text:
Access your online QMA member account any time
Access your online QMA member account any time
From now on, all members of the Québec Medical Association can connect to the member section to manage their account. This service is accessible any time and allows members to edit their contact information in real time. For instance, a change to an e-mail address will be immediately taken into account by Membership Services. Furthermore, when memberships are renewed online, a receipt can be downloaded as soon as payment has been received.
How does it work?
To connect to the member section, you need a Collège des médecins du Québec permit number and password.
For students, the QMA gives you a temporary permit number when you join.
You don't have a password yet?
Click the button below, then LOG IN (upper right corner of the screen), and click "First Connection" to get your password.
If you have any questions, you can contact Membership Services.
Health and Welfare Commissioner: a much-awaited reinstatement
Health and Welfare Commissioner: a much-awaited reinstatement
Finance Minister Carlos Leitão removed the section on abolishing the Health and Welfare Commissioner (CSBE), as well as the one on the new responsibilities of INESSS which had been called on to take on some of the commissioner's functions, on May 16, 2018, in the framework of the detailed study of Bill 150.
This bill concerning implementation of the Couillard government's 2016 and 2017 budgets was slow to be discussed and the finance minister chose to remove about 100 sections, including those involving the abolition of the CSBE, to allow it to be adopted before the end of the parliamentary session.
Later in the evening, the Minister of Health and Social Services, Gaétan Barrette, confirmed on Twitter that the government's current budget situation made it possible to reinstate the Commissioner.
Décision initiale prise dans le cadre de la révision de programme. J'ai fait des représentations auprès du gouvernement. La situation budgétaire actuelle permet de le ramener. D'où cette décision réfléchie #polqchttps://t.co/E1J240LnpD— Dr Gaétan Barrette (@drgbarrette) 16 mai 2018
Négociation gagnante du PQ a permis d'annuler l'abolition du CSBE qui était imposée par @drgbarrette et PLQ dans PL150.— Diane Lamarre (@DianeLamarreQc) 16 mai 2018
Dès l'élection du PQ, retour du CSBE, de son mandat et de son budget. #polqc#assnat
The QMA issued a press release (in French only) that two years had been lost during which no objective performance assessment of the health care system had been possible. The QMA is also asking that the next Commissioner report to the National Assembly of Québec, and not the ministry, so that it is no longer dependent on a political and budget decision, as has been the case over the past two years.
"The announcement of Bill 20 and Bill 130 had repercussions, as did the suspension of a number of their sections and the latest agreements with the medical federations. But these repercussions could not be analysed with the required objectivity that a neutral agency would have been able to provide," lamented QMA president Dr. Hugo Viens.
The return of the Commissioner, often described as the watchdog of the health and social services system, is excellent news for a multitude of organizations that had severely criticized its disappearance. As the QMA has always pointed out, Québec society needs a credible, independent accountability and responsibility mechanism for health care.
Choosing Wisely Canada National Meeting
Choosing Wisely Canada National Meeting
The QMA was in Toronto on April 23 to attend the Choosing Wisely Canada National Meeting. It was an inspiring event that showed that this national and local campaign is a success. Besides recommendations made by the different Canadian learned societies participating, the teams that implement projects in the different provinces also bring about improvements in patient care and health care systems. For those who could not attend, the key messages are below.
1) The fear of being sued for not doing a test is a myth
When physicians in Canada, but also elsewhere in the world, are asked why they do or order so many tests, most often their first response is "out of fear of being sued."
"Never has a physician been sued for not having done a test. However, many physicians have been sued for doing tests and not following up on them," pointed out Dr. Hartley Stern, Executive Director/CEO of the Canadian Medical Protective Association in his closing presentation at the meeting. In short, following the recommendations of Choosing Wisely Canada does not create any problems in terms of professional liability.
It is a stubborn, undocumented myth from the legal aspect that persists within the medical profession without reason. Already in August 2017, as part of the international Preventing Overdiagnosis conference in Québec City, the QMA had organized a workshop on this topic to reassure participants. One year later, the Executive Director/CEO of the CMPA confirmed that "there is no risk in following the recommendations of Choosing Wisely Canada. If there is a risk, it is more likely in doing tests that we know are unnecessary and to forget to do the follow up."
2) Lack of Québec government support for the Choosing Wisely Canada campaign
At the meeting, many observers noted the Québec government's inactivity and lack of support for the Choosing Wisely Canada campaign. At the opening of the meeting, it was stated that the federal government and all the provincial governments were partners in Choosing Wisely Canada, except for Québec where it is the medical association, the QMA, that is the communication channel between the French-language recommendations and the local partner. In truth, the QMA took on these roles because the Québec government failed to commit! The QMA is now responsible for the French-language component of the campaign and is the coordinator of Choosing Wisely Québec.
3) The quality of care includes appropriateness
A quality health care system must be safe, efficient, effective and fair, in addition to providing care within reasonable timeframes and that is patient-centric. The Choosing Wisely Canada campaign deals with all these elements of quality control.
- Safe: unnecessary tests or procedures cause damage
- Efficient and effective: waste reduces the system's performance
- Fair and within timeframes: while some people undergo unnecessary tests, others wait
- Patient-centric: unnecessary tests or procedures are contrary to the well-being of patients
4) Using administrative data to define intervention targets
Dr. Joshua Tepper, President and Chief Executive Officer of Health Quality Ontario, made a strong impression with the audience. He explained that in his province, researchers used administrative data from the health care system to know which procedures to target. They compare the Choosing Wisely Canada recommendations with the percentage of overdiagnosis or overtreatment and the resulting costs. This gives them the scope of a problem and its cost. They can then guide decision-making to know when to intervene or not.
5) Reducing unnecessary tests and treatments in health care
In 2014 when it was launched, the purpose of the Choosing Wisely Canada campaign was to help clinicians and patients engage in conversations about unnecessary tests and treatments, and make smart and effective care choices.
At the 2018 meeting, participants decided to put more emphasis on the actions aimed at reducing unnecessary tests and treatments in health care.
Naturally, Choosing Wisely Canada will continue to equip clinicians and patients to help them have discussions about unnecessary care, but also plans to put more emphasis on supporting initiatives to implement measures aimed at reducing inappropriate care. This decision led to the creation of an "implementation research network".
6) The third era of medicine
A very interesting presentation by Dr. Dee Mangin, Professor and David Braley Nancy Gordon Chair in Family Medicine at McMaster University, helped to assess the current and past influences that shape the changing framework of medicine and to understand how Choosing Wisely Canada can be considered part of the current era of medicine.
According to her analysis, the first era of medicine was characterized primarily by the autonomy of medicine, a binary relationship between the physician and the patient, and the introduction of a social contract between the population and the medical community.
A second era followed based on accountability and market theory that focused on volume, the standardization of care and the introduction of care pathways or intervention protocols.
We are now entering an era of quality. People no longer die from general infections such as the Spanish flu, but rather from cancers and cardiovascular diseases. This results in drugs for many older people, to the point that today, the main cause of death among elderly patients is medication. So it is necessary to adjust medical practice to adapt to this new era.
Physicians must focus on professionalism and trust. Hence the importance of encouraging the Choosing Wisely Canada community to continue to improve patient care and the health care system.
Studying physician empathy
Whenever it meets with physicians in their environment, the QMA has observed that many of its members are committed to improving care and services on a daily basis. Great initiatives are taking shape everywhere. Some of them should even be implemented or adapted elsewhere, but for this to happen, we need to know that they exist!
If you have set up a project that deserves more visibility or if you know of members colleagues who have done so, feel free to contact QMA. We would be pleased to showcase your achievements.
Studying physician empathy
Drawn by the importance of social determinants for improving the health of populations, Charles-Antoine Barbeau-Meunier decided that he wanted to be in on the action and not just the reflective process. So he swapped communications and sociology for medicine. "I felt that I could make a bigger difference," he explained. He is a student at the Sherbrooke Faculty of Medicine and Health Sciences who, after completing a master's degree in sociology, is currently doing a double doctoral program in medicine and biomedical imaging.
Currently, Mr. Barbeau-Meunier is alternating his research on multiple sclerosis with his medical education. A separate curriculum that has given him a little more time than his medical studies and has enabled him to return to his first passion, or the focus of his master's thesis on empathy. His hypothesis was that empathy could be a foundation of social action and therefore make it possible to mitigate certain crises such as climate change.
His more flexible schedule as a researcher has also allowed him to submit a paper on the erosion of empathy among the next generation of medical professionals at the Association francophone pour le savoir (ACFAS) convention on May 8, 2018. Having done a systematic review of the literature, he found that it is not so much the medical curriculum that leads to an erosion of empathy among medical students but certain disruptive elements, namely the predominance of a performance-focused context and a culture of self-neglect during one's medical studies.
In reaching this conclusion, Mr. Barbeau-Meunier based his findings on the definition of empathy as stated by neuroscientist Jean Decety, for whom empathy has a cognitive dimension, as well as emotional and behavioural dimensions. "The medical curriculum is actually a very good context for developing empathy, whether it is the feeling in itself or the ability to use it. However, it is also an environment that inhibits this behaviour," Mr. Barbeau-Meunier pointed out.
Research in this field is still lacking, but several studies presented at the ACFAS are pointing in this direction. The lack of sleep, stressful and rigid working conditions, and a large volume of patients to see within tight time constraints can lead to an erosion of empathy by preventing students (or clinicians later on) from expressing their empathy.
The five pillars of empathy
Several conditions are necessary for expressing empathy. Similar to the way he approached climate change in his master's thesis, Mr. Barbeau-Meunier looked at how the medical context colours the ability of students to develop their empathy, as well as to use it.
To feel empathy, one must be able to connect with the other person. Through facial expressions and especially the eyes, it is possible to read the other person's emotions and the transparency of their intentions. While this does not present a problem in health curriculums during which students have very frequent access to patients and exposure to all sorts of care contexts, we know that technology presents a variety of obstacles once they are in a hospital environment. For instance, it is difficult for patients to feel like they are being heard when physicians seems to be focusing all their attention on a computer.
