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1. About UsThe Eighth Affiliated Hospital, Sun Yat-Sen University is located in Futian District, the central area of Shenzhen. With the advantageous location and elegant environment, the hospital is known as the only medical landmark building on Shennan Boulevard.

It's adjacent to Huanggang Port, Futian Port, and Futian Railway Station, the largest underground railway station in Asia. With the opening of Guangzhou- Shenzhen-Hongkong high-speed railway, it takes only 14 minutes to Hong Kong.The hospital was officially incorporated into the affiliated hospital management system of Sun Yat-sen University on August 26, 2016. As an important part of Sun Yat-sen University Shenzhen Campus, it will provide the force support for the construction of the medical faculty and cultivation of the high-level talents.

The Eighth Affiliated Hospital is composed of the headquarters of the hospital, 21 community healthcare service centers and three infirmaries, with more than 2,000 employees. With the strong support of Sun Yat-sen University and Futian District People's Government, the hospital's new building was put into use on July 13, 2019. Now, the building area is approximately 210,000 square meters, with the bed capacity of 1,639 and the parking space of 1200.

The laboratory of nearly 10,000 square meters, located in the Futian Free Tax Zone, will also be open in the middle of 2020.At present, the Eighth Affiliated Hospital has introduced more than 50 leading talents of Guangdong province, clinical leaders and clinical backbones of specialties, and it has become the eighth clinical college of Sun Yat-sen University. Standing at a new starting point, the Eighth Affiliated Hospital strives to build the "Regional leading, National first-class, International recognized, modern and comprehensive hospital".2. DisciplinesApplicants with the following background are welcomed:Basic Medicine, Clinical Medicine, Stomatology, Medical Technology, Life Science, Biomedical Engineering, Medical Statistics and related traditional or interdisciplinary disciplines, etc.3.

QualificationsShould have an education background as an undergraduate, postgraduate and doctorate student in a well-known domestic or international university, scientific research institute, or higher education institute with the discipline as the preponderant discipline in the field and has obtained a PhD degree. Has obtained comparatively good research results. And has great development potentials.

Obtained a PhD degree within three years.4. Remunerations and BenefitsI. Salary and Benefits.

The University provides generous salary, research start-up fee, talent allowance, and settlement allowance. Talents working in Zhuhai and Shenzhen campuses can enjoy subsidies of the local campuses.II. Housing Support.

Talents can apply for the university's public rental housing. There are 1,200 new apartments in the Guangzhou campus. More than 1,000 new apartments and 1,500 new shared property houses in the Zhuhai campus.

And 3,600 new talent indemnificatory apartments in the Shenzhen campus.III. Quality Healthcare. There are 10 SYSU affiliated hospitals that provide high-level healthcare service.IV.

Children Education. SYSU has constructed affiliated primary and secondary schools and kindergartens in Guangzhou, Zhuhai and Shenzhen campuses to provide high-quality elementary education for the children of faculty members.V. Employee Wellbeing.

Provides "sports time". Free use of sports facilities on campus. And annual health checkup.

The Zhuhai campus provides meal subsidies.5. ContactContact Person：Xiaoling HuangEmail. Huangxling25@mail.sysu.edu.cn Tel.

86-755-83981723, 86-13530115220Website. Http://www.sysu8h.com.cn/1.About UsZhongshan Ophthalmic Center (ZOC), Sun Yat-sen University is the only one of its kind ophthalmic hospital appointed by the National Health Commission. Its history can date back to 1835, when Peter Parker, missionary from the United States founded the oldest western hospital -the Ophthalmic Hospital in Canton.

In 1965, the Zhongshan Ophthalmic Hospital was officially established located on No 54, Xianlie South Road. In 1983, it was renamed as Zhongshan Ophthalmic Center combining clinical services, scientific research, healthcare service and preventative ophthalmology. ZOC has been entitled the State Key Laboratory of Ophthalmology, without any equivalent in China.

The head quarter of Asia Pacific Association of Ophthalmology (APAO) is also located at ZOC. ZOC has consecutively been ranked the first on two well-recognized Rankings in China, one being “Hospitals with Best Reputation by Specialty in China” for 10 terms, and another one being “Hospitals with Most Influence in Technology and Science in China” for 6 terms.ZOC is the largest eye care center in China, treating complicated eye diseases. With 185 ophthalmologists, ZOC has managed an annual workload of over 1,140,000 outpatient visits and more than 75,000 surgeries.ZOC is the China’s leading research institutes in the fields of Medical Science and Ophthalmology.

ZOC have 67 full time researchers. The researches in Stem Cell, Myopia Prevention, Biology Information and Artificial Intelligence, clinical researches in prevention and treatment of eye diseases have been published in Nature, JAMA, Lancet, Nature Methods, Nature Biomedical Engineering, Nature Communications, Lancet Global Health, Ophthalmology, JAMA Ophthalmology, IOVS, and etc.ZOC is the largest training base for ophthalmic talents in China. It currently has 80 doctoral tutors, and has brought up 500 PhD in Ophthalmology, over 250 department heads of domestic tertiary hospitals and 6 full-time professors working for the universities at foreign countries.

In May 2018, the Research Building and the Clinical Building of ZOC, located on No 7, Jinsui Road, Zhujiang New Town, the Central Business District of Guangzhou, were put into full use, which ushers ZOC into the new era of functioning with the Ouzhuang Campus in Yuexiu District and the Zhujiang New Town Campus in Tianhe District. Aiming to serve the national and regional healthcare strategies, Zhongshan Ophthalmic Center gears to a world class ophthalmic center with standardized operating procedures and high-level researches.2.DisciplinesApplicants with the following background are welcomed:Ophthalmology, Medicine, Biology, Computer Science or related fields, including but not limited to, Bioinformatics, Molecular Biology, Biochemistry, Biomedical Engineering, Vascular Biology, Microbial Groups, Structural Biology, Artificial Intelligence, Virtual Reality and Augmented Reality Technology and System, Neural Science, Material Science, Genetics, Immunology, Optical Imaging Technology and Optical Design3.QualificationsShould have an education background as an undergraduate, postgraduate and doctorate student in a well-known domestic or international university, scientific research institute, or higher education institute with the discipline as the preponderant discipline in the field and has obtained a PhD degree. Has obtained comparatively good research results.

