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GREAT FALLS, renova price Mont. €” For months, the jail in central Montana’s Cascade County was free of the skin care, which seemed as distant a threat as it did in much of the nation’s rural Mountain West.Then a few people who had the renova were arrested. By the time Paul Krogue, the jail’s medical director, realized there was a problem, nearly 50 inmates were infected in the jail, where some had renova price been sleeping on mats on an overcrowded floor.

After several weeks, Mr. Krogue got a call that s were spreading to a side of the jail that had been renova-free.He hung up the phone and put his head in his hands.“I just kind of lost it, like, ‘My God, I don’t know how much longer I can do renova price this,’” Mr. Krogue, a nurse practitioner, recalled.

€œI was just scared that I’m not going to be able to see it through, that I’m going to get sick — you just feel so exhausted and it’s just a lot.”The Mountain West, which for months avoided the worst of the renova, has rapidly devolved into one of the most alarming hot spots in a country that recorded its eight millionth confirmed case on Thursday, a day when more than 65,000 cases were announced nationwide, the most in a single day since July.Seventeen states, including many in the Mountain West, have added more cases in the past week than any other week of the renova. And the spread through sparsely populated areas of rural America has created problems in small towns that lack critical resources — including renova price doctors — even in ordinary times.Wyoming, which did not have 1,000 total cases until June, recently added more than 1,000 in a single week. Reports of new s have recently reached record levels in Alaska, Colorado and Idaho.

And Montana, where more than half of the state’s cases have been announced since August, is averaging more than 500 cases per day.In Cascade County, more than 300 inmates and staff members have been infected in a facility meant to hold 365 people, the county’s first major outbreak in renova price a region where the renova is suddenly surging.The county seat, Great Falls, is seeing its worst case numbers yet. The local hospital and its 27-bed skin care products unit is at capacity. The county health department is racing to hire new contact tracers.

And Mr renova price. Krogue, who also teaches nursing at Montana State University’s Great Falls campus, has seen attendance in his classes dwindle as students fall ill or quarantine.“I was just scared that I’m not going to be able to see it through, that I’m going to get sick,” said Paul Krogue, the jail’s medical director.Credit...Tailyr Irvine for The New York TimesOne place where the s have spread has been local jails, which are confined, often crowded spaces. Jails are staples of local communities and tend to have people renova price coming and going more quickly than prisons.

Jails can hold everyone from people awaiting criminal trials for months to those picked up for a suspended driver’s license for a few hours. With so many people filtering in and out, jails pose extra risks for the renova’s spread — not only inside facilities but in potentially feeding outbreaks in the rest of the community.Nationally, jails and prisons have seen disproportionate rates of and death, with a renova price mortality rate twice as high as in the general population and an rate more than four times as high, according to recent data.A New York Times database has tracked clusters of at least 50 skin care cases in a dozen rural jails in Montana, Idaho, Utah and New Mexico during the renova. Among them.

The Purgatory Correctional Center in Hurricane, Utah, with 166 s. The jail in renova price Twin Falls, Idaho, with 279. And, in New Mexico, the Cibola County Correctional Center, which has reported 357 cases.In Cascade County, s at the jail make up about a quarter of all known renova cases in the county.

Health authorities say that the jail’s outbreak, which began in mid-August, was not believed to be the main cause of the community’s recent renova price surge, but that it had led to some cases. In the past two months, Mr. Krogue said, the jail released 29 people who were considered actively infected.s at the jail make up about a quarter of Cascade County’s known renova cases.Credit...Tailyr Irvine for The New York TimesGreat Falls, home to about 58,000 residents, is in the less mountainous part of Montana, with the Missouri River flowing through and a large oil refinery on its banks.

The Cascade County Detention renova price Center sits along a highway at the edge of town. Drive five miles in any direction and you are surrounded by wide-open plains.Montana requires that masks be worn inside businesses and indoor public spaces, and many people in Great Falls wear them when walking around downtown’s Central Avenue, where shops and cafes are still recovering from shutting down in the spring. Others go without masks, citing the open space and lack of crowds.Bob Kelly, the mayor, said people had not been overly worried about how the jail outbreak might affect the rest of town when it started.“I think that by the very definition of a jail, hopefully, the disease will be incarcerated, as well as the patients,” he renova price said.

€œIs there concern?. Sure, there’s concern renova price. But is there overreaction?.

No.”The mayor of Great Falls said that residents had considered the jail’s outbreak a distant concern at first.Credit...Tailyr Irvine for The New York TimesSome residents’ nonchalance about the risks of the renova, said Mr. Krogue, the jail’s medical director, can be traced to a spring and early summer when almost no one in Cascade County knew anyone who had been sickened.“We benefited from that early renova price on,” he said. €œBut in some ways, I think it did us a disservice, too, because it also created a certain level of complacency.”That has quickly shifted now, he said, as cases have spiked.The number of active cases known to county officials on any given day has risen sharply to about 600, according to Trisha Gardner, Cascade County’s health officer.

The county has seen 1,261 cases and six deaths during the renova, a Times database shows renova price. Some of the cases have been tied to the jail outbreak, she said, and others have been connected to bars and restaurants. Even figuring out what has led to some cases has been complex, she said, as residents have been reluctant to cooperate with contact tracers.“Our hospitals are at capacity, our public health system is at capacity,” she said.

€œIt’s not sustainable at this rate.”When the outbreak at the jail began, social distancing was impossible, the authorities renova price said. Three inmates shared cells designed for two. At night, men slept on thin blue pads in every available space renova price.

On the floor in the day room, in shower stalls, in stairwells, in hallways outside of cells.Inmates did not receive masks until August, and jail officials said many have refused to wear them.In interviews with more than a dozen inmates and their family members, inmates described the jail during the outbreak as chaotic and unsanitary. They said their pleas for help often went unanswered by nurses and guards.Newly arriving inmates were not always quarantined from one another before their test results were known because of a lack of space, inmates and jail officials said.Owen Hawley, 30, said every inmate in his living area of 38 men had tested positive for the renova. He said he renova price had been unable to eat for three days, had intensive body aches and suffered from a headache so powerful it felt as if it was “behind my eyes.”“After the fourth day of like, not eating and stuff, I just shut off, you know?.

€ he said.A jail area set aside for quarantining new inmates.Credit...Tailyr Irvine for The New York TimesAt one point, Mr. Hawley said, he and other prisoners protested the way the renova was being handled by refusing to renova price leave their living areas and by blocking new inmates from entering. Everyone was ultimately tested, Mr.

