Veterinarians always consider a bloat case a true emergency that demands immediate attention for the best
change of a good outcome for the patient.
Not exact matches
Important factors that could cause actual results to differ materially from those reflected in such forward - looking statements and that should be considered in evaluating our outlook include, but are not limited to, the following: 1) our ability to continue to grow our business and execute our growth strategy, including the timing, execution, and profitability
of new and maturing programs; 2) our ability to perform our obligations under our new and maturing commercial, business aircraft, and military development programs, and the related recurring production; 3) our ability to accurately estimate and manage performance, cost, and revenue under our contracts, including our ability to achieve certain cost reductions with respect to the B787 program; 4) margin pressures and the potential for additional forward losses on new and maturing programs; 5) our ability to accommodate, and the cost
of accommodating, announced increases in the build rates
of certain aircraft; 6) the effect on aircraft demand and build rates
of changing customer preferences for business aircraft, including the effect
of global economic conditions on the business aircraft market and expanding conflicts or political unrest in the Middle East or Asia; 7) customer cancellations or deferrals as a result
of global economic uncertainty or otherwise; 8) the effect
of economic conditions in the industries and markets in which we operate in the U.S. and globally and any
changes therein, including fluctuations in foreign currency exchange rates; 9) the success and timely execution
of key milestones such as the receipt
of necessary regulatory approvals, including our ability to obtain in a timely fashion any required regulatory or other third party approvals for the consummation
of our announced acquisition
of Asco, and customer adherence to their announced schedules; 10) our ability to successfully negotiate, or re-negotiate, future pricing under our supply agreements with Boeing and our other customers; 11) our ability to enter into profitable supply arrangements with additional customers; 12) the ability
of all parties to satisfy their performance requirements under existing supply contracts with our two major customers, Boeing and Airbus, and other customers, and the risk
of nonpayment by such customers; 13) any adverse impact on Boeing's and Airbus» production
of aircraft resulting from cancellations, deferrals, or reduced orders by their customers or from labor disputes, domestic or international hostilities, or acts
of terrorism; 14) any adverse impact on the demand for air travel or our operations from the outbreak
of diseases or epidemic or pandemic outbreaks; 15) our ability to avoid or recover from cyber-based or other security attacks, information technology failures, or other disruptions; 16) returns on pension plan assets and the impact
of future discount rate
changes on pension obligations; 17) our ability to borrow additional funds or refinance debt, including our ability to obtain the debt to finance the purchase price for our announced acquisition
of Asco on favorable terms or at all; 18) competition from commercial aerospace original equipment manufacturers and other aerostructures suppliers; 19) the effect
of governmental laws, such as U.S. export control laws and U.S. and foreign anti-bribery laws such as the Foreign Corrupt Practices Act and the United Kingdom Bribery Act, and environmental laws and agency regulations, both in the U.S. and abroad; 20) the effect
of changes in tax law, such as the effect
of The Tax Cuts and Jobs Act (the «TCJA») that was enacted on December 22, 2017, and
changes to the interpretations
of or guidance related thereto, and the Company's ability to accurately calculate and estimate the effect
of such
changes; 21) any reduction in our credit ratings; 22) our dependence on our suppliers, as
well as the cost and availability
of raw materials and purchased components; 23) our ability to recruit and retain a critical mass
of highly - skilled employees and our relationships with the unions representing many
of our employees; 24) spending by the U.S. and other governments on defense; 25) the possibility that our cash flows and our credit facility may not be adequate for our additional capital needs or for payment
of interest on, and principal
of, our indebtedness; 26) our exposure under our revolving credit facility to higher interest payments should interest rates increase substantially; 27) the effectiveness
of any interest rate hedging programs; 28) the effectiveness
of our internal control over financial reporting; 29) the
outcome or impact
of ongoing or future litigation, claims, and regulatory actions; 30) exposure to potential product liability and warranty claims; 31) our ability to effectively assess, manage and integrate acquisitions that we pursue, including our ability to successfully integrate the Asco business and generate synergies and other cost savings; 32) our ability to consummate our announced acquisition
of Asco in a timely matter while avoiding any unexpected costs, charges, expenses, adverse
changes to business relationships and other business disruptions for ourselves and Asco as a result
of the acquisition; 33) our ability to continue selling certain receivables through our supplier financing program; 34) the risks
of doing business internationally, including fluctuations in foreign current exchange rates, impositions
of tariffs or embargoes, compliance with foreign laws, and domestic and foreign government policies; and 35) our ability to complete the proposed accelerated stock repurchase plan, among other things.
