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Draft Operational Plan 2015/16 community presentation maitlandyoursay
The document summarizes Maitland City Council's draft Operational Plan for 2015/16. The plan focuses on meeting service commitments, maintaining financial sustainability, and addressing population growth. It outlines key projects and actions in areas like infrastructure, the environment, economic development, and community engagement. The budget is balanced at $110.4 million in income and expenditure, with increases to rates, employee costs, and the capital works program. Productivity savings of $500,000 per year are also committed through service and process improvements. Community feedback on the draft plan will be incorporated before it takes effect on July 1, 2015.
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Sanjib Dutta is seeking a new position and has over 17 years of experience in instrumentation project management, commissioning, maintenance, and procurement for petrochemical plants in Assam, India, currently working as Deputy Manager at Brahmaputra Cracker & Polymer Limited. He provides details on his educational background and instrumentation skills, and includes summaries of his work experience over the past 17 years at Brahmaputra Cracker & Polymer Limited and Assam Petrochemicals Limited managing various instrumentation projects, commissioning, and plant maintenance.
The document summarizes the 2010-2011 budget presentation of the Lopatcong Township School District. The budget aims to meet educational standards while controlling costs. It reduces spending by $734,375 through cuts like instructional positions and capital reserves. The budget maintains current educational programs with a 1.3% increase despite reductions in state aid and federal stimulus funds. This results in a tax rate increase of 2.9% for taxpayers.
Draft Operational Plan 2015/16 community presentation maitlandyoursay
The document summarizes Maitland City Council's draft Operational Plan for 2015/16. The plan focuses on meeting service commitments, maintaining financial sustainability, and addressing population growth. It outlines key projects and actions in areas like infrastructure, the environment, economic development, and community engagement. The budget is balanced at $110.4 million in income and expenditure, with increases to rates, employee costs, and the capital works program. Productivity savings of $500,000 per year are also committed through service and process improvements. Community feedback on the draft plan will be incorporated before it takes effect on July 1, 2015.
This document discusses building a web application for searching and provides instructions for using keyboard shortcuts. It reminds the reader not to forget something at the end.
Sanjib Dutta is seeking a new position and has over 17 years of experience in instrumentation project management, commissioning, maintenance, and procurement for petrochemical plants in Assam, India, currently working as Deputy Manager at Brahmaputra Cracker & Polymer Limited. He provides details on his educational background and instrumentation skills, and includes summaries of his work experience over the past 17 years at Brahmaputra Cracker & Polymer Limited and Assam Petrochemicals Limited managing various instrumentation projects, commissioning, and plant maintenance.
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2) The Ministry of Education budgeting process involves multi-year projections to reduce expenditures by 15% over 3 years, with individual targets for each year.
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Cllr Mike Jones presented on the challenges facing local governments in the next 5 years, including an aging population, meeting housing and infrastructure needs, and responding to rising public expectations. Key points include:
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The document discusses challenges facing the NHS in England and reforms proposed to address them. It outlines population aging and rising chronic disease prevalence as challenges. The Five Year Forward View proposes integrated primary and community care networks and greater emphasis on prevention. However, public health budgets are being cut even as needs rise. The success of reforms will depend on evaluation of outcomes, efficiency, experiences and the impact of funding changes.
This document provides an annual review of VAL (Voluntary Action LeicesterShire) for 2013-2014. It summarizes the highlights and achievements across VAL's various services over the year, including supporting over 1000 local groups, engaging 5000 people through Healthwatch, and managing multiple websites and communications channels. It also outlines VAL's financial position, future plans for 2014-2015, and introduces the newly elected trustees.
Wycombe District Council has received over £4.5 million from its Community Infrastructure Levy (CIL) since 2012, which is used to fund infrastructure projects like transport improvements, town centers, education, and public realm spaces. CIL provides relatively simple and certain funding compared to section 106 agreements. Funds are allocated every 3 years and spent according to the Infrastructure Delivery Plan and approved strategies. Challenges include balancing developer certainty with flexibility for strategic site requirements.
