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2014-2019 Toyota Secondary Air Injection Pump SMOG Fits Land Cruiser Sequoia Tundra - 176100S030

2024.05.19 17:52 NucarToyotaParts 2014-2019 Toyota Secondary Air Injection Pump SMOG Fits Land Cruiser Sequoia Tundra - 176100S030

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2024.05.19 02:45 The_Brand94 RIGL Thesis 5/18/2024

~RIGL Thesis – 5/18/2024~
Outstanding Shares 175M
131 Institutional Holders
111,129,461 Total Shares Held
63.36% Institutional Ownership
Total Cash on Hand 3/31/2024 = $49.6M
Total Debt: $101.5M
Cash Burn Approximate = $8M per quarter (6 quarters of cash without any increases in revenue)
Q12023 REV = $26M
Q22023 REV = $26.8M
Q32023 REV = $28.1M
Q42023 REV = $35.8M
Q12024 REV = $29.5M (Decline from Q4 likely from end of year versus new-year tracking of Rx and shipments of drugs, resetting of Copays)
Most Recent EPS -$0.05 per share
May 22, 2024 - Vote on S will take place, caution
~Statistics Applicable To Thesis~
333.3 million US Population (2022)
8,109,679,892 Global Population (2024)
~Drugs On Market~
~Tavalisse – Treatment for ITP, FDA Approved April 17, 2018~
~What is ITP?~
Immune thrombocytopenia (ITP) is an illness that can lead to bruising and bleeding. Low levels of the cells that help blood clot, also known as platelets, most often cause the bleeding.
Once known as idiopathic thrombocytopenic purpura, ITP can cause purple bruises. It also can cause tiny reddish-purple dots on the skin that look like a rash.
Children can get ITP after a virus. They most often get better without treatment. In adults, the illness often lasts months or years. People with ITP who aren't bleeding and whose platelet count isn't too low might not need treatment. For worse symptoms, treatment might include medicines to raise platelet count or surgery to remove the spleen. Immune thrombocytopenia (ITP) - Symptoms and causes - Mayo Clinic
~What is Tavalisse?~
TAVALISSE is a prescription medication used to treat adults with low platelet counts due to chronic immune thrombocytopenia (ITP) when a prior treatment for ITP has not worked well enough. It is not known if TAVALISSE is safe and effective in children.
The cost for Tavalisse oral tablet 100 mg is around $15,404 for a supply of 60 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Tavalisse Prices, Coupons, Copay & Patient Assistance - Drugs.com
TAVALISSE IS AN ORAL MEDICATION TAKEN TWICE DAILY WITH OR WITHOUT FOOD1
A 12-week evaluation period is recommended
60 tablets = 1 month supply, evaluation period = 3 months, Cost for 3 months = $46,212 Cash, assuming cheaper through wholesale, insurance, discount cards, etc.
Dosing TAVALISSE® (fostamatinib disodium hexahydrate) tablets (tavalissehcp.com)
~Addressable Market~
“Our findings suggest that nearly 20,000 children and adults are newly diagnosed with ITP each year in the US, substantially higher than previously reported. Among patients requiring formal medical care, the economic burden during the first 12 months following diagnosis is high, with estimated US expenditures totaling over $400 million.”
Primary immune thrombocytopenia in US clinical practice: incidence and healthcare burden in first 12 months following diagnosis - PubMed (nih.gov)
The estimated prevalence of ITP in the United States is 9.5 per 100,000 people, with a global prevalence of over 200,000 people at any given time [1].
Immune thrombocytopenia. [ Oct; 2022 ]. 2022. https://rarediseases.org/rare-diseases/immune-thrombocytopenia
~Author Calculations/Estimates~
ITP estimated cases based on measured statistics 31,635 cases a year in the US and 770,355 cases globally each year.
~Rezlidhia – R Acute Myeloid Leukemia, FDA Approved December, 22, 2022~
~What is Relapsed or Refractory Acute Myeloid Leukemia?~
Relapsed, or recurrent, acute myeloid leukemia (AML) means the leukemia has come back after treatment and remission.
Refractory AML means the leukemia did not respond to treatment. Complete remission has not been reached because the chemotherapy drugs did not kill enough leukemia cells.
Both relapsed and refractory AML need more treatment to reach complete remission.
Your healthcare team will suggest treatments based on your needs and work with you to develop a treatment plan. Some factors considered for your treatment include:
your age
your health
how long the leukemia was in remission
treatments you had before
where the leukemia comes back
Treatment options usually include chemotherapy and a stem cell transplant if possible. Targeted therapy may also be used.
Treatments for relapsed or refractory acute myeloid leukemia Canadian Cancer Society
~What is IDH1?~
Somatic mutations in isocitrate dehydrogenase (IDH) genes occur frequently in adult Acute myeloid leukemia (AML) and less commonly in pediatric AML… Enhanced genomic and epigenomic profiling of acute myeloid leukemia (AML) has led to identification of recurrent mutations that are prognostic and are candidates for targeted therapy. Somatic mutations in isocitrate dehydrogenase (IDH) genes, IDH1 and IDH2, occur in ∼6% to 16% and ∼8% to 19% of adult patients with AML, respectively.1-5 In pediatric AML, IDH mutations are rare, occurring in <4% of patients.6-11
Characteristics and prognostic impact of IDH mutations in AML: a COG, SWOG, and ECOG analysis Blood Advances American Society of Hematology (ashpublications.org)
~What is Rezlidhia?~
REZLIDHIA is a prescription medicine used to treat adults with acute myeloid leukemia (AML) with an isocitrate dehydrogenase-1 (IDH1) mutation when the disease has come back or has not improved after previous treatment(s).
Targeted Treatment REZLIDHIA® (olutasidenib) capsules
The cost for Rezlidhia oral capsule 150 mg is around $17,468 for a supply of 30 capsules, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Rezlidhia Prices, Coupons, Copay & Patient Assistance - Drugs.com%20is%20a%20member,on%20the%20pharmacy%20you%20visit.)
~Addressable Market~
The annual incidence of new cases in both men and women is approximately 4.3 per 100,000 population, totaling over 20,000 cases per year in the United States alone.[13] The median age at the time of diagnosis is about 68, with a higher prevalence observed among non-Hispanic Whites. Furthermore, males exhibit a higher incidence compared to females, with a ratio of 5:3.
Acute Myeloid Leukemia - StatPearls - NCBI Bookshelf (nih.gov)
~Author Calculations/Estimates~
Cases of AML with IDH1 would be 11% based on the median of statistics above (6% to 16%) leaving approximately 1500 to 2000 cases a year in the US. Appling the same calculations to world population would amount to approximately 38,500 cases a year globally.
~Gavreto – Treats RET+ Non-Small Cell Lung Cancer In Adults and RET+ Thyroid Cancer in Kids and Adults, FDA Approved August 9, 2023~
For the sake of common ground, I am going to assume these types of cancers do not need to be elaborated on as we all likely have a basic understanding of what they are. The medical conditions treated by Tavalisse and Rezlidhia I felt needed a more in-depth explanation because they are not common. I will elaborate on RET+ a little later in this writing.
~What is Gavreto?~
GAVRETO is an oral once daily prescription medicine used to treat certain cancers caused by abnormal rearranged during transfection ~(RET+)~ genes in:
Adults with non-small cell lung cancer (NSCLC) that has spread
Adults and children 12 years of age and older with advanced thyroid cancer or thyroid cancer that has spread who require a medicine by mouth or injection (systemic therapy) and who have received radioactive iodine and it did not work or is no longer working*
It is not known if GAVRETO is safe and effective when used to treat cancers caused by abnormal RET genes in children for the treatment of NSCLC or in children younger than 12 years of age for the treatment of thyroid cancer.
Home GAVRETO® (pralsetinib)
The cost for Gavreto oral capsule 100 mg is around $11,745 for a supply of 60 capsules, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
The recommended dosage for adults and children 12 and over is 400mg orally once daily. Each capsule is 100mg, which means you will take 4 capsules. Gavreto should be taken on an empty stomach, at least 1 hour before or 2 hours after a meal.
Gavreto Prices, Coupons, Copay & Patient Assistance - Drugs.com
~What is Rearranged During Transfection Positive (RET+)?~
RET-positive cancer is caused by a mutation or abnormal re-arrangement of the RET gene. It occurs most commonly in lung cancer and several types of inherited and sporadic thyroid cancers. RET alterations also occur in an estimated 1-2% of multiple other cancers, including ovarian, pancreatic, salivary, breast, and colorectal cancers.
RETpositive Empowering Patients and Driving Research
Rearranged during transfection (RET) rearrangements were first identified as oncogenic drivers in NSCLC in 2012. The proportion of patients with NSCLC who have RET rearrangements (ie, fusion-positive disease) is approximately 1%-2%.
RET Fusion-Positive Non-small Cell Lung Cancer: The Evolving Treatment Landscape The Oncologist Oxford Academic (oup.com)
RET alterations occur most commonly in lung cancer (non-small cell lung cancer (NSCLC)) and the number of new cases diagnosed each year is considerable, accounting for approximately 37,500 [IG1] cases worldwide and 4,000 cases in the US (2% of NSCLC) (2,3). RET alterations are also common in several types of inherited and sporadic thyroid cancers and can occur in other types of cancers like ovarian, breast, pancreatic, and colorectal cancers, among others (4-8) adding >110,000 cases yearly worldwide (9).
What is RET Positive Lung Cancer? - The Happy Lungs Project
(2) Although medullary thyroid carcinoma represents 5-10% of all thyroid cancers, activating RET gene abnormalities occur in over 90% of hereditary and approximately 40%-60% of sporadic medullary thyroid carcinoma cases.
Patients – RETpositive%20Although%20medullary%20thyroid%20carcinoma,sporadic%20medullary%20thyroid%20carcinoma%20cases.)
~Prevalence of Non-Small Cell Lung Cancer~
Most lung cancer statistics include both small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). In general, about 10% to 15% of all lung cancers are SCLC, and about 80% to 85% are NSCLC.
Lung cancer (both small cell and non-small cell) is the second most common cancer in both men and women in the United States (not counting skin cancer). In men, prostate cancer is more common, while breast cancer is more common in women.
The American Cancer Society’s estimates for lung cancer in the US for 2024 are:
About 234,580 new cases of lung cancer (116,310 in men and 118,270 in women)
About 125,070 deaths from lung cancer (65,790 in men and 59,280 in women)
Lung Cancer Statistics How Common is Lung Cancer? American Cancer Society
Worldwide, an estimated 2,206,771 people were diagnosed with lung cancer in 2020. These statistics include both small cell lung cancer and NSCLC.
Lung Cancer - Non-Small Cell: Statistics Cancer.Net
~Author Calculations/Estimates~
Approximately 187,664 cases of NSCLC in the US based on an 80% factor.
Approximately 1,765,416 cases of NSCLC worldwide based on an 80% factor.
~Prevalence of Thyroid Cancer~
Rate of New Cases and Deaths per 100,000: The rate of new cases of thyroid cancer was 13.5 per 100,000 men and women per year. The death rate was 0.5 per 100,000 men and women per year. These rates are age-adjusted and based on 2017–2021 cases and 2018–2022 deaths.
Lifetime Risk of Developing Cancer: Approximately 1.2 percent of men and women will be diagnosed with thyroid cancer at some point during their lifetime, based on 2017–2019 data. Lifetime risk based on data through 2022 will available soon.
Prevalence of This Cancer: In 2021, there were an estimated 979,295 people living with thyroid cancer in the United States.
Thyroid Cancer — Cancer Stat Facts
About 44,020 new cases of thyroid cancer (12,500 in men and 31,520 in women)
About 2,170 deaths from thyroid cancer (990 in men and 1,180 in women)
Thyroid cancer is often diagnosed at a younger age than most other adult cancers. The average age when a person is diagnosed with thyroid cancer is 51.
This cancer is about 3 times more common in women than in men. It is about 40% to 50% less common in Black people than in any other racial or ethnic group.
Key Statistics for Thyroid Cancer American Cancer Society)
Addressable Market
Given Gavreto’s dual treatment capacity, the total amount of potential patients with NSCLC with RET+ indications would be approximately 2,800 cases in the US and approximately 26,500 cases worldwide each year using a factor of 1.5% of total NSCLC cases. The total amount of treatable cases for Thyroid Cancer would be approximately 650 in the US and 16,500 cases worldwide respectively each year applying the same 1.5% RET+ percentage rate. DOUBLE CHECK MATH…
~Rigel Pharmaceuticals Pipeline~
~IRAK/4 – Clinical Trials~
Rigel’s investigational candidate, R289, is an oral, potent and selective inhibitor of interleukin receptor-associated kinases 1 and 4 (IRAK1/4).
Toll like receptors (TLRs) and the interleukin 1 receptor family (IL-1Rs) play a critical role in the innate immune response and dysregulation of these pathways can lead to a variety of inflammatory conditions such as psoriasis, rheumatoid arthritis, and inflammatory bowel disease. Chronic stimulation of both receptor systems has also been implicated in causing a pro-inflammatory bone marrow environment leading to persistent cytopenias in lower-risk myelodysplastic syndrome (LR-MDS) patients1.
R835 is a selective dual inhibitor of IRAK1/4 that blocks TLR4 and IL-1R-dependent systemic cytokine release. In preclinical studies, R835 demonstrated activity in multiple animal models of inflammatory disease2,3 and showed that dual inhibition of IRAK1 and IRAK4 provided more complete suppression of inflammatory cytokines when compared to an IRAK4-selective inhibitor4.
Development of R289:
In a Phase 1 clinical trial, R835 was well tolerated and inhibited LPS-induced inflammatory cytokine production in healthy volunteers, demonstrating proof-of-mechanism.5 Phase 1 clinical studies of R289 (an oral prodrug that is rapidly converted to R835 in the gut) are also complete.
A Phase 1b open-label, multicenter trial of R289 in patients with relapsed/refractory lower-risk MDS is currently enrolling (NCT05308264). The primary endpoint for this trial is safety with key secondary endpoints including preliminary efficacy and evaluation of pharmacokinetic properties.
~Bemcentinib – Bergenbio Partnership~
In June 2011, Rigel entered into an exclusive, worldwide research, development and commercialization agreement with BerGenBio for its investigational AXL receptor tyrosine kinase (AXL) inhibitor, R428 (now referred to as bemcentinib).
Bemcentinib is a potent, selective and orally bioavailable AXL inhibitor and the furthest along in clinical trials. In preclinical studies, bemcentinib was shown to have an effect as a single agent therapeutic in the prevention and reversal of acquired resistance to standard of care cytotoxics and targeted therapies and may also slow or prevent tumor metastasis.
Rigel received an upfront payment and is eligible for milestone payments and potential sublicensing revenue, as well as tiered royalty payments on any future net sales of products emerging from the collaboration.
~R552 Systemic – Eli Lilly Partnership~
Rigel’s investigational candidates are oral, potent and selective inhibitors of receptor-interacting serine/threonine-protein kinase 1 (RIPK1).
RIPK1 is a critical signaling protein implicated in a broad range of key inflammatory cellular processes including necroptosis, a type of regulated cell death, and cytokine production. In necroptosis, cells rupture leading to the dispersion of cell contents, which can trigger an immune response and enhance inflammation. RIPK1 inhibition has therapeutic potential in treating autoimmune, inflammatory, and neurodegenerative disorders.
Rigel’s RIPK1 inhibitor program includes R552, a systemic molecule being developed for the treatment of autoimmune and inflammatory disorders, and brain penetrating RIPK1 inhibitors for central nervous system (CNS) diseases. In preclinical studies, R552 demonstrated prevention of joint and skin inflammation in a RIPK1-mediated murine model of inflammation and tissue damage.
Development of R552:
In Q2 2023, the initial Phase 2a trial (NCT05848258) in moderately to severely active rheumatoid arthritis (RA) was initiated by partner Eli Lilly.
Development CNS-penetrating RIPK1 inhibitors:
Currently in preclinical studies.
~Milademetan – Daiichi Sankyo Partnership~
Rigel has a long-standing collaboration with Daiichi-Sankyo for developing murine double minute 2 (MDM2) protein inhibitors in cancer, which were discovered in Rigel’s laboratories.
Preliminary safety and efficacy data from an early Phase 1 study of milademetan (formerly DS-3032), an oral selective MDM2 inhibitor, in hematological malignancies suggests that it may be a promising potential treatment for oncology indications.
Rigel received an upfront payment and is eligible for milestone payments, as well as tiered royalty payments on any future net sales of any products emerging from the collaboration.
~Rxxx (CNS Penetrant) – Eli Lilly Partnership~
Rigel’s investigational candidates are oral, potent and selective inhibitors of receptor-interacting serine/threonine-protein kinase 1 (RIPK1).
RIPK1 is a critical signaling protein implicated in a broad range of key inflammatory cellular processes including necroptosis, a type of regulated cell death, and cytokine production. In necroptosis, cells rupture leading to the dispersion of cell contents, which can trigger an immune response and enhance inflammation. RIPK1 inhibition has therapeutic potential in treating autoimmune, inflammatory, and neurodegenerative disorders.
Rigel’s RIPK1 inhibitor program includes R552, a systemic molecule being developed for the treatment of autoimmune and inflammatory disorders, and brain penetrating RIPK1 inhibitors for central nervous system (CNS) diseases. In preclinical studies, R552 demonstrated prevention of joint and skin inflammation in a RIPK1-mediated murine model of inflammation and tissue damage.
Development of R552:
In Q2 2023, the initial Phase 2a trial (NCT05848258) in moderately to severely active rheumatoid arthritis (RA) was initiated by partner Eli Lilly.
Development CNS-penetrating RIPK1 inhibitors:
Currently in preclinical studies. Pipeline :: Rigel Pharmaceuticals, Inc. (RIGL)
~Summary and Prediction~
The current share price of sub $1 does not feel justified. I would anticipate financial breakeven by the end of 2024 or potentially in Q1 or Q2 of 2025. The robust pipeline, progress, and expected revenue growth are enough to justify a much higher valuation. The debt load is manageable, but the potential for S is concerning. I believe that the S is not necessary and revenue growth and progress should speak for itself. I am not as bullish as the analysts at HC Wainright for a $15 PT, but the valuation should be at least 3x to 5x from the current value. This thesis does not highlight the patents surrounding their drugs either which some extend into 2035 and beyond. Perhaps what Wall Street is discounting is the fact that most of the drugs are very niche. However, the currently available drugs have an addressable market, albeit less universal than some, but you should value it in the sense of multiple facets (a 1000 headed snake is the phrase I wanted to use). I believe the company should be valued with specialty drugs in mind which would command a higher PE ratio. At the current day and time of writing, the value should be at least $1.50 to $1.75 ~at a minimum~ with a 12 month price target of $3 to $5+. I will be looking for continued revenue growth in each quarter this year and realization of revenue from Gavreto in Q2 or Q3 this year. The partnerships should not be discounted either and the current share price if it lingers here perhaps may attract a merger or acquisition. I initially began the research thinking that perhaps the drugs were too niche, but given the multiple drugs they are working with, I believe their revenue sources will continue to grow if you do not focus on one particular drug as the main performer. With the most recent inflation report being cooler than expected, I would suspect larger funds and institutions will be circling back to riskier assets.
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2024.05.17 19:07 tman152 Cancel green card and go gold?