It is also necessary to learn how to control one's emotions, which is appearing more and more frequently in the literature, but is not always properly understood and expressed in the field. In the care context, suffering, vulnerability and death, among other things, can present a significant emotional burden or, at the very least, a chronic one. According to Mr. Barbeau-Meunier, this requires an effort of control, conscious or not, and the need to learn to recognize our emotions and to work with them.
But in the current medical culture, there is a taboo around the emotional dimension of care. There is a tendency to tell students to learn to ignore their emotions rather than to work with them. And that is where compassion fatigue gets the students just like practising physicians! "It's not necessarily a bad thing to feel emotions, on the contrary, it is essential information to guide a clinician," pointed out Mr. Barbeau-Meunier, who found that so much emphasis was put on the cognitive dimension of empathy that the emotional dimension, while very well recognized in the literature, was forgotten.
Once physicians are able to control their emotions, they can then turn their full attention to the other person. A strength of the curriculums according to Mr. Barbeau-Meunier. Students learn to develop good listening skills, to ask questions to get the information they need. However, there is a risk that students will no longer pay attention to themselves, since the target of their attention is the other person. They can then miss signals that convey needs or an appropriate response.
The social connection also plays an important role. People always have more empathy for those with whom they identify. But physicians are having more and more difficulty in identifying with their patients, because of increasingly diverse environments, but also because of the social status of physicians and the wage difference that can create discomfort with other health professionals or some patients.
Finally, it is necessary to consider the environment in which empathy is practised. While the medical environment can foster empathy, it can also sometimes promote putting other priorities first, for example by inciting a caregiver to see a patient as a bed to free up or a task to manage rather than as a suffering individual.
"My analysis allowed me to corroborate that we are developing a better capacity for empathy than before in medical studies, but that there are also essential elements that the context will drain and that will prevent empathy or make it more difficult to express," explained Mr. Barbeau-Meunier.
So should we change the way empathy is taught? Of course, we can always reinforce the training and better equip future health professionals to be able to share their emotions with colleagues. But that will not change anything if we do nothing to evolve the system in which physicians practise. "You could have the most empathetic person, but if you don't allow that person to express empathy, it will be useless," concluded Mr. Barbeau-Meunier.
Tribute to nursing
Tribute to nursing
Four registered nurses at St. Mary's Hospital Centre in Montreal in 1968 wanted Montréalers to have a daily remembrance of the role that nurses play in their lives and their contribution to society. We know that they are dedicated to their patients and their community, but their true worth is not always acknowledged.
For instance, few people remember that Montréal's first hospital, Hôtel-Dieu, was created by a nurse: Jeanne Mance! In fact, she had to wait until 2011 to be recognized as one of the founders of Montréal. However, the idea is not to honour just one woman, but the entire nursing profession. With the support of the City of Montréal and the Ordre des infirmières et infirmiers du Québec, the organizers have set up a fundraising campaign for a statue to pay tribute to nursing.
They hope that the statue will be ready for the 100th anniversary of the Ordre des infirmières et infirmiers du Québec in 2020. Out of the estimated $115,000 needed to complete this project, the campaign has raised close to $30,000 to date.
If you would like to contribute to this public art project, go to the Facebook page Tribute to Nursing Montreal/ Hommage à la Profession Infirmière Montréal.
Migrant health? A challenging journey
Migrant health? A challenging journey
The QMA and its Student Committee were proud partners of the 3rd edition of the Symposium sur les populations vulnérables held at the Université de Montréal on May 12, 2018. Bringing together about 100 students and professionals from many health disciplines and all the faculties in Québec, this symposium aims to raise participant awareness of the biopsychosocial issues of vulnerable Québec populations. The theme this year was migrant health, with workshops and conferences focused specifically on the health issues of their migration experience and integration into their receiving country.
Poignant testimony
Headlining the event, author Kim Thúy talked about how health and food conditions had marked her migration experience, to the point that serious allergies to eggs and fish disappeared when her body was subjected to extreme survival conditions. Through her stories, sometimes humorous and sometimes poignant, Ms. Thúy made her audience aware of the delicate role played by health professionals in contact with migrants during their migration journey. Seized with emotion, she described the moment in Malaysia during her health assessment when a female doctor quickly pulled open the elastic waist of her pants to confirm her gender before letting go.
"I still have a vivid memory of the elastic pinching my skin. Such a small act, really trivial, but which took away my dignity. As a physician, a health professional, your way of treating migrants is significant. It is the little things that respect or take away an individual's dignity," Ms. Thúy pointed out.
Going into exile is a necessity, not a choice!
Rachel Kiddell-Monroe is a member of the Board of Directors of MSF International (Doctors Without Borders). Early in her career, she gave up job opportunities as a lawyer to devote her time to advocating for the rights of migrants and trying to improve the conditions of their migration journey. Her activities have taken her to Indonesia, Djibouti, Rwanda, Republic of Congo and many countries in Latin America. Wherever she has gone, she and her colleagues have tried to create a "safe island in the midst of a sea of atrocities" for the people who had to leave behind their countries, their roots, their traditions and their language because of violent conflict. "There is a real human cost to countries' indifference towards migrants." Through striking images, to help participants better understand the state of health of migrants when they arrive in Québec, she showed the harsh reality of migrants in their home country and the health issues they face.
After the conferences, six workshops were given for participants to learn more about topics such as addiction and mental health, the language barrier, the issues related to the absence of a status and medical coverage for migrants in their receiving country, and approaches to perinatal care with vulnerable mothers. In addition, the Canadian Medical Association offered the Advocacy and Leadership workshop, which allowed participants to better understand the principles of the protection of rights and how to become engaged physicians to advocate for access to health care for migrant populations.
Private healthcare: a threat or an ally to the public system?
Private healthcare: a threat or an ally to the public system?
At the invitation of the Conseil des entreprises privées en santé et mieux-être (CEPSEM), QMA president Dr. Hugo Viens gave a presentation on May 17 about the issues related to the public‑private dynamic in the healthcare system.
In Dr. Viens' opinion, the healthcare system clearly needs to be efficient, responsive and accountable, which is why we need to ask whether private healthcare is well and truly a threat, or whether it might be an ally to the public healthcare system.
"It's time we rethink the way our healthcare system works, see it in a different light, and develop innovative solutions," Dr. Viens pointed out.
A close look at the healthcare system reveals private services everywhere. The basket of services covered by the Québec government is centred on hospital care and medical acts performed by physicians. Yet, many health services that are essential, and even medically necessary, are not covered for a large proportion of the population (dental care, rehabilitation, social services, etc.).
The healthcare system is already rife with private services
A large portion of the healthcare system also falls under the private sector. In fact, nearly half of the government's healthcare spending goes to private companies. With the exception of CLSCs and hospitals, medical services are provided at private offices, in family medicine groups, at super-clinics, and at polyclinics. And most of the expenses (for services, technologies, machines, transportation of materials, etc.) and equipment investments made by public institutions, such as hospitals and CLSCs, go to private companies.
Finally, since a large percentage of physicians are incorporated, their salaries are in fact paid to private entities.
Our "public" system is therefore a public payment system rather than a public resource management system. And not only does a large proportion of government spending end up in the hands of private companies, but the private sector already plays a large role in the operation of the healthcare system.
The population wants publicly funded healthcare
Moreover, when the population is asked what they want, their response is: quality healthcare, within reasonable wait times, paid for by the government. According to a CROP survey conducted as part of a 2017 study by Pôle Santé HEC Montréal, close to 70% of the population thinks it's normal that several different types of organizations (private, non-profit or cooperative) can provide government-funded health and social services.
"Who pays the rent has no bearing on the patients. What matters is who pays for the health services," Dr. Viens stressed. So, the taboo of private healthcare is a myth, and the QMA is unanimous in its position that medically necessary services must be covered by the healthcare system, regardless of who provides the service.
Private when it's an added value
In this sense, there needs to be openness to going private in situations where this would add value to our health services. Dr. Viens then cited the example of the Chirurgie DIX30 clinic, where he is a partner, and of which he is the medical director. This clinic, which performs strictly day surgeries, is equipped with flexible, lightweight infrastructures that allow it to save money. As such, it is more efficient and responsive than very large infrastructures, such as hospitals.
As a private funded structure, it provides only services that are covered by the public plan, meaning patients don't have to pay for the services they receive there. Their care is paid for by the companies who send their employees to the clinic. Other patients are transferred there by three local hospitals as part of a patient-centred activity-based funding pilot project. The government is actually in the process of establishing the cost of care episodes before implementing this type of funding in Québec hospitals. Two other clinics are also participating in this project.
Greater openness to private funded structures expected
Not only are patients satisfied with the quality of their care and the speed with which they are treated, but the professionals involved, including the physicians, are more efficient given their accountability, which is inherent to any private company. So, this is a good example of the public interests being served by the private sector.
Following Dr. Viens' presentation, participants discussed the future of the healthcare system. Due to the system's current performance and its instability following recent reforms, they feel that future governments are likely to resort to private funded structures as a means of supporting and improving the performance of the healthcare system.
The effects of suspending Bill 130
The effects of suspending Bill 130
On May 9, the Centre de recherche en gestion des services de santé CHU de Québec-Université Laval (CRGSS), in collaboration with Université Laval's Institut d'éthique appliquée (IDÉA), organized an interesting symposium on the various facets of Bill 130 and their anticipated effects on the healthcare institutions. Legal experts, health network managers, physicians and professors came together to discuss the matter further.
