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The Complications associated with Primary Pulmonary Hypertension can lead to fatal consequences in patients afflicted by this progressive lung disorder. However, there is no reason for despair. The situation may be grave but a variety of treatments are now available, aiming at prevention or even curing of Primary Pulmonary Hypertension-related Complications. A serious Complication may be blood clots. Blood clot formation where there is no need for it can turn fatal. If there are clots in the small arteries of the lungs then this can pose a threat by disturbing the already narrowed or blocked blood vessels, thereby terminating normal blood circulation to the lungs. This undesirable clotting or coagulation of blood can be remedied by the use of anti-coagulants. However, it must be remembered that anti-coagulants have their own risks and benefits, which need to be carefully considered by a doctor prior to administration. Fluid build-up in the body may be another complication. Two kinds of edemas- pedal edema (fluid accumulation in legs) and ascites (fluid accumulation in abdomen) are among such Primary Pulmonary Hypertension Complications. Pulmonary edema may also develop as a complication, whereby the lungs fill with accumulated fluid. This may even prove to be fatal, as the accumulated fluid can hamper the proper exchange of oxygen and carbon dioxide in the lungs. As medication for such edema, diuretics are helpful. A less-fluid, low-sodium diet may also manage the risks of such complications. The enlargement of the heart’s right ventricle, leading to its functional failure, is among the most serious of the Primary Pulmonary Hypertension Complications. This might even lead to a complete failure of the heart. Several drug treatments come in aid of these complications- digoxin therapy, vasodilators, calcium channel blockers; endothelin receptor antagonists and oxygen therapies are carried out as treatment. It may be that a lung transplant proves a workable solution for the prevention or treatment of Primary Pulmonary Hypertension Complications. pnis enlargement fact pnis enlargement traction device buy penis enlarement pills free penis elargement technique top penis enargement pills vimax home penis enlargement enlargment forum free matter penis size magna rx

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Question: Dr. Vaknin – is it true that you are the father of the Law of Free Economic Zones? Answer: I participated in the dedicated and professional team, from many ministries and state organs, which prepared the law. The initiative – in collaboration with the delegation of the government of the Republic of China (Taiwan) – belongs to Dr. Milijana Danevska, the Minister of Development. Most of the work was done by her advisor, Ms. Zorica Doncevska long before I arrived on the scene. I did suggest a few amendments, some of which were accepted. Question: What is a free zone? Answer: There is an important distinction which the media is not aware of between FREE ZONES and FREE ZONE SITES. To quote from the law: "A free zone site represents a detached, enclosed and marked area of the territory of the Republic of Macedonia on which commercial activities are conducted under conditions prescribed by this and other laws and on which custom and other tax incentives determined by this law shall be applicable." "A Free Zone shall be established as trade associations conducting economic, technical, administrative, expert and other activities supporting the operations in the free zone sites." Question: Do other countries have free zones? Answer: Dozens of other countries have free trade zones, free industrial zones, free industrial or technology parks, customs free zones, free transhipment zones and many other types of free economic zones. Our law allows for all these types of activities to exist. It is very broad and flexible and one of the best and most complete laws I have seen. As opposed to popular opinion, free zones exist even in rich countries such as the United Kingdom or the USA (although they are not called "free zones" there). It is true, though, that to poor and middle income countries, such as Macedonia, a free zone can be an important tool for economic development. Question: Why do you use such cautious language, "can be"? Answer: Because it is never enough to have a law. What matters is how it is implemented. There are free zones in countries as diverse as the Philippines, Tunisia, Costa Rica and Taiwan. In some places they are the engine of the economic locomotive, in other they are a drag on the local economy. Question: So, the critics are right, free zones can be a bad thing? Answer: The critics are wrong. Anything that has the potential of generating investments, encouraging entrepreneurship, creating new working places, enhancing exports and improving the balance of payments – should be implemented without delay. Free zones are potentially powerful economic engines of exports and growth and employment. Would it have been wise of us to ignore their potential? Question: Can't free zones be used as tax havens, for smuggling