I've been with Amex since 2011 when i got a blue cash card. 6 years ago I got a platinum card because the coupons + travel benefits made sense. Now I'm trying to maximize points and wanted to get the Gold card, since a big part of my daily spend is on groceries and restaurants.
When I tried to sign up for the Gold Card a message appeared stating that since I had a Platinum Card, I wasn't eligible for the Gold card welcome offer. I decided to get the Green card for it's 40k welcome offer, wait a year, and upgrade it to a gold card.
After spending $9k on the green card, I didn't see the welcome offer I thought I'd get. I contacted customer service and they told me that I wasn't eligible for the offer because I already had a similar card (apparently Platinum card cancels any other points card). I then asked for them to upgrade my green card to a Gold card right away since I wasn't going to get any welcome points and they told me I have to wait a year before that became an option

Since the card that would give me the most amount of rewards points is the Gold card, I'm thinking I should just close the Green card and open a new Gold Card.

Is this a bad idea?
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2024.05.12 20:49 RealisticSituation24 My sister the hoarder 🤣

My sister the hoarder 🤣
Saw the hot pink sticking outta her wallet and snagged em “what’s these?” 2011 coupons!
Told her to clean out her damn wallet 🤣🤣
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2024.05.10 02:30 kitkatmari00 On a budget: Nook, Kobo, or Pocketbook?

I recently unearthed my 2011 Nook SimpleTouch and have started reading on it again. I'm trying to become an avid reader again which is hard since I'm a student, so ebooks are a game changer, especially with library ebooks. I have been lurking on this subreddit for the past few days after I found out that my Nook won't let me read library books and it's a big let down because I was having a great time reading what was already loaded onto it. It's very old so it's kind of sticky (I use tissues to keep it from getting on my hands) and I have tried sideloading it but it's a hassle because it's picky about which wire I connect it to the computer with. So, I've been looking at trying to buy a new one. I really like having page-turn buttons on the side and have narrowed down my choices to the following: Nook Glowlight 4e (I have the B&N coupon for $30 off), Kobo Forma/Libra 2/Colour (depending on what's in stock online ;-; ), or the Pocketbook Era
My budget limit is ~$250ish because I'm a student and this is a big sum for me. If you have any recommendations for things that might meet my needs better, please feel free! But any advice would be much appreciated. TIA
EDIT: Thanks so much for everyone's input! I watched a lot of YouTube videos and considered what I was told here. I ended up going with the Pocketbook Era. Will come back and review my thoughts on it later. Super excited! :D
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2024.05.08 18:24 FXshel1995 2nd job

So husband and i are arguing about 2nd jobs. I lost medicaid when we got married, im t1 diabetic and 22 weeks pregnant and because of some dhs bs i can't join open enrollment and our monthly dhs deductible is 5k. We make 6k/mo.
He found a 2nd job but he had to be to work at 5am, work 10 hrs, then go to his 2nd job 530-1130pm. I told him that's not feasible and dangerous. I cant work a second job as i already wfh and do 50hrs a week and take care of our school aged children.
He said wont find a weekend job because he wouldn't be able to spend time with us or his daughter and do fishing......he doesn't do any of that already.
I just dont want him driving 20k lb trucks for that many hours a day and going without sleep.
Mind you it takes him u til 1-2qm to fall asleep most evenings just going a 3-11 shift. And he gets woke. Up at 8am because he is a light sleeper. I get the kids up and around and he hears doors wobble and wakes up. Ive tried telling him take some sleep medicine, tea, and he just doesnt. I am a high risk pregnancy, and being type 1 its already difficult to work full time which is why i wfh. None of this is either of our fault. Dhs approved me for medicaid and then terminated me may 1st, and then said i have a deductible, and its just insane rn. 😳
I dont want him working than many hoirs and hurting himself. He was rear ended badly in dec and now has more medi al issues in his back because of it and im afraid both of these jobs(lifting 40-100lbs) at any given time will take him down more. He was due to start state police academy in jan but because of the accident, he no longer can...
We have 4 children together. Rent is $1400/mo 1 car payment (we had to because paid off veh was totaled and we needed a 3rd row asap) $400 Utilities combined $390 Phones $290 (verizon contract were stuck in and cannot leave now) Food (i stick to about $75-100 per week and it feeds us all for 7 days) Loans from the accident we owe about $3000 just in his medical bills because michigan insurance wont cover ot we have to sue. We filed bankruptcy in march because of the debts, We cut all cable and subscriptions so none there. I pat internet which is $100 (wfh) Car insurance full coverage $500/mo. We would lowerbit but cannot because we live near flint MI and no one has insurance ...
My medical supplies cost $3k/mo with insulin, pump supplies, pots medications, thyroid medication, my daughters inhalers and steroids, her neuro psych visits, my maternal infant health bull is $1300 for 1 visit, and expecting another same visit on the 22nd for about the same.
My husband donates between paychecks to help with gas or the kids extras but its been hard.
Yes we gross $6k/mo but with all these bills and take home we make maybe 5100 if were lucky.
By the end of the month were scrambeling.
We used to use our paud off veh to doordash but we cant risk it in our new vehicle. (Ita not even nee, its a 2011 traverse 3rd row and we got fucked bad on monthly payments because of the bankruptcy and we needed a veh asap)
We have no credit cards, we dont eat out and if we do we coupon because we travel alot to our parents homes. (My mom died in march and his dad died a week ago) our parents each live 150 miles on opposite directions of us so. We spend about $100in gas every other weekend 😒
What's a good solution here
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2024.05.07 18:31 CustomWritings_CW The 80/20 Rule: What? Why? How?

The 80/20 Rule: What? Why? How?
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Judgement scale and gavel in judge office by Sora Shimazaki
This rule is becoming increasingly famous in different spheres, but not everyone understands it properly. Even some people who understand the rule have no idea how to use it in their lives. In this post, we will try to answer all the important questions and understand how this rule can be used by students.
What Is It?
This rule is also known as the Pareto Principle. It says that 80% of the effects come from 20% of the causes. Or, in other words, even 20% of efforts can bring 80% of success and achievements.

Why Is It Important?

First, the 80/20 rule helps people optimize and prioritize their duties and responsibilities. Secondly, it helps people manage their time wisely and make the right decisions at a particular moment.

How to Use the Rule If You Are a College Student?

