Molly is the owner of the Wafting Pie Company. Her employees used 816.0 eggs to bake pumpkin pies this morning, and 1339.0 eggs this afternoon. How many eggs were used this day? Answer:

Right now, Dr. Johnson is three times older than his son.
When Dr. Johnson was 37 years old, his son was 3 years old.
How old are Dr. Johnson and his son now?
Answer: Dr. Johnson is 51 and his son is 17 years old.
Assume that Dr. Johnson is X years old and his son is Y years old.
Then 3Y = X, and X – Y = 34.
Solving for X and Y, we get X = 51 and Y = 17.

Josh sold 465 bottles of apple cider and 605 bottles of wine. He made $10,050 altogether. If he sold 465 bottles of apple cider and only 586 bottles of wine, he would make just $9,822. How much did the 605 bottles of wine sell for?

The cakes change each month. Cake 1 has been made in August, Cake 2 in June, and Cake 3 in May. In what month has Cake 4 been made?
Answer:April. The number of chocolate lines on the cakes indicates the month.

John is three times younger than his father, but two times older than his brother Jim. How old is John if Jim is 40 years younger than his father?
Answer: John is 16 years old.
Let X be John’s age, F be father’s age, and J be Jim’s age. Then, 3X=F, X/2 =J, and J+40=F. Solving this system of three equations for X, we get X=16.
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Hitesh traveled 3,851 km from point ‘A’ to point ‘B’. He then traveled 4,082 km from point ‘B’ to point ‘C’. What is the total distance he traveled?
The cost of air ticket from Chicago to Shanghai is Rs.2,054. Mr. Sharma paid for the ticket using cash and credit card both. He paid Rs.750 in cash. How much money did he pay using credit card?
Mr. Sharma took a taxi from his home to the airport and paid Rs.68. He is left with Rs.231 now. How much money Mr. Sharma had when he left home?
Mr. Sanjay works for 128hrs a month. His wife works for 76hrs a month. What is the total number of hours they work each month?
Tommy has Rs.245 in his bank. He deposited Rs.22 more on Monday and Rs.15 on Tuesday. How much money does Tommy have in his bank now?
Ashok has 1,956 stamps, Maria has 2,410 stamps and Rohan has 897 stamps. How many total stamps do they have all together?
Sushma ordered the following items to bake a cake. Sugar - 514 kg Salt - 289 kg Butter - 179 kg What is the total weight she ordered?
Two boxers were weighed before the boxing match. Weight of one boxer was 202 kg while the weight of other boxer was 176 kg. What is the difference in their weights?

A. There are three different sized packages of lunch bags. The 25-bag package is $1.50. The 75-bag package is $3.00. The 125- bag package is $3.75. What is the unit price of each? Which box is the best buy?
The best buy is the 125-bag package. Each bag costs 3 cents.
B. The price of the gasoline is 45 cents per liter. You pump 38 liters of gasoline into your car. You pay with a credit card. What is the price of your gasoline?
1. You need to buy 3 yards of rope. The hardware store sells the rope for $2.50 per yard. What is the cost?
2. You go to the supermarket to buy dog food. The 10-pound bag costs $6.90. The 4-pound bag is marked $4.40. Which is the better buy?
ANSWER: The 10-pound bag which costs 69 cents per pound.
3. You buy 15 gallons of gasoline at $1.39 per gallon. There is a 4 cent per gallon cash discount. What should you pay if you use a credit card? What should you pay if you use cash?
4. You have 350 gallons of heating oil delivered to your home. What should you look for on the delivery ticket?
ANSWER: The seller's name and address; your name and address; the delivery date; the amount sold (350 gallons); the type of fuel (home heating oil); the unit price.

There are five frogs sitting on a log over a stream. Four of the frogs decided to jump into the stream. How many frogs are left sitting on the log?
Answer: Five! Deciding to do something is not necessarily actually doing it.
Moral of the story? Don’t analyse a task to death or procrastinate; just do it!

359 is the answer to problem #1.
891 is the answer to problem #2.
351.9 is the answer to problem #3.
71.25 is the answer to problem #4.
122.2 is the answer to problem #5.
563.7 is the answer to problem #6.
921 is the answer to problem #7.
914.83 is the answer to problem #8.
378.11 is the answer to problem #9.
244.025 is the answer to problem #10.
4253.18 is the answer to problem #11.
3201.8 is the answer to problem #12.
2399.95 is the answer to problem #13.
10153.814 is the answer to problem #14.
611.214 is the answer to problem #15.

Practice the questions given in the worksheet on word problems on minuend and subtrahend.
1. Jack deposited $341256 in his bank account. He withdrew $100368. How much is left in his account?
2. Pat bought a house for $682396. He sold it for $765000. How much did he earn?
3. The sum of two numbers are 963562. One number is 493098. Find the other number?
4. A factory manufactured 432368 toys and sold 296431 out of them. How many toys were left unsold?
5. Kelly had $535426 with her. She spent $420228 to purchase different items. How much is left with her?
6. The total population of men and women in a city is 842579. If the population of men is 594025, find the population of women in the city?
Answers for the worksheet on word problems on minuend and subtrahend are given below to check the exact answers of the above questions.

Why does the sharp-shinned hawk migrate to tropic and subtropic climes?
A.	It cannot endure cold weather.
B.	It has to follow the migratory routes of the small birds it preys on.
C.	Its breeding grounds are in its southern range.
Answer: D. Most sharp-shinned hawks flee the wintry temperatures of British Columbia for more balmy weather in the tropics and subtropics. Not only do they escape cool climes, but they also have more prey to choose from, as smaller migratory birds fly south for the winter.
Answer: D. Most sharp-shinned hawks flee the wintry temperatures of British Columbia for more balmy weather in the tropics and subtropics. Not only do they escape cool climes, but they also have more prey to choose from, as smaller migratory birds fly south for the winter.
Answer: D. Most sharp-shinned hawks flee the wintry temperatures of British Columbia for more balmy weather in the tropics and subtropics. Not only do they escape cool climes, but they also have more prey to choose from, as smaller migratory birds fly south for the winter.
Answer: D. Most sharp-shinned hawks flee the wintry temperatures of British Columbia for more balmy weather in the tropics and subtropics. Not only do they escape cool climes, but they also have more prey to choose from, as smaller migratory birds fly south for the winter.

As a rule, one centimeter of rain is equal to how much snow?
Answer: b) Typically, one centimeter of rain equals 10 centimeters of snow. This varies somewhat according to the snow’s moisture content, but it’s the norm.

Of 120 students surveyed at the Central High School, 45% students said they want a career in medical science. How many students said they would choose medical science?
In a middle school, 66% percent of the students have cell phones. If there are 400 students in that school, how many students have cell phones?
What is 75% of 60?
Which of the following is less than 47%?
If 4% of a number is 12, what is 8% of that number?
What percent of the shape is shaded?
Which figure shows 20% portion shaded?
Karina was making a necklace for her friend Garima. In the necklace, she put 2 green beads after every 6 red beads. If she used 36 red beads, how many green beads did she use?
Which option shows the pair of equal ratios?
A survey shows that 75 out of 300 people work for health services in a town. What percent of the people surveyed worked for health services?
Find the missing number in the following proportion.
Dayanand travels 32 kilometers in 4 hours. Find the unit rate of kilometers per hour in the above statement.
Which option shows 1:100 as a percent?

Note: Total votes obtained by all the three candidates in each city is associated with city as shown in the line graph.
There are no invalid votes.
No. of votes are in hundreds.
Q2. What is the difference between the total number of votes obtained by Baldev Singh and by Sharmila Devi?
Q3. What is the total no. of votes obtained by Bladev Singh from all the five cities together?
Q5. Find the average no. of votes obtained by Baldev Singh from all the cities?
Q11. An article is sold at 30% profit. Had it been sold at Rs. 155 more than previous selling price and the cost price were also increased by Rs. 100 then profit would have been 5% more. Then find the CP of the article.
Q12. There is a certain amount from which A takes 25% then B takes 50% of remaining amount, then C takes 75% of the remaining amount. Now if the amount left is 5,760 then what is the actual sum?
Q13. In a class there are 72 boys whose average age is decreased by 2.5 months, when 1 boy aged 30 years is replaced by a new boy. Find the age of the new boy.
Q14. A and B entered into a partnership, investing Rs. 16000 and Rs. 12000 respectively. After 3 months, ‘A’ withdraw Rs. 5000, while B invested Rs. 5000 more. After 3 months more, C joins the business with a capital of Rs. 21,000. After an year, they obtained a profit of Rs. 26400. What is B’s share in the profit?
Q15. In a test, a candidate secured 456 marks out of maximum marks ‘x’. If the maximum marks ‘x’ had been converted into 600 marks, he would have secured 342 marks. What was the maximum marks of the test?