or other criminal activities? Answer: If the free zones are run by criminals AND (this is a cumulative condition) the authorities are inefficient or corrupt – of course it can. But our law is very strict on WHO will own and run the free zones. It is also very explicit about the precise functions and procedures to be performed by the authorities intended to ensure that the free zones are not abused. Free zones will be established only where and when they can increase employment, bring new technology and know how to the country and increase exports. An average of 65% of the goods and services produced in the zones MUST be exported or the developer might lose its licence. Additionally the law says that the businesses operating in the zone must use local manpower and prefer domestic suppliers where economically feasible. Question: What is the Free Zones Directorate? Answer: This is my favourite part of the law, the one I am most proud of. We introduced, for the first time in Macedonia, not only in theory, but in practice, the concept of "One Stop Shop". All the business entities in the free zone will have one address to go to. They will no longer have to run for weeks between ministries, authorities, agencies and state organs. They will get everything they need from one central authority, from one address. All the relevant ministries and state organs will be represented there, with full authority to render all the services required by the free zones users. This is unprecedented. The ministers are worthy of the highest praise for being willing to participate in such an innovative approach. The law says: "The Free Zone Directorate shall be responsible for… granting approvals of requests of developers for the establishment of free zones; provision of supervision and management of free zone sites through its branches; coordination of the activities of state organs and authorities and public enterprises within the free zone sites; planning and developing free zone sites and making sites available to developers; public relations, advertising and promotion of free zone sites; attracting developers and users to the free zone sites; registration of businesses and structures within the free zone sites; coordination of issuance of licenses, permits and approvals where and as needed, of product quality control and the issuance of certificates of origin by the members of the Directorate; Inspection of installations and working conditions within the free zone sites; convening a labour relations committee in which all labour disputes between employees and employers in the free zone sites are to be settled; the coordination of the issuance of export and import licenses; coordination of the prevention of smuggling; coordination of the safety and security of people and property in the free zones sites; Provision and maintenance of all public goods and utilities … conducting other activities associated with the functioning of free zone sites and especially the implementation of the "one stop shop" concept of management of the free zone sites; raising the required start-up capital." Question: So, from now on, any trade association can open a free zone? Answer: Absolutely not. The developer must satisfy very strict and rigorous criteria to qualify. The law demands that it "…provide written proof of their financial ability matching their financial obligations under this Law either in the form of a performance bond or a bank document substantiating the availability of unencumbered funds in their account or audited financial statements" and "demonstrate previous experience and track record in trading or in the operating of free zone sites". The developers, in their application, must provide an environmental impact assessment, a marketing plan and a business plan or a feasibility study. And the developer loses his approval if it enters bankruptcy procedures, if it is proven that he provided false material information in his request, If he failed to build and operate the free zone site in accordance with the stipulations of this Law or failed to submit one annual report. Additionally, the developer pays 0.3% of the total turnover of the business entities in his zones. I think these are relatively reasonable terms. It will also not be that easy for the developer to do in the zone something other than what he undertook to do. Almost every substantial change requires a new approval. The law states: "Each change of a free zone shall be subject to the procedure for the establishment of a free zone … "Change" in this law shall mean: enlargement of the approved free zone site area; change in location of the free zone site; new activities are to be conducted in the approved free zone; each change in the composition of the developers (addition of new developer, change of corporate structure, take over, merger, acquisition, etc.) of the free zone; change of the period for existence of the free zone. Question: Still, inside the zone – the developer is king. Actually, it is a kind of ex-territorial area, like an embassy? Answer: I want to say it once and for all (because I heard this argument before): A free zone is NOT an