Archive for
November, 2008
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Blind Shading Systems Delivery Timing
Contract Shading Systems will complete delivery within 15 to 30 days after receipt of order.In the event the delivery is not received within the contract delivery period, the contractor may be held in default in accordance with paragraph 1, DEFAULT AND PERFORMANCE BOND in the North Carolina General Contract Terms and Conditions, and the state may procure the articles or services from other sources and hold the contractor responsible for excess cost occasioned thereby. It is important that agencies make the contract administrator aware of delivery problems.
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Rio Tinto Minerals Starts Alcohol Drug Rehab Malibu Testing
Rio Tinto Minerals implemented several types of alcohol drug treatment malibu and alcohol testing: preemployment, random (not more than two tests per year), reasonable cause (a supervisor decides to have an employee tested based on observed signs and symptoms), post-accident, return to duty, and follow-up. Once the program was in place, Rio Tinto Minerals learned that s and alcohol were indeed being used in the workplace. Some employees admitted to being intoxicated at work, and marijuana and methamphetamine were widely used.
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detox santa monica of Mild TBI
drug rehab dallas and recovery for mild TBI are usually a simple process that involves simply rest and relation for a few days, but it’s important for Soldiers to not neglect seeking drug rehab los angeles and for their fellow comrades-in-arms to let their chain of command know when they suspect a battle buddy is suffering from concussion. The key to recovery from concussion is time, knowledge and education, Dr. Ritchie added.
She cautioned that should a Soldier suffering from a concussion return to duty too early and become involved in another blast or accident, that Soldier could suffer irreversible brain damage. Soldiers diagnosed with mild TBI should ensure their medical records are updated for future reference, she said.
Addressing PTSD, Dr. Ritchie also said no amount of training can totally prepare a Soldier for the realities of combat. Most will do well but, for some, persistent symptoms can include re-experiencing the event through nightmares, jumping at loud noises, or feeling keyed up or on edge all the time.
“We know from the mental-health advisory teams and other sources that between 20 and 30 percent of U.S. military personnel returning from combat operations report these psychological symptoms; they have sleep problems, feel depressed and have difficulty in their relationships,” Dr. Ritchie said. “Most Soldiers will transition in a normal, healthy way, but some will take a little longer than others.”
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Older adults’ use of, and satisfaction with, electric powered indoor/outdoor wheelchairs
BACKGROUND: Research documenting the experiences of electric power wheelchairs indoor/outdoor power wheelchairs(EPIOC) users has generally failed to take into account the specific needs and concerns of older adults. This study sought to qualitatively examine the older EPIOC users’ satisfaction with the chair and service providers. METHOD: Eight women and nine men aged between 60 and 81 (mean 69) years were recruited through a specialist wheelchair service database. All had severe mobility disabilities. Analysis was performed using a qualitative framework approach. RESULTS: Participants reported a variety of EPIOC uses, including shopping and some social contact. Moderate satisfaction with the chair was reported. Use was compromised by indoor and outdoor environmental barriers; and the chair not meeting users’ needs. Accidents were rare, but many users still experienced insecurity in the chair. High levels of satisfaction with the service were reported, although concern was expressed over length of waiting times. CONCLUSIONS: EPIOCs proved useful to most older people with disabilities. However, even those who were satisfied reported only moderate use of the chair outdoors. Limited use related to an infrequent need for outings, outdoor barriers, feelings of insecurity over chair safety and lengthy waiting times for chair delivery and required modifications. Service providers should be aware that older EPIOC users may require extra support and the provision of timely adjustments to increase chair use.