And has great development potentials. Obtained a PhD degree within three years.4.Remunerations and BenefitsI. Salary and Benefits.

The University provides generous salary, research start-up fee, talent allowance, and settlement allowance. Talents working in Zhuhai and Shenzhen campuses can enjoy subsidies of the local campuses.II. Housing Support.

Talents can apply for the university's public rental housing. There are 1,200 new apartments in the Guangzhou campus. More than 1,000 new apartments and 1,500 new shared property houses in the Zhuhai campus.

And 3,600 new talent indemnificatory apartments in the Shenzhen campus.III. Quality Healthcare. There are 10 SYSU affiliated hospitals that provide high-level healthcare service.IV.

Children Education. SYSU has constructed affiliated primary and secondary schools and kindergartens in Guangzhou, Zhuhai and Shenzhen campuses to provide high-quality elementary education for the children of faculty members.V. Employee Wellbeing.

Provides "sports time". Free use of sports facilities on campus. And annual health checkup.

The Zhuhai campus provides meal subsidies.5.ContactContact Person：Mr. Wu, Ms. Liang Email.

Rencaiban@gzzoc.com Tel. 0086-20-66618946Website. Http://www.gzzoc.com/.

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Can you think cheap cialis of three words that are cialis 30mg completely unrelated to one another?. What about four, five, cialis 30mg or even ten?. According to an international team of researchers from McGill University, Harvard University and the University of Melbourne, this simple exercise of naming unrelated words and then measuring the semantic distance between them could serve as an objective measure of creativity.The study, published in the Proceedings of the National Academy of Sciences, uses the Divergent Association Task (DAT), a 4-minute, 10-word test to measure one aspect of creative potential.The DAT was originally devised by Jay Olson, a recent PhD graduate from McGill's Department of Psychiatry, inspired by a childhood game involving thinking of unrelated words. He wondered whether a similar task could cialis 30mg serve as a simple and elegant way to measure divergent thinking, the ability to generate diverse solutions to an open-ended problem.While studies of creativity and its nature are not new, relatively little is known about the process itself."Creativity is fundamental to human life," explains Olson, who is now a Postdoctoral Fellow at Harvard. "The more we understand its complexity, the better we can foster creativity in all its forms."An easier and simpler way to test creativityUsing the DAT, the researchers asked participants to name 10 words that were as different from each other as possible.

A computational algorithm would then cialis 30mg estimate the average semantic distance between the words. The more related the words were (e.g., "cat" and "dog") the shorter the semantic difference would be, compared to less related words (e.g., "cat" and "book").The team's first study highlighted moderate to strong correlations between semantic distance and two commonly used creativity measures (the Alternative Uses Task and the Bridge-the-Associative Gap Task). This was applied to a subsequent study cialis 30mg with 8,500 participants from 98 countries, where the semantic distances varied only slightly by demographic variables suggesting that the measure can be used across diverse populations.Overall, semantic distance correlated at least as strongly with established creativity measures as those measures did with each other. Many traditional creativity measures require time-intensive and subjective scoring procedures, which makes large and multicultural assessments difficult."Our task measures only a sliver of one type of creativity," says Olson. "But these findings enable creativity assessments across larger and more diverse samples with less bias, which will ultimately help us better understand this cialis 30mg fundamental human ability." Story Source.

Materials provided by McGill University. Note. Content may be edited for style and length..

Can you think of web link three words that discount coupon cialis are completely unrelated to one another?. What about four, five, or even ten? discount coupon cialis. According to an international team of researchers from McGill University, Harvard University and the University of Melbourne, this simple exercise of naming unrelated words and then measuring the semantic distance between them could serve as an objective measure of creativity.The study, published in the Proceedings of the National Academy of Sciences, uses the Divergent Association Task (DAT), a 4-minute, 10-word test to measure one aspect of creative potential.The DAT was originally devised by Jay Olson, a recent PhD graduate from McGill's Department of Psychiatry, inspired by a childhood game involving thinking of unrelated words.

He wondered whether a similar task could serve discount coupon cialis as a simple and elegant way to measure divergent thinking, the ability to generate diverse solutions to an open-ended problem.While studies of creativity and its nature are not new, relatively little is known about the process itself."Creativity is fundamental to human life," explains Olson, who is now a Postdoctoral Fellow at Harvard. "The more we understand its complexity, the better we can foster creativity in all its forms."An easier and simpler way to test creativityUsing the DAT, the researchers asked participants to name 10 words that were as different from each other as possible. A computational algorithm would then estimate the average semantic distance between the words discount coupon cialis.

The more related the words were (e.g., "cat" and "dog") the shorter the semantic difference would be, compared to less related words (e.g., "cat" and "book").The team's first study highlighted moderate to strong correlations between semantic distance and two commonly used creativity measures (the Alternative Uses Task and the Bridge-the-Associative Gap can you buy cialis over the counter in canada Task). This was applied to a subsequent study with 8,500 participants from 98 countries, where the semantic distances varied only slightly by demographic variables suggesting that the measure can be used across diverse populations.Overall, semantic distance correlated at least as discount coupon cialis strongly with established creativity measures as those measures did with each other. Many traditional creativity measures require time-intensive and subjective scoring procedures, which makes large and multicultural assessments difficult."Our task measures only a sliver of one type of creativity," says Olson.

"But these findings enable creativity assessments across larger and more diverse samples with less bias, which will ultimately help us discount coupon cialis better understand this fundamental human ability." Story Source. Materials provided by McGill University. Note.

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The past week has seen an explosion of media commentary about whether children in the buy cialis canada UK How to get levitra samples should go back to school. Since ‘lockdown’ (23 March 2020) began schools have been buy cialis canada open to vulnerable children and young people, and to the children of ‘key workers’. Right from the start there have been differing opinions about the necessity or wisdom of closing schools. Viner et al1 buy cialis canada produced a rapid systematic review that concludes that school closures have less impact on rate and mortality than other social distancing measures. Many countries have closed their schools for less time than the UK and have already started to reopen with several protective measures in place.2Concerns about the long-term economic, social and mental impact of lockdown led to the generation of plans to ‘get back to business’.

