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To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical

Vaccination, screening, treatment and palliative care are the key interventions of WHO’s Draft Global Strategy towards the Elimination of Cervical Cancer as a Public Health Problem,
the fourth most common cancer in women.

On World Cancer Day, new estimates show that this strategy could save more than 62 million girls and women from a cervical cancer death and prevent 74 million cases within the next 100 years – but only if these interventions are used effectively
together.

No single intervention can eliminate cervical cancer

These estimates, published by the WHO Cervical Cancer Elimination Modelling Consortium (CCEMC) in The Lancet, are based on the draft strategy’s targets to achieve a global coverage of 90% vaccination, 70% screening and 90% treatment by 2030.

Impact of HPV vaccination and cervical screening on cervical cancer elimination: a comparative modelling analysis in 78 low-income and lower-middle-income countries

Mortality impact of achieving WHO cervical cancer elimination targets: a comparative modelling analysis in 78 low-income and lower-middle-income countries

Developed by Member States, UN agencies and other partners, the draft global strategy seeks to redress the unequal burden of cervical cancer around the world. Nine in 10 cervical cancer deaths occur in low and lower-middle-income countries, where
women lack access to health services.

As Dr Tedros Adhanom Ghebreyesus, WHO’s Director-General has said, “It doesn’t have to be this way. Cervical cancer
is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively.”

This new analysis compares the impact of vaccination, screening and treatment of cervical pre-cancer lesions as single or combined interventions. Focusing on 78 countries where cervical cancer mortality is highest, the results clearly show that no
single intervention will be sufficient to reduce levels of cervical cancer in the next 100 years to below the elimination target of 4 cases per 100,000 women per year.

Acting immediately on all three fronts is crucial.

90-70-90: a triple intervention by 2030 and beyond

Vaccinating girls against cancer-causing types of human papillomavirus (HPV) before the age of 15 is the foundation for bringing every country’s incidence rate of cervical cancer down to the agreed elimination level.

Right now, however, vaccination is not enough. As a single strategy, vaccination targets would only deliver a 0.1% reduction in cervical cancer mortality by 2030. Scaling up screening and treatment of cervical pre-cancer lesions at the same time would
reduce mortality by more than one third, or 300,000 deaths, in the same period.

The evidence shows that when all adult women are screened for cervical cancer at least twice, at ages 35 and 45, abnormalities are more likely to be detected before they become cancerous. When cancer has developed, screening increases a women’s
likelihood of early and successful treatment, as well as palliative care if recovery is no longer an option.

Meeting these triple-intervention targets would be a major contribution to target 3.4 of the UN Sustainable Development Goals (SDGs), a one-third reduction in premature mortality from non-communicable diseases by 2030.

The future of cervical cancer elimination

WHO’s global strategy towards eliminating cervical cancer aims to set the world on the right track by 2030, but it is just the beginning.

At this pace, global elimination of cervical cancer is not predicted until 2120.

While high HPV vaccination coverage is the primary prevention intervention, ensuring every woman has two cervical screenings in her life would accelerate elimination by 11 – 31 years, depending on the country.

If no action is taken, cervical cancer deaths will rise almost 50% by 2030. Approval of the draft global strategy at the WHO World Health Assembly in 2020, and investment in mechanisms to deliver it, is vital.

As the new World Cancer Report shows, only 18% of countries that currently provide screening for cervical cancer reached the recommended target of more than 70% coverage. An estimated 55% of low-income countries that reported offering
cervical cancer screening generally lack accessible radiotherapy or surgery services.

Elimination of cervical cancer is possible within the lifetime of today’s youngest girls, but the clock starts now and every intervention counts.

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https://www.who.int/news-room/detail/04-02-2020-to-eliminate-cervical-cancer-in-the-next-100-years

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February 27, 2020
WHO outlines steps to save 7 million lives from cancer

The World Health Organization (WHO) today spells out the need to step up cancer services in low and middle-income countries. WHO warns that, if current trends continue, the world will see a 60% increase in cancer cases over the next two decades. The greatest increase (an estimated 81%) in new cases will occur in low- and middle-income countries, where survival rates are currently lowest.

This is largely because these countries have had to focus limited health resources on combating infectious diseases and improving maternal and child health, while health services are not equipped to prevent, diagnose and treat cancers. In 2019, more than 90% of high-income countries reported that comprehensive treatment services for cancer were available in the public health system compared to less than 15% of low-income countries.