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Distribution and cost of wheelchairs and scooters provided by Veterans Health Administration
During fiscal years 2000 and 2001, the Veterans Health Administration provided veterans with more than 131,000 power wheelchairs and power wheelchairs at a cost of $109 million. This national study is the first to investigate Veterans Health Administration costs in providing wheelchairs and scooters and to compare regional prescription patterns. With a retrospective design, we used descriptive methods to analyze fiscal years 2000 and 2001 National Prosthetics Patient Database data (cleaned data set of 113,724 records). Wheelchairs were categorized by function, weight, and adjustability options for meeting individual needs (e.g., axle position, camber, position of wheels, tilt, and recline options). Results displayed a cost distribution that was negatively skewed by low-cost accessories coded as wheelchairs. Of the standard manual wheelchairs, 3.5% could be considered beyond the customary cost. Regionally, 71% to 86% of all wheelchairs provided were manual wheelchairs, 5% to 11% were power wheelchairs, and 5% to 20% were scooters. The considerable variation found in the types of wheelchairs and scooters provided across Veterans Integrated Service Networks may indicate a need for evidence-based prescription guidelines and clinician training in wheeled-mobility technologies.
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Students at El Camino High School Detox Doctor Malibu Testing
An average of 40 student athletes from Oceanside and El Camino High schools are tested weekly for marijuana, cocaine, amphetamines, heroin, and alcohol. Additionally, grant funding allows the district to test roughly half of the testing population for steroids.
Very few student athletes test positive for detox malibu; since the program resumed in October 2005, there has only been one positive opiate detox malibu test. The district provides intervention services for students testing positive.
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Curved Window mini blinds
If curved blinds are desired, a radius of curvature may be given with the +/-r option. If given as +r, The curvature is upward (which is the usual configuration). If the option is given as -r, then the curvature is downward. The radius indicates how far from each slat its effective cylindrical center resides. Each slat will be broken into as many polygons as is necessary to keep the delta changes in angle less than 10 degrees. (Note that this may result in a rather large number of polygons.)
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Reliability and validity of the power-mobility community driving assessment
The Power-Mobility Community Driving Assessment (PCDA) is a performance-based measure designed to assess driving performance of individuals using power wheelchairs or power wheelchairs in community environments. This article reports the results of pilot testing and an evaluation of the assessment’s reliability and validity. Pilot testing was conducted with a random selection of Canadian occupational therapists working in the area of mobility. Although the response rate was very low, feedback confirmed the utility of the measure and contributed to one substantive scoring revision. Reliability and validity testing was conducted with a sample of 34 drivers. Internal consistency results were positive. Interrater reliability was fair to high but limited by the lack of variability in the scores. Construct validity hypotheses were tested on the relationships between PCDA scores and vision, perception, cognition, and environmental accessibility. Results indicated no relationships between the PCDA and perceptual and cognitive function and only a weak trend for a relationship with environmental accessibility. Concurrent validity was established: PCDA scores were positively associated with the judgments of therapists familiar with the driving performance of participants. In summary, the PCDA has moderate to good reliability, and content and concurrent validity results were found. More research is needed, particularly on the underlying constructs of successful driving performance. At this point, rehabilitation professionals and their clients are urged to use this assessment to establish driving performance rather than relying on assessments of perception, cognition, or environmental accessibility to predetermine whether someone will receive power mobility. Clinicians may find this a useful tool to identify where clients are able to drive safely in community settings, to identify specific learning needs, and, through those, to promote independent living for drivers of power-mobility devices.
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Rio Tinto Minerals Starts Cocaine Withdrawal Malibu Program
As part of a comprehensive effort to stop this trend, Rio Tinto Minerals implemented a cocaine drug rehab malibu and alcohol-free workplace program that mandated meth drug rehab malibu and alcohol testing as a condition of employment. The organization also contracted with an Employee Assistance Program to help employees and their families deal with addiction medicine malibu and alcohol problems, and opted to offer opportunities for rehabilitation to employees in need of help.
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First Step of Recovery
With the increase in alcohol rehab los angeles addiction and alcoholism, addiction treatment dallas treatment centers have become a widely available and commonly discussed subject amongst the public.
