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CMSD Master Planning
KEY POINTS No schools to close for several years All funding is tied to enrollment counts The Master Plan will be reviewed and updated each year.
PRE ISSUE 14 (MAY 2001) 2001 CMSD student enrollment was 77,000 students There was a drastic need to fix crumbling buildings….Plain Dealer January 23, 2001. OSFC Classroom Facilities Assistance Program was not in effect Issue 14 raised $335 million to repair most drastic conditions (failed boilers, failed roof and windows, repair out of service plumbing and electrical equipment. Charter School Enrollment was 2,887 students
POST ISSUE 14 PASSAGE OSFC building condition assessments were completed January 2002 CMSD/OSFC Master Plan was agreed to May 2002 Master Plan enrollment multiplier was 72,500 based on 2005/2006 projections In 2004, the build out year was changed from 2005 to 2015/16 state-wide Cleveland Charter School enrollment grew to 19,000 in 2007 State-wide urban enrollment demographics are triggering declines Inflation factors have increased the cost of building schools
Critical District Master Planning Objectives Strive to retain public school infrastructure to accommodate students returning to CMSD Requires that the current tax rate for the Project be maintained (no increase in the tax rate is anticipated) Maximize number of neighborhood schools with attention on Academic Neighborhoods (defined as individual High School catchment areas) Overwhelming percentage of K-8 students (at least 95%) to walk less than 1 mile along safe route to a new, renovated or maintained school Create future flexibility for possible grade configuration changes with at least one large K-8 in each academic neighborhood Right size schools for the expected population with options to respond to both greater or lesser than expected enrollment in 2015-16 Strive for 1 geo-thermal heating system per academic neighborhood and design to LEED (Leadership In Energy & Environmental Design) Objectives. All schools will have Pre Kindergarten space Provide for a 20:1 Student to Teacher ratio grades Pre-K thru Grade 3
Critical District Master Planning Objectives – cont. No Schools to close for several years Schools not receiving OSFC dollars will be maintained by the District If enrollment grows, other schools can be added to the State co-funded construction program Master Plan can be adjusted to changing enrollment or academic program information Maintain all comprehensive High Schools Focus on City-wide draw High Schools (Max Hayes and Cleveland School of Arts in Segment 5 with design beginning fall 2007) CMSD stakeholders can help by: Listening & understanding Master Plan information Communicating concerns in a constructive manner Working constructively to relocate during construction Help in growing enrollment
Decision Factors Enrollment Data CMSD Factors Regulations or Regulatory Policy Factors Facility Assessment Factors Funding Factors Constructability Factors
Enrollment Data Live Birth Data District Enrollment Statistics Community School Enrollment Changes in Program Offerings Change in Grade Configuration Zoning Changes Planned but not Built Housing Open Enrollment Impact on One School to Another Housing Activity Boundary Adjustments Pre-school Programs Employment Shifts Magnet/Charter/Private School - Opening or Closure
CMSD Factors Neighborhood Student Enrollment Academic Performance Special Education Requirements Safety & Security Requirements Safe Walking Routes Nearby Schools & Special Programs Community Engagement Feedback Community Use Plans External Assistance Opportunities Consequence to future administrations Current Building Capacity Building Conditions Legal Obligations NCLB & IDEA* Labor Contract Obligations School Distance Student Transportation Needs Strategic Planning Goals & Objectives Cost Management Swing Space Availability & User Acceptance LFI Impact Option School Expansion Opportunity for Partnering with Other Organizations * NCLB - No Child Left Behind * IDEA - Individual with Disabilities Education Act
Regulations or Regulatory Policy Factors Ohio Revised Code Ohio School Design Manual Ohio Basic Building Code City of Cleveland Planning Commission OSFC Career Technical Supplement OSFC Policies City of Cleveland Building Codes
Facility Assessment Factors OSFC 2/3rds rule City Landmarking of Buildings OSFC 350 Rule Facility Condition Index & Learning Environment Ratings
Funding Factors Construction Cost Determination Regional Cost Trends Determination of District Share Project Cash Flow Real Estate Acquisition Costs Renovation Cost Determination Construction Budget District Funding Sources (Bonds, Donations) Facility Condition Index Availability of Local Funds
Constructability Factors Greenfield or Brownfield Site Neighborhood Infrastructure Construction Market Conditions Available Construction Capacity Winter Conditions Topography issues Acreage Size to Support Total School Operations Construction Footprint Space Availability Real Estate Availability & Acquisition Timing Previous Construction Decisions Opening Timing (new schools and swing sites) Water, Electricity, Gas, Drainage Availability
Enrollment Projections High School Handout K-8 Handout
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|Publication number
|Publication type
|Application number
|Publication date
|Sep 5, 2000
|Filing date
|Dec 8, 1997
|Priority date
|Dec 8, 1997
|Fee status
|Publication number
|Richard S. Berger, Michael A. Witt
|Original Assignee
|Berger; Richard S., Witt; Michael A.
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (4), Referenced by (87), Classifications (10), Legal Events (6)
|External Links: USPTO, USPTO Assignment, Espacenet
The present invention is related to an improved method and apparatus by which patient information is entered, accessed and processed.
The invention relates to a method and apparatus for the storage of encrypted or otherwise similarly stored data. More particularly a method for recording personal, insurance and other information on a card or card-like medium. In turn, said information is or can be recorded and "read" from an area contained on said card that may or may not be visible to the naked eye and may or may not be readable by the naked eye. Said visible area is capable of containing a laser readable, magnetic strip or strips or other like means of information storage, for future dissemination.
Data management in the fields of medical, dental, ophthalmological, podiatric, chiropractic, pharmacological and other health care areas as well as in many professional fields has become a pervasive complex, financially expensive and time-consuming aspect in the provision of health care or respective services. The respective professionals must divert valuable time, energy and resources to address the ever expanding sea of paperwork and the complicated field of data management. Accordingly, service and care providers are unable to direct or focus a majority of their time to the provision of care and services that they otherwise would and the cost of providing patient care has increased while reimbursement has decreased. Insurance companies have gained an ever increasing presence in every imaginable field of health care as well as service industries, providing for the vast majority fee payments. For fee payment a literal plethora of forms, requests and releases must be filled out--for every individual patient--in order for the care or service provider to be paid, reimbursed or otherwise compensated for the services or care rendered.
For example, when a patient sees a new doctor or seeks treatment in a clinic or hospital for the first time, and in many instances every time thereafter, it takes the service or care provider, or their respective staff, between fifteen (15) minutes to one (1) hour--or more--to fill out all the forms, questionnaires, check the applicable sources and facts, check the information's accuracy and the completeness of all the above mentioned details. Additionally, for many reasons, it is often necessary to check with the insurance company, previous service providers, clinics and hospitals to insure the completeness, accuracy and veracity of the information provided. In many instances, the information as well as any supplemental material, must be gained and/or verified without the patient's/insured's help, and is therefore difficult to obtain quickly. Generally, the only readily verifiable identification that a patient's carries is a drivers license. The large number of managed care companies with all of their rules and programs have confused the patient and confounded the provider.
Identification issues aside, managed care, private insurance, business insurance plans and government sponsored health care generally account, or accounts in relative proportions, for payment of the vast majority of patient fees of those seen by a health care provider. Billing procedures and management are generally computer generated and managed in virtually all active practices, laboratories, emergency rooms, hospitals and clinics. Most major insurance carriers, as well as state health care programs and Medicare, encourage and/or only accepts electronically filed claims. Electronically filed claims expedite the processing and satisfaction of many claims submitted. Additionally, electronically filed claims vastly reduce the amount of unnecessary paper that would otherwise be required. In further evidence of the above, Medicare only accepts electronic claim. Medicare is presently accepted by 90% of physicians and essentially all hospitals, clinics and labs. Furthermore, due to the progressive aging of our society such electronic claims will rise out of necessity. A problem with the filing, processing and satisfaction of any electronically filed claim is that all the information must be absolutely correct and the format must be in full compliance with the requirements of the insurer.
At present, in a vast majority of the offices, patients complete questions on handwritten forms. A receptionist, who is usually not trained at or in data entry, must enter this patient and insurance information into the computer while concurrently accomplishing and performing many other tasks, duties and responsibilities. Not only is this inefficient, errors in data translation and entrance occur quite frequently, resulting from patient and/or provider employee error and/or omission. In the event procedures (i.e., and not limited hereto, biopsies, consults, blood specimens, culture trays) are performed or ordered, a patient's information and insurance's data must be again transcribed, providing another opportunity for error. Such errors may result in the insurance carrier's outright refusal or significant delay in payment for the care or service provided. All errors and/or omissions must be corrected before the insurance claim is paid--if at all. Such corrections requiring meticulous and time consuming review and additional phone calls that result in further delay in the providing services and claim payment--if payment is remitted at all. The whole process is very burdensome, time-consuming, costly, and aggravating for the patient, respective professional offices and insurance carrier. To address and partially remedy the aforesaid problems, while nevertheless giving rise to new ones, additional employees must be hired in a stop gap attempt to cope with errors, call insurance companies, review the patient's files and review all the aforementioned work to check and verify its veracity. In turn, the additional employees, paperwork and support mechanisms tend to interfere with the normal flow of patients, and subsequent rendering of care. Furthermore, many people have substantial difficulty filling out the long forms whereas others simply refuse to fill out the forms. These problems are ever compounding and increase in magnitude as the United States population ages. Furthermore, patients with language barriers, mental handicaps, the acutely ill and unconscious patients are partially and/or totally unable to complete any of the required forms for authorization of payment and more specifically and importantly treatment.
Other complicating aspects of managed care, or similar provided services, lie in the fact that each particular payment provider often has several programs with different requirements, restrictions, codes, forms and even several different billing addresses. As a result of all the above-mentioned problems another problem arises in the reluctance of medical care providers to comply with any additional record keeping and reporting requirements, especially in the midst of busy patient care. In addition, there are significant burdens associated with the time, cost and amount of paperwork required for proper patient processing that causes many physicians and institutions to reject particular insurance plans and carriers. This is socially troublesome as it effects the income of our physicians and hospitals and breaks the long standing doctor-patient relationships.
A need has clearly arisen whereby the care provider would have a method and device to assure accurate and complete demographic and insurance information on the patient, that may also include basic "medical-alert" information. The present disclosure addresses such needs.
A review of the present field of devices and methods that attempt to address some of the aforementioned problems, individually or in combination, evidences no such device as disclosed herein.
For instance medallions and bracelets have been worn by some persons suffering from particular conditions such as diabetes, hemophilia and antibiotic allergies. These provide very limited capability for information storage and dissemination and are often not worn. Thus, a need exists to provide a means for more adequately and thoroughly describing a person's medical history on a device which can be easily carried by all individuals. Furthermore, these devices fail to address the burdens associated with the insurance companies.
Relating to hospital or patient care environments, a label printer which makes self-adhesive labels from an identification plate attached to a patient wristband is described in promotional literature from Bio-Logics Products, Inc., Salt Lake City, Utah and in U.S. Pat. No. 4,145,966.
In U.S. Pat. No. 4,692,394, Drexler discloses a personal identification card on which there are recorded visual images, such as a face image or fingerprint, and laser recorded data. By means of in situ laser recording, transaction data, information, or the like related to the photographic image is recorded at subsequent times. For example, insurance claims or medical record entries may be processed sequentially. A photograph of the claimant is alleged to protect against fraudulent use of the card.
