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By: C. Milten, M.S., Ph.D.

Clinical Director, Alabama College of Osteopathic Medicine

Manages activities to accomplish aircraft structural maintenance medications in canada purchase kemadrin 5mg without a prescription, metals technology symptoms lung cancer proven 5mg kemadrin, and nondestructive inspection medicine lake california generic 5 mg kemadrin. Interprets and implements directives and publications pertaining to fabrication and airframe maintenance symptoms quitting tobacco purchase kemadrin 5mg online, including environmentally safe practices. Determines resource requirements, including personnel, equipment, facilities, and supplies. Directs maintenance personnel employed in removing, disassembling, inspecting, repairing, treating corrosion, reassembling, installing, testing, and modifying aircraft structural components, survival equipment, and local manufacture activities. Solves fabrication, airframe, maintenance, local manufacture, and support equipment repair problems. Evaluates completed work to determine operational status and compliance with directives, policies, and work standards. Manages resources, interprets inspection findings, and recommends corrective action. Knowledge is mandatory of: aircraft structural maintenance, metals technology, survival equipment, and nondestructive inspection methods; characteristics and identification of aerospace and non-aerospace materials; concepts and application of maintenance directives; maintenance data reporting; and proper handling, storage, use, and disposal of hazardous waste and materials. Also, experience is mandatory managing structural maintenance, metals technology, or nondestructive inspection specialties and functions. Designs, manufactures, or modifies special precision tools, gauges, dies, and fixtures to facilitate metal working operations. Performs metals technology shop calculations such as determining cutting speeds and settings, welding processes, and preheat and postheat requirements. Checks completed components and determines serviceability in accordance with drawings and specifications. Disassembles, assembles, and fits component parts using machine screws, bolts, rivets, press fits, and welding techniques. Uses metal working equipment, tools, and supplies to produce surface finishing specifications for components. Ensures lock out and tag out procedures are accomplished prior to maintenance on all equipment. Uses and disposes of hazardous waste and materials according to environmental standards. Knowledge is mandatory of: metal repair and fabrication processes; composition of metals and machinable materials; weld specifications; metal tempering; forging; mechanical drawings; use of precision measuring devices and tools; metal fabricating by oxyacetylene, metallic arc, and inert gas shielded arc; operation and capacity of metal working and welding equipment; use and fabrication of layout and fixture devices; safety codes and practices regarding equipment and supplies; hazards of explosive gasses, hazardous rays, and fumes; and proper handling, use, and disposal of hazardous waste and materials. For entry into this specialty, completion of high school with courses in shop mathematics, metal working, or mechanical drawing is desirable. Also, experience in functions such as gas and electric welding, boring, milling, shaping, grinding metal, or using precision measuring devices. Also, experience performing or supervising functions dealing with welding, using precision measuring devices, and machining. Inspects aerospace weapon systems components and support equipment for structural integrity using nondestructive inspection methods and performs fluid analysis. Determines test method, and prepares fluids and parts for nondestructive inspection. Interprets nondestructive inspection test results, and provides information about defects to repair center. Analyzes wear metal content on engine lubricating oil and other fluids, and recommends corrective action. Computes and monitors personal exposure areas for radiographic operations, and monitors personnel exposure data. Detects flaws such as cracks, delaminations, voids, processing defects, and heat damage using penetrant, eddy current, magnetic particle, radiographic, optical, and ultrasonic test equipment. Determines metallurgical information of components according to alloy, temper, conductivity, and associated factors. Ensures lock out and tag out procedures are accomplished prior to maintenance on equipment. Knowledge is mandatory of: characteristics of metals identification; wear metals identification and content; metal discontinuity and flaw detection; operation and maintenance of nondestructive test and oil analysis equipment; safety codes and practices; radiological safety and radiation monitoring procedures; technical orders and directives; and proper handling, use, and disposal of hazardous waste and materials.