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Timing Important to Stop New crystal meth withdrawal malibu Treatments
A new focus for this initiative is emerging or critical threats either in specific geographic areas such as Tribal Lands or on priority issues, such as when heroin laced with the drug fentanyl cropped up in northern cities like Chicago, Detroit and Philadelphia in the summer of 2006. ONDCP rapidly responded by organizing a Fentanyl Forum in Philadelphia to educate community leaders around the country on this emerging threat. By tracking data from crystal meth rehab malibu to identify emerging trends and threats, ONDCP is able to be a proactive partner with State and local authorities to alert people and address these threats in a timely manner.
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cocaine rehab malibu Modalities
Several detox dallas options are available to address inmates’ needs and situations in the correctional system. Therapeutic communities (TCs) are intensive, long-term, self-help, highly structured, residential detox doctor malibu modalities for chronic, hardcore drug users. Pharmacological maintenance programs involve the long-term administration of a medication that either replaces the illicit drug or blocks its actions. Pharmacological applications include the following:
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Medicare program; conditions for payment of power mobility devices, including power wheelchairs and power-operated vehicles. Final rule
This final rule conforms our regulations to section 302(a)(2)(E)(iv) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. This rule defines the term power mobility devices (PMDs) as power wheelchairs and power wheelchairs power operated vehicles (POVs or scooters). It sets forth revised conditions for Medicare payment of PMDs and defines who may prescribe PMDs. This rule also requires a face-to-face examination of the beneficiary by the physician or treating practitioner, a written prescription, and receipt of pertinent parts of the medical record by the supplier within 45 days after the face-to-face examination that the durable medical equipment suppliers maintain in their records and make available to CMS or its agents upon request. Finally, this rule discusses CMS’ policy on documentation that may be requested by CMS or its agents to support a Medicare claim for payment, as well as the elimination of the Certificate of Medical Necessity (CMN) for PMDs.
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It is Possible to Recover From Meth USE
I think we sometimes underestimate our patients. At the Matrix Institute, we have reviewed the detox dallas of more than 1,000 methamphetamine users. Many are recovering and lead productive and fulfilling lives. In the follow-up data, more than 150 methamphetamine users achieved an excellent recovery rate. detox doctor malibu of the methamphetamine user is not a hopeless condition. The brain changes that occur are, for the most part, reversible over time, and people do become productive.
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Helping America’s Youth Overcome meth problem malibu Abuse
Helping Americas Youth
In his 2005 State of the Union Address, President Bush announced a broad effort to engage all Americans in helping young people become healthy adults and asked First Lady Laura Bush to lead this important effort, which became known as the Helping Americas Youth initiative. Helping Americas Youth is a nationwide effort to raise awareness about the challenges facing our youth, particularly at-risk boys, and to motivate caring adults to connect with youth in three key areas: family, school, and community.
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Relationship between resultant force at the pushrim and the net shoulder joint moments during manual wheelchair propulsion in elderly persons
OBJECTIVE: To determine the relationship between the resultant force at the pushrim and the net shoulder joint moments during manual wheelchair propulsion in elderly persons. DESIGN: Convenience sample. SETTING: Motion analysis laboratory. PARTICIPANTS: Older manual wheelchair users (N=14; age, 68.2+/-5.2y) were tested. INTERVENTIONS: Kinematic and kinetic data were collected during manual wheelchair propulsion at a speed between 0.96 and 1.01m/s for 10 seconds and at a power output around 22.4W on a power wheelchairs ergometer. MAIN OUTCOME MEASURES: Net shoulder joint moments were computed with an inverse dynamic model. The mechanical use of the forces at the pushrim and the mechanical fraction of effective force were measured during propulsion. RESULTS: Mechanical use and mechanical fraction of effective force had a positive and power wheelchairs significant correlation with the net internal (P<.05) and external (P<.001) shoulder rotation moment, the net flexion (P<.05), and extension (P<.001) moment in the sagittal plane, and the net flexion (P<.001) moment in the horizontal plane. CONCLUSIONS: The results suggest that because the resultant force at the pushrim has a greater tangential component and a greater proportion of the maximal voluntary force, most of the net moments around the shoulder are higher. Thus the optimal way of propelling, from a mechanical point of view (ie, tangential), may not be advantageous for manual wheelchair users
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Crystal meth rehab malibu and Alcohol
Prior to the 1990s, the organizations global borate business had very few on-the-job fatalities. However, beginning in 1991, the business began averaging one fatality every other year, reaching a total of five fatalities over the course of 7 years. This change in safety performance had a devastating effect on the companys workforce and neighboring community. Management suspected that meth rehab malibu would help with alcohol use.