Hawley said, and each prisoner was given a disposable mask.Sierra Jasmine Wells, renova price 25, another inmate, said women in her dormitory had grown ill, one after the next.“Everyone around me was getting sick and it was tough on me,” she said. €œBy then, I had already accepted the fact that I was going to get sick.”When she became infected, she said, she was given cough syrup and Tylenol.“I kind of was just left alone to deal with it,” she said.Jesse Slaughter, the county sheriff who oversees the jail, said that the jail’s medical staff was doing everything it could, and that he had been seeking health care assistance from other counties. Officials defended their handling of the outbreak, noting that all inmates received standard medications including Tylenol twice a day and were taken to area hospitals when they needed added care.

Seven inmates, as well as renova price some staff members, were hospitalized. No one from the jail has died from the renova, officials said.Sheriff Jesse Slaughter, who oversees the jail, said he had been seeking health care assistance from other counties.Credit...Tailyr Irvine for The New York TimesMr. Krogue said that since the renova price start of the outbreak he had been working up to 16 hours each day and sleeping in his basement, away from his wife and children.

He remains healthy but says he fears bringing the renova home. The renova has slowed some in the jail, and officials have moved some inmates to other facilities, but other prisons and jails in the state are now seeing outbreaks.“You can start to see what some of these other places experienced much earlier on, and we just didn’t have that experience, but it’s certainly happening now,” Mr. Krogue said renova price.

€œIt’s just real in a way that it wasn’t.”Lucy Tompkins reported from Great Falls, Maura Turcotte from Chicago and Libby Seline from Lincoln, Neb. Reporting was contributed by Izzy Colón from Columbia, Mo., Brendon Derr from Phoenix, Rebecca Griesbach from Tuscaloosa, Ala., Danya Issawi and Timothy Williams from renova price New York, Ann Hinga Klein from Des Moines, K.B. Mensah from Silver Spring, Md., and Mitch Smith from Chicago.Start Preamble Federal Transit Administration (FTA), DOT.

Notice of funding opportunity renova price. The skin care Disease 2019 (skin care products) public health emergency Start Printed Page 63654has had a significant impact on transit operations. During a series of FTA listening sessions held over the last three months, transit agencies asked FTA to support research to identify solutions to address the operational challenges that they are facing as a result of skin care products.

In response, FTA makes available through this Notice of renova price Funding Opportunity (NOFO) funding to support research demonstration grants to public transit agencies to develop, deploy, and demonstrate innovative solutions that improve the operational efficiency of transit agencies, as well as enhance the mobility of transit users affected by the skin care products public health emergency. Demonstration grants under this NOFO are authorized under FTA's Public Transportation Innovation Program (49 U.S.C. 5312).

Eligible projects will demonstrate innovative solutions to improve the operational efficiencies of transit systems and enhance mobility for their communities in four major areas. (1) Vehicle, facility, equipment and infrastructure cleaning and dis. (2) exposure mitigation measures.

(3) innovative mobility such as contactless payments. And (4) measures that strengthen public confidence in transit services. The total funding available for awards under this NOFO is $10,000,000.

FTA may supplement this amount if additional funding becomes available. Applicants must submit completed proposals for funding opportunity FTA-2020-015-TRI through the GRANTS.GOV “APPLY” function by 11:59 p.m. Eastern Time on November 2, 2020.

Prospective applicants should register as soon as possible on the GRANTS.GOV website to ensure they can complete the application process before the submission deadline. Application instructions are available on FTA's website at http://transit.dot.gov/​howtoapply and in the “FIND” module of GRANTS.GOV. FTA will not accept mail and fax submissions.

Start Further Info Please send any questions on this notice to Jamel El-Hamri email. Jamel.El-Hamri@dot.gov phone. 2020-366-8985.

A Telecommunication Device for the Deaf (TDD) is available for individuals who are deaf or hard of hearing at 1-800-877-8339. End Further Info End Preamble Start Supplemental Information Table of Contents A. Program Description B.

Federal Award Information C. Eligibility Information D. Application and Submission Information E.

Application Review Information F. Federal Award Administration Information G. Federal Awarding Agency Contact Information A.

Program Description The Public Transportation skin care products Research Demonstration Grant Program is funded through the Public Transportation Innovation Program (49 U.S.C. 5312), with the goal to develop, deploy, and demonstrate innovative solutions that improve the operational efficiency of transit agencies, as well as enhance the mobility of transit users affected by the skin care products public health emergency. Eligible projects will propose to develop and deploy innovative solutions in four major areas.

(1) Vehicle, facility, equipment and infrastructure cleaning and dis. (2) exposure mitigation measures. (3) innovative mobility such as contactless payments.

And (4) measures that strengthen public confidence in transit. As required by 49 U.S.C. 5312(e)(4), projects funded under this NOFO must participate in an evaluation by an independent outside entity that will conduct a comprehensive evaluation of the success or failure of the projects funded under this subsection and any plan for broad-based implementation of the innovation promoted by successful projects.

B. Federal Award Information FTA makes available $10,000,000 in fiscal year (FY) 2020 funds under the Public Transportation Innovation Program (49 U.S.C. 5312) to finance the Public Transportation skin care products Research Demonstration Grant Program.

FTA may supplement the total funds available if additional funding becomes available at the time project selections are made. FTA will grant pre-award authority starting on the date of the project award announcement for selected projects and should be completed within 24 months from the date of award. Funds are available only for eligible expenses incurred after the announcement of project selections.

C. Eligibility Information (1) Eligible Applicants Eligible applicants include State and local governmental authorities, direct recipients of Urbanized Area (49 U.S.C. 5307) and Rural Area (49 U.S.C.

5311) formula funds, and Indian tribes. Eligible applicants are limited to FTA grantees or subrecipients who would be the primary beneficiaries of the innovative products and services that are developed—typically public transit agencies. Except for projects proposed by Indian tribes, proposals for projects in rural (non-urbanized) areas must be submitted as part of a consolidated State proposal.

States and other eligible applicants also may submit consolidated proposals for projects in urbanized areas. The submission of the Statewide application will not preclude the submission and consideration of any application from other eligible recipients in an urbanized area in a State. Proposals may contain projects to be implemented by the recipient or its subrecipients.

Eligible subrecipients include public agencies, private nonprofit organizations, and private providers engaged in public transportation. Eligible applicants may submit consolidated proposals for projects. (2) Cost Sharing or Matching The maximum Federal share of project costs is 100 percent.

FTA may give additional consideration to applicants that propose a local share and may view these applicants as more competitive. The applicant must document the source(s) of the local match, if any, in the grant application. For any applicants proposing match, eligible local match sources include the following.

Cash from non-Government sources other than revenues from providing public transportation services. Revenues derived from the sale of advertising and concessions. Revenues generated from value capture financing mechanisms.

