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Zoo Tycoon 2 Eula Error
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I, for my own part, had much rather people should say of me that there neither is nor ever was such a man as Plutarch, than that they should say, "Plutarch is an unsteady, fickle, froward, vindictive, and touchy fellow."
As Christ's ministry drew to its close, its severity and its gentleness both increased; its severity to the class from whom it never turned away. Side by side through all His manifestations of Himself, there were the two aspects: "He showed Himself froward " (if I may quote the word) to the self-righteous and the Pharisee; and He bent with more than a woman's tenderness of 'yearning love over the darkness and sinfulness, which in its great darkness dimly knew itself blind, and in its sinfulness stretched out a lame hand of faith, and groped after a Divine deliverer.alexander maclaren
When all is done, human life is, at the greatest, and the best, but like a froward child, that must be played with and humored a little to keep it quiet till it falls asleep, and then the care is over.william temple
What! Of all creatures do ye come unto the males, And leave the wives your Lord created for you? Nay, but ye are froward folk.
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About Me
I am Teena Stewart, an artist and published author working primarily in acrylics, alcohol ink, mixed media and glass.
The world has enough troubles and can become too heavy for us to handle. My art and community, Serendipity Studio, return you to child-like, uninhibited play and wonder so your concerns of adulthood melt away. This is the reason much of my work features nature and animals.
I hope to brighten people's outlook by connecting them with the Creator and creation through my art and teaching, giving them permission to color outside the lines and return to that free-spirited state of play they once knew as children.
I fulfill this mission by offering art, artisan gifts, prints and art courses that nurture and impart a sense of well-being and happiness.
Recently, I've started developing pet memorials to help people who have loved their cherished friends to cope with their grief.
As far back as I can remember, I was always artistic. Imprinted in my memory is the day, as as a young girl, I stumbled across my father's old sketch books, drawing books and art supplies in the attic. The creative spark inside me ignited.
As a child, I faced asthma and bronchitis along with severe shyness, learning challenges and loving but perfectionistic Christian parents. Drawing and painting became my refuge.
My Journey
Born in Winston Salem, North Carolina and raised in Alexandria, Virgina, I received my formal art education from Mercyhurst College (now university), Erie PA. Though my focus was graphic design and writing, (I am also a published author), I find I am most suited and happiest as studio artist working for myself. After living all over the U. S., and visiting Europe on several occasions, I returned to my southern roots when I moved to Hickory, North Carolina in 2008.
Making art, for me, is a return to the creative freedom of childhood.
If you haven't already, join the Serendipity Studio Community.


text:
When Laws Are Not Enforced, Anarchy Follows: Victor Davis Hanson
The complete, iconic soundtrack of Hamilton
The complete, iconic soundtrack of Hamilton
Why are Dems getting so worked up about birthright citizenship?: J. Marsolo
Yes, Trump can end "birthright citizenship" for illegal immigrants with an EO: CR
Gillum campaign sting: "This is a f***ed up state... It's a cracker state.": Kyle Morris
Democrats in an All-Hands-on-Deck Scramble to Save Menendez in New Jersey: NYT
Nancy Pelosi Just Declared Herself The Next Speaker Of The House: Whispers
They Can't Bear the Thought That Trump's Win Was No Anomaly: Roger Kimball
Pittsburgh and the Misplaced Anger of "Liberal" Jews: Roger L. Simon
Trump rally supercharges GOP base in critical Southwest Florida: Susan Ferrechio
Ending Birthright Citizenship: Daniel John Sobieski
Birthright v. Jurisdiction: Denise Simon
Montana a Must-Win for GOP: Predictions of Rosendale-Tester Faceoff: Connor D. Wolf
Economy300K Anchor Babies Born Every Year, Exceeding U.S. Births in 48 States: John Binder
Wages and Salaries Increase by the Highest Level in a Decade: Jeffrey Cimmino
Minnesota Dem Brags About $2 Billion Tax Hike: Bill McMorris
Scandal CentralEavesdropping on Obama's revolutionary guards (Organizing for Action): Lee DeCovnick
Border Patrol warns Texans about 'possible armed civilians' in area due to caravan: Fox
Don Lemon Faces Backlash For Saying 'Biggest Terror Threat in This Country is White Men': Joseph A. Wulfsohn
MediaMSM's Biased Reporting Of Jewish Letter Demanding Trump Skip Pittsburgh: Jeff Dunetz
Major Orthodox Jewish Group Slams Attacks on Trump After Pittsburgh Massacre: UWI
Trump accuses media of using Pittsburgh tragedy to 'sow anger and division': Melissa Quinn
Why Did NYT Sit on the Beto O'Rourke Eminent Domain Story?: Brandon Morse
New York Times Reporter Fantasizes About Covering Oprah Presidential Campaign: David Rutz
Jon Stewart: Trump Effective in Turning Journalists' 'Narcissism' Against Them: David Rutz
WorldBolton's Miami Speech Will Ratchet Up Pressure on Cuba, Venezuela : Susan Crabtree
Meanwhile, in the Middle East, Diplomacy Moves Forward: Stuart Schneiderman