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Testing Prevails Inspight of Complaints
In spite of these challenges, the Rio Tinto Minerals program prevailed, and alcohol detox malibu testing is seldom challenged now. The organization believes that heroin detox malibu testing helps proactively identify those needing help, reduces accidents, improves attendance, and increases productivity.
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Nevada Mentoring Coalition
The DFC Mentoring Program is an effort to enhance the number and quality of local meth treatment malibu Community Coalitions through the assistance of capable, experienced coalitions. DFC Mentoring Program grantees use their experience and success in changing the community environment to support and encourage the development of new, self-supporting meth problem malibu-free community coalitions to meet the goals of the DFC program. Join Together Northern Nevada (JTNN) is using its expertise as well as the expertise of several other coalitions throughout the State of Nevada to build new coalitions in five Spanish-speaking communities in the State.
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Treatment Resources
Every addict responds positively to the 12-steps, especially those who have been in treatment multiple times. drug addiction los angeles addiction and alcohol abuse are life threatening diseases and loved ones are generally not willing to give up hope if the first attempt at treatment proves to be unsuccessful. For this reason, alternative treatment centers and philosophies have become more popular. In these centers, counselors and therapists can approach addiction through holistic measures, acupuncture, religious, and gender specific treatment. Most rehab los angeles treatment centers, no matter what the philosophy, operate with a very structured program, always focusing on the source of the addiction and relapse prevention through life skills.
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Ice in Hawaii?
Our Hawaii “ice storm” is now a decade old and shows no clear sign of ending. Our 4-year-old managed care dual-diagnosis program called Community Care Service is working on this disaster. Initially, we found 30 days of residential drug rehab dallas to be effective until we realized the ice relapse pattern is often delayed longer than cocaine slips. drug rehab los angeles must often be extended.
The ice addict may reuse after 50 days, and the addiction is severe, each slip producing an immediate paranoid psychosis. The “meth run” completely empties the dopamine storage system, and the resulting dysphoria and paranoia seem relentless. NIDA’s positron emission technology (PET) scans confirm what users claim: It takes three months for the dopamine depletion to recover. Amino acid nutrients, such as QUIT vitamins with neurotransmitter replacements, are sometimes helpful. These drug survivors, however, are in for a long journey. It takes months before there is any light in the tunnel; sometimes it is a train wreck, but sometimes it is freedom.
We have recently connected our research with the Honolulu drug court. It provides the bridge to a therapeutic locus of control. This drug court, with a census of 180(+), obtains weekly drug screens and ensures daily contact with group therapy. It also adds cognitive “restructuring”, provides transportation to appointments, and monitors via home visits and intensive in-community outreach. Dr. Charles Bogdahn and I are doing a small research study on recovering ice hallucinators in the drug court system.
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Drugs and Crime
Drugs and drug-using behavior are linked to crime in several ways. It is a crime to use, possess, manufacture, or distribute drugs classified as illegal. The effects of drug-related behaviorviolence as the effect of drug use, robberies to get money to buy drugs, violence against rival traffickersinfluence society daily.
In 1999, approximately 6.3 million adults3.1% of the Nation’s adult populationwere under correctional supervision (that is, incarceration, probation, or parole).1 Additionally, 98,913 juveniles (9% of whom were drug offenders) were incarcerated in public or private juvenile facilities for nonstatus offenses.2 Drug offenders accounted for 21% (236,800) of the State prison population in 1998, up from 6% (19,000) in 1980,3 and 59% (55,984) of the Federal prison population in 1998, up from 25% (4,749) in 1980.4 Also, in 1998, an estimated 26% (152,000) of all inmates under local supervision were incarcerated for drug offenses.5 This increase in the drug offender prison population mirrors the steady increase in arrests for drug offenses. The Federal Bureau of Investigation (FBI) reported 580,900 arrests for drug offenses (5.6% of all arrests) in 1980. The number of arrests peaked at 1,559,100 (10.4% of all arrests) in 1997. In 1999, there were 1,532,200 drug arrests, which accounted for 10.9% of all arrests.