For entry into this specialty treatment mononucleosis cheap 5 mg kemadrin mastercard, completion of high school or college courses in algebra treatment uterine cancer generic 5 mg kemadrin otc,chemistry and biological sciences medications a to z kemadrin 5 mg discount. Also medicine 7767 generic kemadrin 5mg online, experience in performing functions in urinalyses, hematology, bacteriology, serology, and chemistry. Also, experience performing or supervising functions such as work normally performed in a routine clinical laboratory (class A dispensary or hospital); specialty performance of tests or technical supervisory experience in clinical chemistry, bacteriology, toxicology, or virology at class A, class B, or analogous laboratory; or combination of foregoing types of experience. Performs subprofessional duties at autopsies, prepares autopsy and surgical specimens, and supervises histopathology activities. Receives and prepares specimens for fixation, dehydration, and impregnation processes by either manually or automatically sending specimens through a series of formalins, alcohols, clearing agents, and paraffin. Attaches cut tissues on specially prepared microslides and clears paraffin from tissue. Submits finished tissue slides to the pathologist along with pertinent clinical data received from originating agency and gross examination by the pathologist. Assists pathologist in opening abdominal, pleural, and cranial cavities; examining various organs; and procuring and handling specimens from these organs. Prepares remains for transfer to mortuary, to include cleaning and closing all incisions. Labels and stores autopsy specimens until pathologist makes final examination prior to fixing, embedding, and staining. Maintains complete records of all surgical, cytological, and autopsy specimens, to include filing and storing of paraffin blocks and stained tissue slides by accession number. Prepares and ships blocks, slides and diagnostic reports to various military and civilian medical facilities. Maintains all surgical and autopsy instruments, to include sharpening and cleaning microtome blades, knives, scissors, and chisels. Monitors specimen handling, cutting, and staining quality; and equipment and controlled substances inventory. Knowledge is mandatory of: methods of fixing, staining, embedding, and cutting all types of tissue; properties of various biological stains and reagents; autopsy procedures; equipment maintenance; and medical terminology, ethics, and basic administration. For entry into this specialty, completion of high school or college courses in algebra, chemistry and biological sciences. Manages and directs ophthalmic service personnel, materiel, equipment and programs. Assists the health care provider in the examination and treatment of patients by performing visual tests or procedures. Records patient case history, conducts visual screening tests such as visual acuity, cover test, pupillary testing, color vision, depth perception, visual field charting, corneal topography, and tonometry for analysis and interpretation. Performs ancillary testing such as ocular ultrasonography, retinal imaging, slitlamp photography, and flourescein angiography. Develops and maintains a working environment to provide timely, economical, and operational support. Ensures periodic maintenance and calibration checks on clinic diagnostic equipment are completed. Coordinates technical and administrative activities of ophthalmic services to ensure effective and efficient use of ophthalmic personnel. Executes self-inspections, reviews reports and records for accuracy and compliance. Establishes or recommends ophthalmic standards, regulations, policies, or procedures to ensure quality patient care in a safe, efficient, and effective ophthalmic environment. Knowledge is mandatory of: Ocular anatomy; ophthalmic medications; visual physiology, optics; use and maintenance of ophthalmic instruments and testing equipment; ophthalmic and medical instructions; medical terminology; ophthalmic technology; asepsis; ocular referrals and emergency medical treatment; patient transportation; medical ethics; medical administration; and medical service organization and function. Surgical instruments and equipment, ophthalmic injectable medications, anesthetic solutions, and ocular disorders. Surgical instruments and equipment, gowning and gloving, maintaining sterile field, common ocular surgical procedures, ophthalmic injectable medications, flourescein angiography, and ocular disorders.

