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Snow Days....
Well I'm in the South and I'm a floor nurse. We had a little winter storm in and I had to call in today because of the weather (all the roads are closed) and got officially reamed by my boss. Apparently, I was supposed to go in yesterday (I was not called until 8 am today) and to have planned ahead. But Saturday I had an outing with my daughter that I knew would take a day to recover just because I knew I had that extra day off so I really couldn't have worked safely anyway! I'm so frustrated and upset.
What was my responsibility here? How much of this is my fault what was I supposed to do about it if anything? I live 40 miles away and there's bridges and mountains and I can't leave my kids without a mom for ANY job! I made it in the last 3 bad weather days. One day I drove an area 5 minutes before a tornado and 15 minutes behind another (I got caught between storms).
I really really hate feeling guilty and inconviencing anyone but how much can my job ask of me?
Am I going to get fired because of this? I'm not even sure if the roads will be open tomorrow!
Has someone been in a similar circumstances and have some suggestions I would really appreciate it.Jan 10, '11Weather is something you cannot control, and no such job is worth more than your life and your family. Be confident! let them know your situation. I don't think they will fire you because of this weather condition. If weather is bad again tomorrow, then let them know as early as possible that you will miss work . that way they have enough time to look for other available workers.Jan 10, '11I'm a little confused by your post....were you supposed to be there today or yesterda? If today, why are they saying that you were supposed to be there yesterday?Jan 10, '11Quote from roser13I think she was saying that her NM said she should have gotten there ahead of the snowstorm they knew they'd be having.I'm a little confused by your post....were you supposed to be there today or yesterda? If today, why are they saying that you were supposed to be there yesterday?Jan 10, '11If they needed you that badly they should have sent some in an SUV or snowmobile to pick you up.Jan 10, '11There are several extensive threads about this issue from 2/10 and the massive storm that hit midAtlantic states. For some us we got over 50 inches of snow in less than a week, in an area that generally doesn't get 20 in a year.
The answer is as a nurse, you should be reasonably prepared for most expected weather contingencies. Given that many of my friends from GA have been prepping for the last 2 to4 days, I would say this was reasonably expected. It IS expected that as a nurse and a parent that you check the weather and plan accordingly.
In the case last year, the initial reports were for maybe 4-5 inches of snow, which became more than 10 the night before, and the final tally for that one storm was over 25. Despite the late data, several were fired in a DC hospital for calling in for snow. And routinely in FL nurses get fired for not reporting early/staying over for hurricanes.
I do not always agree with this policy, but in Right to Work states, you can be fired for ANY reason. And pts require care 24/7 without regard to the weather. And I gave had to sleep over at work numerous times.
Perhaps someone more talented than I can post links to the 2 lengthy threads about snow, and the ones on the DC firings.Jan 10, '11I was called in this morning and told to come. Roads were all closed. Yesterday I got no call but the weather man said the storm was coming. Well I responded the last 2 times and came in when I was called (all false alarms) and the last time the roads were so bad it took me twice as long to make it.
What I'm confused about is how long in advance is it my responsibility to plan? 24 hours? 48? When does the hospital take some responsibilty for long term planning and when is it totally and completely my fault for not making it in?
I just need to know where the line lies so that I can learn and keep it from happening again.
And this is Alabama. There are no snowplows. I have told my NM prior that I have to go through 3 weather patterns to get to work so I usually try to plan ahead as best I can. The roads are now clear where I work but closed where I live so I look especially bad. But during bad weather I NEVER know what the roads will be like and have on more than one occasion been the only nurse to make it in 1-2 hours early because of the road conditions.Last edit by Kareylea on Jan 10, '11 : Reason: add onJan 10, '11OP - were you scheduled to work, or were you "on call" and called in that morning? If you're scheduled to work, then yes, I do think you have a responsibility to plan ahead to get there on time, even if it means allowing several hours to get there. If you were on call and didn't know for sure if you'd need to work, then I think it's unreasonable for the NM to expect you to go to the hospital the night before "just in case" you have to work the following morning.Jan 10, '11Okay, that changes my opinion. You are scheduled to work tonight and you will have had almost 24 hours to figure out how to get into work, and you haven't. How much snow exactly?
I'm leaning towards - if you've had this much time, you should be able to figure out a way to get into work.Jan 10, '11We are getting your snowstorm tomorrow night/wednesday morning. Thanks for sharing by the way. Not like we haven't had enough from the 12-30inch snowstorm after christmas lol.
If the storm hit last night, you really should make every attempt to get into work.
But my view on the snowstorms is if I go in if I am scheduled to work. I am fortunate enough to have a car that kicks snow, slush, ice etc in the ass. I will only stay if there's no coverage for the next shift. If there's coverage for the next shift, I'm out the door and on my merry, snowy way home. I'd rather go outside and build a snow hut and sleep in that than sleep at work.Jan 10, '11There should be more than one way to work. Where I live a couple of weeks ago there was a blizzard and it took me longer to get to work but I got there. Where I live you can be fired if not reporting during a blizzard or tornado or any weather situation. At every place I have worked in healthcare including when I worked at a health insurance place they made it clear as can be this is the job you took or the career you got in you better be in on a day like this ( they are open 365 days a year 24/7)Jan 10, '11It seemed when i worked, the people who always made it were the ones who lived several miles away and the ones who lived a mile away could never make it out of their driveways, lol. They never seemed to get in trouble either. Then they made it where they would come to get you with a 4 wheel drive and then the employee didn't have an excuse. Your boss was probably mad because she had to come in to cover and they didn't want to work either, lol. Take pictures where you live to show her how bad your situation is, that's what I would do. We always knew that sometimes the people who lived 45-60 minutes might not make it, they sometimes traded days with someone who had worked.
