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From BTS to Squid Game to high-end beauty standards, South Korea reigns as a global exporter of pop culture and entertainment. How does a country go from a war-decimated state just 70 years ago, to a major driver of global soft power? Through war, occupation, economic crisis, and national strategy, comes a global phenomenon - the Korean wave. This is an episode from our play cousins Throughline and originally aired September 8th, 2022.

Throughline: How Korean culture went global

Wed, 27 Jan 2021 04:13:00 -0600 en text/html https://www.npr.org/podcasts/510312/codeswitch
Killexams : Want To Switch Industries? Here's How
Photo by Ross Findon on Unsplash

Callie loved technology and felt fortunate to have a job that engaged her interests by allowing her to teach others how to use digital tools to stay organized and communicate in new ways. She'd been working as a teacher in a high school for nearly a decade, which she initially enjoyed. However, over the last few years, the funding to her department had decreased, leading to layoffs and an inability to afford the computer equipment needed to do her job at a level that made her feel fulfilled. After another year of working long hours to cover for the staff shortage, while unsuccessfully petitioning for more funding, she wondered if there was an opportunity to do similar work in a corporate environment where resources might not be so constrained.

If you're like Callie and  Sometimes changing to an organization with a different type of product, service, population or mission can reinvigorate you, while expanding your network and broadening your skills.

If you're ready to get started, here's what you need to know to switch to a new industry:

Don't be industry agnostic. When you decide your current industry is no longer a fit, it's critical to specifically target a new industry. While Callie recognizes that she would like to move to "corporate," she needs to research the available options to narrow down a field that she can feel energetic about and invested in. Companies want to hire employees who are motivated to do work that supports the vision of their organization. Hiring Managers will expect to hear a compelling response to "why this company?" in the interview. Your demonstrated commitment to and interest in the industry will be an important part of your response if you want to be considered for the job.

Focus on the future, not the past. Even if part of the reason you're looking for a new industry is because of negative associations or experiences with your old one, keep this part of the story to yourself. Instead, when networking and interviewing, talk about the reasons why you're excited to engage your skills in the new industry and how the value you bring will have a positive impact. You'll always be more successful in a job search when running TO versus running FROM a role.

Understand the stereotypes. The brain remains efficient by categorizing new information into pre-established assumptions. So whether true or not, it's likely individuals who haven't worked in your industry have heard the stereotypes that exist, and they'll tend to focus on the differences rather than the similarities. As a first step, learn about any assumptions that may reflect negatively on your candidacy and be prepared to disprove them with concrete examples. Also, be sure to point out any commonalities in the industry you're leaving and the one you're pursuing. It's easy for a potential employer to overlook these similarities if they're unfamiliar with your market, so do the work FOR them.

Neutralizing your "red flags."  While Callie may be a complete rock star in any setting, hirers in corporate may worry about her ability to perform successfully in their culture since academia has a reputation for being very different from corporate. Engage your network to learn about the culture, expectations, customers and processes in your targeted industry so you're prepared to speak to how your experience and skills will be effective in the new environment. And don't sell yourself short - there may be ways your unique background gives you an advantage over traditional candidates. For example, Callie's teaching expertise may supply her an edge as a Corporate Technology Trainer since she's adept with learning models and instructional design.

Use their language. Although many of your skills are likely transferable, sometimes the industry-specific lingo or acronyms used in various settings make these skills seem more different than they actually are. Be mindful when crafting your resume, LinkedIn profile and other tools to use language that is familiar in the industry where you're going versus the industry you're leaving. In Callie's case, she may choose to substitute the word "customers" for "students" or the phrase "learning objectives" for "lesson plans" so that her potential new employer can easily see the overlap in the skill sets. 

Demonstrate your agility. Even if you're a stellar performer in your current company, hirers will want specific examples of how you've successfully demonstrated agility in new environments, so they can feel confident that you're able to function in places other than your current role. Have you switched industries or functions successfully before? Or maybe you were thrown into an ambiguous role without training or had to lead a project you'd never done previously? A track record of success in tough situations will go a long way in convincing a hiring manager that you can figure out the new environment without a lot of hand holding.

Tap into your network. While your network will be a huge asset in opening the door in any situation, it'll be particularly valuable when making a career switch. A referral paves the way by providing an endorsement that sets you up favorably. If Callie's contact relays his confidence in her ability to tackle any new situation with grace and determination, she'll start her candidacy with a positive first impression, and the interview will be hers to lose. While a referral isn't a guarantee, you'll begin with the bias in your favor. This is key since most switchers start out with a bias against them since they're coming from a non-traditional background.

Consider a stepping stone switch. If you're targeting big names (e.g., Google, Apple), moving into a competitive industry or switching into an industry that tends to hire from a traditional pool, consider a two-step process where you initially move into a role that's closer to your ultimate target, and then after two years make your move to your ultimate industry. To figure out the best stepping stones, research where your ultimate target companies hire from, who their key vendors are or the peripheral markets they do business with, and start there. This will supply you experience, contacts and credibility, while also moving you closer to your final goal.