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No universal rule can cover all such cases: they must be resolved by reference to the intentions of the parties symptoms 11dpo discount 5mg kemadrin, by sound business practice and in some cases by a judgment where the risks should lie treatment quincke edema proven kemadrin 5 mg. However medications varicose veins purchase 5mg kemadrin with amex, in a bilateral contract medications quotes generic 5 mg kemadrin, with its insistence that an acceptance must be communicated and that mere mental assent is not enough, an acceptance by conduct will be exceptional, at least in as far as it relates to obligations to be performed at some time in the future. For a rare example, see: Brogden v Metropolitan Railway Co (1876) Brogden had supplied the railway company with coal for many years without a formal agreement. Nevertheless, the parties acted on the terms of the draft for two years, at the end of which 71 Law for Non-Law Students Brogden denied that the contract existed. Held by the House of Lords: although the draft was not a contract, since Brogden had inserted new terms which had not been agreed by the railway company, nevertheless, the parties had indicated by their conduct that they mutually approved the terms of the draft. A contract was formed either when the railway company ordered its first load of coal under the terms of the draft, or, at the latest, when Brogden supplied it. Where the offeror prescribes a particular method of acceptance If the offeror prescribes a particular method of acceptance it would seem that the offeree is free to use an alternative method of accepting, providing: (a) that the acceptance reaches the offeror at least as soon as it would have done by the prescribed method; and (b) that the chosen alternative offers no disadvantages to the offeror when contrasted with the prescribed method. Yates v Pulleyn (l975) the defendants owned certain building land which the plaintiffs wanted to buy. Held by the Court of Appeal: (a) the person making the offer may stipulate the manner in which it is to be accepted; (b) the question of whether such a stipulation is mandatory or merely directory is a matter of construction; (c) if, on true construction of the words used by the offeror, the stipulation is mandatory, no other method of communication will do; and (d) if the stipulation is merely directory, then communication of acceptance by a mode which is no less advantageous to the offeror than the directed mode, will be sufficient to constitute a valid acceptance. The difficulty with such a case is to be able to tell when a stipulation is merely directory and when it is mandatory. Such fine distinctions tend to be lost on the lay-person who is apt to assume, quite naturally, that if an offeror stipulates that an acceptance is to be by registered post, he or she means registered post and that, therefore, whatever the reason for the stipulation, it ought to be mandatory. Felthouse v Bindley (1862) the plaintiff discussed with his nephew, John, the purchase by the plaintiff of a horse belonging to John. Six weeks later, the defendant, an auctioneer who had been employed by John to sell his farming stock, sold the horse by mistake, having been told by John not to sell it because it was already sold (to the plaintiff). To succeed he had to prove that he was the owner of the horse, which in turn involved proving that he had a valid contract for the purchase of the horse. However, the offeror may dispense with the need to communicate acceptance: in other words, he may impose liability upon himself by dispensing with the need for the offeree to communicate acceptance. It was sufficient that she performed the act stipulated by the offeror and then caught `flu. Inertia selling and the Unsolicited Goods and Services Act Because of an increase in inertia selling in the 1960s, the Unsolicited Goods and Services Act 1971 was passed with a view to improving the position of the recipient of unsolicited goods (among other things). Inertia selling is where goods are sent to a recipient who has not requested them, with a statement to the effect that if he does not return them within a certain number of days, he will be deemed to have purchased them. The main effect of the civil provisions of the Act is that the recipient of unsolicited goods may treat them as an unconditional gift, providing that he has no reasonable cause to believe that they were sent to him for the purposes of trade or business and has neither agreed to acquire nor return them. A previous provision, requiring the recipient to give notice to the sender or to keep the goods for six months before they become his, has been removed by the Consumer Protection (Distance Selling) Regulations 2000. The present position contrasts with the position at common law, under which the recipient had to keep the goods for six years before he acquired ownership of them (although at least one enterprising recipient succeeded in claiming storage charges in respect of the goods! The practice is either to prepare a shortlist of suppliers (perhaps those with which the organisation has dealt in the past) and to invite those on the list to tender or, alternatively, to place an advertisement in an appropriate publication (newspaper, trade journal, etc) inviting any interested supplier to tender. The customer organisation will send out particulars of tender to the interested supplier. For example, the customer may want tenders for the supply of certain office supplies. The supplies will be listed, for example, 50 reams of A4-size photocopying paper, 10 reams of A3-size photocopying paper, 5,000 A4-size plain brown envelopes, etc. A specific tender (that is, one where all the terms as to quantities to be supplied are certain at the outset) is an offer which can be accepted in the normal way. The customer is under no obligation to accept the lowest tender, but it would seem that he is under a contractual obligation to consider all the offers.