This was conveyed to the population of the UK on 10 buy cialis canada May by the UK prime minister, Boris Johnson. He announced a range of measures to gradually reduce the level of lockdown. This is in keeping with modelling undertaken by various groups, including a preprint (not peer-reviewed) modelling exercise buy cialis canada by Zhang et al.3Mr Johnson announced that there would be a phased return (in England) of some children to school from 1 June. There are no national guidelines as it is recognised that school have differences that require a flexible approach, but there are a broad set of principles relating to social distancing and hygiene.Government ministers and teachers’ unions have opposing views on the safety of reopening schools. In a joint statement nine unions representing teachers stated that buy cialis canada they thought 1 June was too early to be safe.4 They recognise that the opening of schools is a vital part of restarting the UK economy, but they have concerns about the safety and welfare of children and others.Meanwhile, the education secretary, Gavin Williamson, spoke at a press conference on 16 May stating that scientific evidence backed their decision.

Interestingly, much of his statement was not about the scientific evidence but setting out an emotive argument that school was essential for safe and happy children.There is a consequence to this, the longer that schools are closed the more that children miss out. Teachers know that there are children out there that have not spoken or played with buy cialis canada another child their own age for the last two months. They know there are children from difficult or very unhappy homes for whom school is the happiest moment in their week, and it’s also the safest place for them to be. The poorest children will be the buy cialis canada ones who fall further behind if we keep school gates closed. This phased return is buy cialis canada in line with what other European countries are doing.There ensued an at times ill-tempered debate and a flurry of tweets and news articles identifying problems in enacting the government plan and the illogical nature of Williamson’s statement.

The Institute for Fiscal Studies has produced a briefing note on children’s experiences of learning during lockdown.5 This is being widely cited as a rationale for reopening schools because children from vulnerable backgrounds are disproportionately affected by not being able to attend school. This has caused concern about the attainment gap, but as Quinn6 points out fewer children from disadvantaged backgrounds are likely to return to school than buy cialis canada those from more affluent backgrounds.Government ministers and spokespeople reiterated that scientific evidence and observation of other European countries where schools had reopened demonstrated their decision was the correct one. However, there were no links provided to the scientific evidence and unions were quick to seize on this (eg, NASUWT7).The chief scientific advisor to the Department for Education, Osama Rahman, made a statement in a parliamentary science and technology committee meeting on 13 May that:There is a low degree of confidence in evidence that [children] might transmit it less.Carol Monaghan, the Scottish National Party education spokesperson, replied:We’re putting together hundreds of potential vectors that can then go on and transmit. Is that buy cialis canada correct?. Osama Rahman responded:Possibly, depending on school sizes.His final statement contains layers of complexity but can be interpreted simply as ‘we don’t know’.

This provoked a great deal of disquiet buy cialis canada. Rahman had already stated that the Scientific Advisory Group for Emergencies (SAGE) was collecting and considering evidence that was new and emerging, and that confidence was low in the evidence relating to transmission because there was very little evidence.8 However, this normal scientific caution in the evidence base was not discussed, and therefore it was assumed that low or moderate confidence in the evidence means a high-risk strategy is being mooted.There appear to be two major concerns about lifting the lockdown for children. First is the risk to buy cialis canada children of developing erectile dysfunction disease. The second is the risk to others of children transmitting erectile dysfunction disease, either while being symptomatic or asymptomatic. Here are some of the available buy cialis canada evidence.Morbidity and mortality in children from erectile dysfunction diseaseChildren appear to be less likely to acquire erectile dysfunction disease in various nations.9–11 Barton et al12 found that children account for 1.9% of confirmed cases (data collected from government websites and publications).

Of these 8113 paediatric cases, 14% required hospital admission. The admission rate to critical care was 2.2% buy cialis canada of confirmed cases (7.2% of admitted children). Death was buy cialis canada reported in 15 cases (0.18%). This adds to other evidence suggesting that children are at a relatively low risk from the cialis, with other estimates coming in at around 0.01%.13 14 This is likely to be because they appear to have a stronger immune response to the cialis.15There are concerns that children who have been infected with the cialis can develop a postviral inflammatory reaction (Kawasaki disease) and this can be severe,16 but the research evidence for this is not well developed yet.Transmission by childrenChildren can be asymptomatic and test positive for erectile dysfunction treatment, and in the absence of effective community testing it will be impossible to know if they are carrying the cialis. Children also can have normal or abnormal signs (eg, chest imaging) when they have tested positive.17 In short, it is difficult to determine without much more extensive testing if a child can transmit the .Arav et al18 found that the contact route was much more buy cialis canada important than the airborne route, which they concluded had a negligible contribution.

They suggest protective measures would therefore be good hand hygiene, careful cleaning and avoiding physical contact.Given that there are quite low numbers of symptomatic cases and an unknown quantity of asymptomatic cases, it is very difficult to determine whether children are a significant vector for the disease. Studies cited by the Royal College of Paediatrics and Child Health that explored family clusters of suggest that the child buy cialis canada was unlikely to be the index case.The riskThis evidence suggests that there is a case for reopening schools to limited numbers of pupils—the risk to pupils and the adults they come into contact with seems to be small, and the potential gains for children may outweigh them. There is a big proviso with this however, and that is that the overall incidence of erectile dysfunction treatment has fallen below specified threshold. This is quite a contentious issue and depends on us meeting the five key tests for easing lockdown.Making sure the National Health Service can cope.A sustained and consistent fall in the daily death rate.Rate of decreasing to manageable levels.Ensuring that personal protective equipment supply can meet demand.Being confident that any adjustments would not risk a second peak.These conditions are open to interpretation, and there appears buy cialis canada to be a lack of trust by the public and by professionals from education and health in the information that the government and their scientific advisors are sharing. An example of this is a group of scientists who have come together to challenge the government about their decision-making.19 The concern about whether the evidence and advice that we are given are biased in any way has also been increased by concerns that a government advisor (Dominic Cummings) has attended what were supposed to be politically independent meetings of the SAGE.Scientific evidence continues to emerge, but weighing up the risks and benefits is not easy.

Decisions about whether to reopen schools are taken on a national level with a distance from personal concerns buy cialis canada and fears. Individuals who are making decisions often rely on media translations of the evidence, and there is a level of mistrust in politicians and the media.20 Individuals are often irrational in their risk perception and management (eg, continuing to smoke or drink alcohol despite strong scientific evidence about the risk).21 22Overall, we are information-poor and opinion-rich. It is a difficult path to navigate buy cialis canada. The debate about whether the benefits outweigh the risks of returning to school reminds me of the post-Wakefield Measles Mumps and Rubella vaccination situation. Parents were being asked buy cialis canada to believe that MMR was a safe treatment in the face of a massive and emotive campaign that promoted the ‘risk’ of having the treatment above all else.