Miller, et al., U.S. Pat. No. 3,694,240, and Estrada, U.S. Pat. No. 4,325,570, disclose an identification systems in which an individual's fingerprint is taken at the time identification is to be made and compared to a fingerprint record in a master file of the person the individual purports to be. These disclosures are both time consuming and require the recording and maintenance of additional fingerprint files for verification.
In U.S. Pat. No. 4,730,849, Siegel discloses a device and system for the identification of medication in an attempt to assure that only the patient for whom the medication was prescribed will receive it. A photograph of the patient is affixed to the medication container, in the form of a label, and/or patient record, such as a medication card or chart. Alternatively, upon admission a patient may be issued a "non-removable" identifying wrist band having a machine-readable portion and, optionally, a computer-generated likeness or a photograph of the patient. Before treatment, the coded information on the patient wristband can be compared with that introduced into computerized central records upon admission.
In U.S. Pat. No. 4,236,332, Domo discloses a medical record card containing a microfilm portion having some data visible to the eye and other data visible by magnification. The directly visible data is alphanumeric character codes pertaining to emergency medical conditions of the patient and the magnified data portions detail the medical history.
In U.S. Pat. No. 4,213,038, Silverman et al., teaches an access control system with an identification card. The card has machine recordable indicia used to choose a master microspot pattern from the machine's memory. This master pattern is compared with an identical pattern on the card for verification. The card also has space for a picture and a signature. Similarly, in U.S. Pat. No. 4,151,667, Idelson et al., teaches an identification card having a photograph and a phosphorescent bar code pattern used for verification. The amount of information these cards can hold is extremely limited. Random microspot patterns can only be used for verification, while one dimensional bar codes can only represent a small amount of specific data.
Yet in other prior devices, systems have been proposed which include one (1) or more magnetic and manual entry data entry terminals at the health care provider facilities, various verification and authentication routines, data storage which includes lists of insurance companies or other payers together with lists of medical procedures for which such payers are obligated to make payments, schedules of permissible fees for such procedures and selected data related specifically to each covered patient. None of which claim reference to insurance forms and the errors associated therewith.
Such systems have, thus far, not featured a total health care approach nor delivery means, thus failing to adequately address the problems inherent with insurance. Nor, have such systems integrated the important elements of total health care system as contemplated by a total health management system. Since these missing functions, i.e. insurance processing, are important ingredients to a comprehensive medical care or insurance program, a need has arisen for a system that provides a full or more thorough integration of insurance processing.
In sum, none of the prior devices disclose a device that adequately displays the important insurance or medical history of an individual in a manner that may be easily read and used. Furthermore, none of the prior systems are sufficiently adaptable to inexpensive production. No reliable method for direct and accurate, insurance information has been achieved.
What is disclosed is a method and device that could be inexpensively produced by the insurance carrier and accordingly used by many service or care providers. The method described herein provides guidelines for the translation of the data from encoded or other formatted means into a system compatible with medical billing formats and the provision of care. Such a cost-effective method may be designed to save time, energy, resources and prevent errors. More importantly such a system that is disclosed herein and addressed, in part above, would also enable a manner by which services or care could be more efficiently provided. This could be accomplished through use of hand-held optical, desk-top or other scanner means.
The method and apparatus of this invention permit the recording, transmittal, and analysis of the insurance information, without limitation, by all participating medical care providers with a significant decrease in the paperwork requirements and, as a side benefit, provides for economic incentive to participating medical care providers. The method and apparatus of this invention successfully permits the acquisition and evaluation of insurance information from the patient to the care provider who then provides said information, coupled with information pertaining to the care provided, back to the insurance company or governmental entity. The invention meets the objectives of efficiently providing patient and insurance information. Therefore, reducing error filled forms and the resulting unnecessary costs and expenditures associated with remedying such errors. Misidentification or recording of incorrect or incomplete information is costly and can be life threatening. Furthermore, such material information will be "pre-coded" by the insurance provider. Thus, upon submission of a claim for services rendered, the insurance provider will be hard pressed to dispute the validity of their information.
An object of this invention is to provide a device that saves time at the care provider's office.
A further object of this invention is to alleviate the need to fill out complicated forms--to the patient and practitioner.
Another object of this invention is in avoiding essential information being forgotten.
Another object of this invention is in information being available in the event that the patient is unable to communicate.
Another object of this invention is in protecting confidential information.
Another object of this invention is in the protection against unauthorized use of insurance cards.
Another object of this invention is saving data entry time.
Another object of this invention is in it being cost effectiveness for the provider.
Another object of this invention is to eliminate errors in medical, personal and insurance information.
Another object of this invention is in being user friendly.
Other objects of this invention are speeding up the billing process and preventing the rejection of claims.
Another object of this invention is to reduce insurance company cost in reprocessing claims and resulting communications with providers and patient.
Another object of this invention is in the convenience and marketing advantage to patient and health care providers.
All the above objects may be met with a card having visually readable information on recordable or photographic material, i.e. a strip of laser recordable material, recorded in situ, disposed of on a wallet-size credit card-like medium. Accordingly, readable information, which may be adhered to a surface of the card, may relate to any personal attribute. Whereby other information pertaining to insurance or the insurance company may be similarly located. In turn, one of many vehicles may be used to record data on the strip, either by ablation, melting, physical or chemical change, thereby forming spots, coded sequences or other means for the transfer and dissemination of material. In turn, the spots or stripes of encoded material shall be represented by changes in reflectivity, and respectively encoded material.
By means of in situ laser recording, the transaction of data and information, or the like, related to the information previously recorded may be recorded at subsequent times. For example, insurance claims or medical record entries may be processed sequentially in the recording of various transactions on a strip, or like medium, one after another, without erasing or selectively erasing predisposed data. A photograph of the claimant may further protect against fraudulent use of the card.
In accordance with the device as herein provided, an integrated service is provided, that reduces time and direct and indirect costs often incurred through duplication of excessive paperwork (or its inappropriate utilization), thus enhancing the ability of the system to provide quality services and health care through efficient case management and service provider interaction.
The foregoing and other objects and features of the invention will be apparent from the following detailed description, by way of a description of a preferred embodiment, with reference to the drawings.
FIG. 1. Is a front and rear view of one manner of a MEDICOMPUCARD;
FIG. 2. Is a representative data map for inclusion a the MEDICOMPUCARD;
FIG. 3. Is a block diagram depicting possible devices for achieving the present invention;
FIG. 4. Is a representative patient registration form;
FIG. 5. Is an exemplary standard insurance form;
FIG. 6. Is an exemplary patient information form;
FIG. 7. Is a general block diagram depicting an example of the present invention.
FIG. 8. Is a detailed block diagram depicting an example of the present invention, and
FIG. 9. Is a 1500 standard health insurance claim form.
The MEDICOMPUCARD may be physically similar the more common insurance card, and credit card-like counterpart and mediums.
FIG. 1 depicts a card 10 that may have the dimensions such as an ordinary credit card (approximately 33/8"�21/8"�1/16"), but not limited thereto. On one side of the insurance card 10 there may appear characteristics similar to an insurance card and therein may contain the standard information on one side (front shown) 12--in a visually perceivable manner--such as name, policy number, group, type of coverage or other subjective materials as the case may warrant. On the other side of the card there shall appear a 2 dimensional bar-code, a PDF 417 bar code (all of the foregoing are for example only and are not to limit the manner by which information may be stored or retrieved) may be imprinted or otherwise placed upon the rear of the card 14.
A common type of 2-D bar-code is known as a PDF 417 bar-code and is capable of reliably storing several kilobytes of information. A kilobyte is 1024 bytes, or for our purposes here, characters. The ability to encode the entire Gettysburg Address in a single 2-D label has been demonstrated. This capacity is much greater than the common magnetic strip media found on the back of credit cards. The bar-code label is also permanently printed on the card and cannot be erased by magnetic fields as can the magnetic strip media products. Security devices presently in use at many retail stores utilize magnetic fields to deactivate merchandise control tags when purchases are made. These pose a hazard of erasure to credit cards or other magnetic media which may be placed in close proximity to them. Magnetic bars are often destroyed just by carrying them next to other cards in a wallet. Bar-codes, being an optical media, are not prone to the same type of hazards. The bar-codes can be produced by a variety of off the shelf software packages and can encode almost any alphanumeric data. Typically data will be typed into the software package much the same way as a simple word processor. The software can then produce a PDF 417 bar-code which will contain all of the encoded data. Personal data and health care information must be supplied by the patient to the insurance companies. This will be added to the insurance details which will be encoded on the cards produced by the insurer. Currently most insurance companies offer electronic claim submission. Use of the MEDICOMPUCARD will allow a single point of data entry, when the data is first encoded in the bar code. All personal and insurance data transfer beyond that will be electronic and chance for translation error and corruption is greatly reduced.
When the data is first encoded, it must conform to a set pattern or map.
FIG. 2 depicts one such manner for placement of information in the card's 10 data stream. The map specifies what piece of information goes where in the file. For example, the patients first name should always occupy the first 15 characters of the file, characters 0 through 14. The map is necessary to allow the data to be located and utilized once the bar-code is scanned.
The data map will be made available to the public for the express purpose of setting a standard and making the use of the MEDICOMPUCARD accessible to all medical software applications. Once the script is executed, the patients data will be imported into the local database as if the receptionist had typed it in, but no manual intervention will have been necessary.
Accordingly, the MEDICOMPUCARD may have a visible indicia bearing and portion with identification, medical data, and which may also have a medical record portion. This may be accomplished with one or more strips of self-proofed information. In one form the card may be made by reducing identified and certified medical history pages and producing a card containing the same in a readable format. A jacket having an opaque area is printed with visible indicia such as the identification of the person and medical data. A backing is added, and the visible indicia are read against the backing.
A magnetic tape may be added for storing machine readable information. For instance, in a "dog tag" size card, the frames are arranged in a substantially square area in the card, and a hole for receiving a body member encircling chain penetrates the visible indicia bearing portion card wherein a supporting card contains a portion having indicia visible to the human eye coded for particular chronic conditions which effect emergency treatment and having indicia visible by use of a reader which detail the medical information and identification data of the patient. The supporting card contains the code for the indicia which alert medical personnel to chronic conditions and, in addition, contains some important identification data about the patient and about the type and use of the card.
