Bib. Me Free Bibliography Citation Maker. Select style search. Select style search. Search for a book, article, website, film, or enter the information yourself. Add it easily and continue. Add it easily and continue. Add it to your bibliography and continue citing to build your works cited list. Download bibliography. Download bibliography. Download your bibliography in either the APA, MLA, Chicago or Turabian formats. Conferences and Meetings on Biology. Abstract Join scientific chairs Charlotte Bevan Professor of Cancer Biology, Imperial College London, Karen Knudsen Sidney Kimmel Cancer Center, TJU, Thomas Jefferson University and Simak Ali Principal Investigator, Imperial College London at the Nuclear Receptors New Roles for Nuclear Receptors in Development, Health and Disease Fusion conference in Mexico. Contact Sarah Trundle Phone 0. Email sarahfusion conferences. Topics nuclear receptors, physiologically, pharmacologically, ageing, aging, DNA damage repair pathways, therapeutic target, steroid signalling, estrogen receptor, antiestrogens, androgen, aromatase inhibitors, transcriptional processes, drug development, health, disease, cancer, glucocorticoid receptor, nuclear receptor, crosstalk, epigenetic control, epigenetic regulation, circadian rhythms, cellular pathways, breast cancer, NR targeting, prostate cancer, small molecules, non coding RNA, DNA damage, cell cycle, metabolism, metabolic disease, CNS, Endocrinology, Oncology, Paediatrics, Urology, Gynaecology, Obstetric Medicine, Neuroscience, Cardiology. Fractal cancer 4,620,000 Google hits, July 17, 2017. fractal cancer 4,240,000 Google hits, June 28, 2017. fractal cancer 1,730,000 Google hits, June 5, 2017. Understanding Evolution History, Theory, Evidence, and Implications. By March 5, 2006 Updated May 2, 2006. Index. Introduction Origin Mythology. Scientific Conference Calendar of Conferences and Meetings on Biology.
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Games For Bible Study Groups' title='Games For Bible Study Groups' />Youth Group Games is a user library of games, ideas and activities for youth groups.Bible quiz. We frequently do this at our youth meetings.The idea behind is to encourage the youth to study the bible and to know it.Youth leader. We have located some of the best youth Bible study lessons, activities, games and more from.Printable Bible Activities For YouthYouth Group Games Free Youth Ministry Games Free.Here are some of our FREE youth group games.Were all about helping youth ministry leaders save time and money.Thats what this website is all about.These free youth group games save you time because you dont have to create them from scratch.Most of the games listed here are more than just for fun and include a mini lesson on various topics and Bible passages. Microsoft Access 2010 Multiple Joins In Oracle there. And of course they save you money, because theyre free.Awesome In addition to saving you time and money, Im also excited to help you point students to Jesus with these games.While all the games linked on this page are free, we do have youth group games and teaching series for sale here in our online store.All our paid stuff is even bigger and better than the free stuff.Your role as a youth ministry leader is really important.Whether youre a full time youth pastor, bi vocational youth pastor, small group leader, or whatever role is YOU have the privilege of pointing students to Jesus.You get to join in on Gods activity in the lives of young people.Thats so cool. Keep up the great work youre doing Nick Diliberto, Ministry to Youth.P. S. Since youre on our game page, you might want to check out a new game product we have Finger Launchers.We have a limited amount in stock right now.Finger Launchers are 9 long by 1 diameter foam projectiles that have 3 formed fins and shoot like a rubber band.Slip your finger through the ring, pull back on the soft foam rocket, release and watch it fly.Theyre so much funReally Fun Games.Text It Battle Attitude of Gratitude Luke 1.Paper Plate Powerball Focus on Jesus Philippians 3 1.Rubber Chickens Wisdom 2 Timothy 1 7 8Games on Video.Ultimate Cup Showdown.Easter Youth Group Game Yarnsicle.Protect the President.Choose Your Own Gross Adventure.Kiddie Pool Kickball This has potential to be the best game in the history of youth ministryRing Around the GLOWsie.Q Tip War. Rush Hour.Air. Pong, Friendship Shake Jelly Belly Roulette.Pole Grenade, Spell i ohs Pipe Dream.By Topic. Easter Matthew 2.Paper Plate Powerball Focus on Jesus Philippians 3 1.Easter Youth Group Game John 1.The Human Christmas Tree Celebrate Jesus All Year Long Psalm 1.Kool Aid Gummy Dunk Valuing Others Psalm 1.Loving Others Use this game to setup a Christmas lesson on loving others Matthew 5 1.Evangelism Matthew 1.Gossip Proverbs 2.Trends Back to School Game Romans 1.Patience Frozen Legos 2 Peter 3 9.Anger Angry Potatoes Read Ephesians 4 2.Gossip 4 Way Tug of War Proverbs 1.Deathball A just for fun game the perfect ice breakerFriendship Acts 2 4.Valentines Day Love John 1.Prayer Matthew 6 5 6.Fear 1 John 4 4. St.Patricks Day Genesis 4.Summer Games. Frozen Legos Patience 2 Peter 3 9.Condiment Creations You are Gods Creation Psalms 1.Summer Slam How to Treat Others Philippians 2 1 4.Youth Group Games Using Pool Noodles 3 Just for Fun Games.More to come soonChristmas Bible Trivia Game Great Group Games.Name of Group Game Christmas Bible Trivia Game Type Indoor.Number Medium Group 1.Large Group 2. 0 people Age Middle School Adult Time 1.Download FREE Worksheets and Answers Summary Test your Christmas Bible knowledge.Goal The team with the most trivia answers correct wins the game.Preparation Download and print Christmas Bible Trivia worksheets 2 per team and answer key.How to Play Christmas Bible Trivia Game 1.Split everyone into groups of 6 or 7.Hand out two worksheets per team.Each team goes through the worksheets together, trying to choose the correct answer.Each correct answer is one point.In about ten minutes, go through the questions, teams answers and the correct answer one by one.Have the teams calculate their points.The team with the most points wins the game.To add this game to your website or blog, just copy and paste the following URL http www.You May Also Enjoy Christmas Charades Christmas Pictionary Name That Christmas Carol. YouTuber McMakistein recreated a fully playable version of the Overwatch character Doomfist in Minecraft.Primitive Mobs Mod 1.Chao Mobs, Crazy CreaturesPrimitive Mobs Mod 1.Minecraft. You will find slimes that drops tons of special items that you can tame.There is a large variety of new villagers that travel the world.There are also attacking tools and chests.You will find special camouflage armor that can change into any color.There are new pets to tame, as well as chaotic mobs with crazy special attacks.You will notice many strange mobs as well.As you search your world, you will see fake lily pads, charging blazes, and even books that attack you.Far Cry 2 Minimap Mod Minecraft' title='Far Cry 2 Minimap Mod Minecraft' />This mod adds a variety of clever mobs, either fully original, inspired by other game franchises or brought back from outdated mods.Features Travelling Merchant.These are basically the same as all other Testificates.The only difference is that they spawn randomly in the world the way animals do.They will not despawn like any other testificate.However because they walk around randomly in your world, they dont have a place to hide from zombies.They trade random stuff as they choose random trade items from all testificate classes.Same health as any other testificate 2. Tony Hawk Pro Skater 2 Pc Crack Software . They dont drop anything.Spawn Time Any time, Biomes river, forest, plains, forest.Hills, extreme. Hills, desert.Location Above ground.Extra If another mod adds items to the Testificate trading item list, this fellow will also choose from those items.These dont act like normal Testificates apart from the fact that they are scared of zombies.You cant trade with them and they only appear underground.When you find one, it will follow you around while crying for help crying particles.You can choose to leave it to die or bring him back to the surface above y 6.When on the surface, right click it for your emerald reward between 1 and 6 emeraldsYou can only help every Lost Miner once.Same health as any other testificate 2.They dont drop anything.Spawn Time Any time, Biomes all biomes.Location Underground below y 6.Extra Zombies love to attack these guys, making the chance of the player finding a testificate zombie way higher.Sheepman. Well, these guys are quite weird arent they This is what happens when a villager spends his life ripping off players.Lovely. So these guys are doomed to roam the Nether but they still love shiny things The only shiny thing to be found in the Nether is.They combine them into gold ingots and trade with those.How they got the other stuff Magic.Anyway this makes trading with them way more profitable than with villagers.These guys will follow you around when you hold a gold nugget.They run away from zombie pigmen though.They actually despawn like mobs so.Then lure them through a portal or make them a house and they will not despawn so you can always trade