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They are not at risk of developing a ulceration and have a low risk of an infection becoming a problem. Others, have severe neuropathy or circulation problems and dont know it. Its important to know where you stand. You want a podiatrist to evaluate you and tell you what your risk is, and the steps you need to take to prevent these things from happening. 10. Do not trim your own toenails, calluses or corns. If you have a loss of sensation or blood supply then have your podiatrist trim your corns, calluses or toenails. Christine Dobrowolski is a podiatrist and the author of Those Aching Feet: Your Guide to Diagnosis and Treatment of Common Foot Problems. To learn more about Dr. Dobrowolski and her book, visit t is estimated that over 18 million Americans have diabetes. About 10 million diabetics are between the age of 20 to 60.


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A: While it is preferred that parents and caregivers pick up and drop off children/youth/vulnerable adults at each event, we recognize that is not always possible. It is recommended that all drivers:Transportation plans must be outlined on your Letters of Informed Consent. We also recommend that you consider your numbers while it is fine to spread out a group of children/youth/vulnerable adults into a number of different vehicles, it would be a better option to transport all the children/youth/vulnerable adults together in a school bus or commercial vehicle and put the liability into the hands of a bus company with a professional driver. Lastly, remember to adhere to the recommendations of having 2 screened leaders in each vehicle. 5e Q: When transporting students via van or bus, there may be instances where the first student on and that last student off the van/bus would be in the vehicle alone with the driver. What kind of recommendations for protection would you have on this?A: Our recommendation would be that either the school should provide a second screened adult on the bus as a monitor or the school or bus company should strive to arrange their schedule as much as possible for a bus pick up area where a group of students would be picked up not an isolated student. If group pick up is not a possibility, parents should sign an Informed Letter of Consent, not only that their child is riding the bus but communicating that their child would be alone with only one adult on the bus. The bus driver should be fully screened and trained on child protection. Both the child and the bus driver are being placed in a position of high risk as there could be harm done to the child or allegations that the bus driver would not be able to defend. We have written policies for transportation companies and schools for this purpose. A: While clean is a relative term, along with our advisory council, we would consider a clean drivers history someone who has been licensed for 5 years or more, and has less than 2 minor infractions.



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Legal or not, Ubers entrance into the taxi market has sidestepped many of these barriers. Now, without purchasing a license anyone can become a supplier of Ubers taxi service, and as such this has introduced a great influx of taxi services. The operation of this kick starter app has in fact reformed the entry barriers into taxi markets throughout many Western countries. This is most clearly exemplified in the parallel emergence of Lyft, another start up based on similar principles. Just like Uber, Lyft allows anyone to become a taxi driver and much like Uber it has generated incredible popularity. So within the space of a year the taxi market underwent a huge change, from one with extreme boundaries, to one with almost none. Furthermore, if we delve into the behaviour of both these companies it can be seen that they are constantly undercutting each others prices, poaching drivers, co opting innovations and increasingly blurring the lines between the two services. This is an example in game theory called the Bertrand game, where two firms are constantly bidding prices down in order to attract market share until they reach the zero economic profit condition. Furthermore, as more companies begin to enter this taxi market such as Ingogo we can even see more characteristics of perfect competition emerging. For example Macmillan suggests that Uber, Lyft, TaxiMagic, SideCard, continue to imitate each others features, which we can identify as homogeneity of services, a fundamental tenet of perfect competition. Another key feature of Uber which has intrigued economists is the concept of price surging.



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