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Chertoff says tough border rules could mean long lines
Published 6:00 pm, Wednesday, January 16, 2008
Associated Press Writers
New border-crossing rules that take effect in two weeks will mean longer lines and stiffer demands for ID, including for returning Americans, Homeland Security Secretary Michael Chertoff said Thursday.
A driver's license won't be good enough to get Americans past a checkpoint at the Canadian or Mexican border, Chertoff said. That will be a surprise to many people who routinely cross the border with Canada, but Chertoff bristled at criticism that such extra security would be inconvenient. More than 800,000 people enter the U.S. through land and sea ports each day.
"It's time to grow up and recognize that if we're serious about this threat, we've got to take reasonable, measured but nevertheless determined steps to getting better security," he said in an interview with The Associated Press.
Thousands of people enter the U.S. through land crossings every day. The biggest effect of the change will be at the Canadian border since it applies to both Canadians and Americans. Non-Americans coming in through Mexico already need extra documentation.
Congressional critics representing Northern border states were anything but impressed with Chertoff's rhetoric.
His department has proved incapable of implementing a 2004 law on border security, and Chertoff "frankly has as much credibility on telling people to 'grow up' as Geoffrey the Giraffe," said Rep. Tom Reynolds, a Buffalo-area Republican.
Added Sen. Norm Coleman, a Minnesota Republican, "Secretary Chertoff's comments that those objecting to the plan need to 'grow up' indicates that the department still doesn't understand the practical effects of DHS policies on the everyday lives of border community residents."
Sen. Patrick Leahy, Democratic chairman of the Senate Judiciary Committee, said the move does nothing to enhance security and will only hurt the economy. "When it comes to the Northern Border, the muddled thinking and poor planning at DHS seems to have no bounds, and the agency that botched Katrina seems to have no shame and no memory to boot," Leahy said.
Under the new system, which takes effect Jan. 31, Americans and Canadians who are 19 or older will have to present proof of citizenship when they seek to enter the United States through a land or sea port of entry. A passport will be fine. Or a birth certificate coupled with some other ID such as a driver's license.
Chertoff said he had been surprised to learn that simply stating "I am an American" and showing an ID card has been sufficient to get back into the country. "I don't think in this day and age we can afford the honor system for entering the United States," he said. "Regrettably, we live in a world in which people lie sometimes about their identity."
For people other than Americans or Canadians, the rules at the northern border will be unchanged _ passports and visas will still be required. The same goes for non-Americans at the Mexican border.
Chertoff said longer lines at the border in the early days of the new policy are inevitable. "Until people get the message, there will be some delays," he said.
He predicted that would change once people got used to the new system, and he said border agents would be flexible in applying the new rules at the beginning.
Not moving to the new restrictions would be a tragic mistake, Chertoff said. "I can guarantee if we don't make this change, eventually there will come a time when someone will come across the border exploiting the vulnerabilities in the system and some bad stuff will happen. And then there'll be another 9/11 commission and we'll have people come saying 'Why didn't we do this?'"
More than 8,000 different documents have been used to enter the United States, in some cases even library cards. The proof-of-citizenship requirement will greatly reduce the ability to sneak by border agents with fake papers, Chertoff said. Border agents will now accept about two dozen types of ID.
Chertoff complained as recently as a year ago that checking birth certificates placed an "enormous burden" on agents because such documents come from thousands of jurisdictions and are hard to verify.
The Bush administration envisions an eventual passport requirement for everyone crossing the border into the United States. Congress passed a travel requirements law in 2004 but is having second thoughts, particularly as Northern-state lawmakers argue the passport requirement will hurt tourism and trade.
The law's requirements for air travelers in 2007 were followed by a massive backlog in passport applications, and some fear that will happen again this year as Homeland Security tries to go forward with the changes for land and sea crossings.
Also beginning in February, people can apply for a passport card that will be smaller than a regular passport but will include security features.
The 2004 law, passed in reaction to the Sept. 11 attacks, is called the Western Hemisphere Travel Initiative, designed to "get control" of the borders by verifying the citizenship and identity of everyone entering the U.S. by land, sea or air from Canada, Mexico and the Caribbean.
In June, Chertoff delayed the law's passport requirement for land and sea crossings until next summer. Congress has since pushed it back even further to June 2009, and Chertoff has been forced to settle for birth certificates combined with other forms of ID as proof of citizenship.
On the Net:
Department of Homeland Security: http://www.dhs.gov

subset: commoncrawl


text: So, I have an Erevo which had a mamba monster motor in it but I took it out to put in another truck. I have a titan 775 motor, a VXL-3s ESC, and a XL-5 ESC laying around that I'n not using. I don't want to go buy an EVX ESC because it's expensive and I'm broke. I was wondering if I can use the Titan 775 motor with both the VXL-3s ESC and the XL-5 ESC? The VXL-3s can power brushed motors by the way. Or is the VXL-3s enough to power the Titan 775 in an Erevo. Since the tital 775 has four wires, I can connect 2 of them to the VXL-3s ESC and the other two to the XL-5 ESC. Will this setup work or not? Please help. Thanks guys.


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MEDIA TALK; Venezuelan Link to Nonprofit's Ads Draws Some Conservative Criticism
By MARIA ASPAN
Published: December 4, 2006
The Citizens Energy Corporation, the nonprofit heating assistance program run by former Representative Joseph P. Kennedy II, supplies low-income households with oil provided by Citgo, the state-owned Venezuelan oil company. Now for the first time, Citgo is also paying for the corporation's television commercials.