Also they obviously make sheep noises and are immune to fire.Same health as any other testificate 2.They dont drop anything.Spawn Time Any time, Biomes Nether.Location Everywhere.Extra Its a great Gold Sink Sheepman Smith.That looks heavy doesnt it These guys are like Sheepman however they do not trade like normal.They love smithing and keep doing it even in the Nether.Because they travel around a lot they take their anvil with them.How did they get it Again magic You can repair your tools for specific payment of gold nuggets.If you dont have enough gold nuggets he will emit disapproval particles and not repair.The specific costs are below.Just right click him with the damaged tool, then he will repair it and automatically take the payment.Like the sheepman you can make them follow using a gold block and giving them one for free will make them not despawn.However they are rarer than normal Sheepman.Same health as any other testificate 2.They dont drop anything.Spawn Time Any time, Biomes Nether.Location Everywhere, Extra Rare.Extra Its a great Gold Sink Chameleon.Check out this neat little critter.At least. if you can find one.These are chameleons and they change color depending on what block they stand on or in.Have fun experimenting with them Health 1.Drops Camouflage Dye not 1.Spawn Time Any time, Biomes plains, forests and jungles.Location Above ground.Extra You can tame them with a watermelon check out the Pets section.Haunted Tool. The Haunted Tool is an enemy mob.They attack any player on sight.Haunted Tools come in different appearences.They can spawn as a pickaxe, an axe, a shovel or a sword.This is randomly decided.However they also come in different tiers which correspond to the Minecraft tool materials.They can spawn as a wooden, a stone, an iron, a gold or a diamond tool.Different factor depend on their tier.Here is a list. 1 Strength 0.Wooden Tools Strength 1, Health 1.Stone Tools Strength 2, Health 2.Gold Tools Strength 5, Health 5.IronSteel Tools Strength 3, Health 3.Diamond Tools Strength 4, Health 5.Here is a rarity table for the tools.There is a very rare variant called the Precious Pickaxe.Take a look at the items section to see what it does Tier Rarity Table.Wood Tool 3. 5Stone Tool 3.Gold Tool 2. 0Iron Tool 1.Diamond Tool 4,7.Precious Pickaxe 0,2.When killed, they drop themselves of course 1.This makes finding a diamond tool worth killing it.Spawn Time Nighttime above ground, any time underground, Biomes all biomes.Location Above ground and underground.Extra These are actual floating items, meaning that these are texture pack compatible Mimic.Whenever you find a chest in a mineshaft, you are overjoyed Untill now now you can never be sure anymore Mimics are chest like enemies which spawn in caves.They will appear as normal chests.When the player right clicks them, what will happen is a mystery.Is it an actual chest, a booby trap or an evil mimic chest Find out Health 2.Strength 2. Drops 1 Chest 1.Here is a list of all possible outcomes when right clicking a mimic when encountered Turns into a.A chest with actual dungeon loot 2A chest with skeleton related loot and spawns a Skeleton Warrior 5A chest with tool crafting related loot and spawns a Haunted Tool 8A chest that explodes A chest with bad loot and spawns some bats 1.A zombie with a chest on its head 2.A mimic chest mob 4.A mimic ender chest mob with increased strength and which drops an ender chest 1Spawn Time Any time underground, Biomes all biomes.Location Underground below y 4.Extra Their loot takes the item directly from the Mineshaft loot list.So if any other mod would add items to that, they would also appear in these chests Also their in game name is Mimic Chest so it doesnt interfere with other mods hopefully.You can disable the feature of it changing into a chest for adventure map use.Treasure Slime. This is probably the main attraction of this mod.They are cute, colorful and awesome They act and look the same as any other slime though.Treasure Slimes have a specific item in them.When killed they will drop this item.Large slimes almost always have something different then a slimeball in them.A medium slime has a bigger chance of getting a slimeball, while a small slime will always contain a slimeball.There is a large variety of items that the slime can contain.The colour and emitted particles depend on that item.Health Depends on size.Strength Depends on size.Drops The contained item.Apart from the normal Slime spawn locations Spawn Time Any time underground, Biomes all biomes.Location Underground below y 4.Item Rarity table.Heart Tameable 1.Slimeball 6Cookie 6Enderpearl 6Glowstone dust 6Gold ingot 6Gunpowder 6Iron ingot 6Redstone dust 6Blaze Powder 6Lapis Lazuli 6Snowball 6Magma Cream 3Cake 3Diamond 3Emerald 2Golden Apple 2Fire Charge 2Eye of Ender 2Music Disc any 1Saddle 1Extra Tameable and colourable slime If you spot a White slime with a heart in it that keeps following you without actually damaging you, make sure to right clickIt will pop on your head and then it is tamed.Spider Family. Mother Spider Mother Spiders spawn with 0 6 baby spiders.They are quite strong and will do anything to protect their children.A Mother Spider will attack players on sight or when one of her babies is being attacked.One baby spider will always be on her back.Health 2. 0Strength 4.Drops The normal spider drops or rarely a Spider Egg.Spawn Time Nighttime above ground, any time underground, Biomes all biomes.Location Above ground and underground. Basics Of Maya Key Frame Animation.This tutorial will teach you the fundamentals of the way Maya animates.Keys store a value at a given time in animation.This time is measured in frames.Most animations have 2.In the time span of one second, that value changes from 1 to 5.The way this value changes is defined by tangents.More on that later.Were going to create a basic animation using a sphere as the test model.Step one Go to create polygonal primitives sphere.Step two Go to the animation menu set.Step three Go to the timeline and set the animation range to 1 and 2.This allows for 2.Step four Go to window settingspreferences preferences.Go to timeline and set the Playback Speed to real time2.Close the preferences.Step five Select your sphere and go to animate set key.Are you looking for software by which you can make your own animated movie The animated movies with you own voice and your own created characters.Well, i.Best Frame By Frame Animation Software' title='Best Frame By Frame Animation Software' />Now weve set our first key frame.This key frame has all its values at 0 because the sphere hasnt been moved.Step six Go to frame 1.With the model still selected, go to window attributes editor.Go to the tab p.Sphere.This tab contains all the transformation information.Best Frame By Frame Animation Software' title='Best Frame By Frame Animation Software' />The attributes in red are attributes that have key frames assigned to them.Select the center translate attribute this is the Y axis up.Set it to 5.Now set another key.Best Frame By Frame Animation Software' title='Best Frame By Frame Animation Software' />Go to frame 2.Once again, set the Y translate attribute to 2.Now set another key.Now that weve set the key frames, play the animation.The linked You.Tube video has all the steps, only without audio.Editing Key Frames.So far weve got a simple animation.Now were going to change the key frames in the graph editor.Step one Go to window animation editors graph editor.Step two Select your sphere and you can see its key frames in the graph editor.Step three First look on the left side of the graph editor.Here are all the attributes that have key frames for the sphere.On the right side, you can see all the key frames.The numbers going vertically up the side of the graph represent the value for that key.The numbers going along the bottom of the graph represent the key frames position in time.The curves represent the transition from one key frame value to another.The key frame were looking for is the Y axis key frames thats the one that we changed the value.Since the other curves value didnt change over the set key frames, their curves are flat.We only need to work on the Y translate axis right now, so select it on the left side.This will allow us to only display the selected keys.You can select multiple keys by holding Shift and selecting multiple keys.The fundamentals of working with an animation is being able to change the key frames position on a graph.Step one Click on the key frame at frame 1.Step two Go to edit transform tools move key tool.Middle mouse button click on the key frame.Now hold and drag it sideways to frame 1.Now our key frame sits at frame 1.But theres another way of moving key frames.Look at the two stats fields.They should now say 1.This means that the key frame is at frame 1.Using the fields, change the value to 8.Youll see the key frame on the graph move up.You can also change what frame its on by using the frames field.Tangents allow you to change the way values are processed between key frames.By default, these values have a smooth interpolation between the key frames.For more on interpolation, read this wiki page.This interpolation can be changed.Select the key frame that weve been working