FIG. 3 depicts examples of devices that may be used in conjunction with the present invention. Accordingly, the bar-code may be read by a 2 dimensional or like bar-code scanner 190. These scanners 190 can be hand held devices much like the one used in department stores to scan the UPC symbols on the merchandise. They are different however, in the fact that the devices required for the MEDICOMPUCARD are capable of decoding 2 dimensional or like bar-codes. UPC symbols are not 2-dimensional; they are 1-dimensional and contain only a very short numeric string. As stated before, 2-D bar-codes can store much more data and when PDF 417 bar-codes are decoded with a 2 dimensional bar-code scanner, the encoded data is computer readable as an ASCII text stream and is as simple as a string of characters being letters, numbers and spaces. The scanner 190 acts in conjunction with a key board wedge decoder 186, via connector 192 to the key board 184 and connector 182 to the computer terminal 180. Instead of typing the letters and numbers into the computer 180 using the keyboard 184, the scanner 190 sends the entire packet of alphanumeric data in a single stream. All of the encoded data is sent at once to the PC 180 as one large unformatted group of letters, numbers and spaces. This stream of numbers and characters appears much like a jumbled text file. This is the precise reason that the data must be encoded following a standard map. If, for example the patients billing address is required, it can be found and read from a range of predetermined character locations. The map is necessary to ensure that all of the data represented can be read and inserted into the correct fields on the physician's computer 180. Other 2 dimensional bar code scanners symologies may include "Maxicodes".
In turn, in order to capture the data stream, the receptionist scanning the card may invoke a simple text editor or other utility capable of accepting a continuous text stream. These types of applications are standard with many operating systems. Some are DOS Edit for DOS operating systems, WordPad, Write, or Notepad in Windows systems or the VI editor in UNIX systems. Additionally, the disclosure may allow for the using physician to integrate and/or update the programing via a simple generic or otherwise custom application that will in turn accept text and save the resulting file. Once the text editor application is started, the card is scanned which enters the data into the editor as if it was typed. The file then must be saved to a temporary file on the hard disk drive of the PC 180. After saving the text file, now containing all of the patients data, a custom script must be executed to import this data into the existing office database. Additionally, the card's format or internal coding may be altered or updated via provider updates through the use of computer software on the part of the insurance company. Conversely the physician's computer data base could also be updated so as to have the functionality to utilize the data contained on the MEDICOMPUCARD. Thus, a script may be written in almost any language or a script may be custom written for the specific database software that the office is using. Thus, a custom script would enable the card's issuer(s) to over come the obstacles associated with the wide variation of software used in the medical and like professions. As each program stores information in different fields and locations in the database, as well as different methods used to import text data, most likely be necessary for the database developers to write the custom scripts.
FIG. 4 is exemplary of past registration forms that required line by line manual information insertion while in the physician's office.
FIG. 5 is exemplary of data as it may be pre-encoded through the use of the invention and displayed on the physician's computer monitor for subsequent download, modification and return to the insurance carrier.
FIG. 6 is exemplary of data as it may be pre-encoded through the use of the invention and displayed on the physician's computer monitor for subsequent download, modification and return to the insurance carrier.
FIG. 7 depicts a flow chart of one way the invention may be used. Accordingly, a patient may visit the doctor's office with the MEDICOMPUCARD (shown at 62) following presentation of which the receptionist may scan the rear of the card 14 into the database (shown at 64). Following scanning 64, the information would be transferred into a text file 66 for importation into the particular physician's database 68. Following entrance into the database 68 the material may be printed out and presented to the physician without manual entry (shown at 69).
An example of a process according to the present invention is depicted in FIG. 8:
A patient enters a physician's office 72. If the patient has a MEDICOMPUCARD (yes or no 74) the card 10 is presented to the receptionist (shown at 76), and in this case the receptionist then opens a text file to read the card 10 (shown at 76). Then the receptionist scans the card (shown at 78), by means of a scanner keyboard wedge interface 190, and the receptionist in turn saves the scanned information, that is shown on his/her screen, in the resulting text file (shown at 80) and, subsequently, the information will be entered in to a PC 180. Then the previously encoded information will then be entered into the physician's database for application and use 82 with the use of an import script. Alternatively, if the patient does not have a MEDICOMPUCARD (no, at 74) then the patient must fill out the forms by hand (shown at 88 and 90) (88, patient fills out demographic form and 90, patient completes portion of the "1500" insurance form) after which the receptionist manually enters the information into the physician's system (shown at 92). In either case, the patient with or without the card 10, the information will end up on the physician's database (as shown at 84). But of course, the simplicity of using the card 10 associated with the present invention is apparent herein. The receptionist may then save the file or files, or selected portions thereof for other applications, on to a PC's 180 hard disk drive, floppy drive or like file. After the file is saved, a custom written import script may be executed and the resulting information printed for mailing, fax transmission or other method for transfer back to the insurance company (shown at 86) (eg, a "1500" insurance form or other electronic transfer method is used to supply information to the insurance company).
FIG. 9 is a representative of a "1500" standard health insurance claim form that a patient must fill out upon entrance into the doctors office.
Use of the MEDICOMPUCARD will help reduce, if not eliminate errors related to inaccurate insurer and patient information. This in turn will help decrease the number of claims returned from the insurance to the patient and provider and will decrease the expense involved to the health care provider and insurance company. It will make the whole system more efficient for everyone involved in the health care system.
The method and apparatus of this invention may also permit more timely quality reviews by medical insurers of ambulatory patient care, and payment for the same, by gathering medical data on each and every ambulatory visit and by providing a unique data transmission system to timely and accurately report the data for analysis. Implementation of the method and apparatus of this invention should permit significant cost savings for the health care insurance system.
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|Business process framework for reinsurance
|Sep 1, 2000
|Apr 20, 2010
|Sholem Steven L
|Method and apparatus for tracking the relative value of medical services
|Sep 25, 2003
|Jul 13, 2010
|International Business Machines Corporation
|Secured medical sign-in
|Sep 2, 2003
|Feb 22, 2011
|Computer Sciences Corporation
|Graphical input display in an insurance processing system
|May 4, 2006
|Mar 15, 2011
|Barnes Brian T
|Linking transaction cards with spending accounts
|Sep 20, 2002
|Mar 15, 2011
|Discovery Holdings Limited
|Method of calculating a premium payable by an insured person on a life insurance policy
|Jul 31, 2006
|Apr 12, 2011
|Harrison Sarah E
|Payment programs for healthcare plans
|Feb 13, 2007
|May 24, 2011
|Oltine Acquisitions NY LLC
|Methods, systems, and computer program products for promoting healthcare information technologies to card members
|Jun 7, 2001
|May 31, 2011
|Discovery Holding Limited
|Method of incentivising members of a disease management programme to comply with the programme
|Dec 29, 2005
|Jun 28, 2011
|Oltine Acquistitions NY LLC
|Facilitating payments to health care providers
|Jun 6, 2008
|Aug 2, 2011
|Computer Sciences Corporation
|Displaying likelihood values for use in settlement
|Nov 23, 2005
|Aug 16, 2011
|Blom Michael G
|Automated patient management system
|Jun 29, 2007
|Aug 16, 2011
|Computer Sciences Corporation
|Claims processing hierarchy for designee
|Jun 29, 2007
|Aug 30, 2011
|Computer Sciences Corporation
|Multiple policy claims processing
|Jun 29, 2007
|Aug 30, 2011
|Computer Sciences Corporation
|Claims processing of information requirements
|Jun 29, 2007
|Aug 30, 2011
|Computer Sciences Corporation
|Claims processing hierarchy for insured
|Feb 6, 2008
|Sep 13, 2011
|First Access, Inc.
|Medical payment system
|Mar 11, 2010
|Mar 6, 2012
|Discovery Holdings Limited
|Method and system for operating an insurance program to insure a performance bonus of a person
|Oct 17, 2001
|Mar 6, 2012
|Discovery Holdings Limited
|Managing the business of a medical insurance plan
|Jul 26, 2005
|Mar 27, 2012
|Discovery Holdings Limited
|Data processing system for accurately calculating a policyholder's discount in a medical insurance plan and a method therefor
|Jun 3, 2009
|May 29, 2012
|Discovery Holdings Limited
|Managing an insurance plan
|Aug 12, 2011
|Jun 5, 2012
|First Access, Inc.
|Medical payment system
|Jun 6, 2008
|Jul 10, 2012
|Computer Sciences Corporation
|Determining amounts for claims settlement using likelihood values
|Jun 6, 2008
|Aug 14, 2012
|Computer Sciences Corporation
|Determining recommended settlement amounts by adjusting values derived from matching similar claims
|Aug 7, 2001
|Nov 6, 2012
|Discovery Life Ltd.
|Managing a life insurance investment
|Jun 3, 2009
|Dec 4, 2012
|Discovery Holdings Limited
|System and method of managing an insurance scheme
|May 16, 2008
|Jan 22, 2013
|Discover Holdings Limited
|Wellness program management and integration with payroll vendor systems
|Oct 26, 2010
|Feb 19, 2013
|Discovery Life Limited
|Managing an insurance plan
|Jun 3, 2009
|Feb 26, 2013
|Discovery Limited Holdings
|System and method of managing an insurance scheme
|Jun 1, 2012
|Sep 3, 2013
|First Access, Inc.
|Medical payment system
|Apr 30, 2008
|Oct 8, 2013
|Discovery Holding Limited
|Managing the business of a medical scheme
|May 23, 2007
|Jul 1, 2014
|Discovery Holdings Limited
|System and method of managing an insurance scheme
|Dec 5, 2000
|Oct 18, 2001
|Mdofficelinx.Com, Llc
|System for completing forms
|Oct 17, 2001
|Aug 15, 2002
|Levin Ryan Lance
|Managing the business of a medical scheme
|Mar 6, 2002
|Sep 19, 2002
|Maginas Stephen Paul
|Device and method for repetitive communication of messages
|Dec 5, 2001
|Jan 23, 2003
|Siemens Medical Solutions Health Services Corporation
|System and user interface for use in billing for services and goods
|Jul 27, 2001
|Jan 30, 2003
|Thomason Tamra L.
|System and method for completing forms
|Oct 18, 2002
|Mar 6, 2003
|Horowitz Fred L.
|Dental insurance eligibility determination and utilization recordation system
|Aug 13, 2002
|Mar 13, 2003
|Toshiaki Nakanishi
|Information management system, information processing apparatus and method, recording medium, and program
|Dec 31, 2002
|Aug 21, 2003
|Arizona Medical Devices, Llc
|Pharmaceutical compounding systems and methods with enhanced order entry and information management capabilities for single and/or multiple users and/or a network management capabilities for single and/or multiple users and/or a network
|May 2, 2003
|Oct 23, 2003
|Symbol Technologies, Inc.
|XML-based barcode scanner
|Sep 30, 2002
|Apr 1, 2004
|Rivet Gregory M.
|Automated system and method for gaining access to restricted or controlled areas
|Dec 5, 2003
|May 6, 2004
|Digianfilippo Aleandro
|Pharmaceutical compounding systems and methods and information management system for same
|Mar 17, 2004
|Sep 23, 2004
|Lux Cindy M.
|Patient registration kiosk
|Sep 25, 2003
|Mar 31, 2005
|International Business Machines Corporation
|Secured medical sign-in
|Dec 3, 2004
|Apr 21, 2005
|Digianfilippo Aleandro
|Apparatus and method for transferring data to a pharmaceutical compounding system
|Nov 19, 2004
|Jun 30, 2005
|Vasogen Ireland Limited
|Medical treatment management systems
|Jan 16, 2004
|Sep 8, 2005
|Wilson James C.
|Portable electronic data storage and retreival system for group data
|Sep 22, 2004
|Mar 23, 2006
|Valenza Thomas C
|Method and apparatus for storing and reading medical records from a magnetic card
|Jun 2, 2005
|Mar 23, 2006
|Richard Postrel
|System and method for centralized management and monitoring of healthcare services
|Aug 5, 2005
|Apr 6, 2006
|Alan Pollard
|Method of effecting a payment to a service provider on behalf of a member of a medical scheme and a system therefor
|Nov 23, 2005
|May 25, 2006
|Blom Michael G
|Automated patient management system
|Feb 15, 2006
|Jun 22, 2006
|Digianfilippo Aleandro
|Pharmaceutical compounder
|Feb 15, 2006
|Jun 22, 2006
|Digianfilippo Aleandro
|Transfer set for use with a pharmaceutical compounder
|Dec 30, 2004
|Jul 6, 2006
|Healthcard Network
|Health care facility admission control system
|Dec 29, 2005
|Jan 11, 2007
|American Express Company
|Healthcare Card Closed Loop Network System
|Jul 31, 2006
|Aug 9, 2007
|Harrison Sarah E
|Healthcare Card Incentive Program For Multiple Users
|Nov 6, 2007
|May 29, 2008
|B. Braun Medical Inc.
|Method for transferring data to a pharmaceutical compounding system
|Jan 29, 2007
|Jul 31, 2008
|American Express Travel Related Services Company, Inc.
|Filtered healthcare payment card linked to tax-advantaged accounts
|Feb 6, 2008
|Aug 14, 2008
|First Access, Inc.
|Medical payment system
|Feb 15, 2007
|Aug 21, 2008
|American Express Travel Related Services Company, Inc.
|Practice management system (pms) integration
|Feb 15, 2007
|Aug 21, 2008
|American Express Travel Related Services Company, Inc.
|Practice management system (pms) integration method
|Feb 23, 2007
|Aug 28, 2008
|Progressive Impressions International, Inc.
|Keychain information tag
|May 23, 2007
|Aug 6, 2009
|Discovery Holdings Limited
|Method of managing a life insurance plan and a system therefor
|Sep 18, 2007
|Feb 25, 2010
|Discovery Holdings Limited
|Method of managing the wellness of an organisation and a system therefor
|Jun 18, 2004
|Jan 13, 2005
|The Trustees Of Columbia University In The City Of New York
|Guideline execution by semantic decomposition of representation (gesdor)
|Jun 18, 2004
|Mar 26, 2009
|Univ Columbia
|Guideline execution by semantic decomposition of representation (gesdor)
|U.S. Classification
|235/380, 235/375
|International Classification
|Cooperative Classification
|European Classification
|Aug 21, 2001
|Certificate of correction
|Mar 4, 2004
|Fee payment
Year of fee payment: 4
|Mar 24, 2004
|Maintenance fee reminder mailed
|Mar 17, 2008
|Maintenance fee reminder mailed
|Sep 5, 2008
|Lapse for failure to pay maintenance fees
|Oct 28, 2008
|Expired due to failure to pay maintenance fee
Effective date: 20080905

