplier proposals received, and all subconsultants and suppliers actually utilized under this Agreement. General Requirement: the Consultant, at no expense to the Fire Department, shall comply with all applicable laws of the United States and the State of; the Charter and ordinances of the Fire Department; and rules, regulations, orders, and directives of their administrative agencies and the officers thereof. Without limiting the generality of this paragraph, the Consultant shall specifically comply with the following requirements of this section. Licenses and Similar Authorizations: the Consultant, at no expense to the Fire Department, shall secure and maintain in full force and effect during the term of this Agreement all required licenses, permits, and similar legal authorizations, and comply with all requirements thereof. Use of Recycled Content Paper: Whenever practicable, Consultant shall use reusable products including recycled content paper on all documents submitted to the Fire Department or the City. Consultant is to duplex all documents that are prepared for the Fire Department or the City under this Contract, whether such materials are printed or copied, except when impracticable to do so due to the nature of the product being produced. Consultants are to use 100% post consumer recycled content, chlorine free paper in any documents that are produced for the Fire Department or the City, whenever practicable, and to use other paper-saving and recycling measures in performance of the contract with and for the Fire Department, the Task Force, or the City. Fair Contracting Practices Ordinance: the Consultant shall comply with the Fair Contracting Practices Ordinance of the City of (Chapter 14. The Consultant acknowledges that the foregoing waiver of immunity was mutually negotiated and agrees that the indemnification provided for in this section shall survive any termination or expiration of this Agreement. Such inspection and audit shall occur in County, or other such reasonable location as the Fire Department or the Task Force selects. The Consultant shall ensure that such inspection, audit and copying right of the Fire Department and Agency is a condition of any subcontract, agreement or other arrangement under which any other person or entity is permitted to perform work under this Agreement. This Agreement does not authorize the Consultant to act as the agent or legal representative of the Fire Department for any purpose whatsoever. The Consultant is not granted any express or implied right or authority to assume or create any obligation or responsibility on behalf of or in the name of the Fire Department or to bind the Fire Department in any manner or thing whatsoever. Any subcontract made by the Consultant shall incorporate by reference all the terms of this Agreement, except as otherwise provided. The Consultant shall ensure that all subconsultants comply with the obligations and requirements of the subcontract. The Consultant shall promptly notify the City through the Task Force in writing of any person who is expected to perform any of the Work and who, during the twelve (12) months immediately prior to the expected commencement date of such work or subcontract, was a Fire Department officer or employee. As used in this section, the term "Consultant" shall include any employee of the Consultant who was, is, or will be involved in the negotiation, drafting, signing, administration, or performance of the Agreement. As used in this section, the term "close family relationship" refers to the following: spouse or domestic partner; any dependent parent, parent-in-law, child, son-in-law, or daughter-in-law; or any parent, parent-in-law, sibling, uncle, aunt, cousin, niece or nephew residing in the household of a Fire Department officer or employee described above. The obligation provided for in this section with respect to any acts or omissions during the term of this Agreement shall survive any termination or expiration of this Agreement. Likewise, "Confidential and Proprietary" information does not apply to information that is independently developed, already possessed without obligation of confidentiality, or rightfully obtained from a third party without an obligation of confidentiality. Notwithstanding the above, the Consultant does not convey to the City (or any of its Agencies), nor does the City (or any of its Agencies) obtain, any right to any individual data, document, or material utilized by Consultant, that is created or produced as part of or separate from this Agreement, or was preexisting material (not already owned by the City), provided that the Consultant has clearly identified in writing such material as preexisting prior to commencement of the Work. To the extent that preexisting materials are incorporated into the Work, the Consultant grants the City an irrevocable, non-exclusive right and/or license to use, execute, reproduce, display, and transfer the preexisting material, but only as an inseparable part of the Work. The Consultant grants to the City and the Task Force a non-exclusive, irrevocable, unlimited, royalty-free license to use aggregate data or research reports prepared by the Consultant for the City under this Agreement. If requested by the City and or the Task Force, a copy of all documents or materials, that do not violate Section 19 of this document, that are developed solely for, and paid for by, the City in connection with the performance of the Work, shall be promptly delivered. The City and or the Task Force may make and retain copies of such documents for its information and reference in connection with their use on the project.

