Ramon's Village Resort has seen a lot
of changes over the years including in late 2009 when Richard and Gina spent $ 1,000,000 USD to spruce the place up a bit.
Not exact matches
These risks and uncertainties
include: Gilead's ability to achieve its anticipated full
year 2018 financial results; Gilead's ability to sustain growth in revenues for its antiviral and other programs; the risk that private and public payers may be reluctant to provide, or continue to provide, coverage or reimbursement for new products,
including Vosevi, Yescarta, Epclusa, Harvoni, Genvoya, Odefsey, Descovy, Biktarvy and Vemlidy ®; austerity measures in European countries that may increase the amount
of discount required on Gilead's products; an increase in discounts, chargebacks and rebates due to ongoing contracts and future negotiations with commercial and government payers; a larger than anticipated shift in payer mix to more highly discounted payer segments and geographic regions and decreases in treatment duration; availability
of funding for state AIDS Drug Assistance Programs (ADAPs); continued fluctuations in ADAP purchases driven by federal and state grant cycles which may not mirror patient demand and may cause fluctuations in Gilead's earnings; market share and price erosion caused by the introduction
of generic versions
of Viread and Truvada, an uncertain global macroeconomic environment; and potential amendments to the Affordable Care Act or other government action that could have the effect
of lowering prices or reducing the number
of insured patients; the possibility
of unfavorable results from clinical trials involving investigational compounds; Gilead's ability to initiate clinical trials in its currently anticipated timeframes; the levels
of inventory held by wholesalers and retailers which may cause fluctuations in Gilead's earnings; Kite's ability to develop and commercialize cell therapies utilizing the zinc finger nuclease technology platform and realize the benefits
of the Sangamo partnership; Gilead's ability to submit new drug applications for new product candidates in the timelines currently anticipated; Gilead's ability to receive regulatory approvals in a timely manner or at all, for new and current products,
including Biktarvy; Gilead's ability to successfully commercialize its products,
including Biktarvy; the risk that physicians and patients may not see advantages
of these products
over other therapies and may therefore be reluctant to prescribe the products; Gilead's ability to successfully develop its hematology / oncology and inflammation / respiratory programs; safety and efficacy data from clinical studies may not warrant further development
of Gilead's product candidates,
including GS - 9620 and Yescarta in combination with Pfizer's utomilumab; Gilead's ability to pay dividends or complete its share repurchase program due to
changes in its stock price, corporate or other market conditions; fluctuations in the foreign exchange rate
of the U.S. dollar that may cause an unfavorable foreign currency exchange impact on Gilead's future revenues and pre-tax earnings; and other risks identified from time to time in Gilead's reports filed with the U.S. Securities and Exchange Commission (the SEC).
She officially took MacArthur's helm last
year after
over a decade as a top exec there, and has moved with bold decisiveness to streamline the foundation and focus its resources on some
of the biggest challenges
of our time,
including climate
change and mass incarceration.
Forward - looking statements may
include, among others, statements concerning our projected adjusted income (loss) from operations outlook for 2018, on both a consolidated and segment basis; projected total revenue growth and global medical customer growth, each
over year end 2017; projected growth beyond 2018; projected medical care and operating expense ratios and medical cost trends; our projected consolidated adjusted tax rate; future financial or operating performance,
including our ability to deliver personalized and innovative solutions for our customers and clients; future growth, business strategy, strategic or operational initiatives; economic, regulatory or competitive environments, particularly with respect to the pace and extent
of change in these areas; financing or capital deployment plans and amounts available for future deployment; our prospects for growth in the coming
years; the proposed merger (the «Merger») with Express Scripts Holding Company («Express Scripts») and other statements regarding Cigna's future beliefs, expectations, plans, intentions, financial condition or performance.
Over the course
of the past
year, there have been many
changes with Loyal3,
including the elimination
of... [Read more...]
But this time there has been a mad rush to the «transparency and accountability» altar and because
of a Senate spending scandal and a $ 90,000 payoff we may be heading to the type
of real
change so many,
including this newspaper, have pushed for
over the
years.
While the program has undergone many
changes over the
year,
including raising loan limits, the FHA has been successful in making homeownership a reality for a greater portion
of the population.