A concert sold 1,068 tickets bringing in total revenue of $15,060. Three categories of tickets were sold. Type "A" sold for $10, type "B" sold for $15 and type "C" sold for $20. There were 4 times as many "A" tickets sold as there were "B" tickets. How many of each type of ticket were sold and how much money did each type of ticket generate?
"How many of each type of ticket were sold and how much money did each type of ticket generate?"
There's one more hint in there. Let's see what you can do.
I don't have a clue. Please help!!!
A concert sold 1,068 tickets bringing in total revenue of $15,060. Three categories of tickets were sold. Type "A" sold for $10, type "B" sold for $15 and type "C" sold for $20. There were 4 times as many "A" tickets sold as there were "B" tickets. How many of each type of ticket were sold and how much money did each type of ticket generate?
What piece of information are you overlooking?
There were 4 times as many "A" tickets sold as there were "B" tickets or A = 4B.
How can this simplify your solution path?
I think you are on your way now.
I don't have a clue. Please help!!!
Do you see the giant red flag waving in front of my eyes? You CANNOT have NO clue. Read and think. Pay attention in class. Read your book. Do SOMETHING and GET a clue. That's how one learns.

At a party, everyone shook hands with everybody else. There were 66 handshakes. How many people were there at the party?
Two towns are exactly 100 km apart. Suresh leaves City-A at 3 pm driving at 30 km/hr. After 30 minutes, at 3:30 pm, Ramesh leaves City-B driving at 60 km/hr. When they meat each other, how far they will be from City-A ?
If the digits of my present age are reversed then I get current age of my son. If one year ago my age was twice the age of my son. Find my present age.

We have written to you in the past with our concerns about a child being killed or injured on Crossdale Drive due to reckless and / or inconsiderate motorists bringing their children to school. The situation seems as bad as ever and we have recently received a number of complaints from concerned residents, visitors and parents. The note below was received this week and is typical of the concerns expressed by residents.
Please consider this matter very carefully and drive around Crossdale Drive in a way that is considerate to residents and mindful of children’s safety.
The document attached below details ways you might be able to help improve the situation.
As a constant user of Crossdale Drive (my elderly mother lives there ), I would like to comment on the number of cars parking on the road. Parents are not always considerate to driveways and although I try to avoid school drop off and pick up times it is sometimes necessary to access my mother’s house at these times. She has limited walking ability now and I need to park on her drive. This is sometimes impossible due to the proximity of parked cars.
I understand all the issues involved with dropping off and picking up children as I have to access this at my local primary with my grand-children. My mother also enjoys the good relationship which the school has with the residents of Crossdale Drive, always being notified of any excess traffic expected due to school events. This is handled well and with sensitivity.
However this morning, 22nd January, the parking was very inconsiderate and on attempting to drive around the loop road there were cars parked on either side of the road and it was only just passable with extreme care. It struck me that there would be a very serious issue with an emergency vehicle traversing the route should that be necessary. An ambulance or a fire engine would be unable to pass through. I would not wish a parents car to be damaged in this situation but I think the emergency vehicles may have no choice !!
I only bring this issues to your notice to bear in mind and remind parents. I do envisage that my mother will be less able in the coming years (she is very elderly ) and the access I need will be more frequent and I will need to be on the drive. Many thanks for your consideration in this matter.

Panos Studios in Paros offer discounts all year round. From 01/01 to 06/30 and from 09/01 to 31/12 for over 4 nights 15% discount. From 07/01 to 15/07 and from 08/21 to 31/08 for over 4 nights 10% discount. From 16/07 to 20/08 for 7 nights 5% discount.
Panos Studios are just 500 metres from the main port of Parikia in Paros where you can hop on the traditional caique boat Regaki departing at 7:30 pm in order to view the sunset of Parikia’s bay, from inside and outside the bay for 90 minutes making this an unforgettable memory. During this trip, complimentary drinks and finger food are served while you are listening to a pleasant music.
All the studios are newly refurbished and modern furnished in neutral colors. The rooms feature king size beds with orthopaedic and anatomic mattresses, energy saving windows with plisse insect screens, flat- screen TVs, air conditioning and heating. All the rooms are sound proofed and have a private bathroom with shower. Complimentary WiFi in public areas and free self parking are provided. Free transportation to and from the hotel is also provided. The rental studios Panos feature a kitchenette with cookware, dishware and utensils, a refrigerator, a coffeemaker, a toaster. Daily housekeeping is also provided. Every morning you can enjoy a complimentary complimentary savoury or sweet snack by the hostess.

Your fees were more than reasonable, you knew what you were doing, you always did it timely. After my previous two attorneys you were more than a breath of fresh air, you were a whole spring day.
     Rich is multi-talented. He takes from his many years of experience in estate planning and taxation, looks to discover the big picture of my family’s needs and has been able to apply his knowledge in the way that will help my family the best.
Thank you for your professionalism with my client.
Working with Jay was such a breath of fresh air.
When you think of sitting down and having to decide who will take care of your child in the event of something awful, thats not typically a process that one gets excited about. But working with Jay was such a breath of fresh air. He was professional, yet fun and engaging. He explained the whole document to us in terms that made sense and answered every question along the way. If I am not mistaken, he had us laughing through much of that meeting. If you don’t at least give him a call, you’ll have missed a tremendous opportunity.
     The materials provided and all interactions were extremely professional and beyond my expectations. Extreme care is taken in every respect.
"Rich keeps his eyes out for businesses that can benefit from wealth management".
     Rich is a consummate networker. He is outgoing and active in the marketplace. He keeps his eye out for businesses that can benefit his clients and their businesses.
"You literally “gave me my life back”.
     Jay and Rich — I want to express my deepest gratitude to you both, and especially Jay, for the incredible way in which you handled my tax issues, trust and estate issues. A case that could have lasted 4-5 years was resolved in less than 18 months!!!You literally “gave me my life back”. Jay’s very easy and relaxing style, with his intimate tax background, coupled with Rich’s personal style of grace and knowledge, give Legacy Legal the ability to meet the needs of any potential client. I will refer all my friends, family and others to Rich and Jay with the highest accolades.
"I have heard only outstanding reviews from those I referred”.
     Legacy Legal and my bookkeeping company, Find Your Money, have been collaborating in the same office for several years now. Because of our interaction, I have had a chance to recognize the quality of work that both Rich and Jay perform. Therefore, I felt confident to refer my clients to Legacy Legal. As a result, I have heard only outstanding reviews from those I referred. Whether they needed Estate Planning, Business Advice, or Tax Representation, my clients have all been please with the Legacy Legal team.
     New to California and knowing we needed to update our wills and such, Jay Brandenburg of Legacy Legal in Carlsbad was simply top notch in walking us through establishing a Living Trust, Will, etc. Jay was very knowledgeable and detailed, walking us through every pertinent detail. We now have piece of mind in knowing that our children will be taken care of. What's truly special about Jay is his easy going, consultant like demeanor. Preparing for those loved ones after we're gone is hard enough and Jay just simply made it EASY! I make very few recommendations (this is my third) and do so when someone stands out. Thanks Jay and the Legal Legacy team!
"it was nice to have the experienced, calm, quiet Jay Brandenburg”.
     When I was helping my mom consider the value of a trust over simply adding my sister and myself to separate savings and CD accounts (as her mom and dad did for her and her own siblings back when I was a baby), it was nice to have the experienced, calm, quiet Jay Brandenburg at Legacy Legal LLP in Carlsbad, CA to explain the trust option to her. He discovered she, like some 68 percent of the folks out there, was without a will. That's really bad news unless you really want to give a large chunk of what you saved all your life to amass to be given freely to probate. Mom took Jay's sage advice and worked quickly to develop a will. The jury is still out on those "newfangled" trusts.... but at least she knows her options now, and who to go to because she trusts him!

The same core of analytics that has made Opensignal’s industry reports the de facto source of truth for measuring mobile network experience, also powers Opensignal’s Insights solutions.
Used by mobile network operators, regulators and analysts around the world, our Insights solutions provide an in-depth understanding of users’ real-world experience of the different networks. They unlock a clear view of strengths, opportunities and priorities for improvement at local, regional and national level.
We offer a range of analytics solutions tailored to the needs of different stakeholders and teams, allowing users to quickly and accurately identify relevant information without the need for deep technical knowledge.
All our solutions use the same world-class data science and analytics that have made our industry reports the most respected in the world, trusted for their informative analysis that does not mislead or confuse. Decisions based on our insights can be made with confidence, knowing that they are based on an accurate measurement of the real experience of mobile users.
Our solutions for mobile network operators can be used to make business decisions that prioritize projects and investment targeted at improving customer experience and competitive position.
Regulators can benchmark regional and national experience against best in class internationally, to understand where to apply influence.
Analysts can see a wide range of trends that underpin the evolution of the market and understand the impacts of investment strategies.

Fill in the blank with was or were.
Example: Where ____ the children yesterday?
Answer: Where were the children yesterday?
1. I ____ born in 1966.
2. We ____ good students.
3. The company's employees ____ not very rich.
5. One of the players ____ very good.


Each of farmer Cunningham 's 6048.0 lambs is either black or white. There are 193.0 mixed ones. How many lambs does Farmer Cunningham have in total? Answer:

just wanted to know, during pregnancy it was advised not to eat deli meats soft cheeses and runny eggs etc. now that i have had my baby,and im breast feeding can i eat foods now?
Answer: Hi Silvana, Here is a great website that offers safe foods for pregnancy and breast feeding. Best wishes, Alex.