Now, let’s see how the 80/20 rule can help students.pdf) handle their academic stuff as well as help them enjoy their college life to the fullest.
  • Focus. Identifying 20% of topics to learn can contribute to 80% of your academic scores. Thus, pay closer attention to these areas of study and boost your learning outcomes.
  • Time management. Complete 20% of your academic tasks, and this will yield 80% of your academic success. For example, you can focus on attending lectures, completing assignments, and studying for exams.
  • Extracurricular activities. If you identify 20% of such activities, these can provide you with beneficial personal and professional opportunities.
  • Socialization. Remember that 20% of your closest connections can bring you maximum support, inspiration, and growth.
  • Self-care and well-being. At least 20% of your personal habits and practices can contribute to 80% of your well-being and mental health.
I hope now the question of the 80/20 rule is more comprehensible and you understand how to apply it in your personal and academic life and, as a result, benefit from it.
Read more articles.
Use our free AI tools.
Check our free writing guides.
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2024.05.06 01:10 Aftershock_7582 Electric door conversion on 07-13

Electric door conversion on 07-13
I'm looking for people who have done this before or have an idea on what I need. I've done some research but I'm getting mixed answers, do I need the whole dash wiring harness or just the dash fuse box? I've got the new door panels installed but only the speakers are working, none of the buttons do. I'm going to buy the fuse box but just trying to get confirmation that I need the harness first.
submitted by Aftershock_7582 to ChevyTrucks [link] [comments]


2024.05.02 05:51 its_whirlpool4 Events for Fri 5/3 - Sun 5/5 (Star Wars Day and Cinco de Mayo Weekend)