The commercials, which advertise ''heating oil at 40 percent off from our friends in Venezuela at Citgo,'' began to be shown on Nov. 17 in local television markets in the 16 states served by Citizens Energy. Citgo supplied Citizens with oil last year, but this year is the first time that Citgo will be footing the bill for the nonprofit's commercials, as first reported by The Boston Herald and confirmed on Saturday by a Citizens spokesman.
In previous years, before Citizens expanded beyond Massachusetts, Mr. Kennedy had approached local television stations and asked them to donate time for commercials. However, as the program expanded to 16 states from six last year, Citizens and Citgo began discussing paid commercials to raise the program's visibility in the new markets. The commercials ''are an essential part of our program,'' said Brian O'Connor, the spokesman for Citizens. ''We could not depend on public service announcements to do an outreach'' on such a large scale.
But the commercials have drawn some criticism from, among others, The Wall Street Journal's editorial page and on Sean Hannity's talk show on the Fox News Channel, for their acknowledgement of ''our friends in Venezuela'' and their reliance on the Venezuelan government's financing, especially in the wake of President Hugo Ch?z's speech at the United Nations in September. Hardly popular with many Americans, Mr. Ch?z provoked widespread ridicule by calling President Bush ''the devil.'' But Fox News, as well as other cable news channels like CNN, may find themselves running the Citizens commercials in at least some of their markets. Citgo advertises with both networks, according to AdWeek; while press officers for Fox News and CNN said that they were not running the Citizens commercials, Mr. O'Connor said that Citizens had purchased commercial time on local cable.
And according to Mr. O'Connor, Citgo and Citizens began discussing the commercials last spring, long before Mr. Ch?z's speech at the United Nations. Nor were the commercials scheduled around Venezuelan politics, though they began a few weeks before yesterday's presidential election in Venezuela, which Mr. Ch?z was expected to win.
''The timing was entirely to do with the beginning of the cold season,'' Mr. O'Connor said. MARIA ASPAN


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text:
2 Eighth Street, Augusta
Main photo is rendering of the Whitney Building. Anchored by Mi Rancho and South State Bank, Cotton Exchange on the River contains up to 6 unique retail spaces. The Market Building contains 2 retail or restaurant sections and a courtyard patio. Section A (4586 sf) features a beautifully hand-painted vaulted skylight ceiling, 2 restrooms and a kitchen (no equipment). Section B (2409 sf) contains 2 restrooms and can be either separate or contiguous with the larger space. The Veranda Building contains 1673 sf on the 1st floor and 1461 sf on the 2nd floor. The 1st floor is suitable for retail, while the 2nd floor could be a restaurant, residential loft or office. The Whitney Building contains 2 floors of retail space (3550 sf on the 1st level & 2009 sf on the 2nd level). Potential uses for the 1st floor include a restaurant or tap room, while the 2nd floor could serve as a residential loft, restaurant/service or office.
Based on information from the Greater Augusta Association of REALTORS, Inc. or its Multiple Listing Service which is updated and synchronized once every 24 hours. The IDX information is being provided exclusively for consumers' personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing.


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Twin Lenses screeningJoin NYWIFT for an evening exploring the work of remarkable twins Kathryn Abbe and Frances McLaughlin–pioneering fashion and editorial photographers whose work paved the way for women in the world of fashion and magazine illustration. A screening of Nina Rosenblum's documentary short Twin Lenses, which pays tribute to the richness of their work and their commitment to each other, will be followed by a panel discussion featuring the filmmakers and their subjects.
The twins, whose photographs are considered masterpieces of their genre, embraced a wide range of subjects: celebrities, intimate family moments, high fashion, lifestyle and beauty. Frances joined Vogue Studio, photographing exclusively for Conde Nast publications for two decades. While Kathryn, a free-lance photographer, shot for such clients as McCalls, Better Homes and Gardens, Good Housekeeping and Paris Match. Both twins married into photographic families – Kathryn's husband, James Abbe, Jr., was a noted photographer, as was Frances' husband, Leslie Gill – and together they set a standard for balancing work with a commitment to family and raising children.
Nina Rosenblum is an Academy Award-nominated, two-time International Documentary Association award-winning producer, director, and writer of documentaries. Her previous films include the Oscar-nominated PBS doc, Liberators: Fighting On Two Fronts In World War II; the Emmy-award winning TBS show The Untold West: The Black West; the PBS/POV feature documentary Through The Wire; HBO documentary Lock-Up: The Prisoners Of Rikers Island; and Code Yellow: Hospital At Ground Zero; and The Skin I'm In, about Jimi Hendrix and Sly and the Family Stone (Showtime/ NYT Television). In 2005, her film Zahira's Peace was broadcast on Canal + Spain. NYWIFT recently screened her most recent film In The Name of Democracy: Ameria and Lt. Watada.
Naomi Rosenblum, photographic historian, has made significant contributions to the study of the history of photography. Her textbook, World History Of Photography, is used in universities throughout North America and has been translated into French, Japanese, and Polish. She has written extensively on Paul Strand, modernism and other aspects of 20th-century photography. In the course of investigating women and photography over the past decade, she has presented numerous lectures and participated in several conferences on the subject.