Funds from an undistributed cash surplus. Replacement or depreciation cash fund or reserve. New capital.

Or in-kind contributions. (3) Eligible Projects Eligible projects will propose innovative solutions to improve operational efficiencies of transit agencies and enhance the mobility of transit users, through projects that demonstrate innovative solutions for. Vehicle, facility, equipment and infrastructure cleaning and dis.

Exposure mitigation measures such a real-time notification of rail and bus passenger loads. New multi-modal payment innovative mobility systems such as contactless payments. And measures that strengthen public confidence in transit.

Each applicant may only submit one proposal.Start Printed Page 63655 D. Application and Submission Information (1) Address and Form of Application Submission Applications must be submitted through GRANTS.GOV. Applicants can find general information for submitting applications through GRANTS.GOV at www.fta.dot.gov/​howtoapply, along with specific instructions for the forms and attachments required for submission.

Mail and fax submissions will not be accepted. (2) Content and Form of Application Submission a. Proposal Submission A complete proposal submission consists of at least two forms.

1. The SF-424 Mandatory Form (downloadable from GRANTS.GOV) and 2. The supplemental form for the FY 2020 skin care products Demonstration Program (downloadable from GRANTS.GOV), which is available on FTA's website at (placeholder for FTA skin care products Demonstration Program).

The application must include responses to all sections of the SF-424 mandatory form and the supplemental form unless a section is indicated as optional. FTA will use the information on the supplemental form to determine applicant and project eligibility for the program and to evaluate the proposal against the selection criteria described in part E of this notice. FTA will accept only one supplemental form per SF-424 submission.

FTA encourages applicants to consider submitting a single supplemental form that includes multiple activities to be evaluated as a consolidated proposal. Applicants may attach additional supporting information to the SF-424 submission, including but not limited to letters of support, project budgets, or excerpts from relevant planning documents. Supporting documentation must be described and referenced by file name in the appropriate response section of the supplemental form, or it may not be reviewed.

Information such as applicant name, Federal amount requested, local match amount, description of areas served, etc., may be requested in varying degrees of detail on both the SF-424 form and supplemental form. Applicants must fill in all fields unless stated otherwise on the forms. If applicants copy information into the supplemental form from another source, they should verify that the supplemental form has fully captured pasted text and that it has not truncated the text due to character limits built into the form.

Applicants should use both the “Check Package for Errors” and the “Validate Form” validation buttons on both forms to check all required fields. Applicants should also ensure that the Federal and local amounts specified are consistent. Addressing the deteriorating conditions and disproportionately high fatality rates on our rural transportation infrastructure is of critical interest to the Department, as rural transportation networks face unique challenges in safety, infrastructure condition, and passenger and freight usage.

Consistent with the R.O.U.T.E.S. Initiative, the Department encourages applicants to consider how the project will address the challenges faced by rural areas. B.

Application Content The SF-424 Mandatory Form and the supplemental form will prompt applicants for the required information, including. I. Applicant Name ii.

Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number iii. Key contact information (contact name, address, email address, and phone number) iv. Congressional district(s) where project will take place v.

Project Information (title, executive summary, and type) vi. A detailed description of the need for the project vii. A detailed description of how the project will support the Program objectives viii.

Evidence that the applicant can provide the local cost shares ix. A description of the technical, legal, and financial capacity of the applicant x. A detailed project budget xi.

Details on the local matching funds xii. A detailed project timeline xiii. Whether the project impacts an Opportunity Zone (3) Unique Entity Identifier and System for Award Management (SAM) Each applicant is required to.

(1) Be registered in SAM before submitting an application. (2) provide a valid unique entity identifier in its application. And (3) continue to maintain an active SAM registration with current information at all times during which the applicant has an active Federal award or an application or plan under consideration by FTA.

These requirements do not apply if the applicant. (1) Is excepted from the requirements under 2 CFR 25.110(b) or (c). Or (2) has an exception approved by FTA under 2 CFR 25.110(d).

FTA may not make an award until the applicant has complied with all applicable unique entity identifier and SAM requirements. If an applicant has not fully complied with the requirements by the time FTA is ready to make an award, FTA may determine that the applicant is not qualified to receive an award and use that determination as a basis for making a Federal award to another applicant. All applicants must provide a unique entity identifier provided by SAM.

Registration in SAM may take as little as 3-5 business days, but there can be unexpected steps or delays. For example, the applicant may need to obtain an Employer Identification Number. FTA recommends allowing ample time, up to several weeks, to complete all steps.

For additional information on obtaining a unique entity identifier, please visit www.sam.gov. (4) Submission Dates and Times Project proposals must be submitted electronically through GRANTS.GOV by 11:59 p.m. Eastern on November 2, 2020.

Mail and fax submissions will not be accepted. FTA urges applicants to submit applications at least 72 hours prior to the due date to allow time to correct any problems that may have caused either GRANTS.GOV or FTA systems to reject the submission. Proposals submitted after the deadline will only be considered under extraordinary circumstances not within the applicant's control.

Deadlines will not be extended due to scheduled website maintenance. GRANTS.GOV scheduled maintenance and outage times are announced on the GRANTS.GOV website. Within 48 hours after submitting an electronic application, the applicant should receive two email messages from GRANTS.GOV.

(1) Confirmation of successful transmission to GRANTS.GOV. And (2) confirmation of successful validation by GRANTS.GOV. If the applicant does not receive confirmation of successful validation or receives a notice of failed validation or incomplete materials, the applicant must address the reason for the failed validation, as described in the email notice, and resubmit before the submission deadline.

If making a resubmission for any reason, applicants must include all original attachments regardless of which attachments were updated and check the box on the supplemental form indicating this is a resubmission. Applicants are encouraged to begin the process of registration on the GRANTS.GOV site well in advance of the submission deadline. Registration is Start Printed Page 63656a multi-step process, which may take several weeks to complete before an application can be submitted.

Registered applicants may still be required to update their registration before submitting an application. Registration in SAM is renewed annually and persons making submissions on behalf of the Authorized Organization Representative (AOR) must be authorized in GRANTS.GOV by the AOR to make submissions. (5) Funding Restrictions Funds may be used for post-award expenditures only.

Funds under this NOFO cannot be used to reimburse projects for otherwise eligible expenses incurred prior to the date of project award announcements. (6) Other Submission Requirements FTA encourages applicants to identify scaled funding options in case insufficient funding is available to fund a project at the full requested amount. If an applicant indicates that a project is scalable, the applicant must provide an appropriate minimum funding amount that will fund an eligible project that achieves the objectives of the program and meets all relevant program requirements.