** ALL WEEKEND (FRI 5/3 - SUN 5/5) *\*
10 AM - 2 PM Beetlejuice Tea Party Snapdragon Tea, 115 Harvard Dr. SE Themed tea party in tribute to Beetlejuice coming to Popejoy Hall! Enjoy three themed courses of small bites, accompanied by two pots of hot tea of your choice. One weekend only! We welcome kids of all ages to our tea parties. Children’s menus, gluten free, vegetarian and vegan menus are available upon request as well. Reservations required
** BOTH FRI 5/3 AND SAT 5/4 *\*
8 AM - 2 PM Old Fashioned Church Rummage Sale Hope in the Desert Episcopal Church, 8700 Alameda Blvd. NE Snag amazing deals on really good stuff - from furniture to kitchen items, household essentials, electronics, and much more!
Fri 7 - 9 PM Sat 2 - 4 PM New MexiChords In Concert! Sentimental Journey St. John's United Methodist Church, 2626 Arizona St. NE A Capella Live Concert! Join us for as we reminisce through favorite songs. Special guest: Quartet of All Time! $15 Tickets at Door
** BOTH SAT 5/4 AND SUN 5/5 *\*
Sat 3 - 5 PM Sun 2 - 4 PM Mother's Day Kid's Gift Making Workshop Pinspiration, 6271 Riverside Plaza Ln. NW, Ste D1 Join us for a unique and fun way for your kiddos to honor and celebrate their mom, aunts, grandmas or any important mother figure in their lives. A hand-crafted gift from your child will really show mom how much they love them! Drop off the kiddos for an afternoon of crafting to make something very special! $35 per child (Special gift, Gift wrapping, Snack and drink). Workshop fee is non-refundable so if you're unable to attend, a studio credit will be given for another workshop, crafts or our splatter experience (register)
4 PM American Music - Then and Now The ABQ Civic Chorus is delighted and excited to welcome you to our spring concert. We are a group of over sixty vocal musicians with different backgrounds, professions, and musical training. Tickets are $15 in advance and $20 at the door. Tickets purchased online will be available at the door and are good for either day
** Fri 5/3 *\*
Fri 10:45 AM – 12 PM Coffee Concert 4: Early Beethoven South Broadway Cultural Center, 1025 Broadway Blvd. SE Beethoven Prometheus (Die Geschöpfe des Prometheus): Overture; Beethoven Concerto, Piano, No. 3, Op. 37, c minor; Beethoven Symphony No. 2, Op. 36, D Major. The last NMPhil Coffee Concert of 2023/24 is sure to leave you excited for next season! Premiered in 1803 in Vienna and conducted by the composer himself, Beethoven’s second foray into the world of big, public symphonies combines his unique artistry with his humor, stated through various musical jokes in the Scherzo and Finale. The program—led by conductor Na’Zir McFadden—also includes Anthony Ratinov performing Beethoven’s Piano Concerto No. 3 to lighten your early-spring morning (tickets)
Fri 2 – 9 PM Grand Opening NM Rave Cave, 115 7th St. NW Come see our new location and check out our vendors, food trucks and local dj’s playing in store. Complete with an ABQ Live Photo Booth. Big Boss Hotlinks will be on site with Burgers, Dogs , Fries and more! We are teaming up with Viva ABQ, 505 Junglists, Carma Presents, ABQ Live, Unyk Lyfe, ASTRL Entertainment, Otter World Music, Audio Elite NM and Mr.Afterhours to bring you a one of a kind experience! Vendors - Alchemy Beauty - Magic Cup Boba Tea - Rastafari_Mari - Own The Day - The Mexican Witch - High Chi Mandalas - Astrl Ent
Fri 3:30 - 7:30 PM Family Block Party! Coldwell Banker Legacy Paseo, 8200 Carmel Ave NE Car show, bouncy houses, mechanical bull! Welcome to a celebration for our cherished community and the wonderful clients who make our work so rewarding!
Fri 5 PM Blueberry Berliner Weisse Release Tractor Brewing - All locations You asked for a sour and now you got one! Hitting your taste buds like spring allergies, the Blueberry Berliner will be available on tap everywhere
Fri 5 – 8 PM Honky Tonk for Hope, Health and Healing Dirty Bourbon Dance Hall & Saloon, 9800 Montgomery Blvd., Ste 4 Come dance the night away with us! There will be food, fun, and dancing! This fundraising event benefits Casa Esperanza! For more info, Jacob Romero 505-246-2706 or [jromero@casanm.org](mailto:jromero@casanm.org) (tickets)
Fri 6 PM Country Social Dance CSP Dance Studios, 1624 Eubank Blvd. NE The best country music for dancing to practice your Country Two Step, Night Club, West Coast Swing, East Coast Swing, Cha Cha, Waltz, Rhythm Two Step, 4-count Swing, Line Dancing and more! $10 cash at the door. Welcome lesson 6:00-6:30pm. Call 505-883-9521 for more info
Fri 6 PM 'Burque Bee 2024 Canteen Brewhouse, 2381 Aztec Rd. NE Join us on the patio to show off your spelling chops. To give yourself an even better chance of winning, for $5 you can buy coupons like More Time (get 30 more seconds to confer), Stinger (sting your opponents!) and Help (get help from the audience). Team Registration $75. 3 people per team, limited to 12 teams (register)
Fri 6 PM Luke Bulla Concert Covenant Presbyterian Church, 9315 Candelaria Rd. NE Luke has been singing and playing music most of his life. Touring with and singing in his family band from age four, Luke has won National Fiddle Contest (in Weiser, Idaho) six times in his respective age categories. His seventh win came in the Grand Champion division at age sixteen, making him the youngest to have earned the title at the time. More recently Luke has performed and/or recorded with Brandi Carlile, Jim Lauderdale, Darrell Scott, Alison Krauss, Jerry Douglas, Sam Bush, Edgar Meyer, Bela Fleck, Kevin Costner & Modern West, Russ Barenberg Trio, Shawn Colvin, Tony Rice, Chris Thile, Peter Rowan, Rodney Crowell, and Earl Scruggs, to name a few. Doors 5:30 pm. Show 6 pm. Presented by Southwest Pickers
Fri 6 – 7:30 PM Spring Fling Dennis Chavez Elementary, 7500 Barstow St. NE Food trucks, face painters, a balloonist, a mobile petting zoo, School of Rock performances, lawn games, mini golf and a chance to dunk your principal and favorite teachers! (We could still use some extra hands to keep the event fun and seamless, if you could spare some time, sign up here)
Fri 6 – 8:30 PM Pizza Paint & Craft Night Canvas and Coffee, 6700 4th St NW, Los Ranchos Date night for Mom and Dad... Drop off the kids (6+) for a Pizza dinner, then crafting, and painting fun! Each month we will offer a theme and will have 2 projects available for your child to make and take home the same evening! The materials they will be working with will be canvas painting, crafting with wood, beads, ribbon, mod podge, glue, acrylic paint, watercolors, and more! *Children with special dietary needs will need to bring their own snack/meal (tickets)
Fri 7 PM Group Therapy Band Marble Brewery, 111 Marble Ave NW Come dance your jitters away while listening to soothing music to calm a nervous world
Fri 7 PM Roust the House + Rock 101 Music Academy Performance Night Outpost Performance Space, 210 Yale Blvd. SE Roust the House and Rock 101 Music Academy return for another exciting season of performances featuring local teen bands and soloists, from punk rock to classical piano to singer-songwriters, hip hoppers, spoken word artists, and more, including The Hunnies, a Rock 101 alumni band, and other talented up-and-coming musicians. Tonight’s show features winners of Rock 101’s Band League Challenge and more. Founded in 2011 by Director Kevin Herig, Rock 101 Music Academy is a year-round program for musicians as young as 4 years old through their teen years featuring one on one and group lessons, band mentoring, and more (tickets)
Fri 7 – 9 PM Tacos & Rides Truck Night Cafe Bella Coffee, 2604 Violeta Cir SE, Rio Rancho Join us for a night where trucks reign supreme. Roll in with your ride—whether it's lifted, lowered, or custom-built. All trucks welcome! Showcase your pride and joy. Connect & Converse: Swap stories and ideas with fellow truck and auto enthusiasts. Savor: Bite into delicious street tacos and chill out with good eats. Safety First: Courtesy presence by Rio Rancho Police for a safe, fun evening. Drive in, hang out, and fuel your passion for trucks at NM's longest-running automotive meet. Let's keep the wheels turning and the tacos grilling!
Fri 7 – 10 PM Ulthar Sister, 407 Central Ave NW This Bay Area band is sowing the seeds of planetary entropy by way of horrifying blacked cosmic death metal (tickets)
Fri 7 – 10 PM Galactic Funk Star Wars Party w/ Kaleido Tractor Brewing - Westside, 5720 McMahon Blvd. NW Come celebrate Star Wars weekend with killer tunes from the always amazing DJ Kaleido!
Fri 8 – 11 PM First Fridays w/ DJ Flo Fader Tractor Brewing, 122 Tulane Dr. SE He's just too good to not have in Nob Hill at least once a month. Come jam out with one of NM's absolute BEST DJs and kick off your weekend with FLO FADER!
Fri 8:30 PM – 12 AM 1st Fridays SBKZ Alley Kats Tap Company, 219 Truman St. NE Joining the Salsa, Bachata, Kizomba, and Zouk dance communities has been a blast! Please join us as we welcome ABQ resident DJ Karla of Metta Dance Collective and welcome back world renowned Ry’el of Zenzouk for another amazing social! Theme: Sparkles -- Let’s sparkle and shine with gratitude for having Ry’el and Rachel with us the last 3 going on 4 months! There will be 2 ROOMS! Room 1: Salsa & Bachata. Room 2: Zouk & Kizomba. Music by DJ Karla - Room 1, DJ Yaz - Room 2. $10 Cover: Cash/Venmo/Cashapp accepted. Snacks and drinks provided
Fri 9 PM The Millennium Video Music Dance Party -“Barbie Prom” Sunshine Theater, 120 Central Ave NW Get ready for a night of electrifying nostalgia Millennium Video Music Dance Party presents the ultimate “Barbie Prom” extravaganza, unlike anything you've experienced before! Brace yourself for the most sensational, dazzling, and downright iconic 90s and 2000s Video Music Dance Party to ever grace our town! Picture this: a world that exudes the glamour, glitz, energy, of your very own Barbie dream world. Prepare to be dazzled into a shimmering oasis of pink, glitter, and all things fabulous. Whether you're channeling the chic sophistication of Barbie herself or embracing the edgy coolness of Ken, this is your chance to shine like never before! Dance the night away to the biggest hits from the 90s and 2000s, (100% Music videos) curated to perfection to keep you grooving all night. Think Beyonce, Spice Girls, Backstreet Boys, Pitbull, One Direction, Kesha, Usher, Justin Timberlake, Gwen Stefani, Eminem, 50 Cent, Lady Gaga, Black Eyed Peas, Flo Rida, Britney Spears…. and beyond – Get ready to strike a pose at our dedicated Barbie Prom photo-booth, make memories that are guaranteed to last for years to come (tickets)
Fri 9 – 11:30 PM LoPhat Juno, 1501 1st St. NW Dance to Live Music by one of ABQ's top R&B-flavored bands! From the Caribbean to Baltimore, from Detroit to El Paso, from the Pacific Islands to ABQ… with this melting pot of soul, rhythms, experience, and passion, there isn’t a “skool” that isn’t represented! LoPhat believes there is something to be learned from every soul that crosses your path. This way of thinking has given them the ability to incorporate and masterfully execute most genres of music and makes them a class all their own. Surpassing all “Variety Bands” with more listening choices than your radio, this band is sure to have something even the most skeptical listeners will enjoy. Founded in 2023, this band has gained a committed following. In their first year they have already played for Sandia Casino, CABQ, NM State Fair, Gathering of Nations, Ohkay Casino, Route 66 Casino, and so many more! LoPhat is set to release their first album in 2024 showcasing their melding of different cultures to bring you “feel good” music in a way that seems so familiar yet so new! (tickets)
Fri 9 PM – 1:30 AM Back in the Day: A First Friday Experience Backstage at Revel, 4720 Alexander Blvd. NE DJs Gonzo Supreme and Clout will be spinning all your favorite 90s and 2000s Hip Hop & R&B hits and more! 21+ (tickets)
Fri 9 PM – 1:30 AM Callaita Fridays Salt Yard West, 3700 Ellison Dr. NW Get ready for an unforgettable night as DJs Julio & Soiree take the outdoor stage, promising an electrifying journey into Latin music. Let the pulsating rhythms and contagious energy sweep you away as you dance under the stars. This 21+ event guarantees an atmosphere where you can fully embrace the rhythm without inhibition. Whether you're a seasoned Reggaeton enthusiast or simply looking for a night of unparalleled fun and excitement, this event promises an experience like no other! (tickets)
Fri 10:30 PM – 12:15 AM OMEN - the debut haunting psychedelic feature by Belgian-Congolese musican/artist Baloji The Guild Cinema, 3405 Central Ave NE Check out the trailer. Dir. Baloji - 2024 - 90m - Democratic Republic of Congo, Netherlands, Belgium - In French, Swahli, Lingala, English with subtitles. After spending years in Belgium, Koffi (Marc Zinga), a young Congolese man, returns to his birthplace of Kinshasa to confront his family and homeland culture. Secrecy and sorcery erupt when a nosebleed is mistaken for a curse, and Koffi is shunned from his family. Using magical realism to paint a portrait of “undesirables” and “sorcerers,” OMEN delves into the intricacies of identity, culture, and belief systems through a deeply rich and visually captivating lens (tickets)
** Sat 5/4 ** -- Star Wars Day
Sat 8 AM May Volunteer Clean Up Historic Fairview Cemetery, 700 Yale Blvd. SE Mustard is running rampant! We'll focus on doing what we can to address those weeds. Please dress to protect yourself from the strong Southwest sun. Wear sunscreen, a hat, long pants and shirts, sturdy shoes. Bring tools and gloves to garden, we'll provide the trash bags, water and snacks
Sat 8 – 11 AM Rigs & Coffee Pinon Coffee House, 4545 Alameda Blvd. Get ready for a unique automotive experience! This gathering is all about celebrating the spirit of adventure and the love for off-road vehicles
Sat 8 AM – 12 PM OPENING DAY! 6718 Rio Grande Blvd NW, Los Ranchos WE'RE BACK! Come kick off the opening day of the regular season of the Los Ranchos Art Market! Plenty of parking and open space for all! Free entry! Pet friendly! Bring your family and friends to kick off the season and pick out that special mom a beautiful high quality hand made gift by our local artists!
Sat 8 AM – 12 PM Downtown Growers' Market Robinson Park, Every Saturday! This vibrant community event connects local farmers, growers, artisans, wellness makers, and hot food vendors with the local community from mid-Apr to early-Nov. Bring friends / family or come solo to enjoy fresh food made on sight, a variety of seasonal produce, unique arts and crafts, live music, and special programming all in the heart of downtown
Sat 8:30 AM Workout Fun in the Park! 9709 Layton Ave NE Join BFit505 for a fun community workout! Wear your walking/running shoes, a workout clothes. All ages, all fitness levels. Just $5 drop in to the park!
Sat 9 AM Cinco De Mayo Celebration Osuna Nursery, 501 Osuna Rd. NE Celebrate Cinco de Mayo early with a full day of celebration! You'll find: • chips & salsa • a special mix from DJ Everedy of Red Sapphire Entertainment • Osuna University 'Planting for Pollinators' with local author and landscape designer Judith Phillips from 11am-12pm. It's the perfect opportunity to brighten up your own celebrations with beautiful blooms and gorgeous serving-ware including artisan talavera
Sat 9 AM – 1 PM Herb Day 2024 Sonia Masocco Phytotherapy, 11930 Menaul Blvd NE, Ste 109 This is our Annual Herb Day Open House & Medicinal Plant Sale. Come visit your local herbal apothecary, mingle with like minded people, purchase your plants for your medicinal or aromatic garden or just come and have a cup of tea with us. This event is free, for all ages with parking lot access
Sat 9 AM – 4 PM La Cueva Band Booster Club Annual Spring Craft Fair La Cueva High School, Perfect time to pick up a unique Mother's Day gift from over 140 artists and vendors!
Sat 9 AM – 6 PM Heels & Wheels - Women's Ride Day! Indian Motorcycle, 4509 Alameda Blvd. NE Ladies, we invite you to come out and ride your bike! Ride on your own, with your significant other, with friends or find some riding partners at the event. You set your pace and ride your ride. We will be at Indian Motorcycle 9am - 11am. Grab some food and some coffee or tea at the trucks on site. Check out all the sales on bikes and gear before or after you stop by registration in the back. We will have a few stations and tables set up that we would love for you to check out. There will be some trivia at the end location for some giveaways. You will be provided a wrist band and a list of participating businesses with their addresses and hours of operation so you can plan your ride. make it a day, make it fun, stop and have lunch but visit as many of the businesses as you like. You will be collecting beads from each business you visit. These beads will only be given to a female who has a wrist band, but all are welcome to ride. Many of the businesses will have their own party going on to celebrate this day with you. Stop in and support these local businesses and collect your beads. Bring all those beads to Hops Brewery, 7222 4th St NW, Los Ranchos between 3pm-6pm. Trade them in for free raffle tickets that you can use to win many great prizes we have collected from our participating businesses. Don't worry, if you didn't collect beads or need more raffle tickets we will have them on sale and everyone is welcome to purchase as many as you like. Then grab a bite and a drink. Mingle, shop some of our vendors, enjoy the giveaways, and performance by live band, Crazy Bird! They are amazing so we hope you can dance in your biker boots (tickets)
Sat 10 AM Storybook Garden Spring Planting Day Corrales Community Library, 84 W La Entrada, Corrales We will be planting the children's Storybook Garden! Beans: Calima, Provider, Rattlesnake. Cucumbers: Dragon's Egg, Mexican Sour Gherkin. Tomatoes: A Grippoli d'Inverno, Black Cherry, Brad's Crazy Cherry, Chocolate Sprinkles, Punta Bando, Rosella, Sunrise Bumble Bee, Yellow Pear. Squash: Tromconcino
Sat 10 AM – 12 PM Fourth Annual Car Show 5111 Wilshire Ave NE All are welcome to participate in our annual car show! Corvette, Porsche, Lamborghini, Mercedes Benz, Rolls Royce, and more! There will be a gift basket raffle, free shirts for the first 10 cars, coffee, and snacks. PLEASE CALL SILVER STAR AUTO HAUS AT 505-881-4855 TO REGISTER YOUR CAR!
Sat 10 AM – 1 PM Eternal Bonds & Bubbles with Link x Lou Sawmill Market, 1909 Bellamah Ave NW Indulge in an intimate setting where every ticket promises an unforgettable experience, featuring a complimentary glass of house wine or mocktail (Rosé, White, Red), a curated charcuterie board available to order, and a special $40 credit towards the permanent jewelry of your choice from Link x Lou (tickets)
Sat 10 AM – 2 PM Craft Fair Second Hand Sam's Indoor Mall,1020 Veranda Drive SE, Rio Rancho Space rentals $20. For more info, call 505-544-2636
Sat 10 AM – 2 PM The 2nd & Coal Pop-up! Flyby Provisions, 201 Coal Ave SW We’re bringing the community together for a day of shopping, music, and delicious food! Get ready to explore an eclectic mix of handcrafted treasures from over 20 local vendors, showcasing their unique creations! From handmade jewelry to artisanal foods and everything in between, there’s something for everyone at our market
Sat 10 AM – 3 PM DLC Truck Parks Spring PopUp! 2520 Jefferson St. NE Come support our local vendors! Variety of fun foods and products!
Sat 10 AM – 4 PM Tracks, Tunes, & Taps: A Steam Locomotive 2926 Fundraiser Tractor Brewing - Wells Park, 1800 4th St. NW • Live Music by RJ Perez at noon! • One of the largest steam locomotives on the Planet! • See History Alive! See her run! Become a volunteer and work on our next project! Hear her whistle! All proceeds go toward the continued maintenance and future operations. NM Steam Locomotive and Railroad Historical Society, in charge of the operation of the historic Santa Fe Railway steam locomotive 2926 have finished renovations on this beautiful train and they'll be bringing it to the tracks next to Tractor Wells Park! Come check out this amazing piece of history and get on board!
Sat 10 AM – 4 PM Art Show Fundraiser Unity Spiritual Center, 9800 Candelaria Rd. NE Come and see the vast array of art from our local artists. Find gifts, beautiful and functional objects, and art to adorn your spaces. This is our first art show at Unity and it promises to be a good one! Our Unity EarthCare Team is hosting this art fair. Funds raised are going toward xeriscaping our property and other earth friendly efforts to save water and support pollinators. Snacks, drinks, and live music on the lawn, weather permitting. Painters, Photographers, Sculptors, Potters, Mixed Media Artists, and more have been invited
Sat 10 AM – 4 PM ABQ International Festival San Pedro, between Kathryn and Anderson A day filled with fun and festivities, including live music, kids' play area, delicious food, and local vendors!
Sat 11 AM – 1 PM Fun and Games Fundraiser ABQ Speech Language and Hearing Center (ASLHC), 9500 Montgomery Blvd. NE, Ste 215 Join us for a fun-filled afternoon of games and activities, with delicious food provided by @ withlovewaffles. A huge thank you to Eagle Credit Union for their financial support!
Sat 11 AM - 4 PM May The Fourth Be With You Sale - Biggest Sale Yet! Don’s Paperback Book Exchange, 1013 San Mateo Blvd. SE Spring has sprung and that means it’s time to have an event, folks! Let’s do a sale - a really big sale! All books and DVDs 50% off - All comics 25% off - All kids get free books too! This sale will include green label comics, CGC comics, and dollar comics
Sat 11 AM – 5 PM Mother's Day Market ABQ Food Park,6951 San Antonio Dr. NE Get ahead of the game and celebrate Mother's Day in style! Before the big day arrives, join us for a delightful pre-celebration where you can grab something special for Mom, Grandma, or that extraordinary woman in your life. Dive into a world of local craftsmanship, delicious food, live music, and outdoor fun at our enchanting outdoor venue. *Browse through the diverse offerings of local artisans *Treat yourself to a mouthwatering delight from our food trucks *Enjoy live music performed by talented local musician Joseph Velasquez *Bring the family to enjoy the festivities with some outdoor games and activities
Sat 11 AM – 7 PM Turkish Festival Raindrop Foundation, 7901 Mountain Rd. NE Festival will feature exquisite samples of Turkish- Mediterranean Cuisine (Doner Gyro Kebab, Baklava, Turkish Coffee and more), cultural exhibits, folk dances, children's area, arts & crafts and more! You do not want to miss this family event that everyone will find something to enjoy! Admission is FREE and the event is open to the public
Sat 11 AM – 10 PM Star Wars Day Celebration Slice and Dice Pizzeria, 2225 Wyoming Blvd. NE From 1-2 pm, stormtroopers from NM's 501st Legion will be available for photos. Throughout the day, we will have teach-and-play for Star Wars miniatures games (Legion and Shatterpoint), as well as the hottest game in the galaxy: Star Wars: The Card Game. Come dressed in your favorite Star Wars fit or gear for a free churro!
Sat 12 PM Free Comic Book Day Age of Comics, 3700 Osuna Rd. NE, Ste 513 We are excited to announce Andy Kuhn and Mark Fenton will be signing in store!
submitted by its_whirlpool4 to ABQEvents [link] [comments]


2024.04.29 13:01 rage-remix Are consumables not excluded in free service?

Are consumables not excluded in free service?
Today I gave my INT650 for the 1st service and attached is the breakdown
So my questions are: - are consumables not excluded in free service? - can the chain lube and cleaner kit y vary from what is mentioned on the RE website? - if observed some issues whom to reach out RE support or the service centre? - why is the 1st service kit not part of this?
submitted by rage-remix to indianbikes [link] [comments]


2024.04.24 22:05 VasilisGRNP A dive into the East Asian respirators : The inner frames

A dive into the East Asian respirators : The inner frames
Hello ,
This post was ready and supposed to be up over two months ago, but due to the slow shipment of superbuy and waiting to do some fit tests, it was delayed for the actual review.