Kathryn Abbe (pictured above with her sister Frances) studied at Pratt Institute and the New School for Social Research, before winning Vogue magazine's "Prix de Paris" contest in 1941, and becoming an assistant to Vogue fashion photographer Toni Frissell. Since 1944, she has photographed for such magazines as Good Housekeeping, Better Homes and Gardens and Parents. Known for photographs of children (including the Kienast quintuplets) actors, actresses and musicians, she also rescued and printed negatives of early Hollywood stars taken by her father-in-law, James Abbe. Abbe spent three years working with McLaughlin-Gill on a book on twins published in 1980, and has, with her sister, exhibited photographs of twins at the Neikrug and Washburn Galleries in NYC.
Dennis Watlington, an Emmy Award-winning producer and writer, is the screenwriter of Twin Lenses. Watlington has written numerous television movies, features, soaps, sitcoms and articles for Vanity Fair, NY Times and other journals. His book, Chasing America, was published by St. Martin's Press in the U.S. in 2006 and will be published in France this Fall. In 2005, Watlington wrote Zahira's Peace, which was featured on Canal + Spain and won a Cine Golden Eagle.
Produced by Susan Steiger
Join the conversation on Twitter: #nywift | @nywiftNYWIFT programs, screenings and events are supported, in part, by grants from New York City Department of Cultural Affairs in partnership with the City Council, and New York State Council on the Arts with the support of Governor Andrew Cuomo and the New York State Legislature.Last updated: Sep. 5, 2016
Join the conversation on Twitter: #nywift | @nywift
NYWIFT programs, screenings and events are supported, in part, by grants from New York City Department of Cultural Affairs in partnership with the City Council, and New York State Council on the Arts with the support of Governor Andrew Cuomo and the New York State Legislature.


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Marine Cpl. Matthew Habermann, pictured with his wife, Zori, has volunteered to return to Iraq.
Photo by M. Scott Moon
Just three short years ago, a young Soldotna man was wrapping up his high school career putting such things as algebra, American history, homecoming and prom behind him.
He hadn't yet said, "I do," to his classmate and sweetheart, Zori; he hadn't yet formulated an opinion on U.S. foreign policy; he hadn't yet put on the uniform of a U.S. Marine, though he had already committed himself to five years through a delayed enlistment program.
Today, 2004 Soldotna High School graduate-turned U.S. Marine Cpl. Matt Habermann is married and he does have a strong opinion about what the country should do concerning Iraq.
He's been there; he's seen the situation first-hand; and he's going back.
Habermann, who was recently home on leave, believes the U. S. military should remain in Iraq until that country can be secured.
"It's going to take time," he said during a Kenai Rotary Club luncheon earlier this month.
"If you look at how far we've come in five years ... we captured Hussein, we've secured all but two or three cities. We established an Iraqi military, a police department and border patrol. It takes time," Habermann said.
Not exactly sure why, Habermann said he has wanted to be a Marine since as far back as he can remember.
He has a grandfather who served in the U.S. Army-Air Corps during World War II and an uncle who was in the Army during the Vietnam War, but he remembers hearing a Marine recruiter say, "Be the best of the best."
"That's what I wanted," Habermann said.
Shortly after his senior year began at SoHi, he enlisted, with boot camp to begin following graduation.
Habermann trained at the Marine Corps Recruit Depot in San Diego and then spent three weeks getting combat training at Camp Pendleton, Calif.
He was transferred to Pensacola, Fla., for air crew flight and swim training before heading back to the West Coast for Survival, Evasion, Resistance and Escape (SERE) training on Coronado Island. Following flight training at Camp Pendleton, his military occupation speciality was changed to radio operator and he was sent to communications school in Twenty-nine Palms, Calif.
In mid-September 2006, Habermann was deployed to Iraq with F 211, 2nd Battalion, 11th Marines.
"We were stationed in Camp Ramadi," Habermann told the Kenai Rotarians.
"It's the center of the insurgency in Iraq. The U.S. is working to stabilize the area," he said.
His unit's primary mission was to provide security to convoys carrying Iraqi border guards between Najaf and Arbil, a trip of about 700 miles.
"We drove between 15 and 20 hours a day," he said.
Of the 140 soldiers on his missions, no casualties were reported.
"We made the trip seven or eight times. We had no contact or (Incendiary Explosive Devices) on that particular route," he said.
Habermann described the Ramadi camp as being highly secure with nine rows of circular concertina barbed wire, several chain link fences and a 20-30-foot high earthen berm surrounding the camp. Guard watch towers are spaced 400 meters apart and the camp has only two entrances: the north gate staffed by the Army and the south gate guarded by Marines.
Inside the compound are two Army divisions and between 1,500 and 2,000 Marines. In all, 10,000 members of the U.S. military are on base.
"You can't always feel secure. You learn to just deal with it," he said when asked if he was afraid to be stationed there.
When guarding the convoys, Habermann said his unit must drive through the city of Ramadi, but they never stop.
"In Ramadi, there's a glass factory, a refinery and a linen factory," he said.
Nevertheless, the unemployment rate is 94 percent.
"There is no Iraqi economy," he said.
"Poverty is everywhere. The only technology they have is the vehicles they drive, and they ration gas to one or two gallons a week," Habermann said.
"The majority of the city is being fought over and is in complete rubble," he said.
He also said the Iraqis are scared.
"If they're seen working with the American military, they'll be kidnapped or killed," he said.
On a more positive note, Habermann said the United States has a good relationship with the Iraqi forces.
"They're extremely helpful. They love the U.S.," he said.
Habermann said the Iraqi Army, which makes up the border patrol, is trained by the American military.
"Their boot camp is 10 weeks, and they do a Hell Week in Fallujah or Ramadi," he said.
Conditions for American troops are satisfactory, although Habermann said because most of their food and other supplies come by way of Europe, if an item is not sold in Europe, they cannot get them in Iraq.