with and go to tangents linear.Note There are other tangent options to change the interpolation between keys.The best way to learn them is to try them all out.Notice how the curves change.Also, if you play the animation, notice how the sphere moves differently.You can undo that.Now that were back to the default tangent, select the key frame, go to the move key tool and click on one of the tangent handles.Middle mouse button click, hold and drag.This changes the angle of the tangent.This also results in changing the value.If you change the angle to the same angle in the image on frame 1.This can happen when you dont want it, and causes the animation to look bad.As you noticed, there are two tangent handles on the key frame one on each side.Therefore, the tangent interpolation can be changed on each side.So, if you wanted to set the in value tangent to spline, and the out tangent to linear, you would go to tangents in tangent spline and them go to tangents out tangent linear.Key Frames Are Nodes.Key frames are stored in nodes.These nodes add additional options for the key frames.Step one If its not already selected, select the sphere.Step two Re open the attributes editor if it was closed.Step three Go to the tab p.Sphere. Candy Dulfer Pick Up The Pieces Download Free there. Right click on the Y translate axis value and go to p.Sphere.Y. output. This takes you to the p.Sphere.Y node. To show one of the features, check use curve color.Now click on the swatch to change the color to any color you need.Now in the graph editor that color is used on the curves.Also, that color is used on the timeline.This helps the organization process if you have a lot of key frames.There are many different options, tools, and features in Maya to make an animation using key frames.This covers the basics of how key frames work to get you started.Top 1.Best Animation Software free to download for windows.Whether you are a beginner or an expert in the field of animation, a great animation software is what you need apart from the other programs and tools.Making your own animated movies voiced by you and with cartoon characters made by you is some fun, isnt it Okay, we understand that you are an animation student and since you are looking to make a career out of it, you may already have access to all the required tools in your institute, however, what if you want to create a setup of your own The first thing that can be your road block is the steep pricing for a good animation software.But no worries, as fortunately there are many animation software available online which are not only absolutely free of cost but are also equally effective and competent.These free alternatives do a great job to meet your needs for those animation projects that you have been waiting to take up.The list we have created today includes the best from each category that is, 2.D and 3.D animation software.While you can create some awesome animation using the different tools they offer, it also allows you to transport tools in various formats, make use of image animation tool and many others.If you are an animator who is full of creativity, turn your ideas into reality using these best free animation software for windows users.Top 5 2.D Animation Software for Windows.Pencil is a free open source software that helps you create 2.D animation effortlessly.It is easily the most versatile animation program in the 2.D category and offers some of the stunning features all for no charges attached.It allows you to bring out your creativity with this simple yet innovative tool through colorful 2.D graphics.Even though its interface looks extremely simple and immaculate, it comes stuffed with all the important tools that are offered by some of the paid programs in the category.While it aids both the bitmap and vector images, it also supports multiple slabs and owns an inherent set of illustration tools that helps you to bring in graphic pictures or draw them on the spot prior to the animation part.Some of the other features offered by Pencil includes determining the frame rate, sound and image import, adding colors and more.As an added bonus, this program also helps you to export your graphics too.FLV, Flash Video SWF, Movie and to many other formats.Creatoon is an extremely user friendly, straightforward and instinctive software that allows you to create 2.D animations in cut out fashion and add several special effects to the same.The interface may look quite simple and out of date, but the software can carry out some of the complex tasks that can produce remarkable results.It offers menus on each side of the working area in order for you to have quick access to the main features.Even though the interface is not customizable, but it is properly arranged for you to have a clear view of the project in process.While it allows you to determine the frame rate per second along with the height and the width, it also lets you select the format of the project file.Moreover, you can add special effects to your animation using Creatoon, conveniently store your tasks manually or simply just let it save your tasks automatically every 5 minutes.You even have the option to personalize the drawing tool and make it act according to you.The program lets you segregate your animation elements in slabs that enable you to make the required changes swiftly.While you can tweak the preciseness of the sketch tool, it also allows you to play with the progression of your brush movements.Overall, Creatoon is a software that enables you to create animation effortlessly with advanced features making it the perfect solution even for the beginners.One of the best 2.D animation software around, Plastic Animation Paper offers you uncomplicated and powerful tools to convert your ideas into beautiful cartoons and animation in 2.D for no charge.This program is created for those expert animators who need a quick and compelling solution, apart from being instinctive and extremely easy to work with.Plastic Animation Paper manages your swift sketching movements, your process of rough sketches and space where you animate.It provides you real time suggestions and an easy process that helps you to analyze your concepts for a particular movement quickly, a specific character or your upcoming action sequence and helps you to easily create it with your hand.Among its key features is the sketching space, adding color to the sketch, setting the frame speed, zooming in and out, insert music and more.Once you are finished drawing you can save them in different formats, viz.AVI, PNG, TGA, GIF and other formats.While this software is available for Mac OS X and as an i.Pad app, it is also available for download for Windows PC absolutely free of cost.Synfig Studio is an open source and a multi platform free software that allows you to create animations in 2.D and its design is quite close to that of Pencil.However, the major difference among the two is the fact that Synfig comes with a sharp learning curve due to its avant garde features and amazing results which you can definitely achieve once you have mastered using its tools at a professional grade.The interface of the program is segregated into four separate windows that are, tools window, editing window, navigator window, and parameters window.Once you attain the skills of using the features efficiently, you can create superior quality cartoons, animations, and movies.It is based on vector and bitmap technique.Since most of its elements are based on vector and all slabs are developed parametrically, only pixelation will appear in the imported raster pictures and not the inherent items when modifying the target result of the project.The keyframes of the animation are automatically appended by the PC which leads to a steady motion.The artwork will be able to comprehend a far wider variety of pixel glow using the High Dynamic Range Imaging or HDRI which uses the mathematics of floating point in the image computation, thereby leading to improved lighting effects and color formation.The best part is that the sketching tool already scans the pressure receptiveness route off your favored tablets that helps in natural line weighting and more.Synfig offers complete support for gradient routes that enables the animator to insert soft shading to his drawing effortlessly without the need of sketching the animation on each frame separately.It also offers a host of layers that includes gradients, transformations, fractal, geometric, etc.Apart from Linux and Mac OS X, Synfig Studio also works with Windows and is available to download for free.Stykz is a completely free of cost software that enables the animator to create compelling 2.D animations.It supports mostly all chief operating systems that include, Mac, Linux, and even Windows.The full version is available to download completely free of charge and offers plenty of handy tools that assists you to create great animations on a user friendly interface.It is a software that allows you to draft your animation before you step into the painting and animation in full bloom.It is the first cross platform stick figure animation software across the globe that helps you develop, edit and preview your creations.Stykz is strikingly similar to the Pivot Stick.Figure Animator as it adapts some of its features along with some of its own unqiue features.It brings in the.Pivot 2 and Pivot 3 in order for you to be able use the prevailing files that you developed or downloaded from Droid.Darkdemon.Stykz is based on frames, hence you can work on each frame of your creation to finish it perfectly.The Onionskin feature allows you to view what was in the earlier frame that helps you to tweak your present frame conveniently.Boosie Thug In My Life Download .There are no hidden charges or any license needed to use Stykz in its complete potential.Top 5 3. Highly Scalable Performance The Dell Precision Workstation 650 combines Dells latest technology advancements with the Intel Xeon dualprocessor architecture. Final Builds Site. Nederlandstalige versie, Main, Sitemap, News, Download links, Frequently Asked Questions and Answers, K Lite Codec Pack, Video. LAN, Div. X, Xvid, Tree. Size Free, Tree. Size Professional, Nero CD DVD Speed, Nero Disc. Speed, IE Collection, Mc. Afee Virus. Scan, 7 Zip, B1 Free Archiver, Win. RAR, Win. Zip, Direct. X, Tweak UI, Irfan. View, Ad Aware, Spybot Search Destroy, Skype, Pu. TTY, Kee. Pass Password Safe, Mozilla Firefox, Utilu Mozilla Firefox Collection, Mozilla Thunderbird, Adobe Reader DC, Flash Player, Java Runtime Environment, Google Chrome, Microsoft Update. Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Easily share your publications and get. 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Thursday, August 3, 2. Today Tree. Size Professional 6. Wednesday, July 1. Today a new version of the Java Runtime Environment has been released. Monday, June 1. 9, 2. Today Spybot Search Destroy 2. Wednesday, May 2. Today Video. LAN 2. Tuesday, May 1. 6, 2. Today Tree. Size Free 4. Saturday, April 2. Today Pu. TTY 0. 6. Friday, April 2. 8, 2. Today Win. Zip 2. Tuesday, December 2. Today Irfan. View 4. Tuesday, October 4, 2. Today 7 Zip 1. 6. Tuesday, June 2. 4, 2. Today Xvid Codec 1. Saturday, February 1, 2. Today B1 Free Archiver 1. Wednesday, March 2. Today Utilu Silent Setup for Mozilla Firefox 1. Monday, December 2. Today Utilu IE Collection 1. Saturday, June 1. Today Direct. X 9. June 2. 01. 0 is released. Tuesday, September 3. Today Nero Disc. Speed 5. Friday, May 9, 2. Today Nero CD DVD Speed 4. Tuesday, July 1. 5, 2. Today Tweak UI 2. Information The K Lite Codec Pack is a free collection of codecs and related tools. Codec is short for Compressor decompressor. Codecs are needed for encoding and decoding playing audio and video. The very user friendly installation is fully customizable, which means that you can install only those components that you want. There are three versions of the K Lite Codec Pack The Basic version is the smallest and doesnt include a player. The Standard version contains everything what is needed to play all the commonly used formats. The Full version contains even more codecs and also has encoding support. The text in black applies to all versions, the text in green applies to the Full and Standard versions and the text in red applies to the Full version only. Feature descriptions Media Player Classic is a full featured player which has internal decoding support for DVD, MPEG 2, MP2, MP3, AC3 and DTS. It also has internal support for opening Matroska and Ogg containers. Media Player Classic MPC is also capable of playing other content if those codecs are installed. FFDShow is a Direct. Show decoding filter for decoding various audio and video formats like Div. X, Xvi. D, MPEG 1, MPEG 2, MPEG 4, H. H. 2. 64, MJPEG, Cine. Pack, True. Motion, DV, ASV1, ASV2, VCR1, VP3, Huffyuv, Theora, AAC, AC3, DTS, MP2, MP3, MP4 and True. Audio. When using FFDShow you dont need to install separate decoders for these formats. FFDShow is based on the original Direct. Show filter from Xvi. D for decompressing movies with a rich set of video postprocessing filters. For video decompression it uses the libavcodec from the ffmpeg project and to enhance visual quality of low bitrate movies it uses the postprocessing code from mplayer. FFDShow can also be used as a separate postprocessing filter for other decoders. Features of FFDShow include Fast video decompression using optimized code for MMX Multi. Media e. Xtensions, SSE Streaming SIMD Single Instruction Multiple Data Extensions, SSE2 and SSE3 on Intel Integrated Electronics Pentium processors and on AMD Advanced Micro Devices Athlon processors also 3. DNow, Support for a lot of different codecs, Image postprocessing for higher playback quality, Automatic quality control it reduces the postprocessing level when the CPU Central Processing Unit load is high, Hue, saturation and luminance correction, Sharpening filter, Presets, Support for various subtitle formats and FFDShow is completely free and open source under the restrictions of the GPL General Public License. Xvi. D Decoding is required for playing Xvi. D movies. Xvi. D is currently the most popular format. Xvi. D Encoding is required for encoding movies in the Xvi. D format. On. 2 VP7 Decoding 7. VP7 movies. These are not very common. On. 2 VP7 Encoding 7. VP7 format. AC3 Direct. Show decoder AC3. Filter is required for playing movies that have an AC3 audio stream. AC3 ACM decoder is required for playing movies that have an AC3 audio stream in applications like Virtual. Dub. Monkeys Audio Direct. Show decoder 1. 0. Monkeys audio files. Monkeys Audio is a lossless no quality loss audio compression format. LAME MP3 ACM 3. 9. MP3 streams and files. Direct. Vob. Sub VSFilter is a tool for displaying subtitles. Your subtitle files should have the same filename as your video file for example Movie. Name. avi, Movie. Name. idx and Movie. Name. sub and should be in the same folder directory as your video file. Then the subtitles will automatically be displayed in most players. Vob. Sub. Strip 0. Vob. Sub subtitle files. Graph. Studio. Next is a visual tool for building and testing Direct. Show filter graphs. Feature list Media Player Classic. FFDShow. Xvi. D Decoding. Xvi. D Encoding. On. VP7 Decoding 7. 0. On. 2 VP7 Encoding 7. AC3 Direct. Show decoder AC3. FilterAC3 ACM decoder. Monkeys Audio Direct. Show decoder 1. 0. LAME MP3 ACM 3. 9. Direct. Vob. Sub VSFilterVob. Sub. Strip 0. 1. 1Graph. Studio. Next. Developer Codec Guide. Release Date Wednesday, May 2. Information Video. LAN is an excellent open source multimedia player with its own plugins for playing different formats, so it doesnt need any codecs to be installed. It works great for previewing partially downloaded files too. It can also be used as a server to stream on a wired or wireless high bandwidth IP Internet Protocol version 4 or 6 network in multicast or unicast. VLC Video. LAN Client is cross platform and supports Windows, Mac OS X, Be. OS, Solaris, Crux Linux, Debian GNU GNUs Not Unix Linux, Familiar Linux, Fedora Core Linux, Gentoo Linux, Mandrake Linux, Red Hat Linux, Slackware Linux, Novells Su. SE System und Software Entwicklung System and software development Linux, Turbo Linux, Net. BSD Berkeley Software Distribution, Open. BSD, Free. BSD, QNX, Zaurus and Windows CE Windows Mobile for Pocket PC. The installer includes the e. Mule partfile plugin, which lets you preview e. Mule partfiles more efficiently. Whats New in Video. LAN 2. 2. 6 Developer Video. LANRelease Date Thursday, October 1. Information Div. X Player contains the Div. X codec with support for H. Developer Div. X, Inc. Release Date Tuesday, June 2. Information The open source Xvid codec can play Xvid movies. Xvid is currently the most popular format for video. This package contains the Xvid Direct. Show decoding filter and the Xvid VFW Codec. Developer Xvid. Tree. Size Free. For Windows XP, 2. Vista, 2. 00. 8, 7, 8, 2. MD5 Hash 1fa. 86. Release Date Tuesday, May 1. Information Tree. Size Free is a powerful and flexible harddisk space manager. Find out which folders are the largest on your drives and recover megabytes on them. Tree. Size Free shows you the size and the number of files and much more information for several folders or drives you choose. The application has an intuitive Explorer like user interface and it is fast and multithreaded. Tree. Size Free can be started from the context menu of every folder or drive. Developer JAM Software. Tree. Size Professional. For Windows XP, 2. Vista, 2. 00. 8, 7, 8, 2. MD5 Hash 9d. 2a. MD5 Hash 7. 94cbe. Release Date Thursday, August 3, 2. Information Tree. Size Professional is a powerful and flexible harddisk space manager. Find out which folders are the largest on your drives and recover megabytes on them. Tree. Size Professional shows you the size, allocated and wasted space, the number of files, 3. CPU Processors Newegg. Newegg. com A great place to buy computers, computer parts, electronics, software, accessories, and DVDs online. With great prices, fast shipping, and top rated customer service once you know, you Newegg. If you are reading this message, Please click this link to reload this page. Do not use your browsers Refresh button. Please email us if youre running the latest version of your browser and you still see this message. Newegg. com Computer Parts, Laptops, Electronics, HDTVs, Digital Cameras and More Buy Adobe Creative Cloud Photography Plan with 20GB Cloud Storage 12 Month Subscription, Download Card features Dedicated Photo Editing Suite, Subscription to.Installing Brushes On Photoshop Mac Download' title='Installing Brushes On Photoshop Mac Download' />RIP, Microsoft Paint.MS Paint, the first app you used for editing images, will probably be killed off in future updates of Windows 1.Paint 3. D. Microsoft lists the 3.Windows 1. 