There's still the risk
of these giant partners
changing course or getting the
better part
of the deal —
outcomes familiar to once - promising Canadian biotechs.
If you understand this fact, then suddenly, you can have a
better attitude toward the
change in your life while continuing to attempt to control the
outcomes as much as possible — but not letting the things that are out
of control upset you.
These improvements in
outcomes have surfaced amidst a number
of other important
changes in the environment as
well, including significant technological progress and
better economic policies.
Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain
good relationships with physicians, hospitals and other health care providers; the impact
of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits
of such transactions, including with respect to the Merger; the substantial level
of government regulation over our business and the potential effects
of new laws or regulations or
changes in existing laws or regulations; the
outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security
of our information technology and other business systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts
of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits
of the Merger as a condition to obtaining regulatory approvals; a longer time than anticipated to consummate the proposed Merger; problems regarding the successful integration
of the businesses
of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion
of management's attention from ongoing business operations and opportunities during the pendency
of the Merger; potential litigation associated with the proposed Merger; the ability to retain key personnel; the availability
of financing, including relating to the proposed Merger; effects on the businesses as a result
of uncertainty surrounding the proposed Merger; as
well as more specific risks and uncertainties discussed in our most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section
of www.cigna.com as
well as on Express Scripts» most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section
of www.express-scripts.com.
[01:10] Introduction [02:45] James welcomes Tony to the podcast [03:35] Tony's leap year birthday [04:15] Unshakeable delivers the specific facts you need to know [04:45] What James learned from Unshakeable [05:25] Most people panic when the stock market drops [05:45] Getting rid
of your fear
of investing [06:15] Last January was the worst opening, but it was a correction [06:45] You are losing money when you sell on corrections [06:55] Bear markets come every 5 years on average [07:10] The greatest opportunity for a millennial [07:40] Waiting for corrections to invest [08:05] Warren Buffet's advice for investors [08:55] If you miss the top 10 trading days a year... [09:25] Three different investor scenarios over a 20 year period [10:40] The
best trading days come after the worst [11:45] Investing in the current world [12:05] What Clinton and Bush think
of the current situation [12:45] The office is far bigger than the occupant [13:35] Information helps reduce fear [14:25] James's story
of the billionaire upset over another's wealth [14:45] What money really is [15:05] The story
of Adolphe Merkle [16:05] The story
of Chuck Feeney [16:55] The importance
of the right mindset [17:15] What fuels Tony [19:15] Find something you care about more than yourself [20:25] Make your mission to surround yourself with the right people [21:25] Suffering made Tony hungry for more [23:25] By feeding his mind, Tony found strength [24:15] Great ideas don't interrupt you, you have to pursue them [25:05] Never - ending hunger is what matters [25:25] Richard Branson is the epitome
of hunger and drive [25:40] Hunger is the common denominator [26:30] What you can do starting right now [26:55] Success leaves clues [28:10] What it means to take massive action [28:30] Taking action commits you to following through [29:40] If you do nothing you'll learn nothing [30:20] There must be an emotional purpose behind what you're doing [30:40] How does Tony ignite creativity in his own life [32:00] «How is not as important as «why» [32:40] What and why unleash the psyche [33:25] Breaking the habit
of focusing on «how» [35:50] Deep Practice [35:10] Your desired
outcome will determine your action [36:00] The difference between «what» and «why» [37:00] Learning how to chunk and group [37:40] Don't mistake movement for achievement [38:30] Tony doesn't negotiate with his mind [39:30]