If you've lost your mojo for your current role, assess whether a change may be the motivator to re-inspire you. An industry switch can be challenging, but with the right preparation and perspective, you'll make a fulfilling pivot.

Happy hunting!

Wed, 19 Aug 2020 08:28:00 -0500 Dawn Graham en text/html https://www.forbes.com/sites/dawngraham/2019/02/01/want-to-switch-industries-heres-how/
Killexams : The Learning Network No result found, try new keyword!This year’s lineup mixes classic challenges with new opportunities. By The Learning Network Look closely at this image, stripped of its caption, and join the moderated conversation about what ... Sun, 04 Dec 2022 17:16:00 -0600 en text/html https://www.nytimes.com/section/learning Killexams : How to Switch Internet Providers as Painlessly as Possible

This story is part of Home Tips, CNET's collection of practical advice for getting the most out of your home, inside and out.

Sooner or later, you'll have to switch internet providers. When that time comes, whether during a move or after discovering a better internet option in your area, don't fret. Chances are it won't be that bad, at least not so troublesome that the hassle outweighs the reward of a faster speed, cheaper internet plan or more agreeable customer experience. Granted, it won't be fun (unless you're just really intent on canceling with your current ISP -- I've been there with a certain TV service), but it doesn't have to be a dreadful event either, especially when you know just how to do it.

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Switching internet providers comes down to three things: understanding your current internet situation, choosing another internet provider in your area and then coordinating a successful switch. It'll unfortunately take a phone call or two to customer service, and maybe a trip to the post office to return equipment, but other than that, it should be a fairly painless process. I'll go into more detail later, but first, let's take a look at why you might want to switch internet providers in the first place. 

Why to switch ISPs: Moving on

Internet providers operate in specific areas so any time you move, there's the possibility you'll end up outside your current provider's service area. In that case, you'll have no choice but to find a new internet provider. If that's you, skip on down to the part about how to switch providers. 

Shopping for a faster internet speed?

We’ll send you the fastest internet options, so you don’t have to find them.

But let's say you can carry over service with your current provider to your new address. You might have some new internet options at your new home, so it's still a good idea to take a look at what's available. Even if you aren't moving, checking out what's available at your current address and comparing it to what you've got now could be just as rewarding. 

To greener pastures

When shopping for a new internet service, you'll want to consider a number of factors including but not limited to pricing, speeds, special promotions and the possibility of bundling your internet with other services. With that in mind, here are a few reasons why you might want to consider switching internet service providers.

  • Saving money - Lower introductory rates or flat-out cheaper pricing on comparative speeds could add up to significant savings. Your new provider may also come with lower equipment fees (or none at all) or special signup bonuses like gift cards or free streaming services that could contribute to your overall monthly savings.
  • Boosting speeds - Along with cheaper plan options, a different ISP may offer faster service for roughly the same price you're paying now. For example, pricing on the cheapest AT&T Fiber and Spectrum plans is $55 and $50 (plus a $5 equipment fee) per month, respectively, but the AT&T plan comes with max speeds of 300Mbps versus the 200Mbps you'll get with Spectrum. If you're looking for a significant speed increase, select providers such as AT&T, Google Fiber, Verizon Fios, Xfinity and Ziply Fiber now offer multi-gig service with speeds ranging from 2 to 5Gbps. 
  • Improving connection quality - Sometimes switching internet providers means switching the connection type entirely, which can make a big difference in your internet service. For example, those shopping for internet in rural areas may want to consider switching from satellite internet to a DSL provider for a connection that's more reliable in bad weather (along with probably being cheaper and free of contracts or data caps, a common pain point with satellite internet). Going from cable internet service to a fiber-optic provider also has its advantages, like faster upload speeds and better speed reliability during peak usage times. Here's everything you need to know about internet connection types when choosing a home internet service.
  • Bundling with TV - Along the lines of saving money, bundling TV and internet can potentially get you a cheaper rate versus ordering them separately. On top of that, signing up for internet and TV at the same time, waiting for just one installation technician, and having multiple home services on one monthly bill are all strong fringe conveniences that could make a switch feel worthwhile. 
  • Saying "so long" - Sometimes a bad customer experience, or string of them, is just too much to overcome. If it's gotten to that point, many of us will do just about anything to keep from giving the provider another cent, even if it means settling for a lower speed or higher price with someone else. Canceling can certainly be satisfying, but I'd recommend seeing if the provider is willing to try to make things right before switching to a lesser service.

Keep in mind that, in spite of the reasons to switch internet providers, the grass may not always be greener on the other side. Switching to a cheaper plan with another provider may cost you more in the long run if your new provider has hefty price increases after the first year, charges more for equipment or comes with data caps and surprising fees for going over. In short, it's important to carefully consider your options before signing up for a new internet service.

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How to switch providers

So you're moving and have to find a new internet provider, or you've weighed the pros and cons and decided you want to switch ISPs at your current address. Either way, the process is essentially the same. 