"I could sell a Red Bull for 10 bucks," he said with a laugh about the energy drink popular among young soldiers.
When asked about reports of American troops facing shortages of equipment and supplies, Habermann said he has only witnessed a shortage of repair parts, tires and armor for Humvees.
"We also need more chemical and biological suits for the troops. We're finding chemical and biological weapons and we've heard reports they're trying to attack us with nerve agents," he said.
Habermann also said he is pleased with the support troops are receiving from the Kenai Peninsula, but said he is not happy with news coverage of the war.
"The only news we see over there is CNN. The media should not report a lot that they see," he said.
His wife, Zori, agrees.
"CNN is the most biased," she said. "It's just what they want to show.
"If I didn't hear from him that day, I couldn't watch (the CNN news)," she said.
Zori Habermann has high praise for the Soldotna Red, White and Blue Program that sends letters and care packages to area military members serving in Iraq and Afghanistan.
"I had a lot of support from the community," Zori said. "My teachers at (Kenai Peninsula College) let me take cell phone calls from my husband," she said.
Zori has taken an apartment with Matt Habermann in Oceanside, Calif., outside Camp Pendleton, where he will be stationed until he goes back to Iraq in January.
The corporal has 2 1/2 years remaining on his current five-year enlistment, and he said he might re-enlist for an additional five years.
While he said he was happy to be back in Soldotna for a few weeks, he volunteered to return to Iraq to do the job he's been trained to do.
Phil Hermanek can be reached at email@example.com.
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Solar hiring is flaring
MarketWatch: Solar energy companies are hiring workers faster than the overall economy, and are optimistic that hiring will continue at the same brisk pace this year, according to a jobs report by The Solar Foundation, a solar industry trade group. Solar firms expect their employment to grow 16 percent over the next year, adding about 22,000 new workers to the 143,000 that were employed by the industry in 2013, the foundation said earlier this week while reporting the results of its 2013 jobs census.
Highlights of the tumultuous reign of Ben Bernanke
Bloomberg: Intellectually, Ben S. Bernanke was prepared to tackle the gravest economic crisis since the 1930s as chairman of the Federal Reserve. A Princeton University economics professor, he was an expert on the causes of the Great Depression. He was a practitioner as well as economic historian. Yet in other ways, from dealings with reporters, bankers and members of Congress, there was little that could have prepared Bernanke for the challenges to come. Here are some highlights of his eight-year term, which ends today.
U.S. economic growth bests predictions
Reuters: Robust household spending and rising exports kept the U.S. economy on solid ground in the fourth quarter, but stagnant wages could chip away some of the momentum in early 2014. Gross domestic product grew at a 3.2 percent annual rate, the U.S. Commerce Department said today. Though that was a slowdown from the third quarter's brisk 4.1 percent pace, it was a far stronger performance than earlier anticipated.


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This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Carolyn Clancy:
As all of the average conference goers know, the sound of the bells means
we're really getting started, so thank you for your patience with our
technical difficulties here this morning. I hope that you've had
a good morning so far, and I want to welcome you to the Town Hall session called "Visionary
Leadership Inspires Transformation."
Yesterday we concluded the day talking about challenges facing us right now,
and I must say I've been incredibly gratified this morning to hear people
saying, "Wow, there's really good stuff in these sessions. I need
more, but I wanted to be in two or three at the same time, and I don't
know how to do that." We're going to work on that for next year,
we promise. But the question that we closed on is, "What is it that
you would tell policymakers that we can do to accelerate pace of change right
now?" And I know that the leaders on this panel have some thoughts on
this, particularly as it relates to current and emerging technologies. These
experts come from a diverse range of sectors within the health care industry.
Each of them has been at the forefront of organizational and cultural changes
that have resulted in breakthrough impacts within their organizations. So I'm
going to introduce them in a couple of minutes, and then you're going
to get a chance to ask questions.
I'm going to give some opening comments to help you all reflect on what
kind of health care system do we want, so we're sort of going fast forward,
and then you're going to hear from these folks who have basically been
anticipating that future and have been ahead of the curve for a number of years
So, the panelists in the order that they're seated: First is Carolina
Hinestrosa. She is the Executive Vice-President of the National Breast Cancer
Coalition. She's also co-founder of Nueva Vida, a support network in
Washington, D.C., for Hispanics with breast and cervical cancer, and what I
think of as her most important credential, she is a Member of AHRQ's
National Advisory Council.
Sitting next to her is Jill Berger, who's Vice President of Health and
Welfare Plan Management and Design at Marriott International. Marriott has
130,000 employees nationwide, and Jill is responsible for the strategy, design,
and management of the company's benefit plan. Every place I go and we
say, "You know, I'd like to hear from some purchasers who are ahead
of the curve and really innovative," Jill Berger's name comes
up all the time. She was particularly thrilled to know that she would be speaking
at a Marriott, but I don't think that was a requirement.
Sitting next to her is Dr. Thomas Kline, who is the Medicaid Medical Director
for the state of Iowa. Many of his efforts focused there on medical and pharmaceutical
services. He's also worked with the Iowa Foundation for Medical Care,
which is Iowa's quality improvement organization and has been part of
a learning network that AHRQ has been sponsoring with Medicaid Medical Directors.
Next to him is Dr. Jeff Rich. Now, Jeff Rich is President of the Society of
Thoracic Surgeons. He's a National Quality Forum Board member and Board
Chair of the Virginia Cardiac Surgery Quality Initiative. From what I understand,
Jeff and his colleagues in the Society for Thoracic Surgeons started anticipating
the future we're heading to about 20 years ago. He also works very closely
with a leading edge health care system in Norfolk, so you'll hear about
And then last, but by no means least, is Dr. Dan Varga, who is currently Chief
Medical Officer for the SSM Health Care System, which is headquartered in St.