“This is a wake-up call to all of us to tackle the unacceptable inequalities between cancer services in rich and poor countries,” says Dr Ren Minghui, Assistant Director-General, Universal Health Coverage/ Communicable and Noncommunicable Diseases, World Health Organization. “If people have access to primary care and referral systems then cancer can be detected early, treated effectively and cured. Cancer should not be a death sentence for anyone, anywhere.”

Yet, progress in poorer countries is achievable. WHO and the International Agency for Research on Cancer (IARC) are releasing two coordinated reports on World Cancer Day (4 February), in response to government calls for more research into the scope and potential policies and programmes to improve cancer control.

“At least 7 million lives could be saved over the next decade, by identifying the most appropriate science for each country situation, by basing strong cancer responses on universal health coverage, and by mobilizing different stakeholders to work together”, said Dr Tedros Adhanom Ghebreyesus, Director-General, WHO.

WHO highlights a wide range of proven interventions to prevent new cancer cases. These include controlling tobacco use (responsible for 25% of cancer deaths), vaccinating against hepatitis B to prevent liver cancer, eliminating cervical cancer by vaccinating against HPV, screening and treatment, implementing high-impact cancer management interventions that bring value for money and ensuring access to palliative care including pain relief.

“The past 50 years have seen tremendous advances in research on cancer prevention and treatment,” says Dr Elisabete Weiderpass, Director of IARC. “Deaths from cancer have been reduced. High-income countries have adopted prevention, early diagnosis and screening programmes, which together with better treatment, have contributed to an estimated 20% reduction in the probability of premature mortality between 2000 and 2015, but low-income countries only saw a reduction of 5%. We need to see everyone benefitting equally.” The challenge will be for countries to select treatments balancing considerations including cost, feasibility and effectiveness. Each government is tasked with choosing the appropriate innovative cancer therapies, while recognizing that established treatments, many of which are very effective and affordable, can provide benefits for cancer without causing financial hardship.

Note to editors

World Health Organization

Report on Cancer: Setting priorities, investing wisely and providing care for all

The report aims to set the global agenda on cancer, mobilize stakeholders and help countries set priorities for investing in cancer control and universal health coverage. It introduces the principles, tools and current priority cancer control interventions in the context of the current and future cancer burden and opportunities.

International Agency for Research on Cancer

World Cancer Report “Cancer research for cancer prevention”

The report focuses on prevention and offers the most comprehensive overview of relevant research available to date, ranging from descriptive etiology, cellular and molecular biology, toxicology and pathology through to behavioural and social science. Key chapters include discussions on the impact of inequalities in cancer, vaccination and screening, genomic individual susceptibility to cancer and the finer identification of those at risk, which may allow ‘precision cancer prevention’.

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https://www.who.int/news-room/detail/04-02-2020-who-outlines-steps-to-save-7-million-lives-from-cancer

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February 27, 2020
WHO Global Initiative for Childhood Cancer: progress on all fronts

Peru shows the way forward and the courage of Ander Martinez

“When Ander was diagnosed, I didn´t have the possibility to cover the cost of the treatment. It was very expensive, and I had nothing,” says Rosalina Tocto, 29 years mother of Ander Martínez Tocto. Ander had just been diagnosed with acute leukemia at the young age of 6 years. From the beginning, the odds were stacked against him. He and his family lived in a rural town, six hours from the nearest city. His parents did not have a formal job, placing the family under financial strain.

Ander and his family were not alone in this situation. “In Peru, nearly 1800 children and adolescents are diagnosed with cancer every year; however, up to 70% will have a late stage, often metastatic due to delays in diagnosis,” says Dr. Juan García, medical chief of the Pediatric Department of in the National Institute of Neoplastic Diseases (INEN) in Lima, Peru. “Most of our patients come from outside Lima and the majority of parents do not have formal employment and therefore do not have any type of insurance.”

Fortunately, Peru has made a strong commitment to Universal Health Coverage. In 2009, a law was passed to improve access to care by introducing a mandatory health insurance system and registering everyone living in extreme poverty under Seguro Integral de Salud (SIS), regardless of age or circumstance.

Dr. Reina Bustamante, Executive Director of the Division of Prevention and Control of Cancer of the MINSA says “UHC is an important step in public health particularly for those who lack public or private insurance like Ander. In this context, we are trying to follow WHO guidance to achieve UHC and ensure all individuals and communities receive the health services they need without suffering financial hardship.”