0s next autumn update, a little X marking the end of an era.The app is certainly a relic, from a time when the casual computer user couldnt crack open Photoshop or Skitch or Pixelmator or thousands of web apps.MS Paint cant save image components as layers or vectors its for making flat static images only.It doesnt smooth lines or guess at your best intentions.It does what you tell it and nothing more, faithfully representing the herky jerky motion of drawing freehand with a computer mouse.Its from a time before touch, a time before trackpads.As more sophisticated options appeared, Paints janky aesthetic became a conscious choice.Installing Brushes On Photoshop Mac Download' title='Installing Brushes On Photoshop Mac Download' />Paint became the metonym for that aesthetic, even if an image was actually created in another app.TV Tropes lists major limitations that came to define a certain look the wobbly freehand lines, awkward color handling, and inappropriate export settings that give Paint its distinctive look.In 2. 01. 4, Gawkers Sam Biddle noted Paints influence on conspiracy theory images, calling the form Chart Brut.In amateur detectives attempts at identifying the Boston Marathon bombers, the simplicity and jaggedness of Paint evokes the crazy wall aesthetic of red string and scribbled notes, apparently without irony.The same year, internet historian Patrick Davison explored Paints influence on the last decade of meme culture, particularly Rage Comics.The outsider art aesthetic feels appropriate to the relatable everyday content, and makes the art form unthreatening.Of course, Paint offered a few features to smooth things out, like the circle and line tools and the fill tool, all used in the stoner comics of the early 1. Country Gospel Songs Free Download more. Crucially, those circles still had jagged curves.The bright colors of stoner comics are flat, as MS Paint didnt support gradients without an elaborate hack.Contrast those pixellated lines with the slick, stylish face from this art tutorial This slickness is built into Paints successor, Paint 3.D. From the moment you start sketching, Paint 3.D smooths out your art.It also supports automatic selection tools and content aware fill to rival Photoshops.By automatically improving art, Paint 3.D hides the process behind the image.Paints sloppiness is probably why rage comics got so popular.Looking at a rage comic, you can tell exactly how it was drawn, and how you might draw one yourself.By delivering exactly what the artist draws, MS Paint forms an image that the viewer can mentally reverse engineer and imitate.Unless you go absolutely nuts with it.Reddit user Toweringhorizon painstakingly assembled the drawing To a Little Radio using MS Paint tools like the oil brush, stretching the medium while maintaining a pixelated look.Its one of the top submissions to MS Paint subreddit, a beautiful collaborative art gallery.Scrolling through this art feels like flipping through the sketchbook of the most artistic kid in high school.Theres an accepted roughness, a desired minimalism.For example, the exquisite raindrops in the work above are reflected in a flat, featureless tabletop.Like a transistor radio, Paint might be showing its age, but this tenacious little gadget should not be underestimated.To a Little Radio doesnt even come close to testing Paints limits.As we say goodbye to the app that shaped an era, let us watch this bizarrely soundtracked time lapse of drawing Santa Claus in MS Paint on Windows 7 over the course of 5.We can only believe this is real because faking it would be even harder.Download Mac Photoshop CC 2.Full version and Plugins FREE Macdrug.Mac Adobe Photoshop CC 2.Full version Free download 1.This topic is not about how to crack the latest Photoshop CC 2.Mac, keygen, serial or other things related.You will be able to download Photoshop CC 2.FREE. Torrent download is available.Adobe Photoshop CC 2.Especially, Photoshop CC 2.Touch Bar Support for Mac.Book Pro. Get instant access to your favorite tools on the new Mac.Book Pro. Choose Photoshop commands, change blend modes and colors, and even access commands with just a touch.Mac Photoshop CC 2.Full version Download.This version had just been tested on my laptop before this topic.It 1. 00 works under my Mac.OS Sierra. We would recommend to download the direct download link for very high downloading speed.Download. Direct Download link Recommended Mac Adobe Photoshop CC 2.GB Download. Use Torrent method The torrent file was removed due to safety and privacy problem.After a while, here is what we need Adobe photoshop.Adobe Zii 2. 2. 1 is called a special tool to get Adobe CC 1.CC 1. 7 Collection licensed for Free with keygen or serial number.Alright, lets call the Crack tool.How to Crack Mac adobe Photoshop CC 2.Step 1 Installation.Just install the software using the Adobe photoshop.Mac. After the installation, Run the Photoshop CC 2.You then may be required to sign using your adobe account, Be free to sign if you have one or register a your own account.After all, quit the App completely then take the next step to get it activated.Step 2 Crack. Run the Adobe Zii 2.Adobe CC1. 5 CC1.Open Gatekeeper friendly and Manuall install.Click on Open Gatekeeper friendly, then just hit Enter Return key to go further.Click on Manual install, you then are able to Launch Adobe Zii 2.Click on Patch or Drag button to for get the 7 day trial problem.Thats all. 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Computer Software And Related Ipr Issues Pdf Viewer' title='Computer Software And Related Ipr Issues Pdf Viewer' />Release Notes Red Hat Customer Portal.This part documents new features in Red Hat Enterprise Linux 7.BA, B.A. Bachelor of Arts BA Berufsakademie BA Bosnien und HerzegowinaBosnia and Herzegovina ISO 3166 BA Bremsassistent Kfzmotor vehicle BA Bundesagentur.Economic analysis and research summaries for a general audience.Outsourcing and CrowdsourcingFrom Building AllRound Capabilities to Outsourcing and Crowdsourcing.Chapter 4.General Updates New variable for disabling colored output for systemd.This update introduces the SYSTEMDCOLORS environment variable for systemd, which enables turning on or off systemd color output.SYSTEMDCOLORS should be set to a valid boolean value.BZ1.The systemd init system uses aliases.Aliases are symbolic links to the service files, and can be used in commands instead of the actual names of services.For example, the package providing the usrlibsystemdsystemnfs server.This enables, for example, using the systemctl status nfs.Previously, running the systemctl enable command using an alias instead of the real service name failed with an error.With this update, the bug is fixed, and systemctl enable successfully enables units referred to by their aliases.BZ1.New systemd option Randomized.Delay.Sec. This update introduces the Randomized.Delay.Sec option for systemd timers, which schedules an event to occur later by a random number of seconds.For example, setting the option to 1.The new option is useful for spreading workload over a longer time period to avoid several events executing at the same time.BZ1.Chapter 5.Authentication and Interoperability Server performance has improved in many areas.Some operations in Identity Management run much faster now.For example, this enhancement enables better scalability in large deployments exceeding 5.Most notably, the improvements include.Faster adding of users and hosts.Faster Kerberos authentication for all commands.Faster execution of the ipa user find and ipa host find commands.Note that to make the find operations faster, the ipa find commands no longer show membership by default.To display the membership, add the all option to ipa find or, alternatively, use the ipa show commands.BZ1.BZ1.BZ1. 26. 84. 