Dr. Hugo Viens, QMA president, was invited to sit on a panel on professional status and the physician's role within the healthcare institution. Dr. Viens reminded attendees of the fact that, during the parliamentary consultations on Bill 130, the QMA had insisted that most of the measures outlined in the bill were unnecessary, since the legislation in place at the time already addressed most of the issues raised by the minister. It's mainly the application of the law that was causing problems for medical managers, hence the need to provide them with greater support.
The symposium participants fully supported this position by the QMA. The suspension of Bill 130 has made the situation in the healthcare institutions even more complicated. Note that Bill 130 was adopted on October 25, 2017, by the National Assembly, but that during the recent agreement reached with the FMSQ in February 2018, the provisions of Bill 130 dealing with physicians' obligations were suspended. And since medical managers can also no longer apply the previous legislation, they have even fewer powers than they had before.
Regardless of which political party emerges victorious from the fall elections, the outcome will change the political landscape in Québec, and the medical profession will be directly in the next government's sights in terms of its plans to apply Bills 130 and 20.
This means that the medical profession will have no choice but to demonstrate leadership and professionalism in laying the groundwork for cooperation in practice settings where adjustments will be needed.
Upcoming courses offered by the QMA
Upcoming courses offered by the QMA
Medical leadership training – PLI
- Négociation et gestion des conflits (negotiation and conflict management) – SAGUENAY – June 6 to 8, 2018 (in French only)
This course will enable you to develop strategies to manage conflict within an organization, avoid the difficulties that conflicts can create, and learn how effective management of conflict can enhance creativity and innovation. Through a negotiation exercise, you will develop a planned approach and practise successful techniques to achieve results in interpersonal relations.
CPD credits: 21
- Orchestrer le changement et l'innovation (leading change and innovation) – SAGUENAY – September 19 and 20, 2018 (in French only)
How to align people and organizations to build a shared vision and commitment to act is the central theme of this course. Using change management theories, you will learn to develop strategies to motivate, implement and sustain change, while also overcoming opposition to change. Through the presentation and discussion of issues and concrete exercises, you will cover different topics that include creating a resilient work environment and dealing with the impact of change.
CPD credits: 14
- Connaissance de soi et leadership efficace (self-awareness and effective leadership) – QUÉBEC CITY – September 26, 27 and 28, 2018 (in French only)
Knowing how to manage your communication is essential. So is self-awareness. This continuing professional development course will give you insight into the personal attributes essential for effective medical leadership. Using the concept of emotional intelligence, you will improve your ability to influence and manage your environment by applying adapted techniques and exercises. At the end of this course, you will have discovered which type of medical leadership best suits you and be able to determine its effectiveness.
CPD credits: 17,25
- Négociation et gestion des conflits (negotiation and conflict management) – MONTRÉAL – October 17 to 19, 2018 (in French only)
This course will enable you to develop strategies to manage conflict within an organization, avoid the difficulties that conflicts can create, and learn how effective management of conflict can enhance creativity and innovation. Through a negotiation exercise, you will develop a planned approach and practise successful techniques to achieve results in interpersonal relations.
CPD credits: 21
To find out more and to register, go to www.amq.ca/formation or contact QMA.
Improving physician well-being is a shared responsibilit
Improving physician well-being is a shared responsibility
For months, I've been telling anyone who will listen that, as physicians, we need to band together to effect change within the healthcare system. Of course, behind this stance by the QMA lie issues of access, health funding, and population health management. But, first and foremost, it's a question of survival!
Physicians are paying a very steep price for the chaos that's currently plaguing the system. Beyond the shortcomings in the healthcare system and the compassion fatigue inherent to our profession, we're facing a workload as heavy as it is misunderstood by most people. But that's not all: We're also dealing with an increasing number of administrative restrictions, not to mention the expectations of our families and patients, and now those of the general public, as well.
There's no way we'll ever be able to measure up. While most of us manage to cope with the situation one way or another, sadly, others lose their way. I just read an article about the suicide rate among doctors that said that we're still, in this day and age, afraid to get help because of the stigma attached to mental illness.
The article also mentions a survey of more than 2,000 physician-mothers. Close to half of them believed they met the criteria for a mental illness at some point in their careers, but had never sought help. And only 6% who received a formal diagnosis reported it to their licensing boards. And when it comes to mental illness, it's a known fact that men are even less likely to consult. As a profession, we need to change the way we approach the health and well-being of doctors.
While the community has been mainly focused up to this point on what each individual physician is capable of doing, it's really a shared responsibility.
Our profession is at a crossroads. The Québec Health Record is a major undertaking, and the closer we get to the provincial elections, the louder the rhetoric is apt to get. And "doctor bashing" makes us an easy target, which is why it's so important that we stand united in finding concrete solutions and in taking care of ourselves as a community.
Just as professionalism is a shared responsibility, improving the health and well-bring of physicians is something that concerns us all. By taking a positive leadership role, we'll be able to support our colleagues, make our practice settings into healthier workplaces, and engage in the discussions needed to overhaul the healthcare system.
On behalf of the AMQ, I'd like to urge you all to take care of yourselves.
Dr. Hugo Viens, B.Sc., M.D., FRCSC
President, Québec Medical Association
The QMA is supporting the IFMSA General Assembly in August 2018
The QMA is supporting the IFMSA General Assembly in August 2018
Twice a year, in March and in August, the International Federation of Medical Students' Associations (IFMSA) organizes a General Assembly that is attended by over 1000 medical students and young doctors from more than 100 countries.
This summer, IFMSA-Québec, the international and community division of the Fédération médicale étudiante du Québec (FMEQ), is hosting this event.
The IFMSA General Assembly will be held from August 2 to 8, 2018, in Montréal. The theme for this meeting is "Social Accountability: Health Beyond the Hospital". Participants will be asked to think about and discuss this topic. Throughout the week, different activities including training sessions and theme-based presentations will be on the agenda. The speakers will be announced shortly.
The Québec Medical Association is one of the main event sponsors.
To learn more, go to the event Web site.
Practising wisely: Dr. Vincent Demers' story
Practising wisely: Dr. Vincent Demers' story
Family physician and vice-president of the QMA, Dr. Vincent Demers provides care at home for geriatric patients who are losing their autonomy, in addition to treating vulnerable patients at the GMF ProActive Santé Neufchâtel and working with the SPOT community and teaching clinic. On May 2, 2018, he participated in the Practising Wisely: Reducing Unnecessary Testing and Treatment program. This training is a collaboration between the Québec Medical Association (QMA) and the Québec College of Family Physicians (CQMF). The six-hour course uses concrete examples (PPIs, screening, lower back pain, etc.) to discuss overprescription, overdiagnosis, overtreatment and excessive medical imaging. Dr. Demers agreed to talk to QMA Info about his participation in this program.
QMA INFO: Why did you decide to register for this course?
Dr. Demers: Medicine is evolving rapidly. I started my practice in 2004, and many guidelines have changed since then. They often contradict each other, leading us to change the recommendations we give our patients and creating confusion for them. I decided to register for this course mainly to acquire the tools to better address the needs of my patients who ask for screening tests and annual exams that they are used to getting, but which are no longer recommended.
QMA INFO: How did you learn about overdiagnosis and overtreatment? And how did they impact your practice?
Dr. Demers: I often thought that I prescribed some tests to avoid missing a serious but unlikely diagnosis, or because it was expected from me by patients or colleagues to be a good physician. With experience, I realized that many tests or procedures could cause more damage than good to patients and increase their anxiety, without even getting into how the cost and use of resources affected our suffering health care system. The discussions and questions over the last few years about the appropriateness of certain screening, such as for prostate cancer with the PSA test, opened my eyes to this problem. There is still a culture in medicine to look for anomalies among asymptomatic patients and to attempt to treat them before symptoms appear, but without ensuring that this will have a real positive impact on mortality or morbidity.
QMA INFO: What are the obstacles for a practice that is concerned by overdiagnosis and overtreatment?
Dr. Demers: On the one hand, it is sometimes necessary to go against some practice guidelines developed in the US or expert recommendations that can be biased and funded by the pharmaceutical industry. We also have to be aware when we attend expert conferences. On the other hand, we have to break free from the culture of tests and exams that we have established among physicians and patients, and always ask ourselves about the appropriateness of each of our investigations and procedures. This requires time and energy, which is not easy in our practice conditions where we always seem to be rushing, but it is essential. I have noticed, for instance, that before recommending our patients to a specialist, more and more often there is a blind requirement for preliminary tests, even if we feel they are not appropriate. We need to get back to basics by involving and enlightening our patients on each of our decisions that concerns them, because often they don't ask for that much and it's more to reassure ourselves, as physicians, that we overdiagnose and overtreat our patients.
QMA INFO: Did you discover tools or ways of doing things that will help you in your practice?
Dr. Demers: The Choosing Wisely Canada initiative, the Canadian Task Force on Preventive Health Care, some Web sites such as TheNNT, and a number of tools from INESSS help me to think about my practice better. There is also information for patients, which helps guide our discussions better and debunk the myths.
QMA INFO: How do you broach the issue of overdiagnosis and overtreatment with your patients? Has that evolved in the last few years?
Dr. Demers: I explain to them that medical recommendations evolve, which is a sign of a critical and scientific approach. I take the time to explain the risks and benefits of the proposed tests. I sometimes use existing tables that show how many people out of 1000 will benefit from a test or procedure, and on the contrary, how many will suffer adverse effects. Among patients who have been using drugs for a long time, I periodically review with them the need to continue medication and I try to deprescribe the ones that no longer have a clear benefit. I have been much more aware of these issues in the last two years than before, I think the wind is changing in the medical culture.
QMA INFO: What do you plan to change in your practice after taking this course?
Dr. Demers: I have already started, I am trying to get back to basics, at the clinic, with the questionnaire and the physical exam, to consider the implications of each of my interventions and to get patients more involved in the decisions. The main obstacle is still the amount of time that that requires.
QMA INFO: Would you like to add anything else?
Dr. Demers: The course was excellent!