subset: commoncrawl


text:
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Rebecca Halls
The Dancing Spine
Check availability / Book now
My style of yoga:
Alignment focused Vinyasa: All movement begins in the spine. A healthy spine yields a strong and flexible body. Our bodies are meant to move. Freedom in the body ultimately leads to freedom in the mind. My practice is a dynamic tapestry of methodically chosen sequences composed of standing postures, deep hip opening, arm-balancing, back-bending, inversions, meditation and pranayama.
I also teach GYROKINESIS®: The Gyrokinesis method is a movement method that gently works the entire body, opening energy pathways, stimulating the nervous system, increasing range of motion, and creating functional strength through rhythmic, flowing movement sequences. It is an original, and unique movement method which has benefits & qualities similar to those found in Yoga, Tai Chi, gymnastics and dance.
Each class begins with a gentle warm up sequence to awaken the senses, and stimulate the nervous system. This is followed by a series of fluid spinal motions which increase range of motion, and prepare the body to explore more complex movements with agility, and ease. Class continues on the floor with exercises that expand on the spinal motions, gradually adding more complex sequences, incorporating more movements of the hips, shoulders, hands and feet. The floor exercises are followed by a rhythmic standing sequence that incorporates balance, and cardiovascular exercises; then ends with a calming, unwinding sequence designed to prepare the body and mind to reintegrate with the every day world.
My retreat offering:
This retreat is about re-connecting. Re-connecting to the earth. Re-connecting to nature. Re-connecting to self.
Each morning we will start the day with meditation and breath work and then progress into a Gyrokinesis class to open up the body, to awaken the senses, and stimulate the nervous system. We will then take the body through all healthy range of motion to increase mobility in the joints and stretch & strengthen the muscles. You will leave the morning session feeling energized and ready for a day exploring the island.
Afternoons will be filled with a dynamic vinyasa yoga class. Each class begins with a series of sun salutations followed by a new emphasis each day that will evolve throughout the week: standing poses, forward bends, backbends and inversions.
Our yoga & Gyrokinesis work will be interspersed with some hula hoop fun, and mindfullness meditation walks to connect and breathe in the pristine beauty of the island.
The afternoon yoga practice can be physically demanding at times if one is not accustomed to practicing yoga on a daily basis. Students often find the morning Gyrokinesis classes restore their bodies and prepare them for the yoga practice enabling them to go deeper into the the work, and leave the island feeling energized and restored.
Who would benefit from my teachings:
This retreat is open to anyone who would like to develop their yoga practice and learn more about their body. It's perfect for those who live a busy life and would like to unplug for a little while and plug back into nature while learning deepening the mind body connection.
What you will take home:
My intention is for you to leave the island feeling energized and full of information and soul food that you can chew on for at least a year.
My other special offerings:
- Osteopathic Manual Therapy €100 per hour
- Private Yoga & Alignment Clinic and/or Gyrokinesis Lessons €80 per hour
- Mindfulness Meditation (Free)
- Hula Hoop Evening (Free)
- Introduction to Aromatherapy & Essential Oils (Free)
- Katerina will also be offering shiatsu therapy sessions at €80 / £63 per hour
Why I teach Yoga
I do many things. Yoga has been one of the most influential components of my life and who I am today. A professional dancer & hula hooper with a BFA in contemporary dance, initiating ballet training at the age of 5, I was initially drawn to yoga in my early 20's purely on the physical level to create beautiful shapes with my body. It wasn't until I began practicing regularly that I noticed the impact that yoga was having on my mind. I continued my practice diligently, studying all methods of yoga specifically Ashtanga, Iyengar, Jivamukti, Anusara. In 2007 after a dance injury that nearly ended my career, I decided it was finally time to start considering a profession as a yoga teacher. I completed my teacher training in 2008 with Hart Lazer (Iyengar/Ashtanga), and went on to teach and study with many more teachers thereafter. My main influence in my teaching and my practice has been Australian teacher Paddy McGrath whom I studied with in the Czech Republic in 2013 while I was organizing the world's first urban hula hoop festival "Hoopurbia". Mr. Iyengar has also been a huge inspiration to me, and I consider yoga as an art form. The ashtanga practice has been a consistent source of inspiration, while practising yoga daily as an artist. I rely on the healing benefits of breath work, and connecting to source to keep me grounded and centered in my life.
In 2013 I became a GYROTONIC® Instructor. The Gyrotonic & Gyrokinesis method was developed by Juliu Horvath, an ex-ballet dancer. You can learn more about it on Gyrotonic.com. In a few words, it is a movement method that allows all bodies to experience the joy of dance through healthy movement of the spine. I have worked with many osteopaths throughout the years to heal my own body and also learn more about how I can help my students. In 2016 I decided to pursue a career in Osteopathic Manual Therapy to complement my work with my yoga & Gyrotonic students. I look forward to sharing my work with you - A combination of everything I have learned from my teachers integrated with my own experience, including the work I develop each and every day with my students here in LA. If you want learn more about my approach, please check out my blog at rebecca-halls.com/blog