The applicant must provide a clear explanation of how a reduced award would affect the project budget and scope. FTA may award a lesser amount whether or not the applicant provides a scalable option. E.

Application Review Information (1) Project Evaluation Criteria Addressing the deteriorating conditions and disproportionately high fatality rates on our rural transportation infrastructure is of critical interest to the Department, as rural transportation networks face unique challenges in safety, infrastructure condition, and passenger and freight usage. Consistent with the R.O.U.T.E.S. Initiative, the Department will consider how the project will address the challenges faced by rural areas.

In addition, the Department will review and consider applications for funding pursuant to this Notice in accordance with the President's September 2, 2020 memorandum, entitled Memorandum on Reviewing Funding to State and Local Government Recipients of Federal Funds that Are Permitting Anarchy, Violence, and Destruction in American Cities, consistent with guidance from the Office of Management and Budget and the Attorney General and with all applicable laws. FTA will evaluate proposals submitted according to the following criteria. (a) Project Innovation and Impact.

(b) Project Approach. (c) National Applicability. (d) Commercialization and/or Knowledge Transfer.

And (e) Technical, Legal and Financial Capacity. FTA encourages each applicant to demonstrate how a project supports all criteria with the most relevant information the applicant can provide, regardless of whether such information has been specifically requested or identified in this notice. A.

Project Innovation and Impact i. Effectiveness of the project in achieving and demonstrating the specific objectives of this program. Ii.

Demonstration of benefits in addressing the needs of the transit agency and industry and impacts to infrastructure, equipment, transit workforce, and riders. Iii. Degree of improvement over current and existing technologies, designs, and/or practices applicable to the transit industry.

B. Project Approach i. Quality of the project approach such as existing partnerships, collaboration strategies and level of commitment of the project partners.

Ii. Proposal is realistic in its approach to fulfill the milestones/deliverables, schedule and goals. C.

National Applicability i. Degree to which the project could be replicated by other transit agencies regionally or nationally. Ii.

Ability to evaluate technologies, designs and/or practices in a wide variety of conditions and locales. Iii. Degree to which the technology, designs and/or practices can be replicated by other transportation modes.

D. Commercialization and/or Knowledge Transfer i. Demonstrates a realistic plan for moving the results of the project into the transit marketplace (patents, conferences, articles in trade magazines, webinar, site visits, etc.).

Ii. How the project team plans to work with the industry on improving best practices, guidance and/or standards, if applicable. Iii.

Demonstrate a clear understanding and robust approach to data collection, access and management. E. Technical, Legal and Financial Capacity Capacity of the applicant and any partners to successfully execute the project effort.

There should be no outstanding legal, technical, or financial issues with the applicant that would make this a high-risk project. (2) Review and Selection Process An FTA technical evaluation committee will evaluate proposals based on the published project evaluation criteria. Members of the technical evaluation committee will rate the applications and may seek clarification about any statement in an application.

The FTA Administrator will determine the final selection and amount of funding for each project after consideration of the findings of the technical evaluation committee. Geographic diversity, diversity of the project type, the amount of local match to be provided, and the applicant's receipt and management of other Federal transit funds may be considered in FTA's award decisions. Prior fare payment innovation efforts may receive priority consideration.

The FTA Administrator will consider the following key DOT objectives. A. Utilizing alternative funding sources and innovative financing models to attract non-Federal sources of investment.

B. Whether the project is located in or supports public transportation service in a qualified opportunity zone designated pursuant to 26.U.S.C. 1400Z-1.

And c. The extent to which the project addresses challenges specific to the provision of rural public transportation. (3) FAPIIS Review Prior to making a grant award, FTA is required to review and consider any information about the applicant that is in the Federal Awardee Performance and Integrity Information System (FAPIIS) accessible through SAM.

An applicant may review and comment on information about itself that a Federal awarding agency previously entered. FTA will consider any comments by the applicant, in addition to the other information in FAPIIS, in making a judgment about the applicant's integrity, business ethics, and record of performance under Federal awards when completing the review of risk posed by applicants as described in 2 CFR 200.205 Federal Awarding Agency Review of Risk Posed by Applicants. F.

Federal Award Administration Information (1) Federal Award Notices FTA will announce the final project selections on the FTA website. Project recipients should contact their FTA Regional Office for additional information regarding allocations for Start Printed Page 63657projects. At the time project selections are announced, FTA will extend pre-award authority for the selected projects.

There is no blanket pre-award authority for these projects before announcement. There is no minimum or maximum grant award amount, but FTA intends to fund as many meritorious projects as possible. FTA only will consider proposals from eligible recipients for eligible activities.

Due to funding limitations, projects selected for funding may receive less than the amount originally requested. In those cases, applicants must be able to demonstrate that the proposed projects are still viable and can be completed with the amount awarded. (2) Administrative and National Policy Requirements a.

Pre-Award Authority FTA will issue specific guidance to recipients regarding pre-award authority at the time of selection. FTA does not provide pre-award authority for competitive funds until projects are selected, and there are Federal requirements that must be met before costs are incurred. For more information about FTA's policy on pre-award authority, see the FY 2020 Apportionments Notice published on June 3, 2020, at https://www.govinfo.gov/​content/​pkg/​FR-2020-06-03/​pdf/​2020-11946.pdf.

b. Grant Requirements Selected applicants will submit a grant application through FTA's electronic grant management system and adhere to the customary FTA grant requirements for research project (insert Circular name). All competitive grants, regardless of award amount, will be subject to the Congressional notification and release process.

FTA emphasizes that third-party procurement applies to all funding awards, as described in FTA Circular 4220.1F, “Third Party Contracting Guidance.” However, FTA may approve applications that include a specifically identified partnering organization(s) (2 CFR 200.302(f)). When included, the application, budget, and budget narrative should provide a clear understanding of how the selection of these organizations is critical for the project and give sufficient detail about the costs involved. C.

Planning FTA encourages applicants to engage the appropriate State Departments of Transportation, Regional Transportation Planning Organizations, or Metropolitan Planning Organizations in areas to be served by the project funds available under this program. D. Standard Assurances The applicant assures that it will comply with all applicable Federal statutes, regulations, executive orders, FTA circulars, and other Federal administrative requirements in carrying out any project supported by the FTA grant.

The applicant acknowledges that it is under a continuing obligation to comply with the terms and conditions of the grant agreement issued for its project with FTA. The applicant understands that Federal laws, regulations, policies, and administrative practices might be modified from time to time and may affect the implementation of the project. The applicant agrees that the most recent Federal requirements will apply to the project unless FTA issues a written determination otherwise.