Introduction

A few months back i tried to gather many of the available models and some information for the bracket masks , diving deep into the East Asian mask markets.
Disclaimer: There's a high probability some names of the Asian models of the inner frames been written in a wrong way with the Google translation. There are dozens more that i haven't found. Many of the models are just OEMs , produced for other companies.
The post contains personal opinions that may find disagreements, but we're here for discussing, exchanging opinions and correcting whatever is wrong.
Credits to: for mentioning the Zimi Air late in 2022, for helping the community shopping with superbuy and mainly noms780 bringing it back to surface, providing extended details for every Zimi model.
Special thanks to Zhou Liang, the owner of ZiMi Air, that helped me to gather additional info a few weeks before posting this.
ZiMi Air ZM100 KN100

The original idea from Japan

Founded in 1907, Shigematsu is considered to be one of the major manufacturers in East Asia. Premium partner at the latest A+A world trade fair in 2023 in a major space , the company provides many unique designs. The Shigematsu DD11 DS2 was invented 20 years ago. This bracket mask has several versions and iterations, including N95 and KN95 models. The company offers good half and full face masks, fit test machines and an interesting respirator in a surgical shape, with a bracket called 'Fine Fit Plus'. The Shigematsu DS2 inner frame still recognized to be one of the best of it's type, with a low breathing resistance, good speech intelligibility and great comfort. Price and it's one size are often the main drawbacks. This mask type contains a filter with a soft face seal and an inner silicone bracket. It is suitable for small-medium sized faces (equivalent size ~ ZiMi 7711).

Pros and Cons of the respirators with inner frames

Every mask shape has it's advantages and disadvantages . This shape with the inner bracket designed to eliminate lens fogging, mask imprints and most importantly to maximize the breathable space. That means, bigger filtering area and lower breathing resistance. The folding designs that include two side hooks on the mask can transform the straps from ear loop to headband and can be adjustable to the proper tightness. The fit, even on the ears, is generally better than other common ear loop respirators used by the public. Therefore, it's often a significant and comfortable upgrade at the same time. Another benefit is sustainability, as the frame can be reused, the filter life is bigger than 8 hours (14hours officially stated for the Shigematsu) and the cost minimized to filter cartridges (ZiMi). Zimi Air newest versions and a few other companies offer the brackets in a hard bendable plastic, while other brands produce transparent silicone. Last but not least, this type of respirator is meant to serve well small heads and fill in the gaps for Asian or kids' faces. The exception again is ZiMi Air, which offers large sizes as well. Sooner or later it will be redesigned for the western communities.
Pros
● Reduced heat and moisture build-up on glasses or protective eyewear
● Foldable with form resilience
● Structure for air flow and chamber space
● Soft touch, stretchy to a face
● Enhance air tightness around the face
● Sweat adsorption and release
● Easy to realize a successful or failed seal check.
● Easy breathing through the nose, as there's no nose wire closing the nasal passages
● Major upgrade compared to the typical mainstream earloop disposables
● Long lasting filter life
● Suitable for MRI
Cons
● Price, with only a few exceptions, is often on the higher side compared to other protective mask shapes.
● While this mask shape ticks all the important boxes (fit, filtration efficiency, breathability), the aesthetics may not be ideal for some face types.
● Most brands are targeted to the East Asian market, therefore it's not an easy task to purchase overseas most of the models through superbuy.
Note: Last months those issues were solved and soon the masks will be sold through well known e-commerce, with international shipping and reasonable timeframes, such as The Face Mask Store and PPEO. The company announced that they will also open an AliExpress shop.
● Similar to quarter elastomerics, bracket masks 'sit' over the chin and below the mouth and some may find this disturbing or uncomfortable. Inner frames are made of hard plastic or silicone. For some faces the pressure on the upper and bottom edge may be unbearable, depending the brand, size and model. Especially, if it doesn't fit.
● The specific shape is designed to fulfill Asian faces in general or S-M sizes, with the exception of ZiMi Air and few other brands which offer several sizes. Even large bracket masks may not offer yet a solution for some high nose bridges and L-XL faces, but these gaps will be solved in the near future, since the company evolves and introduces new updated products.

The ZiMi Air respirators from Shanghai

About the company
Shanghai ZiMi Air Purification Technology Co., Ltd., located in the Shanghai Jiao Tong Innovation Park in Sijing Town developed and produced several bracket masks and considered to be the largest manufacturer of inner frames in China.
The platforms for online sales of these types of inner frames are mainly JD.com's system (including JD.com's self-operated, JD.com supermarket and JD.com industrial product channels), taobao and 1688.
In 2017, Zhou Liang, general manager of Shanghai ZiMi Air decided to extend his market reach to "bracket masks" and began to develop the first generation of them. The brand name back then was 'Duoling Air'. In recent years, he started a new business, optimizing and upgrading the second-generation of this folded mask type .
Until 2021, the company has applied for 2 invention patents, for 15 utility model patents and has obtained 7 certificates(applied for 11 appearance patents, and has obtained 11 certificates).
As of today, these numbers have been increased with new generations of Zimi Air masks popping up. That means, 20 invention patents & utility patents that have been infringed, with 5-10 more are being applied for, making them the biggest company of inner frames in China.
The OEM revenue accounted for 95% before 2022 and 23% in 2023. The percentage will further drop, as the company will mainly focus on their brand.
ZiMi Air Headquarters
Why Zimi Air?
While many foldable respirators with inner frames exist in East Asia and around the world, ZiMi Air was picked due the continuous progress of the company making new models, updating the old ones, offering different sizes/grades and adaptability between them, with different filter cartridges. This year, new versions (03) will be available in some models, making them one of the biggest and best company of inner frames. ZiMi Air is only focused and expertised in bracket masks throughout the years, producing the best possible options, combining high filtration efficiency, low breathing resistance and a good seal. Also, the obvious reason was the cheap price and reasonable shipping fees. The Korean, Japanese and European offers may have a potential with interesting models, but the total price was way off to pounce on them. Not to mention, once again, i never got a reply from all of these companies (S.Korea & Japan), trying to source some models and general info. Unfortunately, most of the mask manufacturers are shutting down their businesses or limiting their production and they're very hard to reach.
Purchase links with superbuy are available on this post and from other stores as well, but you can also find them in the wiki. Kindly, have in mind for superbuy:
-The difficulty processing for first-time buyers.
-The estimated delivery for the cheapest shipping options are slow (20-60 days depending the region). Especially, when choosing the low cost superbuy shipping method for Europe, be prepared for long delays (better estimates for the US). Best options for Europe are often those that go through Netherlands, but shipping options may be different for different countries. It's better to pick pre-paid custom duties shipping services, but that doesn't guarantee that you won't pay anything extra in customs, unfortunately. At the moment, the best estimates and total prices for Europe come from ppeo, but for single units the only option is superbuy. Soon, the Face Mask Store will list them as well and also an AliExpress ZiMi Air shop will pop up in the future.
-From time to time, some listings are getting out of stock and there is a potential for the Zimi Air products to discontinue models other than M, which according to the company are not that popular. For now, the company is going the opposite direction and will release more sizes.
Purchase through Superbuy or other well-known stores
Until stores that ship internationally (ppeo , the Face Mask Store, AliExpress) starting to sell all of the Zimi models, the only option will generally be superbuy. It's also ideal for purchasing single units. Then, the buyer can purchase filter cartridges from the other stores as well. In the near future, depending the region you live, either one of the 4 options may be cheaper than others.
In the case of superbuy, several excellent domestic Chinese respirators cannot be shipped outside mainland China. The only way is to sign up at www.superbuy.com, to enter all the details and paste the link of the mask for purchase. First, the buyer pays for the product and the domestic shipping. The order is shipped to the Chinese warehouse of superbuy. Then, the products are unpacked , photographed and the buyer is informed that the items have been stored to the warehouse. There's also a section with a dozen of coupons . There are various shipping methods to choose from and after picking the desired service, there's an option to pay the fees. After the payment of the shipping costs , the package is sent to the recipient. This way will help mask enthusiasts overseas to purchase special Chinese respirators and not only bracket masks.
Models and Sizing
Below are the detailed framing dimensions and the models of each size provided by the company. Detailed dimensions contributed by noms780. More info has provide noms780 here.
The general recommendation in adult sizing is:
  • Chin to nose bridge distance 136-150mm: Large size recommended
  • Chin to nose bridge distance 106-135mm: Medium size recommended
  • Chin to nose bridge distance 80-105mm: Small size recommended
ZiMi Air sizing (click to expand)
Note: Once or twice a year, ZiMi Air produces new sizes, models or cartridges. Therefore this list may change in the future. Also, you have to log-in to superbuy to see the products listed below.
The same sizing details as below are listed on the wiki with superbuy links, under the Chinese suppliers, since the store is not visible on superbuy, only each model separately.
https://preview.redd.it/xy5sfrtb201d1.png?width=775&format=png&auto=webp&s=b68e75c9b79947927599fb5c0f1b21bc2ec98383
I created a sizing chart. Every model that ends with the letter 'F' after the model number contains only the filter cartridges. Complete masks with inner frames don't include the letter F.
https://preview.redd.it/rsr6zvlovz0d1.jpg?width=11168&format=pjpg&auto=webp&s=345bdbce653576f56fe954631933c11ddd7f99ef
https://preview.redd.it/030t5qz2yz0d1.png?width=2356&format=png&auto=webp&s=234a2a88898e02c880bcc8539ccce8bf178bcc83
Hands-On
Since i didn't know my sizing, i purchased singles from the ZM9233 (M), ZM100 (L) and black cartridges with valves (x10) from the ZM9541F (M) and ZM8210F (L). The good thing is that different models of the same size fit with the frames of different grades.
The whole product, from the packaging to every little detail, is niche. First thing to notice, there's no typical bad plastic smell, unlikely other masks made in Asia and other parts of the world.
Despite there is a variation in pressure drop among different models, the difference between KN95 and KN100 grades of the models 9541(02) and 9233(02) are not way big. On the other hand, the higher breathing resistance had the ZM100 KN100 (01) , which also had the highest fit factors for my face, but i think there's also a 02 version(it may be more breathable). ZiMi 9233 KN100 version 02 is more breathable compared to 01.
Even though i liked more the 9233 for it's comfort and aesthetics, fit scores were not as good as ZM100, but i did pass the fit test several times. I believe these type of models are for high risk scenarios,for a couple of hours use each time. If you have a large face & wide (like me), in common respirator shapes, the breathable mask area is actual smaller than the whole filter. Going to inner frames, there is a significant difference in terms of fit and comfort. This is finally a well fitted tight respirator that allows you to breathe through your nose.
ZiMi Air 8210F V KN95 on ZM100 frame
Nose foams are installed only in the KN100 versions. Masks and filter cartridges, all have pre-installed strap adjusters, but the default tension may change in the near future, as the company is aware that needs to be revised. In any way, the adjusters are installed, so they're part of the respirator. Therefore, there's no excuse for the wearer not fitting the mask properly, as there's no excuse not forming the nose wire on other masks. Especially these type of products, where the donning procedure is easier than many other disposables.
Here are the main characteristics of ZiMi Air compared to other companies that produce inner frames:
Pros
  • Different sizes with new and updated models each year.
  • Lower pressure drop compared to the competitors.
  • Price. Japanese, Korean and European models are usually way more expensive and not better in performance.
  • One of the few brands of this type that offer high performance respirators (KN100) .
  • The different colors and the flexibility of cartridges, either black or other colors from Akkair.
Cons
  • Price is higher than other mainstream protective KN95/KN100 respirators.
  • Other brands offer mechanism that converts headstraps to earloops, but ZiMi has changed that producing the cartridges with ultrasonic welding, so the buyer has to buy two masks (earloop & headband) instead of one.
ZiMi Air 8210F V KN95 and ZM100 frame
Fit test results
I performed several quantitative fit tests with a portacount. I tested the medium ZiMi 9233 KN100 (02), the large ZiMi ZM100 KN100 (01), the black filter element 9541F KN95 (02) with valve (headbands) on the 9233 bracket and the black filter element 8210F KN95 with valve on the ZM100 bracket. The model that fits me best is the ZM100 (L). For medium models, i can feel that the fit is not as good as L, even though the tests are not that bad.
Side Note: When breathing through my mouth (deep breathing) and even worse, when talking, i exhale too many particles that inflate my overall scores. This is a pattern with every good mask that i've tried, going from a few hundreds to double digits, esp when talking. For example, Draeger 1920 from 400+ff on average and 40 when talking. I repeated the tests doing silent jaw movement exercises and scores were way better, but i decided to post the exact OSHA protocol with talking for the two KN100s. Scores without talking loud were much higher for the ZM100 and other masks in general, but below are listed the worst tests. For the black KN95 models, i did silent jaw movements, because loud talking messed up everything. Therefore, not only every face fit is unique, but in this particular matter, scores are on the lower side for me when my mouth opened. Your scores may be totally different.
ZiMi 9233 KN100, ZM100 KN100, black 9541F KN95 (V) headbands installed on the inner frame of 9233, black 8210F KN95 (V) headbands installed on the inner frame of ZM100.
Exercise / Μodel 9233 (02) KN100 (M) ZM100 KN100 01 (L) 8210F V KN95 (L) 9541F V KN95 (M)
Normal Breathing 362 2596 98 89
Deep breathing 252 555 87 37
Head Side to Side 337 1547 39 75
Head Up and Down 297 1118 139 55
Talking 65 513 57 58
Grimace Excl. - - - -
Bending over 352 691 82 40
Normal breathing 269 1498 46 49
Overall ff 201 899 66 53
For every single model, the N99 mode is used, which measures particles that get both from the filter and around the mask. Ambient counts from 1500 to 3000 (different days).