988442 has 16 divisors (see below), whose sum is σ = 1825152. Its totient is φ = 390960.
The previous prime is 988439. The next prime is 988453. The reversal of 988442 is 244889.
988442 is digitally balanced in base 2, because in such base it contains all the possibile digits an equal number of times.
It is a cake number, because a cake can be divided into 988442 parts by 181 planar cuts.
It is a polite number, since it can be written in 7 ways as a sum of consecutive naturals, for example, 2534 + ... + 2897.
It is an arithmetic number, because the mean of its divisors is an integer number (114072).
2988442 is an apocalyptic number.
988442 is a deficient number, since it is larger than the sum of its proper divisors (836710).
988442 is a wasteful number, since it uses less digits than its factorization.
988442 is an evil number, because the sum of its binary digits is even.
The sum of its prime factors is 5453.
The product of its digits is 18432, while the sum is 35.
The square root of 988442 is about 994.2042043765. The cubic root of 988442 is about 99.6132394243.
The spelling of 988442 in words is "nine hundred eighty-eight thousand, four hundred forty-two".

How many triples are there with a sum of six?
Eight triples with a sum of six? Are there any more? Are you sure? Check that I haven't missed any out.
How many triples are there with a sum of twenty?

Population of Marseille was 852 396 inhabitants in 2007. You will find below a series of charts and statistical curves of population census of the city of Marseille.
Population of Marseille was 797 491 inhabitants in 1999, 800 550 inhabitants in 1990, 874 436 inhabitants in 1982, 908 600 inhabitants in 1975 and 889 029 inhabitants in 1968.
Area of Marseille is 240,62 km² and has a population density of 3 542,50 inhabs/km².
Must see: housing of Marseille, the road map of Marseille, the photos of Marseille, the map of Marseille.
Population of Marseille was 852 396 inhabitants in 2007, 797 491 inhabitants in 1999, 800 550 inhabitants in 1990, 874 436 inhabitants in 1982, 908 600 inhabitants in 1975 and 889 029 inhabitants in 1968.
This population Census of the city of Marseille was made without duplicated data, which means that each Marseille resident that have ties to another municipality is counted only once for the two municipalities.
This curve shows the history of the population of Marseille from 1968 to 2007 in cubic interpolation. This provides more precisely the population of the municipality of Marseille the years where no census has been taken.
- From 1999 and 2007 : 90 996 births and 60 452 deaths.
- From 1990 and 1999 : 94 900 births and 78 934 deaths.
- From 1982 and 1990 : 89 401 births and 72 903 deaths.
- From 1975 and 1982 : 78 294 births and 67 067 deaths.
- From 1968 and 1975 : 90 546 births and 67 320 deaths.

A nurse put 100 gloves into 4 containers. She puts gloves in the containers in such a way that each container has two more gloves than the one before. How many gloves are in each container?
Answer: 22, 24, 26, and 28 gloves.
Let X be the number of gloves in the first container. Then there are X+2 gloves in the 2-nd container, X+4 gloves in the 3-rd container, and X+6 gloves in the 4-th container. Hence, we have X+X+2+X+4+X+6=100. Solving for X, we get X=22 gloves in the first container, 24 gloves in the 2-nd container, 26 gloves in the 3-rd container and 28 gloves in the 4-th container.
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Convert 632.83 Grams to Milligrams (g to mg) with our conversion calculator and conversion tables. To convert 632.83 g to mg use direct conversion formula below.
632.83 g = 632830 mg.
You also can convert 632.83 Grams to other Weight (popular) units.

In each backpack, there are 7 cats.
For every cat, there are 7 kittens.
How many legs are there in the bus?
PS: Paws are considered legs, and a cat has 4 paws.
PPS: This is a real math problem, not a trick question.
ANSWER: 10,990 (or 10,992 if you're assuming there's a bus driver).
EXPLANATION: Let's start with the girl legs. There are 7 girls × 2 = 14 girl legs. Now let's count the cat legs. There are 49 backpacks which means there are 343 cats × 4 = 1,372 cat legs. Finally, let's count the kitten legs. There are 343 cats which means there are 2,401 kittens × 4 = 9,604 kitten legs. The total number of legs is 14 + 1,372 + 9,604 = 10,990 (or 10,992 if you're assuming there's a bus driver).

3918.4 + Lindsey's 80 + my 20 = 4018.4 there I think we are back on track!
I have gone from 194 to 174, I have loss 20 pounds.
I have lost 47, so 47+4147.4=4194.4!!
Last edited by kate1970; 11-06-2007 at 06:05 AM.
6 lbs. in two weeks since changing eating habits!
Last edited by Mistresslucyfurr; 12-13-2007 at 02:12 PM.

Subtraction is the method by which we know the remaining after taken away some quantity from a certain quantity.
Step 1: Arrange the digits of the numerals as per the place value chart.
Step 2: Now subtract ones from ones, tens from tens and so on.
Minuend: The number from which other number is subtracted.
Subtrahend: The number which is subtracted from the other number.
Difference: When a number is subtracted from other, the product is called difference.
Subtract 15 lakhs from 12 crores.
The sum of two numbers is 7894562. If one of the numbers is 564897 then find the other.
A water tank contains 9800365 litre water. 456876 litre water is replaced by 9864 cubic stones. Find the remaining amount of water in the tank?
There are two boxes, first box contains only red balls whereas second box contains blue and white balls. Number of red, blue and white balls are 456456, 745879, and 25463 respectively. Jack threw all the white balls out of box. Find the remaining number of balls in the second box.
Second box contains two types of coloured balls blue and white. Jack threw all the white coloured balls out of box.
A and B represents two different villages. Population of the village A is 758945 in which 548796 are educated. Population of the village B is 879456 in which 256456 are educated. Find the total number of uneducated people.
Therefore, total number of uneducated people = 210149 + 623000 = 833149 .
Addition is the operation to know the total quantity when two or more than two quantities are taken together.
The numbers which are added together called addend and the problems is called sum.
When two or more than two numbers are added, the product is called sum.
Subtraction is the method by which we know the remaining after taken away some quantity from a certain quantity.
The sum of a number and 0 is equal to the number itself.
The result of subtractions is called the difference between the numbers.
Plus and minus are Latin words. In Latin plus means more and minus means less.
In the USA, -7 is pronounced as negative seven instead of minus seven.
Choose correct option for the expression 12 crores - 12 thousands.
Cody goes 45607 km north and returns back then he goes 84659 km east and returns back. Find the total distance covered by him.
Total distance covered by Cody = 45607 km + 45607 km + 84659 km + 84659 km = 260532 km.
Difference of the two numbers is 5648 less than 908564. If one of the numbers is 789006, find the other number from the following.
P = 454658, Q = 400085, R = 408789. Which one of the following is the greatest?
A + B is greater than C + D. Choose the correct option.
(a) If C is greater than A, B must be greater than D.
(b) If A is greater than C, D must be greater than B.
(c) If A is greater than D, B must be greater than D.
(d) If D is greater than A, B must be equal to D.

The municipality of González is located in the Mexican state of Tamaulipas. González is populated by 40946 inhabitants.
About 60.58 percent of the population in González are adults older than 18 years. People visit the schools 6 years, but the quote of analphabets is still around 8.1 percent, equal to 3327 individuals.
609 inhabitants are indigenous people and 331 individuals older than 5 years speak an indigenous language.