In 2019, Peru was selected as a focus country for the WHO Global Initiative for Childhood Cancer as the first focus country in the Region. The Global Initiative aims to improve survival for all children with cancer to at least 60% by 2030 while reducing suffering, altogether with the potential to save an additional one million lives.

Four main goals were formulated for the national pediatric cancer plan: (1) improve early diagnosis of childhood cancer, (2) decrease treatment abandonment, (3) implement a national pediatric cancer registry and (4) improve the quality of services in pediatric oncology units.

Dr. Liliana Vasquez, pediatric oncologist who works as an external consultant for the Division of Prevention and Control of Cancer of MINSA said, “Ten working groups have been established to achieve the goals.”

Dr. Vivian Perez, advisor of the Non-Communicable Diseases Office in PAHO-Peru added “the initial focus for the Initiative will be on six cancers selected as tracers for monitoring progress across the health system, alongside engagement of at least six focus countries with a record of strong political commitment and foundational efforts supporting children with cancer.”

For Ander, his health care team, the commitments from the government of Peru and partners and Global Initiative have made it possible to be successfully treated and will now allow him to dream of a healthy future though better access to surveillance monitoring and psycho-oncological support aimed at childhood cancer survivors.

Peru is showing what is possible for all countries. By concerted action and promoting universal health coverage, every child in the world can have access to high-quality care with the greatest likelihood of survival, and every family should be protected from financial hardship. We can do more together.

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https://www.who.int/news-room/detail/14-02-2020-who-global-initiative-for-childhood-cancer-progress-on-all-fronts

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February 27, 2020
Ministers to agree new global road safety agenda to 2030

Government ministers and senior officials from over 100 countries will meet in Stockholm, Sweden from 19-20 February to discuss new steps to halve road traffic deaths and injuries by 2030, in line with global targets agreed in the United Nations Sustainable Development Goals (SDGs).

“The fact that an estimated 1.35 million lives are lost every year due to road traffic collisions is an outrage. It is an unacceptable price to pay for mobility,” said Dr Tedros Adhanom Ghebreyesus, Director-General at the World Health Organization (WHO).

Road traffic injuries are now the leading cause of death for children and young adults aged 5 to 29 years, according to WHO’s most recent Global status report on road safety.

More than half of all road traffic deaths occur among pedestrians, cyclists and motorcyclists. The risk of a road traffic death remains three times higher in low-income countries than in high-income countries. Moreover, as many as 50 million people experience non-fatal road injuries, which impose human suffering and major economic losses.

“Most road traffic deaths and injuries can be prevented, using tried and tested strategies,” added Dr Tedros. “This conference is an opportunity for the world to embrace a new agenda to radically reduce the number of lives lost on our roads and re-think how we can provide access to safe, affordable, accessible and sustainable transport systems for all.”

Progress in road safety

Many countries have already made progress through effective road safety management and focusing on better legislation and enforcement around key risks such as speeding; drinking and driving, and failing to use seatbelts. They have also improved infrastructure through measures such as safer sidewalks and dedicated lanes for cyclists; implemented vehicle standards such as those that mandate advanced braking and electronic stability control; and enhanced post-crash care.

Improvements have occurred when a number of sectors have been involved – including transport, health, urban planning and law enforcement, among others. Success has also depended mainly on strong leadership and political will at the highest level of government and in close collaboration with civil society and the private sector.

The Stockholm Declaration

Hosted by the Government of Sweden in collaboration with WHO, the 3^rd Global Ministerial Conference on Road Safety offers delegates an opportunity to share successes and lessons learned, chart future strategic directions for global road safety, and define ways to fast-track progress around proven strategies to save lives.

The Stockholm Declaration will be presented as the final outcome document of the Ministerial Conference calling for strong political will and international cooperation as well as partnerships across many sectors of society. The Declaration will lay out key recommendations for accelerated action to drive progress towards halving global road traffic deaths and injuries by 2030.

Beyond preventing human suffering and major economic losses, addressing road traffic deaths and injuries has positive impact across all aspects of society and development ─ including those linked to environment, climate change, education, employment, energy, poverty, human rights and equality ─ as outlined in the SDG targets.

Note to editors:

Road safety is reflected in the SDGs agreed in 2015, with two dedicated targets: (a) 3.6 aimed at preventing road traffic deaths and injuries and (b) 11.2 providing access to safe, affordable, accessible and sustainable transport systems for all.