Change your thoughts and change your biochemistry [40:00] The bad habit of being stressed [40:40] Beautiful and suffering states [41:50] The most important decision is to live in a beautiful state no matter what [42:40] Consciously decide to take yourself out of suffering [43:40] Focus on appreciation, joy and love [44:30] Step out of suffering and find the solution [45:00] Dealing with mercury poisoning [45:40] Tony's process for stepping out of suffering [46:10] Stop identifying with thoughts — they aren't yours [47:40] Trade your expectations for appreciation [50:00] The key to life — gratitude [51:40] What is freedom fo
Change your thoughts and
change your biochemistry [40:00] The bad habit of being stressed [40:40] Beautiful and suffering states [41:50] The most important decision is to live in a beautiful state no matter what [42:40] Consciously decide to take yourself out of suffering [43:40] Focus on appreciation, joy and love [44:30] Step out of suffering and find the solution [45:00] Dealing with mercury poisoning [45:40] Tony's process for stepping out of suffering [46:10] Stop identifying with thoughts — they aren't yours [47:40] Trade your expectations for appreciation [50:00] The key to life — gratitude [51:40] What is freedom fo
change your biochemistry [40:00] The bad habit
of being stressed [40:40] Beautiful and suffering states [41:50] The most important decision is to live in a beautiful state no matter what [42:40] Consciously decide to take yourself out
of suffering [43:40] Focus on appreciation, joy and love [44:30] Step out
of suffering and find the solution [45:00] Dealing with mercury poisoning [45:40] Tony's process for stepping out
of suffering [46:10] Stop identifying with thoughts — they aren't yours [47:40] Trade your expectations for appreciation [50:00] The key to life — gratitude [51:40] What is freedom for you?
Combine the reticence
of consumers to push for
change with the local realtor association - controlled MLSs, and a willingness by realtors to punish anyone
changing the status quo (by not showing a house, or pointing out flaws that would kill a sale), and the
best outcome for Zillow was to be an aggregator but not an integrator: the company was completely removed from the purchase process.
Thanks to the great job Bob has done, I inherit no pent - up need for
change and instead have the luxury
of starting next year knowing that business as usual is a
good outcome.
In our leadership work we show our leaders how to transmit a precise type
of leadership impact to meet different business
outcomes by using various specific postures and facial expressions that prime your behaviors to achieve the particular business
outcome, as
well as signal to others how your behaviors will
change outcomes.
Animals have to constantly adapt to a
changing environment and thus «conscious mental imagery, explicit anticipation
of likely
outcomes and simple thoughts about them are likely to achieve
better results than thoughtless reaction» (AT 41).
«There are a lot
of issues at the moment with wine brands coming into the UK from around the world but the longterm
outcome could be positive if Australia negotiates a
good free trade agreement with the UK, which could accelerate the
change of a shift
of emphasis from the Old World to the New World.
If you are not convinced we need a
change, when what I've been moaning here about for a long time is publicly confirmed by the godfather
of this club, then I really see no way
of getting a different
outcome than the one we know all to painfully
well...
Unless the business model
changes, Gunners be prepared for
best possible
outcomes of high table finishes without premierships and knicking the odd cup.
Maybe that needs to
change, if they act like children then you need to sometimes yell at your children especially when the
outcome is a 3 - 0 drumming
of a
good team like ManU.
One moment whether
good or bad can
change the
outcome of the whole game.
A future meeting
of the teams would do nothing to
change the
outcome of 2017, but it'd still be fun, and fun things are
good.
Only a few impossible last - minute deeds by the Cowboys could have
changed the
outcome of Super Bowl X, and though they were dead game and scored one more touchdown they just were not quite a
good enough football team to pull it off.