Ask your current provider about canceling

Contacting your current internet provider isn't always necessary at first, especially if you're moving and know your new address won't be eligible for service. But if you're staying in a serviceable area, it's worth speaking with a customer service rep to find out if you're under contract (and if so, what penalties could come with canceling) and what the ISP may be willing to do to keep your business.

While most major internet providers come with no contract, some, including Cox, Mediacom and Xfinity, may require you to sign a contract for a year or longer to get the lowest pricing. Others, like satellite providers HughesNet and Viasat, require a contract with all plans. If you're under contract, canceling before the term-agreement is up can, and probably will, result in early termination fees. ETFs are often pro-rated, meaning the fee is less the farther you are into your contract, but they could still add a couple hundred dollars to the cost of switching providers.

Even if you aren't under contract, it's possible that an untimely cancellation could cost you. New service with Google Fiber, for example, may come with a "construction fee" of $300 that is typically waived but may be reinstated in full or part if you cancel in the first year of service. Fees like this can get lost in the fine print even more so than contracts and early termination fees, so it's often worth calling to find out what penalties, if any, to expect when canceling service.

Hear what they have to offer

I'd be willing to bet that while you're on the phone with your internet provider asking about the conditions of canceling service, you'll receive an offer for lower pricing, a speed upgrade or some other incentive to keep you from leaving. While your first instinct may be to reject the pitch, go ahead and listen to the offers, if you have the time and patience for them -- it's possible that the deal they offer you could be better than the one you're switching providers for. 

On the other hand, if the deal doesn't knock your socks off and you can live with the potential consequences of canceling, your next step will be to sign up for service with your new provider.

Sign up with your new provider

Once you've found another internet provider and plan (and decided to decline any competing offers from your current ISP), it's time for the most crucial step when switching providers: signing up for service and receiving your install date. Before doing so, you'll want to be absolutely sure about switching as canceling your order with a new ISP, even if it's before the installation, can come with its own set of fees or, at the very least, an unnecessary credit check.

When you're ready, most providers make it easy to sign up for service online. If you know exactly what you want, that's often the best way to go. Some ISPs, like AT&T and Kinetic by Windstream, may even offer gift cards or bill credits just for signing up online. 

If you're somewhat undecided as to which plan is best and what equipment you need, or have other general questions, calling a sales representative couldn't hurt. In addition to answering your questions, they may be able to offer you an exclusive promotion that isn't available or easily found online. Chances are you'll also be able to sign up for service while on the phone, but if you're thinking about missing out on online-exclusive offers, ask the sales rep to include them. If they can't, just get the information you need and then sign up online.

Save the date

However you sign up for service, you'll receive a date and time window for installation. You may have a few dates or times to choose from as well as the option for self-installation, which can make it much easier to coordinate the installation with your move-in date. Once you've got the installation details, it's safe to go ahead and cancel with your current provider.

Make one last phone call

I know, this is potentially the third time you'll have to call customer service, but unfortunately, that's the only way to cancel with most major internet providers. You'll likely be transferred to a retention department with a special set of offers targeted at keeping your business, but you can be firm in your request at this point. Ask to schedule the cancellation as close to the new service installation date as possible, or, in the case of moving, whenever your move-out date is.

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Return your equipment

If you've rented a modem, router or other device from your provider, it will be your responsibility to return that equipment by bringing it to a brick and mortar location if possible (where you may also be able to cancel your service if you don't want to call customer service), or by mailing it back. It's inconvenient, sure, but failure to return the equipment on time, usually around a month or so after cancellation, could result in additional fees.

Plan ahead before switching internet providers

Switching internet providers will likely take at least a few days to complete, depending on when you can schedule the installation. Consequently, you'll want to plan ahead in order to minimize the amount of time you may have to go without internet service. With a little planning and patience, switching internet providers should be a fairly painless process that will hopefully end with upgrading your home to a better internet service.

Switching internet provider FAQs

Can I switch internet providers if I'm still under contract?

In most cases, yes, but doing so may come with an early termination fee of up to $200 or more, depending on the provider and length of time left on your contract. Not paying the ETF could have a negative impact on your credit report and make it difficult to return to the provider should you need to sometime down the road. 

Some internet providers are willing to pay the early-termination fee for you in the form of bill credits or a check for the amount of the fee, typically up to $500. Optimum, Spectrum, Verizon Fios and others extend such contract buyout offers to new customers. If you're still under a contract but need to switch providers, see if other available providers are willing to help you out with the early termination fees.

Will I lose my email address if I switch providers?

If your email address is hosted by the ISP (name@ISP.com or something similar), chances are you will lose the email address and all others associated with your account once you cancel service, though some providers may allow you to keep your email address for a small monthly fee.

Email accounts not directly hosted by your ISP such as Gmail, Yahoo, iCloud, etc, are not lost when switching internet service providers.

Can I go back to my old provider after switching ISPs?