The company symptoms 3 months pregnant purchase kemadrin 5 mg overnight delivery, in turn symptoms 1dp5dt cheap 5 mg kemadrin overnight delivery, claimed an indemnity from the son on the grounds (a) that he was in breach of an implied term in his contract of employment that he would carry out his duties with due skill and care medications in mothers milk order 5mg kemadrin overnight delivery, and (b) that he owed them a 100% contribution as a joint tortfeasor medicine xalatan kemadrin 5mg overnight delivery. Held by the House of Lords: Lister Jnr had been in breach of an implied term in the contract of employment to the effect that he would carry out his duties with due care and skill. Lister Jnr had, therefore, to indemnify his employer both as to the damages paid to his father and as to the costs of defending the case. Two of the Lords also held that L Jnr owed his employer a 100% contribution as a joint tortfeasor. This was because he was employed as a storeman, not as a motor-cycle and sidecar driver. However, in the case of joint tortfeasors, the court has the power to apportion the blame between them. This means that although the victim is entitled to claim 100% of his damages from whichever can afford to pay, the party who does pay can claim the appropriate contribution from the other. In this case, the driver was ordered to pay a 100% contribution, 601 Law for Non-Law Students so that, although the employer paid the full amount of the damages initially, he was entitled to claim a full indemnity from the estate of the motor-cycle driver. In practice, this can give rise to a complex chain of events: Len is a lorry driver employed by Ellen. However, in such a case, the insurance company has a right of subrogation, which means that the insurance company can put itself in the shoes of the insured and therefore may pursue whatever claims the insured may have against the person who actually caused the loss which was insured. Insurers therefore insists that Ellen should claim against Len for breach of contract (subject to Insurers promising to indemnify Ellen in respect of her costs). In practice, all the related issues are usually decided at one hearing in order to minimise costs. Len is found liable and must indemnify Ellen, who in turn must indemnify Insurers, in respect of the damages paid to Tessa. In the face of threats of a parliamentary enquiry, which might have resulted in legislation adverse to the insurance companies, the companies announced their intention not to pursue claims for indemnities from persons who injured fellow employees, unless the injury was caused by outrageous conduct or the legal action is a collusion between the injured employee and the employee who has caused the injury. In practice, this concession appears to have been extended to cases where third parties are injured also. Until the Law Reform (Contributory Negligence Act) 1945, if the claimant bore more than an insignificant share of the blame for an accident, the law refused his claim in its entirety. Thus, if the claimant were severely injured in an accident for which he was adjudged to be 20% to blame, the law would give him no recompense. However, since the 1945 Act, the court may assess the damage which the claimant has suffered and then reduce the amount of his damages by the proportion for which the claimant was to blame. This is the case even where the claimant is substantially to blame (for example, contributory negligence has been assessed as high as 80%). Fundamental to the agreement is that the potential claimant enter into an insurance against the risk that they might lose and might, therefore, need to pay costs. A number of solicitors are members of an organisation which offers such insurance at a very modest premium. However, a criticism which has been levelled against independent companies which pursue personal injury claims on behalf of clients is that they make significant profits from charging large insurance premiums, which are then deducted from the damages which are secured on behalf of the successful claimant. For many years, claims were somewhat restricted by two main factors: (a) If the claimant were to lose the case, he was forced to pay the legal costs not only of himself, but also of the winning party. This was a powerful disincentive unless the claimant had a reasonably water-tight case. Legal costs, even in a case which is compromised (or abandoned) before it reaches court, can be substantial. If the client wins, the solicitor gets his costs plus, where agreed, an additional fixed percentage (which can be as much as 100%) of his costs. This will be partially offset by the fact that any disbursements and basic costs will be recovered from the other side. However, this approach has been much criticised both by judges and academics, to the extent where, nowadays, it can be regarded as having been discredited. Scope of negligence the tort of negligence is defined in Winfield and Jolowicz on Tort as follows: Negligence as a tort is the breach of a legal duty to take care which results in damage, undesired by the defendant, to the claimant. It means a complex of factors which must be proved before the claimant is able to succeed. So, the person who is found liable for negligence will always have been careless, but carelessness does not necessarily amount to negligence.