Leading the way, in fact, is Manchester City's Sergio Aguero, with nine; and yet look where his team are this season, with his two goals in a 4 - 2 defeat to United not doing a whole lot
of good to
change the
outcome of a big game.
When you have an event
of 5 in 1000, an extra 1 is a 16 % increase, while those 15
good outcomes improve the rate from all
of 5/1000 to 4.92 / 1000, or a
change of less than 1 %.
Furthermore, it is now clear that all kinds
of crying (i.e. fussing, crying and inconsolable crying) is prolonged, that this prolongation occurs only in the first few months, and that inconsolable crying is almost unique to the first few months
of life.3, 40 The «unpredictability»
of the crying, and
of the caregiver's ability or inability to soothe the infant is most likely due to the facts that (1) the infant cry in the first few months is a reflection
of the organization
of its behavioural states (crying, awake alert, sleeping), rather than an intentional «signal,» 14 (2) that behavioural state
changes occur in «steps» rather than due to increases or decreases in arousal7, 41 and (3) infants are resistant to behavioural state
change unless they are in a transitional phase in which they are «ready» to
change state.7 Finally, there is now
good evidence that the proportion
of infants that have evidence
of organic disease to explain their crying is less than 5 %.8, 42,43 In the absence
of other compromise, infants with «colic» have as
good an
outcome as infants without «colic.»
Improving the behavior
of the parent or caregiver
of children in high - risk situations actually
changes their physical chemistry, according to the studies Tough cites, leading to fewer behavior problems and greater success in school, as
well as measurably
better health
outcomes as years pass.
In other words, even when home visitation programs succeed in their goal
of changing parent behaviour, these
changes do not appear to produce significantly
better child
outcomes.21, 22 One recent exception, however, was a study
of the Home Instruction Program for Preschool Youngsters (HIPPY) model with low - income Latino families showing
changes in home parenting and
better third - grade math achievement.23 Earlier evaluations
of HIPPY found mixed results regarding program effectiveness.
Shafia's message calls us to the work
of «birthing
change» — increasing personal capacity, as health care professionals, doulas, and birth workers, that will ensure inclusion for
better birth
outcomes, and a world where all babies see their first birthday, and where mothers live to raise them.
If the referendum educates the public in the power
of their voice, and if it educates masses and elites to expand their moral imagination enough to recognize the complaints
of the other side, this experiment, although probably not the
best outcome, has the epistemic value desired by proponents
of deliberation, and its long - term effect may be more electoral stability and a renewed aversion to
change for the sake
of change.
During the 2012 elections, dark money groups — organizations that spend money on elections but do not have to disclose the sources
of their contributions — focused their spending on races that gave them the
best opportunity to
change the
outcome in favor
of their preferred candidate.
While the Rockland County Times certainly can not claim credit for our President's «
change of heart» on this vital issue, the many weeks
of articles that the Rockland County Times devoted to explaining the critical nature
of this project, which will bring many thousands
of high - paying jobs into the New York - New Jersey Metropolitan Area as
well as provide a much - needed «ONE - SEAT» train ride from Rockland County directly into Penn station, might have had some small influence on this favorable
outcome!
«Now that an increasing number
of PFI deals are in their operational stage, and
change will inevitably be needed over time, the public sector has to raise its game to get a
better outcome and use the guidance and resources available, particularly as
changes made to operational projects have not always provided value for money.»
While the unloved compromise
of AV was voted down by referendum, the
changing nature
of the British party system, and the likely messy
outcome of the vote in May, could
well put long - needed reform
of FPTP back on the table.
«We suspect that such
changes are associated with issues such as poor diet, risky and more dangerous behavior and generally not taking very
good care
of yourself, and overall, this contributes to poorer mental and physical health
outcomes.»
If hypofractionated radiation with curative intent can reduce the treatment time for lung cancer patients by half with no greater toxicity, and with equivalent — if not
better — tumor control and survival
outcomes, this research could result in a
change in the paradigm
of how a large subset
of locally advanced NSCLC patients are treated.»