The Chinese market

China has a big variation of brands and models with either unique models or OEMs from other companies. All the potential/suspected rebranded ZiMi models will be mentioned on the descriptions. This list is just a fraction of the total bracket masks, including many discontinued models, since ZiMi had OEMs for more than 20 companies. Unfortunately, with the exception of them, most brands of inner frames in China and other Asian countries have stopped/reduced production and closed factories, as a consequence of the minimum mask demand worldwide.
Here is the CN catalogue that includes the rest of bracket mask family (chances are that many more exist, but either haven't found them or closed their businesses):
Chaomei (CM) 6007V KN95
Big company with several KN95 / ffp products and many variations. The specific model comes in denim blue or white, with the older GB2626-2006 standard. Discontinued models 4 years now.
Gangkai MG09 KN95
Another reputable company with N95, ffp , P2, DS2 and KN95 (Giko) respirators. They have developed and produced their own bracket .Their mask comes in light blue color.
Siwo Pro7 and medical D920 KN95 respirators
Siwo is very likely the only company that offers the bracket respirators with an external nose wire on their medical, light blue models. The masks contain convertible ear loops to headstraps mechanism and the frame is made by Gangkai. Two models exist, the Pro7 and the medical D920 KN95. Even if Siwo and Gangkai look somehow identical, the filter material of the latter has better filtration efficiency. Children sizes are available for both versions, but tend to fit larger kid sizes.
Ye Dun KN95
This was likely the closest attempt to mimic the Shigematsu prototype idea. Ye Dun is a company that makes plastic molds, therefore the price is cheap, but the filter has high breathing resistance. It failed miserably according to the Chinese feedback i found in some blogs, for it's cheap filter material and the leaky valve. Still, there are people who like the unvalved versions though. The mask offers the hook mod, transforming ear loops to headbands, a cool Japanese-like individual packaging, versions with and without valve and iterations with activated carbon filter. It's probably the cheapest of the whole catalogue, priced at 1.1 yuan during sales.
352 AS 9520/9521 KN95
A Chinese Air Purifier company with very slick machines sold an inner frame model, which will appear in a few more below. It came in white and black. Very cool packaging, but hard to find inside China, as it was discontinued 4 years ago. Similar size to ZiMi 7711(adult small) like many other models. Life is playing tricks though and found it in my country out of nowhere with ffp3 certification.
Li Yan KN95
The moment you realize that your search went too far, finding a Chinese taobao store named 'North Korea and United States supplier'...This looks similar to the 352 AS9520 bracket mask, using a different valve and the older GB2626-2006 standard.
Bestex KN95 with AC filter
Another interesting bracket produced by Ningbo. It offers convertible straps and an AC filter in it. The company also offers surgical face masks and NIOSH respirators and they have produced this inner frame, which is discontinued.
Boluo BL08 KN95
The BL08, that looks similar to the previous Shigematsu version, finds much appreciation on the JD platform. Made in Jiangsu, it's an OEM product that has been discontinued. It features the hook style transformation from earloop to headstraps.
Motlun Electric Blower KN95 respirator
Motlun is another Chinese respirator offering an electronic valve with the mask, but was discontinued 6 years back.
Sumfound F01V KN95
A company that specializes in positive pressure accessories for respirators, offers a bracket mask with valve , several cartridges and other accessories for it's product and for Lifa Air LM99 models. Likely to be manufactured by Ye Dun.
Breazwell Songyan D60 & D65 KN95
Another Chinese brand of inner frames. These OEM models include also an AC filter and adjustable/convertible headstraps.
https://preview.redd.it/66ac1ruhuz0d1.jpg?width=4761&format=pjpg&auto=webp&s=03cdd097f89cb3b8cd386999cfaebc2d67203543
Akkair KN95 filter cartridges
Akkair is an OEM of ZiMi Air company offering filter cartridges in different colors and patterns. They provide color options for the children brackets and also for the models 7711(S) / 9541(M) / 8210 (L).
Zhende N9501B KN95
A famous Chinese company offers the Zimi Air design. The brand is providing also a children's mask.
Marcio KN95
Marcio, which was generally known for it's cup shape respirators, is using the Zimi 9541 design and the KP95 series in white and black color. Taking it even further, the company is offering the masks with outsourced cool electronic valves.
Zhongtai 9500 KP95 series
A Chinese 007 agent with a tuxedo and a papillion printed on the box? That's some serious marketing for a Zimi Air KP95 iteration with an AC filter.
Yi Ming - One Life Technology
Another Air Purifier company that also sells 3rd party nasal sprays, Fengrui air quality control gadgets(G1) and OEM ZiMi Air masks. If some ZiMi models are out of stock, here's the place to look after for models. Unfortunately, the grey sealing air tight fabric of the KN95 versions has been replaced to a light blue, similar to ZiMi.
Domeair Cooling N95/N95V KN95 respirators
A Zimi Air OEM respirator.
Nuokang KN95 respirators
Company with 18 years of experience in manufacturing masks. Here's an additional Zimi Air series that includes a light blue version for kids.
Duoling Air KN95 and KN100 respirators
This was the first name of Zimi Air back in the day, until 2020 with the models 9550/9540. It carried hooks on the sides that converted the mask from headstrap to earloop.
https://preview.redd.it/jhnp6zbd101d1.jpg?width=5448&format=pjpg&auto=webp&s=5e6d64225572e2657e7c930449842c3e34a4900f

The Japanese market

Domestic mask market is very straight forward with minimal and good options.
Shigematsu DD11 DS2
The current generation of the DD11 offers four versions, two with headbands and two ear hooks. Two of them carry valves. Packaging varies for different regions, standards and quantities. In terms of sizing, it's similar to the ZiMi 7711(adult small).
Shigematsu 'Fine Fit Plus'
The most interesting design, adapting the surgical shape, adding an inner frame and ear hooks. The 'FFP' comes in two sizes, the adult version(orange packaging) and the small/female alternative(green version). Ideal mask for the general public, upgrading from the flimsy surgical disposables, but not on par with KN95/N95/DS2/ffp2 bracket masks
Trusco DD11-S2
Another reputable Japanese company that uses the OEM design from Shigematsu.
Kanjekanle reusable mask
This Japanese proposal features a liquid silicone frame, medical PP and PE hot melt point isolation layer, cotton insulation cloth coating, a medical breathing valve and medical PE ear hooks. Available in kids mask as well and three different colors.
The Japanese offers

The S.Korean market

South Korea has it's own respirators with inner frames. The shape here is 'fat'. The patent belongs to Evergreen Cleantop, seen also in many other familiar companies to the US buyers, carrying different variations. The models follow the KCs Korean industrial standard (KOSHA), but a few KF94 versions are provided as well.
Most of the bracket masks here offer convertible ear loops to headstraps and can be purchased through Gmarket. Kindly note, the Korean offers have a higher pressure drop than the ZiMi and Shigematsu equivalent options.
Evergreen Cleantop C600, C700 and C800 KCs / KF94 / KF99 series
Cleantop is the No.1 mask maker in S.Korea that owns the patent of bracket masks and offer respirators in different standards (N95,N99, ffp1, ffp2,ffp, DS2). Several grades, versions with valves and models with activated carbon filters offered in boxes of 10 for the bracket masks.
Dobu N95 / KCs / KF94 500 series
Dobu is another reputable Korean manufacturer that produces inner frames for it's 500 series. Each model on their official website indicates the suitable size.
Geonyoung Cleantech Kanuto KCs
Cleantech should be familiar to buyers from US, for it's KF94 trifolds. Unfortunately, Korean KCs bracket masks didn't find the appreciation they deserved, compared to the less tight fitting earloop KF94s.
Fine Tech KCs series
A - 'familiar' to the KF94 fans - brand offering bracket masks in several iterations under the KCs standard.
AER(x-DuPont) KA/KX and Q Pro KCs series
Aer is a vehicle filter and mask manufacturer. Their top model is considered to be the KA-130V KCs, which is a dustproof respirator(KCs) and one of the best Korean inner frame. Another interesting bifold comes from the Q Pro line, in different colors and a silicon inner frame.
Respirator Technique (RST) DPF series
Korean safety company that offers the DPF 500 and DPF 700 KCs series. Variations include with valves, small sizes, AC filters and customizable models in different colors/sizes.
Dreamz KCs series
Customized RST respirators in different colors and sizes.
GLS KCs series
Probably the most ugly inner frame due to the placement of the valve. It comes in different grades.
Youngseung YS701A KCs
A response to the pandemic in 2020 produced this level 1(P2) KCs model. The YS701AC includes an AC filter.
Vavant KCs
Never thought to see a quilted, padded-like material in a respirator, but here we are. Several grades available for this Korean brand.
S.Korean inner frames

The European offers

Lifa LM99 and LM95 adults and kids series
Lifa is Finnish Air Purifier company that made several mask brackets for adults and kids, apart from their trifold and bifold ffp respirators in color. Lifa Air is not a pure European company. It is invested and controlled by China's Edifier (speakers). The company buys it's own equipment and produces it by itself . The disadvantage is that the mask is asymmetrical on the left and right, but the performance is ok. Their prices range high, similar to the Shigematsu. Most interesting model is the black LM99D, but they're not praised enough inside China. Sizing is similar to the ZiMi 7711(S).
IQ Air ffp2
Swiss company that offers a similar size to ZiMi 7711(S) bracket mask. Made in Germany, but the materials and the inner frame are imported from China.
European inner frames

Other innovative designs with or without the support of an inner / outer frame

- 'Cup' shapes
The convertible ear loop to headstrap mechanism is also found on several other Asian respirators without inner frames. These masks have the usual inner cell material to keep their cup style in shape without collapsing, with the disadvantage of the added breathing resistance. Here are some interesting examples (more brands and models exist):
3M 8955J DS2 / 8955K - 8955KA KCs (Japan - S.Korea)
Available in the Japanese and Korean market, the 3M unique design offers convertible ear loop straps. The newest version (8955KA) includes for the first time an inner frame.
Anyguard VC KCs series (S.Korea)
Another well known KF94 brand offering here some serious protection with their VC cup style/foldable models. Produced in Vietnam.
Luna Safety KCs (S.Korea)
An outer frame with an inner filter? This is the Korean proposal that comes in a box of 10 filter with one protective frame.
Moldex (US) , Delta Plus Spidermask (France) , Alpha Solway AMF & Alpha Flow series (Scotland), Era(TR)-JSP(UK)-MFA (TR) -Würth (DE) Flexinet series
Outer frames are common in many regions across the globe. Most brands are offering one piece disposables, some others, like Delta Plus, sell separate the filters and the bracket.
Denpro (N.Ireland)
Denpro is a manufacturer listed onto the NHS Framework Agreement for PPE.As a division of Denroy, one of the world’s leading innovators of high-tech, critical components for the aerospace, medical, defense and automotive industries.
- Trifolds
JSP Springfit (UK)
The trifold series from JSP feature a unique endoskeleton structure.
Respirators with the support of inneouter frame (apart from 3M/Anyguard)
- Duckbills
3M's R&D team had much more inspiration the previous decade.3M Aura Gen2,3M Vflex,3M Aura 9400 premium series,3M 9500KN series,3M Aura Gen3,3M 8862/9062 etc. I can't remember any innovative product in 3M disposable respirators from 2020 until today. The KF94 bifold maybe? That's it.
Here's another unique offer from 3M that took place in Japan the previous decade. The VFlex with a full functional filter area for the wearer:
3M VFlex 8933 DS2 - discontinued model (Japan)
The 3M respirator with the lowest possible pressure drop (19Pa). The wearer here takes advantage of the whole filter area, making it a pleasant experience. Bonus for the wide adjustable braided straps.
3M 8933 DS2 & flyer (discontinued model)
- Asian innovative Quarter & half elastomerics
East Asian countries provide some futuristic silicone elastomerics. Models are mentioned for their actual design and not for their unknown functionality.
Yuan Shengtai quarter elastomeric (China)
A discreet design, carrying a pleated filter and offering different colors and sizes. Cheap price at ~8$ for the mask and one filter. A more expensive model from the same company includes electric air supply in several colors. The company should make an upgraded version with bettewider straps though.
Kanshouzhe quarter elastomeric (China)
A dirty cheap fashionable quarter elastomeric in different colors with KN95/KP100 filters. Kids' versions available.
Daierta Silicone outer frame with goggles and filter
This is another great idea for great seal and replaceable filters , with additional eye protection.
Kang Le inner & outer frame with replaceable filters
A rather strange design with two frames and a filter in the middle.
Intelligent electric air purifiers (China)
Many companies provide quarter elastomerics-electric air purifiers in several colors.
Asian Quarter Elastomerics and Intelligent Air Purifiers