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The lights are on
Well, I called it--no harddrive. They'd better include a bigger SD card with the thing than they did with the 3DS.
The smallish size of the system likely backs up rumors I've heard, and the theory I've had that the system will be, technologically, in the same generation as the Xbox360 and PS3--namely because the system isn't physically large enough to house some incredible new tech, but more inline to house streamlined "same tech" as the X360 and PS3. Also, Nintendo hasn't released any specifics on the GPU or CPU. Hmmmmmmmmm.....
I'm digging the controller and the massive 3rd party support, but I wonder if it's going to be too little too late. A lot of bonafide hardcore gamers like myself have already switched to Xbox or Playstation for our hardcore 3rd party gaming. I'm inclined to continue my hardcore gaming on the Xbox360 for now, and I hope that Nintendo can manage some unique 3rd party exclusives--kinda like Deadly Creatures, Muramasa, etc. were on the Wii. Then of course, there are the idiot Nintendo fanboys who never support hardcore or 3rd party gaming on Nintendo's systems. So, awesome to see such a selection of 3rd party games announced, but a shame that Nintendo fans will just find reasons to whine and complain and not buy the games.
I was wrong on them keeping the Wii moniker, but I completely get what they're doing and I agree with it completely. They've found a way to maintain their Wii controllers and peripherals, and a way to expand what can be done with them moving into the future. My girlfriend says the name sounds like Wii U sounds like someone with a speech impediment playing Street Fighter. "I'm gonna use Wii-U an' figh Ken."
With no word on price, however, I still feel this thing is going to be ridiculously expensive, especially the controllers. And if Nintendo is smart, they'll continue including games with the system as they have with the DSi XL, Wii, and 3DS.
Again, though--I like it, and amazingly, Nintendo managed to pull another golden egg out of their butt. I'm thrilled to see how this gets used.
As per Nintendo's press conference--I was immensely disappointed to not see Pikmin 3, Xenoblade, Last Story, or Pandora's Tower. Apparently the only things coming to the Wii this year are Zelda and a new Kirby game.