Continued investigation
of this research may have strong implications for policy makers, public health professionals and school administrators to consider simple and sustainable environmental
changes in classrooms that can effectively increase energy expenditure and physical activity as
well as enhance cognitive development and education
outcomes.
«Firms with increasingly
good or bad performance spend more to influence the
outcome of a contested environmental policy issue» like climate
change, the authors said.
Identifying the earliest signs
of autism is important because it may allow for diagnosis before behavioural
changes appear, leading to earlier intervention and
better prospects for a positive
outcome.
As I understand it, the RCM
changed from a «Campaign for Normal Birth» to a «Campaign for
Better Births» because it wanted to campaign for improved care for the small proportion
of expectant mothers for whom medicalised birth is indicated, as
well as for the majority, for whom physiological birth is the preferred
outcome.
«We know that being inactive for long periods
of time is bad for you,» Benden said, «and this is an example
of technology actually affecting the very furniture to prompt behavioral
change and make
good choices that over many years add up to
good outcomes.»
The results in his thesis show that improved motor timing
of both female elite level soccer players and experienced male golfers leads to improved
outcome accuracy, with associated
changes in motor performance, as
well as in the brain's activity patterns related to these performances.
The team is currently pursuing further studies
of the impact
of Part D cost - sharing policies in different disease areas, and hopes ultimately to get a
better understanding not only
of changes in drug access but also
of the long range clinical
outcomes and costs associated with any delays or interruptions in treatment.
The net
outcome depends on exactly how much each factor
changes, as
well as on the amount
of moisture in the soil.
The
good news is that we can
change our health, our disease
outcomes and how we feel by eating real whole
good quality organic food, getting chemicals and toxins out
of our diets and environment, reducing stress, supporting the liver and our natural detox processes.
As the epic battle escalates and Caesar is forced to look deeper inside
of himself, the
outcome of this confrontation may very
well change the face
of the planet forever.
Below are the learning
outcomes: To be able to remember some
of the Great Women who
changed the world To be able to retell moments from their lives / their achievements To use drama as a tool for exploration To learn new drama techniques and skills To learn to structure rehearsal time and work
well as a team To evaluate others work and reflect upon your own.
Its strategy draws on advances in the biological, behavioral, and social sciences to: (1) identify causal mechanisms that influence developmental trajectories; (2) formulate theories
of change about how to produce
better outcomes; and (3) design and test new intervention approaches and measure their effectiveness in reducing barriers to learning and strengthening the foundations
of lifelong physical and mental health.
«As a school, we have, from the very beginning, been really focused on making sure that if we're going to adopt a practice, if we're going to make some sort
of change, that there is
good foundation for that and we are confident it's going to have a positive
outcome for the students, not just
changing for the sake
of it.»
Thinking about schools as social organizations, as James Coleman once did, will likely prove a much
better approach to addressing problems
of motivation than pursuing solutions that focus on using incentives or information to
change outcomes.
The collective power
of people ~ in a community ~ with
good ideas ~
changing the process to produce different
outcomes: thats legitimate innovation.
My evidence suggests that these
outcomes are likely the result
of stronger encouragement from teachers and guidance counselors to enroll in AP courses,
better information provided to students, and
changes in teacher and peer norms.
The Risk and Prevention Program has been renamed Prevention Science and Practice (PSP) / Counseling C.A.S.. Although the curriculum and educational experience
of students will not
change, the new name, says program director Mandy Savitz - Romer,
better reflects the integrated nature
of the program and its mission to prepare graduates to improve the social, emotional, and academic
outcomes of children and youth.
Within the new Children and Families Act 2014 are
changes to statutory assessment and a replacement
of SEN statements with new education, health and care (EHC) plans, introducing a more person - centred approach to assessing need and planning for
better outcomes for children and young people aged 0 — 25 years.
The department can identify the lowest performing states, and provide biennial information on the progress
of these states, both in terms
of what reforms they have implemented as
well as the
change in various
outcomes.