The applicant must submit the Certifications and Assurances before receiving a grant if it does not have current certifications on file. E. Free Speech and Religious Liberty In connection with any program or activity conducted with or benefiting from funds awarded under this notice, recipients of funds must comply with all applicable requirements of Federal law, including, without limitation, the Constitution of the United States.

Statutory, regulatory, and public policy requirements, including without limitation, those protecting free speech, religious liberty, public welfare, the environment, and prohibiting discrimination. The conditions of performance, non-discrimination requirements, and other assurances made applicable to the award of funds in accordance with regulations of the Department of Transportation. And applicable Federal financial assistance and contracting principles promulgated by the Office of Management and Budget.

In complying with these requirements, recipients must ensure that no concession agreements are denied or other contracting decisions made on the basis of speech or other activities protected by the First Amendment. If the Department determines that a recipient has failed to comply with applicable Federal requirements, the Department may terminate the award of funds and disallow previously incurred costs, requiring the recipient to reimburse any expended award funds. (3) Reporting The post-award reporting requirements include submission of the Federal Financial Report (FFR) and Milestone Progress Report in TrAMS.

An evaluation of the grant will occur at various points in the demonstration process and at the end of the project. In addition, FTA is responsible for producing an Annual Report to Congress that compiles evaluation of selected projects, including an evaluation of the performance measures identified by the applicants. All applicants must develop an evaluation plan to measure the success or failure of their projects and describe any plans for broad-based implementation of successful projects.

FTA may request data and reports to support the evaluation and Annual Report. A. Independent Evaluation To achieve a comprehensive understanding of the impacts and implications of each proposed skin care products Research Demonstration Program, projects funded under this announcement will require the recipient to conduct a third party independent evaluation of their project.

Recipients will be required to contract with a third party independent evaluator to assist in developing an evaluation plan, and collecting, storing and managing data required to fulfill the evaluation requirement. No more than 10 percent of the Federal share of the project may be used to hire the third-party independent evaluator and the inclusion of a third-party independent evaluation should be described in the grant application. If the project duration is more than two years, an interim evaluation report would need to be submitted to FTA, otherwise the evaluation report should be included as part of the final project report.

B. skin care products Research Demonstration Grant Program Evaluation Projects funded under this announcement will be required to establish a set of performance metrics set by the third-party independent evaluator and shared with FTA. G.

Federal Awarding Agency Contacts Information For questions about applying, please contact Jamel El-Hamri email. Jamel.El-Hamri@dot.gov phone. 202-366-8985.

A TDD is available at 1-800-877-8339 (TDDFIRS). To ensure that applicants receive accurate information about eligibility or the program, applicants are encouraged to contact FTA directly with questions, rather than through intermediaries or third parties.Start Printed Page 63658 FTA staff also may conduct briefings on the competitive grants selection and award process upon request. Start Signature K.

Jane Williams, Deputy Administrator. End Signature End Supplemental Information [FR Doc. 2020-22316 Filed 10-7-20.

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Today, thanks to the renova inc American Rescue try this site Plan, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the availability of approximately $250 million to develop and support a community-based workforce who will serve as trusted voices sharing information about treatments, increase skin care products treatment confidence, and address any barriers to vaccination for individuals living in vulnerable and medically underserved communities.This funding will help community-based organizations to hire and mobilize community outreach workers, community health workers, social support specialists and others to conduct on-the-ground outreach to educate and assist individuals in getting the information they need about vaccination, help make treatment appointments, and assist with transportation and other needs to get to individuals renova inc to each of their vaccination appointments. €œIncreasing public confidence in skin care products treatments and boosting uptake remains a critical part of our fight against this renova,” said HHS Secretary Xavier Becerra.

€œToday’s funding is critically important for connecting vulnerable and underserved communities with trusted health voices who can help deliver vaccinations and information to keep them safe and protect their loved renova inc ones.” “HRSA is uniquely suited to oversee this effort because of its long-standing mission and programs that work every day to improve health care to people who are geographically isolated, economically or medically vulnerable,” said Acting HRSA Administrator Diana Espinosa. €œThrough HRSA’s Community-Based Workforce for skin care products treatment Outreach Program, recipients will partner with community organizations to serve populations that have historically suffered from poorer health outcomes, health disparities, and other inequities.” The first of two funding opportunities is released today. Approximately 10 award recipients will be funded to engage with multiple organizations regionally and locally, including with community renova inc based organizations, health centers, minority-serving institutions, and other health and social service entities.

The second funding opportunity will be released in the near future and will focus on smaller community-based organizations. To apply for the Community-Based Workforce for skin care products treatment Outreach Program renova inc Notice of Funding Opportunity, visit Grants.gov. Applications are due May 18, 2021, at11:59 p.m.

ET. Applicants should contact CBOtreatmentOutreach@hrsa.gov with any questions.Learn more about how HRSA is addressing skin care products and health equity..

Today, thanks to the renova price American Rescue Plan, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the renova price availability of approximately $250 million to develop and support a community-based workforce who will serve as trusted voices sharing information about treatments, increase skin care products treatment confidence, and address any barriers to vaccination for individuals living in vulnerable and medically underserved communities.This funding will help community-based organizations to hire and mobilize community outreach workers, community health workers, social support specialists and others to conduct on-the-ground outreach to educate and assist individuals in getting the information they need about vaccination, help make treatment appointments, and assist with transportation and other needs to get to individuals to each of their vaccination appointments. €œIncreasing public confidence in skin care products treatments and boosting uptake remains a critical part of our fight against this renova,” said HHS Secretary Xavier Becerra. €œToday’s funding is critically important for connecting vulnerable and underserved communities with trusted health voices who can help deliver vaccinations and information to keep them safe and protect their loved ones.” “HRSA is uniquely suited to oversee this renova price effort because of its long-standing mission and programs that work every day to improve health care to people who are geographically isolated, economically or medically vulnerable,” said Acting HRSA Administrator Diana Espinosa.

€œThrough HRSA’s Community-Based Workforce for skin care products treatment Outreach Program, recipients will partner with community organizations to serve populations that have historically suffered from poorer health outcomes, health disparities, and other inequities.” The first of two funding opportunities is released today. Approximately 10 award recipients will be funded to engage with multiple organizations regionally and locally, including with community based organizations, health centers, minority-serving institutions, and other health renova price and social service entities. The second funding opportunity will be released in the near future and will focus on smaller community-based organizations. To apply for renova price the Community-Based Workforce for skin care products treatment Outreach Program Notice of Funding Opportunity, visit Grants.gov.

Applications are due May 18, 2021, at11:59 p.m. ET. Applicants should contact CBOtreatmentOutreach@hrsa.gov with any questions.Learn more about how HRSA is addressing skin care products and health equity..