text:
Posting ID : A1068535099
Date Posted : 2015-08-19
Category : Toys Games By Owner
I am selling my Sportcraft 8n1 Game Table Set. As you can see in the pictures that Pool is on top and it roates to become air hockey. It has two removable boards with other games on them. On the first board one side has Ping Pong the other has Table Football w/ goal-posts and plastic footballs. The other board has mini shuffle board on one side and then on the other a chess/checkers board on one end and on the other end a board for backgammon. Now please note that this is not a full size regulation table, its considered a mini table but to me it's bigger than mini. All the game pieces are there for each and every game, it is missing nothing so nothing to worry about there. When we moved it around we were extra careful when we did move it around and it has always sat on a carpet floor. And even comes with its own pool table brush. I will negotiate but I'm asking for 100.

subset: commoncrawl


text:
exhibitor login
Southern Women's Show
April 17 - 19, 2020
North Carolina State Fairgrounds
Raleigh, NC
Online Tickets
General Information
driving directions
What's happening
Special Days
Artisan Alley
2019 Show Highlights
For Exhibitors
Press Info
See What Happened at the 2019 Southern Women's Show!
VIP Shopper
The ultimate VIP shopping experience.
Includes a Three Day Pass (wristband), $10 in show bucks, a VIP lanyard, a tiara and a Southern Women's Show reusable shopping bag including surprise goodies from exhibitors and sponsors.
Dancing Like the Stars 2019
Watch some of your favorite local celebrities compete for the title in the always popular,
Dancing Like the Stars.
The Dancing Like the Stars competition is sponsored by
National Inclusion Project
Fred Astaire Dance Studios of Cary
National Inclusion Project was created to bridge the gap that exists between young people with disabilities and the world around them. They partner with communities and inclusive programs creating awareness about the possibilities that inclusion can bring. Don't miss this fun event that supports a great cause!
Sponsored by
Sponsored by
Fewer calories than a glass of wine!
Girls Night Out
with the new
Ketel One Botanical
, vodka distilled with real botanicals and infused with natural fruit essences and made with real ingredients - no sugar, no artificial sweeteners and no artificial flavors. Sample three delicious varietals including Peach & Orange Blossom, Cucumber & Mint, and Grapefruit & Rose at the Southern Women's Show in exhibit #935. Craving a dessert cocktail? We've got you covered with
Baileys Almande
, the delicious dairy-free almond milk liqueur, perfect for a light-tasting treat. Try three varietals of indulgent Baileys, also in exhibit #935.
Sponsored by
Sponsored by
Fido Fashion Show
Neuse River Golden Retriever Rescue, Inc.
is dedicated to the rescue, rehabilitation and adoption of golden retrievers in need. The organization advocates responsible pet ownership, community education and protection of all dogs. While their focus is primarily on the eastern half of NC, they accept any golden retriever into their program – regardless of age or medical condition. They help families who can no longer care for their goldens by offering an opportunity to surrender their dogs – knowing that a final outcome is happy and includes a new, loving home. They also partner with shelters to save strays and assure goldens are not euthanized because no one wants them. They are an all volunteer organization and cannot continue their work without foster homes, transporters, and fundraisers.
Join them daily on the Fashion and Entertainment Stage for the Fido Fashion Show - Goldens on the Runway.
Sponsored by
Making Magical Memories with your Favorite Fairytale Princesses
Be our guests at a magical performance with your treasured princesses, provided by
Fairytale Dreamer!
The enchanted sing-a-long and dance will be held on
Saturday, April 13 and Sunday, April 14
on the Spotlight Stage. Bring your little princesses and sing-a-long with your favorite fairytale friends. Don't forget your cameras for an opportunity to meet and pose for pictures with the princesses following their performance.
Sponsored by
The Glam Bus
The Glam Bus
Mobile Salon will be the first of its kind in NC! At Glam, attention to detail matters the most! Men and women throughout Raleigh, Durham, Chapel Hill and surrounding cities of NC are beautified on their 45 ft luxury motor coach. Inside you will encounter a sleek, shabby chic designed area with upbeat music, in addition to a separate traveling 10 ft walk through product boutique stocked with some of the most sought after hair, face and body products. Glam was designed with the customer's convenience in mind, with creativity and with the utmost professionalism. Your experience awaits!
Sponsored by
Fabulous Balloon Features
Party Animals
will be creating a balloon feature at the Southern Women's Show for all of your must-have selfies! They will also have face painting and a balloon artist onsite.
Connie Iden-Monds is a serious pro. She led Team USA to its first podium appearance in the Large Sculpture Category at the World Balloon Convention 2018. The sculpture earned third place and additionally received a gold achievement of excellence.
Sponsored by
The Golf Cart Guy
Be on the lookout for The Golf Cart Guy at the Southern Women's Show. A complimentary shuttle service will be assisting those in need with a shuttle service from your parking spot to the entrance of the show. The hours of the shuttle service are listed below:
Friday: 10:30am-5:00pm
Saturday: 9:30am-7:00pm
Sunday: 11:30am-5:00pm
Sponsored by
Shop, Save + Support
You can do it all by purchasing a reusable shopping bag to fill up with treasures from your day of shopping. Best of all, you will be supporting a worthy cause –
Burned Children's Fund!
Get Your SWS PopSocket While Supplies Last!
Text with one hand, snap better photos, and stop phone drops all while showing off your love for the Southern Women's Show! Available for purchase at the show for $5 -
while supplies last!
Strike a Pose!
Grab your friends and strike a pose! Take a picture and not only tag you but let us be part of the fun and tag us. #southernwomensshow #swsraleigh @southernwomensshow
Be a Social Butterfly
Follow our social channels to get the inside scoop on breaking show news, special offers, and more.
Snapchat: SouthernWShows
Show Updates
Our Sponsors
Contact by mail
Southern Shows Inc.
PO Box 36859
Charlotte, NC 28236
Contact info
p: (704) 376-6594
f: (704) 376-6345
tf: (800) 849-0248
For The Press
Press Room
For Exhibitors
Exhibitor Accounts


text:
Reports and Pamphlets
City of Lewiston, Idaho. 1991. Comprehensive Plan.
City of Lewiston, Idaho. 1996. Lewiston Comprehensive Transportation Plan.
Idaho Department of Agriculture. 1992 Census of Agriculture.
Idaho Department of Commerce. 1996. City Profiles of Idaho.
Idaho Department of Commerce. 1996. County Profiles of Idaho.
Idaho Division of Financial Management. 1997. Idaho Economic Forecast 1996 - 2000.
Idaho Housing and Finance Association. 1995 Consolidated Plan.
Idaho Power, 1997. Economic Forecast for the State of Idaho. Boise, Idaho.
Nez Perce County, Idaho. 1978. Comprehensive Plan.
North Central Idaho Travel Association. 1997. Northwest Passage Clearwater Canyons Scenic Byway Corridor Management Plan. Idaho.
The Idaho Planning Association. Local Planning In Idaho. A Primer for Planning and Zoning Commissioners.
American Planning Association. 1997 & 1998 Issues. Zoning News. Chicago, Illinois.
Goodman, William I. and Eric C. Freud. 1968. Principles and Practice of Urban Planning. International City Manager's Association. Washington D.C.
Greenbie, Barrie B. 1981. Spaces: Dimensions of the Human Landscape. The Murray Printing Company. Westford, Massachusetts.
Loftus, Bill. 1992. Idaho Handbook. Chico, California
Rivers, K.E. 1997. Idaho's Scenic Highways, Volume 1: Central Idaho. Ketchum, Idaho.
Smith, Herbert H. 1983. The Citizen's Guide to Planning. American Planning Association. Chicago, Illinois.
Smith, Herbert H. 1983. The Citizen's Guide to Zoning. American Planning Association. Chicago, Illinois.
So, Frank S. 1979. The Practice of Local Planning. International City Management Association.
GORP Great Outdoor Recreation Pages. 1997. Nez Perce National Forest.(Web page no longer available.)
Lewis-Clark State College. 1997. The Lewis-Clark Valley. (Web page no longer available.)
Regional Economic Information System. 1997. BEARFACTS Nez Perce County, Idaho.(Web page no longer available.)
US Army Corps of Engineers Walla Walla District. 1998. Nez Perce County Flood Information.(Web page no longer available.)
Valley Vision 2000. 1998 Lewis-Clark Valley Information.
The Lewiston Tribune. Nez Perce County Official Newspaper.
J.R. VanTassel, Chairman Irwin H. Caufield James Soyk
Betty Clack, AICP, Planning Director Lynnette L. Ehler, Legal Counsel Sue A. Grogan, Planning Services Secretary
James Angle, Chairman Richard D. Broncheau Theron Bruce Hal Coder John Fisher William "Bill" Loft Ron Wittman
Carl L. Stearns, AICP, Project Manager Nancy A. Taylor, AICP, Project Planner Bruce Cheney, GIS Specialist J-U-B ENGINEERS, Inc. 7825 Meadowlark Way Coeur d'Alene, ID 83815 208-762-8787


text:
Coach Brian Kelly giving tips for the grill
Posted: Jun 26, 2012 10:22 AM EST | Updated: Nov 6, 2014 3:07 AM EST
MISHAWAKA, Ind. -- Irish football head coach Brian Kelly is teaming up with Meijer, he's grilling up some summer favorites.
You can catch Coach Kelly, along with Meijer's Healthy Living Advisor Kristen Johnson Tuesday. They'll be at the Mishawaka Meijer store on Grape Road from 5:30 in the evening until 6:30.
They're giving summer grilling tips and tailgating menu ideas.
Fans will even have a chance to win tickets to upcoming games, as well as autographed items from Coach Kelly.
Save with
0 Comments
Post a comment
Be the first to leave a comment!


text:
- Share this item with your network:
- Download
Business Information
- FeatureChange starts with human capital management software for HR exec
- FeatureAugmented reality provides a change of perspective for manufacturers
- FeatureCloud-based integration seeks to tear down data silos
- TipGet to know the cloud integration environment
- TipCloud integration tools: The most popular products
- FeatureIntegrating cloud data? Don't let data governance be an afterthought
- TipFour questions to ask cloud integration vendors
- OpinionTake on cloud-to-cloud integration, and enjoy the results
- OpinionIT outsourcing doesn't provide clear cost savings
- OpinionImprove business cost management with better collaboration
- OpinionData science jobs not as plentiful as all the hype indicates
Petya Petrova - Fotolia
Take on cloud-to-cloud integration, and enjoy the results
Getting business and IT systems to communicate is no easy task -- throw in cloud apps, and it gets harder still. But sharing data today is not an option.
- Jason Sparapani, TechTarget
In 2015, we're well past the novelty of cloud computing -- of having to lay out the benefits and prophesy on whether its future is bright or, um, cloudy. Today, more and more IT folks and businesspeople are working daily with cloud applications and infrastructure -- most likely in combination with traditional on-premises systems -- or they're putting them in place.
What's still on the horizon is the day when those often isolated systems can freely share their treasures of data. As reporter Joel Shore writes in this issue of Business Information, it's essential for companies to connect their disparate business and IT systems to make the most of their investments -- through ground-to-cloud or cloud-to-cloud integration -- and gain a competitive advantage over less-connected rivals. The one with the seamless configuration wins: more efficiency, less waste, bigger returns.
But the high road to integration isn't an easy one. Shore writes about Formaspace, a manufacturer of industrial and laboratory workbenches with good business prospects but disconnected IT systems. So Formaspace moved some on-premises applications to the cloud and developed a working network of communication among its systems, shattering what had been impenetrable silos of data.
"The result is a smoother user experience that is now generating $3 million in revenue per quarter," says Formaspace IT technician Loddie Alspach.
But setting off on an integration journey doesn't set you free. Projects need to tackle data governance -- policies for handling data throughout a business and beyond. In another story, Shore explores the management challenges in store for companies integrating data from various sources -- and then moving it around. In Europe, for example, there are restrictions against moving data across borders. So, what happens when you bring a mobile device carrying business data from France to Spain to Luxembourg? As Shore says, "There are no simple answers."
There is, though, the promise that data is not a problem that needs moderating but an invaluable asset. Also in this issue, columnist Mary Driscoll looks at the efficiencies one business achieved by tapping into the rivers of information roaring through it each day. Oil and gas company Aera enlisted the help of a seemingly unlikely candidate: its finance department. The finance team feeds accounts payable info to business managers, alerting them to newly delivered supplies and raw materials so they can approve them -- and keep things moving.
"Operating managers love it," says Aera's Ron Hardin, "because it helps them run their businesses better."
Here, as with cloud-to-cloud integration projects, or any other data integration initiative, more communication means more benefits. But for Aera, getting to that point meant getting finance people to care about other departments' operations. That takes something you can't install: cultural change. Makes integrating apps and IT systems look easy, doesn't it?
Next Steps
New approaches needed for cloud data integration
On-premises integration needed for cloud CRM system
Financial apps take a cloud-erly direction