Maybe your new internet service provider isn't as fast or cheap as you expected and your old ISP is looking better now than the day you left them. So long as your previous provider is still available (if you moved, it may not be), you should be able to return to them at any time. 

Some things that may complicate returning to your former provider include being in a contract with your current provider or having an outstanding account balance with your old provider. Also, keep in mind that discounts, speed tiers or other special offers that you had with your previous provider may no longer be available.

Sat, 19 Feb 2022 08:49:00 -0600 See full bio en text/html https://www.cnet.com/home/internet/how-to-switch-internet-providers-as-painlessly-as-possible/
Killexams : Learning Communities
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Through learning communities, you have a great opportunity to connect with other students who share your interests and get to know faculty.

Student Testimonial Video »

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Students who participate in a learning community earn higher grades and have increased exposure to university resources and the Greater Lafayette community.

LC Introductory Video »

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Over 3,000 first-year students and 1,000 current students who participate in learning communities every year! Don't be left out!

Click here to learn more »

Incoming students to Purdue for Fall 2022, can apply to a learning community starting January 18th - July 5th. April 15th is the priority application deadline to be placed in a learning community. Applications submitted or modified after April 15th will be considered based on availability following the initial placement period.

Students who apply for a Learning Community by the April 15th priority deadline will be notified of their placement status through their Purdue email account by the end of the first full week in May. 

A housing contract with University Residences must be completed prior to applying for a learning community. After accepting your offer of admission, allow up to two business days to gain access to the housing contract portal.

The DataMine application for 2022-2023 Academic Year for current Purdue students is now open. Click here to apply.

Apply Today »
Fri, 27 Apr 2012 04:53:00 -0500 en text/html https://www.purdue.edu/learningcommunities/
Killexams : Best Nintendo Switch Controller for 2022

Looking for the best switch controller? The Nintendo Switch's Pro controller is superior to the company's smaller Joy-Con controllers for more demanding games. (Drift issues aside, the Joy-Cons are good for simple multiplayer games.) With the addition of genuine grips, the Switch Pro controller is more comfortable. When you're in the heat of the moment, the full D-pad and larger buttons help you find the right controls. All of Nintendo's controller features like HD Rumble, NFC for Amiibo scanning and motion controls are supported, and it works with or without wires. It's great, but it's also regularly priced between $60 and $70

Also read: Nintendo Switch OLED review: The Best Switch Yet, But Not Quite Different Enough

A number of cheaper third-party Switch Pro-like controllers are available, though. That's why we tested out several options to find the best Switch controller you can buy right now. Nintendo's official game controller still leads the way in button feel and comfort, but some of these alternatives do come close. Also, just because Black Friday and Cyber Monday have come and gone, doesn't mean you can't find a deal on a controller right now. Most of our favorites, including Nintendo's Pro Controller, are discounted at the moment.

Aside from lower prices, going with a third-party Switch Pro controller has some advantages. For example, some have a Turbo button for faster firing rates or mappable buttons to make certain commands easier to trigger. Plus, a few of the ones we chose can be used with MacOS, Windows and Android, too. We'll update this list periodically as we try new products. 

Sarah Tew/CNET

If you can afford to get the official Switch Pro Controller, do it. It's the best you can get at the moment in terms of comfort, performance and features. And if you need to buy more than one controller, maybe get this one for yourself and one of the less expensive options below for visiting friends and family.

Sarah Tew/CNET

The PowerA wireless controller comes closest to the feel and design of Nintendo's Pro controller, and you can normally get it for $40 to $50, depending on the design, from Amazon, Best Buy and other sources. The PowerA wireless controller doesn't have HD Rumble, IR or Amiibo NFC support like the Switch Pro controller does, but it does have motion controls. It's also available in game-themed versions including Animal Crossing, Mario and Pokemon.

Its one added feature is two extra buttons on the bottom of the controller that can be mapped on the fly. Also, while the original version of the Enhanced Wireless Controller ran on AA-size batteries, the latest models have a built-in rechargable battery for up to 30 hours of gameplay.

You're receiving price alerts for PowerA Enhanced Wireless Controller

Josh Goldman/CNET

The Little Wireless Controller -- yes, that is its genuine name -- is slightly bigger than a Joy-Con but so much more comfortable to use. The buttons are firm and responsive and there's no mushiness to the D-pad, either. The thumbsticks are taller than the Joy-Con's, which gives you greater accuracy. The rear buttons, despite being directly on top of each other, are shaped perfectly to make sure you hit the correct one. There is no rumble or NFC support but it does have motion control. The rechargeable battery is rated for up to 40 hours of wireless use and is charged via a USB-C port in the back. A super little travel companion.

You're receiving price alerts for PDP Gaming Little Wireless Controller

Josh Goldman/CNET

Binbok's Joypad is a combination of Nintendo's Joy-Cons and its wireless Pro Controller. There are left and right Joy-Con-like controllers that can slot onto the sides of the Switch, similar to Hori's Switch Split Pad Pro. This gives you the comfort and larger controls of the Pro controller while you use the Switch handheld. 