How should I use Renova?

Renova is for external use only. Do not take by mouth. Gently wash the skin with a mild, non-medicated soap before use. Pat the skin dry. Wait 20 to 30 minutes for your skin to dry before use in order to minimize the possibility of skin irritation. Apply enough medicine to cover the affected area and rub in gently. Avoid applying Renova to your eyes, ears, nostrils, angles of the nose, and mouth. Do not use more often than your doctor or health care professional has recommended. Using too much of Renova may irritate or increase the irritation of your skin, and will not give faster or better results.

Contact your pediatrician or health care professional regarding the use of this medication in children. While this drug may be prescribed for children as young as 12 years of age for selected conditions, precautions do apply.

Overdosage: If you think you have applied too much of Renova contact a poison control center or emergency room at once.

NOTE: Renova is only for you. Do not share it with others.

Can you get renova over the counter

11 June 2021 The Chief Scientific Officer invites members can you get renova over the counter to take part in this DHSC consultation Buy zithromax with free samples. The Department of Health and Social Care (DHSC) is seeking views on proposals to reform the regulation of healthcare professionals and to introduce statutory regulation of physician and anaesthesia associates. This consultation closes at 11:45pm on Wednesday 16 June 2021.

The UK model of regulation for healthcare professionals is rigid and complex and needs to change can you get renova over the counter to better protect patients and service users, support our health services and to help the workforce meet future challenges. This consultation seeks views on proposals to modernise the legislation of the healthcare professional regulators. The proposals have been developed in partnership with the professional regulatory bodies, the Professional Standards Authority for Health and Social Care and tested with key stakeholders across the health and care system.

The proposed reforms cover four can you get renova over the counter key areas. These are. Governance and Operating Framework Education and Training Registration Fitness to practise The consultation also seeks views on the proposed approach to introducing statutory regulation for physician associates and anaesthesia associates..

11 June 2021 The Chief Scientific http://tr.keimfarben.de/buy-zithromax-with-free-samples/ Officer invites renova price members to take part in this DHSC consultation. The Department of Health and Social Care (DHSC) is seeking views on proposals to reform the regulation of healthcare professionals and to introduce statutory regulation of physician and anaesthesia associates. This consultation closes at 11:45pm on Wednesday 16 June 2021.

The UK model of regulation for healthcare professionals is rigid and complex and needs to change to better protect patients and service users, renova price support our health services and to help the workforce meet future challenges. This consultation seeks views on proposals to modernise the legislation of the healthcare professional regulators. The proposals have been developed in partnership with the professional regulatory bodies, the Professional Standards Authority for Health and Social Care and tested with key stakeholders across the health and care system.

The proposed reforms cover four key renova price areas. These are. Governance and Operating Framework Education and Training Registration Fitness to practise The consultation also seeks views on the proposed approach to introducing statutory regulation for physician associates and anaesthesia associates..

Renova passaporte

skin care products impact on cisgender gay men and other men who have sex with men (MSM) on a global scaleThe skin care products renova is navigate here thought to renova passaporte disproportionately threaten the health of underserved and underinvestigated populations. To investigate the impact of skin care products transmission mitigation measures on MSM, renova passaporte an international team did a cross-sectional study that included 2732 MSM from 103 countries who responded to a questionnaire distributed through a gay social networking app. Findings suggest that the spread of skin care products, and the global response to contain it, has variably disrupted economic, mental health, general health and clinical services among MSM populations, with a greater impact on those living with HIV, racial/ethnic minorities, immigrants, sex workers and socioeconomically disadvantaged groups. As skin care products may renova passaporte deepen health disparities and social inequalities, continued monitoring and creative strategies are needed to mitigate reduction in access to services for MSM with intersecting vulnerabilities.Santos GM, Ackerman B, Rao A, et al. Economic, mental health, HIV prevention and HIV treatment impacts of skin care products and the skin care products response on a global sample of cisgender gay men and other men who have sex with men.

AIDS Beha 2020 renova passaporte. 11:1–11.https://doi.org/10.1007/s10461-020-02969-0Influence of sexual positioning on syphilis acquisition and its stage at diagnosisIn a retrospective study of MSM in renova passaporte Melbourne, Australia, researchers examined the association between sexual positioning and a diagnosis of primary (n=338) or secondary (n=221) syphilis. Of 247 penile chancres, 244 (98.7%) occurred in MSM who reported versatile or exclusive top sexual positioning. Of 77 anal chancres, 75 (97.4%) occurred in MSM who reported renova passaporte versatile or exclusive bottom sexual positioning. MSM who practised receptive anal sex were more likely to present with secondary rather than primary syphilis (OR 3.90.

P<0.001, adjusted renova passaporte for age, HIV status and condom use). This suggests that because anorectal chancres are less noticeable, they are less likely to prompt evaluation. Findings highlight the need for improved screening of MSM who report receptive anal sex to ensure early syphilis detection and treatment.Cornelisse VJ, Chow EPF, Latimer RL, et al renova passaporte. Getting to renova passaporte the bottom of it. Sexual positioning and stage of syphilis at diagnosis, and implications for syphilis screening.

Clin Infect renova passaporte Dis 2020;71(2):318–322. Https://doi.org/10.1093/cid/ciz802A novel rapid, point-of-care test (POCT) for confirmatory testing of active syphilis The re-emergence of syphilis is a global public health concern especially in resource-limited settings. Current POCTs detect Treponema pallidum (TP) total antibodies but do not distinguish between active and past/treated syphilis, resulting in potential overtreatment and contributing to renova passaporte shortages of penicillin. A new, investigational POCT based on the detection of TP-IgA was evaluated against standard laboratory-based serological tests in 458 stored plasma samples from China and 503 venous blood samples from South Africa. Sensitivity and renova passaporte specificity of TP-IgA POCT for identifying active syphilis were 96.1% (95% CI.

91.7% to 98.5%) and 84.7% renova passaporte (95% CI. 80.1% to 88.6%) in Chinese samples, and 100% (95% CI. 59% to 100%) and renova passaporte 99.4% (95% CI. 98.2% to 99.9%) in South African samples, respectively. These preliminary renova passaporte findings suggest that this TP-IgA-based POCT meets the WHO target product profile for confirmatory diagnosis of active syphilis.Pham MD, Wise A, Garcia ML, et al.