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The Mentalist: 6×22 – Blue Bird [FINALE]
This whole episode, from start to finish! It was perfection!
I have waited six whole years for this and whilst I have always hoped that once Red John was put to bed, this would be a possibility, I never really thought we would get it. I mean with Jane the way he is and everything he's done, it would be so so so hard to have Jane/Lisbon happen whilst keeping things in-character but by God Bruno Heller managed it.
I kind of guessed Jane was behind the letter from the beginning and that scene on the beach where Lisbon worked out the code "all by herself" was really obvious. And then the luxury hotel! The suites! The beautiful dresses! The look on Jane's face when Lisbon came down the stairs! Lisbon being furious and throwing the drink in his face! THEIR CONVERSATION THROUGH THE HOTEL DOOR! JANE DECLARING HIS LOVE ON THE PLANE IN FRONT OF EVERYONE! KISSING!!!!!!!!!!
And can we just take a moment to appreciate how hilarious this episode was! Abbott – the biggest Jane/Lisbon shipper! CHO being clueless!!! THE ABBOTT/CHO COMEDY DUO! "Really?! You don't know why?!" "Don't know why what?" *Abbott eyeroll* "I don't see it, they're like brother and sister. There's no way."
The case itself, with everyone bursting into Jane's room trying to seek revenge when all Jane cares about is drowning his sorrows – hilarious! And just the music score throughout the whole episode <3.
The Mentalist: 6×07 – The Great Red Dragon + 6×08 – Red John
Wow, and so the Red John arc finally draws to a close. I haven't been obsessed with the show in years so I couldn't tell you if the resolution really does tie up every loose end and fits with all the info we've been given before. However, it was definitely a deserving conclusion. The showdown with the FBI team, Bertram being a red herring as was Bob Kirkland and like half a dozen other guys.
This was everything you would want in a 200th episode. JJ was excellent and whilst having Prentiss back was a hit, I absolutely loved how they tied JJ's undercover backstory in with the timeline of the Prentiss/Doyle thing. The scene between the two of them on the plane when JJ was taking Emily to Paris <3, JJ hallucinating and imaging Prentiss with her and Prentiss being the one to rescue her TWICE. Also, bringing back Strauss <3.
The twist about Cruz was something I didn't see coming and I liked the implication of some one-sided Cruz/JJ. Will/Henry – yay! Whole team love at the end!
NCIS: Los Angeles: 5×10 – The Frozen Lake
And cue a giant leap in the Deeks/Kensi relationship. This episode was a goldmine for Deeks/Kensi fans. Deeks protecting Kensi from gunfire, Deeks not wanting to take the shot in case he missed, Kensi punching Deeks because of it, the Frozen Lake metaphor, the Fern/Max scene, Kensi giving Deeks her father's knife, Kensi rushing in to rescue Deeks, Deeks taking the shot, Deeks/Kensi and the "talking about this" scene ….
And the case itself with the Gurkha was interesting too.
The Newsroom: 2×09 – Election Night, Part 2 [FINALE]
And other thoughts ….. Don/Sloan <3 <3 <3 <3. Don has redeemed himself this season. I still can't forgive him for the way he treated Maggie but Don/Sloan are so cute I just want to forget about all the Don/Maggie era. I think Don and Maggie just bring the worse out in each other.
Whilst I didn't think Jim and Maggie would get their HEA this season, I didn't quite think we would be where we are with them now. Were the flashbacks to the Pilot really necessary during their heart-to-heart? I just don't know what to do with Maggie any more. She is probably the character I am least invested in.
Charlie/Reese/Leona – they all crack me up. Charlie is just complete love.
Grey's Anatomy: 10×24 – Fear (Of The Unknown) [FINALE]
Sandra Oh's final episode and it was the perfect sendoff. There was the 'big drama' of the huge trauma case to keep the episode busy but that wrapped up pretty early giving enough time for a series of perfect Meredith/Cristina moments. Meredith putting Cristina in the cab, THE DANCING IT OUT to a song I always associate with GA, Cristina's speech to Meredith ….. I liked that they wrote Shane out by having him go with Cristina. Poor Owen/Cristina never really had a proper goodbye but I think that was for the best and worked well because there is no way there can ever be real closure there.
And the reveal about Dr Pierce being Ellis Grey's daughter who she gave up for adoption and therefore Richard's daughter and Meredith's half-sister? Woah, I did not see that coming. Way to keep the "Grey" in Grey's Anatomy!
I obviously don't like the Derek/Meredith tension so that's a downer in what was otherwise a surprisingly upbeat finale for Grey's.
Nashville: 2×22 – On The Other Hand [FINALE]
I really enjoyed this season of Nashville, much more than I thought I would. The latter half was especially strong and I think I should have included more episodes on this list than I did.
Anyway, onto this episode ….. my absolute favourite thing was Rayna being there for Juliette and the two of them sticking it to Jeff. I love the Rayna/Juliette frenemy relationship <3. Oh and Deacon/Rayna, obviously I ship them but it is hard to be totally in love with the scene at the end when Luke is such a good guy as well …. *sigh*. Juliette/Avery broke my heart but I am glad that the whole Jeff thing is in the open and didn't drag onto the next season. Gunner/Scarlett scene was so so beautiful. And then there's Will …. so his coming out is definitely going to blow up next season but I pray and pray this means it will be the end of Layla hanging around. I even prefer Teddy to her!
The Mentalist: 6×20 -Il Tavolo Bianco
Oh the Jane/Lisbon tension! The dinner, that scene at the end ….. "I want you to know, I really want you to be happy."
I really like Pike but of course Jane/Lisbon is where my heart lies. I love that Abbott is blatantly shipping Jane/Lisbon.
Grey's Anatomy: 10×17 – Do You Know?
I am usually a bit ambivalent about Cristina and am tired of the Owen/Cristina drama but I LOVED this episode.
I didn't realise until a fair way in that it was dream sequence – somehow I even bought the idea of Cristina getting a dog especially as it was such a, uh, unique one and I thought it was fantastic to explore how differently Cristina, Owen, and the rest of the gang's lives would play out depending on if Cristina got back with Owen for real. It also gave us a possible glimpse into the future lives of the characters well after when the show ends.
NCIS: Los Angeles: 5×01 – Ascension
A fantastic resolution the the Season 4 finale. Poor Deeks. Some awesome Deeks/Kensi moments, especially at the end ….."The place I went to in my head to stop the pain was you. I just kept thinking about your smile, and your laugh, everything, it's the only thing that got me through for whatever it's worth."
Parenthood: 5×22 – The Pontiac [FINALE]
This season has been a missed bag, due to the falling apart of Joel/Julia's marriage. However, this episode was a success.
My favourite part was Victor's essay and the Joel/Julia family time. Hetty's news was a bit of a surprise but I liked how it was dealt with. Zeke giving Drew the car was a wonderful moment (but I SO don't care about Drew/Natalie). I don't have any real feelings on Hank/Sarah or Ryan/Amber.
Criminal Minds: 9×24 – Demons (Part II) [FINALE]
This was by no means the best season finale the show has ever done but with the numerous life/death moments and gun battles, I have to give it 'A' for effort.
I totally didn't see Alex's departure coming. I hadn't watched the promo or read spoilers so I didn't know we were losing a member of the team but as it was thought it was done beautifully. No one could ever replace Prentiss but Alex really did grow on me and I'm sad that she's going but her final scene with Reid was just perfect.
Played: 1×08 – Poison
Jesse/Khali <3 <3 <3. Loved seeing them undercover and the scene where Khali saves Jesse's life … it was like seeing various stages of their relationship played out in one single episode.
Parenthood: 5×15 – Just Like Home
One of the reasons why I didn't keep up with Parenthood whilst it aired was that I really did not want to watch the downward spiral of Joel/Julia. They are my favourite couple in the show and one of my all time favourite married couples so it's sad to see them like this. However, their separation did make for some awesome scenes in this episode: Joel being a single Dad, an awesome Braverman sibling scene which I've waited all season for and the wonderful Victor/Julia phone call scene. Victor/Julia breaks my heart every time.
In terms of everything else …. I am rooting for Carl/Sarah and I think it's time for Hank to make his retreat, and I don't really care for the Drew/Amy storyline.
NCIS: Los Angeles: 5×22 – One More Chance
A good case and some very cute light-hearted Deeks/Kensi moments.
The Night Shift: 1×05 – Storm Watch
TC/Jordan <3. Love that moment where she blows her hair. So cute.
Parenthood: 5×18 – The Offer
Absolutely heartbreaking scenes between Kristina/Max/Adam and Joel/Victor in this episode. The only disappointing thing about this episode is Drew. He seriously needs to get over Amy/Nathalie already and Amber shouldn't be enabling him!
The Night Shift: 1×01 – Pilot
A great opening to the series. I've been waiting for this to air ever since I read the synopsis released at the 2013 upfronts. The TV world needs more hospital dramas. TC/Jordan <3.
Criminal Minds: 9×05 – Route 66
I loved the Hotch/Haley/Foyet dream story that played out. The case itself with a guy who "kidnapped" his daughter was also interesting and you couldn't help but feel sorry for the guy even though he is a killer.
Criminal Minds: 9×07 – Gatekeeper
A really interesting case of a serial killer targeting apparently random people rounded off by the team singing karaoke.
NCIS: Los Angeles: 5×02 – Impact
Whilst it was great to have Nate back to evaluate Sam and Deeks, the real joy of this episode came from the final scene between Deeks/Kensi which not only mirrors other times they have been to each other's houses with takeaway but also has Deeks utter the immortal words "It's a love story".
Chicago Fire: 2×07 – No Regrets
Massive train crash … woah. Also the first episode which really endeared Clarke to me. Casey/the kids are cute.
Chicago Fire: 2×04 – A Nuisance Call
Jay/Dawson, Shay being breaking down after a guy commits suicide in front of her and the end of the arsonist arc.
Played: 1×05 – Guns
I loved getting some Jesse backstory.
Chicago Fire: 2×09 – You Will Hurt Him
Shay goes off the deep end and Severide makes a plea to Dawson to help which tugs at my heartstrings. Cruz/Leon.
Chicago Fire: 2×10 – Not Like This
The firehouse is about to close – or is it? The gang come up with a plan to save firehouse 51, Dawson's dreams of being a firefighter are revealed, cute kid with a petition and Casey is injured.
Hawaii Five-0: 4×08 – Akanahe (Reluctant Partner)
I didn't realise until I had finished watching that this had one of the Jonas brothers in it. Anyway, I didn't see the twist coming. Very smooth plot and good way to get Steve and Grover working together.
Nikita: 4×02 – Dead or Alive
Nikita is reunited with her team, Owen/Sam and Alex team up, Ryan has an awesome whiteboard thing going on and Birkoff, well …. intriguing twist there!
Chicago PD: 1×15 – A Beautiful Friendship [FINALE]
Great to get some Lindsay background and some nice Halstead/Lindsay scenes. It wasn't as an action-packed episode as I feared but the ending made me sad – I really like Archie Kao.
The Mentalist: 6×16 -Violets
A nice light-hearted episode which was interesting from start to finish and full of Jane/Lisbon moments (and speculation from other characters whether they are/aren't a couple). Loved them going undercover as a couple and Lisbon getting a legit love-interest to make Jane jealous.
Chicago PD: 1×01 – Stepping Stone
Pilots are usually hit or miss but this one was awesome. It gave a great introduction to the characters and was fast-paced and thrilling.
Hawaii Five-0: 4×10 – Ho'onani Makuakane (Honor Thy Father)
Don't judge an episode by its summary – I thought I wouldn't be interested by an episode driven by the past of two elderly men but it was surprisingly interesting and I loved the flashbacks to WWII.
Hawaii Five-0: 4×13 – Hana Lokomaika'i (The Favor)
Whilst I like Chin Ho, he isn't a character I am particularly invested in so when I read the summary for this episode and saw that it was a Chin -centric episode and explored his past and his relationship with Malia, I didn't think it would turn out to be particularly interesting. Boy was I wrong! It was definitely one of the best episodes in the recent batch. Nice tie-in with Steve's father as well.
Nashville: 2×10 – Tomorrow Never Comes
Peggy is finally killed off! Hurray!
I also liked the idea of Deacon working with Gunner and creating an alternative music festival stage.


text:
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See also: Special:Categories/Gainsborough, Special:PrefixIndex/Category:Gainsborough and all pages with titles containing "Category:Gainsborough"
Gainsborough is a name used for a famous portrait painter, a railway line in Suffolk and for several settlements around the world.
- Category:Gainsborough, Lincolnshire
- Category:Gainsborough, Suffolk
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- Category:Gainsborough Line
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The hematopoietic stem cell transplant from a compatible sibling is the best source of stem cells for an ailing child. There have been 500 transplants between siblings with excellent results in hematological disorders (malignant or not).
Leukemia is a malignancy of the bone marrow and is associated with excessive and uncontrolled proliferation of abnormal white blood cells, with a simultaneous and gradual reduction in the production of normal blood cells. Easy fatigue, anemia, fever, infections and bleeding episodes in the skin or in the mucous membranes are common symptoms of the disease.
- Hematopoietic umbilical cord blood stem cells of a newborn saved the life of his older brother who suffered from leukemia. Keegan Doheney was diagnosed with leukemia when he was only 2-years old. Although the disease had gone into remission, the diagnosis was not encouraging three years later. The hopes of the parents rested on Keegan's smaller sibling whose umbilical cord blood stem cells were banked at birth. The two children were compatible and the transplant was successful, as evidenced by the fact that Keegan is healthy nine years after the treatment.
Acute Lymphoblastic Leukemia
- Hank Heacock, the sixth child of a family offrom New Jersey, was diagnosed at an early age with acute lymphoblastic leukemia, one of the most common types of malignancy in children. The disease is associated with the deterioration of the central nervous system. The child's mother, already in her second month of another pregnancy when the disease was diagnosed, was encouraged by one of the attending doctors to bank the stem cells of her baby, at birth. The mother followed the advice and the stem cells were banked.
Hank underwent chemotherapy for over 3-years. When it was decided that he was ready to accept a bone marrow transplant, a histocompatibility test requested by the doctors indicated that two brothers, aged 3 and 5, were in fact compatible with Hank. Although the older sibling could have easily provided bone marrow, it was decided instead, to administer the hematopoietic umbilical cord stem cells of the younger sibling which were banked at birth. The doctors chose this transplant unit because it could improve the results of the transplantation. The doctors chose to administer a supplemental unit of bone marrow in order to obtain enough stem cells. David received first the bone marrow transplant and then the second unit of umbilical cord blood of his brother. The entire process lasted just a minute or two. A the time David was 18-years old. David's recovery has been slow but steady and today he is healthy and active.
Sickle Cell Anemia
This is a blood disorder in which red blood cells become deformed and sickle-shaped, resulting in the mutation of the genome. The sickled cells, as they are called, find it difficult to circulate in the blood vessels due to their corrupt shapeand are more easily destroyed than normal red blood cells, resulting in anemia.
- A Child diagnosed with sickle cell anemia survived thanks to a transplant unit from his newborn sibling. Joseph Davis Jr.suffered from constant pain, high fever, swollen hands and feet, and was constantly subjected to blood transfusions, in order to control the number of red blood cells. His parents started the process of finding a compatible transplant cord blood or bone marrow unit, but the fact that Joseph had his roots in Africa significantly reduced the odds.
The parents suddenly saw light at the end of the tunnel when the mother became pregnant for a second time and they discovered that the new baby was fully compatible with the older sibling. The umbilical cord blood stem cells of the newborn baby were transplanted into the ailing brother, after he had undergone high-doses of chemotherapy to get rid of the sickled cells in the blood. It was necessary to transplant the healthy stem cells into a healthy environment. The transplantation took place in May 2002. About 20 days later the child began to feel better. His life today is normal and he can look forward to a fulfilling and healthy life.
Thalassemia is an inherited form of severe anemia and is the most common type of anemia found in Greece. In thalassemia, the body cannot synthesize hemoglobin by itself, a key component of blood, which results in difficulties in skeletal growth, paleness and weakness of the patient. Symptoms usually occur after the first year of life, while the usual treatment entails continuous and frequent blood transfusions, so the hemoglobin of the patient can be maintained at a satisfactory level.
The continuous transfusions burden the body with excess iron, which damages many organs, and can even lead to heart failure.
In recent years, the transplantation of hematopoietic stem cells has successfully cured patients with thalassemia, opening up new possibilities for treatment and giving hope to thousands of patients with this devastating genetic disease.
- A typical example is the 7-year old Theodore, the first child in Greece who was cured of thalassemia following a successful transplantation of umbilical cord blood hematopoietic stem cells taken from of his brother. When Theodore was 18-months old, he was diagnosed with this insidious disease and his family was encouraged to conceive a second child via in vitro fertilization. A few years later, in 2008, little Alkistis was borne, whose umbilical cord blood stem cells were given to her brother. Theodore has since undergone numerous medical tests and all indications are that he is cured and is no longer suffering from the dangerous and fatal disease, Thalassemia.
Aplastic Anemia
Aplastic Anemia is an anemic syndrome characterized by the absence of all types of blood cells and a decrease or almost total disappearance of cell lines in the bone marrow. The onset of the disease is manifested by easy fatigue and weakness, often accompanied by hemorrhaging and related infections.
- Titus Chang was 18 -months old when diagnosed with aplastic anemia. During the first 3 years of his life, he had to receive weekly blood transfusions in order to reduce the possibility that his already sick immune system would deteriorate further. This was necessary because his bone marrow did not have the ability to produce any red blood cells. His parents could not face the suffering of their child, who was seemingly born healthy and with no family history of this disease.
With the birth of a healthy brother came the hope of salvation for the sick child. His parents decided to bank the umbilical cord blood of the newborn. In 2004, the sick child was treated with chemotherapy, and then successfully transplanted the healthy stem cells of his sibling, a process that lasted only a few hours. The graft was readily available, so there was no loss of valuable time in searching for a compatible unit. The doctors stated that the cord blood transplant was the best, since it would be difficult if not impossible to collect bone marrow or peripheral blood from the newborn baby.