However, unlike Hori's controller, the Binbok Joypad can be used off the Switch because each has a built-in battery and Bluetooth. Their design makes them awkward to hold as Joy-Cons but it can be done, and each has adjustable rumble and motion controls. They both have a mappable button on the inside of their grips as well as turbo buttons. The Home button can wake the Switch when you're ready to game and you can even change the color of the LED light rings around the thumb sticks. 

The included holder joins the two controllers together to form a single Pro-like controller like Nintendo's Joy-Con Comfort Grip. Unfortunately, this won't allow you to charge both controllers at the same time; each of the controllers needs to be charged separately through their USB-C ports or while attached to the Switch when it's charging (you can leave the controllers attached when docked). The holder is unusually wide, too, and with the controllers attached it's actually larger than a Pro controller. There's some flex where the controllers slot onto the holder giving it a tenuous feel. That flex, combined with its lightweight, makes the whole thing feel flimsy. Still, it's not like Nintendo's Joy-Cons are known for their reliability and overall this is an excellent option if you want to pay less and do more.

Sarah Tew/CNET

If you like to customize, this Bluetooth controller is for you. Using 8BitDo's Ultimate software, you can remap buttons, adjust stick and trigger sensitivity as well as vibration control and easily create macros for complicated button combinations. The left-hand controls are flipped so the layout is more like a PlayStation controller, but everything feels good and responsive. It's comfortable, too, although the black-on-black design makes the button labels near-impossible to see, but other colors are available

The 8BitDo SN30 Pro Plus Bluetooth Gamepad controller, which normally sells for $50, works with the Nintendo Switch console, Android, Windows and MacOS. Another nice feature: Its rechargeable battery pack can be easily swapped out for a new one so you can keep playing if the included one runs down or no longer holds a charge.

You're receiving price alerts for 8BitDo SN30 Pro Plus Bluetooth Gamepad

Josh Goldman/CNET

It's like the regular PowerA Enhanced controller except smaller. The $50 Nano has the look, feel and features of the larger model including motion controls, rumble (not HD rumble, though) and mappable buttons. It runs on a built-in rechargeable battery instead of replaceable AA cells, though. A six-foot USB-C cable is included for charging; you'll get up to 20 hours on a single charge.

The Nano is designed for travel (it even comes with a nice little pouch for storage), but it's also good for kids or anyone with smaller hands. Also, while the shell is more compact, the buttons are full size, which is generally great. However, in a couple of games where I was button mashing furiously, I would regularly miss the Y button and hit the Home button instead -- not great if you're in the middle of a battle. At least the mappable buttons on the back of the controller made a workaround possible. 

One other minor point: I noticed the Bluetooth range on mine is a couple of feet shy of the full-size version's range. It's something easily solved by sitting a bit closer to the Switch and an acceptable compromise for an on-the-go Pro-style controller.

You're receiving price alerts for PowerA Nano Enhanced Wireless Controller

Now playing: Watch this: Yes, you can fix your cracked Nintendo Switch


Sarah Tew/CNET

The $50 full-featured design of the SN30 Bluetooth Gamepad controller makes it a more travel-friendly Nintendo Switch Pro controller alternative. And there are no mushy buttons here: Everything feels firm and responsive. While it might look similar to the PDP controller above, the thumbsticks are set up like a PlayStation controller. And unlike the PDP, it can be programmed for use with Android, Windows and MacOS.

You're receiving price alerts for 8BitDo SN30 Pro Bluetooth Gamepad Controller

Josh Goldman/CNET

It's wired, but the $20 Horipad is one of the more comfortable controllers we tested, and its buttons and sticks feel nice, too. But, while it does have a Turbo button, it lacks vibration and motion control. Its D-pad isn't a true pad, but a plastic piece that snaps on over four discrete buttons. It works fine, but the fact that it's a wired controller might be a deal-breaker for some. Currently, the black version of the controller is tough to find at its normal price but you can find it in blue and red. 

You're receiving price alerts for Horipad Nintendo Switch Wired Controller

Josh Goldman/CNET

The Insten falls under "You get what you pay for" for me but, for what it's worth, it's the favorite of my 8- and 10-year-olds. It's just a basic wireless controller with aggressive dual-shock vibration. It's comfortable but feels cheap and flimsy. To be fair, though, the controller did survive a high-velocity altercation with my TV and I can't say the same for the TV. The best part about the Insten is the price, especially if you want multiple controllers: You can pick up a two-pack for less than $50.