Achieving these targets would lead to increases in walking, cycling and using public transport, in other words, those modes of transport which impact most favorably on noncommunicable diseases like heart and lung diseases, cancer and diabetes. It would also contribute to reducing environmental risks, such as air and noise pollution, and steering sustainable urbanization, with less congestion and universal access to safe, inclusive and green public spaces.

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https://www.who.int/news-room/detail/07-02-2020-ministers-to-agree-new-global-road-safety-agenda-to-2030

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February 27, 2020
WHO to accelerate research and innovation for new coronavirus

WHO is convening a global research and innovation forum to mobilize international action in response to the new coronavirus (2019-nCoV).

“Harnessing the power of science is critical for bringing this outbreak under control,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “There are questions we need answers to, and tools we need developed as quickly as possible. WHO is playing an important coordinating role by bringing the scientific community together to identify research priorities and accelerate progress.”

The forum, to be held 11-12 February in Geneva, is organized in collaboration with the Global Research Collaboration for Infectious Disease Preparedness.

The forum will bring together key players including leading scientists as well as public health agencies, ministries of health and research funders pursuing 2019-nCoV critical animal health and public health research and the development of vaccines, therapeutics and diagnostics, among other innovations.

Participants will discuss several areas of research, including identifying the source of the virus as well as sharing of biological samples and genetic sequences.

Experts will build on existing SARS and MERS coronavirus research and identify knowledge gaps and research priorities in order to accelerate scientific information and medical products most needed to minimize the impact of the 2019-nCoV outbreak.

The meeting is expected to produce a global research agenda for the new coronavirus, setting priorities and frameworks that can guide which projects are undertaken first. “Understanding the disease, its reservoirs, transmission and clinical severity and then developing effective counter-measures is critical for the control of the outbreak, to reduce deaths and minimize the economic impact,” said Dr. Soumya Swaminathan, WHO Chief Scientist.

This will also fast-track the development and evaluation of effective diagnostic tests, vaccines and medicines, while establishing mechanisms for affordable access to vulnerable populations and facilitating community engagement.

“The WHO R&D Blueprint is a global strategy and preparedness platform that drives coordinated development of drugs and vaccines before epidemics, and allows the rapid activation of R&D activities during epidemics. It speeds up the availability of the diagnostics, vaccines and treatments and technologies that ultimately save lives,” added Dr Michael Ryan, Executive Director, WHO Health Emergencies Programme.

Setting clear global research priorities for the novel coronavirus should lead to more efficient investments, high-quality research and synergies among global researchers.

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https://www.who.int/news-room/detail/06-02-2020-who-to-accelerate-research-and-innovation-for-new-coronavirus

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February 27, 2020
MLM Business Plan: How Can You Use One To Profit ASAP?

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Although getting a plan together is a genuine necessity, you’ll be pleased to know it’s actually rather simple to put one together or to make a few changes to your existing plan.

Many online marketers understand that getting a plan together is a genuine necessity, you’ll be pleased to know it’s actually rather simple to put one together or to make a few changes to your existing plan.

Although it is easy to create an MLM business plan when you know what your goals are, creating a profitable one is a different story altogether. To create these type of plans to actually turn a profit in your business, the main focus needs to be on how effective your marketing strategy is when it comes to generating commissions and sign ups in your downline.

There are two main ways in which you can advertise online to turn a profit:

1) Free marketing: social networking or content marketing are king here, basically any user generated content or anywhere in which you can interact one on one with another person within your circle of friends (or associates).

This is a fun way to incorporate marketing into your MLM business plan, but it can be time consuming and without a large amount of people following your content, you have no real leverage and therefore no immediate profit.

2) Paid marketing: this is an obvious one, but basically anywhere you pay to post an advert. For online marketing, adverts on other people’s blogs or sending solo ads to other marketer’s email lists are the most cost effective although there are more popular paid marketing methods such as Facebook advertising.

These get immediate and targeted traffic, but without the proper education on paid methods you will certainly break the bank before you profit. With this option, you must also understand that this is an investment and there are times when you may even lose money, especially if you promote your offer to the wrong target market.

Finally, you must analyse what you’re spending in your business. Is the product, service or event you’re about to invest in something that can be monetised, for example what will you learn in the training you purchase that will cover the cost of your investment? Or can you become an affiliate for what you’ve just purchased and sell copies of it to earn commissions?