This situation buy cialis canada is even more complex than that as we have increased access to opinion and difficulty in understanding if or how much that information is biased. It is no wonder that decision-making is difficult. It is buy cialis canada likely that evidence will continue to emerge and gradually the choice will become easier to make. For now, however, we can understand the difficulties that parents, teachers and councils face.IntroductionWhenever developing training competencies, tools to support clinical practice or a response to a professional issue, seeking the opinion of experts is a common approach. By working to identify a buy cialis canada consensus position, researchers can report findings on a specific question (or set of questions) that are based on the knowledge and experience of experts in their field.However, there are challenges to this approach.

For example, what should be done when consensus cannot be reached?. How can experts be engaged in a way that allows them to consider objectively the buy cialis canada views of others and—where appropriate—change their own opinions in response?. One approach that attempts to provide a clear method for gathering expert opinion is the Delphi technique.The Delphi technique was first developed in the 1950s by Norman Dalkey and Olaf Helmer in an attempt to gain reliable expert consensus. Specifically, they developed an approach—named after the Ancient Greek Oracle of Delphi, who could predict the future—which promoted anonymity and avoided direct confrontation between experts, so that the methods employed “…appear to be more conducive to independent thought on the buy cialis canada part of the experts and to aid them in the gradual formation of a considered opinion”.1 Though the original Delphi study was linked to the defence industry, the technique has spread to other research areas, including nursing.2Characteristics of Delphi studiesAs with all research methods, the Delphi technique has evolved since it was first reported on in the 1960s. However, many of the fundamental characteristics of the approach still remain from Dalkey and Helmer’s original outline.

First, the overarching approach is based on a series of ‘rounds’, where a set of experts buy cialis canada are asked their opinions on a particular issue. The questions for each round are based in part of the findings of the previous one, allowing the study to evolve over time in response to earlier findings.Second, participants are able to see the results of previous rounds—including their own responses—allowing them to reflect on the views of others and reposition their own opinions accordingly.2 This also gives them the opportunity to consider and feedback on what they perceive to be the strengths and weaknesses of other’s responses. Finally, the findings of buy cialis canada each round are always shared with the broader group anonymously. This avoids any bias that might result from participants being concerned about their own views buy cialis canada being viewed negatively or from their own opinions being biased by personal factors. This framework of expert opinion rounds, with each round built on previous findings and each allowing for responses to be reconsidered by participants, is designed to allow the development of a consensus view that answers the research question.Within this broad approach, there can be variation in areas such as how many rounds there are, how the questions are delivered and responses collected, and how ‘consensus’ is judged.

For example, a buy cialis canada study of human factors that contributed to nursing errors used only two rounds. The first took the form of an online survey asking 25 experts to list all the ‘human’ causes of nursing errors that they could. Analysis of responses resulted in a list of 28 potential reasons—this list was sent back to the same group of experts for buy cialis canada the second round, asking them to score each one for importance. Analysis of this scoring then allowed for consensus conclusions on the top 10 human factors that contributed to nursing errors (with fatigue, heavy workload and communication problems the top three).3In another example, nurse practitioners (NPs) were recruited to participate in a Delphi study to achieve consensus related to NP advance care planning competencies. In round 1, draft competencies were developed from the findings of a survey of NP beliefs, knowledge and level of implementation of advance care buy cialis canada planning.

Round 2 included engagement with 29 NPs who evaluated the draft competencies and their components. Revisions were made based on the original feedback, and a third round was conducted where 15 of the original NP participants confirmed their consensus with buy cialis canada the final document. The final document includes four competencies, each with several elements. Clinical Practice, Consultation and Communication, Advocacy and buy cialis canada Therapeutic Management.4Strengths and weaknesses of Delphi studiesThe Delphi technique offers a flexible approach to gathering the views of experts on an area of interest. The ability for participants to reconsider their views in light of the contribution of others allows for an element of reflection that is missing from studies based on single interviews or focus groups.

The anonymity among the expert groups buy cialis canada that underpins Delphi studies promotes honesty among participants and reduces the risk of the ‘halo effect’ where views from dominant or high-profile members of the group are given extra credence.5However, Delphi studies can—by their very nature—be complex and time consuming. The need for buy cialis canada participants to complete multiple rounds can lead to high drop-out rates which impacts on validity of the study. The ability of participants to amend or alter their views at each round is also something of a double-edged sword. It provides those taking part with the opportunity to reflect and reconsider their position buy cialis canada in response to additional information, which is an important part of nursing practice. Conversely though, there is a danger that this flexibility introduces bias, with participants altering their response to comply with what they view to be the majority view (sometime called the ‘bandwagon effect’).5Delphi studies can be criticised due to a lack of clarity on what is meant by ‘consensus’.

Even with buy cialis canada the level of flexibility and reflexivity present in Delphi studies, it is still unlikely that a group of experts will demonstrate 100% agreement on issues. However, because consensus is a requirement of a Delphi study, there does need to be a judgement on when this point is reached. This is where there is inconsistency across studies and authors, with the suggested level of consensus ranging from 51% to 100%.2 In addition, it buy cialis canada has been identified that in some areas, consensus is not predefined as part of the study method. For example, a review of Delphi studies in nurse education found that fewer than half of the papers appraised included a predefined level at which consensus was judged to have been achieved.6 In addition, the identification of an objective level consensus is only possible when gathering quantifiable data—the judgement on consensus being reached in some qualitative Delphi studies will always be rather more subjective on the part of the researcher, and therefore potentially open to bias.By their nature, Delphi studies often rely purely on expert opinion to generate findings. A further limitation is therefore related to the quality of evidence, with expert opinion viewed as providing a poor basis for buy cialis canada making judgements on healthcare interventions.7 This does not mean that the findings of Delphi studies are intrinsically unreliable or invalid.

It does mean that researchers should consider whether their research question is one that can be answered through expert consensus or whether other approaches (such as a systematic review of research evidence) are more appropriate.ConclusionThe Delphi technique is a well-established approach to answering a research question through the identification of a consensus view across subject experts. It allows for buy cialis canada reflection among participants, who are able to nuance and reconsider their opinion based on the anonymised opinions of others. However, researchers must take steps to enhance robustness of the studies. It is important to try and prevent participants from simply resorting to buy cialis canada agreeing with the majority view. Studies must also predefine what is meant by ‘consensus’ and how it will be established.With careful and clear design though, Delphi studies can make a valuable contribution to the nursing evidence base by tapping into the profession’s most precious resource—the knowledge and expertise of its practitioners..