Mexico deploys hundreds of police to reinforce border with Guatemala: TheHill
Sci-Tech (courtesy BadBlue Tech News)TV report: Israel silent as Iran hit by computer virus more violent than Stuxnet: TOI
Postman, shopper, builder: In Japan, there's a robot: DailyMail
Google Rejects Marsha Blackburn Ad Because It Shows Democrats In A Bad Light: RS
CornucopiaThe Long GoodByte: MOTUS
13 Of The Worst and Most Politically Incorrect Celeb Halloween Costumes Ever: Caleb Howe
Ted Cruz Wins Halloween: BattleSwarm
Sponsored by: Hit the tip jar - click here
Did You Know:— Jack Posobiec 🇺🇸 (@JackPosobiec) October 25, 2018
The 2018 migrant caravans were organized by the group Pueblo Sin Fronteras
According to InfluenceWatch, they are part of the open borders CARA Project
The CARA Project is funded by the following foundations: Carnegie, Ford, MacArthur, and Open Society


text:
How to Take the Grrrr Out of Anger
Paperback(Second Edition, Revised, Revised & Updated)
Kids need help learning how to manage their anger. Blending solid information and sound advice with humor and lively illustrations, these anger-management tips guide kids to understand that anger is normal and to learn they can express it in healthy ways. The book teaches them how to recognize anger in themselves and others, how to handle situations and emotions (loneliness, guilt, frustration, fear) that lead to or mask anger, and how to deal with the anger they feel. This revised edition addresses children's exposure to increased societal violence and includes discussion and examples of anger related to texting and social media. Young readers learn that cruelty and violence are not acceptable and there are safer, more positive ways to resolve conflicts. They also discover what to do when people around them are angry, how to get help, and how to locate other resources when they need more support.
Product Details
|Free Spirit Publishing, Inc.
|Publication date:
|Free Spirit Laugh & Learn Series
|Edition description:
|Second Edition, Revised, Revised & Updated
|Sales rank:
|Product dimensions:
|5.10(w) x 6.90(h) x 0.40(d)
|730L (what's this?)
|Age Range:
|8 - 13 Years
About the Author
Elizabeth Verdick has been writing books since 1997, the year her daughter was born. Her two children are the inspiration for nearly everything she writes. Before becoming an author, Elizabeth edited books for children and parents. These days she writes books for babies, toddlers, teens, and every age in between. She especially loves creating new board book series—including the Happy Healthy Baby® series, which is designed to capture the interest of your littlest readers. Elizabeth's Toddler Tools® series helps young children and their parents cope with those tough times and transitions that happen every day (like naptime and bedtime). In the Best Behavior® series, she helps toddlers reach new milestones and improve their day-to-day behavior. Elizabeth also enjoys getting the chance to look at the funny side of life in the Laugh and Learn® series, which helps kids ages 8–13 get a handle on the social-emotional skills they're developing throughout the elementary and middle school years. Elizabeth lives with her family and five pets near St. Paul, Minnesota.
Marjorie Lisovskis has been writing and editing books for children, teachers, and parents for more than thirty years and has a special interest in creating books that help young children see themselves as confident, capable, and loved. Along with the Happy Healthy Baby® series, she is the coauthor (with Elizabeth Verdick) of How to Take the Grrrr Out of Anger. Marjorie has two grown children and three grandchildren. She lives with her husband in Minneapolis, Minnesota.
Customer Reviews
Average Review
Most Helpful Customer Reviews
I really enjoy this book. As a school counselor I run anger groups at the elementary school level and through out the group we read this book together. It is a fun book to read to children that isn't too heavy. It has great, practical suggestions in a fun way for times when you are angry. It is a great tool to use when teaching anger management skills and it is a bit funny so that the students don't feel like they are studying. If you have a child or a student with anger management issues, this is the book for you. A great tool and resource.
Easy for a child to comprehend.
Great book to teach anger management on a child's level of understanding. I work with children from 3yrs old to 17 yrs old, and this book actually covers that age range, with some great techniques and pictures for interaction and comprehension.
Very good. I loved it
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- Salary: N/A


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On August 8 – 10, the Australian American Leadership Dialogue (AALD) hosted its 27th Leadership Dialogue program in Perth, WA.
The 2019 program positioned Western Australia as the 'Gateway to the Indo-Pacific;' inviting delegates to explore themes of partnership, defence, cyber security, trade and ethics in the digital age, in closed-door sessions.
A highlight of the 2019 program was the annual Leadership Dialogue Gala Dinner, keynoted by ADM Michael Rogers AO (Rtd), former head of the US National Security Agency (NSA) and Cyber Command. ADM Rogers' remarks centred on our shared strategic opportunities within the Indo-Pacific region, the pertinence of defence intelligence and what the future holds for the Australian-US bilateral relationship.