For
over 50
years, regardless
of the political environment or
changes in the economy, GLIDE has stood with the most vulnerable,
including poor people, those with illness, people
of color, immigrants, as well as all families and children fleeing war and oppression.
«Despite the many
changes that have taken place in American society and culture
over the past 30
years,
including new discoveries in biological and social science, there has been virtually no sustained
change in Americans» views
of the origin
of the human species since 1982,» wrote Gallup's Frank Newport.
It should be a spring board for
change, deep relection, and ultimately growth if we are willing to look seriously at what went wrong
including acknowledging that some things are out
of our hands... beyond our control and then move on... because that moment in time just isn't worth the energy
over the
years to keep it alive in our heart, souls and mind.
All religions
including Islam, Christianity and Judaism disagree on everything, at least they agree on one thing, that this dude is going to hell... And the funny part is that you can comment all you can and convince all the people you want, but the reality will never
change,,, we are all going to die,, I hope that we all agree on that at least,, and all Abrahamic religions
over the last 3000
years at least call for unity
of God and his Existence...
But my understanding
of virtually every other aspect
of my faith (
including the implications
of the cross) has
changed dramatically
over the
years.
I worked all across Asia
including China extensively for 2
years, (from the UK) only when I'd eventually had enough and
changed jobs did I realise I'd lost
over a stone in weight due to all
of the above.
Time for some brutal honesty... this team, as it stands, is in no better position to compete next season than they were 12 months ago, minus the fact that some fans have been easily snowed by the acquisition
of Lacazette, the free transfer LB and the release
of Sanogo... if you look at the facts carefully you will see a team that still has far more questions than answers... to better show what I mean by this statement I will briefly discuss the current state
of affairs on a position - by - position basis... in goal we have 4 potential candidates, but in reality we have only 1 option with any real future and somehow he's the only one we have actively tried to get rid
of for
years because he and his father were a little too involved on social media and he got caught smoking (funny how people still defend Wiltshire under the same and far worse circumstances)... you would think we would want to keep any goaltender that Juventus had interest in, as they seem to have a pretty good history when it comes to that position... as far as the defenders on our current roster there are only a few individuals whom have the skill and / or youth worthy
of our time and / or investment, as such we should get rid
of anyone who doesn't meet those simple requirements, which means we should get rid
of DeBouchy, Gibbs, Gabriel, Mertz and loan out Chambers to see if last seasons foray with Middlesborough was an anomaly or a prediction
of things to come... some fans have lamented wildly about the return
of Mertz to the starting lineup due to his FA Cup performance but these sort
of pie in the sky meanderings are indicative
of what's wrong with this club and it's wishy - washy fan - base... in addition to these moves the club should aggressively pursue the acquisition
of dominant and mobile CB to stabilize an all too fragile defensive group that has self - destructed on numerous occasions
over the past 5 seasons... moving forward and building on our need to re-establish our once dominant presence throughout the middle
of the park we need to target a CDM then do whatever it takes to get that player into the fold without any
of the usual nickel and diming we have become famous for (this kind
of ruthless haggling has cost us numerous special players and certainly can't help make the player in question feel good about the way their future potential employer feels about them)... in order for us to become dominant again we need to be strong up the middle again from Goalkeeper to CB to DM to ACM to striker, like we did in our most glorious
years before and during Wenger's reign... with this in mind, if we want Ozil to be that dominant attacking midfielder we can't keep leaving him exposed to constant ridicule about his lack
of defensive prowess and provide him with the proper players in the final third... he was never a good defensive player in Real or with the German National squad and they certainly didn't suffer as a result
of his presence on the pitch... as for the rest
of the midfield the blame falls squarely in the hands
of Wenger and Gazidis, the fact that Ramsey, Ox, Sanchez and even Ozil were allowed to regularly start when none
of the aforementioned had more than a
year left under contract is criminal for a club
of this size and financial might... the fact that we could find money for Walcott and Xhaka, who weren't even guaranteed starters, means that our whole business model needs a complete overhaul... for me it's time to get rid