text:
Scenes of Clerical Life
Edinburgh and London: William Blackwood and Sons, 1858. First Edition. Octavo. Very Good. Item #08279
Original maroon morocco-grained cloth, stamped in blind, spine lettered in gilt; two volumes, brown coated endpapers. Easily, a very good, unsophistocated copy of the author's first book, now quite scarce in the original cloth. Internally clean and bright, with no markings of any kind; volume I with bookplate or label removed from front pastedown, leaving evidence of it's removal, rear outer hinge starting. Bookseller's ticket to rear pastedown of volume I. Housed in an excellent quarter-leather slipcase, with chemise.
Price: $9,000.00 save 20% $7,200.00


text:
Latest Edition
Executive View
MASA President
Association News
Member Memos
Invest MN
Past Editions
Fall 2019
Summer 2019
Spring 2019
Winter 2018
Fall 2018
Summer 2018
Spring 2018
Winter 2017
Fall 2017
Summer 2017
Spring 2017
Winter 2016
Fall 2016
Latest Edition
Executive View
Relationships, Relationships, Relationships
To be Plugged In or Unplugged
A Champion for all Children
Advocacy Will Be Vital During 2019 Legislative Session
We Start Anew!
MASA President
Be Fearless
In retrospect…
Broadening Our Circles of Discussion
Get to know us as people
What's your it?
Association News
Register Today! MASA Fall Conference
2019-20 Business Partners
2019 Dale G. Jensen Golf Classic
2019-20 Committee Dates Announced!
2019-20 MASA Foundation Board
Fall Legislative Preview
2018-19 MN Legislative Wrap-Up
Legislative Update
2019 Legislative Session Around the Corner
Fall Legislative Update
Administrative Leaves in the Wind: Court Holds Paid Leave is a…
Touched by an AngelSense: Handling Parent Requests to Use Location-Monitoring Devices…
The Road to Recovery: Court Expands Possibility of School Liability for…
A Tale of Two Data Practices: Unlike Personnel Data, Educational Data…
An Adequate Education: Supreme Court Revives Education Clause Lawsuit
There's an app for that! But, wait… has it been vetted…
The Unsung Heroes of Technology in Rural Minnesota
Toolset. Skillset. Mindset.
How old is your IT equipment?
A Digital Learning Journey and the Importance of Frameworks
Member Memos
Six Steps to Increased Public Support
School Shootings: What Administrators Need to Know
Re-Focusing Our Mission: The Modern Graduate, The Modern Learning Environment, &…
My Year as MN Superintendent of the Year
Reading and Math Corps Savings to Princeton Public Schools
Academic Integrity Starts in Pre-K
Keeping Yourself Positive During Challenging Times
YOU Create the Culture
NCLB Revisited
Five Research Must-Reads for Inclusive Education Leaders
Unpacking Chronic Absenteeism through Networked Improvement Communities
New Resources for Districts from CAREI
When Evidence-Based Practices do not produce desired effects: Should we throw…
Why is it so Difficult to Sustain Change Over Time?
Invest MN
Social and Emotional Well-being For Education Leaders
Power Boosters
Communicate Kindness
Kick Start Communications for 2019
Immigration and Education
Past Editions
Fall 2019
Summer 2019
Spring 2019
Winter 2018
Fall 2018
Summer 2018
Spring 2018
Winter 2017
Fall 2017
Summer 2017
Spring 2017
Winter 2016
Fall 2016
MASA Leaders Forum
Placeholder Image
Board of Directors
MASA Website
© 2017 MN Association of School Administrators


text:
Waiheke Headland exhibition shows best of New Zealand sculpture
Headland Sculpture on the Gulf
Matiatia, Waiheke Island
Until February 17th
Nowhere in the publicity did it say that Peter Jackson had entered a work in the Sculpture on the Gulf exhibition. But there it was, on the headland, a Hobbit building complete with squealing Hobbit children prancing around and playing on the swings which hung from the creaking construction, cobbled together from bits of timber.
But these heightened expectations were dashed when it was revealed that the work was actually by the mere mortal of an artist, Gregor Kregar who had created the Middle Earth structure.
Constructed out of eleven tonnes of recycled timber "Pavilion Structure" owes much to the traditional children's tree house, the elegant European pavilion and the jerry built bachs of Waiheke.
The work has much in common with the artist's previous work that sees him working within the area of the cultural landscape looking at architecture, cultural symbols and emblems with an element of playfulness and wit, giving the everyday object a surreal and mythic quality.
"Pavilion Structure" is one of several works in this year's exhibition which have taken an architectural; approach.
There is also Mathew Muir's "April 1975" ($8300) a cute little old bach, bigger than a dolls house but not big enough for a play house. It is equipped with table, chair, bunks and miniature copies of 1970's magazines as well as one of the artists own paintings – a retro painting of an old bach.
The work is a nice commentary and homage to the fast disappearing Waiheke beachside minimalist holiday home.
Waiheke also features in Regan Gentry's recreation of the facade of the old Rocky Bay Store – an architectural appropriation which is located on the roadside overlooking Matiatia, the front windows of the store becoming a viewing window of the bay below.
This harbor view is also a feature of the remarkably sophisticated "Bunker Vision Hi Fi" ($15,000) by Jonathan Organ and Jessica Pearless. The black building has a slot in one wall much like that of a maimai or one of the many gun emplacements which dot Auckland's coastline.
The exterior of the room has a façade which is based on one of Colin McCahon's Angels and Beds paintings, one which is subtitled HiFi because the shapes appear to spell out the words.
The original; McCahon works were about protection, the light of knowledge and passing from light into darkness. These notions are reinforced by the inclusion of a bold pink geometric work by Pearless on an internal wall.
Other architectural works include Terry Stringer's "Shrine for the Sea. Soil and Sky", a three sided temple or folly featuring a head, foot and hand.
There are other common themes to the exhibition with many works referring to figurative elements while others reference the history and the ecology of the island and the environment in general. One other major theme is the idea of communication.
On the opening day the most obvious and literal of these was the work by Fatu Feu'u with his "Waiheke Island Sway". The work itself does not have the power of most of his sculptural; work consisting of three cartoon-like guitar shapes in red, yellow and blue ($11,000 each).
What made the work successful was the presence of two grass skirted female musician/ dancers / singers who performed mid-twentieth songs of the Pacific accompanied by some hula dancing. This bit of Pacific on Waiheke was a clever and witty take on colonialism, cultural appropriation and exploitation.
The most successful work of this sort was "Field Notes" by Carolyn Williams. Dozens of delicate metal rods suspended between the bough of a tree and the ground with each rod having a metal shape representing a sound which the artist had transcribed from sounds she had recorded in the environment around the tree. These shapes hovered in the air, a physical representation of the sounds one could hear.
Her work had a companion piece in Sharonagh Montrose's "A Weave of Words" which consisted of a small grove in the bush where which the artist had created a soundscape which could have been pre recorded or sounds picked up from elsewhere on the trail and fed back into the grove.
Several of the works were interactive with works such as Aaron McConchie's "I Am Auckland" ($11,430) which initially looked like a giant scrum machine. The work consists of three large wooden paddles which can be manually manipulated by levers. The work is like a primitive form of semaphore, enabling participants to signal across the harbour to those on the mainland.
The most innovative of these notions about communication is Kazu Nakagawa's "A Play – Catwalk" in which the artist has chosen two curators who in turn have designed costumes to perform on the large outdoor catwalk. The whole piece is a combination of fashion show and promenade with the audience as spectators, voyeurs and participants.
Other works in the show include an Phil Price's elegant "Snake" ($180,000, David McCracken's "Portrait if Traction and Transmission ($75,000), the only work which makes use of the waters edge and Jeff Thomson's sprawling "Knotty" ($25,000) which looks like a reworked and repainted version of his large work which sprawled down the hill above Matiatia six years ago.
Among the other thirty works are sculptures by Peter Lange, Matt Ellwood, Sarah Brill, Nic Moon and Graham Bennett
The New York Times recently voted Sculpture on the Gulf thirty-fifth on a list of 100 great places to see. After this show it will probably be up around twenty-fifth.


text:
Last week Microsoft announced a number of new features for the next Windows update and in time I will get to them; but right now I want to the public reveal of Project Neon.
Fluent Design System
Starting with the Fall Creator's Update Microsoft will be shifting Windows away from the flat, minimalist world of Metro to the third dimension known as the Fluent Design System (FDS).
Fluent Design is an expansion on some of the ideas Microsoft started playing with in Metro, but it is also is the opposite of it. FDS caries on the ideas of the use of colors and for apps to be digitally native, but it's not the strongly flat thing Metro was. FDS is also not as stringent as the guidelines for Metro was. FDS still draws inspiration from the same sources as Metro did but the world FDS is built for is far different.
Designed for the Surface and Mixed Reality
One of the interesting things I learned about Fluent Design is it was partly designed around the fact Microsoft makes hardware. The obvious one was HoloLens, Microsoft's augmented reality headset. FDS takes clear inspiration from the device with a focus on depth and materials and scale. But I think one of the other sources is the Surface.
Put bluntly Fluent Design is about creating appealing software and experiences that will make Windows devices desirable. The Surface team has been pushing the hardware envelope but the software has largely languished. FDS potentially fixes that.
Right now FDS will not be a one and done affair, but instead release as a series of waves. Wave 1 is already out with a number of applications using aspects in their apps.
So this is the end of part one. I'm going to post up a series of various images showing the future of Fluent Design soon.