You're receiving price alerts for Insten Wireless Pro Controller

More gaming coverage

Sun, 30 Oct 2022 19:35:00 -0500 See full bio en text/html https://www.cnet.com/tech/gaming/best-nintendo-switch-controller/
Killexams : Switching Between Beta Blockers in Heart Failure Patients: Rationale and Practical Considerations

Protocols for Switching to Carvedilol

There are no data from the large RCTs on changing patients from such commonly used cardioselective β blockers as metoprolol or atenolol to carvedilol because clinical study protocols have generally excluded patients receiving prior β-blocker therapy. The recommendations presented here are primarily from the observational experience of HF physicians familiar with the use of carvedilol and in switching such patients. For completeness, the regimens used in two publications in which switching was performed are also reviewed.[53,70]

Although switching is usually safe and well tolerated, physician judgment concerning individual patient requirements must be maintained. The dose of the first- or second-generation β blocker that the patient is receiving is an important consideration for the switching regimen chosen.

The major factors to be kept in mind when switching to carvedilol are maintaining adequate β blockade to avoid the potential for precipitating ischemia or arrhythmias, choosing an initial dose with a low potential for producing any vasodilating side effects (e.g., dizziness or hypotension), and avoidance of changes in HF status due to changes in receptor sensitivity and density.

In addition, as in any patient initiating β blockade, adequate treatment with diuretics and ACE inhibitors should be in place and patients should be free of volume overload. If a consideration to switch is being driven by clinical deterioration or lack of clinical response, patients should first be stabilized by modulating their diuretic or ACE inhibitor. Initiation or switching β blockers is not recommended in patients experiencing a severe decompensation of HF (e.g., requiring intravenous positive inotropic agents, vasodilators, or mechanical interventions). Under no circumstances should switching to carvedilol be considered a rescue therapy for a patient whose clinical condition is acutely destabilizing. On the other hand, a switch to carvedilol should especially be considered in patients whose disease is either not improving or is progressing despite treatment with another β-blocking agent.

In anticipation of a change to carvedilol, patients should be informed about the possibility of symptoms related mainly to α blockade (vasodilation). These symptoms may often be avoided or ameliorated by separating carvedilol and ACE inhibitor dosing by at least 2 hours. Patients should be reassured that these effects are usually self-limited, disappearing within several weeks without need of intervention. Most carvedilol-related symptoms should be addressed by adjusting the patient's diuretic or ACE inhibitor. In some cases slowing the rate of titration or reducing the dose may also be considered. It would be prudent not to add other vasodilators such as calcium antagonists, nitrates, or other antihypertensives during the switch.

Two approaches have been utilized for switching from other β blockers to carvedilol: an immediate or abrupt change involving stopping the existing β blocker and initiating carvedilol within 24 hours, followed by subsequent up-titration, and an overlapping strategy in which a first- or second-generation β blocker is weaned while carvedilol is simultaneously initiated and up-titrated.

Di Lenarda et al.[53] reported on switching from metoprolol to carvedilol in HF patients who have failed to respond satisfactorily to metoprolol. From a total of 154 stable, dilated cardiomyopathy patients, 20% were identified as having persistent LV dysfunction (EF <40% and reduced exercise tolerance) despite more than 12 months of adequate metoprolol therapy (mean dose of 142 mg/d). Half of these patients were switched immediately to carvedilol beginning 18 hours after their last metoprolol dose. For metoprolol doses ≥100 mg (i.e., medium to high doses) and systolic blood pressure >100 mm Hg, carvedilol was started at 12.5 mg b.i.d.; otherwise (i.e., for patients receiving low to medium doses of metoprolol) it was begun at 6.25 mg b.i.d. and titrated rapidly every 3 days to a maximum dose of 50 mg b.i.d., based on a target of achieving a heart rate of 60 bpm or systolic blood pressure of 100 mm Hg. The mean administered carvedilol dose was 74 mg/d. Mild symptomatic hypotension occurred rarely during carvedilol titration and was treated with adjustment of diuretic or ACE inhibitor dose.[53]

Maack et al.[70] recently reported on switching between β blockers (metoprolol and carvedilol) in 68 patients treated with either agent for 1 year who had improved in terms of LVEF and NYHA class. Patients were switched if they were stable on a minimum dose of 25 mg b.i.d. carvedilol or 100 mg metoprolol. The crossover was performed within 1 day during monitoring of blood pressure and heart rate in the outpatient clinic. Switching initially was done between patients receiving doses of 25 mg carvedilol and 100 mg metoprolol. The authors reported that the change from metoprolol to carvedilol was well tolerated; however, the first patients switched from carvedilol to metoprolol frequently experienced hypotension or bradycardia. The switch dose was reduced to 50 mg metoprolol. Despite this lower initial dose, 25% of patients still experienced hypotension or bradycardia. The authors postulated that this was probably related to greater inverse agonist activity and more pronounced negative inotropic effects of metoprolol.

In clinical practice most patients seem to tolerate a simple approach, that is the discontinuation of the existing β blocker upon initiation of carvedilol, particularly if they are receiving relatively low doses of the first-or second-generation agent. For this non-overlapping or abrupt switching, the current β blocker should be discontinued approximately 12 hours before the first dose of carvedilol. As mentioned, most patients can be initially switched to 6.25 mg or 12.5 mg b.i.d. and then up-titrated at 1–2 week intervals ( Table 1 ). In some instances where precipitating ischemia or cardiac arrhythmias is of greater concern, and particularly in patients receiving higher doses of the first- or second-generation agent, an overlapping schedule for initiating and up-titrating a change to carvedilol may be used ( Table 2 ). Patients already maximally β blocked should not experience any significant additional β-blocking effect from low-dose carvedilol added to their established agent; this overlap will allow time for adjustment to the vasodilatory effect of the α1 inhibition.