The misinterpretation of the standards

Most of the N95 production is made in China and East Asia in general. Even some companies, with domestic manufacturing in the US and Europe, imported parts and meltblown from East Asia. Same story for Australia, where the majority of P2 respirators are Chinese OEM models.
The big multinational companies, such as 3M and Honeywell, offer the same disposable and half/full face mask models in different parts of the world, with different certifications, owning a very high stake on Chinese sales. The CN brands that produce N95/P2/ffp2 respirators often sell the same/similar models domestically, under the GB2626-2019 standard or some of them have printed on the masks two or three different certifications. Therefore, there's a big confusion stating that respirators certified as N95/P2/ffp/KF94 are good, KN95s are bad, when the actual meaning is exported ear loop bifolds from 2020 sent outside China.
48 different brands of cup shapes under the GB2626-2019 standard (KN95,KP95,KN100)
This misleading argument followed the Korean standard the recent years, for the fact that most of the certified KF94 respirators are using ear loops. South Korea offers the healthcare 'KF' standard, approved by the Korean MFDS, usually called as 'disease prevention for the general public'. On the other hand, the industrial 'KCs' or KOSHA certification (Korean 1st class KMOEL - 2017-64) is the main standard of personal protective equipment. The KCs mostly includes tight fitting headband respirators and offers three levels of protection in a weird order: level 2 (P1), level 1(P2) and express (P3). The majority of the bracket masks in S.Korea follow the KCs standard, among cup shape and generally 3M ppe. Some of the bracket masks are certified as KF94 and the N95.
S.Korean cup shapes under the KCs(KOSHA) standard
When it comes to picking the right protection, the selection ideally should include a mask that fits, in a domestic certification for the buyer. As good as it is the NIOSH certification,with it's strict regulations, the lack of a good standard for the general public and children is missing. The fact that all NIOSH respirators should include headstraps for adult sized faces is not a viable option and will lead again to future shortages and bad imports. The presence of ear loop US made & US certified respirators is something that needs to fill in the gap, so that the North America market won't depend on non-legitimate imports. Canada already owns the CSA standard and China has a mask standard for children since 2020. It's time for other countries to provide new standards for the general public, which may not tolerate headstrap respirators.
'Unless it's an ffp3...'
The most common misinformation written in the social media among Europeans is that the ffp3 grade is THE appropriate mask for Covid rather than the ffp2. Under the EN149 standard, the acceptable total inward leakage for the ffp3s is from 2% up to 5%. This allows mask manufacturers to make ffp3 respirators with ear loops and ear hooks. A quick search in several selling platforms will show that the most sold ffp3s are often earloop bifolds across Europe. Not a coincidence that there are more good ffp2 masks than ffp3s.
Still, from time to time, recalled batches are announced for ffp respirators in Europe (small percentage of the production), even for ffp3 models. For that reason, the search should include reputable companies and specific models.

Better decisions for the general public in the future

Here are some ideas with products for the general public, since it's not a realistic solution to manufacture billions of 3M Auras and train different populations(science fiction scenario).
Frames for improving the seal of masks
Inner brackets would be a good idea to be part of every available mask type for the general public, from surgical masks to the highest grade respirator.
Some cool accessories that can improve the fit of several masks:
● The simple inner bracket for surgical masks.
Pudun Spectrum Shield: The advanced bracket that's transforming disposables to inner frames. A sustainable solution, making a better fit from cheap bifold masks. The advantage here is the additional breathable space and aesthetics. However, some large masks should be folded properly to fit in. It's an accessory that needs updated versions, to solve fitting problems for the general public.
● Many cheap alternative to 'Fix the Mask' exist in the East Asian Market, but not as good as the US version.
https://preview.redd.it/dclie1509gwc1.jpg?width=2092&format=pjpg&auto=webp&s=2629e23c23aceea93248f942a7244b9696ff3525

Improvements and ideas for disposable products

Some ideas for future designs in disposable respirators.
Fit, comfort, aesthetics and breathability in combination with easier donning with new respirators
It's not an easy task to place a trifold respirator with headbands. The 3M Aura is almost an ancient relic, a design from 2011 that fits many different adult faces, but the general public will have a hard time donning it. Same with the Draeger 1900 series. Things got a little better with the Gen3 and the pulling tabs. The only trifold respirator with the fastest donning time is the Norwegian Uniqon, but it was mainly supplied to professionals. The solution is to see new trifold designs from big companies which have the know-how on this area.
Still, inner frames and cup shapes, especially with one continuous strap, have the advantage. The ideal scenario is to invent a mask with the easiest donning in combination with a low pressure drop, long lasting comfort and different sizes.
Disposables with inner sealing
Cup shapes with an inner gaskets, such as Makrite Envi or 9800 series (or Soft Seal N95) and bifolds with a peripheral PU/silicone foam (Shining Time ffp3, Aer Q Pro) may have better chance of a proper fit .
Inner Elastomeric - Outer replaceable filter. Mu Sheng Tank KN100
Known for it's cup shapes, MST offers a KN100 respirator with an inner elastomeric and an outer replaceable filter under the GB2626-2019 standard.
Three Star Co.,ltd Korean elastomeric
Better looking elastomerics than the 'overkill' options should also be on the list. A - somehow - discreet Korean offer in black and white is showing the way.
Big nose foams should be used in respirators
Fujian Angel Non Woven Fabric Tech Co. Ltd and Ningbo Ciheng Import and Export CO.,ltd provide wholesales for 'Aura-style'. Every company producing new respirators should consider using them or sell them as accessories for modifications. Many masks would benefit of these large foams.
https://preview.redd.it/bcmsd7fx9gwc1.jpg?width=6097&format=pjpg&auto=webp&s=b08b983d0645cb40bb90f1776edc379c5b8f7009

Epilogue

Inner frames are the type of respirators designed to fulfill exceptional comfort and fit, especially for S & M faces, in brands other than ZiMi Air. The latter, with it's continuous progress, has become the biggest brand of this mask type that offers a large variety of models and sizes among many reputable companies, since they're focused and expertise only in one type of model. Bigger companies, with many different departments and type of products, usually don't evolve enough in inner frames, especially now that many factories closed many mask facilities and struggling to stay alive, unfortunately. As Zhou Liang quotes: 'if you try to do everything, you will do nothing well' and that's why ZiMi Air are leading the industry in one type of respirator.
Thank you for reading my exhaustive posts :) .
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2024.04.24 15:05 CustomWritings_CW Positive Psychology in Practice: Applying Strength-Based Approaches to Student Well-Being

Positive Psychology in Practice: Applying Strength-Based Approaches to Student Well-Being

https://www.pexels.com/uk-ua/photo/22221/
Many things have been said and written about positive psychology. You might have heard that it studies the positive aspects of human experience and focuses on everything that makes life worth living. Positive psychology looks at people's strengths rather than just their weaknesses. But how can students use positive psychology tools and approaches to improve their life experiences? Here are some practical tips.

Identify your strengths

To focus on your strengths, you first need to identify them:
  • Personality tests. You can take assessments or personality tests (VIA Character Strengths is a popular option) to do that.
  • Dive into self-reflection. Reflect on times you felt accomplished. What skills or qualities did you use in those situations? Jot them down in a journal.
  • Ask trusted friends. Sometimes, others see our strengths clearer than we do. Seek honest feedback from people who know you well.

Use your strengths for academic success

Here are some effective ways of using your strengths to pursue your academic goals:
  • Match strengths to tasks. When given options for assignments or presentations, choose formats that align with your strengths. Are you a great writer? Opt for essays. Do you love explaining things? Volunteer for presentations.
  • Form "strength teams". Find classmates who complement your strengths. If you're detail-oriented, team up with someone who excels at brainstorming new ideas.
  • Express gratitude. Keep a gratitude journal and write down things you are thankful for to boost your motivation and enhance learning and academic performance.

Leverage strengths in daily life

Positive psychology can also help you create a healthy daily routine:
  • Set strength-based goals. Set SMART goals that motivate you using your strengths. If you have a strong creative side, spend 30 minutes a day on a creative project (writing, drawing, music).
  • Celebrate achievements. Take a moment to acknowledge yourself when you use your strengths effectively to reinforce positive behavior and boost confidence.
  • Random acts of kindness matter. Studies show performing random acts of kindness, even small ones, can improve the mood of the recipient and the giver. Leave encouraging notes for classmates, help a struggling peer, or volunteer in your community.
  • The power of forgiveness. Holding onto grudges can be stressful and hinder well-being. Positive psychology encourages forgiveness, which doesn't necessarily mean condoning someone's actions but rather letting go of negativity.
It's crucial to highlight that positive psychology isn't about ignoring negative experiences. It's about finding a balance and focusing on the positive aspects of life to build a more fulfilling and meaningful existence.
Therefore, it's okay to feel sad and frustrated. Nonetheless, you can choose what aspects of your experience to focus on - positive or negative.
References:
  • Seligman, M. E. P. (2011). Flourish: A visionary new understanding of happiness and well-being. Free Press.
  • Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A handbook and classification. Oxford University Press.
  • Lyubomirsky, S. (2007). The how of happiness: A new approach to getting the life you want. Penguin Books.

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2024.04.24 15:04 CustomWritings_CW Positive Psychology in Practice: Applying Strength-Based Approaches to Student Well-being

Positive Psychology in Practice: Applying Strength-Based Approaches to Student Well-being

https://www.pexels.com/uk-ua/photo/22221/
CustomWritings.com coupons: PAGEFORFREEBYCW - one free page. 10OFFTOCUTOFF - 10% off.

Many things have been said and written about positive psychology. You might have heard that it studies the positive aspects of human experience and focuses on everything that makes life worth living. Positive psychology looks at people's strengths rather than just their weaknesses. But how can students use positive psychology tools and approaches to improve their life experiences? Here are some practical tips.

Identify your strengths

To focus on your strengths, you first need to identify them:
  • Personality tests. You can take assessments or personality tests (VIA Character Strengths is a popular option) to do that.
  • Dive into self-reflection. Reflect on times you felt accomplished. What skills or qualities did you use in those situations? Jot them down in a journal.
  • Ask trusted friends. Sometimes, others see our strengths clearer than we do. Seek honest feedback from people who know you well.

Use your strengths for academic success

Here are some effective ways of using your strengths to pursue your academic goals:
  • Match strengths to tasks. When given options for assignments or presentations, choose formats that align with your strengths. Are you a great writer? Opt for essays. Do you love explaining things? Volunteer for presentations.
  • Form "strength teams". Find classmates who complement your strengths. If you're detail-oriented, team up with someone who excels at brainstorming new ideas.
  • Express gratitude. Keep a gratitude journal and write down things you are thankful for to boost your motivation and enhance learning and academic performance.

Leverage strengths in daily life

Positive psychology can also help you create a healthy daily routine:
  • Set strength-based goals. Set SMART goals that motivate you using your strengths. If you have a strong creative side, spend 30 minutes a day on a creative project (writing, drawing, music).
  • Celebrate achievements. Take a moment to acknowledge yourself when you use your strengths effectively to reinforce positive behavior and boost confidence.
  • Random acts of kindness matter. Studies show performing random acts of kindness, even small ones, can improve the mood of the recipient and the giver. Leave encouraging notes for classmates, help a struggling peer, or volunteer in your community.
  • The power of forgiveness. Holding onto grudges can be stressful and hinder well-being. Positive psychology encourages forgiveness, which doesn't necessarily mean condoning someone's actions but rather letting go of negativity.
It's crucial to highlight that positive psychology isn't about ignoring negative experiences. It's about finding a balance and focusing on the positive aspects of life to build a more fulfilling and meaningful existence.
Therefore, it's okay to feel sad and frustrated. Nonetheless, you can choose what aspects of your experience to focus on - positive or negative.
References:
  • Seligman, M. E. P. (2011). Flourish: A visionary new understanding of happiness and well-being. Free Press.
  • Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A handbook and classification. Oxford University Press.
  • Lyubomirsky, S. (2007). The how of happiness: A new approach to getting the life you want. Penguin Books.