of some serious deadweight, even if it means selling them below what you believe their market value is just to simply right this ship and
change the stagnant culture that currently exists... this means saying goodbye to Wiltshire, Elneny, Carzola, Walcott and Ramsey... everyone, minus Elneny, have spent just as much time on the training table as on the field
of play, which would be manageable if they weren't so inconsistent from a performance standpoint (excluding Carzola, who is like the recent version
of Rosicky — too bad, both will be deeply missed)... in their places we need to bring in some proven performers with no history
of injuries... up front, although I do like the possibilities that a player like Lacazette presents, the fact that we had to wait so many
years to acquire some true quality at the striker position falls once again squarely at the feet
of Wenger... this issue highlights the ultimate scam being perpetrated by this club since the arrival
of Kroenke: pretend your a small market club when it comes to making purchases but milk your fans like a big market club when it comes to ticket prices and merchandising... I believe the reason why Wenger hasn't pursued someone
of Henry's quality, minus a fairly inexpensive RVP, was that he knew that they would demand players
of a similar ilk to be brought on board and that wasn't possible when the business model was that
of a «selling» club... does it really make sense that we could only make a cheeky bid for Suarez, or that we couldn't get Higuain
over the line when he was being offered up for half the price he eventually went to Juve for, or that we've only paid any interest to strikers who were clearly not going to press their current teams to let them go to Arsenal like Benzema or Cavani... just part
of the facade that finally came crashing down when Sanchez finally called their bluff... the fact remains that no one wants to win more than Sanchez,
including Wenger, and although I don't agree with everything that he has done off the field, I would much rather have Alexis front and center than a manager who has clearly bought into the Kroenke model in large part due to the fact that his enormous ego suggests that only he could accomplish great things without breaking the bank... unfortunately that isn't possible anymore as the game has
changed quite dramatically in the last 15
years, which has left a largely complacent and complicit Wenger on the outside looking in... so don't blame those players who demanded more and were left wanting... don't blame those fans who have tried desperately to raise awareness for several
years when cracks began to appear... place the blame at the feet
of those who were well aware all along
of the potential pitfalls
of just such a plan but continued to follow it even when it was no longer a financial necessity, like it ever really was...
What's more, the concept
of which foods offer an appropriate complement to the diet
of a breastfed infant as well as the food environment,
including a booming baby food industry, have
changed dramatically
over the past 50
years, Turner - Maffei pointed out.
Visitors can also see how maple sugaring has
changed over the
years through a Maple scavenger hunt and demonstrations
of different tapping techniques,
including traditional Native American methods, early 19th - century New England techniques, 20th century metal buckets, and contemporary tubing.
Publication
of the Purdue study sent shock - waves reverberating through the football world, with the findings cited by concussion experts calling on youth sports organizations to take more aggressive action to minimize exposure to RHI,
including sub-concussive blows, by
changing the way contact and collision sports are played and practiced, and reducing the amount
of brain trauma a child incurs by limiting the number
of hits they sustain in a sports season,
over the course
of a
year, and during a career.
-- Climate
change could impact many Bay State birds —
including familiar species such as the Black - capped Chickadee —
over the next 30 - 50
years, according to Mass Audubon's State
of the Birds: Massachusetts Birds and Our
Changing Climate.
Climate
change could impact many Bay State birds —
including familiar species such as the Black - capped Chickadee —
over the next 30 - 50
years, according to Mass Audubon's State
of the Birds: Massachusetts Birds and Our
Changing Climate.
Moreover, this strict amendment process has not excessively impeded constitutional
change, as it has allowed for many significant constitutional amendments
over the nation's history,
including the Bill
of Rights and Amendments concerning the income tax, the direct election
of senators, the two term presidency, and the right to vote
of women and 18
year olds.
The bulk
of the report focuses on
changes to be made
over the next 10
years,
including criminal justice reforms aimed at lowering the number
of people in city jails.
Cuomo is tying much
of the increase to approval
of his education policy
changes in this
year's budget,
including a new teacher evaluation system, addressing failing schools by having them taken
over by a state monitory and a strengthening
of charter schools.