49, BZ1.Enhanced Id.M topology management.Information about the Identity Management Id.M topology is now maintained at a central location in the shared tree.As a result, you can now manage the topology from any Id.M server using the command line or the web UI.Additionally, some topology management operations have been simplified, notably.Topology commands have been integrated into the Id.M command line interface, so that you can perform all replica operations using the native Id.M command line tools.You can manage replication agreements in the web UI or from the command line using a new and simplified workflow.The web UI includes a graph of the Id.M topology, which helps visualize the current state of replica relationships.Id.M includes safety measures that prevent you from accidentally deleting the last certificate authority CA master from the topology or isolating a server from the other servers.Support for server roles as a simpler way of determining which server in the topology hosts which services as well as installing these services onto a server.Simplified replica installation.Installing a replica no longer requires you to log in to the initial server, use the Directory Manager DM credentials, and copy the replica information file from the initial server to the replica.For example, this allows for easier provisioning using an external infrastructure management system, while retaining a reasonable level of security.In addition, the ipa replica install utility can now also promote an existing client to a replica.Id.M now supports smart card authentication for AD users.This update extends smart card support in Identity Management Id.M.Users from a trusted Active Directory AD can now authenticate using a smart card both remotely using ssh as well as locally.The following methods are supported for local authentication.Text console.Graphical console, such as the Gnome Display Manager GDM.Local authentication services, like su or sudo.Note that Id.M only supports the above mentioned local authentication services and ssh for smart card authentication.Other services, such as FTP, are not supported.The smart card certificate for AD users can be stored directly in AD, or in an Id.M override object for the AD user.Id.M now supports TGS authorization decisions.In an Identity Management Id.M environment, users can optionally log in using multi factor authentication.The Kerberos ticket from the ticket granting server TGS now contains an indicator if two factor authentication using a standard password in combination with a one time password OTP was used.This enables the administrator to set server side policies for resources, and the users are allowed to access based upon the type of their logins.For example, the administrator can now allow the user to log in to the desktop either using one or two factor authentication, but require two factor authentication for virtual private networks VPN logins.By default, all services accept all tickets.To activate this granularity, you have to manage the policies in the Id.M web user interface or use the ipa service and ipa host commands.BZ1.BZ1. 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The System Security Services Daemon SSSD now allows users with two factor authentication enabled to authenticate to services either by using a standard password and a one time password OTP, or using only a standard password.Optional two factor authentication enables administrators to configure local logins using a single factor, while other services, like access to VPN gateways, can request both factors.As a result, during the login, the user can enter either both factors, or optionally only the password.The Kerberos ticket then uses authentication indicators to list the used factors.BZ1.New SSSD control and status utility.The sssctl utility provides a simple and unified way to obtain information about the System Security Services Daemons SSSD status.For example, you can query status information about active server, auto discovered servers, domains, and cached objects.Additionally, the sssctl utility enables you to manage SSSD data files to troubleshoot SSSD in a safe way while the service is running.The options supported by sssctl include client data backup and cache remove to back up and remove the SSSD cache.Previously, when it was necessary to start SSSD without any cached data, the administrator had to remove the cache files manually.For more information about the features the utility provides, run sssctl help.SSSD configuration file validation.Previously, the System Security Services Daemon SSSD did not provide a tool to manually check the etcsssdsssd.As a consequence, the administrator had to find the problem in the configuration file if the service failed to start.This update provides the config check option of the sssctl command to locate problems in the configuration file.Additionally, SSSD automatically checks the validity of the configuration file after the service starts, and shows level 0 debug messages for incorrect settings.BZ9.BZ1.The pki cert find command now supports revocation strings.The pki cert find command has been enhanced and now supports revocation reasons in string format.As a result, you can pass strings, such as Keycompromise, to the revocation.Reason option, instead of the corresponding numeric values.For the list of supported revocation strings, see.Id.M now supports setting individual Directory Server options during server or replica installation.The Identity Management Id.M ipa server install and ipa replica install commands have been enhanced.The new dirsrv config file parameter enables the administrator to change default Directory Server settings used during and after the Id.M installation.For example, to disable secure LDAP binds in the mentioned situation.Create a text file with the setting in LDIF format.Start the Id. 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Register.Imani Specialised Care for Eating Disorders.If you have any clients who you feel would benefit from attending please just send Kathryn an email and she will make sure they receive a good welcome from staff.FREE FAMILY SUPPORT GROUPS The last Saturday of every month from 1.The facilitators are Ilana Hunter and Roganee Pillay.Ama Guidelines Permanent Impairment 6Th Edition' title='Ama Guidelines Permanent Impairment 6Th Edition' />FREE SUPPORT GROUPS ARE EDG TUESDAY 1.EDG THURSDAY 1. 8 1.The facilitators are Anthony Fry and Alison Bloomberg. Windows Xp Diamond Ultimate 2010 Silverado . AIDS patient feels two weeks before death the only difference is that the symptoms can go on for neverending decades.Current American Medical Association Guidelines for Evaluating Musculoskeletal Impairment at Maximum Medical Improvement.STEP MEETINGS ABA SUNDAYS 1.SHA WEDNESDAYS 1.I/41RGsVSE-6L.jpg' alt='Ama Guidelines Permanent Impairment 6Th Edition' title='Ama Guidelines Permanent Impairment 6Th Edition' />Huntingtons support group Pretoria.Website http www.Province Gauteng.Physical Address Grace Notes Coffee Shop, Coram Deo, 4.Lea Street, Waterkloof Glen, Pretoria East.Date October 3. 1, 2.Contact Person Anne Marie Ungerer.Contact Number 0.Email Address ungerer.Fax HASA Huntingtons Association of South Africa recognised the need for an HD support group based in Gauteng.Please email to ungerer.Huntingtons support group Cape Town.Website http www.Province Western Cape.Physical Address Claremont, Cape Town 7.Date The 2nd Thursday of every month.HASA Huntingtons Association of South Africa recognised the need for an HD support group based in Cape Town.Everyone is welcome.But predominantly for people who have been diagnosed with HD, people who are at risk of having HD, any family, friends or carers of HD suffers.It is a very informal, open forum of people affected by HD in some way or another.This is a safe space where people will have the opportunity to meet people in similar circumstances and hear others share their stories and experiences.You do not need to stay for the whole session and are more than welcome to just pop in to see what its all about.Tea and biscuits will be served.Livewell Suites Support Group.Website http livewell.Province Western Cape.Physical Address Livewell Suites, 4.Lourens Street, Somerset West.Date 1st Wednesday of every month.Dealing with a loved ones Dementia and Alzheimers, when its part of YOUR life.The support group is a place where you can ask questions, give answers, exchange messages and get support from other family caregivers who understand exactly what youre going through.Problem solving professional help are available.Headway Natal. Contact Person Ian Vowles.Contact Number 0.Ama Guidelines Permanent Impairment 6Th Edition' title='Ama Guidelines Permanent Impairment 6Th Edition' />Email Address Fax Headway Natal is a non profit organisation assisting victims of stroke and brain injury and those caring for them.Support Groups include TBI support group Traumatic Brain Injury Carersfamily members Zulu speaking carersfamily members Social stroke group Telephonic support Literature.Headway Friendship Circle.Website http www.Province Gauteng.Physical Address Headway Gauteng has four branches Hyde Park Khomelela Soweto Tshawne To view a list of the addresses and times of meetings at these branches for 2.Date Headway Gauteng, started in 1.BI and their families.The vast majority of our injured members have sustained a traumatic brain injury TBI as result of motor vehicle, motor cycle and pedestrian vehicle accidents, assaults and sporting accidents.We also assist survivors of acquired brain injuries such as stroke.These people have led a full life up until the brain injury, which has caused permanent changes to physical, cognitive, emotional and behavioural processes.Head Injury Support Group.The purpose of the group is to provide brain injury survivors and their family members with emotional support provide survivors and family members with a space within which to process the various losses they may have suffered as a result of the brain injury and assist with adjustment after brain injury.Patients who may benefit from the group are patients who have suffered brain injuries patients who have difficulty adjusting to cognitive of physical difficulties after brain injury and who may suffer from mood or anxiety disorders subsequent to brain injury and patients who are interested in learning about coping strategies to deal with the emotional and cognitive consequences of their brain injury.The group is not suitable for patients who are acutely psychotic or have severe communication difficulties.Please note This is an open group and patients can join at any time.The cost is R 8. 