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Man who plays Basketbal Men's Zip Hoodie
American Apparel California Fleece Zip Hoodie (5497) is made of 100% cotton. Matching Nylon zipper. Hooded with matching finished Polyester drawcord. Raglan sleeves. Kangaroo pocket.
Made in USA.
The product is printed on demand and cannot be returned or exchanged.
- Imported
- Machine wash cold with like colors, dry low heat
- Basketball, university of kentucky basketball, basketball socks, basketball shorts, basketball jersey
- vintage basketball jersey, basketball t shirts, duke basketball t shirts, notre dame basketball t shirt, kentucky basketball t shirt, Funny T-shirt, Cool T-shirt
- Lightweight, Classic fit, Double-needle sleeve and bottom hem


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Indians Move to 4-0 in Region 8-AAAA
The Stephens County Indians remain unbeaten in Region 8-AAAA football play. Friday at the Reservation, Stephens County used 20 second quarter points to jump out on the way to a 40-21 win over Chestatee. Stephens County got on the board first with a 17-yard touchdown run by Jackson Bell to make it 6-0. Chestatee took its only lead at 7-6 […]Read more


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95,318pages onAdd New Page
this wiki
this wiki
The November 14, 1995 Edition of ECW Hardcore TV was held in Philadelphia, Pennsylvania.
- Numbers in parentheses indicate the length of the match.
- (c) refers to the champion(s) heading into the match.
- Konnan & Rey Misterio Jr. defeated La Parka & Psicosis by Count Out (7:04)
- Tommy Dreamer (w/ Terry Funk) defeated Cactus Jack (w/ Raven)


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A Masters degree is an academic degree awarded to individuals who successfully denote a higher level of expertise. There are two main types of Masters - taught and research.
There are several fields that make up the broader field of computer science. One of these fields is the computational complexity theory, which can be very abstract. Other fields, such as computer graphics, deal more with concrete and hands-on visuals.
Central America is the region of North America located between the southern border of Mexico and the northwest border of Colombia, in South America. It consists of Belize, Guatemala, Honduras, El Salvador, Nicaragua, Costa Rica, and Panama.
View all Master Programs in Computer Science in Central America and Caribbean 2017
or search for similar programs here


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|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|d...@ast.cam.ac.uk (David Robinson)
|Re: Formal geteuid patch...
|Thu, 05 Oct 1995 12:56:00 GMT
> I offered a version of this patch to email@example.com to fix things > temporarily, and I've uploaded it > > to: hyperreal.com/patches/incoming > called: nn_geteuid.apache_0.8.14.patch I've copied this to 18_geteuid.apache_0.8.14.patch Note that I've also uploaded 17_const.0.8.14.patch Subject: Remove some -Wwrite-strings warnings Affects: mod_include.c, http_log.h, http_log.c, alloc.h, alloc.c, http_main.h, http_main.c, httpd.h, util.c, http_request.c, http_protocol.h, http_protocol.c ChangeLog: Add const to prototypes to remove warnings about passing static strings Comment: There's more to be done after this patch, but this is enough to be going on with. David.
|View raw message


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Posted: Wednesday, March 15, 2017 4:33 PM
** TAKE A VIRTUAL TOUR NOW - http://fusion.realtourvision.com/494637 ** Tranquil views from every room of this nature inspired 5 bedroom, 3.5 bath home. Just minutes from the heart of Annapolis. No detail overlooked! Sparkling kitchen w/granite, induction range & custom tilework. Main level en suite bedroom. Private home office on 2nd level. Sliding shoji doors reveal the ultimate owner's retreat! Enjoy the serenity of this private, wooded setting. A MUST SEE!! For more information please contact 443-572-1766
• Location: Annapolis, Baltimore
• Post ID: 18270857 baltimore


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Ok, I've had like 200 emails concerning this car. We had it posted a couple of years ago and apparently, people still want to see it. It's the car that will never be thanks to GM. Once the Pontiac name was dissolved, so was this car. Built on the same alpha platform as the new Camaro, the Pontiac Trans Am was shown only as a concept car. Sad but true, we'll never see this car venture down the highways of the US….
2012 Pontiac Trans Am
It is about time they brought back the Trans Am I have one and there is nothing like a Pontaic Trans Am Or Firebird. I'm ready to buy one.
It's so sad that we will never see this car on the streets:( I'm a huge Camaro fan myself and pray that some day I will have one of my own, and when I saw this picture I think my heart stopped. It's a work of art!
im not against this car but il looks way to much like the comaro
Bring back the Pontiac classics!!!! Why is it that the good classics get ditched? We all know that more detail goes into the Pontiacs. They have redone the charger the challenger the camaro and more, Why not the TransAm or the Firebird?
A Man to tht I think the new Trans AM looks a heck of a lot better than the Camaro and the Corvette. Dam tht black polish looks amazing' I wish they would come back with the T/A Cuz I sure would buy 1. Dang it looks awesome.


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A new year
We are now well into 2017 and the examinations in March are being finalised. Record numbers of candidates are expected for Oncology and Cardiology. As such there may be some changes to the examinations schedule and venue. However these changes will have no impact on travel arrangements for candidates - all examinations will be held in Giessen and over the same time period . However, for some specialties, the OCM may be held before the written examinations rather than after. We will advise all candidates as soon as we have finalised the timetable.
We have been working hard to improve communication with ACVIM. One remit is to strengthen ECVIM representation within JVIM. You will find two potential Associate Editor advertisements within our News section, one of whom will eventually represent ECVIM. This is an exciting opportunity for someone interested in editorial work and in providing JVIM with a European focus.
I wish all of our upcoming examination candidates good luck as they prepare for March.
Carmel T Mooney
1st November 2016
I apologise that my first ever Presidents Blog is being written in my second year as President of ECVIM. However, we in Executive Board have agreed to make a better effort in updating the website in a more timely fashion.
The Congress recently held in Sweden was a resounding success and it was a great pleasure to present our new Diplomates with their official certificate - congratulations to you all!. I hope to see many of you volunteering for our numerous committees in the near future.
Since the AGM, we have been working on various different areas. We will shortly provide details on the Programme Directors Forum and are continuing to look at our examinations systems. Whilst the remit of this is to ensure that our examinations are defensible, reliable, robust and reproducible we also are looking at alternate methods of delivery. More of this to come.
I would also like to encourage our membership to use the discussion forum to highlight any issues you feel need airing. It is only through continued use that our website will become a useful resource for open communication.
Carmel T Mooney
2nd September 2015
I can't believe it's nearly over
I am looking forward to our forthcoming congress in Lisbon. It is the time of year when the greatest number of our diplomates gather in one place and the most obvious demonstration of the shared goals and objectives of our organisation.
This year the AGM will represent the end of my period as President of the college. It has been a great privilege to help guide this organisation over the last two years. I am sure that the college will continue to thrive under the leadership and guidance of Carmel Mooney.
I would like to extend my thanks to all of you who have helped me during the two years of my period of office. I certainly couldn't have done it without you!
It is with a mixture of sadness and relief that I hand over the reins. I wish the best of luck to my successor.
14th July 2015
A few things to think about over the Summer.
It is now less than two months to our annual congress, and for diplomates it is less than two months to our annual general meeting. As ever there are important things for us to consider and decide at the meeting and I have sent correspondence to diplomates specifically to encourage consideration and discussion on the matters of case reports and our ongoing relationship with the Journal of Veterinary Internal Medicine before the AGM in September.
I hope everyone has time for a good break over the summer and that you all come back rejuvenated with new enthusiasm for our annual meeting.
I hope to see many of you in September and in the meantime have a great summer.
20th April 2015
A quick message for diplomates
As some, but not all, of you will know. I have started sending messages to diplomates from the e-mail address
Some of you have not been receiving these, presumably because of overzealous spam filters. If you could set your spam filters to recognise this as a "safe-sender" that would be helpful.
16th April 2015
I thought it was time to update the blog to let you know about a few developments.
Since I penned the last blog (below) our new website has gone live. Thanks to those diplomates who have entered their details into the database and created their profiles. Please could I encourage those diplomates who have yet to do this to enter their details as soon as possible. Once we have most diplomates' up-to-date addresses entered into the system we hope to be able to create an interactive "diplomate map" that will help members of the public identify specialists near them.
We have invoiced diplomates for their 2015 annual fees via the site. Those of you who are diplomates can expect to receive their invoice via e-mail and can pay it (when logged on) via the "diplomate fees" link on the site.
Other developments in the college since early March include the conduct of the 2015 general and certifying exams which took place in March in Giessen, as did the spring executive committee meeting.
This afternoon I am off to represent the college at the European Board of Veterinary Specialization. I hope there will be progress to report to you at our AGM in September regarding the protection of the title "Veterinary Specialist" within Europe.
As you can see - there is lots going on.
I look forward to seeing many of you in Lisbon in September.
3rd March 2015
Welcome to the new-look ECVIM website.
Although outwardly similar to the website we had previously this site has multiple new functions that we hope will enable it to become a hub through which diplomates and residents interact with each other and with the college.
New functions on this site include the following
- The ability to manage your own information by completing the forms that appear under "my details". This will allow you to update your details if they change and change your password if you need to. The details that you add will automatically populate your entry in the "Diplomate List" - so if you change your professional address you can completely update your listing at the click of a mouse.
- The ability to pay fees to the college. Members can be invoiced through the website. To check if you have any outstanding accounts owed to the college you can just check on "Diplomate fees".
- The ability to contribute to discussion forums online. These can be created and contributed to easily through the "forums" menu that should appear on your homepage.
It is likely that there will be a few teething problems as the site is first used - so help us to solve those by contacting us and letting us know if there is a problem. You can either contact me at the e-mail address that appears at the bottom of this page, or Mareike our administrative assistant via the "secretariat" e-mail.
This new step forward should help to create a greater sense of community within the college and I look forward to exploring it with you online.