Meanwhile, Catholic bishops have spent on average $ 300,000 a
year lobbying lawmakers in New York on a variety
of topics,
including against passage
of the Child Victims Act, which would
change the statute
of limitations on civil and criminal cases
of child sexual abuse and allow victims a one -
year window to sue
over potentially decades - old allegations.
Nirmala Kannankutty
of the National Science Foundation's Division
of Graduate Education explored similarly striking
changes in the demography and size
of the graduate student population, which now
includes many more women and noncitizens,
over the past 40
years.
Based on modeling results by the National Oceanic and Atmospheric Administration (NOAA), which predicted that Pacific Ocean temperatures would rise by 1 degree Celsius (2 degrees Fahrenheit)
over the next 50
years, a Canadian and U.S. team
of scientists examined the distributional
changes of 28 species
of fish
including salmon, herring, certain species
of sharks, anchovies, sardines and more northern fish like pollock.
Even the groups we came to know as Eskimo — which
include the Inupiat and the Yupiks
of Alaska, the Canadian Inuit and Inuvialuit, Inuit Greenlanders, and the Siberian Yupiks — have probably seen more
changes in their diet in a lifetime than their ancestors did
over thousands
of years.
Though our published validation work did not
include use
of the scale before and after a science communication intervention, additional pilot work has indicated that the scale is sensitive enough to detect
change in self - efficacy
over a
year - long training intervention.
Results demonstrate important
changes in students» drinking during the calendar
year,
including expected large increases during the month
of a one - day festival, large decreases
over the summer, and resumption
of relatively high quantities upon return to school.
A few
of the main points
of the third assessment report issued in 2001
include: An increasing body
of observations gives a collective picture
of a warming world and other
changes in the climate system; emissions
of greenhouse gases and aerosols due to human activities continue to alter the atmosphere in ways that are expected to affect the climate; confidence in the ability
of models to project future climate has increased; and there is new and stronger evidence that most
of the warming observed
over the last 50
years is attributable to human activities.
The increased use
of synthetic chemicals,
including pesticides and pharmaceuticals to attack unwanted organisms, has outpaced the rates
of change in rising atmospheric CO2 concentrations and other agents
of global environmental
change over the past 45
years, a new Duke - led analysis reveals.
Things have started to
change in Flint, but fixing its water system will take
years, and its citizens will need continued support in many areas —
including nutrition, health care and education — to manage the effects
of lead poisoning
over the coming decades.
A number
of theories have been developed
over the
years to explain more recent extinctions such as those at the end
of the last ice age,
including human hunting, climate
change, disease, and even a cosmic impact such as an asteroid or comet.
Over the past few
years, several US states and local school boards have introduced measures that would mean teachers must
include the views
of those who are sceptical
of a human influence on climate
change in science lessons.
«
Over the past ten
years, several research groups,
including our own, have shown the importance
of certain immune cell subsets in preventing or exacerbating heart disease in mice, but we are just beginning to understand how the metabolism and function
of these immune cells
change during cardiovascular disease progression in humans,» says Hedrick.
A: There have been many negative things said about eggs
over the
years and their relationship to having high cholesterol levels in the body, but recently the official position has
changed and most dietary recommendations
include eggs as part
of a healthy diet.
Including coconut oil in our regular diet was one
of many
changes I've made in our family's nutrition
over the past two
years, so my claim is certainly not backed by empirical data... but the coconut oil surely isn't hurting!
He had been a huge meat eater and lover
of all animal carcasses, once diagnosed completely
changed to a vegan diet — no oils, no fish, no chicken, no red meat, no dairy which
included eggs, no fat in products
over 2 grams and became completely diabetic and cancer free within months — that was 3
years ago and still free....
The report looks at three main areas
of change over the next 20
years that could re-shape the online dating world: wearable technology, the rise
of everyday smart technology and the smart home, and the beginning
of the smart era,
including smart dating.
A number
of prominent Conservative MPs on Theresa May's Cabinet,
including Liam Fox and David Davis, have been vocal proponents
of grammar schools, and Education Secretary Justine Greening has said that the government should be «open minded» to the idea
of new grammar schools as the education landscape has
changed over the last few
years.