0 per session discounted fees available depending on financial need.Booking is essential.Dementia. SA support group.Contact Person Contact Number 0.Email Address Fax Join Dementia SA at a Support Group where we discuss the challenges of dementia, provide counselling and support.Empowering Parents with Special Needs Children.This is a support group for parents with babies or children with Developmental delay, Autism, Down syndrome, cerebral Palsy, Bipolar and more.This is a peer to peer support group, with the aim to provide support, resources, friendship and understanding.Meetings are bimonthly.Course Content 9.Post Traumatic Stress Disorder.Psychotherapy interventions are aimed at reducing symptom severity, improving overall patient functioning especially in social and occupational arenas, and improving quality of life.Psychotherapy for PTSD may also have benefits in improving comorbid physical health conditions, but this is not specifically the focus of treatment 6.For PTSD, psychotherapy approaches with the strongest empirical validation fall broadly within the category of trauma focused psychotherapy or stress inoculation training.Trauma focused psychotherapies for PTSD encompass psychological interventions based on learning theory, cognitive theory, emotional processing theory, fear conditioning models, and other theories.They include a variety of techniques commonly involving exposure andor cognitive restructuring e.CPT, and EMDR and are often combined with anxiety management or stress reduction skills focused specifically on alleviating the symptoms of PTSD.Psychoeducation is an important component in all interventions, and CBT that is not trauma focused is less effective 6.The approaches most extensively studied in PTSD are grouped into four main categories based on the therapeutic components most emphasized or the specific bundling of therapy components, although there is overlap 6,6.These groups are exposure based therapies, cognitive based therapies, stress inoculation training, and EMDR.While these intervention types are described separately, they have overlapping features and are often used in combination, as with the common approach of using psychoeducation, anxiety management, exposure, cognitive restructuring, and PTSD relapse prevention 6.Exposure based therapies emphasize in vivo, imaginal, and narrative oral andor written exposure and often include elements of cognitive restructuring e.Examples include prolonged exposure therapy, brief eclectic psychotherapy, narrative therapy, written exposure therapies, and many cognitive therapies that incorporate in vivo and imaginalnarrative exposure.Cognitive based therapies emphasize cognitive restructuring i.Examples include cognitive processing therapy and various cognitive therapies.Stress inoculation training emphasizes breathing retraining and muscle relaxation.However, it also includes cognitive elements e.EMDR is distinguished by the use of alternating eye movements but closely resembles other CBT modalities by including an exposure component combined with a cognitive component and relaxationself monitoring techniques.TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPIESTrauma focused CBTs are a group of trauma focused psychological treatments derived from behavioral and cognitive theories that involve short term structured interventions that address the emotional, cognitive, and behavioral sequelae of traumatic event exposure.Although psychoeducation and symptom management strategies notably arousal reduction are often included, the two core interventions are exposure and cognitive restructuring 6.Exposure therapy for PTSD, now termed prolonged exposure, is almost universally considered the cornerstone of effective, evidence based psychological treatment of PTSD 6,6.Prolonged exposure therapy is based on the fundamental principle of habituation by exposure to the dreaded fear provoking stimulus for a sufficient duration, the conditioned emotional response to traumatic stimuli becomes extinguished.By learning that nothing bad, horrible, or catastrophic will occur from exposure to traumatic stimuli, the patient experiences less anxiety when confronted by trauma related stimuli and avoidance of feared situations is reduced or eliminated 2.Prolonged exposure is often included as a component with other approaches, termed CBT mixed therapy.Elements of CBT mixed therapy may include psychoeducation, self monitoring, stress management, relaxation training, skills training, exposure imaginal, in vivo, or both, cognitive restructuring, guided imagery, mindfulness training, breathing retraining, crisissafety planning, and relapse prevention 2.This therapy consists of exposure within one session.Psychoeducation addressing common reactions to trauma and the cause of chronic.Imaginal exposure, whereby memories of traumatic experiences are repeatedly.In vivo exposure, whereby feared and avoided trauma reminders situations or.Effective outcomes are achieved by grading the exposure intensity, typically by using a hierarchy, prolonging the exposure until the anxiety has reduced, and repeating the exposure until the level of evoked anxiety is minimal.Treatment is individualized, with standard treatment consisting of 8 to 1.Treatment duration can be shortened or lengthened depending on the patients needs and progress 6,2.Adverse effects with prolonged exposure include mild to moderate increases in PTSD symptoms, distress, anxiety, depression, and other negative emotions while traumatic experiences are emotionally processed.These increases in distress are often temporary or transient and are not associated with unsuccessful outcomes.A key study found the minority of subjects who experienced consistent symptom exacerbation showed benefit from prolonged exposure therapy comparable to those with less exposure induced distress.Symptom exacerbation was also unrelated to premature dropout 2.Comorbid psychiatric conditions are found in the majority of PTSD patients seeking clinical care, and concerns have been raised over the possible negative effect of prolonged exposure in patients with comorbidity.A 2. 01. 2 literature concluded that standard exposure therapy can be applied in PTSD patients with dissociation, moderate to severe depression, mild borderline personality disorder, and substance abuse.Prolonged exposure can also be effectively and safely applied within a treatment program that monitors and addresses comorbidity in PTSD patients with comorbid substance dependence, psychosis, severe borderline personality disorder, acute suicidality, and recent suicidal or serious non suicidal self injury 2.However, the U. S.Department of Veterans Affairs and the U.S. Department of Defense states the use of prolonged exposure is problematic in some patients with complicated PTSD symptoms 6.As such, it has been abandoned by some clinicians who cite as rationale the high rates of attrition, suicide, dissociation, destructive impulsivity, and chaotic life problems associated with prolonged exposure.Cognitive therapy is based on the theory that the individuals perception of a situation influences the emotional response.In PTSD, cognitive therapy is used to help the patient identify, challenge, and modify biased or distorted thoughts and memories of the traumatic experience and maladaptive beliefs about themselves and the world that have developed following trauma exposure.By assisting patients in identifying distorted thinking and modifying existing beliefs, patients learn to improve their coping skills and change their problematic behaviors.Cognitive therapy is generally brief, goal oriented, and time limited.Variants of cognitive therapy have been developed, including cognitive restructuring and cognitive processing therapy 2.Cognitive Processing Therapy.CPT is a form of cognitive therapy designed for PTSD based on the premise that affective states such as depressed mood can interfere with emotional and cognitive processing of the trauma memory, which produce or worsen traumatic symptomatology.CPT resolves these maladaptive factors by helping the patient identify and challenge maladaptive thoughts and beliefs stuck points and replace them with rational alternatives.CPT involves psychoeducation, written patient accounts about the traumatic event, and cognitive restructuring to address beliefs surrounding the events meaning and the implications of the trauma for ones life.Central post traumatic themes such as safety, trust, powercontrol, self esteem, and intimacy are also addressed 2.This systematic approach to identifying key themes and issues associated with trauma reactions makes CPT highly suited to address some of the complex psychiatric sequelae emerging from recent military conflict exposure in veterans.The exposure component is limited to writing an account of the experience and can also make CPT more acceptable to patients