A full transcript of his remarks can be found below:
ADM Rogers AO (Rtd) 2019 Gala Dinner Transcript
The AALD would like to thank ADM Rogers AO (Rtd) for his immense contributions to the 2019 Leadership Dialogue Gala Dinner. His insights were nuanced and invaluable and we look forward to his continued contributions to the Leadership Dialogue in the future.


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The East and West Turlock Subbasin Groundwater Sustainability Agencies (GSAs) hosted Groundwater Sustainability Plan (GSP) Technical Workshop No. 3 on May 23, 2019 at Turlock Irrigation District, located at 333 E. Canal Drive in Turlock. The public workshop was the third of several GSP Technical Workshops to be conducted through 2021 to provide information and receive feedback regarding the Subbasin's GSP development and planning process.
Technical Advisory Committee Meeting Agenda (Workshop listed as Item 6)


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Evaluation and Management Services – CMS.gov
trademarks of the U.S. Department of Health & Human Services (HHS). …. When
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Frequently Asked Questions about Physician Billing for … – CMS.gov
January 18, 2017. Frequently Asked Questions … services to the Physician Fee
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2017 ICD-10-CM Guidelines – Centers for Disease Control and …
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Obstetrics (ob hap) – Medi-Cal
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south carolina medicaid program – SCDHHS.gov
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Michigan Department of Health and Human Services. BENEFIT PLANS*. 02/23/
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U.S. Department of Education …. The 2017-2018 SAR Comment Codes and Text
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State of Oregon: Building Codes Division – Home
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2016 Medical Fee Schedule – Division of Industrial Relations – State …
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Nevada Specific Codes for billing when identified in the …. to, payment for the
office visit, evaluations and management services, manipulation, modalities,.
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Updated: 03/28/2017 … As of October 13, 2011, CPT codes 99406 and 99407
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Medicare Physician Fee Schedule – US Government Publishing Office
Jul 15, 2016 … Schedule and Other Revisions to Part B for CY 2017; Medicare … to file code
CMS–1654–P. Because of …. AWV—Annual wellness visit.
Schedule of Medical Fees 2017 – Kansas Department of Labor
ICD-10 is mandated by Kansas Workers Compensation for 2017. 3. Surgical CPT
code 36415 has been moved to the Pathology and Laboratory Section of …… and
office and hospital visits are listed in the following sections: Surgery, …
February 1, 2016 Dear Immunization Provider: In … – SC DHEC
Feb 1, 2016 … These requirements are effective for the 2016-2017 school year. … On the day of
an office visit, if a child cannot obtain all age-eligible vaccine(s) … Pursuant to
Section 44-29-180, South Carolina Code of Laws, and South …
Healthcare Provider Screening Form
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File the claim for the member's office visit with BC/BS for PEEHIP Group #14000.
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wednesday vibes (15 may) — Give presence to this voice of yours.
Stop what is not you
If it doesn't feel true
In your gut.
Yes feels good.
Yes feels alive.
Yes feels alkaline.
Good morning! So this will feel like an interesting time we are about to move through because things are changing quickly, as we already know, and also the space we are in deals with things from our past where we now feel ready to let them go because we have seen into some other side or some sort of awakening has happened where we just don't feel the same as we did before.
And we always level up with these aging processes that take us through new decades. A 20 year old will not understand what 40 feels like until they get there. In the 5th grade you won't understand what moving away to college feels like until you get there.
But when we get there we gain a new perspective and it transforms how we move forward in life. Right now we are seeing into something from around 2013 that took us somewhere, but now we take that and become a better version of ourselves, in the same way we do, moving through the decades.
We now see through the fears we had in our 20's when we sit at 38. We see how we wish we wouldn't have invested in college and instead would have traveled or explored a bit more, maybe learning trades instead. But when we made the decision to go to school we knew we wanted to go and this was our path. In hindsight most of us wish we would have chosen different. And with many things in life we see different when we get older and pass through the actual experiences of things.
But now see how we have held ourselves back because others' conditioned us to believe in things or choose for things that weren't really our flow, but we just found ourselves on them – with no questioning and a complete and utter following along.
I think this energy is trying to tell us that it's also not healthy to be so forceful in getting everyone to think that we know best for them and instead we need them to become sovereign within themselves so that their bodies just steer them and they know to leap into that unknown or to do this other thing that just calls from their soul.
I knew I would move to San Francisco when I was about 7 and I started talking about how I would one day. And I did, in fact, I moved there twice. But I knew I wanted to do this. And others knew that I should choose for what they thought I should do.
They thought I should reconsider and consider what they thought, coming from no experience of actually doing it before. So I didn't let that change me. I didn't let that stop me from what, inside, for some reason, I just knew I had to try. I also have always known I would live in New Zealand and that hasn't happened yet but don't kill the dreamer. The dream is always forming.
So know. It's your natural thing to cave and give into and let others tell you, Oh, but you don't want to disappoint others, do you? Or, You are expected to do this thing so you need to. Or, yes I hear your idea but I want us to do this other thing – end of story. So we have been programmed to cave and do what adults want us to do and keep quiet if that is what they scare us into. And we are louder in the world now because we were born to be loud.