To gain a better understanding
of these difficulties, the Suárez - Orozcos conducted a study looking at three different levels
of engagement
including behavioral, cognitive, and relational to assess
changes in immigrant children's performance
over five
years.
It is for all these reasons and more that President Barack Obama signed the Healthy, Hunger - Free Kids Act
of 2010 on December 13, 2010, a law that will not only
change the nutritional guidelines
of the 65 -
year - old National School Lunch Program, but will also provide the program's first noninflationary budget increase in more than three decades; a total
of $ 4.5 billion
over 10
years, which
includes an additional 6 cents per meal, per child.
Hess's second case study focuses on the five -
year - old voucher plan in Cleveland, where he finds that the potential benefits
of choice and competition were neutralized by multiple factors,
including frequent
changes in leadership, the state's move to take
over the city's schools, the modest size
of the vouchers (only $ 2,250), and the existence
of strong unions.
We
included administrative data from teacher, parent, and student ratings
of local schools; we considered the potential relationship between vote share and test - score
changes over the previous two or three
years; we examined the deviation
of precinct test scores from district means; we looked at
changes in the percentage
of students who received failing scores on the PACT; we evaluated the relationship between vote share and the percentage
change in the percentile scores rather than the raw percentile point
changes; and we turned to alternative measures
of student achievement, such as SAT scores, exit exams, and graduation rates.
Year 6 Science Assessments and Tracking Objectives covered: Describe how living things are classified into broad groups according to common observable characteristics and based on similarities and differences,
including micro-organisms, plants and animals Give reasons for classifying plants and animals based on specific characteristics Identify and name the main parts
of the human circulatory system, and describe the functions
of the heart, blood vessels and blood Recognise the impact
of diet, exercise, drugs and lifestyle on the way their bodies function Describe the ways in which nutrients and water are transported within animals,
including humans Recognise that living things have
changed over time and that fossils provide information about living things that inhabited the Earth millions
of years ago Recognise that living things produce offspring
of the same kind, but normally offspring vary and are not identical to their parents Identify how animals and plants are adapted to suit their environment in different ways and that adaptation may lead to evolution Recognise that light appears to travel in straight lines Use the idea that light travels in straight lines to explain that objects are seen because they give out or reflect light into the eye Explain that we see things because light travels from light sources to our eyes or from light sources to objects and then to our eyes Use the idea that light travels in straight lines to explain why shadows have the same shape as the objects that cast them Associate the brightness
of a lamp or the volume
of a buzzer with the number and voltage
of cells used in the circuit Compare and give reasons for variations in how components function,
including the brightness
of bulbs, the loudness
of buzzers and the on / off position
of switches Use recognised symbols when representing a simple circuit in a diagram
For
over 20
years, the National Curriculum has been revised and
over the next couple
of years there are a number
of changes to be put in place,
including some
changes that have already happened.
At the behest
of Democratic Gov. Phil Bredesen, lawmakers held two special legislative sessions
over the last
year on education to enact a series
of Race to the Top - related
changes that
included making the state's cap on charter schools less prohibitive and overhauling teacher evaluations.
Over the past 15
years, George has participated in numerous leadership development programs
including the Philadelphia Social
Change Leaders Program, LEAD City
Year, Comcast University's Fundamentals
of Leadership Program and LeadBoston.
Conduct an extensive review
of the accountability system,
including the multiple
changes that have been implemented
over the last several
years.
These
include: · Use
of instructional programs and curricula that support state and district standards and
of high quality testing systems that accurately measure achievement
of the standards through a variety
of measurement techniques · Professional development to prepare all teachers to teach to the standards · Commitment to providing remedial help to children who need it and sufficient resources for schools to meet the standards · Better communication to school staff, students, parents and the community about the content, purposes and consequences
of standards · Alignment
of standards, assessment and curricula, coupled with appropriate incentives for students and schools that meet the standards In the unlikely event that all
of these efforts,
including a
change in school leadership, fail
over a 3 -
year period to «turn the school around,» drastic action is required.
David has
over 30
years of experience successfully leading communications, marketing and
change management efforts in various industries,
including manufacturing, engineering, healthcare, education and state and federal government.