Most commenters were in favor of this requirement for handrails in alterations yashwanth herbals cheap himplasia 30 caps mastercard, and stated that adding handrails to stairs during alterations was not only feasible and not cost prohibitive himalaya herbals nourishing skin cream generic himplasia 30caps amex, but also provided important safety benefits herbs like weed 30 caps himplasia with mastercard. One commenter stated that making all points of egress accessible increased the number of people who could use the stairs in an emergency herbs like viagra discount 30caps himplasia. A majority of the commenters did not want this requirement returned to the Access Board for further consideration. The Department believes that by requiring only the addition of handrails to altered stairs where levels are connected by an accessible route, the costs of compliance for public entities and public accommodations are minimized, while safe egress for individuals with disabilities is increased. Therefore, the Department has decided not to return this requirement to the Access Board. Under the 1991 Standards, if an existing elevator is altered, only that altered elevator must comply with the new construction requirements for accessible elevators to the maximum extent feasible. It is therefore possible that a bank of elevators controlled by a single call system may contain just one accessible elevator, leaving an individual with a disability with no way to call an accessible elevator and thus having to wait indefinitely until an accessible elevator happens to respond to the call system. This requirement, according to these commenters, is necessary so a person with a disability need not wait until an accessible elevator responds to his or her call. One commenter suggested that elevator owners also could comply by modifying the call system so the accessible elevator could be summoned independently. One commenter suggested that this requirement would be difficult for small businesses located in older buildings,and one commenter suggested that this requirement be sent back to the Access Board. After considering the comments, the Department agrees that this requirement is necessary to ensure that when an individual with a disability presses a call button, an accessible elevator will arrive. Public entities and small businesses located in older buildings need not comply with this requirement where it is technically infeasible to do so. Further, as pointed out by one commenter, modifying the call system so the accessible elevator can be summoned independently is another means of complying with this requirement in lieu of altering all other elevators programmed to respond to the same call button. The Department received many comments regarding the costs and benefits of this requirement. Although little detail was provided, many industry and governmental entity commenters anticipated that the costs of this requirement would be great and that it would be difficult to implement. They noted that premium seats may have to be removed and that load-bearing walls may have to be relocated. These commenters suggested that the significant costs would deter alterations to the stage area for a great many auditoria. Some commenters suggested that ramps to the front of the stage may interfere with means of egress and emergency exits. Several commenters requested that the requirement apply to new construction only, and one industry commenter requested an exemption for stages used in arenas or amusement parks where there is no audience participation or where the stage is a work area for performers only. The final rule does not require a direct accessible route to be constructed where a direct circulation path from the seating area to the stage does not exist. Consequently, those commenters who expressed concern about the burden imposed by the revised requirement. The final rule applies to permanent stages, as well as ``temporary stages,' if there is a direct circulation path from the seating area to the stage. Several governmental entities supported accessible auditoria and the revised requirement. One governmental entity noted that its State building code already required direct access, that it was possible to provide direct access, and that creative solutions had been found to do so. Many advocacy groups and individual commenters strongly supported the revised requirement, discussing the acute need for direct access to stages, as such access has an impact on a great number of people at important life events, such as graduations and awards ceremonies, at collegiate and competitive performances and other school events, and at entertainment events that include audience participation. Many commenters expressed the belief that direct access is essential for integration mandates to be satisfied, and that separate routes are stigmatizing and unequal. Commenters described the impact felt by persons in wheelchairs who are unable to access the stage at all when others are able to do so. One mother spoke passionately and eloquently about the unequal treatment experienced by her daughter, who uses a wheelchair, at awards ceremonies and band concerts. Her daughter was Department of Justice embarrassed and ashamed to be carried by her father onto a stage at one band concert. When the venue had to be changed for another concert to an accessible auditorium, the band director made sure to comment that he was unhappy with the switch. Rather than endure the embarrassment and indignities, her child dropped out of band the following year. Several examples were provided of children who could not participate on stage during graduation, awards programs, or special school events, such as plays and festivities.

Statistical Design Operating Characteristics: Probability of Success for Final Analysis and Overall Final Analysis (Total Cases = 164) Probability of Success (Cases in Vaccine Group 53) 0 kan herbals quiet contemplative generic himplasia 30caps with mastercard. If the first primary objective is met herbals for hot flashes himplasia 30 caps sale, the second primary objective will be evaluated at the final analysis herbals nature purchase 30 caps himplasia fast delivery. Analysis Timing Statistical analyses will be carried out when the following data are available: · · Complete safety and immunogenicity analysis approximately 1 month after Dose 2 for Phase 1 earthworm herbals cheap 30 caps himplasia visa. Safety data through 7 days after Dose 2 and immunogenicity data through 1 month after Dose 2 from the first 360 participants enrolled (180 to active vaccine and 180 to placebo, stratified equally between 18 to 55 years and >55 to 85 years) in Phase 2/3. Safety data through 1 month after Dose 2 from at least 6000 participants enrolled (3000 to active vaccine and 3000 to placebo) in Phase 2/3. Additional analyses of safety data (with longer follow-up and/or additional participants) may be conducted if required for regulatory purposes. Descriptive analysis of immunogenicity and safety of "Process 1" and "Process 2" material, 1 month after Dose 2. Complete safety and immunogenicity analysis approximately 6 months after Dose 2 for all participants in Phase 2/3. Complete efficacy and persistence-of-immunogenicity analysis after complete data are available or at the end of the study. Pfizer will forward such decisions, which may include summaries of aggregate analyses of safety data, to regulatory authorities, as appropriate. Informed Consent Process the investigator or his/her representative will explain the nature of the