When we get strong with ourselves and stand up for ourselves and choose for ourselves and believe in ourselves, then we just start to walk different and talk different and choose friends different and choose life different.
When we get strong with ourselves, others' things are just like someone saying, hey do you want to buy this newspaper as you're walking down a street in New York. You CAN stop and get one for sure. But you sure as shit can also keep on walking and do your day the way you want it. You don't HAVE to go their way.
When we get strong with ourselves our life becomes led by our gut and stopped by our words. Stop what is not you if it doesn't feel true in your gut.
Sending you heap loads of blessings of support and energy to shift you to the other side!
moon phase of the day
START TO GET THE BALL ROLLING. One week after the New Moon we reach the bottom of the moon mapping wheel as we shift into the left side. This means we now are in a two week period where we are encouraged to GET THINGS GOING. This is when you want to launch, share things, get out there and show them what you got.
moon of the day
Decisions. Decisions. Doing the right thing. Thinking of others. Wanting things beautiful.
numerology vibration
2: Needing to come together and bridge two perspectives. Work to create an understanding or peace from what is going on around you.
3: Something is being shared or communicated today. Expect lots of movement, potentially positive or negative.
5: You are seeing into your past and also into your future. You are moving forward with a new STRENGTH FROM what you have experienced before.


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Powershell: Transfer Modules to an offline PC
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The Joint U.S-Russia U.N. Security Council Draft Resolution "To Defeat ISIS!?*
By Stephen Lendman
Anti-ISIS lip service has been around a long time. Until Russia intervened in Syria against its forces and other terrorist groups on September 30, these elements made steady gains.
Rhetorical Western and regional opposition did nothing to stop their advances. Resolutions declaring UN Member States' unity in combating ISIS are one thing – commitment entirely another.
Russia alone among major powers is combating its scourge. America, Britain, France, Germany, Turkey, Israel, Canada, Australia, Gulf States and other so-called US coalition partners support what they pretend to oppose.
Security Council resolutions changed nothing on the ground in Syria and Iraq. In August 2014, SC members unanimously adopted Res. 2170 – binding under the UN Charter's Chapter VII, permitting members to "determine the existence of any threat to the peace, breach of the peace, or act of aggression" and to take military and non-military action to "restore international peace and security."
The resolution targeted ISIS, Al Qaeda and its affiliate groups.
In February 2015, SC members unanimously adopted Res. 2199 (binding under Chapter VII) to prevent ISIS and other terrorist groups from profiting from trade in oil, antiquities, hostages and other illicit sources of income.
In November 2015, SC members unanimously passed Res. 2249, calling on all Member States "to take all necessary measures" to defeat ISIS and other terrorist groups – "to redouble and coordinate their efforts to prevent and suppress terrorist acts committed specifically by ISIL also known as Da'esh as well as ANF, and all other individuals, groups, undertakings, and entities associated with al-Qaeda, and other terrorist groups, as designated by the United Nations Security Council."
On Thursday, Security Council members are scheduled to adopt the first joint U.S./Russian drafted resolution on combating ISIS. Its purpose is "to circle (the organization as a separate, most vital terrorist threat."
It stresses cutting off its funding sources. America heads the SC in December. Treasury Secretary Jacob Lew will chair the meeting – to be attended by finance ministers of some of the other SC members. Vitaly Churkin will represent Russia.
He said the resolution is binding under Chapter VII, as well as including "several brand new aspects." Earlier SC resolutions "referred to (ISIS) as one of Al Qaeda's divisions."
"Now, the sanctions list is rebranded. The document offers expanded criteria of listing, which makes it possible to impose limitations on any individuals or corporates smudged by relations with" ISIS.
A key objective is "enforcement of the regime to reveal and stop illegal financing of (ISIS) and groups related to it by means of trade of oil, artefacts and other illegal sources."
"The countries did have respective obligations well before this, but, unfortunately, those obligations have been observed not by all and not always."
Henceforth, U.N. monitoring and sanctioning mechanisms "will be focused clearly on eradication of those developments."
What's occurring on the ground and legally binding are worlds apart. Washington, rogue NATO partners, Israel, regional and other allies say one thing and do another.
SC resolutions and other legally binding measures change nothing on the ground. As long as Washington and partnered nations support ISIS and other terrorist groups, Russia alone with Syria, Iraq, Iran and Hezbollah forces will continue combating this scourge alone.
Moscow is under no illusion otherwise, hard as it keeps trying to enlist other nations to unite responsibly against a universal threat – unable to exist without outside support.