In conclusion, when you’re piecing together your MLM business plan you’re going to need to take a common sense approach. Forget cutting corners to save money, make sure the focus is on providing value to your potential customers in your marketing efforts whilst making your advertising cost effective.

Lastly, ensure that the amount of advertising you will be implementing reflect on your goals e.g. number of sales a month so that you stay consistent with both your goals and marketing to avoid getting overwhelmed in your business, especially if you’re new to the MLM industry. Now that you have a basic understanding on how to profit quickly with an effective MLM business plan, what are you going to incorporate into your plan?

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Source by Seb Brantigan

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February 7, 2020
MLM As a Business Tool

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Multi-level marketing or MLM for short is one of the fastest -rising star in business. It is easy to set up, fast to do and not very difficult to manage as long as you manage a tight ship and create a structure without the holes. These reasons, however, are also the ones that made multi-level marketing as a business tool notorious. People who are out to rob other people of their hard-earned money, used the business structure to create scams. I am sure you have heard of the pyramid scams. The models they used are similar to multi-level marketing except that they are not legitimate business with no legitimate products.

As a business tool, MLM is ingenious. Instead of creating stores and distributing through the usual channels, MLM makes use of ordinary people and their wide range of contacts. It actually takes advantage of the fact that communication now is so much better than before. This means that people you have not even seen in decades can easily be contacted. And the more contacts you have, the better for multi-level marketing because in essence, you will be using their contacts too.

To make you understand MLM much better, here is how it goes. A company with products recruits distributors that will help them sell their products to people. Usually what big companies do is look for big companies who can put their products in the market. The same concept is applied to multi-level marketing except that people act as distributors and not companies. It’s the marriage of distributorship and the legendary Avon way of selling, direct to consumers. This actually gets the best of both worlds.

With this business tool, multi-level marketing companies recruits people who can directly distribute their products to consumers. These people however do not just sell the products, they can also recruit people who can help them sell their products. Thus, increasing their total sales. When a lot of people are already part of one person, this is already considered as a group and group sales are often rewarded with commissions. In fact, the more people you have, the bigger sales you will naturally have. This is the principle of multilevel marketing.

The beauty of this business tool is the fact that products are sold directly to people and yet you have people under you to help you do it. To earn a commission, you don’t need to actually sell the products yourself. You can recruit people to do it for you and then have them do the work. This is ideal for people who have a lot of contacts and network that they can use. Some people do not even have to meet in person to strike a business deal. This is especially true if the MLM company has offices in different states and countries.

One word of caution though when thinking of joining a company that engages in multi-level marketing is to see if they have legitimate products that they can actually sell. You should also see if the company is also a legitimate one. This means it needs to have some manufacturing plant and a main office and business structure to qualify as legitimate. This separates companies that uses it as a business tool and companies that are out to just scam people. Knowing the difference can make save you a lot of effort and of course hard-earned money.

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Source by Terez Dunn

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February 7, 2020
I’m Afraid My Husband Has Moved On And That It’s Too Late To Get Him Back: Insights That Might Help

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I often hear from wives who want to know when it’s too late to get their husband back. Some tell me that, in their minds, it is too late because their husband has seemed to “move on.” I often hear comments like “We’ve been separated for six months. I think my husband has started seeing someone else. I’m starting to think that this is the end and that it’s too late for us. If someone has moved on, does that mean the end of the marriage?”

Another example is something like: “My husband keeps telling me that we’re over and that it’s too late to do anything to save this marriage. Yesterday, he told me that he was moving on and that I should do the same thing. But I’m not sure how I can do this when it’s never going to be over for me. What can I do?”

The common denominator in all of these questions and comments is that what the person asking really wants to know is when is it too late to save your marriage. Do you reach that “too late” point when your spouse tells you they have moved on? Do you have to take their word for it?

Of course, I can’t definitively answer these questions for anyone because the answer depends on the specific people involved and the situation that they are in. But, I can offer you a perspective from my experiences and observations, which I’ll do in the following article.

Sometimes, Couples Do Reconcile After One Of Them Has “Moved On”: If there’s anything that I know for sure in this situation, it’s that it is possible for things to change. Feelings change. Perceptions change. Situations change also. Just because someone is proclaiming or insisting something today, this doesn’t mean that they can’t do a complete about face tomorrow.