Improving the coverage and accuracy of syphilis testing. The development of a novel rapid, point-of-care test for confirmatory testing of active syphilis and its early evaluation in China and South Africa renova passaporte. EClinicalMedicine 2020;24:100440 renova passaporte. Https://doi.org/10.1016/j.eclinm.2020.100440Early antiretroviral therapy (ART) initiation and wide coverage reduces population-level HIV s in FranceIn 2013, France implemented the early initiation of ART irrespective of CD4 counts to fast-track progress toward UNAIDS (Joint United Nations Programme on HIV/AIDS) 90-90-90 goals (90% of people with HIV diagnosed, 90% on ART, 90% virologically suppressed).1 An analysis of 61 822 HIV-diagnosed people within the national Dat’AIDS prospective cohort study shows that 91.9% of HIV-diagnosed people were receiving ART by 2014 and 90.5% were virologically suppressed by 2013. This was accompanied by a 36% and 25% decrease in the number of primary (diagnosed with symptoms of acute HIV) and recent HIV (diagnosed with CD4 renova passaporte cell count ≥500/mm3), respectively, between 2013 and 2017.

These findings on two of three goals support the effectiveness of ‘Treatment as Prevention’ in dramatically reducing HIV incidence at the population level.Le Guillou A, Pugliese P, Raffi F, Cabie A, Cuzin L, Katlama C, et al. Reaching the second and third joint United Nations Programme on Human Immunodeficiency renova (HIV)/AIDS 90-90-90 targets is accompanied by a dramatic reduction in primary HIV and in recent HIV s in a renova passaporte large French nationwide HIV cohort. Clinical Infectious Diseases 2019;71(2):293–300. Https://doi.org/10.1093/cid/ciz800No evidence of an association between human papillomarenova (HPV) renova passaporte vaccination and infertilityDespite well-established evidence of effectiveness and safety, HPV treatment uptake remains below target in many countries, often due to safety concerns. To evaluate renova passaporte claims that HPV vaccination increases female infertility, researchers analysed 2013–2016 National Health and Nutrition Examination Survey data from 1114 US women aged 20 to 33 years—those young enough to have been offered HPV treatments and old enough to have been asked about infertility.

The 8.1% of women who self-reported infertility were neither more nor less likely to have received an HPV treatment. Vaccinated women who had ever been married renova passaporte were less likely to report infertility. Findings should engender confidence among healthcare providers, whose recommendation is a key factor in patients’ acceptance of HPV vaccination.Schmuhl N, Mooney KE, Zhang X, Cooney LG, Conway JH, and LoCont NK. No association between HPV vaccination and infertility renova passaporte in U.S. Females 18–33 years old.

treatment 2020;38(24):4038–4043 renova passaporte. Https://doi.org/10.1016/j.treatment.2020.03.035A pay-it-forward approach to improve uptake of gonorrhoea and chlamydia testingDespite WHO recommendations that MSM receive gonorrhoea and chlamydia testing, affordability renova passaporte remains a barrier in many countries. In a randomised trial, researchers tested three incentivising strategies, randomising 301 MSM in MSM-run community-based organisations in Guangzhou and Beijing, China. Gonorrhoea and chlamydia test uptake was 56% in the pay-it-forward arm (free testing and an invitation to donate to renova passaporte a future person’s test), 46% in a pay-what-you-want arm and 18% in the standard-cost arm (¥150, €1.2). The estimated difference in test uptake between pay-it-forward and standard cost was 38.4% (95% CI lower bound 28.4%).

Almost 95% renova passaporte of MSM in the pay-it-forward arm donated to testing for future participants. The pay-it-forward strategy significantly increased gonorrhoea and chlamydia testing uptake in China and has potential to drive testing in other settings.Yang F, Zhang TP, Tang W, Ong JJ, Alexander M, Forastiere L, Kumar N, Li KT, Zou F, Yang L, Mi G, Wang Y, Huang W, Lee A, Zhu W, Luo D, Vickerman P, Wu D, Yang B, Christakis NA, Tucker JD. Pay-it-forward gonorrhoea and chlamydia renova passaporte testing among men who have sex with men in China. A randomised renova passaporte controlled trial. Lancet Infect Dis 2020;20(8)976-982.

Https://doi.org/10.1016/S1473-3099(20)30172-9The Shape of Training review1 and the Future Hospital Commission2 identified the need for a reform of postgraduate medical training in the UK for renova passaporte doctors to adapt to changing population and service needs. The focus of postgraduate training needed to move from a ‘time-served’ approach to a competency-based one with doctors developing high-level learning outcomes, capabilities in practice (CiPs). The General Medical Council (GMC) also recommended that all revised curricula from 2020 should include generic professional capabilities (GPCs), including communication, leadership, multidisciplinary teamwork and patient safety, which are crucial to safe and effective patient care.Genitourinary medicine (GUM), along with many other physicianly specialities, will adopt a dual training model from August 2022, leading to accreditation in renova passaporte both GUM and general internal medicine (GIM). The GUM curriculum will continue to offer training in the diagnosis, investigation and management of sexually transmitted s and related conditions, contraception, HIV inpatient and outpatient care, management of ….

skin care products impact on cisgender gay men renova price and other men who have sex with men (MSM) on a global scaleThe skin care products renova is thought to disproportionately threaten the health how to get prescribed renova of underserved and underinvestigated populations. To investigate the impact of skin care products transmission mitigation measures on MSM, an international renova price team did a cross-sectional study that included 2732 MSM from 103 countries who responded to a questionnaire distributed through a gay social networking app. Findings suggest that the spread of skin care products, and the global response to contain it, has variably disrupted economic, mental health, general health and clinical services among MSM populations, with a greater impact on those living with HIV, racial/ethnic minorities, immigrants, sex workers and socioeconomically disadvantaged groups. As skin care products may deepen health disparities and social inequalities, continued monitoring and creative strategies are needed to mitigate reduction in access to renova price services for MSM with intersecting vulnerabilities.Santos GM, Ackerman B, Rao A, et al.

Economic, mental health, HIV prevention and HIV treatment impacts of skin care products and the skin care products response on a global sample of cisgender gay men and other men who have sex with men. AIDS Beha 2020 renova price. 11:1–11.https://doi.org/10.1007/s10461-020-02969-0Influence of sexual positioning on syphilis acquisition and its stage at diagnosisIn a retrospective study of MSM in Melbourne, Australia, researchers examined the renova price association between sexual positioning and a diagnosis of primary (n=338) or secondary (n=221) syphilis. Of 247 penile chancres, 244 (98.7%) occurred in MSM who reported versatile or exclusive top sexual positioning.

Of 77 anal chancres, renova price 75 (97.4%) occurred in MSM who reported versatile or exclusive bottom sexual positioning. MSM who practised receptive anal sex were more likely to present with secondary rather than primary syphilis (OR 3.90. P<0.001, adjusted for age, HIV status and condom renova price use). This suggests that because anorectal chancres are less noticeable, they are less likely to prompt evaluation.