1.) A CLOCK TAKES 30SEC FOR 6TICKS AT 6 O?CLOCK. HOW MUCH TIME WILL IT TAKE FOR TICKS AT 12 O?CLOCK.
Ans:66sec 2.) I gave my sis x chocolates.she told me she gave half of them to mom, half a choc to dad, half of remainingand a half choc to doggy and remaining 1 she ate?how many chocolates were given to sis. Ans:7. 3.) X(Got param veer charka in 1948) he died when his age was one thirty ninth of his year of birth.whats his year of birth. 4.) There are x trees in woods. Y is no. of birds. Gate keeper tells on each tree no of birds is equal to total no. of trees in woods.tell the number of trees. Given total number of birds is between 2000 and 2100. 5.) Enum,ekum,ebum,eskum,epumand 2 more 6 names were given and 4 races were given. Following a few statements find the winner of each of 4 races. 6.) Five color houses,five people,five diff drinks,five diff smokes,five diff animals and following a huge set of constraints find all the matches to answer 3 parts. 7.) Carter,milne,savage,Flynn are 4 people architect,banker,druggist and grocer in not that order, Income of milne=3776+income of savage. Income of drugg=2*income of grocer Income of architect=2*income of druggist Income of banker=2*income of architect Carter is older than every one who earns more than Flynn but Flynn does not earn double the amount of carter.find who?s who? 8.) cost of a=5bit/pound , cost of b=3bit/pound. Mixture ab is sold at 100/3% profit and qty sold is 40 pound tell the weight of compound a sold in mixture.bit is money unit.
Placement Test Problems. IF rose code as 6786 hot coded as 879 then search will code asin this q there is one no. is assigned t each letter.so take search and letter by letter see the given condition. 2.600,180,54«««..complete the series.
Two persons met each other.there r 20 men and 5 women then how much maximum couple can be made«.3 10.1001power of 999 9. 13. Later I came to know that penny and cent are equal(not sure). 14. 11. Candy cost 4 cents and 2 fruits of Gumdrops costs 1 penny and 4 fruits of Chocolates costs 1 penny.l.(a)apple is as much equal as mangoes. 5.ans: 20c1*5c1=100. for 15 years.the cost of 15 apples & 20 mangoes is much as equal to the 15 mangoes & 20 apple then what is the relation between their cost. 8.product of two no is constt.c. and if we multiply fourth and fifth digit we get third digit.a bag contains 8 white and 6 black balls find the prob. at the rate of 5% p. And totally there are 20 fruits and it costs 20 cents..ans: 4/7 place blindly. (a)half 50%of 50 (b)3times 40%of 40see the obtion & place 3times 40% of 40 blindly.sedane:pain :: solace:««. if one no. Three types of fruits Candy.. 7.m & h.a. is increased by 50% then other no is decreased how much.if x is 90% of y then y is how much % of x. One person is having certain age and the other person is . of drawing a white ball«. Chocolates.cf of two no is 84 & 21 respectively and the ratio of these two no is 1:4 findthe gretest no ans: 84 place blindly.river:dam :: traffic(a)signal (b)motin (c)vehicle (d) 6.find the compound interest of 1000 rs.ans: 33. 4. A five digit no whose third digit is one greater than the sum of the first two digits and the third digit is double the fourth digit and fourth digit is double the fifth digit and second digit is greater than first digit by 5.play:director :: newsans: editor.. 1.place blindly (a) obtion. 2. Gumdrops are available. how many fruits of different types are there.find the greatest of 1000power of 1000. SOL) Actually I did not attempt this question bcause I don't know the relation between penny and cent. 12.3. SOL) 16842 3.ans: grief.find the greatest no. place 100 blindly.
it is from r. B says lie whenever he says I had eaten SOL) B: D ate it( check once) 5) Two pipes r filling the tank 10 min and 15 min respectively. After 10 years they got married the bride age is 30 years and the groom's age is 9/10th of the bride. D ate it C. But one among the four had eaten the samosa. A won 3$ and .agarwal. A. They had abet of $1 for every match. Actually one samosa should be available.s.2/15 = 30 min 6) Five thief's are decided to stole the diamond from a jewellery shop. one by one entering into the kitchen room and they r taking the samosas(some item) and returning. B ate it B.having half the age of first person plus seven years.e x/2 +2 Then the remaining diamonds are x-[x/2+2] = (x-4)/2 second person went into the shop and taken half plus 2 =(x-4)/4 + 2 then the remaining diamonds are (x-4)/2 . After sometime all the members went into the kitchen collectively then they found that no samosa is available(some item). And the tank is having leak and it is taking 7 1/2 minutes to empty the tank. First person went and taken half of the diamonds plus 2 i. What is the groom's age. Four friends r chatting in a room . I cant be D.Among the following options only one person is telling the truth and remaining are all lying.((x-4)/4 + 2) and this will be continued and the answer is 76 7) Two friends are playing a game. How namy diamonds are there in the shop? SOL) let us think there r x diamonds in the shop. Three r simaltaneosuly opened and how much time it will take to fill the tank SOL) I think it's a very simple problem . 1/10 +1/15 . First person went into the shop and he stolen half of the diamonds plus 2 and the second person went into the shop and he stolen half of the remaining plus 2 and the third person stolen half of the remaining plus 2 and the fourth person stolen half of the remaining plus 2 when the fifth person entered into the shop only one diamaond is left. SOL) let the age of first person=x Then the other person's age is x/2 + 7 After 10 years they got married means X+10 and x/2 + 7 + 10 And x+10=30 Then x=20 and x/2+7+10 = 20/2 + 7 + 10 = 10 + 7 +10 = 27 (9/10)*30=27 Hence the groom's age is 27 4.
B won 3 matches means he won 3$ .where as B won 3 matches. How many matches are totally played SOL) this question if from shakuntala devi (more puzzles) book.

28% of 450 + 45% of 280 = x.
If sales tax be reduced from 7/2% to 10/3%, then what difference does it make to a person who purchases an article wit marked price of Rs. 8400?
Required difference = (7/2 - 10/3)% of Rs. 8400.
Required difference = 1/6% of 8400.
Required difference = 1/6 X 1/100 X 8400.
An inspector rejects 0.08% of the meters as defective. How many will be examine to reject 2?
Answer is: BLet the number of meters to be examined be x.
x = (2 X 100 X 100)/8 = 2500.
Sixty five of a number is 21 less than four fifth of that number. What is the number ?
Answer is: BLet the number be x.
In expressing a length 81.472 km as nearly as possible with three significant digits, Find the percentage error?
In an election between two candidates, 75% of the voters cast their votes, out of which 2% of the votes were declared invalid. A candidates got 9261 votes which were 75% of the total valid votes. Find the total number of votes enrolled in that election.?
Answer is: CLets the total number of votes enrolled be x.
Then, Number of votes cast = 75% of x.
Valid votes = 98% of (75% of x).
Mr. Jones gave 40% of the money he had, to his wife. He also gave 20% of the remaining amount to each of his three sons. Half of the amount now left was spent on miscellaneous items and the remaining amount of Rs. 12000 was deposited in the bank. How much money did Mr. Jones have initially?
Answer is: ALet the initial amount with Mr. Jones be x.
Then, (1/2)[100 - (3 X 20)]% of (100 - 40)% of x =12000.
(1/2) X (40/100) X (60/100) X x = 12000.

87262848 has 96 divisors (see below), whose sum is σ = 253000800. Its totient is φ = 28869120.
The previous prime is 87262823. The next prime is 87262871. The reversal of 87262848 is 84826278.
It is a super-2 number, since 2×872628482 = 15229609282142208, which contains 22 as substring.
It is a polite number, since it can be written in 11 ways as a sum of consecutive naturals, for example, 242893 + ... + 243251.
It is an arithmetic number, because the mean of its divisors is an integer number (2635425).
Almost surely, 287262848 is an apocalyptic number.
It is a practical number, because each smaller number is the sum of distinct divisors of 87262848, and also a Zumkeller number, because its divisors can be partitioned in two sets with the same sum (126500400).
87262848 is an abundant number, since it is smaller than the sum of its proper divisors (165737952).
87262848 is a wasteful number, since it uses less digits than its factorization.
87262848 is an evil number, because the sum of its binary digits is even.
The sum of its prime factors is 590 (or 575 counting only the distinct ones).
The product of its digits is 344064, while the sum is 45.
The square root of 87262848 is about 9341.4585584907. The cubic root of 87262848 is about 443.5505556680.
The spelling of 87262848 in words is "eighty-seven million, two hundred sixty-two thousand, eight hundred forty-eight".

If you were born on 10th June 1938., your age is Eigthy years and Three Hundred and Thirteen days. 29533 days passed since day of Your birth (or 4219 weeks). But you are not alone with this! In world 284000 babies was born on that day.
You haven't had birthday in this year yet., next birthday will be in 52 days. Your previous birthday was 313 days ago.
Why not celebrate every 100-th day of your life? Next one will be in Sixty-Seven days (Tuesday, 25th June 2019.), when you will be 29600 days old.
Every 1000-th day sounds better? OK, next one will be in Four Hundred and Sixty-Seven days (Wednesday , 29th July 2020.), your age will be 30000. days.
If your hair were never cut since b-day, today, it would be 10.34 meters long.
Heart beats since your birth: 2976.9 millions.
Since your birth, in Danube (at Bp.), 5996.4 billion m3 water flowed.
We found 1 event that happened on 10. June 1938.
Click here, if you want to see what happened more on 10. June date (Not only in 1938. year).
Biorhythm for visitors born on 10. June 1938.
If Your birthday is on 10. June 1938, check below your Physical, Emotional and Intellectual biorhythm calculator for next 20 days. What is biorhythm? Read more on FAQ page.