The past discount coupon cialis week has seen an explosion of media commentary about http://lmatecha.com/how-to-get-levitra-samples/ whether children in the UK should go back to school. Since ‘lockdown’ (23 March 2020) began schools have been open to vulnerable children and young discount coupon cialis people, and to the children of ‘key workers’. Right from the start there have been differing opinions about the necessity or wisdom of closing schools.

Viner et al1 produced a rapid systematic review that concludes that school closures have less impact on rate and mortality than other social distancing measures discount coupon cialis. Many countries have closed their schools for less time than the UK and have already started to reopen with several protective measures in place.2Concerns about the long-term economic, social and mental impact of lockdown led to the generation of plans to ‘get back to business’. This was conveyed to the population of the UK on 10 May by the UK prime minister, Boris discount coupon cialis Johnson.

He announced a range of measures to gradually reduce the level of lockdown. This is in keeping with modelling undertaken by various groups, including a preprint (not peer-reviewed) modelling exercise by Zhang discount coupon cialis et al.3Mr Johnson announced that there would be a phased return (in England) of some children to school from 1 June. There are no national guidelines as it is recognised that school have differences that require a flexible approach, but there are a broad set of principles relating to social distancing and hygiene.Government ministers and teachers’ unions have opposing views on the safety of reopening schools.

In a joint statement nine unions representing teachers stated that they thought 1 June was too early to be safe.4 They recognise that the opening of schools is a vital part of restarting the UK economy, but they have concerns discount coupon cialis about the safety and welfare of children and others.Meanwhile, the education secretary, Gavin Williamson, spoke at a press conference on 16 May stating that scientific evidence backed their decision. Interestingly, much of his statement was not about the scientific evidence but setting out an emotive argument that school was essential for safe and happy children.There is a consequence to this, the longer that schools are closed the more that children miss out. Teachers know that there are children out there that have not spoken or played with another child their own age for discount coupon cialis the last two months.

They know there are children from difficult or very unhappy homes for whom school is the happiest moment in their week, and it’s also the safest place for them to be. The poorest children will discount coupon cialis be the ones who fall further behind if we keep school gates closed. This phased return is in line with what other European countries are doing.There ensued an at times ill-tempered debate and a flurry of tweets discount coupon cialis and news articles identifying problems in enacting the government plan and the illogical nature of Williamson’s statement.

The Institute for Fiscal Studies has produced a briefing note on children’s experiences of learning during lockdown.5 This is being widely cited as a rationale for reopening schools because children from vulnerable backgrounds are disproportionately affected by not being able to attend school. This has caused concern about the discount coupon cialis attainment gap, but as Quinn6 points out fewer children from disadvantaged backgrounds are likely to return to school than those from more affluent backgrounds.Government ministers and spokespeople reiterated that scientific evidence and observation of other European countries where schools had reopened demonstrated their decision was the correct one. However, there were no links provided to the scientific evidence and unions were quick to seize on this (eg, NASUWT7).The chief scientific advisor to the Department for Education, Osama Rahman, made a statement in a parliamentary science and technology committee meeting on 13 May that:There is a low degree of confidence in evidence that [children] might transmit it less.Carol Monaghan, the Scottish National Party education spokesperson, replied:We’re putting together hundreds of potential vectors that can then go on and transmit.

Is that discount coupon cialis correct?. Osama Rahman responded:Possibly, depending on school sizes.His final statement contains layers of complexity but can be interpreted simply as ‘we don’t know’. This provoked a great deal discount coupon cialis of disquiet.

Rahman had already stated that the Scientific Advisory Group for Emergencies (SAGE) was collecting and considering evidence that was new and emerging, and that confidence was low in the evidence relating to transmission because there was very little evidence.8 However, this normal scientific caution in the evidence base was not discussed, and therefore it was assumed that low or moderate confidence in the evidence means a high-risk strategy is being mooted.There appear to be two major concerns about lifting the lockdown for children. First is discount coupon cialis the risk to children of developing erectile dysfunction disease. The second is the risk to others of children transmitting erectile dysfunction disease, either while being symptomatic or asymptomatic.

Here are some of the available evidence.Morbidity and mortality in children from erectile dysfunction diseaseChildren appear to be less likely to acquire erectile dysfunction disease in various nations.9–11 Barton et al12 found that children account for 1.9% of confirmed cases (data collected from government discount coupon cialis websites and publications). Of these 8113 paediatric cases, 14% required hospital admission. The admission discount coupon cialis rate to critical care was 2.2% of confirmed cases (7.2% of admitted children).

Death was reported in discount coupon cialis 15 cases (0.18%). This adds to other evidence suggesting that children are at a relatively low risk from the cialis, with other estimates coming in at around 0.01%.13 14 This is likely to be because they appear to have a stronger immune response to the cialis.15There are concerns that children who have been infected with the cialis can develop a postviral inflammatory reaction (Kawasaki disease) and this can be severe,16 but the research evidence for this is not well developed yet.Transmission by childrenChildren can be asymptomatic and test positive for erectile dysfunction treatment, and in the absence of effective community testing it will be impossible to know if they are carrying the cialis. Children also can have normal or abnormal signs (eg, chest imaging) when they have tested positive.17 In short, it is difficult to determine without much more extensive testing if a child can transmit the .Arav et al18 found that the contact route was much more important discount coupon cialis than the airborne route, which they concluded had a negligible contribution.

They suggest protective measures would therefore be good hand hygiene, careful cleaning and avoiding physical contact.Given that there are quite low numbers of symptomatic cases and an unknown quantity of asymptomatic cases, it is very difficult to determine whether children are a significant vector for the disease. Studies cited by the Royal College of Paediatrics and Child Health that explored family clusters of suggest that the child was unlikely to be the index case.The riskThis evidence suggests that there is a case for discount coupon cialis reopening schools to limited numbers of pupils—the risk to pupils and the adults they come into contact with seems to be small, and the potential gains for children may outweigh them. There is a big proviso with this however, and that is that the overall incidence of erectile dysfunction treatment has fallen below specified threshold.