study to the participant or his or her parent(s)/legal guardian and answer all questions regarding the study. The participant or his or her parent(s)/legal guardian should be given sufficient time and opportunity to ask questions and to decide whether or not to participate in the trial. The participant must be informed that his/her personal study-related data will be used by the sponsor in accordance with local data protection law. The investigator further must ensure that each study participant or his or her parent(s)/legal guardian is fully informed about his or her right to access and correct his or her personal data and to withdraw consent for the processing of his or her personal data. The medical record must include a statement that written informed consent was obtained before the participant was enrolled in the study and the date the written consent was obtained. The optional additional research does not require the collection of any further samples. The investigator or authorized designee will explain to each participant the objectives of the additional research. Participants will be told that they are free to refuse to participate and may withdraw their consent at any time and for any reason during the storage period. Data Protection All parties will comply with all applicable laws, including laws regarding the implementation of organizational and technical measures to ensure protection of participant data. The study site will implement appropriate technical and organizational measures to ensure that the personal data can be recovered in the event of disaster. In the event of a potential personal data breach, the study site will be responsible for determining whether a personal data breach has in fact occurred and, if so, providing breach notifications as required by law. To protect the rights and freedoms of participants with regard to the processing of personal data, participants will be assigned a single, participant-specific numerical code. Any participant records or data sets that are transferred to the sponsor will contain the numerical code; participant names will not be transferred. All other identifiable data transferred to the sponsor will be identified by this single, participant-specific code. Dissemination of Clinical Study Data Pfizer fulfills its commitment to publicly disclose clinical study results through posting the results of studies on In all cases, study results are reported by Pfizer in an objective, accurate, balanced, and complete manner and are reported regardless of the outcome of the study or the country in which the study was conducted. Clinical data, under Phase 2 of this policy, includes the publishing of individual participant data. Policy 0070 applies to new marketing authorization applications submitted via the centralized procedure since 01 January 2015 and applications for line extensions and for new indications submitted via the centralized procedure since 01 July 2015. Pfizer will make available data from these trials 24 months after study completion. Patient-level data will be anonymized in accordance with applicable privacy laws and regulations.

K Define specific populations herbs nyc generic 30 caps himplasia, interventions or predictors quest herbals cheap himplasia 30caps visa, and outcomes of interest for systematic review topics ridgecrest herbals generic himplasia 30 caps fast delivery. K Screen abstracts and retrieve full articles based on predetermined eligibility criteria herbals shoppe order himplasia 30caps visa. K Grade the quality of evidence for each outcome, and assess the overall quality and findings of bodies of evidence with the aid of evidence profiles. K Grade the strength of the recommendations based on the quality of the evidence and other considerations. The Work Group included individuals with expertise in adult and Kidney International Supplements (2012) 2, 243­251 the first task of the Work Group was to define the overall topics and goals for the guideline. The Work Group identified the key clinical questions and triaged topics for systematic review and narrative review. In addition, it defined and standardized the methodology in relation to these searches and data extraction, and produced summaries of the evidence. They also created preliminary evidence profiles (described below), which were completed by the Work Group members. The Work Group members reviewed all included articles, data extraction forms, and summary tables for accuracy and completeness. The Work Group took the primary role of writing the recommendations and rationale statements, and retained final responsibility for the content of the recommendation statements and the accompanying narrative. The inclusive, combined set of questions formed the basis for the deliberation and discussion that followed. The Work Group aimed to ensure that all topics deemed clinically relevant and worthy of review were identified and addressed. Categorical outcomes are those that describe when a patient moves from one health state. The specific criteria used for each topic are described below in the description of the review topics. In general, eligibility criteria were determined based on clinical value, relevance to the guidelines and clinical practice, determination whether a set of studies would affect recommendations or the strength of evidence, and practical issues, such as available time and resources. All searches were also supplemented by articles identified by Work Group members through November 2011. For most topics, the minimum duration of follow-up of 6 months was chosen based on clinical reasoning. For the treatments of interest, the proposed effects on patientimportant clinical outcomes require long-term exposure and, typically, would not be expected to become evident before several months of follow-up. In addition, a search was conducted for data on predictors of kidney failure, kidney function, and remission. If these reviews were deemed to adequately address topics of interest (even if only selected outcomes were reviewed), de novo searches on these topics were limited to the time period since the end of literature search within the systematic reviews. Editorials, letters, stand-alone abstracts, unpublished reports, and articles published in non­peer-reviewed journals were excluded. Table 33 summarizes the numbers of abstracts screened, articles retrieved, studies data extracted, and studies included in summary tables. The lists are not meant to reflect outcome ranking for other areas of kidney disease management. The Work Group acknowledges that not all clinicians, patients or families, or societies would rank all outcomes the same. Summary tables Summary tables were developed to tabulate the data from studies pertinent to each question of intervention. Each summary table contains a brief description of the outcome, baseline characteristics of the population, intervention, comparator results, and methodological quality of each outcome. Baseline characteristics include a description of the study size, country of residence, and baseline kidney function and proteinuria. The studies were listed by outcome within the table, based on the hierarchy of important outcomes (Table 34). Study size and duration: the study (sample) size is used as a measure of the weight of the evidence. Similarly, longer-duration studies may be of better quality and more applicable, depending on other factors. Methodological quality: Methodological quality (internal validity) refers to the design, conduct, and reporting of the outcomes of a clinical study.