The point О is the centre of a regular pentagon. How much of the pentagon is shaded?
Granny told her grandchildren: "If I bake 2 pies for each of you, I'll have enough pastry left for 3 more pies. But I won't be able to bake 3 pies for each of you, as I'll have no pastry left for the last 2 pies." How many grandchildren does Granny have?
An interview of 2006 schoolchildren revealed that 1500 of them participated in the Kangaroo contest, 1200 - in the Beaver contest. How many from the interviewed children participated in both competitions, if 6 of them did not participate in either of the competitions?
The solid in the picture is created from two cubes. The small cube with edges 1 cm long is placed on the top of a bigger cube with edges 3 cm long. What is the surface area of this solid?
A bottle that can hold 1/3 litre is 3/4 full. How much will it contain after 1/5 l has been poured out of it?
Two sides of a triangle are each 7 cm long. The length of the third side is an integer number of centimeters. At most how many centimeters does the perimeter of the triangle measure?
If it's blue, it's round.
If it's square, it's red.
It's either blue or yellow.
If it's yellow, it's square.
It's either square or round.
Three Tuesdays of a month fall on even dates. What day of a week was the 21st day of this month?
Alex, Hans and Stan saved money to buy a tent for a camping trip. Stan saved 60 % of the price. Alex saved 40 % of what was left of the price. This way Hans' share of the price was 30 euros. What was the price of the tent in euros?
Several aliens are travelling through the space in their rocket STAR 1. They are of three colours: green, orange or blue. Green aliens have two tentacles, orange aliens have three tentacles and blue aliens have five tentacles. In the spaceship there are as many green aliens as orange ones and 10 more blue ones than green ones. Altogether they have 250 tentacles. How many blue aliens are travelling in the rocket?
If kangaroo Jumpy pushes himself with his left leg, he will jump on 2 m, if he pushes with the right leg, he will jump on 4 m, and if he pushes with both legs, he will jump on 7 m. What the least number of jumps should Jumpy make to cover a distance of exactly 1000 m?
A rectangle on the right is divided into 7 squares. The sides of the grey squares are all 8. What is the side of the great white square?
Which number when squared is increased by 500%?
How many isosceles triangles with area 1 have a side of length 2?
Max and Moritz have drawn a square 5x5 and marked the centres of the small squares. Afterwards, they draw obstacles and then find out in how many ways it is possible to go from A to S using the shortest way avoiding the obstacles and going from centre to centre only vertically and horizontally. How many shortest paths are there from A to В under these conditions?
The last digit of a three-digit number is 2. If we move the last digit to the front, the number is reduced by 36. What is the sum of digits of the original number?
Belinda is making patterns with toothpicks according to the schema of the figure. How many toothpicks does Belinda add to the 30th pattern to make the 31st?
A train is composed of five wagons, I, II, III, IV and V, pulled by a locomotive. In how many ways can the train be composed so that the wagon I is nearer the locomotive than the wagon II?
What is the first digit of the smallest positive integer that has the sum of its digits equal to 2006?
Mother asks her sun little John to make pairs from his socks after washing, but he didn't do that. He put his socks - 5 pairs of black, 10 pairs of brown and 15 pairs of grey socks -mixed in a box. John want to go to a 7-day trip. What is the smallest number of socks has he to take out to guarantee that he will have at least 7 pairs of socks, all of the same colour?
The three positive numbers x, y, z satisfy the conditions x ≥ y ≥ z, x + у + z = 20.1.
Which of the answers is true?
Peter rides a bicycle from point P to point Q with a constant speed. If he increases his speed by 3 m/s, he will arrive to g 3 times faster. How many times faster will Peter arrive to Q, if he increases his speed by 6 m/s?
What is the smallest number of dots that need be removed from the pattern shown, so that no three of the remaining dots are at the vertices of an equilateral triangle?
The first row shows 11 cards, each with two letters. The second row shows rearangement of the cards.
Which of the following could appear on the bottom line of the second row?

I don't think this can be simplified further.
the length of a rectangle is 1 cm less than twice its width. the area is 28 cm squared. find the dimensions of the rectangle. Just translate the English into "math" "the length of a rectangle is 1 cm less than twice its width"
The area of a rectangle of length x is given by 3x^2 + 5x. Find the width of the rectangle. Show me the formula and how to use it please. area= length times width 3x^2 + 5x = x * width divide both sides by x, then you have width.

A bicycle wheel has a diameter of 0.71m. How many complete revolutions does it make in 1km?
Originally posted by chiccufrazer1 on 06 Jan 2013, 05:37.
Last edited by Bunuel on 07 Jan 2013, 02:10, edited 1 time in total.
1 revolution = 3.14 * diameter.
Number of revolutions in 1km = 1000m / ( 3.14 * 0.71m ) = 448.5. Hence 448 complete revolutions.
A bicycle wheel has a diameter of 0.71m. How many complete revolutions does it make in 1km?
A bicycle wheel has a diameter of 0.71m. How many complete revolutions does it make in 1km?
Answer B is the only one that's close.

I think selling is the ultimate skill any person can develop. If you can sell, you will always have work and income. Not to mention it can be developed and evolved into a number of other useful skills.

SAN FRANCISCO (AP) ? Stronger spending on business software helped Oracle’s quarterly profit jump 36 percent, but the company’s server business continued to deteriorate, which Oracle says is happening because it is shedding lower-margin deals.
The company said after the market closed Tuesday that its net income rose to $1.84 billion, or 36 cents per share, compared with $1.35 billion, or 27 cents per share, a year earlier.
Its adjusted net income was 48 cents per share, a penny higher than the average forecast of analysts polled by FactSet.
Revenue rose 12 percent to $8.37 billion, slightly exceeding the $8.36 billion that analysts expected.
Revenue from new software licenses rose 17 percent to $1.5 billion, which was the top end of the range Oracle had predicted.


Students at Arcadia schools are participating in a coat drive. 9437.0 coats have been collected so far. 6922.0 more coats will be collected this week. How many coats will be collected in total? Answer:

88126 records sent, 17625.2 records/sec (16.81 MB/sec), 968.5 ms avg latency, 1409.0 max latency.
113096 records sent, 22587.6 records/sec (21.54 MB/sec), 249.2 ms avg latency, 681.0 max latency.
63205 records sent, 12615.8 records/sec (12.03 MB/sec), 1200.1 ms avg latency, 2560.0 max latency.
137255 records sent, 27451.0 records/sec (26.18 MB/sec), 381.6 ms avg latency, 902.0 max latency.
100020 records sent, 20000.0 records/sec (19.07 MB/sec), 4.2 ms avg latency, 142.0 max latency.
100020 records sent, 20004.0 records/sec (19.08 MB/sec), 1.1 ms avg latency, 18.0 max latency.
29195 records sent, 5839.0 records/sec (5.57 MB/sec), 1365.7 ms avg latency, 3544.0 max latency.
22680 records sent, 4528.8 records/sec (4.32 MB/sec), 5279.9 ms avg latency, 6772.0 max latency.
81390 records sent, 16100.9 records/sec (15.36 MB/sec), 3051.3 ms avg latency, 7415.0 max latency.
139410 records sent, 27693.7 records/sec (26.41 MB/sec), 1115.1 ms avg latency, 1637.0 max latency.
118290 records sent, 23610.8 records/sec (22.52 MB/sec), 1226.4 ms avg latency, 1804.0 max latency.
1000000 records sent, 17737.415304 records/sec (16.92 MB/sec), 962.23 ms avg latency, 7415.00 ms max latency, 831 ms 50th, 3932 ms 95th, 6894 ms 99th, 7285 ms 99.9th.

We will learn how to solve step-by-step the word problems on addition and subtraction of whole numbers. We know, we need to do addition and subtraction in our daily life. Let us solve some word problem examples.
1. The population of a country in 1990 was 906450600 and next year it is increased by 9889700. What was the population of that country in the year of 1991?
Therefore, the population of that country in the year of 1991 is 916340300.
2. Aaron bought two houses for $1668000 and $2454000. How much did he spend in all?
Amount of money spent in all $4122000.
3. The sum of two numbers is 41482308. If one number is 3918695 then, find the other number.
Therefore, the other number is 37563613.
4. Mr. Jones deposited $278475 in a bank in his account. Later he withdrew $155755 from his account. How much money was left in the bank in his account?
Therefore, Mr. Jones has $ 122720in his bank account.
Note: We need to be careful while arranging the addends in columns.

The overall population of the state of Guerrero is 3115202 citizens, 1499453 males and 1615749 females.
The population of Guerrero is divided into 1379812 minors and 1735390 adults, with 273182 of them older than 60 years.
526791 people in Guerrero live in indigenous households. An indigenous language is spoken by 383427 people who are older than 5 years. The number of people who only speak an indigenous language is 87923 and 284149 speak both an indigenous language and Spanish.
A legal claim on health care and social insurance benefits have 738033 citizens of Guerrero.
In Guerrero about 713788 households are registered.
702078 of these households are common houses or apartments, 221693 are without floor and about 131630 consist of one room only.
496635 of the normal households have sanitary installations, 440515 are connected to the public water supply, 641867 have access to electricity.
The economic situation allows 59908 households to own a computer, 230112 own a washing machine and 544586 households are equipped with one ore more televisions.
Besides the 386679 analphabets aged 15 or older, about 49550 minors between 6 and 14 are not visiting a school.
366928 inhabitants of the population of 15 years and older did not visit a school and 738714 persons did not finish the school. 300967 visited only the 6 years lasting primary school, 500406 visited and finished the college or similar scholar institutions.
A total of 213615 aged 15 to 24 years visited a school, the medium time school is visited through the whole population is 7 years.

How might your mail be arriving in the future?
How might your mail be arriving in the future?
Answer: in a self-driving mail truck.
But don’t worry, there will still be a person in the truck for your dog to bark their head off at.
The United States Postal Service (USPS) released a report last week stating that the agency plans to integrate self-driving tech into its fleet of 228,000 vehicles. In partnership with the University of Michigan, USPS plans to build an Autonomous Rural Delivery Vehicle and start using it on 28,000 rural routes as early as 2025.

Whoa, where’d this come from?! I finally found the time and motivation to get this done (cough cough season 2), and I forgot just how much I loved this show somehow. Other subs have been out for this for a long time, so this is really just for my own selfish benefit and the feeling of accomplishment, but if you haven’t seen it yet or have been waiting, then please enjoy! Tomorrow we’ll be working on the new season, and from here on out we’ll try to get it done on the date of airing.
I was sad when you guys announced that the old staff weren’t doing it, but I guess you couldn’t escape how great the show is and came back. Thanks for the release!

This article complements the concepts explored in my article “Archetypes of the Mature Masculine” and applies them to the other half of humanity—women. In doing so I apply the same principles, not in a mechanistic way, but in the spirit of Jung’s archetypes and their rationale. Lets start with a few words of C. G. Jung himself where he talks about the Anima.