Given the additional α1 and β2 adrenergic blocking effects of carvedilol, an immediate switch from another β blocker to high doses of carvedilol is not recommended. However, the starting dose of carvedilol in currently β-blocked patients can be higher than the usually recommended starting dose of 3.125 mg b.i.d. For example, patients who are already tolerating high-dose β1 blockade with a stable heart rate and blood pressure may be started on carvedilol 12.5 mg b.i.d. and subsequently up-titrated to a target dose. Those treated with lower doses of β1-selective agents and/or those with marginal blood pressures may be initially switched to 6.25 mg b.i.d. carvedilol, followed by up-titration.

Although metoprolol and atenolol, widely used β1-selective agents, are used as examples for switching in this article ( Table 1 and Table 2 ), comparable steps can be determined for other β blockers. In patients for whom the physician chooses not to titrate to higher doses due to side effects or other reasons, clinical benefit may still be expected at carvedilol doses of 6.25 mg or 12.5 mg b.i.d., as demonstrated in clinical trial experience.

1 -Selective Agent

There are instances when one may consider titration from carvedilol to a β1-selective agent. In HF, the preferred agent is metoprolol CR/XL in the United States (and also bisoprolol outside of the United States), given the results of RCTs and US Food and Drug Administration approval. This switch may be necessitated by true intolerance to carvedilol (for any reason) in some patients or by "unmasking" of reactive airways disease by the β2-receptor blocking property of carvedilol in others. When switching from a nonselective β antagonist with α1-receptor blocking effects (e.g., carvedilol) to a selective adrenergic blocking agent, Table 1 and Table 2 could be followed in reverse. With this switch, there is little concern regarding peripheral vasodilation. However, pharmacological properties such as dose-equivalency of β blockade, effects on glycemic control, and others must be considered so that a switch followed by titration remains necessary in most patients.

Fri, 02 Dec 2022 10:00:00 -0600 en text/html https://www.medscape.com/viewarticle/463478_3
Killexams : How to Switch Banks: A Step-by-Step Guide No result found, try new keyword!There are many reasons to switch banks. Perhaps your new bank is in a better location, has fewer fees, offers higher interest rates on savings accounts or has friendlier customer service. Tue, 24 Jul 2018 03:22:00 -0500 text/html https://money.usnews.com/banking/articles/how-to-switch-banks-a-step-by-step-guide Killexams : Best bank account switching bonuses: Up to £200 on offer

If you’re thinking about switching bank accounts, why not get paid for your trouble? A number of banks currently offer incentives, such as cash or vouchers, to entice you to join them.

Multiple banks are offering new and existing customers up to £200 to switch their current accounts to them.

As tempting as this sounds and as straightforward as the switching process is, remember that when it comes to choosing the right account for you, it’s not all about the money.

In this article, we outline:

Related content: How to switch bank accounts

Several big banks pay switch incentives

This article may contain affiliate links that can earn us revenue*

Top switching offers

Many of the big banks are now offering switching deals. HSBC is offering a £200 incentive for switchers, while you could bag up to £175 cash for moving your account to First Direct or Halifax.

For students, NatWest is paying £80 to new and existing customers plus a four-year Tastecard offering discounted meals, cinema tickets and shopping.

Some of these cash incentives are reserved for new customers only, so you need to check the eligibility criteria first. They are also time-limited too, so get your skates on for the best deals.

If you are looking for more from your current account, then check out our independently rated best current accounts.

While the upfront switching bonuses are tempting, you may make more from your account by choosing one that offers great cashback.

Switching offer: HSBC are offering £200 to new customers

If you haven’t had a current account with either First Direct or HSBC since 1 January 2019, you can bag £200 by opening an HSBC Advance account and initiating a switch within 20 days.

You must switch over at least two direct debits or standing orders to qualify, plus deposit £1,500 into the account within 60 days of opening it.

The bonus is paid within 30 days of meeting all of the above criteria.

Offer ends: There is currently no end date for this offer, but HSBC can withdraw it at any time.

Switching offer: First Direct have upped their switching bonus for new customers to up to £175. 

You can’t have held a First Direct or HSBC current account since January 2019 and to receive the full bonus you need to pay in a minimum of £1,000 within three months.

You can get £20 for just opening the account and using mobile or online banking within three months.

The account offers a linked 7% regular saver on up to £300 a month. You might also be eligible for a 0% £250 overdraft.

If you are someone that values great customer service then First Direct regularly tops the polls.

Offer ends: There is currently no end date for this offer, but First Direct can withdraw it at any time.

