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    InWith the continuous dependence on health care resources, U.S. policymakers have seen an increased need for the development of sound, justifiable prioritization methods that strategically allocate critically needed, but scarce health care services and treatments. Policymakers on the Oregon Health Services Commission were tasked with this prioritization dilemma in the late 1980s, when Oregon state legislators approved expansion of its Medicaid program. In the United States, Medicaid acts as a…

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    Recognizing the limits of our ability to forecast could leave us healthier, safer and richer. 2016 has dealt a blow to certainty. Or it certainly should have. Just a few weeks ago, the experts were telling us that Hillary Clinton was certain to be the next President of the United States. Depending on the prediction source or betting market, the odds of a Clinton victory were anywhere from a low of 65% to a preposterous high of 99%. One betting outlet, PaddyPower, for some unfathomable reason,…

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    Measuring Harmful Changes

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    Strategy and criteria for measuring recent changes in health and social care. Measurement is critical part of testing and implementing changes, measure tell a team whether the changes they are making lead to improvement. This should not be confused with measurement. Changes do not lead to improvement, but all improvement require change. The ability to develop, test and implement changes is essential for any individual, group or organisation that wants improve continuously. Regulatory bodies…

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    Shelby Cobras

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    Q-cars are nothing new. While they’re more popular than ever in the 21st century, the trend started several decades ago – and the Sunbeam Tiger is proof. Take one Sunbeam Alpine Series IV, a car styled as innocuously as a convertible MGB, then shoehorn a 4.2-litre V8 into the nose of it. Change the steering box for a rack to improve precision, add a tougher Salisbury rear axle along with a Panhard rod to the rear suspension to help keep the thing on the tarmac – and voilà, a cut-price Cobra…

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    typically guys are aware of the rules of moral behavior, they just seem to have trouble following them, when there are certain extenuating circumstances. For example: " Zippy, a guy dog who has been told numerous times that he is not suppose to get into the kitchen garbage or poop on the floor, but he has never understood why, so he thinks that it should not apply to him when someone just threw away a seven week old kung Pao Chicken and is home alone." Thinking since nobody is home they…

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    Honda Ridgeline

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    The Honda Ridgeline is Honda’s new pickup truck on the market. It uses Hondas unibody large vehicle platform, shared with the Acura MDX and Honda Odyssey. It is powered by an all aluminum 255 hp 3.5 L V6 coupled to a 5-speed automatic transmission with all wheel drive capable of towing 5000 lbs. The Ridgeline will be the first pickup truck with a fully-independent suspension. Some of the more innovative features of the Ridgeline are its tailgate, which can fold down or hinge to the side, and an…

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    The Jeep Wrangler is a traditional body-on-frame four-wheel drive SUV, a model that traces its roots to a government purpose (GP or Jeep) vehicle used during World War II. This iconic model is prized for its off-road capabilities and unique features, including a fold-down windshield and removable doors. Long a two-door model, a four-door Wrangler Unlimited version was introduced in 2007. 2007 to Present: Jeep Wrangler Overview The third-generation Jeep Wrangler was introduced in 2007. As…

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    Jeep Wrangler Sport vs. Jeep Grand Cherokee “Born in the heat of battle, the Go-Anywhere, Do-Anything Jeep.” The first Jeep slogan that came out when Jeeps were first introduced to consumer ownership. This slogan describes the versatility of Jeeps and how they are the type of vehicle that will do anything you want it to and will go anywhere you want it to (Jeep). Jeeps have been around for over 50 years. They are the car that adventurers typically drive if they want to have fun. There are quite…

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    The Dodge Challenger is a modern muscle car that can be used for everything. The Dodge Challenger is a Brampton, Ontario, Canada and Detroit, Michigan based muscle car built by the auto manufacture Dodge which is part of auto manufacturing group Fiat Chrysler Automobiles. The Dodge Challenger’s competitors used to be Chevy Camaro and Ford Mustang but they are now pony cars which are american sports cars. This report will first cover the full history of the Dodge Challenger’s starting from the…

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    personal utility devices, for example, shopping carts. While NCTD does not prohibit personal shopping carts from coming onboard the bus, these utility devices are not allowed to take up space on the bus, they must be folded and placed between the seats. The idea is to avoid blocking seats, aisles, doorways, or exits, or using up an extra seat (NCTD, 2016:26). In other words, a rider can bring a shopping cart onboard the bus but it basically must be emptied and may not get in the way of public…

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