This is quite a contentious issue and depends on us meeting the five key tests for easing lockdown.Making sure the National Health Service can cope.A sustained and consistent fall in the daily death rate.Rate of decreasing to manageable levels.Ensuring that personal protective equipment supply can meet demand.Being confident that any adjustments would not risk a second peak.These conditions are open to interpretation, and there appears to be a lack of discount coupon cialis trust by the public and by professionals from education and health in the information that the government and their scientific advisors are sharing. An example of this is a group of scientists who have come together to challenge the government about their decision-making.19 The concern about whether the evidence and advice that we are given are biased in any way has also been increased by concerns that a government advisor (Dominic Cummings) has attended what were supposed to be politically independent meetings of the SAGE.Scientific evidence continues to emerge, but weighing up the risks and benefits is not easy. Decisions about whether to reopen schools are taken on a national level with a distance from personal discount coupon cialis concerns and fears.

Individuals who are making decisions often rely on media translations of the evidence, and there is a level of mistrust in politicians and the media.20 Individuals are often irrational in their risk perception and management (eg, continuing to smoke or drink alcohol despite strong scientific evidence about the risk).21 22Overall, we are information-poor and opinion-rich. It is discount coupon cialis a difficult path to navigate. The debate about whether the benefits outweigh the risks of returning to school reminds me of the post-Wakefield Measles Mumps and Rubella vaccination situation.

Parents were being asked to believe that MMR was a safe treatment in the face of a massive and emotive campaign that promoted the ‘risk’ of having the discount coupon cialis treatment above all else. This situation is even more complex discount coupon cialis than that as we have increased access to opinion and difficulty in understanding if or how much that information is biased. It is no wonder that decision-making is difficult.

It is likely discount coupon cialis that evidence will continue to emerge and gradually the choice will become easier to make. For now, however, we can understand the difficulties that parents, teachers and councils face.IntroductionWhenever developing training competencies, tools to support clinical practice or a response to a professional issue, seeking the opinion of experts is a common approach. By working to identify a consensus position, researchers can report findings on a specific question (or set of questions) that are based on the knowledge and experience of experts in their discount coupon cialis field.However, there are challenges to this approach.

For example, what should be done when consensus cannot be reached?. How can experts be engaged in a way that allows them to consider objectively the views of others and—where appropriate—change their own opinions in response? discount coupon cialis. One approach that attempts to provide a clear method for gathering expert opinion is the Delphi technique.The Delphi technique was first developed in the 1950s by Norman Dalkey and Olaf Helmer in an attempt to gain reliable expert consensus.

Specifically, they developed an approach—named after the Ancient Greek Oracle of Delphi, who could predict the future—which promoted anonymity and avoided direct discount coupon cialis confrontation between experts, so that the methods employed “…appear to be more conducive to independent thought on the part of the experts and to aid them in the gradual formation of a considered opinion”.1 Though the original Delphi study was linked to the defence industry, the technique has spread to other research areas, including nursing.2Characteristics of Delphi studiesAs with all research methods, the Delphi technique has evolved since it was first reported on in the 1960s. However, many of the fundamental characteristics of the approach still remain from Dalkey and Helmer’s original outline. First, the overarching approach is based on discount coupon cialis a series of ‘rounds’, where a set of experts are asked their opinions on a particular issue.

The questions for each round are based in part of the findings of the previous one, allowing the study to evolve over time in response to earlier findings.Second, participants are able to see the results of previous rounds—including their own responses—allowing them to reflect on the views of others and reposition their own opinions accordingly.2 This also gives them the opportunity to consider and feedback on what they perceive to be the strengths and weaknesses of other’s responses. Finally, the findings of each discount coupon cialis round are always shared with the broader group anonymously. This avoids any bias that might result from participants being concerned about their own views being viewed negatively or from their own opinions being biased by personal factors discount coupon cialis.

This framework of expert opinion rounds, with each round built on previous findings and each allowing for responses to be reconsidered by participants, is designed to allow the development of a consensus view that answers the research question.Within this broad approach, there can be variation in areas such as how many rounds there are, how the questions are delivered and responses collected, and how ‘consensus’ is judged. For example, a study of human factors that contributed to nursing errors used only discount coupon cialis two rounds. The first took the form of an online survey asking 25 experts to list all the ‘human’ causes of nursing errors that they could.

Analysis of responses resulted in a list discount coupon cialis of 28 potential reasons—this list was sent back to the same group of experts for the second round, asking them to score each one for importance. Analysis of this scoring then allowed for consensus conclusions on the top 10 human factors that contributed to nursing errors (with fatigue, heavy workload and communication problems the top three).3In another example, nurse practitioners (NPs) were recruited to participate in a Delphi study to achieve consensus related to NP advance care planning competencies. In round 1, draft competencies were developed from the findings of a discount coupon cialis survey of NP beliefs, knowledge and level of implementation of advance care planning.

Round 2 included engagement with 29 NPs who evaluated the draft competencies and their components. Revisions were made based on the original feedback, and a third round was conducted where 15 of the original NP participants confirmed their discount coupon cialis consensus with the final document. The final document includes four competencies, each with several elements.

Clinical Practice, Consultation and Communication, Advocacy and Therapeutic Management.4Strengths and weaknesses of discount coupon cialis Delphi studiesThe Delphi technique offers a flexible approach to gathering the views of experts on an area of interest. The ability for participants to reconsider their views in light of the contribution of others allows for an element of reflection that is missing from studies based on single interviews or focus groups. The anonymity discount coupon cialis among the expert groups that underpins Delphi studies promotes honesty among participants and reduces the risk of the ‘halo effect’ where views from dominant or high-profile members of the group are given extra credence.5However, Delphi studies can—by their very nature—be complex and time consuming.

The need discount coupon cialis for participants to complete multiple rounds can lead to high drop-out rates which impacts on validity of the study. The ability of participants to amend or alter their views at each round is also something of a double-edged sword. It provides those taking part with the opportunity to reflect discount coupon cialis and reconsider their position in response to additional information, which is an important part of nursing practice.