Related Topics:
They get you to Hate Muslims so They Can Pocket There Wealth and Keep You Poor*
Captured Israeli Officer Details Israeli-ISIS Plan to Wipe-out all Islamic and Muslim Culture and Prevent Religions Coming Together*
Putin's Address to the U.N. in 10 Quotes*
Brzezinski to Putin: Stop hitting OUR al-Qaeda or it's World War III*
Putin Blows the Whistle on the Who and the Why of ISIS*
America Reels as Putin "Redlines" Israel*
Saudi Invasion of Syria Blocked by Putin*
CIA + Contractors = ISIS in Afghanistan*
Christians Join Forces with Muslim Group Hezbollah to Fight ISIS in Lebanon*
Former Supreme Commander of NATO said Daesh/ISIS is an Israeli Project*
Putin Reveals ISIS Funded by 40 Countries, Including G20 Members*
Moscow Doubles Down on Washington*
Free Syrian Army Shares Intel on ISIS Targets with Moscow*
1 Million Syrians Return Home since Launch of Russian Anti-ISIS Operations*


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Jul 25 2008
The Chakra Series
The chakras are energy centers in your body, that are critical points of Light to keep your system healthy and functioning well. When your chakras are clear and connected, they are filled with Light and life-force energy. When they are blocked or shut off in some way, they are muddy or occluded — the energy can't move freely, and your body and its systems cannot make use of it. Needless to say, that's not a good thing!
Bright Wings Essences has worked for a long time to locate and blend JUST the right flowers to keep each chakra clear and open, humming along with life force and Light — and at last we have the entire series complete, including an extra one that helps you balance and integrates ALL your chakras.
The next posts are going to be about what each Chakra does, and what happens if it's not working properly. And I'll tell you a little bit about how the Chakra Formulas I created will help you with that Chakra and any issues you may be having with it.
With all the extra stressors we are getting from multiple directions these days, it's time to set your Chakras right. Just this one thing alone will help you live a much more healthy and comfortable life!
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South by Southwest Crash.
Austin, Texas.
March 13, 2014, 12:31 am
By Devin Greaney
For ESCI 3100
April, 2016
The crash site minutes after the disaster. An Austin American-Statesman photojournalist was at the Mowhak Club shooting photos when the accident occurred. Photo by Jay Janner, Austin American-Statesman.
When a car crashed into Austin, Texas' biggest annual event, resources were strained as police, fire, EMS, hospitals and festival goers pulled together to get help for 25 casualties that covered two city blocks and all took place in the span of about 20 seconds. This paper will look on the preparation and response recovery and future mitigation of this crash that stunned both Austin and the music world.
South By Southwest (SXSW) began as a music festival in Austin, Texas in March, 1987. To capitalize on the city that calls itself the "Live Music Capital of the World" a music festival for unsigned bands was a natural fit. The festival has grown every year going beyond just unsigned bands making mid March Greater Austin's busiest time of the year. In 1994 the festival added a film and interactive/ multimedia component drawing even more interest and people. ( SXSW: 2014)
What has also grown significantly is Greater Austin. (SXSW 2014) The metro area in the 2000 census had a population of 1.25 million. In 2014 the estimate was 1.94 million. All area agencies- police, fire, EMS and hospitals- in addition to the day to day job of keeping people safe, training and creating a progressive emergency management system, public safety agencies here more than most places have had to manage the challenges of a ballooning population. ( Robinson: 2016)
On March 13, 2014 at 12:30 am, the temperature was 50 degrees, there was no rain and a slight breeze ( Weather Underground). Music lovers were out enjoying the music, weather and liquid refreshments. The veteran rock band "X" was close to finishing at the Mohawk Club at 10th and Red River. About a minute later the 27-year-old festival would experience its darkest moment.
Thursday March 13, 2014, 12:30 am
Austin Police Department attempted to stop a car driven by Rashad Owens heading south on the frontage road of I-35 during a saturation for DUI. Owens then pulled into a gas station at the northwest corner of 9th and I 35 acting like he was going to comply with the police. Dash cam video show the clock changing to 12:31 am when Owens sped off westbound on East 9th, then turned immediately north on Red River and crashed through a barricade set up to make the street pedestrian only. ( KXAN: 2014)
Roberto Villalpando, Robert Calzada .Austin American Statesman
After crashing through barricades, the car sped through two blocks hitting 24 people, some being thrown in the air. The car raced on crashing at 11th and Red River, and then police gave chase on foot, quickly stunning the suspect with a taser device and arresting him.The entire incident from when Owens decided to take off to when he crashed lasted 37 seconds. Two of those struck were dead on the scene, two others would die at the hospital in the days following. Owens was also briefly hospitalized after the accident giving Austin police, fire and EMS a total of 25 patients. (KXAN: 2014)
Austin public safety had years of experience to learn that SXSW would be big. Among the 9 days in 2014, 85,469 registered to attend the conferences - music, film and interactive- but many others not registered descended on the Capital City to attend one or more of the activities. ( SXSW: 2014). Recent figures by the organizers estimates it and directly and indirectly brings about $317 million into the area economy with visitors from around the world. (Swiatecki: 2015)
A press conference just a few hours after the incident confirmed that exercises were staged imagining a mass traffic accident as part of getting prepared for the festival. This way public safety agencies and the hospitals were all on board as to what to do and who would be in charge. "This is an example of collaboration, coordination and a lot of training between fire, police and EMS," said Austin Fire Chief of staff Harry Evans (KXAN: 2014)
"We train for the MCI events and the mass casualty events we have pre planned for every big events like this," James Shamard, chief of staff of Austin Travis County EMS said in the morning press conference. "When the crews show up in the middle of the day we review the plan for how we're going to handle the typical patient but also the mass situation even if it were to happen." (KXAN: 2104)
Another form of preparation came through technology that even the most forward-thinking SXSW attendee of the festival's early days would have trouble imagining. Austin public safety agencies created a SXSW "Geo Fence" to make the area into its own emergency district, almost a city within a city. Below is a map that shows the area. Commander Michael Benavides, public information officer of ATCEMS, explained the system. "When a call came in via 911 it would be routed to our normal EMS communications center. Once the incident was determined to be inside the event footprint, one of our communications medics would process (triage) the call while the second would dispatch the closest appropriate response resource. They were working in tandem with each other in order to minimize the dispatch time."