In 1997, 82,646 and 993,365 male inmates were in Federal and State prisons, respectively, and 6,426 and 66,242 female inmates were in Federal and State prisons, respectively. Women in State prisons were more likely to report using drugs in the month before their offense (62% versus 56%). Women in State prisons (40%) were also more likely then male inmates (32%) to have committed their offense under the influence of drugs. In Federal prisons, male inmates were more likely than female inmates to report regular drug use and drug use a month before their offense. The percentageage cost per year to incarcerate an inmate of male (23%) and female (19%) Federal prison inmates reporting drug use at the time of their offense was about equal.7 In 1998, 65.5% of convicted jail inmates had used drugs regularly and 16% had committed their offense to get money for drugs. More than one-third (35.6%) of jail inmates had committed their offense under the influence of drugs.8
BJS reports that 24% of the adults on probation in 1998 were sentenced for a drug offense, up from 21% in 1995. In 1995, almost all probationers had one or more special conditions to their probation (such as fees, fines, drug testing, drug or alcohol alcohol drug rehab malibu, or community service). Of those adults sentenced with special conditions, 41% were required to undergo drug or alcohol alcohol drug treatment malibu and approximately 33% were subject to mandatory drug testing.9
Estimated number of drug offenders under Federal, State, and local supervision, 1998
Drug Offenders Percent of All Inmates
Federal 55,984 59% (95,323)
State 236,800 21 (1,141,700)
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Medicare program; conditions for payment of power mobility devices, including power wheelchairs and power-operated vehicles. Interim final rule with comment period
This interim final rule conforms our regulations to section 302(a)(2)(E)(iv) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Pub. L. 108-173). This rule defines the term power mobility devices (PMDs) as power wheelchairs and
medicare power wheelchairs. It sets forth revised conditions for Medicare payment of PMDs and defines who may prescribe PMDs. This rule also requires a face-to-face examination of the beneficiary by the physician or treating practitioner and a PMD prescription and pertinent parts of the medical record that the durable medical equipment supplier maintains in records and makes available to CMS or its agents upon request. Finally, this rule discusses CMS’ policy on documentation that may be requested by CMS or its agents to support a Medicare claim for payment, as well as the elimination for the Certificate of Medical Necessity for PMDs.
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Mini Blind Color Selection
Colors will be chosen from standard color selection (minimum 25) and alabaster must be available.window treatments are to be delivered within 21 days ARP (less holidays). Orders are not to be held to meet a minimum order quantity. Orders of ten (10) or more window coverings will be charged at one price and orders of nine (9) or less will be charged at separate price.No additional charge for hold downs for door installation.
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New Venetian Blind Created
RADIANCE is description of a set of new venetian discount blinds. The depth of the mini blinds (X dimension) is given first, followed by the width (Y dimension), followed by the height (Z dimension). The number of slats to place evenly within this height is given as nslats. The angle of the blind, where zero is perfectly horizontal and a positive angle tilts the positive X edge upwards, is given in degrees. The blinds are initially situated so that the corner of the bottom blind isheight/nslats/2 above the XY plane, and all coordinates are positive.Each new slat is placed height/nslats above the previous one, until the top slat is at height - height/nslats/2 . The discount blinds may of course be moved from this starting point with the xform(1) command.