The document provides an overview of the UK and Northern Ireland public expenditure systems. The UK system is based on total managed expenditure, departmental expenditure limits, and annually managed expenditure. Northern Ireland's system derives from the Good Friday Agreement and involves setting strategic priorities and a budget through consultation. Departments then receive current and investment expenditure allocations, and spending is monitored through the year against the original budget plans.
Mendon & Upton Target Share: Implications of an Overridejpm66
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The document discusses the financial challenges facing the local council and the need to reduce costs and meet budget gaps. It provides an overview of the council's priorities, sources of income, and spending pressures. The majority of the council's budget is spent on statutory services like adult social care, children's services, and waste management, leaving a small base for discretionary services. Due to funding reductions from central government and rising costs, the council will need to focus only on statutory duties and explore other options for delivering services through partnerships or community groups. The council is seeking input on priorities and ideas for meeting the financial challenge in a sustainable way.
The document outlines budget saving proposals for Monmouthshire County Council in response to cuts in funding. It discusses:
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- Ideas from public engagement events in October were reviewed and some, like charging for library internet use and transferring grounds maintenance, are being implemented.
- Proposed savings include reducing employee and supply costs, increasing income from services, cutting grants, changing services, and increasing council tax up to 5%.
- The proposals aim to minimize service impact while still addressing the budget gap, but more help and ideas from the public are sought.
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- Devolution of powers from central government to local areas offers economic, political and social benefits but progress has been mainly through individual city and region deals.
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because the population to be treated is known to include substantial numbers of
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Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
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Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
7. East Ayrshire
•Funding Position Confirmed by Improvement
Service
•Budget Additions
– Children & Young People Bill Funded
– Additional £0.500m for Community Care
8. East Ayrshire (2)
– Pension Changes
– Health and Social Care Integration
– Severance costs
– Coalfields Impact
– Budget Gap :
• increased from
• to
£34.004m (2012)
£35.793m (2013)
9. The 2012/13 Budget Progress
•
•
•
•
•
•
School Transport
School estate
Leisure Trust
Vibrant Communities Service
Grants Arrangements
Departmental Efficiencies
10. The 2012/13 Budget continuing
•
•
•
•
•
•
•
•
Estate rationalisation
Community Asset Transfer
School rationalisation
Energy efficiency
Waste management
Customer contact
Administrative and Clerical Review
Supported accommodation
13. CONSULTATION PROPOSALS
Service Proposal
CC
Review of charges and charging policy
CC
Re-ablement and independent living
C and F Reduce secure accommodation
Saving (£)
234,926
2,269,310
21,129
CF/CS
New approach to support for children
HES
Brown bins in winter months
32,000
HES
Review planted amenity areas
26,000
FCS
Group Life Assurance Scheme
167,000
TOTAL
1,000,000
3,750,365
14.
15. Consultation
Date
Format
Venue
Timings
31 October
Parent’s Strategy Group
London Road HQ
7pm – 9pm
7 November
Coalfield Communication
Federation
Rothesay House,
Cumnock
7pm – 9pm
11 November
North Federation
London Road HQ
7pm – 9pm
13 November
Tenants’ & Residents’’
Federation
Own Offices
10am
14 November
Equalities Forum
London Road HQ,
Chambers
London Road HQ,
Chambers
12:30 – 4:30pm
London Road HQ,
Chambers
London Road HQ,
Chambers
8am – 10am
Future East Ayrshire Live
Q&A with panel
15 November
Business Breakfast
Children & Young People
Forum
7-8:30pm
Live online broadcast
throughout
11am – 12pm
16. TIMESCALES
• Staff Consultation W/C 28 October 2013
• Public Consultation Events 4 November – 15 November
• “Question Time” Event 14 November 2013
• Cabinet Recommendation 11 December 2013
• Council Set Budget 12 December 2013