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Feed the Pig!!
Change for Change!
See the new $1000 Challenge, below...
Some have said: "Hey, when are we getting that Conversation Pool?" I have overheard "When pigs fly!" Well, game on!!! Anything is possible when you involve the CFR membership!!
When you walk into the clubhouse you will notice the Conversation Pool goal board. The amazing CFR membership are going 'hog wild' trying to raise money for a conversation pool. Conversation pools are cooler than a hot tub and warmer than a pool as it is smaller, using it earlier and longer in the season. So, this is an added amenity for YOU to enjoy.
he philanthropic pig graces the front desk at the office and is ready to accept offerings! Drop your spare change in the pig or give larger denominations / donations to the office staff and let them know you are feeding the pig!! Any amount great and small that is placed in the pig will go toward the conversation pool fund. So, bring home the bacon, oh naked ones, and feed the pig! At the end of each event weekend we will announce how much money the pig was able to fetch that weekend. Yes, the pig is hungry, very hungry….
At the end of Carnivale 2017 (Sept 15-17, 2017) we will summon the pig to see how much is in the piggy bank. Once we have a Conversation Pool there WILL be a big, fat, sloppy, hog wild, pig pickin' party where pigs will be flying!!
So get your pig on CFR and GIVE BIG TO THE PIG!!
$1000 Pool Fund Challenge !!!!
An anonymous donor will match any amount given to the Pool Fund up to
Accept the Challenge: Make Your Donation (any amount) and Be Sure and Let the Office Staff know it goes toward the
$1000 Challenge
. When we get to $1000 (any combination of donations), it will be matched by our very generous donor!!
Challenges received so far, now at $267 !!
Events at
Carolina Foothills Resort
Events are subject to change without notice!
Please call Carolina Foothills Resort for latest information.
Website Builder
provided by


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Dominic Geskey Memorial Fund
$17,708 of $20k goal
No amount of money, no words of comfort, no acts of kindness will ever be enough to heal the pain from losing a child/sibling. On Monday, March 13th the Blazevich/Geskey family lost their Dominic. He was a unique teenager who only knew how to love - and he loved well!
We all feel helpless and want to do something…anything. Some of us will visit the family, attend the vigil, tie ribbons on trees, make them meals, clean their home – others will simply send up prayers. There is no one "right" way to share in a person's grief. So, for those who have asked, and want to express their love and sadness in gifts…we have set up a fund to be given to the Blazevich/Geskey family. It is simply another expression of love which will allow the family to honor Dominic in whatever way they choose.
Thank you for your support!


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- Garbage Disposal Not Working? First Check the Reset Button!
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text: well im considering either REME or something in the royal engineers. im really into computers and electrical systems, which is why i was thinking reme, but i like the idea of frontline stuff... i dont mind paperwork, i did a HND in computer platforms and networking (which i didnt complete due to working nights at the time and not finishing coursework) i dont particularly want to do avionics but would be interested in the tiffy course. so reme i think it is... do you guys agree or would i get bored and perhaps find another role more suited?


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A Belgium man was seriously injured after having nearly 400 gallons of water dumped on him by a fire-fighting plane – as part of a catastrophically unsuccessful ice bucket challenge.
Photographer Bruno Brokken, 51, was flown to hospital in a "critical condition" after the aeroplane opened the hatch dropping 396 gallons of water from a height of 22 feet at an aerodrome near Girona in north east Spain.
"They had arranged to do it as part of the Ice Bucket Challenge craze in order to raise money for ALS," Rolf Kuratle, head of Skydive Empuriabrava, told Spanish newspaper paper The Local.
"The pilot flew a fire-fighting plane, the kind used to put out forest fires, and dumped the load onto his friend. They obviously miscalculated how much water it was."
Mr Brokken, who is also a full-time skydiver with over 15,000 jumps to his name, was recovering in Girona's Josep Truenta Hospital having luckily not sustained any internal injuries.
In pictures: The famous do the ice bucket challenge
In pictures: The famous do the ice bucket challenge
1/16 Lady Gaga
Lady Gaga managed to keep an admirably straight face as she poured what looked like a solid silver bowl of cold water over herself
2/16 Homer Simpson
Fans were overjoyed when their favourite yellow cartoon character got involved in the campaign to raise money to help those suffering from ALS. As per usual with Homer Simpson, things escalated quickly
3/16 Reece Witherspoon
One of those who have arrived slightly late on the scene, actress Reece Witherspoon looks nervous but resolute as she has a bucket of ice-cold water chucked over her head
Instagram/Reece Witherspoon
4/16 Lily Allen
Lily wore a bikini as she self-administered her bucket of icy water. She thanked Jess Glynne for the nomination, and passed the challenge onto Mark Ronson, Millie Mackintosh and rapper Giggs
5/16 Daisy Lowe
Celebrity ALS Ice Bucket Challenge videos seem to be coming in faster than we can watch them - model Daisy Lowe is one of the most recent to get involved. She was nominated by Sun journalist Dan Wooton, and passed it on to radio presenter Nick Grimshaw and Abbey Clancy
6/16 Bill Gates
One of the first to go viral on YouTube, Bill Gates had freezing water tipped over him in a bid to raise millions of dollars to fight the illness ALS
7/16 George W. Bush
It felt like quite an important moment when the former President of the United States accepted nominations from his daughter Jenna Bush Hager, golfing champion Rory McIlroy, Woody Johnson, and Jim Harbaugh. He nominated 'my friend Bill Clinton'
George W.Bush/Facebook
8/16 Jimmy Fallon
In an official letter this week, the ALS Association said: 'Never before have been in a better position to fuel our fight against this disease.'
NBCU Photo Bank via Getty Images
9/16 Tom Hiddleston
Amyotrophic lateral sclerosis affects the brain and the spinal cord. Motor neurons degenerate and die which makes it increasingly difficult to move muscles
10/16 Rita Ora
There is no known cause of ALS, though there is a proven hereditary factor in some cases
11/16 Taylor Swift
There is also no known cure, though the millions being raised by the ALS association will go towards researching these great unknowns
12/16 Oprah Winfrey
The illness is also known as Lou Gehrig's Disease, named after the all-time great baseball player from the early 20th Century whose time at the top ended when he was stricken with the illness in 1939
13/16 Mark Zuckerberg
The Facebook founder is unarguably the master of the challenge, who – following his drenching – saunters off
TV iGosu/YouTube
14/16 Justin Bieber
Bieber's first attempt was pretty naff: he didn't quite get it and decided not to use ice or a bucket to complete the challenge. Obviously, the internet moaned at him and he was brilliantly peer pressured into having another go
Swaggy Bieber/Youtube
15/16 Justin Timberlake
Celebrities have been nominating one another to do the challenge
16/16 Christiano Ronaldo and Marcelo
The challenge is now making its way over to this side of the Atlantic, former Manchester United players Paul Scholes and Gary Neville both doused themselves in cold water for a terminally ill fan
He has lived in Spain for several years.
Thousands of people around the world have taken part in the ice bucket challenge, but there have been a spate of accidents as people have attempted to go one better with each challenge.
Over the weekend a Scottish teenager drowned after a suspected ice bucket challenge went wrong in Fife.
Police Scotland have launched an investigation into the death of Cameron Lancaster, 18.
Video: The ALS ice bucket craze
The news also comes as a survey reveals nearly half of all people taking the challenge do not give to the charity or cause it supports – ALS, or motor neurone in this country.
Motor neurone disease (MND) is a neurodegenerative disease which causes muscle atrophy, gradually causing sufferers to lose the ability to breath, speak or eat.
The cause is unknown and there is no cure. MND affects around 5,000 people in Britain each year.Reuse content