Louis. Dr. Varga is also a member of AHRQ's National Advisory Council
and Co-Chairs the National Quality Forum Steering Committee on health care-acquired
So, they're coming very shortly. But before I give them their time,
I just wanted to just make a few comments here. As we look for ways to accelerate
the pace of change, we also have to have in mind what these fast advances will
mean for the health care system of the future. So I thought it would be good
to actually think about what is the health care system of the future that we're
striving towards. And in my mind, it's information rich and information
sharing. Now, we are data rich oftentimes in health care—sometimes we're
data poor when we can't find charts, but that's another story.
But actually having information at our fingertips that's relevant and
we know is quality, at the moment we need it, is something that's more
the exception than the rule, and most importantly, this would be a patient-centered
or patient-focused enterprise. From outpatient clinics to operating rooms to
emergency departments, people providing care would have real-time data to help
them provide the safest, best, and most effective service as possible. I'll
let you pause and reflect on that for just a moment.
Ultimately, what we're starting to see from some systems that are, I
think, a little bit further down the path of getting there, is that this system
would be proactive rather than reactive, and it would be responsive to patients' needs. Now,
this seems to me, if you think about it, to be a readily attainable goal, especially
with all the resources that we have in U.S. health care. We've got the
expertise. We have some of the finest physicians, nurses, and other health
care workers in the world. We certainly have the money. We're spending
more than two trillion dollars annually on health care, and we've got
the latest tools, new and better ones coming and being developed all the time,
and we're beginning to reap the benefits from advances in such areas
as health IT. Obviously, we've had several sessions here so far about
creating improved quality and improved value through health IT. And in fact,
Blackford Middleton was just tugging at my sleeve to say we need to go faster.
I see how we're going to do this, we're going to blow the system
up and then get to the better place. [laughter] It's not official
administration policy [laughter]. But the stories you're hearing here
will become even more impressive as the technology evolves and more people
begin to use it.
Ultimately, health IT will work, and we'll know that we've gotten
it when it makes the right thing to do the easy thing to do. Those of you who
provide care or work closely with those who do know that far too often, doing
the right thing requires heroic, sort of super-human effort. If it's
the easy thing to do, it is clearly the exception.
So, how does health IT help? Well, it can certainly make health information
available when and where it's needed. We know that electronic prescribing
can improve safety and reduce medical errors. I spoke to a colleague last night
who is actually the first resident I had as a medical intern -- although that
year has been blocked from his memory, so he can't share any stories
with you. But you know, I was asking him what did he think doctors got from
some of this, and he said, "You know, when I'm seeing patients,
and I get a reminder that there's a potential adverse effect, and someone's
on a medication that I don't deal with very often, I say, 'Thank
you. Thank you for keeping me from making an avoidable error here.'" And
that's going to be a key part of it.
Ultimately, clinical decision support can be available on demand to help doctors,
nurses, and others diagnose or treat a difficult condition, and I think that
personal health records can help providers and patients work more closely together.
And very importantly from AHRQ's perspective, health IT can do something
else—it can help us learn. If you think about our search for evidence
every day in health care, it's a little bit like hunting. We're
hunting for evidence. Is it on the Web? Can I get it here? Where can I download
a paper, and so forth, and actually the Web has made it much, much easier.
Before, we used to be hunting for books, which some of you will remember were
up and on chains, right, so they wouldn't walk out of the clinic area.
But we're going to be able to shift that, I think, to an analogy or metaphor
that's closer to farming. We'll be able to grow evidence as a routine
by-product of care.
We know, for example, that in health care, about 20 percent of use of medications
and other treatments is off-label. It's usually appropriate, it's
legal, and it's a great thing to do, but we don't learn a thing
from it, except for the rare occasions when lonely souls write a letter to
the editor. So, it's that kind of learning that we could be doing a whole
lot faster.
Right now we see huge variations across communities, and we need to know how
to spread that know-how. So I think what you're going to be hearing here
and in other venues is that we are seeing isolated examples of excellence in
health care, where people have begun to make the pieces fit together in a way
that gets us closer to this 21st century vision of health care, and what we
need to do is to figure out how to spread that.
Ultimately, getting high quality of care is a partnership—a lifetime
commitment to learning—and this partnership is only as strong as its
weakest partner. One of the barriers we hear all the time is fear—fear
of implementing expensive technologies that we know nothing about; resistance
to the cultural change that's often required. I heard someone say a few
years ago that if you were a hospital CEO and you were to announce a new information
system, you had better have your CV on the street right about the same moment
that you announce that, because what you are announcing is a massive cultural
change internally.
Now, if you were to announce a new parking lot, well, that's a different
deal. People would be very, very excited. But cultural change is hard.
So who we're going to hear from today are people who only see the glass
as half-full. In fact, sometimes they see it as full all the time. They've
been ahead of the curve for a while, and they work rigorously to keep the glass
full and even overflowing.
So they're going to share with us some of their approaches for helping
us get to the health care system that we want in the 21st century.
Current as of July 2008
The information on this page is archived and provided for reference purposes only.
AHRQ Home | Questions? | Contact AHRQ | Site Map | Accessibility | Privacy
Policy | Freedom of Information Act | Disclaimers | Plain Writing Act
U.S. Department of Health & Human Services | The White House | USA.gov: The U.S. Government's Official Web Portal
Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 427-1364


text:
Why Le'Veon Bell Is Running Back of the Future for the Pittsburgh SteelersOctober 29, 2013
The Pittsburgh Steelers were once defined by their physical running game. That is not the case anymore, as they rank 30th in the league in rushing. But despite the stats, the Steelers have their running back of the future with Le'Veon Bell.
