HIRING PROCESSThe Firefighter Trainee hiring process is composed of various steps, each ensuring that we are hiring the best and most capable individuals to serve our community! For more information regarding each step, view the corresponding section below.
Immediate download of 13-track album in your choice of standard 320k mp3 and AAC, or HD 24bit/88.2k FLAC, ALAC, or any other format you desire. Full album purchase includes a 12-page pdf booklet with liner notes, session photos, lyrics, and more.
Ff Fight Desire 22
Opioid use disorder is the chronic use of opioids that causes clinically significant distress or impairment. Opioid use disorders affect over 16 million people worldwide, over 2.1 million in the United States, and there are over 120,000 deaths worldwide annually attributed to opioids.[1] There are as many patients using opioids regularly as there are patients diagnosed with obsessive-compulsive disorder, psoriatic arthritis, and epilepsy in the United States. Opioid use disorder diagnosis is based on the American Psychiatric Association DSM-5 and includes a desire to obtain and take opioids despite social and professional consequences. Examples of opioids include heroin, morphine, codeine, fentanyl, and synthetic opioids such as oxycodone. Opioid use disorder consists of an overpowering desire to use opioids, increased opioid tolerance, and withdrawal syndrome when discontinued. Opioid use disorder includes dependence and addiction with addiction representing the most severe form of the disorder.[2] The disease is treated with opioid replacement therapy using buprenorphine or methadone, which reduces the risk of morbidity and mortality. Naltrexone may be useful to prevent relapse. Naloxone is used to treat opioid overdose.[3] Nonpharmacologic behavioral therapy is also beneficial. Patients with opioid use disorder often benefit from twelve-step programs, peer support, and mental health professionals, individual and group therapy.[4] The significant prevalence of opioid use disorder stresses the importance of clinicians to understand more about opioids and be able to refer patients to available treatment centers for substance use disorders, as well as be weaned from prescription opioids due to their addictive potential and significant side effect profile. The opioid-use disorder typically involves periods of exacerbation and remission, but the vulnerability to relapse never disappears. The pattern is similar to other chronic relapsing conditions; signs and symptoms can be severe, and long-term adherence to treatment is often intermittent. Patients with opioid problems may have extended periods of abstinence and usually do well. However, there is a chronic risk of accidental overdose, trauma, suicide, and infectious diseases. The risk decreases with abstinence from opioids.
The aim of this systematic review is to investigate the prevalence of female sexual dysfunction in the Brazilian population. This is a systematic review conducted in July 2016 in which four databases were searched: MEDLINE/Pubmed, Scopus, LILACS, and Cinahl. Two investigators extracted the primary data, which were fully analyzed, and applied the inclusion/exclusion criteria. The search found 113 results, and 20 of them compounded the scope of this study. Only four of the studies showed good methodology quality. The main diagnostics criteria used were validated questionnaires specific for sexual function assessment. Regarding the variation of prevalence values, female sexual dysfunction ranged from 13.3% to 79.3% of the studied population, while this value for changes in sexual desire ranged from 11% to 75%, arousal from 8% to 68.2%, lubrication from 29.1% to 41.4%, orgasm from 18% to 55.4%, and satisfaction from 3.3% to 42%; sexual activity frequency ranged from 55.8% to 78.5%, dyspareunia from 1.2% to 56.1%, and pleasure modifications was not addressed. Beside the divergences among studies, there is still a high prevalence of female sexual dysfunction in Brazil.