text:
About Me
Hi, I'm Marilyn
I love my work. I'm grateful to be on a Path with heart that expresses my life's purpose. Although I consciously chose this way of helping back in the early 70's, I can't help but wonder if the Path really chose me.
Maybe it all started in third grade when I wanted to be both a nun and a professional baseball player. Or perhaps my Near Death Experience as a pre-teen was my initiation onto this Path of helping others, curiosity about spirituality and devotion to the Mystery.
What I know for sure is that being of service in this particular way brings me joy, creativity and a profound sense of meaning.
I've spent years in school studying psychology, counseling, and spirituality. I've had decades of clinical experience to hone my skills. I am grateful to mentors, teachers and guides, both traditional and non-traditional, who have helped shape my art of deep listening and compassionate presence.
As I look back over the years I would have to say that my clients have been my greatest teachers. I remember and honor all those who came to my office, found sanctuary to do their work, and returned, renewed to their life. Hour after hour, story after story, my clients and I have found the treasures buried in their experience. I, now, carry that collective wisdom gleaned from witnessing so many people triumph over adversity.
My clients tend to be introspective, sensitive, and willing to go deep. Many are grieving a loss in their life. Many have an interest in things spiritual, but not necessarily religion. They could be healers, parents, professional helpers, LGBTQA, artists. They usually want to know themselves better so they can make different choices. They often want freedom from cultural, religious, or familial beliefs that no longer serve them. I am open, flexible and enjoy responding to the variety of situations and the uniqueness in people who find me.
I have faith that you, too, can wrestle with and grow from challenging life circumstances. You can learn to navigate your own inner world and personality dynamics. You can heal from your past and create a new future.
If you want details about my qualifications, training and educational background, click here.
Behind the Scenes:
I cherish being a mom, grandmother,sister, daughter, friend.
I've learned important lessons from marriage, divorce, coming out, partnership.
My three adult kids, their partners, grandkids and my grandpets keep me laughing.
I am an explorer of spirituality, mystical things, intuitive arts. I love symbols, metaphors and creating rituals.
I am a certified Chinese Qigong Instructor and I'm interested in energetic empowerment.
I play guitar, volunteer for Hospice, rescue dogs, enjoy Asian art, write an occasional poem and keep a good book close by. Always.


text:
Many dental insurance plans will cover the cost of Invisalign® treatment under the orthodontic maximum portion of the policy. You need to be sure and read through some of the limitations and exclusion, for example age limitations & waiting periods. Once orthodontic coverage is confirmed, we will submit to your insurance policy after start of treatment & the reimbursement will come directly to you.
Learn more about Invisalign payment options.


text:
This is a collection of videos and virtual tours about Arbors on Taylor.
This is a collection of brochures, prospects and Documents about Community.
Call now or fill out the form below and a Arbors on Taylor apartment in Montgomery, AL representative will contact you shortly.
Please wait we are submiting your order...
Completely renovated by Lee Ann's Interiors featuring black appliances, update d kitchens and bathrooms, hardwood and tile floors. Washer and dryer are included. These exec utive apartments outshine the competition. Arbors at Taylor is located just minutes from major shopping malls, fine dining and access to I-85. Come by and see us today and start living the luxurious lifestyle.
Mon-Fri 8:30am-5:30pm; Sat 10am-4pm; Sun Closed
Bedrooms: 1 BDRM
Bathrooms: 1 BA
Phone: 866-260-2324
Prices & Availabilty Subject To Change
Phone: 800-264-4958
From I-85, take Exit 9 to Taylor Road. Turn left and go approximately 1/2 mile and you'll see our entrance on your right directly across from Baptist East Medical Center and AUM.
Get Directions
Alabama Apartment and Condominium Guide
By Shop A City, Inc Shop Apartments


text:
Insulin leakage at the injection site or worsening blood glucose control may indicate that a syringe or insulin pen with a longer needle is needed.
Learn more about the health and medical experts who who provide you with the cutting-edge resources, tools, news, and more on Diabetes Self-Management.
About Our Experts >>


text:
Big Al's Diner
Authentic. Fast. On Trend.
Big Al's Diner is a food concept packed with personality. From our flame cooked quality burgers and mesquite buffalo chicken wings, to our authentic Italian Pizza twists; your customers will love this fresh take on a classic American diner.
Big Al's Diner concept is designed to create an immersive experience for customers and transform your establishment into an on-trend, go-to eatery for snacks, on the go meals and all day dining.
Burgers / Wings / Ribs / Hot Dogs / Pizza
Snacking / All Day Dining / On the Go


text:
Curb, Sidewalk and Ditch Crossing Permits (Driveway Access Permits)
The Transportation division controls access from public and private properties onto City streets. All property owners who wish to install a new driveway access or modify an existing access to their site, must complete a Driveway Crossing Permit Application.
Additional specifications are required for all crossings passing through a ditch. The majority of the Montgomery Place Neighbourhood has a ditch drainage system where these standards apply.
Transportation uses the items outlined on pages 23 to 27 of the Curb, Sidewalk and Ditch Crossing Information Package to review each application. Please carefully review them before you submit the application. The review process may take up to 5 business days. Please note that submitting an application without required information may result in delaying your process time.
Driveway Crossing Permit Fee - $375.00 (ONLY VALID IN THE YEAR IN WHICH IT IS PURCHASED)
- The fee includes 2 inspections (Pre-pour inspection and final inspection)
- The fee does not cover costs of any construction (You must hire your own contractor to do the work).
After reviewing the above documents, you can submit your application and detailed site plan to us by emailing email@example.com.
For more information please use the Contact Us section found on this page.


text:
Top Five - Helvetas' Fair Trade Eco Gifts
The products we showcase on TreeHugger often have a North American bias. To redress the balance (if only a little) here are some great gift ideas from Helvetas. A Swiss based organisation that promotes self-reliant and sustainable development in the countries of the South. They are particularly keen on the "promotion of the sustainable exploitation of natural resources" through "ecologically sound agriculture, husbandry and forestry, coastal fisheries, bio-diversity, rural credit systems [and] promotion of peasant organizations." They achieve this through their 300 local indigenous staff, in places that don't usually make the nightly northern news, such as Kyrgystan, Bhutan, Benin, Leosotho, Paraguay and Guatemala, amongst others. ::Helvetas [by WM] Take a peek in their Fair Trade Online Store for goodies like the following:1. Pashmina Scarf. (picture above)
Supports the fair employment of Nepalese women, who weave this luxurious cloth from goats, bred in mountains of Nepal and Tibet. The scarves pass WWF's Oeko test. 210g, 84 x190cm, packaged in handmade Nepalese paper. 70% Pashmina 30% silk. 298 Swiss Francs.
2. Silver Bracelet.
Supports the traditional handicraft of the famed Tuareg desert tribes of the Niger, Africa. The Helvetas program assists with design, quality control and marketing of this handmade jewellery. Packaged in handmade Nepalese cloth bags. 84.60 Swiss Francs.
3. Glass Karafe (or Vase).
Supports innovative Guatemalan cooperatives who create works with recycled glass, while paying fair wages and offering good social security benefits. This mouth-blown karafe/vase is 25 cm tall and can be used with matching juice or wine glasses. 27 Swiss Frances.
4. Organic Cotton Kids T-shirts.
Supports Mali farmers in Africa, as they make the 3 year transition to full organic certification. Soil destruction is prevented, and the costs of pesticide and artificial fertilizers no longer required, thus enhancing the livelihood of farming communities. Helvetas also supports the Clean Clothes Campaign - international fair conditions in the textile industry. The animal motifs on the shirts were created by the Tingatinga artists workshop in Dar es Salaam. 25 Swiss Francs.
5. Bamboo Bowl
Supports local communities in Vietnam, with fair trade for their craft work. In this case the 'Haiphong' bowl, where the bamboo has been pulled up at each end for a different look. Available in natural or a rusty red lacquer finish. 25cm long. 28 Swiss Francs.
NB: If you don't need to get physical gifts, you could always give someone the gift of membership to Helvetas, so they knew that they were contributing to an important balance of trade, between the South and North.
Top Five - Helvetas' Fair Trade Eco Gifts
The products we showcase on TreeHugger often have a North American bias. To redress the balance (if only a little) here are some great gift ideas from Helvetas. A Swiss based organisation that promotes self-reliant and sustainable development in the


text:
PITTSBURGH (KDKA) — Pittsburgh Police are looking for the vandals who damaged several cars on the North Side over the weekend.
Rims and tires were stolen from vehicles at Land Auto Repair on Flocker Street early Saturday morning.
Other cars had broken windows. In total, 16 cars were damaged.
Owner Alan Land said his love for cars started in elementary school and now he's faced with a tough decision.
"I'll probably have to close up. This really hurts, ya know," Land said.
He said his heart broke when he first saw the destruction.
"I saw that van back there, the door was open and I started walking through and started seeing windows broken and wheels missing," he said.
22 tire rims were missing, 16 batteries stolen.
"The aluminum rims on the cars. They're stealing them cause they're about 11 dollars a piece. Then the batteries. They can get 7 or 8 dollars a piece, so it's all scrap you know," Land said.
Join The Conversation On The KDKA Facebook Page
Stay Up To Date, Follow KDKA On Twitter
Police are checking with neighbors to see if they saw anything suspicious.
Stay with KDKA for a full report on this story.