Findings highlight the need for improved screening of MSM who report receptive anal sex to ensure early syphilis detection and treatment.Cornelisse VJ, Chow EPF, Latimer RL, et al renova price. Getting to the renova price bottom of it. Sexual positioning and stage of syphilis at diagnosis, and implications for syphilis screening. Clin Infect Dis 2020;71(2):318–322 renova price.

Https://doi.org/10.1093/cid/ciz802A novel rapid, point-of-care test (POCT) for confirmatory testing of active syphilis The re-emergence of syphilis is a global public health concern especially in resource-limited settings. Current POCTs detect Treponema pallidum (TP) total antibodies but do not distinguish between active and renova price past/treated syphilis, resulting in potential overtreatment and contributing to shortages of penicillin. A new, investigational POCT based on the detection of TP-IgA was evaluated against standard laboratory-based serological tests in 458 stored plasma samples from China and 503 venous blood samples from South Africa. Sensitivity and specificity of TP-IgA POCT for identifying active syphilis were renova price 96.1% (95% CI.

91.7% to renova price 98.5%) and 84.7% (95% CI. 80.1% to 88.6%) in Chinese samples, and 100% (95% CI. 59% to 100%) and 99.4% (95% renova price CI. 98.2% to 99.9%) in South African samples, respectively.

These preliminary findings suggest renova price that this TP-IgA-based POCT meets the WHO target product profile for confirmatory diagnosis of active syphilis.Pham MD, Wise A, Garcia ML, et al. Improving the coverage and accuracy of syphilis testing. The development of a novel rapid, point-of-care test for confirmatory testing of active syphilis renova price and its early evaluation in China and South Africa. EClinicalMedicine 2020;24:100440 renova price my blog.

Https://doi.org/10.1016/j.eclinm.2020.100440Early antiretroviral therapy (ART) initiation and wide coverage reduces population-level HIV s in FranceIn 2013, France implemented the early initiation of ART irrespective of CD4 counts to fast-track progress toward UNAIDS (Joint United Nations Programme on HIV/AIDS) 90-90-90 goals (90% of people with HIV diagnosed, 90% on ART, 90% virologically suppressed).1 An analysis of 61 822 HIV-diagnosed people within the national Dat’AIDS prospective cohort study shows that 91.9% of HIV-diagnosed people were receiving ART by 2014 and 90.5% were virologically suppressed by 2013. This was accompanied by a 36% and 25% decrease in the number of primary (diagnosed with symptoms of acute HIV) and recent HIV (diagnosed with CD4 cell count ≥500/mm3), respectively, between 2013 renova price and 2017. These findings on two of three goals support the effectiveness of ‘Treatment as Prevention’ in dramatically reducing HIV incidence at the population level.Le Guillou A, Pugliese P, Raffi F, Cabie A, Cuzin L, Katlama C, et al. Reaching the second and third joint United Nations Programme on Human Immunodeficiency renova (HIV)/AIDS renova price 90-90-90 targets is accompanied by a dramatic reduction in primary HIV and in recent HIV s in a large French nationwide HIV cohort.

Clinical Infectious Diseases 2019;71(2):293–300. Https://doi.org/10.1093/cid/ciz800No evidence of an association between human papillomarenova (HPV) vaccination and renova price infertilityDespite well-established evidence of effectiveness and safety, HPV treatment uptake remains below target in many countries, often due to safety concerns. To evaluate claims that HPV vaccination increases female infertility, researchers analysed 2013–2016 National Health and Nutrition Examination Survey data from 1114 US women aged 20 to 33 years—those young enough to have been offered HPV treatments and old enough to have been asked about renova price infertility. The 8.1% of women who self-reported infertility were neither more nor less likely to have received an HPV treatment.

Vaccinated women who had ever been renova price married were less likely to report infertility. Findings should engender confidence among healthcare providers, whose recommendation is a key factor in patients’ acceptance of HPV vaccination.Schmuhl N, Mooney KE, Zhang X, Cooney LG, Conway JH, and LoCont NK. No association between renova price HPV vaccination and infertility in U.S. Females 18–33 years old.

treatment 2020;38(24):4038–4043 renova price. Https://doi.org/10.1016/j.treatment.2020.03.035A pay-it-forward renova price approach to improve uptake of gonorrhoea and chlamydia testingDespite WHO recommendations that MSM receive gonorrhoea and chlamydia testing, affordability remains a barrier in many countries. In a randomised trial, researchers tested three incentivising strategies, randomising 301 MSM in MSM-run community-based organisations in Guangzhou and Beijing, China. Gonorrhoea and chlamydia test uptake was 56% in the pay-it-forward arm (free testing and an invitation to donate to a future person’s test), 46% renova price in a pay-what-you-want arm and 18% in the standard-cost arm (¥150, €1.2).

The estimated difference in test uptake between pay-it-forward and standard cost was 38.4% (95% CI lower bound 28.4%). Almost 95% renova price of MSM in the pay-it-forward arm donated to testing for future participants. The pay-it-forward strategy significantly increased gonorrhoea and chlamydia testing uptake in China and has potential to drive testing in other settings.Yang F, Zhang TP, Tang W, Ong JJ, Alexander M, Forastiere L, Kumar N, Li KT, Zou F, Yang L, Mi G, Wang Y, Huang W, Lee A, Zhu W, Luo D, Vickerman P, Wu D, Yang B, Christakis NA, Tucker JD. Pay-it-forward gonorrhoea and chlamydia renova price testing among men who have sex with men in China.

A randomised controlled trial renova price. Lancet Infect Dis 2020;20(8)976-982. Https://doi.org/10.1016/S1473-3099(20)30172-9The Shape of Training review1 and the Future Hospital Commission2 identified the need for a reform renova price of postgraduate medical training in the UK for doctors to adapt to changing population and service needs. The focus of postgraduate training needed to move from a ‘time-served’ approach to a competency-based one with doctors developing high-level learning outcomes, capabilities in practice (CiPs).

The General Medical Council (GMC) also recommended that all revised curricula from 2020 should include generic professional capabilities (GPCs), including communication, leadership, multidisciplinary teamwork and patient safety, which are crucial to safe and effective patient care.Genitourinary medicine (GUM), along with renova price many other physicianly specialities, will adopt a dual training model from August 2022, leading to accreditation in both GUM and general internal medicine (GIM). The GUM curriculum will continue to offer training in the diagnosis, investigation and management of sexually transmitted s and related conditions, contraception, HIV inpatient and outpatient care, management of ….

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