Let's say someone made a 911 call for a chest pain at Barton Creek Square Mall which is outside of the geo fence area. The call would route to the 911 call center, the primary answering point, and the call taker would forward to the ATCEMS communications medic/ dispatcher there in the same building to give instructions to the caller and dispatch the closest available ambulance. But if a call came in from East 6th and Brazos, within the perimeter set up for the event, the call taker would enter the location or it would pop up on the screen in the computer aided dispatch system, a flashing alert would inform the call taker it was within the SXSW geo fence. The call would be who sent to another communications medic set up at the Event Operations (EvOC) Center. That communications medic would send the closest and most appropriate-based on the nature of the call- asset to the patient. In addition those public safety agencies assigned to the geo fence were on their own talkgroups. ( Benavides: 2016)
Commander Bendavides, said within the geo fence of the area the agency had staffed two medics on motorcycles to quickly reach patients, Two medic response units were on Polaris Rangers, which are smaller ambulances and designed to quickly evacuate patients to the casualty collection point for assessment. If the patient decides to go to the hospital then one of the two ambulances transports, then returns to the casualty collection point.
1 mile
This map of 2016 SXSW gives an idea of the area covered. Each dot is an EMS call. Courtesy City of Austin
in addition to the previously mentioned personnel a division chief and a logistics officer were also on the scene. Offsite were the commander in the command post and communications medics at the Event in a follow Operations Center.
One can easily see the many possibilities for geo fencing technologies for emergency management now the technology is there to pinpoint the almost exact location of a land and cellular telephone. Most cities have their big events such as Memphis in May, a Presidential Inauguration in Washington DC or the New Year celebration in New York City. In addition to giving those in the SXSW area quickly and adequate police, fire and EMS services, commander Benavides wanted to make it clear the primary benefit is to that the rest of Austin knows their emergency services are not lessened due to the festival. ( Benavides: 2016)
The Austin Fire Department was also part of the rescue, said Chief Austin Fire Chief of Staff Harry Evans. 24 firefighters and two commanders made it to the scene, (KXAN: 2014) and Station One on 5th Street is in the middle of the festival. Stations 2, 4,6 and 7 closely surround the perimeter on the north, south east and west. All Austin firefighters are either emergency medical technicians or the higher-level paramedics which gave even more medical personnel to assist with the injured. It should be also noted that among a diverse group of those at the event, skill sets came into play from basic first aid on up. Jessica Cohen ( the red haired woman in the top photo) was working the sound board about three blocks away but she was also a long-time medic came out to help. Attendee Deven Penn did CPR on Sandy Le and she did regain a pulse, but died two days later. Paramedic Mike Kittok later said he saw attendees keeping patients from aggravating possible spinal injuries and using tourniquets to stop bleeding. Far from getting in the way, participants did what they could to pitch in. ( Dexheimer: 2015)
Green, Yellow, Red and Black
James Shamard, said in a morning press conference at the scene, the first EMS call came in at 12:32 am with units on the scene almost immediately (KXAN: 2015).
First there was triage. In a mass casualty training, triage helps make sense of the situation if there are more patients than providers. In the triage system created by Disaster Management Inc, patients in a mass casualty incident are broken into four categories and are adorned with color-coded tags: Green are referred to as the "walking wounded." These patients are ambulatory and treatment can be delayed without danger of death or disability. Yellow patients are injured and need hospitalization, are not ambulatory but not critical either. They have respirations between 30 and 10 per minute, perfusion based on capillary refill is two seconds or less. They can also follow commands and/or answer simple questions. "What state are you in?" or "Who is the President?" are common questions. Red tags are critical patients. They are either breathing more than 30 times a minute or less than 10, they cannot follow commands or capillary refill is more than 2 seconds. These are the first priority in transportation. When coming upon a patient with no respirations, responders adjust the patient's airway and if still no breaths are detected, they are given black tags and no rescue is attempted. Though CPR is generally attempted when there are sufficient rescuers on the scene of a traumatic cardiac arrest, survival is extremely rare so resources are better used on other patients. (Schlaggs: 2008) This incident had several of all categories. (KXAN: 2014)
After the crash, an additional five ambulances were called into the scene from other areas in Travis County.