ex-territorial area. It is an integral and inseparable part of Macedonia. All the domestic laws of Macedonia apply there. It simply has different rates of customs and taxes. The over-riding status of the Macedonian domestic law is stated numerous times throughout the law. One example: Article 20 says: "Free zone developers shall enact rules or pose conditions (hereunder referred to as "developer rules") under which their free zone site will be operated and activities conducted, regulate internal order and prescribe separate measures for protection of the working and living conditions and the environment. BUT… The developer rules shall not contradict all the applicable laws of the Republic of Macedonia, including their by-laws and regulations and all the international obligations of the Republic of Macedonia…. AND The developer rules shall be announced in the Official Gazette of the Republic of Macedonia after the approval given by the Free zone Directorate." Question: Aren't we offering too much by way of tax incentives? Aren't the revenues lost by the state worth more than the free zone will ever generate? Answer: It is a very narrow point of view. Tax revenues are not the only thing we should consider. What about unemployment, technology transfers, export enhancement? These are invaluable in that they can revive the economy. Compared to other free zones in other countries, we are offering mid-way concessions. We are by no means too generous. Additionally, to qualify to receive the tax incentives, the user must satisfy certain annual export quotas. It must prove that it generated NEW activities, not merely transferred activities from "mainland" Macedonia to the free zone "island". It must show that it is not involved in criminal activities or bankruptcy procedures and so on. Only then is it eligible to enjoy the tax incentives. Question: Which are? Answer: The law says it best: "Free zone users meeting the terms as in article 21 of this law shall be exempted from: Sales tax on products within the free zone site except for those products sold for final consumption within the free zone; Sales tax and VAT on goods imported into the free zone site for production purposes and for performing other approved activities in the free zone; Sales tax on services provided in the free zone immediately linked with export of goods and services; Profit tax for a period of ten (10) years from the day of commencement of activities in the free zone; Property tax for a period of ten (10) years from the day of commencement of activities in the free zone; All taxes otherwise applicable to any transfer of property or rights thereof between developers and users within the free zone. Free zone users reinvesting in the capital assets of the free zone site shall be entitled to a reduced profit tax base for the amounts invested after the expiration of the 10-year period. Free zone users shall be exempted from paying participations (contributions), taxes and other duties pertaining to use of land for construction, connection to the water supply, sewerage, heating, gas and power supply networks. Free zone land may be leased to foreign investors for a period of fifty (50) years, with a possibility to extend the term to another twenty-five (25) years, pursuant to the law. The developers of the free zone shall have the full right to sublet or rent parts of the free zones or structures thereon or rights thereof to the users." Question: Are the economic activities within the free zone restricted? Answer: Every type of economic activity is allowed EXCEPT the activities explicitly forbidden by the law. These include: the trading of decayed, rotten, expired or infected goods or waste material detrimental to the environment or not fit for human or animal consumption; radioactive materials except those which are needed for industrial, medical and scientific research purposes under a valid license from the competent authorities; drugs, chemicals and biological materials and chemical and biochemical derivatives with the exception of those used in industrial, manufacturing, medicinal and pharmaceutical preparations, according to certificates issued by the Ministry of Health; arms, munitions, weapons and military explosives; goods or services which originate from countries or firms subject to boycotts, embargoes or blockades imposed by the competent national and international organs and authorities; goods or services that violate public morals, public defence, public safety and the security of the state; goods or services that violate the domestic laws and international treaties pertaining to intellectual and commercial property; practices, services and activities in contravention or violation of treaties, laws, regulations and directives regarding the protection of the environment in Macedonia. Free zone users may apply standards, technical and quality norms of the destination country when manufacturing goods in the free zone intended for export. Free zone users may set prices for their goods and services and will not be subject to laws and regulations pertaining to prices in the Republic of Macedonia. Question: Will workers' rights be protected in such an environment? Answer: Workers' rights are protected only by a good economy. In Macedonia, we have a lot of theoretical workers' rights. But the right to work is violated by mass unemployment and by gigantic wage and pension arrears. All the employers in the free zone shall sign a collective agreement with their employees. The collective agreement will oblige the employers and the employees to settle labour dispute through arbitration or mediation. The Directorate shall set up a labour relations committee to provide the employers and the employees with an arbitration and mediation mechanism. Question: Thank you very much. 