How long have you been working in this industry for now?
I finished the course in September 2013 and launched at the start of 2014. I am now in my fifth wedding season!
My main clientele is based in Scarborough and close surrounding areas; however, I do travel through North Yorkshire and Humberside.
What was your motivation to start a career working as an MUA in the bridal sector & Why did you choose BAMM as your place to study?
I have always been very artistic, I loved art in school and college but I never really knew what I wanted to do so I completed courses based on my liked and interests. In my last year of beauty therapy, I was entered into a makeup competition and got to the national finals, I loved every minute of it which lead to my tutor telling me this is what I had to do. I did lots of research for the right course but, at this point, I had been in colleges for four years, and I just wanted to get stuck in. I found it so difficult to find somewhere local, so I widened my search (over 260 miles away!) and found BAMM. I travelled down from Yorkshire to meet Melanie, and she convinced me this was what I was meant to be doing! A few months later I was on the fashion, bridal and beauty makeup course at BAMM. It was perfect, an intense course (with only myself an one other at the time) for ten weekends over the summer.
One of the main reasons I decided to invest in this career was because of Melanie. I remember instantly knowing the bridal industry was for me because of my natural style, and Melanie encouraged this, by giving me the support, knowledge and confidence to book a wedding and know I could do a good job.
It has truly been the best decision I have ever made!
Do you have a particular Makeup Style or clientele? & What do you believe is your unique selling point that makes you the brides choice?
Over the last five years, as I have developed my portfolio, I believe my style is what attracts clients to choose me as well as the recommendations!
My whole style and brand is natural, from how I apply makeup, the makeup I choose for my kit, my personal makeup and my online profile. I do not believe in changing someone’s appearance to make them unrecognisable. I love natural beauty. Natural fresh makeup that allows them to look and feel themselves, enhancing and defining their features to create a timeless look that they will still adore in years to come.
What do you like the most about being an MUA in the Bridal industry?
Being a bridal makeup artist is so rewarding. I love the whole process, from meeting the brides, chatting about their plans, sharing and understanding their vision, to being there on the day to help bring the whole look together.
What would say is the most important skill when providing Makeup services for weddings? & What advice would you give to others wishing to become a Bridal Makeup Artist?
Having confidence in yourself is so important. The bride has booked you for many reasons, your style, portfolio, reviews, price, social media presence, but mainly for your skills and knowledge. They are trusting you to listen to their ideas and thoughts, and to create a makeup look that they will love and know will stay put throughout their wedding day. So I believe being proactive with your own development as an artist is key.

How Well Does WordPress Interact with TubePress?
How Well Does WordPress Interact with TubePress?
Answer: There are YouTube plugins available which allow YouTube and Vimeo videos to be available from your webpage and even allow for the display of galleries.

When the finalists for the Creative City Awards 2008 came out the other week I was left scratching my head a little.Â A few people raised issues or left questions in the comments too, so I rounded them up and sent them off for answering.
How many applications were received for each of the categories?
We had a total of 45 nominations from which we shortlisted 17 businesses across the various categories.
Will further information on the reasons behind the nominations be released?
The shortlisting was based upon a rigorous assessment of each nomination in accordance with strict eligibility criteria, an application form and related financial information. Â Each shortlisted company then had to make a 10 minute presentation to a panel. The quality of the applications from the shortlisted companies was good and the process was very competitive.
Has the Newcomer Award been dropped from the Awards? If so, how come?
The newcomer award has been dropped due to the limited number of nominations and the fact that the nominated businesses had not been trading long enough to provide evidence of performance.
With so many self-employed and freelance workers in this sector, what scope is there for the Creative City Awards to recognise the efforts of individuals rather than companies?
The awards are designed to recognise and reward business success. Individuals registered as self employed Â are eligible and have not been excluded.
Of this year’s 14 finalists, 4 won awards last year – what does this say about ‘the city’s diverse and vibrant creative sector‘?
The 14 finalists are of a high calibre, successful businesses and indeed benchmarks for success within the sector.
Who was responsible for designing the logo?
Jason Liggitt at Big Catâ€™s design studio created the logo.

What’s on the Horizon for Physician Quality Measurement?
What’s on the Horizon for Physician Quality Measurement?
How is the government driving greater accountability in healthcare? What types of clinicians are impacted?
Answer: The Affordable Care Act (ACA), which is built on a foundation of improving the quality of care for all patients, includes a number of provisions to help consumers make decisions about where to receive their care as well as how to increase the transparency of services through value-based purchasing efforts and private sector programs. Four years after the ACA was passed, these programs are still thriving. While the provisions differ in design, they share common elements like rewarding providers based on adherence to practices, achieving cost savings, improving clinical outcomes, and advancing a patient’s experience.
There are currently nearly 30 quality reporting programs under Medicare or Medicaid that capture over 600 unique performance measures.1 Of these programs, a handful of programs have an impact on physicians and other health professionals, specifically, the Physician Quality Reporting System (PQRS) and the Value-Based Modifier (VBPM). Under PQRS, Eligible Professionals (EPs) are required to report on a set of nine measures (covering three National Quality Strategy domains) to report. In 2015, if an individual EP or group practice does not satisfactorily report or participate while submitting data on PQRS quality measures, a 2 percent negative payment adjustment will apply in 2017. These EPs are truly starting to understand the impact of failing to report given this payment adjustment. As quality reporting programs start to trend more toward value-based systems (i.e., rewarding EPs for showing actual performance on measures versus just reporting), physicians and other healthcare professionals will need to focus on outcomes versus processes and start to address patient experience, care coordination, and patients with co-morbidities.
Under the PQRS and VBPM, eligible professionals include physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and groups that include such professionals. The Centers for Medicare & Medicaid Services (CMS) may consider expanding the definition of an EP in the future.
As patients continue to use online tools to select where they receive their care, sites like Physician Compare, maintained by CMS, will be pivotal in consumers’ decision making. Physician Compare currently displays a subset of measures from the PQRS reporting programs. At this time, stars are used as graphical representations of the percent. Each star represents 20 percent; 100 percent is equivalent to 5 stars while 80 percent is equivalent to 4 stars and so on. Transparency of how providers are performing on these measures should have significant impact on performance.
What challenges do physicians face to meet the requirements of new quality reporting programs? What is being done to alleviate some of these challenges?
Answer: In 2015, CMS released a PQRS Experience Report2 that noted a 47 percent increase in PQRS reporting between 2012 and 2013. Yet, this increase only represents 41 percent of total EPs eligible for PQRS. This lack of participation is likely due to the overwhelming reporting requirements, the administrative burden, and the lack of meaningful measures in the program.
CMS acknowledges a significant administrative burden of the proliferation of reporting programs and requirements resulting in the lack of measure consistency and wasteful redundancy. In 2015, CMS released the “National Impact Assessment of CMS Quality Measures,” which was mandated by Section 3014(b) of the ACA, and it noted that less than 50 percent of the quality measures reviewed under this report were aligned with reporting requirements of other state and federal programs.3 The report also reviewed 700 measures across 25 CMS reporting programs. This statistic alone points to the fact that there is a tremendous burden on providers to adhere to various requirements and monitor changes in programs, all while providing excellent care across various patient populations. Although CMS continues to align many of its major quality programs, the need to align the private sector and state programs is still needed.
Stakeholders in the quality debate (plans, providers, employers, and consumers) agree that current quality measures are not achieving their potential in improving quality of care. They continue to advocate for a core, consolidated set of outcomes-based quality measures that can be used across payers. However, achieving this alignment has proved extremely difficult, despite the best of intentions, because individual stakeholders have generally failed to achieve consensus around which measures should be prioritized and how they should be used.
One such example of a group of entities coming together to achieve consensus is the Core Quality Measures Collaborative Workgroup. In 2014, America’s Health Insurance Plans and its member plans’ chief medical officers convened leaders from CMS, the National Quality Forum, and national physician organizations to create a set of core quality measures. The Collaborative Workgroup represents approximately 70 percent of the combined population of health plans’ enrollees and fee-for-service Medicare beneficiaries.4 The goal of the collaborative is to promote a consistent process across public and private payers by reducing the total number of measures, refining existing measures, and relating measures to patient health.
Without question, there will never be a perfect set of measures in which there is universal consensus. However, today’s healthcare delivery models are moving forward at an unprecedented rate, and failure to reach consensus will not slow these models although they could discourage provider involvement. They will continue to move forward with the current patchwork of measures, which are administratively burdensome to providers, have significant information gaps, and lack consistent transparency.
What’s on the horizon for physician quality measurement in the next few years?
Answer: The recently-passed Medicare Access and CHIP Reauthorization Act (MACRA) legislation of 2015 consolidates PQRS, the Electronic Health Record (EHR) Incentive Programs, and Value-Based Modifier into a single system that reduces conflicts and streamlines the reporting process into a new program called the Merit-Based Incentive Payment System (MIPS) program. MACRA also includes requirements for the Secretary of Health and Human Services to develop, publish, and report to Congress on a quality measure development plan for provider participation in the MIPS and qualifying Alternative Payment Models (APMs). It also extends funding for quality measure endorsement, input, and selection at $30 million for fiscal years 2015 through 2017.
CMS currently has an open request for information to provide input on the MIPS and APMs for implementation. Based on input from this Request for Information (RFI), CMS plans to release a proposed rule on the MIPS and APMs in spring of 2016. More information regarding the RFI can be found here. Comments are due November 17, 2015.
In addition to all the exciting developments occurring under MACRA, opportunities for increased measure selection under the MIPS are forthcoming. As noted previously, quality measures under the MIPS will consist of those currently used in the existing quality performance programs (PQRS, value-based modifier, and EHR) with additional measures solicited by the Secretary of Health and Human Services from professional organizations and others in the healthcare community. Measures used by qualified clinical data registries (QCDR) are also being considered for use. Professional societies are currently working closely with CMS to align QCDR requirements with existing registries (those that have not been registered as a QCDR). To the extent possible, quality measures selected for inclusion under the MIPS (from QCDRs) final list will address all five of the following quality domains: clinical care, safety, care coordination, patient and caregiver experience, and population health and prevention. QCDRs pose an opportunity to meet existing measure gaps, especially for specialties where known measures are limited.
What tools are available to continue to track existing measures and changes to physician-based quality reporting programs?
Answer: There are a number of tools that are available in the public domain, as well as tools that can be purchased to better monitor the quality measure environment. A few are listed below for your reference, however, note this is not an exhaustive list.
QPS is a web-based tool developed by the National Quality Forum (NQF) to help people select and use NQF-endorsed measures. It allows a user to search for NQF-endorsed measures in a number of ways, export search results, and create and view types of measures.
CMS Measures Inventory is a compilation of measures used by CMS in various quality, reporting, and payment programs. The CMS Measure Inventory also includes Pipeline/Measures under Development (MUD), which are measures that are in progress but are not fully developed.
Fact Sheets provide information regarding program changes, release of federal rules, and implementation of new models of care. Fact sheets often reference specific changes to measure inclusion and/or payment changes for physicians.
Avalere’s Quality Measures Navigator™ (QMN) -A first-in-class resource, QMN organizes the quality measures chaos in seconds, by disease, condition, and program in one comprehensive, web-based tool. Rapidly search, synthesize and summarize over 6,000 versions of quality measures used in 40+ quality programs. There is a fee associated with the use of this tool.
As new value-based programs continue to be implemented, tools and resources for physicians to better understand the quality measure environment will be essential to help consumers assess what, how, and why quality is being measured. These tools will also help streamline existing measures and ensure that they are meaningful and capture what matters most to the patient.
To learn more about existing quality measures that impact providers, please contact Nelly Ganesan at Nelly Ganesan@avalere.com.