With the filming performed in lengthy takes, and the camera used as "the eye of the angel", much of the movement was conveyed in the camerawork rather than in editing effects.[12] There was five hours of footage to edit down to the final cut.[12] A pie fight between the stars was filmed for the final scene, but later edited out.[29]
The concept of angels, spirits or ghosts who help humans on Earth had been common in cinema, from Here Comes Mr. Jordan (1941) to the 1946 works It's a Wonderful Life and A Matter of Life and Death.[32] Many earlier U.S. and U.K. films demonstrate high amounts of reverence, while others allow reasonable amounts of fun. Powell and Pressburger's A Matter of Life and Death presents an early example of spirits being jealous of the lives of humans.[32] The shift from monochrome to colour, to distinguish the angels' reality from that of the mortals, was also used in Powell and Pressburger's film.[33] While Wings of Desire does not portray Berliners as living in a utopia, academic Roger Cook wrote that the fact that people have pleasure "gives, as the English title suggests, wings to desire".[8]
As Singer observed, Wings of Desire serves as a "Symphony of a city" in capturing a "wintry, pre-unification Berlin".[23] Kilbourn said that the place highlighted in the German title Der Himmel über Berlin, like the desire referenced in the English title, is of great importance, and that the "frequent angel's-eye-view shots of East and West Berlin" allows for "quasi-objective voyeuristic surveillance".[61] Observing the angels' trench-coat fashion, sociologist Andrew Greeley wrote it fit the "wet, blustery, cold northern Germany" setting.[62] Looking at the coats and ponytails, Dr. Detweiler found the visualization of the angels "so cool and stylish".[9]
Music is used in differing ways throughout the story. Musicologist Annette Davison argued Knieper's score in angel scenes is artistic, with elements of Eastern European and Orthodox Christian music, and Petitgand's music displays a "slippery" harmony frequently heard in circus entertainment.[31] When Marion leaves the Circus Alekan, there is an increase in rock music, particularly by Cave and Crime & the City Solution. Davison submitted this symbolizes "utopian promise of the sensual mortal world", and that lyrics echo the plot: Cave's "The Carny" suggests a disappearing carnival worker as the Circus Alekan closes, and "From Her to Eternity" suggests a desire for a woman's love.[31] Professor Adrian Danks wrote that Cave's rock music symbolized "the physical, worldly reality of Berlin", with "The Carny" adding a feel of sorrow in the background, while Marion gives "breathy accompaniment".[63]
It was later ranked 64th in Empire magazine's "The 100 Best Films Of World Cinema" in 2010.[91] In 2011, The Guardian placed it in the 10 best films ever set in Berlin.[25] The next year, it received 10 votes in the 2012 Sight & Sound polls of the greatest films ever made.[92] Les Inrockuptibles's 2014 review declared it a great film, timeless, and poetic.[93] That year, French critics at aVoir-aLire also praised its poetry, and said Berlin becomes one of the characters, crediting Alekan, Handke, Cave and Knieper for important contributions.[94] German journalist Michael Sontheimer recommended seeing it to understand how radically Berlin has been altered since the 1980s, particularly looking at the somber images when the human Damiel walks through Berlin.[95] In his 2015 Movie Guide, Leonard Maltin awarded it three and a half stars, describing it as "Haunting" and "lyrical".[96] Jonathan Rosenbaum declared the bulk of the film before Damiel becomes human as "one of Wenders's most stunning achievements".[97] In 2017, Le Monde rated it four stars out of five, citing the aesthetics of its black-and-white photography, poetry and contemplation of history.[98] The German news publication Der Tagesspiegel recounted the film's memorable imagery in 2016, listing Damiel as an angel and the library scenes.[99] On the 30th anniversary of the Cannes screening, Jessica Ritchey posted on Rogerebert.com that she found it odd to be an atheist and love the film, expressing admiration for the black-and-white photography and the overall message that when the world seems terrible, desire is powerful.[100] On review aggregator website Rotten Tomatoes, the film has an approval rating of 98% based on 56 reviews from critics, with an average rating of 8.7/10. The website's critical consensus reads, "Beyond ravishing, Wings of Desire is Wim Wenders' is aching and heartbreaking exploration of how love makes us human."[101] The film ranked 34th in BBC's 2018 list of The 100 greatest foreign language films voted by 209 critics from 43 countries around the world.[102]
The 16 Firefighter Life Safety Initiatives were jointly developed by representatives of the major fire service constituencies in 2004 at a Firefighter Safety Summit in Tampa, FL. At that time, the National Fallen Firefighters Foundation was tasked with promulgating the Initiatives throughout the fire service, and developing material to support their implementation.
Since then, the Initiatives have deeply informed the emerging safety culture in the US fire service, and become the bedrock foundation for thousands of fire departments and EMS organizations who have a desire to ensure that their firefighters and medics return home safely after every shift. 2ff7e9595c
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