Switching offer: Halifax are offering £175 to new and existing customers

To qualify for the cash bonus, you need to switch a current account with a different provider to a new or existing Halifax Reward account. You can’t have received a switching bonus from Halifax since April 2020.

The Halifax Reward account also comes with a choice of perks:

– Have £5 paid into your bank account each month (or choose one of the other rewards such as free cinema tickets or digital magazine subscriptions)

– You can also get 15% cashback when you spend money at certain shops like Costa and Sainsbury’s

The account is free if you pay in at least £1,500 a month, spend at least £500 a month on your debit card and stay in credit. If not, a £3 monthly fee is charged.

Halifax is also offering a 6 month interest-free arranged overdraft for switchers. This offer is available on the Halifax Current Account, Reward Account and Ultimate Reward Account.

Switching offer: New customers can get up to £100

You will get £50 upfront switching bonus if you open a new TSB Spend & Save account before 16 December.

You must also have completed the switch by 13 Jan 2023, used your debit card, set up at least two direct debits and logged on to mobile banking. The bonus will be paid by 10 Feb 2023.

For the extra £50 in August 2023, you must actively use your account between February and August. You can also earn up to £5 per month cashback for the first six months, if you use your debit card thirty times or more a month.

You can’t have received a switching bonus from TSB since 1 Oct 2022 and you must be switching from a non-TSB current account.

Offer ends: Fri 16 Dec

Top accounts for ongoing rewards

While the upfront switching bonuses are tempting, you may make more from your account by choosing one that offers great cashback.

This new account from Santander lets you earn cashback each month on council tax, energy, water and phone bills as well as your supermarket shop and travel costs, in exchange for a £3 monthly fee.

– 1% cashback on council tax, energy and water bills, phone bills, broadband and paid-for TV packages. Santander monthly mortgage payments are also included in this. You can earn up to £10 cashback per month on this tier.

– 1% cashback on most of your spending at supermarkets and on travel, for example petrol and train tickets. You can also earn up to £10 cashback per month on this tier.

If you have high energy or water bills, or you have a mortgage with Santander, it may be worth opting for the Santander 123 current account instead. This is because it pays a higher rate of cashback on these.

You can earn up to £204 in cashback over a year after you factor in the £3 monthly fee. To be eligible for cashback, you need to pay your bills by direct debit and you must pay in £500 into the account each month.

This current account from JP Morgan’s UK bank Chase comes with ongoing rewards.

You can earn 1% cashback on purchases such as coffee, your weekly grocery shop or next holiday. You just need to activate cashback in the app to get started.

Choose to round up your spending to the nearest £1 and the bank will autosave the difference for you. You can also earn 5% interest on your round-up balance. After a year, Chase automatically transfers your remaining round-up balance to your current account.

Chase currently has the top easy-access savings account paying annual interest of 2.1%. Find out more in our guide on the best savings accounts.

If you are looking for a credit card that offers cashback or rewards when you spend then check out our top ratings here.

Student switching offers

If you’re at university, we have ranked the best student bank accounts here but here’s a quick snapshot of the student accounts with perks.

Bank Perk
Natwest and RBS £80 cash bonus plus a four-year Tastecard, which gives you discounts at many restaurants in the UK
Santander A four-year young person’s railcard
HSBC £100 signup bonus
Barclays 12-month subscription to Perlego, an online textbook library

* accounts must be opened by 31 October 2022 and new customers need to register for new customers need to register for online or mobile banking and opt to receive paperless statements within 30 days of account opening

For more information about student finances generally, check out our article here.

Remember: choosing a bank account based only on free gifts may not be the best method.

People tend to change their bank account less often than their partner, so you might be better off heading for a bank with great customer service rather than a free gift.

James Daley is managing director of Fairer Finance, the independent consumer group that produces our product tables.

Wed, 30 Nov 2022 10:00:00 -0600 en-GB text/html https://www.thetimes.co.uk/money-mentor/article/bank-switching-bonuses/
Killexams : Poll: How do you feel about the Nintendo Switch in 2022?
Nintendo Switch Header 11

Curtis Joe / Android Authority

The Nintendo Switch has been around for almost six years now, launching way back in March 2017. The console still seems to be chugging along at a good pace, with a deep library of quality games on offer.

Nintendo is undoubtedly working on a follow-up console, but we want to know what you think of the Switch in 2022. supply us your answer via the poll below, and sound off in the comments if you’ve got more to share.

How do you feel about the Nintendo Switch in 2022?

336 votes

There are plenty of reasons to love the Switch still, as it’s pretty portable, has a ton of great games, and the handheld/TV functionality is still unique in the mainstream console gaming space today.

Then again, there are a few reasons why you might not like the Switch today. Battery life wasn’t great at launch, Joy-Con drift is still a thing, and Nintendo’s operating system remains limited compared to even Sony and Microsoft‘s consoles.

Mon, 07 Nov 2022 19:59:00 -0600 en text/html https://www.androidauthority.com/nintendo-switch-opinion-poll-2022-3231804/
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