Esthers favourite part about working at Suki’s are the amazing people that she works with. So many come from different cultures and experiences, yet come together for the love of hair. She loves hearing everyones stories and journeys. To continue to get inspired she frequently checks out new hair videos on social media as well as attending educational classes.
Outside of work she likes to spend her time with friends and family, and will also venture out for a nice walk along the park or beach when its nice out. Her favourite type of food is dim sum!

Bill would let students go to college now and pay later (AP): Lawmakers in Olympia are considering legislation that would enable students to attend college for free and, in exchange, pay a small percentage of their future income for up to 25 years. The House bill calls for the program to begin at up to five high schools serving a high percentage of low-income students.
Portland teachers reach deal to avoid strike (The Oregonian): Teachers and union leaders in Portland have reached an agreement to avoid a strike that would have been the district’s first ever walk out. The terms of the deal have not been disclosed.
Colleges push for students to disclose learning disabilities (The Hechinger Report): A rise in the number of diagnosed learning disabilities among children has prompted many schools to figure out new ways of getting students to disclose their conditions so they can offer additional academic support.

Back in November I got really excited and decided to join Ana and Iris for Long-Awaited Reads Month. No, it’s not what you think: I am not giving up on it, not at all. Even though I am about halfway though Stephen King’s 11/22/63, which I could technically count because it has been on my wishlist (if not my shelf) for the better part of a year, I decided to pick a book to read that has been on my shelf for a good long while, one that isn’t so long I might never finish it before the month’s end.
I’ll start with 11/22/63: I’m about halfway through this big hunk of a book, which is 850 pages long. (I’m reading it on my Kindle, so there’s no danger of sustaining injury should I fall asleep while reading in bed.) The last King novel I read was Misery, back in 1988! That summer I also read Skeleton Crew, and several years before either of those I read The Shining, which is still one of the scariest books, I think. I read it in one sitting and thought nothing of it until I awoke that night and could not get the sound of the empty elevator going up and down, up and down in The Overlook, carrying ghost revelers to their rooms.
This latest King book is not about horror. It’s about time travel. The main character has been asked to travel back through time and stop the Kennedy assassination. I’ll save the details for another post, but so far the story is carrying me along. I’m always wary of time-travel stories because there are so many obvious problems with it. To his credit, King handles some of these issues (such as how the “present” person’s appearance in the past changes events, etc.) well without actually trying to give a heavy explanation. He sort of lets it be a mess, which I like, because the main character, a high-school English teacher, doesn’t know how it all works either. He figures things out as he goes; some things he gets and others he realizes he might not ever understand.
King doesn’t write the most graceful prose, but he writes clearly. The main thing is that I keep hearing his voice narrating the story. This is probably because my copy of On Writing is an audio book (it is the only audio book I’ve ever listened to, actually, and the only one I own, as I tend to feel about audio books the way some people feel about e-readers) and is narrated by King. So poor Jake Epping/George Amberson might be a high-school English teacher from Wisconsin who’s in his mid-thirties, but in my head he’s a 65-year-old novelist from Maine. Oh well. He tells a pretty good story.
The book I decided to read for Long-Awaited Reads Month is Zadie Smith’s The Autograph Man. I ordered it on clearance from Barnes and Noble back in 2007, if memory serves, but I never read it. I ordered it because I had enjoyed On Beauty, which I had read the previous year. All her recent success with NW made me decide to pick it up now.I’m only a few pages in, but so far it’s pretty good. I’m happy to be giving it a chance after six years!
I actually had to restart King’s book twice because I didn’t like it at the beginning. But everyone else kept badgering me to try it again, and it ended up being on my best of the year list!
I liked 11/23/63 very much though at some point it started to slow down a bit and you really had to keep on going.
I have a bookseat and sometimes I fall asleep with that thing on my chest and my Kindle will drop on my head eventually so I had to laugh reading your comment about injuries.
Ciska, the Kindle falling on my head thing would happen to me, too! LOL 11/22/63 is slowing a bit now, right in the middle. I’m right at the part with Sadie, just before LHO is set to move to Texas. Just have to keep reading! It’s for book club.
Strangely enough, The Autograph Man is a book whose existence I keep forgetting. I know it’s out there, but I still catch myself thinking I have read all of Zadie Smith’s novels and need to wait for the next one she’ll publish, when in fact I haven’t. Looking forward to your thoughts on it, and thanks for reminding me of it again.
Ana, because it was her second novel, I think a lot of people overlook it. It wasn’t as critically well-received as White Teeth, and it was overshadowed by On Beauty. I’m about 40 pages in and so far all I can say is that the premise is interesting and her writing is always a joy to read.

RA Diagnosis: What Criteria are used to Diagnose Rheumatoid Arthritis?
If a patient is showing early signs and symptoms of RA, a doctor can refer the patient to a rheumatologist – a physician who specializes in arthritis and other diseases of the joints, muscles and bones. The rheumatologist will work with the patient and the patient’s primary care physician to reach a RA diagnosis and provide treatment.
Because there is no exact known cause of RA, doctors look at a number of different factors before reaching a diagnosis. To reach a diagnosis, physicians follow a set procedure looking for multiple criteria, rather than one individual test. This includes examining physical symptoms, looking at family and personal medical history, and performing blood and other diagnostic tests (like x-rays or CT scans).
Some cases may be easier to diagnose than others, especially in the early stages of developing symptoms when symptoms may be less clear. Doctors work hard to ensure they’ve looked at all possibilities and that their examination and testing results are consistent with most cases of RA.
If these symptoms have been present for more than six consecutive weeks, doctors may consider these as symptoms specific to RA as opposed to other types of arthritis, like osteoarthritis. Doctors may also look for and ask about symptoms like fatigue, low-grade fever, loss of appetite, and even feelings of depression and malaise.
A full physical examination helps doctors find these symptoms and look at joints for tenderness, swelling, soreness, warmth, and redness. They will ask about difficulties moving joints and decreases in range of motion. Symptoms may come and go but typically, they do not. They remain noticeable and possibly progressive.
The patient’s medical history and family history are important factors in helping to reach a RA diagnosis. Studies have shown that the average risk of someone in the general population developing RA is about 1%. However, if there is a family history of the disease, the risk of another family member developing RA increases.
Depending on each patient’s unique set of answers, it can help doctors identify factors that lead to a RA diagnosis.
Rheumatoid factor is a type of antibody found in the majority of RA patients. If a patient tests positive for rheumatoid factor it helps to reach a diagnosis, but its presence doesn’t confirm it. Many patients with other autoimmune disorders and inflammatory conditions test positive for rheumatoid factor but don’t have rheumatoid arthritis.
If a patient tests positive for anti-CCP this is a strong indicator of RA. The anti-CCP antibodies can exist in a person’s system long before they ever exhibit symptoms of RA.
ESR and CRP are tests that doctors use to measure the level of inflammation in a patient’s joints. If a person indicates a certain level of inflammation and exhibits symptoms of RA, this becomes another very strong indicator of a possible RA diagnosis.
When a patient has strong and clear symptoms of RA, a doctor may also order a series of imaging scans. These include x-rays, CTs, MRIs, and possibly ultrasounds. In these imaging scans, doctors look for signs of joint damage. Bone and cartilage erosion as well as narrowing joint spaces can be signs of RA.
Once all of these steps have been conducted, doctors will look at all of the test results and reach a conclusion based on the overall picture. Some doctors take a more symptom based approach to diagnosing RA while others rely on blood tests and medical history to confirm a RA diagnosis.
This is why it’s possible to be diagnosed with RA but not test positive for antibodies or have a medical history of RA in your family. If the symptoms themselves are consistent with RA, then it can still be diagnosed.
That being said, the main criteria for diagnosing RA do not change. The patient must exhibit symptoms for greater than six weeks, symmetrical symptoms, as well as multiple joints being affected including fingers and hands.
If a patient displays all the symptoms of RA and tests positive for antibodies then they can be diagnosed with seropositive RA.
However, if a patient displays all the symptoms of RA, but doesn’t test positive for antibodies, the doctors can make a seronegative RA diagnosis.
Read more about the types of rheumatoid arthritis here.
Due to the ambiguous nature of many RA diagnoses, researchers are continually looking for links and similarities between disease symptoms and patients’ genetics and medical histories. While diagnosing RA is difficult and can be complicated, the most important thing is to detect symptoms early and begin treatment as soon as possible.