EMS Polaris vehicle. Courtesy ASAP911
The first asset arrived almost immediately. All of the critical or "red" patients were off the scene fifteen minutes after EMS arrived. The "yellow" patients were off in 21 minutes. Units made multiple trips due to the proximity of the scene to the hospitals. The final transport left at 1:22 am, fifty minutes after the crash. ( Benavides: 2016)
The one bright spot was the accident was in Downtown Austin, close to several hospitals. University Medical Center at Brackenridge was closest at about 3 blocks away and the area's level one trauma center. Though it was clearly unorthodox, one of the Polaris vehicles transported one of the critical patients to UMC Brackenridge.
Level 4 trauma facilities were where the others were taken. St. David's- Medical Center is 1 ½ miles away. St David's-South Austin, 6.2 miles away.
Seven were initially taken to UMC-Brackenridge. Being a level one trauma center they received all the critical "red" patients and an additional patient was transferred there from another hospital when it was discovered his injuries were more severe than initially assessed. Thirteen were taken to St. David's-South Austin, four to St. David's- Medical Center. (KXAN: 2014)
Frank Urias, EMS liaison for Seton Hospitals which owns Brackenridge, says during SXSW hospitals downtown expect a 5-10% increase in patients, usually alcohol or drug related incidents, plus there is also an increase in motor vehicle and auto/pedestrian accidents. He says they do not normally increase staffing as it's not cost effective, but they do make the staff aware of the many traffic diversions in the area to keep personnel available. (Urias: 2016)
Almost immediately Brackenridge got a call from the on site ATCEMS commander, he remembers. They began moving patients who were not in serious condition from rooms into hallways. Five minutes later, in came the first patient. (Urias: 2016)
"Triage is relative to the event," he said. "We got six critical patients but St. David's got an assortment that would have gone to Brackenridge under normal circumstances." Yes, he or she may be seriously injured and in a lot of pain, but not in danger of death.( Urias: 2016) Take Mason Endres, 17, who had a concussion, a fractured cervical vertebra, a broken femur, nose and a severed artery in her leg. ( West: 2014) Under normal circumstances it would have been an almost reflexive action for EMS to take such a patient to Brakenridge, but she was run to St David's- Medical Center. These were far from normal circumstances. (Urias: 2016)
Two other hospitals with emergency departments are located further away from the accident than St David's- Medical Center is, yet they are still closer than St. David's- South. None of the ambulances from the crash went to Austin Heart Hospital or Seton – Medical Center. This was not an oversight but by design.
Past experience shows, Urias said, that the hospitals closest to a mass casualty are filled up quickly by ambulances with the most critical patients. But many times an equal number come on their own or driven by others. Those patients would have been more likely to go on their own to Austin Heart or Seton Medical Center about 3.5 miles away so taking the relatively minor injured patients to St David's South 6.2 miles to the south freed Seton Medical Center and Austin Heart for any additional patients who might come in and assured all of Central Austin's hospitals did not have to go on diversion for other injuries and illnesses. ( Urias 2016). By the morning press conference, fifteen had been released according Shamard said. ( KXAN: 2014)
Public Information
Benavides, who handles media relations, remembers "I received a call from one of the medic commanders. He called me around midnight and said 'I don't have time to talk, Mike just turn on your radio start paying attention and I'll call you back.' I did and the first I heard was all the traffic about the multiple casualties. I got up and started putting on my uniform and contacted ( deputy PIO Captain) Darren Noak and told him that I was responding and for him to monitor the radio, manage the tweets, phone, email, media pager - all the behind the scene stuff." Benavides sent out the initial Tweet that EMS was responding. ACTEMS routinely sends tweets out for calls that may have a high degree of interest. (Benavides: 2106)
Upon arriving he estimated there were about 60 members of the media already there. Benavides said he corralled the media to a street corner and had an officer stationed there. As a criminal investigation was underway, fewer people entering and exiting the two block crime scene meant fewer opportunities to corrupt evidence and less confusion when officials were ready to make a statement.
Disseminating public information began to change not long before the crash, but this event helped cement. The decision was made a few months earlier on to use multiple public information officers based on the specialty rather than just one to speak for the event. Benavides referred to it as "staying in our lanes." Police would discuss the criminal investigation. EMS would discuss patients and conditions. Hospitals would discuss how many patients were released or their status. This prevented a lot of police needing to check on patient statuses or a fire department PIO having to double check with or give wrong information when asked by the media about a police matter. In addition ATCEMS felt their message was getting lost and a uniformed PIO would give the sense of what ATCEMS does. He admits there was some reluctance and pushback that day as this was a relatively new system for dealing with the media, but since that time area PIO's have been much more comfortable with this system. (Benavides: 2016)
The media had their role to play as well. The next day they were alerting the area for blood donations. O + and O- were most needed. An article "How You Can Help" by KUT reporter Nathan Bernier seemed to be responding to a desire many have after a tragedy to do something. ( Berneir: 2016) Personal note. I was living in Austin on September 11, 2001 and can attest to the Blood and Tissue Center of Central Texas being packed that day, putting my name on a list, leaving for several hours and returning to donate. One could say "Austin cares" and maybe that is what locals were thinking, but with world-wide attention and people from all over the globe being temporary Austinites, it may have been more a case of a community coming together, no matter where there permanent addresses happened to be.