Conversely though, there is a danger that this flexibility introduces bias, with participants altering their response to comply with what they view to be the majority view (sometime called the ‘bandwagon effect’).5Delphi studies can be criticised due to a lack of clarity on what is meant by ‘consensus’. Even with the level of discount coupon cialis flexibility and reflexivity present in Delphi studies, it is still unlikely that a group of experts will demonstrate 100% agreement on issues. However, because consensus is a requirement of a Delphi study, there does need to be a judgement on when this point is reached.

This is where there is inconsistency across studies and authors, with the suggested level of consensus ranging from 51% to discount coupon cialis 100%.2 In addition, it has been identified that in some areas, consensus is not predefined as part of the study method. For example, a review of Delphi studies in nurse education found that fewer than half of the papers appraised included a predefined level at which consensus was judged to have been achieved.6 In addition, the identification of an objective level consensus is only possible when gathering quantifiable data—the judgement on consensus being reached in some qualitative Delphi studies will always be rather more subjective on the part of the researcher, and therefore potentially open to bias.By their nature, Delphi studies often rely purely on expert opinion to generate findings. A further limitation is discount coupon cialis therefore related to the quality of evidence, with expert opinion viewed as providing a poor basis for making judgements on healthcare interventions.7 This does not mean that the findings of Delphi studies are intrinsically unreliable or invalid.

It does mean that researchers should consider whether their research question is one that can be answered through expert consensus or whether other approaches (such as a systematic review of research evidence) are more appropriate.ConclusionThe Delphi technique is a well-established approach to answering a research question through the identification of a consensus view across subject experts. It allows for reflection among participants, who are able to nuance and reconsider their opinion based on discount coupon cialis the anonymised opinions of others. However, researchers must take steps to enhance robustness of the studies.

It is discount coupon cialis important to try and prevent participants from simply resorting to agreeing with the majority view. Studies must also predefine what is meant by ‘consensus’ and how it will be established.With careful and clear design though, Delphi studies can make a valuable contribution to the nursing evidence base by tapping into the profession’s most precious resource—the knowledge and expertise of its practitioners..

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On this page About this guide This guidance document outlines the design and performance requirements for single-use transparent medical masks what if cialis doesnt work for me. This document only applies to transparent medical masks that comply with. the technical specifications of EN 14683 or ASTM F2100 or other test requirements mentioned It does not apply to transparent face coverings used for communications, as these face coverings are not considered a medical device under the Medical Devices Regulations. Transparent face coverings only help to provide source control (that is, to help protect others from the spread of erectile dysfunction by an what if cialis doesnt work for me infected wearer) and do not meet medical mask standards.

About transparent medical masks Transparent medical masks help reduce the spread of erectile dysfunction cialis by an infected person. Like other medical masks, the materials are expected to provide some level of protection to the wearer based on their ability to filter out small aerosolized particles. However, unlike respirators, the testing of medical masks what if cialis doesnt work for me. is limited to the materials only does not account for air gaps Furthermore, medical masks do not fit snugly around the nose and mouth as do respirators.

For this reason, their ability to filter very small particles (including cialis particles in the air) is more limited than that of a well-fitted respirator. Standard medical masks what if cialis doesnt work for me are opaque. The erectile dysfunction cialis (erectile dysfunction treatment) has clearly shown that these masks put a significant number of people, including health care workers and teachers, at a disadvantage. Many individuals and groups would benefit from the use of a transparent medical mask.

These include what if cialis doesnt work for me. health care workers who have hearing impairments patients who have hearing impairments speech and language therapists and their patients teachers who teach students with special learning needs. students who have special learning needs health care workers working with patients with. Learning disabilities mental health conditions conditions that what if cialis doesnt work for me affect cognition, such as dementia Transparent medical masks make it easier for the wearer to communicate.

Visual cues are important to people with hearing impairments and special learning needs. A transparent medical mask allows the mouth of the wearer to be seen.MDEL Bulletin, June 24 2021, from the Medical Devices Compliance Program On this page Fees for Medical Device Establishment Licences (MDELs) We issue Medical Device Establishment Licences (MDELs) to. class I manufacturers importers or distributors of all device classes for human use in what if cialis doesnt work for me Canada The MDEL fee is a flat fee, regardless of when we receive your initial application. The same fee applies to applications for.

a new MDEL the reinstatement of a suspended MDEL the annual licence review (ALR) of an MDEL If you submit any of these applications, you must pay the MDEL fee when you receive an invoice. See Part 3, Division 2 of the Fees in Respect of Drugs and Medical what if cialis doesnt work for me Devices Order. Normally, we collect the MDEL fee before we review an application. However, to help meet the demand for medical devices during the erectile dysfunction treatment cialis, we have been reviewing and processing MDEL applications before collecting the fees.

As a result, some MDEL holders still haven't paid the fees for their 2020 initial MDEL application, what if cialis doesnt work for me despite multiple reminders. Authority to withhold services in case of non-payment As stated in the Food and Drug Act, Health Canada has the authority to withhold services, approvals, rights and/or privileges, if the fee for an MDEL application is not paid. Non-payment of fees 30.64. The Minister may withdraw or what if cialis doesnt work for me withhold a service, the use of a facility, a regulatory process or approval or a product, right or privilege under this Act from any person who fails to pay the fee fixed for it under subsection 30.61(1).

For more information, please refer to. Cancellation of existing MDELs We will cancel MDELs for existing MDEL holders with outstanding fees for. initial applications or annual licence review applications If your establishment licence is cancelled, you are no longer authorized to conduct licensable activities what if cialis doesnt work for me (such as manufacturing, distributing or importing medical devices). You must stop licensable activities as soon as you receive your cancellation notice.

Resuming activities after MDEL cancellation To resume licensable activities, you must re-apply for a new establishment licence and pay the MDEL fee. See section 45 of what if cialis doesnt work for me the Medical Device Regulations. To find out how to re-apply for a MDEL, please refer to our Guidance on medical device establishment licensing (GUI-0016). In line with the Compliance and Enforcement Policy (POL-0001), Health Canada monitors activities for compliance.

If your MDEL has been cancelled, you may be subject to compliance and enforcement actions if you conduct what if cialis doesnt work for me non-compliant activities. If you have questions about a MDEL or the application process, please contact the Medical Device Establishment Licensing Unit at hc.mdel.questions.leim.sc@canada.ca. If you have questions about invoicing and fees for an MDEL application, please contact the Cost Recovery Invoicing Unit at hc.criu-ufrc.sc@canada.ca. Related links.