Early in his career, Bell's performances have not inspired much confidence. In four games, he only has 208 yards, which ranks 47th in the NFL. Among qualified running backs on ESPN.com, Bell ranks 35th with 3.3 yards per carry and his long carry is just 11 yards.
Needless to say, the excitement over Bell's strong training camp has waned. This was evident when Pittsburgh Post-Gazette (subscription required) blogger Bob Smizik stated that it is too early to evaluate Bell as the long-term answer at running back.
That is fair enough. Bell only has 64 carries in his brief four-game career and has yet to have a 100-yard rushing performance. But that does not mean he hasn't shown signs of being a very good back in the future.
When the Steelers made Bell their second-round selection back in April, they were looking to add a well-rounded running back who could contribute equally in the ground and passing game.
NFL.com's Chris Wesseling had the following to say about Bell:
A bigger back in his own right at 6-foot-1 and 230 pounds, Bell is more of a finesse runner with agility and passing-game skills.
Although Bell's short-area burst and elusiveness have drawn concerns from scouts, NFL.com's Bucky Brooks rated him as the best back in the draft after Bell racked up 1,793 yards and 12 touchdowns for Michigan State as a junior in 2012.
If Brooks' instincts are correct, the Steelers will end up with a Steven Jackson clone after passing on a back [Eddie Lacy] who has a chance at being the next Bettis.
That is very high praise considering the 10-year veteran has eight 1,000 yard rushing seasons and 416 career receptions in his career. The Steelers can only dream that Bell will match that production.
We all got a taste of Bell's upside during training camp when he clearly established himself as the Steelers' most talented running back almost immediately.
Bell had a presence out on the field. Whether it was his unusually tall frame or his patience and vision that he displayed as a rookie, he stood out.
In his first career game in London against the Minnesota Vikings, Bell began to flash some of those skills with a two-touchdown performance. He followed that with a bit of a dud as he gained 34 yards on 16 carries for a putrid 2.1 yards per carry.
Following this game, head coach Mike Tomlin went out of his way to praise his prized rookie running back, per Ed Bouchette of the Pittsburgh Post-Gazette.
I thought he ran very well. I thought the Jets provide some challenges in terms of run defense. They're number two in the league, and they lived up to that. They've got some talented people up front. There weren't many holes.
I thought he did a great job of picking vision and putting the ball where it was supposed to be and running with the type of demeanor that we desire.
But his praise came from more than just his head coach.
Ben Roethlisberger said in his weekly radio show on 93.7 The Fan (via ESPN.com) that Bell "can be a very dynamic back" and "a complete back."
Ramon Foster added, per Mark Kaboly of the Pittsburgh Tribune-Review, that Bell is "a special back."
"With growth and time and as the season goes on, he is going to be really good at seeing what he needs to see," Foster said. "Then you will see what he's all about."
Time has been limited so far, but Bell has already shown improvement. This was particularly evident against the rival Baltimore Ravens.
The typically stout Baltimore defensive front was no match for the Steelers ground attack, led by Bell, who ran for a career-high 93 yards on 19 carries.
Bell displayed great vision as he picked apart the Ravens defense and used his size and power to run right at the edge defenders to wear them down.
But time and experience won't do it alone. Bell is going to have to work at his craft if he is going to get better, and he is not short of motivation. Always feeling slighted, Bell is using his recruiting and draft status as a driving force, per ESPN.com.
"I always kept this chip on my shoulder because of that," Bell said. "I've still got it from going in the second round of the draft."
Bell fell in the draft because while he is a well-rounded back, he does not have elite tools. He is not the fastest or strongest back, but he has enough to get the job done.
He has enough speed to get around the edge, the power to move the pile in short-yardage situations and the feet to make quick cuts to find an opening.
But what separates him from his teammates is his potential as a blocker as well as his soft hands out of the backfield. Bell is terrific in space and leads all running backs on the roster with 13 receptions.
We have only seen the tip of the iceberg when it comes to Bell and his potential as a running back. As the weeks go by, his comfort level with the offense will increase and so will his production.
There is plenty of room for him to develop as a running back, but Bell has shown that he can be much more than a complimentary back. Soon enough his pure talent will take over and the Steelers will have no choice but to make him one of the focal points of the offense.
At this point, it is only a matter of time.


text:
Freitag, 19.05.17
FAQ: Trajal Harrell
What was the first move you started the day with?
Going to the bathroom.
Where is the line between movement and dance?
The choreographic.
Why do you dance?
To keep belief in humanity.
Do you prefer dancing on your own or together with other people?
I don't prefer one over the other.
What is your inspiration when you do choreographies? What was the inspiration/starting point for the work you show at DANCE?
Inspiration comes from too many places to name. It's endless. For Caen Amour, I first wanted to make a piece that could be shown in theaters and museums.
Do you have a style? Can you describe it?
It emanates from runway movement as a basis for contemporary dance and choreography.
What do you like better: the performance or the rehearsal?
The performance.
How do you prepare for rehearsals? Do you come with a detailed concept/score or do you develop while improvising?
I work with a script that is developed on beforehand.
What about the ideas and personalities of the dancers – do you want to integrate/show them? If yes, how? If not, why?
The dancers are amazing artists. Their artistry is inextricably linked to the work itself as an expressive tool.
In your work: what is the body? (And where is mind?)