When responders are in highly stressful moments they go into "work mode" with the stress coming out later often in negative ways so CISM is a way to avoid burnout which can turn into insomnia, irritability, self medication or worse. Dr Carol Logan, psychologist for the Austin Police department, confirms via email request that after the crash there was a Critical Stress Incident Management session set up for the responders to deal with the stress of the incident. The CISM was inter-agency but due to privacy laws, she could give no further details.
On November 6, 2015 Rashad Owens was found guilty of capital murder. He was given life in prison without parole.
The next year some enhancements were added. Water-filled barricades replaced the wood and metal ones that offered no protection from the speeding car. Though it seems strange NOT to have these barricades given what happened, Dr Kara Kockleman, an engineering professor who specializes in transportation at the University of Texas- Austin, says not so fast. The barricades that are large and encumbering to a speeding vehicle are also difficult to move in case police, fire or EMS are needed. Keep in mind EMS liaison Frank Urias pointed out many typical SXSW patients are alcohol and drug emergencies and heavy barricades could delay an ambulance. "It could be a worse outcome if we can't get personnel and equipment in there quickly," Kockleman said to KUT radio. ( McGee: 2104)
It has been said the goal of recovery is to get things back to some semblance of normalcy. Perhaps one could recovery began when SXSW officials decided to let the show go on. At the news conference Austin Police Chief Acevedo said "We urged them to continue with this great venue. We cannot allow one individual with his selfish acts who cared only about one person and that is himself to ruin a worldwide celebration of life and music and if you cancel it would be a victory for evil." (KXAN: 2014) Some things will always be different. People will experience aches and pains, sometimes for a lifetime. In the back of their minds, those there that night and maybe all Austinites may have a new sense of vulnerability. As good a symbol as any for ongoing recovery is Mason Endres who was mentioned earlier. On June 6, less than three months after the crash, she walked across the stage - without crutches- to receive her high school diploma. ( Betts: 2014)
Austin American-Statesman
Benavides, Michael. phone interview by the author for an upcoming article January 19, 2016
Benavides, Michael. phone interview by the author March 1, 2016
Betts, Chris SXSW Crash Victim Walks Across Stage to Receive her Diploma. KVUE TV. June 4, 2014. June 7, 2014
Bernier, Nathan"How you can Help" KUT radio. March 14, 2014
Dexheimer, Eric. "One Tragic Night. One Year Later. Austin American Statesman. March, 2015
KXAN TV, "Police Chief, City Officials Give Latest Details on Deadly Crash ( press conference with Austin Police Chief Art Acevedo, Austin mayor Lee Leffingwell, SXSW director Roland Swenson, ACTEMS James Shamard, Austin Fire Chief Harry Evans)." March 13, 2014.
McGee, Kate. "South by Southwest Crash Raises Concerns about Barricade Safety" KUT Radio. March 14, 2014
Robinson, Ryan. "Austin Area Population Histories and Forecasts" City of Austin Planning and Development. January, 2016 http://www.austintexas.gov/sites/default/files/files/Planning/Demographics/austin_forecast_2016_annual_pub.pdf
Schlags, Mike. "START MCI Triage Systems and Tags" Firefighter Nation. October 8, 2008
Scott, David. "First Weekend of SXSW sees Beefed Up Barricades" KXAN TV. March 13,2015
Swiatecki, Chad "SXSW Economic Impact Grows Slightly from 2014. Austin Business Journal. September 15, 2015
SXSW Music festival press release. 2014
Texas Department of Health.EMS Trauma Systems. 2016
Urias, Frank. phone interview by the author. March 10, 2016
Weather Underground
West, Kelly. "SXSW Survivor Gets Private Concert in the Hospital" Austin American-Statesman. March 15, 2014


text:
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MSE-based transmit power control for transmission of QAM signals in frequency selective fading channel
Cited 0 time in Cited 0 time in
- Authors
- Nam, Dae-Seok; Lee, Yong-Hwan; Lee, Kwang-Bok
- Issue Date
- 2002-05-15
- Citation
- VTC Spring 2002. IEEE 55th Vehicular Technology Conference, vol. 2, pp. 885-888, 2002.
- Abstract
- When a multi-level quadrature amplitude modulation (QAM) signal is transmitted over the wireless channel, transmit power needs to be controlled to avoid severe performance degradation due to the fading. Most studies on the transmit power control (TPC) were considered in the flat fading channel. In this paper, we propose a power control scheme in the frequency selective fading channel, where the transmit power is controlled based on the mean-squared error (MSE) of the equalizer output. The performance of the proposed scheme is analytically evaluated and verified by computer simulation in the fixed wireless channel with low Doppler frequency.
- Language
- English
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