I have seen divorced couples reconcile. I’ve seen couples who have been remarried to other people (sometimes for decent periods of time) decide to get back together. This doesn’t happen in every case, of course. But it most certainly can happen. Sometimes, there’s a change in circumstances which bring about a change of feelings. Other times, it happens spontaneously. But, much of the time, it’s part of a master plan meant to bring about small, gradual, and yet dramatic changes.

Why Hanging On Too Tightly Can Sometimes Backfire: Wives in this situation often tell me that they just can not accept that it’s over or that he has moved on. I do understand this as I was in these shoes and I know how frustrating and painful this whole process can be. However, I can also tell you that I hear from husbands in this situation too and it’s my experience and opinion that clinging too tightly or “refusing” to accept what he’s telling you will often make him feel less loving or receptive toward you rather than more so.

I know that it can be difficult to take step back or to pause when you’re so afraid that the second you do, he really will be gone. But sometimes, you just have to ask yourself if clinging so tightly has been working for you. Take a long look to see if your previous methods have really gained you anything.

Sometimes, if you are honest and can maintain a little distance, you can see that actually, you’ve only been making things worse. It’s really important to ask yourself if the attempts you’ve been making have been bringing him closer to you or improving things or if they’ve been pushing him further away and deteriorating things. If this is the case, sometimes, you come to realize that trying something new isn’t as risky as it may have first appeared.

Backing Off Or Taking Pause Is Not The Same As your Moving On: I sometimes have wives tell me things like: “maybe he’s moved on, but I will never be able to. I just can’t give up on our marriage or let go no matter what he says.” Another example is: “his moving on doesn’t mean that I have to.” All of these points are valid, but nothing says that you have to broadcast this to him. Because, when you’re asserting that you are absolutely not going to move on, then sometimes he will come to oppose you even more and think that he needs to ratchet up his efforts to change your mind. This of course, makes him move further away from you.

So, there are times when you are better off just telling yourself that, although you know full well how you feel, you’re no longer going to keep repeating this to him when he already knows it anyway. There’s nothing wrong with appearing to back off when you know all along that your plan is to gain some ground. And, sometimes you need a pause to gain some perspective and calm.

Taking time for yourself and taking a break from all of the drama can sometimes actually improve the situation. And sometimes, when you are suddenly silent or absent, your husband suddenly becomes interested again. This is what happened in my case, although it wasn’t by design.

No matter which way you chose to go, it’s my experience that you are almost always better off if you are able to maintain your respect and dignity. You want to portray yourself in the strongest way possible and this often requires you to act “as if” when you just aren’t feeling it or aren’t all that confident. Sometimes, it helps to remember the person your husband loved once upon a time and to show him that person when the opportunity genuinely presents itself.

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Source by Leslie Cane

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February 6, 2020
The Cash Register and Their Uses
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We have all at least seen a cash register if not used one. Cash registers are an integral part of retail businesses and most cannot operate without one. Invented by James Ritty after the Civil War out of necessity for the running of his saloon. His main goal was to stop employees from skimming money and he got the idea after seeing a tool that counted the revolutions of propellers for steamships. Patented in 1883, the cash register soon took on a life of its own and after being sold a few times, finally settled into what it is today.

Today the cash register does not require you to break a nail while pushing down huge buttons that were known for sticking down and causing all sorts of problems. There are no longer number tabs that pop up to show you the amount being rung up, but rather most registers are computerized. Computer cash registers are available in many forms today and may consist of just a simple program that you run on your desktop computer that uses an interface just like a regular cash register to entire pos systems that come complete with bar code scanners, a till drawer and receipt printer. Pos cash registers are what most of us are familiar with today as all the large retailers use them.

Computer cash registers or pos cash registers are highly advanced and will do everything from ringing up the customer’s purchases to doing your taxes. Many of the systems will come with a program that keeps track of your inventory which will save you time and money by streamlining the process and not having to do physical inventory. Don’t forget the options like bar code scanners and laser receipt printers that will help keep your business running smoothly.

Touch screen cash registers are the first choice among restaurants and grocery stores. These registers will display menu choices and options that will make ordering quicker by just pressing the screen. Restaurant cash registers are designed so that the kitchen will receive the order when the wait staff enters it into the computer so they can begin preparing immediately. This makes for a much more efficient restaurant. Many of these pos systems also come with age verification software which is handy for those in the bar business. These registers also allow for unique user id’s that keep track of each person who uses the register, their orders and their sales. Most are able to download your business for that day or week into tax programs such as Quick-books.