or practitioners as an alternative to purely exposure focused interventions. The ADA, at 42 U. S. C. 12112d, generally prohibits medical examinations and inquiries of job applicants unless the inquiry is about the ability of the applicant. Federal Register. Confidentiality of Substance Use Disorder Patient Records. Start Preamble. Start Printed Page 6. AGENCY Substance Abuse and Mental Health Services Administration, HHS. ACTION Final rule. Official website for the American Nurses Association, part of the ANA Enterprise, featuring nursing news, professional development and continuing education for nurses. These regulations are effective on January 18, 2017. Additional information on the effective date and the compliance date can be found in Section IV. F. Relevant. Search Results for adverse effects of drugs. ProtonPump Inhibitors Dangerous and HabitForming Heartburn Drugs hide all summaries. SUMMARY The Department of Health and Human Services HHS is issuing this final rule to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records regulations and facilitate information exchange within new health care models while addressing the legitimate privacy concerns of patients seeking treatment for a substance use disorder. These modifications also help clarify the regulations and reduce unnecessary burden. DATES Effective date This final rule is effective February 1. Start Further Info. FOR FURTHER INFORMATION CONTACT Danielle Tarino, Telephone number 2. Email address Privacy. Regulationssamhsa. End Further Info. End Preamble. Start Supplemental Information. SUPPLEMENTARY INFORMATION Preamble Table of Contents. I. Executive Summary. A. Purpose of the Regulatory Action. B. Summary of the Major Provisions. C. Summary of Impacts. II. Background. A. Significant Technology Changes. B. Statutory and Rulemaking History. III. Overview of the Final Rule. IV. Effective Date. V. Discussion of Public Comments and Final Modifications to 4. CFR part 2. A. General Comments on the Proposed Rule. General Feedback on the Proposed Rulea. General Support for the Proposed Ruleb. General Opposition to the Proposed Rule. The Proposed Rule Did Not Go Far Enough To Facilitate Information Exchange. Final Rule Should Balance Patient Protections With Enhanced Information Exchange. Part 2 Should Align With the Health Insurance Portability and Accountability Act. B. Statutory Authority 2. C. Reports of Violations 2. D. Definitions 2. New Definitionsa. Part 2 Programb. Part 2 Program Directorc. Substance Use Disorderd. Treating Provider Relationshipe. Withdrawal Management. Existing Definitionsa. Central Registryb. Disclose or Disclosurec. Maintenance Treatmentd. Member Programe. Patientf. Patient Identifying Informationg. Personh. Programi. Qualified Service Organizationj. Recordsk. Treatment. Terminology Changes. Other Comments on Definitions. E. Applicability 2. F. Confidentiality Restrictions and Safeguards 2. Delayed Implementation of List of Disclosures Provision. Responsibilities Under the List of Disclosures Process. Technological Challenges and Burden of the List of Disclosures Provision. Recommendations to Further Protect Patient Privacy. Other Comments and Recommendations on the List of Disclosures Provision. G. Security for Records 2. H. Disposition of Records by Discontinued Programs 2. I. Notice to Patients of Federal Confidentiality Requirements 2. J. Consent Requirements 2. General Comments on Consent Requirementsa. Generalb. Consent Form Validity Periodc. Technical Challenges to Proposed Consent Requirementsd. Requests for Exemptions and Exceptionse. Commenter Recommendations. To Whoma. Generalb. Determination of Treating Provider Relationshipc. Requests for Clarificationd. Commenter Recommendationse. Proposed Alternative Approach for To Whom Section. Amount and Kinda. Generalb. Impact of the Amount and Kind Requirement on Providers and Patientsc. Required Substance Use Disorder Information on Consent Formsd. Requests for Clarification. From Whom. 5. New Requirements. K. Prohibition on Re Disclosure 2. General. 2. Impact of Re Disclosure Prohibition on Patient Privacy and Patient Choice. Disclosure of Information that May Indicate a Substance Use Disorder. Technical Challenges in Preventing Unauthorized Re Disclosure. Requests for Clarification of the Re Disclosure Prohibition. Recommendations to Improve the Prohibition on Re Disclosure. L. Disclosures to Prevent Multiple Enrollments 2. M. Medical Emergencies 2. General. 2. Definition of Bona Fide Medical Emergency3. Documentation of Medical Emergency. Other Comments on Medical Emergency. N. Research 2. General. 2. Suggestions for Improvement of the Research Provisions. HIPAA and HHS Common Rule Requirements. Data Linkages. 5. Multi Payer Claims Database. O. Audit and Evaluation 2. P. Other Public Comments on the Proposed Rule. Requests to Extend the Public Comment Period. Rulemaking Process. Implementation Timeline and Other Barriers to Implementation. Educational Opportunities. Increased Enforcement. Other Miscellaneous Comments on the Proposed Rule. VI. Rulemaking Analyses. A. Paperwork Reduction Act. B. Regulatory Impact Analysis. C. Regulatory Flexibility Act. D. Unfunded Mandates Reform Act. E. Federalism Executive Order 1. Acronyms. ACO Accountable Care Organization. ABAM American Board of Addiction Medicine. ADAMHA Alcohol, Drug Abuse and Mental Health Administration. APCD All Payer Claims Database. ARRA American Recovery and Reinvestment Act of 2. Pub. L. 1. 11 5ASAM American Society of Addiction Medicine. ATR Access to Recovery. C CDA Consolidated Clinical Document Architecture. CCD Continuity of Care Document. CCLF Claim and Claim Line Feed. CCO Coordinated Care Organization. CFR Code of Federal Regulations. CHIP Childrens Health Insurance Program. CMS Centers for Medicare Medicaid Services. CPCMH Certified Patient Centered Medical Home. DS4. P Data Segmentation for Privacy. EHR Electronic Health Record. EQRO External Quality Review Organization. FAQ Frequently Asked Question. FAX Facsimile. FDA Food and Drug Administration. FR Federal Register. HHS Department of Health and Human Services. HIE Health Information Exchange. HIO Health Information Organization. HIPAA Health Insurance Portability and Accountability Act of 1. Pub. L. 1. 04 1. HITECH Health Information Technology for Economic and Clinical Health Act of 2. Pub. L. 1. 11 5, title XIII of division A and title IV of division BHITPC Health Information Technology Privacy Committee. IG Implementation Guide. IRB Institutional Review Board. IT Information Technology. Start Printed Page 6. MCO Managed Care Organization. MPCD Multi Payer Claims Database. NCQA National Committee for Quality Assurance. NPRM Notice of Proposed Rulemaking. N SSATS National Survey of Substance Abuse Treatment Services. OHRP Office for Human Research Protections. OMB Office of Management and Budget. ONC Office of the National Coordinator for Health Information Technology. PDMP Prescription Drug Monitoring Program. PPS Performing Provider System. QE Qualified Entity. QSO Qualified Service Organization. QSOA Qualified Service Organization Agreement. RFA Regulatory Flexibility Act. RHIO Regional Health Information Organization. SAMHSA Substance Abuse and Mental Health Services Administration. SBIRT Screening, Brief Intervention, and Referrals for Treatment. S I Standards and Interoperability. TEDS Treatment Episode Data Set. U. S. C. United States Code. USAO United States Attorneys Office. VA Department of Veterans Affairs. I. Executive Summary. A. Purpose of the Regulatory Action. The laws and regulations governing the confidentiality of substance use disorder records were written out of great concern about the potential use of substance use disorder information against individuals, causing individuals with substance use disorders not to seek needed treatment. The disclosure of records of individuals with substance use disorders has the potential to lead to a host of negative consequences, including Loss of employment, loss of housing, loss of child custody, discrimination by medical professionals and insurers, arrest, prosecution, and incarceration. The purpose of the regulations at title 4. Code of Federal Regulations CFR part 2 4. CFR part 2 is to ensure that a patient receiving treatment for a substance use disorder in a part 2 program is not made more vulnerable by reason of the availability of their patient record than an individual with a substance use disorder who does not seek treatment. Now, more than 2. U. S. health care delivery system while retaining important privacy protections. Need for Regulatory Action. The last substantive update to these regulations was in 1. Over the last 2. 9 years, significant changes have occurred within the U. S. health care system that were not envisioned by the current 1. SAMHSA wants to ensure that patients with substance use disorders have the ability to participate in, and benefit from health system delivery improvements, including from new integrated health care models while providing appropriate privacy safeguards. These new integrated models are foundational to HHSs delivery system reform goals of better care, smarter spending, and healthier people. |
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