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Power mobility driving training for seniors: a pilot study
This article describes two power wheelchairs mobility training protocols used with seniors and compares posttraining driving performance. Twelve users of power mobility were consecutively recruited from two residential facilities in Toronto, Canada. The aim of training at both sites was to make clients comfortable with and safe at driving power wheelchairs devices. The content of training was similar, but training protocols differed significantly in terms of the number of sessions (means of 3.43 vs. 9.80; p < or = .05) and the time frame over which the sessions were offered (means of 1.57 vs. 5.10 weeks; p < or = .01). Participants at the two sites differed significantly in terms of overall driving performance (p < or = .05), gender (p < or = .01), and type of device used (p < or = .05). Overall, driving performance was significantly associated with facility, gender, type of device used, and training duration (p < or = .05). When these variables were entered into an exploratory hierarchical regression, facility accounted for 64% of the variance in driving performance. When facility was controlled for, the correlations between device and duration of training with driving performance were no longer significant. The determinants of driving performance are difficult to clearly specify as the variable facility encompasses gender as well as all other differences between the two training protocols. Nevertheless, these data provide direction for future research in this area.
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How to Take Mini Blind Measurements
In order to perform field measurements for venetian discount blinds, first you have to determine whether the mini blinds are to be mounted inside or outside the window. Please specify which method of installation will be required. If an inside mount is required, the width of the window should be measured at the top, the middle, and the bottom, with the smallest measurement being the measurement recorded. The length of the window should be taken on the left and on the right sides, with the longest measurement being the measurement recorded. The manufacturer will take the necessary deductions.
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Who, What, Where, Why, and How Much Care?
Richard Ries, M.D., Director of Outpatient Psychiatry and Dual Disorder Programs, Harborview Medical Center, University of Washington, Seattle, Washington. Dr. Ries was consensus panel chair for the CSAT Treatment Improvement Protocol (TIP 9), Assessment and Treatment of Patients With Coexisting Mental Illness and Alcohol and Other opiate detox dallas Abuse.
How will managed care approach the treatment and management of persons with co-morbid mental illness and alcohol and other alcohol problem dallas (AOD) disorders? What are the key issues that clinical professionals or consumers would want addressed? Jeffrey N. Kushner(1) has raised a series of critical questions for States to consider in setting up managed care contracts for AOD treatment in the following major areas: access to treatment, comprehensiveness of treatment, cost effectiveness, quality of care, client outcomes, and the managing of managed care.
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Window Treatment Inovations Funding
Among the projects selected for funding are:
Advanced Processing Technology of Electrochromic Windows: A process to develop new film patterning techniques for energy-saving smart windows. The process improves visible light transmission and reduces glare, while retaining a clear view and increasing thermal comfort. Also, encouraging innovation with window discount blinds and shades to help increase energy savings.
An Indirect Route for Ethanol Production: A process to develop fuel ethanol from renewable resources to achieve savings of 80 percent in energy consumption. The process helps U.S. farmers create a market for corn supplies and increases national energy security.
Manufacturing Ceramic Products from Fiberglass Waste: A low-cost energy method of completely transforming fiberglass waste into a dense ceramic product that can be used for window mini blinds, shades, as well as other uses. The process could eliminate the need for disposal of 260,000 tons of fiberglass waste annually.
Near-Infrared (NIR) Veneer Strength Sensor for Forest Industry: Use of NIR sensors instead of ultra-sonic technology allows testing for veneer wood strength before drying. The NIR technology will improve process efficiency and reduce product waste, and is expected to save about $23,000 annually in energy costs.
The Force Modulator: A durable sheet metal technology for the steel industry that allows proper control of press forces during part forming.
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What is Dual Diagnosis detox malibu?
What is Dual Diagnosis?
A person who has both an alcohol or drug problem and an emotional/psychiatric problem is said to have a dual diagnosis. To recover fully, the person needs detox santa monica for both problems.
How Common Is Dual Diagnosis?
Dual diagnosis is more common than you might imagine. According to a report published by the Journal of the American Medical Association:
Thirty-seven percent of alcohol abusers and fifty-three percent of drug abusers also have at least one serious mental illness.
Of all people diagnosed as mentally ill, 29 percent abuse either alcohol or drugs.
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Many Areas getting help with meth rehab malibu
ONDCP also works to support areas of the country that are particularly hit with cocaine withdrawal malibu.
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