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Many industrial concerns have workshops of their own. For the repair of worn shafts, the lathe machine is excellent. Keyway slots can be machined by using a milling machine, while a shaping machine can do machining of large flat areas. A drilling machine does drilling of holes. A skilled Maintenance Engineer should know how to use all these machines in order to make his own repairs in a safe manner. Very often he has to supervise machinists. The information below should be useful for that purpose. Lathe Machine The lathe machine uses a single-point-cutting tool for a variety of turning, facing, and drilling jobs. Excess metal is removed by rotating the work piece over the fixed cutting tool to form straight or tapered cylindrical shapes, grooves, shoulders and screw threads. It can also be used for facing flat surfaces on the ends of cylindrical parts. The work piece is clamped onto a horizontal rotating shaft by a 3-jaw or 4-jaw chuck. The latter chuck can be used to cut off-centered cylinders. The rotating horizontal spindle to which the chuck is attached is usually driven at speeds that can be varied. The cutting tool is fixed onto a tool rest and manipulated by hand. It can also be power driven on straight paths parallel or perpendicular to the work axis. This is useful for screw cutting. Internal turning known as boring results in the enlargement of an already existing hole. The holes are more accurate in roundness, concentricity, and parallelism than drilled holes. A hole is bored with a single-point-cutting tool that feeds along the inside of the work piece. Shaping Machine The shaping machine is used to machine flat surfaces, grooves, shoulders, T-slots, and angular surfaces with single-point tools. The cutting tool on the shaper oscillates, cutting on the forward stroke, with the work piece feeding automatically toward the tool during each return stroke. Drilling Machine The drilling machine is used to cut holes in metal with a twist drill. By changing the cutting tool, they can be used to do reaming, boring, counter boring, countersinking, and threading. Milling Machine The milling machine uses a rotating cutting tool to cut flat surfaces, grooves, and shoulders, inclined surfaces, dovetails, and T-slots. Cutters of many shapes are changed to cut different grooves. Cutting Tools Metal-cutting tools are classified as single point or multiple point. The lathe and shaping machine use single point cutting tool while the milling and drilling machines use multiple-point-cutting tools. Metal is cut either by moving the work piece like in the lathe or by moving the tool like in the shaping machine, drilling or milling machine. Clearance angles must be provided to prevent the tool surface below the cutting edge from rubbing against the work piece. Rake angles are often provided on cutting tools to cause a wedging action in the formation of chips and to reduce friction and heat. Tool Materials In order to remove chips from a work piece, a cutting tool must be harder than the work piece and must maintain a cutting edge at the temperature produced by the friction of the cutting action. Carbon Steel Carbon steel tools even though comparatively inexpensive tend to lose cutting ability at temperatures around 400 degree F (205 degree C). High-Speed Steel High-speed steel, containing 18 percent tungsten, 4 percent chromium, 1 percent vanadium, and only 0.5 to 0.8 percent carbon, permits the operation of tools twice or three times the speeds allowable with carbon steel Cast Alloys Cast-alloy cutting-tool materials containing cobalt, chromium, and tungsten are effective in cutting cast iron and retaining their cutting ability even when red hot. Cemented Tungsten Carbide The hardness of Tungsten Carbide approaches that of a diamond. Tungsten carbide tools can be operated at cutting speeds many times higher than those used with high-speed steel. Oxides Ceramic, or oxide, tool tips consist primarily of fine aluminum oxide grains, which are bonded together. These are very hard. Cutting fluids An overheated tool can become blunt and soft very fast. Therefore very often, cooling fluids cools the cutting points of the tool. This serves to lubricate and cool. Water is an excellent cooling medium, but it corrodes ferrous materials. Sulfurized mineral oil is one of the most popular coolants as it can both cool as well as lubricate. The sulfur prevents chips from the work from melting on to the tip of the tool.