text:
It's National Scrapbooking Day today and I'm late in posting this! I scrapped with some great friends last night at our local Scrap store, Stampin' and Scrappin' Time in Bridgeport, NY! It was a blast as usual... lots of food, laughs, honest discussion, venting, and creating! I didn't get much done but it felt so good to get out and hang with my peeps!
I have alot going on right now in the creating world. I am working on many different projects for both Couture Cardstock and Nikki Sivils! Can you believe that my term at Nikki's is almost up? I am part of her inaugural team and I'm excited to say that she is hosting another DT call now! Here are the details on her blog. If you love her products and lines as much as I do, you probably have a hard time picking a favorite line, but if you leave a comment over on her blog or here you can be eligible for a NSD RAK. I know I'm late the the scene tonight so I will be giving away a RAK in case her's ends before you comment. Leave a comment here about what you love about Nikki Sivils papers or products and I will give away a little goodie bag of Nikki products including burlap buttons, pocket of stickers, and a stamp set!
Hope you are sitting down and making some art or scrapping right now in celebration of our crafty holiday! Have a happy NSD and May Day!
Saturday, May 1, 2010
Happy National Scrapbook Day!
8 comments:
- Pao said...
i love the victoria's street collection. my family just spent our vacation in a farm with a quaint french-style stone house and this collection would be perfect for the LOs i plan to create. :)
- May 1, 2010 at 8:11 PM
- Jennifer Hansen said...
Love her patterned paper designs!
jlh774 at gmail dot com
- May 1, 2010 at 8:25 PM
- Angie said...
Happy NSD! I just love the color schemes and fun patterns of Nikki Sivils papers! They just scream FUN!
- May 1, 2010 at 9:12 PM
- Tabitha said...
YOu have a great blog. I have just recently puchased a bit of Nikki's paper and just love it.
- May 1, 2010 at 10:42 PM
- Erika M. said...
I really love the whimsical designs of Nikki's paper!
- May 2, 2010 at 7:55 AM
- ShoppingTamii said...
I love how beautiful yet simple they are
- May 2, 2010 at 2:44 PM
- craftymom205 said...
I love North pole nights. Great blog
- May 2, 2010 at 3:08 PM
- dolls like us said...
Loved the cards they seemed so 3 d.
- May 3, 2010 at 2:21 PM
Subscribe to: Post Comments (Atom)


text:
Coachmen RV Freedom Express Ultra Lite 246RKS Travel Trailer For Sale
Coachmen Freedom Express Ultra Lite travel trailer 246RKS highlights:
- Rear Kitchen
- Large Slide Out
- Queen Bed
- Three Burner Range
If you're looking for an RV to fit your family of five, this travel trailer with a large slide out will be perfect for you. Within the slide out you'll find a sofa that can also be converted into additional sleeping space. There is a wardrobe with a bench so you can store your shoes and jackets and have a place to sit to put on those hiking boots! The dinette includes a removable resin outdoor table and the rear kitchen has all the amenities you need to prepare a home cooked meal. This unit features a front bedroom with a queen bed and privacy curtains so you can enjoy your own space.
With any Freedom Express Ultra Lite travel trailer by Coachmen you will appreciate of ease of towing behind your family vehicle. All the tanks are located under the floor to lower the center of gravity for increased storage capacity and improved handling down the road. Inside, you'll enjoy features such as, LED lighting throughout, Congoleum Designer Carefree Flooring, an LED TV, plus a 6 cu.ft. double door refrigerator to name a few. The pass through storage with an LED light strip allows you to easily bring along those larger camping items, plus there is an electric awning with LED lights outdoors as well as an exterior shower station to wash off your hiking boots. Come see how you have the freedom to explore in a Freedom Express Ultra Lite travel trailer today!We have 1 246RKS availableView Inventory
Sleeps 5 Slides 1 Length 28 ft 3 in Ext Width 8 ft Ext Height 10 ft 4 in Int Height 6 ft 9 in Interior Color Harbor, Cashew Hitch Weight 500 lbs Gross Weight 7000 lbs Dry Weight 4700 lbs Cargo Weight 2300 lbs Fresh Water Capacity 49 gals Grey Water Capacity 33 gals Black Water Capacity 33 gals Available Beds Queen Refrigerator Type Double Door Refrigerator Size 6 cu ft Cooktop Burners 3 Number of Awnings 1 LP Tank Capacity 20 AC BTU 13500 btu Cargo Deck Size 0 ft TV Info LED TV Awning Info 18' Electric with LED Light Strip Axle Count 2 Number of LP Tanks 2 Shower Type Radius
Similar Travel Trailer Floorplans
Travel Trailer
- 27 Photos
- 1 Tour
- Stock #: CM0136
- Length: 28 ft 3 in
- Location: Bedford
- Sleeps up to 5
- Harbor, Cashew
- Your Savings: $10,361
- Your Price: $23,436


text:
SANTA CLARA, Calif. – Santa Clara baseball hosts UC Davis on Tues., April 23 at 6 p.m. game before traveling to Saint Mary's. The Broncos and Gaels will play Fri., April 26 at 3 p.m., Sat., April 27 at 1 p.m. and Sun., April 28 at 1 p.m.
Last week Santa Clara fell to Cal Poly on the road before being swept by San Diego at home. The Broncos are now 9-28 overall with a 0-15 mark in West Coast Conference play.
"We're going through a rough time as a team right now," said Santa Clara head coach Dan O'Brien. "We need to grow as a team and learn to take a punch but we won't be able to accomplish that until the guys are tired of losing. The adversity will ultimately benefit us because it will help build the program."
Santa Clara is 40-26-1 all-time vs. UC Davis. This will be the first of two matchups this season between the two teams. The Broncos will travel to Davis on April 30.
The Broncos are 156-109 all-time vs. Saint Mary's. Last year the Broncos took the series finale 9-4 at home. Matt Ozanne had a big day for Santa Clara, going 3-4 with a run and a RBI. Greg Harisis added two hits and Justin Viele was 2-3 with a run scored and a RBI.
The Aggies enter the week with a 15-22 overall record and a 4-11 mark on the road. They opened their season by taking three of four from Washington and taking down San Jose State. Davis took one game at Oklahoma State and was swept by No. 21 Cal Poly. The Aggies have also faced No. 4 Cal State Fullerton and were swept in a three-game series. On March 26 they took down Stanford 2-1 at home. Last week Davis swept UC Riverside in a three-game series and scored 30 runs.
The Gaels are 14-25 overall on 2013 and 5-7 in the WCC. They opened the season by taking one of four from Cal State Northridge on the road before sweeping Chicago State. They hosted Utah for a four-game set and took the second game 2-1. Last week Saint Mary's swept Portland at home.
Santa Clara has a team ERA of 5.36 in 335.2 innings. The pitching staff has allowed 388 hits and 137 walks while striking out 206. Opponents are hitting .295 off of Bronco pitchers.
Tommy Nance (2-2, 3.24) leads the team in ERA. Nance has thrown 25.0 innings and allowed 19 hits. He has 18 strikeouts against nine walks with an opponents' batting average of .213. At San Jose State on March 10 he tossed 8.0-plus innings of one-hit, one-run ball with seven strikeouts.
Mike Couch (3-6, 3.87) has been the Friday night starter for Santa Clara and had his best outing vs. San Jose State on March 8. Couch threw a complete game shutout with five strikeouts. Couch leads the team with 76.2 innings pitched and has struck out a team-high 41 batters with 32 walks while allowing 71 hits.
Max Deering (1-4, 4.53) has been the first choice coming in from the bullpen. Deering has thrown 45.2 innings over 26 appearances, including one start, and struck out 34 batters against just 14 walks. He is tied with D.J. Zapata for the team lead with two saves.
Reece Karalus (0-6, 6.26) has shown improvement as the season has progressed. Karalus has made 15 appearances and eight starts, covering 46.0 innings. He has struck out 41 batters while walking just 15. His 2.8 strikeout to walk ratio is tops on the team. Against the high-powered San Diego offense on April 19, Karalus went 7.0-plus innings while allowing just three hits and two earned runs with five strikeouts. Karalus has also picked up one save.
Chris Mendoza (2-2, 5.20) stepped up out of the bullpen in the first game of the double header vs. Michigan State on March 16. Mendoza threw 5.0 innings of one-run ball to save the bullpen. Mendoza has thrown 36.1 innings over 17 appearances and five starts.
Santa Clara is hitting .249 as a team with a .333 on-base percentage and a .328 slugging percentage. The Broncos have hit 47 doubles, seven triples and 13 home runs while scoring 168 runs and stealing 50 bags in 70 attempts.
Greg Harisis leads Santa Clara in hitting with a .314 (38-121) batting average. He has added eight doubles, one triple, two homers, 19 runs scored, 24 RBI and a team-best 10 stole bases. His 17 walks and five hit-by-pitch put his on-base percentage at a terrific .417.
Newcomer Casey Munoz has started all 37 games for Santa Clara and is hitting .279 (41-147) with a team-high eight doubles, one triple, 18 RBI and 12 runs scored. Matt Ozanne is second on the Broncos with 19 RBI while hitting .248 (29-117) and scoring 19 runs. Justin Viele leads the Broncos with 22 walks, while hitting .286 (42-147) and posting a .394 OBP. He has scored 26 runs and driven in 13 while hitting five doubles, two triples and one home run with a nine stolen bases in 10 attempts.
Quinton Perry, who will miss the rest of the season due to injury, leads the team with five home runs. Perry hit .291 (25-86) with a .364 on-base percentage. He clubbed six doubles to put his slugging percentage at a team-best .535.
Steven Patterson leads Davis in hitting with a .338 (46-136) batting average. Patterson has scored 25 runs to go with 26 RBI. He has slugged eight doubles and two homers.
Nick Lynch is hitting .333 (38-114) with two bombs and five doubles. He has 21 RBI and has scored 15 runs.
Paul Politi leads the team with five home runs and 28 runs scored. Politi is hitting .276 (42-152) while adding nine doubles a triple for a team-high .447 slugging percentage. He has also taken a team-best 18 walks to post a .368 OBP.
Harry Stanwyck (3-5. 5.13) leads the Aggies in innings pitched with 52.2 over 10 starts. He has a team-high 30 strikeouts against 23 walks.
Max Cordy (4-4, 2.89) leads Davis in wins and has a team-best six saves. In 18 appearances out of the bullpen, Cordy has tossed 28.0 innings while striking out 13 and walking 14.
Markus Melgosa leads the Gales in hitting with a .382 (29-76) batting average. Melgosa has scored 18 runs with five RBI and has hit five doubles.
Brenden Kalfus is hitting .371 (46-124) with 20 runs scored and 21 RBI. He has hit four doubles and taken a team-high 20 walks. Kalfus is second on the team with nine steals.
DonAndre Clark is hitting .265 (30-113) with a team-high 24 runs scored and 15 stolen bases. He has two triples and nine RBI as well.
Collin Ferguson is hitting .237 (33-13() but leads the team in home runs with four. He has added one triple and eight doubles to go with 22 RBI and 17 runs scored.
Ben Griset (3-2, 2.54) leads the Gales in wins, complete games and innings pitched. In 63.2 innings over 9 starts and three complete games, Griset has thrown two shutouts while fanning 60 against 14 walks.
Jordan Mills (2-3, 2.70) has started nine games and thrown 50.0 innings. He has 50 strikeouts and 16 walks.
Patrick Keane (1-4, 5.67) leads the team with five saves. In 14 appearances out of the bullpen, Keane has thrown 25.2 innings with 18 strikeouts and nine walks.