The importance of cash register tape might seem little, but this is an important addition to any system and should be allowed some consideration before purchase. Today, most register systems and credit card machines use thermal paper for receipts. This paper requires special thermal printers that burn the image into the paper. Laser printers are also used and they have their own special type of receipt paper as well. These types of printers do not require ink, which is one less expense because in the long run ink will cost you a fortune, but they are much pricier up front than your regular paper receipt printers.

Below is a list of registers and prices that you can expect to pay:
- 8 Department Standard Electronic Cash Register (recommended for small businesses) starting at around $100 – These registers are very basic, but for the small retailer they are perfect – They use standard paper for their receipt printing
- 40 to 99 Department Standard Electronic Cash Register (recommended for small to midsized businesses) from $200-$350 – Same considerations as register above
- Touch Screen Cash Register (varies depending on size and bundles/options, recommended for restaurants and bars) $500-$2500 – These registers will almost always be used with thermal or laser receipt printers
- POS Systems (varies depending on size and options) $1500-$3200 – Used almost always with laser or thermal printers.
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Source by Gerald Hill

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February 6, 2020
Saving a Long Distance Relationship: How Do You Know When It’s Heading For The Rocks?

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When you or your significant other are forced to move away for whatever reason, the necessity of saving a long distance relationship is the last thing on your mind. However, the chances are that neither of you has any real idea how to make your long distance relationship work.

Initially you’re both head over heels in love and, while you’re sad at the idea of being apart, you’re both determined that nothing will stop you from being together. You make all the usual promises to each other and for a while things are great. The problem is that in all probability you never got down to the nitty gritty reality of what it would actually be like to be hundreds or even thousands of miles apart, so you’re not prepared for the loneliness that inevitably comes as part of a long distance relationship package.

The initial elation and determination to be together no matter what begins to fade slowly and inevitably, and that’s usually when the insecurities start to set in.

You begin wondering what your partner’s up to. Perhaps they don’t appear to be missing you as much as you’re missing them; maybe they’re not available to talk when you need to. If you’re the one left behind you have the added knowledge that your lover has started a new job and of course you imagine them meeting lots of new people and having a really exciting time. Of course it’s not always the person left behind who has the problems. In your relationship, maybe you’re the one starting the new job and you don’t know anybody. Perhaps you think of your partner back at home surrounded by friends and family and you wonder if they are missing you like you’re missing them, or even if they’re thinking of you at all. But whatever your situation, that feeling of insecurity is horrible and so soul destroying.

You want to talk to your partner but you’re struggling to communicate because you’re frightened of the potential fall-out; that if your lover knew how you really felt, then your relationship would end. At this point, saving a long distance relationship is still not on your mind because the chances are that you are burying your head firmly in the sand, not realizing that by not talking to each other, your relationship is heading inexorably to the rocks.

Eventually loneliness gives way to frustration. You’re not getting what you want out of the relationship so you start to become resentful. Very often at this point it becomes all about you – what your lover wants doesn’t seem to matter.

Slowly frustration begins to turn to anger. Everyone around you seems to be in a relationship in which they’re surgically glued to one another’s side. Your friends and family thinks you’re crazy and give you all kinds of well meaning advice; unfortunately, it’s mostly negative and probably doesn’t involve actually saving a long distance relationship!

Whether you recognize it or not, you are now both firmly at the point of desperately needing to save your long distance relationship and, if neither of you take action, you begin to lose all sense of actually being in a relationship at all and drift towards the final stage in any long distance relationship break down – detachment.

One or both of you allow the resentment and frustration to get the better of you and slowly begin to withdraw into yourself. Your communication dwindles to almost non-existent and when you do speak, neither of you have anything to say.

Maybe at this point saving a long distance relationship seems almost impossible with everything seemingly working against you, but before you get on the phone and end it all, I want to say one final thing: It doesn’t have to be like that!

Ask yourselves this question: Do you and your partner love each other? If the answer to that question is ‘yes’ then, believe me you can save your long distance relationship.

If the love is still there underneath all of the crap that has gotten in the way, you really can halt the slide and pull it back together. Distance doesn’t have to be a deal breaker and you don’t have to be in the same room to share that special intimacy.

It won’t happen overnight, but if you’re both truly prepared to work at it, you won’t only be saving a long distance relationship but making it better than you ever thought possible.

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Source by Beverley Watts

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February 6, 2020