Note: The following is a freely translated excerpt of Chassidism's founder Rabbi Israel Baal Shem Tov's account of his childhood and formative years, as related by the previous Lubavitcher Rebbe, Rabbi Yosef Yitzchak Schneerson.
When I was five years old I was orphaned from both my father and mother. The last words spoken to me by my holy father before his passing were: "Yisrolik, fear nothing but G‑d alone."
Consonant with my father's words I was drawn to walk the fields and the great, deep forest near our village. From cheder I would make my way to the fields, where I would review by heart what I had learned in cheder. Often I would sleep over the night in the field or the forest.
My guardians, who looked after me and several other orphan boys and girls, did not tolerate this behavior of mine to wander in the fields and the forest, and dealt severely with me.
So passed two years. One morning, I heard in the forest the sound of a human voice. I followed the direction of the voice and came upon the figure of a Jew enveloped in tallit and tefillin, praying with a fervor such as I had never before witnessed.
I hid myself behind the trees and derived great pleasure listening to the man's praying. I was enthralled by the extraordinary sight, and thought to myself that this holy man must be one of the thirty-six hidden tzaddikim (righteous and saintly people) that are in the world. The tzaddik concluded his prayers, removed his tallit and tefillin, and began to read from the Book of Psalms in a melodious voice.
Following his recital of Psalms, the man spent some time in ecstatic Torah study. He then gathered his books and his tallit and tefillin and placed them in a sack, lifted the sack unto his shoulders, and set off on his way. At this point I stepped out from my hiding place and walked towards him.
When the man saw me he asked: "What is a small child doing all alone in the forest? Are you not afraid to be in the forest all by yourself?"
I answered him: "I like the field and the forest, because there are no people—the great majority of whom are arrogant and dishonest. I am not afraid of anything. I am an orphan without father or mother. My father, peace be to him, said to me before his passing: 'Yisrolik, fear nothing but G‑d alone.' So I'm not afraid of anything."
The man asked me if I was Reb Eliezer's son. When I replied that my father was indeed called by that name, the man took a volume of Talmud—the tractate Pesachim--from his sack, and sat and studied with me for a while. I then joined him on his way, without knowing where we were going and what was the purpose of our journey.
In our wanderings, we would stop for different periods of time in various cities, towns, villages and hamlets—sometimes for a few days, sometimes for a week or longer. I never learned the man's name. I would study with him each day. He never accepted alms from anyone, yet he fed and clothed me and looked after my needs all the time. Thus passed three years.
One day we stopped in a small settlement and the man said to me: "Not far from here, in the forest, there lives a learned and G‑d-fearing Jew. I will leave you with him for a while." He then took me to a small hut in the woods, handed me over to its resident, and was off.
I lived in Reb Meir's hut for four years, during which time he learned with me with great diligence all the time. Each day, we would go to the village for the daily prayers. None of the villagers were aware that Reb Meir was a sage and hidden tzaddik--they knew him as a simple workman, a charcoal smelter.
In Reb Meir's home I became familiar with the ways of the hidden tzaddikim and their leader, the great sage and tzaddik Rabbi Adam Baal Shem. At the conclusion of my years with Reb Meir I was accepted into the society of the hidden tzaddikim and again began journeying from town to town and from settlement to settlement on various missions which the society's leadership placed upon me.
Before having attained sixteen full years, I had gained a significant knowledge of the teaching of Kabbalah and would occasionally pray with the mystical meditations of the Lurianic Kabbalistic tradition, taught to me by the holy and awesome hidden tzaddik, Reb Chaim.
On my sixteenth birthday, Elul 18, 5474 (1714), I was in a small village. The local innkeeper was a simple Jew who could barely read the prayers and was completely ignorant of the meaning of their words; yet he was an extremely devout Jew, whose custom was to say regarding everything and on every occasion, "Blessed be He for ever and ever." His wife, the innkeeperess, would constantly avow: "Praised be His holy name."
That day, I went to meditate alone in the field in accordance with the practice, instituted by the early sages, to set aside time on one's birthday for private contemplation. I secluded myself, recited chapters of Psalms, and meditated upon the unifications of the divine names as prescribed in the teachings of Kabbalah.
Thus engrossed, I was completely unaware of my surroundings. Suddenly, I beheld Elijah the Prophet standing before me, a smile on his lips. In Reb Meir's home, and in the company of other hidden tzaddikim, I had, on occasion, merited a revelation of Elijah the Prophet, but never before on my own, so I wondered at the reason for this unexpected vision. I also could not understand the significance of the Prophet's smile.
Elijah said to me: "You are toiling mightily, investing great effort and concentration to meditate upon the unifications of the Holy Names implicit in the verses of the Psalms compiled by David the King of Israel. On the other hand, Aaron Shlomo the innkeeper and Zlateh Rivkah the innkeeperess are completely unaware of the unifications that emerge from the utterances, 'Blessed be He for ever and ever,' expressed by the innkeeper, and 'Praised be His holy name' uttered by the innkeeperess. Yet these words resonate through all the worlds, causing a greater stir than the unifications configured by the greatest tzaddikim."
Elijah the Prophet went on to explain to me the great pleasure that G‑d derives from words of gratitude and praise uttered by men, women and children, especially by simple folk, and especially when this is done on a consistent basis, reflecting a pure faith, wholesome heart, and a state of perpetual attachment to G‑d.
From that point on I embarked upon a new method of serving G‑d: to bring about the speaking of words of praise to G‑d . Wherever I went, I would talk to people, inquiring after their health, their children, their livelihood, and they would all reply with expressions of praise to the Almighty ("Thanks to G‑d," "Blessed be His Name," and the like), each after his or her manner.
For many years I pursued this practice. At a conference of the fellowship of hidden tzaddikim it was resolved to adopt this method of divine service, which in turn became the beginning of an approach which stressed the importance of brotherly love toward every Jew, regardless of his or her degree of Torah knowledge or spiritual attainment.
sweet sixteen This is a sweet story that has depth, and, as with all stories, it can be read on many different levels.
Perfection Imperfections to us may be perfections to G-d. There is a story of healer, who healed people with her words. One day her son came and told her, her words were pronounced incorrectly, so he "fixed them". She could not heal again until she pronounced the words in her own way.
The Baal Shem Tov went to the home of a man who missed a High Holiday Service and had no prayer book at home. The man was depressed over this.
Then the Baal Shem Tov arrived at his door and asked him. "What did you do this evening?" The man replied: "It is true, I missed the Service and had no prayer book. So I did the only thing I could, I prayed "Master of the Universe, I have no prayer book and know not the exact prayers so I will recite the Letters of the Hebrew Alphabet and it will be Your job to put them in the right order."
"I ask you, Baal Shem Tov was this acceptable?"
"Rest assured" said the Baal Shem Tov, "it has been many years since a prayer such as this has risen through the Gates of Heaven!"
The Baal Shem Tov's Sixteenth Birthday Although I had previously been aware of the Baal Shem Tov's practice of traveling around and enquiring of simple Jews as to their health, livelihoods, and families, I read this article with great interest. The conclusion moved me to tears, because I, myself, am one of the aforementioned "simple Jews". I am a Ba'alet Teshuvah, and know very little Hebrew, only having learnt to read Hebrew a few years ago, and not being very fluent in the language. Yet, I try hard to internalize the Baal Shem Tov's message of being thankful to the Almighty One for all of the kindnesses and blessings He gives to me, regardless of whether I deserve them or not. And, I try to always be mindful of serving Him with joy, whatever I am doing. Yet, so often it seems to be "not enough". Then, I read an article such as this, and this to myself, "Maybe it is not as inadequate as I think it is, after all".
G-d bless Chabad, for giving me hope!

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