text:
The biggest misconception in time management
I found this post on a discussion forum on the web:
"The idea of "Time Management" is one of the biggest misconceptions of all. There are only twenty-four hours in every day and we can't stretch or shrink time. Thus we can't 'manage' time, we can only manage ourselves in relation to the time we have. Time is unique because it is finite. Time is the only resource that must be spent the instant it is received. Many people miss the point about effective time management. Good Time Management techniques will save you at least one hour a day and maybe more, but the real question is; what will you do with the extra time?"
Perhaps the main proposition here is that (1) time management is a misconception because (2) there are only 24 hours in a day and (3) we can't stretch or shrink time. But if we all have 24 hours in a day, what do we mean when we say "I don't have time!"? Obviously we're not talking about clock time, but we are expressing something. And if time "must be spent the instant it is received," what do we mean when we say time management can "save you at least one hour a day"? So I agree that there is considerable confusion in the way we talk about time and time management.
For sure, our Western cultures teach that when we talk about time, we usually mean physical time or its measurement, clock time. And perhaps the only way we can change physical, or event time itself is to travel near the speed of light in some kind of rocket. So, yes, in the sense that we don't (except during space travel) change physical time itself, we do not 'manage time'.
But does time management only work with physical time? Besides clock and physical time, there is also psychological time, inner time, felt time, experiential time, or a number of other terms pointing to another, inner type of time–time as feeling or experience.
This third face of time is probably the most important for our happiness, although it's also probably the face that is least known, least understood, and most undervalued. Here I will call it felt or experiential time. Felt time includes all the different ways we feel or experience time. We may feel time move quickly when we're having 'a great time'. During some of the best moments of our lives, things slow down or even seem timeless, with little or no feeling of time passing. On the other hand, we feel time 'drag' or pass slowly when we're bored, or having 'a bad time'. Thus some times seem 'long' and others feel very 'short'. And we feel anxious about time when it 'goes too fast', or it seems we don't have enough of it–even though we all have the same 24 hours a day. Thus the sense of time flowing or passing is actually very flexible, not fixed and limited like physical time. Experiential time is clearly very changeable–it even seems to disappear 'sometimes'! So although there are only 24 clock hours in a day, might there be a possibility that we can learn to stretch or shrink felt or experiential time?
But then again, why would we want to? We Westerners gradually and implicitly teach our children that time is linear, like an invisible conveyor belt that moves horizontally at a constant and unchangeable speed between past, present, future 'rooms' in our experience. (This image is from anthropologist Edward Hall, The Dance of Life, pp. 78-9.) The trouble is that seeing time linearly causes us to struggle and race against time. Our work is effortful and stressful; time has a kind of built in friction. In modern times "it feels like our lives have turned into a grueling race toward a finish line we never reach." (Jay Walljasper, former editor of Utne Reader) Physician Larry Dossey said, "Many illnesses—perhaps most—may be caused either wholly or in part by our misperception of time. . . . I am convinced that we can destroy ourselves through the creation of illness by perceiving time in a linear, one-way flow."
So the mental and physiological habit of linear time–although 'normal' in many cultures–is bad for our productivity, health, and well-being. Yet conventional time management usually sees linear time flow as 'normal', presuming that the river of time really does flow between past, present, and future, and there's nothing we can do to stop it. CTM just tries to make the best of things within the limitations of the river of time, offering us different ways to swim as we're swept downstream by the current.
To my mind the biggest misconception in CTM is that time flows linearly, and we need to somehow just adapt to this flow. Scientists have never found any flow 'out there' in reality. "The flow of time is clearly an inappropriate concept for the description of the physical world that has no past, present and future" (Thomas Gold, "Relativity and Time" in The Encyclopedia of Ignorance, ed. R. Duncan and M. Weston-Smith (New York: Pergamon, 1977), p. 100.) It's just an unhealthy mental and physiological habit taught as we grow up in different cultures, and we can learn how to gradually break the habit.
This is where the new field of inner time management (ITM) comes in. Rather than the usual CTM focus on what we want to do, ITM provides methods to directly optimize how we do things, especially our moment-by-moment feelings of time passing. Its 'goal', if we can call it that, is to change our ordinary linear way of experiencing time passing, along with related troublesome feelings—including 'overwhelm', time pressure, frustration, boredom, time poverty (the feeling that we don't have 'enough time'), anxiety about time, and 'hurry sickness'–to the timeless state of peak performance.
Research on peak experience and peak performance shows that these experiences are timeless, as well as optimally productive and fulfilling. According to Dr. Larry Dossey, "In total immersion in a task, whether listening to lungs or weeding vegetable gardens, time is abolished. It stands still." (Dossey, Space, Time, and Medicine, p. 34) According to Stanford business professor Michael Ray: "If you pay attention at every moment . . . you become more efficient, productive, and energetic, focusing without distraction directly on the task in front of you. Not only do you become immersed in the moment, you become that moment." (Hunt and Hait, The Tao of Time, p. 67) Time management instructors Hunt and Hait wrote: "When we live in the now and are totally absorbed by the activity at hand, we become our most positive and productive selves. . . . Engrossed in the now, we slip effortlessly into a no-boundary place in time and space, a timeless dimension where energy abounds and time is irrelevant." (Hunt and Hait, p. 66)
So there can be tremendous value in the new field of inner time management (ITM) whereby we can learn to stretch or shrink felt or experiential time–a discipline Dr. Stephan Rechtschaffen called Time Shifting (1996, Doubleday). For more information about ITM, see http://www.tskassociation.org/time-movement.html So, time management doesn't change or manage physical time itself, but there is a type of little-known inner time management that focuses on our experience of time, taking as its goal 'movement' toward the timeless zone of peak performance.
"Unfortunately, the poor use of our time does not make us fat, and so its effects are less visible. That may be why the problem has not yet been given national priority. Nevertheless, it can make us as sick as overeating. Ulcers, heart attacks, and cancers are created in the furrows of stress . . . . In a sense, this situation is much more serious, because many more people suffer from stress than from obesity." (Servant-Schreiber, The Art of Time, p. 31) "The misuse of time in today's society should lead to a 'time movement'." (Rechtschaffen, p. 226) "Unless we consciously learn to control time in our lives, the stress we suffer will only get worse. . . . Until we learn to control time consciously, our lives will continue to speed away from us . . . ." (Rechtschaffen, p. 14)


text:
Jim Jefferies talks Fully Functional (premiering tonight) and new FX show Legit (Interview)
I love when our readers leave their homes to support live stand-up comedy, but tonight I'm strongly suggesting you stay in, sit on your couch and watch the premiere of Jim Jefferies' newest stand-up special Fully Functional. It's going down at 10 pm EST on Epix. And having seen an advanced copy, I can tell you it's worth an hour of your time. You can check out an exclusive preview below.
If you've been following the steadily-rising Aussie comic, you might know that he's also set to make his television series debut next year, when he'll star on Legit, a single-camera production for FX that follows the life of a hard living man trying to get his life on the straight and narrow. I chatted with Jefferies yesterday (briefly, as he was on set and about to get his makeup done) to see how things were progressing.
"We've already shot five episodes. This is my first real acting gig," Jefferies tells Laughspin, "so it's a little intimidating working with real, experienced actors," alluding to the rest of his cast, which includes DJ Qualls (Road Trip, Hustle & Flow) and Mindy Sterling who played Frau Farbissina in all three Austin Powers movies. Jefferies also tells us John Ratzenberger of Cheers and Toy Story fame is joining the cast!
As if headlining his own new sitcom wasn't enough
pressure excitement, Jefferies' girlfriend is set to give birth to the couple's son in early November. "We only knew each other for a few months when she got pregnant," he says. "I think our one-year anniversary is on the day the baby is due."
Throughout his previous two comedy specials and DVDs I Swear to God and Alcoholocaust, Jefferies has regaled us with amazing stories of his deviant bachelor life, detailed reenactments of his X-Rated misadventures and his astute and crude observations of the people around us. But clearly, the comedian is at a crossroads in 2012.
"I like having a girlfriend," he says. "It's good to have something grounded at the moment. I don't know if people are going to like or hate [Legit]. I think it's good. But it's nice to have a little normality for once."
But will his altered station in life effect his stand-up, the thing that's endeared him to thousands of comedy fans who gravitate toward his brutally honest version of life?
"I feel like I'm still the same," he says. "I've been traveling around the world for the last 10 years. I bought a house and I'm pretty happy. But I don't think that's going to effect my stand-up too much."
Watch Jim Jefferies: Fully Functional tonight on Epix at 10 pm EST. If you don't have Epix, sign up here for a free online trial, where you can stream the special right now.


text:
The Hollywood Reporter says this morning thatJ.J. Abrams and Lucasfilm have struck a compromise to keep at least some of Episode VII's post-production at bad Robot's Santa Monica headquarters. They include a few renovations:
A green room, sound studios and other new facilities will be developed within the three-story, 18,000-square-foot Santa Monica building, which already includes editing bays, a workshop for making props, a screening room that can double as a set and Abrams' personal suite of offices.
Abrams has mainly shot all his films thus far in Los Angeles, but Episode VII is expected to start production in January at Pinewood Studios outside of London. The supposed friction over Lucasfilm's U.K. plans led to some quickly denied rumors that he might drop out last month.


text:
Go Back
Go To Articles Directory Home Page
To get the current article, - See Below (at the bottom of the page) -.
For top news titles, see below.
Web sites and videos listed in this page are frequently updated.
If you find that this page is useful (quality of web sites, images and videos, ...), you can add it to your favorites.
Bookmark Page !
Why opt for a remortgage loan?
Mortgage loans are quite popular in UK loan market. It is this popularity that has given way to the emergence of more number of mortgage loan company in the UK market and prevalence of cut-throat competition.
About the Author: Content developer of finance domains