I don't know.
* special question: What is the seductive quality in dance? In Caen Amour?
Art is the exploration of these questions that are too complex to express in a sentence or easy words. Caen Amour is a fictional rendering of a hoochie koochie show and those shows were intended as erotic seduction. So the question of seductive quality is part of the artistic inquiry.
Fotos © Orpheas Emirzas


text:
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text:
Results 1 to 7 of 7
- 11-04-2009, 08:49 PM #1Member
- Join Date
- Nov 2009
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- 3
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- 0
How to make program restart without writing java programname, again.
Currently ive just started a programming course, and well with the stuff i know now i have the start of like a mini text based game, however i want to know how to restart the program if the player takes a wrong turn. Heres the code, and ill say where it is i want the program to restart. thanks
import java.util.*;
public class Adventure
public static void main(String[] args)
Scanner myKeyboard = new Scanner(System.in);
String answer;
String tryAgain;
System.out.println("Welcome to Adventure!");
System.out.println("Left or Right?: ");
answer = myKeyboard.next();
if ( answer.equals("Left"))
System.out.println("You took a wrong turn, try again");
System.out.println("Try Again? Y or N: ");
tryAgain = myKeyboard.next();
if ( answer.equals("Right"))
System.out.println("You took the correct turn, please Continue!");
System.out.println("Left or Right?: ");
System.out.println("Wrong Data Input");
It is at System.out.println("Try Again? Y or N: ");
tryAgain = myKeyboard.next();
that i wanted to be able to make it go from the start of the program again, instead of inputting the program again, basically like a restart command. anyone help?
hmm, what about modeling the 'rooms' in the adventure game as an array, or a list, or matrix, or something, of objects, where each object has data about the current room, like the room name, and your exits are: . This has a lot of overhead to set up this data-driven world, but im sure for more complex or larger adventure games, it is the way to go for sure, then you only have a smaller core piece of code to walk through this data as the player moves around.
and then define a "session" object to contain the player's current room, inventory, all the things to do with the state of the current progress in the game, so that to restart from the beginning of the game, you just make the player's current room and current state be that of the first room, or re-create the player's state object.
- 11-04-2009, 08:59 PM #3Senior Member
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If you put a piece of code into a method, you can can execute that code many times by calling that method from an appropriately controlled loop.
- 11-04-2009, 09:05 PM #4Member
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hmmm thanks for the help, but not entirely sure about how to do all of that yet, might wait a few weeks case i learn it in lectures, but ive just managed that from what i already know, but thanks anyways
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I wonder why people cram a lot of code in their main() method and get entangled in a very convoluted, complicated control flow. In other words: why don't people define a bunch of small methods that do one (simple) thing and they do it well. Methods don't hurt and don't make your code more inefficient. It also enhances the 'vocabulary': instead of fighting against deeply nested structures with a lot of if - else if - else ... statement and silly while and for loops all over the place you can have method names such as playAgain() (which returns a boolean) or continueGame() or whatever you can come up with. Those if -elses, whiles, for statements and what have you can be used to knit the entire shebang together. I can imagine something like this:
Java Code:
do { playGame(); } while (playAgain());
kind regards,
- 11-04-2009, 10:32 PM #6Member
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Thanks, yeah i think were going to be doing about using extra methods either tommorow or sometime in the next few weeks, so when i know how to im going to reformat it to look alot more streamlined, just from what i know now it is a bit, ugly, and thats just for the first two lines of text and input, might learn how to get program to restart automatically aswell, but if anyone knows a simplish way of doing so, ill be very grateful.
I see that you've already ve been given several "simplish" recommendations. If you don't understand them, you may wish to check out the Sun Java tutorials or your text for more details. You can find the Sun tutorials here.
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text:
|"Simon 'corecode' Schubert" <corecode@xxxxxxxxxxxx>
|Wed, 12 Aug 2009 14:44:26 +0200
Alex Hornung <email@example.com> added the comment:
Standard[1] dictates: "Whenever the pattern space is written to standard output or a named file, sed shall immediately follow it with a <newline>."
In my personal opinion, though, I'd prefer to see a gnu-compatible sed, even if that means breaking standards compliance.
cheers simon


text:
Taylor County Republican Women donated $50 to the Campbellsville and Taylor County fire departments for the Toys for Kids campaign. Pictured are, from left, Margaret Stewart, corresponding secretary; Marlyn Shreve, president; George Wilson, Taylor County fire chief; and Allen Johnson, Campbellsville chief.
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text:
Sony sets Rob Reiner's A Few Good Men for release on 4K Ultra HD at Best Buy on 11/7
We've got a bit of exclusive breaking news for you this morning here at The Bits, and as promised it's a 4K Ultra HD announcement…
Sony Picture Home Entertainment is releasing Rob Reiner's A Few Good Men on the 4K Ultra HD format on 11/7, only at Best Buy stores as a retail exclusive.
Nominated for 4 Academy Awards, including Best Picture, the film stars Tom Cruise, Jack Nicholson, Demi Moore, Kevin Bacon, Kiefer Sutherland, and Kevin Pollack. [Read on here…]
4K Divergent Trilogy Giveaway – and the winner is...
Congratulations to Eric Klein from Astoria, New York! He's the winner of our 4K Ultra HD Giveaway featuring the complete Divergent Trilogy (Divergent, Insurgent, and Allegiant)! We'll contact you shortly Eric to arrange shipping your prize.
Thanks again to Lionsgate for providing the titles (which arrive in stores tomorrow) and thanks to all those of you who entered!
- Bill Hunt (@BillHuntBits)


text:
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