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2024.04.11 05:22 Moocao123 CMS Finalizes Payment Updates for 2025 Medicare Advantage and Medicare Part D Programs - Moocao read it so you hopefully shouldn't have to, part 1: an introduction to Medicare Advantage

Greetings CMS affiliates / CMS aficionado, healthcare insurance stakeholders, healthcare insurance investors, healthcare workers, and other stakeholders (hopefully no CEO of the big 4, or else Reddit might throw this in the dustbin. Don't let them in OK???):
Welcome to another episode of a very dry and boring topic discussion, which is the most recent release of "CMS Finalizes Payment Updates for 2025 Medicare Advantage and Medicare Part D Programs" discussion. The entire document is 194 pages long, and 165 pages of texts, whatever pages left of tables and charts and numbers, and a lot of excel attachments. I will be lying if I told you I read it all (I skimmed it, but my skimming skill is still probably better than 99.95% of degenerates from another reddit), and my job is to bring you some information from this beast of a document so that you may have a small % of the knowledge of what may come to pass. That being said, please note that I am NOT a CFO, COO, CMO, or any C suites member, and therefore my job is much easier. I only need to opine, as my job is not dependent on reading every syllable and figure out its meaning and the associated excel cells related to those, and Risk Adjustments / Quality Bonus Payment parts are for someone else to beat their head over with.
Before we get started on this multiple part DD - and trust me it needs to be in multiple parts or else I will not have a job by next week, we should first start with some history lessons, why Medicare Advantage (or part C for those who are geeks) exists, its original purpose (other than fattening UNH/HUM/Aetna/Centene/Cigna EPS), its evolution, and why CMS may have had enough and ergo released their 2025 finalized payment to the absolute horror of almost every Healthcare Insurance company except maybe Clover. To do this, we must first start with history lessons, which is where I start as part 1:
Medicare, and inception of Medicare Advantage - a very brief overview of history:
  1. https://www.cms.gov/about-cms/who-we-are/history
  2. https://www.commonwealthfund.org/publications/issue-briefs/2017/dec/evolution-private-plans-medicare
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3117270/
For those of you who likes to read through links and be an absolute chad just like your good old grad school days, please use the above 3 links and some google searches, then proceed to skip the rest of the discussion until the next set of links. For all of you other folks who don't like to read think tanks, pubmed articles, and good old google searches to self educate, I will attempt to do some short and sweet broad-strokes using the provided links (don't sue me if I am bad at explaining history lessons, I didn't finish school to be like Indiana Jones for Medicare. And since I am in Reddit and not doing a real publication, please excuse the fact I didn't use AMA citation format, as I don't really want to do it unless I absolutely have to, so please don't make me do it, I have a real life now I think):
Medicare & Medicaid1
On July 30, 1965, President Lyndon B. Johnson signed into law the bill that led to the Medicare and Medicaid. The original Medicare program included Part A (Hospital Insurance) and Part B (Medical Insurance). Today these 2 parts are called “Original Medicare.” Over the years, Congress has made changes to Medicare, and more people have become eligible.
In 1972, Medicare was expanded to cover the disabled, people with end-stage renal disease (ESRD) requiring dialysis or kidney transplant, and people 65 or older that select Medicare coverage. More benefits, like prescription drug coverage, have been offered.
Medicare advantage - beginnings, A Program in Infancy (1966–1982)2
Medicare has involved HMOs since 1966. Because these private plans use salaried physicians, they were originally paid on a reasonable-cost basis for services that Medicare otherwise would have paid on a reasonable-charge basis. Under the 1972 Social Security Amendments, preexisting plans could continue to be paid on a reasonable-cost basis, but new plans would operate on a risk-sharing contract. By 1979, 65 HMOs were contracting with Medicare, although only one had a risk-sharing contract.
The Rise of HMOs (1982–1997)2,3
The 1972 Amendments gave the Health Care Financing Administration (HCFA) — subsequently renamed the Centers for Medicare and Medicaid Services (CMS) — the authority to conduct demonstrations of payment models that might reduce program spending, improve health care quality, or both. Demonstrations indicated that providers in HMOs seemed to take more conservative approaches to treatment and engaged in more preventive care and that, compared to people in traditional Medicare, enrollees in HMOs were more likely to be younger and lower-income, report themselves in excellent health, and indicate that a relationship with a single physician was not very important. However, HCFA estimated that it paid at least 15 percent more for enrollees in Medicare HMOs than for demographically similar beneficiaries in traditional Medicare. The Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) established a capitated payment system with prospectively set payment rates per enrollee for private plans. The Medicare Advantage (MA) program, formally Part C of Medicare, originated with the Tax Equity and Fiscal Responsibility Act (TEFRA), which authorized Medicare to contract with risk-based private health plans, or those plans that accept full responsibility (i.e., risk) for the costs of their enrollees' care in exchange for a prospective, monthly, per-enrollee payment.
Medicare+Choice: A Decline in Offerings and Enrollment (1997–2003)2, 3
The Balanced Budget Act of 1997 (BBA) made significant changes to how Medicare paid risk plans in the new Medicare+Choice (Medicare Part C) program. It scrapped the previous payment formula and largely reduced payment rates to plans. In response to reports of favorable selection, the BBA established new risk-adjustment measures based on health status and an annual enrollment period, with only one switch allowed outside that period. It is also from this period that Meidcare+ Choice (which will become Medicare Advantage) dual mandate is formalized: MA program has pursued two stated goals. The first is to expand Medicare beneficiaries' choices to include private plans with coordinated care and more comprehensive benefits than those provided through traditional Medicare. The second is to take advantage of efficiencies in managed care and save Medicare money. As you can see, there isn't a specific section that says MA needs to fatten our HC insurance partner's EPS wallet, but then you wouldn't know that was the case if you read some WSJ lately, namely: https://www.wsj.com/health/healthcare/medicare-keeps-getting-tougher-for-health-insurers-52f6ad26
A Resurgence in Plans and a Surge in Expenditures (2003–2010)2, 3
In addition to establishing Medicare Part D, the Medicare Modernization Act of 2003 (MMA) significantly altered how private plans (now renamed Medicare Advantage) were paid. The law limited enrollees to one switch per year during the open enrollment period and allowed plans to include the new drug benefit (MA–PD).
The MMA significantly raised payments to plans to counter the effects of the BBA. Everywhere in the country, Medicare offered rates to private plans that were at least as high as traditional Medicare spending per enrollee, resulting in a 10.9 percent increase in outlays to risk plans between 2003 and 2004. The big 4 would like to thank their lobbyists on doing a heck of a job. The MMA also established a bidding mechanism, under which each plan submitted a bid representing its estimated cost of providing basic Medicare benefits to enrollees for the coming year, including administrative overhead and profit. If the bid comes in lower than a county-level benchmark based on traditional Medicare spending per enrollee, the plan is paid most of the difference as a rebate or bonus. The big 4 would like to thank their lobbyists on doing a heck of a job The plan is then required to provide additional benefits that equaled the actuarial value of the rebate. Notice the nice wording on this. A coupon would do as an actuarial value of the rebate right?
With Parts A, B, and D available under one plan, as well as supplementary benefits subsidized by generous payments, enrollment in Medicare Advantage skyrocketed. In each year from 2006 to 2011, most new plan enrollees were beneficiaries who had switched from traditional Medicare, many of whom were relatively young. By 2010, enrollment reached 11.1 million, representing 24 percent of all beneficiaries.
A (Partial) Return to Original Goals (2010–2017)2, 3
The Affordable Care Act (ACA), signed into law by President Obama in March 2010, included another major restructuring of the MA program and significant cuts in MA plan payments. Payment provisions in the ACA brought Medicare Advantage plan payments closer to traditional Medicare spending levels and reduced rates overall. Starting in 2012 the legislation reduces some plan payments while preserving broad access to plans across areas and rewarding plans that provide high-quality care. Many analysts predicted widespread plan withdrawal and dis-enrollment, as had occurred under the BBA. However, from 2009 to 2017, enrollment increased more than 80 percent, with 33 percent of Medicare beneficiaries enrolled in private plans by 2017. By 2017, approximately 50 percent of plans had a rating above four stars, and these bonus-eligible plans comprised 67 percent of enrollment, up from 37 percent in 2013. As you can see, ACA was the start of the STAR ratings system.
Medicare Advantage and the gaming of the STARisk Adjustment/Quality Bonus Payment system
  1. https://www.nytimes.com/2014/08/25/business/medicare-star-ratings-allow-nursing-homes-to-game-the-system.html
  2. https://apl.utdallas.edu/2023/03/15/gaming-the-system-how-major-insurers-are-able-to-extract-big-profits-from-medicare-advantage/
  3. https://www.urban.org/sites/default/files/2023-06/The%20Medicare%20Advantage%20Quality%20Bonus%20Program.pdf
I hope you read Rainy's discussion on Risk Adjustment and Quality Bonus Payment from the other subreddit? We won't be posting there anymore, so if you would like us to re-copy those posts back into this subreddit we could, so please comment if that is what you want. If you recall, the original reason why Rainy even wrote that post was because some degenerate started to ask me on if I can define the exact RA and QBP reimbursement rate for Clover within the New Jersey jurisdiction, and wanted me to infer this information from CMS data downloads. To which I replied nicely that I only deal with legitimate partners, not WSB, and I only use publicly available information. In any case, what the thread conversation led me to understand is that some of the big insurance companies actively game the RA and QBP depending on the patient's clinical condition, demographics, and geography. I think Upset Weekend got super upset that evening just for that. Please excuse his grumpiness, I don't think he is as jaded yet.
Now let us get into the meat of this:
  1. The QBP has become a significant source of revenue for insurers participating in MA, totaling $10 billion in extra payments in 2022. Inflation in QBP costs has contributed to growing policy concerns that the QBP and the underlying MA star ratings are not achieving their goals of encouraging quality improvement among MA insurers and helping seniors make informed plan choices (MedPAC 2020)6.
  2. Evidence also suggests that double bonuses available under the QBP in counties with low traditional Medicare costs result in inequitable MA spending and bonuses based on race or ethnicity. The QBP is also not aligned with the measures of quality that experts use in research to assess clinical quality in MA, including mortality rates for specific conditions, inpatient admissions and readmissions overall for specific conditions, or hospice use. Even a recent study by Optum, a subsidiary of United Health Group, did not use star ratings measures to assess quality in its MA contracts compared to care in traditional Medicare. Instead, it used alternative quality measures.6
  3. Evidence shows that insurers combined contracts to boost star ratings before 2020, a practice that undermined the program’s purpose6.
  4. Finally, the QBP also does not include measures that address the documented problems in MA, such as difficulty accessing high-quality postacute care, denials of prior authorization, and high rates of switching to traditional Medicare among seriously ill beneficiaries6. Or another way of saying it - Big 4 MA takes your money, screws you with prior authorizations, and the moment you are seriously ill, you have to switch back to traditional medicare. Your taxpayer money at work.
  5. It is now well established that many MA organizations actively attempt to increase risk adjustment payments by “finding” diagnoses that would not be recorded for beneficiaries if they were in the traditional Medicare program6.
  6. Research shows that beneficiaries do not use star ratings when making enrollment decisions Some research suggests that seniors do appear to respond to the lower premiums and cost sharing that highly-rated plans can offer because of star rating bonuses, but not to the star ratings themselves. This suggests that star ratings fail one of their two major goals—to provide actionable information to beneficiaries. Beneficiaries may not use star ratings to make decisions, partly because contract-level star ratings that cover multiple states or plans do not give beneficiaries much information about their experience in their local area. Similarly, combining preventive care, beneficiary experiences, and administrative effectiveness into a single rating does not help beneficiaries select plans based on important factors6. Combined in totality, STAR rating serves as a poor determinant of plan clinical effectiveness, value, and cost of the MA insurance plan (descriptive emphasis by Moocao).
If you have read through all this, congratulations! In the next parts we will delve into what I think is the reason for why CMS released its big April Fools day release and why all big Healthcare Insurances are quaking in their boots and why their stock took a nosedive, and what implications this may have for all Medical Advantage plans in the future. Hopefully you all had a fun read, because going through all this really makes me feel like Indiana Jones and the Last Crusade - the drying up dying guy who drank from the wrong cup.
Sincerely
Moocao
*** This is not financial advice, nor is there any financial advice within. Shout-out to the AMC/GME apes for forcing me to write this every dang time, especially when someone's lunch money can be involved ***
*** Please do not utilize this content without author authorization ***
**Edit: removed GWB prez 4 lyfe, the satire sauce was too thick and I didn't want the PC police to come and arrest me**
submitted by Moocao123 to Healthcare_Anon [link] [comments]


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