If you're concerned about technical proficiency limiting your cider-making abilities, don't be: Alchema's designed for simplicity, and the process is not much more complicated than operating a slow cooker.
Patients aged >85 years, with limited English proficiency, life-limiting malignancy, hospice care enrollment, significant cognitive deficits, psychiatric illness (excluding major depression), or visual impairment limiting insulin self-administration, were excluded.
Often linguistically isolated, this group is growing in size and proportion faster than native-born seniors and is potentially vulnerable due to cultural barriers, more limited access to support services, limited English proficiency, and limited retirement savings and use of Social Security compared to other seniors (Center for an Urban Future, 2013, p. 3 5).
"Some states have lowered the bar of expectations to hide the low performance of their schools," the letter said, adding that others were discussing how to "ratchet down their standards" or redefine proficiency to limit the number of failing schools.
California provides an ideal setting in which to investigate these factors, given that 27% of residents are immigrants [ 26] and 6.9 million residents are considered having limited English proficiency, that is, having limited ability to read, write, speak, or understand English [ 27].
Almost 30 percent of Sheldon's students have limited proficiency in English, compared with fewer than 1 percent of Canyon's.
The standardised reading tests are held in late April, and 60% of Sherman's pupils have limited proficiency in English.
However, very few of these are currently able to teach because their qualifications are incompatible or because they have limited proficiency in English.
There are still some problems: Vietnamese-Americans still tend to live in separate communities, a practice that is often associated with low rates of social mobility, and about half of them still have limited proficiency in English.
Section 203 of the act requires ballots, forms, pamphlets and signs to be translated wherever 5 percent of the local population — or more than 10,000 voting-age citizens — speak the same native language and have limited proficiency in English.