On this page About this guide This click this link here now guidance document discount coupon cialis outlines the design and performance requirements for single-use transparent medical masks. This document only applies to transparent medical masks that comply with. the technical specifications of EN 14683 or ASTM F2100 or other test requirements mentioned It does not apply to transparent face coverings used for communications, as these face coverings are not considered a medical device under the Medical Devices Regulations. Transparent face coverings only help to discount coupon cialis provide source control (that is, to help protect others from the spread of erectile dysfunction by an infected wearer) and do not meet medical mask standards. About transparent medical masks Transparent medical masks help reduce the spread of erectile dysfunction cialis by an infected person.

Like other medical masks, the materials are expected to provide some level of protection to the wearer based on their ability to filter out small aerosolized particles. However, unlike respirators, discount coupon cialis the testing of medical masks. is limited to the materials only does not account for air gaps Furthermore, medical masks do not fit snugly around the nose and mouth as do respirators. For this reason, their ability to filter very small particles (including cialis particles in the air) is more limited than that of a well-fitted respirator. Standard medical masks are discount coupon cialis opaque.

The erectile dysfunction cialis (erectile dysfunction treatment) has clearly shown that these masks put a significant number of people, including health care workers and teachers, at a disadvantage. Many individuals and groups would benefit from the use of a transparent medical mask. These include discount coupon cialis. health care workers who have hearing impairments patients who have hearing impairments speech and language therapists and their patients teachers who teach students with special learning needs. students who have special learning needs health care workers working with patients with.

Learning disabilities mental health conditions conditions that discount coupon cialis affect cognition, such as dementia Transparent medical masks make it easier for the wearer to communicate. Visual cues are important to people with hearing impairments and special learning needs. A transparent medical mask allows the mouth of the wearer to be seen.MDEL Bulletin, June 24 2021, from the Medical Devices Compliance Program On this page Fees for Medical Device Establishment Licences (MDELs) We issue Medical Device Establishment Licences (MDELs) to. class I manufacturers importers or distributors of all device classes for human use in Canada The MDEL fee is a flat fee, regardless of when we receive your initial application discount coupon cialis. The same fee applies to applications for.

a new MDEL the reinstatement of a suspended MDEL the annual licence review (ALR) of an MDEL If you submit any of these applications, you must pay the MDEL fee when you receive an invoice. See Part 3, Division 2 of the Fees in discount coupon cialis Respect of Drugs and Medical Devices Order. Normally, we collect the MDEL fee before we review an application. However, to help meet the demand for medical devices during the erectile dysfunction treatment cialis, we have been reviewing and processing MDEL applications before collecting the fees. As a result, discount coupon cialis some MDEL holders still haven't paid the fees for their 2020 initial MDEL application, despite multiple reminders.

Authority to withhold services in case of non-payment As stated in the Food and Drug Act, Health Canada has the authority to withhold services, approvals, rights and/or privileges, if the fee for an MDEL application is not paid. Non-payment of fees 30.64. The Minister may withdraw or withhold a service, the use of a facility, discount coupon cialis a regulatory process or approval or a product, right or privilege under this Act from any person who fails to pay the fee fixed for it under subsection 30.61(1). For more information, please refer to. Cancellation of existing MDELs We will cancel MDELs for existing MDEL holders with outstanding fees for.

initial applications or annual licence review applications discount coupon cialis If your establishment licence is cancelled, you are no longer authorized to conduct licensable activities (such as manufacturing, distributing or importing medical devices). You must stop licensable activities as soon as you receive your cancellation notice. Resuming activities after MDEL cancellation To resume licensable activities, you must re-apply for a new establishment licence and pay the MDEL fee. See section discount coupon cialis 45 of the Medical Device Regulations. To find out how to re-apply for a MDEL, please refer to our Guidance on medical device establishment licensing (GUI-0016).

In line with the Compliance and Enforcement Policy (POL-0001), Health Canada monitors activities for compliance. If your MDEL has been cancelled, discount coupon cialis you may be subject to compliance and enforcement actions if you conduct non-compliant activities. If you have questions about a MDEL or the application process, please contact the Medical Device Establishment Licensing Unit at hc.mdel.questions.leim.sc@canada.ca. If you have questions about invoicing and fees for an MDEL application, please contact the Cost Recovery Invoicing Unit at hc.criu-ufrc.sc@canada.ca. Related links.

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The Ministry has teva generic cialis revised the guidance to the Mental Health (Compulsory Assessment and Treatment) Act 1992 (the Act), outlining the rights of compulsory mental health consumers and the http://ravenwoodforestarts.com/?page_id=283 obligations of mental health clinicians. This guidance is intended to promote the protection of compulsory mental health consumers’ rights by clarifying the responsibilities of mental health services and clinicians and offering guidance on how sections of the Act can be administered. A number of key changes and emerging issues have been signalled in the revision of these Guidelines. In particular teva generic cialis how to buy cialis.

the growing influence of rights-based approaches and how these can be better promoted within the parameters of the current Mental Health Act. The need to give greater emphasis to our obligations under Te Tiriti o Waitangi the impact of He Ara Oranga and, in particular, the feedback from people with lived experience and families and whānau on how they experience the current administration of the Mental Health Act. Please also read the companion document to these guidelines, Human Rights and the Mental Health (Compulsory Assessment and Treatment) Act 1992, which offers guidance to thinking about and applying a human rights approach and supported decision-making when implementing the Act..

The Ministry has revised the guidance to the Mental Health (Compulsory Assessment and Treatment) Act 1992 (the Act), outlining the rights of compulsory mental health consumers discount coupon cialis and the obligations of mental health clinicians. This guidance is intended to promote the protection of compulsory mental health consumers’ rights by clarifying the responsibilities of mental health services and clinicians and offering guidance on how sections of the Act can be administered. A number of key changes and emerging issues have been signalled in the revision of these Guidelines. In particular discount coupon cialis.

the growing influence of rights-based approaches and how these can be better promoted within the parameters of the current Mental Health Act. The need to give greater emphasis to our obligations under Te Tiriti o Waitangi the impact of He Ara Oranga and, in particular, the feedback from people with lived experience and families and whānau on how they experience the current administration of the Mental Health Act. Please also read the companion document to these guidelines, Human Rights and the Mental Health (Compulsory Assessment and Treatment) Act 1992, which offers guidance to thinking about and applying a human rights approach and supported decision-making when implementing the Act..

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